Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Misi JMPK adalah menerbitkan, menyebarluaskan dan mendiskusikan berbagai tulisan ilmiah mengenai manajemen pelayanan kesehatan yang membantu manajer pelayanan kesehatan, peneliti, dan praktisi agar lebih efektif. Jurnal ini ditujukan sebagai media komunikasi bagi kalangan yang mempunyai perhatian terhadap ilmu manajemen pelayanan kesehatan antara lain para manajer, pengambil kebijakan manajerial di organisasi-organisasi pelayanan kesehatan seperti rumah sakit, dinas kesehatan, Kementerian Kesehatan, pusat-pusat pelayanan kesehatan masyarakat, BKKBN, pengelola industri obat, dan asuransi kesehatan, serta institusi pendidikan penelitian.
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135 Documents
<![CDATA[STATUS SOSIAL EKONOMI TERHADAP UTILISASI DAN OUT OF POCKET PESERTA ASURANSI KESEHATAN (ANALISIS DATA INDONESIAN FAMILY LIFE SURVEY 2007 DAN 2014) ]]>
<![CDATA[Endra Dwi Mulyanto]]>;
<![CDATA[Julita Hendrartini]]>;
<![CDATA[Firdaus Hafidz As Shidieq]]>
<![CDATA[ Journal of Health Service Management Vol 23 No 01 (2020) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v23i01.4171
<![CDATA[Background: The government has guaranteed equal rights for each individual to access health services. It is mandated in the Law Number 40 of 2004 on National Social Security System (SJSN) which emphasizing social insurance program. The social insurance is expected to improve the access and utilization of health services and to minimize the risk of out of pocket. Objective: To provide empirical evidence related to the impact of health insurance ownership toward the outpatient utilization and out of pocket based on socioeconomic status. It also examines the factors influencing outpatient utilization and out of pocket. Methods: The study used 2007 and 2014 Indonesian Family Life Survey (IFLS) data. The representative data were collected from individuals aged more than 15 years in 13 provinces in Indonesia through questionnaire with cross-sectional design. The data were analyzed step by step covering univariable, bivariable, and multivariable through Fixed Effect Model (FE). Results: The outpatient utilization indicated that: 1) The socioeconomic status influences the level of outpatient visit, specifically quantile 2 (OR=1,6), quantile 4 (OR=2,0), and quantile 5 (OR=1,8); 2) The outpatient utilization reached OR=1,8 for individual aged ≥60 years; 3) OR=3,6 for individuals completing junior high school and above; 4) OR= 2,7 for individual who was sick in the past one week; 5) OR= 1,4 for married individuals; and 6) OR= 1,9 for individuals suffering from heart disease. However, the individuals with socioeconomic status in quantile 4 spent higher Out of Pocket (54%); individuals in quartile 5 spent 46%; and individual with hypertension spent 48%. Conclusion: Changes in socioeconomic status affect the increase in outpatient utilization and out of pocket cost. In addition to socioeconomic status, outpatient utilization and out of pocket are affected by hypertension.]]>
<![CDATA[KEBIJAKAN PENGENDALIAN DAN PENGAWASAN MINUMAN BERALKOHOL DI KABUPATEN MINAHASA UTARA PROVINSI SULAWESI UTARA ]]>
<![CDATA[Wildan Akbar]]>;
<![CDATA[Mubasysyir Hasanbasri]]>;
<![CDATA[Retna Siwi Padmawati]]>
<![CDATA[ Journal of Health Service Management Vol 23 No 01 (2020) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v23i01.4172
<![CDATA[Background: Globally, alcohol use accounts for approximately 3.3 million deaths per year (5.9% of total deaths) and 5.1% disease burden associated with alcohol consumption. Currently, many alcohol abuse occurs in the community that is often known as alcohol abuse. Efforts to minimize the negative impact of consuming alcoholic beverages need to be controlled, supervised, and handling the distribution of alcoholic beverages. Therefore the Government of North Sulawesi issued Local Regulation No. 4 of 2014 on Control and Supervision of Alcoholic Beverages. Objective: This study aimed to see the provision of information and communication related agencies and attitudes implementing in implementing regional regulations number 4 of 2014 on control and supervision of alcoholic beverages. Methods: This research was conducted qualitatively with case study design by snowball sampling method. The number of samples researched as many as 15 respondents. Results: Lack of supervision from the government or related agencies on the control and supervision of alcoholic beverages becomes one of the things to be considered. The provision of information or socialization is conducted erratically and only implemented when there are reports from the public. Communication between relevant agencies is done when it will go down to the field only. The attitude of the policy implementers does not have a neutral attitude towards the community is known there is cooperation between the community with the elements of the relevant agencies to avoid the alcoholic drinks, this becomes the trigger for the community to no longer heed the rules. Conclusion: Implementation of alcoholic beverage control and supervision policy in North Minahasa Regency has not run well and there are still deficiencies and constraints faced. Subsequently, local governments and related agencies should work with communities to improve supervision of the dangers of the effects of alcoholic beverages.]]>
<![CDATA[ANALISIS SPASIAL KETERJANGKAUAN RETAILER ROKOK TERHADAP PERILAKU MEROKOK PADA SISWA SEKOLAH MENENGAH ATAS (SMA) DI KEC. WANGI-WANGI DAN WANGIWANGI SELATAN KABUPATEN WAKATOBI ]]>
<![CDATA[Muhammad Ihsan Awaluddin]]>;
<![CDATA[Supriyati]]>;
<![CDATA[Anis Fuad]]>
<![CDATA[ Journal of Health Service Management Vol 23 No 01 (2020) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v23i01.4173
<![CDATA[Background: Indonesia is still the third country with the most active smokers in the world (61.4 million smokers), after China and India. Data on cases of smoking violations at school in 2017 were 64 cases of smoking violations in all high schools in Wangi-Wangi District and 45 cases in high schools in Wangi-Wangi Selatan District and until August 2018 there were 68 reported cases of smoking violations in high school in these 2 subdistricts and is predicted to continue to increase. Objective: To analyze the spatial relationship between the afford ability of cigarette retailers by high school students on smoking behavior spatially in Wangi-wangi District and South Wangi-wangi District, Wakatobi Regency. Methods: Type of research is an analytic survey, using a cross sectional study design with consecutive sampling technique. Where the sample is high school students with a sample of 94 people. Results: The results showed that there was a significant correlation between the affordability of retailers (p-Value = 0.048) with the smoking behavior of high school students PR 2.09 (95% CI 0.015-4.123), and the smoking behavior of friends (p-Value = 0.010) with the smoking behavior of high school students PR 1.82 (95% CI 1,096-13,662), GeoDa spatial regression test shows that retailer’s affordability (p = 0.00922), friend’s smoking behavior (p = 0.00204) and parental smoking behavior (p = 0.03181) shows spatial relation ship with smoking behavior, where the parental smoking behavior variable has weak spatial autocorrelation because its Morran’s index is close to zero. Conclusion: There is a spatial relationship between the affordability of retailers, friend smoking behavior and smoking behavior of parents with smoking habits of high school students in Wangi-Wangi District and WangiWangi South District, Wakatobi Regency]]>
<![CDATA[IMPLEMENTASI PERMENKES NOMOR 43 TAHUN 2016 TENTANG STANDAR PELAYANAN MINIMAL (SPM) BIDANG KESEHATAN DI DINAS KESEHATAN KABUPATEN SUMBAWA BARAT ]]>
<![CDATA[Firdaini Armita]]>;
<![CDATA[Laksono Trisnantoro]]>;
<![CDATA[Dwi Handono Sulistyo]]>
<![CDATA[ Journal of Health Service Management Vol 23 No 02 (2020) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v23i02.4176
<![CDATA[Background: Ministry of Health has issued Regulation the Minister of Health No. 43 of 2016 about Minimum Service Standards (SPM) Health Sector. This SPM contains 12 types of basic services which targeting 100% by the District / City Government. According to SPM report District West Sumbawa at 2017, they must more focused in three achievements indicator, among them mental disorders (ODGJ) weight (129.92%), pregnancy care (83.02%) and Tuberculosis care (TB) (28.26%). District West Sumbawa has not declared regulation about the implementation SPM in health sector become Regent Regulation because of constraints in determining indicator objectives. Objective: To describe the acceptance Health District in implemen tation Permenkes No. 43 of 2016 about SPM in West Sumbawa Regency. Methods: This research was qualitative research with descriptive research and using implementation research. Collecting data by in-depth interviews and document review. Results: The acceptance Health District West Sumbawa in implementation Permenkes No. 43 of 2016 to three SPM indicators, resulted that: (1) has accepted in affective attitude component; (2) has not accepted in burden components; (3) only TB indicator has accepted in ethicality component; (4) only TB indicator has not accepted in intervention coherence; (5) only ODGJ indicators has accepted in opportunity costs component; (6) has accepted in perceived effectiveness component; (7) has accepted in self-efficacy component. Conclusion: Factors inhibiting acceptance implementation Permenkes No. 43 of 2016 in burden component were unavailability of regional regulation regarding SPM and dominant budgeting from APBN. Then in ethicality component there was an incompatibility between ODGJ and pregnancy indicator with local government performance indicator. Lack of training in TB care became a factor inhibition in intervention coherence. Then in opportunity costs component, there was inadequate innovation of pregnancy and TB indicator. We need attention from various sectors to improve SPM policy implementation.]]>
<![CDATA[PENERAPAN CUCI TANGAN PESERTA DIDIK DI RUMAH SAKIT GIGI DAN MULUT UNIVERSITAS GADJAH MADA PROF. SOEDOMO ]]>
<![CDATA[Fitrina Rachmadanty Siregar]]>;
<![CDATA[Andreasta Meliala]]>
<![CDATA[ Journal of Health Service Management Vol 23 No 02 (2020) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v23i02.4177
<![CDATA[Background: Dental health professionals have potential infection risks during treatment for the patients. Performing good hand hygiene is very important to prevent the transmission of infections including in dental practice. However, various studies have shown that health workers have low compliance to hand hygiene. Some factors influence the compliance of health workers in hand hygiene practice are knowledge, perceptions, attitudes, workload, and the availability of hand hygiene facilities. Objective: The aim of the study was to improve the compliance of the dental clerkship students’ hand hygiene practice at UGM Prof. Soedomo Dental Hospital. Methods: The research design was action research. Quantitative data was collected during the diagnosing action through a questionnaire on knowledge and perceptions of hand hygiene and observation of hand hygiene compliance among 35 students, focus group discussion (FGD) on four students, and evaluating the hand hygiene facilities for students. The data collected in initial stage was used to determine the planning action, taking action, and evaluation stage. Results: The hand hygiene compliance of the students increased by 60% after dissemination of hand hygiene standard procedures, hand hygiene training, improving hand hygiene facilities, and increasing the commitment using consent forms before treating patients. The result of the Wilcoxon Signed Rank Test showed a Z value of -4.583 with a p-value of 0.000 (p<0.05). Conclusion: It can be concluded that the hand hygiene compliance of clerical students in UGM Prof. Soedomo Dental Hospital increase significantly by the policy and management interventions.]]>
<![CDATA[EVALUASI PERENCANAAN DAN PENGANGGARAN PROGRAM PROMOTIF DAN PREVENTIF DINAS KESEHATAN KABUPATEN TANA TIDUNG, KALIMANTAN UTARA ]]>
<![CDATA[Ranik Diastuti]]>;
<![CDATA[Julita Hendrartini]]>
<![CDATA[ Journal of Health Service Management Vol 23 No 02 (2020) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v23i02.4178
<![CDATA[Background: Planning and budgeting are important components of community health efforts. Budget allocation for health in Tana Tidung was small. Budget absorption in health office was also low. Achievement of some Minimum Service Standard (SPM) indicators still below 60%. This indicates the possibility of problems regarding the quality of planning, budgeting, or implementation of promotive and preventive programs. Research needs to be done to evaluate the process of planning and budgeting of promotive and preventive program in Tana Tidung district health office. Objective: To evaluate the process of planning and budgeting of promotive and preventive program in Tana Tidung district health office to be known the obstacles of SPM indicators achievement. Methods: The type of research is case study research with single case design. Data collected by documentation document review, observation and in-depth interview with 17 employees in health of fice and primary healthcare centers during the period of March-April Data were analyzed with qualitative method. Results: Achievement of promotive and preventive program indicators in Tana Tidung district health office influenced by planning, either from human resources, data and information also guidelines for planning. Budgedting of promotive and preventive programs was ineffective and inefficient to improve achievement of SPM indicators. Constraints encountered are human resources have not been sufficient in quantity and quality, less communication, lack monitoring and evaluation functions, weak commitment of the programs holders in targets achievement, as well as the commitment of local authorities to promotive and preventive programs that are also weak. Conclusion: Planning and budgeting of promotive and preventive program had not been able to increase achievement of SPM indicators. Improvement is needed, especially on human resources, data management, policy components and also need a strong commitment to improve the achievement of promotive and preventive program indicators.]]>
<![CDATA[KAPASITAS SUSTAINABILITY PROGRAM HIV/AIDS DI KABUPATEN SINTANG ]]>
<![CDATA[Hermanto]]>;
<![CDATA[Yodi Mahendrahata]]>;
<![CDATA[Yanri Wijayanti Subronto]]>
<![CDATA[ Journal of Health Service Management Vol 23 No 02 (2020) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v23i02.4179
<![CDATA[Background: HIV/AIDS sufferers in Sintang Districts recorded the number of new cases from 29 people in 2012 to 63 people in 2017. Funding for the HIV/AIDS program from the Global Fund is uncertain, while funding from the Sintang Regency APBD tends to decrease. These data indicated that the dependence on funding for the HIV/AIDS program from donors, namely the Global Fund, is large enough that a study on the sustainability of the HIV/AIDS program is required if funding support from donors ceases. This can be a consideration for local governments and managers of the HIV/AIDS program to maintain the sustainability of the HIV/AIDS program to achieve the benefits and objectives to be achieved in the HIV/AIDS prevention program. Objective: To describe capacity sustainability (funding stability, or ganizational capacity, program evaluation, program adaptation and communication) of HIV/AIDS programs in Sintang District. Methods: This research used a qualitative approach with descriptive research type. Subjects of this study were 21 people. This research used purposive sampling and snowballing sampling for People living with HIV/Aids (PLWHA), with data analysis used is content analysis. Results: The sustainability of HIV/AIDS programs has not been supported by varied funding sources and the ability to obtain funding through the private sector (CSR). Priority setting of the proposed funding program is not evenly distributed, especially on cross-sectoral OPD and lack of NGO independence in terms of funding. Increased availability of health personnel and improvement of facilities at puskesmas to be able to perform HIV / AIDS testing. Standard evaluation report formats are still not getting attention, not yet supported by the local monitoring and evaluation team as well as some OPD across sectors have not benefited from the evaluation. weak aspects of prevention of HIV/AIDS transmission and cross sectoral involvement in monitoring. lack of availability of counselors and weak cross-sectoral involvement in communicating programs. Conclusion: The capacity of funding stability, organizational capacity, program evaluation, program adaptation and communication still require improvement and improvement with priority setting policy and funding through the private sector, support for the role of stakeholders related to the HIV/AIDS program.]]>
<![CDATA[PERAN STAKEHOLDER TERHADAP PROGRAM KESEHATAN JIWA DALAM PENANGGULANGAN PASUNG PADA ORANG DENGAN GANGGUAN JIWA (ODGJ) DI KECAMATAN MOYUDAN KABUPATEN SLEMAN ]]>
<![CDATA[Syifa Atun Nisa]]>;
<![CDATA[Mubasysyir Hasanbasri]]>;
<![CDATA[Nunung Priyatni]]>
<![CDATA[ Journal of Health Service Management Vol 23 No 02 (2020) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v23i02.4180
<![CDATA[Background: Mental health problems or mental health disorders are closely related to the physical restraint. Physical restraint on people with mental disorders is due to lack of information about mental health, financial barriers, inadequate access of mental health services especially in rural areas. The participation or role of stakeholder in mental health programs is one of the determinants to prevent the physical restraint on people with mental health disorders (ODGJ). Objective: This study aimed to find out and explore the role of stakeholders on mental health programs in prevention of physical restraint on people with mental health disorders in Moyudan, Sleman regency. Methods: This research was a descriptive study with qualitative methods. The research design used was a case study to identify and explore the role of each stakeholder in overcoming shackles in ODGJ in Moyudan District, Sleman Regency. The study used purposive sampling with research subjects totaling 19 people. Data collection is done by in-depth interviews, observation and document review. Results: All stakeholders have a role in mental health programs to prevent physical restraint on people with mental health disorders. Puskesmas as a key stakeholders have to advocate for other stakeholders. The results of advocacy are political commitment from local government, policy support from Health District Office, Social Welfare District Office, Ghrasia Mental Hospital, Moyudan district and village government. However, the implementation of the advocacy was not always successful. In this case, family as the main stake holder refused the advocacy. The negative stigma about mental health is one of the problem that is still difficult to deal within the community. Conclusion: All stakeholders have a role in mental health programs to prevent physical restraint on people with mental health disorders, although not yet optimal.]]>
<![CDATA[FAKTOR-FAKTOR PENGGUNAAN OUT-OF-POCKET PADA PESERTA BPJS PBI DI KLINIK “ASIH SASAMA” ]]>
<![CDATA[Azizah Boenjamin]]>;
<![CDATA[Diah Ayu Puspandari]]>
<![CDATA[ Journal of Health Service Management Vol 25 No 01 (2022) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v25i01.4209
<![CDATA[Background: The Social Security Administering Body (Badan Penyelenggara Jaminan Sosial, BPJS) established a health system based on Social Health Insurance called the National Health Insurance (Jaminan Kesehatan Nasional, JKN). The current implementation still does not meet one of the Universal Health Coverage (UHC) indicators, namely protection against financial risks due to the high use of Out-of Pocket (OOP). Many JKN participants still choose to seek treatment at the Primary Healthcare (FKTP) they are not registered in, resultingin OOP use.Objective: This study aims to explore the factors that cause the use of OOP in BPJS subsidized scheme participants who seek treatment in Outpatient Primary Clinic "Asih Sasama".Methods: This study uses a qualitative research design by using an analytical method, namely Framework Analysis. This research was conducted at the Outpatient Primary Clinic “Asih Sasama” locatedin Saptosari subdistrict, Gunung Kidul regency, Special Region of Yogyakarta. Researchers selected 15 respondents in this study. The theme of the discussion consists of 3 factors: knowledge, preferences,and roles of health workers.Results: Most of the respondents lack the knowledge and understanding regarding their rights and policies related to participation, especially the right to transfer FKTP. The closer distance from the place of residence, and the faster waiting time are the factors affecting the preferences of respondents to choose treatment using OOP. The role of health workers and village officials is still lacking in providing information to the community.Conclusion: It is necessary to strengthen regulations for implementing the JKN program, especially for PBI participants. There is a need for cooperation between stakeholders to hold outreach activities for the poor. There needs to be a solution to the problem of access in the community.]]>
<![CDATA[ANALISIS TARIF PELAYANAN POLI PENYAKIT DALAM DI RUMAH SAKIT UMUM DAERAH DALAM ERA JAMINAN KESEHATAN NASIONAL ]]>
<![CDATA[Sri Wusono]]>;
<![CDATA[Julita Hendrartini]]>;
<![CDATA[Dwi Handono Sulistyo]]>
<![CDATA[ Journal of Health Service Management Vol 23 No 03 (2020) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v23i03.4247
<![CDATA[Background: The Hospital as an advanced health facility has an essential role in implementing the National Health Insurance (JKN).Reimbursement mechanism of health services using INA-CBGs package tariff, which the objectives for controlling healthcare costsand improving service standards. However, this has not been implemented well. Therefore INA-CBGs has a disadvantage potentialto Hospital.Objective: To determine the difference between Hospital tariff and INA-CBGs for JKN patients.Methods: This study was descriptive with a qualitative approach and case study design. Review documents and in-depth interviewswith Hospital structural and functional management were used for data collection. Data analyzed used descriptive analysis for secondarydata and qualitative analysis to explore hospital policies and strategies to the tariff difference to deepen this study result. Theresearch was conducted from April to June 2018.Results: Healthcare cost of JKN patients in Internal Disease Poly has negative difference during January–June 2017 with an averageof 20,3%. The main factor causing the difference was pharmaceutical 63%. This tariff difference occurred due to several factorssuch as related with the most morbidity diseases: 61,7% chronic diseases, policies implemented for capacity building of human resourcesin JKN patient services, improvement of a referral program for stable patients, cross-subsidizing of other income and government,specific strategies in JKN services that listed in the strategic plan. Furthermore, for service output was planned to reach hospitalaccreditation and conduct excellent heart disease service.Conclusion: Healthcare cost in Internal Disease Poly had deficit due to hefty deviation tariff between hospital tariff and INA-CBGs.However, potential losses could be anticipated with policies and strategies that support cost control and improve service standards.]]>
