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"Vol 10, No 3 (2022): Desember 2022"
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Determinan Kepatuhan Siswa terhadap Protokol Kesehatan Selama Pembelajaran Tatap Muka (PTM)
Amalia Ninggar;
Ayun Sriatmi;
Rani Tiyas Budiyanti
Jurnal Manajemen Kesehatan Indonesia Vol 10, No 3 (2022): Desember 2022
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro
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DOI: 10.14710/jmki.10.3.2022.202-208
Boyolali Sub-Regency had the highest total Covid-19 cases that was reported by Boyolali District Health Office on February 2022. The limited face-to-face learning / PTM in Boyolali Regency has been implemented on January 2022 with requirement of strict health protocols. The purposes of the study is to determine the affecting factors of students compliance in the application of health protocols during the limited face -to-face learning in Boyolali Sub-Regency. Quantitative research method with a cross-sectional approach. The total number of respondents were 359 students in SD/ MI, SMP / MTs, SMA / SMK and MA who determined by proportional sampling technique. Data were analyzed by frequency distribution and simple liniear regression.The percentage of respondents with high compliance is higher (53.5%) than respondents with low compliance (46.5%).The affecting factors were age, level of education,knowledge, infrastructure supervision of school and community members, school support, friends support, and family support which has (p-value <0,005).The factors that didn’t affect was gender (p>0,005). The school should empower school health center role. It was done by involving the students checking the application of health protocols. The education office can make a pocket book containing health protocol rules during the limited face -to-face learning which can be a guide for family. The dostrict health office should socialization to community that they can also monitor health protocols during the limited face -to-face learning
Analisis Pengaruh Work-Family Conflict terhadap Kinerja Dan Komitmen Organisasi (Studi pada Perawat Perempuan di RSUD Soedirman Kebumen)
Ircham Dwi Kurnia;
Andita Sayekti
Jurnal Manajemen Kesehatan Indonesia Vol 10, No 3 (2022): Desember 2022
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro
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DOI: 10.14710/jmki.10.3.2022.280-290
Work-Family-Conflict is a conflict that usually occurs in the female nursing profession, especially for those who are married, this is caused by a mismatch between role pressures from work and family so that it can affect their performance and organizational commitment. The purpose of the study was to analyze the effect of work-family conflict on the performance and organizational commitment of female nurses in Soedirman General Hospital at Kebumen City.The sample of this research is female nurses with married status who work in Soedirman General Hospital at Kebumen City with a total of 41 people. This study uses primary and secondary data sources as well as a quantitative research approach with the technique of determining the sample using purposive sampling and collecting sample data using a questionnaire. The method of analysis used descriptive analysis and associative analysis. Based on this study, it was found that work-family conflict had a negative and significant effect on the performance of female nurses and work-family conflict had an insignificant effect on the organizational commitment of female nurses in Soedirman General Hospital at Kebumen City.
Analisis Efektivitas dan Efisiensi Pengelolaan Anggaran di RSUP Dr. Kariadi Semarang
Mimin Cahyo Retnosari;
Chriswardani Suryawati;
Puji Harto
Jurnal Manajemen Kesehatan Indonesia Vol 10, No 3 (2022): Desember 2022
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro
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DOI: 10.14710/jmki.10.3.2022.231-240
Penelitian tentang efektivitas dan efisiensi dalam pengelolaan anggaran masih memerlukan penjabaran lebih lanjut. Pengelolaan keuangan BLU memerlukan pengelolaan anggaran yang efektif dan efisien, sehingga melahirkan good governance. Penelitian ini bertujuan untuk menganalisis efisiensi dan efektivitas dalam perencanaan penganggaran terhadap kinerja keuangan di RSUP Dr. Kariadi. Jenis penelitian yang digunakan dalam penelitian ini adalah observasi kualitatif studi kasus di RSUP Dr. Kariadi, memotret dan menganalisis pelaksanaan anggaran dengan prinsip ekonomi pada efektivitas dan efisiensi terhadap kinerja keuangan dengan data primer dan sekunder. Data primer diperoleh dari hasil wawancara dengan informan, sedangkan data sekunder diperoleh dari data keuangan, anggaran dan penelitian kepustakaan. Informan penelitian ini terdiri dari lima informan yaitu Direktur Utama, Direktur Keuangan dan Barang Milik Negara, Koordinator Penyusunan dan Evaluasi Anggaran, Koordinator Perencanaan dan Evaluasi, dan Kepala Satuan Pemeriksaan Internal. Data penelitian merupakan hasil pengamatan di lapangan, melalui wawancara dan penyajian data secara ilmiah yaitu berupa laporan realisasi anggaran dan laporan keuangan RSUP Dr. Kariadi. Perencanaan penganggaran BLU sudah terlaksana cukup optimal, transparansi cukup terbuka dan akuntabilitas program kegiatan dapat dipertanggungjawabkan. Pelaksanaan anggaran dengan prinsip efektivitas dan efisiensi di RSUP Dr. Kariadi telah dilaksanakan dengan baik, namun dari sisi fleksibilitas pengelolaan keuangan masih belum optimal. Kinerja keuangan berdasarkan efektivitas dan efisiensi perencanaan anggaran BLU berdampak pada pendapatan operasional dan biaya operasional rumah sakit. Efektivitas dan efisiensi memiliki pengaruh yang kuat terhadap kinerja keuangan di RSUP Dr. Kariadi, baik pengaruh positif maupun negatif. Berdasarkan hasil penelitian, diperlukan sosialisasi kepada semua unit kerja untuk penerapan efektivitas dan efisiensi dalam menyusun program kegiatan operasional rumah sakit.
Faktor Determinan dalam Kepatuhan Penggunaan APD Tenaga Keperawatan Gigi Rumah Sakit selama Pandemi
Laily Maghfira Noor Ridarsyah;
Ayun Sriatmi;
Henry Setyawan Susanto
Jurnal Manajemen Kesehatan Indonesia Vol 10, No 3 (2022): Desember 2022
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro
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DOI: 10.14710/jmki.10.3.2022.241-245
Hospitals are complex, expert and capital intensive health care institutions. During the Covid-19 pandemic, many cases of health workers infected with Covid-19 were described by data on the death rates of health workers in various countries. The use of Personal Protective Equipment (PPE) for nurses is very influential because it can prevent exposure to infectious diseases. the risk of contracting the disease in nurses will increase.The purpose of this study was to analyze factors related to compliance with the use of PPE for dental workers in hospitals during the pandemic.This is a quantitative research with a cross-sectional approach. The target population in this study were all 65 medical personnel at RSIGM Sultan Agung Semarang. The sampling technique used in the study was the total population.The results showed that the information provided, leadership and perceived benefits will have a positive effect on dentist compliance in the use of PPE, while imbalance, and the environment have no positive effect on dentist compliance in the use of PPE. Information provided, imbalance, leadership, environment and perceived benefits together have a relationship with dentist compliance in using personal protective equipment.Doctors and dental nurses need to maintain their mindset that they will feel happy if the patient and himself are protected from the Covid-19 virus. It is necessary to know that the use of PPE does not hamper the services provided because PPE is only an additional tool for personal and patient protection against the Covid-19 virus.
Tatalaksana Pasien di Rumah Sakit oleh Dokter Gigi dalam Pandemi COVID-19: Literature Review
Eghia Laditra Ambarani;
Chriswardani Suryawati;
Zahroh Shaluhiyah
Jurnal Manajemen Kesehatan Indonesia Vol 10, No 3 (2022): Desember 2022
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro
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DOI: 10.14710/jmki.10.3.2022.246-259
On March 12, 2020, WHO (World Health Organization) officially declared the COVID-19 as a pandemic with the spread of SARS-CoV-2 globally and caused thousands of deaths. The wide and very fast spread of COVID-19 and reports of its spread to health workers, dental professionals are at high risk of nosocomial infections and can be potential carriers of the disease. This study aims to analyze dental management carried out in various countries in the COVID-19 era. This study uses a simplified approach systematic review method. A total of 101 articles were found in the initial search. Based on the selection of article searches resulted in 11 articles consisting articles from international journals. The study resulted in the management of dentistry in the COVID-19 era being divided into four parts, namely online patient triage, in-office patient triage and clinics preparation, treatment management, and post-treatment management. This management had not been carried out before COVID-19, but with COVID-19 still going, having a safe dental management can be a useful lesson for dental professionals or hospital managers for future epidemics or pandemics.
User Expectations on Telemedicine Financing in the National Health Insurance Era
Rani Tiyas Budiyanti;
Chriswardani Suryawati;
Murni Murni;
Matsna Hanifah
Jurnal Manajemen Kesehatan Indonesia Vol 10, No 3 (2022): Desember 2022
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro
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DOI: 10.14710/jmki.10.3.2022.209-217
Telemedicine users have increased during the Covid-19 pandemic. Telemedicine can provide alternative solutions to improving quality, and access, and reducing disparities in health services, especially in urban and remote areas. However, in the era of national health insurance, not all telemedicine is covered by Healthcare and Social Security Agency (BPJS Kesehatan). This study aims to determine user expectations of telemedicine financing in the national health insurance era. This research is quantitative research with a descriptive approach which was conducted in February-April 2022. The respondents were 102 people who had used telemedicine services in Indonesia that were selected through the quota sampling method. The results showed that 95.1% of respondents agreed that telemedicine services were covered by the National Health Insurance (NHI), either fully or by sharing costs. As many as 31.95% of respondents expect 25% of cost-sharing with NHI, 35.05% of respondents expect 50% of cost-sharing with NHI, 12.37% of respondents expect 80% of cost-sharing with NHI, and 20.63 % hope 100% will be covered by NHI. Further and specific regulation related to telemedicine is needed. The type of telemedicine service covered communication with the telemedicine service provider, and the amount of the service fee covered needs to be communicated between the relevant parties
Health Information System Krama Bali Sejahtera Public Services Innovation Improves Denpasar Community's Trust For Healthy Behavior Through Adaptation Of New Habits
Putu Vierda Lya Suandari;
I Made Dhita Prianthara
Jurnal Manajemen Kesehatan Indonesia Vol 10, No 3 (2022): Desember 2022
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro
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DOI: 10.14710/jmki.10.3.2022.260-270
The government in providing public services to the community is required to be effective and efficient, therefore it is continuously expected to be able to innovate services in a better direction to improve quality. Service quality is an important thing that determines public trust in public services to be able to realize community participation by increasing knowledge, trust and developing community habits regarding the concept of healthy behavior in adopting new habits and closer government relations with the community. This study aims to determine the description of public service innovations in Denpasar City in increasing public confidence to behave healthily in adapting to new habits, especially in the community in Denpasar City. Data analysis in this study used Partial Least Square (PLS) with a sample of 200 respondents who accessed the measured SIK-KBS. The results of the SIK-KBS public service innovation assessment show that the Bali Provincial Government has a positive assessment with a score of 75.3 and is in the BB (innovative) public service innovation qualification level. Based on this value, it is known that the SIK-KBS public service innovation that has been carried out in Denpasar City in improving information access services has been innovative and able to increase public confidence in healthy behavior which has a significant positive effect as seen from the t-statistic value > 1.96.
Analisis Faktor yang Berhubungan dengan Kunjungan Antenatal Care (ANC) Remaja Hamil di Wilayah Kerja Puskesmas Kota Kupang
Elfrida Dana Riwoe Rohi;
Aloysius Liliweri;
Sabina Gero
Jurnal Manajemen Kesehatan Indonesia Vol 10, No 3 (2022): Desember 2022
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro
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DOI: 10.14710/jmki.10.3.2022.218-227
Background: Adolescence is a period of “ Opportunity Window”, where an appropriate period to inculcate good values, norms in order to avoid so many problems one of which is on reproductive health issues. The purpose of this study to analyze factors associated with teenage pregnancy ANC Regional Health Center in the city of Kupang. Methods: This was an analytic observational study using cross sectional design. The sample in this study amounted to 81 pregnant teenagers. Statistical analysis used were univariate, bivariate analysis using chi square (x2) and multivariate analysis using multiple regression test (multiple regression) with a confidence level α of 0.05. Results: The results showed the most age groups, namely pregnant teens in the late teens (81.75 % ). The results of the bivariate analysis showed a significant relationship between perception and implementation of ANC (p=0.000), family support with the implementation of the ANC (p=0.048), knowledge with the implementation of the ANC (p=0.006), education with the implementation of the ANC (p=0.000), health care providers with the implementation of the ANC (p=0.001), facilities and infrastructure with the implementation of the ANC (0.007) with antenatal care visit of pregnant teen in the working area of public health centre in city of Kupang. Multivariate analysis showed a dominant factor associated with ANC visit where the variable of negative perception will decrease ANC visit by 2.800 times and variable of low education will decrease ANC visit by 5.375 times.Conclusion: The majority of pregnant teens in City Of Kupang were not complete their ANC visit. Therefore, it requires the involvement of all parties in decreasing the number of teenage pregnancies.
Hubungan Hypnoprenatal Massage terhadap Kesehatan Mental Ibu Hamil Trimester III
Annisa Amalia Hanifa;
Melyana Nurul Widyawati;
Suryati Kumorowulan;
Djamaluddin Ramlan
Jurnal Manajemen Kesehatan Indonesia Vol 10, No 3 (2022): Desember 2022
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro
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DOI: 10.14710/jmki.10.3.2022.271-279
Pregnancy is a very vulnerable process in women's lives so that mental health problems often arise. Neglected mental health will result in a number of adverse consequences for both the mother and the fetus. Hypnoprenatal massage is a non-pharmacological therapy that is believed to be very effective for overcoming stress, increasing relaxation and affecting emotional status and psychosocial health. This study aims to analyze the effect of hypnoprenatal massage on improving mental health of pregnant women in the third trimester. This study is nonrandomized control group pretest-posttest conducted in Semarang Regency at five primary healthcares. This study used 36 respondents who were divided into intervention and control groups. The intervention group got hypnoprenatal massage given for 2 weeks while the control group got standard care of third trimester. Mental health measure using the Self Reporting Questionnaire (SRQ) before and after treatment. Based on the result of this study there was a decrease in the average SRQ score of 2.78 after receiving hypnoprenatal massage. Meanwhile, the SRQ score in control group decrease was only 0.56 with a p-value between the two groups of 0.004 (p-value<0.05). This study concludes that hypnoprenatal massage affects the improvement of mental health of pregnant women in the third trimester. Keywords: hypnosis, prenatal massage, mental health
Analisis Waste Alur Pelayanan Rawat Jalan RS. Mata Undaan Surabaya Sebagai Upaya Peningkatan Capaian Waktu Tunggu
Vinna Amalia Resi Damayanti;
Ernawaty Ernawaty
Jurnal Manajemen Kesehatan Indonesia Vol 10, No 3 (2022): Desember 2022
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro
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DOI: 10.14710/jmki.10.3.2022.228-230
Rumah Sakit Mata Undaan memiliki Indikator wajib yang salah satunya adalah waktu tunggu pelayanan yaitu di rawat jalan. Indikator pada waktu tunggu pelayanan di rawat jalan yaitu (≤ 60 menit) dengan target 100%. Pada tahun 2017 sampai dengan tahun 2019, capaian indikator waktu tunggu pelayanan rawat jalan sebesar 44,8%. Penelitian ini bertujuan untuk menyusun rekomendasi untuk meningkatan capaian waktu tunggu rawat jalan khusus dan rawat jalan umum RS Mata Undaan Surabaya dengan menganalisis waste yang terjadi. Penelitian ini merupakan penelitian deskriptif. Desain penelitian yang digunakan adalah observasional dengan pendekatan cross sectional study dengan sampel petugas di Instalasi rawat jalan dan pasien yang berobat di Instalasi rawat jalan pada periode Februari-Maret 2020. Hasil penelitian menunjukkan bahwa terdapat 8 jenis waste yang terjadi di setiap proses pelayanan yang dilalui oleh pasien mulai dari pendaftaran sampai dengan mengambil obat di farmasi yang didapatkan dari hasil observasi waktu tunggu pelayanan berupa hasil stopwatch dengan satuan menit per detik dengan melihat perbandingan antara nilai standar deviasi dengan mean. Jika nilai standar deviasi > dari nilai mean, maka dinyatakan sebagai pemborosan (waste). 8 jenis pemborosan (waste) tersebut selanjutnya diklasifikasikan menjadi 3 (tiga) kategori waste yang telah peneliti temukan, diantaranya terdapat 4 (empat) tergolong waiting, 3 (tiga) yang tergolong unappropriate processing, dan 1 (satu) yang termasuk transportation. Rekomendasi yang dapat diberikan adalah melakukan penjadwalan ulang bagi dokter, dilakukannya perencanaan E-rekam medis untuk penyimpanan berkas pasien, serta menjaga kebersihan dan pemeliharaan rutin disetiap fasilitas pendukung yang ada di Instalasi rawat jalan. Kata Kunci : Alur Pelayanan, Instalasi Rawat Jalan, Waste, Waktu Tunggu