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Jurnal Manajemen Kesehatan Indonesia

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Published by Universitas Diponegoro

ISSN : 23033622 EISSN : 25487213. DOI : -

Core Subject : Health, Science,

Decision Sciences, Operations Research & Management Health Professions

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Articles 10 Documents

Search results for , issue "Vol 4, No 1 (2016): April 2016" : 10 Documents clear

Analisis Implementasi Program Penanggulangan Gizi Buruk Di Puskesmas Wilayah Kerja Dinas Kesehatan Kota Sorong Provinsi Papua Barat Zaenab Ismail; Martha Irene Kartasurya; Atik Mawarni
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

The prevalence of under-five children with severe malnutrition in Sorong city West Papua in 2008, 2009 and 2010 consecutively was 3.59%, 1.1% and 1.9%. Implementation of a program could be influenced by many factors such as communication, resources, disposition and bureaucracy factors. The objective of this study was to know the implementation of severe malnutrition control program at primary healthcare centers (puskesmas) in the working area of Sorong city health office West Papua in 2010. This was a qualitative study with cross sectional approach. Data was collected through in-depth interview using interview guideline. There were 5 primary healthcare centers studied with program executors as main informants. Triangulation informants were family or parents of under-five children with severe malnutrition, head of puskesmas and head of nutrition section of Sorong city health office West Papua province. Results of the study showed implementation of the program had not run according to the standard of implementation from the Ministry of Health. It was caused by not optimal communication that was done by Sorong city health office through program socialization. The availability of resources such as human resource to implement the program was insufficient. Only those who had nutrition educational background implemented the program and other workers were not involved in the program. There was no nutrition care team in all puskesmas. Additionally, the majority of the workers had not received training yet. Management of program funding was not according to the unit cost. Facilities were inappropriate and there was still improper puskesmas. The executor workers were needed for implementing the program; unfortunately due to less transparency and socialization, commitment was also low. No authority or standard operating procedure (SOP) given by Sorong city health office to puskesmas. In addition there was no supervision to the nutrition program workers. It was concluded that the implementation of severe malnutrition control program in Puskesmas in the working area of Sorong city health office West Papua province was not optimal. It was suggested to Sorong city health office to improve socialization about severe malnutrition control program to all program executors including heads of puskesmas in the working area of Sorong city health office; to create nutrition care and training teams. Funding allocation should be given to the right target and facilities should be completed. Supervision, monitoring and evaluation were done continuously.

Pengaruh Internal Marketing dan Kualitas Pelayanan BPJS Kesehatan Terhadap Kinerja Melalui Kepuasan Dokter di RSUD Ulin Banjarmasin) Rismayanti Rismayanti; Martha Irene Kartasurya; Nico L. Kana
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Internal marketing and service quality BPJS are things that influence the level of satisfaction of doctors that becomes the deciding factor of doctor performance. The aim of this study is to find the influence of internal marketing and service quality performance of BPJS Kesehatan with doctor performance through doctor satisfaction at RSUD Ulin Banjarmasin. This type of research is analytic with cross sectional design. The research method was developed using a questionnaire based on the literature. The number of respondents who came from the science of internal medicine, pediatric, obstetrical and gynaecology, and surgery and met the inclusion criteria as many as 52 people were surveyed. Data was analyzed using Pearson correlation and multiple linear regression. The results showed correlation between internal marketing to the satisfaction of doctors (r = 0.584, p = 0.000), between service quality BPJS and satisfaction of doctors (r = 0.499, p = 0.001), between the satisfaction of doctors and the performance of doctors (r = 0.583, p = 0.0001). Results of research by multiple linear regression analysis showed that the internal marketing and service quality BPJS have contributed influence on physician satisfaction of 44.6% while 55.4% described other factors. Physician satisfaction have contributed influence on physician performance by 32.7% while 67.3% described other variables outside the model. It was concluded that internal marketing and service quality effect on doctors satisfaction which in turn affect the performance of doctors. Suggested to BPJS Health to improve the financing system INA-CBG’s and disseminate laws and regulations better.

Analisis Peran Manajerial Pengurus Ikatan Bidan Indonesia (IBI) dalam Pelaksanaan Program Peningkatan Pemberian Asi (PPASI) di Wilayah Kota Pontianak Dini Fitri Damayanti; Bagoes Widjanarko; Cahya Tri Purnami
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Breastfeeding improvement (PPASI) program was an effort to increase the coverage of exclusive breastfeeding. Successfulness of the exclusive breastfeeding required support from midwives. Indonesian Midwifery Association (IBI), as a midwives professional organization, had declared to implement PPASI program step by step and continually by all IBI board members. Although IBI boards at Pontianak branch had conducted several seminar activities regarding breastfeeding and lactation management training for IBI members but private practice midwives were still giving formula milk to the newborns. Based on that problem, this study was conducted with the objective to explain managerial role of IBI boards in implementing PPASI program in the area of Pontianak city. This was a qualitative study using phenomenology approach. Study informants were IBI branch and sub branch board members in the area of Pontianak city. Data were collected by in-depth interview and analyzed using content analysis method. Results of the study showed the roles of IBI boards as leader in implementing PPASI program in the motivational activities. IBI boards reminded IBI members to do lactation management in every informal small group social gathering (arisan). Evaluation of lactation management was conducted by IBI boards because they were on duty as midwives coordinators at Puskesmas and as room chiefs in hospitals. Guidance to the members was conducted by the boards through ‘arisan’ and there was no rewards given to members who had implemented lactation management. The role of boards as information resource was done by conducting lactation seminars for IBI members and in collaboration with district health office to implement lactation management training. There was no special standard for lactation management and socialization was only given to the members who wanted to apply for private practice midwives (BPS) permit. In term of IBI board role as policy makers, the board had not made planning for PPASI program. Planning and organizing were only done for seminar activities about breastfeeding. No written regulation issued by IBI board and no sanction was assigned to the members in implementing PPASI program. Based on the study results, it was suggested to IBI board to formulate evaluation format and to give rewards to IBI members in order to motivate them to implement lactation management, to make specific standard operating procedure for lactation management and to make understandable and details regulations regarding PPASI program implementation, to assign sanction to members who broke the rules.

Pengembangan Sistem Informasi Penilaian Rumah Sehat Untuk Evaluasi Bidang Penyehatan Lingkungan dan Promosi Kesehatan di Dinas Kesehatan Kota Pontianak Gandha Sunaryo Putra; Nurjazuli Nurjazuli; Atik Mawarni
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Activities of health house assessment evaluation have not been done by Pontianak City Health Office (CHO). To support evaluation of the activities, section of environmental sanitations needs high-quality information in order to have an accurate both plan and decision. Unfortunately, current data management still uses a manual system in which it has some weaknesses as follows: data management uses manual method and requires longer time to process; information is hard to be obtained and to be accessed; presented information is incomplete; reporting is often late; and data accurateness is not guaranteed. The aim of this study was to develop health house assessment information system to evaluate department of environmental sanitation and health promotion at Pontianak CHO. This was Pre-Experimental Design (One Group Pretest-Posttest Design). System development used a FAST method (Framework for the Application of System Thinking). Number of subjects was 5 respondents. This study was conducted from December 2014 to September 2015. The results of observation and interview were analysed using content analysis and described using balanced average score. Overall, balanced average score before developing the system was 7.51 whereas balanced average score after developing the system was 21.87 (difference=14.36). There were statistically significant differences (p<0.05) between before and after developing the system in terms of the accessibility, completeness, clarity, speed, timeliness, and accurateness. Information system of healthy house assessment after being developed was able to overcome the problems of accessibility, completeness, clarity, speed, timeliness, and accurateness of information. Therefore, Pontianak CHO needs to utilise the information system of healthy house assessment as a source of information to support evaluation of healthy house assessment activities at Pontianak CHO.

Implementasi Program Pengendalian Penyakit Demam Berdarah Dengue (P2DBD) di Wilayah Kota Medan Rapotan Hasibuan; Sri Suwitri; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

An incidence rate (IR) and a case fatality rate (CFR) of Dengue Haemorrhagic Fever (DHF) in Medan City tended to increase since 2012. This might be due to a problem in implementing DHF Disease Control Program (P2DBD). The aim of this study was to analyse the influence of factors of communication, attitude, health centres’ characteristics, understanding of a standard and a target, resource, and environment towards the success of the P2DBD implementation program in Medan City. This was an observational study using a cross-sectional approach. Data were collected using a structured questionnaire and observation followed by conducting indepth interview for qualitative data. Number of respondents were 39 DHF officers working at all main health centres in Medan City. Furthermore, data were analysed using a technique of structural equation model (SEM) processed by a software of visual partial least square (VPLS). The results of this research showed that most of the respondents had very good communication (66.7%), positive attitude in supporting the program (82.1%), good characteristics of health centres (84.6%), good understanding of a standard and a target (66.7%), good resource (74.4%), conducive environment (76.9%), and good implementation of P2DBD (51.3%), a moderate level. Bivariate analysis demonstrated that communication and environment influenced the implementation. Furthermore, multivariate analysis showed that the implementation could be explained by the factors of communication, attitude, health centres’ characteristics, standard and target, resource, and environment equal to 67.4%. The R 2 value was included as a substantial category in which the most influenced factor was the environment. District Health Office needs to regularly conduct training of DHF case management, to supervise a program at health centres, and to initiate the existence of cadres for monitoring mosquito wrigglers. Health workers need to motivate, to persuasively ask a community, and to coordinate revitalisation of a DHF working group.

Evaluasi Implementasi Pelayanan Jaminan Kesehatan Nasional pada Balai Kesehatan Paru Masyarakat (BKPM) Wilayah Semarang Terikat Kerjasama Dengan Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan Agus Budiono; Sutopo Patria Jati; Chriswardani Suryawati
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Provision of National Health Insurance (JKN) on Lung Health Center Society (BKPM) Region Semarang has not been implemented optimally. Increased patient visits JKN participants in 2014 only 1% compared to the era of Askes, the discrepancy rates with real cost incurred, inadequate infrastructure services, long waiting time queuing services and the lack of agreement among stakeholders define the classification status of BKPM. The aim of research to evaluate the implementation of national health insurance on Lung Health Center Society (BKPM) Region Semarang. The research was conducted by using a qualitative in-depth interviews and review of documentation to explore the phenomenon being evaluated. This study key informants from BKPM Territory Semarang is Semarang Regional Head of BKPM, Treasurer, 1 Medical Record officers, 2 doctors clinic, and 1 administrative manager of the Health Insurance. 1 person sexy informant triangulation financing and Public Health Insurance Central Java Provincial Health Office, 1 Main Branch Health BPJS staff Semarang. Quantitative data to support the triangulation of data with customer satisfaction survey using quota sampling technique to sample 45 participants JKN patients who seek treatment in Semarang Regional BKPM. Qualitative data analysis techniques and quantitative content analysis method with frequency table. The results showed that: 1) The number of patients more than Non PBI PBI, 2) Services BKPM Semarang according to the contents successor agreement Regional cooperation but still need to be developed and improved again. 79.03% patient satisfaction that includes a satisfactory category. 3) On the financing aspects still exist discrepancies BPJS service rates with real cost Semarang Regional BKPM expenses, 4) Coordination is not maximized at the management and executive levels in Semarang Regional BKPM in the implementation of Health Insurance in early 2014. Recommendations that can be given is necessary socialization and revamping procedures JKN referral, assessment manufacture unit cost as the basis tariff scheme, infrastructure development and improvement of health services in the implementation of labor discipline JKN in Semarang Regional BKPM.

Analisis Penyusunan Draf Panduan Praktik Klinis Pelayanan Radiologi di RRSUD Ajibarang Kabupaten Banyumas Asri Indah Aryani; Sutopo Patria Jati; Tjahjono Kuntjoro
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

A clinical practice guideline is a procedure implemented by group of a profession referred to National Guideline of Medical Service made by organisation of profession and approved by Director of a hospital. In providing health services to patients, radiology service must refer to the clinical practice guideline that is available in its service. The aim of this study was to explain the process of draft arrangement of the clinical practice guideline of radiology service at Ajibarang Public Hospital in Banyumas District. This was qualitative research aimed at investigating the arrangement process of the clinical practice guideline of radiology service collected from various sources and informants at Ajibarang Public Hospital in Banyumas District. Data were collected using methods of indepth interview, observation, and literature review, analysed using content analysis, and presented descriptively combined with matrix of interview results. In addition, data presentation was supported by results of field observation and literature review. The results of this research showed that viewed from aspects of resources, there were any barriers as follows: radiologist did not involve in the arrangement process and there was lack of communication between radiographer and an arrangement team of the clinical practice guideline of hospital. On the other hand, there was no barrier in the aspect of tariff pattern. Tariff of INA- CBGs have been used in a program of National Health Insurance and implemented since 1 January 2014. In the aspect of evidence availability, arranged clinical practice guideline was based on literature and textbook. A format of arranged clinical practice guideline draft consisted of title of action procedure, definition, indication, contra-indication, preparation, action procedure, post action procedure, levels of evidence, levels of recommendation, reviewers, indicators of action procedure of radiographer, and references. In conclusion, the arrangement process of the clinical practice guideline had been well implemented. However, radiologist had not involved. Director’s decree about arrangement team of the clinical practice guideline at Ajibarang Public Hospital needs to be revised. Radiology service needs to accomplish and determine final draft of the clinical practice guideline.

Analisis Faktor-faktor Motivasional yang Berhubungan dengan Kinerja Bidan Desa dalam Pembinaan Kader Posyandu di Kabupaten Aceh Barat Tahun 2014 Teungku Nih Farisni; Martha Irene Kartasurya; Atik Mawarni
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Indicator of posyandu work performance in West Aceh was still far below the target determined and there was a decrease during 2011-2012. The results of the preliminary study showed that the motivation of village midwives were still low in posyandu cadre coaching. The aim of this research was to identify the factors associated village midwives motivation in posyandu cadre coaching. The study was conducted quantitavely and qualitatively. The quantitative research used survey method with a cross sectional design. The subjects were 146 village midwives selected by clustered random sampling at public healthcare center level. Data colection was conducted by interviews using structured questionnaire. The bivariate analysis used Chi Square tests, and the multivariate analysis used logistic regression. The qualitative data was collected by in-depth interviews to the village midwives and analyzed by content analysis. The results showed that 64.4% of the respondents had low performance, 54.8% had less responsibility, 62.3% had insufficient potential development, 57.5% felt inadequate compensation, and 52.7% had less supervision. There were associations between responsibility (C= 0.237, p=0.006), potential development (C= 0.268, p=0.001), compensation (C=0.518, p=0.0001), working condition (C=0.237, p=0.006), supervision (C=0.261, p=0.002,) and the village midwife performance in posyandu cadres’s coaching. Compensation had the most significant effect on the village midwive motivation in posyandu cadres coaching (Exp-B=17.383, p=0.0001). The obstacles experienced by the village midwives in posyandu cadres coaching were insufficient fund, unavailable special training for the posyandu cadre coaching and unavailable health facilities. Compensation has the most significant effect on village midwive motivation in posyandu cadres coaching. It is suggested to public healthcare centers and Health office to implement refreshing cadre coaching and improving village midwives performance in by giving appreciation to village midwives who conducted posyandu cadre.

Evaluasi Kinerja Sistem Informasi Manajemen Farmasi Di Rs Roemani Muhammadiyah Dengan Metode Hot Fit Model Reni Murnita; Eko Sediyono; Cahya Tri Purnami
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Performance evaluation of Pharmacy Management Information System (PMIS) at Roemani Hospital was done because a policy of pharmacy system operation had not been fully implemented, a finance manager was difficult to predict expenditures to buy stock of medicines, information about amount of medicine on the pharmacy information system was different from amount of medicine which was available in repository, and quality of pharmacist was still low. Analysis model of HOT - Fit put important components on information system namely Human, Organization, and Technology. This research aimed to find out about performance of pharmacy information system at Muhammadiyah Roemani Hospital viewed from users’ perceptions using indicators of Hot Fit Model. This was descriptive research using quantitative approach. Population was all officers (40 persons) who were involved in PMIS. Research instruments consisted of a questionnaire, an observation sheet, and guidance interview. Furthermore, data were analyzed using descriptive statistics continued by categorizing to be good (e”mean/median) and bad (<mean/median) using data normality. The result of observation revealed that overall; viewed from total score of all aspects, mostly respondents had good performance of PMIS (75%). In addition, viewed from the aspects of human and organization, most of them had bad performances (55%) and (57.5%) respectively. In contrast, viewed from the aspect of technology, most of them had good performance (55%). As a conclusion, the performance of PMIS had been categorized as good. It had fulfilled the aspects of timeliness of receiving information and completion of the information. In addition, the aspects of information quality had fulfilled criteria of completeness and relevance but have not fulfilled accuracy of information. The aspect of technology was categorized as good performance whereas performances of the other aspects, namely human and organization were not good. These factors caused inaccuracy and quickness of providing information. As a suggestion, further pieces of follow- up research need to be conducted to examine recommendation (SOP of a pharmacist, SOP of a MIS officer, a training schedule, and master plan of pharmacy IS) which is provided to identify effects of a PMIS use. In addition, supervision by head of pharmacy needs to be done to monitor performance of pharmacist related to the implementation of SOP.

Analisis Strategi Pelayanan Geriatri Berbasis Rumah Sakit dengan Menggunakan Value Chain di Rumah Sakit Islam Kendal Sutanti Murti Handayani; Sudiro Sudiro; Ani Margawati
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

An increasing number of elderly peopel in Kendal district led to a rise in RSI Busines Plan of geriatric services have not been clearly superior to the Kendal geriatric patients but has not been served in a holistic manner. analysis of value chain in the pre service, point service, and after service in order to provide added value to the service as a competitive relevance as an input in determining the business strategy. The purpose of the study to analyze the application value chain strategies to service-based outpatient geriatric hospital in Kendal RSI. The research is a qualitative with depth interview techniques. The subjects of the study consisted of four main informants is Director, Service Manager, HR Manager, Head of Outpatient Installation, while two specialist doctors, one of interna’s nurse and one of nurse In Neural’s poli as informant triangulation. The results showed that the strength of the value of the services geriatrics is at the geographical location, service satisfaction, quality of service, supported by a professional culture and technology resources for class C. The weakness lies in the value of nurses who have not been standardized service providers as a nurse gerontik and lack of care of the elderly market surveys. Care of the elderly is still served in outpatient poly and physiotherapy. The process of competitive analysis on the relevance of the idea that the care of the elderly has a value that is greatly appreciated, rare, difficult to imitate and sustainable. Conclusions This study is the care of the elderly have a competitive advantage and strategies that can be applied is differentiation. It is recommended to management to evaluate busines plan to conduct market research and marketing planning of human

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