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Jurnal Manajemen Kesehatan Indonesia

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ISSN : 23033622 EISSN : 25487213. DOI : -

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Decision Sciences, Operations Research & Management Health Professions

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Articles 373 Documents

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Analisis Faktor-Faktor Yang Berperan Terhadap Kolaborasi Antara Dokter Dan Perawat Di Rumah Sakit Permata Medika Semarang Irena Intania; Untung Sujianto; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 1 (2017): April 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Poor collaboration can affect the quality of service to patients, thus affecting the recovery of patients. For the profession, collaboration can affect the relationship and the job satisfaction of both doctors and nurses. Poor collaboration between doctors and nurses in hospital management can can influence a decrease number of Bed Occupation Rate and an increase in length of stay so that it can have an impact on patient satisfaction.This study used a quantitative design and descriptive analytic with qualitative approach through observation, review of documents, in-depth interviews with informants who already selected and determined using cross sectional approached. The sample in this study were all general practitioners and all nurses who work in Permata Medika Hospital until December 2015, ie 15 doctors and 15 nurses.The results show that the control of power is still difficult due to a balanced relationship between the two professions and poor communication. The scope of practice between doctors and nurses has established good collaboration. The shared interests of the two professions do not pay attention and see the procedure of service. At the collaborative goals of doctors and nurses there is overlapping responsibility for reasons of rushed work without regard to the Standard Operating Procedure (SOP) and job description.The Recommendations for management are need to be carried out definite career path for nurses, increase the knowledge and enhance the collaboration both nurses and doctors, increase the collaboration between nurses and doctors, follow up the results of service audits need to be coordinated and controlled

Analisis Proses Pengendalian Mutu dalam Pelaksanaan Standar Pelayanan Minimal (SPM) di Instalasi Farmasi RS Keluarga Sehat LIa Alfa Rosida; Sudiro Sudiro
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 1 (2017): April 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

The indicator achievement of minimum service standard (MSS) for the accuracy of distributingdrugs in Pharmacy Unit of Keluarga Sehat Hospital has not been achieved, even the incidence ofthe distributionerror from 2013 to 2016 continues to increase. The purpose of this researchwas to analyze the quality control process in the implementation of MSS in Pharmacy Unit of Keluarga Sehat Hospital. This was a qualitative research, with research subject 3pharmacy officers and 3 people of pharmacy management services.Data collectedby in-depth interview and observation of pharmaceutical performance report data and analysed by content analysis. The result of the research showed that the evaluation of pharmacy staff performance has not been implemented, because there is no performance appraisal indicator yet. Comparison was done only by comparing reports with general target, medical support manager double job resulted in no feedback to Pharmacy Unit, and so it has not supported the implementation of MSS. The Improvement of performancehas not been implementedand has notfound the concept of improvement. The new management will attempt to conduct a comparative study, including pharmacy installation into the Quality Control Group (GKM) or Problem Solving for Better Health (PSBH), find the cause of the problem and develop the policy. It can be concluded that the quality control of the MSS in the Pharmacy Unit still not going well and need to be improved especially related to quality performance appraisal and performance improvement based on the SOP.

Evaluasi Sistem Pengolah Data Mortalitas Pasien Rawat Inap Berbasis Komputer di RSUD Dr. Moewardi Devi Pramita Sari; Sudiro Sudiro; Chriswardani Suryawati
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 1 (2017): April 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

The System processors mortality inpatients there is the problem performance computer. Research objectives, evaluate system processors mortality computer based, based on method of Healt Metricks Networck.This research non experiments with the qualitative method. Collection method used observation system processors mortalitas and in-depth interviews. Informants main the program administrators system as many as six informants.Informants triangulation that is supporting management system processors mortality as much as two informants. The result in components resources not all educated personnel information system or medical record, and there never has been training system processors mortality, there has been no written job description, implementers copies duty with the services provided data morbidity, the lack of space and special computer system ocessors mortality, the absence of written regulations. Components indicators there has been no database doctor ,the act of, and cause of death, and certificates death are printed. A component source of the data was not in accordance between the data on mortalitas manual there are in a register in-patient facilities with data on the computer. Components data management of the data analysis is carried out only by system coordinator processors mortality. Components data products are considered to data was incomplete. The spreading and the use of delivery via email still not yet web based and has not integrated.Advice for the hospital management to distribute and should use designed system processors mortality web-based integrated to the external DKK and Dispendukcapil

Hubungan Kompensasi, Motivasi dan Kepuasan Kerja dengan Kinerja Dokter Pada BLUD Rumah Sakit Umum Daerah Dr. Loekmono Hadi Kudus Sudarmono sudarmono; Ani Margawati; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 1 (2017): April 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Sejak pelaksanaan Jaminan Kesehatan Nasional (JKN) beberapa dokter di Rumah sakit mengalami penurunan pendapatan, akibatnya timbul ketidakpuasan dan turunnya motivasi sehingga berakibat pada menurunnya kinerja dokter yang dimanifestasikan berupa pembatasan jumlah kunjungan pasien, pengalihan pasien dari RS ke praktek pribadi atau ke rumah sakit lainnya dan manifestasi penurunan kinerja lainnya. Tujuan penelitian ini untuk menganalisis hubungan antara kompensasi, motivasi dan kepuasan kerja dengan kinerja dokter pada BLUD RS dr. Loekmono Hadi Kudus. Penelitian ini menggunakan metode kuantitaif dengan pendekatan cross sectional. Sumber data dalam penelitian dibagi menjadi dua yaitu sumber data primer dan data sekunder. Jumlah sampel pada penelitian ini sebanyak 49 orang.Analisa penelitian ini menggunakan analisa univariat didapatkan hasil variabel kompensasi kategori tinggi sebesar 53.1 %, variabel kepuasan kerja sebesar 51,0% dan variabel motivasi kerja sebesar 53,1%. Sedangkan hasil analisa bivariate didapatkan hasil bahwa variabel kompensasi, kepuasan kerja, dan motivasi memiliki nilai p value kurang dari 0,05 yang menunjukkan ketiga variabel tersebut berhubungan dengan kinerja dokter dan memiliki p value kurang dari 0,25, sehingga dapat dilanjutkan ke analisa multivariat. Sedangkan hasil uji multivariate dengan menggunakan uji regresi logistik didapatkan pada variabel motivasi kerja didapatkan hasil p value =0.000 dengan Exp(B) = 8,155.Kesimpulan penelitian ini adalah motivasi dokter memiliki pengaruh 8,155 kali lebih baik dibandingkan dengan variabel independen lainnya.Penelitian ini merekomendasikan agar pihak manajemen RS memperhatikan sistem pengembangan karir dan promosi, meningkatkan komunikasi interpersonal, memberikan reward pada dokter dan memberikan tanggung jawab sesuai tugas dan kewenangan dokter untuk dapat meningkatkan kepuasan kerja dokter.

Evaluasi Kebijakan Perencanaan Obat Instalasi Farmasi Dinas Kesehatan Kota Semarang Fauzia Halida; Sudiro Sudiro; Johanes sugiarto
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 1 (2017): April 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Based on the Management of Public Drug and Health Supply Profile, the availability rate of drugs in Pharmaceutical Unit Health Department Semarang 2013-2015 was 107%, 110%, and 109% .The availability rate of drugs in Pharmaceutical Unit Health Department Semarang for 3 years in a row exceeds 100% showed a weakness in drugs planning process. Objective of this study was to analyse the planning process of drugs. This was descriptive research with qualitative method. Research subject is the primary respondents who developed drug planning policy and triangulation respondents who implement the drugs planning policy. Research object was Pharmaceutical Unit Health Department Semarang and Puskesmas. Data collected by observation, documentation study and depth interview and analysed using content analysis. The result showed that drugs selection was according to FORNAS and DOEN stated by Ministry of Health. The compilation stage of drugs application using data according to LPLPO and LB-1. The calculation of drugs necessity used combination method between consumption method used by clinic and epidemiology method for program medicine. Based on the consumption method formula, the current leadtime in Pharmaceutical Unit Health Department Semarang was too high (6 months) which caused the supplies more than 100 %. The drugs necessity projection budget already sufficient because it was supported from several sources, such as APBD2, APBD1, APBN, DAK, JKN. The adjustment of drugs supply planning used VEN Analysis. It is suggested that Pharmaceutical Unit Health Department Semarang should shortened the current leadtime and increase the socialization of drugs guidelines therefore Puskesmas able to implement the epidemiology method

Pengembangan Metode Penilaian Mandiri Kualitas Data Rutin Di Dinas Kesehatan Kota Surakarta Puguh Ika Listyorini; Mursid Raharjo; Farid Agushybana
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 1 (2017): April 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Data are the basis to make a decision and policy. The quality of data is going to produce a better policy. The quality assessment methods nowadays do not include all indicators of data quality. If the indicators or assessment criteria in the quality assessment methods are more complete, the level of assessment methods of the data will be higher. The purpose of this study is to develop the method of independent assessment of routine data quality in Surakarta Health Department which is previously performed using the data quality assessment of PMKDR and HMN methods firstly.The design of this study is research and development (R&D) that has been modified into seven steps, namely formulating potential problems, collecting the data, designing the product, validating the design, fixing the design, testing the product, and fixing the product. The subjects consisted of 19 respondents who are managers of data in Surakarta Health Department. Data analysis method used is content analysis.The assessment results show that, in the pilot phase of the development of data quality assessment methods which have been developed, it is basically successful, or it can be used. The results of the assessment of the quality of the data by the developed method is the quality of data collection which is very adequate, the quality of data accuracy which is poor, the quality of data that consistency exists but is inadequate, the quality of the actuality of the data which is very adequate, the quality of periodicity data that is inadequate, the quality of the representation of the data that is very adequate, and sorting the data which is very adequate.It needs a commitment from Surakarta Health Department to take advantage of the development of these methods to assess the quality of data to support the availability of information, decision-making and planning of health programs. It also calls for the development of this research by conducting all stages of the steps of R&D so that the final result of the method development will be better.

Analisis Determinan Kualitas Pelayanan Antenatal Trimester I (SATU ) Kehamilan Oleh Bidan Desa Di Kabupaten Temanggung Retno Wulandari; Martha Irene Kartasurya; Nurjazuli Nurjazuli
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 1 (2017): April 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Tingginya capaian cakupanprogram pelayanan kesehatan ibu dan anak (KIA) belum berpengaruh terhadap penurunan jumlah kasus kematian ibu di Kabupaten Temanggung. Penyebab kematian ibu terbanyak adalah karena penyakit penyerta yang seharusnya dapat terdeteksi pada pemeriksaan antenatal trimester pertama yang dilakukan oleh bidan desa. Penelitian ini bertujuan untuk menganalisis kualitas pelayanan antenatal trimester 1 kehamilan oleh bidan desa di Kabupaten Temanggung. Metode penelitian adalah survey analitik dengan design cross sectional. Subjek penelitian adalah 60 orang bidan desa yang dipilih secara systematic random sampling dari 14 Puskesmas terpilih kasus kematian ibu. Pengumpulan data dilakukan dengan angket dan observasi langsung menggunakan kuesioner terstruktur . Analisis data menggunakan uji chi square, kualitas pelayanan ANC dinilai dengan ketepatan pelayanan bidan dalam pemberian pelayanan ANC sesuai standar asuhan kebidanan dan standar operasional 10 T ANC.Hasil penelitian menunjukkan faktor yang berhubungan dengan kualitas pelayanan antenatal trimester I kehamilan oleh bidan desa adalah beban kerja(p = 0,002), pengetahuan(p = 0,006) dan supervisi(p = 0,002). Faktor yang tidak berhubungan adalah dana (p = 0,570), ketersediaan dan pelaksanaan SOP(p = 0,164), dan ketersediaan peralatan(p = 0,251). Ada hubungan bersama – sama variabel beban kerja(p = 0,002) pengetahuan responden(p = 0,006) dan supervisi(p = 0,002)dengan kualitas pelayanan Antenatal Trimester I Kehamilan.Disarankan kepada Dinas Kesehatandan Puskesmas di Kabupaten Temanggung untuk lebih memfokuskan bidan desa pada tugas pokok utamanya sebagai pemberi pelayanan KIA disamping tugas tambahan bidan desa lainnya. Mengadakan peningkatan pengetahuan dan ketrampilan tentang asuhan pelayanan antenatal secara merata untuk seluruh bidan yang kegiatannya dilaksanakan secara berkesinambungan, dan meningkatkan kualitas pelaksanaan kegiatan supervisi fasilitatif sesuai petunjuk tekhnis pelaksanaan yang telah ditentukan. Kepada Bidan Koordinator dan bidan desa diharapkan bersama – sama menguatkan kembali komitmen untuk meningkatkan dan menjaga kualitas pelayanan antenatal pada setiap ibu hamil yang dilayaninya.

Kompetensi Bidan Puskesmas dalam Meningkatkan Pelayanan Antenatal (Studi Kasus di Puskesmas Tambak Rejo, Surabaya) Andy Asmara
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 1 (2019): April 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

The daily facts indicated that an individual is the key factor to achieve organization’s success. Every organization with its best performance is always related to its human resources’ balanced competency. The midwife has role, function, and competencies to provide maternal services for women. The midwife’s role is not only a doer, but also an organizer, an educator, and a researcher. Therefore, the midwife is expected to focus on prevention and health promotion aspect with basis of partnership, and community empowerment collaboration with other health workers in order to be readily prepare the health services for anyone who is in need.This was qualitative research method with case study approach. The informant was the midwives of Tambakrejo Community Health Center of Surabaya. According to the data of antenatal care attendance, trained birth attendance, and perinatal care, there were 859 pregnant women, 581 persons on phase of K1 (67.64%), and 551 persons on phase of K4 (64.14%). The birth attendances by trained birth attendants are 513 people (62.56%), while perinatal care recorded 570 people attending the health service (69.51%). The data indicated the performance by the midwives of Tambakrejo Community Health Center categorized in the lowest position among 63 community health centers in Surabaya. The result showed poor soft skill competency and poor hard skill competency on midwives. In conclusion, poor soft skill competency including personal competence and social competence should be trained and developed by obstetrics and gynecology specialist of Soewandhi Public Hospital of Surabaya. The study suggested Surabaya District Health Office needs to conduct training of technology information and computer in order to increase the service quality and to solved the problem related to hard skill competencies on technology and computer skill.

Faktor Risiko Internal dan Eksternal Preeklampsia di Wilayah Kabupaten Pati Provinsi Jawa Tengah Kasriatun Kasriatun; Martha Irene Kartasurya; Sri Achadi Nugraheni
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 1 (2019): April 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

AbstrakPenyebab utama kematian ibu di Kabupaten Pati dalam tiga tahun terakhir adalah preeklampsia. Pada tahun 2016, 35% kasus kematian ibu disebabkan oleh preeklampsia. Penelitian ini bertujuan untuk menganalisis faktor-faktor risiko kejadian preeklampsia di Wilayah Kabupaten Pati. Jenis penelitian observasional analitik dengan rancangan kasus kontrol. Subjek sejumlah 40 kasus preeklampsia dan 120 kasus non preeklampsia dipilih secara purposive. Pengumpulan data dilakukan dengan wawancara terstruktur menggunakan kuesioner. Data asupan makanan diperoleh dari FFQ (Food Frequency Questionnaire). Analisis data dilakukan dengan chi-square dan regresi logistik ganda. Hasil penelitian menunjukkan faktor risiko terjadinya preeklampsia adalah faktor risiko internal : riwayat keluarga preeklampsia (OR=6,74; 95%CI:2,54-17,89, obesitas (OR=2,68; 95%CI:1,29-5,60), riwayat hipertensi (OR=7,4; 95%CI:2,91-18,82), stress (OR=2,64; 95%CI:1,26-5,51), dan faktor risiko eksternal: asupan anti oksidan yang rendah (OR=3,71; 95%CI:1,23-11,19), asupan natrium berlebih (OR=2,54; 95%CI:1,14-5.67), paparan asap rokok (OR=2,43; 95%CI:1,14-5,17). Analisis multivariat menunjukkan riwayat keluarga preeklampsia (OR=5,32; 95%CI:1,63-17,40), obesitas (OR=4,01; 95%CI:1,60-10,09, riwayat hipertensi (OR=7,38; 95%CI:2,32-23,45), stress atau kecemasan (OR=3,30; 95%CI:1,31-8,33), asupan anti oksidan yang rendah (OR=4,22; 95%CI:1,13-15,74) secara bersama-sama merupakan faktor risiko kejadian preeklampsia. Variabel yang bukan merupakan faktor risiko preeklampsia adalah usia ibu, paritas, dan penambahan berat badan berlebihan selama kehamilan. Disimpulkan bahwa faktor risiko yang paling kuat adalah riwayat hipertensi ibu sebelum kehamilan. Disarankan agar memasukkan riwayat hipertensi, riwayat keluarga preeklampsia, obesitas, dan stres dalam anamnese pelayanan antenatal untuk mendeteksi dini preeklampsia.

Remaja Sebagai Penggerak Utama dalam Implementasi Program Kesehatan Remaja Pulung Siswantara; Oedojo Soedirham; Muthmainnah Muthmainnah
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 1 (2019): April 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Proporsi populasi remaja di Indonesia mencapai seperempat dari total penduduk. Menurut Riset Kesehatan Dasar Tahun 2010, angka ini cukup besar dan perlu ada upaya yang spesifik dalam meningkatkan derajat kesehatan remaja. Beberapa penelitian menunjukkan bahwa remaja saat ini sedang menghadapi globalisasi dan berpotensi melakukan perilaku berisiko. Penanganan permasalahan kesehatan remaja di Indonesia diupayakan oleh pemerintah melalui kerja sama lintas sektoral, pelayanan kesehatan dasar, dan pola intervensi. Harapannya strategi yang diterapkan telah disesuaikan dengan kebutuhan tahapan proses tumbuh kembang remaja.Penelitian ini merupakan penelitian deskriptif kualitatif. Tujuan dari penelitian ini adalah mengidentifikan persepsi remaja dalam keterlibatannya dalam pelaksanaan program kesehatan remaja dan mengidentifikasi kebutuhan dan harapan remaja terhadap pelaksanaan program kesehatan remaja. Subjek penelitian ini terdiri dari 2 kelompok, yaitu kelompok peer educator dan kelompok user (sasaran program). Remaja dalam penelitian berasal dari berbagai setting promosi kesehatan, yaitu remaja sekolah dan remaja di luar sekolah. Remaja di luar sekolah berasal dari remaja komunitas dan remaja jalanan. Pengumpulan data diperoleh dengan menggunakan teknik wawancara mendalam dan focus group discussion (FGD).Hasil penelitian menunjukkan keterlibatan kelompok peer educator masih cenderung pasif karena wewenangnya hanya sebatas pada tahap pelaksanaan program, harapannya peer educator dilibatkan mulai dari perencanaan program. Sedangkan keterlibatan kelompok remaja di luar sekolah cenderung lebih sangat pasif bahkan ada yang belum terpapar program. Program kesehatan remaja seharusnya melibatkan remaja dari berbagai setting dan disesuaikan dengan kebutuhan kapasitas remaja. Remaja berharap dapat dilibatkan mulai dari tahap perencanaan hingga evaluasi program karena remaja sebagai prime mover dalam keberhasilan program kesehatan remaja.

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