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Prodi Magister Ilmu Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UNDIP, Jalan Professor Soedarto, Tembalang, Kota Semarang, Jawa Tengah 50275, Indonesia
Location
Kota semarang,
Jawa tengah
INDONESIA
Jurnal Manajemen Kesehatan Indonesia
Published by Universitas Diponegoro
ISSN : 23033622     EISSN : 25487213.     DOI : -
Core Subject : Health, Science,
Decision Sciences, Operations Research & Management Health Professions
Arjuna Subject : -
Articles 373 Documents
 11   12   13   14   15 
Analisis Faktor -Faktor yang Mempengaruhi Pemahaman Pasien terhadap Informed Consent di Rumah Sakit Dewangga Primananda Susanto; Bramantya Surya Pratama; Tuti Hariyanto
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (264.493 KB) | DOI: 10.14710/jmki.5.2.2017.73-81

Abstract

The effect of patient safety in good hospitals are illustrated by a good informed consent process in accordance with applicable regulations. Not a few hospitals lost the process of good informed consent, so caught up in the legal process during the incident. This study aims to determine, analyze and examine the factors that affect the understanding of patient informed consent in RSU X. This research uses explorative research with descriptive approach. The respondents of this study were divided into two groups: in-patients and medical teams between nurses and doctors at Hospital X. This study found the root causes of informed consent in patient unresponsiveness after a questionnaire analysis and focus group discussion (FGD) at RSU X. The result is 1) There is no method / tool to facilitate health personnel in explaining, (2) No media from the hospital to facilitate, (3) No appointment of person in charge, (4) Awareness of informed consent does not exist, and (5) Lack of socialization of Standard Operational Procedure and no policies. The solution is the creation of a media to assist in improving the understanding of patient informed consent such as building model like photonovela.
Pengembangan Sistem Informasi Pencatatan dan Pelaporan Status Gizi Balita Stunting di Kelurahan Gajah Mungkur Wahyu Indri Susanti; Aris Puji Widodo; Sri Achadi Nugraheni
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 1 (2019): April 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (272.342 KB) | DOI: 10.14710/jmki.7.1.2019.67-74

Abstract

Stunting merupakan permasalahn gizi kronis yang berdampak pada kegagalan pertumbuhan pada balita, sehingga balita terseabut cenderung lebih pendek daripada usianya. Pemantauan tumbuh kembang anak dapat diupayakan dengan adanya kegiatan posyandu balita. Peranan kader posyandu disamping untuk memotivasi orangtua akan kesadaran pentingnya memantau pengukuran tinggi dan berat badan balitanya, juga mempunyai peranan dalam proses pencatatan dan pelaporan hasil penimbangan balita kepada pihak puskesmas. Dengan kerjasama yang baik antara masyarakat, kader posyandu, dan puskesmas ini dapat menghasilkan data-data yang akurat, tepat, cepat, dan benar.Tujuan dari penelitian ini yaitu melakukan pengembangan sistem informasi pencatatan dan pelaporan status gizi balita stunting untuk mendukung monitoring dan penatalaksanaan status gizi balita.Metode yang digunakan dalam pengembangan sistem yaitu dengan FAST, dan menggunakan desain penelitian Action Research dengan pendekatan cross sectional. Proses pengumpulan data dilakukan dengan observasi dan wawancara mendalam. Subjek penelitian yaitu 1 petugas kia dan gizi puskesmas, 1 bidan Pembina wilayah, dan 13 kader posyandu balita kelurahan Gajahmungkur. Perancangan desain input, posesn, dan output disesuaikan dengan kebutuhan dari pengguna sistem informasi.Dapat disimpulkan bahwa pengembangan sistem informasi pencatatan dan pelaporan status gizi balita stunting “mozita” dapat membantu mengatasi permasalah yang muncul, dengan dapat diakses secara online sehingga dapat membantu proses pemasukan data dan pelaporan secara akurat, tepat, cepat, dan benar.
Rancang Bangun Sistem Informasi Administrasi Vaksinasi Meningitis Berbasis Web di Kantor Kesehatan Pelabuhan Kelas III Banda Aceh Dedi Apriyandi; Kusworo Adi; Aris Puji Widodo
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.743 KB) | DOI: 10.14710/jmki.5.2.2017.131-137

Abstract

Meningitis vaccination service in Polyclinic of Class III Port Health Office (KKP) of Banda Aceh almost annually has increased the number of patients. There are several problems in the administration information system of meningitis vaccination that is currently running which officer is taking a long time to monitor the stock of vaccine and searching patient’s data that has been vaccinated. In the other hand, the data and information produced has yet incomplete, inaccurate and inconforn according within user system problems, Inaccurate timing for reporting and resulted to the inforrmation’s inconsistency. The purpose of this research is to produce an web-based information system of vaccine administration of meningitis at Polyclinic Class III Port Health Office of Banda Aceh.     The type of researchs used are qualitative and quantitative. This research design using one group pre and post test, system development using FAST method (Framework for the Application of System Techniques). Research subjects consisted of 8 respondents who work in Polyclinic Port Health Office Banda Aceh. The result of observation and interview is conducted by the method of content analysis and descriptive analysis by using the weighted average. Descriptively, the results of data analysis shows which overall weighted average value of quality information before the development of 1.91 system and after the development of 3.64 system with a difference of 1.73. The average calculation of time required to perform services to patients to be faster 4.9 minutes.     There is need support and commitment from the Class III Port Health Office Banda Aceh for implementing the administration information system of meningitis vaccination that has been developed optimally. Monitoring and evaluating users of the system should be performed periodically by Port Helath Office of Banda Aceh.
Cost Of Treatment Tonsilektomi Di Instalasi Bedah Sentral Rsud Kajen Kabupaten Pekalongan Tahun 2015 Imam Prasetyo; Sudiro Sudiro; Chriswardani Suryawati
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 3 (2016): Desember 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (212.086 KB) | DOI: 10.14710/jmki.4.3.2016.232-241

Abstract

Tariff of services at Kajen Public Hospital charged on general patients was calculated based on operational costs like cost of medical services, consumables, medicines, treatment class, and rental cost of surgery room. Unfortunately, all components of costs for tonsillectomy treatment had not been included. Determination of the tariff had not calculated indirectly costs. Tariff of tonsillectomy treatment at the Kajen Public Hospital at inpatient room based on a local regulation Number 1 year 2012 was Rp 3,275,000 for class 3 whereas tariff for claim of BPJS at the same class at a regional hospital type C was Rp 1,767,900. In this case, there was any difference between costs that had to be spent for tonsillectomy treatment and claim from BPJS. Each cost must be calculated in accordance with clinical pathway to determine unit cost in order to provide high-quality of services. The aim of this study was to figure out amount of unit cost based on clinical pathway on tonsillectomy diagnosis at the Kajen Public Hospital. This was an observational analytic study by conducting a case study at the Kajen Public Hospital. Clinical pathway was arranged through meeting of a drafting team. A calculation of unit cost was performed using a method of Activity Based Costing (ABC), determination of exceeding cost. The results of clinical pathway arrangement showed that steps of tonsillectomy diagnosis pathway were as follows: admission, diagnostic, therapy, and follow up. Unit cost of tonsillectomy diagnosis based on the ABC calculation was Rp 2,717,662. The results of cost recovery rate calculation demonstrated that CRR among general patients was 121% whereas among BPJS patients was 65%. It means that each general patient of the Kajen Public Hospital obtained surplus as many as 21% otherwise each BPJS patient obtained minus as many as 35%. Arrangement of clinical pathway and implementation of final clinical pathway could be used as quality control of the Kajen Public Hospital. The hospital management needs to trace costs, to monitor, and to evaluate the obedience of clinical pathway.
Analisis Implementasi Sosialisasi Pemberian Asi Eksklusif Oleh Bidan Praktek Swasta (BPS) Di Kabupaten Bengkulu Selatan Lela Hartini; Martha Irene Kartasurya; Susi Herawati
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 2 (2016): Agustus 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.197 KB) | DOI: 10.14710/jmki.4.2.2016.156-161

Abstract

Profile of South Bengkulu district health office 2008 – 2009 did not include data on exclusive breastfeeding coverage. Private practice midwives (BPS) did not have standard operating procedure (SOP) in providing obstetric service. One of midwives duties was to provide exclusive breastfeeding socialization to pregnant women, childbearing mothers and community. The objective of this study was to analyze the implementation of exclusive breastfeeding socialization by BPS in South Bengkulu district. This study applied qualitative method and using in-depth interview as data collection technique. The main informant was 3 private practice midwives in the city area and 2 private practice midwives in the rural area. Triangulation was done to 5 head of puskesmas, chief of nutritional unit and head of Indonesian Midwifery Association (IBI). Focus group discussion was conducted to 3 mothers and 3 people in the community (family member of the patient) in each selected BPS. Results of the study showed that implementation of exclusive breastfeeding socialization variable was still limited to individual education and no education materials were provided. There was no communication among head of puskesmas, head of district health office and head of IBI towards BPS. BPS facilities were still insufficient to support the success of exclusive breastfeeding. Disposition had not supported exclusive breastfeeding coverage improvement. In the bureaucracy structure variable, there was no reporting format from BPS to puskesmas on exclusive breastfeeding socialization implementation in South Bengkulu district. It was suggested to district health office to formulate regulation policy in the form of decree regarding exclusive breastfeeding and to forbid collaboration between BPS and infant formula companies. Head of puskesmas had to do supervision and monitoring to BPS. Private practice midwives were expected to improve the frequency of exclusive breastfeeding socialization and to avoid collaboration with infant formula companies.
Sistem Pemantauan Pengobatan Pasien TB Paru di Puskesmas Kabupaten Kudus Ari Setiawan; Sutopo Patria Jati; Farid Agushybana
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 3 (2017): Desember 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (901.659 KB) | DOI: 10.14710/jmki.5.3.2017.11-18

Abstract

Pecatatan pengobatan Pasien TB paru tentang jadwal pengobatan pasien TB Paru di puskemas Kabupaten Kudus pada lembar catatan pengobatan. Dimana ada lembar yang disimpan petugas dan ada lembar yang dibawa oleh pasien. selain itu, dalam mengirimkan pean petugas harus mencari kontak pasien melihat catatan pasien yang diimpan dalam box file. Dari kondisi tersebut menyebabkan petugas mengalami kendala dalam memantau pasien dalam jadwal pengobatan. Tujuan penelitian ini untuk menghasilkan Sistem Informasi pemantauan pengobatan pasien TB Paru yang dapat digunakan untuk memantau pengobatan pasien, pengiriman pesan pengingat dan menghasilkan rekap laporan mendukung evaluasi Program TB Paru di Kabupaten Kudus.              Jenis penelitian yang digunakan adalah actions research berupa pengembangan sistem (system development). Pengembangan sistem menggunakan metode FAST (Framework for the Application of System Techniques). Subjek penelitian terdiri dari 5 responden yang terdiri dari kepala seksi penanggulanagan penyakit menular, pengelola TB Paru di Dinas Kesehatan dan 3 orang petugas TB Paru Puskemas.            Hasil dari pengembangan ini adalah sitem informasi berbasis web dengan fitur SMS gateway. Dengan sistem ini petugas lebih mudah dalam memantau  pengobatan pasien. dalam list pasien dapat dilihat jadwal pengobatan berdasarkan tanggal yang di inginkan oleh petugas. Dalam pengiriman pesan pengingat lebih mudah dilakukan karena nomor handphone pasien tersimpan dalam basis data sistem. Selain itu rekap laporan pengobatan pasien TB Paru, dan grafik pengobatan pasien berdasarkan  puskesmas.
Analisis Pelaksanaan Program Stabilisasi Bayi Asfiksia Oleh Bidan di Puskesmas Kota Parepare Harima M; Martha Irene Kartasurya; Siti Fatimah
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 3 (2016): Desember 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (182.106 KB) | DOI: 10.14710/jmki.4.3.2016.196-205

Abstract

Infant mortalities in Parepare City in South Sulawesi in 2014 were mostly caused by asphyxia (31%). The places of these mortalities with asphyxia occurred among infants aged less than or equal to 48 hours after birth were at health centres (46%) and at referral units (54%). This problem was due to unoptimal stabilisation program for asphyxia babies. The aim of this study was to analyse the implementation of the stabilisation program of asphyxia babies by midwives at health centres in Parepare City. This was a qualitative study. Main informants consisted of implementer midwives at health centres who had followed training of asphyxia management (10 persons). Informants for triangulation purpose consisted of coordinator midwives, heads of health centres, head of maternal and child health sections at Parepare City Health Office (CHO), and asphyxia babies’ families. Three health centres with the highest asphyxia baby mortality rate in Parepare City were selected. Data were collected by conducting indepth interview and analysed using a method of content analysis. The results of this research showed that the stabilisation program of asphyxia baby by midwives had not implemented two of six components namely components of blood sugar stabilisation and laboratory analysis. These condictions were due to communication aspects like lack of clarity and lack of information consistency about the program. Meanwhile, viewed from the aspect of disposition/attitude, there were lack of midwives’ commitments in implementing the program, lack of trained health officers, no specific budget, lack of facilities, and no mechanism of reporting and Standard Operating Procedure (SOP) for implementing the program. Parepare CHO needs to provide training for implementer midwives about stabilisation of asphyxia baby, to increase socialisation of the program to implementer midwives, and to arrange SOP and a report form.   
Pengembangan Sistem Pendukung Keputusan Untuk Mendukung Penegakkan Diagnosa TB Dots Di Rumah Sakit Aisyiyah Muntilan Susanti Susanti; Mateus Sakundarno Adi; Atik Mawarni
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 2 (2016): Agustus 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.4.2.2016.123-128

Abstract

Tuberculosis (TB) disease intervention is a national program and being a target of MDGs. Therefore, a government determined minimum service standards of a hospital that had to be implemented in all health service units and hospitals in Indonesia. A strategy of DOTS at Aisyiyah Hospital in Muntilan had been available particularly in terms of case finding. Notwithstanding, a process of patient diagnosis had not been implemented in accordance with a standard of human resource. Number of medical officers at a TB DOTS unit was not sufficient. In addition, quality of information like completeness, accurateness in diagnosis, and timeliness in reporting TB cases had not achieved a target. The aim of this study was to develop decision support system of TB as an effort to systematically diagnose and manage data of TB based on the standard. This was qualitative-quantitative research. A qualitative method was used to identify each step of information system development. Meanwhile, a quantitative method was used to assess quality of information between before and after developing information system using pre-experimental design (the one group pre and posttest design). Qualitative data were collected by conducting indepth interview, whereas quantitative data were collected using checklist. Data were analysed using T test. Research object was decision support system before and after applying at TB unit at Aisyiyah Hospital in Muntilan. Research subjects consisted of four TB officers as main informants. Informants for triangulation purpose consisted of head of SIMRS and head of medical services. The results of T test showed that variables of completeness, accurateness, and preciseness after developing the decision support system were better than that of before developing the system (p-value = 0.000). As suggestions, head of SIMRS needs to conduct further development of decision support system of TB in another unit particularly in inpatient unit. The decision support system needs to be evaluated and adjusted with the standard.
Pengaruh Pelatihan Kepemimpinan Spiritual Terhadap Peningkatan Kinerja Ketua Tim Keperawatan Rumah Sakit Umum Daerah Kota Semarang Yunita Yudaningsih; Nico L Kana; Untung Sujianto
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 3 (2016): Desember 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (169.279 KB) | DOI: 10.14710/jmki.4.3.2016.242-249

Abstract

Rumah Sakit Umum Daerah Kota Semarang merupakan rumah sakit milik Pemerintah Kota Semarang. Kinerja perawat merupakan bagian integral dalam meningkatkan mutu pelayanan yang diberikan rumah sakit, sehingga kinerja perawat harus selalu ditingkatkan. Tujuan penelitian ini adalah untuk menganalisis pengaruh pelatihan kepemimpinan spiritual terhadap peningkatan kinerja ketua tim keperawatan dalam memberikan pelayanan keperawatan di rumah sakit. Jenis penelitian adalah penelitian kuantitatif meggunakan design pre –post test with control group dengan cara melakukan intervensi, berupa kegiatan pelatihan dengan materi kepemimpinan spiritual pada kelompok eksperimen. Setelah dua bulan pelaksanaan pelatihan, dilakukan pengukuran kinerja ketua tim keperawatan, untuk melihat pengaruh kegiatan pelatihan tentang kepemimpinan spiritual terhadap peningkatan kinerja ketua tim keperawatan pada kelompok eksperimen. Cara pengambilan data kinerja ketua tim dengan menggunakan kuesioner yang diisi oleh perawat pelaksana. Populasi adalah seluruh ketua tim keperawatan dengan total sampling Analisis data menggunakan T test dengan Uji One Sample Kolmogorov-Smirnov Test untuk melihat pengaruh pelatihan terhadap peningkatan kinerja ketua tim keperawatan. Hasil penelitian menunjukkan rerata peningkatan kinerja ketua tim keperawatan pada kelompok ekperimen yang diukur sebelum pelaksanaan pelatihan, dengan nilai sebesar 58,66 dalam katagori kurang. Adapun setelah dilakukan pelatihan kepemimpinan spiritual terjadi peningkatan kinerja ketua tim keperawatan menjadi sebesar 77,04 dalam katagori baik. Dari analisis data mendapatkan dengan nilai mean (-43,422) artinya terjadi kecenderungan peningkatan kinerja ketua tim keperawatan yang cukup bermakna pada kelompok eksperimen, yaitu sebesar 43,422. Nilai tersebut menunjukkan bahwa pelatihan tentang kepemimpinan spiritual berpengaruh terhadap peningkatan kinerja ketua tim keperawatan Rumah Sakit Umum Daerah Kota Semarang.  
Analisis Pelaksanaan Program Kemitraan Bidan dan Dukun Ditinjau Dari Aspek Input, Proses dan Output di Wilayah Dinas Kesehatan Kabupaten Fakfak Provinsi Papua Barat Elzina De Fretes; Hardi Warsono; Ayun Sriatmi
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 3 (2016): Desember 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (155.989 KB) | DOI: 10.14710/jmki.4.3.2016.163-168

Abstract

Number of midwives in Fakfak District in 2012 was 108 persons. Number of Traditional Birth Attendants (TBAs) was 191 persons consisted of 79 (41%) trained TBAs and 112 (59%) untrained TBAs. The TBAs had an important role in delivery process because number of them was higher than number of midwives. Therefore, coverage of delivery process helped by health workers had not achieved the target. This research aimed to analyze the implementation of the partnership program between midwives and TBAs viewed from the aspects of input, process, and output at Fakfak District Health Office. This was qualitative research with descriptive-explorative approach by conducting indepth interview. Subjects were midwives and TBAs who had been partnering. Data were analysed using a content analysis. The input aspect showed that: 1) Implementers, midwives and TBAs only knew partnership in helping delivery; 2) Specific allocation funds for the program was not available. The funds was from Operational Support for Health but it was still not sufficient; 3) Specific means for the program was not available. The current means is from health center and village polyclinic but it is still limited. Furthermore, the process aspect revealed that: 1) Program planning, midwives and TBAs collected data of pregnant women, maternal, postpartum women, and number of TBAs; 2) The implementation was not good because midwives were not available when needed by TBAs and there was difficult to access. Socialization for cross-program (community leaders and religious leaders) and internship for TBAs had not been done yet due to insufficient fund; 3) Recording and reporting especially about partnership activities had not been done yet and only used a form on a Maternal and Child Health report. Regarding the output aspect, as many as 195 (89%) from 219 TBAs had not been partnered. Coverage of K1, K4, and delivery process helped by health workers from 2011 to 2012 decreased gradually. As a suggestion, District Health Office and Health Center need to maintain partnership by recruiting midwives, providing means, allocating fund, socializing to community leaders, and funding TBAs’ daughter or grandchild to study midwifery.

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