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Prodi Magister Ilmu Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UNDIP, Jalan Professor Soedarto, Tembalang, Kota Semarang, Jawa Tengah 50275, Indonesia
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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
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Pengaruh Pengetahuan, Sikap, dan Perilaku Bidan dalam Pemanfaatan Buku KIA Selama Periode Antenatal terhadap Deteksi Dini Ibu Hamil Berisiko Tinggi (Studi Kasus di Kecamatan Solokan Jeruk dan Paseh Kabupaten Bandung) Nely Bonita; Nanan Sekarwana; Dinan S. Bratakoesoemo
Jurnal Manajemen Kesehatan Indonesia Vol 8, No 2 (2020): Agustus 2020
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.8.2.2020.67-80

Abstract

Buku KIA adalah buku yang berisi catatan kesehatan ibu (hamil, bersalin, nifas) dan anak (neonatus, bayi, balita) yang dipakai sebagai salah satu alat untuk menurunkan angka kematian ibu dan bayi. Bidan sebagai salah satu petugas pelaksana sangat besar peranannya dalam pemanfaatan buku KIA. Oleh karena itu, bidan harus memiliki pengetahuan, sikap dan perilaku tentang pemanfaatan buku KIA agar dapat mendeteksi lebih dini ibu hamil berisiko tinggi. Penelitian ini bertujuan untuk mengetahui pengaruh pengetahuan, sikap, dan perilaku bidan dalam pemanfaatan buku KIA selama periode antenatal terhadap deteksi dini ibu hamil berisiko tinggi. Penelitian ini merupakan penelitian survei analitik dengan menggunakan desain penelitian potong lintang (cross sectional). Jumlah sampel sebanyak 44 bidan yang diambil menggunakan teknik total sampling. Jenis sumber data primer menggunakan kuesioner yang diadaptasi dari buku instrumen evaluasi petugas kesehatan pasca orientasi buku KIA di tempat pelayanan dari Depkes RI dan Pedoman Pelayanan Antenatal Terpadu. Hasil penelitian diketahui 47,7% berusia >39 tahun, 65,9% bekerja >9 tahun, 84,1% pernah mengikuti pelatihan. Analisis bivariat dengan uji Chi Square diketahui variabel yang berhubungan dengan deteksi dini yaitu pengetahuan (p=0,042), sikap (p=0,018), dan perilaku (p=0,008). Analisis multivariat dengan uji regresi logistik berganda menunjukkan sikap (p=0,031) dan perilaku (p=0,008) berpengaruh terhadap deteksi dini, sedangkan pengetahuan (p= 0,070) tidak berpengaruh terhadap deteksi dini. Ada pengaruh bersama-sama variabel pengetahuan, sikap dan perilaku bidan dalam pemanfaatan buku KIA terhadap deteksi dini ibu hamil berisiko tinggi dengan nilai signifikansi 0,001 dan R² 0,435, berarti 43,5% variabel deteksi dini dapat dijelaskan oleh variasi dari ketiga variabel tersebut. Dapat disimpulkan bahwa sikap dan perilaku merupakan variabel dominan yang berpengaruh terhadap deteksi dini ibu hamil berisiko tinggi. 
Kepercayaan Dimediasi Kepuasan Pasien terhadap Citra Rumah Sakit Johanes Tantra Wijaya; Agusdini Banun Saptaningsih; Tantri Yanuar Rahmat Syah
Jurnal Manajemen Kesehatan Indonesia Vol 9, No 1 (2021): April 2021
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.9.1.2021.59-71

Abstract

Establishing an excellent hospital image is critical as many people are still experiencing trust issues for hospitals in Indonesia, especially in major cities. A hospital's image comes from its quality of service, the patient's trust in the quality of service, and the patient's satisfaction. This study tries to provide empirical evidence on the effect of quality of service and patient confidence on the hospital's image mediated by patient satisfaction. A quantitative - causality research method is used. Primary data was taken from survey to patients who are taking drugs in the outpatient pharmacy installation unit at Taman Sari Hospital, West Jakarta. This research uses AMOS-path analysis, and the results showed the quality of service and patient's trust had a positive and significant effect on the hospital's image with patient satisfaction as an intervening variable. Partially, the quality of service has a positive and significant effects on both patient satisfaction and hospital image. Patient confidence has a significant positive effect on patient satisfaction but it is insignificant to the hospital's image. Research findings show that a patient's trust has a positive impact on the hospital's image when mediated by patient satisfaction. Suggestions from this research are conducting training, i.e. speed training not to exceed the standard response time as well as competency, skills training and service excellence training for pharmaceutical personnel. Improving the quality of pharmacy facilities such as waiting rooms to make it more comfortable is also suggested
Identifikasi Waste Tahap Pra Analitik dengan Pendekatan Lean Hospital di Laboratorium Patologi Klinik RS XYZ Depok Jawa Barat Tahun 2021 Rini Prasetyo Wahyu Wijayati; Dumilah Ayuningtyas
Jurnal Manajemen Kesehatan Indonesia Vol 9, No 2 (2021): Agustus 2021
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.9.2.2021.101-112

Abstract

ABSTRACT               The pre-analytic stage includes a series of processes that are difficult to define because they occur in different places and times. Pre-analytical stage errors account for 50% to 70% laboratory error. The research aims to identify waste and provide recommendations for improvement. This type of research is operational research with a mix method research design. Quantitative data from direct observation of the laboratory examination process. Qualitative data from in-depth interviews with Laboratory Medical Technical Analysts (ATLM), on duty doctors and nurses. Non-participant observations use themethod Time and Motion study and calculate the time of each pre-analytical stage activity using a stopwatch to get the standard movement of the sample staged effectively and efficiently. Analysis with lean stages identify activities that do not provide added value (non added value) and waste (waste). Exploring the root causes of problems through in-depth interviews using the 5 (five) Whys approach and proposing recommendations for improvement. The results of the average length of time for the pre-analytic stage are due to the waiting time for new samples due to hemolysis samples. Waste found waiting for samples to be sent back (waiting time), no inspection orders, non-standard identity stickers (defect) and sticker repair (over processing). Phlebotomy training, re-education on handling laboratory specimens for nurses as well as SOPs on laboratory examination packages and sample handover, are expected to reduce pre-analytic waste.Keywords: Waste, Pre Analytical Stage, Concept  Lean ABSTRAKTahap pra analitik mencakup serangkaian proses yang sulit didefinisikan karena terjadi  ditempat  dan waktu yang berbeda. Kesalahan tahap pra analitik menyumbang kesalahan hasil laboratorium sebesar 50% hingga 70%. Penelitian bertujuan mengidentifikasi pemborosan  dan  memberikan rekomendasi perbaikan. Jenis penelitian adalah penelitian operasional dengan disain penelitian mix method. Data kuantitatf  dari observasi langsung proses pemeriksaan laboratorium. Data kualitatif  dari  wawancara mendalam dengan Analis Teknis Medik Laboratorium (ATLM), dokter jaga dan perawat. Observasi non partisipan menggunakan metode Time and Motion study serta  menghitung waktu setiap kegiatan tahap pra analiitk  menggunakan stopwatch untuk mendapatkan pergerakan standar sampel ditahap secara efektif dan efisien. Analisis dengan tahapan lean mengidentifikasi kegiatan  yang tidak memberikan nilai tambah ( non added value) dan  pemborosan (waste). Menggali akar penyebab masalah melalui wawancara mendalam menggunakan pendekatan 5 (lima)  Whys dan mengusulkan  rekomendasi perbaikan. Hasil rata rata lama waktu tahap pra analitik disebabkan waktu tunggu sampel baru karena sampel hemolisis. Waste yang ditemukan menunggu sampel dikirim ulang (waiting time), tidak ada order pemeriksaan, stiker identitas tidak standar (defect) dan perbaikan stiker (over processing). Pelatihan plebotomi, re edukasi penanganan spesimen laboratorium untuk perawat serta SPO tentang paket pemeriksaan laboratorium dan serah terima sampel, diharapkan dapat mengurangi pemborosan tahap pra analitik.
Analisa Performance Instalasi Radiologi Dalam Upaya Pemenuhan Standar Pelayanan Minimal (Spm) Di Rumah Sakit Condong Catur Yogyakarta Dewi Ariyani Wulandari; Tedy Candra Lesmana
Jurnal Manajemen Kesehatan Indonesia Vol 9, No 2 (2021): Agustus 2021
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.9.2.2021.87-92

Abstract

Radiology services are an integrated part of overall health services. Radiology is a supporting examination to establish disease diagnosis and provide prompt and appropriate therapy for patients. Analysis of the results of radiology at the Condong Catur Hospital found that an average of 74 (86.80%) files from patients were in accordance with the standards and 12 files from patients (13.20%) were not in accordance with predetermined standards. These problems will interfere with the service quality and performance of the hospital. The purpose of this study was to evaluate the implementation of the Minimum Service Standards or Standar Pelayanan Minimal (SPM) Policy of the radiology unit at the Condong Catur Hospital Yogyakarta. This type of research is qualitative with a case study design. The key informants were radiographers, medical doctor of radiology specialists, and chief medical officer. Data collection methods consisted of observation methods, in-depth interviews and documentaries. This research shows that the policies and commitments have been formed, but the resources are only sufficient for the minimum requirement. The application has referred to the radiology service policy, bureaucratic structure, compliance with clinical practice guidelines and standard operating procedures. Process components that support the success of radiology services are the disposition (attitude) and communication patterns between top management and staff in implementing SPM for radiology services that have been running quite well, but some have not reached the target. The suggestion of this research is that the management always socializes minimum service standards policy and standard operating procedures radiology to improve radiology services.
Kesiapan dan Penerimaan Karyawan terhadap Penerapan Lean Management di Rumah Sakit Bethesda Katherina Adisaputro; Andreasta Meliala
Jurnal Manajemen Kesehatan Indonesia Vol 9, No 2 (2021): Agustus 2021
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.9.2.2021.113-120

Abstract

ABSTRACTIntroductions: Efficiency of health care services at a hospital became one of the solutions amid national health insurance era. Particular method offering the solution is lean management. Bethesda Hospital began implementing lean management in 2019. During the course of the program, readiness and acceptance evaluation at the level of employee never been accomplished. Organizations focused mainly on lean tools and lean techniques tend to allocate minimal measurement on readiness lead to reduced level of sustainability and last for short-term activities. Successful lean management require both preparation and implementation combining on lean readiness and lean acceptance data from the organization. Aim:This study aimed to measure employee readiness and acceptance toward implementation of lean management,and to describe the output of lean implementationMethods: An explanatory research took place in Bethesda Hospital, Yogyakarta. Survey were used to collect quantitative data while the qualitative approach performed through in-depth interviews.Results and Discussion: Lean readiness at Bethesda Hospital were analyzed using fuzzy and Euclidean. The analysis indicate value of 6.08 with HLR 4 distance 2.016 interpreted as "close to ready", therefore Bethesda Hospital is ready to start the lean journey, but is not yet fully ready , as well as continuous improvement.The aspects of readiness that still lack of improvement include supplier and customer involvement in lean, lean sensei in institutions, employee resistance, and reward systems.The highest indicator identified from element 6.4, patient and employee safety, while the lowest indicator originated from element 5.2, supplier involvement and conformity to the institution. Lean acceptance Bethesda Hospital measured through lean maturity present average score level 3, but in operational conditions at the hospital lean maturity is at level 2 where awareness of lean has occurred in general, but the lean approach only occurs in some areas with variability of effectiveness. The aspects of lean that still lack of improvement is the foundation of lean philosophy and a monitoring evaluation system that has not been standardized in all of sections.Conclusion: The lean implementation that has been carried out has provided good output in both financial and non-financial term. Bethesda hospital is considered to have the ability to start a lean journey, but the aspects of readiness that are lacking need to be improved. Bethesda hospital has sufficient level of acceptance to undertake further development of lean implementation.
Hubungan Iklim Organisasi terhadap Intention to Leave Perawat di Rumah Sakit Islam Surabaya – A. Yani Budhi Setianto; Agus Aan Adriansyah; Akas Yekti Pulih Asih
Jurnal Manajemen Kesehatan Indonesia Vol 9, No 2 (2021): Agustus 2021
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.9.2.2021.148-154

Abstract

Niat untuk pergi (Intention to leave) adalah niat karyawan untuk meninggalkan organisasi/ rencana karyawan untuk berniat keluar kerja dari pekerjaan yang sekarang dan berusaha menemukan pekerjaan lain dalam waktu dekat. Niat untuk pergi perawat menjadi tantangan yang serius terhadap efisien dan efektivitas pelayanan kesehatan. Terdapat beberapa faktor yang mempengaruhi terjadinya Intention to leave pada perawat salah satunya adalah iklim organisasi. iklim organisasi mencerminkan kondisi internal suatu organisasi karena iklim hanya dapat dirasakan oleh anggota organisasi tersebut, dan iklim dapat menjadi sarana untuk mencari penyebab perilaku negatif yang muncul pada karyawan.Penelitian ini bertujuan untuk menganalisis dan menjelaskan pengaruh iklim organisasi terhadap intention to leave perawat Rumah Sakit Islam Surabaya – A. Yani. Jenis dan rancangan penelitian yang digunakan dalam penelitian ini bersifat analitik. Penelitian ini dilakukan di Rumah Sakit Islam Surabaya – A. Yani dengan mengambil subjek perawat sebanyak 70 perawat/orang. Data dikumpulkan dengan menyebar kuesioner dan data  yang telah dikumpulkan dianalisis menggunakan Statistical Package for the Social Sciences (SPSS) ver.16 dengan metode Chi Square.Hasil penelitian menunjukkan bahwa dari 6 variabel iklim organisasi yang terdiri dari struktur, standar, tanggung jawab, penghargaan, dukungan, dan komitmen. Hanya variabel komitmen yang tidak berhubungan dengan intention to leave pada perawat di RSI A. Yani karena hasil uji statistik didapatkan nilai p 0.197 (>0,05), sedangkan 5 variabel lainnya didapatkan hasil terdapat hubungan antara 5 variabel tersebut dengan intention to leave pada perawat di RSI A.Yani
Pengaruh Internal Service Quality (INTQUAL) terhadap Kepuasan Karyawan di RS Islam Ahmad Yani Surabaya Ismiyatul Izza; Budhi Setianto; Inge Dhamanti
Jurnal Manajemen Kesehatan Indonesia Vol 9, No 2 (2021): Agustus 2021
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.9.2.2021.78-86

Abstract

The job satisfaction that employees get at the organization depends on whether or not the employee's needs are met. Employee needs that can be met will provide job satisfaction. The greater the employee's needs that can be met, the higher the employee's job satisfaction. Meanwhile, if the employee's needs are not met, the employee will have dissatisfaction. Objective: To identify the influence of internal service quality (intqual) on employee satisfaction at RSIAS. Methods: This study analyses an employee satisfaction survey conducted in 2020 using a cross-sectional study design. Population of this research is all employees in RSIAS. The sample of this study is also all employees in RSIAS, which is 421 people. The satisfaction survey is filled in using a score of 1 to 5, then averaged so that a score is obtained to determine the category of each aspect. The data obtained were analyzed based on the theory of internal service quality and employee satisfaction, then tested using a multiple linear regression statistical test model to determine the effect of internal service quality (intqual) on employee satisfaction at RSIAS. Results: The results of statistical tests showed that the value of p = 0.000, meaning that internal service quality has an effect on employee job satisfaction because the value of p <0.05. Several aspects of internal service quality affect job satisfaction, namely the aspects of tools, policies and procedures, management support, goal alignment, effective training and reward and recognition.
Perbandingan Dukungan Sumber Daya non Finansial di Puskesmas Salaman 1 dan Puskesmas Gamping 1 terhadap Pelaksanaan Spm Bidang Kesehatan Efina Cahyani Fandi; Sunarto Sunarto
Jurnal Manajemen Kesehatan Indonesia Vol 9, No 2 (2021): Agustus 2021
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.9.2.2021.93-101

Abstract

ABSTRACTHealth is one of the concurrent affairs that must be fulfilled by the government. Based on the Peraturan Menteri Kesehatan No. 43 of 2016, minimum service standards (SPM) are provisions regarding the type and quality of basic services which are mandatory government affairs that are entitled to be obtained by every citizen minimally. SPM has 12 indicators where all these indicators should ideally reach the target of 100% as a minimum, but not all indicators can achieve 100% results. This can be caused by non-financial resource factors that have not been fulfilled. The aim of this study is to compare the factors of non-financial resources at the Puskesmas Salaman 1 and Puskesmas Gamping 1 in the implementation of the SPM in the health sector. The study was conducted with qualitative methods with a case study approach. The result show that the factors of non-financial resources in the Puskesmas Gamping 1 and Puskesmas Salaman 1 have been adequately fulfilled, but there are some obstacles experienced, namely excessive workload so that one person holds several programs, the quality of human resources is different, not all drug stocks and reagents provided so that it must procure itself, and so forth. This obstacle indirectly affected the achievement of minimum health service standart in Gamping 1 Puskesmas and Salaman 1 Puskesmas so that they could not reach the target.
Faktor yang Berhubungan dengan Kejadian Anemia pada Ibu Hamil di Wilayah Kerja Puskesmas Mpunda Kota Bima Nurhaidah Nurhaidah; Rostinah Rostinah
Jurnal Manajemen Kesehatan Indonesia Vol 9, No 2 (2021): Agustus 2021
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.9.2.2021.121-129

Abstract

The results of the Indonesian Health Demographic Survey in 2017 show that the maternal mortality rate that occurs in Indonesia is 305 / 100.000 live births. This figure is still high and quite far from the target of the Sustainable Development Goals program. One of the factors contributing to the high maternal mortality in Indonesia is due to bleeding caused by anemia during pregnancy. The purpose of this study was to determine the factors associated with anemia in pregnant women. The population in this study were all pregnant women who performed pregnancy examinations at the Mpunda Public Health Center in Bima City for the period of April-May 2020. The number of sample data was 121 using purposive collection techniques. Data analysis was performed using the chi-square test and logistic regression. The results showed that there was a relationship between knowledge and Antenatal Care (ANC) visits with a p value of 0.028 and 0.022. Meanwhile, age, parity and consumption pattern of Fe tablets did not correlate with the incidence of anemia in pregnant women with p value > 0.05. The logistic regression test results show that the knowledge variable has the greatest influence on the incidence of anemia in pregnant women with an OR value of 2.385. It is hoped that health workers will provide information about the importance of conducting regular antenatal care and intensify the provision of information counseling and education about anemia, so that pregnant women are expected to be able to prevent, detect and manage anemia independently.
Personality Traits dan Dukungan Sosial sebagai Prediktor Service Orientation Tenaga Kesehatan Fadhilah Ahmad Qaniah; Vifi Nurwianti
Jurnal Manajemen Kesehatan Indonesia Vol 9, No 2 (2021): Agustus 2021
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.9.2.2021.138-147

Abstract

Personality traits are one of the intrapersonal factors that makes health workers differently doing quality of service orientation. As well as social support from family, friends, and significant others are one of interpersonal factor that assumedly can increase the desire of health workers to serve people better. This research aims to see the influence of personality traits and social support for service orientation of health worker during the Covid-19 pandemic. This research uses quantitative methods with linear regression analysis. Participants were 218 health workers who are active with various professions/jobs according definition of health workers in UU number 36 of 2014. The results show that the effectiveness of personality traits model (R2 adjusted = 0,309) and also the quality of social support (R2 adjusted = 0,166) can significantly predict (p < 0,01) service orientation. Personality traits especially agreeableness traits and conscientiousness traits were shown to be predictors. As well social support, especially from the significant other dimension has been proven to be a predictor. Thus, to improve service orientation, it is necessary to improve the quality of personality traits and social support received. 

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