Indonesian Journal of Health Administration
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Rekomendasi Peningkatan Pemanfaatan Posyandu Oleh Ibu Balita Berdasarkan Analisis Total Customer Sacrifices
Get PDFABSTRACT The coverage of under-five children weighed is an indicator of community participation in Posyandu. During 2012 until 2014, Puskesmas Kenjeran had not reached the target of this indicator. The objective of this study is to arrange recommendations for Posyandu utilization improvement based on total customer sacrifice analysis. This was a quantitative analytical study with observational approach and cross sectional design. The sampling was calculated by using multistage random sampling method. The interviews through instrument were conducted to 112 respondents to obtain information on Posyandu utilization and respondents sacrifice required to utilize Posyandu. The results showed that respondents thought time was the greatest sacrifice among monetary, energy, and psychological sacrifices. Spearman correlation test on any sacrifice required showed significant correlation (p<0.05), except for monetary sacrifice.This study concluded that even total customer sacrifices was very small, but the huge expense of time spent still made respondents to be less likely to utilize Posyandu. Therefore, efforts are needed to reduce the magnitude of the sacrifice required by community utilizing Posyandu in Puskesmas Kenjeran area. Keywords: Posyandu utilization, total customer sacrifices, under-five children weighe
Penilaian Puskesmas dan Rumah Sakit Tentang Efektivitas Sistem Rujukan Maternal di Kota Surabaya
Get PDFABSTRACT More than 80.0% maternal deaths occured in hospital in Surabaya between 2012-2014. Most of them who died in hospital were referral patients from midwife, private clinics, and public health centers. This study assessed the effectiveness of maternal referral system based on perspective of public health centers and hospitals in Surabaya. This was a descriptive cross sectional study. Samples were 43 public health centers in Surabaya and two main referral destination hospitals. Data was collected by interviewing one representative midwife in each public health center and hospital. This study showed that a total of 81.4% health centers assess that maternal referral system in Surabaya District was quite effective. While, one of the hospital assessed quite effective, and the other assessed less effective. The reason was because public health centers difficulty to contacting hospitals about referral, hospitals often rejected referral case, pregnant women often do self-referral to hospital, and incompatibility referral reason by most of public health centers. So it was necessary to repair maternal referral system at Surabaya based on identification of each variables in effectiveness of maternal referral system.Keywords: effectiveness, hospitals, maternal refferal system, public health cente
Kepatuhan Pasien Rawat Inap Diet Diabetes Mellitus Berdasarkan Teori Kepatuhan Niven
Get PDFABSTRACT Diabetes Mellitus is one of disease related to nutrition. Diabetes Mellitusinpatient's food waste plate is one of the manifestation of noncompliance to the diet program that have been recommended by health workers. This study analyzed the influence of noncompliance inpatients with Diabetes Mellitus diet in dr. M. Soewandhie Surabaya based on the theory compliance by Niven. This was analytic observasionalstudy with cross sectional design. This study used32 samples. Data were analyzed using linear regression test. The results showed that 64.7% of respondents who have a good attitude did notcomply to the diet, 85,7% of respondentswho noncompliance to the diet has very good belief. Meanwhile, 50% of respondents who di not understand the instruction from nutritionists belonging to noncompliance. Then 85.7% of respondents felt lack of support from their family classified as noncompliance category. While, 75% of respondents who feel very good quality interaction with nutritionists belonging to noncompliance respondent. While, 66,7% respondents who got enough support from nutritioniststned to comply the diet. The study showed that official support (nutritionists) influence the patient compliance (Ï = 0,000) with a value of B = -6. Counseling to inpatients Diabetes Mellitus diet every daycould change the compliance patients. Keywords: compliancetheory, Diabetes mellitus diet, food waste plate, health worker support, nive
Hubungan Kerjasama, Motivasi, Sikap, dan Kinerja Bidan Dalam Pelayanan Antenatal
Get PDFABSTRACTAntenatal care in last three years at Kecamatan Kejayan did not reach the target, 100% for K1 and 95% for K4. This research aims to analyze the correlation of midwife's cooperation, motivation, attitude, and performance on antenatal care in non insurance and insurance patients group. This is a quantitative research with cross sectional design. Spearman Correlation and Coeficient Contingency were used in this research to analyze the data. 36 midwifes were interviewed to obtain data.The results show that majority midwifes has cooperation with primary health care. Midwife's motivation was high and attitude was positive. Midwife's performance to non insurance and insurance patients was very high. There was moderate correlation (r=0,446) between cooperation (midwife with primary health care) and the performance to non insurance patients. There was very weak correlation (r=0,111) between cooperation (mindwife with doctor) and performance to insurance patients, and weak correlation (r=0,311) to non insurance patients. There was weak correlation (r=0,086) between motivation and performance to insurance patients, whereas correlation to non insurance was moderate (r=0,521). There was strong correlation (r=0,707) between attitude and performance to non insurance patient. The conclusion, attitude has most significant with performance in non insurance patient group. Keywords: antenatal care, attitude, cooperation, motivation, performanc
Faktor Yang Mempengaruhi Kepatuhan Penulisan Resep Sesuai Formularium
Get PDFABSTRACT Based on data from January - April 2014 found that obedience of prescription writing based on formularium in Outpatient Installation of Islam Jemursari Hospital only amounted to 87.9%. The purpose of this study was to analyze the factors that affect the obedience of prescription writing based on formularium. This study was an observational analitic cross sectional study. Data analysis using Spearman correlation test (α = 0.05). Obedience of prescription writing based on formularium mostly in the category of obedience (37.8%). Spearman correlation test showed no correlation between the status of the location (p = 0.166), the legitimacy of authority figures (p = 0.841), and the status of an authority figure (p=0,549) with the obedience of prescription writing based on formularium (p = 0.166). There was a significant relationship between personal responsibility (p = 0.005), peer support (p = 0.007), and the proximity of authority figures (p = 0.002) with obedience of prescription writing based on formularium. The conclusion that can be drawn is appropriate prescribing formulary can be improved by providing incentives and sanctions of the pieces and there are electronic formulary list. Keywords: formulary, obedience, prescriptio
Customer Gap Pelayanan BPJSKesehatan Center
Get PDFABSTRACTAfter almost 2 years implementation of National Health Insurance (JKN) held by Health Social Insurance Organizing Board (BPJS Kesehatan), many evaluation needs to be done. One of them is BPJS Kesehatan Center located in hospital that provide direct service for patients who referred by the First Level Health Care (FKTP). This studyaim to analyzecustomer gap betweenexpected serviceand perceived service patientsinBPJS Kesehatan CenterRSALdr. RamelanSurabaya. This is an observasional study and cross sectional analytic design. Sample were in equal to 95 people and collected by systematic random sampling. Samples were outpatients who ever used BPJS Kesehatan Center service in RSAL dr. Ramelan Surabaya. Data were collected by questionnaires and calculated by Customer Gap to identify the differences between expected service and perceived service. Data were processed by Wilcoxon Sign Rank Test (α = 0,05). The results showedmost respondentshadvery high expectationsandreceived quite good services. Wilcoxon SignRankTestshowedthere is a differencebetweenthe expected service and perceived service (p = 0,000). This studyconcluded that customer gap in all aspects of BPJS Kesehatan Center service, such as competency, responsiveness, assurance, empathy, communication, caring, dan physical environment. Negative result indicates that expectedservice (ES) is greater than theperceived service(PS). Respondentsare not satisfiedwith the overallperceived serviceatBPJS Kesehatan Center.Keywords : BPJS Kesehatan Center, customer gap, expected service, perceived service
Kelemahan Workload Indicatorsof Staffing Need Sebagai Metode Perhitungan Jumlah Kebutuhan Tenaga Kesehatan di Puskesmas
Get PDFABSTRACT Workload Indicators of Staffing Need (WISN) was a method for calculating the number of health worker in Public Health Center. However, the result from previous studies show that this method had some weakness. Public Health Center in Pacarkeling Surabaya had problem in the shortage of health worker. Previously, Workload Indicators of Staffing Need was applied to assess the health worker. This study identified the weakness of WISN by company to the objective workload. This was an observational study by using total population of medical, midwifery, and nursing staff in Pacarkeling Surabaya Public Health Center. WISN calculation method was performed to get the final result. They were the number of staff needs and the value of ratio. This ratio compared with the result of objective workload calculating to show the weakness of WISN method. WISN method is not appropriate when applied in Public Health Center. There were some weakness in the WISN method that made this method was less accurate. It is because health worker don't carry out their job based on main duty, the method using data from previous years and don't pay attention to labor of productivity. Keyword: weakness of WISN, the number of health worker, Public Health Cente
Penilaian Kebutuhan Pelatihan pada Tingkat Individu Petugas Rekam Medis
Get PDFABSTRACT The increased number of complaint patient indicated performance gap of medical records officer. Training needs assessment was a systematically order of process to discover and identified the existence of a disparity performance caused by a lack of knowledge, attitude and skills in doing the work. Individual analysis identified a disparity between requirements of work to requirement an organization that owned by their respective employee. The purpose of this study was to develop a training needs medical records staff at Undaan Surabaya Eye Hospital, based on the training needs assessment through individual analysis.This was a descriptive study, subject of research were medical record officers who works in Undaan Surabaya Eye Hospital. More that 56,00% was included in good category knowledge. The most medical records officers has 88% excellent working attitude, skilled officers medical records in conducted technical work related duties 77.78% good category, and softkills as a whole into the category of a good 49,5%. This study concluded be taken from this study was the training needs of medical record staff in Undaan Eye Hospital Surabaya generally was training on knowledge and skill of management medical records. Keywords :individual analysis, medical record staff, training need assessmen
Analisis Penilaian Dan Harapan Pasien Poli Gigi Dan Mulut Dengan Metode Spider Web Berdasarkan Dimensi Mutu Dabholkar
Get PDFABSTRACT There are many factors that determine health care service quality. One of them is the internal factor. This research was done to arrange recomendation increasingdental polyclinic utilization based on Dabholkar quality dimention.This was an observational study with cross sectional design of the 70 respondents who are representing dental polyclinic's patient in a month. Data were collected by questionnaires distributed to respondents to identify the respondent's assessment and expectation about physical aspects dimension, reliability dimension, personal interaction dimension, problem solving dimension, and policy dimension of dental polyclinic service quality. The conformity between assessment and expectation of respondentson service quality was analyzed based on Dabholkar quality dimension by using spider web. The results showed that most dimensions have been suitable about reliability dimension, personal interaction dimension and problem solving dimension. While the conformity of physical aspects dimension and policy dimension are not quite good. The conclusions showed that physical aspects dimension and policy dimension are the top priority, while reliability dimension, personal interaction dimension and problem solving dimensionneed repairement are still need to be maintained. Keywords: Dabholkar quality dimension, physical aspects dimension, policy dimensio
Kesesuaianbenefit Package yang Diterima oleh Pesertaasuransi di Pusat Layanan Kesehatan Universitas Airlangga
Get PDFABSTRACTBenefit package provided for policyholderis expected to be in accordance with policyholder's expectations. This research aimed to evaluate the conformity of the benefit package received by policyholder in Airlangga Health Care Center.This was descriptive study with cross sectional design. Data analysis quantitative with observational data.The population was all employees of Airlangga Health Care Center. The results of this study show that the total cost of health care in the PLK-UA in 2009 amounted to IDR 1.232.974.580, while the income was IDR 1.309.680.000. Based on the result, the calculation shows that the benefit package received by policyholders is worth the premium paid in the amount of IDR 60.000 per year.These conclutionis the implementation managed care insurance system that provides maximum service to policyholders by means of giving back the premium thathas been paid by the policyholders in the form of benefit package or development of facilities and infrastructure. However,revised service package provided by Airlangga Health Care Centershould be reconsidered in order to meet the expectations of policyholders.Keywords:benefit package, health insurancepremium, policyholder