Faculty of Public Health Journal Universitas Indonesia
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    Analisis Produk Layanan Rumah Sakit dalam Lingkup Bauran Pemasaran

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    ABSTRAK Rumah sakit sebagai institusi jasa yang besar, dituntut untuk mampu memenuhi pelayanan kesehatan masyarakat dengan baik, hal ini dikarenakan banyak persaingan dan jika tidak memperhatikan tuntutan tersebut maka akan sulit mempertahankan kelangsungan hidupnya. Beberapa terobosan dalam pelayanan kesehatan merupakan suatu keharusan terutama untuk menjembatani jenjang perbedaan sosial dalam pelayanan kesehatan di satu pihak untuk mencari bentuk efisiensi pendanaan yang tepat bagi masyarakat dipihak lain. Untuk itu rumah sakit harus mampu menyusun strategi pemasaran melalui bauran pemasaran yang efektif dan efisien untuk perkembangan rumah sakit itu sendiri. Dalam konteks itu bauran pemasaran menjadi sesuatu perlu menjadi perhatian agar eksistensi rumah sakit baik secara bisnis ataupun non bisnis.ABSTRACTHospitals as large service institutions, are required to be able to fulfill public health services well, this is due to a lot of competition and if they do not pay attention to these demands, it will be difficult to maintain their survival. Some breakthroughs in health services are a necessity especially to bridge the level of social differences in health services on the one hand to find the right form of funding efficiency for the community on the other hand. For this reason, the hospital must be able to develop a marketing strategy through an effective and efficient marketing mix for the development of the hospital itself. In that context, the marketing mix becomes something that needs to be a concern so that the existence of hospitals is either business or non-business

    Factors Related to Adolescent Behavior towards HIV/AIDS Prevention

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    In 2016 Special Region of Yogyakarta was ranked 9th as the province with the highest number of people suffered from HIV/AIDS especially at Sleman regency. Globally, AIDS was the second leading cause of adolescents’s death aged of 10-19 years. The purpose of this study was to find out factors affecting the behaviour of the adolescents towards HIV/AIDS prevention. This research using with cross sectional study design. The sampling technique which used was stratified random sampling resulted in 59 respondents from 11th grade students at SMA Negeri 2 Sleman were selected as sample. Data were collected using questionnaire and analyzed using Chi-Square test and Multiple Logistic Regression. The result showed that most respondents 66,1% had sufficient knowledge. Students who showed supportive attitude was 54,2%. Information obtained were mostly from electronic media. Thirty one students (52,5%) showed a positive behaviour toward HIV/AIDS prevention. Chi-Square test’s result showed that factors significantly related to adolescent’s behaviour toward HIV/AIDS prevention were knowledge and attitude. Variables most affecting was attitude (p-value=0,008; PR=4,4; 95% CI=1,4-13,1)

    The Impact of Medical Tourism Industry for the Hospital Services and Marketing Activities: A Systematic Review

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    ABSTRACT The relationship between the health industry and tourism has produced what is called medical tourism which is one of the largest and fastest growing service industries in the world and is a profitable business for the destination country. To capture the many medical tourists it is necessary to recognize the vital factors that influence the decision of medical tourists to choose the destination country by implementing marketing strategies and good health services. Using Systematic Review with PRISMA method retrieved from online database such as PubMed, and Google Scholar using a keyword “Medical tourism” AND “hospital services” AND “marketing”. The end of this search got 7 journals. India, Singapore and Thailand are the three main medical tourist destinations worldwide with the advantages of each offered. Medical tourism is strongly influenced by patient satisfaction with the quality of health and quality of services. A good marketing strategy plays a very important role in introducing medical tourism to medical tourists. With interesting websites and social media, you can capture patients without considering other factors. Not to forget also patient satisfaction is very influential on the return or absence of patients to do medical tours to the country

    Strategi Pemasaran RSUD H Abdul Manap Kota Jambi

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    ABSTRAK Pada studi kasus ini, dilakukan perumusan rancangan strategi pemasaran RS H Abdul Manap, dengan mempertimbangkan analisis situasi yang diperoleh dari seluruh faktor eksternal dan internal. Dengan analisis SWOT dapat ditentukan peluang dan ancaman, serta kekuatan dan kelemahan yang ada. Dari hasil tersebut diketahui bahwa posisi RS HAM ada pada kuadran adalah pada kuadran 2, yaitu hold and maintain. Dengan memperhatikan kesesuaian antara Road map jangka panjang rumah sakit yang ada dengan analisis situasi dan posisi yang didapatkan, sehingga dapat dilakukan penyusunan dan penetapan strategi pemasaran secara tepat dengan melakukan bauran pemasarannya atau marketing mix, yaitu product, place/distribution, price, dan promotion.  ABSTRACT In this case study, the formulation of the marketing strategy draft of the H Abdul Manap Hospital was carried out, taking into account the situation analysis obtained from all external and internal factors. With SWOT analysis opportunities and threats can be determined, as well as existing strengths and weaknesses. From these results it is known that the position of the HAM Hospital is in the quadrant in quadrant 2, which is hold and maintain. By paying attention to the suitability of the existing long-term road map of the hospital by analyzing the situation and position obtained, so that it can be done formulating and defining the marketing strategy appropriately by carrying out its marketing mix or marketing mix, namely product, place / distribution, price and promotion

    Karakteristik Pasien Tuberkulosis Lost to Follow Up dari Empat RS di Kota Bandung

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    di Indonesia sebelum pelaksanaan sistem pengawasan TB nasional pada tahun 2017 mencapai 47% dari total kasus, termasuk di dalamnya kasus TB lost to follow up atau hilang dari pengamatan. Pasien yang termasuk dalam kelompok ini akan meningkatkan risiko perburukan klinis, kambuh, gagal pengobatan, dan menjadi resistan terhadap obat, selain itu mereka juga akan mejadi sumber penularan di masyarakat. Tujuan penelitian ini yaitu untuk mengetahui karakteristik pasien rawat jalan TB yang hilang dari pengamatan dari empat rumah sakit terpilih di Kota Bandung. Penelitian ini menggunakan studi deskriptif dengan rancangan potong lintang. Sampel dalam penelitian ini berjumlah 50 pasien TB paru yang putus berrobat selama >2 bulan berturut-turut. Instrumen yang digunakan dalam penelitian ini adalah kuesioner. Karakteristik pasien TB rawat jalan yang hilang dari pengamatan yaitu 62% berjenis kelamin laki-laki, median usia 41 tahun, 68% sudah menikah, median lama pendidikan 9 tahun, 48% bekerja sebagai wiraswasta, 92% memiliki asuransi kesehatan dan 48% di antaranya bukan penerima bantuan iuran, 84% membayar pengobatan menggunakan asuransi, 44% termasuk ke dalam golongan pendapatan rendah, 80% memiliki rumah pribadi, 86% merupakan penduduk asli Kota Bandung, 56% pernah atau masih merokok, 88% memiliki PMO, 84% tidak pernah menderita TB dan 96% tidak memiliki keluarga yang pernah menderita TB, serta 76% tidak pernah hilang dari pengamatan dan 86% tidak memiliki keluarga yang pernah hilang dari pengamatan

    Cost Benefit Analysis (CBA) Program Pemberian Makanan Tambahan (PMT) Susu Pada Karyawan di PT. Trisula Textile Industries Tbk Cimahi Tahun 2018

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    AbstrakCost Benefit Analysis (CBA) digunakan untuk proses identifikasi, pengukuran dan perbandingan sosial manfaat dan biaya proyek atau program investasi dalam mengevaluasi penggunaan sumber daya ekonomi yang langka agar dapat digunakan secara efisien. Penelitian ini bertujuan untuk mengetahui perhitungan manfaat dan biaya dari program Pemberian Makanan Tambahan (PMT) susu di PT. Trisula Textile Industries Tbk Tahun 2018 dan untuk menetukan kelayakan akan keberlangsungan program atau kebijakan dari PMT susu. Penelitian ini menggunakan pendekatan kuantitatif.Pengumpulan data  dilakukan melalui wawancara, observasi, dan telaah dokumen. Analisis perhitungan menggunakan Payback Period (PP), Net Present Value (NPV), Internal Rate Of Return (IRR), dan Benefit Cost Rate (BCR). Hasil perhitungan nilai NPV pada program PMT susu adalah Rp. 23.534.448,76,-. Kesimpulannya adalah program PMT susu dapat diterima karena NPV > 0. Hasil perhitungan rasio benefit-cost adalah sebesar 2,50 (hasil rasio ≥ 1), artinya program PMT susu tersebut layak untuk tetap berlangsung. PT. Trisula Textile Industries Tbk diharapkan dapat melanjutkan program PMT susu pada karyawan. Data dasar penelitian dapat dijadikan bahan kajian bagi perusahaan untuk menyusun program kesehatan atau peningkatan kesehatan bagi karyawan melalui PMT atau program lain yang lebih prioritas. AbstractCost Benefit Analysis (CBA) for the process of identification, measurement,comparison social benefits and cost project or investment program to evaluate utilization of scarce economic resources so that it can be used efficiently .This research purposes are calculateing benefits and cost in rupiah from the milk supplementary feeding program (PMT) at PT. Trisula Textile Industries Tbk Year 2018 and deciding feasibility of program or policy sustainability from PMT milk. The research is using quantitative approach. Data collection is done through interviews, observations, and study documents. Calculation is using Payback Period (PP), Net Present Value (NPV), Internal Rate Of Return (IRR), and Benefit Cost Rate (BCR). The result shows calculation of NPV value on milk PMT program obtained results end Rp. 23,534,448,76, -. To conclude, the milk PMT program is acceptable because NPV> 0. Benefit-cost ratio, is 2.50 (≥ 1), meaning the milk PMT program is feasible. PT. Trisula Textile Industries Tbk is expected to continue the program of milk PMT. Basic research data could be used for preparing health program or health enhancement for employees through PMT or the other priority programs

    The Risk of Hypertension in Adulthood as a Consequence of Adolescent Obesity

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    Population increase in adolescence are associated with increased overweight and obesity problems. If this problem not early intervention will have an impact on increasing hypertension prevalence and risk of death. This research aimed to explain the consequences of overweight and obesity in adolescent to hypertension in adults. The study used Indonesian Family Life Survey (IFLS) data with a retrospective cohort study. Adolescent BMI measurements on 2007 and the risk of hypertension on 2014. Population are all adolescents aged 10-20 years in 2007. Sample of 1,697 adolescent who randomly IFLS  2007 with the inclusion criteria: biological children and a single birth, children living with biological parents, children remain alive until adulthood on 2014. Multivariate analysis used logistic regression. The study found 8.1% women and 5.6% men were overweight and obes. In adulthood, there was a 45.4% incidence of hypertension. Incidence of hypertension in men (67.3%) more than women (26.8%). The multivariate model showed adolescence BMI affects the blood pressure after controlled the  BMI adult, adolescence blood pressure, area of residence, and gender.Gender interacts with adolescence BMI. The risk of hypertension in adulthood based on overweight and obese in adolescent boys is 3 times and girls is 2 times

    Analisis Elemen Bauran Pemasaran Yang Mempengaruhi Loyalitas Pelanggan Rumah Sakit: Systematic Review

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    ABSTRAK Peningkatan jumlah rumah sakit meningkatkan iklim persaingan di bidang pelayanan medis rumah sakit. Rumah Sakit harus mempunyai strategi pemasaran yang tepat untuk mempertahankan pelanggan (pasien) lama. Karena mencari pelanggan baru memelukan biaya yang yang lebih besar dan lebih sulit bila dibandingkan mempertahankan pasien lama. Penggunaan bauran pemasaran pada industri rumah sakit, dapat menjadi alat untuk meningkatkan loyalitas pelanggan. Mengetahui elemen bauran pemasaran yang mempengaruhi loyalitas pelanggan rumah sakit. Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) adalah metode berbasis bukti untuk melakukan tinjauan sistematis. 1.Terdapat 33,33 % dari 9 penelitian yang menyebutkan 7 elemen (product, price, place, people, process, physical evidence, promotion) pada bauran pemasaran yang semuanya mempengaruhi loyalitas pasien rumah sakit.2.Pada ke-9 penelitian elemen bukti fisik memberi pengaruh pada loyalitas pasien terhadap rumah sakit, dimana pada 33,33 % penelitian, elemen bukti fisik memberikan pengaruh dominan.3. Dari 5 penelitian yang menemukan elemen bauran pemasaran yang tidak mempengaruhi loyalitas pelanggan, elemen harga dan promosi menempati persentase paling kecil yaitu 20 %. Hal ini menunjukkan elemen harga dan promosi lebih bisa memberikan pengaruh terhadap loyalitas dibandingkan produk, petugas, proses dan tempat. Bauran pemasaran memberikan pengaruh yang signifikan terhadap loyalitas pasien terhadap rumah sakit. Tidak semua dari 7 elemen bauran pemasaran (product, price, place, people, process, physical evidence, promotion) bisa memberikan pengaruh terhadap loyalitas pasien, hal ini tergantung dari kondisi internal maupun eksternal rumah sakit. Rumah sakit harus melakukan evaluasi secara berkelanjutan terhadap ke-7 elemen, agar dengan dilakukannya evaluasi, disertai komunikasi dan koordinasi yang baik diharapkan program-program pemasaran rumah sakit dapat berjalan dengan efektif.  ABSTRACT Increasing the number of hospitals improves the competitive of medical services. Hospitals must have the right marketing strategy to retain old customers and attract new customers. To increase of the hospital customer loyalty, the marketing mix can be use as tool. Aim: To know the marketing mix elements that influence the loyalty of hospital customers. Preferred report items for systematic reviews and meta-analyzes (PRISMA) are evidence-based methods for performing systematic reviews. There are 33.33% of the 9 studies that mention 7 elements (product, price, place, people, process, physical evidence, promotion) in the marketing mix, all of which affect the loyalty of hospital patients. The physical evidence influences the patient's loyalty to the hospital, where physical evidence has a dominant influence in 33.33% of the study. Five among of nine studies founded elements of the marketing mix that did not affect customer loyalty. The prices and promotion elements occupied the lowest percentage of 20%. It showed that the price and promotion elements can influence loyalty more than products, officers, processes and places. Not all 7-element of marketing mixes can influence the loyalty of patients, it’s depends on the internal and external circumstances of the hospital. Continuousing evaluation, communication and coordination are expected to be effective in the hospital marketing program

    Gender and Hypertension (Data analysis of The Indonesia Basic Health Research 2007)

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    The objective of this study was to examine whether there was a gender difference in the occurrence of hypertension in Indonesian people, after controlling for individual and environment factors. Data were obtained from the Indonesia Basic Health Research 2007 and a cross-sectional design was used. Samples consisted of 13.262 men and women age 15 years or more. A multilevel logistic regression was used to analyze the data. There was a statistically significant association between gender and hypertension. Women were less likely to have hypertension than men (OR 0.86 P value 0.05); in strata of age <30 years, women were less likely to have hypertension than men (OR 0.67 Pvalue 0.0000). Among women, there was an increased of having hypertension with age. Age of ≥ 60 years was the highest risk of having hypertension. Among men, there was an increased of having hypertension with age, but at in the age of ≥ 60 years the increased risk of having hypertension was not as high as in women.

    Sexual Dysfunction among Women with Diabetes in a Primary Health Care at Semarang, Central Java Province, Indonesia

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    Sexual dysfunction is associated with pain during sexual intercourse. Diabetes mellitus (DM) has been reported to be one of the causal factors for sexual dysfunction in women. This cross-sectional study was conducted to describe the status of sexual dysfunction in women with DM in the Tlogosari Kulon Primary Health Care, Semarang, Indonesia, in March 2017. A total of 103 women with DM attending the health center participated in this study. Data were collected using a questionnaire-guided interview and through measurements (blood pressure and random blood glucose test). Results showed that 74.8% of women with DM had sexual dysfunction. The proportion of sexual dysfunction was higher among women in the clinical phase, with uncontrolled blood glucose levels, hypertension grade II, prolonged duration of DM of ≥ 5 years, undergoing insulin treatment, in menopause, grand multiparity, having used the tubectomy contraception method, low physical activity, depression, and consumption of antihypertensive drugs. The aging process, menopausal status, and consumption of antihypertensive drugs will increase the risk for sexual dysfunction in women with DM. It is recommended that women with DM maintain their physical activity, blood sugar levels, blood pressure, and their depression status

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