Jurnal Health Sains (JHS)
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Implementation Model of Timeliness of BPJS Claims Based on Penomenology Study
Get PDFThe purpose of this study was to explore the factors of delay in BPJS claims for inpatients at the Yukum Medical Center Hospital. The type of research in this study using qualitative research using a qualitative approach is expected to produce a basic model in providing the most appropriate recommendations in solving the problem of the timeliness of submitting BPJS claims at the Yukum Medical Center hospital. This subject is the accuracy of BPJS claims. The object of this research is the Yukum Medical Center casemix team. The results of the analysis conclude that the claim procedure already has an SPO/regulation that regulates the procedure for submitting a BPJS claim but has not run according to the SPO/regulation. The delay in BPJS claims in 2021 is around 80%. delays in BPJS claims as a result of the lack of quality of the casemix team's human resources and inaccurate and incomplete medical resumes. Factors causing delays in BPJS claims from aspects of Man, Method, Machine, Material, and Money. Expected recommendations so that recommendations/solutions are proposed again. The claim procedure is in accordance with the implementation flow, but the SPO/regulation has not been running well. BPJS RS claim. Yukum Medical Center 80% of 2021 claims are late. Factors causing delays in BPJS claims there is no evaluation of the competency of the casemix team (man), late and incomplete medical resumes (material), lack of printers when there is an increase in the number of patients (mechine), lack of budget for HR training (money). The BPJS claim recommendations at the Yukum Medical Center Hospital have been running but the results of the implementation have not been in line with expectations, so recommendations are needed.Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor keterlambatan klaim BPJS pada pasien rawat inap di Rumah Sakit Yukum Medical Center. Jenis penelitian dalam penelitian ini menggunakan penelitian kualitatif dengan pendekatan kualitatif diharapkan dapat menghasilkan model dasar dalam memberikan rekomendasi yang paling tepat dalam menyelesaikan masalah ketepatan waktu pengajuan klaim BPJS di rumah sakit Yukum Medical Center. Pokok bahasan ini adalah ketepatan klaim BPJS. Objek penelitian ini adalah tim casemix Yukum Medical Center. Hasil analisis menyimpulkan bahwa prosedur klaim sudah memiliki SPO/peraturan yang mengatur tentang tata cara pengajuan klaim BPJS namun belum berjalan sesuai SPO/peraturan tersebut. Keterlambatan klaim BPJS tahun 2021 sekitar 80%. keterlambatan klaim BPJS akibat kurangnya kualitas SDM tim casemix dan resume medis yang kurang akurat dan tidak lengkap. Faktor penyebab keterlambatan klaim BPJS dari aspek Man, Method, Machine, Material, dan Money. Rekomendasi yang diharapkan agar rekomendasi/solusi diusulkan kembali. Prosedur klaim sudah sesuai dengan alur implementasi, namun SPO/peraturan belum berjalan dengan baik. klaim BPJS RS. Yukum Medical Center 80% klaim tahun 2021 terlambat. Faktor penyebab keterlambatan klaim BPJS adalah tidak adanya evaluasi kompetensi tim casemix (man), resume medis (materi) terlambat dan tidak lengkap, printer kurang ketika ada peningkatan jumlah pasien (mechine), kekurangan anggaran untuk pelatihan SDM (uang). Rekomendasi klaim BPJS di Rumah Sakit Yukum Medical Center sudah berjalan namun hasil pelaksanaannya belum sesuai dengan harapan sehingga diperlukan rekomendasi.Menund
Effectiveness of Emesis Self-Assessment Education E-Book on Handling Emesis Gravidarum in Pregnant Women
Get PDFPregnancy is a condition that causes physical and psychosocial changes in a woman due to the growth and development of her reproductive organs and fetus. Many factors influence pregnancy from the inside as well as from the outside that can cause problems, especially for the first time pregnant. According to Anwar, doctors at Bunda Jakarta Hospital around 50-70% of pregnant women experience and it is said that it is normal to experience it at 8-12 weeks of pregnancy and gradually decrease until it finally stops at 16 weeks of pregnancy. However, not a few pregnant women who still experience nausea-vomiting until the third trimester of complaints of nausea-vomiting are said to be severe if they always vomit every time they drink or eat. Emesis gravidarum will turn into hyperemesis gravidarum if it is not handled properly and causes disruption of daily activities and can even endanger the lives of pregnant women. In an all-digital era like today, we can take advantage of digital / electronic media (E-book) to provide information by reading books more efficiently anytime and anywhere, E-books can also be useful as a more efficient and effective information media. From the results of the study, there was a difference in the average emesis gravidarum score in the case group with a score of 5.33 with a standard deviation of 1.67, and the control group with a score of 7.70 with a standard deviation of 1.34. Emesis Self-Assessment educational e-book can effectively reduce emesis score by 2.32 after being controlled with educational variables and gestational age.Kehamilan adalah suatu keadaan yang menyebabkan perubahan fisik dan psikososial pada seorang wanita akibat pertumbuhan dan perkembangan organ reproduksi dan janinnya. Banyak faktor yang mempengaruhi kehamilan dari dalam maupun dari luar yang dapat menimbulkan masalah, terutama bagi yang baru pertama kali hamil. Menurut Anwar, dokter di RS Bunda Jakarta sekitar 50-70% ibu hamil mengalaminya dan dikatakan normal mengalaminya pada usia kehamilan 8-12 minggu dan berangsur-angsur berkurang hingga akhirnya berhenti pada usia kehamilan 16 minggu. Namun, tidak sedikit ibu hamil yang masih mengalami mual-muntah hingga trimester ketiga keluhan mual-muntah dikatakan parah jika selalu muntah setiap kali minum atau makan. Emesis gravidarum akan berubah menjadi hiperemesis gravidarum jika tidak ditangani dengan baik dan menyebabkan terganggunya aktivitas sehari-hari bahkan dapat membahayakan nyawa ibu hamil. Di era yang serba digital seperti sekarang ini, kita dapat memanfaatkan media digital/elektronik (E-book) untuk memberikan informasi dengan membaca buku lebih efisien kapan saja dan dimana saja, E-book juga dapat bermanfaat sebagai media informasi yang lebih efisien dan efektif. . Dari hasil penelitian terdapat perbedaan rata-rata skor emesis gravidarum pada kelompok kasus dengan skor 5,33 dengan standar deviasi 1,67, dan kelompok kontrol dengan skor 7,70 dengan standar deviasi 1,34. E-book edukasi Emesis Self-Assessment efektif menurunkan skor emesis sebesar 2,32 setelah dikontrol dengan variabel edukasi dan usia kehamilan
Organizational Culture and Motivation Influence on Nurse Performance with Organizational Commitment as a Intervening Variable at Satya Hospital
Get PDFOrganizations have specific goals, structures and interrelated goals and rely on human communication to coordinate organizational activities. Therefore, the organization expects employees to excel and create conducive situations and conditions so that employees do not experience boredom, boredom and laziness at work, leading to decreased performance.
Human resources are essential for hospitals. Therefore, human resources must perform competently to achieve the hospital's vision and mission. The purpose of this study was to analyze the influence of organizational culture and motivation on the performance of nurses with organizational commitment as an intervening variable at Satya Negara Hospital, Sunter, North Jakarta. The sample used was 115 nurses. This research uses explanatory causality quantitative analysis with AMOS SEM quantitative method. The results showed that there was a significant influence of organizational culture and motivation on the performance of nurses through organizational commitment as an Intervening variable; There is no significant effect between organizational culture on organizational commitment; There is a positive and significant influence between motivation and organizational commitment; There is a positive and significant influence between organizational culture on nurse performance; There is a positive and significant effect between motivation on nurse performance; There is a significant influence between organizational commitment to the performance of nurses at the Satya Negara Hospital, Sunter, North Jakarta. It was concluded that the H1, H3, H4, H5 and H6 hypotheses were accepted, while the H2 hypothesis, namely the influence of organizational culture on organizational commitment, was not proven to be significant. The research impliimplies optimal nursing service can be achieved if nurses perform optimal
The Potential of Lime Peel Extract Mouthwash as A Non-Pharmacological Preparation Inhibits Caries Bacteria
Get PDFDental caries is a disease of the hard tissue of the teeth that attacks the enamel, dentin and cementum which is characterized by the demineralization of the hard tissue of the teeth. Streptococcus mutans bacteria itself is one of the bacteria found and lives in the oral cavity. One of the infectious diseases caused by the process of removing minerals due to bacteria on the surface of the teeth is called caries. An alternative choice as an effort to solve the problem of inhibiting caries-causing bacteria is by using herbal mouthwash. One of them is lime peel. Lime peel has the potential to inhibit Streptococcus mutans bacteria as indicated by the formation of an inhibition zone, which is formed against Streptococcus mutans bacteria. Making a mouthwash preparation of lime peel extract (Citrus Aurantifolia) which is feasible and effective in inhibiting the growth of Streptococcus mutans bacteria. This research is a true experiment with post test only control group design. This design was chosen because it was grouped into treatment and control groups. The intervention was given in the form of lime peel extract mouthwash with concentrations of 15%, 25% and 50%, while the administration of the UNISSULA Faculty of Medicine Biomedical Laboratory Mouthwash Formula was the control group. Based on the average inhibition graph within 24 hours, the concentration of extract mouthwash The lowest lime peel was 15% = 8.83 mm, the highest inhibition zone was at a concentration of 50% = 10.50 mm, 25% concentration = 9.80 mm, the control group Formula Mouthwash Biomedical Laboratory Concoction of the Faculty of Medicine UNISSULA = 10, 13mm. Lime peel extract mouthwash is feasible and effective in inhibiting streptococcus mutans which causes caries.Karies gigi merupakan suatu penyakit jaringan keras gigi yang menyerang email, dentin, dan sementum yang ditandai dengan adanya demineralisasi jaringan keras gigi. Bakteri Streptococcus mutans sendiri merupakan salah satu bakteri yang ditemukan dan hidup dalam rongga mulut. Salah satu penyakit infeksi akibat adanya proses penghilangan mineral akibat bakteri di permukaan gigi disebut dengan karies. Alternatif pilihan sebagai upaya penyelesaian masalah dalam menghambat bakteri penyebab karies yaitu dengan menggunakan obat kumur herbal. Salah satunya yaitu kulit jeruk nipis. Kulit jeruk nipis mempunyai potensi dalam menghambat bakteri streptococcus mutans yang ditunjukkan dengan terbentuknya zona hambatan, yang terbentuk terhadap bakteri streptococcus mutans. Membuat sediaan obat kumur ekstrak kulit jeruk nipis (Citrus Aurantifolia) yang layak dan efektif dalam menghambat pertumbuhan bakteri streptococcus mutans. Penelitian ini merupakan penelitian true eksperiment with post test only control group design. Desain ini dipilih karena dikelompokkan menjadi kelompok perlakuan dan kontrol. Intervensi yang diberikan berupa obat kumur ekstrak kulit jeruk nipis dengan konsentrasi 15%, 25% dan 50% sedangkan pemberian Formula Obat Kumur Racikan Laboratorium Biomedik Fakultas Kedokteran UNISSULA merupakan kelompok control.Berdasarkan grafik rata-rata daya hambat dalam waktu 24 jam konsentrasi obat kumur ekstrak kulit jeruk nipis terendah yaitu 15% = 8,83 mm, zona hambat tertinggi adalah pada konsentrasi 50%= 10,50 mm, konsentrasi 25%= 9,80 mm, kelompok kontrol Formula Obat Kumur Racikan Laboratorium Biomedik Fakultas Kedokteran UNISSULA = 10,13 mm. Obat kumur ekstrak kulit jeruk nipis layak dan efektif dalam menghambat bakteri streptococcus mutans penyebab karies
Evaluation, Remedy of Waste, Lean Hospital Method, Process of Inpatient Pharmacy Services in Hospital
Get PDFEach installation in the hospital must continue to evaluate, improvement, and develop, including the pharmacy installation. Pharmacy installations as one of the medical support services in hospitals are required to improve the quality of their services on an ongoing basis. This study aims to see, the root of the problem, and provide evaluation and improvement for the reading of critical waste in the inpatient pharmacy service process of Kabupaten Karanganyar Hospital.
This study uses a non-experimental research design and was descriptive qualitative in nature. Data techniques in qualitative and quantitative research. The value of patient data was obtained from distributing questionnaires. The pharmaceutical service process was obtained from observation and document review, then mapping in the form of value stream mapping. The determination of waste was obtained from distributing questionnaires and in-depth interviews with the 5 why method.
The results of the reasearch show critical waste on inpatient service in pharmacy installation is waste defect and waste waiting. The root cause of critical waste is the prescription of drugs by doctors outside the formulary and the root cause of waiting for waste is a prescription from the hospital admission at the same time. The proposed improvement for the cause of critical waste is Monitoring and evaluating the implementation of the formularium on an going basis, provide special software to enter patient data, and implement the use of electronic prescribing to shorten the service process time.Setiap instalasi di rumah sakit harus terus melakukan evaluasi, perbaikan dan pengembangan termasuk instalasi farmasi. Instalasi farmasi sebagai salah satu pelayanan penunjang medis di rumah sakit dituntut untuk meningkatkan mutu pelayanannya secara berkelanjutan. Penelitian ini bertujuan untuk mengetahui waste kritis, akar penyebab masalah waste kritis, serta memberikan evaluasi dan usulan perbaikan untuk meminimalkan waste kritis pada proses pelayanan di instalasi farmasi rawat inap RSUD Kabupaten Karanganyar.
Penelitian ini menggunakan rancangan penelitian non eksperimental dan bersifat deskriptif kualitatif. Teknik pengumpulan data pada penelitian ini secara kualitatif dan kuantitatif. Data value pasien diperoleh dari penyebaran kuesioner. Alur proses pelayanan farmasi diperoleh dari observasi dan telaah dokumen, kemudian melakukan pemetaan dalam bentuk value stream mapping. Penetapan waste kritis diperoleh dari penyebaran kuesioner dan wawancara mendalam dengan metode 5 why.
Hasil penelitian menunukkan bahwa waste kritis pada proses pelayanan di instalasi farmasi rawat inap adalah waste defect dan waste waiting. Akar penyebab waste defect adalah adanya peresepan obat oleh dokter diluar formularium dan akar penyebab waste waiting adalah resep dari ruang rawat inap masuk pada waktu yang bersamaan. Usulan perbaikan untuk penyebab waste kritis adalah melakukan monitoring dan evaluasi terhadap implementasi formularium secara berkelanjutan, menyediakan software khusus untuk mengentri data pasien dan mengimplementasikan penggunaan peresepan elektronik untuk mempersingkat waktu proses pelayanan
Evaluation of Imtasie Health Education Model Based on Kaili Culture to Improve Mother's Behavior in Exclusive Breasting
Get PDFEvaluating the health education model on exclusive breastfeeding behavior as a basis for the success of the target of achieving exclusive breastfeeding through the implementation of a tested culture-based health education model. This research is quantitative. A total of 84 people who were divided into two groups, namely 42 people in the intervention group and 42 people in the control group were taken purposively according to the inclusion criteria. The intervention group received IMTASIE health education. Evaluate the health education model quantitatively with a quasi-experimental pre-test and post-test with a control group. Data was collected during the pre-test, intervention, and post-test. All data is collected by coaching nurses. The main research variables include myths, culture, knowledge, attitudes, practices and behavior of exclusive breastfeeding. The results of the quantitative study of the developed IMTASIE model had a significant effect on the practice of breastfeeding for 1 month with a p value of 0.001 (<0.05). There is a significant effect with a p value = 0.001 from the interventions carried out by nurses on increasing the practice of exclusive breastfeeding in the first 1 month of life. IMTASIE and its tools can be used in nursing care services individually or in groups and can be carried out in the community or at puskesmas in improving special group nursing care services and improving the quality of life of mothers and babies at an age prone to exclusive breastfeeding due to the influence of myths, culture and knowledge from family
Utilization of Augmented Reality E-Pregnant As Educational Media For Improving Prevention Behavior Caries in Pregnant Mothers
Get PDFPregnant women are one of the groups that are susceptible to dental and oral diseases. This is because during pregnancy there is an increase in the amount of the hormones estrogen and progesterone so that the acidity in the mouth increases which can increase the risk of caries. This condition causes babies to be born with low weight (LBW) and premature due to lack of nutrition. Thus, to reduce the magnitude of the incidence of caries in pregnant women, a learning media is needed. The technology in education that is currently developing is augmented reality. To produce an augmented reality application model of E-Pregnant as an appropriate and effective educational media in improving the behavior of pregnant women towards the prevention of dental caries and decreasing the OHIS score. The type of research used is Research and Development and the research design used is Quasy experiment Pretest-Posttest group design. Variables in this study: Knowledge, attitudes, actions and OHIS scores carried out for 21 days by opening the application 3 times a week and uploading photos 2 times a day. The research subjects were in 2 groups: 24 interventions using an e-pregnant caries application and 24 controls using a pocket book. The Augmented Reality E-Pregnant Caries model is feasible as a media for dental caries prevention education with 90% expert validation results. The results of the unpaired test stated that the effective application of increasing knowledge (Δ3.58), attitude (Δ15.63), action (Δ5.75), and also reduced the OHIS score (Δ0.60) compared to the control group. The Augmented Reality E-Pregnant Caries model is proven to be feasible as a caries prevention, education media and its application is effective as an effort to improve caries prevention behavior and reduce OHIS scores in pregnant women compared to the control group
the Effect of Knowledge, Motivation, Organizational Culture on Medical Record Compliance Compliance in Hospitals
Get PDFEvery health service facility is required to make medical records made by doctors and health workers related to the services that have been provided. The completeness of the information provided by health workers shows that the quality of the health services provided can be proven to be following related health service standards. This study was to analyze the influence of knowledge, motivation, and organizational culture simultaneously on compliance with medical record filling at Mitra Medika Hospital Pontianak using 83 respondents using the mixed methods sequential explanatory designs. From the results of the quantitative research, it was found that the Knowledge and Organizational Culture variables influenced compliance with medical record filling with beta values of 0.567 and 0.416; as well as the significance of both variables 0.000; Meanwhile, motivation does not affect compliance with medical record filling with a beta value of 0.003 and a significance of 0.940; Knowledge is the variable that has the most dominant influence on compliance with medical record filling. From the results of qualitative research, it was found that motivation does not affect the value of the dimensions of motivation. Where knowledge and organizational culture influence the filling of medical records by the values of the dimensions of knowledge and organizational culture
High Serum Ratio of Soluble Fms-Like Tyrosine Kinase 1 (sFlt-1) to Placental Growth Factor (PIGF) and High Level of Low-Density Lipoprotein (LDL) as Risk Factors of Preeclampsia
Get PDFPreeclampsia is an obstetric disease that is a health problem worldwide, including in Indonesia. Several studies have shown that changes in the maternal spiral arteries are thought to lead to preeclampsia. Preeclampsia in this decade has been associated with changes in angiogenesis regulatory proteins originating from the placenta and circulating in the mother's blood circulation, namely soluble FMS-like tyrosine kinase 1 (sFlt-1) and placental growth factor (PlGF). The author was interested in examining the ratio of sFlt-1/PIGF and low-density lipoprotein (LDL) to the incidence of preeclampsia in pregnant women. This study used a case control analytic observational design. The research sample was selected by consecutive sampling of 20 cases and 20 controls. Univariate analysis was used to describe patient characteristics descriptively, and bivariate analysis was used to determine the relationship between the 2 variables There is no significant difference in the characteristics of the research subjects. Low PIGF levels are a risk factor for preeclampsia (OR 4.33; p 0.0302) with a cut-off value of 24.5. High sFlt-1 levels are a risk factor for preeclampsia (OR 4.33; p 0.027) with a cut-off value of 869.5. A high sFlt-1/PIGF ratio is a risk factor for preeclampsia (OR 4.33 p 0.030) with a cut-off value of 38. High LDL levels are a risk factor for preeclampsia (OR 6.0; p 0.013) with a cut-off value of 150 ,2. Low placental growth factor (PIGF), high levels of soluble FMS-like tyrosine kinase 1 (sFlt-1), and high levels of LDL are risk factors of preeclampsia in pregnant women
THE POSITIVE EFFECT OF THE AROMA OF MARIGOLD LEAF SLICES ON MOSQUITO REPELLENT
Get PDFAedes aegypti mosquitoes, can cause fever, mosquitoes develop in the transition season. Countermeasures by eradicating vector life cycles, by killing mosquito larvae, using fogging, abate powder, which have an effect on the environment. Researchers were looking for a safe and effective natural larvicide solution, researchers looked at marigold plants at the study site. Marigold plants contain essential oils effective as larvicides in mosquitoes Culex quinquefasciatus, Anopheles stephensi and Aedes aegypti. Quasi-experimental research, cross sectional study design. The purpose of knowing the positive effect of the aroma of marigold leaf slices on mosquito repellent as a repellent. The indoor research site provided mosquito net boxes.containing 136 mosquitoes. The results of the Chi-square analysis obtained P = 0.04 < α 0.05, statistically there was a significant positive effect between marigold leaf slices on mosquito repellent, with odds ratio = 4.10 times. In order for students to get used to it, put slices of marigold leaves in the room to repel mosquitoes