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ANALISIS PERBEDAAN KODE DIAGNOSIS ICD-10 ANTARA RUMAH SAKIT DENGAN VERIFIKATOR BPJS KESEHATAN YANG BERDAMPAK PADA PENUNDAAN PEMBAYARAN KLAIM BPJS KESEHATAN DI RSU MITRA MEDIKA TANJUNG MULIA KOTA MEDAN PERIODE JANUARI–JUNI 2021
Full text linkKetepatan kode diagnosis penting sebagai penentu dalam pembiayaan pelayanan kesehatan. Penundaan pembayaran klaim BPJS Kesehatan dapat terjadi apabila terdapat perbedaan pada kode diagnosis.Penelitian ini bertujuan mendeskripsikan perbedaan kode diagnosis ICD 10antara Rumah Sakit dengan Verifikator BPJS Kesehatan dan faktor-faktor yang mempengaruhinya.
Penelitian kualitatif dengan teknik pengumpulan data melalui wawancara mendalam dan studi dokumentasi. Informan penelitian terdiri dari informan utama sebanyak 3 orang Dokter Penanggung Jawab Pelayanan (DPJP)dan informan triangulasi sebanyak 3 orang yaitu Verifikator Internal, Koder, dan Kepala Bagian Rekam Medis. Pengolahan dan analisis data menggunakan metode analisis isi.
Hasil penelitian adalah 187 berkas klaim mengalami penundaan pembayaran akibat perbedaan kode diagnosis, tidak dilakukan audit mutu koding diagnosis, tidak adaprotokol klinis, kurangnya kerjasama antara DPJP, koder dan verifikator internal,kurangnya pemahaman DPJP, kurangnya peran manajemen rumah sakit melibatkan DPJPdalam penulisan kode diagnosis, tidak adanya kebijakan/SOPrumah sakit terkait penulisan kode diagnosis ICD 10, tidak diberikannya pelatihan koding diagnosis.
Kesimpulan penelitian yaitu terjadi perbedaan kode diagnosis ICD 10 akibat tidak adanya audit mutu koding diagnosis,protokol klinis, serta peran manajemen rumah sakit yang kurang dalam menyiapkan kebijakan dan pelatihan koding diagnosismenyebabkan terjadinya penundaan pembayaran klaim. Saran penelitian agar dilakukan audit mutu koding diagnosis setiap 6 bulan, adanya protokol klinis, adanya peran manajemen rumah sakit dalam membuat kebijakan/SOP terkait penulisan kode diagnosis, memberikan pelatihan koding diagnosis, dan membuat perencanaan penggunaan Rekam Medis Elektronik (RME)
Factor Analysis Affecting Quality of Life of PL WHA at the Community Health Center Service
Full text linkUntil now, HIV infection is still a global health problem. Handling of HfV infection cases still faces many problems due to various factors. As a result of these factors can also affect the quality of life of PLWHA. The purpose of this study was to analyze the influence of factors from knowledge, attitudes, stigma and family support on the quality of life of PLWHA at the Community health center Service ofTeladan in 2020. This study used an analytic survey design with a cross-sectional approach. The sample size in the study was 93 people. The measuring instrument used is a questionnaire. The bivariate analysis used was the Chi-square test and the multivariate with the multi variable logistic regression test. A total of 72 respondents (77 .4%) were male and 63 respondents (67.4%) were adults. From the results of the multivariate
analysis, the sig values of knowledge (p = 0.013), attitudes (p = 0.045), stigma (p = 0.045) and
family support (p = 0.001) were obtained. It was found that there was an influence of
knowledge, attitudes, stigma and family support factors on the quality of life of PLWHA. From
the results of this study, it is hoped that it can improve services to PLWHA and provide understanding about HIV-AIDS to patients, families and also the community in order to reduce stigma and discrimination against PL WHA
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU KADER TERHADAP PENEMUAN SUSPEK TB PARU DI PUSKESMAS PANOMBEIAN PANEI KABUPATEN SIMALUNGUN TAHUN 2020
Full text linkAccording Global TB Report in 2018, there were 842,000 new cases of pulmonary TB (319/100,000 people) and 116,000 fatalities from pulmonary TB (44/100,000 people), including those who were HIV-positive. The stuay aimed to
determine the most important characteristics that will affect the detection of TB suspects at Panombeian Panei Health Centre in 2020, including age, education,
occupation, knowledge, attitudes, distance, family support, counseling, and cadre compensation.
This stuay was analytic study. The sample was 132 health centre cadres from population of 196 by using proportional and random sampling methods.
Univariate, bivariate with chi-square test, and multivariate with logistic regression test were utilized in the data analysis.
The results showed the p-value of age (0.059 OR 1.426), occupation
(0.008 OR 0.055), knowledge (0.026 OR 2.899), attitude (0.821 OR 1.756),
distance (0.041 OR 2.593), family support (0.038 OR 2.617), counseling (0.620
OR 1.297), compensation (0.004 OR 6,475).
The findings showed that identification of TB suspects was influenced by
employment, knowledge, distance, family support, and compensation but not by
age, education, attitude, or counseling. Compensation has the greatest impact on
locating a TB suspect, with a p (sig) 0.004 (OR=6.475) value that indicated a 6.5- fold increased a TB suspect. It is advised that the local government improve the dedication to collaboration with connected parties such health agencies, sub- districts, business sector, non-governmental organizations, health and religious groups. As part of a functioning TB case detection program, the health office
educates the public on the significance of cadres' contributions and offers them thorough, continuous incentives and training
EFEKTIVITAS PROMOSI KESELAMATAN DAN KESEHATAN KERJA (K3) MELALUI PENYULUHAN TERHADAP KESADARAN TENTANG K3 PADA PEKERJA DI PT. FIRSTWORLD INDONESIA MEDANTAHUN 2021
Full text linkInternational Labour Organization (ILO) menyebutkan bahwa sekitar 2,3 juta individu di seluruh dunia meninggal akibat kecelakaan atau penyakit akibat kerja. Terdapat berbagai macam aktivitas kerja berisiko tinggi di PT. FWI namun kesadaran K3 pekerja masih rendah, hasil wawancara masih ada pekerja yang tidak menggunakan alat pelindung diri (APD) dengan berbagai alasan seperti malas, risih, lupa, serta kurang nyaman padahal sedang bekerja di area wajib APD. Penelitian ini bertujuan untuk mengetahui Efektivitas Promosi Keselamatan dan Kesehatan Kerja (K3) Melalui Penyuluhan terhadap Kesadaran Tentang K3 pada Pekerja di PT. First World Indonesia Medan Tahun 2021.
Penelitian ini merupakan jenis penelitian Quasy Eksperimental dengan desain One Group Pretest Posttest. Penelitian dilakukan di PT. FWI dari Oktober tahun 2021 sampai Mei 2022. Populasi adalah pekerja di PT. First World Indonesia Medan di bagian sales dan bagian gudang sebanyak 70 orang dan pengambilan sampel menggunakan total population. Analisis menggunakan uji Wilcoxon yakni membandingkan data sebelum dan sesudah diberikan penyuluhan, dan diperoleh mean perbedaan pre-test dengan postest. Taraf signifikansi 95% (α = 0,05).
Hasil penelitian menunjukkan ada 14 orang yang mengalami peningkatan kesadaran K3 setelah postest, mean rank atau rata rata peningkatannya sebesar 8,50, dan jumlah rangking positif atau sum of rank adalah sebesar 119,00. Hasil uji statistik didapatkan nilai p 0,003< (0,05).
Kesimpulan penelitian ini promosi kesehatan melalui penyuluhan keselamatan dan kesehatan kerja (K3) efektif terhadap kesadaran tentang K3 pada pekerja di PT. First World Indonesia Medan. Diharapkan kepada pekerja sebaiknya mengikuti penyuluhan atau pemberian informasi untuk menambah pengetahuan atau arahan K3 untuk meningkatkan kemampuan dan keterampilan agar berperilaku K3 yang baik
A novel composite membrane pectin from Cyclea Barbata Miers blend with chitosan for accelerated wound healing
Full text linkIn this work, pectin derived from Cyclea Barbata Miers (CBM) was successfully blended with chitosan as a novel
membrane and the physico-chemical analysis was investigated. Based on SEM analysis revealed that the chitosan/pectin blended membrane showed a rough surface texture compared to pristine chitosan with smooth and
uniform membran. In addition, fourier-transform infrared spectroscopy (FTIR) analysis indicates that chitosan
and pectin were successfully crosslinked, meanwhile x-ray diffraction (XRD) analysis found that pectin extracted
from CBM exhibited crystalline structure. Thermal analysis based on thermogravimetric analysis (TGA) suggesting that chitosan/pectin blend membrane exhibited significant improvement in the thermal stability with
residual mass of 54% at 360 ◦C. Furthermore, swelling degree, water vapor transmission rate (WVTR) and
porosity of the chitosan/pectin blend membrane were 266%, 9.68 g/m2
h, and 64%, respectively. Most importantly, in-vivo results indicated that the prepared membrane of chitosan/pectin immobilized with Musa Paradisiaca Linn (MPL) group had better wound closure with better wound reduction percentage than the gauzetreated wound (the control group). This finding revealed that the chitosan/pectin blend membrane could
paves the way for future biomedical wound dressing application
EFEKTIVITAS PIJAT ENDORFHIN DAN PIJAT TEKANAN TERHADAP INTENSITAS NYERI HAID PADA REMAJA PUTRI DI SMP NEGERI KOTA LANGSA
Full text linkThe incidence of dysmenorrhea is quite high in the world. It is between 16.8-81% among teenage girls. The prevalence of dysmenorrhea in Indonesia is 64.25%. It is estimated that 90% of women in Indonesia have experienced dysmenorrhea but do not report to health services. Pain management can be done by a health worker by using non-pharmacological methods, one of which is by giving massage.
This study was a quasi-experimental research design with a pretest-posttest control group design. The research sample was 64 respondents who experienced menstrual pain at SMPN 6 and SMPN 2 Langsa City, the sampling technique used was total sampling technique. The sample was divided into 4 treatment groups, namely the control group, endorphin massage, pressure massage and endorphin massage plus pressure massage. The analysis used univariate, bivariate and multivariate analysis.
The results showed that the control group (without treatment) was not effective on the intensity of dysmenorrhea with values on the first day to the third day (p=1.000>.05) and the administration of endorphin massage, pressure massage and endorphin massage plus pressure massage on the first day until the third day was effective on the intensity of dysmenorrhea (p=0.000<.05). in multivariate testing, the three treatment groups were equally effective on the intensity of dysmenorrhea (p=0.000<.05).
The conclusion was obtained that the three treatments of endorphin massage, pressure massage and endorphin massage plus pressure massage were equally effective on the intensity of menstrual pain in adolescent girls
ANALISIS FAKTOR YANG MEMENGARUHI STRES KERJA PERAWAT DI RUANG IGD RUMAH SAKIT UMUM MILIK PEMERINf AH CUT MUTIA DI ACEH UTARA
Full text linkStres kerja telah menjadi salah satu isu yang mendapat perhatian penting di banyak
Negara. Berdasarkan hasil survei awal dengan 8 orang perawat yang ada menggunakan alat ukur kuesioner Depression Anxiety Stres Scale (DASS 21), didapatkan hasil bahwa 7 perawat mengalami stres ringan (87,5%) dan I orang tidak mengalami stres (12,5%). Tujuan penelitian ini untuk mengetahui faktor yang memengaruhi stres kerja perawat di Ruang lGD Di rumah sakit umum milik pemeritah di Aceh Utara.Penelitian ini menggunakan jenis survei analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini sebanyak 56 orang dengan teknik total sampling sampel yang diambil dengan cara total sampling yaitu sebanyak 56 orang. Metode pengumpulan data yaitu data primer dan data sekunder. Analisa data yang digunakan yaitu uji regresi binary logistic.Hasil penelitian menunjukkan bahwa beban kerja merniliki nilai sig-p0,010 < 0,05, lingkungan kerja sig-p 0,016 < 0,05 dan konflik peran memiliki nilai sig-p 0,002 < 0,05, yang menunjukkan bahwa memiliki pengaruh terhadap stres kerja perawat di ruang lGD dirumah sakit umum cut mutia aceh utara. Variabel yang paling besar memiliki pengaruhnya terhadap stres kerja perawat di rumah sakit yaitu variabel konflik peran, dimana konflik peran memiliki pengaruh dengan nilai OR 14,440 terhadap terjadinya stres kerja sebanyak 14 kali lipat di bandingkan variabel yang lainnya.Sedangkan variabel yang tidak memiliki pengaruhnya yaitu pola ketenagaan. Berdasarkan hasil penelitian dapat
disimpulkan bahwa Ada pengaruh beban kerja, lingkungan kerja dan konflik peran terhadap stres kerja perawat di rumah sakit di ruang lGD. Diharapkan menjadi masukan dalam rnengarnbil tindakan dalam mengantisipasi stres kerja di kalangan perawat sehingga dapat meningkatkan kinerja perawat dalam mengaplikasikan asuhan keparawatan yang bermutu
Understanding Islamic Commandmentsto Maintain People's Health and Environment: A Critical Review on Literature
Full text linkThe issue of protecting human health and the environment is the responsibility of the state and the experts, but it is evident that this problem is part of the teaching in Islam. Islam requires the ummah to understand the issue as part of the mandatory commandments in Islam. For this reason, our study has examined dozens of literature related to maintaining the health of the people and the environment. We got the literature by searching the Google scholar database application. Then we analyzed it with a coding system, in-depth interpretation, and evaluation of the data to quickly find valid findings. We base our data on published journals from 2010 to 2020. We choose the method of description in reporting the results of this study. The results include maintaining personal and environmental health through taharah or cleanliness orders because cleanliness brings a person closer to health based on the pretext of the Koran and Hadith. Thus these findings are helpful for scientists and practitioners
Evaluation of PHEIC (Public Health Emergency of International Concern) Detection Implementation on The Performance of Port Health Employees Class I Medan
Full text linkPublic health emergenciesca11 occur imported i.e. the source of the
emergency comesfrom outside the region and the epicenteris the source of the emergencycomes from the work area. Both conditions ca11 arise i11 unpredictable situations so that the ability of the government and stakeholdersi11 preventing, detectearly to detect, handle cases as early as possible to respo11se will affect the extent of the magnitude of emergency event sand post-event handling, Readiness surveillance device in the face of the influx of infectiousdiseases. Early detection efforts are carried 0111 by detecting events through examination and screening, informationand Verification of passengers, transport and disease risk/actors. This typeof research is Descriptive with the aim to know the evaluationof the implementationof PHEIC lo the performance of Class I Medan Port Health Office in 2020, based on respondent answers. The population is all quarantine officers in the working area of Class I MPA Medanas many as 58 respondents,sampling 11si11g total sampling, The result of research shows that based Oil respondent answers obtained PHEIC implementation with employee discipline obtained there is still no timely 0111 hours of work and never reprimanded directly by superiors, while supervision is still less than the leadership is more considered objectively and thoroughly, work activities organized together in teams not individually. Ir is recommended to all employees 10 enforcediscipline, especially or work hours and the need for effective staffing in improving employee performance as well as working based on a predetermined ream work
ANALISIS KEBERADAAN ESCHERICHIA COLI PADA MINUMAN ES TEBU YANG DIJUAL DIKELURAHAN RENGAS PULAU KECAMATAN MEDAN MARELAN TAHUN 2020
Full text linkMinuman es tebu merupakan minuman yang mudah ditemukan ditempat keramaian. Minuman air tebu yang rasanya manis ditambah dengan es akan menambah rasa nikmat dalam mengkonsumsinya, terutama oleh masyarakat kalangan menengah kebawah. Survei awal dilakukan peneliti di Kelurahan Rengas Pulau Kecamatan Medan Marelan mengenai beberapa minuman es tebu, 3 penjual yang ada dikelurahan tersebut.Tujuan penelitian ini adalah untuk mengetahui keberadaan Escherichia Coli (E.Coli) pada minuman es tebu di tiga tempat di Kelurahan tersebut.
Penelitian ini bersifat Deskriptifdengan metode MPN (Most Probable Number).Populasi penelitian ini adalah sebanyak 6 sampel pada 3 minuman air tebu dan 3 minuman es tebu, sampel dalam penelitian ini dari 3 penjual.Analisis data menggunakan metode MPN.
Hasil menunjukkan dari ke-6 sampel yang berkode A, C dan E pada minuman air tebu tidak memenuhi syarat dan pada sampel B, D dan F yang menggunakan es batu lebih tinggi kandungan bakteri E.Coli yang menyatakan bahwa kandungan bakteri E.Coli harus 0/100 ml sampel dan tidak layak untuk dikonsumsi oleh masyarakat.
Kesimpulan penelitian ini adalah ke-3 sampel yang air tebu dan ke-3 sampel yang minuman es tebu menyatakan sampel semua tidak memenuhi syarat yang menyatakan bahwa kandungan bakteri E.Coli harus 0/100 ml. Disarankan kepada bagi masyarakat agar selalu waspada dan mempertimbangan dalam pemilihan mengkonsumsi es tebu yang baik. Bagi Penjual minuman es tebu agar tetap menggunakan bahan baku yang berkualitas dan lebih memperhatikan hygiene dan sanitasi personal hygiene