Jurnal Manajemen Pelayanan Kesehatan
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UPAYA MENINGKATAN PENANGGULANGAN GAKI PADA ANAK SEKOLAH DI DAERAH GONDOK ENDEMIK BERAT DI KOTA SURABAYA
Get PDFBackground: Iodine deficiency disorder is one of fourmalnutrition problems in Indonesia. Initial surveys at PrimarySchool children in East Java reveal the goiter prevalence ishigh, the Total Goiter Rate (TGR) 22,9%. The recent study atSurabaya City, has 16,93% of severely iodine-deficiencyvillages, higher than normative value (less than 5%). SinceSurabaya is regarded as the second largest city after Jakarta,the iodine-deficiency disorder have been considered majorproblem. This need to be examined and analysed theimplementing programmed after all.Method: The purpose of this study was a descriptive type,done cross sectionally a carried out from Mei to July 2005. Thestudy was conducted to examine the effect of iodine-deficiencydisorder in 7 district area at 10 villages in Surabaya; TambakOso Wliangun, Romokalisari (Benowo), Sidotopo Wetan,Tambak Wedi (Kenjeran), Manyar Sabrangan (Mulyorejo),Kedung Cowek (Bulak), Perak Utara, Nyamplungan (P.Cantikan),Bubutan, and Bangkingan (Lakarsantri).Result: The result show many faktor, such as social economicfactors from the society, the lack of iodine-deficiencies discrderknowledge, low health staff motivation to run the program etc.The middle term and short programme of iodine-deficiency,planning, organizing, actuating and coordination at the PrimaryHealth Center (Puskesmas) should be taken soon.Conclusion: The recommendation as follow promotive,preventive, curative and rehabilitative strategy, by socialization,advocation salty iodine and knowledge of goiter disease torelated cross sectoral department, as well as health staffs,Primary Health Center staff, the society in severely iodine-deficiency, nutrition and food awareness area. Provide overallhealth services for iodine-deficiency disorder problems; dietcounseling, medical treatment, integrated management planning,organizing and actualization. Coordinating and evaluating theprogramme, improve the quality and professionalism in managingthe iodine-deficiency disorder problem especially in PrimaryHealth Center in Surabaya City.Keywords: iodine-deficiency disorder problem, society andhealth staff factors, management and contro
CLINICAL PATHWAY DALAM PELAYANAN STROKE AKUT: APAKAH PATHWAY MEMPERBAIKI PROSES PELAYANAN?
Get PDFBackground: The stroke care pathway is a simple resourcethat provides the user with a summary of the key aspects ofcare that should be considered for people with stroke at anystage in their care. There is very limited study about the use ofclinical pathway in Indonesia.Aim: This study described the process of developing clinicalcare pathway and the trial of pathway for 50 patients withacute stroke.Method: The method of this study is after-before analysis.We compare the process and outcome of non haemorrhagicstroke patients before and after the pilot implementation of thepathway. The data was obtained randomly from the medicalrecord of stroke patients. The data was analyzed descriptively.Result: The data from 50 non haemorrhagic stroke patientsafter the pilot implementation of clinical pathway were comparedwith the data from previous year. The analysis showed thatthere are improvement in the tracing for stroke risk factors,swallowing assessment, nutritional consultation, and functionalstatus measurement after the pathway implementation. Thereare not significant reductions on the average length of stayand mortality rate between the two periods.Conclusion: Our study showed that clinical pathway isimproving the indicator of stroke care services. The furtherstudy for evaluating the effectiveness of stroke care pathwayin longer period is warranted.Keywords: clinical pathway, stroke, process of care, outcom
IMPLEMENTASI PROGRAM PELAYANAN ADMINISTRASI TERPADU RUMAH SAKIT
Get PDFBackground: Integreated-administration service program inthe hospital (PPATRS) has an important role for PT Askes(Persero) in optimizing costumer satisfaction. Integreated-administrationservice program in the hospital (PPATRS) is appliedin the hospital Askes Center. Based on a PPATRS surveydone in Askes Center in Dr. Suradji Tirtonegoro Hospital inKlaten, it is known that the service is not in a good order, lackof management, improper waiting room, and long and complicatedservice.Objectives: The objective of this research is to understandthe implementation of PPATRS in Dr. Suradji Tirtonegoro HospitalKlaten.Method: This is a descriptive qualitative research, done inAskes Center of Dr. Suradji Tirtonegoro Klaten. The data wascollected by interviewing; the subject of the research wasAskes Center Coordinator, Hospital Control Team Leader, andAskes Participants by using guided questions.Result: The result of the research shows that the PPATRShas been implementing in Dr. Suradji Tirtonegoro Klaten basedon Standard Operational Procedures as written down on TheGuideline of Health Service Administration Askes Sosial, butthere are some standard items that haven’t been implemented,such as physical standard, human resources, service flowmechanism, and control towards in-patients of Askes participants.Conclusion: Integreated-administration service program inthe hospital (PPATRS) in Askes Center of Dr. Suradji TirtonegoroKlaten has been implemented but still below the existing standardso that needed to be improved and re-managed especiallyfor physical standard, human resource, service flowmechanism, and control towards in-patients of Askes participants.Keywords: implementation, PPATRS, Askes Cente
PENGARUH PENGEMBANGAN JAMINAN KESEHATAN BALI MANDARA TERHADAP KEBERADAAN JAMINAN KESEHATAN TINGKAT KABUPATEN DI BALI DAN UPAYA PENCAPAIAN UNIVERSAL COVERAGE
Get PDFBackground: To conduct an analysis of the influence of theBali Mandara Health Insurance (JKBM) policy concerning theexistence of district level health insurance and its impact onachieving universal coverage.Method: Literature review to produce an analysis of JKBMpolicy and to produce appropriate policy alternatives forfinancing and health care issues which emerged from theimplementation of JKBM.Results: The aim of Bali Mandara Health Insurance is to providehealth services which are fully subsidized by the Provincialand Districts Government in Bali. JKBM is intended for peopleswho do not protected by health insurance programs. Theimplementation of JKBM has forced Tabanan to stop the AskesMandiri program while Jembrana District decided not to takepart in JKBM. Unlike JKJ and Askes Mandiri, JKBM is still managedby a coordination team under Bali Health Office Supervision.Furthermore another fundamental difference is regarding onhow they finance the program. JKBM is fully financed fromsharing subsidies while JKJ and Askes Mandiri are financedfrom member premium. Nevertheless JKBM policy is potentialto expand the efforts of achieving universal coverage, improveequity in health financing and fulfil a non-profit principle ofsocial health insurance. Along with the positives impact, thisprogram also has several weaknesses. One of theweaknesses is lack of consideration to the principles of socialsolidarity and mutual cooperation. Communities’ participation inhealth financing program which has been developed by JKJand Askes Mandiri is abandoned. In addition to theseweaknesses JKBM also less able to adopt the district healthinsurance who have first evolved. JKJ case shows of JKBMfailure to apply the principle of portability and benef itscoordination of the services thereby potentially harming thepeople of Bali.Conclusion: Bali provincial government should immediatelydevelop Implementing Agency (Badan Pelaksana) of JKBM toorganize and develop the program. In addition to this, memberparticipation throughout premium payment could be establishedgradually to ensure the sustainability of the program. JKJ andJKBM should operate in harmony by considering role distributionbetween member, Provincial Government of Bali, andGovernment of Jembrana.Keywords: health insurance and universal coverag
IMPLIKASI EKONOMIS PEMBIAYAAN PELAYANAN KESEHATAN MELALUI JPKM: PROBLEM MORAL HAZARD ECONOMIC IMPLICATIONS OF HEALTH SERVICE FINANCING THROUGH JPKM: ITS MORAL HAZARDS
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ANALISIS PERSEPSI KEADLIAN DAN KEPUASAN KOMPENSASI KARYAWAN DI RSU PKU MUHAMMADIYAH YOGYAKARTA
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EVALUASI PROGRAM PEMBERIAN MAKANAN TAMBAHAN ANAK BALITA
Get PDFBackground: In a way to increase status of children lessthan five years old nutrition at Puskesmas Mungkid, one ofway was to heal supplement feeding’s programmed (PMT)children under five years old. To see the successful of PMTprogrammed has been needed evaluation to program. Thepurpose of the research has to evaluated the development ofextra nutrition programmed for children under five years old(PMT) at Puskesmas Mungkid. The research need to dobecause many malnutricious still founded and also to knowthe work of manager to run the programmed with use thestandard technical guidelines programmed legally by healthydepartment.Method: Descriptive qualitative with use summative planning.Subjects are the leader of health public service and managerof PMT children under five years old. The untility to collect dataon the research are interview guideline, tape recorder andstationary. The analysis use descriptive qualitative.Result: The result consist of evaluation to: (1) Input evaluationconsist of force raw material, fund, facilities, material, andmethod. Force evaluation had fit with standard technicalguidelines programmed from healthy department, there wasno hard problem with fund evaluation consider with the budget.Facilities evaluation there was no standard technical guidelinesprogrammed yet from healthy department. Material and methodhad fit with standard technical guidelines programmed fromhealthy department (2) Process evaluation not fit with standardtechnical guidelines programmed from healthy departmentspecially planning on target of acceptance PMT programmed.(3) Output evaluation, not fit yet with purpose of PMT becausestill many children under five years old on malnutricious status.Resume: Input evaluation has facilities not complete yet.Process evaluation was not every target programmed hadunhealthy family card (Gakin), still there is target programmedhave not been tooked the packed as schedule also not everymeals packed had been eated by children which is seatled astarget programmed. Output evaluation was have increasenutrition status after PMT children under five years oldprogrammed although still found many malnutrition status.Keywords: evaluation, supplement feeding’s programmed(PMT), children under five years ol
SIMULASI PENGHITUNGAN TARIF PREMI SEBAGAI UPAYA ADVOKASI REALOKASI SUBSIDI PREMI PPK I JAMINAN KESEHATAN JEMBRANA
Get PDFBackground: Program of Jembrana Health Insurance (JHI) isintended to provide health insurance at first level (PPK I) forinhabitants of Jembrana District. Up till now, financing of JHIdepends on subsidy in which it is growing up and has a trendto be out of the target. Therefore, it needs to increase themember participants by implementing the premium payment.Aim of this research was to analyze premium of JHIcomprehensively to advocate the reallocation of premiumsubsidy of JHI.Methods: Type of this research was case study throughanalyzing secondary data. Data on members, utilization,operational cost and claim cost data was collected using format Bapel JKJ, Jembrana District Health Office and NegaraHospital.Results: The first Premium tariff scheme of JHI is free for 40 %inhabitants who earn low income, Rp48.171,00 for 40%inhabitants who earn medium income, and Rp96.341,00 for20% inhabitants who earn high income. The second Premiumtariff scheme of JHI is free for 40% inhabitants who earn lowincome, Rp89.595 for 40 % inhabitants who earn mediumincome, and Rp96.341,00 for 20% inhabitants who earn highincome.Conclusions: Local government could develop JHIcomprehensively by relocating premium subsidy of PPK I for40% inhabitants who earn low income, besides that localgovernment should apply principles of managed care bycontrolling cost and quality in terms of comprehensive healthinsurance.Keywords: health insurance, premiu
MODELLING THE DEMAND FOR HEALTH CARE GIVEN INSURANCE: NOTES FOR RESEARCHERS
Get PDFUnderstanding on health care demand given insurance givesprecious information to anticipate health care costs in the future,which in turn provides valuable information for policy makers,among other, to estimate claim rate, set up premium, designcost-sharing policy, etc. Unfortunately, estimating the effectsof health insurance on health care demand is not straightforward. This paper identifies crucial factors (e.g., adverseselection and provider behaviour) that need to be consideredin estimating the effects of health insurance on health caredemand. These considerations persuade researchers to usea rigorous econometric model in estimating health care demandgiven insurance with a view to isolate the true effects ofhealth insurance program. Such considerations can be furtherclassified into two-main factors. First is the features of thedependent variables used to measure the demand, and secondis the source of the data (or study design) used in the analysis.Keywords: modelling, health insurance, demand healthcareservices, applied econometric
