Jurnal Manajemen Pelayanan Kesehatan
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HUBUNGAN ANTAR ORGANISASI DALAM SEKTOR PELAYANAN KESEHATAN: SEBUAH VISI MANAJERIAL
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EVALUASI SISTEM PENGADAAN OBAT DARI DANA APBD PEMERINTAH PROVINSI DIY TAHUN 2001 - 2003 TERHADAP KETERSEDIAAN DAN EFISIENSI
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FAKTOR-FAKTOR YANG MEMPENGARUHI PEMBIAYAAN KESEHATAN DAERAH BERSUMBER ANGGARAN PENDAPATAN DAN BELANJA DAERAH TAHUN 2006
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HUBUNGAN AKSES AIR BERSIH DENGAN PERILAKU CUCI TANGAN PAKAI SABUN PADA RUMAH TANGGA YANG MEMPUNYAI BALITA DI INDONESIA
Get PDFBackground: Washing hands with soap on right a time is aneffort to change bad attitudes which does not support theexpected health’s status. Washing hands with soap couldn’tsucceeded if there was not clean water access. This analysispurposed to know the relation between clean water accesswith washing hands with soap’s attitudes on household withchildren under 5 years based on region’s type in Indonesia.Method: This analysis used chi-square’s and log-regression’stest with Riskesdas 2007 data as analysis units. It showedthat 243.396 children under 5 years on 104.109 urban’shouseholds and 139.287 rural’s households.Result: The result showed that the clean water access 90%either in urban or rural was good, but the attitude washinghands with soap were still low, under 60%. Chi-square testshowed there was a relation between the clean water accessand the outcome level with washing hands with soap’s attitude.Log-regression test showed that tended based on the outcomelevel in avarege and poor households, and did not differsbetween urban and rural.Conclusion: There were relations between the clean wateraccess and outcome levels with washing hands with soap.Washing hands with soap ‘s attitude with clean water or notstill on the low level, either on urban or rural. Household withpoor economic’s and avarege’s status tended to low washinghands with soap’s attitude againts the wealthy one. This studyrecommended to improve health’s education to all community,to understand the importance of washing hands with soapusing clean water for all activities, especially before eating,before preparing the food, after loosen the bowels/babies’care, and after holding the animals.Keywords: clean water access, washing hands with soap,household with children under 5 year
TINJAUAN TATA LAKSANA PELAYANAN KESEHATANMELALUI SISTEM ASURANSI KESEHATANDI RSUD PROF. DR. WZ. JOHANNES KUPANG TAHUN 2009
Get PDFBackground: In the developed countries, the role of health insurance becomes more important because there is a great demand for health service. Health insurance is a kind of insurance product which is especially medical care for the member of health insurance if they are sick or get an accident. For that reasons, a research about The Analysis of the Management of the Health Service through the Health Insurance System in the Prof. Dr. WZ. Johannes Hospital Kupang 2009. Objective: The purpose of this research is to describe about the analysis of the management of the health service through the health insurance system also the enthusiasm of the participant of ASKES to health insurance services in the Prof.Dr. WZ. Johannes Hospital Kupang 2009.Method: The method used in this research was mixed of qualitative and quantitative methods, with grounded theory for the qualitative method and cross sectional for the quantitative method, descriptive observational design and survey instrument in a questionnaire form with 18 questions and depth interview to some informed. The subject of the research was the participants of ASKES outpatient and inpatient in the Prof. Dr. WZ. Johannes Hospital Kupang. The sampling method used was an accidental sampling made of 60 respondents. Result: The results of the research show that health insurance services system in Prof. Dr. WZ. Johannes Hospital Kupang ASKES administration section, infrastructure means, medic or non medics are good. Conclusion: There should be more research on service system in Prof. Dr. WZ. Johannes Hospital to ASKES members with analytical methods so that more things can be explained and described. Refers to the results of this study, it is necessary to have a Minimum Service Standards (MSS) that patterned tripartite relationship between the members, ASKES administrator and party health service providers who have contracted with health insurance provider with the managed care health insurance with service system by PPK network. On hospital’s principal of autonomy as organizers of activity, so that health status, income and education, consumer factor and PPK ability and acceptance of health service and sickness risk and environment will be develop to comprehensive responsible with overutilization decreasing and high inflation on health service, through the better financial management, more efficient and transparent. The other side of restructuring costs in hospital that global nature need cost unit which is one way for hospital to make efficiency because by that way will be known which service in hospital need to subsidized and which is profitable. By doing restructuring costs in hospital, we can use Strategic Cost Management. This strategy will help hospital to face competition. The implementation with Cost Leadership Strategy(CLS) or Low-Cost Strategy will do all it can to beat competitors by giving cheaper services from another hospital, but with same quality or better. General Hospital is the examples of hospital that may choose this strategy. Tools to reach this strategy are analysis cost hospital services better known as Unit Cost. This consideration will obtain recommendation rates, efficiency strategy and System Account Design overall in hospital.Keywords: health insurance, health service system, high quality healt
KADER POSYANDU: PERANAN DAN TANTANGAN PEMBERDAYAANNYA DALAM USAHA PENINGKATAN GIZI ANAK DI INDONESIA
Get PDFChildren nutritional status is remain a public health problem inIndonesia. The magnitude of problem depends on thecontribution of local cadres of integrated health office (calledas Kader Posyandu) in the area. Kader Posyandu is assignedbased on voluntary; and should be appointed, agreed andtrusted by the local community in their working area. KaderPosyandu is expected to empower the community to solvetheir own health and nutrition problems especially among thefamily with under-five year children. However, there iscontradictory dilemma that they do not necessitate to haveappropriate knowledge and skill on health and nutrition toperform their tasks properly. Limited incentive, material andnon-material supports frequently become their performancesconstraints. No exclusive breastfeeding, too early or too latecomplementary feeding practices, inadequate and unsafecomplementary food are commonly cause of growth impairmentamong under-five children. Posyandu revitalization programpromoted by the government is not optimal executed by thelocal governments. The implementation of nutrition training issporadic so that it is not reach throughout Indonesia area.Therefore, a comprehensive and systematic solution toempower Kader Posyandu is required. Development ofeducation program for community health worker is one of theoptions to solve the problem. The program could produceeducators or teachers who able to train community healthworker to perform their tasks effectively and optimal.Keywords: kader Posyandu, nutrition education, nutritionalstatus, under-five children, complementary feeding, foodsafet
KAJIAN ULANG STUDI KELAYAKAN INVESTASI PEMBANGUNAN PAVILIUN DI RSUD RAA SOEWONDO, PATI
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ANALISIS FAKTOR KONTRIBUSI RISIKO KLINIS TERJADINYA ADVERSE OUTCOME DI IGD RS ”X”TAHUN 2006
Get PDFBackground: The function of the emergency department is toserve medical emergency patient as high clinical risk areas.The lack identification of care delivery problems in emergencydepartment could be disadvantages to the patient, medicalstaff, and hospital organization.Method: The objectives of the research are to find out thecontribution factors clinical risks which influence adverseoutcome in emergency department. Research phase is basedon report case from emergency department staff and fulfilofficial criteria, interview, document study and observation toarrange chronology.Result: Research result shows that contribution factors thedirectly influence problems is patient condition and the lackskill of individual factor in cardiopulmonary resuscitations. Theother contribution factors are medical staff workload,uncompleted patient observation standard operating procedure,also the medical tools. Contribution factors indirectly influenceis institutional context factor and its most influence for caredelivery problems, another factor is changing behaviour of thepeople and tendency to more critical and high demand.Conclusion: Conform to research result, suggest “X” Hospitalhave to applied formal and structural risk management,increasing the capability of the medical staff by training,complete all unavailable medical tolls to monitoring patient whileobservation.Keywords : clinical risks, adverse outcome, contributionfactor
