Jurnal Manajemen Pelayanan Kesehatan
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Pengetahuan, Sikap dan Persepsi Koasisten tentang Kebijakan Dokter Pegawai Tidak Tetap (Dokter PTT) di Tiga Fakultas Kedokteran di Jawa Barat
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ANALISIS FAKTOR PENYEBAB MELONJAKNYA ANGGARAN OBAT PEMERINTAH KOTA BATAM SETELAH PEMBEBASAN BIAYA RETRIBUSI PASIEN PUSKESMAS
Get PDFBackground: Batam municipal government has implementedthe program of patient retribution cost exemption in all healthcenters of Batam Municipality with no exception (includes thehaves and the have not) as long as they can show theirpopulation identity card when they visit health canters.Consequently health budget increases four times higher thanthe previous fiscal year. This is interesting to study further inorder to find out the effectiveness or ineffectiveness of theprogram implementation.Objective: The study aimed to analyze the policy of retributionexemption and increased drug expenditure budget.Method: The study was retrospective observational usingboth quantitative and qualitative data, analytical survey methodand cross sectional design. Quantitative data were obtainedwith cluster sampling from documents of health centers suchas monthly report, number of visits of the patients, prescriptionwithin three years (2005 – 2007) of samples of each yearwere taken three months during peak visits to health centers(June, July and August). Data obtained were tabulated andanalyzed using paired t-test at significance level 95%.Qualitative data were obtained from in-depth interview withrelated stakeholders.Result: Retribution exemption program led to sharp increaseof visits to health centers to twice. There was no difference indisease pattern before and after retribution exemption. Theresult of paired t-test to prescription pattern showed differencebefore and after retribution exemption. The Health Institution ofBatam succeeded to maintain good prescription pattern.Conclusion : Caused sharp increase of drug budget afterretribution exemption in health centers was over anticipate ofdrug procurement to forecast of visits health centre. The overprocurement can be anticipated by planning of drugprocurement the next years.Keywords: health centers, retribution exemption, drug budge
VAKSIN ROTAVIRUS: APAKAH SUDAH WAKTUNYA DIMASUKKAN DALAM PROGRAM IMUNISASI NASIONAL DI INDONESIA?
Get PDFBackground: Two rotavirus vaccines have been availablefor use. The objectives of the study to examine disease burdenof diare rotavirus and the cost and effectiveness of a rotavirusvaccination program in Indonesia.Material and Methods: Data on direct and indirect costs ofchildren with rotavirus diarrhea were established in PurworejoDistrict and Yogyakarta city. It was extrapolated to nationalestimates on the basis of the projected birth cohort in 2007and diarrhea morbiditity rate at national level. The main outcomemeasures were economic burden and cost-effectiveness ratio(Rupiah per DALY averted).Results: The disease burden is equivalent to an economicburden of an estimated Rp390.4 billion in medical direct costs,Rp 67.3 bilion in nonmedical direct costs, and 70.4 billion rupiahin indirect costs. From the health care system and communityperspectives, universal vaccination of infants at a cost of lessthan US $12,7 for a vaccine dose would be a cost-effective ofpublic health intervention.Conclusions and Recommendation: In Indonesia, rotavirusvaccination would reduce the morbidity burden of rotavirusinfection, but would not be cost-effective unless the price ofvaccine decreased considerably. At the current price ofvaccine, universal vaccination program for rotavirus wouldnot be recommended.Keywords: burden of disease, rotavirus diarrhea vaccine,cost-effectivenes
PENYUSUNAN INDIKATOR KLINIS
Get PDFBackground: Quality health care is one of the requirementsneeded by everyone, including service in the hospital. Clinicalindicators used as a quality tool that enables objective measurementto assess whether it has provided excellent serviceto customers or patients. Sardjito General Hospital has beenset and measure the performance of clinical services usingclinical indicators since 2000, but the indicators are not compiledsystematically by type of key services that can be givenby doctors in the department at the hospital.Objective: To develop a clinical indicator for measuring theperformance of clinical services of a department in the hospital,to trial the implementation of measures of clinical indicators,and to evaluate the clinical indicators that have beenmade.Methods: Qualitative research using an action research studydesign. The subject of this research is Obstetrics and GynecologyDepartment at Sardjito General Hospital, Yogyakartaand specialist doctors and doctors who follow education obstetricsand gynecology specialization final semester. Datacollection is done by analysis of the results of the workshop,the analysis results of questionnaires, analysis of interviewdata availability, analysis of test results of clinical indicators ofmeasurement, and analysis of the results of the finalized workshop.Results: Ten clinical indicators agreed to be measured in theObstetrics and Gynecology Department. Based on the resultsof the questionnaire, the ten clinical indicators are approvedby most doctors. Of the ten clinical indicators, there is oneindicator that did not have the data, the numerator of the clinicalindicators for services normal partus /vaginal partus. Theagreements in the finalized workshop are to make changesthe operational definition, the value of the achievement standardsand the availability of existing data.Conclusion: Obstetrics and Gynecology Department will performthe measurement for the ten indicators that have beenset. Clinical indicators that do not have the availability of datawill still be measured by creating a special form. Changes andimprovements to the operational definitions and standards ofachievement values need further discussion.Keywords: quality of service, clinical indicators, obstetricsand gynecolog
EVALUASI IMPLEMENTASI KEBIJAKAN KEWAJIBAN MENULISKAN RESEP OBAT GENERIK DI RUMAH SAKIT UMUM CILEGON TAHUN 2007
Get PDFBackground: To anticipate the medicine price hikes, theIndonesian Ministry of Health (MoH), representating thegoverment of Indonesia, through the decree of Permenkes RIno. 085/Menkes/Per/I/1989 regarding the obligation to writethe medical prescription and the usage of generic medicine inall goverment health care units. This generic medicinesocialization should be supported by all public components, asthis program seems to encountered a big hurdle which can beseen from the social and economic aspects.Purposes: This study is designed to explore the descriptionand factors related to the implementation of generic medicineprescription policy at the Cilegon District Hospital in the year of 2007.Method: The study used quantitative and qualitative methodwith primary data which collected directly by in-depth interviewfrom the informants, and the secondary data which weregathered from documents exploration by collecting 379 genericmedicine prescription papers from the out-patient clients.Result: Qualitatively, the study showed that generally theimplementation of Permenkes RI No. 085/Menkes/Per/I/1989 hasnot performed as it should be. The average percentage of thegeneric medicine utilization by out-patient clients in Cilegondistrict hospital is only 52%. This result qualitatively showedthat the Director of the Hospital, the Pharmacy and TherapyCommittee, and the Pharmacy Installation have not performedas well as what is stated on the Permenkes RI No. 085/Menkes/Per/I/1989.Conclusion: There exist a requirement on increasing thegeneric medicine socialization that involved the medicalpractitioners and the community, a method that regulate theimplementation of the policy which can be evaluated andrevised, supervision toward the implementation, and also theapplication of reward and punishment mechanism.Keywords: implementation, policy, prescription genericmedicin
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KINERJA BIDAN DI DESA DALAM PELAYANAN ANTENATAL DI KABUPATEN PATI
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