Jurnal Manajemen Pelayanan Kesehatan
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PERANCANGAN SISTEM KERJA YANG ERGONOMIS DI INDUSTRI PEMELIHARAAN LOKOMOTIF “BALAI YASA YOGYAKARTA”
Get PDFBackground: Balai Yasa PT Kereta Api (Persero) Yogyakartais the only diesel locomotive maintenance industry operating inJava Island that has a major role in determining thesuccessfulness of whole train transportation mode operated.A ‘new’ locomotive it produces indicates locomotive systemreliability operating. This is a result of a reliable maintainingprocess. Balai Yasa Yogyakarta applies manual process indoing its job. It means that the operator uses his hands to fixthe problems. In the meantime, working process in some unitsare not ergonomics from the point of motion, working position,and operator working hour. Besides, the application ofOccupational Safety and Health Management System is notintegrated with industry management system. This can lead torisks such as accident and illness of work, ineffective and notefficient work, and finally produces unqualified products.Objective: Based on (1) strategic task of Balai YasaYogyakarta, (2) product and work system produced, (3)operator interest on occupational safety and health in productionprocess, and (4) Occupational Safety and Health ManagementSystem interest in locomotive maintenance industry, theresearch conducted in order to discover (a) an ergonomicwork system, on motion and operator working position, (b)time duration in production process of work unit, (c) auditresult of Occupational Safety and Health Management Systemcan be applied as an integrated department with industrymanagement system.Method: This is a non-experimental and observational researchusing modelling style and evaluating in nature.Result: (1) In nine work stations representing complete workprocess characters, the operators show unergonomics motionand working position. It risks work accident and illness, nonoptimum work gain because of improper motion and workingposition. It needs total recovery in operator motion and theirworking position in two standards: standing or sitting must bein straight back. (2) Time duration, work hour for a locomotiveis 143 hours normally. This can be the guideline to arrange astandard in operator motion and their working position basedon time duration. (3) Occupational Safety and HealthManagement System has done the audit and the standardparameter result is 11%. The absence of Occupational Safetyand Health Committee causes occupational safety and healthrun in non standard application. Occupational Safety and HealthManagement System must be integrated in total industrymanagement system.Conclusion: Balai Yasa Yogyakarta has not appliedOccupational Safety and Health Management System andergonomic program, so that it must implement ergonomicprogram and Occupational Safety and Health ManagementSystem.Keywords: ergonomics, occupational safety and healthmanagement system, railway affairs, work system desig
KESEHATAN KERJA PEMAKAI BIKE LIFT BUATAN PADA BENGKEL SEPEDA MOTOR KONVENSIONAL DI KOTAMADIA PADANG
Get PDFBackground: Maintenance of motorcycle is undertaken bymechanics of authorized and conventional garages.Mechanics of authorized garage use standing position(standard working position), mechanics of conventional garageuse squating position. Either standing or squating position arestatic working position that does not meet the requirement ofhealthy work.Objective: The study aimed to improve static position andsitting-standing position (dynamic position) using bike lift ofmotorcycle with device for sitting.Method: The study was experiment that used pretest-posttestEquivalent Group Design. Location of the study wasconventional garage at Jalan Hercules No. 2 Tanggul Hitam ofPadang Municipality. Subject of the experiment consisted of 16mechanics of conventional garage (16 people) and subject ofcontrol consisted of 16 people of Honda Main Dealer (C.V.Hayati) at Jalan Pemuda 35 Padang. The dependent variableswere weight assessed using Digital Camry Scale, strength ofhand muscles assessed using Dynamometer, workload withpulse indicator assessed using Personal ECG Recorder EP-200©, fatigue with indicator of blood lactate acid assessedusing Accutrend® Lactate. Statistical analysis to identify thedifference used covariance analysis and t-paired test to identifythe difference.Result: 1) There was significant difference in weight betweendynamic position and standard position (p<0.05). Decrease ofweight in dynamic position was less than in standard position,2) there was significant difference in strength of hand musclebetween dynamic position and standard position (p<0.05).Decrease of strength of hand muscle in dynamic positive wasless than in standard position, 3) there was significantdifference in pulse between dynamic position and standardposition (p<0.05). Increase of pulse in dynamic position waslower than in standard position, 4) there was significantdifference in muscle fatigue between dynamic position andstandard position (p<0.05). Increase of muscle fatigue indynamic position was less than in standard position.Conclusion: Dynamic position, viewed from changes invariable of weight, strength of hand muscle, workload, andmuscle fatigue, was better than standard position. Thereforeit was suggested to use dynamic position while working. Forthe government recommended: a). Increasing cooperationamong all motorcycle mechanic in improving the health andsafety, help motorcycle mechanic on preventive and promotiveso avoid accidents. b). Promote and integrate safety and healthprogram between formal and informal mechanics that can beof mutual benefit in the form of increased productivity andresearch and further studies and approaches and the beststrategy to improve the health and safety.Keywords: weight, strength of hand muscle, pulse, fatigu
EVALUASI PENERAPAN KONSEP MANAGED CARE DALAM PROGRAM PT (PERSERO) ASURANSI KESEHATAN INDONESIA KANTOR CABANG SUMATERA BARAT
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MANAJEMEN PENYAKIT LINGKUNGAN BERBASIS WILAYAH
Get PDFNew Emerging and Re Emerging Infectious Diseases based ofenvironment, were concern of public health, affect the socioeconomic loss, political aspect and others. Existence of tripleburden of disease, environmental pollution, management thehealth which not full support to national development representsome factors causing damage health nation.Through literature review this writing make solution alternativeby management environment disease which ”evidences based”approach collected periodical, systematic and planned tospecific area.Keywords: management of disease, new emerging and reemerging infectious disease
PATOFISIOLOGI KORUPSI DI BIDANG KESHATAN: KAJIAN BEBERAPA KASUS DI INDONESIA
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EVALUASI PENERAPAN TARIF PAKET PELAYANAN ESSENSIAL PADA PELAYANAN KESEHATAN BAGI KELUARGA MISKIN
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DESKRIPSI PELAKSANAAN PENGADAAN SUMBER DAYA MANUSIA TAHAP I DI RUMAH SAKIT ISLAM SURABAYA II
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