Jurnal Manajemen Pelayanan Kesehatan
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MODUL MENUJU SELAMAT-SEHAT: INOVASI PENYULUHAN KESELAMATAN DAN KESEHATAN KERJA DALAM PENGENDALIAN KELELAHAN KERJA
Background: Fatigue was allegedly the cause of accidentsin the Perusahaan Tambang Batubara (PTB) and the OHS managementcompany focused on the manpower to cope with recommendsgetting enough sleep, exercise, balanced diet andso forth. But fatigue is caused by various factors including,work environment factors, lifestyle, health conditions and soforth but it is not disclosed to the work force. OccupationalHealth Safety (OHS) extension system with lectures held sofar one way communication from the management of PTB tothe workforce and look at labor as objects rather than as OHSsubjects.Purpose: Towards a Better Health and Safety Module (MMSS)as the OHS method and media effective counseling increasedknowledge, attitude and behavior of OHS and innovative laborforce in controlling fatigue in PTB.Methods: This quasi-experimental type (quasi experimental)with nonequivalent design (pretest and posttest) control groupdesign, consisting of treatment group (experimental) and controlgroups. Treatment groups received MM-SS, while the controlgroup did not get the MMSS.Result: Application Module Towards Good-Health as a methodand medium of OHS for one-year extension effective improvethe OHS knowledge and attitudes heavy equipment operatorsignificantly (p 0,05) in control of workexhaustion in the PTB. Relationships of OHS knowledge andattitude with the level of job burnout WR light, WR sound indicator,and KAUPK2 significant (p 0.05). The correlation coefficient of OHSknowledge, attitude and behavior with the level of job burnoutWR light, WR sound indicator and KAUPK2 is 0.090 to 0.540.Conclusion: Module OHS (MMSS) as extension methods andmedia effective K3 K3 improve knowledge and attitudes, butnot yet effective increase K3 behavior PTB heavy equipmentoperator. Knowledge and attitudes K3 significantly associatedwith fatigue level heavy equipment operator work PTB, but therelationship behavior of K3 with no significant level of jobburnout.Keywords: modules, knowledge, attitude, behavior, fatiguewor
PERILAKU DAN RISIKO PENYAKIT HIV-AIDS DI MASYARAKAT PAPUA STUDI PENGEMBANGAN MODEL LOKAL KEBIJAKAN HIV-AIDS
Backround: Disease of HIV-AIDS at Papua more seriouslybecause sufferer total HIV-AIDS from year to year then increasesince year 1979. Augmenting again with society culture Papuacondition with the lowly education level that join in to subsidizerisk disease of HIV-AIDS at Papua. Despitefully there anothertrigger factor likes factor broken home, economy and life style.Government has tried with decide national wisdom ABC orabstinancy, be faithful and condom in order to tackling HIV-AIDSbut until so far not yet show result that have a meaning, evenseveral watchfulness recommend necessary watchfulnessexistences about tackling local model HIV-AIDS at Papua. Thismatter is actually that pushes researcher to look for local modelform in the hook with tackling HIV-AIDS at Papua.Method: This research descriptive method. Location ofresearch at prolific regency Biak Numfor with sample total forsufferer HIV-AIDS as much as 50 person contact AIDS diseases(ODHA) and 50 person not contact AIDS as standards. Customsociety Papua number 200 person represent 7 custom areasPapua with 10 religion figures represents 5 big religions atPapua. Data collecting technique by interview, registration andobservation to get primary data also secondary. Watchfulnessvariable covers free variable that is free sex behaviour, habitdrinks alcoholic drink, drug consumption habit, erudition, attitudeand weak religion teachings practice with negative culturehabit. Bound variable risk disease HIV-AIDS with sub eruditionvariable, attitude and behaviour with moderator variable thatcover economy, life style and broken home. And last liaisonvariable that is disease development HIV-AIDS.Technique and data collecting stage is divided to be 3 stagesthat is: (1) cause factors identification HIV-AIDS, (2) modellocation the testing and (3) model evaluation.Result: At the (time) of problem identification, watchfulnessresult shows that society behaviour factor Papua like free sexbehaviour, decrease it religion value and negative culture habitat prolific has risk towards disease HIV-AIDS. Moderator variablethat is economy/occupation, life style, has influence towardsdisease of HIV-AIDS. Specific local program that can bedeveloped” model H” consist of 2 main concepts, that is:Abstinancy and Be faithful or AB and after done test tries duringapproximately 3 year so model and this program is enougheffective to overcomings risk disease HIV-AIDS at Papua. Testingand first model evaluation is done in ODHA with the statisticstest result descriptively have a meaning with Chi-kuadrat testand McNemar p <0,05 and Cohran’s Q p <0.05 while secondtesting towards society of Papua where descriptively have ameaning with test Willcoxon p <0,05 and Friedman p <0,05.Conclusion: be taken that specific local model that can bedeveloped” H model” and suggested to Government Provinceof Papua and Papua Legislative (DPRP) to make legal fundamentin the form of by law to support this model.Keywords: behaviour, local wisdom AIDS-HIV, disease riskAIDS-HI
ANALISIS PENGHEMATAN BIAYA OBAT PESERTA SUKARELA PT. ASKES DENGAN PENGGANTIAN OBAT NON DPHO KE DPHO DI RSU PKU MUHAMMADIYAH YOGYAKARTA SELAMA TAHUN 1997
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PENGARUH STANDARISASI PELAYANAN TERHADAP BIAYA SECTIO CESAREA DI RUMAH SAKIT UMUM BUDHI ASIH JAKARTA TIMUR
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HUBUNGAN KINERJA BIDAN DALAM PENATALAKSANAAN ANTENATAL CARE DENGAN QUALITY WORK LIFE DI KOTA TASIKMALAYA TAHUN 2007
Background: There exist a general relation between the healthof mother and child and midwives’ roles. Midwives havesignificant roles such as health provider, disseminator ofinformation, conductor and counsellor of mother and childhealthy. In Tasikmalaya city, the health of mother and child is animportant matter considering the death rate amongst motherand child in the city is still high in year 2005 and 2006.Purpose: This study is designed to observe the linkagebetween Quality Work Life (QWL) and Antenatal Care (ANC)implementation of midwifery in Tasikmalaya by the year 2007.Method: A descriptive analysis through cross sectional wasused in this study. Population target were all of midwifery in 14health service centers in Tasikmalaya city with the samplewere all of population target (53 persons). All of the data wereanalyzed by quantitative and qualitative approach betweenQWL and ANC operational. It is also associated with the increaseof target program as the outcome.Result: Productivities of the midwifery in health service centerswith good planning process, mobilization of implementationprogram, and controlling evaluation were established in 7 healthservice centers. Eight health service centers possess a goodQWL and however, there still exist 6 health service centerswith bad QWL in KIA unit. Three from nine components of QWLhave significant relations with ANC operational of midwifery.They are equity of reward, safety work environment, andproud feeling with the institution.Conclusion: Quality Work Life (QWL) of the midwifery inTasikmalaya city was not wholly supported the escalation ofmidwives’ productivity yet.Keywords: midwife, ANC, QW
HUBUNGAN KEPUASAN PASIEN DENGAN MINAT PASIEN DALAM PEMANFAATAN ULANG PELAYANAN PENGOBATAN
Background: Puskesmas represent one of public sectorservice majoring accomplishment of society satisfactionthrough implementation of quality health service withoutimpinging code of ethics and standar of professional qualityservice. This service quality in the end will give some benefit,among of them are intertwining of harmonious relation betweenservice provider (Puskesmas) with customers (patient), givinggood base to create of patient loyalty and form anrecommendation by mouth to mouth (worth of mouth) whichgive the advantage to Puskesmas. Society behaviors to utilizeprimary health service still high (60% - 70%), because they’renot have others choice. Having some medicines to cure themillness was the most important factor and giving the base to itsutilization of service pattern.Objective: This research was aimed to know the correlationbetween patient satisfaction and patient enthusiasm in utilizationrepeat of the medication service in Puskesmas. Patientsatisfaction is measure the patient perception to service quality(performance Puskesmas).Method: This was an observational study with cross sectionaldesign. Population and sample was patient of clinical centreservice, sample size are 97 patients by random samplingtechnique. Data collected through interview by questionnairesto analyses data using product moment statistical test.Result: In general, satisfied responder to medication servicein Puskesmas equal to 88,7%, while responder whichdissatisfy equal to 10,3%. satisfied patient to service inadministration section equal to 84,5%, followed with the patientsatisfaction to nurse service equal to 82,5%, lower satisfactionto hygiene, accuration and room freshment equal to 67%. visitenthusiasm return to medication service in Puskesmas feelsatisfaction (90,7%) to service exist in Puskesmas, whileresponder which dissatisfy equal to 6,2%. statistical test resultby using analysis of product moment test, showing there wasa means positive relation between service quality with the patientsatisfaction (p = 0,000), with strong correlation (r = 0,620).Conclusion: There was a means positive relation betweenservice quality with patient satisfaction (p = 0,000) with strongcorrelation (r = 0,620)Keywords: patient enthusiasm, patient satisfaction,Puskesma
ANALISIS BESARAN PREMI JAMINAN PEMELIHARAAN KESEHATAN DI KABUPATEN JEMBRANA PROVINSI BALI
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ANALISIS KESIAPAN DINAS KESEHATAN DALAM MENGALOKASIKAN ANGGARAN KESEHATAN PADA ERA DESENTRALISASI
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