JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK
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Hubungan antara kualitas pelayanan kesehatan dengan kepuasan pasien BPJS di Puskesmas Wenang
Get PDFBackground: It is important for healthcare centers to pay attention to their quality of care as it serves as a foundation in maintaining and enhancing care quality, for the sole purpose of increasing the overall health of the population. Over 93,47% of Indonesia’s population uses national health insurance administered by BPJS. SERVQUAL is used in this study to measure quality of care which consists of reliability, responsiveness, empathy, assurance, and tangibles.Aim: The objective of this research is to see if there is any relationship between quality of healthcare and BPJS patient’s satisfaction at Wenang Health Center, Manado city.Methods: Quantitative and analytical research is used in this study with cross sectional study design. Survey questionnaires were distributed to a total of 110 people who received healthcare in Wenang Health Center.Result: The result of this study indicates that there is a relationship between all dimensions of healthcare service quality and BPJS patient’s satisfaction.Conclusion: As such, Wenang Health Center should pay attention to all the dimensions of healthcare services as to give better care to BPJS patients and in return, increase the overall health of its community.Keywords: health service quality, patient’s satisfaction, BPJSLatar Belakang: Penting bagi puskesmas untuk memperhatikan kualitas perawatan karena fungsinya sebagai dasar dalam mempertahankan dan meningkatkan kualitas layanan, dengan tujuan untuk meningkatkan kesehatan keseluruhan populasi. Lebih dari 93,47% penduduk Indonesia menggunakan jaminan kesehatan nasional yang dikelola oleh BPJS. SERVQUAL digunakan dalam penelitian ini untuk mengukur kualitas pelayanan kesehatan yang terdiri dari kehandalan, daya tanggap, empati, jaminan, dan bukti fisik.Tujuan: Tujuan penelitian ini adalah untuk melihat apakah ada hubungan antara kualitas pelayanan kesehatan dan kepuasan pasien BPJS di Puskesmas Wenang, kota Manado.Metode: Penelitian kuantitatif dan analitik digunakan dalam penelitian ini dengan desain studi cross-sectional. Survei kuesioner didistribusikan kepada total 110 orang yang menerima pelayanan kesehatan di Puskesmas Wenang.Hasil: Hasil penelitian ini menunjukkan bahwa terdapat hubungan antara semua dimensi kualitas pelayanan kesehatan dan kepuasan pasien BPJS.Kesimpulan: Oleh karena itu, Puskesmas Wenang harus memperhatikan semua dimensi pelayanan kesehatan untuk memberikan perawatan yang lebih baik kepada pasien BPJS dan untuk meningkatkan keseluruhan kesehatan masyarakat.Kata Kunci: kualitas pelayanan kesehatan, kepuasan pasien, BPJS
Gambaran kualitas hidup remaja yang memiliki berat badan berlebih di SMA Negeri 7 Manado 2023
Get PDFPendahuluan: Kualitas hidup sebagai persepsi seseorang dalam konteks budaya dan norma di mana mereka hidup dan terhubung dengan tujuan, harapan, standar, dan perhatian dalam hidupnya. Ini adalah sebuah konsep yang digabungkan dengan berbagai cara seseorang untuk memperoleh kesehatan fisik, kondisi psikologi, tingkat kemandirian, hubungan sosial dan hubungan dengan lingkungan sekitar. Faktor yang dapat mempengaruhi kualitas hidup antara lain yaitu berat badan berlebih. Ketidakseimbangan konsumsi kalori dan aktivitas fisik menyebabkan kelebihan berat badan sehingga mengakibatkan penurunan kualitas.Tujuan: Untuk mengetahui gambaran kualitas hidup remaja yang memiliki berat badan berlebih di SMA Negeri 7 Manado 2023.Metode: Jenis penelitian yang digunakan adalah deskriptif kualitatif dengan desain cross-sectional dengan purposive sampling sebagai teknik pengambilan sampel. Instrument penelitian yang digunakan adalah kuesioner World Health Organization Quality of life-BREF (WHOQOL-BREF) dan pertanyaan yang menanyakan tinggi dan berat badan.Hasil: Total sebanyak 223 responden yang berpartisipasi dalam penelitian ini. Terbanyak adalah usia 16 tahun yaitu 80, jenis kelamin perempuan yaitu 121, dan penyumbang responden terbanyak adalah kelas X yaitu 92 orang, dengan kualitas hidup yang sedang pada semua domain kualitas hidup, kecuali pada domain lingkungan yang mendapat hasil kualitas hidup baik.Kesimpulan: Remaja dengan yang memiliki berat badan berlebih memiliki kualitas hidup yang sedang.Kata Kunci: kualitas hidup, remaja, berat badan berlebi
Holistic approach on pulmonary tuberculosis: a case study
Get PDFTuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. Pulmonary TB remains a major public health problem in Indonesia. According to data from the Indonesian Ministry of Health, by 2022, there were approximately 694,808 cases of TB in Indonesia. Symptoms of TB can vary depending on the infected part of the body and the severity of the disease. Acid-resistant bacteria microscopic sputum examination, tuberculin test, TB blood test are methods to diagnose tuberculosis. This case is a person who has been diagnosed with TB for 4 months. The patient still complains of coughing. The patient is still regularly taking the TB drug package provided by the health center. The patient's family is very supportive of the patient's treatment. The environment around the patient is also positive towards the patient. This discussion is a holistic diagnostic approach to the patient's illness. Family doctor management and related factors in the course of the patient's illness are part of this case based discussion.Tuberkulosis (TB) adalah penyakit menular yang disebabkan oleh bakteri Mycobacterium tuberculosis. Tuberkulosis (TB) paru masih menjadi masalah kesehatan masyarakat yang besar di Indonesia. Menurut data dari Kementerian Kesehatan Indonesia, pada tahun 2022, terdapat sekitar 694.808 kasus TB di Indonesia. Gejala TB dapat bervariasi tergantung pada bagian tubuh yang terinfeksi dan tingkat keparahan penyakit. Pemeriksaan dahak mikroskopis bakteri tahan asam (BTA), Uji tuberculin, Tes darah TB merupakan metode untuk mendiagnosis tuberculosis. Pada kasus ini merupakan seorang yang telah didiagnosis TB selama 4 bulan yang lalu. Pasien masih mengeluhkan batuk. Pasien masih rutin mengonsumsi paket obat TB yang diberikan oleh puskesmas. Keluarga pasien sangat mendukung pengobatan pasien dengan baik. Lingkungan disekitar pasien juga bersikap positif terhadap pasien. Pembahasan ini merupakan pendekatan diagnostik holistik terhadap penyakit yang sedang diderita oleh pasien. Penatalaksanaan dokter keluarga dan faktor-faktor terkait dalam perjalanan penyakit pasien menjadi bagian dari case based discussion ini.
 
Korelasi antara self-efficacy dengan tingkat kesiapsiagaan mahasiswa Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Sam Ratulangi dalam menghadapi bencana alam
Get PDFBackground: Natural disasters have a major contribution to the crisis of public health. A person's self-efficacy against his abilities can affect preparedness in dealing with disasters. Medical students as prospective doctors must be prepared to be able to provide health services to the community and prepare for natural disasters.Aim: This study aims to determine the correlation between self-efficacy and the level of preparedness of students of the Medical Doctor Study Program, Faculty of Medicine, Sam Ratulangi University in dealing with natural disasters.Methods: The type of research used is quantitative with an observational analytical research approach with a cross-sectional research design. The sampling technique uses simple random sampling and the research instrument uses questionnaires on self-efficacy and preparedness.Result: The results showed that most of the self-efficacy and preparedness of students of the Medical Doctor Study Program, Faculty of Medicine, Sam Ratulangi University, Manado was in the medium self-efficacy category.Conclusion: There was a significant correlation with the weak positive direction between self-efficacy and the level of student preparedness.Keywords: self-efficacy, preparedness, natural disasterLatar Belakang: Bencana alam memiliki kontribusi besar pada krisis kesahatan masyarakat. Keyakinan diri seseorang terhadap kemampuannya dapat memengaruhi kesiapsiagaan dalam menghadapi bencana. Mahasiswa kedokteran sebagai calon dokter harus dipersiapkan untuk mampu memberikan layanan kesehatan kepada masyarakat dan melakukan kesiapsiagaan terhadap bencana alam.Tujuan: Penelitian ini bertujuan untuk mengetahui korelasi antara self-efficacy dengan tingkat kesiapsiagaan mahasiswa Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Sam Ratulangi dalam menghadapi bencana alam.Metode: Jenis penelitian yang digunakan adalah kuantitatif dengan pendekatan penelitian analitik observasional dengan desain penelitian potong lintang atau cross sectional. Teknik pengambilan sampel menggunakan simple random sampling dan instrumen penelitian menggunakan kuesioner tentang self-efficacy dan kesiapsiagaan.Hasil: Hasil penelitian menunjukan bahwa sebagian besar self-efficacy mahasiswa Program Studi Pendidikan Dokter Fakultas Kedokeran Universitas Sam Ratulangi Manado berada pada kategori self-efficacy dan kesiapsiagaan sedang.Kesimpulan: Terdapat korelasi yang signifikan dengan arah positif lemah antara self-efficacy dengan tingkat kesiapsiagaan mahasiswa.
Kata Kunci: self-efficacy, kesiapsiagaan, bencana ala
Artritis gout dan perilaku dokter keluarga di Kota Manado
Get PDFBackground: Untreated hyperuricemia can develop into uric acid-related diseases, such as gout arthritis. Research indicates that 35% of the population in the North Sulawesi Province has elevated uric acid levels. Data from the Social Security Administrative Body for Health (BPJS Kesehatan) in 2022 showed that the number of gout arthritis cases in this province reached 8,781 cases, with Manado City ranked second. This figure increased compared to previous years. According to healthcare procedures, the management of gout arthritis begins at the Primary Health Care (FKTP) such as community health centers and private practice doctors. However, in practice, there are still differences in the approach to gout arthritis management among family physicians, influenced by factors such as their behavior toward disease management. Aim: To assess the overview of behavior (knowledge, attitudes, and practice) of family physicians in the management of gout arthritis in Manado City. Methods: This study is a descriptive study with a cross-sectional research design. Results: The level of knowledge of family physicians in Manado City is considered good by 86% of the respondents, and 14% of the respondents categorized as sufficient The attitude of family physicians was rated as good by 98% of the respondents, and their practice rated as good by 98% of the respondents. Conclusion: The level of behavior of family physicians in the management of gout arthritis in Manado City is considered good.Keywords: behavior; family physicians; gout arthritisLatar Belakang: Hiperurisemia yang tidak diterapi dapat berkembang menjadi artritis gout. Penelitian menunjukkan 35% masyarakat Sulawesi Utara memiliki kadar asam urat yang tinggi. Data dari Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan pada tahun 2022, jumlah kasus artritis gout di Sulawesi Utara mencapai 8.781, dengan Kota Manado menempati peringkat kedua. Angka ini semakin meningkat dibandingkan dengan beberapa tahun sebelumnya. Berdasarkan prosedur pelayanan kesehatan, penanganan artritis gout dimulai di Fasilitas Kesehatan Tingkat Pertama (FKTP) seperti puskesmas dan dokter praktik mandiri. Namun, dalam praktiknya, masih banyak perbedaan dalam pendekatan penanganan artritis gout di kalangan dokter keluarga, yang disebabkan oleh faktor-faktor seperti perilaku dokter terhadap tatalaksana penyakit.Tujuan: Untuk mengetahui perilaku (pengetahuan, sikap, dan tindakan) dokter keluarga dalam penatalaksanaan artritis gout di Kota Manado. Metode: Penelitian ini merupakan penelitian deskriptif dengan desain penelitian potong lintang. Hasil: Didapatkan tingkat pengetahuan dokter keluarga di Kota Manado dalam kategori baik 86% responden, kategori cukup 14% responden. Tingkat sikap dokter keluarga dalam kategori baik sebanyak 98% responden, dan tingkat tindakan dokter keluarga dalam kategori baik sebanyak 98% responden. Kesimpulan: Tingkat perilaku dokter keluarga dalam penatalaksanaan artritis gout di Kota Manado dikatakan baik.Kata Kunci: artritis gout, dokter keluarga, perilak
Diagnostik holistik pasien faringitis dengan hipertensi di Puskesmas Bahu
Get PDFPharyngitis is one of the most common diseases that occurs in most people. This report is a case discussion of a 67-year-old man with painful swallowing, cough, and chills. The patient has a smoking habit, and has a history of hypertension, with a regular antihypertensive drug consumption, such as amlodipine. This discussion is related to a holistic diagnostic approach to the patient's complaints, in order to better understand the factors associated with the occurrence of the disease in the patient.Keywords: pharyngitis, hypertension, holistic diagnosticÂ
Diagnostik holistik tuberkulosis paru anak di Puskesmas Bailang
Get PDFTuberculosis is a disease that is transmitted through the air by the bacterium Mycobacterium tuberculosis (M. tuberculosis). Tuberculosis usually attacks the lungs, but can also attack the extrapulmonary (larynx, lymph nodes, pleura, kidneys, bones and joints). Patients with pulmonary tuberculosis usually have symptoms such as coughing, sweating, especially at night, fever, fatigue, and weight loss. In 2015, pediatric TB cases accounted for 9% of all TB cases in Indonesia.In this case discussion there is a patient diagnosed with pulmonary tuberculosis. The patient came with a complaint of cough with phlegm for approximately 1 month. The patient has done a sputum test / culture, and the results are positive, the patient has finished undergoing initial phase of OAT treatment therapy, and is undergoing an advanced phase of therapy. This discussion is about a holistic diagnostic approach to the patient's disease. This is done in order to know better about the factors related to the occurrence of the disease in patients.Â
Gambaran penanganan penyakit kronis: program rujuk balik penyakit jantung koroner pada dokter keluarga di Kota Manado
Get PDFIntroduction: Chronic disease is one of the health problems in Indonesia which continues to increase and has not been successfully reduced. Coronary heart disease (CHD) is a chronic disease which has been a major cause of death and global burden of disease. The prevalence of CHD in North Sulawesi is 1.8%, exceeding the national prevalence, making North Sulawesi the fourth highest province in Indonesia. The management of CHD aims to prevent recurrent coronary events and complications by modifying risk factors. Holistic approach is needed to identify the risk factors that cause CHD. Family medicine is a medical specialty that provides health care with a holistic approach at first-level health facilities. Program Rujuk Balik (PRB), as one of the leading programs, is optimized to improve the quality of health services for the participants of BPJS Kesehatan and to facilitate access to health services for participants who have chronic diseases. The catastrophic costs can be minimized through holistic management of CHD by family physicians maximizing the function of PRB. Objective: To determine the overview of the management of PRB participants with CHD by family physicians in Manado City.
Methods: This research is a descriptive study with a cross-sectional design.
Results: It was found that all respondents were in the good category at managing the participants of PRB with CHD (100%).
Conclusion: The management of the participants of PRB with CHD by family physicians in Manado City has been well.
Keywords: program rujuk balik, coronary heart disease, family physicians.
Latar Belakang: Penyakit kronis merupakan salah satu masalah kesehatan di Indonesia yang terus meningkat dan belum berhasil diturunkan secara keseluruhan. Penyakit jantung koroner (PJK) merupakan salah satu penyakit kronis penyebab utama kematian dan beban penyakit secara global. Prevalensi PJK di Sulawesi Utara sebesar 1,8% melebihi prevalensi nasional menjadikan Sulawesi Utara menjadi provinsi keempat tertinggi di Indonesia. Penanganan PJK bertujuan untuk mencegah kejadian koroner berulang dan komplikasi melalui modifikasi faktor risiko. Pendekatan secara holistik diperlukan guna mengidentifikasi faktor risiko penyebab PJK. Kedokteran keluarga merupakan spesialisasi medis yang memberikan penanganan kesehatan dengan pendekatan holistik pada fasilitas kesehatan tingkat pertama (FKTP). Program Rujuk Balik (PRB), sebagai salah satu program unggulan di FKTP, dioptimalisasi untuk meningkatkan kualitas pelayanan kesehatan bagi peserta BPJS Kesehatan dan mempermudah akses pelayanan kesehatan bagi peserta yang memiliki penyakit kronis. Biaya katastropik dapat diminimalisir melalui penanganan holistik PJK oleh dokter keluarga dengan memaksimalkan fungsi dari PRB. Metode: Penelitian ini merupakan penelitian deskriptif dengan rancangan potong lintang. Hasil: Didapatkan seluruh responden dalam kategori baik dalam menangani peserta PRB dengan PJK (100%). Kesimpulan: Penanganan peserta PRB dengan PJK pada dokter keluarga di Kota Manado sudah tertangani dengan baik.Kata Kunci: program rujuk balik, penyakit jantung koroner, dokter keluarga
Hubungan pola makan dengan kejadian hipertensi pada lansia di Kelurahan Bahu Lingkungan VI Kecamatan Malalayang Kota Manado
Get PDFBackground: Hypertension is a common disease in society. This condition in the long term can cause organ damage. Lifestyle in the community is one factor in the increase in cases of hypertension, one of which is diet.Purpose: This study aims to determine whether there is a relationship between diet and hypertension in the elderly in the village of Bahu Environment VI, Malalayang District, Manado City.Methods: This study is a quantitative study using a cross-sectional method with the independent variable (diet) and the dependent variable (hypertension). The population in this study was elderly in the Kelurahan Bahu environment VI, Malalayang District, Manado City, amounting to 84 people.Results: Results of this study obtained 22 (47,8%) respondents have poor dietary habits and there are 20 respondents (43,5%) with hypertension. The results of the chi-square test obtained a P value of 0.000 which means the P value is <0.05.Conclusion: There is a significant relationship between diet and the incidence of hypertension in the village of Bahu neighborhood VI, Malalayang district, Manado city. Half of the respondents have a bad diet.Keywords: Knowledge, Attitudes, Print media employees, COVID-19Â
Pengaruh pendidikan kesehatan reproduksi terhadap pengetahuan remaja di SMA Negeri 7 Manado
Get PDFThe results of a survey of Indonesian health data stated that adolescent knowledge about reproductive health was not sufficient, only 33% of female adolescents and 37% of male adolescents knew that they were more likely to become pregnant if they had sexual intercourse. Adolescent knowledge about reproductive health is still relatively low. This type of research is pre-experimental in the form of one group pre-post test design. The population in this study were the students of class X who were at the State Senior High School 7 Manado totaling 45 sample respondents using purposive sampling. The results of the study on the level of knowledge before reproductive health education was carried out in the good category were 7 respondents (15.5%), the sufficient category was 23 respondents (51.1%), and the less category was 15 respondents (33.3%). And the results of the research after the reproductive health education was carried out were in the good category of 25 respondents (55.6%), sufficient category 17 respondents (37.8%), and the poor category only 3 respondents (6.7%). The results of the study showed that the level of knowledge before being given health education was (63.11%) and after being given reproductive health education was (79.00%). The result of the paired t-test test, the p value is 0.000, which is smaller than the significant value of (0.05). The conclusion is that there is a significant effect of reproductive health education on adolescent knowledge at the State 7 Manado Senior High School.
Keywords: health education, reproductive health, youth knowledge