scholarly journals Faktor - Faktor yang Mempengaruhi Komitmen Dokter di Puskesmas untuk Tidak Merujuk Kasus Non-Spesialistik Pasien BPJS di Kota Semarang

2019 ◽  
Vol 7 (2) ◽  
pp. 102-108
Author(s):  
Hendro Sucipto ◽  
Chriswardani Suryawati ◽  
Sutopo Patria Jati

Patients who should be able to be treated at the health center (puskesmas) but because of some matters referred to and handled in a hospital, it is a waste of health costs. Hence, BPJS will pay more according to INA CBG's tariff. 3       Advanced Health Facilities, in this case a hospital, is also object to having to deal with non-specialist cases, while the case can actually be completed at the first health facility. Handling non-specialist cases in hospitals leads to health services being less well targeted. The hospital will be very busy handling patients who are not supposed to, while patients who really need treatment in the hospital can be neglected. 2       This study aims to analyze factors which influence the commitment of doctors not to refer to non-specialist cases in health centers in the city of Semarang       The study was conducted with a cross sectional quantitative research design. The data were collected by calculating the total results of the questionnaire measurements on each variable with a Likert scale on 73 doctors in 37 health centers spread across the city of Semarang. The study was conducted during March to May 2018.       The results showed that the number of non-specialist cases of BPJS Health participant patients was still relatively high. This has to do with the commitment of doctors at the health center not to refer to non-specialist cases. The most influence factor to the commitment of doctors not to refer to non-specialist cases was the doctor's perception of the completeness of facilities and infrastructure and the doctor's perception of his competence

2018 ◽  
Vol 5 (07) ◽  
pp. 7-13
Author(s):  
Andi St. Umrah ◽  
Andi Kasrida Dahlan

The purpose of this study was to determine the relationship between the use of the injectable contraceptive menstrual disorders in family planning acceptors syringes in health centers-Bone Bone North Luw.This type of research is quantitative research with cross sectional. The sample in this study are acceptor injections that come to visit at the time of the study in Health Center Bone-bone North Luwu in 2015 as many as 41 people with purposive sampling techniques.The results showed there is a relationship between the use of injectable contraceptive with menstrual disorders on injecting kb acceptor- Health Center Bone Bone North Luwu in 2015, where the value of p = 0.000 <value α: 0:05.For midwives who work in the health center Bone-bone further improve the coverage of family planning acceptors and counseling about the side effects of injections on the acceptors. For acceptors are expected to choose appropriate contraception. Keywords : Contraceptive Injections, Menstrual Disorders


Author(s):  
Alireza Jabbari ◽  
Yasamin Molavi Taleghani ◽  
Reza Khadivi ◽  
Marzieh Hadian

Background and purpose: Accurate calculating and evaluating of cost of services would result in clarity on the ways to achieve the desired goals in outsourcing of health centers and health comprehensive centers. The present study was carried out to calculate the total cost of services at one health center before and after assignment to private sector (2014-2016) in Iran. Materials and methods: This research was a descriptive-applied type of study conducted by using cross-sectional method, and based on the data collected from Yazd Abad health center in 2014-2016 and its affiliated and non-affiliated bases. The collected data were analyzed by developed forms, interview, and observation, based on the activity-based costing system. Excel Software was then used to analyze the collected data. Results: The total number of services in nine sub-branches at the target health center was 783231 before assignment and 793589 after assignment. Sum of other costs was 446112820 Rials before assignment and 615112820 after assignment. The mean cost of a one-minute service at the Health Center was 90749 before assignment and 96295 after assignment. Among the nine branches, the highest cost service before and after assignment was related to school health branch and the lowest cost was related to oral health services branch. Discussion: Total cost of each service provided a clear picture of the way of spending the costs in the process of production and providing health services. The research findings suggest that the total cost of services increased after assignment, while this increase was not significant, since the increase in total cost of services might be due to an increase in wages or a non-significant increase in providing the services after assignment. Thus, more studies are needed to assess the effectiveness of comprehensive health centers after assignment to the private sector.


Author(s):  
Putu Suri Saraswati

Background: Job satisfaction can motivate an employee health center work, so it will affect the performance of the employee in performing health services for people in the health center. This study aimed to analyze the relationship between surveillance, advanced untu opportunities and job safety of the employee satisfaction Konawe health centers in the North. Methods: This research is a quantitative research with cross sectional study. The population in this study were all employees of health centers in North Konawe as many as 389 people, while the sample size of 194 respondents were collected by stratified random sampling. Data were collected by questionnaire and analyzed using chi square test and Cramer coefficient. Results: The results showed that chi square of supervision = 40,166, opportunities for advancement = 27,353 and job safety = 12,317. The chi square table is 9,488 at α = 5% and df =4. It means that chi square value > chi square table. Conclusion: There was a relationship between supervision, opportunities for advancement, and job safety with job satisfaction of Puskesmas employees in Konawe Utara Regency.    


2020 ◽  
Vol 2 (2) ◽  
pp. 24-32
Author(s):  
Aloysius S. S. Djuwa ◽  
Masrida Sinaga ◽  
Dominirsep O. Dodo

Public health center with good quality services will provide satisfaction and good perception to customers, which ultimately customers will reuse and recommend the health services to those around them. This will affect repeat purchasing decisions, which will affect consumers about the services provided. Bakunase Public Health Center data for 2016-2018 shows that Bakunase Public Health Center outpatient visits has decreased. The highest decline in outpatient visits to the Bakunase Public Health Center occurred in 2018, amounting to 15,354 visits. The purpose of the study was to analyze the relationship between patients perceptions about the quality of health services with the interest of outpatient visits at the Bakunase Public Health Center. This type of research is quantitative research with cross sectional research design. The population in this study was the average number of monthly outpatient visits at the Bakunase Public Health Center in 2018 of 3,468 people and a sample of 97 people taken using purposive sampling techniques. The results showed a relationship between perceptions of outpatients on the dimensions of reliability, assurance, empathy and direct evidence with the interest of outpatient visits in Bakunase Public Health Center. While the patient's perception of the responsiveness dimension is not related to the interest of outpatient visits at the Bakunase Public Health Center. It is expected that Bakunase Public Health Center can improve the quality of registration services, doctor services, shorten registration times and waiting times to get services.


2020 ◽  
pp. 105-112
Author(s):  
Sri Sularsih Endartiwi

Puskesmas Kotagede I Kodya Yogyakarta dan Puskesmas Bambanglipuro Kabupaten Bantul merupakan pelayanan publik yang memberikan pelayanan kesehatan kepada masyarakat. Masyarakat yang memanfaatkan pelayanan kesehatan di kedua puskesmas tersebut masih memberikan keluhan terkait dengan pelayanan seperti antrean di pendaftaran yang lama, ruang tunggu yang kurang karena pada waktu pasien banyak maka menunggu antreannya harus berdiri. Lama waktu tunggu antara 15 sampai 30 menit. Waktu tunggu di pelayanan farmasi atau obat juga lama kurang lebih 30 menit bahkan bisa sampai 1 jam pada waktu pengunjungnya banyak. Penelitian bertujuan untuk menentukan Indeks Kepuasan Masyarakat (IKM) yang memanfaatkan pelayanan kesehatan di puskesmas Yogyakarta. Jenis penelitian adalah penelitian survei dengan menggunakan metode deskriptif kuantitatif dengan rancangan penelitian cross sectional. Populasi penelitian ini adalah seluruh pasien peserta BPJS Kesehatan yang memanfaatkan pelayanan rawat jalan di Puskesmas Kotagede I dan Bambanglipuro. Sampel diambil secara quota sampling sebanyak 100 peserta BPJS Kesehatan, dari Puskesmas Kotagede I sebanyak 50 orang dan dari Puskesmas Bambanglipuro Bantul sebanyak 50 orang. Penelitian dilaksanakan di Puskesmas Kotagede I dan Bambanglipuro Bantul pada November 2018. Data dianalisis menggunakan perhitungan Indeks Kepuasan Masyarakat  dan disajikan dalam bentuk tabel. Hasil nilai indeks kepuasan masyarakat sebesar 3,04732 dan setelah dikonversikan sebesar 76,183 menunjukkan bahwa mutu pelayanan di Pelayanan Rawat Jalan Peserta BPJS Kesehatan di Puskesmas Yogyakarta berada pada kategori “B” atau kinerja unit pelayanan “Baik”. Unsur pelayanan tertinggi adalah unsur keamanan pelayanan yaitu sebesar 3.12 dan yang terendah adalah unsur prosedur pelayanan senilai  2,94. Kesimpulan indeks kepuasan masyarakat terhadap mutu pelayanan kesehatan di puskesmas adalah Baik.   Kotagede I Health Center, Yogyakarta District, and Bambanglipuro Health Center, Bantul District are public services that provide health services to the surrounding community. People who use health services in both health centers still give some complaints related to the services they receive such as queues at longtime registration, lack of waiting room because when there are many patients waiting for the queue to stand up. In addition, the waiting time at the time of the examination is also approximately 15 to 30 minutes. The waiting time in pharmaceutical or drug services also takes approximately 30 minutes or even up to 1 hour when there are many visitors. This study’s objective is to determine the Community Satisfaction Index  that utilizes health services in Yogyakarta health centers. This type of research is survey research using quantitative descriptive methods with a cross-sectional research design. The population in this study were all patients participating who use outpatient services at the Kotagede I and Bambanglipuro Health Center. Samples were taken by quota sampling with a total of 100 patients, from the Kotagede I health center as many as 50 people and from the Bambanglipuro Health Center Bantul as many as 50 people. The study was conducted at the Kotagede I and Bambanglipuro Health Center in November 2018. Quantitative data were analyzed using the calculation of the Community Satisfaction Index and presented in tabular form. The results of the community satisfaction index of 3.04732 and after being converted were 76.183 indicating that the quality of service in the Outpatient Services at the Yogyakarta Public Health Center was in the "B" category or the "Good" service unit performance. The highest service element is obtained service security element that is equal to 3.12 and the lowest is service element worth 2.94.


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Mariene Wiwin Dolang

Objectives: The purpose of this study was to analyze the association of consuming Fe tablets and the regularity of ANC visits with the incidence of anemia in pregnant women in the health center passo the city of Ambon.  Methods: The research design used in this study was analytic observational with a cross sectional study. The population is all pregnant women in the puskesmas working area pass the city from January to December 2017 using the total sampling technique. The sample in this study was 115 mothers. Results: The results showed the relationship between participation in consuming Fe tablets (p = 0,000) and regularity of ANC visits (p = 0.021) with the incidence of anemia in pregnant women at the health center passo in Ambon city. Conclusion: The conclusion in this study has to do with consuming Fe tablets and between the regularity of ANC visits and the incidence of anemia in pregnant women in the health center passo the city of Ambon. Needed for pregnant women to routinely carry out checks. Problems with anemia, special anemia can be detected and treated early.


2020 ◽  
Vol 6 (1) ◽  
pp. 21-25
Author(s):  
Fitriani Nasution

ABSTRAK   Pemberian ASI eksklusif adalah intervensi paling efektif untuk mencegah kematian anak namun menurut Survei Demografi Kesehatan Indonesia (SDKI), tingkat pemberian ASI eksklusif telah menurun selama dekade terakhir. Puskesmas Kota Rantauprapat mempunyai cakupan ASI eksklusif pada tahun 2013 paling rendah dibandingkan puskesmas yang lainnya, yakni sebesar 11,50%. Tujuan penelitian adalah untuk mengetahui hubungan dukungan suami dengan pemberian ASI eksklusif di Puskesmas Kota Rantauprapat Kabupaten Labuhan batu Tahun 2016. Jenis penelitian survei analitik dengan pendekatan cross sectional. Populasi adalah seluruh ibu yang mempunyai bayi usia 7-12 bulan sebanyak 710 orang, sedangkan sampel sebanyak 106 orang. Pengumpulan data dilakukan dengan wawancara. Analisa data dengan Chi Square. Hasil penelitian menunjukkan p=0,014<0,05,artinya ada hubungan yang signifikan antara dukungan suami dengan pemberian ASI eksklusif.  di Puskesmas Kota Rantauprapat. Disarankan kepada Petugas kesehatan Puskesmas Kota Rantauprapat agar lebih meningkatkan upaya cakupan pemberian ASI eksklusif melalui penyuluhan langsung kepada ibu hamil dan diharapkan dapat didampingi oleh suami, sehingga suami dapat memberikan dukungan kepada ibu dalam pemberian ASI ekslusif.   Kata Kunci     :  Dukungan Suami, ASI Eksklusif ABSTRACT   Exclusive breastfeeding is the most effective intervention to prevent child deaths but according to the Indonesian Health Demographic Survey (SDKI), the rate of exclusive breastfeeding has declined over the past decade. Rantauprapat City Health Center had the lowest exclusive breastfeeding coverage in 2013 compared to other health centers, which was 11.50%. The purpose of this study was to determine the relationship between husband's support and exclusive breastfeeding at the Rantauprapat City Health Center in Labuhan Batu Regency in 2016. The type of analytic survey research was cross sectional approach. The population is all mothers who have babies aged 7-12 months as many as 710 people, while the sample is 106 people. Data collection is done by interview. Data analysis with Chi Square. The results showed p = 0.014 <0.05, meaning that there was a significant relationship between husband's support and exclusive breastfeeding. at the Rantauprapat City Health Center. It is recommended to health workers in the City of Rantauprapat Health Center to further increase efforts to provide exclusive breastfeeding through direct counseling to pregnant women and hopefully be accompanied by her husband, so that the husband can provide support to mothers in exclusive breastfeeding.


2019 ◽  
Vol 22 (3) ◽  
Author(s):  
Iin Nurlinawati ◽  
Rosita Rosita ◽  
Sefrina Werni

Referral System for Individual Health Services states that health services are conducted in stages according to medical needs, starting from basic, second, and then third level health . The BPJS standard on the referral ratio limitation from health center to hospital is 15%. A total of 22 out of 32 health centers (69%) in Depok have referral ratios above 15%. This study was to identify factors infl uencing high referral ratios at health centers in Depok..This study was implemented from March to October 2017 by cross sectional design. The population was 32 health centers in Depok. Samples were health centers in Depok registered by BPJS as FKTP. There were 12 health centers, each 6 with high and low referrals. The sample of health workers were providers such as: doctors and dentist, heads of health centers and health offi ces. The results showed that the most referenced disease was a refraction disorder, unspecifi ed. Most primary health care with a high referral ratio (> 15%) did not have the required compulsory services at the primary health care, especially emergency and laboratory services (66.7%). The type of health personnel was less than that at Permenkes 75 of 2014 (83.3%). Facilities and infrastructure in health center were out of standards. Less drugs supplies also affected to referral. Suggestion: The government needs to provide more types of services, numbers of health workers and infrastructure in order to support the capacity of the health centre as well as better services . Abstrak Sistem Rujukan Pelayanan Kesehatan Perorangan menyebutkan bahwa pelayanan kesehatan dilaksanakan secara berjenjang sesuai kebutuhan medis, dimulai dari pelayanan dasar ke pelayanan kesehatan tingkat kedua berlanjut ke tingkat ketiga. Standar BPJS mengenai batasan rasio rujukan puskesmas ke pelayanan kesehatan tingkat lanjut maksimal 15%. Sebanyak 22 puskesmas (69%) dari 32 puskesmas di Kota Depok yang memiliki rasio rujukan diatas 15%. Penelitian ini bertujuan untuk memberikan gambaran faktor yang mempengaruhi rasio rujukan tinggi di puskesmas Kota Depok. Penelitian dilaksanakan pada bulan Maret sampai Oktober 2017. Metode yang digunakan adalah cross sectional (potong lintang). Populasi penelitian sebanyak 32 puskesmas di Kota Depok. Sampel yang diambil adalah puskesmas Kota Depok yang telah terdaftar pada BPJS sebagai FKTP sebanyak 12 puskesmas, 6 puskesmas dengan rujukan tinggi dan 6 puskesmas dengan rujukan rendah. Sampel tenaga kesehatan yang diwawancara meliputi pemberi pelayanan (dokter dan dokter gigi), kepala puskesmas dan Kepala Bidang Yankes Dinas Kesehatan. Hasil penelitian menunjukkan bahwa penyakit yang paling banyak dirujuk adalah disorder of refraction, unspecifi ed (kelainan refraksi mata). Sebagian besar puskesmas dengan rasio rujukannya tinggi (>15%) tidak memiliki kelengkapan pelayanan yang wajib ada di puskesmas terutama pelayanan gawat darurat dan laboratorium (66,7%). Jenis tenaga kesehatan kurang dari jumlah yang ada berdasarkan Permenkes 75 tahun 2014 (83,3%). Sarana dan prasarana belum sesuai dengan standar yang harus ada di puskesmas. Obat-obatan yang tidak tersedia di puskesmas menjadi salah satu alasan melakukan rujukan. Saran: Pemerintah harus selalu berupaya melengkapi jenis pelayanan, tenaga kesehatan dan sarana prasarana di puskesmas, agar kemampuan puskesmas dalam memberikan pelayanan menjadi lebih baik lagi.  


2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Febriyeni Febriyeni

<pre>Chronic Energy Deficiency is a situation where the nutritional status someone is on the Less Good Condition. Among the 22 health centers in the district of Lima Puluh Kota, CED highest coverage at the health center are Banja Laweh Namely Case 17 (16.50%) of 103 pregnant mothers. Preliminary Survey of 10 pregnant women at health centers Banja Laweh, note 4 people (40%) of them suffered CED. Based on the findings of interviews stating Not pregnant women know the importance of the size upper arm circumference on Against her pregnancy, in addition to pregnant women consume no food Diversified, because lust Eating Less and Economics not sufficient. Objectives for review determine factors related to the occurrence of Chronic energy deficiency on pregnant women. Methods descriptive analytic with cross sectional approach. Data collection is done on Date in January-February 2017. CASE is a whole population of pregnant women in the region are working Health Center Banja Laweh Year 2017, amounted to 55 people, with sampling total sampling. Operating data analysis using univariate and bivariate statistical test Chi Square. Results of univariate analysis 87,3% of respondents experienced Genesis not CED, (60,0%) High Knowledge, (56,4%) Economy High, and 61,8% of Eating Well. Bivariate analysis known Relationship of Knowledge (p = 0.013 and OR = 12,000, Economics (p = 0.035 and OR = 10,000), and Diet (p = 0.019 and OR = 13,200) with the Genesis CED pregnant women. Can be concluded that the factors related to the occurrence of CED pregnant women is Science, Economics and the Diet. Expected to conduct monitoring of the health center and Supervision of pregnant women at risk Against The Genesis CED, so the negative impact of the CED can be addressed early on.</pre>


Author(s):  
Wulan Citra Sari, Ana Safitri Wulan Citra Sari, Ana Safitri

ABSTRAK   Pneumonia masih merupakan masalah kesehatan yang penting karena menyebabkan kematian bayi dan balita yang cukup tinggi yaitu kira-kira satu dari empat kematian yang terjadi. Tujuan penelitian ini adalah diketahuinya hubungan antara umur balita dan pengetahuan ibu dengan kejadian pneumonia pada balita di Puskesmas Cambai tahun 2016. Penelitian ini menggunakan metode Survey Analitik dengan pendekatan Cross Sectional. Populasi pada penelitian ini adalah semua ibu yang membawa atau memeriksakan balitanya yang umur < 5 tahun di Puskesmas Cambai tahun 2016, pada saat penelitian. Pengambilan sampel tersebut secara Non Random dengan teknik Accidental Sampling. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan ada hubungan antara umur balita dan pengetahuan ibu dengan kejadian pneumonia pada balita di Puskesmas Cambai tahun 2016. Dari hasil penelitian ini, peneliti berharap petugas pelayanan kesehatan dapat meningkatkan pelayanan kesehatan bayi dan balita di Puskesmas Cambai , serta lebih sering melaksanakan penyuluhan tentang pneumonia dan penyuluhan mengenai makanan 4 sehat 5 sempurna, agar terciptanya balita sehat.     ABSTRACT Pneumonia is an important health problem because it causes the death of infants and toddlers are quite high, roughly one in four deaths. The purpose of this study is known huubungan between toddler age and maternal knowledge with pneumonia incidence in infants in health centers Cambai 2016. This study used a survey method with the Analytical cross-sectional approach. The population in this study were all mothers who carry their babies or check the age < 5 years at Health Center Cambai in 2016, at the time of the study. The sampling is non- random with accidental sampling technique. Data analysis was done using univariate and bivariate statistical test Chi - Square with significance level α = 0.05. The results of this study showed association between maternal age and knowledge toddlers with pneumonia incidence in infants in Health Center Cambai in 2016. From these results, researchers expect health care workers to improve health services in health centers babies and toddlers Cambai, and more frequently to conduct information about pneumonia and counseling about 4 healthy 5 perfect food , in order to create a healthy toddler.


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