scholarly journals Calculating the Total Cost of Services at One Health Center Before and After Assignment (2014-2016)

2020 ◽  
Author(s):  
Alireza Jabbari ◽  
Yasamin Molavi Taleghani ◽  
Reza Khadivi ◽  
Marzieh Hadian
Keyword(s):  
Health Services ◽  
Private Sector ◽  
Health Center ◽  
School Health ◽  
One Health ◽  
Health Centers ◽  
Activity Based Costing ◽  
Cross Sectional ◽  
Total Cost ◽  
Before And After

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.

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
Keyword(s):  
Health Services ◽  
Health Center ◽  
Health Facility ◽  
Research Design ◽  
Quantitative Research ◽  
Influence Factor ◽  
Health Centers ◽  
Health Costs ◽  
Cross Sectional ◽  
The City

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

scholarly journals INDEKS KEPUASAN MASYARAKAT (IKM) TERHADAP PELAYANAN RAWAT JALAN PESERTA BPJS KESEHATAN DI PUSKESMAS YOGYAKARTA

2020 ◽  
pp. 105-112
Author(s):  
Sri Sularsih Endartiwi
Keyword(s):  
Health Services ◽  
Health Center ◽  
Waiting Time ◽  
Health Centers ◽  
Community Satisfaction ◽  
Outpatient Services ◽  
Waiting Room ◽  
Cross Sectional ◽  
Satisfaction Index ◽  
Quota Sampling

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.

scholarly journals Gambaran Faktor Penyebab Rujukan Di Puskesmas Kota Depok

2019 ◽  
Vol 22 (3) ◽  
Author(s):  
Iin Nurlinawati ◽  
Rosita Rosita ◽  
Sefrina Werni
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Center ◽  
Health Workers ◽  
Health Centre ◽  
Health Centers ◽  
Cross Sectional ◽  
Medical Needs ◽  
Primary Health

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.  

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KEKURANGAN ENERGI KRONIS PADA IBU HAMIL

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Febriyeni Febriyeni
Keyword(s):  
Pregnant Women ◽  
Health Center ◽  
Negative Impact ◽  
Univariate Analysis ◽  
Good Condition ◽  
Health Centers ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency

<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>

HUBUNGAN ANTARA UMUR BALITA DAN PENGETAHUAN IBU DENGAN KEJADIAN PNEUMONIA PADA BALITA DI PUSKESMAS CAMBAI TAHUN 2016

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Wulan Citra Sari, Ana Safitri Wulan Citra Sari, Ana Safitri
Keyword(s):  
Health Center ◽  
Sampling Technique ◽  
Health Centers ◽  
Survey Method ◽  
Maternal Knowledge ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Care Workers ◽  
Important Health

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.

IMPACT OF JOINT COMMISSION INTERNATIONALACCREDITATION (JCIA) ON HEALTH CARE PROCESSES AND THE CHALLENGES FACED BY PHYSICIANS AND NURSES.

2021 ◽  
pp. 34-35
Author(s):  
Binu Thomas ◽  
Ankur Joshi
Keyword(s):  
Health Care ◽  
Employee Engagement ◽  
Interdisciplinary Collaboration ◽  
Joint Commission ◽  
Health Centers ◽  
Cross Sectional ◽  
Care Processes ◽  
Before And After ◽  
Collaboration And Communication ◽  
The Impact

Purpose: To evaluate the impact of joint commission international accreditation on health care processes as well as to assess the challenges faced by the physicians and nurses . Method: Conducted a cross sectional study in 11 health centers belong to Dubai health authority. Prepared a checklist and questionnaire to assess the changes in the processes brought by accreditation as well as the challenges faced by employees respectively. Studied perceived challenges by recruiting physician (n=106) and nurses (n=194) using convenience sampling technique. Done content validity of the tools with clinical quality experts. Conducted pilot study for the questionnaire and checked the reliability using Cronbach alpha (0.924). After obtaining ethical clearance and consent from subjects, the researcher visited health centers and administered questionnaire to the participants. To evaluate the process improvements, the researcher audited documents for the availability of processes before and after accreditation using the validated checklist, which consisted of 25 processes reecting various domains of quality, employee engagement, interdisciplinary collaboration and communication. Results: Observed tremendous improvements in the availability of processes. The proportion of processes before and after the accreditation was statistically signicantly different (p <.001) for quality of health care. However for employee engagement (p=.250) and interdisciplinary collaboration and communication (p=1.000) no statistical signicance were noted even though there were signicant improvements. Majority (57.5%) of doctors and nurses perceived that the accreditation processes were challenging. Discussion: Observed processes improvements ensuring quality, employee engagement, interdisciplinary collaboration and communication after accreditation.However,majority ofthe employees perceived that, the accreditationwas challenging in terms ofworkload, communication and documentation.

scholarly journals Relationship with the Regularity of Visits Complications of Hypertension in Patients more than 45 years old

2014 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
Wahyu Wijayanto ◽  
Prijono Satyabakti
Keyword(s):  
Health Center ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Excessive Consumption ◽  
Level Of Knowledge ◽  
Cross Tabulation ◽  
Hypertension Knowledge ◽  
The Relationship

  ABSTRACTHypertension being a risk factor for the entrance of various degenerative diseases such as coronary heart disease, stroke and other vascular Penyait. One factor that may increase the risk of hypertension one of them is poor lifestyle such as smoking, excessive consumption of salt in the diet and lack of exercise. This study was conducted to determine the level of knowledge about the relationship with the regularity of visits Complications of Hypertension Hypertension in Patients 45 years of age at the Tembok Dukuh  health center at Surabaya. The study was an observational cross-sectional study design. Sample size were 48 people that hypertensive patients more than 45 years old  who were treated at the Tembok Dukuh  health center. Independent variables, namely knowledge about the complications of hypertension patients and dependent variable is the regularity of visits to theTembok Dukuh health center patients with hypertension  Data analysis using the crosstab tes The results with cross-tabulation (crosstab) can be seen as many as 30 people from 48 respondents have less knowledge and affect the regularity of visits to the Tembok Dukuh health center. The conclusion can be drawn that most hypertensive patients more than 45 years old whose came to Tembok Dukuh  health centers has less knowledge about hypertension complications that result in hypertensive patients regularity of visits decreasedKeyword : hypertension, knowledge, regularity of visits 

scholarly journals Efektivitas Pemberian Makanan Tambahan (PMT) Pemulihan Pada Status Gizi Balita di Wilayah Kerja Puskesmas Simomulyo, Surabaya

2020 ◽  
Vol 4 (1) ◽  
pp. 58
Author(s):  
Arum Sekar Rahayuning Putri ◽  
Trias Mahmudiono
Keyword(s):  
Nutritional Status ◽  
Health Center ◽  
Supplemental Feeding ◽  
Cross Sectional ◽  
Significance Level ◽  
Supplementary Food ◽  
Children Under Five ◽  
Under Five ◽  
Before And After ◽  
Nutritional Status Of Children

Background: One of the efforts made in overcoming malnutrition in the toddler age group is by implementing a Recovery Supplementary Feeding program.Objectives: The purpose of this study was to analyze the differences in nutritional status of children based on weight for height before and after the Supplementary Food Recovery and differences in nutritional status of children after Supplementary Food Recovery and when they had not received Supplementary Food Recovery in the Simomulyo Community Health Center work area.Methods: This study was observational study using case-control design. A total of 38 toddlers with history of obtaining Supplemental Feeding Recovery (PMT) Program in the working area of Simomulyo Health Center were randomly selected. Nutritional status of toddlers is obtained using anthropometric methods of body weight and height / body length. Statistically tested using t-test paired with a significance level of <0.05.Results: After not getting Supplemental Feeding Recovery, it was found that 2.6% of children under five severely wasting, 34.2% wasting, and 63.2% had normal nutritional status. There was a decrease in the percentage of infants with normal nutritional status compared to after completing PMT Recovery program from 68.4% to 63.2%. There were no significant differences in nutritional status of children before and after the program (p=0.585). There was no difference between the nutritional status of children under five after the program and when they had not received the program (p=0.430)Conclusions: There was no difference in nutritional status of children (weight-for-height) before and after Supplemental Feeding Recovery Program.ABSTRAK  Latar Belakang: Upaya yang dilakukan dalam mengatasi kekurangan gizi pada kelompok usia balita adalah program Pemberian Makanan Tambahan (PMT) Pemulihan.Tujuan: Penelitian ini dilakukan bertujuan untuk menganalisis adanya perbedaan pada status gizi balita berasarkan BB/TB sebelum dan setelah Pemberian Makanan Tambahan (PMT) Pemulihan serta perbedaan status gizi balita setelah PMT Pemulihan dan saat sudah tidak mendapat PMT Pemulihan di wilayah kerja Puskesmas Simomulyo.Metode: Penelitian ini adalah peneitian observasional dengan desain penelitan cross sectional. Lokasi penelitian adalah di wilayah kerja Puskemas Simomulyo, Surabaya. Sebanyak 38 balita dengan riwayat mendapat PMT Pemulihan dipilih secara acak menggunakan metode simple random sampling. Status gizi balita didapat menggunakan metode antropometri berat badan dan tinggi/panjang badan. Indeks BB/TB digunakan dalam penilaian status gizi dengan alasan sasaran utama PMT Pemulihan adalah balita dengan status gizi kurus.  Uji secara statistik dilakukan menggunakan uji t berpasangan dengan tingkat signifikansi <0,05.Hasil: Setelah 3 bulan mendapat PMT Pemulihan ada peningkatan persentase balita dengan status gizi normal dari 65,8% menjadi 68,4%. Setelah tidak mendapat PMT Pemulihan ada penurunan persentase balita dengan status gizi normal menjadi 63,2%. Tidak ada perbedaan yang bermakna status gizi balita berasarkan BB/TB sebelum dan setelah PMT Pemulihan (p=0,585). Tidak ada perbedaan pada status gizi dapat disebabkan oleh konsumsi PMT yang belum optimal. Begitu juga diketahui tidak ada perbedaan yang bermakana status gizi balita setelah PMT Pemulihan dan saat sudah tidak mendapat PMT Pemulihan (p=0,430).Kesimpulan: Tidak ada perbedaan pada status gizi balita dengan indeks antropometri BB/TB saat sebelum PMT Pemulihan dan setelah PMT Pemulihan.

scholarly journals HUBUNGAN PENDIDIKAN, AKSES PELAYANAN KESEHATAN DAN DUKUNGAN KELUARGA DENGAN PEMANFAATAN PELAYANAN KESEHATAN PENDERITA TB PARU BTA+ DI PUSKESMAS JANTI KOTA MALANG

2019 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Alfreda Dinayu Purbantari ◽  
Roesdiyanto Roesdiyanto ◽  
Nurnaningsih Herya Ulfah
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Health Center ◽  
Family Support ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Education Access ◽  
Utilization Of Health Services ◽  
Access To Health

Abstract: Tuberculosis (TB) is a contagious disease that is still the world's attention, Until now, there is not a single country that is free of TB (Kemenkes 2011). Public Health Center (puskesmas) Janti is a puskesmas where the number of TB BTA+ sufferers increases every year while the number of treatment success rate at Puskesmas Janti decreases every year. In 2013 is 96%, in 2014 is 87,50% and in 2015 is 85,37%. Increasing the number of patients and decreasing the number of success rates of treatment indicates that the utilization of health services is less. This study aims to find out the relationship of Education, Health Service Access and Family Support with Health Service Utilization of BTA+ Pulmonary TB Patients at Public Health Center (puskesmas) Janti Malang. The design of this study is quantitative correlation with samples of all patients with TB Paru + BTA who are still doing treatment at Puskesmas Janti in September 2016 until April 2017. The analysis used correlation test and logistic regression test with cross sectional approach. The results of the research analysis found that there is a significant relationship between education, access to health services and family support together with the utilization of health services of patients Tb Paru BTA+. Based on the results of determination coefficient R2 (Nagelkerke) of 0.619, this means that education (X1), access to health services (X2), and family support (X3) has contributed 61.9% to the utilization of health services of patients with TB Paru BTA+ at Puskesmas Janti.Keywords: education, access, family support, health service utilizationAbstrak: Tuberkulosis (TB) adalah penyakit menular yang masih menjadi perhatian dunia, hingga saat ini, belum ada satu negara pun yang bebas TB (Kemenkes 2011). Puskesmas Janti adalah satu puskesmas yang berada di Kota Malang dengan jumlah pasien TB Paru BTA+ yang paling tinggi dan meningkat setiap tahun diantara puskesmas yang lain di Kota Malang, sedangkan jumlah angka keberhasilan pengobatan di Puskesmas Janti mengalami penurunan setiap tahun. Tahun 2013 sebesar 96%, pada tahun 2014 sebesar 87,50% dan pada tahun 2015 sebesar 85,37%. Peningkatan jumlah penderita dan penurunan jumlah angka keberhasilan pengobatan menunjukkan bahwa pemanfaatan pelayanan kesehatan kurang. Penelitian ini bertujuan untuk mengetahui Hubungan Pendidikan, Akses Pelayanan Kesehatan dan Dukungan Keluarga dengan Pemanfaatan Pelayanan Kesehatan Penderita TB Paru BTA+ di Puskesmas Janti Kota Malang. Rancangan penelitian ini adalah kuantitatif korelasional dengan sampel seluruh penderita TB Paru BTA+ yang masih melakukan pengobatan di Puskesmas Janti pada bulan September 2016 sampai dengan April 2017. Analisis menggunakan uji korelasi dan uji regresi logistik dengan pendekatan cross sectional. Hasil analisis penelitian di dapatkan ada hubungan yang dignifikan antara pendidikan, akses pelayanan kesehatan dan dukungan keluarga secara bersama-sama dengan pemanfaatan pelayanan kesehatan penderita Tb Paru BTA+. Berdasarkan hasil koefisien determinasi R2 (Nagelkerke) sebesar 0,619, hal ini berarti bahwa pendidikan (X1), akses pelayanan kesehatan (X2), dan dukungan keluarga (X3) memiliki kontribusi sebesar 61,9% terhadap pemanfaatan pelayanan kesehatan penderita TB Paru BTA+ di Puskesmas Janti.Kata Kunci:    pendidikan, akses pelayanan kesehatan, dukungan keluarga, pemanfaatan pelayanan kesehatan penderita TB Paru BTA+

scholarly journals Penerapan UKS dengan PHBS di Wilayah Kerja Puskesmas Pancur Batu Kabupaten Deli Serdang

2018 ◽  
Vol 17 (1) ◽  
pp. 16
Author(s):  
Pomarida Simbolon ◽  
Lindawati Simorangkir
Keyword(s):  
Health Center ◽  
School Health ◽  
Health Department ◽  
Health Problems ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Basic Sanitation ◽  
Cross Sectional Design ◽  
Relationship Of

Latar belakang: Anak usia sekolah merupakan masa keemasan untuk menanamkan nilai-nilai Hidup Bersih dan Sehat (PHBS) dan mempromosikannya dalam sekolah, keluarga maupun masyarakat. Masalah kesehatan anak sekolah merupakan masalah yang berkaitan dengan PHBS, seperti kecacingan, diare, karies gigi/gigi berlobang, masalah yang berkaitan dengan faktor berisiko, masalah gizi serta gangguan kesehatan yang berkaitan dengan sanitasi dasar yang kurang memenuhi syarat kesehatan. PHBS harus dilakukan dengan baik, bila tidak dilakukan dengan baik akan menimbulkan dampak yang tidak diinginkan dan penerapannya melalui pembinaan Usaha Kesehatan Sekolah (UKS).Persentase UKS 56% belum diterapkan di sekolah wilayah kerja Puskesmas Hamparan Perak. Penelitian ini bertujuan untuk menganalisis hubungan penerapan UKS dengan PHBS di Wilayah Kerja Puskesmas Pancur BatuMetode:Penelitian ini merupakan observasional analitik dengan desain cross sectional. Pupulasi penelitian adalah seluruh sekolah yang ada di wilayah kerja Puskesmas Pancur Batu sebanyak 34 sekolah dengan total sampling. Pengumpulan data menggunakan kuesioner dengan uji chi-square.Hasil: Hasil penelitian menunjukkan bahwa 64,7% UKS tidak diterapkan dan 52,9% pelaksanaan PHBS kurang. Hasil uji statistik menunjukkan ada hubungan signifikan antara penerapan UKS dengan pelaksanaan PHBS di wilayah kerja Puskesmas Pancur Batu (p value = 0,04).Simpulan: Disarankan adanya kebijakan dari dinas kesehatan dan UPT Dinas Pendidikan  bekerja sama dengan kepala sekolah untuk mengaktifkan kembali UKS.ABSTRACTTitle: Aplication UKS with PHBS in Pancur Batu Health Center Working Area Deli Serdang DistrictBackground: School children are a golden age to instill the values of Clean and Healthy Life (PHBS) and promotions in schools, family and community. Health problems from children are issues about PHBS, such as worm infections, diarrhea, dental caries / teeth, problems associated with risk factors, nutritional problems and health problems associated with basic sanitation that not complited about health requirements.PHBS should be done well, if they are not do it so getting an unwanted impact and its application through the development of School Health Units (UKS). The percentage of UKS 56% has not been implemented in primary school Pancur batu health center Working Area. This research aims to analyze the relationship of aplication UKS with implementation PHBS in Pancur Batu health center Working Area.Method:This research was an analytic observational with cross sectional design. Pupulation of research was all schools that exist in Pancur batu health center Working Area as many as 34 schools with total sampling. Data were collected using questionnaires with chi-square testResult:The results showed that 64.7% of UKS were not implemented and 52.9% of PHBS implementation was lacking. The result of the statistic shows that there was a correlation between the application of UKS with implementation of PHBS in the working area of Pancur Batu  Health Center of Deli Serdang districtConclusion: Suggestion that policy from health department and UPT of Education Office cooperation with headmaster to reactivate UKS.

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