scholarly journals ANALYSIS OF HEALTH SERVICE RETRIBUTION RATES FOR PRIMARY HEALTHCARE CENTERS IN CIMAHI CITY

2021 ◽  
Vol 16 (3) ◽  
pp. 472
Author(s):  
Budiman Budiman ◽  
Ayu Laili Rahmiyati ◽  
Lina Safarina
Keyword(s):  
Public Health ◽  
Health Service ◽  
Raw Materials ◽  
Unit Cost ◽  
Research Result ◽  
Cost Calculation ◽  
Public Health Services ◽  
Total Cost ◽  
Descriptive Research ◽  
Qualitative Descriptive

ABSTRACTRetribution Tariff of Public Health Center (Puskesmas) in Cimahi City is regulated according to Regulation of Retribution Tariff according to Regulation No. 8 Year 2011. Based on the tariff value from 2011 until now still valid with same tariff. Based on the above, it is necessary to evaluate the tariff compared with the increase of the price of health equipment and the operational cost of other puskesmas supporting the puskesmas service, which increases annually.. The purpose of this research is to analyze the tariff of puskesmas. This research method is qualitative descriptive research. Result of research indicate that tariff of puskesmas service there are several alternatives along with the increase of tools, drugs and raw materials, this becomes the base of tariff policy consideration, with consideration of price increase of puskesmas tariff or addition of health budget subsidy in Cimahi City. Conclusion: Based on the unit cost of indirect cost calculation tariff of public health service Rp 26,973, -. Based on the total cost (total cost) of public health services Rp 62,529, - Based on the comparison of other city tariffs from the mayor regulation of 2011-2012 is Rp 2000, - to Rp 4000, -. Based on the proposals from the Disccusion Focus Group (FGD), several public health centers in Cimahi City, on average, were Rp 8,500. Based on the academic proposal, the average inflation rate (Rp 11,000), ability to pay (Rp 9,475, -) cost (Rp 11,507), generic drug cost (Rp 6,556, -), average proposals of puskesmas (Rp 8,500, -), namely: Rp 11,567, - rounded Rp 11.000, -. Keywords: Analysis, Retribution Tariff of Puskesmas

scholarly journals Membangun Komunikasi dalam Sinergi Pelayanan Kesehatan di Kabupaten Bandung

2020 ◽  
Vol 14 (1) ◽  
pp. 17-28
Author(s):  
Ditha Prasanti ◽  
Ikhsan Fuady ◽  
Sri Seti Indriani
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Active Role ◽  
Communication Process ◽  
Public Health Services ◽  
District Health ◽  
The Government ◽  
The One ◽  
The Village

The "one data" policy driven by the government through the Ministry of Health is believed to be able to innovate and give a new face to health services. Of course, the improvement of health services starts from the smallest and lowest layers, namely Polindes. Starting from this policy and the finding of relatively low public health service problems, the authors see a health service in Polindes, which contributes positively to improving the quality of public health services. The health service is the author's view of the communication perspective through the study of Communication in the Synergy of Public Health Services Polindes (Village Maternity Post) in Tarumajaya Village, Kertasari District, Bandung Regency. The method used in this research is a case study. The results of the study revealed that public health services in Polindes are inseparable from the communication process that exists in the village. The verbal communication process includes positive synergy between the communicator and the communicant. In this case, the communicators are village midwives, village officials, namely the village head and his staff, the sub-district health center, and the active role of the village cadres involved. In contrast, the communicant that was targeted was the community in the village of Tarumajaya. This positive synergy results in a marked increase in public services, namely by providing new facilities in the village, RTK (Birth Waiting Home).   Kebijakan “one data” yang dimotori oleh pemerintah melalui Kementerian kesehatan diyakini mampu membuat inovasi dan memberikan wajah baru terhadap layanan kesehatan. Tentunya, perbaikan layanan kesehatan tersebut dimulai dari lapisan terkecil dan terbawah yakni Polindes. Berawal dari kebijakan tersebut dan masih ditemukannya masalah pelayanan kesehatan publik yang relatif rendah, penulis melihat sebuah layanan kesehatan di Polindes, yang memberikan kontribusi positif dalam peningkatan kualitas layanan kesehatan masyarakat. Pelayanan kesahatan tersebut penulis lihat dari perpektif komunikasi melaui penelitian Komunikasi dalam Sinergi Pelayanan Kesehatan Publik Polindes (Pos Bersalin Desa) di Desa Tarumajaya, Kecamatan Kertasari, Kabupaten Bandung ini dilakukan. Metode yang digunakan dalam penelitian ini adalah studi kasus. Hasil penelitian mengungkapkan bahwa pelayanan kesehatan publik di Polindes, tidak terlepas dari adanya proses komunikasi yang terjalin di desa tersebut. Proses komunikasi verbal tersebut meliputi sinergitas positif antara pihak komunikator dan komunikan. Dalam hal ini, komunikator tersebut adalah Bidan Desa, Aparat Desa yakni Kepala Desa beserta staffnya, Puskesmas tingkat kecamatan, serta peran aktif dari para kader desa yang terlibat. Sedangkan komunikan yang menjadi target adalah masyarakat di desa Tarumajaya. Sinergitas positif tersebut menghasilkan peningkatan pelayanan publik yang nyata, yaitu dengan adanya penyediaan fasilitas baru di desa, RTK (Rumah Tunggu Kelahiran).

scholarly journals PENGARUH PENYULUHAN PENGGUNAAN IUD DENGAN PENGETAHUAN IBU DALAM MENGGUNAKAN ALAT KONTRASEPSI INTRA UTERINE DEVICE (IUD) DI PUSKESMAS SEKINCAU LAMPUNG BARAT TAHUN 2018

2019 ◽  
Vol 13 (1) ◽  
pp. 48-55
Author(s):  
Rilyani Rilyani ◽  
Riska Hediya Putri ◽  
Desy Lestari
Keyword(s):  
Public Health ◽  
Health Service ◽  
Public Health Service ◽  
Intrauterine Device ◽  
Research Result ◽  
Intrauterine Contraceptive Device ◽  
P Value ◽  
Contraceptive Device ◽  
Purposive Sampling ◽  
Intrauterine Contraceptive

KNOWLEDGE IN INTRAUTERINE CONTRACEPTIVE DEVICE (IUD) AMONG USERS OF IUDBackground: Intra Uterine Devices (IUD) is the contraceptive choices that are effective, safe, and convenient for most women.IUD is a reversible contraceptive method most commonly used throughout the world with the use of approximately 100 million women, mostly in China.Purpose: Knowing thateffect of the use of extension knowledge with mother contraception Intrauterine Device (IUD)  at Public Health Service (Puskesmas Sekincau) West Lampung 2018.Methods: This research quantitative, with designQuasi Experimental with one group pretest-postes design approach, total population using slovin formula obtained 96 respondents technique in this research is purposive sampling. The research will be conducted at Public Health Service (Puskesmas Sekincau) West Lampung 2018.Instrument with questionnaire research and statistic test usedT-testResults: Finding thataverage knowledge before given counseling that is Mean 8.15 Standar Deaviasi 2.475 (4-12), after counseling Mean 12.91 Standar Deviasi 1.807 (10-17). Statistical test results T-tes obtained p-value 0.000.Conclusion:There is an effect of the use of extension knowledge with mother contraception Intrauterine Device (IUD)  at Public Health Service (Puskesmas Sekincau) West Lampung 2018.. Suggesting to Management of Public Health Services (Puskesmas)this research result can improve mother's knowledge by doing health counseling with media leaflet so it can increase interest users of  IUD.Keywords: Counseling, Knowledge, Contraception, intrauterine contraceptive device (IUD) Pendahuluan: Berdasarkan data hasil survay yang dilakukan di 5 puskesmas di Kabupaten Lampung Barat pada tahun 2016, pemakaian IUD di Puskesmas Sumber Jaya didapat 62 orang (2.6%) dengan pemasangan IUD dari 1.688 pemasangan alat kontrasepsi, Puskesmas Sekincau 34 orang (3.5%) dari 2.288 pemasangan, Puskesmas Lombok 67 orang (3.1%) dari 2.054 pemasangan, Puskesmas Air Hitam 40 pemasangan (2.0%) dari 1.937 pemasangan, dan Puskesmas Buay Nyerupa sebanyak 58 orang (2.2%) dari 2.532 pemasangan (Data Pemasangan IUD Kab. Lampung Barat, 2016).Tujuan: Diketahui pengaruh  penyuluhan   tentang iud terhadap pengetahuan ibu dengan penggunaan kontrasepsi Intra Uterine Device (IUD) Di Wilayah KerjaPuskesmas Sekincau Lampung Barat Tahun 2018.Metode: Jenis penelitian ini adalah kuantitatif, dengan desain penelitian ini adalah Quasi Eksperimental dengan pendekatan one group pretes-postes design, jumlah populasi sebanyak 2.288, dengan menggunakan rumus slovin didapat 96 teknik sampel dalam penelitian ini adalah purposive sampling. Penelitian akan dilakukan di Wilayah Kerja Puskesmas Sekincau Lampung Barat Tahun2018, dengan instrument penelitian kuisioner dan uji statistic menggunakan ujit-tesHasil: Nilai rata-rata pengetahuan sebelum diberikan penyuluhan yaitu Mean 8.15 Std. Dev 2.475  S. Eror 0.253 nilai benar kuisioner pengetahuan min-max 4-12, setelah penyuluhan Mean 12.91 Std. Dev 1.807 S. Eror 0.184 nilai benar kuisioner pengetahuan min-max 10-17. Hasil uji statistik t-tes didapat nilai p-value 0.000 (<0.05).Simpulan: Terdapat pengaruh penyuluhan  penggunaan IUD dengan pengetahuan ibu dalam menggunakan alat kontrasepsi Intra Uterine Device (IUD) di Wilayah Kerja Puskesmas Sekincau Lampung Barat Tahun 2018. Saran diharapkan hasil penelitian ini dapat meningkatkan pengetahuan ibu dengan cara melakukan penyuluhan kesehatan dengan media penyajian PPT pada slide melalui LCD sehingga dapat meningkatkan minat pengguna KB IUD.

scholarly journals Promotion of Mental Health Rehabilitation in China: Community- Based Mental-Health Services

2020 ◽  
Vol 1 (2) ◽  
pp. 21-27
Author(s):  
Y. Zhu ◽  
X. Li ◽  
M. Zhao
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
National Standards ◽  
Chinese Government ◽  
Public Health Services ◽  
Community Based ◽  
The 1960S

Community-based mental health services are important for the treatment and recovery of patients with mental health disorders. The Chinese government has made the establishment of a highly efficient community-based health service an enduring priority. Since the 1960s, community-based mental health services have been developed in many Chinese cities and provinces. National policies, including mental health regulations and five-year national mental health working plans, have been issued to support the development of quality of mental health services. The accessibility and efficiency of community-based mental health services are now highly promoted to community residents. According to the National Standards for Primary Public Health Services, community-based mental health services are one of the most important components of primary public health services. They are mainly provided via Community Health Service Centres (CHCs), by a combination of general practitioners, public health physicians, nurses and social workers. Patients receive individualized and continuous health services according to their rehabilitation status. These services include regular physical examination, health education, rehabilitation guidance, social function rehabilitation training, vocational training and referral services; family members also receive care and psychological support. Future work will focus on expanding mental health service coverage and usage, increasing awareness of mental health and decreasing stigma, and strengthening service capability to establish an integrated model to enhance the overall efficiency of mental health services.

scholarly journals SOLID MEDICAL WASTE MANAGEMENT COSTS BETWEEN OUTSOURCING AND SELF-MANAGED SYSTEM AT HOSPITAL DURING THE COVID-19 PANDEMIC

2021 ◽  
Vol 10 (2) ◽  
pp. 99-104
Author(s):  
Billy Zia Napoleon Bayusunuputro ◽  
Chriswardani Suryawati ◽  
Nurjazuli Nurjazuli
Keyword(s):  
Public Health ◽  
Health Service ◽  
Waste Management ◽  
Medical Waste ◽  
Maintenance Cost ◽  
Cost Calculation ◽  
Service Programs ◽  
Study Results ◽  
Medical Waste Management ◽  
Document Review

Health service programs aim to improve the level of society’s health. On one side, it will give benefit public health, and on the other side, it will have a bad impact if the process is not managed appropriately. Health service activities produces wastes, one of which is solid waste. It is important to know the problem related to the process and cost of the solid medical waste management, which is part of the B3 wastes (hazardous and toxic wastes). The B3 waste management is under the supervision of public health facilities which have the security and cost responsibilities. The costs include investment cost, maintenance cost, cooperation cost or cost of the third-hand management, and consumable cost. This study compares solid medical waste cost between outsourcing systems and self-management systems in the X hospital during the Covid-19 pandemic. This study uses descriptive research in a qualitative approach through observation, document review, and cost calculation for data collection. The study results show that the process of solid medical waste management has been running well. In addition, self-managed solid medical waste management is cheaper than outsourcing management.

Collaboration and Cooperation of Public Health Service Management in China

2020 ◽  
pp. 1-7
Author(s):  
Wuqi Qiu ◽  
Cordia Chu ◽  
Kun Wang ◽  
Yueli Meng ◽  
Yujie Yang ◽  
...  
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Service Management ◽  
Public Health Service ◽  
Health Management ◽  
Public Information ◽  
Public Health Services ◽  
Health Service Management ◽  
Public Health Management

ABSTRACT Objectives: Collaboration and cooperation are critical for public health management. Nevertheless, collaboration and cooperation between government departments, as well as other entities, are still in a weak condition in China. This article analyzes the status of collaboration and cooperation in the management of public health services in China and explores the problems and gives strategic suggestions for strengthening collaboration and cooperation in the development of public health service systems in China, in order to provide a reference for improvement of public health management in the future. Methods: This study uses a qualitative case study approach, including documents review, in-depth interview, and focus group. Results: The main problems of collaboration and cooperation in public health service management in China include problems of effective collaboration and cooperation between institutions and relevant departments, public information platform, and implementation of public health and health promotion. On this basis, several relevant policy recommendations are put forward. Conclusions: Collaboration and cooperation are critical for the overall coordination and sustainable development of public health in China, and there is still work to be done in order to achieve appropriate cooperation and collaboration between different entities in the provision of public health services.

scholarly journals Studi Kasus Jajanan yang Mengandung Boraks dan Formalin di Taman Kurma Kota Lubuklinggau

2018 ◽  
Vol 1 (2) ◽  
pp. 115-125
Author(s):  
Nopa Nopiyanti ◽  
Yuni Krisnawati ◽  
Septi Heriani
Keyword(s):  
Positive Result ◽  
Formalin Test ◽  
Color Change ◽  
Research Result ◽  
Paper Test ◽  
Street Vendors ◽  
Descriptive Research ◽  
Palm Trees ◽  
Test Kit ◽  
Qualitative Descriptive

The research objective was to find out borax and formalin content in snacks at Lubuklinggau palm trees citypark. The research was a qualitative descriptive research with snacks samples as the object of the research. The data collection was conducted through observation and documentation. The data were analyzed qualitatively through borax and formalin test content by using test kit. The color change on yellow paper test turned into red brownies indicated a positive result of borax content and the color change in the liquid into purple indicated formalin content. The result of the test content with borax and formalin test kit on 187 samples showed the negative result on borax content. The test on formalin content indicated that there were 22 samples that use formalin such as 15 sausage samples, 2 noodle samples, 4 meatball samples and 1 tofu sample. Based on the research result, it can be concluded that the tested samples contain zero borax. In contrast, some snacks contain formalin, such as sausages, noodles, meatballs and fried tofu found at some street vendors. Keywords: snacks , borax, formalin

scholarly journals ENTREPRENEURSHIP FOR DEVELOPING SMALL AND MEDIUM-SCALE FARMERS IN AGRICULTURAL CLUSTER

TRIKONOMIKA ◽  
2020 ◽  
Keyword(s):  
Small And Medium Enterprises ◽  
Research Result ◽  
Entrepreneurship Policy ◽  
Descriptive Research ◽  
Marginalized Groups ◽  
West Sumatra ◽  
Qualitative Descriptive ◽  
Research Questions ◽  
Medium Enterprises

The entrepreneurship possesses the energy to generate innovation and improvement of agricultural clusters. However, it somehow has yet been successful to reach marginalized groups including Small and Medium Enterprises (SMEs) in agricultural clusters. The research questions to be addressed are thus: (1) how public policy at both national and regional levels contribute to entrepreneurship capacity-building in developing agricultural cluster in order to achieve SMEs empowerment. (2) Empiric actuality of entrepreneurship in agricultural cluster development. The research is a qualitative-descriptive research, case study on agricultural cluster at Subdistrict Lembah Gumanti of Solok Regency in the province of West Sumatra. Research result indicates that entrepreneurship policy has indeed yet at its best in the development of SME-based agricultural clusters due to the fact that entrepreneurial policy in agricultural clusters is still dominated by personal/private and corporation-based entrepreneurship.

scholarly journals To the question about the history of municipal public health services (on the example of the provincial town Tomsk)

2002 ◽  
Vol 1 (2) ◽  
pp. 100-102
Author(s):  
A. T. Adamyan
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Public Health Services ◽  
History Of

On the base of archive documents the comparative characteristics of the situation in health service in Tomsk of the beginning of XX century and of modern situation in health service in Tomsk is given.

scholarly journals Perhitungan Biaya Satuan (Unit Cost) Berdasarkan Clinical Pathway Bronkopneumonia Anak di RSUP Prof. Dr. R. D. Kandou Manado Periode Juli 2017- Juni 2018

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Giza E. E. Arikalang ◽  
Edward Nangoy ◽  
Christi D. Mambo
Keyword(s):  
Clinical Pathway ◽  
Random Sampling ◽  
Lung Inflammation ◽  
Pediatric Patients ◽  
Unit Cost ◽  
Cost Calculation ◽  
Inclusion Criteria ◽  
Laboratory Examination ◽  
Total Cost ◽  
The Cost

Abstract: Calculation of unit cost could give some information to healthcare policy. Broncho-pneumonia is a lung inflammation disease that occurs in around 30% of babies with high mortality risk. This study was aimed to determine the general depiction of unit cost calculation for bronchopneumonia among pediatric patients at Prof. Dr. R. D. Kandou Hospital according to clinical pathway. This was an observational retrospective study. Samples were obtained by using random sampling as many as 42 samples that fulfilled inclusion criteria. Processed data included patients’ demography, treatment, and the average of direct cost calculation. The results showed that the implemented therapy consisted of antibiotic, non-antibiotic, fluid therapy, ancillary laboratory examination, radiology, and ancillary diagnostics. Total cost for drugs was Rp. 8,822,455; laboratory Rp. 28,568,725; radiology Rp. 9,912,400; and ancillary diagnostic examination Rp. 7,110,000. Compared to the cost covered by BPJS, the hospital had some excess as follows: drug unit Rp. 958,549, radiology Rp. 1,771,517, and ancillary diagnostic examination Rp. 581,852. For ancillary laboratory examination in the hospital, there was a difference as much as Rp. 1,341,276 less than the the BPJS coverage. Conclusion: There was an excess difference within drug unit, radiology, and ancillary examinations for pediatric bronchopneumonia, while laboratorium unit possess lesser cost than BPJS.Keywords: bronchopneumnonia, cost unitAbstrak: Perhitungan biaya satuan merupakan salah satu informasi masukan dalam pembuatan kebijakan pelayanan. Bronkopneumonia ialah penyakit radang paru yang terjadi pada sekitar 30% anak balita dengan risiko kematian yang tinggi. Penelitian ini bertujuan untuk mendapatkan gambaran perhitungan biaya satuan pada pasien bronkopneumonia anak di RSUP Prof. Dr. R. D. Kandou berdasarkan clinical pathway. Jenis penelitian ialah observasional retrospektif. Sampel penelitian dikumpulkan dengan metode random sampling berjumlah 42 sampel yang memenuhi kriteria inklusi. Data meliputi data demografi pasien, gambaran pengobatan, dan penghitungan rata-rata biaya langsung. Hasil penelitian mendapatkan bahwa terapi yang digunakan ialah antibiotik, non antibiotik, terapi cairan, serta penunjang laboratorium, radiologi, dan penunjang diagnostik. Total biaya untuk obat Rp. 8.822.455, laboratorium Rp. 28.568.725, radiologi Rp. 9.912.400, dan penunjang diagnostik Rp. 7.110.000. Bila dibandingkan dengan biaya tanggungan BPJS, rumah sakit memiliki selisih lebih pada unit obat sebanyak Rp. 958.549, radiologi Rp. 1.771.517, dan penunjang diagnostik Rp. 581.852. Untuk penunjang laboratorium, terdapat selisih kurang sebesar Rp. 1.341.276. Simpulan: Pada pengobatan bronkopneumonia anak terdapat perbedaan selisih lebih pada unit obat, radiologi, dan penunjang diagnostik, serta terdapat selisih kurang pada unit laboratoriumKata kunci: bronkopneumonia, perhitungan biaya satuan

scholarly journals Telling People to Change Their Behaviour Through Implications: An Implicature Analysis on Covid-19 Public Service Announcements in Indonesia

2021 ◽  
Vol 3 (3) ◽  
Author(s):  
Susan Marbun ◽  
Dumaris E. Silalahi ◽  
Herman Herman
Keyword(s):  
Public Health ◽  
Public Service ◽  
Common Knowledge ◽  
Public Service Announcements ◽  
Conversational Implicature ◽  
Health Issues ◽  
Classroom Context ◽  
The Public ◽  
Descriptive Research ◽  
Qualitative Descriptive

Public service announcements (PSAs) are the official way for governments to inform, educate and change public behaviour in order to reduce public health issues, such as Covid-19. This study aims to analyse the types of implicatures in the Covid-19 PSAs published by the Ministry of Health Republic of Indonesia in their Instagram account, @kemenkes_ri, in order to fill the research gap on implicature studies in a public health and political contexts. This qualitative descriptive research analysed a data of eleven Covid-19 PSAs which were published from March 2020 to January 2021 according to Grice’s implicature theory. The researchers discovered that PSAs employed conversational implicatures more frequently than conventional implicatures (18%) to deliver their messages, with generalised conversational implicature being more prevalent (64%) than particularised conversational implicature (18%). Conventional implicature was used only in earlier posts when Covid-19 has not been a common knowledge among the public, and once people are already used to the “new normal”, alter PSAs used conversational implicature because the public already have the context of Covid-19. Results of this study illuminated the differences between each type of implicatures and also contributed to the lack of studies of PSAs’ implied meanings, the dearth of implicature studies in a non-classroom context.

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