scholarly journals Feasibility Study on the Implementation of Clinic SIM and ERM integrated Pcare as a BPJS Kesehatan Application at Udayana University Clinic

2020 ◽  
Vol 5 (2) ◽  
pp. 60-69
Author(s):  
Luh Sudiarmini ◽  
Luh Sudiarmini ◽  
Fajar Manuaba Ida Bagus ◽  
Hariyasa Sanjaya I Nyoman

The development of an information system and communication technology has an impact on the health service sector in the form of electronic-health or e-health. One of the e-health applications is a Clinic SIM and electronic medical records. Not only provides information for the academic communities, but Udayana University Clinic also serves BPJS Kesehatan patients since 2014. After occupying a new building, there have been various obstacles related to the implementation of the management information system. Which it is still being done manually and limited space to store medical record files. One of the efforts to overcome this problem is by implementing a Clinic SIM and ERM. Before the implementation of these activities, a feasibility study was proposed on the application of CSIM and ERM integrated BPJS Healthcare. The purpose of this study was to determine the feasibility of implementing Clinic SIM and ERM which are integrated with Pcare-BPJS at Udayana University Clinic. This study used a qualitative research design. Data collection was started between December 2019 and January 2020 using the in-depth interview method on 9 informants. This study informs that the application of Clinic SIM and ERM integrated BPJS Kesehatan meets the feasibility aspect based on acceptance, demand, integration, and practicality. Conclusion: the obstacles in this study are related to the implementation aspect due to lack of human resources, infrastructure, implementation methods, budget, and minimal application of Clinic SIM and ERM. Keywords: feasibility study, Clinic SIM, ERM, Pcare BPJS Kesehatan    

2021 ◽  
Vol 8 (2) ◽  
pp. 145-152
Author(s):  
Dina Rasmita

Cancer that occurs in children does not only affect children, but also parents. Parents experience anxiety, stress, fear of losing their children, and helplessness in caring for their children, so that parents are less than optimal in caring for their children. Parent empowerment can increase parents' knowledge, confidence, and ability to care for their children. Previous research found several obstacles to parent empowerment carried out by nurses so that parent empowerment was not optimal in its implementation. Knowing barriers and supports in implementation of parent empowerment in caring for children with cancer can support implementation of parent empowerment to be more optimal. The purpose of this study was to explore barriers and supports in parent empowerment in caring for children with cancer based on the nurse's perception. The design of this study was qualitative research design with a phenomenological approach. The data was collected by in-depth interview method using semi-structured interview guidelines on six nurses who were selected by purposive sampling technique. The data analysis was carried out by thematic analysis with the analysis stage according to Colaizzi. The results of this study were resulted in four themes, namely parental attitudes, parental characteristics, attitudes of nurses, availability of nurses and facilities. This study concluded that implementation of empowering parents to care for children with cancer became more optimal by knowing the barrier and supports in empowering parents care for children with cancer and nurses could make more effective planning in caring for children with cancer.


2019 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
RR Dian Tristiana ◽  
Richa Kumalasari ◽  
Makhfudli Makhfudli

Introduction: Pulmonary TB clients who undergoing intensive phase treatment often feel sad, bored, reject conditions, useless and helpless, complaining about changes in conditions experienced. This study aims to describe the experience of pulmonary TB clients who undergoing intensive phase treatment in Taji Community Health Center of Magetan DistrictMethod: This research used qualitative research design of phenomenological approach with in-depth interview method on 15 participants with inclusion criteria for pulmonary TB clients aged ≥16 years, new clients were diagnosed with pulmonary TB, clients had undergone intensive phase pulmonary TB treatment for 1 month. While the exclusion criteria for pulmonary TB clients who are pregnant, TB-HIV, MDR TB, extrapulmonary TB, clients with comorbidities such as diabetes mellitus, hypertension, schizophrenia, and other chronic diseases. Data analysis in this study used technique nine steps Colaizzi.Result: This research used qualitative research design of phenomenological approach with in-depth interview method on 15 participants with inclusion criteria for pulmonary TB clients aged ≥16 years, new clients were diagnosed with pulmonary TB, clients had undergone intensive phase pulmonary TB treatment for 1 month. While the exclusion criteria for pulmonary TB clients who are pregnant, TB-HIV, MDR TB, extrapulmonary TB, clients with comorbidities such as diabetes mellitus, hypertension, schizophrenia, and other chronic diseases. Data analysis in this study used technique nine steps Colaizzi.Conclusion: The experience of pulmonary TB clients who undergoing intensive phase treatment needs of various support from themselves and others such as family, neighbors, friends, and health workers to overcome the obstacles transversed. It is hoped that this research could be the basis for further research on health promotion and sustainable accompaniment to pulmonary TB clients who undergoing intensive phase treatment by involving family and community.


2018 ◽  
Vol 11 (2) ◽  
pp. 11
Author(s):  
Oktiva Anggraini ◽  
Muhammad Agus

The aims of this research are getting to know: encouraging the creation of social capital empowerment in the empowerment of fisherman based local institution with gender perspective in coastal area of ​​Bantul regency. With descriptive qualitative research design, data collection techniques: in-depth interview; literature study, observation and FGD. The results showed that coastal villages in Bantul district have developed institutions and rules that effectively limit the rate of exploitation of natural resources. Characteristic of social capital of coastal community in research location indicated that dominant group is group of citizen (arisan, RT), pengajian, fisherman group and fisherman. Given that the dominant group resides in the internal environment of the settlement and consists of the settlement community itself, access to outside resources is limited. The level of participation in the group was quite good seen from the presence, material and non-material. The level of trust and solidarity is relatively high. Values ​​are still firmly held and result in collective action and cooperation is relatively good enough. Social capital was more used for the fulfillment of daily needs (subsistence), is temporary and very personal. There was still a less supportive local culture, a wasteful life. Not many types of services could be expanded access because of the existence of a limited group. Social capital that supports the management of tourist destinations and coastal community empowerment in general need strengthening of related institutions, especially DKP, Dinpar and Disperindagkop Bantul regency more integrated. The caution of the coastal empowerment initiators resulted in coastal communities in Bantul district failing to develop social capital in the context of managing government resources such as bangdes funds, etc


2020 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Angga Riski Wijaya ◽  
Elida Ulfiana ◽  
Eka Misbahatul Marah Has

Introduction: Tsunami cause many disadvantages such as the emergence of trauma and stress on society. Victims included in the category of vulnerable groups experiencing depression after the tsunami, namely the elderly. Resilience is a psychological ability that must be possessed by the elderly to survive in the face of change when their environment continues to change. This study aims to determine the resilience of post-tsunami elderly.Method: This study used a qualitative research design with a phenomenological approach with in-depth interview method for 10 participants. Data analysis in this study uses the Collaizzi nine-step techniqueResult: The results of this study found sixteen themes, namely: 1) When a Tsunami Comes, 2) Actions When a Tsunami, 3) Feelings When a Tsunami Occurs, 4) Losses Due to Tsunami, 5) Feelings at Evacuation Posts, 6) How to Adjust, 7 ) How to Build Confidence, 8) Sources of Inspiration, 9) Efforts to Eliminate Trauma, 10) Positive Thinking, 11) Giving Support, 12) Daily Activities, 13) Lessons Learned from Tsunami, 14) Staying in the Surrounding Environment, 15 ) Staying Energetic, 16) Helping ResidentsConclusion:  Post-tsunami elderly need support from families and communities to have good resilience and activities to eliminate trauma. It is hoped that this research can be the basis for further research on post-disaster resilience of the elderly.


Author(s):  
Annisa Aulia Zaroh ◽  
Dedy Irfan ◽  
Elfi Tasrif

The most important thing in the medical world is entering a history of the patient’s health, and this is known as the medical records. The medical records patients are used as references to the doctor for examination of the patient’s health, as well as records of a diagnosis of a disease patients and medical services. According to with the purpose of this final task, to provide design data supporting the medical records is complete and structured to facilitate action. The design of this web based information system using the codeigniter framework, programming PHP (Hypertext Preprocessor) with XAMPP as a Database Management System (DBMS), and sublime Text 3 as editor. Medical record service information system providing data supporting a complete medical record and structured in order to facilitate doing of medical, simplify data searches of patient medical record along with its report. The design of this information systems is performed to produce an information system that can create your medical record is tored neatly and securely in a database, facilitate the search process patient medical record data when data is needed, minimize errors in data processing of patient medical record. The design of the information system displays data, patient medical record, making the reference and the doctor's license. Keywords  : Medical Record, Web, PHP


1970 ◽  
Vol 09 (03) ◽  
pp. 149-160 ◽  
Author(s):  
E. Van Brunt ◽  
L. S. Davis ◽  
J. F. Terdiman ◽  
S. Singer ◽  
E. Besag ◽  
...  

A pilot medical information system is being implemented and currently is providing services for limited categories of patient data. In one year, physicians’ diagnoses for 500,000 office visits, 300,000 drug prescriptions for outpatients, one million clinical laboratory tests, and 60,000 multiphasic screening examinations are being stored in and retrieved from integrated, direct access, patient computer medical records.This medical information system is a part of a long-term research and development program. Its major objective is the development of a multifacility computer-based system which will support eventually the medical data requirements of a population of one million persons and one thousand physicians. The strategy employed provides for modular development. The central system, the computer-stored medical records which are therein maintained, and a satellite pilot medical data system in one medical facility are described.


2017 ◽  
Vol 8 (3) ◽  
Author(s):  
Ova Nurisma Putra

Abstract. West Java Provincial Health Office still faces difficulties in managing information, especially in medical records. Recording and reporting of malnutrition are still done in some stages starting from collecting data from village midwives, puskesmas, Regency/City Health Office then Provincial Health Office and forwarded to the the central office. It is necessary to manage information through service system by utilizing Cloud Computing based on information technology. This research uses The Open Group Architecture Framework (TOGAF) approach in Architecture Development Method (ADM), from Architecture Capability Iteration to  Architecture Development Iteration. Monitoring and Evaluation (M & E) are two integrated activities in the context of controlling a program. The results of this research are planning a medical record information system architecture and monitoring malnutrition based on Cloud Computing with the name of M2Rec (Medical Record and Monitoring) in the form of integrated recommendation and development between current information system and proposed information system architecture.Keywords: togaf adm, medical record and monitoring, cloud computing Abstrak. Perencanaan Arsitektur Sistem Informasi Rekam Medis dan Monitoring Gizi Buruk Berbasis Cloud Computing. Dinas Kesehatan Propinsi Jawa Barat masih mengalami kesulitan dalam pengelolaan informasi yang baik, terutama pada proses rekam medis, pencatatan dan pelaporan gizi buruk masih dilakukan secara bertingkat mulai pengumpulan data dari bidan desa, puskesmas, Dinas Kesehatan Kabupaten/Kota kemudian Dinas Kesehatan Propinsi dan diteruskan ke pusat. Sehingga perlu diupayakan pengelolaan informasi melalui sistem pelayanan dengan memanfaatkan teknologi informasi berbasis Cloud Computing. Penelitian ini menggunakan pendekatan framework The Open Group Architecture Framework (TOGAF) Architecture Development Method (ADM), yaitu iterasi ke satu pada Architecture Capability Iteration daniterasi ke dua pada Architecture Development Iteration. Monitoring dan Evaluasi (M&E) merupakan dua kegiatan terpadu dalam rangka pengendalian suatu program. Hasil dari penelitian ini adalah perencanaan arsitektur sistem informasi rekam medis dan monitoring gizi buruk berbasis Cloud Computing dengan nama M2Rec (Medical Record and Monitoring) yang berupa rekomendasi integrasi dan pengembangan antara sistem informasi berjalan saat ini dengan arsitektur sistem informasi yang diusulkan.Kata kunci: togaf adm, medical record and monitoring, cloud computing.


Author(s):  
Thabo Arthur. Phukubye ◽  
Masenyani Oupa. Mbombi ◽  
Tebogo Maria. Mothiba

Purpose: Lack of knowledge and practical skills on triage remains a global problem, especially within rural hospitals, and very little is known about enhancing the knowledge and skills of emergency nursing staff in rural hospitals of South Africa. The objective was to describe the perceived strategies for enhancing knowledge and practices of triage among nurses working in the emergency departments (EDs) of rural hospitals in South Africa. Research methods: A descriptive qualitative research design was applied to achieve the research objective. A non-probability sampling method was applied to select 17 professional nurses from rural hospitals. An unstructured face-to-face interview method was used to collect data. Data collected were analyzed using Tesch’s method of data analysis. Results: The study findings highlighted the academic needs of nurses working in the ED of rural hospitals. Two themes emerged from this study; (1) The consistent description of the importance of triage training for emergency unit staff, and (2) The description of measures to enhance triage practices amongst emergency unit staff. Findings indicated that triage knowledge and practice remains a challenge, but with formulated strategies like continuous training by workshops, refresher courses, and offering a training module on triage, evaluation of developed guidelines and benchmarks is often enhanced. Conclusions: The study describes the strategies to enhance the conversion of knowledge and practice of triage amongst nurses working in the ED of rural hospitals. The paper argues that the knowledge and practical skills of nurses working in ED are enhanced through the provision of continuous training as workshops, triage module, evaluating the developed guidelines to implement triage, and benchmarking with other hospitals.


2017 ◽  
Vol 32 (2) ◽  
pp. 310-325 ◽  
Author(s):  
Francois Pilon ◽  
Elias Hadjielias

Purpose This study aims to explore the dynamics enabling strategic account management (SAM) to function as a value co-creation selling model in the pharmaceutical industry. Design/methodology/approach Using an inductive qualitative research design, data are collected within 11 industry customers in Canada. This work focuses on hospitals as strategic accounts of pharmaceutical companies, exploring SAM value co-creation in the “hospital-pharmaceutical company” relationship. Findings The findings suggest the presence of two key dimensions that can enable a value co-creation SAM model in the hospital-pharmaceutical relationship: “customer-tailored value-added initiatives” and “relationship enhancers”. Customer-tailored value-added initiatives explain the activities that are central to the hospital-pharmaceutical company relationship and can lead to the provision of value added that is unique to the hospital. Relationship enhancers explain the activities that can help strengthen hospital-pharmaceutical company relations in the pursuit of enhanced value-added interactions between the two parties. The research demonstrates a cyclical relationship between “customer-tailored value-added initiatives” and “relationship enhancers”, leading to value co-creation through a SAM model. Practical implications The study informs pharmaceutical industry practitioners on how to improve their value proposition through new, more sustainable selling practices. It offers information on implementing a value co-creation SAM model, which can enable pharmaceutical companies to sustain long-lasting value-added relationships with key accounts such as hospitals. Originality/value The study contributes to the field of SAM by conceptualizing SAM as a value co-creation system. It introduces new knowledge in pharmaceutical marketing by offering empirical insight on the applicability and use of SAM in the hospital-pharmaceutical company dyad.


2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Fera Siska

ABSTRACTBackground : Medical record is one of the most important pillars that can not be considered trivial in a hospital, with the development of medical scienceCommon Purpose : To find in-depth information about the implementation of medical records at the hospital Widiyanti PalembangResearch Method : Qualitative research design with data collection techniques are conducted in triangulation, The data analysis is inductive, and the results of the study are emphasized more at the meaning than the generalization. The Research Results : the Implementation of medical records have been running but there is no medical record organization, the implementation of medical record activities done by rolling. Human Resources (HR) medical records should be placed specifically in the medical record along with clear tasks. Method of organizing medical record has been run although the result is not optimal, because Standard Operational Procedure (SOP) that made not socialized. Facilities and infrastructure that support the implementation of the medical record is good, marked by the existence of a special records archive medical records. Facilities and infrastructure such as chairs, desks, computers, patient registration books and outpatient registration and inpatient services are available, do not have budget funds for medical record implementation, especially by sending medical recruiter for trainingConclusion : Implementation of medical records have been running but not optimal.


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