A Cluster Analysis with Complete Linkage and Ward's Method for Health Service Data in Makassar City

Health care facilities are a place used to organize health efforts. Health service data in Makassar City has not shown which sub-districts have excellent service criteria, good enough, and not good. Therefore, it is necessary to group sub-districts with cluster analysis using hierarchy method. The hierarchy method used in this study is only 2, namely complete linkage and ward's method. Complete linkage method is the opposite of the approach to the minimum distance principle that is the furthest distance between objects while Ward's Method is a method that aims to minimize variance between objects in one cluster. There are four health services used, namely Hospitals, Health Centers, Home Care and Telemedicine with 15 sub-districts. This study also used a validity test namely Index Davies Bouldin (IDB) to determine the criteria of health services. The results of the analysis on complete linkage formed 3 clusters, namely cluster 1 with good health services, cluster 2 with excellent health services, and cluster 3 with poor health services. In addition, ward's Method also formed 3 clusters, namely cluster 1 with good health services, clusters 2 with poor service, and cluster 3 with excellent health services.

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Analysis of diverse factors influencing the health status as well as medical and health service utilization in the floating elderly of China

BMC Health Services Research ◽

10.1186/s12913-021-06410-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Yuwei Fu ◽

Weiwei Lin ◽

Yuan Yang ◽

Ranran Du ◽

Dongping Gao

Keyword(s):

Health Status ◽

Health Service ◽

Health Services ◽

Service Utilization ◽

Health Service Utilization ◽

Well Being ◽

Good Health ◽

Utilization Rate ◽

Public Health Services ◽

Special Investigation

Abstract Background Based on the “China Migrants Dynamic Survey-Special investigation on Floating Elderly in 8 megacities in 2015”, the health status and the utilization of medical and health services in floating elderly were described and analyzed. Objective Scientific basis and critical suggestions are provided for improving the utilization level of medical and health services in the floating elderly and designing targeted health policies to improve their well-being. Methods The rank-sum test and Pearson χ2 test were used to compare the health status of floating elderly with different characteristics. Thereafter based on Andersen model, floating characteristics were added and binary logistic regression was used to explore the influencing factors of medical and health service utilization in the floating elderly. Results About 94.7% of the floating elderly were self-assessed as healthy/basically healthy. About 24.2% had hypertension or diabetes as diagnosed by the qualified doctors. About 7% suffered from diseases that required hospitalization. Only 28.6% of the floating elderly with hypertension or diabetes had visited a doctor for follow-up. In the case of minor ailments, only 48.7% decided to visit the clinics. Approximately 70.7% of the floating elderly had used in-patient services when they suffered from diseases requiring hospitalization. Conclusion The floating elderly were observed to be generally in good health but a high prevalence of hypertension or diabetes was observed among them. The cultivation of health awareness was found to be of great significance contributing to the improvement of the overall health level among the floating elderly. The basic medical insurance coverage was low, and the medical and health services were found to be severely underutilized. Adequate social support can promote the health of the floating elderly and improve their utilization of medical and health services. The floating reasons, scope and years of the elderly significantly affected their health status and the utilization rate of the basic public health services.

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Sosialisasi Manajemen Klinis untuk peningkatan mutu pelayanan kesehatan bagi Profesional Perekam Medis

ABDINE: Jurnal Pengabdian Masyarakat ◽

10.52072/abdine.v1i2.220 ◽

2021 ◽

Vol 1 (2) ◽

pp. 147-158

Author(s):

Rahmi Septia Sari ◽

Yanti Desnita Tasri ◽

Rindy Shakila

Keyword(s):

Health Care ◽

Health Service ◽

Health Services ◽

Health Care Facilities ◽

Care Providers ◽

Clinical Quality ◽

Management Concepts ◽

Quality Health ◽

Quality Of Health Services

Abstract Health facilities are very important services for the community. The most important health service is to produce beneficial outcomes for patients, users and society. Achieving this outcome is highly dependent on the quality of health services. Improving the quality of clinical services is one of the efforts to manage the quality of health services. Information about health services from all users of medical services and all individuals is needed as a source of data to answer questions about the quality of health services. So that accurate information is obtained. The purpose of this activity is to provide information and knowledge to medical recorders about the quality of health services related to clinical quality management in improving performance and implementing clinical management concepts. There are several perspectives regarding the quality of health services, including according to consumers of health services as a service that can meet the needs of the community, according to quality health service providers, namely the availability of equipment, work procedures, professional freedom in performing health services, according to funders of health services as a health service. In an effective and efficient manner, according to the owner of health care facilities, quality health services can generate income that is able to cover operational costs, while according to health service administrators, it can provide for the needs of patients and health care providers. The method used is by providing information directly through virtual media to medical recorders. Keywords: Management, Clinical, Quality, Service, Medical Record Abstrak Fasilitas kesehatan merupakan pelayanan yang sangat penting bagi masyaraka. Pelayanan kesehatan yang paling utama adalah menghasilkan outcome yang menguntungkan bagi pasien, pengguna dan masyarakat. Pencapaian outcome ini sangat tergantung pada mutu pelayanan kesehatan. Peningkatan mutu pelayanan klinis merupakan salah satu upaya manajemen mutu pelayanan kesehatan. Informasi mengenai pelayanan kesehatan dari seluruh pengguna jasa pelayanan medis maupun seluruh individu diperlukan sebagai sumber data untuk menjawab pertanyaan mengenai mutu pelayanan kesehatan. Sehingga diperoleh informasi yang akurat. Tujuan kegiatan adalah untuk memberikan informasi dan pengetahuan kepada para perekam medis tentang mutu pelayanan kesehatan terkait manajemen mutu klinis dalam peningkatan kinerja serta mengimplementasikan konsep manajemen klinis. Terdapat beberapa perspektif mengenai mutu pelayanan kesehatan diantaranya menurut konsumen layanan kesehatan sebagai suatu layanan yang dapat memenuhi kebutuhan masyarakat, menurut provider layanan kesehatan yang bermutu yaitu tersedianya peralatan, prosedur kerja, kebebasan profesi dalam melakukan layanan kesehatan, menurut penyandang dana layanan kesehatan sebagai suatu layanan kesehatan yang efektif dan efisien, menurut pemilik sarana layanan kesehatan bahwa layanan kesehatan yang bermutu dapat menghasilkan pendapatan yang mampu menutupi biaya operasional sedangkan menurut administrator layanan kesehatan dapat menyediakan kebutuhan pasien serta pemberi layanan kesehatan. Adapun metode yang dilakukan adalah dengan cara memberikan informasi langsung melalui media virtual kepada perekam medis. Kata kunci: Manajemen, Klinis, Mutu, Pelayanan, Perekam Medis

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TINJAUAN YURIDIS PERTANGGUNG JAWABAN RUMAH SAKIT ATAS KE IKUT SERTAAN DALAM PROGRAM BADAN PENYELENGGARA JAMINAN SOSIAL (BPJS) KESEHATAN

Era Hukum - Jurnal Ilmiah Ilmu Hukum ◽

10.24912/erahukum.v17i1.5975 ◽

2019 ◽

Vol 17 (1) ◽

Author(s):

Ariawan Gunadi ◽

Ida Nursida

Keyword(s):

Health Insurance ◽

Health Service ◽

Health Services ◽

Social Security ◽

Service Providers ◽

Good Health ◽

Active Role ◽

Insurance Company ◽

The Social ◽

The Government

The Social Security Administering Body (BPJS) is a public legal entity formed to organize a social security program. Social Security Agency can alleviate the burden of society in obtaining health services in hospitals or clinics. This is in accordance with Article 5 Paragraph (1) and Paragraph (2) of Law No.36 Year 2009 on Health. and Article 47 Regulation of Health BPJS No.1 Year 2014 on the implementation of Health Insurance. As an insurance company BPJS health ensures the implementation of health programsHospitals and Clinics as health service providers in demand by the government to play an active role in providing good health services to the community according to its function, in accordance with Law Number 44 Year 2009 on Hospital. But even if the hospital or health service supports the social health insurance program or BPJS is proved by the poster that the Hospital or Clinic receive BPJS patients, does not mean that the service received by the community is in line with expectations.

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Gambaran Griya Sehat di Indonesia

Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan ◽

10.22435/jpppk.v3i3.2656 ◽

2020 ◽

pp. 203-211

Author(s):

Nurhayati Nurhayati ◽

Hadi Siswoyo ◽

Lucie Widowati ◽

Ondri Dwi Sampurno ◽

Delima Delima ◽

...

Keyword(s):

Health Care ◽

Health Service ◽

Health Services ◽

Health Workers ◽

Health Care Facilities ◽

Ministry Of Health ◽

Service Facility ◽

Traditional Health ◽

Care Facilities ◽

Traditional Health Care

Abstrak Saat ini pelayanan kesehatan tradisional semakin berkembang maju. Griya sehat merupakan fasilitas pelayanan kesehatan tradisional (fasyankestrad) komplementer. Di Indonesia, saat ini banyak terdapat fasilitas pelayanan kesehatan tradisional griya sehat, namun tidak semua griya sehat yang ada di masyarakat sesuai dengan persyaratan yang ditetapkan oleh Kementerian Kesehatan Republik Indonesia. Tujuan penelitian ini adalah untuk memperoleh gambaran penyelenggaraan fasilitas pelayanan kesehatan tradisional griya sehat yang ada di Indonesia. Disain penelitian ini adalah potong lintang. Sampel penelitian ini adalah fasilitas pelayanan kesehatan tradisional griya sehat yang memenuhi kriteria inklusi dan eksklusi penelitian. Data penelitian diperoleh melalui wawancara dan observasi terhadap 21 griya sehat yang dikunjungi. Hasil penelitian menunjukkan bahwa menurut kepemilikan griya sehat terdapat 7 milik pemerintah dan 14 milik swasta. Menurut perizinan, terdiri dari 3 UPT pusat, 4 UPT daerah, 10 rekomendasi dinas kesehatan, dan 4 griya sehat belum memiliki perizinan. Ada beberapa jenis pelayanan kesehatan tradisional yang diberikan di setiap griya sehat, terdiri dari 16 herbal, 15 akupunktur, 15 akupresur/pijat, 16 lainnya seperti spa, bekam, totok, fisioterapi. Tenaga yang melakukan pelayanan terdiri dari 16 tenaga kesehatan, 11 tenaga kesehatan tradisional. Pengelola dan penanggung jawab pelayanan fasyankestrad terdiri dari 4 tenaga kesehatan tradisional dan 17 tenaga kesehatan dan lainnya. Pendekatan pelayanan terdiri dari 14 promotif, 18 preventif, 21 kuratif, 16 rehabilitatif, dan 2 paliatif. Penyelenggaraan fasyankestrad komplementer griya sehat masih harus dilengkapi, khususnya terkait perizinan, standar sarana prasarana, standar operasional pelayanan, sistem pelaporan dan pengawasan oleh dinas kesehatan kabupaten/kota. Perlu dilakukan sosialisasi ketentuan standar fasilitas griya sehat kepada penyelenggara sesuai pedoman kementrian kesehatan, termasuk tentang kebutuhan pendidikan dan pelatihan bagi tenaga kesehatan tradisional. Kata kunci: pelayanan kesehatan, tradisional, griya sehat Abstract In recent years, traditional health services are growing forward. Griya Sehat is a complementary traditional health service facility. In Indonesia, there are many traditional health care facilities as griya sehat, but not all are in accordance with the requirements set by the Ministry of Health of the Republic of Indonesia. The purpose of this study was to describe the implementation of traditional health care facilities as griya sehat in Indonesia. The design of this study is cross-sectional. The sample of this study is a traditional health care facility that meets inclusion and exclusion criteria. The quantitative data was collected through interviews and observation of the infrastructure in 21 visited griya sehat. The results showed that according to ownership there were 7 government-owned and 14 private (individual)-owned. The license was 3 from the central government, 4 from the district government, 10 from the health office, and 4 did not have a license. There are several types of traditional health services provided in griya sehat, consisting of 16 herbs, 15 acupuncture, 15 acupressure/massage, 16 others such as spa, cupping, full-blooded, physiotherapy. The managers and the people in charge were 4 traditional health workers, and 17 were other health workers. The service approach consists of 14 promotive, 18 preventive, 21 curative, 16 rehabilitative, and 2 palliatives. The implementation of a complementary traditional health service facility must still be completed, particularly in relation to the license, infrastructure facilities, standard operating procedures, reporting systems, and supervision by district/city health office. It is necessary to socialize the provisions on the standard for griya sehat facilities to the providers in accordance with the ministry of health guidelines, including the need for education and training for traditional health workers. Keywords: health service, traditional, griya sehat

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AN ELECTROPHORETIC COMPARISON OF CULTIVATED MEMBERS OF THE CUCURBITACEAE

HortScience ◽

10.21273/hortsci.27.6.648a ◽

1992 ◽

Vol 27 (6) ◽

pp. 648a-648

Author(s):

Vladimir Meglic ◽

Jack E. Staub ◽

Larry D. Knerr

Keyword(s):

Cluster Analysis ◽

Morphological Diversity ◽

Complete Linkage ◽

Enzyme Systems ◽

Or Groups ◽

Linkage Method ◽

Complete Linkage Method

Thirty-eight cultivated accessions of the diverse Cucurbitaceae were electrophoretically surveyed using 13 enzyme systems. Included were representatives from 6 of the 6 Cucurbitaceae tribes, 9 genera, and 17 species. Additionally, several cultivars or groups were included for those species possessing marked morphological diversity such as the 7 groups of Cucumis melo var. melo and 7 of the numerous cultivars representing Cucurbita pepo. Zymograms were scored for the presence or absence of bands measured in mm from the origin. Cluster analysis (complete linkage method) was used to detect affinities among the accession surveyed. Data suggest that: 1) Cucumis melo (x=12) possessed greater biochemical affinity with C. sativus (x=7) than with either C. anguira or C. metuliferus (both x=12); 2) Sechium edule and Cyclanthera pedata. both members of the tribe Sicyeae, were more closely associated with members of other tribes than with each other; 3) Some cultivars of Cucurbita pepo shared greater affinity with Cucurbita moschata than with other cultivars of C. pepo. Additional observations as well as their possible implications will be presented.

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The Satisfaction of Patient and Interest to Re-Using Health Services in Kandang Public Health Center Bengkulu

Jurnal Sains Kesehatan ◽

10.37638/jsk.24.1.28-34 ◽

2017 ◽

Vol 24 (1) ◽

pp. 28-34

Author(s):

Susilo Wulan ◽

Desliana Desliana

Keyword(s):

Patient Satisfaction ◽

Health Service ◽

Health Services ◽

Health Center ◽

Health Care Services ◽

Community Health Center ◽

Sampling Technique ◽

Good Health ◽

Cross Sectional ◽

The Government

Puskesmas as the first-level provider of health services belonging to the government must prioritize the provision of quality health services, affordable, fair and equitable. The quality of good health services will create patient satisfaction and loyalty. The purpose of this study was to study the Relationship of Patient Satisfaction with Interest in Reusing Health Service in Puskesmas Kandang Kota Bengkulu.Is an analytic survey research using Cross Sectional approach. The population of this study were all the patients who visited and recorded in the register book pukesmas Kandang town Bengkulu August 2016. Sampling technique using Accidental Sampling. Measurement of patient satisfaction and interest in reusing health care services was measured using a questionnaire. Data analysis using univariate test, bivariate test using chi square test (χ2). Results From 54 patients who came to Puskesmas Kandang there were Patients who were satisfied with the health service at Puskesmas Kandang Kota Bengkulu as many as 34 patients (63.0%), Patients interested in reusing health services at Bengkulu City Kandang Community Health Center as many as 38 people patients (70.4%). There is a significant correlation between patient satisfaction and interest in re-utilizing health service in Puskesmas Kandang Kota Bengkulu with medium category. Keywords: health service, interest, patient satisfaction

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Public Opinion and the National Health Service: Patterns and Perspectives in Consumer Satisfaction

Journal of Social Policy ◽

10.1017/s0047279400019553 ◽

1993 ◽

Vol 22 (3) ◽

pp. 299-327 ◽

Cited By ~ 33

Author(s):

Ken Judge ◽

Michael Solomon

Keyword(s):

Public Opinion ◽

National Health Service ◽

Health Service ◽

Health Services ◽

National Health ◽

Media Coverage ◽

Consumer Satisfaction ◽

Recent Experience ◽

Health Related ◽

Service Data

ABSTRACTThis paper examines the nature of public opinion concerning the National Health Service. Data from two series of national surveys covering the period 1983–92 are used to analyse trends in opinion. OPCS data for 1991–2 are examined in more detail to investigate the determinants of satisfaction with health services. A range of demographic, socio-economic and health status characteristics, as well as media coverage of health-related issues, are found to be significantly related to expressions of satisfaction with the NHS, in addition to recent experience of using health services. The complexity of the formation and expression of public opinion is acknowledged. In particular, the importance of taking note of the methodological implications and political context associated with expressions of public opinion is emphasised.

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Analisis Sebaran Tenaga Kesehatan Puskesmas di Indonesia berdasarkan Peraturan Menteri Kesehatan Nomor 75 Tahun 2014 tentang Puskesmas

Jurnal Kesehatan Manarang ◽

10.33490/jkm.v4i2.99 ◽

2018 ◽

Vol 4 (2) ◽

pp. 114 ◽

Cited By ~ 2

Author(s):

Yuni Sari Romadhona ◽

Kemal N. Siregar

Keyword(s):

Health Service ◽

Health Services ◽

Health Workers ◽

Health Centre ◽

Secondary Data ◽

Health Care Facilities ◽

Public Health Services ◽

Chi Square ◽

Persistent Problem ◽

The Government

The persistent problem faced by Indonesia is in adequate in number and maldistribution of health workers in Primary Health Centre (PHC) has resulted in disrupted health services to the community. The aims of this study is describe health workers in ratio PHC per 100,000 population and health workers distributionbyregions. This research is descriptive analytic. The data used are secondary data from the health workers in government health care facilities in the district/city and province in Indonesia collected by Sub Centre data and information of health ministry in June 2018 and analyzed using the chi-square. The fact that inadequate numbers and maldistributionare remaining problems of health workers in PHC. The ratio of physiciansis 10,17, midwifes 84,73, nurses 83, Public health services 11,09 and nutritionists 8,30 per 100,000 populations while Government standards are higher. Maldistributions of health workers in PHC occurred in central and east regions of Indonesia. The highest number of health workers at PHC in Indonesian is midwives and nurses, while the smallest workforce is dentists. As in adequate numbers and maldistribution are the remaining problems of health workers in PHC, the recruitment of health workers should fulfil the community needs, geographic and avalaibility of health services. Providing the government scholarship to the locals in health schools with commitment to work for local government after graduation is one of the solution for this problem. E-health service is another solution, health service consultation can be carried out effectively and efficiently with remote health experts by taking the advantage of the internet.

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An Empirical Study on Citizen Perception, and Satisfaction Towards Ayushman Bharat Yojna (PM-JAY)

Journal of University of Shanghai for Science and Technology ◽

10.51201/jusst/21/06473 ◽

2021 ◽

Vol 23 (06) ◽

pp. 35-48

Author(s):

Nitesh Kumar Saxena ◽

◽

Dr. Shubho Chattopadhyay ◽

Dr. Ravendra Singh ◽

◽

...

Keyword(s):

Health Service ◽

Health Services ◽

Empirical Study ◽

Prime Minister ◽

Central Government ◽

Good Health ◽

Protection Scheme ◽

The Poor ◽

Poor Families ◽

The Right

Good health service is the right of every citizen in India. But due to being expensive, the poor used to stay away from it. India, the world’s largest democracy and sixth-biggest economy, has been steadily humanizing its health services for the last few years. On 1- Feb-2018, the central government launched a health protection scheme named “Ayushman Bharat Yojna” by hon’ble prime minister Mr. Narendra Modi. In this scheme, approximately 10 corers of poor families are availing the free health service up to 5 lakhs rupees per annum per family. The objective of this research paper is to find the awareness, perception, and satiation of the citizens who are availing of this service. The success of this scheme depends on how many people can take advantage of this scheme and it is possible only through monitoring.

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Ethics Bureaucracy against the Health Service at the Health Center of the Town Pare Pare

10.31227/osf.io/2vp5c ◽

2018 ◽

Author(s):

Rasidin Calundu

Keyword(s):

Public Health ◽

Health Care ◽

Health Service ◽

Good Health ◽

Civil Servant ◽

Good Communication ◽

Excellent Service ◽

Clear Communication ◽

Universal Communication ◽

The Town

The study was descriptive in nature so that his analysis is qualitative. The results showedthat the bureaucracy as a State civil servant that served as the Ministry of public health,which is certainly the attitude and ethics in carrying out the task quite well with attitudeopen and clear communication with an emphasis on honesty as a form of professionalismand commitment, it is embodied with excellent service, quality. Fast, easy, affordable andscalable. It also needed a friendly service, good communication as an civil servant in thehealth field who posed the stance of polite and communicative as the elaboration ofprofessional values are universal. Communication civil servant in the Ministry of healthhas always put forward said the words gentle, well-behaved, polite and fair and trustfulwith the openness it is certainly responsiveness civil servant in pretty good health carewith empathy becomes increasingly conducive atmosphere. All of which are highlyassociated with the application of ethics in health care at the clinic.

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