scholarly journals Analysis of Factors Influence Doctor's Decision in Choosing Patient's Referral to dr. Soepraoen Army Hospital Malang

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Sebastian Augustinus Budijono ◽  
Sandu Siyoto ◽  
Siti Farida Noor Laila

The importance of the role of health services causes the quality of health services to be improved because of the needs of the community or individuals for health. Second-level health services can only be given for referral from first-level health services. Third-level health services can only be given for referral from second- or first-level health services, except in emergency situations. Based on this, it can be seen that the first level Health Service Provider (PPK) has a very important role in the health care system in Indonesia. The purpose of this study was to find out the factors underlying the doctors to refer their patients to the dr. Soepraoen Army Hospital Malang. The research design used is quantitative research with a cross sectional approach. The sampling technique used was saturated sampling by taking 100 doctors as the study sample. The data analysis technique of this study uses linear regression by using an α value of 0.05. The results showed that hospital facilities had a significant effect on choosing a referral with a p-value of 0,000 with a t-count of 4,300, the availability of drugs had a significant effect on choosing a referral with a p-value of 0,000 with a t-count of 2,557 , the type of disease has a significant effect on choosing a referral with a p-value of 0,000 with a t-count value of 2,435, and on physician competence has a significant effect on choosing a referral with a p-value of 0,000 and a t-count value of 2,327, and simultaneously for each facility variable, drug availability, type of disease and physician competence can have a significant effect on choosing a referral. and found that the dominant factor influencing the decision to choose referral is the facility factor. The low analysis of factors that influence the doctor's decision in choosing a patient's referral to dr. Soepraoen Army Hospital Malang can be minimized by further increasing the indicator indicators of each variable that is considered still low.

2021 ◽  
Vol 1 (01) ◽  
pp. 7-10
Author(s):  
Wiwit Hartutik

Introduction: Hospital employee performance as the spearhead of health services is a very important issue to be studied in order to maintain and improve the quality of health services. The purpose of this study was to determine the relationship between leadership style, work discipline, and compensation on employee performance at the pathology installation of the Gatot Soebroto Army Hospital in 2019. Methods: Using quantitative research with Cross Sectional approach. The sample uses a total sampling of 40 respondents. The instrument of this research used a questionnaire. Results: Relationship between work discipline factors (Pvalue = 0.027; OR = 5,844) and compensation factors (P value = 0,018; OR = 7,111) with employee performance in the anatomical pathology installation of Gatot Soebroto Hospital in 2019. While the leadership style factor (P value = 0,800) does not relate. Discussion: Two of the three variables studied were related to employee performance, namely: work discipline and compensation. While one other variable, namely leadership style is not related to employee performance.


2021 ◽  
Vol 16 (1) ◽  
pp. 16-24
Author(s):  
Oktarianita Oktarianita ◽  
Andry Sartika ◽  
Nopia Wati ◽  
Bintang Agustina Pratiwi

Background: Puskesmas as First Level Health Facilities (FKTP) plays a vital role during the Covid-19 pandemic in preventing and controlling the number of Covid-19 cases by anticipating, detecting, responding to events. However, at this time, the puskesmas are still underutilized by the community. The highest confirmed positive cases in Bengkulu City were in the Gading Cempaka District, with 990 cases. This study aimed to determine the variables related to the utilization of puskesmas in Bengkulu City. Methods: This research was quantitative research with a cross-sectional study design. Data collection was carried out by distributing questionnaires to respondents using an accidental sampling technique executed in March-August 2021. The research population was the entire community of Bengkulu City, with a sample of 110 respondents from the Gading Cempaka District, Bengkulu City. Data were analyzed by univariate to multivariate logistic regression. Results: The results show that 88 respondents (78.2%) have utilized the puskesmas, as many as 86 (78.2%) were female, 86 respondents (60.9%) belonged to the young age group, respondents with higher education were 73 respondents ( 66.4%), 73 respondents (66.4%) worked and as many as 79 respondents (71.8%) have income <UMP. The bivariate analysis results showed that the factors related to the utilization of the puskesmas (p<0.05) were variables of age, education, occupation, and income despite no relationship between gender, distance, knowledge, and family support (p>α). The results of the multivariate analysis showed that education was the dominant factor influencing the utilization of the puskesmas with (p-value = 0.010; B = 2.707; 95% CI = 1.892-118.569). Conclusion: The community has taken advantage of the puskesmas in terms of preventing Covid-19. The utilization of puskesmas is affected by age and education level.


2020 ◽  
Vol 3 (2) ◽  
pp. 186-192
Author(s):  
Siti Solikha ◽  
Siti Farida ◽  
Indasah Indasah

Perenium rupture is a tear that occurs in the perenium region during labor. Factors that influence the healing of perineal wounds include maternal nutritional needs that are sufficiently seen from the Body Mass Index (BMI), personal hygiene, mothers mobilizing. This study aims to determine the factors that influence the healing of perenium wounds in postpartum mothers at Turi Health Center and Lamongan Health Center in 2018. The research design used is quantitative research using a "cross sectional" approach. The sampling technique used is Simple Rendom Sampling with a sample of 116 respondents. Analysis technique with logistic regression test. The results of the analysis showed that there was a significant influence between the mobilization of p-value 0,000 <0,05, Personal Hygiene p-value 0,009 <0,05, and Nutritional Status p-value 0,009 <0,05 with healing of perennial wounds. And also found a significant simultaneous influence between personal hygiene mobilization, and nutritional status of perenium wound healing with a p-value of 0,000 <0,05 with the most dominant factor affecting wound healing is personal hygiene. Mother's personal hygiene helps reduce the source of infection and increases comfort in the mother. By preventing infection in perenium wounds, the wound can heal quickly


2019 ◽  
Vol 4 (2) ◽  
pp. 293
Author(s):  
Herdianti Herdianti ◽  
Tatik Maryana

<p><em><em>Background: In Batik Mawar, almost all work is done manually using the hands and upper arms on a continuous basis combined with the rigor of work and the use of traditional tools. The work has a heavy workload because all the work process is done by the same craftsman causing fatigue besides that the worker also have double role. The purpose of this study is to determine the relationship between workload and dual role with feelings of fatigue on craftsmen batik roses.Method: This research is Quantitative research with Cross Sectional research design. The population in this study are all artisans in Batik Mawar. Sampling in this study using total sampling technique with the number of research samples as many as 40 respondents. Data analysis used by Univariat and Bivariat.Result: Result of data analysis using Chi-Square test for work load got value p-Value = 0,001. The result of data analysis using Chi-square test for double role got p-value = 0,031. Thus it is concluded that there is a meaningful relationship between workload and dual role with feeling tired. We recommend that craftsmen wash clothes 2 times a day, cook ready meals, other than together in completing the work at home</em></em></p><p><em><br /></em></p><p><em>Di Batik Mawar, hampir semua pekerjaan dikerjakan secara manual menggunakan tangan dan lengan atas secara berkesinambungan yang dikombinasi dengan ketelitian kerja dan penggunaan alat-alat tradisional. Pekerjaan mempunyai beban kerja yang berat dikarenakan semua proses kerja dilakukan oleh pengrajin yang sama sehingga menimbulkan kelelahan</em><em> disamping itu pekerjanya juga memiliki peran ganda</em><em>.</em><em> Tujuan penelitian ini adalah untuk mengetahui hubungan beban kerja dan peran ganda dengan perasaan lelah pada pengrajin batik mawar.Metode: </em><em>Penelitian ini merupakan penelitian Kuantitatif dengan desain penelitian Cross Sectional. Populasi dalam penelitian ini adalah semua pengrajin di Batik Mawar. Pengambilan sampel pada penelitian ini menggunakan teknik total sampling dengan jumlah sampel penelitian sebanyak 40 responden. Analisis data yang digunakan Univariat dan Bivariat.</em><em>Hasil: </em><em>Hasil analisis data yang menggunakan uji Chi-Square untuk beban kerja didapatkan nilai p-Value = 0,001. Hasil analisis data yang menggunakan uji Chi-square untuk peran ganda didapatkan nilai p-value= 0,031. Dengan demikian  disimpulkan bahwa ada hubungan yang bermakna antara beban kerja dan peran ganda dengan perasaan lelah.Sebaiknya pengrajin mencuci pakaian 2 kali sehari, memasak makanan siap saji, selain itu dengan cara bersama-sama dalam menyelesaikan pekerjaan dirumah.</em><em></em></p><strong><em></em></strong>


2021 ◽  
Vol 2 (1) ◽  
pp. 71
Author(s):  
Nurun Nimah ◽  
Anik Puji Rahayu ◽  
Aries Abiyoga

ABSTRACTBackground: Dysmenorrhea is a painful sensation, cramping in the lower abdomen which is often accompanied by other symptoms, such as sweating, headache, nausea, diarrhea, and tremors, all of which occur before or during menstruation. Teenage girls who experience dysmenorrhea can interfere with social or physical activities because when they are in pain, sufferers tend to be silent and even don't want to interact with other people, they tend to be more emotional. Emotional embodiment part of what a woman feels, a reaction to a certain event or situation. Emotional status and dysmenorrhea in women is a conscious experience that influences bodily activities and is psychologically able to influence a woman's emotions. Objective: To identify emotional status and to analyze the relationship between emotional status and the degree of dysmenorrhea in young girls. Methods: Quantitative research, descriptive analytic research design with cross sectional research design with proportionate stratified random sampling technique, the sample of this study was 54 students of class X SMKN 12 Loa Buah Samarinda who experienced dysmenorrheaResults: Variable emotional status obtained positive emotional classification 33 (61, 1%) and negative emotions 21 (38.9%) respondents. Variable The degree of dysmenorrhea was classified as mild 35 (64.8%), moderate 12 (22.2%), severe 5 (9.3%) and unbearable 2 (3.7%). The test used Pearson Chi-square results obtained P value = 0.402, the significant level (α) is 0.05, then p> from α. This result means that Ho is accepted, there is no relationship between emotional status and the degree of dysmenorrhea in young girls at SMKN 12 loa buah samarinda. Conclusion: There is no relationship between emotional status and the degree of dysmenorrhea in adolescents at SMKN 12 Loa Buah Samarinda


Author(s):  
Suryanti . ◽  
Acholder Tahi Perdoman

A condom is a sheath made of latex which is caused by an erect penis or vagina that acts as a protector to prevent semen or fluid from ejaculating when the penis is in the vagina. Men's participation in joining the Family Planning program is quite low. This has also reduced men's participation in using condom contraception. The purpose of this study was to determine the Relationship between Knowledge and Perceptions of Men with Condom Use in the work area of the Rimbo Data Center. This research is quantitative research with analytic descriptive design and cross-sectional approach conducted in January 2019. The sampling technique is purposive sampling with a sample size of 80 people. Data were analyzed univariately and bivariate by computer using the chi-square statistical test. The results obtained from 80 samples, based on this univariate analysis (46.2%) had a low level of knowledge, (53.8%) had a negative perception, and most (63.8%) respondents did not use contraceptives condom. Based on bivariate analysis states there is a significant relationship between male knowledge with the use of condoms with a value of p-value = 0,000 <0.05. The perception of men with the use of condoms states that there is a significant relationship between perception with the use of condoms with the results of p-value = 0,000 <0.05. It is expected that the results of this study can increase the knowledge and perception of the community through counseling, especially regarding condom contraception. Based on the results of this study it can be concluded that there is a relationship between Knowledge and Perceptions of Men with Condom Use in the work area of Rimbo Data Center.


2018 ◽  
Vol 7 (2) ◽  
pp. 123
Author(s):  
Miko Eka Putri

Cigarettes are very dangerous for health. The Global Adults Tobacco Survey (GATS) survey estimated that as many as 7.9 billion adults became active smokers and about 3.5 billion people were exposed to cigarette smoke at work. Indonesia ranks 4th out of 10 countries with a population of smokers (4%) after China (38%), Russia (7%) and the United States (5%) (Ministry of Health, 2012). Every cigarette smoked contains a lot of toxic substances, especially carbon monoxide (CO) which can damage the sympathetic nervous system and hemoglobin desaturation.This study aims to see the effect of the number of cigarettes with CO levels in adolescent smokers in vocational schools. This research is a quantitative research with cross-sectional design. The sample in this study amounted to 20 people in which the sampling technique used was purposive sampling. This study was conducted on July  2018 in SMK in the city of Jambi. Analysis using the Wilcoxon test.The results showed that the average number of cigarettes smoked by teenagers per day was 3.2 cigarettes, and the average CO level was 10.1ppm. The results of the analysis with Wilcoxon test showed that there was an effect of the number of cigarettes on CO levels with a p value of 0,000, meaning that there was a relationship between the number of cigarettes and CO levels in adolescent smokers in SMKs.The results of this study are expected to be a reference for teenagers to know the content of cigarettes and their dangers so that they can stop smoking behavior.


2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication


2018 ◽  
Vol 3 (1) ◽  
pp. 22
Author(s):  
Hasnah Hasnah ◽  
Desy Ana Hendra ◽  
Hapsah Hapsah

Background: High demands in all conditions require proffesional health workers. In dealing with patients, health workers need high emotional intelligence and problem solving skills that are qualified to deal with various problems. Objective: To analyze correlation between emotional intelligence with problem solving skill of health student of Faculty of Medicine Universitas Hasanuddin. Method: This quantitative research was conducted in August-September 2017, using observational study design with cross sectional analytic approach. Population in this research is health students Faculty of Medicine Universitas Hasanuddin who forced in 2013, 2014, 2015, 2016 (N=1995). Sampling technique using cluster random sampling (n=333). The data were analyzed with Spearman’s Rho test. Results: More than half of respondents had a low emotional intelligence (58.3%) and  medium level of problem solving skill (51,4%). Correlation coefficient both of them is weak (r=0,222; p value = 0.000 <0,05). Conclusion: There is a weak correlation between emotional intelligence with problem solving skill of health student of Faculty of Medicine Hasanuddin University. The higher the emotional intelligence of the student, the higher the level of problem solving skill.


2018 ◽  
Vol 3 (2) ◽  
pp. 54
Author(s):  
Agnes Dewi Astuti ◽  
Reny Sulistyowati ◽  
Natalansyah Natalansyah

Aging is a a natural process in life. Aging is characterized by loss of slowly ability organ tissue repair itself and  is irreversible. The elderly are the final statge of a person’s life cycle and experience the aging process with change in various physical or physiological, psychological and social aspects (Miller, 2012). Hanges dues to aging eldely comple raises enormous opportunity for the elderly are at risk of depression.  The objective of this study was to determine the factors that influence the risk of depression in elderly at Puskesmas Jekan Raya of Palangka Raya City with descriptive correlational research design using cross sectional approach. The sampling technique in this research is by using probability sampling technique that sampling technique giving equal oppurtinity to every individual in the population to be the research sample.The statistical test used was descriptive test and Chi Square test. The result indicate that factors influencing the risk of depression in the elderly is functional impairment were settled with p value= 0,000. Conclusion of the elderly who have other diseases besides DM  settle a vulnerable population at risk of depression. The most dominant factor is the functional disturbances persist  after controlling the variable of age, live event s and other diseases (other than DM) with OR=39. Recommended in elderly nursing decision making in order to improve the health of elderly family based programs to prevent depression in the elderly and especially carring by elderly family members.


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