scholarly journals TUMPAH TINDIH DALAM PROSES PERIZINAN KLINIK PRATAMA DI DINAS PENANAMAN MODAL DAN PELAYANAN TERPADU SATU PINTU KOTA PADANG

2018 ◽  
Vol 1 (2) ◽  
pp. 148-156
Author(s):  
Delfina Gusman ◽  
Marryo Borry WD

Clinics are health care facilities that provide individual health services that provide basic medical and / or specialist services. Primary Clinic is a clinic that provides basic medical services both general and special. To establish primary clinics until they can operate through a series of licensing processes, namely the Hinder Ordonnantie (HO) Permit, Clinical Establishment Permit (IMK) and Clinical Operational Permit (IOK). The results of the process are overlapping or suggesting requirements that make the process ineffective and inefficient

2020 ◽  
Vol 6 (1) ◽  
pp. 97-118
Author(s):  
Delfina Gusman ◽  
Marryo Borry

Clinic is a health service facility that organizes individual health services that provide basic and/or specialist medical services. Primary Clinic (Klinik Pratama) is a Clinic that organizes basic medical services both general and specific. To establish a Klinik Pratama so that it can operate through a series of licensing processes namely Nuisance/Hinder Ordonnantie Permit (HO), Establishment Permit Clinic (IMK) and Clinical Operating Permit (IOK). The results of this process are overlapping or repetitive requirements, making the process ineffective and inefficient. This research is intended to analyze the dispute on health facility licensing in Padang City, West Sumatra. This paper analyzes overlapping of clinical licensing. The main problems that analyzed in this paper concerning to analyze and review clinical licensing, analyze licensing regulations at the Padang City level as a basis for recommendations on simplification, deletion and merging of licenses by the Padang City Government.


2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Maulida Wijaya Putri

Health services, including physiotherapy services, are carried out in almost all health care facilities such as clinics, health centers, and hospitals. Physiotherapy services are one form of health services needed by the community. In order to provide physiotherapy services, physiotherapists can provide various types of modalities or physiotherapy services in the form of electro therapy, actino therapy, hydro therapy, manual therapy or exercise therapy. Almost all health care facilities in South Kalimantan have physiotherapy services, but there is no data on the number and types of physiotherapy services used by health care facilities in the South Kalimantan region. This study aims to determine the types of physiotherapy services that are widely used by health care facilities in South Kalimantan. This study uses a descriptive approach. Based on the results of the study, it was found that 35 respondents (67.3%) used electrotherapy very often and 30 respondents (57.7%) used actino therapy very often. These two types of physiotherapy services are the most widely used by health care facilities in the South Kalimantan region in 2020


2021 ◽  
Vol 15 (8) ◽  
pp. 2301-2306
Author(s):  
Mario J. Valladares-garrido ◽  
Laura M. Ccosco-blas ◽  
Paula Gutiérrez ◽  
Paola J. Ramos-rupay ◽  
Alix X. Rivera-pinto ◽  
...  

Introduction: There is limited evidence on factors associated with access to health primary health care services in users of marginal urban areas of Lima, Peru. Objective: To determine factors associated with access to primary health care services in Lima, Peru. Material and Methods: Cross-sectional study in users treated at seven primary health care facilities in a marginal urban area of Lima, Peru in 2019. A questionnaire was used to measure accessibility to health services; demographic and socioeconomic factors and characteristics of health services were investigated as well. Simple and multiple regression analyses were performed, estimating prevalence ratios. Results: Out of a total of 150 participants, 85.2% had access to health services. Female gender was positively associated with access to health services (aPR:1.17, 95% CI:1.11-1.23). Secondary education (aPR:0.65, 95% CI:0.44-0.98) and higher technical education or armed forces (aPR:0.64, 95%CI:0.46-0.89) were negatively associated with access to health services. On the other hand, we found that waiting time for care reduces the possibility of accessing health care; in case wait time is more than 30 minutes (aPR:0.83, 95% CI: 0.77-0.95), more than one hour (RPa:0.85, CI95%:0.75-0.95) and more than two hours (RPa:0.84, CI95%:0.75-0.93). Conclusions: The majority of users treated at the Primary Health Care facilities had access to health services. Having a higher educational level and reporting a longer waiting time for care were associated with a lower frequency of accessibility, while being a woman was associated with a higher frequency of accessibility. Key words: Health services, primary health care, health services accessibility, delivery of health care, public health.


2021 ◽  
Vol 2 (6) ◽  
pp. 2260-2266
Author(s):  
Rini Susanti ◽  
Victor E. D Palapessy

BPJS and Non BPJS dependent patients have the same rights as other general patients to receive satisfying services just like other health care facilities. Considering that, this new program from the government in the health sector is aimed at controlling the quality and costs of health, so that it can be accessed by all levels of society, as well as having good prospects for hospitals and other health care facilities. Thus, hospitals are responsible for being able to provide satisfying and quality services so that they can be chosen by the community, both BPJS and non BPJS participants. The purpose of this study was to compare the quality of BPJS and Non BPJS dependent health services on the satisfaction of inpatients in health care facilities in the Riau Archipelago. This type of research is quantitative using a cross-sectional approach. The sample in this study was 60 people. The instrument used is a questionnaire. Data analysis in this study used the independent t-test. The results of the study found that there were significant differences between the quality of health services for the BPJS and Non BPJS respondent groups. And there is a significant difference between the satisfaction of inpatients in the BPJS and Non BPJS respondent groups. It is hoped that this research can be a reference for future research.


2004 ◽  
Vol 1 (6) ◽  
pp. 6-8
Author(s):  
Wanda Langiewicz ◽  
Elzbieta Slupczynska-Kossobudzka

Changes in the Polish health care system, introduced by a Parliamentary Act in 1999, resulted from an urgent need for a more effective provision of health services, which were held in poor esteem by the public. Public expenditure on health care at the time of the reform was equivalent to 4.19% of gross national product, or US$363 at purchasing power parity (PPP) per capita. This amount was considerably lower than in the most developed countries (i.e. members of the Organisation for Economic Cooperation and Development, OECD). The reformers’ main modification consisted of replacing state financing of health services with insurance-based financing. Statutory health insurance covers 99.4% of Poland's 38.2 million citizens. The insurance fee is to be increased from 7.0% of personal income at the beginning of the reforms to 9.0% (at present it has reached 8.25%). The aim was also to achieve relatively stable health care expenditure, independent of the annual political budget allocation. A special administrator was appointed for the Sickness or National Health Fund and was authorised to contract for health services. These market-oriented developments were paralleled by the implementation of special programmes, financed from the Ministry of Health budget, which were aimed at restructuring health care facilities.


Author(s):  
Nurhayati Nurhayati ◽  
Hadi Siswoyo ◽  
Lucie Widowati ◽  
Ondri Dwi Sampurno ◽  
Delima Delima ◽  
...  

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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