scholarly journals The Calculation of The Need for Medical Record Personel Based on The Full-Time Equivalent Method in The Outpatient Registration Department of Public Health Center

2021 ◽  
Vol 15 (1) ◽  
pp. 31
Author(s):  
Sapto Adi ◽  
Dian Mawarni ◽  
Siti Istiqomah

Public health center X is one of the public health center with high outpatient loads in Malang City. On average, the daily amount of outpatients is 119. The high load of outpatient directly affects employee’s working load. One of the units considered susceptible to working load increase is the medical record unit at the registration department because they have to interact with all visiting patients. The study aimed to discover the need for medical record personnel at the outpatient registration department of public health center X using the Full-Time Equivalent (FTE) method. The study used a descriptive study design and a quantitative approach. The researchers utilized a total sampling technique with two medical record personnel at the outpatient registration department. The study instrument employed was the outpatient registration daily log of Public health center X. The study results show that the working load of medical record personnel at the BPJS patient registration department had an FTE index value of 2.24 > 1.28, categorized as overload. Meanwhile, medical record personnel at the non-BPJS patient registration department had an FTE index value of 0.96 < 0.99, categorized as underload. Therefore, it can be concluded that Public health center X requires two additional medical record personnel at the BPJS patient registration department, while the non-BPJS patient registration department did not require additional medical record personnel.

2021 ◽  
Vol 3 (1) ◽  
pp. 51-59
Author(s):  
Nurul Maulidya ◽  
Dian Oktianti

Diabetes Mellitus (DM) is a long-term or chronic disease which continues to increase every year. Indonesia itself is ranked 7th for the most DM sufferers in the world. The purpose of this study was to determine the profile of the use of antidiabetic drugs in DM patients at the Grabag Public Health Center. The method used in this research is descriptive method, with retrospective data collection. The population of DM sufferers at the Grabag Public Health Center was 50 patients, with the sampling technique using the total sampling method. The inclusion criteria were medical record data for outpatient type 2 diabetes mellitus, and the exclusion criteria incomplete medical record data. The results of this study were the use of oral antidiabetic drugs (OAD) with single therapy, metformin 32% and acarbose 2%, and with combination therapy are metformin + glimepirid 58%, acarbose + glimepiride 2%, and metformin + glimepiride+acarbose 6%. Based on the duration of suffering from diabetes, for 1 year the most people used metformin by 26%, for 2 and 3 years the most used metformin + glimepiride by 38% and 8%, while for 4 years using a combination of metformin + glimepiride + acarbose by 2%. Most of the patients are accompanied by hypertension complications. The most widely used single therapy oral OAD is metformin and the combination therapy is metformin + glimepiride. Patients suffering from diabetes for 1 year of treatment used metformin single therapy, for 2 and 3 years the most treatment used 2 combination therapy, glimepiride + metformin, while for 4 years of treatment using 3 combination therapy metformin + glimepiride + acarbose. Abstrak Diabetes Mellitus (DM) merupakan penyakit jangka panjang atau kronis yang pada setiap tahunnya terus mengalami peningkatan. Indonesia sendiri menduduki peringkat ke-7 untuk penderita DM terbanyak didiunia. Tujuan penelitian ini adalah untuk mengetahui profil penggunaan obat antidiabetes pada pasien DM di Puskesmas Grabag. Metode yang digunakan pada penelitian ini adalah metode deskriptif, dengan pengambilan data secara retrospektif. Populasi penderita DM di puskesmas Grabag sebanyak 50 pasien dengan teknik pengambilan sampel menggunakan metode total sampling. Kriteria inklusi berupa data rekam medik pasien DM tipe 2 rawat jalan, dan kriteria eksklusi berupa data rekam medik yang tidak lengkap. Hasil dari penelitian ini adalah penggunaan obat antidiabetes (OAD) oral dengan terapi tunggal yaitu metformin 32% dan acarbose 2%, dan dengan terapi kombinasi adalah metformin + glimepirid 58%, acarbose + glimepiride 2%, dan metformin+glimepiride + acarbose 6%. Berdasarkan lamanya menderita DM, selama 1 tahun terbanyak menggunakan metformin sebesar 26%, selama 2 dan 3 tahun terbanyak menggunakan metformin + glimepiride sebesar 38% dan 8%, sedangkan selama 4 tahun menggunakan kombinasi metformin + glimepiride + acarbose sebesar 2%. Sebagian besar pasien disertai dengan komplikasi hipertensi. Penggunaan OAD oral terapi tunggal terbanyak adalah metformin dan terapi kombinasi adalah metformin+glimepiride. Pasien yang menderita DM selama 1 tahun pengobatan terbanyak menggunakan terapi tunggal metformin, selama 2 dan 3 tahun pengobatan terbanyak menggunakan terapi 2 kombinasi yaitu glimepiride + metformin, sedangkan selama 4 tahun pengobatannya menggunakan terapi 3 kombinasi yaitu metformin + glimepiride + acarbose.


2020 ◽  
Vol 13 (2) ◽  
pp. 109
Author(s):  
Yuyun Sarinengsih

ABSTRAKStunting yaitu keadaan gagal tumbuh akibat dari kekurangan gizi kronis. Prevalensi stunting di Kabupaten Tasikmalaya menempati urutan keempat, dimana kecamatan Sukahening menempati urutan pertama tertinggi dengan jumlah 155 balita mengalami stunting. Faktor yang dapat mempengaruhi kejadian stunting yaitu pengasuhan anak yang kurang baik dimana tidak diberikannya ASI secara Ekslusif. Pencegahan stunting yaitu pada 1000 hari kehidupan dimana salah satunya pemberian ASI secara Ekslusif.Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Jenis Penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross-sectional. Populasi total sampling sebanyak 95 responden menggunakan teknik purposive sampling.Hasil Penelitian diperoleh lebih dari setengah responden 51,6% tidak diberikan ASI secara Ekslusif, dan sebagian besar 65,3% balita mengalami stunting. Hasil perhitungan chi-square diperoleh ρ.value (0,000<0,05) maka H0 ditolak sehingga terdapat hubungan antara Pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Hasil penelitian ini diharapkan dapat memberi informasi yang bermanfaat dan perlu dilakukan pendidikan kesehatan ulang yang terjadwal terkait nutrisi yang terjangkau dan sehat sehingga dapat meningkatkan cakupan ASI Ekslusif dan dapat menurunkan angka stunting.Kata Kunci : ASI Ekslusif, StuntingDaftar Pustaka : 25 buku (2010-2018)9 jurnal (2013-2019)2 Website (2010-2017) ABSTRACTStunting is a condition of growth failure due to chronic malnutrition. The stunting prevalence in Tasikmalaya Regency was at the fourth place where Sukahening sub-district was at the highest with 155 stunting. Factor that can influence the occurrence of stunting is a poor parenting where exclusive breastfeeding is not given. The best prevention of stunting is on 1000 days of life where exclusive breastfeeding is given. The impact, if the baby is not given exclusive breastfeeding, they will lack of nutrition and also will have an impact on the growth or inappropriate height. This aims of the research is to determine the relationship between exclusive breastfeeding and the incidence of stunting on toddler under 5 years of at Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. The type of research used is descriptive correlation with a cross-sectional approach. The total samplings were 95 respondents which used purposive sampling technique. The results of the research were obtained more than half of the respondents 51.6% were given exclusive breastfeeding, and most 65.3% of children under five had stunting. The chi-square calculation results obtained that ρ.value (0,000 <0,05) then H0 is rejected so that there is a relationship between exclusive breastfeeding and the incidence of stunting on toddlers under 5 years in Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. Performed the health education related to affordable and healthy nutrition so that it can increase the coverage of exclusive breastfeeding and can reduce stunting rates. Keywords : Exclusive breastfeeding, Stunting Bibliography : 25 books (2010-2018) 9 journals (2013-2019) 2 Websites (2010-2017) 


2019 ◽  
Vol 5 (2) ◽  
pp. 100-103
Author(s):  
Mestika Rija Helti ◽  
Suriani ◽  
Zakiah

Measles and rubella can have a negative impact on children's health in Indonesia, so the government has implemented an MR vaccination campaign (MMR VIS - Indonesia, 2012). The MR (Measles Rubella) vaccine provides benefits such as protecting children from disability and death due to complications of pneumonia, diarrhea , brain damage, deafness, blindness and congenital heart disease. There were 83 confirmed cases of CRS in 2015-2016 of which 77% suffered from heart defects, 67.5% suffered from cataracts and 47% suffered from deafness (Ditjen P2P, 2016). The research objective was the Effect of Promotion of Health Workers on the Improvement of Rubella Measles Immunization at the Bandar Khalipah Public Health Center in 2019. This type of research is descriptive analytic with a cross sectional approach with a sample size of 18, it is recommended to carry out promotions. The sampling technique is purposive sampling technique. The research instrument uses leaflet sheets. Univariate analysis using Microsoft Excel. The results showed that the total coverage of rubella measles immunization prior to promotion at the Bandar khalipah health center 2019 was 340 (7.8%) in the "decreased" category and after promotion the total coverage of rubella measles immunization at the Bandar khalipah puskesmas was 367 (8, 6%) are in the “increasing” category. So that there is an effect of promotion of health workers on increasing the provision of rubella measles immunization at the Bandar khalipah public health center in 2019. Conclusion in this study there is an effect of promotion of health workers on increasing rubella measles immunization, so that health workers can use promotion as an effort to support government programs, coverage of immunization rubella measles 95%.


Author(s):  
Ari Nofitasari ◽  
Nawawi Nawawi ◽  
Mimi Yati ◽  
Sarah Sarizan Yunam

Background: Health education can improve an adherence and reduce treatment delays in Tuberculosis (TB) patients. Based on results of interviews with TB patients at Nambo Public Health Center in December 2019, the results of interviews that has conducted on 4 patients, it found that the patients was undergoing treatment at the public health center , there were family members who were undergoing same treatment, there had been no routine preventive measures. The 4 patients interviewed said that they did not know clearlyto preventiontransmission  because the health worker only gave a sheet of paper which was recommended to be read at home. The General objective of this study was to determine the effect of health education patients in prevention of transmission at the Nambo Public Health Center Area. Methods: The type of study was quasyi experimental method with a pre test and post test design. The population of this study was 75 people, by using proportional random sampling technique with 26 respondents. The method of analysis  used paired t test of the statistical analysis. Result: The results of this study, showed that the above table analysis obtained the value of t=10,111>1,706, where t count was greater than the value of t table. It shows that there was asignificant effect of Health Prevention behavior at Nambo Public Health Center. Conclusion: It is hoped that the Nambo Community Health Center will always educationorconselingwhichwillincreasecommunityknowledge on TB prevention in the working area.


2017 ◽  
Vol 3 (3) ◽  
pp. 131-137
Author(s):  
Syukra Alhamda

Background: Dengue fever in Tigo baleh Bukittinggi community is one of the infectious diseases resulting in serious health problems. Understanding the factors associated with the disease is necessity.Objective: To determine the relationships of the implementation of 3M plus program and the existence of Aedes aegypti larvae towards the number of dengue fever cases in the public health center of Tigo Baleh Bukittinggi, West Sumatera, Indonesia.Methods: This was a case control study conducted between January and December 2016 in the Public Health Center of Tigo Baleh Bukittinggi. There were 78 samples recruited by total sampling, with 39 were assigned in the case and control group. House index (HI) and Container index (CI) were used to measure the presence of Aedes aegypti larvae. The implementation of 3M plus program was measured using questionnaire developed by the researcher. Chi Square was performed for data analysis. Result: Findings showed that house index value was 43.6% and container index was 17.9%. The presence of larvae at home contributes to 24 (61.5%) cases of DHF in the case group and 10 (25.6%) cases in the control group. Poor implementation of the program contributes to 27 (69.2%) cases in the case group and 17 (43.6%) in the control group. Chi square test showed p 0.040 (0.05) for the 3M plus implementation and p 0.03 (0.05) for the presence of Aedes aegypti. Conclusion: There were significant associations between the implementation of 3m plus program and the existence of Aedes aegypti larvae towards the number of dengue fever cases in the public health center of Tigo Baleh Bukittinggi, West Sumatera, Indonesia. It is suggested that the community should do more efforts to prevent the occurrence of DHF through mosquito nest eradication, such as the implementation of 3M Plus and sanitation efforts, and pay attention to any places that potentially become a breeding ground for Aedes aegypti mosquitoes.


2020 ◽  
Vol 8 (1) ◽  
pp. 69-77
Author(s):  
Pawiliyah Pawiliyah ◽  
Epi Susanti

Labor events are physiological events whose processes can run smoothly and safely if the helper in labor can monitor labor to detect complications early. The purpose  of this study was to look at the factors related to the selection of Birth assistance places for labor mothers in Lingkar Timur Public Health Center of Bengkulu City. This study used descriptive correlational using Cross Sectional design. The sample in this study was taken by using purposive sampling technique that is taking as many as 78 samples. Data were tested using the chi-square test. To determine the closeness of the relationship, a contingency coefficient (C) test has been used. There is a relationship between age with the selection of birth assistance places in labor mothers in the Lingkar Timur Public Health Center in Bengkulu City with p=0,000 0,05 a close relationship category. There is a relationship of parity with the selection of birth places in delivery mothers in the Lingkar Timur Public Health Center Work Area with p=0,003 0,05 medium relationship category. There is an educational relationship with the selection of birth places in delivery mothers in Lingkar Timur Public Health Center with p=0,000 0,05 in the category of close relationships. There is a relationship between the complication of labor and the choice of place of delivery assistance for women giving birth in Lingkar Timur Public Health Center of Bengkulu City with p=0,000 0,05 a close relationship category. Based on the results of the study recommends the importance of health promotion such as Antenatal care, conducting pregnant mothers class programs, so that pregnant women get information and knowledge about their pregnancy conditions and can choose the right place of delivery according to their pregnancy conditions.


2021 ◽  
Vol 4 (4) ◽  
pp. 345-354
Author(s):  
Linda Purnamawati Suherman ◽  
Pudjiastuti Kartidjo ◽  
Iis Rukmawati ◽  
Vina Septiani ◽  
Fazrin Azzura

Dyspepsia is a condition of pain in the epigastrium and a burning sensation that radiates to the chest. Dyspepsia occupies the 10th position in the 20 largest non-communicable diseases in a Public Health Center in Bandung. The heterogeneous symptoms and the absence of specific treatments can lead to irrational treatment. The research objective is to determine the pattern of drug use in patients with dyspepsia, including the right indication, the proper drug selection, the correct dose, and the proper interval of administration in a Public Health Center in Batununggal District Bandung. This study was an observational study using a cross-sectional study design that was descriptive in nature. The sampling technique employed the purposive sampling method retrospectively. The research was conducted on 104 patients diagnosed with dyspepsia with comorbidities and receiving drugs at an Outpatient Clinic in a Public Health Center in Batununggal District Bandung from January-March 2020. There were 38 male patients (36.538%) and 66 female patients (63.462%). The majority of patients were aged 56-65 years (28.846%). The most used drug class was antacids (60.448%), and the dosage form that was mostly used was tablets (40.299%). The most used single drug was antacids (51.923%), while the most used drug combination was antacids and omeprazole (23.077%). The accuracy of drug selection and the accuracy of indications were 100% correct, the accuracy of the dosage was 59.62% correct, the accuracy of the time interval for drug administration was 71% correct, and the accuracy of the duration of drug administration was 9.62% correct.


2019 ◽  
Vol 3 (3) ◽  
pp. 138
Author(s):  
Alif Hamzah ◽  
Uswatun Khasanah ◽  
Dini Norviatin

Background: Hypertension is one of the most global killer diseases that causes death. The World Health Or- ganiza on es mated around 1.5 billion people in the world will be diagnosed with hypertension every year. The increasing incidences of hypertension in the world may be affected by several predictors including age, sex-linked, heredity, smoking habit, obesity, and salt consump on. This study has objec ve to examine those predictors to hypertension grade. Methods: This research was used observa onal analy c method with cross-sec onal study. This study involved 136 respondents who came to Kalijaga Permai Public Health Center, Cirebon City. The variables were measured by microtoise, sphygmomanometer, stethoscope, scales, and ques onnaires. Spearman correla on test and lo- gis c regression test was analyzed for this study. Results: 59.9% of respondents were in hypertension grade 1 and 54% of respondents were in high risk age. The bivariate results revealed that age, sex-linked, heredity, and salt consump on were sta s cally correlated with hypertension grade (p=0.001). However, smoking habit and obesity were not sta s cally correlated. Mul vari- ate analysis found that those who add extra salt were 3.3 mes more likely to have hypertension grade 2 and those in high risk age were 3.1 more likely to have hypertension grade 2 as well. Compared with female and those who have nega ve heredity, male and posi ve heredity were 2.7 mes more likely to have hypertension grade 2. Conclusion: Salt consump on, age, sex-linked, heredity was significantly correlated with hypertension grade. Salt consump on was a risk factors which has the highest impact. Public health center should educate people about the recommenda on of daily salt intake to prevent the excessive intake that may affect hypertension.


2020 ◽  
Vol 2 (1) ◽  
pp. 1-7
Author(s):  
Jek Amidos Pardede ◽  
Mathalena Simamora ◽  
Farhana Irwan

Nurses’ caring attitude is the core in nursing standard practices that is mandatory for all nurses. In practicing caring attitudes, nurses show their empathy and care to patients in order to positively affect patients’ healing process. Furthermore, caring attitudes by nurses to mothers are expected to increase mothers’ motivation to attend to child immunization at public health centers regularly. The objective of the study was to identify the relationship between nurses’ caring attitude and the motivation of mothers in regularly taking their children for immunization at Belawan Public Health Center. This study employed correlational descriptive method using cross sectional approach. A total number of 52 mothers with the children of 0-12 months old served as research population. Sampling technique was total sampling technique in this study. By performing spearman rank statistical test, it was obtained that there was a strong correlation between caring attitude of nurses and mothers’ motivation for child immunization attendance (p= 0.005; r= 0.551). It is concluded that caring attitude of the nurses improve the motivation of mothers for child immunization attendance. It is suggested that nurses should practice caring while serving mother patients in order to increase awareness and internal motivation among mothers to bring their children to Public Health Center for immunization. Keywords: caring attitude of nurses; mothers’ motivation; immunization attendance.


2021 ◽  
Vol 1 (1) ◽  
pp. 28-38
Author(s):  
Yoki Muchsam ◽  
Ilham Rizkiana Muharam

This study aims to determine and analyze the medical record storage system on the effectiveness of patient care at the Cikole Public Health Center. The research method used is quantitative with inferential statistical analysis techniques. Data collection techniques by means of observation, interviews and questionnaires. Cikole Lembang Public Health Center is one of the first level health care facilities. Based on observations, the storage system used is a regional storage system in which each region starts from the first digit. There are 2 officers who work in the medical records section of the Cikole Public Health Center. With the storage system used, there are several shortcomings, namely the occurrence of misfiles and duplication. To find out whether there is an analysis of the medical record storage system on the effectiveness of the service, the author gives a questionnaire to the Cikole Public Health Center officers. The results of the questionnaire also show that the highest percentage level is found in item no.7, namely the decentralized storage system is in accordance with the target of 71%. Then the second is item no. 8, namely a decentralized storage system that allows the provision of medical record files on time by 61%. From the results of interviews with medical records officers, suggestions and input were given: (1). The storage system used was changed to centralization so that the alignment system was not duplicated; (2). The use of bindex as an additional tool to make storage neater and easier.


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