scholarly journals Affecting Factors BPJS Users on the Tiered Referral System in the Pokenjior Community Health Center, Padang Sidempuan City

Author(s):  
Ria Hartaty ◽  
Sri Lestari Ramadhani Nasution ◽  
Ali Napiah Nasution ◽  
Ermi Girsang

This study aims to determine the factors that influence BPJS users of the Tiered Referral System in the Work Area of Pokenjior Health Center, Padangsidimpuan City. This research is an analytical research type with explanatory research type. The populations in this study were all BPJS users or patients undergoing health services at the Pokenjior Public Health Center in Padang Sidempuan City with a sample of 98 patients participating in the Health BPJS. Data were collected using a questionnaire and analyzed using the Pearson Correlation test and multiple logistic regression tests. The results showed that there was an influence of BPJS user knowledge (p = 0.007), officer attitudes (p = 0.003), availability of infrastructure and human resources (p = 0.002), and referral information (p = 0.003) to the tiered referral system at Pokenjior Public Health Center. The results of multivariate analysis and modeling show that BPJS user knowledge, availability of infrastructure, and human resources and referral information are the dominant factors influencing the tiered referral system. Thus it was concluded that the knowledge factor of BPJS users, the availability of infrastructure and human resources as well as the referral information had a significant effect on the tiered referral system in Pokenjior Public Health Center, and the availability of infrastructure and human resources was the biggest or most dominant factor affecting the tiered referral system in the work area Pokenjior Public Health Center in Padangsidimpuan City

2017 ◽  
Vol 11 (2) ◽  
pp. 67
Author(s):  
Ringga Rahmi Prima ◽  
Melinda Noer ◽  
Benny Hidayat

Healthy and clean behaviour are behaviors that made family contribute in pursuing a healthy living environment. Based on City Health Office Padang data in 2015, the implementation of healthy and clean behavior at Andalas Public Health Center work area only 3,18 %. The Purpose of this study to determine the factors associated with the implementation of Healthy and clean behaviour among household  who live in Padang. This research use mixed method design with sequential explanatory approach. Samples were choosen using cluster sampling technique amount 99 unit of Household. The quantitative data were collected by interview with questionare and analyzed using multivariate, logistic regression with 95% CI (p= 0.05). The qualitative data were collected by depth interview and analyzed using content analysis. The result of multivariate analysis showed the dominant factor is basic sanitation. Basic sanitation eligible households will increase by 5.8 times. The research suggest Public Health Center should build cooperation cross-sectors with Public Work Service Office to fulfill of basic sanitation, like the fulfill of clean water needs and adding healthy sewerage system


2017 ◽  
Vol 11 (2) ◽  
pp. 67
Author(s):  
Ringga Rahmi Prima ◽  
Melinda Noer ◽  
Benny Hidayat

Healthy and clean behaviour are behaviors that made family contribute in pursuing a healthy living environment. Based on City Health Office Padang data in 2015, the implementation of healthy and clean behavior at Andalas Public Health Center work area only 3,18 %. The Purpose of this study to determine the factors associated with the implementation of Healthy and clean behaviour among household  who live in Padang. This research use mixed method design with sequential explanatory approach. Samples were choosen using cluster sampling technique amount 99 unit of Household. The quantitative data were collected by interview with questionare and analyzed using multivariate, logistic regression with 95% CI (p= 0.05). The qualitative data were collected by depth interview and analyzed using content analysis. The result of multivariate analysis showed the dominant factor is basic sanitation. Basic sanitation eligible households will increase by 5.8 times. The research suggest Public Health Center should build cooperation cross-sectors with Public Work Service Office to fulfill of basic sanitation, like the fulfill of clean water needs and adding healthy sewerage system


2020 ◽  
Vol 11 (2) ◽  
pp. 67-77
Author(s):  
Jihan Natassa ◽  
Ummil Munawaroh

Referral health is changing authority and responsibilities in reciprocal , both horizontal and vertical synchronization and structural and functional on the disease or problem. Based on data obtained from Health Sosial Security Organizer that the number of non-specialist outpatient referrals for sosial Security administrator participants in the Public Health Center Reaching Downstream I falls into the unsafe zone. This is because the number of referrals exceeds the predetermined target, which is 5.95% while the achievement target is 5%. This will affect the performance and service of the Puskesmas itself. The purpose of this study was to find out how the evaluation of the implementation of the Sosial Security Administrator program, especially in the non-specialist outpatient referral system for BPJS participants in the Public Health Center of Rambah Hilir I in Rokan Hulu Regency in 2018. The results of the study found that the availability of human resources is still lacking and not evenly distributed, the facilities and infrastructure are still incomplete, medicines are still not available, the outpatient referral is in accordance with the referral flow but there are still many references from the patient's own request. Follow-up has been done by the Public Health Center in the form of socialization to across sectors and communities. The conclusion of this study is that the availability of human resources, infrastructure and medicines at the Public Health Center is downstream I not in accordance with Minister of Health Regulation Number 75 of 2014 concerning Public Health Center, there are still many that need to be equipped and provided at Public Health Center of Rambah Hilir I. Regarding the implementation of outpatient referral systems for BPJS participants at the Public Health Center of Rambah Hilir I are in accordance with the set path, but because of the many referrals originating from the patient's own request resulting in a high number of referrals at the Public Health Center of Rambah Hilir I.   Bibliography   :  22 (2014-2017) Keywords        :  Evaluation, Human Resources, Facilities and infrastructure, drugs, reference


2021 ◽  
Vol 5 (1) ◽  
pp. 96-106
Author(s):  
Sunyoto Sunyoto ◽  
Nurwijayanti Nurwijayanti

The community has an important role in breaking the chain of Covid-19 transmission so as not to cause new sources of transmission / clusters in places where people move, interact between people and gather many people. The role of the community in being able to break the chain of Covid-19 transmission (risk of contracting and transmitting) must be carried out by implementing health protocols. This study aims to determine the influence of the factors of knowledge, attitudes, availability of facilities and infrastructure and support for the behavior of implementing health protocols in an effort to prevent Covid-19 in the work area of ​​Ngoro Public Health Center Mojokerto Regency. This research is an analytic survey research with a cross sectional approach. The study population was the population in Ngoro Public Health Center area. The sampling technique used is a simple sampling technique with a total sample size of 348 people. Retrieval of data using a questionnaire. Data analysis using multiple linear regression analysis. The results of this study indicate that the knowledge factor, attitude factor, and support factor partially influence the behavior of implementing health protocols. Attitude factor is the dominant factor affecting the behavior of implementing health protocols. While the knowledge factor, attitude factor, availability of health protocol facilities as well as support factors simultaneously influence the behavior of implementing health protocols in an effort to prevent Covid-19 in the work area of Ngoro Public Health Center Mojokerto Regency. To improve the behavior of implementing health protocols in the community, it is necessary to carry out activities of counseling, education, socialization, dissemination of information and supported by policies and regulations. Examples from health workers and community leaders are also needed in order to become a reference for the community.


2020 ◽  
Vol 11 (1) ◽  
pp. 22-37
Author(s):  
Rheina Magvira

Based on data of Health Office of Palu City in 2019 about HIV/AIDS cases, it reached 818 cases of HIV and 306 cases of AIDS, and 109 of sufferers died. The highest cases of HIV/AIDS were in Talise Public Health Center with 13 of HIV. The factor that causes the highest number of HIV/AIDS cases in Talise Public Health Center is the lack of patients participation in counseling, mobile VCT, and many of them do not follow the instruction of Public Health Center in conducting the treatment to the patients of HIV/AIDS. Another factor is the lack of human resources as counselors and lab staff, there is no special room for HIV/AIDS patients inside or outside the Health Center, and there is no incentive provided by the Health Center for the field workers. This study aims to describe the Implementation on Regulation of Ministry of Health Number 21 of 2013 about HIV/AIDS Prevention in work area of Talise Public Health Center, Mantikulore Subdistrict. The study applied qualitative research using a case study approach. Technique of selecting the informants was purposive sampling. There were 6 informants, nameley key informant (Head Of Public Health Center). Ordinary informants (HIV/AIDS program holders), and additional informants were HIV/AIDS patients. Data collection techniques were through triangulations: indept interview, observation and ducumentation using interview guidelines. The result of the study shows that communication is one of an obstacle. Many patients are shy and do not want to take part in examining the reproductive organs. Therefore, they do not receive the status as PLHIV patient. Resources and disposition are not good enough because health center  does not allocate addition staff as well as rewards to officers, the budget only for operational, the bureaucratic structure is good enough, and the cross-sector role is supportive. It is expected that Talise Publich Health Center can improve more about the management and standards releted to the Regulation of Ministry of Health Number 21 of 2013 concerning the tackling of HIV/AIDS.


Author(s):  
Vira Dwi Nisrina ◽  
Sundari Indah Wiyasihati ◽  
Widati Fatmaningrum ◽  
Sulistiawati Sulistiawati

Introduction: In Indonesia, there has been a 10% increase in the span of five years for exclusive breastfeeding, however this is still far from the national target. One of the factors that can cause low rates of national exclusive breastfeeding is that not all babies have received an early initiation of breastfeeding. The purpose of this study was to determine the relationship between early initiation of breastfeeding and exclusive breastfeeding for babies aged 7-12 months in the work area of Wiyung Public Health Center, Surabaya. Methods: This study was a quantitative research with a cross-sectional approach. The study used a questionnaire as the research instrument given to 30 respondents, namely mothers who had 7-12 month old babies in the work area of Wiyung Public Health Center, Surabaya. Results: The percentage of early initiation of breastfeeding in babies aged 7-12 months was 53.33% meanwhile the percentage of exclusive was 73.33%. Using Chi Square Fisher Exact Test, it was found that there is no relationship between early initiation of breastfeeding and exclusive breastfeeding for babies aged 7-12 months in the working area of the Wiyung Public Health Center in Surabaya. (The value of p = 0.574 with a value of α = 0.05, p>α). Conclusion: The early initiation of breastfeeding is not the only factor influencing exclusive breastfeeding for babies aged 7-12 months in the work area of the Wiyung Public Health Center in Surabaya. Further research is needed on other factors that can relate to and influence exclusive breastfeeding.


2020 ◽  
Vol 4 (2) ◽  
pp. 149-156
Author(s):  
Wahyuni Usman ◽  
John Taruna ◽  
Nila Kusumawati

ARI (Acute Respiratory Infection) is an acute inflammation of upper and lower respiratory tract caused by infection of microorganisms or bacteria, viruses, or rickets, without or with inflammation of the lung parenchyma. ARI is caused by a virus / bacteria that begins with heat accompanied by one or more symptoms such as sore throat, swallowing pain, runny nose, dry cough or phlegm. ARI is a public health problem in developing countries. The incidence of ARI tends to increase during the dry season.The goal of this research is want to know factors causing the event of ARI in dry season at public health center of kampar 2020. This research is observational analytic study with case control study design. Based on the results of research in the Kampar Public health center. The population is suffering from this research is the people in the Kampar Public health center and the samples is the people whos cames to Public health center to get treatment. Sample of case is 52 people and sample of control is 52 people. The variable in this research is Personal Protective equipments. The data were analyzed by univariate and bivariate analysis using Pearson correlation test and simple linier regression.The result of this research is that there is a significant correlation of using personal protective equipments with ARI in the dry season with (p value < 0,01). The preventive of action that can be done by the community is that if driving in the dry season, you should use PPE (Personal Protective equipments) like a mask, and if you are often active in the sun, you should use protective clothing such as hats, long sleeves, trousers and hats to avoid direct sun exposure.


2019 ◽  
Vol 1 (2) ◽  
pp. 23-27
Author(s):  
Dian Afriandi

The purpose of this study was to identify blood sugar levels in obese patients in the Matsum City Public Health Center Medan and to analyze the relationship between waist circumference and the incidence of type 2 diabetes mellitus in patients at the Matsum City Public Health Center in Medan. This research was conducted by analytic survey with a Cross Sectional design where all data concerning research variables were collected by approaching, observing or collecting data at a time. The sample used was 69 people. The results in this study found that there was a relationship between waist circumference and the incidence of diabetes mellitus in patients in the Work Area of Kota Matsum Health Center, Medan, North Sumatra.


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