scholarly journals Evaluating the Primary Care Quality of a Public Health Center in a Rural Area

2017 ◽  
Vol 42 (1) ◽  
pp. 24-35
Author(s):  
Young-Kwan Byeon ◽  
Yong-Jun Choi
2020 ◽  
Vol 7 (2) ◽  
pp. 239-246
Author(s):  
Adenia Dwi Ristanti ◽  
Nur Zuwariyah

Latar belakang: Indonesia merupakan suatu negara berkembang dengan masalah kesehatan yang masih menjadi perhatian khusus yaitu AKI yang masih tinggi. Sebanyak 99% kematian ibu akibat masalah persalinan atau kelahiran terjadi di negara-negara berkembang. Berdasarkan SUPAS masih 305 per 100.000 per kelahiran hidup pada tahun 2030. Tujuan: Menganalisis pengaruh manajemen rujukan kegawatdaruratan obstetric dengan insiden kegawatdaruratan obstetric di Pusat Pelayanan Primer. Metode penelitian: Penelitian ini menggunakan pendekatan kualitatif desain diskriptif fenomenologi serta restropective. Penelitian dilakukan di wilayah kerja puskesmas jagir dari bulan April sampai Juli 2019 informan utama yaitu Bidan. Pengumpulan informan dengan teknik wawancara mendalam, studi dokumentasi serta observasi. Hasil penelitian: Hasil penelitian ini sesuai dengan pedoman system rujukan nasional menyebutkan bahwa evaluasi internal perlu dilakukan dalam rangka peningkatan mutu pelayanan, dan memperbaiki ketaatan pelaksanaan rujukan oleh fasilitas kesehatan, memperbaiki serta mengevaluasi sarana serta SDM dipelayanan Kesehatan. Semua informan dalam manajemen rujukan kegawatdaruratan obstetri dengan insiden kegawatdaruratan obstetri  di pusat pelayanan primer sudah cukup baik. Kesimpulan: Semua informan dalam pengetahuan tentang manajemen rujukan kegawatdaruratan obstetri dengan insiden kegawatdaruratan obstetri  di pusat pelayanan primer sudah cukup baik. Pengetahuan sistem rujukan kasus kegawatdaruratan obstetric informan sudah baik. Sarana dan Prasarana yang tersedia di puskesmas sudah tersedia lengkap sesuai standar minimal untuk kegawatdaruratan obstetric dan dalam kondisi yang baik. SOP sudah sesuai dengan protap yang ada. Surat pengantar rujukan, transportasi serta penyerahan tanggung jawab sudah sesuai dan baik. Semua informan telah melakukan pencatatan serta pelaporan terkait kasus rujukan yang dilakukan. Mayoritas informan telah melakukan evaluasi internal untuk menilai apakah prosedur rujukan yang telah dilakukan sudah cukup baik. Saran: Diharapkan hasil penelitian ini menjadi sumber referensi dalam pengembangan ilmu  kebidanan untuk meningkatkan kualitas pemberian asuhan kebidanan khususnya pada layanan kebidanan. Background: Indonesia is a developing country with health problems that are still a special concern is the high maternal mortality rate. As many as 99% of maternal deaths due to childbirth or birth problems occur in developing countries. Based on the inter-census population survey it is still 305 per 100,000 per live birth in 2030. Aims: to analyze the involvement of obstetric emergency referral management by reporting on obstetric emergencies at the Primary Service Center. Research Methods: This research uses descriptive qualitative design of phenomenology and restropective. The study was conducted in the working area of the Jagir public health center from April to July 2019, the main informant was Midwife Information gathering with in-depth interview techniques, study collection and collection. Results: The results of this study are in accordance with the national referral system guidelines stating that internal evaluation needs to be done in order to improve the quality of services, and improve compliance with referral services by health facilities, improve and evaluate facilities and human resources in health services. All informants in obstetric emergency referral management with obstetric emergency incidents in primary care centers are good enough. Conclusion: All informants in knowledge of obstetric emergency referral management with obstetric emergency incidents in primary care centers are good enough. Knowledge of the obstetric emergency case referral system is good. Facilities and infrastructure available at the public health center are fully available according to the minimum standards for obstetric emergencies and in good condition. Standard operational procedures are in accordance with existing procedures. Letter of reference for referral, transportation and assignment of responsibilities are appropriate and good. All informants have recorded and reported related to the referral case. The majority of informants have conducted internal evaluations to assess whether the referral procedures that have been carried out are good enough. Suggestion: It is hoped that the results of this study will become a reference source in developing midwifery to improve the quality of special midwifery care assistance in midwifery services.


Author(s):  
Dwi Jata ◽  
Nyoman Adi Putra ◽  
I.B.G. Pujaastawa

Dengue hemorrhagic fever (DHF) is one of diseases that causes health problems in Indonesia and oftenly creates extraordinary events with great death. The purpose of this research is to discover relationship community behavior in mosquito nesting eradication and environmental factors with DHF incidence in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur. The research design used is observational, cross-sectional. Total sample of 82 households. Sampling was done in proportion sampling method. Results of the analysis of environmental variables associated with DHF incidence in 1st Public Health Center Denpasar Selatan: occupant density (p = 0.02), mobility (p = 0.01), the habit of hanging clothes (p = 0.04). 1st Public Health Center Denpasar Timur: mobility (p = 0.00), clogged water ditches (p = 0.00), containers water existance (p = 0.03), the habit of hanging clothes (p = 0.00). Knowledge, attitude and actions in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur statistically correlated with DHF incidence. As conclusion of the research results, in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur, that is mobility, the habit of hanging clothes, knowledge, attitude and actions strongly related with DHF incidence, while that is clogged water ditches, containers water existance and occupant density has no relation with DHF incidence. Public Health Center need to intensify health promotion, improves the quality of MNE (PSN), and the Provincial Health Service need to support Public Health Center on setting policies which necessary.


2020 ◽  
Vol 30 ◽  
pp. 253-256
Author(s):  
Abd. Rahman ◽  
Indar ◽  
Erniwati Ibrahim ◽  
Muhammad Alwy Arifin

2019 ◽  
Vol 10 (10) ◽  
pp. 1923 ◽  
Author(s):  
Ratna Dwi Wulandari ◽  
S. Supriyanto ◽  
M. Bagus Qomaruddin ◽  
Nyoman Anita Damayanti ◽  
Agung Dwi Laksono

BMJ ◽  
2016 ◽  
pp. i1209 ◽  
Author(s):  
Kayo Kurotani ◽  
Shamima Akter ◽  
Ikuko Kashino ◽  
Atsushi Goto ◽  
Tetsuya Mizoue ◽  
...  

2016 ◽  
Vol 157 (9) ◽  
pp. 328-335 ◽  
Author(s):  
László Róbert Kolozsvári ◽  
Imre Rurik

The Hungarian primary care quality indicator system has been introduced in 2009, and has been continuously developed since then. The system offers extra financing for family physicians who are achieving the expected levels of indicators. There are currently 16 indicators for adult and mixed practices and 8 indicators are used in paediatric care. Authors analysed the influencing factors of the indicators other than those related to the performance of family physicians. Expectations and compliance of patients, quality of outpatient (ambulatory) care services, insufficient flow of information, inadequate primary care softwares which need to be updated could be considered as the most important factors. The level of financial motivations should also be significantly increased besides changes in the reporting system. It is recommended, that decision makers in health policy and financing have to declare clearly their expectations, and professional bodies should find the proper solution. These indicators could contribute properly to the improvement of the quality of primary care services in Hungary. Orv. Hetil., 2016, 157(9), 328–335.


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