Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan最新文献

{"title":"Penelitian Perbedaan Tarif Riil dan INA-CBG’s Penyakit Talasemia di Ruang Perawatan Anak RSUP Sanglah Bali Tahun 2017","authors":"Anak Agung Gede Agung Artha Kusuma, K. Ariawati","doi":"10.22435/JPPPK.V2I2.171","DOIUrl":"https://doi.org/10.22435/JPPPK.V2I2.171","url":null,"abstract":"Abstrak \u0000Biaya pengobatan suportif seperti transfusi darah dan kelasi besi seumur hidup pada seorang pasien talasemia sangat besar. Hampir seluruh pasien talasemia di RSUP Sanglah Bali merupakan peserta Badan Penyelenggara Jaminan Sosial (BPJS) yang menggunakan sistem pola pembayaran Indonesia Case Based Groups (INA-CBG’s). Penelitian dilakukan untuk mengetahui perbedaan tarif biaya riil dan INA-CBG’s penyakit talasemia di ruang perawatan anak RSUP Sanglah Bali. Penelitian potong lintang menggunakan desain deskriptif, dilakukan pada bulan Januari sampai dengan Desember 2017. Data dalam penelitian ini terdiri dari data karakteristik dan perbedaan antara tarif riil rumah sakit dengan tarif INA-CBGs penyakit talasemia di ruang perawatan anak RSUP Sanglah. Terdapat 313 kasus rawat inap dari 29 pasien talasemia yang diikutsertakan dalam penelitian. Rumah Sakit Umum Pusat Sanglah mendapat nilai positif Rp 534.784.590 (21,8%) dari selisih total tarif paket INA CBG’s dengan total tarif riil rumah sakit pada tahun 2017. Terdapat perbedaan positif antara tarif riil rumah sakit dengan tarif sesuai INA CBG’s pada perawatan anak dengan talasemia di RSUP Sanglah, yang memberi keuntungan bagi pihak rumah sakit. \u0000Kata kunci: talasemia, asuransi, JKN, INA-CBG’s \u0000Abstract \u0000The cost of supportive treatment such as blood transfusion and lifelong iron chelation in thalassemia patient is very expensive. Almost all thalassemia patients at Sanglah Bali Hospital are participants of Badan Penyelenggara Jaminan Sosial (BPJS) who use Indonesia Case Based Groups (INA-CBG’s) payment system. The study was conducted to determine the discrepancy hospital and INA-CBG’s fare of Thalassemia disease at pediatric ward Sanglah Bali Hospital. Cross sectional study using descriptive design, conducted in January until December 2017. The data in this study consisted of data on the characteristics and differences between the hospitals real cost with INA-CBG’s fare in the child with Thalassemia disease at Sanglah Hospital. There were 313 inpatient cases of 29 thalassemia patients enrolled in the study. Sanglah Hospital received a positive value of Rp 534,784,590 (21.8%) from discrepancy of the INA CBG’s fare with the total real cost of hospitals in 2017. There is a positive discrepancy between hospital and INA-CBG’s fare of Thalassemia disease at pediatric ward which gives benefits to the hospital. \u0000Keywords: thalassemia, insurance, JKN, INA-CBG’s","PeriodicalId":170797,"journal":{"name":"Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128822191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Faktor yang Berpengaruh terhadap Pemanfaatan Fasilitas Pelayanan Kesehatan Swasta","authors":"Selma Siahaan","doi":"10.22435/jpppk.v2i2.183","DOIUrl":"https://doi.org/10.22435/jpppk.v2i2.183","url":null,"abstract":"Abstrak \u0000Studi terhadap faktor yang berpengaruh terhadap pemanfaatan fasyankes swasta dengan analisis lanjut terhadap data Riskesdas 2013 diikuti oleh studi kualitatif yaitu wawancara mendalam terhadap pengguna layanan rawat jalan di 7 fasilitas pelayanan kesehatan swasta masing-masing 5 orang di Kota Tangerang. Tujuan studi ini adalah untuk mengetahui faktor yang berpengaruh terhadap pemanfaatan fasyankes swasta. Kerangka konsep mengikuti kerangka Green L, yaitu melakukan penilaian terhadap faktor predisposing, enabling dan reinforcing. Hasilnya adalah faktor yang berpengaruh signifikan terhadap pemanfaatan fasyankes swasta adalah usia, pekerjaan, kepemilikan asuransi dan untuk penyakit TB paru, diabetes, hepatitis dan hipertensi. Hasil studi kualitatif memperlihatkan faktor yang berpengaruh terhadap pemanfaatan fasyankes swasta tidak berbeda dengan hasil analisis lanjut, yaitu: jarak (akses) dan kepemilikan asuransi kesehatan. Studi ini merekomendasikan bahwa pemerintah perlu intens mendorong peningkatan kualitas fasyankes baik fasyankes pemerintah maupun swasta agar sama-sama memenuhi ekspektasi dan kebutuhan masyarakat dan juga pengaturan, distribusi dan pembinaan terhadap fasyankes swasta. \u0000Kata kunci: fasyankes, rawat jalan, asuransi kesehatan, Riskesdas 2013 \u0000Abstract \u0000It has been conducted study about factors influencing the utilization of private health facilities by further analyses towards Riskesdas 2013 data and followed by qualitative study i.e in-depth interviewed on outpatients in 7 private health care facilities that 5 people respectively in Tangerang city. The aim of this study was to find out factors that influence significantly to the utilization of private health services facilities. Conceptual framework followed Green L concept that is assessment to predisposing, enabling dan reinforcing factors. The results was that ages, occupation and having health insurance were factors that influencing significantly to th the utilization. In addition, TB pulmonary, diabetes, hepatitis and hypertension diseases was also significant. The qualitative study showed factors that influence the utilization of private health services facilities were not far different with the results of further study of Riskesdas 2013 i.e. access (distance) and having health insurance. This study recommended that government should push intensively the improvement of quality health services in public and private health facilities to fulfilled expectation and need of people. In addition, the Government should also continuing to regulate and to guidance private health facilities. \u0000Keywords: health services facilities, outpatients, health insurance, Riskesdas 2013","PeriodicalId":170797,"journal":{"name":"Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131312509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Antara Gastritis, Stres, dan Dukungan Suami Pasien dengan Sindrom Hiperemesis Gravidarum di Wilayah Kerja Puskesmas Poasia Kota Kendari","authors":"S. Syamsuddin, Hariati Lestari, Andi Faisal Fachlevy","doi":"10.22435/JPPPK.V2I2.136","DOIUrl":"https://doi.org/10.22435/JPPPK.V2I2.136","url":null,"abstract":"Abstrak \u0000Salah satu komplikasi kehamilan yang mempengaruhi status kesehatan ibu dan tumbuh kembang janin adalah hiperemesis gravidarum dimana kejadian ini dapat dideteksi dan dicegah pada masa kehamilan. Penelitian ini bertujuan untuk mengetahui hubungan antara gastritis, stres, dan dukungan suami dengan sindrom hiperemesis gravidarum di wilayah kerja Puskesmas Poasia kota Kendari tahun 2015. Jenis penelitian yang digunakan adalah penelitian analitik dengan menggunakan pendekatan studi potong lintang. Populasi dalam penelitian ini sebanyak 326 orang ibu hamil trimester I. Sampel dalam penelitian ini sebesar 74 ibu hamil yang berada di wilayah kerja Puskesmas Poasia kota Kendari. Metode pengambilan sampel dilakukan yaitu dengan teknik purposive sampling. Hasil analisis statistik menggunakan uji chi-square diperoleh ρ value = 0,000 dengan tingkat kepercayaan 95% (α = 0,05) menunjukan ada hubungan bermakna antara gastritis dengan sindrom hiperemesis gravidarum ρ value (0,380) > 0,001, ada hubungan bermakna antara stres dengan sindrom hiperemesis gravidarum ρ value (0,243) > 0,037, serta ada hubungan bermakna antara dukungan suami dengan sindrom hiperemesis gravidarum ρ value (0,411) > 0,000 di wilayah kerja Puskesmas Poasia kota Kendari Tahun 2015. Berdasarkan hasil penelitian dapat disimpulkan bahwa faktor stres, gastritis, dan dukungan suami memiliki hubungan signifikan dengan faktor kejadian hiperemesis gravidarum di wilayah kerja Puskesmas Poasia Kendari. \u0000Kata kunci: gastritis, stres, dukungan suami, sindrom hiperemesis gravidarum \u0000Abstract \u0000One of complications that effect the health status of mother and that growth of the fetus is hyperemesis gravidarum that actually can be detected and prevented during the pregnancy period. This reserach aims at finding out the correlation between gastritis, stress, and support of husband and hyperemesis syndrome gravidarumin working area of Puskesmas Poasia in Kendari Municipality in 2015. This is an analytical research by using cross sectional study approach. The populations of this research were 74 pregnant women in working area of Puskesmas Poasia in Kendari Municipality. The sample was taken by using total sampling technique and chi-square test was used to find out the result of statistical analysis and it was know that result of p value = 0,000 with the trust level of 95% (α = 0,05) shows that there is significant correlation between gastritis and hyperemesis syndrome gravidarum p value (0,380) > 0,001, there is significant correlation between getting stress and hyperemesis syndrome gravidarump value (0,234) > 0,001, and there is a significant correlation between the support of husband and hyperemesis syndrome gravidarum p value (0,411) > 0,000 in working area of Puskesmas Poasia in Kendari 2015. Based on the results of the study it can be concluded that stress factors, gastritis, and husband’s support have a significant relationship with the incidence of hyperemesis gravidarum in the working area of t","PeriodicalId":170797,"journal":{"name":"Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114901893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementasi Perawat dalam Pemenuhan Kebutuhan Aktivitas Sehari-hari Pasien Stroke di RS PKU Muhammadiyah Yogyakarta dan RS PKU Muhammadiyah Gamping","authors":"L. Latifah, Erfin Firmawati, Nur Chayati","doi":"10.22435/JPPPK.V2I2.493","DOIUrl":"https://doi.org/10.22435/JPPPK.V2I2.493","url":null,"abstract":"Abstrak \u0000Penderita stroke di Indonesia meningkat setiap tahun. Salah satu dampak stroke adalah terjadinya gangguan fungsi motorik yang mengakibatkan pasien stroke memerlukan bantuan dalam melakukan aktivitas sehari-hari serta waktu perawatan yang cukup lama. Perawat berperan penting untuk meningkatkan kemandirian pasien, seperti mengkaji, membantu, dan mengajarkan aktivitas sehari-hari kepada keluarga dan pasien stroke sehingga pasien mampu memenuhi kebutuhannya. Penelitian ini bertujuan untuk mengetahui implementasi perawat dalam pemenuhan aktivitas sehari-hari pasien stroke di Rumah Sakit PKU Muhammadiyah Yogyakarta dan Rumah Sakit PKU Muhammadiyah Gamping. Desain penelitian adalah penelitian potong lintang. Pengambilan sampel menggunakan accidental sampling dengan besar sampel 42 responden. Instrumen penelitian menggunakan kuesioner bentuk-bentuk implementasi perawat dengan skala Likert. Analisis data dengan statistik deskriptif. Hasil penelitian menunjukkan implementasi perawat dalam pemenuhan aktivitas sehari-hari pasien stroke, semua termasuk dalam kategori kurang, baik dalam mengkaji aktivitas sehari-hari (59,52%), membantu aktivitas sehari-hari (83,33%), maupun mengajarkan aktivitas sehari-hari pada keluarga dan pasien stroke (90,48%). Kesimpulan dari penelitian ini menunjukkan bahwa implementasi perawat dalam pemenuhan aktivitas sehari-hari pasien stroke adalah kurang baik, baik dalam proses pengkajian maupun implementasi tindakan terhadap keluarga dan pasien stroke. Saran pada peneliti selanjutnya agar melakukan observasi tindakan perawat serta mengambil data dari pasien dan perawat untuk lebih menjamin keabsahan data. \u0000Kata kunci: pemenuhan ADL, perawat, stroke \u0000Abstract \u0000The number of stroke patients in Indonesia is increasing gradually. One of the effects of stroke was impaired of motor function that cause stroke patients required assistance in daily activity and long term care. The important role of nurses is to improve stroke patients independence, such as assessed, assisted, and taught stroke patient and their families so they could fulfill their own requirement This study aimed to describe of nursing implementation in stroke patients activity daily living (ADL) fulfillment at PKU Muhammadiyah Yogyakarta and PKU Muhammadiyah Gamping Hospital. This research was a quantitative descriptive study. Fourty two subjects were recruited by accidental sampling method. The research instrument was a questionnaire with Likert Scale. Data were analyzed using descriptive statistics. As results, nursing implementation in ADL fulfillment showed poor category with details in assessing ADL (59,52%), assisting ADL (66,67%), and teaching ADL for stroke patient and their families (90,48%). This study concluded that nursing implementation in stroke patients ADL fulfillment was not good, either on assessing or doing intervention for stroke patient and their families. Future studies were suggested to observe nursing activity and get the data both from pat","PeriodicalId":170797,"journal":{"name":"Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129417379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pengembangan Model Latihan Gerak Pasif-Aktif Terhadap Pelayanan Rehabilitatif Pasien Stroke Hemiplegia RSUD dan RSI Fatimah Kabupaten Cilacap","authors":"Wahyu Wahid Muttaqin, Furqon Hidayatullah, Muchsin Doewes","doi":"10.22435/JPPPK.V2I2.276","DOIUrl":"https://doi.org/10.22435/JPPPK.V2I2.276","url":null,"abstract":"Abstrak \u0000Stroke merupakan gangguan fungsi saraf akut yang disebabkan oleh gangguan peredaran darah otak. Efek dari penyakit ini tidak hanya berdampak pada pasien tetapi juga keluarga dan lingkungan sekitarnya. Tujuan penelitian ini untuk mengembangkan model latihan gerak pasif–aktif yang efektif terhadap peningkatan aktivitas fungsional anggota gerak yang mengalami kelumpuhan pada pasien stroke di RSUD Kabupaten Cilacap. Rancangan penelitian menggunakan eksperimen semu pada bulan Maret 2017. Subyek penelitian ini adalah pasien stroke berjumlah 40 orang, terdiri dari 20 pasien stroke rawat jalan di RSUD Cilacap sebagai kelompok coba dan 20 pasien stroke rawat jalan di RSI Fatimah Cilacap sebagai kelompok kontrol. Intervensi berupa latihan gerak pasif-aktif yang dikembangkan sebelumnya untuk meningkatkan aktivitas fungsional yang diukur dengan Indeks Barthel. Analisis data menggunakan uji t. Pengaruh latihan gerak pasif-aktif dengan menggunakan buku panduan dan audio visual latihan stroke terbukti efektif diterapkan dalam pelayanan rehabilitasi di fasilitas kesehatan, peningkatkan hasil aktivitas fungsional tersebut diukur mengunakan Indeks Barthel. \u0000Kata kunci: stroke, pasif-aktif, Indeks Barthel \u0000Abstract \u0000Stroke is acute nervous function disorder caused by brain circulatory disorders. The effects of this disease not only affect the patient but also the family and the surrounding environment. The purpose of this study was to develop an effective passive-active motion training model for increasing functional activity of limbs who experienced paralysis in stroke patients in Cilacap District Hospital. The research design used a quasi-experimental in March 2017. The subjects of this study were 40 stroke patients, consisting of 20 outpatient stroke patients in Cilacap Regional Hospital as the trial group and 20 outpatient stroke patients at Fatimah Cilacap Hospital as the control group. Interventions in the form of passive-active motion exercises that were developed previously to increase functional activity as identified by the Barthel Index. Data analysed using t test. The effect of passive-active motion examined by using a guide book and audio visual stroke exercises had effectively proved in rehabilitative health service facility, the improvement of functional activity results was examined using Barthel Index. \u0000Keywords: stroke, passive-active, Barthel Index","PeriodicalId":170797,"journal":{"name":"Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115266764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}