{"title":"Dampak Akibat Implementasi Program JKN Terhadap Biaya Kesehatan di Fasilitas Kesehatan Tingkat Lanjutan","authors":"Annisa Nurul Arofah, Viva Maiga Mahliafa Noor, Febri Endra Budi Setyawan, Dafa Azmi Syauqi Shihab","doi":"10.37148/comphijournal.v3i2.104","DOIUrl":"https://doi.org/10.37148/comphijournal.v3i2.104","url":null,"abstract":"The current implementation of JKN brings major changes in the health care and financing system, especially in hospitals. The payment system in hospitals has changed, which previously used a fee-for-service system, was changed to a prospective payment system using the INA-CBGs rate and BPJS Kesehatan was appointed as the implementing institution for the program. The INA-CBG's payment system was chosen because it is possible to control health costs, encourage quality services according to standards, limit unnecessary or excessive health services and encourage providers to carry out cost containment. This study aims to determine the impact of the implementation of the JKN program on health costs in FKTL. This research is a literature review (narrative review) by conductinga literature review of 12 journals. Journals were obtained from Google Scholar and PubMed searches with the keywords Impact of JKN on Healthcare Costs in FKTL OR Hospitals which were selected with the criteria of national and international journals with good reputation and indexed by SINTA and SCOPUS which were published no later than 2016. the purpose of this study and passed the selection. The results of the analysis show that the impact of JKN, especially on health costs, has an effect on the pattern ofJKN utilization by the community, patient satisfaction, hospital efficiency, Gross Profit Margin and Net Profit Margin of hospitals, and has an effect on hospital income. It can be concluded that there has been an influence on FKTL since the JKN era entered Indonesia.","PeriodicalId":444691,"journal":{"name":"CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal","volume":"308 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125025445","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":"Pengaruh Faktor Lingkungan terhadap Kejadian Multidrug-Resistant (MDR) di Kabupaten Jember","authors":"Thahri Iskandar, Febri Endra Budi Setyawan, Djaka Handaja, Nurlayli Hidayati Husein","doi":"10.37148/comphijournal.v3i2.101","DOIUrl":"https://doi.org/10.37148/comphijournal.v3i2.101","url":null,"abstract":"Tuberculosis is a chronic and contagious infectious disease caused by Mycobacterium tubeculosis. In terms of TB treatment, it still can’t be handled optimally, but there is a new problem namely Multidrug –Resistant which is now a global problem in various worlds. In Jember Regency, the detection of Multidrug –Resistant TB cases was known to increase rapidly in 2018. In the occurrence of a disease, according to H.L Blum (1981), there are 4 main factors the occurance of a diseas: lifestyles, environment, health care services, and pshycobiology. Environment have the biggest role out of those factors.This study to analyze the relationship between environmental factors and the incidence of Multidrug –Resistant Pulmonary TB patients in Jember Regency.This study used SEM –PLS (Structural Equation Modeling –Partial Least Square) correlation test. The samples are collected using area sampling method and the sample size is determined using Slovin’s formula becausethe population size is already known (144 respondents). Questionnaire that has been tested for validity is used as measuring instrument in this research.Based on the analysis of the SEM –PLS (Structural Equation Modeling –Partial Least Square) program which was carried out in a multigroup analysis of environmental factors.The Outer Model shows that the loading factor of occupancy density, family and job’s values is >0,6. Furthermore, the inner model shows that t-count of physical variables in MDR –TB cases is higher than the t-table(1,96). The results of the structural model for SEM –PLS analysis indicate a relationship between the occupancy density of the physical environment variables and the incidence of MDR –TB.There is a relationship between occpancy density in physical environment variables and the incidence of MDR –TB in Jember Regency.","PeriodicalId":444691,"journal":{"name":"CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131088313","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}
S. Hidayatulloh, Enggar Dwi Panglipur, Adelia Friska Imas, I. Mahendra, S. Sugiharto
{"title":"Hubungan Beberapa Faktor Internal Dan Eksternal Dengan Hipertensi Pada Pasien Usia 45-59 Tahun Di Puskesmas Tawangsari Kabupaten Mojokerto Pada Agustus 2021","authors":"S. Hidayatulloh, Enggar Dwi Panglipur, Adelia Friska Imas, I. Mahendra, S. Sugiharto","doi":"10.37148/comphijournal.v3i1.56","DOIUrl":"https://doi.org/10.37148/comphijournal.v3i1.56","url":null,"abstract":"Hypertension is influenced by internal and external factors. Internal risk factors such as: age, gender and family history While external risk factors are risk factors caused by unhealthy behavior of people with hypertension and can be changed such as: smoking, low fiber diet, excessive salt consumption, obesity, drinking alcohol, dyslipidemia and stress. Therefore, this study aims to analyze whether there is a relationship between several internal and external factors with hypertension in patients aged 45-59 years at the Tawangsari Health Center, Mojokerto Regency in August 2021. Where the independent variables in this study were gender, family history, smoking and obesity while the dependent variable is hypertension. The design in this study is cross sectional and the population is all elderly who seek treatment at the Tawangsari Health Center, Mojokerto Regency in August 2021 as many as 44 elderly with a total sample of 40 patients. The data from the study were then processed using the Chi-square statistical test. Based on the results of the study, it was found that family history (genetic), smoking and obesity had a significant relationship with the incidence of hypertension at the age of 45-59 years. While the gender factor is known to have no relationship with the incidence of hypertension at the age of 45-59 years at the Tawangsari Health Center, Mojokerto Regency","PeriodicalId":444691,"journal":{"name":"CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125061913","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}
Bobby Ibrahim Arbie, Diana Wulandari, I. N. A. Wacika, Mendy Audian Paramita, A. Andiani
{"title":"Hubungan antara Bayi Berat Lahir Rendah dan Lingkar Lengan Atas","authors":"Bobby Ibrahim Arbie, Diana Wulandari, I. N. A. Wacika, Mendy Audian Paramita, A. Andiani","doi":"10.37148/comphijournal.v3i1.54","DOIUrl":"https://doi.org/10.37148/comphijournal.v3i1.54","url":null,"abstract":"Low Birth Weight (LBW) is defined as a baby's weight at birth of less than 2,500 grams. LBW can also have a long-term impact on the baby's life in the future, such as experiencing mental and physical disorders at the age of infant growth and development. Measurement of upper arm circumference (MUAC) can be used as an assessment of the nutritional status of pregnant women, including chronic energy deficiency (CED) if the size of the upper arm circumference (MUAC) is less than 23.5 cm in pregnant women. Maternal nutrition during pregnancy plays an important role, because the status of chronic energy deficiency (CED) before pregnancy affects fetal growth. Seeing from the description that has been described above, the researchers are interested in conducting research related to the relationship between low birth weight babies and upper arm circumference in Kutogirang Village, Ngoro Community Health Center, Mojokerto Regency. This research is an observational quantitative research using a cross sectional research design. The data analysis used in this research is Chi-Square. There is a significant relationship between low birth weight babies and maternal upper arm circumference in Kutogirang Village, the working area of the Ngoro Health Center, Mojokerto Regency in 2020. From the OR data it can be concluded that mothers with MUAC < 23.5 cm have a 19.33 times higher risk of having children with LBW than mothers with normal MUAC.","PeriodicalId":444691,"journal":{"name":"CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122745547","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":"Telur Trichuris trichiura pada Bagian Luar Tubuh Lalat Musca domestica sebagai Penyebab Penyakit Trichuriasis pada Manusia","authors":"Kinsay Maura Larasati, Soebaktiningsih Soebaktiningsih, Bahrudin Bahrudin, Febri Endra Budi Setyawan","doi":"10.37148/comphijournal.v3i1.45","DOIUrl":"https://doi.org/10.37148/comphijournal.v3i1.45","url":null,"abstract":"Background: Musca domestica is the most common fly species and spreading around the world also act as mechanical vectors various pathogenic agent (virus, bakteri, parasite, one of them is Trichuris trichiura). Human will suffer from Trichuriasis if they ingest food ordrinks contaminating Trichuris trichiura eggs. The prevalence of Trichuriasis is still high and it affects children more often because lack of hygiene. Purpose: to determine the role of Trichuris trichiura eggs on the body surfaces of Musca domestica thatcauses Trichuriasis in humans.Methods: Literature review by retrieving library resources from 39 journals and 2textbooksselected by using the criteria of accredited national journals sintaand reputable international journals and indexed scopus and non-scopus published by 2016.Results: From some experimental studies, Musca domestica carried Trichuris trichiura eggs on the outer body surfaces, as mechanical vectors potential for spreading Trichuriasis.Conclusion: Trichuris trichiura eggs carried by outer body surfaces of Musca domestica can causes serious health problem in humans, has potential cause Trichuriasis disease. Good control and education are needed to prevent Trichuriasis disease","PeriodicalId":444691,"journal":{"name":"CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123831954","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}
Eva Ma'rifatus Syadiyah, Nini Primadhani Paras Shinta Dewi, Kadek Cahya Adwitiya, Gede Prawira Utama Putra, A. Noviana
{"title":"Hubungan Tingkat Stress Dalam Menghadapi Pandemi Covid-19 Dengan Angka Kejadian Gerd di Puskesmas Pandan, Kecamatan Pacet, Kabupaten Mojokerto Pada Bulan September Tahun 2021","authors":"Eva Ma'rifatus Syadiyah, Nini Primadhani Paras Shinta Dewi, Kadek Cahya Adwitiya, Gede Prawira Utama Putra, A. Noviana","doi":"10.37148/comphijournal.v3i1.64","DOIUrl":"https://doi.org/10.37148/comphijournal.v3i1.64","url":null,"abstract":"During the Covid-19 pandemic, it affected many people's lives, one of which had an impact on the socio-economic community. the deflation of Income and outcome causes anxiety whicheventually leads to increased stress. Stress can affect changes in the function of the digestive system where stress reduces appetite thereby increasing stomach acid, causing pain in the stomach which causes GERD. The research design used a correlation analytic design using a cross sectional approach. Determination of the population in this study using purposive random sampling and obtained a suitable data source as many as 30 research samples. The data collection technique used is a questionnaire. The data analysis method used is the Contingency Coefficient Test using SPSS. The results showed that 53.3% of respondents had GERD, and 46.7% of those who did not have GERD. Respondents with normal stress with GERD were 2 respondents (6.7%). Respondents with mild stress conditions with GERD 4 respondents (13.3%). Respondents with moderate stress conditions with GERD 2 respondents (6.7%). Respondents with severe stress conditions with GERD 8 respondents (26.7%). From the chi-square statistical test, p = 0.00 (α < 0.05) and there is a relationship between stress and the incidence of GERD. Based on the contingency coefficient test, it shows C = 0.669, meaning that the level of relationship between the influence of stress and the incidence of GERD is in the strong category.","PeriodicalId":444691,"journal":{"name":"CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128800372","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 Lama Paparan Dan Intensitas Kebisingan Terhadap Gangguan Pendengaran Akibat Bising","authors":"Nauval Halim, I. Setiawan, Rubayat Indradi","doi":"10.37148/comphijournal.v3i1.97","DOIUrl":"https://doi.org/10.37148/comphijournal.v3i1.97","url":null,"abstract":"One of the most common occupational diseases is noise-induced hearing loss. Noise-induced hearing loss is a decrease in the function of the sense of hearing caused by exposure to noise. Noise exposure greater than 85 dB and exposure for more than 8 hours will increase the risk of hearing loss. Hearing loss due to noise can cause an increase in the risk of work-related accidents which will have an impact on the safety of workers or the community. The purpose of this publication is to determine the relationship between duration of exposure and noise intensity to noise-induced hearing loss. The library method used is in the form of 31 literature sources consisting of 8 textbooks and 23 national and international journals with a time span of 2013-2020. From the results of the analysis there is a relationship between the length of exposure and the intensity of noise on the hearing loss of factory workers. It can be concluded that the duration of exposure and the intensity of noise affect hearing loss due to noise. Other factors that can affect the occurrence of hearing loss due to noise such as age, habits outside of work, and the use of PPE can also affect the occurrence of hearing loss due to noise.","PeriodicalId":444691,"journal":{"name":"CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134149110","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":"Pengaruh Suplementasi Vitamin C Terhadap Tingkat Stres Mahasiswa Fakultas Kedokteran Angkatan 2016 Universitas Ciputra","authors":"Alvionita Muntholib, Azimatul Karimah, Minarni Wartiningsih","doi":"10.37148/comphijournal.v2i2.52","DOIUrl":"https://doi.org/10.37148/comphijournal.v2i2.52","url":null,"abstract":"Introduction: Stress is an event that places a strain or demand on a person, disrupting the body's balance and physical and psychological conditions. Students often experience stress due to the numerous orders placed on them regarding learning and extracurricular activities on campus. Because medical students are prone to stress due to academic factors and the pressure they face, additional treatment is required to ensure that it does not have a long-term impact. Objective: This study aims to show that vitamin C supplementation can help medical students at Ciputra University feel less stressed. Method: A pre-and post-experimental study and the total sampling technique were used, and the respondents were divided into two groups: treatment and control. The DASS (Depression Anxiety Stress Scale) questionnaire was used in this study as the instrument. After that, the paired t-test was used to examine the data. The findings revealed that 66.6 percent of students in the pre-intervention experimental group experienced mild stress. In comparison, 29.16 percent of students in the pre-intervention control group had a normal pre-experimental score of 17.96. With an average result of 11.58, 95.8% of the participants in the post-intervention experimental group or after vitamin C supplementation were classified as usual. In a comparative test, the average stress score before and after supplementation differed significantly (p = 0.05). It can be concluded that supplementing with vitamin C can help students cope with stress.","PeriodicalId":444691,"journal":{"name":"CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125541993","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 Jumlah Paritas Ibu Hamil dengan Kejadian Berat Bayi Lahir Rendah di Puskesmas Gading Surabaya","authors":"Xela Adilla Pramesthi, Minarni Wartiningsih, Subur Prayitno","doi":"10.37148/comphijournal.v2i2.53","DOIUrl":"https://doi.org/10.37148/comphijournal.v2i2.53","url":null,"abstract":"Introduction: The World Health Organization (WHO) defines low birth weight (LBW) as a baby weighing less than 2500 grams. LBW is still a significant global public health issue because of its adverse effects on pregnant women's health. Nulliparity is also linked to low birth weight (LBW) and other factors that complicate pregnancy. Objective: This study aimed to find out if there was a link between maternal parity during pregnancy and the prevalence of LBW at the Gading Health Center in Surabaya. Method: This study is an analytical observational epidemiological study with a case-control approach. Data were analyzed using a comparative study hypothesis test between two variables in two independent sample groups of 40 mothers who have given birth to LBW babies and 40 mothers who have given birth to non-LBW babies. The MCH handbook contained a questionnaire and a health record form for pregnant women, which were used to collect data. The chi-square statistical test was used to analyze the data for this study. Results and discussion: The findings revealed a relationship between the number of parity (p = 0.005) and the occurrence of LBW, as determined by Odd's Ratio (0.214). The number of parities in primiparas mothers who gave birth to LBW and mothers who gave birth to non-LBW was more significant than the number of parities in multiparas. Conclusion: It is possible to conclude that there is a substantial relationship between the number of parities and the occurrence of LBW. To avoid the event of LBW, pregnant women should pay closer attention to the number of parity or the state of giving birth to live or dead children.","PeriodicalId":444691,"journal":{"name":"CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128796980","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}
Titi Senja Dhebby Mayorinalia, Amel Stefany, Johan Witono, Putu Rico Aditya Pangestu, Atik Sri Wulandari
{"title":"Hubungan Antara Usia dengan Ada Tidaknya Gejala Sesak Napas pada Pasien COVID-19","authors":"Titi Senja Dhebby Mayorinalia, Amel Stefany, Johan Witono, Putu Rico Aditya Pangestu, Atik Sri Wulandari","doi":"10.37148/comphijournal.v2i2.63","DOIUrl":"https://doi.org/10.37148/comphijournal.v2i2.63","url":null,"abstract":"Introduction: Coronavirus disease 2019 (COVID-19) is an infectious disease caused by a new coronavirus discovered in Wuhan, China, in 2019. The number of people infected with acute respiratory syndrome coronavirus 2 (SARS-CoV2), the causative agent of COVID-19, is also steadily increasing worldwide. According to DKI Jakarta provincial government data, the highest age category is 30-39 years, with 11,707 people positive for COVID-19, followed by 40-49 years, 50-59 years, and >60 years. Objective: This study aims to see if there is a link between age and the presence or absence of shortness of breath symptoms in COVID-19 patients. Method: This study employs the case-control method. Patients with COVID-19 were used as the case group, and those without symptoms were used as the control group. By taking data from medical records at the Dlanggu Health Center in Mojokerto Regency in July-August 2021, the case group was patients diagnosed with COVID-19. The control group was patients who experienced symptoms of shortness of breath. Results and discussion: According to the Dlanggu Health Center study findings, 30 patients with COVID-19 had shortness of breath, and 15 patients did not. COVID-19 positive patients aged 30-39 years were represented by 12 patients, patients aged 40-49 years were characterized by nine patients, patients aged 50-59 years were represented by 14 patients, and patients aged > 60 years were defined by ten patients. R = 0.64 was obtained from the statistical test of the Chi-square test combined with the Contingency Coefficient Test or Kappa Correlation. Conclusion: It is possible to conclude that the age factor has a very close relationship with the symptoms of shortness of breath in COVID-19 patients working at the Dlanggu Health Center in Mojokerto Regency in July-August 2021.\u0000 ","PeriodicalId":444691,"journal":{"name":"CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128849912","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}