scholarly journals ANALISIS KEBIJAKAN REGIONALISASI RUJUKAN TERHADAP JUMLAH KUNJUNGAN DAN KEPUASAN PESERTA JKN DI FASKES RUJUKAN TINGKAT LANJUTAN

2017 ◽  
Vol 1 (2) ◽  
pp. 186-196
Author(s):  
Amirul Mustofa ◽  
Arlina Dewi

Abstract: This research type is quantitative research with Cross Sectional Study approach. This study used secondary data of JKN participants who came both in outpatient and inpatient at Bantul Regency Hospital. Data analysis using paired t-test paired test and Analysis of variance (Anova). Research data were taken in 7 hospitals. The number of visits before and after the policy came into effect indicates a statistically significant difference. Satisfaction after the policy was enacted showed no statistically significant difference between 2015 and 2016. The number of post-policy visits enacted showed no statistically significant difference between the types of FKRT. The number of visits after the policy came into effect revealed a statistically significant difference between the FKRTL classes.Keywords: national health insurance, regionalization, polic

2018 ◽  
Vol 2 (1) ◽  
pp. 1-11
Author(s):  
Amirul Mustofa dkk

This research was conducted to know the difference of visit number and satisfaction level before and after referral regionalization policy. The research type is quantitative with cross sectional study approach. This study uses secondary data of JKN participants at the Hospital Bantul District. Data analysis using paired t-test paired test and analysis of variance (Anova). Based on the test of normality's output that visit data and satisfaction are normally distributed. The research data was taken in seven hospitals because it has complete data about JKN participants' satisfaction data in Advanced Health Facility Advanced Facility (FKRTL) before and after the policy was enacted.


2017 ◽  
Vol 6 (3) ◽  
pp. 186-194
Author(s):  
Deby Zulkarnain Rahadian Syah ◽  
Muhamat Nofiyanto

Background: Nurses in charge of the Emergency Room are required to have more ability than nurses serving patients in other units. Emergency Room is an initial service in a hospital. One's leadership style will greatly affect the effectiveness of a leader. The selection of the right leadership style can lead to the achievement of individual or organizational goals. Objective: To know the various leadership style used by the head of room in improving the performance of nurses of Emergency Room RSUD in in Special Region of Yogyakarta. Method: This research includes quantitative research type, using cross sectional approach. The population of this study was the head of the treatment room. Secondary data of nurse's performance is taken from nursing care which is written in medical record file of Emergency Room of RSUD in Special Region of Yogyakarta. Results: The performance of nurses at Emergency Room RSUD A in the good category was 100%. The performance of nurses at Emergency Room RSUD B in the enough category was 45%. The performance of nurses at Emergency Room C in good category was 80%. The performance of nurses at Emergency Room RSUD D in good category was 55%. The performance of nurses at RSUD E in the good category was 95%. The result of cross tabulation between leadership style and nurse performance of RSUD in the whole DIY with good performance is leader who use democratic leadership style equal to 35%. Conclusion: Most of the nurse's good performance in Emergency Room is followed by democratic leadership style of head of space.  Keyword: leadership style, head of space, performance of nurses


CoDAS ◽  
2021 ◽  
Vol 33 (6) ◽  
Author(s):  
Silvia Márcia Andrade Campanha ◽  
Roberta Lopes de Castro Martinelli ◽  
Durval Batista Palhares

ABSTRACT Purpose Verify the position of lips and tongue at rest in newborns with and without ankyloglossia. Methods Cross-sectional study, carried out with 130 newborns in University Hospital. Data collection was performed by the researcher and speech-language pathologists from the Hospital. Information on gestational age, sex, weight, height and days of life was collected. The position of the lips and tongue at rest was evaluated through visual inspection with the newborns asleep. After the newborns were awakened, Neonatal Screening of the validated Protocol for the evaluation of the lingual frenulum for infants was performed to detect the alteration of the lingual frenulum. The data obtained were described and submitted to statistical analysis using the Chi-Square test to verify the association between the position of the lips with the tongue and to compare the position of the lips and tongue with and without ankyloglossia. The Mann-Whitney test was used to verify the behavior of the variables the differed between newborns with and without ankyloglossia. The significance level of 5% was adopted. Results When comparing the data, a significant difference was found between: weight and height with and without ankyloglossia; position of lips and tongue. An association between the position of the tongue and lips with and without ankyloglossia was also found. Conclusion Newborns without alteration of the lingual frenulum have a tendency to remain with their lips closed and their tongue elevated during rest and newborns with ankyloglossia have a tendency to keep their lips parted and their tongue low during rest.


Author(s):  
Harold Rumopa ◽  
Freddy W. Wagey ◽  
Eddy Suparman

  Objective: Determine differences plasma levels MDA in preeclampsiabefore and 2 hours after delivery.   Methods: This was an analytic cross-sectional study. Subjectconsists of 23 pregnancies with preeclampsia, where 23 bloodsamples taken before delivery and 23 were taken 2 hours afterdelivery. This study was conducted from August 2016 untilDecember 2016 at Department of Obstetrics and GynecologyFaculty of Medicine Universitas Sam Ratulangi / Prof. Dr. R. D.Kandou Hospital Manado and satellite hospital. Samples weretaken from plasma and analysed using HPLC method at Prodiaclinical laboratory.   Results: In patients with severe preeclampsia before deliverywe found average value (1.4796  0.40819 nmol/ml), minimumvalue (1.03 nmol/ml) and maximal value (2.77 nmol/ml)and 2 hours after delivery with average value (1.2470 0.34324 nmol/ml), minimum value (0.91 nmol/ml), and maximumvalue (2.47 nmol/ml). by using Wilcoxon test, we foundthere were significant differences in plasma levels of MDA (p =0.000).   Conclusion: This significant difference suggests that decreasedplasma levels of MDA 2 hours after delivery and gives the sense thatthere is a relationship between oxidative stress of cells with severepreeclampsia before and shortly after delivery, that MDA is an indicatorof oxidative stress.   Keywords: malondialdehyde, oxidative stress, peroxidation lipid,preeclampsia


Author(s):  
Rachmad Cahyadi ◽  
Stefanus Supriyanto ◽  
Ratna Dwi Wulandari

Background: A hospitals’ superior service is expected to be of higher value than other available provisions, which consequently differentiates the facility from others, as the branding easily attracts the community attention. The purpose of this study, therefore, is to identify the most needed and profitable health services from existing hospitals. Design and methods: This was a descriptive research performed with a cross sectional study approach. The variables studied include the number of visits, and revenue based on National Health Insurance (JKN). Results: Findings show that the polyclinics were the highest number of visits between 2016 and 2017 include Cardiac, Internal Medicine, Medical Rehabilitation, Nerve, General Surgery, and also Dental & Mouth. Conversely, those with the most significant income include Heart, Polyclinics, Dental & Mouth, as well as General Surgery Polyclinics. Moreover, the Medical Rehabilitation and Internal Medicine outpatient installations demonstrated negative INA income, while the already running featured Services in high demand were Heart, Nerve, Dental & Oral, and also General Surgery polyclinics. Conclusions: In can be concluded that not all polyclinics with high traffic generate positive income, hence it is necessary to monitor and analyze National Health Insurance (JKN) monthly income.


Author(s):  
Mohammad Reza Sobhan ◽  
Seyed Hossein Saeed Banadaky ◽  
Mohammad Shafiee ◽  
Mohammad Gheisari

Introduction: Limits of movement in knees is one of the most common complications following trauma and surgery. With early diagnosis and appropriate treatment choices, knee replacement and performance improvement are expected in many patients. However, limits of movement in knees is unpleasant and should be corrected as soon as possible. In this study, we decided to evaluate the results of arthroscopic release in motion limits of knees. Methods: This was a descriptive cross-sectional study.14 patients who referred to the Shahid Sadoughi Hospital of Yazd from 2014 to 2016 and diagnosed with knee limitation (flexion or extension restriction of more than 10 degrees) were selected. Patients were undergone arthroscopic release and followed-up for 6 months. Lysholm knee score, degrees of flexion and extension, and patient satisfaction were evaluated. The results were analyzed by SPSS-18 and statistical tests Paired T-test as well as Spearman correlation. Results: The mean age of the patients was 28.92±10.99 years. The most common type of trauma in the patients was femoral distal fracture (46.7%). The frequency of the patients' satisfaction with arthroscopy was as followed: 50% (7 patients), had moderate satisfaction, 28.6% (4 ones), high satisfaction, and 21.4% (3 ones) had low satisfaction.The mean difference in Lysholm Knee Score, improvement in degree of extension, improvement in degree of flexion and pain score before and after arthroscopy were 26.21±14.11,64.78±26.13,3.57±2.92 and 4.13±1.65,respectively.There was a significant difference between the mean values of these factors before and after arthroscopy. Conclusion: According to the results obtained, we can conclude that arthroscopic release is an effective and low-complication method in motion limits of knees.


2021 ◽  
pp. 19-29
Author(s):  
Ancah Caesarina Novi Marchianti ◽  
Eko Purbyanto

Large-scale Social Restrictions (LSR) was the Indonesian government's primary instrument to break the chain of coronavirus or COVID-19 transmission at the early phase of the pandemic. LSR implementation such as school and workplace closure, restrictions on religious activities, and or restrictions on activities on public premises or facilities. This study aims to investigate the effect of LSR policy on COVID-19 developments in Indonesia. This study was a cross-sectional study with a total population of 99,077,313 people from three provinces in Indonesia. This research analyzed the LSR policy implemented in the entire province or partially as an exposure and the development of Covid-19 as an outcome. The outcome was measured by doubling the times needed for new cases. Data were taken from secondary source namely from the COVID-19 task force report that has been announced publicly. The unpaired two-tailed Student’s t-test was used as statistical analysis of the secondary data. The results showed a significant impact (p<0.05) when comparing the province with full LSR policy with those implementing the LSR policy in some of their selected cities. The LSR policy of total province seems effective to suppress COVID-19 development as indicated by a more rapid and considerable increase in the doubling time of new cases following the implementation of LSR as early as possible in the provinces implementing LSR for their entire region than in the compared provinces. It can be concluded that LSR policy has a significant effect on COVID-19 development in Indonesia as indicated by a significant difference in the doubling time of COVID-19 new cases. Each province may have different times of the beginning and end of the COVID-19 epidemic; therefore, each province needs to design their coping strategy based on their particular condition.


2019 ◽  
Vol 2 (1) ◽  
pp. 45-49
Author(s):  
KRISTIN NATALIA

The purpose of this study was to analyze what determinants influence maternal adherence regarding Measles Rubella immunization in infants. This type of research is quantitative research with cross sectional study design. The population in this study were all mothers who have children under five in the Delitua Health Center with asample size of 36 people. Data collection methods obtained directly from respondents through interviews using interview guidelines (questionnaire). Secondary data were obtained from Obstetric Gynecology records in the midwifery room and the medical records of the Deli Tua Health Center. Data retrieval of information will be done by interviewing Delitua Health Center with a questionnaire that has fulfilled the elements of validity and reliability. The results of this study are factors that greatly affect mothers not giving MR immunization in infants is a factor of family support with a value of 1.397 and information source factors. It is expected that health workers will provide more health information to the public that MR immunization is very important for toddlers to prevent Measles Rubella disease.


2021 ◽  
Vol 8 (1) ◽  
pp. 146-151
Author(s):  
Virania Arvianti ◽  
◽  
Septian Septian ◽  
Aturut Yansen ◽  
◽  
...  

IntroductionAnemia is the most common occurrence in chronic kidney disease undergoing hemodialysis therapy. In the condition of chronic kidney disease, the decline in kidney function can occur slowly and chronically until the kidneys do not function at all. Hemodialysis is one of the therapies used to replaced kidney function. During hemodialysis, a decrease in hemoglobin levels often occurs, this is due to the disruption of the hormon erythropoietin. Objective:determine the differences in hemoglobin levels in patients with chronic kidney disease before and after hemodialysis at Bhayangkara TK. I Raden Said SukantoHospital. Method: The design of this research is cross sectional using secondary data and the sampling technique of this research was random sampling with a total of 133 patients. Result: The normality test was carried out first using the Kolmogorov-Smirnova test which showed the results were not normally distributed with a sig value of 0.001. the next test was the Wilcoxon test with a sig (2-tailed_ value of 0.002 with an average hemoglobin level of 8,81 g/dL before hemodialysis and 9,09 g/dL after hemodialysis. Conclusion:Based on the results of the study means that there is a significant difference in a patient with chronic kidney failure before and after hemodialysis.


2020 ◽  
Vol 2 (1) ◽  
pp. 6
Author(s):  
Rita Kirana ◽  
Wardah Tilah Yuliani

AbstrakPemberian pelayanan  alat  kontrasepsi adalah  upaya  yang dilakukan  untuk meningkatkan kualitas keluarga. Selama kurun waktu dua dasawarsa, pelayanan kontrasepsi dalam pembangunan KB di Indonesia telah memperoleh hasil yang cukup menggembirakan. Pada SDKI tahun 2003 ada sebesar 57,4% wanita menikah yang memakai alat kontrasepsi. SDKI 2007 didapatkan data sebesar 61,4% wanita menikah yang memakai alat kontrasepsi SDKI 2008. Tujuan penelitian ini adalah untuk mengetahui pendidikan dan pengetahuan dengan pemanfaatan pelayanan kontrasepsi pada pasangan usia subur di Puskesmas Karang Intan 2 Kabupaten Banjar. Metode penelitian kuantitatif dengan pendekatan cross sectional study yang dimaksudkan untuk mengetahui dinamika hubungan antara variabel independen dengan variabel dependen. Hasil yang diperoleh pada penelitian ini tidak ada hubungan antara pendidikan dengan pemanfaatan pelayanan alat kontrasepsi KB (p= 0,209) dan terdapat hubungan antara pengetahuan dengan pemanfaatan pelayanan alat kontrasepsi KB pada PUS  (p= 0,016). Disarankan bagi petugas kesehatan memberikan informasi tentang pemanfaatan pelayanan alat kontrasepsi KB pada pasangan usia subur untuk meningkatkan pengetahuan tentang penggunaan alat kontrasepsi. AbstractThe provision of contraceptive services is an effort made to improve the quality of the family. Over the past two decades, contraceptive services in the development of family planning in Indonesia have received quite encouraging results. In the 2003 IDHS, 57.4% of married women were using contraception. The 2007 IDHS data showed 61.4% of married women who used the 2008 IDHS contraception The purpose of this study was to determine the factors associated with the use of contraceptive services in infertile couples in Karang Intan 2 Health Center, Banjar District. Quantitative research methods with a cross sectional study approach that is intended to education and knowledge the dynamics of the relationship between independent variables with the dependent variable. There was no relationship between education and the use of family planning contraception services at PUS 2019 (p = 0.209) and there is a relationship between knowledge and the use of family planning contraception services at PUS (p = 0.016). It is recommended for health workers to provide information about the use of contraceptive services in fertile age couples to increase knowledge about the use of contraceptives. 


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