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Implementasi Kebijakan Kendali Mutu dan Kendali Biaya Dalam Era Jaminan Kesehatan shelvy haria roza; Kamal Kasra; Annisa Rahmayona
VISIKES: Jurnal Kesehatan Masyarakat Vol 20, No 2 (2022): VISIKES (SUPLEMEN)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v20i2Supp.5494

Abstract

The coverage of the National Health Insurance (JKN) participation continues to increase but participant satisfaction with health services decreases. Quality control and cost control policies are efforts to improve the quality and satisfaction of JKN participants. This study aims to analyze the implementation of Quality Control and Cost Control (KMKB) policies in Padang City  This research was conducted at BPJS Health Offices, Hospitals and Health Centers in Padang City in 2019. This study used quantitative and qualitative methods. Quantitative data in the form of secondary data from participant satisfaction index reports and health facilities were analyzed with descriptive statistics. Qualitative research is carried out with a systems approach, namely the components of input, process, and output. . Collecting qualitative data with in-depth interviews and document review. Research informants were determined by purposive sampling with a total of 9 informants. Qualitative data analysis by triangulation of sources and methods. The results showed that the satisfaction index of participants and health service providers in 2016-2019 had increased. although it has not yet reached the target according to the JKN target map. The average satisfaction of JKN-KIS participants reached 80.1% and the satisfaction rate of JKN-KIS providers was 79.15%. Quality and cost control has been implemented at the advanced referral health facility (FKRTL) level in Padang City. The input components found that not all hospitals have a KMKB team but have carried out and carried out quality and cost control activities. The output component has been executed but the work achievement cannot be known because it cannot be measured. Quality and cost control efforts have been carried out and implemented, although not all Padang City FKRTLs have formed TKMKB. There is an increase in participant and provider satisfaction after the KMKB policy is implemented.  
EDUKASI KESEHATAN TERHADAP PERILAKU MAKAN BAYI DAN BALITA PADA WILAYAH KERJA PUSKESMAS ANAK AIR KOTA PADANG Ayulia Fardila Sari ZA; Kamal Kasra
BULETIN ILMIAH NAGARI MEMBANGUN Vol 5 No 1 (2022)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v5i1.366

Abstract

The prevalence of stunting under five in the working area of the Air Child Health Center in 2020 was 16.3%. This number is the highest compared to all community health centers in Padang City and has not yet reached the national stunting rate target of 14%. The purpose of this activity is to increase the knowledge of mothers in the working area of the Air Child Health Center about the eating behavior of infants and toddlers and to improve the skills of cadres to conduct health education. The community empowerment method used is Emotional Demonstration (Emo-Demo) training on infant and toddler eating behavior, which consists of demonstration, practice, discussion, and question and answer. The activity was carried out on Wednesday, September 29, 2021 at the Jazirah Nur Mosque, Padang City. The training was given to 29 participants, consisting of 4 pregnant women, 16 mothers with toddlers, 8 posyandu cadres, and 1 community Health centers officer. The training materials consist of 4 Emo-Demo modules developed by The Global Alliance for Improved Nutrition (GAIN), namely: 1) infant and child feeding schedule, 2) mother and child bonding, 3) stacking blocks, and 4) random snacks. The result of the activity in general is an increase in mothers' knowledge of the eating behavior of infants and toddlers. This can be seen from the 5 randomly selected participants who were able to correctly answer the questions from the informants. In addition, there was an increase in the skills of posyandu cadres in implementing the Emo-Demo technique. This can be seen from all cadres who are able to practice Emo-Demo without needing to be guided by a facilitator after the training.
PENGARUH PENGETAHUAN DAN SIKAP MASYARAKAT TERHADAP PELAKSANAAN PIS-PK DI PUSKESMAS KOTA PADANG TAHUN 2020 Arifni Arifin; husna yetti; kamal kasra
HUMAN CARE JOURNAL Vol 6, No 1 (2021): Human Care Journal
Publisher : Universitas Fort De Kock

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/hcj.v6i1.1080

Abstract

Program Indonesia Sehat merupakan salah satu program dari agenda ke lima Nawa Cita, yaitu meningkatkan kualitas hidup manusia di Indonesia. Acuan tercapainya pelaksanaan program PIS-PK dipengaruhi oleh tingkat pengetahuan dan sikap masyarakat dalam menerima informasi serta mampu menerapkan pola hidup yang sehat serta indikator lainnya pada PIS-PK itu sendiri. Permasalahan yang ada yaitu dalam pencapaian IKS yang masih rendah. Tujuan dari penelitian ini adalah untuk melihat gambaran pengetahuan dan sikap masyarakat dalam pelaksanaan PIS-PK di Puskesmas Kota Padang. Penelitian ini menggunakan metode penelitian kuantitatif yang bersifat deskriptif dengan desain cross sectional dan total populasi 8.638 KK. Teknik pengumpulan datanya dengan google form dan Analisa data secara bivariat. Hasil penelitian diperoleh bahwa Adanya hubungan antara tingkat pengetahuan masyarakat dengan pelaksanaan PIS-PK di Puskesmas Kota Padang. Namun pada masing-masing Puskesmas tidak terdapat hubungan yang signifikan. Sedangkan pada sikap masyarakat berhubungan dengan pelaksanaan PIS-PK di Puskesmas Kota Padang. Masih ada masyarakat yang masih terpengaruh oleh pikiran dan keyakinan orang terdahulu, serta belum dapat menerima perubahan. Diharapkan kepada petugas kesehatan dapat meningkatkan sosialisasi, komunikasi dan edukasi yang lebih inovatif serta masih perlunya kerjasama lintas sektor untuk meningkatkan kesehatan keluarga.
Workshop Emo-Demo bagi Tenaga Puskesmas Kota Padang Kamal Kasra; Adila Kasni Astiena; Ade Betasril; Dicki Kurnia Pratama
Warta Pengabdian Andalas Vol 29 No 3 (2022)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.29.3.180-185.2022

Abstract

One of the nutritional problems in children indicated by stunting is a risk factor for impaired immune function. The most significant component of the immune system is nutrients that generally cannot be produced by the body but depend on various food intakes. The Faculty of Public Health, Andalas University, assisted several urban villages in Padang City. Efforts to improve the skills of the existing Public Health Services in each area need to be optimized. One form of activity that was carried out was a workshop on Emo-Demo. This activity's output target was to increase health workers' knowledge and skill to educate cadres of public health service in increasing children's immunity during the pandemic and prevent stunting with the Demo method. This activity went smoothly, and all Public Health Centre officers were enthusiastic about participating. Public Health Centre officers can train the cadres in their working area with Emo-Demo skills.
Administrative Data Relationship with The Accuracy of Disease Diagnosis Codes of Inpatients in Pariaman Public Hospital Kamal Kasra; Yudi Pradipta
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 2 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i2.911

Abstract

ABSTRACT Medical records are one of the means to support the achievement of an administrative order in the context of efforts to improve health services in hospitals. An important thing that must be considered by medical record personnel is the accuracy in providing diagnosis and procedure codes. The research problem is the accuracy of the coding of the Diagnosis & Procedure on the medical records of inpatients at the Pariaman Regional General Hospital. The research objective was to describe the general characteristics and accuracy of disease coding based on diagnosis and service procedures as well as the impact of the accuracy of disease coding with inpatient disease diagnosis on the quality of service at the Pariaman Regional General Hospital. The research method is mixed methods. A quantitative approach to the patient's medical record file and a qualitative approach were obtained through FGDs with medical record management officers. The results showed that the accuracy of the main Diagnosis coding has shown results that exceed 80% of all medical records of patients selected as the study sample. However, the accuracy of the secondary diagnosis code is only 50%. Procedure code acceleration is still very low at only 15.4%, and secondary procedure only at 1.8%. The conclusion of the study, the accuracy of the diagnosis code and procedures is closely related to the quality of service. Inaccuracy of diagnosis codes as well as procedures will affect patient satisfaction, especially in payments that are not in accordance with the services they receive.  Keywords : Encoding, Diagnosis, Procedure, Medical records
The Causes of Long Waiting Times for Outpatient Pharmaceutical Prescription Services at Hospital “X” in Padang Adila Kasni Astiena; Mutia Khairunnisa; Kamal Kasra; Fadilla Azmi
Jurnal Sains Farmasi & Klinis Vol 9 (2022): J Sains Farm Klin 9(suplemen), Desember 2022
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jsfk.9.sup.208-220.2022

Abstract

Outpatient pharmacy services in a hospital shows the quality of health service to the community. Data from the internal quality assurance report of Hospital ”X” in Padang showed that only 93.76% of non-compounded medication and 94.6% of compounded medication recipes met the waiting time standard. This study aimed to analyze the causes of the long waiting time for outpatient pharmacy services at Hospital “X”. The type of this research was a mix-method sequential type explanatory, conducted from February until May 2022. The quantitative design was a cross-sectional study of 141 for non-concoction and 35 for compounded medication recipes determined by quota sampling. Qualitative research was conducted on seven informants by purposive sampling. Observation, in-depth interviews, and document review collected data. Results showed that the average waiting time was 84.19 (standard ≤30) minutes for non-concoction and 164.58 (standard ≤60) minutes for compounded medication recipes. The causes of the long waiting time were a need for more staff, prescriptions outside the hospital formulary, equipment errors, and medicines delivery delays. There should be a job redesign by rearranging the shift picket for pharmacy staff, regular equipment maintenance, and updating standard operating procedures related to medicines delivery to the patients.
ANALISIS KEPATUHAN PASIEN HIPEERTENSI DALAM PENGOBATAN DARI PERSPEKTIF HEALTH BELIEF MODEL DI PUSKESMAS X PROVINSI JAMBI Rahma Wahyuni; Kamal Kasra; Wira Iqbal
Jurnal Kesehatan Medika Saintika Vol 14, No 1 (2023): Juni 2023
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v14i1.1880

Abstract

Kasus hipertensi mengalami kenaikan setiap tahunnya namun sebagian besar tidak yakin terhadap penyakit yang diderita sehingga tidak patuh melakukan pengobatan. Penelitian ini bertujuan untuk menganalisis kepatuhan pasien hipertensi dalam pengobatan dari perspektif health belief model di puskesmas x, Jambi. Penelitian mixed method dengan sequential explanatory design yang dilaksanakan pada bulan januari-februari di Puskesmas x Tahun 2023. Data bersumber dari data primer yang dikumpulkan melalui kuesioner dan wawancara mendalam. Teknik pemilihan responden pada studi kuantitatif dengan teknik accidental sampling sedangkan teknik pemilihan informan pada studi kualitatif dengan purposive sampling. Hasil penelitian kuantitatif terdapat komponen health belief model yang berhubungan dengan kepatuhan pengobatan yaitu perceived saverity dengan p-value = 0,004. Berdasarkan hasil penelitian kualitatif faktor yang mempengaruhi adalah rendahnya pengetahuan pasien hipertensi yang disebabkan oleh informasi yang diterima pasien hipertensi hanya berkaitan dengan persepsi keparahan. Hasil penelitian menunjukkan bahwa terdapat hubungan antara perceived severity dengan kepatuhan pengobatan pasien hipertensi di Puskesmas X KotabSungai Penuh Tahun 2023.Untuk mengatasi hal ini puskesmas perlu menyampaikan informasi tentang hipertensi menggunakan metode penyuluhan berkelompok dan media vidio tentang ilustrasi komplikasi hipertensi.
Faktor Pemanfaatan Deteksi Dini Kanker Serviks Ditinjau dari Akses Pelayanan Kesehatan: Tinjauan Literatur Eprilla Maharani Devisa; Defriman Djafri; Kamal Kasra
Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa Vol 10, No 3 (2023): JURNAL KESMAS (KESEHATAN MASYARAKAT) KHATULISTIWA
Publisher : Universitas Muhammadiyah Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29406/jkmk.v10i3.5698

Abstract

Data menunjukkan 80% penderita kanker serviks memeriksakan diri setelah stadium lanjut dan 94% pasien kanker serviks meninggal dalam kurun waktu 2 tahun setelah diagnosa. Deteksi dini kanker serviks adalah bentuk pengendalian kanker serviks yang efektif. wanita yang melakukan pemeriksaan deteksi dini kanker serviks, memegang peranan penting dalam pengambilan keputusan dalam memanfaatkan pelayanan kesehatan termasuk dalam hal bagaimana perilaku konsumen dalam melaksanakan pemeriksaan deteksi dini kanker serviks. Akses pelayanan kesehatan menjadi hal yang disorot dalam melakukan deteksi dini kanker leher rahim. Penelitian ini bertujuan untuk mereview faktor akses pelayanan kesehatan terhadap pemanfaatan deteksi dini kanker serviks dengan metode literature review. Penelusuran literatur dilakukan di database PubMed, Semantic Scholar, dan Google Scholar. Kriteria inklusi pada penelitian ini adalah artikel penelitian yang terbit pada 2016-2022, menggunakan bahasa Indonesia dan bahasa Inggris, serta menggunakan desain observasional. Hasil akhir dari pencarian studi di database, didapatkan sebanyak 11 artikel yang masuk ke analisis. Segara garis besar, hasil penelitian dari 11 studi menunjukkan bahwa akses pelayanan kesehatan yang negatif seperti jarak tempuh ke puskesmas jauh, biaya pelayanan mahal, dan kurang mendapatkan informasi dapat meningkatkan risiko wanita utuk tidak melakukan deteksi dini kanker serviks. Oleh karena itu upaya yang dapat dilakukan oleh pemerintah, yaitu menyebarluaskan informasi untuk meningkatkan pengetahuan masyarakat, selain itu pemerintah juga harus menyediakan pelayanan deteksi dini kanker serviks yang berkualitas dan dapat dijangkau masyarakat dalam segi jarak tempuh maupun biaya.
Health Promotion in Efforts to Prevent Stunting in the First 1000 Days of Life (HPK) at Puskesmas X Koto 1 Tanah Datar Regency Wira Iqbal; Kamal Kasra; Dicki Kurnia Pratama; Dini Nur Annisa; Dyki Gymnasdian; Fajrul Khairi; Hanifa Eka Putri
Warta Pengabdian Andalas Vol 31 No 1 (2024)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.31.1.169-177.2024

Abstract

Stunting, a persistent global nutritional issue from inadequate care and nutritional intake, becomes evident when a child ages two. Tanah Datar recorded a 21.5% stunting rate in 2022, prompting a targeted service to enhance the literacy of pregnant women, mothers of toddlers, and cadres about the critical first 1000 days of life. Utilizing an interactive game, Emotional Demonstration, and drawing on four modules from the Global Alliance for Improved Nutrition (GAIN), the service employed printed modules and game equipment. Held on 10 June 2023 at Wali Nagari Pandai Sikek Hall, the event gathered 20 participants, including pregnant women, mothers, cadres, and X Koto Community Health Center officers. Activities commenced with a pre-test, followed by interactive game-based education, and concluded with a post-test. The community service positively contributed to increased health literacy and awareness in the first 1000 days, validated by significant T-test results (p-value = 0.001), indicating a substantial knowledge improvement post-intervention.
Analisis Penyebab Ketidakpuasan Pasien BPJS Poliklinik di Rumah Sakit Tk. III Dr. Reksodiwiryo Padang Riri Fitria Geofani; Masrul Masrul; Kamal Kasra
JIK-JURNAL ILMU KESEHATAN Vol 7, No 2 (2023): JIK-Oktober Volume 7 Nomor 2 Tahun 2023
Publisher : STIKes ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v7i2.874

Abstract

Tingkat kepuasan pasien sebagai salah satu tolak ukur melihat ketaatan pelaksanaan pelayanan yang sesuai standar yang telah ditetapkan. Ketidakpuasan pasien bisa mengakibatkan pasien memilih untuk menggunakan jasa pesaing sehingga perlu adanya perbaikan dimana perbaikan tersebut pada dasarnya tertuju pada kualitas pelayanan karena kepuasan pasien berkaitan dengan kualitas. Kepuasan pelanggan yang rendah akan berdampak terhadap jumlah kunjungan yang akan mempengaruhi profitabilitas fasilitas kesehatan. Tujuan penelitian ini untuk menganalisis ketidakpuasan pasien BPJS poliklinik di Rumah Sakit Tk. III dr. Reksodiwiryo Padang. Desain penelitian ini adalah mixed methods yang merupakan penggabungan penelitian kuantitatif dan kualitatif. Penelitian kuantitatif dilakukan dengan pendekatan Cross Sectional Study dengan responden 108 orang pasien rawat jalan. Pendekatan kualitatif dilakukan pengumpulan data melalui wawancara mendalam, telaah dokumen, observasi dan FGD dengan 10 orang informan. Analisis data kuantitatif dilakukan menggunakan SPSS dan Importance Performance Analysis. Hasil Tingkat kepuasan berdasarkan nilai tingkat kesesuaian (78,72 %) didapatkan tangible (87,49%), emphaty (84,27%), reability (81,59%) sudah memuaskan dan yang belum memuaskan adalah dimensi responsiveness (73,73%) dan assurance (63,38%). Berdasarkan Importance Performance Analysis, terdapat 12 atribut pada kuadran A, 16 atribut kuadran B, 2 atribut kuadran C dan 11 atribut kuadran D. Pada kuadran A yang menjadi prioritas tinggi yang akan dilakukan pendekatan secara kualitatif. Disimpulkan bahwa beberapa program kerja yang diperlukan dan menjadi penyebab ketidakpuasan pasien yaitu perlunya pengembangan web, penambahan petugas pencarian rekam medis, pengadaan pelatihan rekam medis, pembuatan SOP prioritas pasien dinas dan evaluasi kinerja dokter.