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All Journal Jurnal Kedokteran Syiah Kuala Sari Pediatri Jurnal Ilmiah Mahasiswa Kedokteran Medisia Jurnal Sinaps Indian Journal of Forensic Medicine & Toxicology
Rachmad Suhanda
Fakultas Kedokteran Universitas Syiah Kuala
Education Health Professions Medicine & Pharmacology Neuroscience Public Health

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Analysis of Risk Management Cycle on Capitation Mechanism at First Level Healthcare Facilities in East Java Rachmad Suhanda; Usman Hadi; Widodo J. Pudjirahardjo; Djazuly Chalidyanto
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14381

Abstract

The implementation of risk management is an essential function in an organization to control risk. Basedon the preliminary research that has been carried out, only 4.2% of FLHF in East Java implemented thecomplete risk management process, starting from establishing context to evaluating risks. Modificationsof risk management cycle implementation are made by reviewing the opinion of Carroll (2001) and ISO31000:2009. This research aims to analyze the influence between the stages of implementing modified riskmanagement based at 95 FLHF in East Java. The results show that each stage of the capitation mechanismrisk management has a strong significant influence on each other. The results provide recommendation thatFLHF should improve the understanding and awareness of the risks and expected to be able to apply riskmanagement cycle as a whole.
JAMINAN KESEHATAN DAN MANAGED CARE Rachmad Suhanda
Jurnal Kedokteran Syiah Kuala Vol 15, No 2 (2015): Volume 15 Nomor 2 Agustus 2015
Publisher : Universitas Syiah Kuala

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Abstract

Abstrak. Jaminan Kesehatan Nasional (JKN) yang dikembangkan di Indonesia merupakan bagian dari SJSN. Beberapa prinsip yang dianut pada JKN yakni prinsip gotong royong, nirlaba, keterbukaan, kehati-hatian, akuntabilitas, efisiensi, efektivitas, portabilitas, kepesertaan bersifat wajib, dana amanat dan hasil pengelolaan Dana Jaminan Sosial. Manfaat Jaminan Kesehatan Nasional mencakup pelayanan promotif, preventif, kuratif, dan rehabilitatif termasuk pelayanan obat dan bahan medis habis pakai sesuai dengan kebutuhan medis. Managed care adalah suatu system pembiayaan pelayanan kesehatan yang disusun berdasarkan jumlah anggota yang terdaftar dengan kontrol mulai dari perencanaan pelayanan serta meliputi kontrak dengan penyelenggara pelayanan kesehatan untuk pelayanan yang komprehensif. Secara keseluruhan manage care menimbulkan reaksi positif dalam mengontrol pertumbuhan biaya pelayanan kesehatan. Pendekatan ini dapat mengurangi bahaya moral (moral hazard) terhadap pelayanan kesehatan yang tidak dibutuhkan oleh pasien sehingga mengakibatkan kerugian kesejahteraan masyarakat. Managed care ini berbeda dengan asuransi kesehatan indemnity tradisional. Dalam managed care pembayaran pada provider tidak berdasarkan  fee for service dan reimbursement, akan tetapi besar biaya telah ditentukan dan dibayar untuk memberikan pelayanan yang komprehensif termasuk pelayanan preventif.Abstract. The National Health Insurance (NHI) developed in Indonesia is part of the National Social Security System. Some of the principles adopted at JKN are the principle of mutual cooperation, nonprofit, transparency, prudence, accountability, efficiency, effectiveness, portability, participation is mandatory, a trust fund and management outcomes of the Social Security Fund. National Health Insurance Benefits include promotive, preventive, curative, and rehabilitative care including drugs and medical materials consumables according to medical need. Managed care is a health care financing system that is based on the number of members registered with the control from the planning services and includes contracts with health care providers for comprehensive service. Overall managed care cause a positive reaction in controlling the growth of health care costs. This approach can reduce moral hazard  to health services that are not needed by the patient. Managed care is different from the traditional indemnity health insurance. In managed care payments to providers not based on fee for service and reimbursement, but the cost has been determined and paid to provide comprehensive services including preventive services.
Pengaruh Diare Terhadap Malnutrisi pada Balita di Puskesmas Batoh Banda Aceh Tahun 2015 Mustaqiem Isda; Tristia Rinanda; Rachmad Suhanda
Sari Pediatri Vol 18, No 1 (2016)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp18.1.2016.50-54

Abstract

Latar belakang. Malnutrisi merupakan keadaan tubuh yang tidak mendapatkan asupan gizi yang cukup. Salah satu penyakit infeksi yang dapat menyebabkan malnutrisi adalah diare. Kejadian diare di Puskesmas Batoh merupakan angka tertinggi dari seluruh puskesmas yang ada di Kota Banda Aceh.Tujuan. Mengetahui pengaruh diare terhadap malnutrisi dan Risiko Relatif (RR) diare pada Balita malnutrisi di Puskemas Batoh Kota Banda Aceh.Metode. Pengambilan data dilakukan menggunakan data primer dari Wawancara serta pengukuran status gizi dan data sekunder dari rekam medik dan Kartu Menuju Sehat (KMS).Hasil. Jumlah subjek 42 Balita yang dibagi dalam 2 kategori, yaitu diare sering dan jarang. Karakteristik subjek digambarkan secara deskriptif. Data dianalisis dengan uji Chi-square. Total 42 Balita, 52,4% adalah gizi kurang dan dengan uji Chi-square menunjukkan bahwa variabel independen (diare) berpengaruh terhadap malnutrisi (p<0,05). Risiko relatif (RR) menunjukkan bahwa Balita dengan diare sering berisiko menjadi malnutrisi sebesar 10,00 kali.Kesimpulan. Diare memiliki hubungan yang signifikan terhadap kejadian malnutrisi. Balita dengan diare sering memiliki risiko 10,00 kali untuk menjadi malnutrisi. 
Relationship of Knowledge and Attitude Towards Dengue Prevention at Baiturrahman District Community Azka Muda Adri; Kurnia Fitri Jamil; Rachmad Suhanda
Jurnal Ilmiah Mahasiswa Kedokteran Medisia Vol 1, No 4 (2016)
Publisher : Jurnal Ilmiah Mahasiswa Kedokteran Medisia

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Abstract

Dengue hemorrhagic fever (DHF) is one of disease that often disturbs society because it can cause death. Dengue fever is transmitted by the bite of aedes aegypti and aedes albopictus that contain dengue virus. The prevention of dengue fever is preventing the bite of aedes aegypti and aedes albopictus that contain dengue virus to humans. One of way to prevent the dengue fever is keeping the environment clean so it will not be the breeding media for aedes aegypti and aedes albopictus, they are mosquito eradication and implementation of 3M (drain, close, and bury). Every single health problems, include the dengue hemorrhagic fever problem solving, behavioral factor is one of the most important thing. The Attention for the behavioral factors is the same as with the attention for to environmental factors, especially for the prevention disease. This research is an analytic observational with cross sectional design. Samples were taken in 1 March 2016 until 31 March 2016. The sample used the quota sampling technique for 96 respondents. The analysis showed a strong correlation between the level of knowledge (p value = 0,002) (rs = 0,695), attitude (p value = 0,002) (rs = 0,697) on dengue hemorrhagic fever prevention for society in Baiturrahman. It is concluded that there is a strong relation between knowledge and attitudes to the dengue hemorrhagic fever prevention action for society in Baiturrahman. More knowledge can be a better action to prevent the dengue hemorrhagic fever, A better attitude can be a better way for dengue hemorrhagic fever prevention for the society in Baiturrahman.
MIXED PAIN PADA LOW BACK PAIN: ELABORASI DAN IDENTIFIKASI Juwita; Dessy R. Emril; Rachmad Suhanda
Jurnal Sinaps Vol. 5 No. 3 (2022): Volume 5 Nomor 3, September 2022
Publisher : Neurologi Manado

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Abstract

Low back pain is a health problem that is very common and has an impact on the financial well-being of both patients and their families. Based on pathophysiology, pain can be divided into nociceptive, neuropathic, and central sensitization pain. In about 85% low back pain cases, it is not known which type of pain plays a greater role so that patients suffer from pain for more than 1 year. Currently known as Mixed Pain, namely pain with a combination of pathophysiology that underlies the pain such as nociceptive with neuropathic pain. The term pain cannot yet be formally defined, so the term mixed pain has not been used widely enough to define pain. It is necessary to conduct a search on clinical indicators of mixed pain so that the process of identifying the type of pain is better, the selection of therapy becomes more rational, and the patient's quality of life improves.
Co-Authors Azka Muda Adri Dessy R. Emril Djazuly Chalidyanto Juwita Kurnia Fitri Jamil Mustaqiem Isda Tristia Rinanda Usman Hadi Widodo J. Pudjirahardjo