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Journal : Medical Technology and Public Health Journal

ANALISIS FAILURE MODE EFFECT (FMEA) PADA PENGADAAN OBAT DAN PERBEKALAN KESEHATAN PADA ERA JAMINAN KESEHATAN NASIONAL DI PUSKESMAS WONOKROMO SURABAYA Nuning Farida; Amelia Lorensia; Budhi Setianto; Agus Aan Adriansyah
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 5 No 1 (2021): Medical Technology and Public Health Journal March 2021
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v5i1.1636

Abstract

Drug services in Public Healthcare are an important component whose availability influences the success of health efforts. District / City Health Office is a regional government work unit in the health sector, one of the tasks and authorities of which is to provide and manage public medicines for the district/city area. Effective pharmaceutical management in health service facilities is very important for patient welfare so risks must be identified and controlled. One of the efforts made by the City Health Office is to procure drugs using other methods that are legal according to government procurement of goods/services besides e-purchasing, which is called non-e-purchasing of drugs. Risks in the pharmaceutical supply chain are related to product discontinuity, product shortages, poor performance, patient safety, expense errors, and technological errors, all of which can result in system disruption. This study aims to determine the suitability of the plan with the realization of e- purchasing of drugs, identify problems that hamper the implementation of e-purchasing of drugs, determine the impact of obstacles on procurement, cost efficiency of drug procurement and determine the potential savings of drug procurement by e-purchasing for the period 2015 to 2019 by using the FMEA method, the e-purchasing data was collected at the Wonokromo Public Health Center in Surabaya. Study Failure Mode Effect (FMEA) in the procurement of drugs and UHC health supplies in Surabaya Wonokromo Health Center for the period of 2015-2019, it can be concluded that the absorption of capitation funds is more considered using the availability variable compared to the uptake of funds based on the rupiah value because the availability of more guarantees the need for treatment in the sustainable health centre. In this case, the perception of procurement actors in the analysis of UHC procurement process obstacles there are 41 obstacles, the role of E-purchasing is a very helpful system even though the implementation has not been perfect.
Survival Analysis Of Health Rate Of Covid-19 Patients Using Kaplan-Meier Method At Islamic Hospital In Surabaya A. Yani Iqbal Firdaus Iqbal; Mursyidul Ibad; Budhi Setianto; Achmad Syafiuddin
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 5 No 2 (2021): Medical Technology and Public Health Journal September 2021
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v5i2.3173

Abstract

Corona Virus Disease2019 (COVID-19) is a disease that shocked the world at the end of 2019. Based on data, positive cases of Covid-19 in Indonesia on July 29, 2021 reached 3,331,206 people, with 3,240,654 Covid-19 patients recovering and 90,552 Covid-19 patients dying. Meanwhile in the city of Surabaya there were 52,782 confirmed cases with 50,894 patients recovered and 1,888 patients died. The high death rate shows that this virus is dangerous, but the cure rate is also high. A survival analysis is needed to determine the patient's survival time (cured) for Covid-19. This research was conducted non-reactively using secondary data in the form of medical records of Covid-19 patients at the Surabaya A. Yani Islamic Hospital in January-July 2021. The results of the study using the Kaplan-Meier method found that the survival time based on age was 12,423 days, the survival time based on gender was 12,078 days, the survival time based on Early Symptoms was 11,461 days and the survival time based on SpO2 capacity was 16,787 days. The conclusions of this study indicate that, age affects the survival time of respondents where the 27-36 year interval has a better survival time than the other respondents' age intervals. The female sex has a better survival time than the male. Initial symptoms determine the severity and duration of recovery for respondents. SpO2 capacity is directly proportional to the degree of patient safety, the higher the percentage of SpO2 capacity, the greater the chance of survival and the lower the percentage of SpO2 capacity, the lower the expectation.