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INTEGRASI SISTEM INFORMASI: AKSES INFORMASI SUMBER DAYA FASILITAS KESEHATAN DALAM PELAYANAN RUJUKAN Lazuardi, Lutfan; Sanjaya, Guardian Yoki; Hanifah, Nimah; Prakosa, Hendri K.
SISFO Vol 6 No 1 (2016)
Publisher : Department of Information Systems, Institut Teknologi Sepuluh Nopember

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Di era Jaminan Kesehatan Nasional (JKN), utilisasi pelayanan kesehatan semakin tinggi melalui pelayanan rujukan berjenjang. Sayangnya ketersediaan informasi sumber daya fasilitas kesehatan menyebabkan pelayanan rujukan dan kegawat-daruratan kurang optimal. Disisi lain, teknologi informasi dan komunikasi dapat memfasilitasi pelayanan rujukan melalui penyediaan informasi sumber daya fasilitas kesehatan di suatu wilayah. Penelitian ini bertujuan untuk merancang sistem informasi terintegrasi untuk mendukung pelayanan rujukan dan kegawat-daruratan medis di DI Yogyakarta. Penelitian dilakukan secara kualitatif untuk menganalisa kebutuhan informasi sumber daya fasilitas kesehatan, merancang integrasi antar sistem informasi secara elektronik, serta penyediaan layanan informasi sumber daya fasilitas kesehatan bagi pengguna. Sebagian besar fasilitas kesehatan, baik layanan primer maupun rumah sakit sudah memiliki sistem informasi elektronik. Sistem informasi terintegrasi dikembangkan untuk mengumpulkan data sumber daya fasilitas kesehatan, dengan mengintegrasikan berbagai macam sistem yang digunakan melalui teknologi web service.

ARIMA Models of Dengue Cases in Kartamantul, Based on Area Risk Classification Rubaya, Agus Kharmayana; Kusnanto, Hari; Lazuardi, Lutfan; T. Satoto, Tri Baskoro
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7264

Dengue is still one of the public health problems in Indonesia. In this study, three temporal indices (frequency, duration and intensity indices) based on serologically confirmed cases between 2010 and 2014 in Yogyakarta Municipality, Sleman Regency and Bantul Regency (acronym: Kartamantul), which are spatially analyzed, used to determine the risk level of Dengue transmission for each village in that area in 2015. Subsequently, ARIMA models with Box-Jenkins approach for those risk classification are developed to predict the number of cases in 2015. The results show that the risk categorization yielded from those Dengue data series has relatively high concordance with risk classification resulting from Dengue data in 2015 (the Kappa coefficient: 0.593; p-value < 0.001). The best ARIMA models for both the âhighâ and âmediumâ risk villages are (0, 1, 0)(1, 1, 0)12; and for âlowâ risk areas it is (0, 1, 0)(0, 1, 0)12; which means that both models demonstrate a seasonal pattern. The analysis shows that the ARIMA models have relatively good predictability for the upcoming number of cases. Therefore, these analyses approach is suggested to be adopted for complementing the techniques of area stratification and transmission period which are commonly used in Dengue surveillance.

Prevalence of Dengue Virus Transovarial Transmission and DHF Incidence Rate in Grogol Sub-district of Sukoharjo District Sunardi, Paul; Kusnanto, Hari; T. Satoto, Tri Baskoro; Lazuardi, Lutfan
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7262

Environmental changes in physical, biological, and social aspects have enabled the occurrence of DHF cases in Sukoharjo. Such changes may affect virulence of dengue virus, shorten extrinsic periods and increase vector dengue capacity. This study aimed to determine the spread of dengue virus transovarial transmission and the incidence rate of DHF in Grogol Sub-district of Sukoharjo District. This observational analytic study used a cross-sectional approach conducted in 2016. The population was Ae. aegypti mosquitoes and DHF patients (based on laboratory diagnosis with serologic examination, i.e., IgG, IgM and/or NS1 indicating positive DHF). Data analysis used Chi-square, Multiple Linear Regression, and spatially weighted regression with GeoDa and SatScan. The study found virDEN-3 transovarial transmission in Grogol Sub-district of Sukoharjo District and the spread of virDEN-3 transovarial transmission following the high spread of Ovitrap Index. The DHF incidences (cases) tended to cluster at a radius of 100-200 m from a region found the positive virDEN-3 transovarial transmission. The statistical tests showed a relationship between the virDEN-3 transovarial transmission and the DHF incidence with a p-value of <0.05. Spatially, the incidence of DHF in this area followed a certain spatial distribution pattern, with a clustering of dengue cases centered on the coordinates of -7.588240 S, 110.809450 E with a radius of 2.00 km.

Faktor-Faktor Yang Berpengaruh Terhadap Kejadian Tuberkulosis Pada Wanita di Kabupaten Cilacap Provinsi Jawa Tengah Sumarna, Nana; Rintiswati, Ning; Lazuardi, Lutfan; Lazuardi, Lutfan
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol 4 No 2 (2015): Jurnal Ilmu Kesehatan Bhakti Husada
Publisher : Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.155 KB)

Background : Tuberculosis (TB) is disease a second major cause of deaths worldwide among infectious diseases, killing nearly 2 million people each year. The variety of problems will arise if the woman was suffering TB especially who are married, pregnant, and have children. Her role as a housewife who had to carry out physical or mental care of children while taking care of her husband will be disturbed. The prevalence of smear positive pulmonary Tuberculosis (TB) in 6 region health center in Cilacap District at 2012, women higher than men.Objective : To know probability of pregnancy, marital status, parity, physical activity, level of education, level of knowledge, the kitchen smoke pollution, history contact with TB patient, residential density, ventilation against TB incidence in women.Method : The type of research was observational analytical case-control design. Sample is 102 people consisting of as many as 51 cases and 51 control. Sampling is done with proportional random sampling techniques. Data were analyzed with the univariabel, bivariabel analysis, and multivariable. Results : Pregnancy (OR 1.2 95% CI 2.4-23.7 p0.04), parity (OR 3.5, 95% CI 1.3-9.7 p 0.01), history of contacts (OR 3.8 95% CI 1.4-10.4 p 0.01) ventilation (OR 2.4 95% CI 7,5-23.7 p 0.00) as a risk factor for the occurrence of TB in women. Conclusion : The incidence of TB in women in Cilacap District a more probable or risk greater in women who were pregnant, high parity, had a history of contacts, and stay at home with the bad ventilation.

Faktor-Faktor Yang Berpengaruh Terhadap Kejadian Tuberkulosis Pada Wanita di Kabupaten Cilacap Provinsi Jawa Tengah Sumarna, Nana; Rintiswati, Ning; Lazuardi, Lutfan; Lazuardi, Lutfan
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol 4 No 2 (2015): Jurnal Ilmu Kesehatan Bhakti Husada
Publisher : Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.155 KB)

Background : Tuberculosis (TB) is disease a second major cause of deaths worldwide among infectious diseases, killing nearly 2 million people each year. The variety of problems will arise if the woman was suffering TB especially who are married, pregnant, and have children. Her role as a housewife who had to carry out physical or mental care of children while taking care of her husband will be disturbed. The prevalence of smear positive pulmonary Tuberculosis (TB) in 6 region health center in Cilacap District at 2012, women higher than men.Objective : To know probability of pregnancy, marital status, parity, physical activity, level of education, level of knowledge, the kitchen smoke pollution, history contact with TB patient, residential density, ventilation against TB incidence in women.Method : The type of research was observational analytical case-control design. Sample is 102 people consisting of as many as 51 cases and 51 control. Sampling is done with proportional random sampling techniques. Data were analyzed with the univariabel, bivariabel analysis, and multivariable. Results : Pregnancy (OR 1.2 95% CI 2.4-23.7 p0.04), parity (OR 3.5, 95% CI 1.3-9.7 p 0.01), history of contacts (OR 3.8 95% CI 1.4-10.4 p 0.01) ventilation (OR 2.4 95% CI 7,5-23.7 p 0.00) as a risk factor for the occurrence of TB in women. Conclusion : The incidence of TB in women in Cilacap District a more probable or risk greater in women who were pregnant, high parity, had a history of contacts, and stay at home with the bad ventilation.

DATAMINING PERESEPAN ELEKTRONIK DI PELAYANAN KESEHATAN PRIMER: POTENSI PENGEMBANGAN SISTEM PENDUKUKUNG KEPUTUSAN KLINIS Sanjaya, Guardian Y.; Harry, Sunandar; Lazuardi, Lutfan; Faizah, Noor
Seminar Nasional Informatika Medis (SNIMed) 2012
Publisher : Magister Teknik Informatika, Universitas Islam Indonesia

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Salah satu aspek monitoring dan evaluasi pelayanan kesehatan terkait persepan obat. Peresepan obat tidak rasional seperti polifarmasi, penggunaan antibiatik yang berlebih serta pemberian suplemen obat telah lama diketahui sebagai salah satu permasalahan kualitas pelayanan kesehatan. Sebagai badan kesehatan dunia, WHO sendiri telah memBerikan guidance terhadap mekanisme evaluasi ini sejak tahun 1993, mengingat dampak negatif baik secara klinis maupun sosio-ekonomi yang ditimbulkan. Sistem persepan elektronik yang akhir-akhir ini banyak diimplementasikan di beberapa fasilitas kesehatan berpotensi dalam memudahkan proses evaluasi ini. Bahkan, jika dikembangkan lebih lanjut, peresepan obat elektronik dapat ditingkatkan dengan mengkombinasikan sistem pendukung keputusan seperti peringatan terhadap alergi, penyesuaian dosis obat, peringatan interaksi obat dan atau kesesuaian jenis obat dengan formularium. Salah satu pendekatannya adalah kecerdasan buatan melalui konsep knowledge discovery from database (KDD). Untuk melihat potensi tersebut, paper ini menilai pola peresepan obat dengan bantuan aplikasi datamining Alphaminer dari E-business Technology Institute, the University of Hongkong. Terdapat 52.572 kunjungan pasien yang teridentifikasi pada 3 fasilitas kesehatan primer dalam kurun waktu 2010 sampai 2012. Sebanyak 8.580 (16,3%) kunjungan tidak diresepkan obat. Selebihnya, diberikan resep dengan variasi jumlah obat antara 1 sampai 18 obat dengan nilai median 4. Walaupun dibatasi pada 10 besar penyakit (karena keterbatasan aplikasi datamining yang digunakan), dapat dilihat pola pemberian obat pada diagnosis yang dimaksud. Banyaknya warna pada tiap-tiap bar menunjukkan jenis obat yang sering diresepkan, sedangkan lebar/tebal warna menunjukan seringnya obat tersebut diresepkan pada kasus diagnosis yang sama. Dengan pola tersebut, decision support system untuk peresepan obat dapat dikembangkan, namun terbatas pada fungsi suggestion. Fungsi lain seperti pengecekan dosis obat, interaksi antar obat, interaksi antar obat dan kondisi fisik umpamanya belum dapat dilakukan dan lebih tepat jika menggunakan pendekatan role-based (knowledge-based). Selain itu, nonknowledge-based ini juga terkendala validitas peresepan obat yang dilakukan di fasilitas kesehatan primer. Namun demikian, evaluasi terkait pola persepan obat tetap dapat dilakukan dan bahkan diperluas dengan variabel-variabel lainnya seperti kelompok umur, jenis jaminan kesehatan pasien dan dokter yang memberikan resep. Konsep datamining memiliki potensi dalam mengembangkan sistem pendukung keputusan klinis pada peresepan elektronik. Namun demikian, potensi ini harus diimbangi dengan pengetahuan peresepan obat yang rasional, dalam upaya peningkatan validitas sistem.

Pengembangan e-learning untuk persiapan uji kompetensi ners indonesia (UKNI) Nugroho, Tri Adi; Haryanti, Fitri; Lazuardi, Lutfan
Wellness And Healthy Magazine Vol 1, No 2 (2019): August
Publisher : Universitas Aisyah Pringsewu (UAP) Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/well.46122019

Background: The era of globalization bring nursing education institutions in Indonesia run nursing education process varies with the quality control system education that goes well, but not optimal so that the quality of graduates is very diverse. One of the efforts to realize the improvement of the quality and equity of health workers is to improve the quality control of graduates through the competency test. Meanwhile, the utilization of information and communication technology (ICT) -based e-learning is a new paradigm in health education. The need for nurses prepares for a competency test into an opportunity for universities to take advantage of ICT-based e-learning for nurse competency test preparation. Methods: This study is action research. Stages of research begin with needs analysis through interviews, observation and focus group discussion involving three lecturers and 14 participants UKNI. The results of the needs analysis are used as a reference in designing the prototype e-learning. E-learning prototype evaluation was performed using the theory of the Technology Acceptance Model (TAM). Results: The prototype eLearning developed in accordance with the needs analysis include: the accessibility of e-learning, quality of information, human resources and management content. The results of the evaluation of the prototype e-learning on perceived usefulness, 51.8% of respondents strongly agree and 47% agree, while the perceived ease of use, 42.9% of respondents strongly agree and 56% of respondents agreed. Conclusions: The need for the development of e-learning for UKNI preparation is the substitution, meaning that learning is done through the internet entirely. The evaluation results usefulness respondents perceived the prototype e-learning was helpful. The results of the evaluation of perceived ease of use of respondents feel the ease operate prototype e-learning.

ARIMA Models of Dengue Cases in Kartamantul, Based on Area Risk Classification Rubaya, Agus Kharmayana; Kusnanto, Hari; Lazuardi, Lutfan; T. Satoto, Tri Baskoro
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7264

Dengue is still one of the public health problems in Indonesia. In this study, three temporal indices (frequency, duration and intensity indices) based on serologically confirmed cases between 2010 and 2014 in Yogyakarta Municipality, Sleman Regency and Bantul Regency (acronym: Kartamantul), which are spatially analyzed, used to determine the risk level of Dengue transmission for each village in that area in 2015. Subsequently, ARIMA models with Box-Jenkins approach for those risk classification are developed to predict the number of cases in 2015. The results show that the risk categorization yielded from those Dengue data series has relatively high concordance with risk classification resulting from Dengue data in 2015 (the Kappa coefficient: 0.593; p-value 0.001). The best ARIMA models for both the â€œhighâ€ and â€œmediumâ€ risk villages are (0, 1, 0)(1, 1, 0)12; and for â€œlowâ€ risk areas it is (0, 1, 0)(0, 1, 0)12; which means that both models demonstrate a seasonal pattern. The analysis shows that the ARIMA models have relatively good predictability for the upcoming number of cases. Therefore, these analyses approach is suggested to be adopted for complementing the techniques of area stratification and transmission period which are commonly used in Dengue surveillance.

Hubungan Kondisi Lingkungan Fisik Rumah Dengan Kejadian Tuberkulosis Paru Di Jawa Barat (Analisis Data Riskesdas 2013) Ahmad Zacky Anwary; Lutfan Lazuardi; Mubasysyir Hasanbasri; Faisal Mansur; Bagian Prodi Kesehatan Masyarakat, FKM UNISKA; Bagian Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM; Bagian PKMK, Fakultas Kedokteran UGM
Jurnal Kesehatan Indonesia Vol 6 No 3 (2016): Juli
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (357.471 KB)

Tuberculosis (TB) is one of the pulmonary infectious diseases become a global threat, given the number of occurrences of cases, especially in Indonesia as one of the countries included in the 22 countries with major problems of tuberculosis disease (high-burden countries). Besides being the source of transmitting, one of the factors that can also affect the occurrence of pulmonary TB disease is the house physical environment (such as ventilation, natural lighting, flooring, and density of residential house) that does not qualify as a healthy home. Including the type of observational research with cross sectional study design. The target population is the population in West Java and the household members aged 15 years and above who became suspected pulmonary TB patients were successfully recorded/interviewed in Riskesdas 2013. There are some physical house environment variables significantly associated with the incidence of pulmonary TB in West Java that is the kitchen ventilation variable with an Odds Ratio (OR) of 1160, family room ventilation variable with OR 1.122, badroom natural lighting variable with OR 1148, and kitchen natural lighting variable with OR 1124. By knowing the variables that have a significant relationship to the occurrence of pulmonary tuberculosis so that people can pay more attention the efforts to improve the house physical environment into a better house.

Pentingnya Analisis Cluster Berbasis Spasial dalam Penanggulangan Tuberkulosis di Indonesia Dyah Wulan Sumekar Rengganis Wardani; Lutfan Lazuardi; Yodi Mahendradhata; Hari Kusnanto
Jurnal Kesehatan Masyarakat Nasional Vol. 8 No. 4 November 2013
Publisher : Faculty of Public Health Universitas Indonesia

Pengendalian tuberkulosis telah meningkatkan angka kesembuhan dan menyelamatkan banyak jiwa, tetapi kurang berhasil menurunkan insiden tuberkulosis. Oleh karena itu, pengendalian tuberkulosis menekankan pada kebijakan determinan sosial karena determinan sosial secara langsung dan melalui faktor risiko tuberkulosis berpengaruh terhadap tuberkulosis. Hasil telaah literatur menunjukkan bahwa stratifikasi determinan sosial menyebabkan clustering tuberkulosis, berupa pengelompokkan penderita tuberkulosis menurut lokasi geografis yang secara statistik signifikan. Pengetahuan tentang clustering sangat bermanfaat dalam pengendalian tuberkulosis, khususnya untuk menurunkan insiden tuberkulosis karena dapat memberikan informasi tentang lokasi populasi yang berisiko. Selain itu, telaah literatur menunjukkan bahwa implementasi analisis spasial memerlukan dukungan sumber daya yang tidak sedikit. Oleh karena itu, sebelum analisis cluster berbasis spasial dapat diterapkan, perlu didukung oleh penelitian yang menunjukkan kesiapan sumber daya dan efektivitas biaya.Tuberculosis control has increased cure rate and saved million people, but has less success in reducing tuberculosis incidence. Therefore, tuberculosis control needs to put more emphasis on social determinants policy, since social determinants directly or through tuberculosis-risk factors affect tuberculosis. Literature reviews show that stratification of social determinants will cause tuberculosis clustering, a grouping of tuberculosis patients according geographical area that is statistically significant. Knowledge on the clustering is very useful to support tuberculosis-control program, especially for reducing tuberculosis incidence through highlighting the area of vulnerable population. On the other hand, literature reviews also show that implementation of spatial analysis requires adequate resources. Therefore, before tuberculosis cluster analysis can be implemented routinely, it shouldbe supported by researches that indicate resources readiness and cost effectiveness.

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