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Analisis Sosial Ekonomi dalam Pemanfaatan Fasilitas Kesehatan untuk Berobat Jalan di Provinsi Jawa Barat : Analisis Data Susenas Tahun 2017 Fairuz Rabbaniyah; Mardiati Nadjib
Media Kesehatan Masyarakat Indonesia Vol. 15 No. 1: MARET 2019
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.512 KB) | DOI: 10.30597/mkmi.v15i1.5888

Abstract

In 2008-2014 the utilization of health facilities for medical treatment in Indonesia has decreased. Accordingto BPS data, in 2008 the utilization of health facilities for outpatient treatment was 33.4%, in 2012 it was 30%and in 2014 it was 27.1%. The purpose of this study was to determine the socio-economic factors that influencethe utilization of health facilities for outpatient treatment in West Java Province. This study uses secondary data,namely data from the National Socio-Economic Survey (Susenas) in 2017. The research respondents were 22,955heads of households in West Java Province. The method used in this study uses the econometric approach using theBinary Regression method, namely the logit model and probit model. The results of this study found that incomefactors and employment status of household heads positively influence the views of coefficient values. The incomeand employment status of the head of the household significantly influence the utilization of health facilities. Thevalue of p-value for income is 0.001 (p-value <0.05), while the p-value for employment status is 0.08 (p-value<0.1). Socio-economic factors that influence the utilization of health facilities in West Java Province are incomeand employment status of the head of the household.
Quality of life among Methadone Maintenance Treatment (MMT) patients with higher education Anggita Bunga Anggraini; Mardiati Nadjib
Health Science Journal of Indonesia Vol 9 No 2 (2018)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v9i2.810

Abstract

Latar belakang: Salah satu penilaian keberhasilan Program Terapi Rumatan Metadon (PTRM) yang merupakanprogram rehabilitasi terhadap pengguna narkoba -- khususnya pengguna narkotika suntik -- adalah kualitashidup klien. Oleh karena itu perlu diidentifikasi beberapa faktor yang dominan mempengaruhinya. Metode: Penelitian dilakukan dengan desain potong lintang yang dilakukan di Puskesmas Kedung Badakdan Bogor Timur di Kota Bogor. Pengumpulan data dilakukan dengan wawancara dan pengisian kuesionerWHOQOL-BREF pada April-Juni 2018. Analisis dilakukan dengan menggunakan regresi linier multivariabel. Hasil: Responden dalam penelitian ini berjumlah 62 orang. Hasil penelitian menunjukkan rerata skor kualitashidup klien PTRM di Kota Bogor pada domain fisik sebesar 57,6; domain psikologis sebesar 57,5; domain sosialsebesar 63,6; dan domain lingkungan 63,9. Dibandingkan rerata skor populasi sehat di Indonesia, domain fisikdan psikologis lebih rendah daripada populasi tersebut, sedangkan domain psikologis tidak berbeda denganpopulasi tersebut. Adapun skor domain lingkungan lebih tinggi dibandingkan populasi sehat Indonesia. Faktoryang dominan dalam menentukan kualitas hidup pada domain fisik dan lingkungan adalah tingkat pendidikan,sedangkan domain psikologis adalah dosis metadon. Faktor yang dominan dalam menentukan kualitas hidupdomain sosial adalah adanya seseorang yang dapat diajak bicara. Kesimpulan: Semakin tinggi tingkat pendidikan klien, maka kualitas hidup klien pada seluruh domain akansemakin baik. Klien PTRM dengan tingkat pendidikan yang lebih rendah harus dipantau untuk meningkatkankualitas hidupnya. Penanganan klien dengan pendekatan individual dan dukungan sosial dari keluarga danteman diperlukan untuk meningkatkan motivasi serta kepatuhan klien dalam menjalani terapi metadon. (HealthScience Journal of Indonesia 2018;9(2):93-9) Kata kunci: Kualitas hidup, metadon Abstract Background: One of the objective in Methadone Maintenance Therapy (MMT) which is a rehabilitationprogram for injecting drug users is quality of life. The purpose of this study was to determine quality oflife among MMT patients. Methods: The cross sectional study was conducted in Kedung Badak Primary Health Care and BogorTimur in Bogor. Data were collected from interview and filling out WHOQOL-BREF questionnaire fromApril-June 2018. Analysis was performed using multiple linier regression. Results: Total subjects in this study was 62 subjects. The results showed mean scores for physical domainwas 57.6; psychological domain was 57.5; social domain was 63.6; and environmental domain was 63.9.Compared with Indonesian, MMT patient scores were higher in environmental domain and lower inphysical and psychological domain while social domain had no different with it. The dominant factor indetermining physical and environmental domain was level of education, while the psychological domainwas methadone dose, and the existence of someones to talk to was dominant factor for social domain. Conclusion: The higher level of education, will produce better quality of life in all domains. MMTpatients with lower level education must be monitored to improve their quality of life. It is suggested totreat patients based on individual approaches and support from family and friends is needed to motivateclients and adherence to the therapy. (Health Science Journal of Indonesia 2018;9(2):93-9) Keywords: Methadone, quality of life
THE ROLE OF CLINICAL PATHWAY IN IMPROVING HOSPITALS COST EFFICIENCY Taufiqurrahman Taufiqurrahman; Mardiati Nadjib
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Clinical Pathway (CP) is a method of clinical documentation that reflects clinical practice standards for physicians, nurses and other members of healthcare team. Clinical pathways are collaborative guidelines for treating patients focused on diagnosis, clinical problems and stages of care. The advantage is any intervention given and the development of the patient recorded systematically based on the time criteria set and is expected to improve the quality of service and to lower hospital costs. The aim of this narrative review is to assess the role of CP in improving the efficiency of hospital costs. Methods: Narrative review was performed by analyzing the scientific articles obtained through Electronic Library provided by the University of Indonesia through online database list and chooses Science Direct as a search. The keywords used in the search were "Clinical Pathway and Hospital Cost". Search strategy was conducted by searching for articles related to CP role on hospital cost efficiency. Articles were selected using inclusion criteria and through several stages. Results: Acquired as many as 1.324 articles conducted search through Science Direct. From the results of the screening finally 4 scientific articles were chosen relevant to the topic of writing and the criteria of inclusion or exclusion. After the analysis, it was found that the use of CP in the management of patients can lower hospital costs. Conclusions: Implementation of clinical pathway for the management of patients in hospital can improve hospital cost efficiency. 
ANALYSIS OF CST (CASE, SUPPORT AND TREATMENT) AT H ABDUL MANAP HOSPITAL IN JAMBI CITY IN 2018 Cici Lia Nopita; Mardiati Nadjib
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: The CST clinic of H. Abdul Manap, the regional public hospital is the only type-C a hospital which provides ARV (Anti Retro Viral) treatment service in Jambi City. However, in the past five years, the trend of CST clinic utilization has tended to decrease. This research aims to analyze the factors affecting the decrease in the utilization of the CST clinic of H. Abdul Manap regional public hospital, Jambi City. Method: This study was used the qualitative method with purposive sampling technique. This research conducted in 37 participants were employed to obtain the primary data sources from observation and in-depth interviews with key informants. Those key informants included the management team (3 people), CST Clinic team (7 people), PLWHAs (18 people) and peer counselors (8 people) as well as FGDs (Focus Group Discussions). Results: The commitment of the concerned stakeholders, especially the chairman of the hospital and the CST team members in administering the CST service, has not been maximum. The budget allocation for CST clinic in the hospital was only for and limited to staff incentives. There had been no position for team leaders and case managers, while the doctors and staffs had not received any CST training. Some staffs even served double jobs. Conclusion: The service SOP, as well as the scheduled and continuous monitoring on SOP implementation and progress evaluation according to CST Clinic performance indicators, are required. The necessary of regional policies related to CST service, especially for the provision of CD4 reagents and tariffs; and the hospital director's decree to instruct not to refuse to treat PLWHA are also required. The Implication is a strong commitment from all stakeholders, especially the chairman of the hospital and the CST team members are required to improve the clinic utilization.