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Factors Affecting Surgical Waiting Time in Cancer Patients at Referral Hospitals of West Java Province Yuli Susanti; Siska Nia Irasanti; Ieva Baniasih Akbar; Wawang S. Sukarya
Global Medical & Health Communication (GMHC) Vol 8, No 2 (2020)
Publisher : Universitas Islam Bandung

A challenge for hospitals in facing the high number of patient visits is to provide quality services. One of the vital services in dealing with patients, especially those who will have cancer surgery considering the high rate of mortality cancer, is an improvement in waiting time (WT). Waiting time for elective surgery is one indicator of service quality with a standard of ≤2 days. This research aimed to determine the average WT for surgery, influencing factors, and optimal queuing models. The method used was quantitative and qualitative methods applied to 207 samples with consecutive sampling at West Java Provincial Al-Ihsan Regional General Hospital Bandung from October to December 2016. The analysis used partial least squares (PLS). The results of the study showed that the average WT for surgery was 32 days. Factors that influence WT were inpatient rooms, number of medical personnel, condition of patients, and health insurance. The optimal queue model to reduce surgical waiting time are adding inpatient beds, oncologist doctor, and creating an online system for registration and confirmation of inpatient rooms and operating. FAKTOR YANG MEMENGARUHI WAKTU TUNGGU OPERASI PASIEN KANKER DI RUMAH SAKIT RUJUKAN JAWA BARATTantangan bagi rumah sakit dalam menghadapi jumlah kunjungan pasien yang tinggi adalah mampu memberikan pelayanan berkualitas. Salah satu pelayanan signifikan bagi pasien kanker yang akan menjalani operasi adalah perbaikan waktu tunggu karena mortalitas pasien kanker yang tinggi. Waktu tunggu operasi elektif merupakan salah satu indikator mutu pelayanan dengan standar ≤2 hari. Penelitian bertujuan mengetahui waktu tunggu operasi rerata, faktor yang memengaruhi, dan model antrean yang optimal. Metode yang digunakan adalah kuantitatif dan kualitatif yang diterapkan pada 207 sampel secara consecutive sampling di RSUD Al-Ihsan Provinsi Jawa Barat Bandung dari Oktober hingga Desember 2016. Analisis menggunakan partial least squares (PLS). Hasil penelitian menunjukkan bahwa waktu tunggu operasi rerata adalah 32 hari. Faktor yang berpengaruh terhadap waktu tunggu operasi adalah ruang rawat inap, jumlah tenaga medis, kondisi pasien, dan jaminan kesehatan. Model antrean yang optimal untuk menurunkan waktu tunggu operasi adalah penambahan tempat tidur rawat inap, penambahan dokter spesialis bedah onkologi, serta pembuatan sistem daring untuk pendaftaran dan konfirmasi kesiapan ruang rawat inap dan ruang operasi.

Pengaruh Appointment Registration System terhadap Waktu Tunggu dan Kepuasan Pasien Yuli Susanti; Yudi Azis; Dadang Kusnadi
Global Medical & Health Communication (GMHC) Vol 3, No 1 (2015)
Publisher : Universitas Islam Bandung

Peningkatan derajat kesehatan dapat dicapai melalui kemudahan akses terhadap fasilitas kesehatan. Peningkatan peserta pada program Jaminan Kesehatan Nasional (JKN) mengakibatkan antrian panjang di sarana pelayanan kesehatan. Penelitian ini bertujuan untuk menganalisis pengaruh metode appointment registration system (ARS) terhadap waktu tunggu dan kepuasan pasien. Metode penelitian yang digunakan adalah survei dengan sampel 380 orang dan observasi pada bulan Desember 2014 di RS Al-Islam Bandung. Analisis menggunakan structural equation modeling (SEM) dan production operation management-quantitative methods (POMQM). Hasil penelitian diperoleh kondisi pelaksanaan ARS (60,7%), waktu tunggu (59,1%), dan kepuasan pasien (67,3%) termasuk dalam kategori cukup. Terdapat pengaruh positif dan signifikan ARS terhadap waktu tunggu (51,84%), pengaruh positif dan signifikan waktu tunggu terhadap kepuasan pasien (25%), dan total pengaruh ARS terhadap kepuasan pasien (16,79%). ARS dapat menurunkan waktu tunggu secara efektif tetapi tidak semua metode ARS dapat menurunkan waktu tunggu. Simpulan, pasien RS Al-Islam Bandung merasa cukup puas terhadap pendaftaran appointment dan waktu tunggu. THE INFLUENCE OF OUTPATIENT APPOINTMENT REGISTRATION SYSTEM TO WAITING TIME AND PATIENT SATISFICATIONSHealth improvement can be achieved through accessibility to health services. An increased participants in the Health Insurance Program (HIP) resulted in a long queue in the hospital. This research aim was to analize influence of appointment registration system (ARS) to waiting time and patient satisfaction. Research method using patient satisfaction survey in 380 subjects and observation on December 2014 at Al-Islam Bandung Hospital. The result was analyzed using structural equation modeling (SEM) and production operation management-quantitative methods (POMQM). The results showed that the implementations of ARS (60,7%), waiting time (59,1%), and patient satisfaction (67,3%) were on moderate category. There was positive and significant influence of ARS to waiting time (51,84%). There was positive and significant influence of waiting time to patient satisfaction (25%) and total influence of ARS to patient satisfaction was 16,79%. The fastest waiting time in queue performance was appointment registration via sms/phone (33.76 minutes) and the longest waiting time was onsite booking (53.56 minutes). ARS could decreased waiting time significantly and effectively, but not all ARS methods could do the same. In Conclusion, the patients in Al-Islam Hospital had moderate satisfaction in appointment registration and waiting time.

Stakeholder Perception towards the Implementation of National Health Insurance Program Yuli Susanti; Tita Barriah Siddiq; Siska Nia Irasanti; Rizki Perdana; Yusuf Heriady
Global Medical & Health Communication (GMHC) Vol 9, No 2 (2021)
Publisher : Universitas Islam Bandung

Indonesian National Health Insurance (NHI) is a social protection program that ensures the fulfillment of basic needs for proper health by implementing a quality and cost control system. There are still differences in perceptions and complaints felt by patients regarding the implementation of the NHI program. The purpose of this study was to evaluate the implementation of the NHI program based on the perception of all stakeholders in the aspect of health equity, quality of service, and health financing. Quantitative research methods with survey techniques on 204 respondents were selected by stratified random sampling in Al-Ihsan Regional General Hospital West Java Province from January to May 2021. The data were analyzed by using the Kruskal-Wallis test and Mann-Whitney U test on the perception of the stakeholder groups. The results showed that the aspects of health equity, service quality, and health financing on the implementation of the NHI program were in a good category. The increase in Healthcare and Social Security Agency (HSSA) insurance premium was considered the lowest aspect. There were significant differences in the perception of stakeholder groups on the aspects of health equity, service quality, and health financing. There were significant differences in perceptions of health equity based on the ages groups and in perceptions of health financing based on income. This indicates that stakeholders' perceptions of the NHI program affected some conditions, including roles in services, ages, and income. PERSEPSI STAKEHOLDER TERHADAP IMPLEMENTASI PROGRAM JAMINAN KESEHATAN NASIONALJaminan Kesehatan Nasional (JKN) merupakan program perlindungan sosial yang menjamin pemenuhan kebutuhan dasar kesehatan yang layak melalui penerapan sistem kendali mutu dan biaya. Masih terdapat perbedaan persepsi dan keluhan yang dirasakan pasien terhadap pelaksanaan program JKN. Tujuan penelitian ini mengevaluasi pelaksanaan program JKN berdasar atas persepsi seluruh stakeholder pada aspek health equity (pemerataan), mutu layanan, dan pembiayaan kesehatan. Metode penelitian kuantitatif dengan teknik survei pada 204 responden yang dipilih secara stratified random sampling di RSUD Al-Ihsan Provinsi Jawa Barat periode Januari−Mei 2021. Analisis data menggunakan Uji Kruskal-Wallis dan Mann-Whitney U terhadap persepsi kelompok stakeholder. Hasil penelitian menunjukkan bahwa aspek health equity, mutu layanan, dan pembiayaan kesehatan pada implementasi program JKN berada dalam kategori baik. Kenaikan premi asuransi BPJS Kesehatan dinilai paling rendah. Terdapat perbedaan signifikan persepsi antara kelompok stakeholder pada aspek health equity, mutu layanan, dan pembiayaan kesehatan. Terdapat perbedaan signifikan persepsi terhadap health equity berdasar atas kelompok usia dan persepsi pada aspek pembiayaan kesehatan berdasar atas pendapatan. Hal ini menunjukkan bahwa persepsi stakeholder terhadap program JKN dipengaruhi beberapa kondisi, antara lain peran dalam layanan, usia, dan pendapatan.

The Increased Knowledge of Children Dental and Oral Health at the Baitus Syukur Orphanage in Bandung Siska Nia Irasanti; Yuniarti Yuniarti; Yuli Susanti; Yani Dewi Suryani; Revika Ilma Nurul Uswah; Risya Farisatul Aini; Novita Arya Cahyani; Hilal Muhammad Dimas Nugraha; Muhammad Mufti
Global Medical & Health Communication (GMHC) Vol 9, No 3 (2021)
Publisher : Universitas Islam Bandung

The COVID-19 pandemic has led to restrictions on visits to the dentist except for emergency cases. It causes the examination and treatment of dental and oral diseases to be hampered, which is feared to impact a person's overall health condition negatively. Therefore, each individual is expected to maintain optimal dental and oral health to prevent it. Until now, based on the results of interviews with the head of the Baitus Syukur orphanage, it was stated that the level of awareness of foster children on the importance of maintaining dental and oral health was low, and they did not yet have a special examination program related to dental and oral health. This study aims to analyze whether there is an increase in children's knowledge in the Baitus Syukur orphanage after counseling on oral health. This type of research is a quasi-experiment with pre and post-test methods in March–April 2021. This study uses a total population of 24 children in the Baitus Syukur orphanage. The data were analyzed with the results of the Wilcoxon Test analysis at a 95% confidence level. It showed that statistically, there was a significant difference between the values before and after giving counseling materials to participants with p value=0.003 (p value≤0.05). The conclusion is that there is an increase in children's knowledge about dental and oral health at the Baitus Syukur orphanage after counseling. PENINGKATAN PENGETAHUAN KESEHATAN GIGI DAN MULUT ANAK DI PANTI ASUHAN BAITUS SYUKUR BANDUNGKondisi pandemik COVID-19 menyebabkan pembatasan kunjungan ke dokter gigi kecuali untuk kasus penyakit kesehatan gigi dan mulut darurat. Hal ini menyebabkan pemeriksaan dan perawatan penyakit gigi dan mulut terhambat yang dikhawatirkan akan menimbulkan dampak negatif terhadap kondisi kesehatan seseorang secara menyeluruh. Untuk mencegah hal ini, setiap individu diharapkan dapat menjaga kesehatan gigi dan mulutnya secara optimal. Sampai saat ini, berdasar atas hasil wawancara dengan Ketua Panti Asuhan Baitus Syukur menyatakan bahwa tingkat kesadaran anak asuh dalam menjaga kesehatan gigi dan mulut rendah dan belum memiliki program pemeriksaan khusus terkait kesehatan gigi dan mulut. Penelitian ini bertujuan menganalisis apakah terdapat peningkatan pengetahuan anak di Panti Asuhan Baitus Syukur setelah dilakukan penyuluhan mengenai kesehatan gigi dan mulut. Jenis penelitian ini adalah eksperimen quasi dengan metode pre and post-test pada Maret–April 2021. Penelitian ini menggunakan total populasi anak di Panti Asuhan Baitus Syukur yang berjumlah 24 orang. Data dianalisis menggunakan Uji Wilcoxon pada derajat kepercayaan 95% menunjukkan bahwa secara statistik, terdapat perbedaan yang signifikan antara nilai sebelum dan setelah pemberian materi penyuluhan pada partisipan dengan p=0,003 (p≤0,05). Simpulan, terdapat peningkatan pengetahuan anak mengenai kesehatan gigi dan mulut di Panti Asuhan Baitus Syukur setelah dilakukan penyuluhan.

Tingkat Kepuasan Pasien Peserta Badan Penyelenggara Jaminan Sosial terhadap Mutu Pelayanan Farmasi di Instalasi Rawat Jalan Prahena Yudanisa; Ami Rachmi; Amri Yunus; Nurul Romadhona; Yuli Susanti
Jurnal Integrasi Kesehatan dan Sains Vol 1, No 2 (2019): Jurnal Integrasi Kesehatan dan Sains
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jiks.v1i2.4350

Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS) adalah badan hukum publik yang berfungsi menyelenggarakan program jaminan kesehatan. Salah satu pelayanan kesehatan yang diberikan BPJS yaitu pelayanan farmasi yang masih dinilai belum memenuhi standar pelayanan minimal rumah sakit sehingga mempengaruhi tingkat kepuasan pasien terhadap mutu pelayanan yang diberikan. Terdapat beberapa indikator kepuasan yang dapat digunakan untuk mengetahui mutu pelayanan yaitu dimensi tangible (bukti fisik), reliability (kehandalan), responsiveness (ketanggapan), assurance (jaminan), dan emphaty (empati). Penelitian ini bertujuan untuk mengetahui gambaran tingkat kepuasan pasien peserta BPJS terhadap mutu pelayanan farmasi unit rawat jalan di salah satu rumah sakit swasta Kota Bandung. Penelitian dilakukan dengan metode deskriptif dengan pendekatan cross sectional. Teknik pemilihan sampel menggunakan teknik consecutive sampling dan didapatkan 48 pasien yang telah mendapatkan pelayanan farmasi di salah satu rumah sakit swasta Kota Bandung pada bulan Maret ̶ Mei 2018 dengan menggunakan kuesioner yang sudah tervalidasi. Pada penelitian ini menunjukkan bahwa kepuasan pasien terhadap dimensi tangible 69,90% (puas), reliability 76,15% (puas), responsiveness 55,78% (tidak puas), assurance 73,61% (puas), dan empathy 77,43% (puas). Penambahan jumlah petugas apotik dan sosialisasi tentang Standar Pelayanan Minimal Rumah Sakit kepada petugas mengenai waktu tunggu penyerahan obat diharapkan mampu meningkatkan kepuasan pasien terhadap dimensi responsiveness. THE LEVEL OF BPJS PARTICIPANT ON THE QUALITY OF PHARMACEUTICAL SERVICES IN OUTPATIENT INSTALLATION Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS) is a public legal institution whose function is to organize a health insurance program. One of the health services provided by BPJS is the pharmaceutical service which is still considered not meet the minimum hospital service standards so that it affects the level of patient satisfaction on the quality of service provided. There are several indicators of satisfaction that can be used to determine the quality of service that is, tangible, reliability, responsiveness, assurance, and emphaty. This study aims to determine the description of patient satisfaction level of BPJS participants on the quality of outpatient pharmaceutical service in one of Bandung’s private hospitals. This study was done by descriptive method with cross sectional approach. The sample selection technique used a consecutive sampling technique and got 48 patients who have received pharmacy service in one of Bandung’s private hospitals in March−May 2018 by using validated questionnaires. The result of this study showed that patient satisfaction on tangible dimension (physical proof) was 69.90% (satisfied), reliability 76.15% (satisfied), responsiveness 55.78% (not satisfied), assurance 73.61% (satisfied), and empathy 77.43% (satisfied). The addition of the number of pharmacy officers and the socialization of Hospital Minimum Service Standards to officers regarding the waiting time for drug delivery is expected to increase patient satisfaction with the dimensions of responsiveness.

Kejadian HIV pada Anak Balita di Jawa Barat Periode Tahun 2014–2016 Nia Yulia Susanti; Budiman Budiman; Caecielia Caecielia; Buti Azfiani Azhali; Tony S Djajakusumah
Jurnal Integrasi Kesehatan dan Sains Vol 1, No 2 (2019): Jurnal Integrasi Kesehatan dan Sains
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jiks.v1i2.4348

Human immunodeficiency virus (HIV) merupakan virus yang menyerang sistem kekebalan tubuh manusia. Di Indonesia perempuan usia reproduktif dengan HIV masih tinggi pada periode Januari sampai Maret tahun 2014 berjumlah 13.023 kasus, kemudian meningkat pada periode April sampai Juni tahun 2014 menjadi 30.542 kasus. Hal ini berdampak apabila perempuan usia reproduktif hamil dengan HIV dapat meningkatkan risiko bayi yang lahir dengan HIV positif. Intervensi lebih dini dengan mengikuti pelayanan pencegahan penularan HIV dari ibu ke anak (PPIA) dapat menurunkan angka kejadian HIV pada anak balita. Penelitian ini bertujuan melihat kejadian HIV pada anak balita di Provinsi Jawa Barat dan untuk melihat bagaimana layanan PPIA di Provinsi Jawa Barat periode tahun 2014–2016. Penelitian dilakukan studi ekologi kualitatif deskriptif observasional untuk melihat jumlah kasus infeksi HIV pada anak balita di Jawa Barat periode tahun 2014 sampai 2016. Penelitian menggunakan data tersier dari Dinas Kesehatan Provinsi Jawa Barat. Hasil penelitian menunjukkan bahwa kejadian HIV pada anak balita di Jawa Barat pada tahun 2015 mengalami peningkatan dibanding dengan tahun 2014, sedangkan pada tahun 2016 dan 2015 tidak terdapat perubahan kejadian HIV pada anak balita di Jawa Barat. HIV INCIDENCE IN CHILDREN UNDER FIVE IN WEST JAVA PERIOD YEAR 2014–2016Human immunodeficiency virus (HIV) is a virus that attacks the human immune system. In Indonesia, women of reproductive age with HIV were still high in the period of January to March 2014 was 13,023 cases and then increased in the April to June 2014 period to 30,542 cases. It has an impact if women of reproductive age pregnant with HIV can increase the risk of babies born with HIV positive. Early intervention by following prevention services for mother-to-child HIV transmission (PPIA) can reduce the incidence of HIV in children under five. This study aimed to know the incidence of HIV in children under five in the province of West Java and to know how PPIA services in the province of West Java in the period 2014–2016. Observational descriptive quanlitative ecology study was conducted to know the number of cases of HIV infection in children under five in West Java in the period 2014 to 2016. The study used tertiary data from the provincial health office of West Java. The results showed that the incidence of HIV in children under five in West Java in 2015 had increased compared to 2014 while in 2016 and 2015 there was no change in the incidence of HIV in children under five in West Java.

Hubungan Beban Kerja Fisik dengan Kejadian Low Back Pain (LBP) pada Kuli Panggul Beras di Pasar Induk Gedebage Emilda Hanifa; Deddy Koesmayadi; Yuli Susanti
Jurnal Integrasi Kesehatan dan Sains Vol 2, No 2 (2020): Jurnal Integrasi Kesehatan dan Sains
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jiks.v2i2.5668

Prevalensi low back pain (LBP) di Indonesia 85–95% terjadi karena penyebab non-spesifik, di antaranya aktivitas fisik yang berat, mengangkat beban terlalu berat, postur tubuh statis saat bekerja, posisi bekerja, faktor gaya hidup, dan faktor psikologis. Tujuan penelitian ini mengetahui hubungan beban kerja fisik dengan kejadian low back pain (LBP) pada kuli panggul beras di Pasar Induk Gedebage. Penelitian ini menggunakan metode analitik observasional dengan pendekatan cross-sectional. Subjek penelitian terdiri atas 33 responden. Pengambilan data dilakukan menggunakan kuesioner dan observasi. Hasil penelitian didapatkan bahwa sebagian besar responden mengalami kejadian LBP sebanyak 29 orang. Responden yang memiliki beban kerja fisik dengan beban 33–52 kg/angkat adalah sebanyak 23 orang dan kejadian LBP sebanyak 19 orang. Hasil ananisis statistik menunjukkan bahwa tidak terdapat hubungan yang bermakna antara beban kerja fisik dan kejadian low back pain (p=0,372), namun terdapat faktor lain yang terkait dengan kejadian LBP, di antaranya usia, masa kerja, posisi angkat, dan skala nyeri. THE RELATIONSHIP OF PHYSICAL WORKLOAD WITH THE INCIDENCE OF LOW BACK PAIN (LBP) IN RICE HIP COOLIES AT PASAR INDUK GEDEBAGEThe prevalence of low back pain (LBP) in Indonesia is about 85–95%, it occurs due to non-specific causes, including heavy physical activity, lifting weights too heavy, static posture at work, working position, lifestyle factors, and psychological factors. The purpose of this study was to determine the relationship of physical workload with the incidence of low back pain (LBP) in rice hip coolies at Pasar Induk Gedebage. This research used observational analytic method with cross sectional approach. The research subjects consisted of 33 respondents. Data were collected by using questionnaires and observations. The results showed that the majority of respondents experienced LBP events as many as 29 people. Respondents who had a physical workload with a load of 33–52 kg/lift were 23 people, and LBP events were 19 people. Statistical analysis showed that there was no significant relationship between physical workload and the incidence of low back pain (p=0.372). Conclusion, there is no relationship between physical workload and the incidence of low back pain in rice hip coolies at Pasar Induk Gedebage, but there are other factors associated with LBP events, including age, work period, lifting position, and pain scale.

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