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ANALISIS IMPLEMENTASI KEBIJAKAN PENANGGULANGAN TB DALAM MENINGKATKAN KUALITAS HIDUP PENDERITA TB PARU DI PUSKESMAS TIGABARU KABUPATEN DAIRI TAHUN 2018 ELFIDA PURBA; WISNU HIDAYAT; EVAWANI SILITONGA
JURNAL ILMIAH SIMANTEK Vol 3 No 3 (2019): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (687.317 KB)

Abstract

Tuberculosis (TB) is a transmitted disease which becomes public health problem. It can cause high rate in morbidity, mortality, and physical disability so that it is necessary to do effective and efficient prevention, control, and eradication (Kemenkes RI, No. 82/2014). Dairi Regency ranks the tenth in tuberculosis in North Sumatera 2018 in the target of 1,207 people with the achievement of 595 people (49 %) while in the working area of Tigabaru Puskesmas in 2018 in the target of 69 people with the achievement of 52 people (75 %). This indicates that the implementation of applying the policy on handling Tuberculosis does not run well. The research used descriptive qualitative method with case study which was aimed to deeply explore the implementation of the policy on handling tuberculosis in order to increase the quality of TB Paru (Pulmonary tuberculosis) patients at Tigabaru Puskesmas. The data were gathered by conducting in-depth interviews and observation on 8 (eight) informants: the Head of the Health Agency of Dairi Regency, the Head of P2P Department, the Head of P2PM Section, District TB Wasor, The Vice Head of the Puskesmas Quality Management, the Manager of TB Pusekesmas, and two TB patients. The gathered data were analyzed by using Miles and Huberman test. The result of the research showed that the policy on handling TB Paru at Tigabaru Puskesmas was not maximal because imparting PHBS and promoting coughing ethics were not implemented well so that providing PMT milk should be increased. The plan of regional action has been established since 2018, but it is not embodied in the Regional Regulation, not all people actively participated in empowering people, and there was no tuberculosis surveillance at Tigabaru Puskesmas. The conclusion was that applying the policy on handling tuberculosis to increase the quality of life of TB Paru patients would be successful when they recovered, they get welfare, and the increase in their quality of life.
ANALISIS FUNGSI-TUGAS CASE MANAGER DALAM MENGELOLA KASUS PASIEN RAWAT INAP (STUDI KASUS) DI RSUD DELI SERDANG KECAMATAN LUBUK PAKAM KABUPATEN DELI SERDANG TAHUN 2019 SILVYA WIDYA SANTI; DANIEL GINTING; EVAWANI SILITONGA
JURNAL ILMIAH SIMANTEK Vol 3 No 3 (2019): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (739.448 KB)

Abstract

Target quality outcomes include reducing patient complaints, increasing patient satisfaction. But the fact that we find, the problem of patient complaints, health services that are still a routine activity, the communication of the responsible doctor is limited to providing therapy, high medical costs are still often found. Professional nurses in hospitals basically have a very dominant role in implementing case management and even have an important role in the healing process. Case managers are generally responsible for the coordination and continuity of patient services or in certain phases of service are clearly identified. The purpose of this study was to analyze the case manager's tasks in managing inpatient cases (case studies). This research was conducted at Deli Serdang District Hospital, Lubuk Pakam District, Deli Serdang Regency in January - July 2019. The type of research in this study was qualitative. The sample in this study was a case manager in Deli Serdang District Hospital with 5 people and 1 head of medical services and 1 head of medical services. The results showed that the case manager's functions consisting of case manager utility assessments, patient manager planning by case manager, facilitation and case manager advocacy at Deli Serdang District Hospital were not yet optimal. Coordination of services conducted by case managers, case manager evaluations and follow-up after discharge planning by case managers at Deli Serdang District Hospital has not gone well. This is due to several factors including the absence of a clear format regarding the functions of case managers, there has never been training on case managers and there is still a lack of case managers who are responsible for 16 inpatient rooms. Case managers should carry out case manager functions on patients who are carried out case management in accordance with the criteria criteria set by SNARS 2017 accompanied by proper and accurate documentation to improve service quality and patient satisfaction.