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Evaluasi Tata Kelola Sistem Rujukan Kesehatan di Puskesmas Kabupaten Konawe Utara: Evaluation of the Governance of the Health Referral System at the Konawe Utara District Health Center Harmin; Sartini Risky; Sanihu Munir
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 6 No. 7: JULY 2023 -Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v6i7.3563

Abstract

Latar Belakang: Menurut peraturan BPJS syarat pasien dirujuk apabila puskesmas tidak dapat memberi pelayanan sesuai kebutuhan pasien karena adanya keterbatasan fasilitas, pelayanan, ketenagaan serta apabila diagnosis penyakit diluar 144 diagnosis yang dapat ditangani puskesmas Masalah semakin terlihat dengan adanya data rujukan pada tahun 2019 diketahui dari 22 puskesmas dan yang memiliki rata-rata melebihi batas rasio rujukan yang di tetapkan yaitu lebih dari sama dengan 15% cukup tinggi hingga mencapai 77.27% dan pada tahun 2020 masih dalam kategori tinggi yaitu mencapai 72.73% dan untuk tahun 2021 diketahui mengalami penurunan namun ditemukan pasien dengan rujukan non spesialistik dari semua puskesmas melebihi ketentuan rasio yang ditentukan yaitu di atas 5% . Tujuan: Penelitian ini untuk Menganalisis Evaluasi Tata Kelola Sistem Rujukan Kesehatan di Puskesmas Kabupaten Konawe Utara. Metode: Jenis penelitian ini adalah kuantitatif dengan menggunakan desain studi cross-sectional, Penelitian ini telah dilaksanakan pada bulan Februari sampai Maret tahun 2023 Penelitian ini telah dilaksanakan di 22 Puskesmas Kabupaten Konawe Utara. Populasi adalah keseluruhan keseluruhan petugas yang berkaitan dengan proses kegiatan rujukan di puskesmas (Dokter, Bidan Penanggung Jawab Poli KIA, Bidan Penanggung Jawab Kamar Bersalin, Perawat Penangung Jawab Poli Umum, Perawat Penangung Jawab UGD dan Dokter Gigi) dengan total populasi 132 orang dan sampel berjumlah 100 responden. Metode pengambilan sampel menggunakan Claster Random Sampling. Hasil: Penelitian ini menunjukkan bahwa terdapat hubungan yang sedang antara perencanaan (Planning) dengan Tata Kelola Sistem Rujukan puskesmas di Kabupaten Konawe Utara Terdapat hubungan yang sedang antara pengorganisasian (Organizing) dengan Tata Kelola Sistem Rujukan puskesmas di Kabupaten Konawe Utara Terdapat hubungan yang sedang antara pelaksanaan (Actuating) dengan Tata Kelola Sistem Rujukan puskesmas di Kabupaten Konawe Utara Terdapat hubungan yang lemah antara pengawasan (Controlling) dengan Tata Kelola Sistem Rujukan puskesmas di Kabupaten Konawe Utara perlunya pihak pemangku kebijakan di wilayah masing masing hingga ke tingkat desa dalam mensosialisasikan pentingnya layanan kesehatan dan pemanfaatan layanan kesehatan dengan menekankan layananan wajib terhadap 144 penyakit yang harus di tangani. Kesimpulan: Studi ini menyimpulkan bahwa terdapat hubungan yang sedang antara perencanaan, pengorganisasian, pengorganisasian, dan terdapat hubungan yang lemah antara pengawasan dengan Tata Kelola Sistem Rujukan puskesmas di Kabupaten Konawe Utara.
EVALUATION OF THE IMPLEMENTATION OF A REFERRAL SYSTEM IN THE COMMUNITY HEALTH CENTER OF ABELI, KENDARI, INDONESIA Risky, Sartini; Nofitasari, Ari
Public Health of Indonesia Vol. 3 No. 3 (2017): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (154.295 KB) | DOI: 10.36685/phi.v3i3.130

Abstract

Background: The referral rate in Southeast Sulawesi in the first-level health facilities was still high, which reached 17% in 2016. Ideally, the maximum referral rate in the first-level facilities should be no more 5%.  Objective: This study aims to evaluate the implementation of the first-level referral system in terms of availability of health personnel, facilities and medicines, and understanding of health officers on the referral system at the Community Health Center of Abeli.Methods: In-depth interviews were conducted with a total of 5 health facility managers. All the materials were analyzed using a qualitative thematic analysis approach.Results: Three themes emerged from data; namely human resources (Lack of responsibility of midwives, Lack of communication between staffs, Lack of the number of physician, Understanding of health personnel regarding referral system), availability of facilities, and availability of drugs.Conclusion: Availability of human resources, facilities and drugs is unreliable. Effort should be made to ensure the quality of service provided. This should imply, amongst other things, that human resources, drugs and facilities are adequately available and accessible.
Analysis of Pregnancy Infection as a Risk Factor with the Event of Preeclampsia in Konawe Selatan District Sarnian Sarnian; La Ode Saafi; Erwin Azizi Jayadipraja; Sartini Risky
Waluya The International Science of Health Journal Vol. 1 No. 3 (2022): Waluya The International Science Of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/wish.v1i3.19

Abstract

Introduction: The results of interviews with several midwives explained that preeclampsia patients were reported to be due to comorbidities, low hemoglobin, income, low education, and unhealthy lifestyles, obesity, age over 35 years with parity of one or parity of 4 or more children. . Therefore, the authors are interested in conducting research on risk factors with the incidence of preeclampsia. Method: Quantitative Research by designcase control studies. The population of all patients with preeclampsia was 174 cases with a sample of 120 respondents at the South Konawe District Health Center. The sampling technique used is simple random sampling. Result: The results of Chi Square analysis 56.26 > X2 Table 3.841 which means that there is a significant relationship between the infection variable and the incidence of preeclampsia. Conclusion: Infection risk factors for the incidence of preeclampsia in pregnant women with preeclampsia have a nine-fold risk.
Evaluation of Rational Antibiotic Use in Non-Pneumonia ARI Disease Patients in the Working Area of Health Center "X" in Mining Area PT. ANTAM, Tbk Pomalaa Subdistrict Dwi Ayu Hartati; Sartini Risky; Laode Kamalia; Hasrul Tonapa; Nurul Aisyiah Rizal
Waluya The International Science of Health Journal Vol. 1 No. 4 (2022): Waluya The International Science Of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/wish.v1i4.26

Abstract

136 Introduction: Infection of the airways is a common disease in the community. Most respiratory infections are caused by infections, but can also be caused by installation of organic materials or chemical vapors and inhalation of dust materials containing allergens. The main effects of dust on workers are both acute lung disorders and chronic physiological dysfunction, eye irritation, sensory irritation, and accumulation of harmful substances in the body. This study is intended to find out the rigors of antibiotics in cases of non-pneumonia airway infection disease in the working area of health center "X" in the mining area of PT. Antam Tbk Pomalaa Subdistrict June-December 2021 period. Method: Data retrieval is done descriptively by taking secondary data in the health center "X" mining area pt. Antam Tbk Pomalaa Subdistrict. The maximum value of antibiotics in ARI non-pneumonia disease is the maximum limit set by the health department, which is 20%. Result: The study there were 230 patients affected by non-pneumonia ARI disease in health center "X" mining area PT. Antam Tbk Pomalaa Subdistrict. Conclusion: The use of antibiotics in ARI non-pneumonia in health center "X" Pomalaa subdistrict is rational.
The Relationship of Accreditation Implementation With the Quality of Health Services in South Konawe District Harifuddin Harifuddin; La Ode Kamalia; Sartini Risky
Waluya The International Science of Health Journal Vol. 2 No. 2 (2023): Waluya The International Science Of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/28292278.v2i2.85

Abstract

Background: Health services are an important factor in improving health status. Accreditation data for community health centers in South Konawe Regency show that out of 25 public health centers, there are 6 community health centers (24%) with basic accreditation. This study aims to determine the relationship between the implementation of accreditation and the quality of health services at public health centers in South Konawe Regency in 2022. Methods:This type of research is quantitative, cross sectional study design. The population in this study were 288 health workers who served in 6 community health centers with basic accreditation in South Konawe Regency and a sample of 73 people obtained by Proporsionate Stratified Random Sampling.Result: The results of Fisher's exact test obtained p value (0.022) and phi (0.341) for the implementation of management administration. Then for the implementation of SMEs obtained p value (0.000) and phi (0.588) and the implementation of Individual Health Efforts obtained p value (0.000) and phi (0.572). Conclusion: There is a relationship between the implementation of management administration, the implementation of public health efforts and individual health efforts with the quality of health services at the community health center in South Konawe Regency.
Relationship between Parents Acceptance with Effectiveness, Risk and Procedures of Provisioning Covid-19 Vaccine in Children Aged 6-11 Years in East Kolaka Regency Hijrana Hijrana; La Ode Kamalia; Sartini Risky
Waluya The International Science of Health Journal Vol. 2 No. 3 (2023): Waluya The International Science Of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/28292278.v2i3.299

Abstract

Introduction: Parents acceptance of this Covid-19 vaccination is a challenge in the success of the Covid-19 vaccination program. This study was to identify the relationship between parental acceptance (Effectiveness, Risk, and Procedure for Giving the Covid-19 Vaccine). Methods: This research is a quantitative study with a Cross-Sectional Study approach. The population in this study were all children aged 6-11 years domiciled in East Kolaka Regency. The sampling technique was simple random sampling, with a sample of 369 respondents. Results: The study showed that of the 369 respondents who received the Covid-19 vaccination well, 203 (55.0%) respondents and 166 (45.0%) respondents who received poor reception. Based on statistical tests, it shows that there is a significant weak category relationship between parental acceptance and the effectiveness of giving Covid-19 vaccination (p value = 0.000) and parental acceptance with the risk of giving Covid-19 vaccination (p value = 0.000) while the variable procedure for giving Covid vaccination is (p value = 0.117) which means there is no significant relationship with parental acceptance of Covid-19 vaccination. Conclusion: Public awareness is needed to be active and participate in vaccination activities as an effort to protect themselves, their families and others. Also as a form of support for the government's efforts to suppress Covid-19 cases.
The Influence of Parents' Height and History of Infectious Diseases on Stunting Incidence Children in Wundulako District Kolaka Regency Muhammad Ridwan; Sunarsih Sunarsih; Sartini Risky
Waluya The International Science of Health Journal Vol. 2 No. 3 (2023): Waluya The International Science Of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/28292278.v2i3.301

Abstract

Backgrounds: Preliminary surveys that have been conducted in Kolaka Regency show that stunting is caused by various factors, including factors of inadequate nutritional intake for toddlers, inadequate nutritional intake during pregnancy, factors of giving the wrong diet to children, social factors, economics, knowledge and other factors. as well as existing data show that the prevalence of stunting in Kolaka Regency is relatively high. This is the reason for conducting research on the Effect of Parents Height and History of Infection on Stunting Incidents in Children in Wundulako District, Kolaka Regency Methods: Quantitative research uses a cross sectional study design. The population in this study were all children under five aged 0-59 months who were stunted in the working area of ​​the Wundulako Health Center with a total of 218 children under five, the sample was drawn using non-probability sampling with a sample size of 67 under five. Results: Value Statistical Test (X2hit)= 8.242 > X2tab= 3.841, meaning that there is an influence of parents' height and(X2hit)= 36,548 > X2tab =3.841, meaning that there is an effect of a history of infection on the incidence of stunting in Wundulako District, Kolaka Regency. Conclusion: Active efforts are needed to increase information about stunting, and how to prevent it as early as possible, especially for pregnant women who are at risk of giving birth to children with stunting.
Factors Related to the Implementation of Regional Regulation Number 3 of 2019 Concerning Non-Smoking Areas in the Capital of Konawe Islands Regency Darmiati Darmiati; La Ode Saafi; Sartini Risky
Waluya The International Science of Health Journal Vol. 2 No. 3 (2023): Waluya The International Science Of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/28292278.v2i3.428

Abstract

Introduction: The implementation of Regional Regulation Number 3 of 2019 concerning Non-Smoking Areas in the Konawe Islands Regency has not been maximized. There are still many people who smoke in areas that are included in non-smoking areas. The problems in this study are factors of knowledge, attitudes, facilities, and infrastructure and the provision of sanctions related to the application of the Non-Smoking Areas Regional Regulation. Method: This research is analytical research with a cross-sectional study approach. The sample of this study was 91 respondents obtained by the Lemeshow formula, data analysis with the Chi-Square test, at a confidence level of 95% (α = 0.05). Result: The results of this study concluded that there is a strong relationship between attitudes and the application of Non-Smoking Areas Bylaws (p = 0.409), there is a very strong relationship between facilities and infrastructure and the application of Non-Smoking Areas Bylaws (p = 0.505), there is a moderate relationship between sanctions and the application of the Non-Smoking Areas Bylaw (p = 0.279). Conclusion: More active efforts are needed to socialize, supervise, and enforce the Non-Smoking Areas Bylaws so that the public can know about the implementation of the Non-Smoking Areas Bylaws and make a Regent's Regulation on the implementation of the Non-Smoking Areas Regional Regulation as a technical guide in the implementation of the Non-Smoking Areas Regional Regulation in Konawe Islands Regency.
Hubungan Mutu Pelayanan Kesehatan dengan Kepuasan Pasien di Rumah Sakit Umum Daerah Kabupaten Buton Utara Sartini Rizki; Rasmiani Rasmiani
Jurnal Gizi Ilmiah : Jurnal Ilmiah Ilmu Gizi Klinik, Kesehatan Masyarakat dan Pangan Vol 3 No 2 (2016): Jurnal Gizi Ilmiah : Ilmu Gizi Klinik, Kesehatan Masyarakat, Food Service dan Pan
Publisher : STIKes Karya Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The problem at the North Buton District Hospital is that there are patient complaints, where the officers are not friendly in communicating both to patients and the patient's family and the officer's inaccuracy in fulfilling his appointments with patients. This study aims to determine the relationship between the quality of health services and patient satisfaction in North Buton District Hospital. This type of research is analytic with a cross sectional approach. The population in this study were all inpatients at the North Buton District Hospital and used hospital services from January to April 2016 with a total of 108 patients with a total sample of 44 respondents who were determined by accidental sampling. The analysis used is univariate and bivariate analysis. The results of the study concluded that there was a significant relationship between responsiveness, assurance, empathy, reliability, and tangibles with patient satisfaction at the North Buton District Hospital. It is recommended for the Health Office to include physical development and the addition of human resources as auxiliary personnel, especially in North Buton District Hospital in the priority planning proposals to the North Buton Regency government, as well as carry out education or training for medical and paramedical personnel on a regular, periodic and comprehensive basis in order to improve professional skills and performance. In addition, there is a need to improve the quality of hospital physical evidence, reliability and the provision of better health insurance
Hubungan Penerapan Fungsi Manajemen Keperawatan dengan Model Asuhan Keperawatan Profesional (MAKP) Metode Tim di Ruang Perawatan Nilam Badan Layanan Umum Daerah Rumah Sakit Benyamin Guluh Kabupaten Kolaka Tahun 2014 Sulaeman Sulaeman; Sartini Riski
Jurnal Gizi Ilmiah : Jurnal Ilmiah Ilmu Gizi Klinik, Kesehatan Masyarakat dan Pangan Vol 3 No 1 (2016): Jurnal Gizi Ilmiah : Ilmu Gizi Klinik, Kesehatan Masyarakat, Food Service dan Pan
Publisher : STIKes Karya Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The patchouli treatment room was formed in 2012, the application of nursing management functions such as planning, organizing, directing and controlling has not been optimal which has an impact on the implementation of MAKP. The TIM method in the room is also not optimal. This is because understanding is still limited, there is no training for nurses on the TIM MAKP method and nursing management which has an impact on the quality of nursing services. This type of research is an analytic study with a cross sectional approach. The population in this study were all nurses in the patchouli care room BLUD Benyamin Guluh Hospital with a sampling technique of 24 nurses total sampling. The results of this study indicate that there is a relationship between planning and the application of the team method (p = 0.036 < = 0.05), there is a relationship between organizing and the application of the team method (p = 0.033 < = 0.05), there is a relationship between direction and implementation. the team method (p=0.013 < =0.05), there is a relationship between control and the application of the team method (p=0.002 < =0.05). It is hoped that the treatment room at the BLUD of Benyamin Guluh Hospital can apply a professional nursing care model using the team method through a nursing management function approach
Co-Authors Abdurrahman Abdurrahman Abrizal Hasyim Abrizal Hasyim Alida Palilati Amelia Putri Nurhaliba Aminatul Juhriya Amir Syam Amy Hestyaningsih Tasrim Andi Mauliyana Anry Hariadhin Depu Anry Hariadhin Depu Ari Nofitasari Ari Nofitasari Asbath Said Asri Nedila Azis Harun Darmiati Darmiati Dewi Sari Pratiwi Dewi Sari Pratiwi Dwi Ayu Hartati Eka Dharma Putra Marhanto Eka Dharma Putra Marhanto Erwin Azizi Jayadipraja Erwin Azizi Jayadipraja Erwin Azizi Jayadipraja Erwin Azizi Jayadipraja, Erwin Azizi Eviyanti Jambilu Faridah Moh Said Ferlita Eferlin Firmansyah Firmansyah Fitri Narcahyani Alam Hadafiah Hadafiah Hadafiah, Hadafiah Halim Harifuddin Harifuddin Harmin Hasrul Tonapa Heltty Heltty Heriyanto Heriyanto Herniawati Tomalili Hijrana Hijrana Ilfen Febrina Nineti Islaeli Islaeli Jusmina Jusmina Jusmina Kaharuddin Kaharuddin La Ode Kamalia La Ode Muhammad Kiflan Prayoga La Ode Saafi La Ode Sahlan Laode Kamalia Laode Sahlan Lisnawati Lisnawati Lodes Hadju Lodes Hadju Michael Rahul mimi yati Moh. Alief Widyanto Kasim MUHAMMAD AMIR Muhammad Idrus Muhammad Idrus Muhammad Ikhsan Akbar Muhammad Ikhsan Akbar Muhammad Ridwan Nani Yuniar Nazaruddin Nazaruddin nikeherpianti lolok Nurul Aisyiah Rizal Putu Suri Saraswati Rachman, Wa Ode Nova Noviyanti Rahmadania Rasmiani Rasmiani Ratna Umi Nurlila Ririn Teguh Ardiansyah risky juliansyah Sanihu Munir Sarnian Sarnian Satri Waslyanti Satri Waslyanti Sirma Sulaeman Sulaeman Sunarsih Sunarsih Sunarsih Sunarsih Sunarsih Titi Saparina.L Umro Umro Umro, Umro Uung Umertum Tekaka Wa Ode Filhayah Wa Ode Nova Noviyanti Rachman Yulnaningsih Amalia Yusuf Useng Yusuf Useng