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Herliyanti Yadi; Pembimbing: Dumilah Ayuningtyas; Penguji: Mieke Savitri, Puput Oktamianti, Budi Hartono, Marisa Aristiawati
Abstrak:
Lingkungan kerja yang kondusif mempengaruhi kualitas kehidupan kerja dan dapatmembentuk sumber daya manusia yang berkualitas serta mendukung perbaikan kualitaspelayanan. Tujuan penelitian ini adalah menganalisis hubungan kualitas kehidupan kerjaterhadap kinerja pegawai di RSUD Kabupaten Ogan Ilir. Penelitian ini merupakanpenelitian kuantitatif dengan desain cross sectional pada 315 pegawai baik PegawaiNegeri Sipil maupun Tenaga Kerja Sukarela. Analisis yang dilakukan adalah univariat,bivariat dengan uji statistic chi square dan multivariat dengan regresi logistik gandamodel prediksi/determinan.Hasil penelitian menunjukkan kualitas kehidupan kerja masih kurang terutama rasabangga terhadap rumah sakit, keterlibatan/partisipasi pegawai dan fasilitas yang didapat.Demikian pula kinerja pegawai, dari 315 terdapat 164 pegawai 51,1 dengan kinerjakurang. Hasil uji statistic diketahui bahwa keterlibatan/partisipasi pegawai dan fasilitasyang didapat memiliki hubungan signifikan terhadap kinerja pegawai. Analisis lanjutdidapatkan tiga komponen yang mempengaruhi kinerja pegawai yaituketerlibatan/partisipasi pegawai, fasilitas yang didapat dan keselamatan lingkungan kerja.Komponen yang paling dominan adalah fasilitas yang didapat dengan nilai OR 2,670.Dari penelitian diharapkan RSUD Kabupaten Ogan Ilir dapat membentuk tim berisipegawai yang mewakili semua bidang, memperbaiki sistem pemeliharaan fasilitas rumahsakit, memberikan pelatihan dan seminar, menganggarkan secara khusus untuk perbaikansistem keselamatan dengan menambah alat pelindung diri, membetuk tim khusus yangmemperhatikan dan mengawasi keselamatan dan kesehatan pegawai yang dibawahi olehSPI Satuan Pengawas Internal dan mengaktifkan kembali SPI rumah sakit.
A conducive working environment affects the quality of working life and can form qualityhuman resources and support the improvement of service quality. The purpose of thisstudy is to analyze the relationship of quality of work life to employee performance inRSUD Ogan Ilir District. This research is a quantitative research with cross sectionaldesign on 315 employees both civil servants and freelancer. The analyzes were univariate,bivariate with chi square and multivariate statistic test with multiple logistic regressionof predictive determinant model.The result of the study shows that the quality of working life is still lacking, especiallythe pride of the hospital, the involvement participation of employees and the facilitiesobtained. Similarly, employee performance, of 315 there are 164 employees 51.1 withless performance. The result of the statistic test shows that the involvement participationof employees and facilities obtained has a significant relationship to the performance ofemployees. Further analysis found 3 components that affect employee performance is theinvolvement participation of employees, facilities obtained and safety of the workenvironment. The most dominant component is the facility obtained with an OR of 2.670.From the research, it is hoped that the RSUD of Ogan Ilir Regency can form a team ofemployees representing all fields, improve the system of maintaining hospital facilities,provide training and seminars, budgeting specifically for improvement of safety systemby adding personal protective equipment, forming a special team that pay attention andsupervise the safety and health of employees who are covered by SPI Internal ControlUnit and reactivate the hospital 39 s SPI.
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A conducive working environment affects the quality of working life and can form qualityhuman resources and support the improvement of service quality. The purpose of thisstudy is to analyze the relationship of quality of work life to employee performance inRSUD Ogan Ilir District. This research is a quantitative research with cross sectionaldesign on 315 employees both civil servants and freelancer. The analyzes were univariate,bivariate with chi square and multivariate statistic test with multiple logistic regressionof predictive determinant model.The result of the study shows that the quality of working life is still lacking, especiallythe pride of the hospital, the involvement participation of employees and the facilitiesobtained. Similarly, employee performance, of 315 there are 164 employees 51.1 withless performance. The result of the statistic test shows that the involvement participationof employees and facilities obtained has a significant relationship to the performance ofemployees. Further analysis found 3 components that affect employee performance is theinvolvement participation of employees, facilities obtained and safety of the workenvironment. The most dominant component is the facility obtained with an OR of 2.670.From the research, it is hoped that the RSUD of Ogan Ilir Regency can form a team ofemployees representing all fields, improve the system of maintaining hospital facilities,provide training and seminars, budgeting specifically for improvement of safety systemby adding personal protective equipment, forming a special team that pay attention andsupervise the safety and health of employees who are covered by SPI Internal ControlUnit and reactivate the hospital 39 s SPI.
T-5276
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Ni Putu Juwanita Dewi; Pembimbing: Puput Oktamianti; Penguji: Dumilah Ayuningtyas, Sandi Iljanto, Bihantoro, Yanyan Rusyandi
Abstrak:
Rumah sakit sebagai tempat bekerja yang memiliki risiko tinggi terhadap keselamatan dan kesehatan sumber daya manusia rumah sakit sehingga kesehatan pegawai rumah sakit perlu menjadi perhatian. Dengan terbitnya Peraturan Menteri Kesehatan Nomor 66 Tahun 2016 tentang Keselamatan dan Kesehatan Kerja Rumah Sakit maka RSUD R. Syamsudin, SH. Kota Sukabumi telah mengimplementasikan kebijakan kesehatan kerja untuk pegawai rumah sakit dengan diterbitkannya Keputusan Direktur Nomor 88 Tahun 2017 tentang Panduan Pelayanan Kesehatan Kerja di RSUD R. Syamsudin,SH dan menyelenggarakan kegiatan yang bersifat promotif, preventif, kuratif dan rehabilitatif untuk pegawai rumah sakit. Penelitian ini bertujuan untuk memperoleh informasi mendalam mengenai Analisis Implementasi Kebijakan terkait Kesehatan Kerja Pegawai di RSUD R. Syamsudin, SH. Kota Sukabumi Tahun 2018. Penelitian ini menggunakan metode kualitatif dengan pendekatan Rapid Assesment Procedure (RAP), pengumpulan data dengan melalui wawancara mendalam, observasi dan telaah dokumen. Penelitian ini menggunakan kerangka teori dari Van Meter dan Van Horn yang terdiri dari enam variabel yaitu standar dan tujuan kebijakan, sumber daya, karakterikstik badan pelaksana, komunikasi antar organisasi, disposisi pelaksana dan dukungan lingkungan sosial ekonomi dan politik. Pada penelitian ini diperoleh hasil bahwa terdapat beberapa kendala berdasarkan enam variabel dari teori van meter dan van horn sehingga implementasi kebijakan kesehatan kerja pegawai di RSUD R. Syamsudin, SH. Kota Sukabumi belum optimal dilaksanakan. Beberapa saran direkomendasikan pada penelitian ini antara lain melakukan sosialisasi dan monitoring evaluasi secara berkala terhadap implementasi kebijakan kesehatan kerja pegawai di rumah sakit, pemerintah daerah mengalokasikan anggaran khusus untuk kesehatan kerja pegawai, serta membuat mekanisme atau SOP terkait implementasi kebijakan kesehatan kerja untuk pegawai rumah sakit.
Hospitals as workplaces that have a high risk to the safety and health of hospital human resources so that the health of hospital employees need to be a concern. With the issuance of Regulation of the Minister of Health No. 66 of 2016 on Occupational Health and Safety of Hospitals, RSUD R. Syamsudin, SH. Kota Sukabumi has implemented a work health policy for hospital staff with the issuance of Director Decree No. 88 of 2017 on Health Service Guidelines at RSUD R. Syamsudin, SH and conducting promotive, preventive, curative and rehabilitative activities for hospital staff. This study aims to obtain in-depth information on Policy Implementation related to Occupational Health of Employees in RSUD R. Syamsudin, SH. City of Sukabumi Year 2018. This research uses qualitative method with approach Rapid Assessment Procedure (RAP), data collecting by in-depth interview, observation and document review. This study uses the theoretical framework of Van Meter and Van Horn which consists of six variables, namely standard and policy objectives, resources, executing agency characteristics, inter-organizational communication, implementing disposition and support of socioeconomic and political environment. In this research, there are some obstacles based on six variables from van meter and van horn theory so that the implementation of employee health policy in RSUD R. Syamsudin, SH. The city of Sukabumi has not been optimally implemented. Suggestions recommended in this study include socializing and monitoring periodic evaluations of the implementation of health policy of employees in the hospital, local governments allocate special budgets for occupational health to worker, as well as establishing relevant mechanisms or SOPs implementation of occupational health policy for hospital staff.
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Hospitals as workplaces that have a high risk to the safety and health of hospital human resources so that the health of hospital employees need to be a concern. With the issuance of Regulation of the Minister of Health No. 66 of 2016 on Occupational Health and Safety of Hospitals, RSUD R. Syamsudin, SH. Kota Sukabumi has implemented a work health policy for hospital staff with the issuance of Director Decree No. 88 of 2017 on Health Service Guidelines at RSUD R. Syamsudin, SH and conducting promotive, preventive, curative and rehabilitative activities for hospital staff. This study aims to obtain in-depth information on Policy Implementation related to Occupational Health of Employees in RSUD R. Syamsudin, SH. City of Sukabumi Year 2018. This research uses qualitative method with approach Rapid Assessment Procedure (RAP), data collecting by in-depth interview, observation and document review. This study uses the theoretical framework of Van Meter and Van Horn which consists of six variables, namely standard and policy objectives, resources, executing agency characteristics, inter-organizational communication, implementing disposition and support of socioeconomic and political environment. In this research, there are some obstacles based on six variables from van meter and van horn theory so that the implementation of employee health policy in RSUD R. Syamsudin, SH. The city of Sukabumi has not been optimally implemented. Suggestions recommended in this study include socializing and monitoring periodic evaluations of the implementation of health policy of employees in the hospital, local governments allocate special budgets for occupational health to worker, as well as establishing relevant mechanisms or SOPs implementation of occupational health policy for hospital staff.
T-5301
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Siti Nurhidayah; Pembimbing: Wahyu Sulistiadi; Penguji: Dumilah Ayuningtyas, Mirza, Jusuf Kristianto
Abstrak:
Kabupaten Batang merupakan salah satu kabupaten di Provinsi Jawa Tengah yang terletak di jalur utama pantura dengan kondisi geografis yang berbukit banyak turunan, tanjakan, dan tajam menjadi salah satu penyebab tingginya angka kecelakaan lalu lintas. Kabupaten Batang membentuk PSC 119 Si Slamet pada tahun 2016 sebagaimana tercantum dalam Inpres Nomor 4 tahun 2013, Permenkes Nomor 19 Tahun 2016 dan Pergub Jawa Tengah Nomor 15 tahun 2017. Kabupaten Batang melakukan inovasi meluncurkan aplikasi berbasis android bertujuan untuk meningkatkan kualitas pelayanan kesehatan dibidang kesehatan khususnya pelayanan gawat darurat. Tujuan penelitian ini adalah mengetahui kualitas layanan Sistem Penanggulangan Gawat Darurat Terpadu (SPGDT) Public Safety Center (PSC) 119 SI SLAMET sebagai inovasi layanan gawat darurat Pra Rumah Sakit menggunakan teori Knowledge Management dan Servqual. Metode pengumpulan data secara kualitatif dengan indepth interview dan telaah dokumen. Hasil penelitian menunjukkan bahwa PSC119 SI SLAMET adalah pemberian cara baru layanan kegawatdaruratan yang memberi kemudahan akses kepada masyarakat dengan cara menelepon ke nomor 119, sms, whatsapp atau aplikasi berbasis android selama 7 hari 24 jam dengan target respon time maksimal 10 menit. Layanan ini berkualitas baik lihat dari dimensi tangible, reliability, responsiveness, assurance serta empathy. Akan tetapi dalam pelaksanaanya sosialisasi yang kurang maksimal kepada sebagian masyarakat. Rekomendasai yang diberikan adalah perlunya peningkatan sosialisai PSC 119 Si Slamet, melengkapi dokumen, dan peningkatan mutu pelayanan PSC 119.
Batang regency is one of the regencies in Central Java province which is located in main line of pantura with geographical condition which is hilly many derivative, incline, and sharp become one cause of high traffic accident number. Batang regency establishes PSC 119 Si Slamet in 2016 as stated in Presidential Instruction No. 4 of 2013, Permenkes No. 19 of 2016 and Pergub Jawa Tengah No. 15 of 2017. Batang District innovation launched android-based applications aimed at improving the quality of health services in the field of health in particular emergency services. The purpose of this research is to know service quality of Integrated Emergency Management System (SPGDT) Public Safety Center (PSC) 119 SI SLAMET as an innovation of pre hospital emergency service using Knowledge Management and Servqual theory. Method of collecting data qualitatively with indepth interview and document review. The results show that the PSC119 SI SLAMET is a new way of emergency service that provides easy access to the public by calling to the number 119, sms, whatsapp or android based applications for 7 days 24 hours with a target response time of maximum 10 minutes. The service is of good quality see from tangible dimension, reliability, responsiveness, assurance and empathy. However, in the implementation of socialization is less than the maximum to some communities. Recommendations include the need to improve the socialization of PSC 119 Si Slamet, complete the document, and improve the service quality of PSC 119.
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Batang regency is one of the regencies in Central Java province which is located in main line of pantura with geographical condition which is hilly many derivative, incline, and sharp become one cause of high traffic accident number. Batang regency establishes PSC 119 Si Slamet in 2016 as stated in Presidential Instruction No. 4 of 2013, Permenkes No. 19 of 2016 and Pergub Jawa Tengah No. 15 of 2017. Batang District innovation launched android-based applications aimed at improving the quality of health services in the field of health in particular emergency services. The purpose of this research is to know service quality of Integrated Emergency Management System (SPGDT) Public Safety Center (PSC) 119 SI SLAMET as an innovation of pre hospital emergency service using Knowledge Management and Servqual theory. Method of collecting data qualitatively with indepth interview and document review. The results show that the PSC119 SI SLAMET is a new way of emergency service that provides easy access to the public by calling to the number 119, sms, whatsapp or android based applications for 7 days 24 hours with a target response time of maximum 10 minutes. The service is of good quality see from tangible dimension, reliability, responsiveness, assurance and empathy. However, in the implementation of socialization is less than the maximum to some communities. Recommendations include the need to improve the socialization of PSC 119 Si Slamet, complete the document, and improve the service quality of PSC 119.
T-5300
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Deny Ardi Lourina; Pembimbing: Dumilah Ayuningtyas; Penguji: Puput Oktamianti, Anhari Achadi, Sri Nani Purwaningrum, Ismawan Nur Laksono
Abstrak:
Akreditasi Puskesmas merupakan upaya peningkatan mutu dan kinerja pelayananpuskesmas sebagaimana tercantum dalam Permenkes Nomor 46 Tahun 2015. Dari 38puskesmas di Kabupaten Brebes baru 10 puskesmas yang terakreditasi. Dasar pengajuanroadmap akreditasi puskesmas di Kabupaten Brebes hanya berdasarkan penunjukkanlangsung, tanpa mengukur kesiapan puskesmas baik dari segi kelengkapan dokumen,penilaian assessment, serta ketersediaan sumber daya meliputi SDM, dana dan fasilitassarana prasarana sesuai standar instrumen akreditasi puskesmas. Tujuan penelitian iniadalah mengetahui kesiapan akreditasi puskesmas di Kabupaten Brebes ditinjau dari sisiinput, proses dan output berdasarkan variabel sumber daya dan tahapan kesiapan pra-survei akreditasi. Penelitian kualitatif ini proses pengumpulan datanya dilakukan denganwawancara mendalam dan telaah dokumen. Hasil penelitian menunjukkan bahwaketersediaan dana, sarana dan prasarana dinilai cukup siap untuk mendukung penilaianakreditasi puskesmas, namun hasil skoring assessment pada keterpemenuhankompetensi SDM dan kelengkapan dokumen masih rendah. Rekomendasi yang diajukanadalah memenuhi syarat pengembangan kompetensi SDM, dan melengkapi dokumenserta melakukan self assessment secara rutin dan terjadwal.
Accreditation of public health centers is an effort and performance enhancement publichealth centers services as listed in the Permenkes 46/2015. From 38 public healthcenters in Brebes District, just 10 public health centers are accredited. The basis of thefiling of a roadmap of accreditation of public health centers in Brebes District only uponappointment directly, without measuring the readiness of public health centers both interms of completeness, valuation assessment documents, as well as the availability ofresources includes human resources, funds and facilities infrastructure standardinstrument of accreditation of public health centers. The purpose of this research is toknow accreditation readiness of public health centers in Brebes District reviewed theinput, process and output based on variable phase and readiness resources pre-accreditation survey. Qualitative research is the process of collecting data using in-depthinterviews conducted with the review document. The results showed that the availabilityof funds and infrastructure are rated quite ready to support, but the public health centersaccreditation assessment skoring assessment results on the fulfillment of humanresource competency and the completeness of the documents is still low. A proposedrecommendation is a qualified human resource competencies, and complete paperworkand do a self assessment regularly and scheduled.
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Accreditation of public health centers is an effort and performance enhancement publichealth centers services as listed in the Permenkes 46/2015. From 38 public healthcenters in Brebes District, just 10 public health centers are accredited. The basis of thefiling of a roadmap of accreditation of public health centers in Brebes District only uponappointment directly, without measuring the readiness of public health centers both interms of completeness, valuation assessment documents, as well as the availability ofresources includes human resources, funds and facilities infrastructure standardinstrument of accreditation of public health centers. The purpose of this research is toknow accreditation readiness of public health centers in Brebes District reviewed theinput, process and output based on variable phase and readiness resources pre-accreditation survey. Qualitative research is the process of collecting data using in-depthinterviews conducted with the review document. The results showed that the availabilityof funds and infrastructure are rated quite ready to support, but the public health centersaccreditation assessment skoring assessment results on the fulfillment of humanresource competency and the completeness of the documents is still low. A proposedrecommendation is a qualified human resource competencies, and complete paperworkand do a self assessment regularly and scheduled.
T-5320
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Sandra Octaviani Dyah Puspita Rini; Pembimbing: Anhari Achadi; Penguji: Jaslis Ilyas, Wahyu Sulistiadi, Triyani, Elis Rohmawati
Abstrak:
Kementerian Kesehatan melaksanakan program peningkatan kinerja sumber dayakesehatan melalui pendidikan dan pelatihan, khususnya pelatihan tenaga pelayanankesehatan tradisional, melalui pelatihan pelayanan akupresur bagi Puskesmas, namunpelayanan akupresur belum berjalan di Puskesmas. Di Kota Jakarta Selatan Puskesmasyang sudah menyelenggarakan pelayanan akupresur hanya dua (2). Penelitian ini adalahpenelitian kualitatif, dan bertujuan untuk menganalisis kebijakan dan implementasipelaksanaan pelayanan akupresur di Puskesmas serta hambatannya. Informan dalampenelitian berjumlah 11 orang, yaitu Kementerian Kesehatan, Sudinkes Jakarta Selatan,Kepala Puskesmas, Dokter poli, pelaksana program. Metode pengumpulan data melaluiWM dan telaah dokumen. Hasil penelitian dari komponen input sudah berjalan, adanyadukungan Kepala Puskesmas, SOP pelayanan, dan SK penugasan namun belum optimalrotasi staf menjadi salah satu kendala, komponen output dan outcome belum optimal.Aspek komunikasi (kejelasan dan konsistensi) belum efektif tentang informasi regulasikebijakan yang ada dari penentu kebijakan kepada pelaksana, aspek pembiayaan belumdidukung peraturan daerah, aspek birokrasi masih kurang koordinasi dan sosialisasikebijakan dari Dinas Kesehatan ke Sudinkes dan Puskesmas.
The Ministry of Health is implementing programs to improve the performance of healthresources through education and training, especially training of traditional health careworkers, through the training of acupressure services for Primary Health Care, butacupressure service has not been run in Primary Health Care. In South Jakarta, PrimaryHealth Care that have been providing acupressure service are only two (2). Thisresearch is a qualitative research, and aims to analyze the policy and implementation ofacupressure service in Primary Health Care and its obstacles. Informants in the studyamounted to 11 people, namely the Ministry of Health, Sudinkes South Jakarta, Head ofPrimary Health Care, Doctor, program implementer. Methods of data collection throughWM and document review. The result of research of input component have beenrunning, existence of support of Head of Puskesmas, service SOP, and SK ofassignment but not optimal rotation of staff become one of obstacle, component ofoutput and outcome not yet optimally. The communication aspect (clarity andconsistency) has not been effective about the existing policy regulation informationfrom the policy makers to the implementers, the financing aspect has not been supportedby local regulations, the bureaucratic aspects are still lacking coordination and thepolicy socialization from the Health Service to tribe of health service and PrimaryHealth Care.
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The Ministry of Health is implementing programs to improve the performance of healthresources through education and training, especially training of traditional health careworkers, through the training of acupressure services for Primary Health Care, butacupressure service has not been run in Primary Health Care. In South Jakarta, PrimaryHealth Care that have been providing acupressure service are only two (2). Thisresearch is a qualitative research, and aims to analyze the policy and implementation ofacupressure service in Primary Health Care and its obstacles. Informants in the studyamounted to 11 people, namely the Ministry of Health, Sudinkes South Jakarta, Head ofPrimary Health Care, Doctor, program implementer. Methods of data collection throughWM and document review. The result of research of input component have beenrunning, existence of support of Head of Puskesmas, service SOP, and SK ofassignment but not optimal rotation of staff become one of obstacle, component ofoutput and outcome not yet optimally. The communication aspect (clarity andconsistency) has not been effective about the existing policy regulation informationfrom the policy makers to the implementers, the financing aspect has not been supportedby local regulations, the bureaucratic aspects are still lacking coordination and thepolicy socialization from the Health Service to tribe of health service and PrimaryHealth Care.
T-5263
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Julia Rahmadona; Pembimbing: Mieke Savitri; Penguji: Vetty Yulianty Permanasari, Pujiyanto, Adhi Dharmawan, Mahmud Fauzi
Abstrak:
Tesis ini membahas implementasi Gerakan Masyarakat Hidup Sehat pada pendudukusia produktif di Tangerang Selatan pada tahun 2018. Variabel penelitian mengacu padateori impelementasi kebijakan Edwards III, yaitu aspek implementasi, komunikasi,disposisi, sumber daya dan struktur birokrasi. Penelitian ini adalah penelitian deskriptif analitik dengan pendekatan kualitatif. Penelitian dilakukan melalui wawancara mendalam, observasi, dan telaah dokumen. Pelaksanaan penelitian ini adalah pada bulan April-Juni 2018 di Tangerang Selatan. Mengacu pada Inpres 1 tahun 2017 tentang Gerakan Masyarakat Hidup Sehat, ruang lingkup penelitian ini dibatasi pada informan yang bertanggung jawab untuk kegiatan Germas di tingkat daerah, yaitu kepala daerah yang dapat didelegasikan kepada sekretaris daerah dan atau kepala Bappeda sertapelaksana terkait dengan kegiatan Germas yang diteliti. Dengan mempertimbangkan kemampuan laksanaan penelitian baik dari aspek pengetahuan, sumber daya dan waktu penelitian, maka lingkup penelitian dibatasi pada kegiatan penyediaan ruang terbuka hijau dan sarana aktivitas fisik di dalamnya, sehingga informan yang diteliti dipersempit menjadi informan dari instansi yang bertanggungjawab pada Germas dan mempunyaitugas dalam kegiatan penyediaan ruang terbuka hijau dan sarana aktivitas fisik padaruang terbuka hijau. Hasil penelitian disimpulkan bahwa secara umum ada beberapa hal yang perlu diperbaiki terkait implementasi Germas pada penduduk usia produktif di Tangerang Selatan dikarenakan implementasi Germas masih dititikberatkan ke dinas kesehatan, belum ada pelibatan kebijakan Germas dalam dokumen perencanaan kebijakan daerah, belum ada kajian dan mapping kegiatan Germas, belum ada perdatentang Germas, serta belum ada supervsisi dan monitoring Germas. Dari segi disposisi, pemerintah Tangerang Selatan berkomitmen untuk menyediakan sarana aktivitas fisikseabagai bagian dari perwujudan Tangerang Selatan sebagai kota layak huni dan berwawasan lingkungan.
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T-5280
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Evelin Aprilianty; Pembimbing: Pujiyanto; Penguji: Kurnia Sari, Doni Arianto, Tati Haryati Denawati
Abstrak:
Penelitian ini dilatarbelakangi oleh adanya berkas klaim pasien rawat inapBPJS Kesehatan di RSUD Tanah Abang yang terlambat dalam penyelesaianklaim. Adanya penangguhan pembayaran klaim pending pasien JKN sebesarRp154,073,700 oleh BPJS Kesehatan terhadap RSUD Tanah Abang akibat adanyaberkas yang pending, menyebabkan kejadian tunda bayar. Penundaan pembayaranklaim idealnya tidak terjadi apabila berkas klaim dapat dikelola dengan baik.Penelitian ini menggunakan pendekatan kualitatif dengan metode wawancaramendalam, telaah dokumen, dan observasi. Penelitian yang dilaksanakan padabulan Mei-Juni 2018 ini, menemukan bahwa proses pengelolaan berkas klaimsudah baik, namun dalam setiap tahapan proses pengelolaan klaim masih terdapatkekurangan yang terjadi baik dari segi teknis, SDM, sistem informasi, dan saranaprasarana. Saran bagi RSUD Tanah Abang adalah untuk melakukan pengawasandalam proses pengelolaan berkas klaim dan pemenuhan kebutuhan dalam prosespengelolaan berkas klaim.
Based on I Presidential Regulation number 72 of 2012 states that theNational Health System is a health management organized by all components ofthe Indonesian nation in an integrated and mutually supportive to ensure theachievement of the highest degree of public health as a manifestation of thewelfare of society according to the 1945 Constitution. This research is motivatedby the claim file of inpatient BPJS Kesehatan in RSUD Tanah Abang which is latein the settlement of the claim. The existence of suspension of payment claimspending JKN patients amounting to Rp154,073,700,- by BPJS Health to RSUDTanah Abang due to the pending file, causing the delay event. The defaultpayment claim delay does not occur if the claim file can be properly managed.This research uses qualitative approach with in-depth interview method,document review, and observation. The research, conducted in May-June 2018,found that the claims file management process was good, but in every stage ofclaims management process there were still deficiencies in terms of technical,human resources, information system, and infrastructure. Suggestion for RSUDTanah Abang is to conduct supervision in the process of claim file managementand fulfillment requirement in process of claim file management.
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Based on I Presidential Regulation number 72 of 2012 states that theNational Health System is a health management organized by all components ofthe Indonesian nation in an integrated and mutually supportive to ensure theachievement of the highest degree of public health as a manifestation of thewelfare of society according to the 1945 Constitution. This research is motivatedby the claim file of inpatient BPJS Kesehatan in RSUD Tanah Abang which is latein the settlement of the claim. The existence of suspension of payment claimspending JKN patients amounting to Rp154,073,700,- by BPJS Health to RSUDTanah Abang due to the pending file, causing the delay event. The defaultpayment claim delay does not occur if the claim file can be properly managed.This research uses qualitative approach with in-depth interview method,document review, and observation. The research, conducted in May-June 2018,found that the claims file management process was good, but in every stage ofclaims management process there were still deficiencies in terms of technical,human resources, information system, and infrastructure. Suggestion for RSUDTanah Abang is to conduct supervision in the process of claim file managementand fulfillment requirement in process of claim file management.
T-5256
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Analisis Kesiapan Penerapan Badan Layanan Umum Daerah (BLUD) Puskesmas di Kabupaten Bogor Tahun 2018
Doni Aria Candra; Pembimbing: Purnawan Junadi; Penguji: Amal Chalik Sjaaf, Pujiyanto, Rahmi Winandri, Muhtar Lintang
Abstrak:
Kesadaran masyarakat akan pentingnya kesehatan terus berkembang seiring denganmeningkatnya tingkat pendidikan dan status kehidupan sosial. Untuk meningkatkanpelayanan kesehatan yang bermutu, nyaman, dan berorientasi pada kepuasan konsumen,pemerintah sebagai penyedia layanan kesehatan dituntut untuk membenahi sistempelayanan yang bersifat layanan publik. Untuk mendukung program pembangunankesehatan dengan meningkatkan pelayanan kepada masyarakat, maka dibentuk BadanLayanan Umum (BLU) di setiap Puskesmas. Di kabupaten Bogor pada tahun 2017sudah ditetapkan 19 puskesmas untuk dilakukan penilaian adminsitratif sebagai syaratpenetapan menjadi Badan Layanan Umum Daerah (BLUD). Penelitian ini bertujuanuntuk melihat kesiapan Puskesmas dari segi masukan yaitu sumber daya yang dimiliki,yaitu sumber daya manusia, anggaran, sarana, serta peraturan untuk ditetapkan menjadiBLUD. Selain itu, dilakukan juga analisis untuk mengetahui bagaimana manajemenpuskesmas berupa proses pengaturan organisasi dan penetapan tujuan dalam persiapanpenetapan BLUD. Faktor luar puskesmas juga mempunyai pengaruh dalam kesiapanpuskesmas dalam penerapan BLUD. Dari hasil penelitian ini akan diketahui informasimendalam tentang kesiapan administratif penerapan BLUD Puskesmas, serta faktor apasaja yang menjadi penghambat dalam proses persiapan dalam penerapan BLUDPuskesmas di Kabupaten Bogor.
Public awareness of the importance of health continues to grow along with increasinglevels of education and social life status. To improve the quality of health services,comfortable, and consumer-oriented, the government as a healthcare provider isrequired to fix the service system that is public service. To support health developmentprograms by improving services to the community, a Local Public Service (BLU) isestablished in every Public Health (Puskesmas). In Bogor regency in 2017, there are 19public health centers have been set up for administrative assessment as a condition ofdetermination to become the Local Public Service Agency (BLUD). This study aims tosee the preparedness of Puskesmas in terms of input that is resources, namely human,budget, facilites, and regulations to be established into BLUD. In addition, analysis isalso conducted to find out how the management of puskesmas in the form oforganizational arrangement process and goal setting in preparation of the determinationof BLUD. The outside factors of the puskesmas also have an influence in the puskesmasreadiness in applying BLUD. From the results of this study will be known in-depthinformation about the administrative readiness of the application BLUD Puskesmas, aswell as any factors that hamper the preparation process in the application of BLUDPuskesmas in Bogor Regency.
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Public awareness of the importance of health continues to grow along with increasinglevels of education and social life status. To improve the quality of health services,comfortable, and consumer-oriented, the government as a healthcare provider isrequired to fix the service system that is public service. To support health developmentprograms by improving services to the community, a Local Public Service (BLU) isestablished in every Public Health (Puskesmas). In Bogor regency in 2017, there are 19public health centers have been set up for administrative assessment as a condition ofdetermination to become the Local Public Service Agency (BLUD). This study aims tosee the preparedness of Puskesmas in terms of input that is resources, namely human,budget, facilites, and regulations to be established into BLUD. In addition, analysis isalso conducted to find out how the management of puskesmas in the form oforganizational arrangement process and goal setting in preparation of the determinationof BLUD. The outside factors of the puskesmas also have an influence in the puskesmasreadiness in applying BLUD. From the results of this study will be known in-depthinformation about the administrative readiness of the application BLUD Puskesmas, aswell as any factors that hamper the preparation process in the application of BLUDPuskesmas in Bogor Regency.
T-5278
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Alvie Rizky Gusrianty; Pembimbing: Wiku Bakti Bawono Adisasmito; Penguji: Ratu Ayu Dewi Sartika, Syafriyal, Yuniarsih Handayani
Abstrak:
Di Indonesia, saat ini mempunyai beban ganda dalam pembangunan di bidang kesehatandiantaranya adalah penyakit menular dan penyakit tidak menular. Sangat sulit untukmemberantas penyakit menular karena penyebarannya tidak mengenal batas wilayah.Imunisasi adalah salah satu tindakan yang dapat mencegah penyebaran penyakit ke wilayahlain dan terbukti sangat efektif dalam hal biaya, sebagaimana yang telah diatur oleh pemerintahdalam bentuk Permenkes No.12 tahun 2017 tentang penyelenggaraan imunisasi. Penelitian inibertujuan untuk menggali lebih dalam tentang perencanaan program imunisasi berdasarkanpencapaian target Universal Child Immunization di Puskesmas Kabupaten Bandung denganmembandingkan antara Puskesmas UCI dengan Puskesmas non UCI dalam satu kecamatanyang sama. Metode penelitian yang dilakukan yaitu studi deskriptif dengan analisis kualitatifmelalui wawancara mendalam, observasi dan telaah dokumen. Hasil penelitian menyimpulkanbahwa komponen perencanaan yang mempengaruhi tercapainya target UCI pada PuskesmasUCI dan Puskesmas non UCI adalah perencanaan SDM jumlah pegawai, motivasi, dankepemimpinan dan lingkungan. Saran yang diajukan untuk Dinas Kesehatan yaitu menambahjumlah pegawai di Puskesmas non UCI agar tidak ada alasan lagi mengenai keluhan bebankerja dan dapat meningkatkan cakupan imunisasi dan tercapainya target UCI. Sedangkan saranbagi Puskesmas, khususnya Puskesmas non UCI dapat meningkatkan motivasi pegawai,meningkatkan sweeping dan mengatasi masalah lingkungan lainnya sehingga dapatmeningkatkan cakupan imunisasi dan mencapai target UCI di wilayah kerjanya.
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T-5351
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Dwi Wigati Ratna Sari; Pembimbing: Mieke Savitri; Penguji: Vetty Yulianty Permanasari, Adhi Dharmawan Tato, Hamidah
Abstrak:
Masuknya Penyakit Tidak Menular sebagai salah satu target dalam SustainableDevelopment Goals (SDGs) 2030,mengisyaratkan bahwa PTM secara global telahmendapatkan perhatian khusus yang menjadi prioritas nasional. Salah satu cara dalamprogram pengendalian PTM adalah melalui kegiatan Pos Pembinaan Terpadu(Posbindu) PTM. Puskesmas Kecamatan Setiabudi dalam menjalankan skrining melaluiPosbindu PTM menerapkan Permenkes No.43 tanu 2016 tentang standar pelayananminimal bidang kesehatan yaitu setiap warga usia 15-59 tahun mendapatkan skriningsesuai standar. Penelitian ini bertujuan untuk mengetahui faktor-faktor yangberhubungan dengan pemanfaatan Posbindu PTM di wilayah kerja PuskesmasKecamatan Setiabudi Tahun 2018. Desain penelitian ini adalah cross sectional denganpendekatan kuantitatif. Populasi penelitian ini yaitu warga usia 15-59 tahun dengansampel 145 orang. Analisis data penelitian ini menggunakan uji Chi Square dan ujiRegresi Logistik Sederhana. Hasil penelitian adalah warga yang memanfaatkanPosbindu PTM sebanyak 57,9%. Variabel yang berhubungan dengan pemanfaatanPosbindu PTM adalah jenis kelamin (p=0,026) OR=2,856, pekerjaan (p=0,024)OR=2,382, pengetahuan (p=0,010) OR=2,553, akses ke Posbindu PTM (p=0,013)OR=2,748, ketersediaan sarana Posbindu PTM (p=0,012) OR=2,567, dukungankeluarga (p=0,037) OR=2,153, dukungan petugas kesehatan (p=0,004) OR=2,825,dukungan kader (p=0,000) OR=6,970, kebutuhan akan Posbindu PTM (p=0,035)OR=2,397. Variabel yang paling dominan adalah dukungan kader OR= 4,680 (95% CI2,2-10,8). Kesimpulan penelitian ini adalah dukungan kader menjadi faktor yang palingdominan dalam pemanfaatan Posbindu PTM.
The introduction of Non-Communicable Diseases as one of the targets inSustainable Development Goals (SDGs) 2030, suggests that PTM globally has gainedspecial attention which is a national priority. One of the ways in PTM control programis through Posbindu PTM. Public Health Center Setiabudi in running screening throughPosbindu PTM apply Permenkes No.43 in 2016 about minimum service standard ofhealth field that every citizen age 15-59 year get standard screening. This study is aimedat determining the factors associated with the utilization of Posbindu PTM in theworking area of Setiabudi Pubic Health Center in 2018. The design of study is crosssectional with quantitative approach. The population of this study is citizens age 15-59years with the samples are 145 people. The data analysis are Chi Square test and SimpleLogistic Regression test. Result of the study is the people who utilize active PosbinduPTM is 57,9%. Variables related to the utilization of Posbindu PTM that gender (P =0.010) OR = 2,382, knowledge (p = 0,010) OR = 2,553, access to Posbindu PTM (p =0,013) OR = 2,784, family support (P = 0,037) OR = 2,153, the support of healthworkers (p = 0,004) OR = 2,825, cadre support (p = 0,000) OR = 6,970, needs willPosbindu PTM (p = 0.035) OR = 2,397. The most dominant variable is cadre supportOR = 4,680 (95% CI 2,2-10,8). The conclusion is cadre support become the mostdominant factor in the utilization of Posbindu PTM.
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The introduction of Non-Communicable Diseases as one of the targets inSustainable Development Goals (SDGs) 2030, suggests that PTM globally has gainedspecial attention which is a national priority. One of the ways in PTM control programis through Posbindu PTM. Public Health Center Setiabudi in running screening throughPosbindu PTM apply Permenkes No.43 in 2016 about minimum service standard ofhealth field that every citizen age 15-59 year get standard screening. This study is aimedat determining the factors associated with the utilization of Posbindu PTM in theworking area of Setiabudi Pubic Health Center in 2018. The design of study is crosssectional with quantitative approach. The population of this study is citizens age 15-59years with the samples are 145 people. The data analysis are Chi Square test and SimpleLogistic Regression test. Result of the study is the people who utilize active PosbinduPTM is 57,9%. Variables related to the utilization of Posbindu PTM that gender (P =0.010) OR = 2,382, knowledge (p = 0,010) OR = 2,553, access to Posbindu PTM (p =0,013) OR = 2,784, family support (P = 0,037) OR = 2,153, the support of healthworkers (p = 0,004) OR = 2,825, cadre support (p = 0,000) OR = 6,970, needs willPosbindu PTM (p = 0.035) OR = 2,397. The most dominant variable is cadre supportOR = 4,680 (95% CI 2,2-10,8). The conclusion is cadre support become the mostdominant factor in the utilization of Posbindu PTM.
T-5266
Depok : FKM UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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