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Mentari Kirana Firdaus; Pembimbing: Masyitoh; Penguji: Ede Surya Darmawan, Selpi Pratiwi
Abstrak:
Kesehatan jiwa merupakan salah satu isu kesehatan global dengan kasus yang terus meningkat ditiap tahunnya. Pada tahun 2019 masalah kejiwaan merupakan penyebab kedua kecacatan diseluruh dunia dengan total 970 juta kasus. Penelitian ini merupakan sebuah studi perbandingan yang betujuan untuk mengetahui perbedaan antara pelayanan ODMK di Puskesmas Pasar Baru dengan pelayanan ODMK di Puskesmas Pabuaran Tumpeng. Pada penelitian ini digunakan teori Black & Gruen, teori Donabedian, serta kerangka kerja sistem kesehatan (building blocks), dengan variabel yang dianalisis meliputi variabel input (masukan), proses, dan output (keluaran). Penelitian ini menggunakan pendekatan kualitatif dengan metode studi kasus, sementara pengambilan data dilakukan melalui wawancara mendalam dan telaah dokumen. Hasil penelitian menemukan bahwa pada variabel input (masukan), SDM kesehatan di Puskesmas Pabuaran Tumpeng memiliki beban kerja yang lebih tinggi dibandingkan dengan SDM kesehatan di Puskesmas Pasar Baru. Pada variabel proses, jenis pelayanan yang diberikan di Puskesmas Pasar Baru dan Puskesmas Pabuaran Tumpeng relatif sama, namun Puskesmas Pasar Baru mampu melaksanakan kegiatan inovatif untuk meningkatkan pelayanan ODMK di masa pandemi, yaitu dengan memasukan kegiatan skrining kesehatan jiwa ke dalam kegiatan vaksinasi Covid-19. Pada variabel output (keluaran) ditemukan bahwa kualitas pelayanan di Puskesmas Pasar Baru lebih baik dibandingkan dengan Puskesmas Pabuaran Tumpeng, selain itu cakupan pelayanan ODMK di Puskesmas Pasar Baru pada tahun 2021 mencapai 128% sedangkan di Puskesmas Pabuaran Tumpeng hanya mencapai 77%. Penelitian ini menyimpulkan bahwa puskesmas yang memiliki SDM memadai serta mampu menyesuaikan pemberian pelayanan dengan situasi yang ada, dapat menghasilkan pelayanan yang lebih berkualitas serta mencapai target cakupan pelayanan.
Mental health is one of the global health issues with cases that continue to increase every year. In 2019, psychiatric problems were the second leading cause of disability worldwide with a total of 970 million cases. This research is a comparative study that aims to determine the difference between the services of People with Mental Problems (ODMK) at Pasar Baru Health Center and ODMK services at the Pabuaran Tumpeng Health Center. This research uses Black & Gruen theory, Donabedian theory, and the health system framework (building blocks), with the variables analyzed include input, process, and output variables. This research uses a qualitative approach with a case study method, while data collection is carried out through in-depth interviews and document review. The results of the study found that in the input variable, health human resources at Pabuaran Tumpeng Health Center had a higher workload than health human resources at Pasar Baru Health Center. In the process variable, the types of services provided at the Pasar Baru Health Center and the Pabuaran Tumpeng Health Center are relatively the same, but the Pasar Baru Health Center is able to carry out innovative activities to improve ODMK services during the pandemic, namely by incorporating mental health screening activities into Covid-19 vaccination activities. In the output variable, it was found that the quality of service at the Pasar Baru Health Center was better than the Pabuaran Tumpeng Health Center, besides that the coverage of ODMK services at the Pasar Baru Health Center in 2021 reached 128% while at the Pabuaran Tumpeng Health Center it only reached 77%. This study concludes that puskesmas with adequate human resources and able to adapt service delivery to the existing situation can produce higher quality services and achieve service coverage targets.
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Mental health is one of the global health issues with cases that continue to increase every year. In 2019, psychiatric problems were the second leading cause of disability worldwide with a total of 970 million cases. This research is a comparative study that aims to determine the difference between the services of People with Mental Problems (ODMK) at Pasar Baru Health Center and ODMK services at the Pabuaran Tumpeng Health Center. This research uses Black & Gruen theory, Donabedian theory, and the health system framework (building blocks), with the variables analyzed include input, process, and output variables. This research uses a qualitative approach with a case study method, while data collection is carried out through in-depth interviews and document review. The results of the study found that in the input variable, health human resources at Pabuaran Tumpeng Health Center had a higher workload than health human resources at Pasar Baru Health Center. In the process variable, the types of services provided at the Pasar Baru Health Center and the Pabuaran Tumpeng Health Center are relatively the same, but the Pasar Baru Health Center is able to carry out innovative activities to improve ODMK services during the pandemic, namely by incorporating mental health screening activities into Covid-19 vaccination activities. In the output variable, it was found that the quality of service at the Pasar Baru Health Center was better than the Pabuaran Tumpeng Health Center, besides that the coverage of ODMK services at the Pasar Baru Health Center in 2021 reached 128% while at the Pabuaran Tumpeng Health Center it only reached 77%. This study concludes that puskesmas with adequate human resources and able to adapt service delivery to the existing situation can produce higher quality services and achieve service coverage targets.
S-11076
Depok : FKM-UI, 2022
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Kristina; Pembimbing: I Made Djaja; Penguji: Yovsyah, Suhardiman
S-6533
Depok : FKM UI, 2011
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Viorentina Yofiani; Pembimbing: Amal Chalik Sjaaf; Penguji: Puput Oktamianti, Anhari Achadi, Hadi Prabowo, Julo Nelma Timisela
Abstrak:
Peran yang dimiliki oleh Puskesmas sebagai ujung tombak pelayanan kesehatan masyarakat di wilayah kerjanya, kini menjadi lebih penting lagi karena harus ikut andil dalam penanggulangan Covid-19. Di mana, Puskesmas turut turut berkecimpung dalam prevensi, deteksi, serta respon, dengan tidak melupakan penyelenggaraan UKM dan UKP dalam rangka pemenuhan Standar Pelayanan Minimal (SPM). Penambahan tanggung jawab ini dapat berimbas pada kepuasan kerja perawat. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kepuasan kerja perawat Puskesmas di Kota Bekasi pada masa Pandemi Covid-19 tahun 2022. Penelitian menggunakan desain potong lintang, pengumpulan data melalui pengisian kuesioner daring pada 86 perawat Puskesmas Kota Bekasi. Hasil penelitian menunjukkan 54,7% perawat Puskesmas di Kota Bekasi memiliki kepuasan kerja yang rendah pada masa Pandemi Covid-19. Uji bivariat menggunakan Chi-square menunjukkan bahwa pengakuan, prestasi, kemungkinan pengembangan diri, tanggung jawab, dan pekerjaan itu sendiri berhubungan secara signifikan dengan kepuasan kerja perawat Puskesmas. Namun pada uji regresi logistik ganda, hanya variabel tanggung jawab yang menunjukkan hubungan yang signifikan. Persepsi tanggung jawab merupakan faktor yang paling dominan berhubungan dengan kepuasan kerja perawat Puskesmas di Kota Bekasi pada masa Pandemi Covid-19 tahun 2022.
The role that Primary Health Center (PHC) has as the spearhead of public health services in its working area has now become even more critical because it has to take part in the prevention of Covid-19. Where, PHC is also involved in prevention, detection, and response, by not forgetting the implementation of Community Health Efforts and Individual Health Efforts in the context of fulfilling Minimum Service Standards (MSS). This additional responsibility can have an impact on nurse job satisfaction. This study aims to determine the factors related to the job satisfaction of PHC?s nurses in the City of Bekasi during the Covid-19 Pandemic in 2022. The study used a cross-sectional design, collecting data by filling out online questionnaires on 86 PHC?s nurses in Bekasi City. The results showed that 54.7% of PHC?s nurses in Bekasi City had low job satisfaction during the Covid-19 pandemic. The bivariate test using Chi-square showed that recognition, achievement, the possibility of self-development, responsibility, and the work itself were significantly related to the job satisfaction of PHC?s nurses. However, in the multiple logistic regression test, only the responsibility variable showed a significant relationship. Perception of responsibility is the most dominant factor related to job satisfaction of PHC?s nurses in Bekasi City during the Covid-19 Pandemic in 2022.
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The role that Primary Health Center (PHC) has as the spearhead of public health services in its working area has now become even more critical because it has to take part in the prevention of Covid-19. Where, PHC is also involved in prevention, detection, and response, by not forgetting the implementation of Community Health Efforts and Individual Health Efforts in the context of fulfilling Minimum Service Standards (MSS). This additional responsibility can have an impact on nurse job satisfaction. This study aims to determine the factors related to the job satisfaction of PHC?s nurses in the City of Bekasi during the Covid-19 Pandemic in 2022. The study used a cross-sectional design, collecting data by filling out online questionnaires on 86 PHC?s nurses in Bekasi City. The results showed that 54.7% of PHC?s nurses in Bekasi City had low job satisfaction during the Covid-19 pandemic. The bivariate test using Chi-square showed that recognition, achievement, the possibility of self-development, responsibility, and the work itself were significantly related to the job satisfaction of PHC?s nurses. However, in the multiple logistic regression test, only the responsibility variable showed a significant relationship. Perception of responsibility is the most dominant factor related to job satisfaction of PHC?s nurses in Bekasi City during the Covid-19 Pandemic in 2022.
T-6473
Depok : FKM-UI, 2022
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Achmad Rani Miftah; Pembimbing: Sandi Iljanto; Penguji: Purnawan Junadi, Vetty Yulianty Permanasari, Liza Puspadewi, Ihwan
Abstrak:
Penelitian ini bertujuan untuk mengetahui gambaran dan perbedaan tingkat kepuasan pasien di Puskesmas terakreditasi dan belum terakreditasi, mengetahui perbedaan kualitas pelayanan kesehatan berdasarkan lima dimensi mutu (wujud, kehandalan, keresponsifan, jaminan dan empati), mengetahui hubungan kualitas pelayanan kesehatan dengan kepuasan pasien, mengetahui hubungan karakteristik pasien dengan kepuasan, mengetahui faktor yang paling berhubungan dengan tngkat kepuasan pasien. Penelitian ini adalah penelitian kuantitatif dengan desain studi cross sectional. Responden berjumlah 212 orang yaitu pasien yang berobat ke Puskesmas. Pengumpulan data dengan menggunakan kuesioner yang dilakukan selama bulan April 2017 di Puskesmas terakreditasi dan belum terakreditasi Kota Tangerang. Data terkumpul dianalisis dengan metode analisis univariat, bivariat uji Chi Square dan analisis multivariat uji regresi logistik. Terdapat perbedaan tingkat kepuasan pasien di Puskesmas terakreditasi (51,9%) dan belum terakreditasi (17%). Terdapat perbedaan persepsi kualitas pelayanan kesehatan di Puskesmas terakreditasi dan belum terakreditasi, pada Puskesmas terakreditasi sebagian besar responden memiliki persepsi baik sedangkan pada Puskesmas belum akreditasi sebagian besar responden memiliki persepsi yang tidak baik terhadap kualitas pelayanan kesehatan. Berdasarkan hasil analisis bivariat didapatkan bahwa terdapat hubungan bermakna pada semua variabel kualitas pelayanan kesehatan dengan kepuasan pasien, dan hanya variabel pendidikan pada karakteristik responden yang mempunyai hubungan bermakna dengan kepuasan. Hasil analisis multivariat tidak didapatkan variabel yang paling berhubungan dengan kepuasan pasien. Kata kunci : Kualitas pelayanan kesehatan, kepuasan pasien The purpose of this research is to know the description and the difference of patient's satisfaction level in accredited and unaccredited community health center, to know the difference of health service quality based on the five dimensions of quality (tangible, reliability, responsiveness, assurance and empathy), to know the relation of health service quality with patient satisfaction, characteristics of patients with satisfaction, knowing the factors most related to the level of patient satisfaction. This research is a quantitative research with cross sectional study design. Respondents amounted to 212 people ie patients who went to the community health center. Data collection using questionnaires conducted during April 2017 at accredited community health center and unaccredited community health center in Tangerang City. Data collected were analyzed by univariate analysis method, bivariate of Chi Square test and multivariate analysis of logistic regression test. There is a difference of patient's satisfaction level in accredited community health center (51.9%) and unaccredited (17%). There is a difference of perception of health service quality in accredited and unaccredited community health center, at accredited community health center most of respondent have good perception whereas at unaccredited community health center most of respondent have bad perception toward health service quality. Based on the results of bivariate analysis found that there is a significant relationship on all variables of health service quality with patient satisfaction, and only variable education on the characteristics of respondents who have a significant relationship with satisfaction. The result of multivariate analysis was not found the most correlated variable with patient satisfaction. Keywords: Quality of health service, patient satisfaction
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T-5007
Depok : FKM-UI, 2017
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Quenela Mutiara Cantika; Pembimbing: Vetty Yulianty Permanasari; Penguji: Adang Bachtiar, Eti Rohati
Abstrak:
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Mutu pelayanan kesehatan sangat berdampak terhadap seluruh upaya pelayanan kesehatan yang dilakukan oleh fasilitas pelayanan kesehatan. Indikator Nasional Mutu (INM) merupakan standar yang digunakan untuk mengevaluasi tingkat keberhasilan implementasi mutu pelayanan kesehatan di fasilitas pelayanan kesehatan, termasuk Puskesmas. Berdasarkan laporan INM Puskesmas oleh Dinas Kesehatan Kota Depok tahun 2022 diketahui bahwa ratarata capaian INM Puskesmas masih fluktuatif dan belum konsistem melaporkan setiap bulannya. Penelitian ini bertujuan untuk menganalisis capaian Indikator Nasional Mutu (INM) di Puskesmas Kemiri Muka dan Puskesmas Ratu Jaya tahun 2022. Jenis penelitian yang digunakan adalah pendekatan kualitatif. Metode pengumpulan data menggunakan wawancara mendalam, observasi, dan telaah dokumen. Hasil penelitian menunjukkan bahwa capaian INM di Puskesmas Kemiri Muka dan Puskesmas Ratu Jaya pada tahun 2022 belum sepenuhnya sesuai dan menggambarkan kondisi sebenarnya yang ditinjau dari pendekatan sistem input, proses, dan output. Saran yang dapat diberikan yaitu mengajukan usulan pengadaan sarana dan prasarana, melakukan monitoring dan evaluasi perencanaan kebutuhan SDM Kesehatan, menetapkan sanksi dan reward untuk hasil capaian INM, serta proaktif mempelajari pelaksanaan pengukuran dan pelaporan INM.
The quality of health service greatly impacts all health service efforts carried out by healthcare facilities. The National Quality Indicator (INM) is a standard used to evaluate the achievement of quality implementation in healthcare facilities, including public health centers (Puskesmas). Based on the INM Puskesmas report by the Depok City Health Office in 2022, it is known that the average achievement of INM Puskesmas is still fluctuating and has not been consistently reported every month. This study aims to analyze the achievement of the National Quality Indicators (INM) at Kemiri Muka and Ratu Jaya Public Health Centers in 2022. The research method used a qualitative approach. Methods of data collection included in-depth interviews, observations, and document review. The results indicate that the achievements of the INM at Kemiri Muka and Ratu Jaya Public Health Centers in 2022 were not fully appropriate and described accurately the actual conditions in terms of the input, process, and output system approach. Recommendations include proposing the procurement of facilities and infrastructure, monitoring and evaluating the planning of healthcare human resource needs, implementing sanctions and rewards for achieving the INM targets, and proactively learn the implementation of INM measurement and reporting processes.
S-11332
Depok : FKM-UI, 2023
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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OlivIa Yuli Susanti; Pembimbing: Indrawani Yvonne Magdalena; Penguji: Triyanti, Lely Nurlaely
S-6854
Depok : FKM UI, 2011
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Fathonah; Pembimbing: Surya Ede Darmawan; Penguji: Sandi Iljanto, Dumilah Ayuningtyas, Isnin, Marlina Widyadewi
T-3107
Depok : FKM UI, 2009
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Liliosa Maria T; Pembimbing: Pujianti; Penguji: Budi Hidayat, Elimarnis
S-6042
Depok : FKM UI, 2010
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Machdalena; Pembimbing; Adang Bachtiar Kantaatmaja ;Penguji: Kusdinar Ahmad, Yayuk Hartriyanti, Lukman, Sumarty
T-916
Depok : FKM-UI, 2001
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Prasetyaning Jati; Pembimbing: Kurnia Sari; Penguji: Dumilah Ayuningtyas, Atna Permana
Abstrak:
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Ahli Teknologi Labotatorium Medik (ATLM) merupakan tenaga kesehatan yang berperan penting dalam menunjang pemeriksaan medis. Peraturan Menteri Kesehatan Nomor 43 tahun 2019 tentang Pusat Kesehatan Masyarakat (Puskesmas), standar minimal tenaga ATLM Puskesmas adalah 1 (satu) baik di Puskesmas Perkotaan, Pedesaan, Terpencil, maupun Sangat Terpencil. Ketersediaan ATLM Puskesmas yang belum memenuhi standar ketenagaan minimal masih menjadi masalah besar di dunia kesehatan. Maka, penelitian ini akan menganalisis ketersediaan tenaga ATLM Puskesmas dengan standar ketenagaan minimal yang ditinjau pada tingkat nasional, provinsi, dan kabupaten/kota. Penelitian ini dilakukan dengan desain penelitian cross-sectional study dengan metode kuantitatif. Data yang digunakan adalah data sekunder dari Sistem Informasi Sumber Daya Manusia Kesehatan (SISDMK) pada tahun 2021. Analisis dilakukan dengan menghitung gap antara data existing dengan kebutuhan minimal tenaga ATLM Puskesmas pada tingkat nasional, provinsi, dan kabupaten/kota pada tahun 2021. Analisis ketersediaan tenaga ATLM Puskesmas tersebut dihubungkan dengan Kapasitas Fiskal Daerah (KFD) untuk mengidentifikasi kemampuan daerah provinsi dan kabupaten/kota dalam mengelola urusan kesehatan termasuk pemenuhan tenaga ATLM Puskesmas. Hasil penelitian ini menunjukkan bahwa secara nasional, tidak terjadi kekurangan tenaga ATLM Puskesmas. Namun, apabila ditinjau pada tingkat provinsi, 10 provinsi (29,41%) di Indonesia masih mengalami kekurangan tenaga ATLM Puskesmas. Sementara itu, pada tingkat kabupaten/kota, 173 kabupaten/kota (33,66%) masih mengalami kekurangan tenaga ATLM Puskesmas dan 6 kabupaten/kota (1,17%) tidak memiliki tenaga ATLM Puskesmas. KFD provinsi dan kabupaten/kota yang mengalami kekurangan dan/atau tidak memiliki tenaga ATLM Puskesmas bervariasi mulai dari kategori sangat rendah hingga sangat tinggi.
Medical Laboratory Technologists Experts (ATLM) are health workers who play an important role in supporting medical examinations. Minister of Health Regulation Number 43 of 2019 concerning Primary Health Centers (Puskesmas), the minimum standard for ATLM Puskesmas is 1 (one) both in Urban, Rural, Remote and Very Remote Primary Health Centers. Availability of ATLM Puskesmas that do not meet minimum standards is still a big problem in the world of health. Thus, this study will analyze the availability of ATLM Puskesmas with a minimum workforce standard reviewed at the national, provincial and district/city levels. This research was conducted using a cross-sectional study design with quantitative methods. The data used is secondary data from the Health Human Resources Information System (SISDMK) in 2021. The analysis is carried out by calculating the gap between the existing data and the minimum requirement for ATLM health workers at the national, provincial and district/city levels in 2021. Availability analysis The ATLM at the Puskesmas are connected with the Regional Fiscal Capacity (KFD) to identify the capacity of the provincial and district/city regions in managing health affairs including the fulfillment of ATLM Puskesmas personnel. The results of this study indicate that nationally, there is no shortage of ATLM Puskesmas personnel. However, when viewed at the provincial level, 10 provinces (29.41%) in Indonesia still experience a shortage of ATLM Puskesmas personnel. Meanwhile, at the district/city level, 173 districts/cities (33.66%) still experienced a shortage of ATLM staff at the Puskesmas and 6 districts/cities (1.17%) did not have ATLM staff at the Puskesmas. KFD of Province and district/city that experience a shortage and/or do not have ATLM Puskesmas personnel vary from very low to very high categories.
S-11177
Depok : FKMUI, 2023
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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