Abstrak:

---

Abstrak:

---

Abstrak:

---

Abstrak: Tuberkulosis merupakan penyakit yang disebebakan oleh bakteri Mycobacterium tuberculosis. pada tahun 2012 mencapai prevalensi 12 juta prevalensi kasus dan 990 ribu kematian di dunia. Di Indonesia prevalensi penyakit ini sebesar 423/100.000 penduduk dan mortalitas sebesar 27/100.000 penduduk. Salah satu provinsi yang memiliki prevalensi yang lebih tinggi dari rata-rata nasional adalah Jawab Barat.Dalam sepuluh tahun terakhir pencapaian penemuan kasus baru TB BTA positif (CDR) kota Bekasi belum pernah mencapai target nasional. Selain itu, dari 31 puskesmas yang berada di wilayah Kota Bekasi hanya 3(10%) puskesmas yang mencapai target nasional.Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan cakupan penemuan kasus baru TB BTA positif di puskesmas wilayah Kota Bekasi tahun 2012. Penelitian ini menggunkan metode cross sectional deengan analisis uji T dan Chi square. Penelitian ini dilakukan bulan April–Juni 2013 dengan menggunakan data sekunder baik register TB di puskesmas, dinas Kesehatan, dan laporan pendukung lainnya. Konsep yang digunakan dalam penelitian ini adalah pendekatan sistem.Hasil didapatkan bahwa dilihat dari kondisi SDM, terdapat 14 (54,8%) puskesmas dengan kondisi kurang, tingkat tanggung jawab yang dimiliki oleh penanggung jawab program TB 23 (74,2%) puskesmas tinggi, terdapat 26 (83,9%) puskesmas dengan penanggung jawab program TB dengan tingkat pengetahuan baik, dan 16 (51,6%) puskesmas memiliki proporsi pelatihan tinggi. Dari kondisi sarana dan prasarana diperoleh bahwa terdapat 23 (74,2%) puskesmas memiliki kondisi sarana dan prasarana yang baik.Berdasarkan alokasi dana tersebar merata 45,2% puskesmas untuk rendah ataupun tinggi. Dilihat dari angka penjaringan suspek diperoleh bahwa 16 (51,6%) puskesmas memiliki angka penjaringan suspek tinggi, dilihat menurut frekuensi kegiatan KIE TB terdapat 26 (83,9%) puskesmas dengan frekuensi KIE TB tinggi, terdapat 20 (64,5%) puskesmas dengan tingkat pemeriksaan kontak tinggi, dan terdapat 16 (51,6%) puskesmas dengan tingkat kemitraan masyrakat rendah.Hasil analisis antara proses dan output didapatkan adalah terdapat hubungan yang signifikan antara angka penjaringan suspek dengan cakupan penemuan kasus baru TB BTA positif. Didapatkan hubungan yang tidak signifikan antara KIE TB, pemeriksaan Kontak, dan juga kemitraan masyarakat. Kesimpulan dari penelitian ini adalah angka penjaringan suspek berpengaruh terhadap cakupan penemuan kasus TB BTA Positif.

---

Tuberculosis is a disease that caused by the Mycobacterium tuberculosis. In 2012, the prevalence of the cases reached 12 million and caused 990 thousand death cases in the world. In Indonesia, the prevalence of this disease is 423/100.000 with 27/100.000 for the mortality rate. One of the provinces which have a higher prevalence than the national average is West Java. Bekasi, as one of the city in West Java still has problem in TB control. In the last ten years, the Case Detection Rate has not reached the national target. In addition, there are only 3 (10%) health centers in Bekasi City which are achieved the national target.This reaserch is aimed to determine the factors related to the scope of tuberculosis new cases detection in Bekasi Regional Health Center Area in 2012. It then cross-sectional analysis with the T and Chi square test. The research was conducted on April-June 2013 by using secondary data from health centers, health departments, and other supporting reports. Furthermore, a system approach is used in this study.The results obtained that the human condition 14 (54.8%) in health centers with the low conditions, the level of responsibility held by the person in charge of the TB program 23 (74.2%) in health centers with a high level of responsibility, there were 26 (83.9% ) which had charge of the TB program with a good level of knowledge, and 16 (51.6%) with high training proportions. In term of infrastructure condition, it is obtained that there are 23 (74.2%) health centers in the good condition.Based on the fund allocation, it is equally spread 45.2% for good and low condition. In crawl suspect, it is obtained that 16 (51.6%) health center with high crawl suspect, seen by the frequency of Communication, Information, and Education of TB (KIE TB) activities there were 26 (83.9%) centers with a high frequency of KIE TB, then there are 20 (64.5%) health center with high examination for the person in contact, and there are 16 (51.6%) health centers with low levels of society partnerships.The result for the process and output is obtained that there is a significant correlation between the number of crawl suspected to number of coverage of the Tuberculosis (+) new case detection. Meanwhile, there is no significant correlation between KIE TB, contact examination and as well as community partnerships. The conclusion of this study is the crawl of the suspect affects number of coverage of the Tuberculosis (+) new case detection.

Abstrak:

Periode persalinan merupakan periode yang berkontribusi besar terhadap angka kematian ibu di Indonesia, kematian saat bersalin dan 1 minggu pertama diperkirakan 60% dari seluruh kematian ibu. Pertolongan persalinan oleh tenaga kesehatan terlatih menjadi sangat penting dalam upaya penurunan kematian ibu. Propinsi Banten yang merupakan wilayah pada penelitian ini membutuhkan upaya yang lebih besar untuk mencapai cakupan persalinan oleh tenaga kesehatan mengingat cakupan persalinan oleh tenaga kesehatan yang dicapai hanya sebesar 68,9% menurut data susenas 2009. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang berhubungan dengan cakuipan persalinan oleh tenaga kesehatan di provinsi Banten tahun 2010, dengan menggunakan pendekatan kuantitatif dan metode cross sectional. Penelitian menunjukkan bahwa jarak tempuh dan pelayanan persalinan di puskesmas merupakan faktor yang berhubungan secara signifikan dalam meningkatkan cakupan persalinan oleh tenaga kesehatan. Nilai R square sebesar 0.217 artinya 8 (delapan) variabel bebas yang diteliti dapat menjelaskan variabel cakupan persalinan 21.7% , sedangkan sisanya dijelaskan oleh variabel lain yang tidak termasuk dalam penelitian ini.

---

 Delivery period is the period that contribute greatly to maternal mortality in Indonesia, death during childbirth and a first week of an estimated 60% of all maternal deaths. Aid deliveries by trained health personnel to be very important in an effort to decrease maternal mortality. Banten Province which is a region in this study requires a larger effort to achieve coverage of deliveries by health personnel in accordance with the target of Minimum Services Standard in 2015 ie by 90%, considering the scope of delivery by health personnel who achieved 68.9% (Susenas, 2009). This study used cross sectional method. Study shows that the mileage and service delivery in health centers is a factor that has a significant association in improving the coverage of deliveries by health personnel. R square value of 0.217 means 8 (eight) independent variables under study may explain the variable scope of delivery for 21.7%, while the rest is explained by other variables not included in this study.

Abstrak: Tujuan: Mengetahui faktor-faktor yang berhubungan dengan mutu rekam medis pasien rawat inap di RSMTP Jakarta Selatan. Metode: Penelitian ini menggunakan studi deskriptif observasional dengan pendekatan kualitatif dan kuantitatif yang menggunakan analisis sistem input-process-output. Subjek penelitian ini adalah kasubid penunjang medis, kepala unit RM, kepala ruang rawat inap, petugas RM, dokter, perawat pelaksana, dan petugas admisi, sedangkan objek penelitian adalah berkas RM rawat inap pada Bulan Mei 2022 sebanyak 103 sampel.
Hasil: Komponen output berupa persentase RM rawat inap bermutu baik sebesar 33% yang terdiri dari kelengkapan isi sebesar 34%, ketepatan waktu pengembalian sebesar 100%, dan pemenuhan persyaratan hukum sebesar 69,9%. Kendala pada komponen input antara lain ketersediaan petugas RM yang sesuai kompetensi masih belum mencukupi, belum tersedianya pelatihan pengisian RM, sosialisasi kebijakan kepada profesional pemberi asuhan (PPA) yang masih bersifat segmented, perakitan formulir yang belum konsisten, dan belum tersedianya SOP pengisian RM sebelumnya yang dibutuhkan sebagai acuan PPA dalam melakukan pengisian RM, kebijakan reward dan punishment belum resmi diberlakukan, anggaran dana untuk pelatihan PPA terkait pengisian RM masih belum tersedia, tidak tersedianya insentif untuk PPA dan petugas RM, dan beberapa sarana prasarana di URM kurang memadai. Selain itu, dari segi process terdapat beberapa kendala dari proses pendaftaran yang mengakibatkan pengisian identitas pasien menjadi tidak lengkap. Pelaksanaan pengisian RM yang kurang baik dikarenakan SOP yang masih belum tersedia dan peran PPA dalam mengisi dokumen RM yang belum baik. Proses pengembalian RM sudah dilakukan secara cukup disiplin dalam waktu 1x24 jam. Kegiatan analisis isi dan pemanfaatannya belum dilaksanakan secara berkala, serta pemantauan dan evaluasi pengisian RM yang belum berjalan dengan baik. Belum terbentuknya komite rekam medis sehingga peran audit rekam medis belum berjalan dengan baik. Kesimpulan: Masih rendahnya mutu RM rawat inap di RSMTP berhubungan dengan beberapa faktor yang masih belum terpenuhi dari faktor SDM sendiri maupun faktor-faktor lainnya yang masih mengalami beberapa kendala, serta beberapa proses terkait mutu rekam medis belum berjalan dengan baik. Saran: Perlu adanya pembuatan beberapa kebijakan seperti pengadaan insentif dan kebijakan reward dan punishment. Selain itu, beberapa aspek lain perlu diperhatikan yaitu anggaran untuk pelatihan, pembentukan panitia RM, sosialisasi SOP secara menyeluruh, pemanfaatan analisis isi sebagai acuan evaluasi mutu RM dan kinerja PPA, serta peran PPA dalam memberikan fokus kepada beberapa item rekam medis sehingga seluruh indikator mutu dapat tercapai.

---

Background: Medical record (MR) service, especially for inpatients, is one aspect of quality assessment which is reflected in the quality of MR documents carried out by RM filling officers and their management in the medical record unit (MRU). Based on minimum service standards in hospitals, there are four indicators of MR quality targets, namely completeness of contents, accuracy of contents, timeliness of returns, and compliance with legal requirements. The results of the monthly MRU evaluation of the Muhammadiyah Taman Puring Hospital (RSMTP), show the percentage of completeness medical resumes on November 2021 which is still low (32.10%). In addition, the implementation of data recapitulation and analysis of the contents of the MR has just been carried out so that there is no comprehensive evaluation process for the completeness of the MR. Objective: To determine the factors related to the quality of medical records of inpatients at RSMTP South Jakarta. Methods: This study uses a descriptive observational study with a qualitative and quantitative approach that requires an input-process-output system analysis. The subjects of this study were the sub-division of medical support, the head of the MR unit, the head of the inpatient room, the MR officer, doctors, nurses, and admissions officers, while the object of the study was the inpatient MR files in May 2022 as many as 103 samples. Results: The output component in the form of the percentage of good quality inpatient MR is 33% consisting of completeness of contents (34%), timeliness of return (100%), and compliance with legal requirements (69.9%). Constraints on the input component include the availability of competent MR officers who are still not sufficient, the unavailability of MR filling training, policy socialization to professional care providers (PCP) which is still segmented, inconsistent form assembly, and the unavailability of the previous RM filling SOP that needed as a reference for PCP in filling out MRs, reward and punishment policies have not been officially implemented, budget funds for PCP training related to filling MRs are still not available, incentives are not available for PCP and MR officers, and some infrastructure facilities at MRU are inadequate. In addition, in terms of the process, there were several obstacles in the registration process which resulted in incomplete filling of the patient's identity. The implementation of filling out the MR is below standard because the SOP is still not available and the role of the PCP in filling out the MR document still not showing their best effort. The MR refund process has been carried out in a fairly disciplined manner within 1x24 hours. Content analysis and utilization activities have not been carried out on a regular basis, as well as monitoring and evaluation of MR filling that has not been going well. The medical record committee has not yet been formed so that the role of the medical record audit has not gone well. Conclusion: The low quality of inpatient MR at RSMTP is related to several factors that have not been fulfilled, from the human resources factor itself and other factors who are still experiencing some problems, as well as several processes related to the quality of medical records that have not gone well. Suggestion: It is necessary to make several policies such as the provision of incentives and reward and punishment policies. In addition, several other aspects need to be considered, such as the budget for training, the formation of an MR committee, comprehensive socialization of SOPs, the use of content analysis as a reference for evaluating MR quality and PCP performance, and the role of PCP in providing focus to several medical record items so that all quality indicators can be achieved.

Abstrak:

---

Abstrak: Abstrak

Kegiatan posyandu bertujuan memantau pertumbuhan balita dengan indikator pencapaian adalah cakupan penimbangan balita (D/S). Pencapaian D/S tahun 2011 di Kota Padang terendah pada Puskesmas Nanggalo 42,7% dan tertinggi pada Puskesmas Ambacang 96,7%. Tujuan penelitian untuk mengetahui hubungan faktor kader dan sarana posyandu dengan cakupan penimbangan di posyandu dua puskesmas Kota Padang tahun 2012. Desain penelitian adalah cross sectional.

Hasil penelitian rata ? rata D/S tahun 2012 puskesmas 66,01 % dengan proporsi cakupan tinggi 52,4 %. Pendidikan, lama kerja, pengetahuan, pelatihan, persepsi, jumlah kader dan sarana posyandu berhubungan bermakna dengan cakupan penimbangan balita. Perlu pelatihan kader, penambahan jumlah kader dan sarana posyandu.

Posyandu activities aimed at monitoring the growth of underfive children with indicators of achievement is the scope of child's weight (D/ S). Achievement of D / S of Padang in 2011, Nanggalo 42.7% and Ambacang 96.7%. Research purposes to determine the correlation between the cadres and the facilities posyandu to coverage of weighing in posyandu Padang City in 2012. The study design was cross-sectional.

The results the average D/ S in 2012 66,01% and propostion hight coverage of weighing 52,4 %. Education, Length of work, knowledge, training, perception, number of cadres and facilities posyandu significantly associated with coverage of weighting underfive children. Need training of cadres and increasing the number of cadres and facility.