Ditemukan 29524 dokumen yang sesuai dengan query :: Simpan CSV
Rosselini Triana; Pembimbing: Pujiyanto; Penguji: Vetty Yulianty Permanasari, Purnawan Junadi, Donni Hendrawan, Laila Mahmudah
Abstrak:
Read More
Sejak mulai diimplementasikan pada tahun 2014, program Jaminan Kesehatan Nasional (JKN) telah mendorong peningkatan utilisasi pelayanan kesehatan bagi ibu hamil baik di Fasilitas Kesehatan Tingkat Pertama (FKTP) maupun di Fasilitas Kesehatan Rujukan Tingkat Lanjutan (FKRTL). Pelayanan kesehatan ini seharusnya dapat dimanfaatkan oleh seluruh masyarakat Indonesia tanpa ada halangan. Geografis Indonesia yang luas menjadi salah satu hambatan dalam memanfaatkan pelayanan kesehatan. Menggunakan metode analisa cross sectional, penelitian ini melihat karakteristik utilisasi pelayanan antenatal care (ANC) di Indonesia menggunakan data sampel BPJS Kesehatan tahun 2023. Selanjutnya dilakukan analisa menggunakan regresi logistik dengan model logit dengan menggunakan estimator maximum likelihood untuk melihat pengaruh geografis terhadap utilisasi pelayanan antenatal care (ANC). Kami menemukan bahwa terdapat pengaruh provinsi tempat tinggal, usia, status perkawinan, hak kelas rawat dan segmen kepesertaan dalam utilisasi pelayanan ANC dengan signifikansi 5%. Temuan ini menunjukkan bahwa peserta yang berada di 28 Provinsi berpeluang memanfaatkan pelayanan ANC dibandingkan dengan peserta yang berada di Papua Barat. Peserta dengan status kawin berpeluang 1,09 kali dibandingkan peserta belum kawin/cerai. Peserta dengan hak kelas rawat 1 dan 2 berpeluang lebih besar dalam memanfaatkan pelayanan ANC. Peserta PBI berpeluang lebih besar daripada peserta nonPBI dalam memanfaatkan pelayanan ANC.
Since its implementation in 2014, the National Health Insurance programme has encouraged utilization of health care for pregnant mothers in both primary and secondary health care. This should be accessible to the entire Indonesian without any obstacles. Indonesia's vast geography has become one of the obstacles to access health services. Using cross sectional analysis methods, the study looked at the characteristics of the utilization of antenatal care services (ANC) in Indonesia using Social Health Insurance Sample Data 2023. We found that there was an influence of province of residence, age, marital status, rights of the care class and segments of participation in the utilization of ANC with a significance of 5%. These findings show that participants in the 28 provinces had a greater chance of having ANC compared to participants in West Papua. Participants with married status were 1.09 times more likely than non-married/divorced participants. Participants with 1st and 2nd grade entitlements are more likely to take advantage of the ANC services. PBI participants have a greater chance than non-PBI participants for having ANC services.
T-6956
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Reza Rahman; Pembimbing: Budi Hidayat; Penguji: Pujiyanto, Vetty Yulianty Permanasari, Donni Hendrawan, Sulistyo
Abstrak:
Read More
Pelaksanaan program Jaminan Kesehatan Nasional (JKN) telah berjalan sejak tahun 2014, dalam pelaksanaanya masih ditemui tantangan khususnya dari sisi pemanfaatan pelayanan kesehatan. Tuberkulosis merupakan penyakit pernafasan menular penyebab utama kematian akibat infeksi di dunia yang penyebarannya terus mengalami peningkatan, Indonesia sendiri berada pada posisi kedua kasus terbesar setelah India. Tujuan penelitian ini adalah melakukan analisis pemanfaatan pelayanan kesehatan serta mengkaji faktor-faktor yang mempengaruhi pemanfaatan pelayanan rawat jalan pada peserta JKN dengan diagnosis tuberkulosis paru. Penelitian ini menggunakan data sekunder data sampel BPJS Kesehatan kontekstual tuberkulosis tahun 2022. Data dianalisis secara univariat, bivariat dan multivariat dengan model regresi Negative Binomial. Hasil uji statistik menunjukan terdapat hubungan yang signifikan antara kelompok umur, status pernikahan dan status pulang pada pelayanan FKTP dengan pemanfaatan layanan rawat jalan. Pengaruh jenis kepesertaan terhadap pemanfaatan layanan rawat jalan signifikan pada pelayanan RJTP dan RJTL dimana peserta PBI lebih banyak dalam memanfaatkan pelayanan RJTP sedangkan pada peserta Non PBI lebih banyak dalam memanfaatkan pelayanan RJTL.
The implementation of the National Health Insurance (JKN) program has been running since 2014, in its implementation there are still challenges, especially in terms of the use of health services. Tuberculosis is an infectious respiratory disease that is the main cause of death due to infections in the world whose spread continues to increase, Indonesia itself is in the second position with the largest cases after India. The purpose of this study is to analyze the use of health services and examine the factors that affect the use of outpatient services in JKN participants with a diagnosis of pulmonary tuberculosis. This study uses secondary data from BPJS Kesehatan contextual tuberculosis sample data in 2022. The data were analyzed univariately, bivariately and multivariate with a Negative Binomial regression model. The results of the statistical test showed that there was a significant relationship between age groups, marital status and discharge status in FKTP services and the use of outpatient services. The effect of the type of membership on the utilization of outpatient services was significant in RJTP and RJTL services where PBI participants were more in utilizing RJTP services while Non-PBI participants were more in utilizing RJTL services.
T-6922
Depok : FKM-UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Moudy Muhaiminurrohima Putri; Pembimbing: Pujiyanto; Penguji: Atik Nurwahyuni, Kurnia Sari, Ibu Atmiroseva, Ibu Amila Megraini
Abstrak:
Read More
Laporan International Diabetes Federation (IDF) melaporkan prevalensi diabetes melitus di Indonesia pada orang dewasa meningkat setiap tahunnya dan menyebabkan beban biaya kesehatan meningkat. Pelayanan kesehatan di tingkat Fasilitas Kesehatan Tingkat Pertama (FKTP) berfungsi sebagai gatekeeper dalam memberikan layanan promotif, preventif, kuratif, dan rehabilitative diharapkan dapat membantu menekan progresivitas penyakit, mencegah komplikasi, serta mengurangi beban rujukan ke fasilitas kesehatan tingkat lanjutan. Namun, pemanfaatan layanan FKTP masih dihadapkan dengan berbagai tantangan. Penelitian ini bertujuan untuk melihat faktor-faktor yang mempengaruhi layanan kesehatan di FKTP. Penelitian ini menggunakan data sekunder data sampel BPJS Kontekstual DM tahun 2017-2023. Data dianalisis secara univariat, bivariat, dan multivariat menggunakan regresi. Hasil analisis distribusi frekuensi pemanfaatan layanan kesehatan FKTP tahun 2017-2023 didominasi oleh Puskesmas (59,08%). Peserta BPJS dengan segmen peserta Bukan Pekerja, berjenis kelamin perempuan, status perkawinan cerai, lansia (>65tahun), memiliki hak kelas rawat I, dan berdomisili di DKI Jakarta memiliki kemungkinan lebih besar mengunjungi pelayanan FKTP. Faktor segmentasi kepesertaan, jenis kelamin, usia, status perkawinan, hak kelas rawat, dan provinsi FKTP memiliki pengaruh signifikan terhadap penggunaan layanan FKTP oleh peserta JKN dengan DM
The International Diabetes Federation (IDF) report reports that the prevalence of diabetes mellitus in Indonesia in adults increases every year and causes an increase in health costs. Health services at the Primary Health Facility (FKTP) level function as gatekeepers in providing promotive, preventive, curative, and rehabilitative services that are expected to help suppress disease progression, prevent complications, and reduce the burden of referrals to advanced health facilities. However, the use of FKTP services still faces various challenges. This study aims to examine the factors that influence health services at FKTP. This study uses secondary data from the Contextual BPJS DM sample data for 2017- 2023. Data were analyzed univariately, bivariately, and multivariately using regression. The results of the frequency distribution analysis of the use of FKTP health services for 2017-2023 were dominated by Community Health Centers (59.08%). BPJS participants with the Non-Worker participant segment, female, divorced, elderly (>65 years), have class I care rights, and are domiciled in DKI Jakarta are more likely to visit FKTP services. The factors of participant segmentation, gender, age, marital status, class care rights, and FKTP province have a significant influence on the use of FKTP services by JKN participants with DM
T-7231
Depok : FKM-UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Intan Corina Indra; Pembimnbing: Budi Hidayat; Penguji: Prastuti Soewondo, Pujiyanto, Donni Hendrawan, Ratih Dwi Lestari
Abstrak:
Read More
Implementasi program Jaminan Kesehatan Nasional (JKN) sejak tahun 2014 menghadapi tantangan dalam pengelolaan layanan hemodialisis sebagai terapi utama gagal ginjal kronik. Penelitian bertujuan menganalisis pola pemanfaatan layanan hemodialisis dalam konteks Rawat Jalan Tingkat Lanjut (RJTL) oleh peserta JKN. Penelitian cross sectional ini menggunakan data klaim BPJS Kesehatan tahun 2023 dengan sampel 81.816 peserta. Analisis data meliputi univariat, bivariat, dan multivariat menggunakan regresi binomial negatif. Hasil menunjukkan rata-rata kunjungan hemodialisis nasional mencapai 51,46 kali per tahun. Peserta Non-PBI memiliki tingkat pemanfaatan 13,6% lebih tinggi dibanding PBI (IRR=1,136; p<0,000). DI Yogyakarta mencatatkan rata-rata kunjungan tertinggi (61,78 kali/tahun), sementara Papua terendah (18,06 kali/tahun). Fasilitas TNI AU menunjukkan rata-rata kunjungan tertinggi (72,79 kali/tahun). Kesimpulan menunjukkan adanya kesenjangan signifikan dalam pemanfaatan layanan hemodialisis berdasarkan karakteristik demografis, geografis, dan kepemilikan fasilitas kesehatan. Diperlukan pengembangan kebijakan komprehensif untuk meningkatkan akses dan pemerataan layanan hemodialisis bagi seluruh peserta JKN.
The implementation of the National Health Insurance (JKN) program since 2014 has faced various challenges in managing hemodialysis services as the primary modality for chronic kidney disease therapy. This study aims to analyze the utilization patterns of hemodialysis services in the context of Advanced Outpatient Care (RJTL) by JKN participants and identify factors influencing service utilization. This study with a cross-sectional design used secondary data from BPJS Kesehatan claims in 2023. The study population comprised all JKN participants undergoing hemodialysis, with a sample size of 81,816 participants. Data analysis was conducted comprehensively, including univariate, bivariate, and multivariate analyses using negative binomial regression models. The analysis results showed that the national average of hemodialysis visits reached 51.46 times per year. There were significant variations in service utilization based on membership segmentation, where Non-PBI participants showed 13.6% higher utilization rates compared to PBI participants (IRR=1.136; p<0.000). Regional analysis revealed that DI Yogyakarta recorded the highest average visits at 61.78 times per year, while Papua recorded the lowest average with 18.06 visits. In terms of healthcare facility ownership, Air Force facilities showed the highest average visits at 72.79 times per year. Research findings indicate significant disparities in hemodialysis service utilization based on demographic, geographic, and healthcare facility ownership characteristics. These results emphasize the importance of developing comprehensive policies to improve access and equitable distribution of hemodialysis services for all JKN participants.
T-7194
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Erfan Chandra Nugraha; Pembimbing: Pujiyanto; Penguji: Ede Surya Darmawan, Vetty Yulianty Permanasari, Esti Widiastuti Mangunadikusumo, Donni Hendrawan
Abstrak:
Read More
Diabetes melitus (DM) merupakan penyakit katastropik yang membebani pembiayaan program Jaminan Kesehatan Nasional (JKN) serta penderitanya terus meningkat. Akses peserta JKN dengan DM dalam memanfaatkan layanan kesehatan di Fasilitas Kesehatan Rujukan Tingkat Lanjutan (FKRTL) masih dipandang banyak dimanfaatkan oleh segmen kepesertaan tertentu. Selain itu terdapat berbagai faktor yang mempengaruhi akses layanan kesehatan di FKRTL. Tujuan penelitian ini adalah melakukan analisis pemanfaatan layanan berdasarkan jenis kepesertaan serta mengkaji faktor-faktor yang mempengaruhi pemanfaatan pelayanan rawat jalan dan rawat inap tingkat lanjutan oleh peserta JKN penderita DM. Penelitian ini menggunakan data sekunder data sampel BPJS Kesehatan kontekstual DM tahun 2022. Data dianalisis secara univariat, bivariat dan multivariat dengan model regresi Zero Inflated Negative Binomial. Hasil uji statistik menunjukan pada rawat jalan, umur, jenis peserta, jenis kelamin, kelas rawat dan provinsi peserta signifikan berbeda dalam pemanfaatan layanan kesehatan sedangkan pada rawat inap, umur, kelas rawat dan provinsi peserta signifikan berbeda dalam pemanfaatan layanan kesehatan. Pengaruh jenis kepesertaan dalam program JKN berpengaruh signifikan terhadap pemanfaatan layanan di rawat jalan namun tidak berpengaruh signifikan pada rawat inap. Pemanfaatan peserta Non PBI lebih besar 1,16 kali dibandingkan peserta PBI pada rawat jalan.
Diabetes mellitus (DM) is a catastrophic disease that burdens the National Social Health Insurance Program (JKN) and sufferers continue to increase. Access for JKN participants with DM to utilize health services at Advanced Level Referral Health Facilities (FKRTL) is still widely seen as being used by certain participant segments. Apart from that, there are various factors that influence access to health services at FKRTL. The aim of this research is to analyze service utilization based on the type of membership and examine the factors that influence the utilization of advanced outpatient and inpatient services by JKN participants with DM. This research uses secondary data from the 2022 DM contextual BPJS Kesehatan sample data. The data was analyzed univariately, bivariately, and multivariately with the Zero Inflated Negative Binomial regression model. The statistical test results showed that in outpatient care, age, type of participant, gender, treatment class, and participant province were significantly different in terms of health service utilization, while in inpatient care, age, treatment class, and participant province were significantly different in terms of health service utilization. The influence of the type of maintenance in the JKN program has a significant effect on the utilization of services in outpatient care but does not have a significant effect on inpatient care. The utilization of non-PBI participants was 1.16 times greater than that of PBI participants in outpatient care.
T-6925
Depok : FKM-UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Latifah Alifiana Rahmawati; Pembimbing: Atik Nurwahyuni; Penguji: Kurnia Sari, Prastuti Soewondo, Siti Masruroh dan Nanang Wahyu Santoso
Abstrak:
Read More
Penyakit infeksi masih menjadi salah satu beban masalah kesehatan di dunia. Pada tahun 2021, terdapat 5 juta kematian anak balita akibat infeksi. Terdapat berbagai faktor yang dapat menyebabkan penyakit infeksi pada anak balita, salah satunya yaitu berat badan lahir kurang dari 2.500 gram atau berat badan lahir rendah (BBLR). Tujuan: Studi ini bertujuan untuk mengetahui hubungan berat badan lahir terhadap jumlah kunjungan rawat jalan dan rawat inap, durasi lama rawat inap, dan akumulasi biaya klaim BPJS akibat penyakit ISPA dan diare pada anak usia 0-59 bulan di FKRTL. Metode: Studi ini menggunakan desain kohort retrospektif menggunakan Data Sampel BPJS Kesehatan dari 2017-2022, yang digabungkan dengan Indeks Kualitas Air dan Indeks Kualitas Udara dari Laporan Kementerian Lingkungan Hidup dan Kehutanan. Jumlah kasus rawat jalan diestimasi menggunakan Regresi Binomial Negatif, jumlah kunjungan rawat inap dan jumlah hari rawat inap dianalisis dengan Zero-Inflated Negative Binomial, serta akumulasi biaya dianalisis menggunakan Regresi Gamma. Hasil: Subjek dalam penelitian ini adalah 3.175 anak yang lahir pada tahun 2017 dengan kode INACBGs P-8-02 hingga P-8-17. Terdapat, 493 (15,53%) adalah anak dengan berat lahir rendah. Total pemanfaatan rawat jalan di antara anak-anak di bawah lima tahun karena diare dan ISPA 1.708 kunjungan (rata-rata: 0,56), dan pemanfaatan rawat inap adalah 1.174 (rata-rata: 0,38). Rata-rata lama menginap adalah 3,54 hari, dengan total 4.160 hari. Akumulasi biaya untuk rawat jalan adalah Rp353.548.900 (rata-rata: Rp111.354), dan untuk rawat inap adalah Rp3.737.613.820 (rata-rata: Rp1.177.201). Terdapat hubungan yang signifikan antara berat badan lahir dengan jumlah kematian pada anak balita, rata-rata jumlah kematian pada anak dengan riwayat BBLR lebih tinggi dibanding anak dengan berat badan lahir normal. Meskipun berat badan lahir tidak berhubungan secara signifikan terhadap jumlah kunjungan rawat jalan, namun jumlah kunjungan anak dengan BBLR lebih banyak dibandingkan anak dangan BBLN. Jumlah kunjungan rawat inap dan jumlah hari rawat inap di FKRTL selama 5 tahun lebih banyak secara signifikan pada anak dengan riwayat BBLR. Meskipun tidak terdapat perbedaan yang signifikan pada akumulasi biaya perawatan namun jumlah kunjungan yang lebih banyak pada anak dengan BBLR dapat mempengaruhi peningkatan jumlah biaya pasien langsung seperti transportasi dan caregiver serta biaya pasien tidak langsung yakni income loss dari orang tua/caregiver
Infectious diseases are still one of the burdens of health problems in the world. In 2021, there will be 5 million deaths of children under five due to infections. Infectious diseases are still one of the burdens of health problems in the world. In 2021, there will be 5 million deaths of children under five due to infections. There are various factors that can cause infectious diseases in children under five, one of which is birth weight less than 2,500 grams or low birth weight (LBW). Objective: This study aims to determine the relationship between the number of outpatient and inpatient visits, the duration of hospitalization, and the accumulation of BPJS claim costs due to ARI and diarrhea based on birth weight category in children aged 0-59 months at FKRTL. Methods: This study used a retrospective cohort design using BPJS Health Sample Data from 2017-2022, which was combined with the Water Quality Index and Air Quality Index from the Ministry of Environment and Forestry Report. The number of outpatient cases was estimated using Negative Binomial Regression, the number of inpatient visits and the number of inpatient days were analyzed with Zero-Inflated Negative Binomial, and the accumulated costs were analyzed using Gamma Regression. Results: The subjects in this study were 3,175 children born in 2017 with INACBGs codes P-8-02 to P-8-17. There were 493 (15.53%) low birth weight children. Total outpatient utilization among children under five years of age due to diarrhea and ARI was 1,708 visits (mean: 0.56), and inpatient utilization was 1,174 (mean: 0.38). The average length of stay was 3.54 days, totaling 4,160 days. The accumulated cost for outpatient care was IDR353,548,900 (mean: IDR111,354), and for inpatient care was IDR3,737,613,820 (mean: IDR1,177,201). There was a significant association between birth weight and the number of deaths in children under five, with the average number of deaths in children with a history of LBW being higher than children with normal birth weight. Although birth weight was not significantly associated with the number of outpatient visits, children with LBW had more visits than children with normal birth weight. The number of inpatient visits and the number of days of hospitalization in FKRTL over 5 years were significantly higher in children with a history of LBW. Although there is no significant difference in the accumulated cost of care, the greater number of visits in children with LBW can affect the increase in the number of direct patient costs such as transportation and caregiver and indirect patient costs, namely income loss from parents/caregivers.
T-6985
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Lamhot Tambunan; Pembimbing: Pujiyanto; Penguji: Armasytra Bahar, Rocky Gunung Hasudungan
Abstrak:
Rendahnya utilisasi pelayanan kesehatan gigi di Indonesia menjadipermasalahan yang selama ini menjadi suatu kendala dalam meningkatkan derajadkesehatan di Indonesia karena menurut Undang-Undang nomor 36 tahun 2009bahwa pelayanan kesehatan gigi dan mulut dilakukan untuk memelihara danmeningkatakan derajad kesehatan masyarakat. Dari data penelitian menunjukkanrendahnya utilisasi pelayanan kesehatan gigi padahal prevalensi karies gigi diIndonesia cukup tinggi. Peneliti ingin melihat determinan utilisasi pelayanankesehatan gigi di Indonesia.Penelitian ini merupakan analisis data sekunder Susenas 2012 yangmerupakan penelitian kuantitatif dengan rancangan cross sectional. Penelitian inimelihat determinan utilisasi pelayanan kesehatan gigi diindonesia.Hasil analisis menunjukkan bahwa faktor usia, jenis kelamin, statuspernikahan, status pendidikan, status pekerjaan dan status tempat tinggal tidakmenunjukan hubungan yang sangat kuat dalam memanfaatkan pelayanankesehatan gigi di Indonesia, Sementara faktor kepemilikan asuransi, statusekonomi,wilayah domisili, dan adanya gangguan aktivitas menunjukan hubunganyang sangat kuat terhadap utilisasi pelayanan kesehatan gigi di Indonesia.Saran dari studi ini adalah karena adanya hubungan yang sangat kuatantara kepemilikan asuransi dengan utilisasi pelayanan kesehatan gigi hendaknyacakupan asuransi diperluas terutama untuk masyarakat miskin agar supayautilisasi pelayanan kesehatan gigi juga bisa meningkat, dan distribusi dokter gigijuga harus lebih terdistribusi dengan baik.Kata Kunci:Determinan, unmet need, utilisasi, Susenas 2012.
Lack of dental health services utilization in Indonesia became a problem aslong as it becomes a constraint in increasing degree movies health in Indonesiabecause according to Undang-undang no 36 tahun 2009 that oral health servicesdone to nurture and increases public health degree movies. Data from the sudyshowed poor dental health service utilization whereas the prevalence of dentalcaries in Indonesia is quite high. Researchers would like to see the dental healthservice utilization determinants in Indonesia.This research is analysis of data secondary susenas 2012 that is researchquantitative to a draft cross sectional. This research see determina the utilizationof health services of health services teeth in Indonesia.The result analysis shows that a factor of age, gender, the status ofmarriage, the status of education, the status of the job and the satatus of thedwelling place of not show a very strong in the harness of health services inIndonesia, the teeth insurance, while a factor of possession economic status, theregion of domicile, and any disturbance activity showed a very strong against theutilization of health services teeth in Indonesia.Advice from this study is due to the powerful relationship betweeninsurance with the utilization of health service should tooth-reinsurance coveragesexpanded especially for the poor health services so that the utilization rise, canalso distribution dentist must be distributed properly.Key words :Determinant, Unmet Need, Utilization, Susenas 2012.
Read More
Lack of dental health services utilization in Indonesia became a problem aslong as it becomes a constraint in increasing degree movies health in Indonesiabecause according to Undang-undang no 36 tahun 2009 that oral health servicesdone to nurture and increases public health degree movies. Data from the sudyshowed poor dental health service utilization whereas the prevalence of dentalcaries in Indonesia is quite high. Researchers would like to see the dental healthservice utilization determinants in Indonesia.This research is analysis of data secondary susenas 2012 that is researchquantitative to a draft cross sectional. This research see determina the utilizationof health services of health services teeth in Indonesia.The result analysis shows that a factor of age, gender, the status ofmarriage, the status of education, the status of the job and the satatus of thedwelling place of not show a very strong in the harness of health services inIndonesia, the teeth insurance, while a factor of possession economic status, theregion of domicile, and any disturbance activity showed a very strong against theutilization of health services teeth in Indonesia.Advice from this study is due to the powerful relationship betweeninsurance with the utilization of health service should tooth-reinsurance coveragesexpanded especially for the poor health services so that the utilization rise, canalso distribution dentist must be distributed properly.Key words :Determinant, Unmet Need, Utilization, Susenas 2012.
T-4044
Depok : FKM-UI, 2014
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Vania Nabiyla Zhafiirah; Pembimbing: Vetty Yulianty Permanasari; Penguji: Pujiyanto, Yusuf Subekti
Abstrak:
Penyakit Ginjal Kronik (PGK) menimbulkan beban pembiayaan yang tinggi, sehingga pemanfaatan layanan Rawat Jalan Tingkat Lanjut (RJTL) menjadi krusial, terutama bagi peserta JKN. Penelitian ini menggunakan desain cross-sectional pada 498 pasien PGK pengguna RJTL tahun 2023. Hasil menunjukkan bahwa faktor usia, jenis kelamin, status perkawinan, segmentasi kepesertaan, hak kelas rawat, dan kepemilikan fasilitas berhubungan signifikan dengan utilisasi RJTL (p<0,05). Usia ≥65 tahun menjadi faktor paling dominan (AOR: 1,48; 95% CI: 1,29–1,69). Seluruh variabel memiliki pengaruh signifikan terhadap pemanfaatan layanan RJTL pada pasien PGK.
Chronic Kidney Disease (CKD) poses a significant financial burden, making the utilization of Advanced Outpatient Services (AOS) crucial, especially for National Health Insurance (JKN) participants. This cross sectional study involved 498 CKD patients who used AOS in 2023. The results showed that age, sex, marital status, membership segmentation, class of care entitlement, and facility ownership were significantly associated with AOS utilization (p<0.05). Age ≥65 years was the most dominant factor (AOR: 1.48; 95% CI: 1.29–1.69). All variables had a significant influence on the utilization of AOS among CKD patients.
Read More
Chronic Kidney Disease (CKD) poses a significant financial burden, making the utilization of Advanced Outpatient Services (AOS) crucial, especially for National Health Insurance (JKN) participants. This cross sectional study involved 498 CKD patients who used AOS in 2023. The results showed that age, sex, marital status, membership segmentation, class of care entitlement, and facility ownership were significantly associated with AOS utilization (p<0.05). Age ≥65 years was the most dominant factor (AOR: 1.48; 95% CI: 1.29–1.69). All variables had a significant influence on the utilization of AOS among CKD patients.
S-11971
Depok : FKM-UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
☉
Serlie Kristin Adriani Littik; Pembimbing: Budi Hidayat, Pujiyanto; Penguji: Ede Surya Darmawan, Riati Anggriani, Bulan Rachmadhi
T-2182
Depok : FKM-UI, 2005
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Rybob Khomes; Pembimbing: Atik Nurwahyuni; Penguji: Prastuti Soewondo, Pujiyanto, Yennidar, Aldine Andriza Harahap
Abstrak:
Read More
Tesis ini menganalisis hubungan kinerja keuangan dan kinerja pelayanan pada IKU terhadap tingkat maturitas BLU pada Poltekkes Kemenkes. Dengan latar belakang bahwa capaian IKU yang relatif baik, belum berbanding lurus dengan tingkat maturitas BLU, diharapkan penelitian ini dapat memberi rekomendasi perbaikan IKU agar menunjang maturitas BLU. Penelitian dilakukan di lingkungan Direktorat Jenderal Sumber Daya Manusia Kesehatan Kementerian Kesehatan pada bulan Januari – Juni 2025. Studi ini menggunakan desain observasional cross sectional dengan pendekatan kuantitatif, menggunakan data capaian IKU dan tingkat maturitas BLU dari 18 Poltekkes Kemenkes yang sudah berstatus BLU pada tahun 2022 – 2023, dengan total 36 observasi. Hasil analisis menunjukkan bahwa dari 12 indikator yang diuji, hanya dua indikator yang berhubungan signifikan secara statistik terhadap tingkat maturitas BLU, yaitu persentase realisasi pendapatan BLU terhadap beban operasional pada kinerja keuangan dan kualitas kelembagaan pada kinerja pelayanan. Oleh karena itu, penelitian ini merekomendasikan perbaikan indikator IKU agar benar – benar menunjang maturitas BLU Poltekkes Kemenkes.
This thesis analyzes the relationship between financial performance and service performance on Key Performance Indicators (KPIs) against the BLU maturity rating at Poltekkes Kemenkes (Health Polytechnics under the Ministry of Health). Given that relatively good KPI achievements have not been directly proportional to the BLU maturity rating, this research is expected to provide recommendations for improving KPIs to support BLU maturity. The research was conducted within the Directorate General of Health Human Resources, Ministry of Health, from January to June 2025. This study employed a cross-sectional observational design with a quantitative approach, utilizing KPI achievement data and BLU maturity rating from 18 Poltekkes Kemenkes institutions that had BLU status in 2022-2023, totaling 36 observations. The analysis results indicate that out of 12 indicators tested, only two indicators were statistically significant in relation to the BLU maturity rating: the percentage of BLU revenue realization against operational expenses in financial performance, and institutional quality in service performance. Therefore, this research recommends improvements to KPI indicators to genuinely support the BLU maturity of Poltekkes Kemenkes.
T-7253
Depok : FKM-UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉