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Chitra Wahyuliarti; Pembimbing: Pujiyanto; Penguji: Vetty Yulianti Permansari, Sagita Muliasari
S-5962
Depok : FKM-UI, 2010
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Dimas Rangga Murlaseto; Pembimbing: Kurnia Sari; Penguji: Atik Nurwahyuni, Heru Susmono
Abstrak:
Tujuan penelitian ini adalah untuk Menggambarkan faktor-faktor terkait pelaksanaan rujukan PT Askes Cabang Jakarta Pusat di Puskesmas Kecamatan Senen dan Kecamatan Johar Baru Tahun 2012 dengan menggunakan pendekatan kualitatif. Selain itu ditelaah beberapa aspek yang terkait dengan ketersediaan dokter, ketersediaan obat-obatan, kelengkapan fasilitas alat kesehatan, pemahaman petugas kesehatan sebagai gate keeper dan pemahaman pasien peserta askes tentang rujukan dan rujuk balik. Hasil penelitian ini menunjukkan bahwa jika ketersediaan obat dan kelengkapan fasilitas di puskemas kurang akan membuat kemungkinan pasien dirujuk ke PPK tingkat lanjut semakin besar, pengetahuan pasien akan layanan rujukan juga mempengaruhi keputusan pasien untuk dirujuk, semakin besar pengetahuan pasien, maka akan kecil kemungkinan pasien dirujuk dan sebaliknya semakin sedikit pengetahuan pasien, maka akan semakin besar pasien dirujuk.
The purpose of this study was to describe factors related to the implementation reference Askes Branch in Central Jakarta district health centers and sub-Johar Senen Year 2012 by using a qualitative approach. Moreover examined several aspects related to the availability of doctors, availability of drugs, medical devices complete facilities, understanding health as a gate keeper and patient understanding of participants askes about referral and refer back. The results of this study indicate that if the availability of drugs in health centers and complete facilities will make less likely the patient is referred to a greater PPK advanced, knowledge of patient referral service will also influence the decision to refer the patient, the greater the knowledge of the patient, the less likely the patient will be referred and conversely the less knowledge of the patient, the greater the patient is referred.
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The purpose of this study was to describe factors related to the implementation reference Askes Branch in Central Jakarta district health centers and sub-Johar Senen Year 2012 by using a qualitative approach. Moreover examined several aspects related to the availability of doctors, availability of drugs, medical devices complete facilities, understanding health as a gate keeper and patient understanding of participants askes about referral and refer back. The results of this study indicate that if the availability of drugs in health centers and complete facilities will make less likely the patient is referred to a greater PPK advanced, knowledge of patient referral service will also influence the decision to refer the patient, the greater the knowledge of the patient, the less likely the patient will be referred and conversely the less knowledge of the patient, the greater the patient is referred.
S-7729
Depok : FKM-UI, 2013
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Agus Asyuri; Pembimbing: Pujiyanto; Penguji: Jaslis Ilyas, Handi Surya Adiguna
S-4994
Depok : FKM-UI, 2007
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Amilla Wulandhani; Pembimbing: Hafizurrachman; Penguji: Pujiyanto, Handaryo
Abstrak:
Penelitian ini bertujuan untuk mengetahui gambaran ketersediaan dokter, ketersediaan obat-obatan, fasilitas kesehatan, pemahaman dokter sebagai gatekeeper, pemahaman dokter tentang kapitasi, dan diagnosis medis terhadap kasus rujukan peserta Askes Sosial di Puskesmas Sumbersari Bantul tahun 2012.Penelitian ini menggunakan metode penelitian kualitatif dengan desain deskriptif.Hasil penelitian menunjukkan bahwa keterbatasan obat dan fasilitas kesehatan,rendahnya pemahaman dokter mengenai gatekeeper dan kapitasi, serta banyaknya pasien penyakit kronis menyebabkan kasus rujukan tinggi. Diperlukan ketegasan dokter untuk mengurangi kasus rujukan yang bukan berdasarkan indikasi medis serta koordinasi antara PT Askes, Dinas Kesehatan, dan puskesmas untuk menyediakan obat dan fasilitas kesehatan yang dibutuhkan di puskesmas.Kata kunci: Kasus rujukan, rujukan puskesmas, puskesmas sebagai gatekeeper ̧ kapitasi
This study aims to describe the physician availability, drugs availability, healthfacilities, physician understanding as a gatekeeper, physician understanding ofcapitation, and medical diagnosis in referral case from primary health care ofAskes Sosial participants at Puskesmas Sumbersari Bantul in 2012. This studyuses descriptive qualitative research design. The result indicates that the limiteddrugs and health facilities, physician lack of understanding about gatekeeper andcapitation, and number of patients with chronic disease, causing high referralcases. The researcher suggests improving the physician decision to reduce referralcase that is not based on medical indication and also improving the coordinationbetween PT Askes, Dinas Kesehatan, and primary health care to provide thedemand of drugs and health facilities in primary health care.Key words:Referral case, referral from primary health care, primary health care as agatekeeper, capitation
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This study aims to describe the physician availability, drugs availability, healthfacilities, physician understanding as a gatekeeper, physician understanding ofcapitation, and medical diagnosis in referral case from primary health care ofAskes Sosial participants at Puskesmas Sumbersari Bantul in 2012. This studyuses descriptive qualitative research design. The result indicates that the limiteddrugs and health facilities, physician lack of understanding about gatekeeper andcapitation, and number of patients with chronic disease, causing high referralcases. The researcher suggests improving the physician decision to reduce referralcase that is not based on medical indication and also improving the coordinationbetween PT Askes, Dinas Kesehatan, and primary health care to provide thedemand of drugs and health facilities in primary health care.Key words:Referral case, referral from primary health care, primary health care as agatekeeper, capitation
S-7685
Depok : FKM-UI, 2013
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Irwanto; Pembimbing: Hasbullah Thabrany; Penguji: Anhari Achadi, Jenal Mutakin Sambas
Abstrak:
Skripsi ini membahas mengenai pelaksanaan rujukan rawat jalan pertama peserta askes yang berkunjung di Puskesmas, dan dilakukan pelayanan rujukan oleh petugas Dokter yang ada di Puskesmas Harapan Raya selaku Provider PT Askes (Persero) Cabang Utama Pekanbaru di Kota Pekanbaru tahun 2012. Penelitian ini untuk mengetahui gambaran pemahaman dokter puskesmas sebagai gatekeeper, pemahaman kapitasi, sistem rujuk balik dan aspek kebijakan terhadap rujukan rawat jalan tingkat pertama di Puskesmas. Penelitian ini merupakan penelitian deskriptif dengan desain kualitatif. Hasil yang ditemukan dalam penelitian ini menunjukkan Puskesmas Harapan Raya yang memiki rasio rujukan diatas 50% diatas standart PT Askes dimana dokter selaku penanggung jawab rujukan sudah melaksanakan rujukan dengan indikasi medis, tapi masih saja adanya tuntutan pasien dalam merujuk, rata-rata dokter yang merujuk tidak memahami dokter di Puskesmas sebagai gatekeeper atau penjaga pintu akses dari rujukan, sistem rujuk tidak berjalan dengan baik dan mempengaruhi pelaksanaan rujukan. Diharapkan PT. Akses (Persero) Kantor Cabang Utama Pekanbaru lebih meningkatkan pendekatan dan kordinasi dengan pihak Puskesmas dalam mengendalikan rujukan dapat terkendali.
This Skrip discussed the implementation of a referral for outpatient first participants Askes visit in Primary Health Care, service a referral to and done by a physician who is in Puskesmas Harapan Raya as provider Pt Askes ( Persero ) of the Main Branch Pekanbaru in the City of Pekanbaru 2012. This research to know a sense of understanding doctor as gatekeeper, a capitation, understanding a system of rujuk balik and the aspect of policy terhadapat the referent of an ambulatory the first degree in PHC. This research is research descriptive with a design qualitative. A result that is found in the research indicated Puskesmas Harapan Raya have the ratio of the referent of the above 50 % and above standart Pt Askes where a doctor as caretaker a reference have been carried out the referent of the medical, with the indications but still, a patient in a reference to the demands the implementation of a referral . which of the average physician who refer don ' t understand a physicians in PHC as a gatekeeper or a door-keeper access from the reference, a system of reconcilement does not run.
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This Skrip discussed the implementation of a referral for outpatient first participants Askes visit in Primary Health Care, service a referral to and done by a physician who is in Puskesmas Harapan Raya as provider Pt Askes ( Persero ) of the Main Branch Pekanbaru in the City of Pekanbaru 2012. This research to know a sense of understanding doctor as gatekeeper, a capitation, understanding a system of rujuk balik and the aspect of policy terhadapat the referent of an ambulatory the first degree in PHC. This research is research descriptive with a design qualitative. A result that is found in the research indicated Puskesmas Harapan Raya have the ratio of the referent of the above 50 % and above standart Pt Askes where a doctor as caretaker a reference have been carried out the referent of the medical, with the indications but still, a patient in a reference to the demands the implementation of a referral . which of the average physician who refer don ' t understand a physicians in PHC as a gatekeeper or a door-keeper access from the reference, a system of reconcilement does not run.
S-7692
Depok : FKM-UI, 2013
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Glorianna Hutauruk; Pembimbing: Suprijanto Rijadi, Penguji: Pujiyanto, Jenal M Sambas
S-4655
Depok : FKM UI, 2006
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Ekaning Wedarantia; Pembimbing: Wachyu Sulistiadi; Penguji: Atik Nurwahyuni, A. Nandi Wahyu
Abstrak:
Penelitian ini bertujuan untuk menguji faktor-faktor yang berhubungan dengan utilisasi (besaran klaim) rawat inap tingkat lanjutan peserta lansia di PT Askes (Persero) Kantor Cabang Utama Jakarta Selatan tahun 2012 dengan menggunakan desain studi cross sectional. Teknik pengumpulan data dilakukan dengan mengisi daftar isian dari data sekunder yang berupa data register klaim. Diagnosis, lama hari rawat, jenis rumah sakit, dan kelas perawatan mempunyai hubungan yang signifikan dengan utilisasi (besaran klaim) rawat inap tingkat lanjutan, masing-masing dengan p-value 0,009, 0,001, 0,001 dan 0,001. Umur, jenis kelamin dan status kepesertaan tidak ditemukan hubungan yang signifikan dengan utilisasi (besaran klaim) rawat inap tingkat lanjutan.
The purpose of this research is to examine factors associated with utilization (claim) of elderly’s secondary care inpatient at PT Askes (Persero) primary branch office at South Jakarta n 2012. This research applied cross sectional design. Data were collected from secondary sources, for example claim register data. Diagnosis, length of stay, type of hospitals, and the class of treatment have significant relation with the utilization of secondary care inpatient, each with p-value 0,009; 0,001; 0,001 and 0,001. The result of the research shows that age, sex, and membership status do not have significant relation with the utilization of secondary care inpatient.
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S-7893
Depok : FKM-UI, 2013
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Meti Suprapti; Pembimbing: Ronnie Rivany
S-2845
Depok : FKM-UI, 2002
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Aurelia Aisya Nathania Putri; Pembimbing; Pujiyanto; penguji: Rico Kurniawan, Laksmi Damaryanti
Abstrak:
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Hipertensi merupakan penyakit dengan prevalensi tinggi yang menyebabkan masalah kesehatan serius dan beban pembiayaan cukup tinggi. Hipertensi terkendali masih cukup rendah dengan peningkatan berbagai faktor risiko sehingga pemanfaatan layanan rawat jalan dan rawat inap di FKRTL masih menjadi isu kesehatan cukup krusial, terutama pada peserta JKN dengan hipertensi. Penelitian ini bertujuan untuk mengetahui gambaran utilisasi pelayanan rawat jalan dan rawat inap pada peserta JKN dengan hipertensi di FKRTL Tahun 2024. Menggunakan metodologi penelitian kuantitatif deskriptif dengan desain cross-sectional, data sampel BPJS Kesehatan Tahun 2025 dengan teknik total sampling yang disesuaikan dengan kriteria inklusi dan eksklusi yang ditetapkan. Analisis yang dilakukan univariat dan secara deskriptif menggunakan crosstab. Hasil penelitian menunjukkan jumlah kunjungan yang paling banyak dilakukan peserta JKN dengan hipertensi sebanyak 1 kali (88,0%), dimana sebagian besar diakses oleh peserta kelompok usia 55-64 tahun (30,9%), perempuan (60,1%), dengan hak kelas rawat III (58,5%), kelompok PBI APBN (29,2%), terdaftar di Puskesmas (67,0%), dengan diagnosis hipertensi I10 (58,4%), pada layanan RJTL (52,0%), dan tingkat keparahan penyakit rawat jalan (52,0%). Selain itu, pelayanan RJTL didominasi oleh usia 31-44 tahun (67,0%) dan laki-laki (57,3%) serta pelayanan RITL didominasi oleh usia 55-64 tahun (52,7%) dan perempuan (51,6%). Pada tingkat keparahan penyakit rawat jalan didominasi hipertensi I15 (84,5%), serta tingkat sedang (level 2) didominasi hipertensi I13 (45,1%). Selain itu, seluruh kelompok usia memiliki proporsi hak kelas rawat III lebih besar dengan dominasi usia 55-64 tahun (64,3%). Dengan demikian, hasil penelitian ini diharapkan dapat menjadi bahan pertimbangan untuk meningkatkan efektivitas pelayanan kesehatan dan pengendalian hipertensi.
Hypertension is disease with highly prevalent that causes serious health issues and imposes a significant financial burden. Hypertension is still relatively low under controlled conditions with increasing various risk factors so that utilization of outpatient and inpatient services at Advanced Referral Healthcare Facilities (FKRTL) remains a crucial health issue, especially for JKN participants with hypertension. This study aims to describe the utilizationof outpatient and inpatient services among JKN participants with hypertension at FKRTL in 2024. A descriptive quantitative cross-sectional design was employed, sample data BPJS Kesehatan in 2025 with total sampling technique adjusted to the established inclusion and exclusion criteria. Analysis was conducted using univariate methods and descriptive cross-tabulation. The results indicate that the most frequent number or visits by JKN participants with hypertension was a single visit (88,0%). These vsits were predominantly made by participants aged 55-64 years (30,9%), women (60,1%), those entitled to Class III care (58,5%), the PBI APBN group (29,2%), those registered at Puskesmas (67,0%), and those diagnosed with hypertension code I10 (58,4%). Utilization was highest in outpatient services (RJTL) (52,0%) and at the outpatient disease severity level (52,0%). Futhermore, outpatient service utilization was dominated by the 31-44 age group (67,0%) and men (57,3%), while inpatient service utilization was dominated by the 55-64 age group (52,75) and women (51,6%). Regarding outpatient disease severity, hypertension code I15 predominated (84,5%), while hypertension code I13 predominated in the moderate severity category (level 2) (45,1%). Additionally, all age groups showed a higher proportion of entitlement to class III care with the 55-64 age group showing the highest prevalence (64,3%). Thus, these findings are expected to serve as a basis for improving the effectiveness of healthcare services and hypertension control.
S-12437
Depok : FKM-UI, 2026
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Ayu Purwanti; Pembimbing: Pujiyanto; Penguji: Atik Nurwahyuni, Ary Imelda
S-5965
Depok : FKM-UI, 2010
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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