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Kemajuan di bidang ekonomi dan teknologi di negara maju maupun negara berkembang menyebabkan terjadinya transisi pola gaya hidup termasuk pola makan. Hal ini juga berdampak pada meningkatnya masalah gizi lebih yang pada akhimya akan semakin meningkatkan kejadian penyakit degeneratif. Penelitian yang dilakukan oleh Riana (2004) pada- siswi Jakarta memperlihatkan bahwa prevalensi gizi lebih sebesar 25,3%. Hasil yang harnpir sama juga diperoleh oleh Arnaliah (2005) pada siswa SMA di Jakarta yang rnenunjukkan angka prevalensi gizi lebih sebesar 25,5%. Tujuan dari penelitian ini adalah untuk mengetahui gambaran IMT (Indeks Massa Tubuh/Body Mass Index) pada remaja SMA sebagai variabel dependen _dan variabel independen seperti jenis kelamin, frekuensi konsumsi fast food, banyalawa jenis konsumsi fast food, konsumsi sayur, konsumsi energi dan lemak, dan aktifitas fisik. Selain itu, penelitian ini juga ingin melihat bagaimana hubungan antara IMT dengan variabel-variabel independen tersebut dan mencari variabel yang paling dominan berhubungan dengan INTT menurut umur. Jenis penelitian yang digunakan yaitu penelitian kuantitatif dengan desain cross sectional. Penelitian ini dilaksanakan di SMA Labschool Rawamangun Jakarta Tirnur dengan sampel sebesar 204 responden. pengambilan data dilakukan pada akhir bulan Mei 2007. Analisis yang digunakan yaitu analisis uvariat, bivariat, dan multivariat. Hasil penelitian ini menunjukkan bahwa prevalensi gizi lebih (overweight) di SMA Labschool Rawarnangun Jakarta Timur sebesar 27.9%. Sebagian besar responden berjenis kelamin perempuan. Hasil analisis bivariat menunjukkan bahwa ada hubungan yang bermakna antara konsumsi fast food, konsumsi energi dan lemak dengan 11VIT menurut umur. Setelah dilakukan analisis multivariat, diperoleh hasil bahwa konsumsi energi merupakan variabel yang paling dominan berhubungan dengan 1MT menurut umur. Berdasarkan kesimpulan hasil penelitian ini, disarankan untuk dilakukan pencegahan sercara dini dalam mengendalikan kecenderungan peningkatan kejadian gizi lebih pada remaja. Kegiatan yang dapat dilakukan diantaranya penilaian status gizi dengan melakukan penimbangan berat badan dan pengukuran tinggi badan secara rutin sebulan sekali. Selain itu, pemberian pengetahuan gizi kepada siswa dan orang tua siswa mengenai konsumsi energi dan hubungannya dengan gizi lebih menjadi salah satu bentuk upaya pencegahan terjadinya gizi lebih.
The advancement of economy and technology within both developed and developing countries is resulting in life style alteration, which include meal pattern. This alteration also influences the escalation of malnutrition which finally lead to degenerative diseases. Riana's study (2004) shows 25% high school students are overweight. Similar result are shown by AmaIiah (2005) which prevaiens of overweight is 25.3%. This research aimed to capture the outline of IIVIT as dependent variable compare to independent variables; namely sex, fast food consumption, vegetables intake, fat intake, and physical activity. Besides that, we also want to observe the relation between [MT and all the independent variables and to find the most dominant independent variable to DAT according age group. This is a quantitative research in which using cross sectional design study. The research, which was conducted in Labschool Senior High School Jakarta, is followed by 204 respondents. Data collection occurred in May 2007. As for data analysis, we employ univariate, bivariate, and multivariate. This research documented that the prevalence of overweight amongst students of Labschool Senior High School is 27.9%. To be notice, most of our respondents are female students. Bivariate analysis showed that there is a significant relation between fast food intake, many of fast food, energy, and fat intake with IMT according age group. Afterward, multivariate analysis took place. It showed that energy intake is the most dominant factor that influences IMT. Based on the result of this research, it is necessary to perform an early prevention from overweight status in order to reduce the event amongst young people. Nutritional assessment using MIT indicator can be taken as a committed routine action by school providers. Besides, nutritional education to students and their parents considers as mutual step of prevention deed of the event. We can provide information of the importance of controlling dietary intake on young people, notably energy intake to them. It is not the only responsibility of school providers to prevent the event from emerging, but it is our responsibility as parents and as part of education system also. Together we can help our young generation from outrageous nutritional status.
Introduction: The COVID-19 pandemic has greatly affected the whole world. This influence is also felt by the hospital, so that the level of satisfaction of health workers is very important to be maintained or even increased. In 2020 and 2021 Dr. Adjidarmo regional public hospital experienced difficulties during the pandemic, this was seen in the decrease in the number of patient visits to the Emergency Room (ER). The number of ER patient visits in 2019 was 19,271 patients, while in 2020 the number was 13,682 patients and in 2021 the number was 11,374. The purpose of this study was to analyze the relationship between the level of health workers' goals on performance in Dr. Adjidarmo regional public hospital. Research method: This study used a cross-sectional design with quantitative analysis methods. The research is located in Dr. Adjidarmo regional public hospital, Rangkasbitung Districts, Lebak Regency, Banten Province, and conducted in June 2022. This research uses the Job Satisfaction Survey (JSS) instrument by Spector in 1994 with 36 questions translated into Indonesian. Job satisfaction assessment is carried out to assess job satisfaction in 2021, so that an explanation is given to respondents how job satisfaction is after seeing the performance results in 2021. Results and discussion: General job satisfaction of health workers at Dr. Adjidarmo regional public hospital is 134.38 with a number of satisfied health workers as many as 84 respondents or 35.3%. This high or low job satisfaction result may be due to differences in research locations, the number and type of respondents' professions, salary standards for health workers, and the time of previous research conducted before the COVID-19 pandemic. In the results of the bivariate analysis looking for the relationship between job satisfaction and performance, it was found that p-value > 0.05. Thus job satisfaction in general is not related to performance results. In the results of research with multiple logistic regression analysis to examine the extent to which the nine components of job satisfaction (the wrok itself, rewards and recognition, promotions, salary, supervision, fringe benefits, policies and procedures, interpersonal relationships with superiors, and interpersonal relationships with coworkers) examined to predict performance outcomes. The results obtained p-value > 0.05 for all components of job satisfaction, thus the component of job satisfaction is not related to performance results. This is probably due organizational factors, professionalism of health workers and performance appraisal system. Key words: Job satisfaction, performance, health workers
The unknown factors affecting postpartum contraceptive use in sub-district health centers Jagakarsa makes the writer interested in conducting research on the factors that influence the use of postpartum contraception in Jagakarsa district health center. The factors that will be examined are: predisposing factors (maternal knowledge about contraception and family planning services, maternal attitudes toward contraception, maternal age, maternal education, maternal occupation, number of living children, the youngest child age, reproductive intentions and autonomy on fertility and family planning) , enabling factors (affordability of family planning services) and reinforcing factors (husband support and counseling KB). This research is quantitative research design of case-control study conducted in May-June 2013. In the case of this study population was all women aged 15-49 years, had the smallest child to the age of 0-42 days and using contraception. While population control is all women aged 15-49, have children ages 0-42 tterkecil the day and not using contraception. Number of samples obtained from two different test formula proportions were 49 respondents for the case group and 49 respondents to the control group. Sampling was done by systematic random sampling. Data collected by mengajkan question on the questionnaire.
Seiring dengan berjalannya waktu, masyarakat pengguna BPJS merasa puas dengan inovasi pelayanan kesehatan melalui program BPJS. Namun, masalah justru terjadi pada pihak instansi kesehatan yang merupakan pihak pendukung program BPJS Kesehatan yang mengalami masalah pending claim. Permasalahan pending claim ini harus segera diatasi karena pending claim menyebabkan kerugian akibat pembiayaan pelayanan lebih besar daripada jumlah klaim yang dibayarkan. Penelitian ini bertujuan untuk mengidentifikasi faktor input, faktor proses, faktor hasil (output) dalam prosedur pengajuan klaim rawat inap pasien BPJS di RS Hermina Ciputat, dan mendapatkan gambaran yang menyebabkan pending claims (output) di RS Hermina Ciputat. Penelitian ini merupakan penelitian dengan pendekatan observasional deskriptif dengan metode kualitatif melalui wawancara mendalam dan telaah dokumen. Hasil penelitan menunjukkan bahwa faktor input yang mengakibatkan banyaknya pending claims di RS Hermina Ciputat antara lain: faktor Man (kompetensi ataupun pengetahuan dokter spesialis, dokter umum, dan tenaga koder yang kurang terkait klaim BPJS); Money (belum dilaksanakannya secara berkelanjutan evaluasi kinerja kepada dokter spesialis); Methods (belum semua ada dan maksimal untuk panduan praktik klinis/clinical pathways); Materials (aplikasi SIMRS tidak praktis dan lambat, jaringan internet lama); dan Machine (kurangnya sarana dan prasarana). Hasil lain dari penelitian menunjukkan bahwa faktor yang mengakibatkan pending claims di RS Hermina Ciputat antara lain: kesulitan dalam melengkapi bukti administrasi klaim dan kesalahan pengisian administrasi dengan tepat; pengisian berkas rekam medis yang tidak lengkap; kualitas pengisian resume medis dan pengisian resume medis yang tidak sesuai; kurang lengkapnya bukti-bukti penunjang klaim; pemberian kode untuk diagnosa primer dan sekunder yang tidak tepat; dan kesalahan pengentrian jenis perawatan.
BPJS users are satisfied with the innovation of health services through the BPJS program. However, the problem occurred on the health agencies which are supporter institutions of the BPJS Health program which experienced pending claims problem. This problem of pending claims must be addressed immediately because pending claims cause losses due to service costs are greater than the number of claims paid. This study aims to identify input factors, process factors, output factors in the procedure for submitting claims for BPJS inpatient claims at Hermina Ciputat Hospital and to obtain an overview of the causes of pending claims (output) at Hermina Ciputat Hospital. This study uses descriptive observational approach with qualitative methods through in-depth interviews and document review. The results of the study show that the input factors that result in the number of pending claims at Hermina Ciputat Hospital include: Man factor (competence or knowledge of specialist doctors, general practitioners, and coding staff who are not competent handling BPJS claims); Man factor (competence or knowledge of specialist doctors, general practitioners, and coding staff who are lacking in relation to BPJS claims); Money (no continuous performance evaluation or specialist doctors); Methods (not maximal impelementation of practice guidelines/clinical pathways); Materials (the SIMRS application is not user-friendly and slow, slow internet connection); and Machine (lack of facilities and infrastructure).Other results of the study show that the factors resulting in pending claims at Hermina Ciputat Hospital include: difficulties in completing proof of claim administration and administrative filling errors; incomplete filling of medical record files; the quality of filling out medical resumes and filling out medical resumes that are not appropriate; incomplete evidence supporting the claim; inappropriate coding for primary and secondary diagnoses; and errors in determining treatment type.
