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Delima ... [et al.]
BPK Vol.45, No.1
Jakarta : Balitbangkes Depkes RI, 2017
Indeks Artikel Jurnal-Majalah Pusat Informasi Kesehatan Masyarakat
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Karina Adristi Sasmitaningrum; Pembimbing: Kemal Nazarudin Siregar; Penguji: Popy Yuniar, Umi Zakiati
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Penyakit ginjal kronis merupakan penyebab kematian nomor 12 pada tahun 2017 dan diprediksi menjadi penyebab kematian nomor 5 pada tahun 2040. Berdasarkan data SKI 2023, prevalensi penyakit ginjal kronis di Indonesia adalah 0,18%. Walaupun relatif relatif kecil, masalah yang dihadapi adalah deteksi dini risiko dari faktor risiko penyakit ginjal kronis. Permasalahan penanganan penyakit ginjal kronis di Indonesia adalah kurangnya edukasi mengenai deteksi dini penyakit ginjal kronik serta faktor risikonya kepada masyarakat. Berdasarkan permasalahan ini, dilakukan penelitian untuk melihat faktor-faktor penyebab ginjal kronis di Indonesia. Penelitian dilakukan dengan menggunakan data SKI 2023 dengan jumlah sampel sebanyak 22639 individu. Penelitian ini dilakukan dengan uji kai kuadrat dan dilanjutkan dengan regresi logistik. Dari hasil regresi logistik yang dilakukan didapatkan hasil bahwa variabel yang menjadi faktor terbesar penyebab penyakit ginjal kronis adalah diabetes ( p-value = 0,008 ; OR = 4.792 (1,52-15,14)). Karena hasil penelitian menunjukkan diabetes sebagai faktor terbesar penyebab penyakit ginjal kronis, maka peneliti menyarankan bahwa terdapat dua fokus kebijakan yang dapat dilakukan. Pertama untuk penderita diabetes dalam hal pengontrolan penyakit, dan kedua kepada orang sehat dalam hal skrining dan deteksi dini serta promosi kesehatan untuk penerapan pola hidup sehat.
Chronic kidney disease was the 12th leading cause of death in 2017 and is predicted to be the fifth leading cause of death in 2040. Based on SKI 2023 data, the prevalence of chronic kidney disease in Indonesia is 0.18%. Although relatively small, the problem faced is early detection of the risk of chronic kidney disease risk factors. The problem of handling chronic kidney disease in Indonesia is the lack of education regarding the early detection of chronic kidney disease and its risk factors to the community. Based on this problem, a study was conducted to see the factors causing kidney chronicity in Indonesia. The study was conducted using SKI 2023 data with a sample size of 22,639 individuals. This study was conducted using the chi-square test and continued with logistic regression. From the results of the logistic regression, it was obtained that the variable that was the most significant factor causing chronic kidney disease was diabetes (p-value = 0.008; OR = 4.792 (1.52-15.14)). Because the results of the study showed diabetes as the most significant factor causing chronic kidney disease, the researcher suggested that there were two policy focuses that could be implemented. Firstly, for people with diabetes in terms of disease control, and secondly, for healthy people in terms of screening and early detection as well as health promotion for implementing a healthy lifestyle.
S-11873
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Savira Zain Laeli; Pembimbing: Pujiyanto; Penguji: Wachyu Sulistiadi, Laksmi Damaryanti
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Gagal Ginjal Kronik merupakan penyakit katastropik yang progresif dan irreversible dengan beban biaya tinggi dalam program Jaminan Kesehatan Nasional (JKN). Penelitian ini bertujuan untuk melihat gambaran biaya serta faktor-faktor yang mempengaruhi biaya pelayanan kesehatan penyakit GGK di Provinsi DKI Jakarta Tahun 2023. Penelitian ini menggunakan desain studi non-eksperimental kuantitatif yang dengan data sekunder dari data sampel BPJS Kesehatan tahun 2024. Analisis dilakukan secara univariat dan bivariat non-parametrik menggunakan uji Spearman, Mann-Whitney, dan Kruskal wallis dengan total sampel sebanyak 22.619 peserta. Hasil penelitian menunjukkan bahwa total beban biaya pelayanan GGK di DKI Jakarta tahun 2023 sebesar Rp555.265.832.525 dengan biaya per peserta sebesar Rp3.250.400. Variabel jenis kelamin laki-laki, usia 15-59 tahun, status perkawinan belum kawin, segmentasi kepesertaan PBI APBN, hak kelas rawat II, frekuensi RJTL, frekuensi RITL, dan lama hari rawat memiliki hubungan atau perbedaan median yang signifikan terhadap biaya pelayanan kesehatan (p-value<0,001). Kesimpulannya, seluruh variabel yang diteliti menunjukkan hubungan atau perbedaan median yang signifikan terhadap biaya pelayanan kesehatan penyakit GGK pada peserta JKN di Provinsi DKI Jakarta tahun 2023.
Chronic Kidney Disease (CKD) is a progressive and irreversible catastrophic illness with a high financial burden in the National Health Insurance (JKN) program. This study aims to describe the cost and identify factors affecting healthcare costs for CKD services among JKN participants in DKI Jakarta Province in 2023. This research employed a non-experimental quantitative design using secondary data from the 2024 BPJS Kesehatan sample dataset. Data were analyzed using univariate and non-parametric bivariate tests, including Spearman, Mann-Whitney, and Kruskal-Wallis tests, with a total sample of 22,619 participants. The results showed that the total healthcare expenditure for CKD in DKI Jakarta in 2023 was IDR 555,265,832,525, with an average cost per participant of IDR 3,250,400. The variables of male gender, age 15–59 years, unmarried status, PBI APBN membership segment, class II inpatient rights, frequency of outpatient and inpatient visits, and length of stay were significantly associated with differences in healthcare costs (p-value < 0.001). In conclusion, all studied variables showed a statistically significant relationship or difference in median costs for CKD healthcare services among JKN participants in DKI Jakarta in 2023.
Chronic Kidney Disease (CKD) is a progressive and irreversible catastrophic illness with a high financial burden in the National Health Insurance (JKN) program. This study aims to describe the cost and identify factors affecting healthcare costs for CKD services among JKN participants in DKI Jakarta Province in 2023. This research employed a non-experimental quantitative design using secondary data from the 2024 BPJS Kesehatan sample dataset. Data were analyzed using univariate and non-parametric bivariate tests, including Spearman, Mann-Whitney, and Kruskal-Wallis tests, with a total sample of 22,619 participants. The results showed that the total healthcare expenditure for CKD in DKI Jakarta in 2023 was IDR 555,265,832,525, with an average cost per participant of IDR 3,250,400. The variables of male gender, age 15–59 years, unmarried status, PBI APBN membership segment, class II inpatient rights, frequency of outpatient and inpatient visits, and length of stay were significantly associated with differences in healthcare costs (p-value < 0.001). In conclusion, all studied variables showed a statistically significant relationship or difference in median costs for CKD healthcare services among JKN participants in DKI Jakarta in 2023.
S-12034
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Savira Zain Laeli; Pembimbing: Pujiyanto; Penguji: Wachyu Sulistiadi, Laksmi Damaryanti
Abstrak:
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Gagal Ginjal Kronik merupakan penyakit katastropik yang progresif dan irreversible dengan beban biaya tinggi dalam program Jaminan Kesehatan Nasional (JKN). Penelitian ini bertujuan untuk melihat gambaran biaya serta faktor-faktor yang mempengaruhi biaya pelayanan kesehatan penyakit GGK di Provinsi DKI Jakarta Tahun 2023. Penelitian ini menggunakan desain studi non-eksperimental kuantitatif yang dengan data sekunder dari data sampel BPJS Kesehatan tahun 2024. Analisis dilakukan secara univariat dan bivariat non-parametrik menggunakan uji Spearman, Mann-Whitney, dan Kruskal wallis dengan total sampel sebanyak 22.619 peserta. Hasil penelitian menunjukkan bahwa total beban biaya pelayanan GGK di DKI Jakarta tahun 2023 sebesar Rp555.265.832.525 dengan biaya per peserta sebesar Rp3.250.400. Variabel jenis kelamin laki-laki, usia 15-59 tahun, status perkawinan belum kawin, segmentasi kepesertaan PBI APBN, hak kelas rawat II, frekuensi RJTL, frekuensi RITL, dan lama hari rawat memiliki hubungan atau perbedaan median yang signifikan terhadap biaya pelayanan kesehatan (p-value<0,001). Kesimpulannya, seluruh variabel yang diteliti menunjukkan hubungan atau perbedaan median yang signifikan terhadap biaya pelayanan kesehatan penyakit GGK pada peserta JKN di Provinsi DKI Jakarta tahun 2023.
Chronic Kidney Disease (CKD) is a progressive and irreversible catastrophic illness with a high financial burden in the National Health Insurance (JKN) program. This study aims to describe the cost and identify factors affecting healthcare costs for CKD services among JKN participants in DKI Jakarta Province in 2023. This research employed a non-experimental quantitative design using secondary data from the 2024 BPJS Kesehatan sample dataset. Data were analyzed using univariate and non-parametric bivariate tests, including Spearman, Mann-Whitney, and Kruskal-Wallis tests, with a total sample of 22,619 participants. The results showed that the total healthcare expenditure for CKD in DKI Jakarta in 2023 was IDR 555,265,832,525, with an average cost per participant of IDR 3,250,400. The variables of male gender, age 15–59 years, unmarried status, PBI APBN membership segment, class II inpatient rights, frequency of outpatient and inpatient visits, and length of stay were significantly associated with differences in healthcare costs (p-value < 0.001). In conclusion, all studied variables showed a statistically significant relationship or difference in median costs for CKD healthcare services among JKN participants in DKI Jakarta in 2023.
Chronic Kidney Disease (CKD) is a progressive and irreversible catastrophic illness with a high financial burden in the National Health Insurance (JKN) program. This study aims to describe the cost and identify factors affecting healthcare costs for CKD services among JKN participants in DKI Jakarta Province in 2023. This research employed a non-experimental quantitative design using secondary data from the 2024 BPJS Kesehatan sample dataset. Data were analyzed using univariate and non-parametric bivariate tests, including Spearman, Mann-Whitney, and Kruskal-Wallis tests, with a total sample of 22,619 participants. The results showed that the total healthcare expenditure for CKD in DKI Jakarta in 2023 was IDR 555,265,832,525, with an average cost per participant of IDR 3,250,400. The variables of male gender, age 15–59 years, unmarried status, PBI APBN membership segment, class II inpatient rights, frequency of outpatient and inpatient visits, and length of stay were significantly associated with differences in healthcare costs (p-value < 0.001). In conclusion, all studied variables showed a statistically significant relationship or difference in median costs for CKD healthcare services among JKN participants in DKI Jakarta in 2023.
S-12087
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Gabriella Reyna Ardisa Gunawan; Pembimbing: Nurhayati Adnan; Penguji: Yovsyah, Ridho Ichsan Syaini
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Penyakit ginjal kronis merupakan masalah kesehatan global yang dapat menimbulkan beban mortalitas dan morbiditas yang substansial. Hasil Riskesdas 2018 menunjukkan bahwa Provinsi Jawa Barat merupakan salah satu provinsi dengan jumlah pasien PGK tertinggi di Indonesia, dengan prevalensi yang lebih tinggi dari nasional, yaitu 0,48%. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian penyakit ginjal kronis pada penduduk usia ≥35 tahun di Provinsi Jawa Barat. Penelitian dilakukan dengan desain studi cross-sectional menggunakan data sekunder dari Riskesdas 2018. Sampel penelitian ini adalah seluruh penduduk usia ≥35 tahun di Provinsi Jawa Barat. Terdapat sebanyak 32.044 sampel yang memenuhi kriteria inklusi dan eksklusi penelitian. Hasil penelitian menunjukkan prevalensi kejadian penyakit ginjal kronis pada penduduk usia ≥35 tahun di Provinsi Jawa Barat adalah 0,6%. Faktor yang berhubungan dengan kejadian penyakit ginjal kronis adalah usia ≥60 tahun (nilai p=0,001; POR=1,662; 95% CI: 1,23-2,25), jenis kelamin laki-laki (nilai p=0,013; POR=1,431; 95% CI: 1,08-1,89), diabetes (nilai p=0,000; POR=3,770; 95% CI: 2,39-5,96), penyakit jantung (nilai p=0,000; POR=2,725; 95% CI: 1,60-4,63), dan aktivitas fisik (nilai p=0,015; POR=1,521; 95% CI: 1,08-2,14).
Chronic kidney disease is a global health problem that can cause a substantial burden of mortality and morbidity. The 2018 Riskesdas results show that West Java Province is one of the provinces with the highest number of CKD patients in Indonesia, with a higher prevalence than the national one, which is 0.48%. This study aims to determine the factors associated with the incidence of chronic kidney disease in people ages ≥35 years in West Java Province. The research was conducted using a cross-sectional study design using secondary data from the 2018 Riskesdas. The sample for this study was all residents ages ≥35 years in West Java Province. There were 32.044 samples that met the inclusion and exclusion criteria of the study. The results showed that the prevalence of chronic kidney disease in people ages ≥35 years in West Java Province was 0.6%. Factors associated with the incidence of chronic kidney disease were age ≥60 years (p-value=0.001; POR=1.662; 95% CI: 1.23-2.25), male gender (p-value=0.013; POR =1.431; 95% CI: 1.08-1.89), diabetes (p-value=0.000; POR=3.770; 95% CI: 2.39-5.96), heart disease (p-value=0.000; POR=2.725; 95% CI: 1.60-4.63), and physical activity (p-value=0.015; POR=1.521; 95% CI: 1.08-2.14).
S-11248
Depok : FKM-UI, 2023
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Saila Hadayna; Pembimbing: Yovsyah; Penguji: Renti Mahkota,Khristin Ferrosnita
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Penyakit ginjal kronis (PGK) merupakan masalah kesehatan masyarakat global yang menyumbang kenaikan angka morbiditas, mortalitas, beban biaya kesehatan, dan masalah kesehatan lainnya. Menurut Riskesdas 2018, prevalensi PGK di Indonesia mencapai 0,38% dan mengalami peningkatan 0,2% dibandingkan tahun 2013. PGK juga merupakan penyebab kematian tertinggi ketiga di Indonesia berdasarkan data Global Burden of Disease tahun 2019. Meningkatnya insiden penyakit ginjal kronis turut mempengaruhi peningkatan jumlah pasien yang menjalani hemodialisis sebagai terapi pengganti fungsi ginjal untuk bertahan hidup. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi ketahanan hidup pasien penyakit ginjal kronis yang menjalani hemodialisis di RS Krakatau Medika tahun 2019-2021. Desain penelitian ini adalah kohort retrospektif dengan menggunakan data sekunder dari rekam medis pasien PGK yang menjalani hemodialisis di RS Krakatau Medika Tahun 2019-2021. Data pasien yang diambil meliputi usia, jenis kelamin, riwayat keluarga PGK, komorbid hipertensi, komorbid diabetes melitus, dan komorbid kardiovaskular. Analisis data menggunakan analisis survival dengan metode Kaplan-Meier dan Regresi Cox. Dari studi ini diketahui sebanyak 216 sampel yang memenuhi kriteria inklusi dan eksklusi dengan 84 pasien telah meninggal dan 132 pasien adalah sensor. Probabilitas ketahanan hidup satu, dua, dan tiga tahun pasien PGK yang menjalani hemodialisis sebesar 58%, 43%, dan 36%. Terdapat perbedaan yang signifikan pada ketahanan hidup pasien berdasarkan usia, komorbid hipertensi, dan komorbid diabetes melitus (log rank test, p<0,05). Hasil analisis regresi cox menunjukkan usia (HR=2,28, 95% CI 1,444—3,588, p<0,001) dan komorbid hipertensi (HR=0,40, 95% CI 0,245—0,668 p<0,001) mempengaruhi ketahanan hidup pasien. Usia dan komorbid hipertensi merupakan faktor yang paling berpengaruh terhadap ketahanan hidup pasien. Pasien PGK yang menjalani hemodialisis pada usia ≥ 55 tahun dan tidak terdapat komorbid hipertensi memiliki ketahanan hidup yang lebih rendah dibandingkan pasien dengan usia
Chronic kidney disease (CKD) is a global public health issue that contributes to rising morbidity, mortality, health costs, and other health issues. According to Riskedas 2018, the prevalence of CKD in Indonesia was 0.38% and increase by 0.2% compared to 2013. CKD is also the third leading cause of death in Indonesia based on Global Burden of Disease data 2019. The rising insidences of chronic kidney disease also affects the increasing number of patients undergoing hemodialysis as a replacement therapy for kidney function to survive. This study aims to identify the factors that affect the survival of patients with chronic kidney disease undergoing hemodialysis at Krakatau Medika Hospital in 2019-2021. The design of this study was a retrospective cohort using secondary data from the medical records of CKD patients undergoing hemodialysis at Krakatau Medika Hospital in 2019–2021. Age, gender, family history of CKD, comorbidities for hypertension, diabetes mellitus, and cardiovascular were among patient data collected. Data analysis used survival analysis with the Kaplan-Meier method and Cox regression. From this study, there were 216 samples met the inclusion and exclusion criteria with 84 patients had died and 132 patients were censored. The probability of one, two, and three-year survival of CKD patients undergoing hemodialysis were 58%, 43%, and 36%, respectively. There were significant differences in patient survival based on age, comorbid hypertension, and comorbid diabetes mellitus (log-rank test, p<0.05). The results of the Cox regression analysis showed that age (HR = 2.28, 95% CI: 1.444–3.588, p<0.001) and comorbid hypertension (HR = 0.40, 95% CI: 0.245–0.668, p<0.001) affected patient survival. The most significant factors affecting patient survival are age and comorbid hypertension. Patients with CKD undergoing hemodialysis at the age of ≥ 55 years old and no comorbid hypertension have lower survival rates than patients with age < 55 years old and comorbid hypertension. It is expected to increase the role of family and health workers in providing emotional support and monitoring of patients during hemodialysis care management especially in patients who are elderly, have comorbid hypertension, and comorbid diabetes melitus.
S-11191
Depok : FKM-UI, 2023
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Farida Arriyani; Pembimbing: Tri Yunis Miko Wahyono; Penguji: Helda, Maria Irawati Simanjuntak, Arum Ambarsari
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Penyakit ginjal kronik (PGK) merupakan salah satu penyakit katastropik yang prevalensinya semakin meningkat dari tahun ke tahun di Indonesia. Penurunan fungsi ginjal dapat terjadi secara fisiologis seiring dengan bertambahnya usia seseorang, namun terdapat beberapa faktor risiko lain yang berhubungan dengan kejadian PGK. Penelitian terkait faktor risiko penyakit ginjal kronik masih terbatas khususnya pada populasi masyarakat di Jakarta. Tujuan penelitian ini adalah untuk mengetahui faktor risiko yang berhubungan dengan penyakit ginjal kronik stadium 3-5 di poli penyakit dalam RSUD Tarakan Jakarta tahun 2022. Penelitian ini menggunakan studi kasus-kontrol dengan sampel 129 kasus dan 129 kontrol yang diambil dari catatan rekam medis pasien poli penyakit dalam. Variabel yang diteliti antara lain usia, jenis kelamin, hipertensi, diabetes melitus, batu ginjal, obesitas, hiperkolesterolemia, LDL ≥ 130 mg/dl, HDL < 40 mg/dl dan hipertrigliseridemia. Hasil penelitian berdasarkan analisis multivariat menunjukkan faktor risiko jenis kelamin laki-laki (OR 2,04; 95% CI: 1,18-3,55), hipertensi (OR 3,98; 95% CI: 2,05-7,72), riwayat batu ginjal (OR 4,98; 95% CI: 1,70-14,57) dan kadar HDL < 40 mg/dl (OR 4,45; 95% CI: 1,57-12,62) memiliki hubungan yang bermakna terhadap kejadian penyakit ginjal kronik stadium 3-5 di poli penyakit dalam RSUD Tarakan Jakarta tahun 2022. Perlunya penyuluhan dan skrining terhadap penyakit tidak menular, konsumsi air putih yang cukup, aktifitas fisik rutin serta konsumsi makanan sehat yang seimbang diharapkan dapat mencegah terjadinya penyakit ginjal kronik.
Chronic kidney disease (CKD) is one of the catastrophic diseases with an increasing prevalence in Indonesia from year to year. The decline in kidney function can occur physiologically with advancing age, but there are several other risk factors associated with the occurrence of CKD. Research on the risk factors for chronic kidney disease is still limited, particularly in the population of Jakarta. The aim of this study is to determine the risk factors associated with chronic kidney disease stage 3-5 in the Internal Medicine Department of Tarakan Hospital Jakarta in 2022. This study employed a case-control design with a sample of 129 cases and 129 controls taken from the medical records of patients in the Internal Medicine Department. The variables examined included age, gender, hypertension, diabetes mellitus, kidney stones, obesity, hypercholesterolemia, LDL ≥ 130 mg/dl, HDL < 40 mg/dl, and hypertriglyceridemia. The results of the study based on multivariate analysis showed that male gender (OR 2.04; 95% CI: 1.18-3.55), hypertension (OR 3.98; 95% CI: 2.05-7.72), history of kidney stones (OR 4.98; 95% CI: 1.70-14.57), and HDL < 40 mg/dl (OR 4.45; 95% CI: 1.57-12.62) were significantly associated with the occurrence of chronic kidney disease stage 3-5 in the Internal Medicine Department of Tarakan Hospital Jakarta in 2022. The importance of health education and screening for non-communicable diseases, adequate water consumption, regular physical activity, and balanced diet are expected to prevent the occurrence of chronic kidney disease.
T-6640
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Bimo Kusumo; Pembimbing: Vetty Yulianty Permanasari; Penguji: Kurnia Sari, Mardiati Nadjib, Dwi Satrio, Putri Nadia
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Prevalensi penyakit gagal ginjal kronik di Indonesia sebesar 0,38 % atau 3,8 orang per 1000 penduduk, dan sekitar 60% penderita gagal ginjal tersebut harus menjalani dialysis. Penyakit tersebut masih menjadi salah satu penyakit dengan insidensi tinggi di Indonesia dan hampir semua Rumah Sakit memiliki unit hemodialisa untuk melayani pasien tersebut. Kualitas hidup pasien berhubungan dengan minat pasien untuk menjalani terapi hemodialisa di rumah sakit. Semakin rendah kualitas hidup pasien, keinginan untuk sembuh dan menjalani terapi hemodialisa akan semakin turun sehingga dapat memperburuk derajat Kesehatan pasien tersebut. Sampai saat ini di Indonesia belum ada penelitian yang menghubungkan respon penilaian kualitas hidup penderita gagal ginjal kronik yang menjalani hemodialisa dengan sistem manajemen Rumah Sakit. Sistem manajemen rumah sakit seharusnya memiliki peran besar dalam memfasilitasi kebutuhan unit hemodialisa baik dari segi pelayanan, fasilitas, kemudahan berobat, sistem biaya, sistem informasi dan edukasi, serta pelayanan pendampingan baik dari tenaga Kesehatan atau non Kesehatan. Penelitian ini merupakan penelitian kuantitatif menggunakan instrumen kuesioner WHOQOL-BREF, SERVQUAL dan kualitatif dengan wawancara mendalam terkait layanan rumah sakit baik dari pemberi layanan (tenaga kesehatan) dan penerima layanan (pasien). Hasil dari penelitian ini akan menggambarkan kualitas hidup penderita gagal ginjal kronik, layanan manajemen rumah sakit, dan rekomendasi lanjutan untuk rumah sakit.
The prevalence of chronic kidney disease (CKD) in Indonesia is 0.38%, or 3.8 people per 1,000 population, and approximately 60% of these patients require dialysis. This disease remains a high-incidence condition in Indonesia, and nearly all hospitals have hemodialysis units to serve these patients. A patient's quality of life is related to their willingness to undergo hemodialysis therapy at the hospital. The lower the patient's quality of life, the lower their desire to recover and undergo hemodialysis therapy, which can worsen their health. To date, no research in Indonesia has linked the response to quality-of-life assessments of chronic kidney disease patients undergoing hemodialysis to hospital management systems. The hospital management system should play a significant role in facilitating the needs of hemodialysis units in terms of services, facilities, ease of treatment, cost systems, information and education systems, and support services from both healthcare and non-healthcare professionals. This study is a quantitative study using the WHOQOL-BREF, SERVQUAL questionnaire and a qualitative study with in-depth interviews related to hospital services from both service providers (healthcare professionals) and service recipients (patients). The results of this study will describe the quality of life of chronic kidney failure patients, hospital management services, and further recommendations for the hospital.
B-2564
Depok : FKM-UI, 2026
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Nadiya Eka Suci; ;Pembimbing: Rizka Maulida; Penguji: Lhuri Dwianti Rahmartani, Budi Setiawan
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Penyakit ginjal kronis meningkat secara global maupun nasional, namun studi terkait mortalitas akibat penyakit ginjal kronis terbatas. Penelitian bertujuan menganalisis tren dan distribusi kematian akibat penyakit ginjal kronis di DKI Jakarta berdasarkan umur, jenis kelamin, wilayah, dan sumber pelaporan selama 2020-2025 dengan desain potong lintang menggunakan data Dinas Kesehatan Provinsi DKI Jakarta. Penelitian menggunakan total sample berjumlah 11.495, dengan minimal 384 sampel per tahun, berupa kematian dengan penyebab dasar penyakit ginjal kronis sesuai kriteria inklusi dan eksklusi. Hasil penelitian berdasarkan perhitungan Crude-Specific Death Rate dengan Confidence Interval 95% menunjukkan angka kematian populasi cenderung meningkat selama periode penelitian, puncak tren terjadi tahun 2024 CSDR 215,8 (CI 95%:207,8-224,8) dengan rumah sakit sebagai sumber pelaporan utama. Kelompok usia ≥60 tahun mendominasi dengan puncak di tahun 2025 CSDR 1014,4 (CI 95%:959,9-1071,2). Angka kematian laki-laki lebih tinggi dibandingkan perempuan dengan puncak tren di 2025 CSDR 233,7 (CI 95%:221,0-247,0). Wilayah Jakarta Timur menyumbang jumlah kematian absolut tertinggi, dengan puncak di tahun 2024 CSDR 251,5 (CI 95%:234,1-269,8). Ditemukan 317 data anomali kode menunjukkan inkonsistensi pengkodean diagnosis, dengan puskesmas menyumbang laporan anomali terbanyak. Tren mortalitas penyakit ginjal kronis di DKI Jakarta yang meningkat, terutama pasca-pandemi, serta laporan kasus tidak valid menunjukkan perlunya upaya pencegahan dan perbaikan kualitas data untuk mendukung efektivitas pengendalian penyakit.
Chronic kidney disease is rising both globally and nationally, yet studies on mortality due to chronic kidney disease remain limited. This study aims to analyse trends and the distribution of mortality rates due to chronic kidney disease in Jakarta, based on age, sex, region, and source of reporting, for the period 2020-2025, using a cross-sectional design and data from the Jakarta Provincial Health Office. The study used a total sample of 11.495, with a minimum 384 cases per year, comprising deaths with chronic kidney disease as the underlying cause, in accordance with the inclusion and exclusion criteria. The results showed that the mortality rate for the entire population tended to increase during the study period, peaking in 2024 at a CSDR of 215.8 (95% CI: 207.8–224.8), with hospitals as the primary source of reporting. The age group ≥60 years dominated, with a peak in 2025 at a CSDR of 1014.4 (95% CI: 959.9–1071.2). Men had a higher mortality rate than women, with the trend peaking in 2025 at a CSDR of 233.7 (95% CI: 221.0–247.0). The East Jakarta region contributed the highest absolute number of deaths, with a peak in 2024 at 251.5 CSDR (95% CI: 234.1–269.8). A total of 317 cases of coding anomalies were identified, indicating inconsistencies in diagnosis coding, with the community health centre accounting for the highest number of anomalous reports. The rising trend in chronic kidney disease mortality in Jakarta, particularly post-pandemic, along with reports of invalid cases, highlights the need for preventive measures and improvements in data quality to support the effectiveness of disease control.
S-12228
Depok : FKM-UI, 2026
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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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.
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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
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