Ditemukan 2 dokumen yang sesuai dengan query :: Simpan CSV
Donny Hermanto; Pembimbing: Martya Rahmaniati Makful; Penguji: R. Sutiawan, Artha Prabawa, Herliani Sudardja, Ira Dewi Jani,
Abstrak:
Puskesmas dan Klinik yang merupakan gate keeper dalam memberikan pelayanan klinis kepada masyarakat harus dapat menyediakan pelayanan klinis tingkat pertama yang aman dan bermutu. Dengan kata lain, Puskesmas dan Klinik merupakan ujung tombak dalam memberikan pelayanan kesehatan kepada masyarakat. Prinsip penyelenggaraan Puskesmas yaitu pertenggungjawaban kesehatan di daerah kerjanya membuat Puskesmas memiliki kewenangan untuk mengkoordinir dan membina klinik yang berada di wilayah kerjanya. Namun, di Kota Bandung, pelaksanaan pengawasan dan pembinaan klinik oleh Puskesmas saat ini tidak seragam dikarenakan tidak adanya pedoman pelaksanaanya di lapangan dan di tingkat Dinas Kesehatan pengelolaannya belum berjalan. Dengan menerapkan metode System Development Life Cycle (SDLC) Prototyping, penelitian ini bertujuan membangun prototype pengawasan dan pembinaan klinik oleh Puskesmas. Tahapan penting yang dilalui adalah menyusun format standar pengawasan, menetapkan standar klinik yang sesuai dengan pengawasan dan pembinaan klinik oleh Puskesmas, dan menyusun informasi standar output. Terdapat 73 parameter yang terbagi ke 10 jenis kategori pengawasan dan 6 jenis keluaran yang dihasilakan oleh sistem ini yang salah satunya adalah klinik yang sesuai dengan standar pengawasan dan pembinaan Puskesmas. Teknologi internet, berupa prototype berbasis Web, yang memiliki keunggulan memangkas jarak dan waktu dapat menjadi solusi bersama. Tujuannya, selain keunggulan diatas, situs Web mampu berkomunikasi, melakukan jasa, mengumpulkan informasi dari penguna dan berbagi basis data dengan pihak-pihak yang telah ditentukan sebelumnya. Kebijakan yang mendukung pengembangan sistem informasi ini dapat dilakukan pada perumusan pedoman pelaksanaan kegiatan pengawasan dan pembinaan klinik oleh Puskesmas dengan mengundang lebih banyak pihak seperti oraganisasi profesi dan ASKLIN. Puskesmas and Clinics, the gatekeepers of social health services, as spearheads in providing first communal health services, always have to be on the top of their roles, giving the community their basic health services. Puskesmas as a senior partner, has the authority to nurture, coordinate, and to monitor its subordinate Clinics in order to implement their portion of health responsibility roles in the community. However, in the City of Bandung, the implementation of monitoring and supervising clinic by Puskesmas is not in the same shape over one another due unavaliable of implementation guidance in the field. The management of this activity at The District Health Office level has not been enabled yet. However, in the city of Bandung, the implementations of Puskesmas and Clinics monitoring- supervising activities differ one from another, due to the absence of a thorough implementation guideline that can act as a Puskesmas-Clinic uniformed. Meanwhile, at the District Health Office level, such guidance or system are also yet to be invented, controlled nor managed systematically. This research objective is to build a monitoring sytem prototype in which to help Puskesmas effectively performs one of its functions and intended roles in the community, which are to monitor and to supervise its subordinate Clinics. The system suitable to perform in this environment is called System Development Life Cycle (SDLC). Important steps are arrange the standard format of supervision, establishing clinic standards monitoring and supervision of clinic by the Puskesmas, and the preparation of standard output information. The important steps are therefore broke down into three main stages. The first stage is to arrange the standard form for supervision, to be followed by establishing clinical standard for monitoring and supervising Clinics by the Puskesmas, and the third stage is to arrange the information standard output. The SLDC is going to generate seventy three parameters, which are then divided into ten different supervisory catagories and six different type of outputs. One of the outputs is going to produce a Clinic that complies with Monitoring and Supervision Standards of Puskesmas. Web- based data, supported by lightning fast internet connection that shaves time and distance, can be offered as solution to become the backbone of SLDC. Furthermore, web-based technology is projected to have the ability to communicate, to provide services, to collect information from users, and even to be able to share data to many different type of pre-selected individuals or institutions.. The governing policies which will support the development of this information system can be proposed and formulated by Puskesmas under the Clinical Supervision and Monitoring Guidelines, with the help of other professional associates such as from ASKLIN or other professional institutions. Keywords : system information, monitoring and supervision, health care facility
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T-4934
Depok : FKM-UI, 2017
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Ari Dwi Aryani; Promotor: Adang Bachtiar; Kopromotor: Ali Ghufron Mukti, Fachmi Idris; Penguji: Dumilah Ayuningtyas, Kemal Nazaruddin Siregar, Mardiati Nadjib, Sabarinah, Rizanda Machmud
Abstrak:
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Inekuitas pelayanan kesehatan masih terjadi setelah pelaksanaan Jaminan Kesehatan Nasional (JKN). Pemantauan secara berkala Kinerja Fasilitas Kesehatan Tingkat Pertama (FKTP) merupakan kunci untuk menurunkan inekuitas pelayanan kesehatan sebagai tujuan utama JKN. Penerapan Kapitasi Berbasis Kinerja (KBK) dengan tiga indikator sejak tahun 2016, menunjukkan terjadi perbaikan kinerja FKTP dalam meningkatkan kualitas dan efisiensi di pelayanan tingkat pertama. Penelitian ini bertujuan untuk mengembangkan model indikator kinerja, kapasitas FKTP dan indikator ekuitas agar dapat mengukur ekuitas pelayanan kesehatan. Desain penelitian menggunakan exploratory sequential-mixed method. Penelitian dibagi menjadi tiga tahapan. Tahap satu adalah systematic review untuk mengidentifikasi indikator yang dapat digunakan dalam mengukur kapasitas, kinerja FKTP dan ekuitas pelayanan kesehatan. Tahap dua dilakukan dengan pendekatan kualitatif dengan teknik Consensus Decision Making Group (CDMG) untuk menentukan indikator yang dapat dipakai dalam pengukuran kapasitas dan kinerja FKTP serta pengukuran ekuitas pelayanan kesehatan dengan para pakar. Tahap tiga adalah membuat pengembangan model indikator kinerja FKTP berdasarkan skema kapitasi yang dapat mengukur ekuitas akses layanan kesehatan, menggunakan analisis Structural Equation Modelling (SEM). Berdasarkan hasil SR, CDMG dan analisis SEM, indikator terpilih untuk mengukur kapasitas FKTP terdiri dari tiga indikator yaitu rasio dokter umum, sumberdaya sarana dan manusia (skor rekredensialing) dan pembiayaan (persen pembayaran KBK yang diterima). Indikator kinerja terpilih delapan indikator yaitu angka kontak, proporsi penderita DM diperiksa gula darah, proporsi penderita Hipertensi diperiksa tekanan darah, proporsi pasien tidak rujuk RS, proporsi rujukan non spesialistik, proporsi pasien rujuk balik, proporsi skrining penyakit jantung, DM dan Hipertensi, rasio pasien prolanis terkendali. Ekuitas pelayanan kesehatan dilihat dari rate utilisasi peserta FKTP berdasarkan jenis kelamin, usia dan sosial ekonomi (PBI-Non PBI). Analisis SEM menunjukan terdapat hubungan yang positif dan signifikan antara kapasitas dan kinerja FKTP dengan ekuitas pelayanan.
Healthcare inequities still occur after the implementation of the National Health Insurance (JKN). Regular monitoring of the performance of primary healthcare facilities (FKTP) is key to reducing healthcare inequities as the main goal of JKN. The implementation of Performance-Based Capitation (KBK) with three indicators since 2016 has shown improvements in the performance of primary healthcare facilities in improving the quality and efficiency of first-level services. Their capacity influences the performance of primary care facilities and impacts primary care performance outcomes (health service equity). This study objective was to develop a model of performance indicators, FKTP capacity and equity indicators to measure health service equity. The research design utilized an exploratory sequential-mixed method. The study was divided into three phases. Phase one was a systematic review to identify indicators that can be used in measuring capacity, FKTP performance and health service equity. Phase two was carried out by a qualitative approach with the Consensus Decision Making Group (CDMG) technique to determine indicators that can be used in measuring FKTP capacity and performance as well as measuring health service equity with experts. Phase three was the development of a model for FKTP performance indicators based on a capitation scheme that can measure the equity of health service access. This phase was carried out using Structural Equation Modeling (SEM) analysis. The SR, CDMG and SEM analysis show that there are three selected indicators to measure the capacity of primary health care facilities: general practitioner ratio, facility sufficiency(recredentialing score) and financing (percentage of KBK payments received). Eight performance indicators were selected, namely contact rate, proportion of DM patients checked for blood sugar, proportion of Hypertension patients checked for blood pressure, proportion of patients not referred to hospital, proportion of non-specialistic referrals, proportion of patients referred back to primary care providers, proportion of screening for heart disease, diabetes mellitus, and hypertension; and ratio of controlled Prolanis patients. Health service equity was analyzed from the utilization rate of participants based on gender, age and socioeconomic factors(PBI-Non PBI). SEM analysis showed a positive and significant relationship between the capacity and performance of primary health care facilities and equity.
D-508
Depok : FKM-UI, 2024
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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