Abstrak: Penerapan tatalaksana COVID-19 masih mengalami kendala pada RSUD dr. Agoesdjam, dimana masih ada kekurangan berupa dokter dan perawat belum mendapatkan pelatihan penanganan pasien COVID-19 dan ruang isolasi belum standar. Pada tanggal 7 Mei 2020, Kabupaten Ketapang PDP total 43 orang yaitu laki-laki 23 orang dan perempuan 20 orang. ODP berjumlah 1057 orang dengan jenis kelamin laki-laki 608 orang dan perempuan 449 orang dan positif 12 orang dan meninggal 1 orang. Penelitian ini bertujuan untuk mengetahui hubungan karakteristik demografi, pengetahuan dan sikap terhadap kepatuhan perawat dan bidan dalam tatalaksana COVID-19 di RSUD dr. Agoesdjam Kabupaten Ketapang tahun 2020. Jenis penelitian adalah kuantitatif dengan desain cross sectional. Sampel penelitian ini adalah perawat dan bidan yang menangani Covid-19 di RSUD dr. Agoesdjam Kabupaten Ketapang sebanyak 44 responden. Data Primer diperoleh dari hasil penyebaran Google Form yang telah teruji validitas dan reabilitas. Analisis data dilakukan dengan analisis univariat, bivariat dan multivariate. Hasil penelitian ini menunjukkan responden penelitian ini adalah perawat (6,8%) dan bidan (93,2%) berjenis kelamin perempuan (84,1%) dengan usia The implementation of COVID-19 management is still having problems at RSUD dr. Agoesdjam, where there is still a shortage of doctors and nurses who have not received training in handling COVID-19 patients and isolation rooms are not standardized. On May 7, 2020, Covid 19 patients under supervision of Ketapang District had a total of 43 people, namely 23 men and 20 women. Total of person in monitoring is 1057 people with the gender of 608 men and 449 women and 12 positive people and 1 person died. The study aims to determine the relationship between demographic characteristics, knowledge and attitudes towards the compliance of nurses and midwives in managing COVID-19 in dr. Agoesdjam Ketapang Regency in 2020. This type of research is quantitative with a cross sectional design. The samples of this study were nurses and midwives who handled Covid-19 at dr. Agoesdjam Ketapang Regency as many as 44 respondents. Primary data is obtained from the results of the distribution of Google Forms that have been tested for validity and reliability. Data analysis was performed using univariate, bivariate and multivariate analysis. The results of this study shows that the respondents of this study are female nurses (6.8%) and midwives (93.2%) aged < 45 years old (97.7%) and undergraduate education (56.8%) having knowledge 88.69 good, being kind 82.18 and the level of obedience 82.96. Nurses and midwives with good knowledge are more obedient than those with poor knowledge so that it will affect attitudes and practices in the management of COVID-19. It is hoped that it can provide training or skills to officers through availability of regular education and training on working procedural, preventing and controlling of COVID-19

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Abstrak: Latar Belakang : Implementasi sistem rujukan nasional sudah dilakukan sejak tahun 2014 sebagai bagian dari Sistem Jaminan Kesehatan Nasional. Isu ini menjadi penting karena sistem rujukan regional menjamin setiap individu mendapatkan pelayanan kesehatan yang optimal pada setiap level pusat kesehatan per regional wilayah penetapan. Tujuan Penelitian : Dilakukan analisis penguatan fungsi RSUD Dr H. Mohamad Rabain Muara Enim sebagai salah satu rumah sakit rujukan regional di wilayah Provinsi Sumatera Selatan tahun 2016. Metode Penelitian : Suatu studi dengan pendekatan kualitatif untuk melakukan analisis penguatan fungsi RSUD Dr H. Mohamad Rabain Muara Enim sebagai salah satu rumah sakit rujukan regional di wilayah Propinsi Sumatera Selatan dengan metode telaah dokumen, wawancara mendalam dan Consensus Decision Making Group. Hasil Penelitian : Dijumpai dua kriteria penetapan yang belum sesuai dengan kriteria penetapan dari Kepmenkes Hk.02.02/Menkes/391/2014 tentang Pedoman Penetapan Rumah Sakit Sebagai Rumah Sakit Rujukan Regional, yaitu kelas rumah sakit dan akreditasi. Kesimpulan : Sebagian besar kriteria penetapan rumah sakit rujukan regional sudah dipenuhi oleh RSUD Dr.H. Mohamad Rabain Muara Enim. Diharapkan kriteria yang belum dipenuhi akan dilengkapi kurang dari lima tahun semenjak penunjukan. Kata Kunci : Penguatan fungsi, rumah sakit rujukan regional, RSUD Dr H. Mohamad Rabain Muara Enim Backgroud : Since 2014, the Indonesian goverment has been implementing the National health Insurance. Accordingly, the regional refferal system is crucial because its needed to ensure that individuals receive optimal care at the approprite level of health care. Aims of study : This study analyses factors in regional refferal hospital program of Muara Enim hospital. Methods :A qualitative study to evaluate Regional Refferal system in Rabain Hospital in Muara Enm Regency, Province Of South Sumatra, Indonesia, 2016. We compared the conformity between the decree of Indonesia Health Ministry about regional refferal system to the real condition in Rabain Hospital. Data was collected by document review, in-depth interview and Consensus Discussion Making Group. Informants of the study were top manajer and middle manager of Rabain Hospital as stakeholder in each their positions. Results: There were two incoherent criterias among specified criteria by Indonesia Health Ministry. We found hospital class and hospital accreditation were not in the rules. Rabain Hospital was in secondary class; should been in tertiary class and not acrreditated by national hospital accreditation committee yet. Conclusion: Our study results that mostly criterias have been fulfill by Muara Enim Hospital in regional refferal system. Between two incoherent criterias were in process of being accreditated on 2017 and upgraded class hospital being tertiary class by the time less then 5 years since apppointed. Needed commitment of all components in Rabain Hospital and supported by local goverment to accelerate its process. Keywords: Strengthening, Regional Refferal System, Rabain Hospital