Articles

Found 31 Documents
Search

PERAN PENYELENGGARA PELAYANAN KESEHATAN PRIMER SWASTA DALAM JAMINAN KESEHATAN DI KABUPATEN BANDUNG Gondodiputro, Sharon
Jurnal Manajemen Pelayanan Kesehatan Vol 13, No 02 (2010)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (622.176 KB)

Abstract

Background: Apart from funding, the role of health careproviders on the health insurance scheme should be takeninto account, because they are one of the components ofhealth insurance scheme and could play as gate keepers.They include private and public health providers. 92.14% ofthe total primary health providers in Bandung District are privatehealth providers, consisted of 561 doctors, 392 midwives and154 private clinics. The objective of the study was to assessthe involvement, mechanism of payment and willingness toparticipate of the private health providers in the health insuranceschemeMethod: A survey with a simple random sampling wasconducted using questionnaire for 207 respondents (153doctors and 54 clinics).Result: Only 23% doctors and 21% clinics that already hadcontracts with 14-20 third payers. The mechanisms of paymentfrom the third payer to the providers were capitation (43%doctors, 50% clinics) and claims (39% doctors, 43% clinics).Among private providers who had not yet contracts with thirdpayer, only 55% doctors and 56% clinics wanted to havecontract. Factors contributed to the refusal were humanresource and facilities, finance, administration and health caredeliveryConclusion: Private health providers should be involved, aspart of the health insurance scheme in Bandung District withdeveloping efforts to gain trust between the providers andthird payers and considering a proper benefit for all.Keywords: Private Health Providers (PPK I), gate keeper,health insurance
Gambaran Rencana Masa Depan Pemilihan Bidang Profesi Mahasiswa Fakultas Kedokteran Universitas Padjadjaran Angkatan 2007 Fedrian, Dani; Gondodiputro, Sharon; Dewi, Sari Puspa
Jurnal Sistem Kesehatan Vol 1, No 1 (2015): Volume 1 Nomor 1 September 2015
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (521.593 KB) | DOI: 10.24198/jsk.v1i1.10303

Abstract

Salah satu komponen menjalankan sistem kesehatan nasional secara optimal adalah ketersediaan sumber daya manusia antara lain adalah dokter. Dengan banyaknya pilihan lapangan pekerjaan, menyebabkan tidak semua dokter mau bekerja di sarana pelayanan kesehatan primer. Penelitian ini bertujuan mendapatkan gambaran rencana masa depan pemilihan bidang profesi mahasiswa FK Unpad Angkatan 2007 beserta faktor-faktor yang melatarbelakanginya. Suatu survey deskriptif dilakukan terhadap 182 mahasiswa Program Pendidikan Sarjana Kedokteran FK Unpad Angkatan 2007 dengan menggunakan self-administered questionnaire. Hasil penelitian menunjukkan bahwa sebagian besar (70,3%) responden berencana langsung bekerja setelah lulus dokter, untuk selanjutnya akan melanjutkan pendidikan (96,9%). Mayoritas responden memilih sarana pelayanan kesehatan primer & sekunder (praktik sendiri dan rumah sakit pemerintah) sebagai rencana kerja. Selanjutnya responden yang berencana langsung melanjutkan pendidikan setelah lulus dokter ialah sebanyak 29,7%. Setelah lulus, mayoritas responden memilih sarana pelayanan kesehatan sekunder yaitu praktik sendiri dan rumah sakit swasta. Dosen/Akademisi  menjadi rencana kerja yang paling banyak dipilih pada bidang kerja non klinisi. Karakteristik pribadi yaitu minat, antusias, dan harapan pada bidang profesi merupakan faktor dominan yang melatarbelakangi rencana masa depan dalam pemilihan bidang profesi. Simpulan penelitian ini adalah sebagian besar responden memilih bekerja di sarana pelayanan primer hanya untuk sementara, sehingga akan berdampak terhadap kesinambungan pelaksanaan sistem kesehatan nasional. Untuk itu, sosialisasi akan pentingnya bekerja di sarana pelayanan primer menjadi kewajiban FK.Kata kunci: Klinisi, non klinisi, pemilihan profesi, pendidikan dokter, SDM kesehatan
Public Health Orientation Program (PHOP): Persepsi Dokter Internship Fakultas Kedokteran Universitas Padjadjaran Gondodiputro, Sharon; Paramita, Sekar Ayu; Amalia, Indah; Djuhaeni, Henni
Majalah Kedokteran Bandung Vol 47, No 2 (2015)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Perubahan paradigma sakit menjadi sehat, kuratif menjadi preventif dan berbasis komunitas menempatkan ilmu kesehatan masyarakat yang dikemas dalam Public Health Oriented Program (PHOP) sebagai materi yang sangat penting di Fakultas Kedokteran Unpad. Persepsi mahasiswa mengenai materi dalam kurikulum pendidikan dapat menggambarkan bagaimana efektivitas kurikulum tersebut. Atas dasar tersebut maka dilakukan penelitian tentang persepsi dokter internship FK Unpad mengenai manfaat PHOP pada saat mereka menjalankan internship. Penelitian deskriptif dilakukan terhadap 97 dokter Fakultas Kedokteran Unpad kelas reguler Angkatan 2007 dan 2008 (respons rate 74,2%), telah atau sedang melakukan program internship periode Juli–November 2014. Kuesioner yang telah diuji coba dan divalidasi, berisi 52 pertanyaan skala Likert, dikelompokkan menjadi 4 kelompok serta, disebarkan kepada responden menggunakan Research Electronic Data Capture (REDCap). Pengambilan sampel menggunakan consecutive sampling. Data diolah menggunakan distribusi frekuensi dan narasi. Hasil penelitian menunjukkan sebagian besar responden menyatakan bahwa materi-materi yang terdapat di PHOP bermanfaat pada waktu internship, namun  beberapa topik kurang aplikatif, peranan mereka sebagai dokter fungsional, tidak diberi kesempatan untuk melakukan fungsi manajemen, preventif dan promotif di masyarakat. Dari hasil ini dapat disimpulkan, perlu ada penyesuaian materi lebih aplikatif, laboratorium khusus untuk PHOP, mendatangkan expert dari lapangan dan  wahana intership melibatkan dokter dalam bidang manajemen, preventif dan promotif di masyarakat. [MKB. 2015;47(2):115–23] Kata kunci: Internship, persepsi, Public Health Oriented Program (PHOP)Public Health Orientation Program (PHOP): Perception of Medical Doctor Internship Program Participants at the Faculty of Medicine, Universitas PadjadjaranAbstractThe shift  from disease paradigm to healthy paradigm, from curative to preventive and community-based medical education has positioned the Public Health Oriented Program (PHOP) as a very important program of the Faculty of Medicine, Universitas Padjadjaran. Students’ perception of  the educational curriculum materials can describe the effectiveness of the curriculum. Based on this situation, the aim of this study was to describe the perception of doctors who participated in the internship program of the Faculty of Medicine, Universitas Padjadjaran on the benefits of PHOP. A descriptive study was carried out on 97 doctors of the Faculty of Medicine class 2007 and 2008 (response rate 74.2%) who had been and was involved in the internship program as participants. A validated questionnaire was used, containing 52 questions in Likert scale, divided into 4 groups of questions that was distributed to the respondents using Redcap (Research Electronic Data Capture). A consecutive sampling was used. The data was analyzed using frequency distribution and narratives.The results showed that most of the respondents stated that the materials in PHOP were very useful  during internship but some topics were  less applicable because the main role they played during internship was the role of a clinician and they were not given the opportunity to perform management, preventive and promotive functions in the community. From these results it can be concluded that there are needs for material adjustment towards more applicable, special laboratory activities for PHOP, inviting public health practitioners/experts to give lecture, and creating opportunities for the students to apply management, preventive and promotive actions during internship. [MKB. 2015;47(2):115–23]Key words: Internship, perception, Public Health Oriented Program (PHOP) DOI: 10.15395/mkb.v47n2.570
Motivasi Kader Meningkatkan Keberhasilan Kegiatan Posyandu Djuhaeni, Henni; Gondodiputro, Sharon; Suparman, Rossi
Majalah Kedokteran Bandung Vol 42, No 4 (2010)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Salah satu komponen sistem kesehatan di Indonesia adalah pemberdayaan masyarakat, khususnya posyandu yang keberhasilan kegiatannya bergantung pada peran serta kader dan masyarakat. Peran serta kader dan masyarakat sangat dipengaruhi oleh faktor motivasi yang mereka miliki. Penelitian ini bertujuan untuk menganalisis pengaruh serta faktor motivasi yang paling berpengaruh terhadap peran serta kader dan masyarakat dalam kegiatan posyandu di Kabupaten Kuningan selama tahun 2009. Metode penelitian cross sectional explanatory survey dengan menggunakan kuesioner. Total sampel sebanyak 300 responden, terdiri dari masing-masing 100 orang untuk kader aktif dan tidak aktif yang diambil secara multistage sampling serta 100 orang masyarakat sebagai kontrol diambil secara purposive sampling. Motivasi internal dan eksternal sebagai variabel independen dan partisipasi kader/masyarakat sebagai variabel dependen, kemudian dianalisis menggunakan teknik structural equation modeling (SEM). Hasil penelitian memperlihatkan bahwa faktor motivasi berpengaruh terhadap peran serta kader dan masyarakat dalam posyandu. Meskipun demikian terdapat berbagai variasi pengaruh, pada kader aktif motivasi eksternal lebih berpengaruh (p=0,97) dibandingkan dengan motivasi internal (p=-0,41). Pada kader tidak aktif terjadi hal sebaliknya, sedangkan pada masyarakat, kedua faktor motivasi menunjukkan pengaruh yang tidak bermakna. Simpulan, pengaruh dan perbedaan pengaruh motivasi terhadap peran serta kader dan masyarakat menentukan keberhasilan kegiatan posyandu. [MKB. 2010;42(4):140–8].Cadres Motivation as the Drive for the Success of PosyanduOne of the most important component of the health system in Indonesia is community empowerment, especially posyandu, which depends on their cadres and the community. It was hypothetically assumed that motivation will increase the participation for both cadres and community in the posyandu. The study aims were to analyze the effect of motivation and also determine which motivation factors that had the most influence towards participation in Kuningan district during 2009. The method adapted cross sectional explanatory survey using questionnaire. A total of 300 respondents were carried out, consisting 100 respondents each taken from active and inactive cadres (multistage sampling) and other 100 taken from the community (purposive sampling). Independent variables (internal and external motivation) and dependent variables (community participation) were mentioned and analyzed using structural equation modeling (SEM) technique. The results showed that motivation were actually had influence towards participations for both cadres and community in posyandu. However, the effect varies between groups. On active cadres, external motivation had more influence (p=0.97) compared to internal motivation (p=-0.41). The exact opposite happened in inactive cadres (internal more than external) and community. It can be concluded that cadres motivation is important as the drive for the success of posyandu. [MKB. 2010;42(4):140–8]. DOI: http://dx.doi.org/10.15395/mkb.v42n4.26
Keinginan untuk Membayar Pembiayaan Kesehatan Pemerintah Kota pada Masyarakat Mampu di Kota Bandung arisanti, nita; Djuhaeni, Henni; Gondodiputro, Sharon; Setiawati, Elsa Pudji; Wiwaha, Guswan; Arya, Insi Farisa; Rinawan, Fedri
Jurnal Sistem Kesehatan Vol 2, No 4 (2017): Volume 2 Nomor 4 Juni 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.16 KB) | DOI: 10.24198/jsk.v2i4.12487

Abstract

Pembiayaan kesehatan diselenggarakan dengan prinsip ekuitas, artinya penduduk yang mampu akan membayar iuran/ premi secara penuh, dan masyarakat miskin dibayarkan oleh pemerintah. Banyak faktor yang memengaruhi keinginan untuk membayar (WTP). Penelitian ini bertujuan mendapatkan gambaran keinginan masyarakat mampu membayar pembiayaan kesehatan dan faktor-faktor yang memengaruhinya. Penelitian kuantitatif dilakukan pada Agustus – September 2011 terhadap 303 kepala keluarga yang tergolong  masyarakat mampu di Kota Bandung. Mampu dalam penelitian ini adalah penduduk tinggal di perumahan elite. Kriteria inklusi yaitu kepala keluarga, memiliti KTP Kota Bandung, bersedia diwawancara. Teknik pemilihan sampel menggunakan cluster sampling, dengan klaster adalah perumahan elit di Kota Bandung. Subjek di tiap klaster ditentukan secara proporsional systematic sampling. Analisis data menggunakan distribusi frekuensi dan regresi logistik. Dari 303 responden, 54,9% yang memiliki asuransi, tidak ingin membayar dan 60% yang belum memiliki, ingin membayar pembiayaan kesehatan Pemkot Bandung. Sebagian besar masyarakat mampu hanya ingin membayar premi kurang dari Rp. 25.000 dengan berharap mendapatkan semua jenis pelayanan kesehatan. Agama dan pendidikan terakhir merupakan faktor yang menentukan secara bermakna keinginan membayar pembiayaan kesehatan. Rendahnya kesadaran responden untuk ikut serta program pembiayaan kesehatan Pemkot Bandung harus dapat diantisipasi pemerintah dengan lebih mendorong masyarakat dari semua golongan status sosial – ekonomi untuk mengikuti program pembiayaan kesehatan.Kata kunci: Keinginan, Kesehatan, Pembiayaan, Masyarakat mampu
Three Years Data of Uterine Fibroids Patient Characteristics at West Java Top Referral Hospital Azzahra, Mutiara; Gondodiputro, Sharon; Amarullah, Mulyanusa
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Uterine fibroids are the most common benign tumor in female reproductive system and a major cause in declining their quality of live. Patient characteristics has high prevalence in black women, 40s, nulliparous, and early menarche. These characteristics are varied in some areas and considered in treatment decisions. The objectives of this study was to describe the uterine fibroid patient characteristics at Dr. Hasan Sadikin General Hospital, Bandung from 1 January 2013 to 31 December 2015.Methods: A descriptive study was conducted to 255 medical records of patients with uterine fibroids at Dr. Hasan Sadikin General Hosiptal, Bandung from 1 January 2013 to 31 December 2015. This study was conducted from September to November 2016. The variables were the year of treatment, age, education, occupation, married status, menarche, abortion, parity, type of uterine fibroids, and treatment. The collected data were analyzed and presented using frequency tables and percentages.Results: Most cases of uterine fibroids were discovered in 2014. The most characteristics with uterine fibroids were pre-menopausal age (41.18%), high school education (55.69%), housewife (63.14%), normal menarche (54.51%), married (92.16%), nulliparous (47.45%), no abortion (76.47%), multiple uterine fibroids (46.67%), and hysterectomy (58.04%).Conclusions: The most combination of characteristics of patients with uterine fibroids is nulliparrous women in reproductive and pre-menopausal age with normal menarche. 
Handwashing among Schoolchildren in Jatinangor, West Java Faye, Cheryl May Chong Sue; Chrysanti, Chrysanti; Gondodiputro, Sharon
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Diarrhea and pneumonia accounts for an estimated 40% of all child deaths around the world each year. Handwashing with soap could protect about 1 out of every 3 young children who get sick with diarrhea and almost 1 out of 6 young children with respiratory infections like pneumonia. Although people around the world clean their hands with water, very few use soap to wash their hands. Washing hands with soap removes germs much more effectively. This study was undertaken to determine the level of knowledge and practice regarding proper handwashing among elementary school children.Methods: A descriptive study was conducted from August to October 2014 in Jatinangor using primary data from respondents who are 5th graders from four schools. A total of 49 males and 50 females were chosen using cluster random sampling. Schoolchildren who were present, able and well were given questionnaires after written informed consent was obtained from the schoolchildren and their guardians. Then, respondents demonstrated hand-washing techniques which were evaluated using a checklist.Results: Overall, 52% of the schoolchildren had moderate level of hand washing knowledge and 66% had bad handwashing practices.Conclusions: Despite having a moderate level of handwashing knowledge, the majority still had poor handwashing practices. Handwashing programs should be carried out extensively to improve knowledge and practice.[AMJ.2016;3(2):170–4]DOI: 10.15850/amj.v3n2.795
Perception of Mothers on Adequate Nutrition Valoo, Darshini; Diana, Aly; Gondodiputro, Sharon
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Malnutrition in children less than 5 years old persists around the world. In West Java and one of the districts of West Java (Sumedang), the prevalence of malnutrition is about 18.5% and 15.8% respectively.  Numerous factors can lead to child malnutrition. Difficulties in availability, accessibility, acceptability and quality of food can be contributing factors. A good perception of mother on adequate nutrition can improve children’s nutritional status. This study was conducted to study the perception of mothers with children 2 to 5 years old on adequate nutrition. Methods: Most of the respondents had good perception on the aspect of adequate nutrition.  Results showed perception on availability was 83.8%, physical accessibility was 97.1%, economical accessibility was 98.6%, information accessibility was 84.8% and acceptability was 81.0%. However, perception of respondents on good quality nutrition for the main meal and additional food was still poor. Moreover, there are taboos for eating shrimp and watermelon. Additionally, children were given snacks in large amount.Results: There was a strong correlation between mid-upper arm muscle area/size and muscular strength (correlation cooefficient 0.746). Moreover, the higher the Body Mass Index, the stronger the muscle strength was to some point. If the BMI was more than 25 kg/m2, this findings did not occurred. Conclusions: This study reveals that the perception of mothers on good quality food is poor regardless the good results on availibility, accesibility and acceptability. [AMJ.2017;4(1):87–93] DOI: 10.15850/amj.v4n1.1027
Suspectable Risk Factors of Congenital Anomaly in Dr. Hasan Sadikin General Hospital Bandung, Indonesia Yudiasari, Pradistya Syifa; Pramatirta, Akhmad Yogi; Gondodiputro, Sharon
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v4n2.1095

Abstract

Background: Congenital anomaly is a disease of structural or functional alteration since birth. The cause of congenital anomaly is genetic, environtment, and unknown. The cause of congenital anomaly is unknown, made congenital anomaly is difficult to detect. Therefore, the objective of this study was to identify the suspectable risk factors of congenital anomaly.Methods: This was a descriptive study. About 78 samples were taken by purposive sampling from medical records of patients with congenital anomaly in pediatric surgery ambulatory unit at Dr. Hasan Sadikin General Hospital (RSHS), Bandung from September to November 2014. From the selected medical records, an interview was carried out to the parents’ patient to identify some suspectable risk factors. The collected data were analyzed and presented in tables.Results: From 78 medical records,  hirschprung disease was the highest among all type of congenital anomaly (29%). The characteristic of congenital anomaly was mothers in the age of 20–35 years (65%), fathers’ age was  more than 20 years old, family history of congenital anomaly was 1%, there was no history of previous congenital anomaly in previous pregnancy, infection history was 3%, history of medication was 11.5%, mother’s BMI was in normal term (18.5─24.9) as much as 65%, no history of radiation, there was no history of chronic alcohol. History of smoking/passive smoking was high (65%).Conclusions: Hirschprung disease is the highest rate disease in congenital anomaly and smoking is a highest suspectable risk factor contribute to congenital anomaly. DOI: 10.15850/amj.v4n2.1095
Public Health Orientation Program (PHOP): Persepsi Dokter Internship Fakultas Kedokteran Universitas Padjadjaran Gondodiputro, Sharon; Paramita, Sekar Ayu; Amalia, Indah; Djuhaeni, Henni
Majalah Kedokteran Bandung Vol 47, No 2 (2015)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Perubahan paradigma sakit menjadi sehat, kuratif menjadi preventif dan berbasis komunitas menempatkan ilmu kesehatan masyarakat yang dikemas dalam Public Health Oriented Program (PHOP) sebagai materi yang sangat penting di Fakultas Kedokteran Unpad. Persepsi mahasiswa mengenai materi dalam kurikulum pendidikan dapat menggambarkan bagaimana efektivitas kurikulum tersebut. Atas dasar tersebut maka dilakukan penelitian tentang persepsi dokter internship FK Unpad mengenai manfaat PHOP pada saat mereka menjalankan internship. Penelitian deskriptif dilakukan terhadap 97 dokter Fakultas Kedokteran Unpad kelas reguler Angkatan 2007 dan 2008 (respons rate 74,2%), telah atau sedang melakukan program internship periode Juli–November 2014. Kuesioner yang telah diuji coba dan divalidasi, berisi 52 pertanyaan skala Likert, dikelompokkan menjadi 4 kelompok serta, disebarkan kepada responden menggunakan Research Electronic Data Capture (REDCap). Pengambilan sampel menggunakan consecutive sampling. Data diolah menggunakan distribusi frekuensi dan narasi. Hasil penelitian menunjukkan sebagian besar responden menyatakan bahwa materi-materi yang terdapat di PHOP bermanfaat pada waktu internship, namun  beberapa topik kurang aplikatif, peranan mereka sebagai dokter fungsional, tidak diberi kesempatan untuk melakukan fungsi manajemen, preventif dan promotif di masyarakat. Dari hasil ini dapat disimpulkan, perlu ada penyesuaian materi lebih aplikatif, laboratorium khusus untuk PHOP, mendatangkan expert dari lapangan dan  wahana intership melibatkan dokter dalam bidang manajemen, preventif dan promotif di masyarakat. [MKB. 2015;47(2):115–23] Kata kunci: Internship, persepsi, Public Health Oriented Program (PHOP)Public Health Orientation Program (PHOP): Perception of Medical Doctor Internship Program Participants at the Faculty of Medicine, Universitas PadjadjaranAbstractThe shift  from disease paradigm to healthy paradigm, from curative to preventive and community-based medical education has positioned the Public Health Oriented Program (PHOP) as a very important program of the Faculty of Medicine, Universitas Padjadjaran. Students’ perception of  the educational curriculum materials can describe the effectiveness of the curriculum. Based on this situation, the aim of this study was to describe the perception of doctors who participated in the internship program of the Faculty of Medicine, Universitas Padjadjaran on the benefits of PHOP. A descriptive study was carried out on 97 doctors of the Faculty of Medicine class 2007 and 2008 (response rate 74.2%) who had been and was involved in the internship program as participants. A validated questionnaire was used, containing 52 questions in Likert scale, divided into 4 groups of questions that was distributed to the respondents using Redcap (Research Electronic Data Capture). A consecutive sampling was used. The data was analyzed using frequency distribution and narratives.The results showed that most of the respondents stated that the materials in PHOP were very useful  during internship but some topics were  less applicable because the main role they played during internship was the role of a clinician and they were not given the opportunity to perform management, preventive and promotive functions in the community. From these results it can be concluded that there are needs for material adjustment towards more applicable, special laboratory activities for PHOP, inviting public health practitioners/experts to give lecture, and creating opportunities for the students to apply management, preventive and promotive actions during internship. [MKB. 2015;47(2):115–23]Key words: Internship, perception, Public Health Oriented Program (PHOP) DOI: 10.15395/mkb.v47n2.570