Articles

Functional Posts In Health Informatics ( A Case Study In Yogyakarta Special Region Province) Kusnanto, Hari
Jurnal Manajemen Pelayanan Kesehatan Vol 5, No 04 (2002)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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MANAJEMEN PELAYANAN KESEHATAN DALAM KOMPLEKSITAS DAN CHAOS Kusnanto, Hari
Jurnal Manajemen Pelayanan Kesehatan Vol 1, No 02 (1998)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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KEBIJAKAN KESEHATAN MASYARAKAT BERBASIS BUKTI Kusnanto, Hari
Jurnal Manajemen Pelayanan Kesehatan Vol 11, No 01 (2008)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Evidence-based public health policy is not a linear extrapolationof evidence-based medicine to the public health arena. Relevanttypologies,  rather  than  hierarchies,  of  evidence,  should  beapplied  to  support  public  health  policy.  There  are  multipledimensions of evidence used for health policy formulation in aspecific  political,  social  and  cultural  context. Typologies  ofevidence  for  public  health  policy  are  broader  than  clinicalpractices.  Methods  for  evidence  production,  appraisal  andsystematic  reviews  for  public  health  policy  need  to  bedeveloped  and  applied  to  solve  major  public  health  issues,such as tobacco use and exposure to environmental tobaccosmoke.Keywords: evidence, public health, policy
DAMPAK KRISIS EKONOMI TERHADAP UTILISASI RAWAT INAP DI RS PANTI RINI YOGYAKARTA Kusnanto, Hari
Jurnal Manajemen Pelayanan Kesehatan Vol 2, No 01 (1999)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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KEBIASAAN MAKAN PAGI, LAMA TIDUR DAN KELELAHAN KERJA (FATIGUE) PADA DOSEN Yogisutanti, Gurdani; Kusnanto, Hari; Setyawati, Lientje; Otsuka, Yasumasa
Jurnal Kesehatan Masyarakat Vol 9, No 1 (2013)
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Latar belakang. Fatigue merupakan fenomena normal bagi setiap orang sehat, yang dapat dikurangidengan istirahat maupun tidur. Kurang tidur (sleepiness) telah menjadi fokus masalah dalam isukesehatan kerja. Namun, penelitian kelelahan kerja pada dosen masih sangat terbatas dan belummenjadi perhatian. Tujuan penelitian untuk mengetahui hubungan kebiasaan makan pagi, lamawaktu tidur dengan kelelahan kerja. Metode. Desain cross sectional digunakan dalam penelitian dansebanyak 77 partisipan berasal dari 2 sekolah tinggi ilmu kesehatan swasta di Jawa Barat. Makanpagi dan lama waktu tidur per hari (variabel bebas) diukur menggunakan kuesioner. Kelelahankerja (variabel terikat) diukur menggunakan reaction timer yang dilakukan selama 3 hari dalam 1minggu. Kelelahan kerja merupakan rerata waktu reaksi dari hasil pengukuran. Hasil. Rerata waktutidur 6,12±0,670 jam, sebanyak 52(67,5%) dosen mempunyai kebiasaan makan pagi. Rerata waktureaksi 233,83±46,64 milidetik. Hasil uji statistik menggunakan uji korelasi didapatkan tingkatkelelahan berkorelasi negatif dengan kebiasaan makan pagi (p=0,000; r=-0,472) dan waktu tidur(p=0.000; r=-0,459). Kesimpulan. Kelelahan kerja dosen disebabkan kurang tidur dan intake kaloriyang dibutuhkan untuk beraktivitas. Untuk mengatasi kelelahan kerja perlu peningkatan kesadarandan pengetahuan dosen tentang keselamatan dan kesehatan kerja terutama kebiasaan makan danwaktu istirahat yang baik dan sehat agar menjadi budaya kerja. Background. In a healthy person fatigue is a normal phenomenon, experienced by everyone andusually easily relieved by rest or sleep. Increased sleepiness at work is now increasingly being focusedon a safety health issue. However, research on university teacher’s fatigue is very limited and has notbeen fully addressed. Objective. Th e Objective of this study was to clarify the relationship betweensleeping duration, breakfast habits and fatigue in university teacher. Method. Cross-sectional surveywas used and 77 participants were given a questionnaire about sleeping duration, breakfast habits andfatigue symptoms. Fatigue level was measured with reaction timer in the morning when they arrivedat the workplace and before they left the workplace. Correlation analyses were used to identify therelationship between independents and dependent variables. Result. Average hour of sleep was 6.12hours per night (SD=0.67) and 67.5% participants were not having breakfast. Level of fatigue in themorning was mostly in light fatigue level (259.68±49.16 mms), which was signifi cantly correlated withsleep duration (r=0.459; p=0.000), which was signifi cantly correlated with breakfast habits (r=-0.472;p=0.000). Conclusion. Fatigue level was associated with sleep deprivation and low intake calories frombreakfast. University teachers may suff er from fatigue at their beginning of work because of the lack ofsleep duration, while in the evening, fatigue became higher because of the lack energy from breakfast.To manage the fatigue level for university teachers should be considered to improve university teacher’sknowledge about sleep and breakfast and have enough time to sleep and breakfast before working.
Determinan kejadian tuberkulosis paru BTA (+) di kabupaten Bandung Barat Agustina, Fitria; Saleh, Yusrizal Djam’an; Kusnanto, Hari
Berita Kedokteran Masyarakat (BKM) Vol 32, No 9 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

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Determinants of pulmonary tuberculosis BTA (+) in the district of West BandungPurposeThis study aimed to determine the incidence of TB determination BTA (+) in the district of West Bandung. MethodsThis research was an analytic observational study with a case control design. Subjects were patients aged 15 years and over who came to the clinic for treatment with a diagnosis of patients with TB BTA (+) as the case group, and patients who did not have TB diagnosis by an examining physician in the clinic as a control group. Samples included 140 people. Data analysis was performed by  univariable, bivariable and multivariable analysis. ResultsIncome and education were significantly associated with the incidence of TB BTA (+), with p-value 0.040 and 0.037 (p<0.05), respectively. Physical environment, smoking habits, the walls, the floor of the house, humidity, ventilation, lighting, cooking fuel, cigarette smoke exposure were significantly associated with the incidence of TB BTA (+) (p-value <0.05). History of contact (p-value 0.946> 0.05) and a history of BCG immunization (p-value 0.611> 0.05) were not significantly associated with the incidence of TB BTA (+). Conclusion Physical factors in the environment such as ventilation and fuel for cooking were significantly associated with the incidence of TB BTA (+). Appropriate efforts are recommended to avoid risks.
Immune Response against Hepatitis B Virus after Vaccination among Low Birth Weight and Preterm Newborns: A Retrospective Cohort Study in Magelang District Central Java Muhardison, Muhardison; Kusnanto, Hari; Mulyani, Nenny Sri
Tropical Medicine Journal Vol 3, No 2 (2013): Tropical Medicine Journal
Publisher : Fakultas Kedokteran bekerjasama dengan PETRI

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ABSTRACTIntroduction: Hepatitis B virus (HBV) infection is a major cause of morbidity and mortality in the world. Over 2 billion people are infected with HBV and 378 million are carriers. The mortality rate is approximately 1-2 million and over 4 millions acute clinical cases are documented each year. The prevalence of HBV infection in Indonesia is 3-20%. Vertical and horizontal transmission in newborn and children occurs in 25-45%. Near 25-50% of children are infected before 5 years. The most effective approach to reduce the burden of HBV infection is mass vaccination of newborns and children.Objectives: To determine immune response against HBV after HBV vaccine among low birth weight (LBW) and preterm newborns after HBV vaccination, and factors related to the immune response i.e. gender and weight gain in the first 6 months of life.Methods: During May-July 2012, 106 infants aged 13-15 months were recruited after HBV vaccination. They were completed 4 doses of HBV basic vaccination in 0, 2, 3, and 4 months of life. Sera were examined for anti-HBs antibody titers using ELISA.Results: A total of 98 subjects (92.5%) completed the study. Immune response of LBW subjects were positive in 89.7%, newborns were 95.9%. The Relative Risk (RR) were 2.5 CI (0.50 to 12.2) p=0.2178. Gender was not related to immune response RR 0.6 CI (0.15 to 2.69) p=0.6996. Gestational age associated with immune response RR 8 CI (1.05 to 63.9) p=0.0399. The first 6 months weight was not related to immune response RR 3.6 CI (0.73 to 17.7) p=0.1178. Logistic regression analysis showed LBW was not correlated with the immune response OR 1 CI (0.16 to 7.17) p=0.929. Gestational age correlated with immune response OR 9 CI (1.05 to 79.3) p=0.044 and the first 6 months of weight was not correlated with immune response OR 3.7 CI (0.65 to 21.1) p=0.138.Conclusion: Immune response against HBV after vaccination was similar between LBW and NBW. Immune response was correlated with gestational age.Keywords: Hepatitis B vaccine, immune response, LBW and preterm.
Risk Factors Analysis of Typhoid Fever Occurence of Inpatient in Kebumen Public Hospital in 2013 Hudayani, Rina; Kusnanto, Hari; Humardewayanti, Rizka; Wibowo, Trisno Agung
Tropical Medicine Journal Vol 3, No 2 (2013): Tropical Medicine Journal
Publisher : Fakultas Kedokteran bekerjasama dengan PETRI

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ABSTRACTIntroduction: Typhoid fever is a disease caused by infection of Salmonella typhoid and paratyphoid bacteria. There are 350-810 people who get this disease per 100.000 people and the percentage of death is 0.6-5%. Typhoid fever in Kebumen Regency always belongs to the big five diseases. The criteria are the number of in-patient in the hospital and the extraordinary occurrence for 4 years (from 2007 to 2010). This disease is related to unhealthy sanitation and bad individual hygiene practice.Objective: To analyze the risk factors of typhoid fever occurrence of inpatient in Kebumen Public Hospital in 2013.Methods : This research is an analytical observational research with control case study design. The sample subject was taken by using consecutive sampling method and there were 148 respondents, consisting of 74 case respondents and 74 control respondents. The data were analyzed by using McNemar (bivariate) test and conditional logistic regression (multivariate).Results : Most respondents are in the age of 15-20 years old (32.43%), female (70.27%), the graduates of Senior/Vocational High School (29.05%) and student/university student (34.46%). The results of multivariable analysis are the risk factor of eating non-homemade snack habit is high (p=0.000; OR=5.586; CI 95% 2.142-14.571) followed by the habit of washing hands before eating (p=0.003;OR=2.835; CI 95% 1.433-5.609). Water clean sources, facility for defecation,  defecation habit in latrine, and typhoid fever history in family are not the risk factors of typhoid fever occurrence of in-patient in Kebumen Public Hospital.Conclusion : The risk to get typhoid fever in Kebumen Regency is higher on those whose habits of eating non-homemade snacks  and not washing hand by using soap before eating. Therefore, the health officer should improve individual hygiene promotion and give information to society and those who manage food processing public place.Key Words: Risk factors,Typhoid fever, Kebumen.
ANALISIS KESUKSESAN IMPLEMENTASI REKAM MEDIS ELEKTRONIK DI RS UNIVERSITAS GADJAH MADA Andriani, Rika; Kusnanto, Hari; Istiono, Wahyudi
Jurnal Sistem Informasi Vol 13 No 2 (2017): Jurnal Sistem Informasi (Journal of Information System)
Publisher : Faculty of Computer Science Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (280.768 KB) | DOI: 10.21609/jsi.v13i2.544

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Rekam Medis Elektronik (RME) merupakan sistem informasi kesehatan terkomputerisasi yang berisi data sosial dan data medis pasien, serta dapat dilengkapi dengan sistem pendukung keputusan. RME dapat membantu manajemen pelayanan kesehatan pasien dengan lebih baik. RS Universitas Gadjah Mada mewajibkan penggunaan RME. Saat ini RME dalam tahap pengembangan. Pengguna merupakan aspek penting untuk mewujudkan RME yang ideal. MMUST merupakan model untuk menilai kesuksesan sistem pada lingkungan mandatory. Dengan memahami persepsi pengguna mengenai RME dapat ditemukan rekomendasi yang tepat untuk memaksimalkan adopsi RME untuk meningkatkan kualitas pelayanan pasien. Penelitian ini menganalisis faktor-faktor penentu kesuksesan implementasi RME di RS Universitas Gadjah Mada berdasarkan MMUST. Jenis penelitian adalah penelitian kuantitatif dengan rancangan cross sectional. Data dari 100 pengguna RME yang dipilih secara simple random sampling dianalisis dengan teknik analisis SEM-PLS menggunakan software SmartPLS 3.2.3. Hasi penelitian ini membuktikan seluruh variabel MMUST berpengaruh terhadap kesuksesan implementasi RME dengan nilai R2 kepuasan informasi 0,394; harapan kinerja 0,292; kepuasan keseluruhan 0,602; manfaat keseluruhan 0,444; dan sikap 0,655. Nilai Goodness of Fit (GoF) sebesar 0.5777, sehingga dapat disimpulkan model penelitian ini secara substansial merepresentasikan hasil penelitian.
FAKTOR PREDIKTOR GANGGUAN PENGLIHATAN BERAT DAN KEBUTAAN PADA PENDERITA DIABETES DI DAERAH ISTIMEWA YOGYAKARTA Sadarang, Rimawati Aulia Insani; Kusnanto, Hari; Sasongko, Mohammad Bayu
Berita Kedokteran Masyarakat (BKM) Vol 33, No 12 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (281.7 KB) | DOI: 10.22146/bkm.26334

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Pendahuluan: Peningkatan prevalensi diabetes berimplikasi pada potensi peningkatan beban penyakit akibat diabetes, seperti gangguan penglihatan dan kebutaan. Penelitian ini bertujuan untuk mengetahui faktor prediktor terjadinya gangguan penglihatan berat dan kebutaan pada penderita diabetes di Daerah Istimewa Yogyakarta.Metode: Penelitian ini menggunakan desain cross sectional study dan memanfaatkan data register Jogjakarta Eye Diabetic Study in the Community (JOGED.COM). Data yang dianalisis meliputi karakteristik sosial demografi, status diabetes, riwayat kesehatan dan penyakit mata. Analisis data menggunakan uji chi-square dan simple logistic regression dengan analisa tambahan estimasi korelasi semi parsial, stratifikasi dan multilevel menggunakan Generelized Estimation Equation (GEE).   Hasil : Terdapat 1093 data register penderita diabetes dalam penelitian ini. Teridentifikasi prevalensi gangguan penglihatan berat dan kebutaan adalah 12% dan 6,5%. Pada analisis, katarak, retinopati diabetik dan durasi diabetes >10 tahun signifikan berhubungan baik terhadap gangguan penglihatan berat maupun kebutaan, sementara  glaukoma (OR=3,42;95%CI=0,61-12,86) dan hipertensi (OR=1,36;95%CI=1,04-1,77) hanya berhubungan dengan gangguan penglihatan berat. Katarak adalah penyakit mata dengan kontribusi terbesar baik terhadap gangguan penglihatan berat (4,73%) maupun kebutaan (3,11%). Terdapat modifikasi efek katarak terhadap gangguan penglihatan berat (M-HOR=3,64; 95%CI=2,75-4,81) dan kebutaan (M-HOR=3,69; 95%CI=2,59-5,25) berdasarkan durasi diabetes yang signifikan secara statistik. Hasil analisis GEE menunjukkan katarak, retinopati diabetik dan durasi diabetes > 10 tahun adalah model prediktor terbaik terhadap gangguan penglihatan berat dan kebutaan.  Kesimpulan :  Faktor prediktor gangguan penglihatan berat dan kebutaan pada penderita diabetes di Daerah Istimewa Yogyakarta adalah katarak, retinopati diabetik dan durasi diabetes >10 tahun. Modifikasi efek durasi diabetes > 10 tahun terhadap kontribusi katarak hanya signifikan pada outcome kebutaan.  
Co-Authors Achmad Fudholi Agung Nugroho Agus Suwarni Al Supartinah Santoso, Al Supartinah Ali Ghufron Mukti Andarwatolanrain, Ana Nurjanah Andriani, Rika Anis Fuad Apris, Bai Ardiningtyas, Bondan Ardiningtyas, Bondan Ari Probandari Arifin Santoso Aroni, Hasan Arsyad, Agus Salim Arum Pratiwi Awaliyah, Nuratul Ayu, Rosa Devitha Bagus Riyono Bambang Priyono Bambang Riyanto Carla Raymondalexas Marchira, Carla Raymondalexas Chrisniati, Elina Danawati, Cornelia Wahyu Depo, Meliana Devi Octaviana Dewi, Syamsumin Kurnia Diah Ayu Puspandari, Diah Ayu Dibyo Pramono Dwi Sarwani Sri Rejeki Dwi Sarwani Sri Rejeki Eggi Arguni, Eggi Elsa Herdiana Murhandarwati Fatma Nuraisyah, Fatma Fitri Haryanti Fitria Agustina Gurdani Yogisutanti Hakimi, Moh Hamim, Sadewa Ahmad Heru Pradjatmo HM, Rusdiana Hutagalung, Jontari I Dewa Putu Pramantara Ida, Darojatun Immanuel, Bansai Indwiani Astuti Istiono, Wahyudi Jogiyanto ., Jogiyanto Kau, Akmal Dwiyana Kurniawan, Jati Laksono Trisnantoro Lazuardi, M. Lutfan Lientje Setyawati Lientje Setyawati Maurits Lilik Zuhriyah Linawati, Hananta Lingga Ikaditya, Lingga Lutfan Lazuardi Luthan Lazuardi, Luthan Maftuhah Nurbeti, Maftuhah Marchaban Marchaban, Marchaban Masrizal Dt Mangguang, Masrizal Mizawati, Afrina Mohammad Hakimi Mubasysyir Hasanbasri Muchsin Maulana, Muchsin Muhammad Syaukani Muhardison Muhardison Mukhibin, Akhmad Munthe, Alfian R Nasir Ahmad, Nasir Nenny Sri Mulyani Oktaviani, Zakiyah Ova Emilia P. Purwono, P. Pandiangan, Jonri Maringan Prihatin, Mega Tyas Radiono, Sunardi Radja, Isak Iskandar Rahayujati, Theodola Baning Retna Siwi Padmawati, Retna Siwi Rina Hudayani Rintis, Novijanti Riris Andono Ahmad Riswaka Sudjaswadi Rizka Humardewayanti Sadarang, Rimawati Aulia Insani Saekhol Bakri, Saekhol Saleh, Yusrizal Djam’an Samuel, Kik Hao Sangadji, Namira Wadjir Sasongko, Mohammad Bayu Satibi ., Satibi Shafwan, Shafwan Sri Nurlaela Sri Yatmi Mei Kristiani, Sri Yatmi Mei Supargiyono, S. Sutjipto Sutjipto Syahirul Alim Tri Baskoro Tunggul Satoto Tri Murti Andayani Tri Wahyudi Trisno Agung Wibowo Triwibowo A. Garjito Ulfah, Nor Anita Umi Solikhah Utami Utami Vella Dwi Yani Wakano, Fitria Widagdo Sri Nugroho Winasti, Satyagraha Ari Yasumasa Otsuka Yayi Suryo Prabandari