Christyana Sandra
Bagian Administrasi dan Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Jember

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Analisis Biaya Satuan (Unit Cost) Dengan Metode Activity Based Costing (ABC) (Studi Kasus di Poli Mata RSD Balung Kabupaten Jember) Sugiyarti, Anis Tri; Nuryadi, Nuryadi; Sandra, Christyana
e-Journal Pustaka Kesehatan (e-ISSN: 2355-178X) Vol 1, No 1 (2013)
Publisher : e-Journal Pustaka Kesehatan (e-ISSN: 2355-178X)

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Abstract

Hospital is a government environment agency stablished to provide health services to the community. Therefore, hospitals desperately need input in the form of complete information, about is cost of a unit (unit cost). RSD Balung Jember that are required to perform the calculation of unit costs (unit cost) by of activity based costing (ABC) method. The purpose research is the calculation of unit costs (unit cost) by of activity based costing (ABC) method in Eyes at RSD Balung Jember. These research used descriptive with case study. Results sowed that, extraction corpus alienum Rp. 42.695; epilasi eyelash Rp. 36.579; incisi hordeolum or chalazion Rp. 41.956; tonometri Rp. 19.883; funduscopy Rp. 39.642; fluorosence Rp. 41.200; slyt lamp Rp. 14.119; visus Rp. 13.674; eye irrigation Rp. 60.544; extraction granuloma and ptyrigium Rp. 63.685; lift statches Rp. 36.507; anel test Rp. 60.288; prescription glasses Rp. 30.249; colour blind test Rp. 17.332; and health KIR Rp. 17.332;.The type of action that has a unit cost above tariff is funduscopy, fluorosence, lift stitches, anel test, and prescription glasses, while under the tariff is the extraction corpus alienum, epilasi eyelash, incisi hordeolum or chalazion, tonometri, slyt lamp, visus, eye irrigation, extraction granuloma and ptyrigium, color blind tests and health KIR. Keywords: Unit Cost, Activity Based Costing (ABC)
GAMBARAN PERSEPSI PASIEN INSTALASI RAWAT INAP MENGENAI BRAND EQUITY RUMAH SAKIT TINGKAT III BALADHIKA HUSADA JEMBER TAHUN 2018 Sari, Dwi Novita; Sandra, Christyana; Utami, Sri
IKESMA Vol 14 No 2 (2018)
Publisher : FKM - UNEJ

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Abstract

Brand equity is a set of brand assets and liabilities linked to a brand name and symbol, which add to or subtract from the value provided by a product or service. For 3 years, Bed Occupancy Rate haven’t met the optimal standard and shows that the society is still less utilize inpatient services of Baladhika Husada Jember Third-Level Hospital. The objective of this study was describe inpatient's perception about brand equity of Baladhika Husada Jember Third-Level Hospital in 2018. This study used a descriptive study. Results showed that most of the respondents are female, in the age group >45 years old, living in Jember, last education are elementary school/equivalent, housewifes, family income ranged between Rp 1.1 million - Rp 2 million and methods of payment using BPJS Health insurance. Variable brand awareness is good enough because the majority of respondents choose Baladhika Husada Jember Third-Level Hospital as top of mind. Brand association through product attributes, intangible, customer benefits, relative price, and use/application are in good category. Perceived quality through performance, serviceability, reliability, features, conformance to specifications and results are in good category. Brand loyalty dominated by satisfied buyer.
PENGARUH PENURUNAN KUALITAS UDARA TERHADAP FUNGSI PARU DAN KELUHAN PERNAFASAN PADA POLISI LALU LINTAS POLWILTABES SURABAYA Sandra, Christyana
IKESMA Vol 9, No 1 (2013)
Publisher : FKM - UNEJ

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Abstract

Some of the air pollutants that may result in respiratory complaints are NO2, SO2, and dust particles. These pollutants may irritate respiratory tract, leading to lung function impairment and respiratory complaints. The objective of this study was to analyze the concentration of NO2, SO2, and dust in Surabaya. This was an observational analytic study conducted cross-sectionally among traffic policemen and staff policemen in Polwiltabes Surabaya. This study was conducted within the working area of Polwiltabes Surabaya from December 2007 to July 2008. Population of study group was the members of traffic policemen and control group was staff policemen who had met the given criteria. Sample size was 42 persons, 21 persons each from study group and control group. Data analysis used independent two sample t test and multiple logistic regression test. Mean of NO2 and dust levels had exceeded the established standard, while mean of SO2 level was still below its established standard. Mean of indoor NO2, SO2 and dust levels were still below the established standard. Lung function test revealed that 13 (61.9%) of study group had normal lung function and 8 (38.1%) had mild restrictive impairment. In control group, 19 (76.2%) had normal lung function and 2 (23.8%) had mild restrictive impairment. Study group had restrictive impairment 4 time higher risk and 1,4 time higher risk having obstruction impairment than control group. Study group had respiratory complaints 2 time higher risk than control group. Method of data analysis using multiple logistic regression test revealed that age and SO2 concentration had significantly affected lung function and respiratory complaints in study group. It must be consider that poor air quality have causative factor into lung function. It is recommended that local government increased public transportation service, provide additional air quality monitoring, transportation arrangement system, and motor exhaust gas should periodically be checked.
Analisis Kebutuhan Pelatihan bagi Tenaga Administrasi di Instalasi Rawat Jalan RSD dr.Soebandi Jember (Training Need Analysis for Administratrive Staffs in Outpatient Installation at RSD dr.Soebandi Jember) Krisdiyanti, Anita; Nuryadi, Nuryadi; Sandra, Christyana
Pustaka Kesehatan Vol 2, No 2 (2014)
Publisher : Pustaka Kesehatan

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Abstract

Training need analysis is the process of collecting and analyzing data to identify the factors that need to be improved with training. In 2009, RSD dr.Soebandi Jember has conducted a training needs analysis for administrative staffs using based Job Competencies Based Need Analysis approach. However, it would be appropriate if the RSD dr.Soebandi Jember uses Person Competencies Based Need Analysis approach so can be identified that the gap between the standard and actual competency. The objective of these study was to analyzed the training needs for administrative staffs in Outpatient Installation at RSD dr.Soebandi with Person Competencies Based Need Analysis approach. These study used a descriptive research. Based on these research, competency standards of knowledge, attitude, and skill consist of excellent service, administrative, computer, and SIM-RS. In addition, it was determined those all or 100% of administrative staffs in Outpatient Installation must met the standards of competency in both categories. In actual competency was found that the administrative sttafs who had good knowledge are 43%, good attitude are 91%, and good skill are 45%. Based on results of the identification of standard competency and actual competency can be concluded that on average there was a gap on all competency. Keywords: Training Need Analysis, Person Competencies Based Need Analysis
Kemampuan Membayar Iuran Jaminan Kesehatan Nasional Bagi Nelayan di Kabupaten Jember (Ability To Pay The Premium Of National Health Insurance For Fisherman in Jember) Noormalasari, Widya; Nuryadi, Nuryadi; Sandra, Christyana
Pustaka Kesehatan Vol 3, No 1 (2015)
Publisher : Pustaka Kesehatan

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Abstract

National Health Insurance is an Indonesian government program which mandates by social Insurance that required for all Indonesian citizens through BPJS. Coverage by independent participation in Jember is still very small that equal to 0.75 % of all participants registered. The results of a preliminary survey on the fisherman shows that 72.5 % of respondents thought unable to pay contribution JKN. The objective of this study was to calculate the ability to pay contribution of JKN for fishermen in Jember. This study was a quantitative descriptive study conducted in 3 villages, there are Puger Wetan village subdistrict Puger, Sumberejo village subdistrict Ambulu, and Lojejer village subdistrict Wuluhan. Results showed that most of respondents monthly income was middle which was in the interval ≥Rp.3.100.000,- to ≤Rp.7.750.000,- by the average was Rp.6.200.000,-; while the average household expenditure reached up to Rp.6.077.424,-. The calculation formula has got to calculate ability to pay is ΣRevenue – (-63880+ 0,8653X + ₁ 0,6361X3+ 1,277X4+ 1,081X5+ 0,6571X6+ 1,269X7+ 1,151X8+ 1,165X9+ 0,9445X10+ 1,307X11+ 1,540X12+ 0,9707X13+ 1,007X14+ 1,159X15+ 0.9988X16+ 1,047X17+ 1,064X18+ 3,517X19+ 1,015X20). Most of respondents (54,5%) were able to pay the premium of National Health Insurance. Most of respondents (61,11%) were only having ability to paid the premium for inpatient care grade 3 (Rp.25.500,- for one person every month). Keywords : Ability To Pay, National Health Insurance, Fisherman
Hubungan Bauran Pemasaran dan Faktor Psikologis dengan Proses Pengambilan Keputusan Pasien dalam Pemanfaatan Rawat Jalan (Relation of Marketing Mix and Psychological Factors with Patient's Decision-Making Process in Outpatient Services Utilization) Hakim, Fathur Rachman; Nuryadi, Nuryadi; Sandra, Christyana
Pustaka Kesehatan Vol 3 No 3 (2015)
Publisher : UPT Penerbitan Universitas Jember

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Abstract

Based on the results of preliminary study have been found decrease in the number ofoutpatient visits in Balung Regional Hospital every years at 2010-2013 with an averageby 5.41%. Considering that indicators of outpatient utilization rate based on the numberof visits per day (within a period of 1 year), and utilization rate of the patient depends onthe decision to use it, therefore concluded that patient's decision to utilize outpatientservices in Balung Regional Hospital were less good. The purpose of this research wasanalyze the relation of marketing mix and psychological factors with patient's decisionmaking process in outpatient services utilization in Balung Regional Hospital, Jember.This research was an analytical design by cross sectional, with number of sampleswere136 of public patients who use outpatient services in 2014. The data were analyzedstatistically by using association Somer's D test. The results showed relationshipbetween place, product, price, promotion, people and process with patient's decisionmaking process. But there was no relationship between physical evidence with patient'sdecision making process. Furthermore, there was relationship between perception,motivation, and attitude with patient's decision making process in outpatient services.Keywords: Marketing Mix, Psychological Factor, Decision Making Process
Analisis Keefektifan Kebijakan Pictorial Health Warning pada Kemasan Rokok dalam Menurunkan Perilaku Merokok Siswa Smk se Kabupaten Jember Sandra, Christyana
Jurnal Kebijakan Kesehatan Indonesia Vol 5, No 4 (2016)
Publisher : Center for Health Policy and Management

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Abstract

ABSTRACTBackground: Smoking is a major factor impacting on lung health. In cigarette smoke there are 4000 harmfull chemicals for health. Two of them are the addictive nature of nicotine and tar which are carcinogenic. The number of novice smokers prevalence in teenagers. But smoking at an early age will increase risks to to health. The increased risk is what pushed the Government to enforce Pictorial Health Warning policies on cigarette packs in 2014.Methods: The objectives of this study was to analyze the effectiveness of the policy in lowering the smoking behaviour in students of SMK in Jember District. This was descriptive study with SMK student population, study was carried out in Februari to April 2015. Samples was 63 student using random method.Results: As many as 53,96% from 63 students which are active smokers. All students active smokers that know of any creepy images on cigarette packs but only 70,58% of them know that creepy images is the Government’s policy. As much as 42,86% do not feel scared at the sight of the creepy images, either the first time or after it. 79,41% of active smokers do not feel scared at the sight of creepy images on cigarette packs. Conclution: Pictorial Health Warning policy has not been fully sociallized to the public, only a fraction of the active smokers who feel scared at the sight of the picture has not yet been effectively raises the active smoker’s desire to quit smoking. It is recommended that the Government lists of images that more creepy and vary in order to evoke feelings of fear and disgust so that reduces the interest the student for smoking. Keywords: Pictorial Health Warning, active smokers, SMK students. ABSTRAKLatar Belakang: Rokok merupakan faktor berdampak besar pada kesehatan paru. Dalam asap rokok terdapat 4.000 zat kimia berbahaya untuk kesehatan. Dua diantaranya adalah nikotin yang bersifat adiktif dan tar yang bersifat karsinogenik. Jumlah prevalensi perokok pemula pada remaja semakin meningkat. Padahal merokok pada usia dini akan meningkatkan risiko terhadap kesehatan. Peningkatan risiko inilah yang mendorong pemerintah menerapkan kebijakan Pictorial Health Warning pada kemasan rokok pada tahun 2014.Metode: Penelitian ini bertujuan untuk menganalisis keefektifan kebijakan tersebut dalam menurunkan perilaku merokok pada siswa SMK se Kabupaten Jember. Penelitian ini merupakan penelitian deskriptif dengan populasi seluruh siswa SMK se Kabupaten Jember, penelitian dilaksanakan pada bulan Februari sampai April 2015. Sampel dalam penelitian ini adalah 63 siswa SMK menggunakan metode sampel acak.Hasil: Dari 63 siswa SMK diketahui sebanyak 53,96% merupakan perokok aktif dan semua siswa perokok aktif tersebut mengetahui adanya gambar menyeramkan yang ada di kemasan rokok namun hanya 70,58% diantaranya yang mengetahui bahwa gambar menyeramkan tersebut merupakan kebijakan pemerintah. Sebanyak 42,86% tidak merasa takut saat melihat gambar menyeramkan tersebut, baik pertama kali atau setelahnya. 79,41% perokok aktif tidak merasa takut saat melihat gambar menyeramkan pada kemasan rokok.Kesimpulan: Kebijakan Pictorical Health Warning tersebut belum sepenuhnya tersosialisasikan dengan baik kepada masyarakat dan hanya sebagian kecil dari perokok aktif yang merasa takut saat melihat gambar tersebut namun belum secara efektif menimbulkan keinginan perokok aktif tersebut untuk berhenti merokok. Disarankan pemerintah mencantumkan gambar yang lebih menyeramkan dan bervariasi agar menimbulkan perasaan takut dan jijik sehingga mengurangi minat pelajar untuk merokok. Kata Kunci: Pictorial Health Warning, perokok aktif, siswa SMK
Kemampuan Membayar Iuran Jaminan Kesehatan Nasional Bagi Nelayan di Kabupaten Jember (Ability To Pay The Premium Of National Health Insurance For Fisherman in Jember) Noormalasari, Widya; Nuryadi, Nuryadi; Sandra, Christyana
Pustaka Kesehatan Vol 3 No 1 (2015)
Publisher : UPT Penerbitan Universitas Jember

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Abstract

National Health Insurance is an Indonesian government program which mandates by social Insurance that required for all Indonesian citizens through BPJS. Coverage by independent participation in Jember is still very small that equal to 0.75 % of all participants registered. The results of a preliminary survey on the fisherman shows that 72.5 % of respondents thought unable to pay contribution JKN. The objective of this study was to calculate the ability to pay contribution of JKN for fishermen in Jember. This study was a quantitative descriptive study conducted in 3 villages, there are Puger Wetan village subdistrict Puger, Sumberejo village subdistrict Ambulu, and Lojejer village subdistrict Wuluhan. Results showed that most of respondents monthly income was middle which was in the interval ≥Rp.3.100.000,- to ≤Rp.7.750.000,- by the average was Rp.6.200.000,-; while the average household expenditure reached up to Rp.6.077.424,-. The calculation formula has got to calculate ability to pay is ΣRevenue – (-63880+ 0,8653X + ₁ 0,6361X3+ 1,277X4+ 1,081X5+ 0,6571X6+ 1,269X7+ 1,151X8+ 1,165X9+ 0,9445X10+ 1,307X11+ 1,540X12+ 0,9707X13+ 1,007X14+ 1,159X15+ 0.9988X16+ 1,047X17+ 1,064X18+ 3,517X19+ 1,015X20). Most of respondents (54,5%) were able to pay the premium of National Health Insurance. Most of respondents (61,11%) were only having ability to paid the premium for inpatient care grade 3 (Rp.25.500,- for one person every month). Keywords : Ability To Pay, National Health Insurance, Fisherman
Analisis Kebutuhan Pelatihan bagi Tenaga Administrasi di Instalasi Rawat Jalan RSD dr.Soebandi Jember (Training Need Analysis for Administratrive Staffs in Outpatient Installation at RSD dr.Soebandi Jember) Krisdiyanti, Anita; Nuryadi, Nuryadi; Sandra, Christyana
Pustaka Kesehatan Vol 2 No 2 (2014)
Publisher : UPT Penerbitan Universitas Jember

Show Abstract | Original Source | Check in Google Scholar | Full PDF (129.088 KB)

Abstract

Training need analysis is the process of collecting and analyzing data to identify the factors that need to be improved with training. In 2009, RSD dr.Soebandi Jember has conducted a training needs analysis for administrative staffs using based Job Competencies Based Need Analysis approach. However, it would be appropriate if the RSD dr.Soebandi Jember uses Person Competencies Based Need Analysis approach so can be identified that the gap between the standard and actual competency. The objective of these study was to analyzed the training needs for administrative staffs in Outpatient Installation at RSD dr.Soebandi with Person Competencies Based Need Analysis approach. These study used a descriptive research. Based on these research, competency standards of knowledge, attitude, and skill consist of excellent service, administrative, computer, and SIM-RS. In addition, it was determined those all or 100% of administrative staffs in Outpatient Installation must met the standards of competency in both categories. In actual competency was found that the administrative sttafs who had good knowledge are 43%, good attitude are 91%, and good skill are 45%. Based on results of the identification of standard competency and actual competency can be concluded that on average there was a gap on all competency. Keywords: Training Need Analysis, Person Competencies Based Need Analysis
Identifikasi Pelayanan Promotif pada Fasilitas Kesehatan Tingkat Pertama Program Jaminan Kesehatan Nasional (Identification of Promotive Services In Primary Health Care Facility of National Health Insurance Program) Dewi, Ratih Kumala; Nuryadi, Nuryadi; Sandra, Christyana
Pustaka Kesehatan Vol 4 No 2 (2016)
Publisher : UPT Penerbitan Universitas Jember

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Abstract

Promotive services is important to support the enactment of the National Health Insuranceprogram, for any medical expenses that are collected through dues, it will run out if notaccompanied by increased promotional efforts. Based on preliminary studies were conductedto the Primary Health Care Facility in Jember district, data obtained 6 (40%) Primary HealthCare Facility who carry out services Promotive, It indicate that Primary Health Care Facilitydoing promotive still low in Jember district, The purpose of this study was to identify Promotiveservices in Primary Health Care Facility of the National Health Insurance Program. Thisresearch is descriptive. This study was conducted in Primary Health Care Facility in Jemberdistrict in November 2015. The samples were 30 Primary Health Care Facility. The resultsshowed a large majority has not made promotive, Input Element, human resources PrimaryHealth Care Facility no one had a special officer to promotive services. The level of knowledgeof the entire head Primary Health Care Facility had a high level of knowledge. No PrimaryHealth Care Facility that allocate costs to promotive services. Funds used for service prolanisof funds claim to the Social assurance agency. Most goals Primary Health Care Facility thatindividuals and groups using the method of counseling and lectures as well as the majority useprint media that leaflet. While the place promotive services carried out in the institution building.Most of the elements of the process had not been doing.Keywords: Promotive services, National Health Insurance.