cover
Contact Name
-
Contact Email
-
Phone
-
Journal Mail Official
jmpkfk@ugm.ac.id
Editorial Address
-
Location
Kab. sleman,
Daerah istimewa yogyakarta
INDONESIA
Jurnal Manajemen Pelayanan Kesehatan
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Arjuna Subject : -
Articles 7 Documents
Search results for , issue " Vol 14, No 03 (2011)" : 7 Documents clear
PEMAJANGAN SAFETY POSTER, PENYULUHAN DAN PELATIHAN PROSEDUR OPERASIONAL TETAP: KAJIAN PENGARUH TERHADAP SIKAP, TINDAKAN TENAGA KERJA DAN ANGKA KECELAKAAN KERJA Sumihardi, Sumihardi
Jurnal Manajemen Pelayanan Kesehatan Vol 14, No 03 (2011)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.518 KB)

Abstract

Background: Work accident in Indonesia was remaining highdue to less attention toward occupational health and safety.There was an elevation number of work accident from 95,418cases in 2005 to 95,624 cases in 2007 in Indonesia. In Padang,West Sumatera there was decreasing of accident case. However,the number of work accident in PT P & P Lembah Karetwas reported elevated from 9 cases in 2005 to 24 cases in2007. Therefore, there is a need to apply work safety control.Generally, there are two methods for controlling occupationalsafety, i.e. mechanical and human intervention, but mechanicaltreatment is expensive and need more expertise, whilehuman intervention is considerable. One of human interventionthat can be applied to control occupational safety is displayingposter and disseminat of SOP. The objectives of thisstudy is to assess the influence of displaying safety posterand disseminat of SOP through education and training towardattitude and practice of safety among labour, as well as on thenumber of work accident.Method: This study was carried at PT P & P Lembah KaretPadang. Design of this study was time series. This designwas chosen based on the advantage on multiple observationsbefore and after intervention. Participants of this study was115 worker and taken from stratified random sampling. Safetyposter and SOP delivered through education and training studyintervention were. Study instruments were attitude scale, accidentlog and check list of safety behavior. Data were analyzedwith repeated measures analysis of variance and pairedt test.Result: Result showed there was a different on attitude scale(t = 31,747, p< 0,001) before and after with gain score of30,73%. Indeed, the mean score of practice was also significantlydifferent before and after (F = 99865,228, p < 0,001). Ttest analysis showed that there was a different score ofpractice before intervention and after the fourth observation (t= 547,792, p < 0,001), and total number of occupational accidentsignificantly different before and after intervention (t =4,371, p < 0,05) with decreasing point of 78,57%.Conclusion: It can be concluded that safety poster and SOPdelivered through education and training increased attitude30,73% and practice 88,79%. Moreover, total number of occupationalaccident decreased of 78,57%. Based on this study,it is recommend that monitoring of occupational safety periodicallythrough safety poster accompany with education andtraining is needed, to increase attitude and practice of towardoccupational accident, so the number of work accident willdecrease into zero.Keywords: safety poster, SOP, attitude, practice, work accident
EVALUASI PELAKSANAAN UTILIZATION REVIEW BADAN PENGELOLA JAMINAN KESEHATAN SOSIAL PROVINSI DAERAH ISTIMEWA YOGYAKARTA Yuniarti, Evi Yuniarti
Jurnal Manajemen Pelayanan Kesehatan Vol 14, No 03 (2011)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (84.232 KB)

Abstract

Background: Badan Pengelola (Bapel) Jamkesos has madeefforts to control cost by implementing utilization review since2006. Data obtained from the result of utilization review (UR)have not been fully evaluated to assess the performance ofhealth service providers. This is essential because UR can beused by Bapel to communicate with the contracted healthservice providers.Objective: To evaluation implementing utilization review atJamkesos of Yogyakarta with describe UR activities; identifythe performance of health service providers and averageamount of health service cost before and after the implementationof UR by Bapel Jamkesos of Yogyakarta Special Territory.Method: The study was a survey that used before and afterdesign and secondary data of claim records. Variables of thestudy were average support examination, percentage of irrelevanceof support examination, percentage of non genericdrugs, average cost of support examination, average cost ofdrugs, average cost of operation, average total cost. Dataanalysis used descriptive analysis was made to get an overviewof average cost and t-test to find out the difference ofthe performance of health service providers before and afterUR.Result and Discussion: Utilization Review (UR) carried outby Jamkesos had not evaluated and analyzed the data available.There was no significant difference in average supportexamination, percentage of irrelevance support examination,percentage of non generic drugs, average cost of supportexamination; and average total cost of DHF service beforeand after UR.Conclusion: UR activities at Jamkesos of Yogyakarta SpecialTerritory were not yet optimum. There was no differencein the performance of health service providers before andafter UR and there was difference in average total cost ofDHF service before and after UR carried out by Jamkesos.Keywords: utilization review, cost containment, cost of healthservice
PENERIMAAN DOKTER DAN WAKTU TUNGGU PADA PERESEPAN ELEKTRONIK DIBANDINGKAN PERESEPAN MANUAL Kusumarini1, Putu
Jurnal Manajemen Pelayanan Kesehatan Vol 14, No 03 (2011)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (73.539 KB)

Abstract

Background: Since February 2009 hospital has been usingelectronic prescribing at outpatient clinics to reduce the medicinecollection waiting time at outpatient pharmacy.Objective: To describe the role of electronic prescribing inminimizing the risk during prescribing and transcribing, identifydoctors’ acceptance and also to compare patients, medicinecollection waiting time with electronic prescribing to manualprescribing.Methods: A study on doctors’ acceptance was a descriptivestudy by using quantitative analysis. Interview with doctorsregarding their experience in using electronic prescribing andalso interview with pharmacies getting information about therole of electronic prescribing in minimizing the risk during prescribingand transcribing was a quantitative analysis study. Astudy on comparing patients’ medicine collection waiting timewith electronic prescribing to manual prescribing was usingquasi-experimental method.Results and conclusions: Path analysis results showedthat perceived usefullness had bigger influence than perceivedease of use in term of acceptance of electronic prescribing.Most of doctors told that they have benefit of using electronicprescribing. Electronic prescribing could minimize the risk duringprescribing and transcribing and also reduce the waitingtime.Keywords: electronic prescribing, doctors’ acceptance, prescribing,transcribing, medicine collection waiting time
IMPLEMENTASI PROGRAM PELAYANAN ADMINISTRASI TERPADU RUMAH SAKIT Surmiyati, Surmiyati
Jurnal Manajemen Pelayanan Kesehatan Vol 14, No 03 (2011)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (58.601 KB)

Abstract

Background: Integreated-administration service program inthe hospital (PPATRS) has an important role for PT Askes(Persero) in optimizing costumer satisfaction. Integreated-administrationservice program in the hospital (PPATRS) is appliedin the hospital Askes Center. Based on a PPATRS surveydone in Askes Center in Dr. Suradji Tirtonegoro Hospital inKlaten, it is known that the service is not in a good order, lackof management, improper waiting room, and long and complicatedservice.Objectives: The objective of this research is to understandthe implementation of PPATRS in Dr. Suradji Tirtonegoro HospitalKlaten.Method: This is a descriptive qualitative research, done inAskes Center of Dr. Suradji Tirtonegoro Klaten. The data wascollected by interviewing; the subject of the research wasAskes Center Coordinator, Hospital Control Team Leader, andAskes Participants by using guided questions.Result: The result of the research shows that the PPATRShas been implementing in Dr. Suradji Tirtonegoro Klaten basedon Standard Operational Procedures as written down on TheGuideline of Health Service Administration Askes Sosial, butthere are some standard items that haven’t been implemented,such as physical standard, human resources, service flowmechanism, and control towards in-patients of Askes participants.Conclusion: Integreated-administration service program inthe hospital (PPATRS) in Askes Center of Dr. Suradji TirtonegoroKlaten has been implemented but still below the existing standardso that needed to be improved and re-managed especiallyfor physical standard, human resource, service flowmechanism, and control towards in-patients of Askes participants.Keywords: implementation, PPATRS, Askes Center
Pengembangan Kapasitas Kepala Dinas Kesehatan: Apakah Perlu Diperkuat dengan Aturan di Level Peraturan Pemerintah? Trisnantoro, Laksono
Jurnal Manajemen Pelayanan Kesehatan Vol 14, No 03 (2011)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (27.275 KB)

Abstract

Saat ini ada keluhan mengenai siapa yang layakmenjadi Kepala Dinas Kesehatan Kabupaten. Beberapakabupaten mengalami hal menarik bahwaKepala Dinas Kesehatan mempunyai pendidikansarjana dan pascasarjana yang bukan dari pendidikankesehatan. Sementara itu Peraturan MenteriKesehatan sudah jelas bahwa pendidikan KepalaDinas Kesehatan harus di bidang kesehatan masyarakat.Pertanyaannya apakah pendidikan KepalaDinas kesehatan yang bukan berasal dari bidangkesehatan akan merugikan status kesehatanmasyarakat?Salah satu argumen menarik di daerah mengenaihal ini adalah agar Dinas Kesehatan jangansampai menjadi “kerajaannya” para dokter dan tenagakesehatan. Oleh karena itu, Dinas Kesehatan perludibuka untuk dapat dipimpin oleh tenaga yangmempunyai pendidikan S1 dan S2 di luar kesehatan.Sebagai timbal-baliknya adalah tenaga kesehatandapat menjadi Kepala Unit yang lain misal KepalaBappeda, Asisten Sekretaris Daerah, bahkan SekretarisDaerah. Badan Pemerintah Daerah (Bappeda)yang secara tradisional dijabat oleh para insinyursipil, arsitektur, saat ini semakin banyak dijabat olehprofesional dari kesehatan. Dengan terbukanya jalurini maka karir seorang Kepala Dinas Kesehatandapat berkembang ke tempat lain, tidak hanya disektor kesehatan. Apakah hal ini tepat?Sistem kesehatan di dunia saat ini berkembangsemakin kompleks. Terdapat dinamika dalam hubunganantara peran pemerintah, pendanaan,kebijakan desentralisasi kesehatan, pengaruhsistem pasar dalam pelayanan kesehatan, berkembangnyateknologi kedokteran, meningkatnyapenyakit-penyakit tidak menular dalam situasipenyakit menular yang masih tinggi, tuntutan masyarakatyang semakin besar, pengaruh internasional,sampai ke reformasi kesehatan.Perkembangan-perkembangan tersebut, tanpapengelolaan yang baik dapat mempunyai dampaknegatif terhadap status kesehatan masyarakat. Padaera desentralisasi Dinas Kesehatan merupakanlembaga strategis di daerah untuk menetapkan berbagaikebijakan kesehatan dan pelayanan kesehatanserta manajemen kesehatan untuk meningkatkanstatus kesehatan masyarakat. Kepala Dinas Kesehatanadalah pemimpin yang harus mengelolalembaganya yang dalam desentralisasi menjadi lebihterbuka dan sensitif terhadap perubahan politik didaerah. Kepala Dinas Kesehatan diharapkan mampumemahami dinamika perubahan di sektor kesehatandan berbagai kompetensi yang dibutuhkan danmemahami proses penyusunan kebijakan dan berbagaipilihan kebijakan termasuk adanya reformasikesehatan di dunia, Indonesia, dan daerahnyasendiri.Semakin rumitnya sektor kesehatan yang harusmendalami aspek teknis medik, sebaiknya KepalaDinas Kesehatan Kabupaten Provinsi adalah tenagakesehatan yang mempunyai pendidikan S1 dan S2dalam ilmu-ilmu kesehatan. Tanpa ada dasarpendidikan ini, dikhawatirkan kompetensi KepalaDinas Kesehatan sulit tercapai.Untuk meningkatkan kompetensi kepala DinasKesehatan, Menteri kesehatan mengeluarkanPermenkes No. 791/2009. Celakanya desentralisasijuga melahirkan Gubernur/Bupati/walikota yang tidakmengindahkan aturan dari Kementerian Teknisseperti Kementerian Kesehatan. Akibatnya terjadipengangkatan Kepala Dinas Kesehatan yang tidaksesuai dengan Permenkes. Di berbagai tempatKepala Dinas Kesehatan dijabat oleh sarjana bukandari ilmu-ilmu kesehatan.Bagaimana ke depannya? Situasi ini tidakmungkin diteruskan karena akan mengganggu pembangunansektor kesehatan. Pengangkatan KepalaDinas Kesehatan harus sesuai dengan kompetensi.Diharapkan pula pengangkatan juga jauh dari pertimbanganpolitik ataupun hutang budi Bupati atauWalikota terpilih kepada seseorang yang telahmembantu dalam pilihan kepada daerah.Dalam suasana desentralisasi yang seperti ini,Permenkes seolah tidak dipandang oleh pemerintahdi daerah maka diharapkan ada peningkatankekuatan aturan tentang kompetensi dari Permenkesmenjadi Peraturan Pemerintah. Peningkatan initentunya membutuhkan usaha yang besar. LaksonoTrisnantoro (trisnantoro@yahoo.com)
KEPASTIAN LAYANAN MENJADI PRIORITAS KEBUTUHAN PASIEN PADA RUMAH SAKIT PEMERINTAH DI PROVINSI BENGKULU Fitriati, Rachma
Jurnal Manajemen Pelayanan Kesehatan Vol 14, No 03 (2011)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (201.742 KB)

Abstract

Background: Quality improvement in public service has becomea major concern in government institutions as an effortto provide the maximum public service. It is also a major concernfor government hospitals in Bengkulu Province.Objective: To analyzing the quality level of the service providedby three government hospitals namely RSUD M. Yunus,RS Jitra, and RS Dinas Kesehatan Tentara (DKT).Method: The study uses quantitative-positivistic approachwith sampling techniques performed by non probability samplethrough accidental sampling. This study uses analysis of theservice quality (Servqual) and the Importance-PerformanceAnalysis (IPA) through a survey of 300 respondents.Result and Discussion: Results showed the dimensions ofthe highest service priority level based on the ratings given byrespondents is the assurance. While at the lowest priority ofservice quality is different, there are differences in all threehospitals. If RSUD M. Yunus lowest on service quality of empathy,while RS Jitra and RS DKT lowest on physical appearance.Conclusion: The results of both analyzes using the Servqualand IPA are mutually reinforcing. The highest performance atRSUD M Yunus on the dimensions of assurance, RS Jitra onthe dimensions of reliability, and RS DKT on the dimensions oftangible. Recommendations for subsequent research is tocomplete a more in-depth analysis of this quantitative research,with mengesplorasi qualitative aspects of the reality of thequality of public services of government hospitals in BengkuluProvince. Continued research in this area is needed to determinethe readiness of Bengkulu Province in implementing thenational social security system in health to be held in January2014.Keywords: public service, government hospital, service quality,importance-performance analysis
INTEGRASI KESEHATAN JIWA PADA PELAYANAN PRIMER DI INDONESIA: SEBUAH TANTANGAN DI MASA SEKARANG Marchira, Carla R.
Jurnal Manajemen Pelayanan Kesehatan Vol 14, No 03 (2011)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (93.977 KB)

Abstract

Carla R. MarchiraBagian Jiwa, Fakultas Kedokteran,Universitas Gadjah Mada, YogyakartaABSTRACTDeveloping countries often encounter difficulties integratingmental health into community health care, and Indonesia is noexception. With an estimated population of 240 million, but withvery limited human resources in health care, especially mentalhealth care, Indonesia struggles to maintain an effective mentalhealth program. This review describes the changing processin Indonesian governmental policies concerning mentalhealth, the current status and challenges of mental health incommunity health care, and suggestions toward minimizingthe problems. Suggestions include training health workers,waging a national campaign against stigma, and develop themental health program accomodated with the need assessmentof the area.Keywords: integration, mental health, community health care

Page 1 of 1 | Total Record : 7