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Jurnal Manajemen Pelayanan Kesehatan
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Search results for , issue " Vol 15, No 02 (2012)" : 7 Documents clear
THE IMPACT OF INACTIVATED POLIO VACCINE INTRODUCTION ON THE OVERALL EXPANDED PROGRAM ON IMMUNIZATION COVERAGE AND TIMELINESS IN YOGYAKARTA PROVINCE Sutomo, Retno
Jurnal Manajemen Pelayanan Kesehatan Vol 15, No 02 (2012)
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Background: Implementation of the expanded program on immunization(EPI) has been excellent in Yogyakarta Province.Since September 2007 this province has piloted the introductionof inactivated polio vaccine (IPV), instead of oral polio vaccine(OPV). The shifting policy raised concern on the possibility thatthe new program would compromise the performance of theexisting EPI. This study was a part of evaluation study on IPVpilot project in this province 2.5 years after its implementation. Itwas aimed to assess the impact of IPV introduction on coverageand timeliness of immunizations within EPI.Method: We conducted a cross sectional study using WHOstandard 30-by-7 cluster sampling to evaluate the EPI programin Yogyakarta Province, both in urban and rural areas. Thesubjects included children aged 12-23 months old and theirparents. A questionnaire was used to get information fromparents/caregivers on demographic and socioeconomic characteristics.Along with data on status and date of IPV vaccination,we included those of other EPI. The impact of IPV implementationwas evaluated by determining the coverage andtimeliness of all immunizations within EPI. We compared thecurrent data with those in period before introduction of IPV.We used Epi InfoTM 2003 software for data entry and analysis.Result: Coverage of vaccinations within EPI is in overall rangedfrom 92-100%. The coverage is similar between urban andrural areas for all vaccines and doses. There is no differencein EPI coverage before and after the introduction of the IPV.Approximately 89% children have received complete immunization.Average age of immunization for each vaccine wasvery close to the recommended schedule. However, only 69%children received the immunization timely.Conclusion: The EPI coverage in Yogyakarta Province is excellentand not compromised by the introduction of IPV. Theproportion of children received timely immunization is relativelylow. We suggest including timeliness, beside the coverage,when evaluating the performance of immunization program.Key words: immunization, EPI, IPV, coverage, timeliness
PENGARUH NILAI ORGANISASI TERHADAP KINERJA KARYAWAN DI RUMAH SAKIT WAVA HUSADA KEPANJEN Amalia, Hestyn
Jurnal Manajemen Pelayanan Kesehatan Vol 15, No 02 (2012)
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Background: Organizational value is the foundation to createorganizational culture. Hospital is an organization with distinctivecharacter due to its multiple professionals, technologies,and problems. Wava Husada private hospital builds threeorganizational values, namely dedication to serve, professionalismand teamwork.Objective: The objective of this study is to measure the effectof organizational value on employee performance.Method: This was a descriptive cross-sectional study usingprimary and secondary data. All managerial staff (30 respondents)and 50 nurses selected randomly were chosen to fill ina questionnaire. Descriptive analysis of dependent and independentvariables and multilinier regression were applied toshow the effect of organizational value on employee performance.Result: The findings show that overall, organizational valueinfluences the performance of managerial and nurse staff.Partially, dedication to serve organizational value has a significanteffect on the managerial staff and nurse performance.Conclusion: Professionalism doesnot influence the performanceof managerial staff and nurses, while teamwork hassignificant effect on nurse performance. Among the three organizationalvalues, dedication to serve is the most dominantvalue in both groups.Keywords: organizational value, work performance, privatehospital
GELOMBANG KEDUA PENGEMBANGAN JURNAL MANAJEMEN PELAYANAN KESEHATAN Utarini, Adi
Jurnal Manajemen Pelayanan Kesehatan Vol 15, No 02 (2012)
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Jurnal Manajemen Pelayanan Kesehatan(JMPK) telah mencapai tahun ke 15 penerbitannyadan merupakan satu-satunya jurnal di Indonesia yangmendedikasikan isinya untuk pengembangan kebijakandan manajemen pelayanan kesehatan. Berawaldari naskah-naskah yang disusun oleh penulisdari kalangan internal Fakultas Kedokteran UGM(termasuk kontribusi dari peserta yang sedang menempuhpendidikan berbagai program), selamabeberapa tahun terakhir kontribusi naskah telahberasal dari berbagai penjuru dan institusi di Indonesia.Dalam setiap penerbitan, separoh halamanjurnal diperuntukkan bagi penulis di luar FakultasKedokteran UGM. Hal ini menunjukkan bahwaeksistensi JMPK telah diterima dan dibutuhkansecara nasional.Sejak tahun 1998, Prof Laksono Trisnantoro sebagaipemimpin redaksi JMPK telah menginisiasi,mengembangkan, meningkatkan profil dan kualitasjurnal yang dibuktikan melalui status akreditasibersama tim editor: Prof. dr. Adi Utarini, M.Sc.,MPH.,Ph.D., Prof.dr. Hari Kusnanto, SU., Dr.PH.,Dr. Dra. Sri Suryawati, Apt., drg. Yulita Hendrartini,M.Kes., dr. Mubasysyir Hasanbasri, MA., dan dr.Yodi Mahendradhata, M.Sc, Ph. D.Sejumlah 483 artikel telah diterbitkan di JMPKsejak dimulainya penerbitan jurnal ini. Kami mengucapkanterima kasih atas dedikasi tim editor selamaini untuk JMPK, dan tetap mengharapkan kontribusinyasebagai mitra bestari dalam perjalanan panjangjurnal ini selanjutnya. Semoga jurnal baru yang akandirintis, yaitu Jurnal Kebijakan Kesehatan, akan segerahadir di Indonesia untuk mendorong pengembanganilmu dan implementasi kebijakan kesehatan.Dengan rencana penerbitan jurnal baru tersebut,maka sesuai dengan namanya, JMPK akan memfokuskanmisinya untuk menyebarluaskan dan mendiskusikanberbagai tulisan ilmiah mengenai manajemenpelayanan kesehatan. Isi jurnal berupa artikelhasil penelitian yang berkaitan dengan manajemenrumah sakit, manajemen pelayanan kesehatan, manajemenpelayanan klinis, asuransi kesehatan, danmasalah yang relevan dengan manajemen pelayanankesehatan. Rubrik makalah kebijakan menjadiditiadakan. Mulai edisi Juni 2012, naskah-naskahyang lebih mengarah pada kebijakan kesehatan akandikirim ke Jurnal Kebijakan Kesehatan dan terdapatrevisi petunjuk bagi penulis. Selain naskah berupahasil penelitian, kami tetap mengharapkan kontribusiaktif para penulis/pembaca untuk resensi buku-bukubaru yang terbit dua tahun terakhir dan korespondensi.Saran-saran terhadap pengembangan JMPKsecara umum juga sangat diharapkan.Bagaimana pengembangan jurnal ini ke depan?Beberapa pemikiran untuk pengembangan padagelombang JMPK selanjutnya akan berfokus padaupaya untuk: (1) Mendorong sistem yang mempermudahkomunikasi antara pengelola jurnal, mitra bestaridan penulis sehingga penulis dapat mengetahuistatus review naskahnya, yaitu melalui sistemonline-submission; (2) Membuat call for paper untuktopik-topik khusus dalam manajemen pelayanankesehatan secara periodik; (3) Meningkatkan kerjasama dengan pihak lain untuk penerbitan edisikhusus; (4) Meningkatkan kualitas artikel yang terbitdi JMPK melalui proses review yang berkesinambungandan edukatif untuk mendukung para penulis.Keempat pengembangan tersebut diharapkan dapatkami kembangkan bersama tim editor JMPK yangbaru, dengan meningkatkan keterlibatan perguruantinggi di luar UGM. Terima kasih kepada, dr, AriProbandari MPH, PhD (Universitas Sebelas MaretSurakarta), dr. Vierra Wardhani M.Kes (UniversitasBrawijaya), akan kesediaannya untuk bergabungdalam tim editorial JMPK serta kepada dr. YodiMahendradhata MSc, PhD (Universitas GadjahMada), Prof.dr. Hari Kusnanto, SU., Dr. PH (UniversitasGadjah Mada) yang tetap bergabung dalamtim. Kami percaya bahwa pengalaman tim editorserta pengembangan riset manajemen pelayanankesehatan yang semakin kuat akan membawa energibaru untuk menghasilkan sinergi yang kuat dalammempertahankan kelangsungan JMPK.Akhir kata, edisi Desember 2012 akan mengangkattema manajemen pelayanan kesehatan dankeselamatan pasien. Untuk itu, kami mendorong parapenulis dari berbagai institusi pendidikan, penelitian,organisasi pelayanan kesehatan (rumah sakit,Puskesmas dan lainnya), Kementerian Kesehatan,Dinas Kesehatan, lembaga asuransi kesehatan sertaasosiasi profesi untuk mengirimkan naskahnya yangsesuai dengan tema tersebut.
ANALISIS KEBUTUHAN SUMBER DAYA PROMOSI KESEHATAN DI RUMAH SAKIT UMUM DAERAH SOLOK, SUMATERA BARAT Alhamda, Syukra
Jurnal Manajemen Pelayanan Kesehatan Vol 15, No 02 (2012)
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Background: The Implementation of Health Promotion Programat the hospital is an effort to manpower workers andother community hospitals in maintain, enhance and protecttheir health, through increased knowledge, willingness andability to healthy life style in the hospital.Objective: This study aimed to explore information concerninghealth promotion resources in the hospital, with respect tohuman resources, fuunding and infrastructureMethod: This study was conducted to explore the implementationof health promotion programs in the hospital with a systemsapproach. This study used qualitative methods in-depthinterviews with the Director of Regional General Hospital SolokCity, Head of Section Officer, Health Promotion Coordinator atthe Hospital, Section Chief of Service, Head Room, Chief OfficerInstallation and Polyclinic to represent all programs thatintegrate health promotion in hospital, and conduct documentreview of the implementation process.Result: The results showed that the implementation of healthpromotion programs have not been gone well, the programswere not accordance with the instructions in the manual implementationof health promotion in hospitals issued by the Ministryof Health. There was a lack of infrastructure facilities requiredfor the implementation of health promotion as well aslack of guidelines and procedures. Most officers do not havethe same understanding about the human resource for conductedhealth promotion.Conclutions: The conclusion of this research is the managementand decision-makers to put the manpower in accordancewith the educational background of health promotion with aninterest and talent in health promotion in hospitals, and notleast the importance of providing training for existing staff. Forthe management of Regional General Hospital Solok City andcoordinator of Health Promotion in Hospitals (PKRS) in order tocreate an integrated health promotion planning with other programsat the hospital, so the goal of health promotion in hospitalscan be achieved.Keywords: resource requirements, health promotion, humanresources
KINERJA BALAI KESEHATAN MATA MASYARAKAT MAKASSAR DENGAN PERSPEKTIF BALANCED SCORECARD Purnamanita, Purnamanita
Jurnal Manajemen Pelayanan Kesehatan Vol 15, No 02 (2012)
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Background: The Community Eye Medical Clinic (CEMC) as aspecialized eye hospital has been using the service performanceindicators for outpatient visits and financial indicators.However, non-financial performance indicators were not yetassessed.Objectives: To analyze performance of CEMC with the BalancedScorecard (BSC) perspectives (customer’s perspective,internal process perspective, learning and growth perspectiveand financial perspective), and its interrelation amongeach perspective, to identify the potentials and the developmentplans of CEMC in MakassarMethods: This was an explanatory research employing aqualitative approach. Samples were selected using a purposivesampling tehnique to include 100 respondents for thecustomer performance and 43 respondents for employee performance.The data were analysed descriptively.Results: Applying BSC, performance of CEMC is 51.00% andthis belongs to the category of less healthy. The interrelationof each pespective starts with training to improve staff capacity.Along with use of information technology and financialperspective, this will improve staff productivity in the learningand growth perspectives. Staff satisfaction will improve thetechnical quality related to the internal standard. This will leadto increased number of visits and number of surgeries. Staffcommitment and capacity, increased of service velocity anddevelopment of customer capital are potential to be improved.The development plan includes making the performance basedon the reward system, the value creation process for customersand the development of the customer capital. The developmentplans focuses on increased staff commitment and capacity(learning and growth perspective), improvement processthrough reengineering and development of customer capitalthrough service attributes, relationship and image building.Conclusion: Using BSC, we found a mismatch between highcustomer satisfaction with low internal satisfaction. The managementshould improve the reward based on remunerationsystem, transparency on training opportunities to staff, anddevelop integrated planning.Keywords: balanced scorecard, performance achievement,the community eye medical clinics
PENGALAMAN DAN HARAPAN PASIEN YANG MENJALANI HEMODIALISIS DI RSUD RATU ZALECHA MARTAPURA Raziansyah, Raziansyah
Jurnal Manajemen Pelayanan Kesehatan Vol 15, No 02 (2012)
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Background: Optimum care for chronic diseases should begiven a major attention. Hospitals have strategic roles inproviding health services, particularly for patients with chronicdiseases who require hemodialysis that is only available at thehospital. In this unit, interpersonal relationship between thepatient and nursesis critical for the success of this long-termtherapy. The patient-nurse interaction will then shapepatients’experiences and hopes.Objective: This study aimed to explore experiences andexpectations of patients undergoing hemodyalisis care at theHemodialysis Unit of Ratu Zalecha Hospital.Method: The research employed a qualitative study. Datawere obtained from in-depth interviews with eight patients,supported by an open observation, and the respondents wereselected purposively. The following criteria were used to selectthe patients: age, sex, duration of hemodialysis treatment andsource of payment. Data were first transcribed and thenanalyzed using open coding.Result: Patients’ experiences during hemodialysis treatmentwere divided into physiological, clinical, psychological, socialand spiritual experiences. These experiences shaped patient’shopes, consisted of individual, information, daily living andnursing care expectations. Information played a central role tocontinue hemodyalisis care and there was a major reliance oncare providers to give adequate information to support thepatients.Conclusion:This study identified patient experiences andhopes that should be taken account to improve hemodyalisiscare. In the future, it is recommended for hospitals to initiateimplementation of a chronic care model at a microsystem levelin order to integrate patient experiences and hopes into currentservices.Keywords:patient experience, hope, hemodialysis, qualitativestudy
KEBIJAKAN SUBSIDI KESEHATAN BAGI KELUARGA MISKIN DAN KONSUMSI ROKOK DI INDONESIA TAHUN 2001 DAN 2004 Juanita, Juanita
Jurnal Manajemen Pelayanan Kesehatan Vol 15, No 02 (2012)
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Background: There has been increasing trends of tobaccoconsumption among the poor families in the midst of governmenteffort to improve population health through health subsidyprograms for the poor.Objective: To analyse the effect of policy on health subsidyprovisions to the poor with cigarette expenditures and utilizationof health service facilities.Method: This study consists of two parts. Part one of thestudy was a cross-sectional study using the Susenas datayear 2001 and 2004. The sample involved 69,166 households(2001) and 60,832 households (2004) in all provinces inIndonesia. Univariate and bivariate analysis with Chi Squaretest were used in the statistical analysis. The second part ofthe study was a documentary study on Indonesian tobaccocontrol policy.Result: A significant increase in the proportion of smoking inthe household who receive subsidized health care was foundin 2004 (p <0.001). Smoking habits at home among those healthcare subsidy recipients, increased 35.06 percent in 2004compared to 2001, and this was significant (p 0.002). Outpatientutilization significantly increased by 28.86% (p <0.001).Frequency of hospitalization was decreased significantly in2004 compared with 2001, amounting to 36.62% (p 0.020).Tobacco control policy was stated in government regulationNo. 38/2000 which was then revised in No. 19/2003. Thesewere weaker than government regulation No. 81/1999.Conclusion: The provision of health care subsidies has animpact on the prevalence of smoking among the head of thepoorest households. Cigarette expenditures on householdsreceiving health subsidies are greater than expenditures oneducation and health.Keywords: health subsidy, smoking, utilization of healthservices, and the poorest households.

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