Abstrak ___________________________________________________________________ Biaya yang dihabiskan untuk penyakit katastropik hingga semester I tahun 2017 telah mencapai Rp 12,7 trilliun atau 24,81% dari total biaya rumah sakit. Jumlah peserta Prolanis Puskesmas Karangduren sebanyak 46 peserta dengan RPPRB sebesar 92,60% dan Patrang sebanyak 45 orang dengan RPPRB sebesar 42,96%. Tujuan penelitian ini adalah menganalisis efektivitas biaya Prolanis pada Puskesmas Karangduren dan Patrang. Jenis penelitian ini adalah deskriptif. Penelitian dilakukan pada bulan September 2017 sampai dengan Oktober 2017. Data diperoleh dengan studi dokumentasi dan wawancara pada penanggung jawab Prolanis, bagian keuangan JKN dan tata usaha. Hasil penelitian menunjukkan input Prolanis pada Puskesmas Karangduren dan Patrang yakni ketersediaan SDM dan dana untuk Prolanis yang tidak keluar, serta kegiatan home visit belum terlaksana karena tidak adanya dana untuk transport petugas dan kurangnya SDM home visit. Hanya peserta Prolanis Puskesmas Patrang dengan riwayat hipertensi telah mencapai indikator 75%. Simpulan penelitian ini adalah efektivitas biaya Prolanis Puskesmas Karangduren lebih efektif dibandingkan Puskesmas Patrang. Abstract _________________________________________________________The cost was spent for catastrophic disease until first semester of 2017 have reached Rp 12.7 trillion or 24.81% of the total cost hospital. The amount participants of Prolanis Karangduren primary health care was 46 participants with RPPRB of 92.60% and Patrang was 45 participants with RPPRB of 42.96%. The purpose of this study was to analyze the cost effectiveness of Prolanis at Karangduren and Patrang primary health care. The study was a descriptive design. This study was conducted from September until October 2017. Data was collected by documentation and interview of Prolanis officer, finance JKN and administration staff. The results showed Prolanis input on Karangduren and Patrang primary health care were the availability of human resources and the fund that do come out,, and home visit activity had not been done yet. Only Prolanis participants of Patrang primary health care with the history of hypertension has reached 75% indicator every month. The cost effectiveness Prolanis Karangduren primary health care more effective was compared to Patrang primary health care.
Abstrak Rumah sakit X di Jember merupakan salah satu rumah sakit pemerintah dengan status C. Di Era JKN, skema pembayaran di rumah sakit menggunakan paket tarif INA CBG’s. Berdasarkan hal tersebut, rumah sakit dapat menghasilkan profit namun di sisi lain bisa pula mendapatkan kerugian, oleh karena itu pelayanan kesehatan yang efisien sangat dibutuhkan. Tujuan dari penelitian ini adalah mengidentifikasi produk pelayanan dan menghitung biaya satuan produk pelayanan di Intensive Care Unit (ICU) Rumah Sakit X. Jenis penelitian ini adalah observasional deskriptif dengan pendekatan cross sectional. Unit analisis dalam penelitian ini adalah ICU di rumah sakit X di Jember. Metode perhitungan biaya satuan yang digunakan adalah Activity Based Costing. Hasil dari penelitian ini menunjukkan di ICU terdapat 21 produk pelayanan dengan biaya satuan yang beragam. Biaya satuan tertinggi sebesar Rp. 176,954, - (resusitasi jantung paru), dan terendah sebesar Rp. 27,061, - (injeksi intravena) dan rata-rata sebesar Rp. 75,959, -. Kesimpulan menunjukkan bahwa biaya satuan sangat dipengaruhi oleh sumberdaya yang digunakan, semakin efisien sumberdaya yang digunakan maka semakin kecil biaya satuan yang dihasilkan, sehingga apabila dibandingkan dengan tarif paket INA CBG’s akan mampu menghasilkan keuntungan atau surplus bagi rumah sakit. Abstract Hospital X in Jember is one of the government hospitals with C type status. In National Health Insurance (JKN) era, the payment scheme in hospital by using the INA CBG’s tariff package. Hospital could have profit or even loss, therefore health services effiency was needed. The objective of study was to identify service product and calculate of service product unit cost at Intensive Care Unit (ICU) in Hospital X in Jember. The type of this research was observational descriptive with cross sectional approach. The unit of analysis was ICU at Hospital X in Jember. The unit cost calculation method is using Acivity Based Costing. The result of the study shown that there were 21 service products that have various unit costs. The highest was Rp. 176,954, - (cardiac pulmonary resuscitation), the lowest was Rp. 27,061,- (intravena injection) and an average of Rp. 75,959, -. The conclusion shown that unit cost was strongly influenced by the resources used, the more efficient resources used for effective services, the smaller unit cost could get. Compared to INA CBG’s package tariff it will be able to create profit surplus for hospital.
Background: A clinical pathway is a concept of an integrated service which describes the stages of healthcare services from the admission until the return of patients based on the medical service standards and evidence-based nursing care with measurable results. Kaliwates General Hospital is an accredited hospital with a clinical pathway. Typhoid case was the highest disease in 2017 at Kaliwates General Hospital.Aims: This study aims to describe the resources at Kaliwates General Hospital in the implementation of clinical pathways, especially typhoid fever treatment.Method: This study was a descriptive and qualitative study. Nine respondents were selected using purposive sampling, including one internist and the quality team at Kaliwates General Hospital. The variables studied include human resource factors, budget factors, method factors, and time factors.Results: The results suggested that the human resources at Kaliwates General Hospital had high commitment, motivation, and moderate knowledge in the implementation of clinical pathways. All equipment and documents were considered adequate. The communication among the implementers was good, but compliance and training for staffs were considered less prominent. The task division of each staff was fairly distributed even though the pharmacy unit perceived that the division was quite unfair.Conclusion: The implementation of the clinical pathway for typhoid fever treatment at Kaliwates General Hospital runs quite well. The hospital must identify and plan staff training regularly, prepare the job description appropriately, and perform performance appraisal based on the job description that has been developed.Keywords: clinical pathway, typhoid fever, resource.
Data tim pengelola Sistem Informasi Kesehatan (SIK) Lumajang Dinas Kesehatan Kabupaten Lumajang menyebutkan bahwa permasalahan dalam pemanfaatan SIK yaitu puskesmas atau pengguna yang belum siap dan menerima aplikasi SIK Lumajang. Hanya 11 dari 25 puskesmas yang telah memanfaatkan aplikasi SIK Lumajang sebagai aplikasi sistem informasi manajemen di puskesmas. Penelitian ini bertujuan untuk mengidentifikasi kesiapan pengguna dan pengaruhnya terhadap penerimaan aplikasi SIK Lumajang sebagai aplikasi sistem informasi manajemen puskesmas di Kabupaten Lumajang dengan konsep teori TRI dan TAM. Penelitian ini adalah penelitian kuantitatif dengan rancangan cross sectional, dilakukan di 11 Puskesmas yang telah memanfaatkan aplikasi SIK Lumajang. Pengambilan data menggunakan metode wawancara dengan kuesioner dan dokumentasi SIK Lumajang bulan September 2016 sampai dengan Oktober 2017. Sampel sebanyak 54 responden diambil dengan teknik multistage random sampling. Data yang dikumpulkan berupa tingkat kesiapan pengguna sistem informasi manajemen di puskesmas sebagai variabel bebas, serta data persepsi kegunaan, persepsi kemudahan, sikap terhadap penggunaan teknologi, niat perilaku menggunakan teknologi, perilaku atau penggunaan teknologi sesungguhnya sebagai variabel terikat. Uji bivariat dianalisis menggunakan uji regresi linier sederhana. Hasil penelitian menunjukkan bahwa pengaruh antar variabel penelitian seluruhnya berpengaruh positif dan signifikan (p<0.05) sesuai dengan teori yang ada. Variabel dengan pengaruh terbesar terdapat pada niat perilaku menggunakan terhadap penggunaan teknologi sesungguhnya. Kata kunci: kesiapan pengguna; puskesmas; SIK lumajang
Es Krim Kelor: Produk Inovasi sebagai Upaya Pencegahan Stunting dalam 1000 Hari Pertama Kehidupan (HPK). Tepung daun kelor yang diolah menjadi es krim kelor mengandung zat gizi yang tinggi, terutama protein dan kalsium. Es krim kelor merupakam salah satu inovasi produk pangan lokal dalam upaya penanggulangan stunting. Mitra adalah Usaha Kecil Menengah (UKM) “Kesilir Marongghi Center Community (KM-2C)” yang mengalami masalah dalam pengembangan produk dan penjualan tepung daun kelor. Hasil penelitian ketua tim pengusul, menyatakan bahwa tepung daun kelor dapat diolah menjadi es krim kelor dengan penambahan tepung kelor 25 gram. Solusi pengolahan produk inovasi es krim kelor dilaksanakan melalui beberapa metode, yaitu: (1) pelatihan produksi; (2) pendampingan pengurusan P-IRT/SP; (3) pelatihan manajemen pembiayaan usaha dan pemasaran; (4) pendampingan produksi hingga pemasaran. Kegiatan ini dapat membantu permasalahan yang dihadapi mitra. Target dan luaran yang diharapkan telah tercapai, yaitu: (1) produk es krim kelor yang telah memiliki izin edar berupa SP; (2) metode manajemen pembiayaan usaha dan manajemen pemasaran yang tepat telah tercapai, yaitu melalui penjualan langsung, jejaring sosial, reseller, dan pameran produk. Mitra mengalami penambahan omzet dan peningkatan jumlah pembeli; (3) penguasaan ketrampilan berupa skill membuat es krim kelor. Kegiatan ini memberi dampak up-dating Iptek di UKM KM-2C
The highest prevalence of malnutrition cases is in Gorontalo District which is 3.2% in 2018 and the highest public health center in the Tibawa area is 4.2% in cases of malnutrition and underfives carrying a red line are 4.7% and 2 toddlers do not gaining weight for 3 times in a row The results of growth and development monitoring were carried out at the posyandu until September 2018. This study aims to analyze the effect of nutrition assistance with media booklets to improve the knowledge and practices of hamlet heads in determining the nutritional status of children under five. The research method was quasi-experimental with pre -post, sample selection with a total sample of 77 respondents,37 interventions and 40 controls.The results showed that there were no significant differences in knowledge of the treatment and control groups before the pre intervention (p=0.857). There were significant differences in knowledge before and after the intervention group pos1 (p=0,000) and post2 (p=0,000) whereas in the post1 control group (p=0,000), there were significant differences at post2 (p=0.395) there were no significant differences. There was a difference after the intervention between the treatment and control groups post1 (p=0,000) and Post2 (p=0,000). The practical variables did not differ significantly between the treatment and control groups before the intervention (p=0.921).In the treatment group between pre and post1 there was a significant difference (p=0.046).Between pre and post2 (p=0.157),there was no significant difference. In the control group there was no significant difference between pre and post1 (p= 0.157) and post2 (p=0.564).After the intervention there were no significant differences in the treatment and control groups at post1 (p=0.557) as well as post2 (p=0.583). The conclusion was booklet mentoring significantly increased the knowledge and practice in of mothers in determining the nutritional status of toddlers.There is no effect of practice after post2.
AbstrakTarif rasional ditetapkan dengan menghitung unit cost yaitu memperhatikan characteristics of product yang merupakan informasi terkait kemampuan dan kemauan membayar. Selain menjadi kosntanta dalam menghitung unit cost, kemampuan dan kemauan dihitung guna kendali mutu dan biaya di rumah sakit. Data Ilmu Kesehatan Masyarakat RSU Kaliwates, angka kepuasan konsumen yang belum memenuhi standart adalah tarif pelayanan rawat inap. Hasil studi pendahuluan pada pasien umum rawat inap adalah 70% memiliki estimasi tarif kurang dari tarif yang ditetapkan rumah sakit, 20% mengatakan tarif kurang terjangkau dan 10% lainnya tidak dapat mengestimasikan tarif maka penelitian ini bertujuan untuk menghitung kemampuan dan kemauan masyarakat dalam membayar pelayanan kesehatan rawat inap di RSU Kaliwates. Penelitian ini merupakan penelitian analitik yang dilakukan kepada 91 pasien umum rawat inap di RSU Kaliwates dengan teknik sampling total population. Nilai riil ATP yang didapatkan memiliki rata-rata sebesar Rp 438.101,-, dengan kategori kemampuan terbesar adalah kemampuan tinggi pada interval ≥ Rp 409.375,- serta estimasi kemauan membayar adalah WTP1 memiliki rata-rata Rp 256.923,- dan WTP2 memiliki rata-rata Rp 300.714,-. Saran yang diberikan adalah perhitungan biaya satuan dengan memperhatian kemampuan dan kemauan membayar masyarakat, pengembangan ruang rawat inap sesuai kebutuhan masyarakat, peningkatan tenaga medis, dan pengembangan inovasi penyampaian informasi. Abstract Rational rates were determined by calculating unit costs into account characteristics of product as information related ability and willingness to pay. Ability and willingness were calculated for quality control and cost at the hospital. Community satisfaction index in Kaliwates General hospital released number of customer satisfaction that hasn’t met the standard was rate of inpatient services. Results of preliminary study on general inpatients were 70% having an estimated rate of less than rate set by the hospital, 20% said rates were less affordable and 10% couldn’t estimate rates, then this study was calculate ability and willingness to pay for inpatient health services at the Kaliwates General Hospital. This study was an analytical study conducted on 91 general inpatients at Kaliwates General Hospital with total population sampling technique. The real value of ATP obtained has an average of IDR 438,101 with largest ability category was high ability at intervals ≥ IDR 409,375 and estimation of willingness to pay,WTP1 has an average of 256,923 and WTP2 has an average of 300,714,- The advice is calculation of unit cost with due regard ability and willingness to pay, development of inpatient rooms according to community needs,improvement of medical personnel,and development of information delivery innovations.
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