ABSTRAKBPJS Kesehatan merupakan lembaga yang dibentuk untuk menyelenggarakan Program Jaminan Sosial di Indonesia. Masalah yang didapat bahwa pelaksanaan klaim BPJS dalam penyerahan berkas klaim pasien rawat inap kepada kantor BPJS Kesehatan masih mengalami keterlambatan yang jauh dari tanggal yang sudah ditetapkan oleh BPJS Kesehatan. Penelitian ini bertujuan menganalisis faktor-faktor penyebab terjadinya keterlambatan pengajuan klaim BPJS Kesehatan pasien rawat inap di RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro. Jenis penelitian ini menggunakan penelitian kualitatif deskriptif dengan menggunakan rancangan cross sectional. Hasil penelitian pemberdayaan organisasi total IKK agregat untuk petugas instalasi PAT sebesar 67,2% yang termasuk dalam kategori baik, tetapi ada 3 variabel kepuasan karyawan yang jumlah IKK nya masih berada dibawah total IKK agregrat. Dari waktu penyelesaian 1 berkas klaim petugas verifikasi administrasi sampai berkas dientry membutuhkan waktu selama 18:39:03 per berkas. Dari kelengkapan persyaratan berkas klaim terdapat 35 % persyaratan berkas klaim tidak lengkap dan harus dikembalikan lagi keruang perawatan, kembalinya berkas klaim ke ruang perawatan yang berpotensi menyebabkan keterlambatan dalam pengajuan klaim. Dilihat dari jumlah dan kompetensi sumber daya manusia petugas pengelolaan klaim berpotensi menyebabkan keterlambatan dalam pengajuan klaim dan masih ada beberapa petugas pengelolaan klaim yang masih belum mengikuti pelatihan yang sesuai dengan jabatannya.Kata kunci : Faktor penyebab, Keterlambatan Pengajuan Klaim, Pasien Rawat Inap
Introduction: The combustion process during the production of tofu leads to the release of Carbon monoxide (CO). This study aimed to analyze the environmental risks of exposure to CO in people residing near the tofu factories in Sidoarjo, Indonesia. Methods: This was an analytic study using a cross-sectional design. Data were obtained from laboratory experiments, interviews, and observations. Five locations of the tofu manufacturing areas as a research location. Results and Discussion: The average CO concentration in five locations was below the quality standard at 54.50 µg/m3. The hazard identification showed CO could have non-carcinogenic health risks. The respondents near the tofu industry inhaled 5.63 µg/kg/day CO in average. Furthermore, at all of the locations, the CO toxic agents in the air have a rate of RQ > 1. This showed that respondents with 55 kg body weight could be exposed to CO for 8 hours/day or for 312 days/ year. As a result, the exposure to CO is unsafe or likely to result in non-carcinogenic effects on the residents in the next 30 years. Conclusion: CO concentration in all tofu manufacturing areas was below the quality standard and could cause health problems. Residents around the factory are advised to avoid exhaust gas emissions from tofu factories by providing an air exhaust system. The residents also can reduce the exposure by using a mask when outdoor activity.
Lack of nutrition during childhood has a profound impact on health including cognitive development. One of all factors that related to nutritional status is knowledge mother’s factor. This study aims to identify the correlation between mothers’ knowledge about nutrition and their toddlers’ nutritional status (weight/age). The samples of this study are 37 mothers with toddler. This study showed a correlation between mothers’ knowledge about nutrition and their toddlers’ nutritional status (weight/age) at Kirana Posyandu at Pegirian Health Care Center of Surabaya City. Thus, in order to increase mothers’ knowledge about nutrition, health cadres should optimized health services with regards the steps in caring postnatal children. Health care professionals can provide counseling about the importance of toddler’s nutrition.
ABSTRAKPelayanan kesehatan yang bermutu adalah pelayanan yang sesuai dengan tingkat kepuasan pasien dan penyelenggaraanya sesuai standar dan kode etik profesi. Penelitian bertujuan mengukur tingkat kepuasan pasien di RSIA NUN Surabaya dengan metode importance performance analysis (IPA), dan customer satisfaction index (CSI). Penelitian ini merupakan penelitian deskriptif dengan rancang bangun cross sectional. Sampel penelitian ini adalah pasien rawat jalan. Teknik pengambilan sampel dengan accidental sampling. Sampel diambil pada bulan Juli sampai Agustus 2017 sebanyak 96 orang. Penilaian menggunakan kuesioner yang sudah diisi pasien. Hasil pengukuran dari responden terhadap 25 atribut pertanyaan dan 11 atribut menunjukkan ketidaksesuaian antara kinerja dan kepentingan. Uji Diagram Kartesius menunjukkan atribut bukti langsung dengan nilai kinerja 3,13 dan nilai kepentingan 4,51 sehingga berada pada kuadran I dan nilai kinerja 3,19 dan nilai kepentingan 4,84 pada kuadran III, hal ini secara kinerja masing kurang dan menjadi prioritas pertama dalam perbaikan untuk menaikkan tingkat kepuasan pasien. Analisa customer satisfaction index menunjukkan nilai 82% yang berarti pasien rawat jalan puas terhadap kinerja RSIA NUN di Surabaya.
Background: E-Health is an innovation created by the City Government of Surabaya in the realm of health services. E-Health integrates data between Puskesmas (Public Health Center), Hospitals, Dispendukcapil (the Department of Population and Civil Registration), and the City Health Office of Surabaya. E-Health is the latest health service program prior to the Electronic Health Record (EHR). An assessment on its readiness is important and necessary. One way to realize the readiness for implementing the Electronic Health Record (EHR) is by using the EHR Assessment and Readiness Starter Assessment tool by the Doctor's Office Quality - Information Technology (DOQ-IT). This research will analyze the readiness of the Surabaya City Health Office in applying e-Health in order to implement the Electronic Health Record (EHR).Methods: This research is a quantitative-descriptive type of research with cross sectional design. The main subject is the Surabaya City Health Office, and the data collection technique used is interviews. The data are processed through coding and calculating the respondent's answer to be then categorized.Results: The indicators in this research are Organizational Alignment and Organizational Capacity. The results show that the City Health Office and Puskesmas are strong enough to face the challenges of developing the Electronic Health Record (EHR), which is in range III. This indicates their readiness in facing changes towards the Electronic Health Record (EHR) and denotes its success. The indicator smallest value lies in the section of coordination with all related parties which is less optimal.Conclusions: Surabaya City Health Office is ready to implement the Electronic Health Record (EHR). The involvement of all components becomes the key to success towards a more innovative change in Electronic Health Record (EHR).
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