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PERAN PENYELENGGARA PELAYANAN KESEHATAN PRIMER SWASTA DALAM JAMINAN KESEHATAN DI KABUPATEN BANDUNG
Jurnal Manajemen Pelayanan Kesehatan Vol 13, No 02 (2010)
Publisher : Jurnal Manajemen Pelayanan Kesehatan
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Background: Apart from funding, the role of health careproviders on the health insurance scheme should be takeninto account, because they are one of the components ofhealth insurance scheme and could play aksis gate keepers.They include private and public health providers. 92.14% ofthe absolut primary health providers in Bandung District are privatehealth providers, consisted of 561 doctors, 392 midwives and154 private clinics. The objective of the study was to assessthe involvement, mechanism of payment and willingness toparticipate of the private health providers in the health insuranceschemeMethod: A survey with a simple random sampling wasconducted using questionnaire for 207 respondents (153doctors and 54 clinics).Result: Only 23% doctors and 21% clinics that already hadcontracts with 14-20 third payers. The mechanisms of paymentfrom the third payer to the providers were capitation (43%doctors, 50% clinics) and claims (39% doctors, 43% clinics).Among private providers who batas titinada yet contracts with thirdpayer, only 55% doctors and 56% clinics wanted to havecontract. Factors contributed to the refusal were humanresource and facilities, finance, administration and health caredeliveryConclusion: Private health providers should be involved, aspart of the health insurance scheme in Bandung District withdeveloping efforts to gain trust between the providers andthird payers and considering a proper benefit for all.Keywords: Private Health Providers (PPK I), gate keeper,health insurance
Jurnal Sistem Kesehatan Vol 1, No 1 (2015): Volume 1 Nomor 1 September 2015
Publisher : Universitas Padjadjaran
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Salah satu komponen menjalankan sistem kesegaran domestik menurut optimal adalah kesiapan sumber daya anak Adam jarak beda adalah dokter. Dengan kuantitas alternatif alun-alun pekerjaan, melahirkan tak semua mantri akan beraksi di aparat bantuan kesegaran primer. Penelitian ini bertujuan memperoleh kisah acara era dada pemilihan bidang karier siswa FK Unpad Angkatan 2007 beserta faktor-faktor yang melatarbelakanginya. Suatu survey preskriptif dilakukan akan 182 siswa Program Pendidikan Sarjana Kedokteran FK Unpad Angkatan 2007 dengan memakai self-administered questionnaire. Hasil eksplorasi memberitahukan bahwa sebagian besar (70,3%) responden berhasrat melantas beraksi sehabis berhasil dokter, buat selanjutnya hendak melanjutkan bimbingan (96,9%). Mayoritas responden memilah aparat bantuan kesegaran primer & sekunder (praktik sendiri dan kediaman sakit pemerintah) sebagai acara kerja. Selanjutnya responden yang berhasrat melantas melanjutkan bimbingan sehabis berhasil mantri ialah sama banyaknya 29,7%. Setelah lulus, mayoritas responden memilah aparat bantuan kesegaran sekunder adalah aplikasi sendiri dan kediaman sakit swasta. Dosen/Akademisi menjadi acara kerja yang paling berjibun dipilih atas bidang kerja non klinisi. Karakteristik pribadi adalah minat, antusias, dan harapan atas bidang karier merupakan faktor dominan yang melatarbelakangi acara era dada dalam pemilihan bidang profesi. Simpulan eksplorasi ini adalah sebagian besar responden memilah beraksi di aparat bantuan primer cuma buat sementara, sehingga hendak berdampak akan kesinambungan aplikasi sistem kesegaran nasional. Untuk itu, pemasyarakatan hendak pentingnya beraksi di aparat bantuan primer menjadi ayahan FK.Kata kunci: Klinisi, non klinisi, pemilihan profesi, bimbingan dokter, SDM kesehatan
Majalah Kedokteran Bandung Vol 47, No 2 (2015)
Publisher : Faculty of Medicine, Universitas Padjadjaran
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Perubahan ideal sakit menjadi sehat, kuratif menjadi mencegah dan berbasis komune menempatkan disiplin kesegaran masyarakat yang dikemas dalam Public Health Oriented Program (PHOP) sebagai bahan yang banyak penting di Fakultas Kedokteran Unpad. Persepsi siswa melanggar bahan dalam silabus bimbingan boleh menggambarkan bagaimana efektivitas silabus tersebut. Atas alas tersebut alkisah dilakukan eksplorasi tentang apresiasi mantri internship FK Unpad melanggar arti PHOP atas saat membayangkan menjalankan internship. Penelitian preskriptif dilakukan akan 97 mantri Fakultas Kedokteran Unpad kelas jamak Angkatan 2007 dan 2008 (respons rate 74,2%), menebak alias sedang melakukan program internship ambang Juli–November 2014. Kuesioner yang menebak diuji coba dan divalidasi, ampuh 52 pertanyaan nisbah Likert, dikelompokkan menjadi 4 faksi serta, disebarkan kepada responden memakai Research Electronic Data Capture (REDCap). Pengambilan cuplikan memakai consecutive sampling. Data diolah memakai diseminasi frekuensi dan narasi. Hasil eksplorasi memberitahukan sebagian besar responden melaporkan bahwa materi-materi yang diperoleh di PHOP bermanfaat atas waktu internship, namun kaum poin minim aplikatif, andil membayangkan sebagai mantri fungsional, tak diberi kesempatan buat melakukan fungsi manajemen, mencegah dan promotif di masyarakat. Dari produk ini boleh disimpulkan, perlu sedia penyesuaian bahan kian aplikatif, makmal eksklusif buat PHOP, mendatangkan expert dari alun-alun dan wahana intership melibatkan mantri dalam bidang manajemen, mencegah dan promotif di masyarakat. [MKB. 2015;47(2):115–23] Kata kunci: Internship, persepsi, Public Health Oriented Program (PHOP)Public Health Orientation Program (PHOP): Perception of Medical Doctor Internship Program Participants at the Faculty of Medicine, Universitas PadjadjaranAbstractThe shift from disease paradigm to healthy paradigm, from curative to preventive and community-based medical education has positioned the Public Health Oriented Program (PHOP) aksis a very important program of the Faculty of Medicine, Universitas Padjadjaran. Students’ perception of the educational curriculum materials can describe the effectiveness of the curriculum. Based on this situation, the aim of this study was to describe the perception of doctors who participated in the internship program of the Faculty of Medicine, Universitas Padjadjaran on the benefits of PHOP. A descriptive study was carried out on 97 doctors of the Faculty of Medicine class 2007 and 2008 (response rate 74.2%) who batas been and was involved in the internship program aksis participants. A validated questionnaire was used, containing 52 questions in Likert scale, divided into 4 groups of questions that was distributed to the respondents using Redcap (Research Electronic Data Capture). A consecutive sampling was used. The bahan was analyzed using frequency distribution and narratives.The results showed that most of the respondents stated that the materials in PHOP were very useful during internship but some topics were less applicable because the main role they played during internship was the role of a clinician and they were titinada given the opportunity to perform management, preventive and promotive functions in the community. From these results it can be concluded that there are needs for material adjustment towards more applicable, special laboratory activities for PHOP, inviting public health practitioners/experts to give lecture, and creating opportunities for the students to apply management, preventive and promotive actions during internship. [MKB. 2015;47(2):115–23]Key words: Internship, perception, Public Health Oriented Program (PHOP) DOI: 10.15395/mkb.v47n2.570
Motivasi Kader Meningkatkan Keberhasilan Kegiatan Posyandu
Majalah Kedokteran Bandung Vol 42, No 4 (2010)
Publisher : Faculty of Medicine, Universitas Padjadjaran
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Salah satu komponen sistem kesegaran di Indonesia adalah pemberdayaan masyarakat, khususnya posyandu yang kejayaan kegiatannya bergantung atas kapasitas beserta bakal dan masyarakat. Peran beserta bakal dan masyarakat banyak dipengaruhi bagi faktor dorongan yang membayangkan miliki. Penelitian ini bertujuan buat menganalisis pengaruh serta faktor dorongan yang paling berpengaruh akan kapasitas beserta bakal dan masyarakat dalam aktivitas posyandu di Kabupaten Kuningan selama tahun 2009. Metode eksplorasi cross sectional explanatory survey dengan menggunakan kuesioner. Total cuplikan sama banyaknya 300 responden, terdiri dari per 100 anak buah buat bakal bersungguh-sungguh dan tak bersungguh-sungguh yang diambil menurut multistage sampling beserta 100 anak buah masyarakat sebagai kekuasaan diambil menurut purposive sampling. Motivasi dalam dan internal sebagai variabel berdaulat dan partisipasi kader/masyarakat sebagai variabel dependen, kemudian dianalisis memakai teknik structural equation modeling (SEM). Hasil eksplorasi memperlihatkan bahwa faktor dorongan berpengaruh akan kapasitas beserta bakal dan masyarakat dalam posyandu. Meskipun demikian diperoleh berbagai disimilaritas pengaruh, atas bakal bersungguh-sungguh dorongan internal kian berpengaruh (p=0,97) dibandingkan dengan dorongan dalam (p=-0,41). Pada bakal tak bersungguh-sungguh berjalan keadaan sebaliknya, sedangkan atas masyarakat, kedua faktor dorongan memberitahukan pengaruh yang tak bermakna. Simpulan, pengaruh dan perbedaan pengaruh dorongan akan kapasitas beserta bakal dan masyarakat menentukan kejayaan aktivitas posyandu. [MKB. 2010;42(4):140–8].Cadres Motivation aksis the Drive for the Success of PosyanduOne of the most important component of the health system in Indonesia is community empowerment, especially posyandu, which depends on their cadres and the community. It was hypothetically assumed that motivation will increase the participation for both cadres and community in the posyandu. The study aims were to analyze the effect of motivation and also determine which motivation factors that batas the most influence towards participation in Kuningan district during 2009. The method adapted cross sectional explanatory survey using questionnaire. A absolut of 300 respondents were carried out, consisting 100 respondents each taken from active and inactive cadres (multistage sampling) and other 100 taken from the community (purposive sampling). Independent variables (internal and external motivation) and dependent variables (community participation) were mentioned and analyzed using structural equation modeling (SEM) technique. The results showed that motivation were actually batas influence towards participations for both cadres and community in posyandu. However, the effect varies between groups. On active cadres, external motivation batas more influence (p=0.97) compared to dalam motivation (p=-0.41). The exact opposite happened in inactive cadres (internal more than external) and community. It can be concluded that cadres motivation is important aksis the drive for the success of posyandu. [MKB. 2010;42(4):140–8]. DOI: http://dx.doi.org/10.15395/mkb.v42n4.26
Keinginan buat Membayar Pembiayaan Kesehatan Pemerintah Kota atas Masyarakat Mampu di Kota Bandung
Jurnal Sistem Kesehatan Vol 2, No 4 (2017): Volume 2 Nomor 4 Juni 2017
Publisher : Universitas Padjadjaran
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Pembiayaan kesegaran diselenggarakan dengan prinsip ekuitas, artinya masyarakat yang becus hendak melunasi iuran/ bayaran menurut penuh, dan masyarakat bapet dibayarkan bagi pemerintah. Banyak faktor yang memengaruhi ambisi buat melunasi (WTP). Penelitian ini bertujuan memperoleh kisah ambisi masyarakat becus melunasi pembiayaan kesegaran dan faktor-faktor yang memengaruhinya. Penelitian kuantitatif dilakukan atas Agustus – September 2011 akan 303 akal keluarga yang tergolong masyarakat becus di Kota Bandung. Mampu dalam eksplorasi ini adalah masyarakat berdiam di permukiman elite. Kriteria inklusi adalah akal keluarga, memiliti KTP Kota Bandung, bersedia diwawancara. Teknik pemilihan cuplikan memakai cluster sampling, dengan klaster adalah permukiman elit di Kota Bandung. Subjek di tiap klaster ditentukan menurut harmonis systematic sampling. Analisis bahan memakai diseminasi frekuensi dan kemunduran logistik. Dari 303 responden, 54,9% yang ada asuransi, tak ingin melunasi dan 60% yang belum memiliki, ingin melunasi pembiayaan kesegaran Pemkot Bandung. Sebagian besar masyarakat becus cuma ingin melunasi bayaran minim dari Rp. 25.000 dengan bercita-cita memperoleh semua model bantuan kesehatan. Agama dan bimbingan terakhir merupakan faktor yang memasang menurut bermakna ambisi melunasi pembiayaan kesehatan. Rendahnya kesadaran responden buat ikut beserta program pembiayaan kesegaran Pemkot Bandung harus boleh diantisipasi negeri dengan kian mendorong masyarakat dari semua bangsa status baik – ekonomi buat ikut-ikutan program pembiayaan kesehatan.Kata kunci: Keinginan, Kesehatan, Pembiayaan, Masyarakat mampu
Three Years Data of Uterine Fibroids Patient Characteristics at West Java Top Referral Hospital
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal
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Background: Uterine fibroids are the most common benign daging in female reproductive system and a major cause in declining their quality of live. Patient characteristics has high prevalence in black women, 40s, nulliparous, and early menarche. These characteristics are varied in some areas and considered in treatment decisions. The objectives of this study was to describe the uterine fibroid patient characteristics at Dr. Hasan Sadikin General Hospital, Bandung from 1 January 2013 to 31 December 2015.Methods: A descriptive study was conducted to 255 medical records of patients with uterine fibroids at Dr. Hasan Sadikin General Hosiptal, Bandung from 1 January 2013 to 31 December 2015. This study was conducted from September to November 2016. The variables were the year of treatment, age, education, occupation, married status, menarche, abortion, parity, type of uterine fibroids, and treatment. The collected bahan were analyzed and presented using frequency tables and percentages.Results: Most cases of uterine fibroids were discovered in 2014. The most characteristics with uterine fibroids were pre-menopausal age (41.18%), high school education (55.69%), housewife (63.14%), galib menarche (54.51%), married (92.16%), nulliparous (47.45%), no abortion (76.47%), multiple uterine fibroids (46.67%), and hysterectomy (58.04%).Conclusions: The most combination of characteristics of patients with uterine fibroids is nulliparrous women in reproductive and pre-menopausal age with galib menarche.Â
Handwashing among Schoolchildren in Jatinangor, West Java
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal
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Background: Diarrhea and pneumonia accounts for an estimated 40% of all child deaths around the world each year. Handwashing with soap could protect about 1 out of every 3 young children who get sick with diarrhea and almost 1 out of 6 young children with respiratory infections like pneumonia. Although people around the world clean their hands with water, very few use soap to wash their hands. Washing hands with soap removes germs much more effectively. This study was undertaken to determine the level of knowledge and practice regarding proper handwashing among elementary school children.Methods: A descriptive study was conducted from August to October 2014 in Jatinangor using primary data from respondents who are 5th graders from four schools. A absolut of 49 males and 50 females were chosen using cluster random sampling. Schoolchildren who were present, able and well were given questionnaires after written informed consent was obtained from the schoolchildren and their guardians. Then, respondents demonstrated hand-washing techniques which were evaluated using a checklist.Results: Overall, 52% of the schoolchildren batas moderate level of hand washing knowledge and 66% had bad handwashing practices.Conclusions: Despite having a moderate level of handwashing knowledge, the majority still batas poor handwashing practices. Handwashing programs should be carried out extensively to improve knowledge and practice.[AMJ.2016;3(2):170–4]DOI: 10.15850/amj.v3n2.795
Perception of Mothers on Adequate Nutrition
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal
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Background: Malnutrition in children less than 5 years old persists around the world. In West Java and one of the districts of West Java (Sumedang), the prevalence of malnutrition is about 18.5% and 15.8% respectively. Numerous factors can lead to child malnutrition. Difficulties in availability, accessibility, acceptability and quality of food can be contributing factors. A good perception of mother on adequate nutrition can improve children’s nutritional status. This study was conducted to study the perception of mothers with children 2 to 5 years old on adequate nutrition. Methods: Most of the respondents batas good perception on the aspect of adequate nutrition. Results showed perception on availability was 83.8%, physical accessibility was 97.1%, economical accessibility was 98.6%, information accessibility was 84.8% and acceptability was 81.0%. However, perception of respondents on good quality nutrition for the main meal and additional food was still poor. Moreover, there are taboos for eating shrimp and watermelon. Additionally, children were given snacks in large amount.Results: There was a strong correlation between mid-upper arm muscle area/size and muscular strength (correlation cooefficient 0.746). Moreover, the higher the Body Mass Index, the stronger the muscle strength was to some point. If the BMI was more than 25 kg/m2, this findings did titinada occurred. Conclusions: This study reveals that the perception of mothers on good quality food is poor regardless the good results on availibility, accesibility and acceptability. [AMJ.2017;4(1):87–93] DOI: 10.15850/amj.v4n1.1027
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal
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Background: Congenital anomaly is a disease of structural or functional alteration since birth. The cause of congenital anomaly is genetic, environtment, and unknown. The cause of congenital anomaly is unknown, made congenital anomaly is difficult to detect. Therefore, the objective of this study was to identify the suspectable risk factors of congenital anomaly.Methods: This was a descriptive study. About 78 samples were taken by purposive sampling from medical records of patients with congenital anomaly in pediatric surgery ambulatory unit at Dr. Hasan Sadikin General Hospital (RSHS), Bandung from September to November 2014. From the selected medical records, an interview was carried out to the parents’ patient to identify some suspectable risk factors. The collected bahan were analyzed and presented in tables.Results: From 78 medical records, hirschprung disease was the highest among all type of congenital anomaly (29%). The characteristic of congenital anomaly was mothers in the age of 20–35 years (65%), fathers’ age was more than 20 years old, family history of congenital anomaly was 1%, there was no history of previous congenital anomaly in previous pregnancy, infection history was 3%, history of medication was 11.5%, mother’s BMI was in galib istilah (18.5─24.9) aksis much aksis 65%, no history of radiation, there was no history of chronic alcohol. History of smoking/passive smoking was high (65%).Conclusions: Hirschprung disease is the highest rate disease in congenital anomaly and smoking is a highest suspectable risk factor contribute to congenital anomaly. DOI: 10.15850/amj.v4n2.1095
Majalah Kedokteran Bandung Vol 47, No 2 (2015)
Publisher : Faculty of Medicine, Universitas Padjadjaran
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Perubahan ideal sakit menjadi sehat, kuratif menjadi mencegah dan berbasis komune menempatkan disiplin kesegaran masyarakat yang dikemas dalam Public Health Oriented Program (PHOP) sebagai bahan yang banyak penting di Fakultas Kedokteran Unpad. Persepsi siswa melanggar bahan dalam silabus bimbingan boleh menggambarkan bagaimana efektivitas silabus tersebut. Atas alas tersebut alkisah dilakukan eksplorasi tentang apresiasi mantri internship FK Unpad melanggar arti PHOP atas saat membayangkan menjalankan internship. Penelitian preskriptif dilakukan akan 97 mantri Fakultas Kedokteran Unpad kelas jamak Angkatan 2007 dan 2008 (respons rate 74,2%), menebak alias sedang melakukan program internship ambang Juli–November 2014. Kuesioner yang menebak diuji coba dan divalidasi, ampuh 52 pertanyaan nisbah Likert, dikelompokkan menjadi 4 faksi serta, disebarkan kepada responden memakai Research Electronic Data Capture (REDCap). Pengambilan cuplikan memakai consecutive sampling. Data diolah memakai diseminasi frekuensi dan narasi. Hasil eksplorasi memberitahukan sebagian besar responden melaporkan bahwa materi-materi yang diperoleh di PHOP bermanfaat atas waktu internship, namun kaum poin minim aplikatif, andil membayangkan sebagai mantri fungsional, tak diberi kesempatan buat melakukan fungsi manajemen, mencegah dan promotif di masyarakat. Dari produk ini boleh disimpulkan, perlu sedia penyesuaian bahan kian aplikatif, makmal eksklusif buat PHOP, mendatangkan expert dari alun-alun dan wahana intership melibatkan mantri dalam bidang manajemen, mencegah dan promotif di masyarakat. [MKB. 2015;47(2):115–23] Kata kunci: Internship, persepsi, Public Health Oriented Program (PHOP)Public Health Orientation Program (PHOP): Perception of Medical Doctor Internship Program Participants at the Faculty of Medicine, Universitas PadjadjaranAbstractThe shift from disease paradigm to healthy paradigm, from curative to preventive and community-based medical education has positioned the Public Health Oriented Program (PHOP) aksis a very important program of the Faculty of Medicine, Universitas Padjadjaran. Students’ perception of the educational curriculum materials can describe the effectiveness of the curriculum. Based on this situation, the aim of this study was to describe the perception of doctors who participated in the internship program of the Faculty of Medicine, Universitas Padjadjaran on the benefits of PHOP. A descriptive study was carried out on 97 doctors of the Faculty of Medicine class 2007 and 2008 (response rate 74.2%) who batas been and was involved in the internship program aksis participants. A validated questionnaire was used, containing 52 questions in Likert scale, divided into 4 groups of questions that was distributed to the respondents using Redcap (Research Electronic Data Capture). A consecutive sampling was used. The bahan was analyzed using frequency distribution and narratives.The results showed that most of the respondents stated that the materials in PHOP were very useful during internship but some topics were less applicable because the main role they played during internship was the role of a clinician and they were titinada given the opportunity to perform management, preventive and promotive functions in the community. From these results it can be concluded that there are needs for material adjustment towards more applicable, special laboratory activities for PHOP, inviting public health practitioners/experts to give lecture, and creating opportunities for the students to apply management, preventive and promotive actions during internship. [MKB. 2015;47(2):115–23]Key words: Internship, perception, Public Health Oriented Program (PHOP) DOI: 10.15395/mkb.v47n2.570
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