Articles

Found 12 Documents
Search

ANALYSIS THE STANDARD OF MEDICAL RECORD RESOURCES NEEDED, BASED ON WORKLOAD AT KEN SARAS HOSPITAL MEDICAL RECORD INSTALATION 2013 Rosita Hasibuan, Nelda; Kartika Wulan, Lucia Ratna; Asmita Wigati, Putri
Jurnal Kesehatan Masyarakat (e-Journal) Vol 2, No 2 (2014): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Medical record has a purpose to achieve an orderly administrative in an increasing health effort. UU RI no. 29 of 2009 section 46 and 47 said that every doctor and dentist should be make an medical record in their practices. If they violate, they can be penalized accordance with the provisions. In this research, needs analysis seen from some aspect, the amount of resources, education, skill, and work motivation. Ken Saras Hospital Medical record installation suffer fairly high turnover in 2013, so it make increasingly heavy workload for the employees who still survive.Medical Records Installation  in Ken Sarah Hospital has been regeneration at sometime ago, so it made heavy workload for resources who still survive. .The purpose of this research is to determine the workload of resources, the suitability of the workload and the need that based on workload. Method:  This research used qualitative descriptive study with cross sectional approach. Data collection used work sampling method  and in-depth interview. The population in the study was the time used medical record personnel in completing the work and the whole effort implementing IRM in a total of 11 people. Result: The results of this research is the ideal amount of medical record resources from amount of power aspect , education, skills and nowadays work motivation of resources. According the result of this research is 3.07 hours of workload, 3.3 hours of productive time, education, skill, and work motivation affect the work system of instalation. The workload in registration section is 5.88 hours, and 5.9 hours of productive time.  Educational standards in irm is good enough, but need to add 1 resource in registration section with D3 RM standart. IRM skills is good enough, but need the training of medician recorder to improve the skill. Work motivation is still lacking. According this research, can be concluded that there's deficiency in medical record installation, 1-2 resources. The registration section with high school education competencies, need procurement training to improve the knowledge resources, and need some activities to improve work motivation
ANALISIS RENCANA STRATEGI PEMASARAN LAYANAN UNGGULAN POLI MATA SEMARANG EYE CENTER DI RSI SULTAN AGUNG SEMARANG TAHUN 2013 Dian Saputro, Dicky; Suryawati, Chriswardani; Kartika Wulan, Lucia Ratna
Jurnal Kesehatan Masyarakat (e-Journal) Vol 2, No 1 (2014): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The number of visists the patient and increasing the SEC the last 5 years (2008-2012) and did not have plans on rencana stategik specific marketing strategies that needed to develop a marketing plan straegi SEC unit. The purpose of this study is to analyze the internal and external environment RSISA SEC unit based marketing mix is used as the basis for the preparation of marketing plans startegik SEC RSISA Unit.This research uses descriptive qualitative research approach. Subjects of the study were taken by purposive sampling techniques include nursing services and medical director, head of the division units SEC, marketing head of the division, in charge of field units SEC, two eye specialist doctors, nurses, medical and non-medical support personnel as the main respondents while two SEC service users as respondents triangulation. Analysis of the data using content analysis. The results showed the power that is the latest medical technology supporting facilities, strategic location, affordable rates and nonmedical medics good.Weaknesses are inadequate waiting area, promotion is not maximized, nurse jobs overlap. Opportunity that is a one-stop service, has partnerships with government and private institutions, and the provision of social activities. Threats owned unit layout SEC is located alongside the town, numbering queue is still manual. Strategic advice includes working with fendor-fendor medical devices, a partnership with both the private and government institutions, a larger installation of billboards, to enforce the one-stop service. From this study it can be suggested that the unit SEC to conduct an aggressive strategy for the advancement and development of the service
Factors that Affect the Performance of the Village Midwife in the Standard Implementation of Midwifery Birthing Mothers and Orphans in Semarang Subekti, Setiyana Sri; Widagdo, Laksmono; Kartika Wulan, Lucia Ratna
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 2 (2014): Agustus 2014
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (514.178 KB) | DOI: 10.14710/jmki2210374

Abstract

In Semarang district, maternal mortality rate (AKI) increased from 101.92/ 100000 live-births in 2010 to 146.24/100000 live-births in 2011. The majority of death patients were caused by referral delay and a delay in detection of in labour emergency signs. This indicated that the implementation of obstetric standard care in Semarang district was not done properly. Objective of the study was to analyze factors affecting work performance of village midwives in the application of obstetric standard care for in labour mothers in Semarang district. This was an observational analytical study with cross sectional approach. Data were collected through interview guided by questionnaire. Study population was 311 village midwives in Semarang district. The number of respondents was 76 midwives selected purposively according to inclusion and exclusion criteria in each primary healthcare center. Product moment test and linear regression were applied in the data analysis. Results of the study showed that average age of respondents was 33 years old, average working period was 11 years old, majority of respondent’s education background was D III in midwifery (72.36%). Work performance of village midwives in the implementation of obstetric standard care for physiological mother in labour was insufficient (83%), work performance of village midwives in the implementation of obstetric standard care for pathological mother in labour was insufficient (87%), respondents with insufficient knowledge was 57%, respondents with high motivation was 51%, respondent’s perception on supervision was inadequate (55%), respondent’s perception on workload was low (57%), respondent’s perception on incentive was insufficient (57%), and respondent’s perception on sanction was inadequate (55%). Factors related to work performance of village midwives were knowledge (p= 0.000), motivation (p= 0.007), perception on supervision (p= 0.008), perception on workload (p= 0.012), perception on incentive (p= 0.000), perception on sanction (p= 0.000). Factors affecting work performance of village midwives in the implementation of obstetric standard care for in labour mothers were knowledge (p= 0.000), perception on workload (p= 0.027), perception on sanction (p= 0.000). Suggestions for Semarang district health office are to conduct refreshing on maternity services according to obstetric standard care to all village midwives, to improve supervision technique by implementing facilitative supervision.
Factors Related to the Implementation of Infection Prevention Procedures on Normal Delivery Cares in Pati District (Study on Normal Delivery Care Trained Midwives) Nafiah, Ulin; Purnami, Cahya Tri; Kartika Wulan, Lucia Ratna
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 2 (2014): Agustus 2014
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (683.53 KB) | DOI: 10.14710/jmki2210376

Abstract

Maternal mortality rate (AKI) in Pati district in 2011 increased to 24 cases (116.17/100000 live- births). Direct causes of maternal death were dominated by hemorrhage (3 cases or 12.5%), infection (2 cases or 8.33%), hypertension (8 cases or 33.33%), and eclamsia (1 case). Therefore, analysis of factors affecting the implementation of infection prevention actions in the delivery assisted by village midwives with post normal-delivery care (APN) training in Pati district was done. This was an observational study with cross sectional approach. The number of samples was 69 village midwives with post APN training. They were selected purposively according to the inclusion criteria. Data were collected through interview guided by structured questionnaire and through direct observation. Data were analyzed quantitatively by applying Chi Square test, Yate Correction, and linear logistic regression. Results of the study showed that respondents had good knowledge (76.2%), good attitude (75.0%), good motivation (71.4%), good perception on supervision (69.8%), complete instruments (70.8%), and good category for the implementation of infection prevention procedure (59.4%). Factors affecting the implementation of infection prevention procedure were knowledge (p= 0.001), attitude (p= 0.0001), motivation (p= 0.004), supervision (p= 0.046), instruments (p= 0.008). All variables (knowledge, attitude, motivation, supervision, and instruments) influenced the implementation of infection prevention procedure (p-value d” 0.05). However, the most influencing variables were attitude (p= 0.000, Exp(B) = 9.60) and knowledge (p= 0.001, Exp(B) = 6.40). Suggestions for district health office and IBI organization of Pati district are to give guidance to improve skills and knowledge of village midwives related to the job and function of midwives; it can be done through trainings, positive supervision mainly on infection prevention procedure in delivery assistance.
Evaluation on Rooming In Mardi Rahayu, Kudus Ariyanti, Titik; Sudiro, Sudiro; Kartika Wulan, Lucia Ratna
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 3 (2014): Desember 2014
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (534.395 KB) | DOI: 10.14710/jmki2310381

Abstract

Infant mortality rate in Indonesia was high. Scientific evidence showed that infants with formula milk had higher probability to die than infant with exclusive breastfeeding. Implementation of ‘Sayang Ibu dan Anak’ hospital movement was done by performing rooming in program. Objective of this study was to evaluate the implementation of rooming-in program in Mardi Rahayu hospital Kudus. This was a descriptive-qualitative study. Study subjects were five main informants as policy makers, and five triangulation informants as executors of the program. Data were collected through in- depth interview. Content analysis method was applied in the data analysis. Results of the study showed that output aspect was not good; rooming in for mother and child were conducted ± 2 hours/day; formula milk was still given. Input aspect: human resource was not standardized to the type B hospital worker standard. Budget for each program was not equal; availability, sufficiency, and feasibility of facility were good. Third class post delivery room was not complete and uncomfortable. Not all standard operating procedure was performed. Marketing was not done. Process aspect was inadequate. Leader’s policy was made; socialization, actuating, and coordination were not done; monitoring and evaluation were not done; no commitment from the leaders and executors in the implementation of rooming in. In conclusion, Mardi Rahayu hospital performed partial rooming in; formula milk was still given. Human resource aspects were not suitable with type B hospital standard; budgeting program was not equal; facilities for third class were not suitable with the standard. Not all SOP was performed; marketing was insufficient, and no collective commitment was done. It was suggested to do total rooming-in, and to give formula milk according to the indication; to do lactation management training, breast milk counselor and supporter training, to conduct monitoring and evaluation.
Factors Associated to the Performance of Village Midwives in the Institutionalization of Local Area Monitoring in Maternal and Child Health (MCH- LAM) at Majalengka District West Java Province Kurniawan, Wawan; Purnami, Cahya Tri; Kartika Wulan, Lucia Ratna
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 3 (2014): Desember 2014
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (602.876 KB) | DOI: 10.14710/jmki2310387

Abstract

Monitoring effort on maternal and child health (KIA) service coverage known as local area monitoring of maternal and child health (PWS-KIA) was one of midwives duties. Good implementation of PWS-KIA could be used to follow up and improve KIA service. However, based on PWS-KIA implementation data in 2011, only 40% midwives who performed complete steps of PWS-KIA activities. Objective of this study was to analyze factors related to work performance of midwives to institutionalize PWS-KIA in Majalengka district area of West Java province, 2011. This was an observational study, and data was collected cross sectionally. Study population was all village midwives who resided in the work area of Majalengka district health office. These 360 midwives were distributed in 31 primary healthcare centers. Samples were 190 midwives. They were selected using simple random sampling method. Data collection was done through interview and observation using questionnair and observation form. Univariate, bivariate, and multivariate analysis were applied in the data analysis. Results of the study showed that work performance of less than a half (42.1%) of village midwives who institutionalized PWS-KIA was inadequate. Variables related to work performance of midwives who institutionalized PWS-KIA in Majalengka district area in 2011 were knowledge, availability of PWS- KIA facility, supervision of the head of puskesmas, and village leader support (p< 0.05). The most influencing variables was support/ the availability of PWS-KIA facilities (exp (â)= 9.784, p= 0.000). Suggestions for Majalengka district health office or primary healthcare centers are to provide PWS-KIA facility support to improve work performance of village midwives who institutionalized PWS-KIA; the support is in the form of providing PWS-KIA guideline books, stationery, computer devices; to conduct training on computer based PWS-KIA management data; to provide training for village midwives in their first duty; to conduct supervision by the head of primary healthcare center to village midwives; .to conduct coordination with village leader and sub district leader for PWS-KIA institutionalization.
Quality Management of Emergency Room (ER) Services in the District General Hospital of Kudus Qibtiyah, Elok Mariyatul; Sudiro, Sudiro; Kartika Wulan, Lucia Ratna
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 1 (2015): April 2015
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (152.143 KB) | DOI: 10.14710/jmki3110393

Abstract

Service quality of an emergency room unit (IGD) of Kudus District General Hospital (RSUD) included human resource, policy, procedure and facility of IGD. This was not fit properly with level III IGD standard. Objective of this study was to identify service quality management of IGD including quality management process, quality of leadership, and quality of organization. This was a qualitative study using observation, focus group discussion, and in-depth interview methods. Study subjects were 13 people: four main informants, nine triangulation informants. Triangulation informants included 3 workers at IGD of RSUD Kudus, and six patient’s family members. Measured variables were quality management, quality of leadership, organizational quality, and service quality of IGD of RSUD Kudus. Results of this study included quality planning: the number of workers and worker’s competence were insufficient; no orientation guideline and transfer or workers guideline were provided; maintenance and instrument calibration were insufficient. Quality control: no evaluation of work performance was provided. Quality improvement: human resource improvement was not adequate; no training guideline was provided; no integrated budget regulation was performed; supply of facilities was not adequate. Quality of leadership: Democratic style with understandable policy was applied. Organizational quality: management experience and the competence of head of IGD were good; changes that supported IGD service quality were well accepted; Service quality of IGD, that included human resource such as chief of IGD with special criteria, was good. IGD workers with special criteria were insufficient. Facilities were insufficient. Policy and procedure were insufficient. In conclusion, the quality management process of IGD RSUD Kudus was insufficient; democratic leadership with understandable policy was applied; organizational quality was good; IGD workers were not matched with specific qualification. Suggestions: to conduct meeting to formulate clear strategic plan and clear leader policy as guidelines. It should be included in the annual working program in RSUD Kudus.
Analysis on the Implementation of Delivery Assurance Programme by Village Midwives in Lumajang District Respitowati, Warih; Kartasurya, Martha Irene; Kartika Wulan, Lucia Ratna
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 2 (2015): Agustus 2015
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.507 KB) | DOI: 10.14710/jmki3210445

Abstract

Implementation of delivery assurance (Jampersal) program in Lumajang district was not doneaccording to the technical guideline; it was not done by way of the implementation of KB afterdelivery program was done. Objective of this study was to explain the implementation of deliveryassurance program by village midwives in Lumajang district.This was an explanatory study. Main informants were two village midwives from PONED and nonPONED primary healthcare centers (puskesmas) with the highest delivery coverage, and two villagemidwives from each puskesmas with the lowest delivery coverage. Triangulation informants were 12 people. Those people were one jampersal manager from district health office, one jampersalverification person, two heads of puskesmas, and 8 jampersal patients. Data were collected throughin-depth interview and observation to polindes (village polyclinic) facility. Content analysis methodwas applied in the data analysis.Results of the study showed that activities of delivery assurance service were conducted usingminimal standard service. Delivery assurance policy was a right policy to solve health cost problems.Executors of the policy were village midwives who had competency that suited with programpurposes. Target and environment supported the program implementation. Basic indicator andpurpose of the policy were clear and understandable for village midwives. However, funding wasnot maximal, and it caused many complaints from midwives. Communication and coordinationwere adequate; however social condition and community economy did not completely support theimplementation of post-delivery KB (family planning). Funding for jampersal was very small forboth delivery assistance and consumable materials. This condition made the implementation ofprogram was only for fulfilling the responsibility.Recommended suggestions for Lumajang district health office are to provide regulations related topost-delivery KB, to do proper planning regarding resources requirement to support serviceimplementation. Monitoring on the usage of KIA book should be done by puskesmas to minimizetechnical problems such as double claim due to using double KIA book.
Analysis on the Influence of Director Leadership Style to Patient Safety Culture in Hermina Pandanaran Hospital Kartika, Yuni; Sudiro, Sudiro; Kartika Wulan, Lucia Ratna
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 2 (2015): Agustus 2015
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (383.907 KB) | DOI: 10.14710/jmki3210447

Abstract

Hermina Pandanaran hospital had established a policy regarding patient safety program based onseven steps of patient safety. However, patient safety culture had not adequately performed. Objectiveof this study was to explain transformational leadership style of a director according to seven steps ofhospital patient safety in order to implement patient safety culture in Hermina Pandanaran hospital.This was a qualitative study. Main informants were a head and team member of hospital patientsafety; it included a hospital medical deputy director, a medical support manager, a nursing manager,a domestic affair manager, and PPI nurses. Triangulation informants were people who involved in the hospital patient safety program. Data management was done by applying content analysis method.Results of the study showed that transformational leadership style of a director involved staffs inthe implementation of patient safety culture especially none blaming culture and learning fromincident culture. However, reporting culture was not implemented properly. Seven steps of hospitalpatient safety were not done completely; staffs had not been motivated optimally, steps to managepatient safety incident were not described directly in the field, policy regarding patient safety wasnot established, risk management system was not developed, RCA training in the hospital was notimplemented.Suggestions for hospital director are to do more frequent socialization on reporting culture withstressing on non-blaming culture to staffs; to describe steps on the management of patient safetyincident and conducting risk assessment. Director is expected to go directly to the field and involvedin the patient safety round, and to establish a policy regarding patient safety education and trainingincluding RCA training. It could be in the form of decree in order the implementation of policy wasdone properly, and the results could be evaluated.
ANALISIS KINERJA PENANGGUNG JAWAB PROGRAM TB PUSKESMAS DALAM PENEMUAN KASUS BARU TB BTA POSITIF DI PUSKESMAS KABUPATEN BANGKA TENGAH PROVINSI KEPULAUAN BANGKA BELITUNG Sutinbuk, Dedek; Mawarni, Atik; Kartika Wulan, Lucia Ratna
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 11, No 2 (2012): MKMI
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.61 KB) | DOI: 10.14710/mkmi.11.2.142-150

Abstract

Pencapaian target penemuan kasus baru TB BTA positif di Kabupaten Bangka Tengah tahun 2009-2011 menunjukkan angka dibawah 70%. Peran penanggungjawab program TB sangat penting dalam pencapaian target. Tujuan penelitian ini adalah menjelaskan bagaimana kinerja penanggung jawab program TB dalam penemuan kasus baru TB BTA positif. Penelitian ini merupakan penelitian deskriptif kualitatif dengan pendekatan cross sectional. Informan penelitian adalah 4 orang penanggung jawab program TB dari Puskesmas terpilih. Data dikumpulkan dengan wawancara mendalam dan dianalisis menggunakan metode analisis isi (content analysis ). Hasil penelitian menunjukkan bahwa kinerja penanggung jawab program TB dalam penemuan kasus baru belum baik karena sebagian besar hanya melakukan penyuluhan di Posyandu, menjaring suspek dari pasien yang berkunjung di Puskesmas, persepsi kurang puas terhadap imbalan yang diterima dan persepsi terhadap beban kerja yang dirasakan cukup berat. Kata Kunci : Penemuan Kasus Baru TB, Penanggungjawab program TB, Kinerja