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Studi Teoritis: Strategi Promosi Pelayanan Kesehatan Rumah Sakit Swasta Di Era Jaminan Pelayanan Kesehatan (JKN) 理论研究:医疗保险时代私人医院健康服务推广策略(JKN)
Pub Date : 2023-05-02 DOI: 10.59581/diagnosa-widyakarya.v1i2.179
Wijaya Johanes Chendra, Dety Mulyanti
Facing the JKN era is not easy, especially for private hospitals. Private hospitals need strategy, understanding, understanding and mutual agreement throughout the internal hospital, both doctors, nursing staff, general staff and management. The strategy for promoting health services in hospitals and other health facilities is not much different from the marketing strategy in general. It aims to promote and introduce the Hospital and the services provided. The purpose of writing this scientific article is to find out and review from a theoretical point of view how the strategy is carried out by private hospitals in this JKN era. The method used is a theoretical study by analyzing and comparing existing theories. It then learns more about a subject in theory or research and helps readers understand it better and with implications. The results of this theoretical study are private hospital services by implementing strategies and principles for implementing the National Health Insurance Program (JKN) such as mutual cooperation, non-profit, openness, portability, membership, trust funds, and management. It can be concluded that the strategy for promoting health services in private hospitals is to implement them in accordance with established standards and laws. The health service quality strategy is also the main key to service promotion to increase patient satisfaction in receiving care. It is expected that hospital institutions will continue to provide excellent and comprehensive health services and meet the basic health needs of patients.
面对JKN时代并不容易,尤其是对民营医院来说。私立医院需要战略、理解、理解和相互协议,整个医院内部,无论是医生、护理人员、普通员工和管理层。促进医院和其他卫生设施保健服务的战略与一般的营销战略没有太大区别。它旨在宣传和介绍医院及其提供的服务。写这篇科学文章的目的是从理论的角度来发现和回顾民营医院在这个JKN时代是如何实施战略的。本文采用的方法是通过对已有理论的分析和比较,进行理论研究。然后,它在理论或研究中了解更多关于一个主题的知识,并帮助读者更好地理解它和其中的含义。本理论研究的结果是民营医院通过实施国民健康保险计划(JKN)的策略和原则,如相互合作、非营利性、开放性、可移植性、会员制、信托基金和管理来服务。可以得出结论,促进私立医院保健服务的战略是按照既定的标准和法律实施这些服务。卫生服务质量战略也是促进服务,提高患者接受护理满意度的关键。预计医院机构将继续提供优质和全面的保健服务,满足病人的基本保健需要。
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引用次数: 0
Dampak Kualitas Pelayanan Terhadap Kepuasan Pasien Puskesmas: Studi Literature 服务质量对患者Puskesmas满意度的影响:文学研究
Pub Date : 2023-05-02 DOI: 10.59581/diagnosa-widyakarya.v1i2.161
M Hasyrul Muchtar, Dety Mulyanti
Quality of service caused by human resources, facilities, and referrals that are not optimal. This study aims to determine the effect of service quality on patient satisfaction at the Puskesmas. This type of research is quantitative research with associative methods. The population in this study were all visitors who came to the Puskesmas. Sampling was done by purposive sampling technique. The mnumber of samples used in this study were 100 respondents. The data collection technique used was a questionnaire with a Likert scale. The analysis technique was carried out using multiple regression analysis using SPSS. The results of the study show that the tangible dimension has a significant influence on patient satisfaction, the reliable dimension has a significant effect on patient satisfaction, the responsiveness dimension has a significant influence on patient satisfaction, the assurance dimension has a significant influence on patient satisfaction, the empathy dimension has a significant influence on patient satisfaction. The most dominant dimension of influence is tangible, while the lowest is responsiveness. Tangible, reliable, responsiveness, assurance and empathy dimensions simultaneously have a significant influence on patient satisfaction. The results of the study are expected that the management of the Banja Loweh Community Health Center, Fifty Cities District, will further improve service quality, especially on the lowest responsiveness dimension.
由于人力资源、设施和转介不理想而导致的服务质量。本研究旨在探讨Puskesmas服务品质对病患满意度的影响。这种类型的研究是使用关联方法的定量研究。这项研究中的人口都是来到Puskesmas的游客。采用目的抽样技术进行抽样。本研究中使用的样本数量为100个受访者。使用的数据收集技术是李克特量表的问卷调查。分析方法采用SPSS软件进行多元回归分析。研究结果表明,有形维度对患者满意度有显著影响,可靠维度对患者满意度有显著影响,反应性维度对患者满意度有显著影响,保证维度对患者满意度有显著影响,共情维度对患者满意度有显著影响。影响力最主要的维度是有形的,而最低的维度是回应。有形、可靠、响应、保证和共情四个维度同时对患者满意度有显著影响。研究结果表明,50个城市区的Banja Loweh社区保健中心的管理将进一步提高服务质量,特别是在最低响应性方面。
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引用次数: 0
Fungsi Manajemen Strategi Dalam Peningkatan Status Akreditasi Rumah Sakit: Studi Teoritis 战略管理在提高医院认证地位方面的作用:理论研究
Pub Date : 2023-05-02 DOI: 10.59581/diagnosa-widyakarya.v1i2.176
Giska Dianvayani, Dety Mulyanti
Strategic management has a very important role and needs to be implemented in improving the accreditation status of the hospital. The strategy that has been made must be implemented properly in order to ensure development and sustainability. This strategy must be applicable to all hospital parties in order to improve service quality and accreditation status. The purpose of writing this scientific article is to find out and review from a theoretical point of view various literatures. The method used is a theoretical study by analyzing and comparing existing theories. The results of this theoretical study are the function of strategic management in improving accreditation status by carrying out procedures so that it can assist hospitals in making better plans with a more logical, rational and systematic approach for each option that will be found by forming a plan. It can be concluded that in improving the quality of health, strategic management is also needed to improve services. With accreditation strategic management, the hospital becomes the object of focus or a process of assessing and determining the eligibility of the hospital according to service standards set by an independent accreditation agency. So that it can improve the image and trust of patients in choosing health care facilities. For hospitals strategic management is very important and needs to be done optimally to support the improvement of accreditation status. So agencies improve infrastructure facilities, adequate human resources and supporting facilities.
战略管理对于提高医院的认证地位具有非常重要的作用,需要实施战略管理。必须适当地执行已制定的战略,以确保发展和可持续性。这一战略必须适用于所有医院各方,以提高服务质量和认证地位。写这篇科学文章的目的是从理论的角度来查找和回顾各种文献。本文采用的方法是通过对已有理论的分析和比较,进行理论研究。本理论研究的结果是战略管理的功能,通过执行程序来提高认证地位,从而帮助医院制定更好的计划,以更合乎逻辑、更合理和更系统的方法来制定计划中发现的每个选项。可以得出结论,在提高保健质量的同时,还需要战略管理来改善服务。通过认证战略管理,医院成为关注的对象,或者是根据独立认证机构制定的服务标准评估和确定医院资格的过程。从而提高患者在选择医疗机构时的形象和信任度。对医院来说,战略管理是非常重要的,需要优化,以支持认证地位的提高。因此,各机构要改善基础设施、充足的人力资源和配套设施。
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引用次数: 0
Penatalaksanaan HIV dalam Kehamilan
Pub Date : 2023-05-02 DOI: 10.59581/diagnosa-widyakarya.v1i2.178
Sintong Halomoan Sianturi, dalam Kehamilan
HIV infection has been a global epidemic around the world. in the absence of intervention, the rates of HIV transmission during pregnancy, labor or breastfeeding vary from 15-45%. Data from Indonesia Health ministry 2011 shows 21.103 pregnancy women who undergone HIV test 534 (2,5%) are positive HIV infected. The use of antiretroviral (ARV) drugs has been success prevent mother to child transmission. Zidovudine monotherapy shows transmission rates (4,8%) higher than  ARV combination. ARV combination that can use during pregnancy vary from triple NRTI, 2 NRTI + NNRTI, or 2 NRTI + PI with similar high virological supression rates. it has beeen shows a changing trend from sectio caesar to vaginal delivery with decrease of viral load using ARV combination, with increase percentage for vaginal delivery from 17% to 52%. Women who receive >9 weeks pre partum prophylaxis significantly have undetectable viral load in plasma and breast milk during labor. 
艾滋病毒感染已成为全球流行病。在没有干预的情况下,艾滋病毒在怀孕、分娩或母乳喂养期间的传播率为15-45%。印度尼西亚卫生部2011年的数据显示,接受艾滋病毒检测的孕妇有21.103人,其中534人(2.5%)为艾滋病毒阳性感染者。抗逆转录病毒(ARV)药物的使用已经成功地预防了母婴传播。齐多夫定单药治疗的传播率(4.8%)高于ARV联合治疗。妊娠期间可使用的ARV组合包括三重NRTI、2 NRTI + NNRTI或2 NRTI + PI,具有相似的高病毒学抑制率。从剖宫产到阴道分娩呈变化趋势,使用抗逆转录病毒药物联合治疗后病毒载量下降,阴道分娩的百分比从17%增加到52%。产前接受>9周预防治疗的妇女在分娩期间血浆和母乳中明显检测不到病毒载量。
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引用次数: 0
Gambaran Dukungan Keluarga Tentang Derajat Hipertensi Pada Lansia di Puskesmas Waplau Kabupaten Buru 家庭支持的图片,显示老年人高血压在Puskesmas Waplau区
Pub Date : 2023-04-29 DOI: 10.59581/diagnosa-widyakarya.v1i1.160
Epi Dusra
Factors that cause hypertension are age, gender, family history, genetics (risk factors that cannot be changed/controlled), smoking habits, obesity, lack of physical activity, stress, use of estrogen and one of the factors that can cause hypertension is salt consumption patterns. with excessive intake. The purpose of this study was to determine the description of family support with the incidence of hypertension in the elderly. The design used in this study is an analytic research design with a descriptive approach. The population in this study were 60 people. The sample in this study were 60 elderly people with hypertension. Data analysis using univariate analysis. And the data is presented in the form of tables and narratives. The results of the study showed that the family support of elderly respondents who was most commonly found in this study was in the negative category, totaling 46 people. In the degree of hypertension, the elderly respondents who were most commonly found in this study were in the category 1 hypertension category, namely 19 people. It was concluded that the most negative family support with the degree of hypertension found in this study was the category 1 hypertension.  
导致高血压的因素有年龄、性别、家族史、遗传(无法改变/控制的风险因素)、吸烟习惯、肥胖、缺乏体育活动、压力、雌激素的使用,而导致高血压的因素之一是盐的摄入模式。过量摄入。本研究的目的是确定家庭支持对老年人高血压发病率的影响。本研究使用的设计是一种描述性方法的分析研究设计。研究对象是60人。本研究的样本是60名老年高血压患者。数据分析采用单变量分析。数据以表格和叙述的形式呈现。研究结果显示,本研究中最常见的老年被调查者的家庭支持为负类,共46人。在高血压程度上,本研究中最常见的老年被调查者为1类高血压,即19人。本研究发现,与高血压程度最负相关的家庭支持是1类高血压。
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引用次数: 0
PERANAN DINAS KESEHATAN DAERAH PROVINSI SULAWESI UTARA DALAM SISTEM RUJUKAN PASIEN COVID-19 北苏拉威西省卫生保健部门在科维德-19转诊制度中的作用
Pub Date : 2023-04-29 DOI: 10.59581/diagnosa-widyakarya.v1i1.159
Harto Necsen Linelejan, Dety Mulyanti
Effective COVID-19 patient referral system is crucial to ensure that patients in need of care can receive timely and appropriate treatment. The Regional Health Department of North Sulawesi Province plays a crucial role in the COVID-19 patient referral system in the region. The purpose of this study is to evaluate the role of the Regional Health Department of North Sulawesi Province in the COVID-19 patient referral system. This study was conducted using literature review. The results of the study showed that the Regional Health Department of North Sulawesi Province plays a very important role in coordinating between units within the department, overseeing the implementation of programs and policies, and ensuring the availability of sufficient facilities and medical personnel in the COVID-19 patient referral system. This role has ensured that the COVID-19 patient referral system in North Sulawesi Province runs well and effectively. However, further research can be conducted to deepen the understanding of the COVID-19 patient referral system in the region. Further research can be conducted to compare the COVID-19 patient referral system in other regions in Indonesia, so that a more comprehensive understanding of the role of regional health departments in handling the COVID-19 pandemic in Indonesia can be obtained.    
有效的COVID-19患者转诊系统对于确保需要护理的患者能够得到及时和适当的治疗至关重要。北苏拉威西省地区卫生部门在该地区COVID-19患者转诊系统中发挥着至关重要的作用。本研究的目的是评估北苏拉威西省地区卫生部门在COVID-19患者转诊系统中的作用。本研究采用文献回顾法进行。研究结果表明,北苏拉威西省地区卫生部门在协调部门内各单位之间、监督方案和政策的实施以及确保COVID-19患者转诊系统中有足够的设施和医务人员方面发挥着非常重要的作用。这一作用确保了北苏拉威西省COVID-19患者转诊系统的良好有效运行。但是,可以进行进一步的研究,以加深对该地区COVID-19患者转诊系统的了解。进一步研究可以对印尼其他地区的COVID-19患者转诊系统进行比较,从而更全面地了解地区卫生部门在印尼应对COVID-19大流行中的作用。
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引用次数: 0
ANALISIS KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN KLINIK GIGI SVARTA DENTAL CARE BANDUNG 丹塔尔牙科诊所病人满意度的服务质量分析
Pub Date : 2023-04-29 DOI: 10.59581/diagnosa-widyakarya.v1i1.157
Refliza Yanti, Dety Mulyanti
The quality of health services is closely related to satisfaction. This study aims to determine the level of satisfaction and analysis (expectation and reality) of the quality of dental health services at the Svarta Dental Care Bandung clinic. This research is a descriptive research. The research sample is 30 people. sampling method with accidental sampling. The research was conducted from January 3 to January 18, 2023. The research instrument used a questionnaire. The data analysis used is univariate analysis and Importance Performance Analysis (IPA), namely by using a Cartesian diagram. The results showed that the level of conformity between reality and expectations was based on the five dimensions of quality in the Reliability dimension of 87.3%, the Responsiveness dimension of 85.75%, the Assurance dimension of 90.06%, the Empathy dimension. 90.18% work tidiness (tiness) 90.94%. Based on the results of the study, it is recommended to carry out regular evaluations every 6 months, repairs by providing training and collaboration with officers in improving the quality of service that focuses on patient satisfaction.  
保健服务的质量与满意度密切相关。本研究的目的是确定满意度水平和分析(期望和现实)的牙科保健服务质量在Svarta牙科保健万隆诊所。本研究为描述性研究。研究样本是30人。随机抽样的抽样方法。该研究于2023年1月3日至1月18日进行。研究工具采用问卷调查。使用的数据分析是单变量分析和重要性绩效分析(IPA),即通过使用笛卡尔图。结果表明:大学生对现实与期望的符合程度以质量的五个维度为基础,其中可靠性维度为87.3%,响应性维度为85.75%,保证维度为90.06%,共情维度为90.06%。90.18%工作整洁(不整洁)90.94%。根据研究结果,建议每6个月进行一次定期评估,通过提供培训和与官员合作来改善服务质量,重点关注患者满意度。
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引用次数: 0
Analisis Proses Implementasi Sistem Informasi Menuju Emr di Rumah Sakit Citra Insani Palangka Raya 分析了大酒店Emr的信息系统实施过程
Pub Date : 2023-04-29 DOI: 10.59581/diagnosa-widyakarya.v1i1.155
Devi Delvita, Dety Mulyanti
The quality of health services is very important. This study aims to determine the analysis of the implementation of information systems towards electronic medical records at Hospital Palangka Raya. This research is a descriptive research. The research sample is 60 questionnaires. sampling method with Simple random sampling. The research was conducted from January 5 to January 25, 2023. The research instrument used a questionnaire. The research results show that the level of agreement between reality and expectations is based on predetermined variables (Man) 90.12%, Machine 85.75%, Methode) 90.06%, Material 90.18% Environment 90.94%. Based on the results of the study it is recommended to carry out regular evaluations every 6 months, repairs by providing training and collaboration with officers in improving Electronic Medical Records.  
保健服务的质量非常重要。本研究旨在分析Palangka Raya医院电子病历信息系统的实施情况。本研究为描述性研究。研究样本为60份问卷。抽样方法采用简单随机抽样。该调查于2023年1月5日至1月25日进行。研究工具采用问卷调查。研究结果表明,基于预定变量(人)90.12%,机器85.75%,方法90.06%,材料90.18%,环境90.94%,实际与期望的一致程度。根据研究结果,建议每6个月进行一次定期评价,通过提供培训和与官员合作改进电子病历进行维修。
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引用次数: 0
PERBANDINGAN BIAYA PEMERIKSAAN LABORATORIUM PADA PASIEN TUBERKULOSIS MULTIDRUG RESISTANCE (TB-MDR) DENGAN TUBERKULOSIS EXTENSIVE DRUG RESISTANCE (TB-XDR): STUDI PADA RUMAH SAKIT TERSIER DI BANDUNG
Pub Date : 2023-04-29 DOI: 10.59581/diagnosa-widyakarya.v1i1.156
Raja Iqbal Mulya Harahap, Juandika Juandika, Dety Mulyanti
Introduction. Tuberculosis (TB) is one of the oldest diseases known to attack humans, caused by the bacterium Mycobacterium tuberculosis. Multi-drug-resistant TB (MDR-TB) is a stage or condition in which Mycobacterium tuberculosis becomes minimally resistant to rifampicin administration and also insonicotinylhydrazine (INH). Extensive-drug-resistant TB (XDR-TB) is an MDR-TB with Mycobacterium tuberculosis immune characteristics against one of the fluoroquinolone class drugs and one of the second-line injection OAT (capreomycin, kanamycin, and amikacin). The aim of this study was to find out the description of variation in laboratory costs of MDR-TB/XDR patients on one treatment cycle. Method. The inclusion criteria were patients who had been diagnosed with MDR-TB/XDR and performed laboratory tests. The design of this study was a cross-sectional retrospective analytics using medical records of MDR-TB/XDR patients in MDR division. Results. There were 30 MDR-TB research subjects and 2 XDR-TB research subjects examined for laboratory examination. Comparison of laboratory mean of MDR-TB/XDR (p = 0,018). Discussion. There was a significant difference in the total cost of MDR-TB/XDR laboratory examinations in one treatment cycle. Conclusion. Laboratory examination of MDR-TB/XDR patients requires considerable cost, this is due to the side effects of OAT that require patient clinical monitoring.    
介绍。结核病(TB)是已知最古老的人类疾病之一,由结核分枝杆菌引起。耐多药结核病(MDR-TB)是结核分枝杆菌对利福平和烟碱肼(INH)产生最低耐药性的阶段或状况。广泛耐药结核病(XDR-TB)是一种耐多药结核病,具有结核分枝杆菌对一种氟喹诺酮类药物和一种二线注射OAT(卷曲霉素、卡那霉素和阿米卡星)的免疫特征。本研究的目的是找出耐多药结核病/广泛耐药患者在一个治疗周期内实验室费用变化的描述。方法。纳入标准是诊断为耐多药结核病/广泛耐药并进行实验室检查的患者。本研究的设计是利用耐多药部门耐多药结核病/广泛耐药患者的医疗记录进行横断面回顾性分析。结果。共有30名耐多药结核研究对象和2名广泛耐药结核研究对象接受实验室检查。耐多药结核/XDR实验室平均值比较(p = 0.018)。讨论。在一个治疗周期内,耐多药结核病/广泛耐药实验室检查的总费用有显著差异。结论。耐多药结核病/广泛耐药患者的实验室检查需要相当大的费用,这是由于OAT的副作用需要患者临床监测。
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引用次数: 0
Gambaran USG Leiomioma Uteri Pada Dewasa : LITERATURE REVIEW
Pub Date : 2023-04-19 DOI: 10.59581/diagnosa-widyakarya.v1i2.115
Anthonius Christopher Wisnu, Sony Sutrisno, Adrian Setiawan, Monica Cherlady Anastasia
Uterine myoma is one of the most common tumors found in premenopause. Symptoms that can arise vary, ranging from asymptomatic to symptoms that interfere with daily activities. The most common symptoms arise, namely pain and vaginal bleeding. Women who have, myoma diagnosed certainly emits risk factors. Risk factors that can aggravate, among them are heredity, obesity, hormonal contraception, nullipara, hypertension, primipara age <20 years, deficiency of vitamins D Risk Factors Risk of land can be able to be able That, as for effective modalities is used for supporting examinations of uterine uterine and MRI uterine myomas. Ultrasound can be done as an initial screening, while MRI is better used for a more appropriate location when compared to ultrasound.
子宫肌瘤是绝经前最常见的肿瘤之一。可能出现的症状各不相同,从无症状到干扰日常活动的症状。最常见的症状是疼痛和阴道出血。被诊断患有肌瘤的女性肯定会有危险因素。可加重的危险因素,其中有遗传、肥胖、激素避孕、无产者、高血压、初产妇<20岁、维生素D缺乏等危险因素。至于有效的方式是用于子宫肌瘤的辅助检查和子宫肌瘤的MRI检查。超声可以作为初始筛查,而MRI与超声相比,可以更好地用于更合适的位置。
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引用次数: 0
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DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan
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