Pub Date : 2019-06-22DOI: 10.22236/arkesmas.v4i1.3144
Laila Jamil
ABSTRACT Diarrhea is a public health problem, especially in infants. Diarrhea can be prevented if the community have a good implement Clean and Healthy Behavior (PHBS). This study aims to determine The Relationship Between Clean And Healthy Behavior (PHBS) Of The Household Part With The Incidence Of Childhood Diarrhea. Subjects in this study were the mother In The Working Area Of Puskesmas Mangunjaya Tambun Selatan Bekasi who have children aged 12- 59 months. The research design used is analytic survey research with cross sectional approach, data taken from respondent by using questionnaire. The analysis used for this reseach is univariate, bivariate, and multivariate. The results of univariate analysis in this study where most respondents didnt experience diarrhea occurence in infants in the last three months (62%), PHBS household arrangement (71,3%), have children 25-59 months old (73,1%), have male toddler (50,9%), ≥ 26 years old (80,6%), had recent high education (63,9%), has a family income month < UMR (68,5%), and has 1 toddler (80,6%). The results of bivariate test showed that there is a significant relationship between the behavior of clean and healthly live (PHBS) of the household order with the incidence of diarrhea in infacts In The Working Area Of Puskesmas Mangunjaya Tambun Selatan Bekasi 2018 (Pvalue 0,000). Puskesmas officers must be intensive and continuous in providing health counseling about the factors related to the incidence of chilhood diarrhe, especially Clean And Healthy Behavior (PHBS) Of The Household Part to community In The Working Area Of Puskesmas Mangunjaya Tambun Selatan Bekasi. Keyword : The Relationship Between Clean And Healthy Behavior, Childhood Diarrhea
腹泻是一个公共卫生问题，尤其是在婴儿中。如果社区有良好的实施清洁和健康行为(PHBS)，腹泻是可以预防的。本研究旨在探讨家庭清洁与健康行为(PHBS)与儿童腹泻发生率的关系。本研究的对象是Puskesmas Mangunjaya Tambun Selatan Bekasi工作区域的母亲，她们的孩子年龄在12- 59个月之间。采用的研究设计是采用横断面法的分析调查研究，采用问卷调查的方式从被调查者中获取数据。本研究使用的分析是单变量、双变量和多变量。本研究的单因素分析结果显示，大多数调查对象在最近三个月内没有发生婴儿腹泻(62%)，PHBS家庭安排(71.3%)，有25-59个月的孩子(73.1%)，有男孩学步(50.9%)，≥26岁(806%)，最近受过高等教育(63.9%)，家庭收入月< UMR(68.5%)，有1个学步(806%)。双变量检验结果显示，2018年《Puskesmas Mangunjaya Tambun Selatan Bekasi》工作区域的家庭秩序清洁与卫生生活行为(PHBS)与婴儿腹泻发生率存在显著相关(p值为0000)。在Puskesmas Mangunjaya Tambun Selatan Bekasi工作区域，Puskesmas官员必须密集和持续地向社区提供与儿童腹泻发病率有关的因素的健康咨询，特别是家庭部分的清洁和健康行为(PHBS)。关键词:清洁与健康行为的关系;儿童腹泻
{"title":"Hubungan antara Perilaku Hidup Bersih dan Sehat (PHBS) Tatanan Rumah Tangga dengan Kejadian Diare pada Balita","authors":"Laila Jamil","doi":"10.22236/arkesmas.v4i1.3144","DOIUrl":"https://doi.org/10.22236/arkesmas.v4i1.3144","url":null,"abstract":"ABSTRACT \u0000Diarrhea is a public health problem, especially in infants. Diarrhea can be prevented if the community have a good implement Clean and Healthy Behavior (PHBS). This study aims to determine The Relationship Between Clean And Healthy Behavior (PHBS) Of The Household Part With The Incidence Of Childhood Diarrhea. Subjects in this study were the mother In The Working Area Of Puskesmas Mangunjaya Tambun Selatan Bekasi who have children aged 12- 59 months. The research design used is analytic survey research with cross sectional approach, data taken from respondent by using questionnaire. The analysis used for this reseach is univariate, bivariate, and multivariate. The results of univariate analysis in this study where most respondents didnt experience diarrhea occurence in infants in the last three months (62%), PHBS household arrangement (71,3%), have children 25-59 months old (73,1%), have male toddler (50,9%), ≥ 26 years old (80,6%), had recent high education (63,9%), has a family income month < UMR (68,5%), and has 1 toddler (80,6%). The results of bivariate test showed that there is a significant relationship between the behavior of clean and healthly live (PHBS) of the household order with the incidence of diarrhea in infacts In The Working Area Of Puskesmas Mangunjaya Tambun Selatan Bekasi 2018 (Pvalue 0,000). Puskesmas officers must be intensive and continuous in providing health counseling about the factors related to the incidence of chilhood diarrhe, especially Clean And Healthy Behavior (PHBS) Of The Household Part to community In The Working Area Of Puskesmas Mangunjaya Tambun Selatan Bekasi. \u0000Keyword : The Relationship Between Clean And Healthy Behavior, Childhood Diarrhea","PeriodicalId":321010,"journal":{"name":"ARKESMAS (Arsip Kesehatan Masyarakat)","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128095563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-02DOI: 10.22236/arkesmas.v3i2.2956
Nurul Huriah Astuti
Di Indonesia diperkirakan pada tahun 2013 di ada sekitar 60,4 juta orang yang merokok setiap hari. Meskipun faktor-faktor risiko perilaku merokok di kalangan remaja di Indonesia sudah banyak diteliti dalam berbagai survei, namun pengetahuan secara mendalam mengenai peranan niat, norma subyektif, dan lingkungan sosial masih belum banyak diteliti. Penelitian ini bertujuan untuk mengetahui informasi yang mendalam tentang gambaran faktor-faktor yang mendukung dan menghambat terjadinya perilaku merokok di kalangan remaja laki-laki di SMP Master di Kota Depok. Penelitian ini merupakan penelitian kualitatif dengan rancangan Rapid Assesment Procedure (RAP). Informan yang terlibat dalam penelitian ini ada 10 orang dan 1 orang informan kunci yang diwawancarai dengan enggunakan teknik Wawancara Mendalam (WM). Hasil penelitian ini menunjukkan Faktor norma subyektif adalah faktor yang paling berpengaruh dalam membentuk perilaku remaja untuk merokok. Sedangkan iklan rokok adalah faktor yang paling sedikit mempengaruhi remaja untuk merokok. Norma subyektif yang terbentuk dari teman sebaya mereka adalah merokok merupakan identitas remaja ketika nongkrong atau bercengkrama dengan teman bermainnya. Nongkrong tanpa rokok adalah hal yang tabu buat remaja, sehingga dorongan merokok berasal dari teman sebaya, bukan dari dorongan internal, diri sendiri. Edukasi yang membangun keterampilan hidup (life skill) remaja belum didapatkan oleh informan
{"title":"Perilaku Merokok Remaja Laki-laki Siswa SMP Swasta di Depok","authors":"Nurul Huriah Astuti","doi":"10.22236/arkesmas.v3i2.2956","DOIUrl":"https://doi.org/10.22236/arkesmas.v3i2.2956","url":null,"abstract":"Di Indonesia diperkirakan pada tahun 2013 di ada sekitar 60,4 juta orang yang merokok setiap hari. Meskipun faktor-faktor risiko perilaku merokok di kalangan remaja di Indonesia sudah banyak diteliti dalam berbagai survei, namun pengetahuan secara mendalam mengenai peranan niat, norma subyektif, dan lingkungan sosial masih belum banyak diteliti. \u0000Penelitian ini bertujuan untuk mengetahui informasi yang mendalam tentang gambaran faktor-faktor yang mendukung dan menghambat terjadinya perilaku merokok di kalangan remaja laki-laki di SMP Master di Kota Depok. Penelitian ini merupakan penelitian kualitatif dengan rancangan Rapid Assesment Procedure (RAP). Informan yang terlibat dalam penelitian ini ada 10 orang dan 1 orang informan kunci yang diwawancarai dengan enggunakan teknik Wawancara Mendalam (WM). \u0000Hasil penelitian ini menunjukkan Faktor norma subyektif adalah faktor yang paling berpengaruh dalam membentuk perilaku remaja untuk merokok. Sedangkan iklan rokok adalah faktor yang paling sedikit mempengaruhi remaja untuk merokok. Norma subyektif yang terbentuk dari teman sebaya mereka adalah merokok merupakan identitas remaja ketika nongkrong atau bercengkrama dengan teman bermainnya. Nongkrong tanpa rokok adalah hal yang tabu buat remaja, sehingga dorongan merokok berasal dari teman sebaya, bukan dari dorongan internal, diri sendiri. Edukasi yang membangun keterampilan hidup (life skill) remaja belum didapatkan oleh informan \u0000 ","PeriodicalId":321010,"journal":{"name":"ARKESMAS (Arsip Kesehatan Masyarakat)","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124852191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-16DOI: 10.22236/arkesmas.v3i2.2963
Erna Sariana
Rubbish sorting is to separate waste types in according to the dissociation nature. In Serang city, especially the State Elementary School in working area Puskesmas Taktakan as being the location TPSA Cilowong Serang City government property still carry out the separation of biodegradable garbage and is not readily biodegradable. This is related with the knowledge and attitudes about less waste sorting. The purpose of this study was to determine the effect of health education on the knowledge level and attitudes about the waste sorting at the State Elementary School students in the Serang City 2015. The method used is a quasi-experimental. Samples some students at class V SDN Serang City. The first group is the experimental sample is SDN Pereng Cilowong village, and the second group is the experimental sample was SDN Taktakan 1 Serang. Data was analyzed using univariate and bivariate analysis with dependent t test, independent t test, and the correlation test. Based on the research results revealed that the mean of knowledge before the health education intervention = 11.088, mean knowledge after = 12.431. Mean attitude before = 37.363, and the attitude of health education interventions after the mean values obtained 38.902. No statistically significant difference between the average knowledge before and after the health education intervention in the experimental first group (p = 0.0001) and second group (p = 0.0001). There are significant differences between the average attitude before and after the health education intervention in the experimental first group (p = 0.002) and second group (p = 0.040). The score average students knowledge and attitude who are given health education interventions through the film, is higher than the students knowledge and attitudes who are given health education interventions through leaflets (p = 0.015 and p = 0.048). There is a significant relationship between knowledge and attitude about waste separation (r= 0.524) and p = 0.0001). Suggestions in this research is to be able to select and use the appropriate health education media for students, especially elementary school students who turned out to be more effective to use audio visual media be compared visual media. Keywords : Health Education, Knowledge, Attitude, Sorting Waste, Elementary School Students.
{"title":"Efektivitas Intervensi Pendidikan Kesehatan Terhadap Tingkat Pengetahuan Dan Sikap Tentang Pemilahan Sampah Pada Siswa Sekolah Dasar Negeri Di Kota Serang Tahun 2015","authors":"Erna Sariana","doi":"10.22236/arkesmas.v3i2.2963","DOIUrl":"https://doi.org/10.22236/arkesmas.v3i2.2963","url":null,"abstract":"Rubbish sorting is to separate waste types in according to the dissociation nature. In Serang city, especially the State Elementary School in working area Puskesmas Taktakan as being the location TPSA Cilowong Serang City government property still carry out the separation of biodegradable garbage and is not readily biodegradable. This is related with the knowledge and attitudes about less waste sorting. The purpose of this study was to determine the effect of health education on the knowledge level and attitudes about the waste sorting at the State Elementary School students in the Serang City 2015. The method used is a quasi-experimental. Samples some students at class V SDN Serang City. The first group is the experimental sample is SDN Pereng Cilowong village, and the second group is the experimental sample was SDN Taktakan 1 Serang. Data was analyzed using univariate and bivariate analysis with dependent t test, independent t test, and the correlation test. Based on the research results revealed that the mean of knowledge before the health education intervention = 11.088, mean knowledge after = 12.431. Mean attitude before = 37.363, and the attitude of health education interventions after the mean values obtained 38.902. No statistically significant difference between the average knowledge before and after the health education intervention in the experimental first group (p = 0.0001) and second group (p = 0.0001). There are significant differences between the average attitude before and after the health education intervention in the experimental first group (p = 0.002) and second group (p = 0.040). The score average students knowledge and attitude who are given health education interventions through the film, is higher than the students knowledge and attitudes who are given health education interventions through leaflets (p = 0.015 and p = 0.048). There is a significant relationship between knowledge and attitude about waste separation (r= 0.524) and p = 0.0001). Suggestions in this research is to be able to select and use the appropriate health education media for students, especially elementary school students who turned out to be more effective to use audio visual media be compared visual media. \u0000Keywords : Health Education, Knowledge, Attitude, Sorting Waste, Elementary School Students.","PeriodicalId":321010,"journal":{"name":"ARKESMAS (Arsip Kesehatan Masyarakat)","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114389904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-16DOI: 10.22236/arkesmas.v3i2.3051
Desiani Rizki Purwaningtyas
Kualitas sumber daya manusia (SDM) pertanian merupakan faktor penting dalam keberhasilan pembangunan Indonesia sebagai negara agraris. Pembangunan kualitas SDM pertanian erat kaitannya dengan status gizi dan morbiditas penyakit infeksi yang juga berhubungan dengan perilaku gizi. Oleh karena itu, penelitian ini bertujuan untuk mengkaji perilaku gizi, status gizi, dan morbiditas penyakit infeksi pada petani dan buruh tani padi perempuan di Kecamatan Taman Kabupaten Pemalang, Jawa Tengah. Penelitian ini merupakan studi kuantitatif dengan desain cross-sectional. Subyek pada penelitian ini adalah 97 petani dan buruh tani pada perempuan di Kecamatan Taman Kabupaten Pemalang, Jawa Tengah dengan teknik sampling cluster random sampling. Pengumpulan data melalui pengukuran antropometri dan wawancara dengan menggunakan kuesioner. Uji statistik yang digunakan adalah Chi-Square. Hasil penelitian ini menunjukkan bahwa sebagian besar contoh memiliki pengetahuan gizi yang kurang, sikap gizi positif, praktek gizi dan keamanan pangan sedang, status gizi normal berdasarkan IMT dan LLA, dan morbiditas penyakit infeksi yang rendah. Uji Chi-Square menunjukkan pengetahuan gizi berhubungan nyata dengan status gizi berdasarkan IMT. Morbiditas penyakit infeksi tidak berhubungan nyata dengan status gizi berdasarkan IMT, tetapi berhubungan nyata dengan status gizi berdasarkan lingkar lengan atas (LLA).
{"title":"Perilaku Gizi, Status Gizi, dan Morbiditas Penyakit Infeksi pada Petani dan Buruh Tani Perempuan di Pemalang","authors":"Desiani Rizki Purwaningtyas","doi":"10.22236/arkesmas.v3i2.3051","DOIUrl":"https://doi.org/10.22236/arkesmas.v3i2.3051","url":null,"abstract":"Kualitas sumber daya manusia (SDM) pertanian merupakan faktor penting dalam keberhasilan pembangunan Indonesia sebagai negara agraris. Pembangunan kualitas SDM pertanian erat kaitannya dengan status gizi dan morbiditas penyakit infeksi yang juga berhubungan dengan perilaku gizi. Oleh karena itu, penelitian ini bertujuan untuk mengkaji perilaku gizi, status gizi, dan morbiditas penyakit infeksi pada petani dan buruh tani padi perempuan di Kecamatan Taman Kabupaten Pemalang, Jawa Tengah. Penelitian ini merupakan studi kuantitatif dengan desain cross-sectional. Subyek pada penelitian ini adalah 97 petani dan buruh tani pada perempuan di Kecamatan Taman Kabupaten Pemalang, Jawa Tengah dengan teknik sampling cluster random sampling. Pengumpulan data melalui pengukuran antropometri dan wawancara dengan menggunakan kuesioner. Uji statistik yang digunakan adalah Chi-Square. Hasil penelitian ini menunjukkan bahwa sebagian besar contoh memiliki pengetahuan gizi yang kurang, sikap gizi positif, praktek gizi dan keamanan pangan sedang, status gizi normal berdasarkan IMT dan LLA, dan morbiditas penyakit infeksi yang rendah. Uji Chi-Square menunjukkan pengetahuan gizi berhubungan nyata dengan status gizi berdasarkan IMT. Morbiditas penyakit infeksi tidak berhubungan nyata dengan status gizi berdasarkan IMT, tetapi berhubungan nyata dengan status gizi berdasarkan lingkar lengan atas (LLA).","PeriodicalId":321010,"journal":{"name":"ARKESMAS (Arsip Kesehatan Masyarakat)","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133698612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-16DOI: 10.22236/arkesmas.v3i2.2929
Rony Darmawansyah Alnur, Rismawati Pangestika
ABSTRACT Pulmonary tuberculosis is a contagious disease that is still a problem in the world of health until now. Pulmonary tuberculosis attacks the lungs caused by Mycrobacterium tuberculosis. Indonesia is included in a country with a high burden of tuberculosis, ranking 4th as a contributor to tuberculosis after India, China and South Africa.This study aims to determine internal risk factors that can cause pulmonary tuberculosis in the Dhuafa population. This type of research is analytical with a case control Study. The sample study was divided into case and control samples totaling 30 people with pulmonary tuberculosis and 30 people non-pulmonary tuberculosis. Univariate data were analyzed descriptively and bivariate data were analyzed by Chi-Square test with a 95% confidence level. The results of this studied showed that the risk factors that was the caused of the incidence of pulmonary tuberculosis in the work area of Bambu Apus Health Center were a household contact with patient pulmonary tuberculosis. (OR: 3.5; 95% CI: 1.112-11,017; p = 0.028) and habit of smoking family at home (OR: 4,333; 95% CI: 1,203-15,605; p = 0,020). The education level and occupancy density were variables that have no relationship with the incidence of pulmonary tuberculosis in the work area of Bambu Apus Health Center. Keywords: Pulmonary Tuberculosis, Risk Factors, Dhuafa
{"title":"Faktor Risiko Tuberkulosis Paru pada Masyarakat di Wilayah Kerja Puskesmas Bambu Apus Kota Tangerang Selatan","authors":"Rony Darmawansyah Alnur, Rismawati Pangestika","doi":"10.22236/arkesmas.v3i2.2929","DOIUrl":"https://doi.org/10.22236/arkesmas.v3i2.2929","url":null,"abstract":"ABSTRACT \u0000Pulmonary tuberculosis is a contagious disease that is still a problem in the world of health until now. Pulmonary tuberculosis attacks the lungs caused by Mycrobacterium tuberculosis. Indonesia is included in a country with a high burden of tuberculosis, ranking 4th as a contributor to tuberculosis after India, China and South Africa.This study aims to determine internal risk factors that can cause pulmonary tuberculosis in the Dhuafa population. \u0000This type of research is analytical with a case control Study. The sample study was divided into case and control samples totaling 30 people with pulmonary tuberculosis and 30 people non-pulmonary tuberculosis. Univariate data were analyzed descriptively and bivariate data were analyzed by Chi-Square test with a 95% confidence level. \u0000The results of this studied showed that the risk factors that was the caused of the incidence of pulmonary tuberculosis in the work area of Bambu Apus Health Center were a household contact with patient pulmonary tuberculosis. (OR: 3.5; 95% CI: 1.112-11,017; p = 0.028) and habit of smoking family at home (OR: 4,333; 95% CI: 1,203-15,605; p = 0,020). The education level and occupancy density were variables that have no relationship with the incidence of pulmonary tuberculosis in the work area of Bambu Apus Health Center. \u0000Keywords: Pulmonary Tuberculosis, Risk Factors, Dhuafa","PeriodicalId":321010,"journal":{"name":"ARKESMAS (Arsip Kesehatan Masyarakat)","volume":"12 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131471850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-16DOI: 10.22236/arkesmas.v3i2.3008
Sarah Rosiana Rahmawati
Introduction One method chosen by many hospitals to achieve efficiency is the use of an Electronic Medical Record (EMR) system. This study discusses the EMR and its relationship with the efficiency and quality of hospital services through patient outcomes and users’ (physicians’ and nurses’) perspectives. Method A structured evidence and narrative review using the PRISMA method, with articles retrieved from online databases including PubMed, Wiley, ScienceDirect and ProQuest. The study’s period of review dates back ten years. Results The advantages of EMRs are decreased length of stay (LOS) and infection rate, plus a reduced probability of readmission once a patient safety event has occurred. EMRs reduce nurse, licensed vocational nurse (LVN) and registry cost per hour. EMRs provide enhanced ability in completing medical records and clinical documentation. The disadvantages are greater inefficiency in medical-surgical acute settings and increased cost per patient day. EMR does not reduce LOS in ICU. Some physicians also complain about the inefficiencies and time loss created by EMR. Conclusion The implementation of EMR in hospitals has advantages and disadvantages. Hospital management should undertake more analysis and consideration prior to deciding whether or not to use EMR. Keywords: Electronic medical records, hospital, patients’ outcomes, efficiency
{"title":"Could We Derive Benefit From Implementing Electronic Medical Records In Hospital?: A Structured Evidence and Narrative Review","authors":"Sarah Rosiana Rahmawati","doi":"10.22236/arkesmas.v3i2.3008","DOIUrl":"https://doi.org/10.22236/arkesmas.v3i2.3008","url":null,"abstract":"Introduction \u0000One method chosen by many hospitals to achieve efficiency is the use of an Electronic Medical Record (EMR) system. This study discusses the EMR and its relationship with the efficiency and quality of hospital services through patient outcomes and users’ (physicians’ and nurses’) perspectives. \u0000Method \u0000A structured evidence and narrative review using the PRISMA method, with articles retrieved from online databases including PubMed, Wiley, ScienceDirect and ProQuest. The study’s period of review dates back ten years. \u0000Results \u0000The advantages of EMRs are decreased length of stay (LOS) and infection rate, plus a reduced probability of readmission once a patient safety event has occurred. EMRs reduce nurse, licensed vocational nurse (LVN) and registry cost per hour. EMRs provide enhanced ability in completing medical records and clinical documentation. The disadvantages are greater inefficiency in medical-surgical acute settings and increased cost per patient day. EMR does not reduce LOS in ICU. Some physicians also complain about the inefficiencies and time loss created by EMR. \u0000Conclusion \u0000The implementation of EMR in hospitals has advantages and disadvantages. Hospital management should undertake more analysis and consideration prior to deciding whether or not to use EMR. \u0000Keywords: Electronic medical records, hospital, patients’ outcomes, efficiency","PeriodicalId":321010,"journal":{"name":"ARKESMAS (Arsip Kesehatan Masyarakat)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129681178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-31DOI: 10.22236/arkesmas.v3i2.3010
Leawaty Leawaty, A. Wibowo
Medication error remain extremely common, and the health care system can do much more to prevent it. Electronic prescribing is increasingly being viewed by health care stakeholders as an important step toward improved medication safety, better management of medication costs, increased practice efficiency, and improved health care quality. However, the adoption of e-prescribing has been difficult to attain owing to numerous barriers throughout the industry. Even with all the benefits of e-prescribing, many providers and pharmacists remained hesitant about completely adopting an e-prescribing system. The main purpose of this study was to explore and to assess the barriers of electronic prescribing implementation. The methodology for this study followed the basic principles of a systematic review with PRISMA methode retrieved from online database PubMed using a keyword “barriers” OR “obstacles” AND “electronic prescribing” OR “electronic prescription” AND “implementation”. Finally 6 documents were selected by full text inclucion and assessed for eligibility. The result of the study are inefficiency, the low uptake of the physicians, the cost of implementing the electronic prescription, system errors and the privacy and legacy. The conclusion from the studies should that electronic prescribing implementation barriers those we divided into 2 groups : the user factors and the system factors of the electronic prescription. Vendors or the consultants to facilitate more adequately the adoption of e-prescribing by giving the physicians the free trial and provide evaluation and improvement according to the physicians' needs for the features in the e-prescription.
{"title":"The Barriers in Implementing Electronic Prescribing in The Health Care: a Systematic Review","authors":"Leawaty Leawaty, A. Wibowo","doi":"10.22236/arkesmas.v3i2.3010","DOIUrl":"https://doi.org/10.22236/arkesmas.v3i2.3010","url":null,"abstract":"Medication error remain extremely common, and the health care system can do much more to prevent it. Electronic prescribing is increasingly being viewed by health care stakeholders as an important step toward improved medication safety, better management of medication costs, increased practice efficiency, and improved health care quality. However, the adoption of e-prescribing has been difficult to attain owing to numerous barriers throughout the industry. Even with all the benefits of e-prescribing, many providers and pharmacists remained hesitant about completely adopting an e-prescribing system. The main purpose of this study was to explore and to assess the barriers of electronic prescribing implementation. The methodology for this study followed the basic principles of a systematic review with PRISMA methode retrieved from online database PubMed using a keyword “barriers” OR “obstacles” AND “electronic prescribing” OR “electronic prescription” AND “implementation”. Finally 6 documents were selected by full text inclucion and assessed for eligibility. The result of the study are inefficiency, the low uptake of the physicians, the cost of implementing the electronic prescription, system errors and the privacy and legacy. The conclusion from the studies should that electronic prescribing implementation barriers those we divided into 2 groups : the user factors and the system factors of the electronic prescription. Vendors or the consultants to facilitate more adequately the adoption of e-prescribing by giving the physicians the free trial and provide evaluation and improvement according to the physicians' needs for the features in the e-prescription.","PeriodicalId":321010,"journal":{"name":"ARKESMAS (Arsip Kesehatan Masyarakat)","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115894259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-31DOI: 10.22236/arkesmas.v3i2.3007
Aan Anjarwati
ABSTRACT Introduction: Chronic Kidney Disease (CKD) and Chronic dialysis has a great impact on patients health-related quality of life (HRQOL). The impacts are about the morbidity, mortality, and the survival rate of the dialysis therapy. We focused this systematic review in Asian countries. Methods: Systematic Review with PRISMA method retrieved from online database such as PubMed, Wiley and ProQuest using a keyword “Health Related-Quality Life (HRQOL)”, “Chronic Kidney Disease (CKD) patient OR ESRD (End Stage Renal Disease), CKD with Hemodialysis OR CKD dialysis at Asian Country”. The end of this search we got 10 journals. Results: The measurement HRQOL in CKD or dyalisis patients such EQ-5D and Kidney Disease Quality of Life (KDQOL). There are 4 country used KDQL (Korea, China, India, Singapore and Indonesia). The result show HRQOL in CKD patients has declined when the level of CKD increased especially when the amount of albumin high and the level of hemoglobin decline. HRQOL in dialysis patient has lower depressive mood in planned dialysis group than unplanned dialysis. There are no difference in KDCS, PCS, or MCS scores between patients treated by hemodialysis and CAPD. They also got 5 more years when choose dialysis (Hemodialysis). Conclusion: Health related quality of life (HRQOL) related with progressive of CKD level. The level that should pay attention is CKD level 3 where HRQOL can decreased. When the patients routine dialysis (CAPD or hemodialysis) used concern about the medicine (such erythropoietin, routine medicine) and the laboratory (albumin and hemoglobin). The more progressive level of CKD the lower of HRQOL. Keywords: Health Related Quality of Life (HQOL), CKD (Chronic Kidney Disease), Dialysis, Hemodialysis, Continuous Ambulatory Peritoneal Dialysis (CAPD).
{"title":"Health Related-Quality of Life in CKD and Dialysis Patients in Asian Countries : A Systematic Review","authors":"Aan Anjarwati","doi":"10.22236/arkesmas.v3i2.3007","DOIUrl":"https://doi.org/10.22236/arkesmas.v3i2.3007","url":null,"abstract":"ABSTRACT \u0000Introduction: Chronic Kidney Disease (CKD) and Chronic dialysis has a great impact on patients health-related quality of life (HRQOL). The impacts are about the morbidity, mortality, and the survival rate of the dialysis therapy. We focused this systematic review in Asian countries. \u0000Methods: Systematic Review with PRISMA method retrieved from online database such as PubMed, Wiley and ProQuest using a keyword “Health Related-Quality Life (HRQOL)”, “Chronic Kidney Disease (CKD) patient OR ESRD (End Stage Renal Disease), CKD with Hemodialysis OR CKD dialysis at Asian Country”. The end of this search we got 10 journals. \u0000Results: The measurement HRQOL in CKD or dyalisis patients such EQ-5D and Kidney Disease Quality of Life (KDQOL). There are 4 country used KDQL (Korea, China, India, Singapore and Indonesia). The result show HRQOL in CKD patients has declined when the level of CKD increased especially when the amount of albumin high and the level of hemoglobin decline. HRQOL in dialysis patient has lower depressive mood in planned dialysis group than unplanned dialysis. There are no difference in KDCS, PCS, or MCS scores between patients treated by hemodialysis and CAPD. They also got 5 more years when choose dialysis (Hemodialysis). \u0000Conclusion: Health related quality of life (HRQOL) related with progressive of CKD level. The level that should pay attention is CKD level 3 where HRQOL can decreased. When the patients routine dialysis (CAPD or hemodialysis) used concern about the medicine (such erythropoietin, routine medicine) and the laboratory (albumin and hemoglobin). The more progressive level of CKD the lower of HRQOL. \u0000Keywords: Health Related Quality of Life (HQOL), CKD (Chronic Kidney Disease), Dialysis, Hemodialysis, Continuous Ambulatory Peritoneal Dialysis (CAPD).","PeriodicalId":321010,"journal":{"name":"ARKESMAS (Arsip Kesehatan Masyarakat)","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133910497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.22236/arkesmas.v3i1.2523
Yuyun Umniyatun
Rencana strategis bisnis adalah sebuah petunjuk/pedoman yang dapat digunakan organisasi dari kondisisaat ini untuk mencapai tujuan usaha dalam waktu beberapa tahun ke depan. Rencana strategis bisnismemuat strategi-strategi perusahaan yang selanjutnya menjadi dasar bagi penyusunan program kerja.Dengan demikian arah pengembangan perusahaan menjadi jelas dan terarah sehingga perusahaanmenghasilkan kinerja yang lebih baik dan mampu bersaing di dalam bisnis serupa. Penelitian rencanastrategis bisnis merupakan penelitian kualitatif dengan analisis deskriptif. Melalui kerangka kerja analisisperumusan strategi Fred R. David, maka terdapat tiga (3) tahapan yang dilakukan. Tahap pertama adalahtahap input stage, yaitu melakukan analisis faktor eksternal dan internal dengan menggunakan matriksEFE (external factor evaluation) dan matriks IFE (internal factor evaluation). Tahap kedua adalah tahapmatching stage, yaitu menentukan posisi rumah sakit dengan menggunakan matriks IE (Internal External).Kemudian dengan matriks IE dan matriks TOWS menentukan strategi alternatif yang dapat dilakukan.Tahap ketiga adalah tahap decision stage, yaitu menentukan strategi prioritas dengan menggunakan matriksQSPM (Quantitatif Strategic Planning Matrix). Penelitian tentang rencana strategis bisnis yang dilakukandi RSIA SMBmenghasilkan skor EFE sebesar 3.8 dan skor IFE sebesar 2.725, sehingga diketahui posisiRSIA SMB berada pada sel II yang menunjukkan tahap tumbuh dan membangun. Pada tahap ini strategialternatif yang dikembangkan adalah market penetration, market development dan product development.Strategi prioritas yang dihasilkan adalah : 1) Pengembangan dan Penetrasi Pasar dengan MeningkatkanUpaya-Upaya Pemasaran (Skor 7.15); 2) Pembukaan Ruang NICU/PICU (Skor 7.10); 3) PengembanganRuang Rawat Inap (Skor 7.05); 4): Penambahan Layanan Radiologi (Skor 6.55); 5) Pengembangan AreaParkir dan Akses Masuk (Skor 4.68)
{"title":"Penyusunan Rencana Strategis Bisnis pada Rumah Sakit Swasta di Jakarta","authors":"Yuyun Umniyatun","doi":"10.22236/arkesmas.v3i1.2523","DOIUrl":"https://doi.org/10.22236/arkesmas.v3i1.2523","url":null,"abstract":"Rencana strategis bisnis adalah sebuah petunjuk/pedoman yang dapat digunakan organisasi dari kondisisaat ini untuk mencapai tujuan usaha dalam waktu beberapa tahun ke depan. Rencana strategis bisnismemuat strategi-strategi perusahaan yang selanjutnya menjadi dasar bagi penyusunan program kerja.Dengan demikian arah pengembangan perusahaan menjadi jelas dan terarah sehingga perusahaanmenghasilkan kinerja yang lebih baik dan mampu bersaing di dalam bisnis serupa. Penelitian rencanastrategis bisnis merupakan penelitian kualitatif dengan analisis deskriptif. Melalui kerangka kerja analisisperumusan strategi Fred R. David, maka terdapat tiga (3) tahapan yang dilakukan. Tahap pertama adalahtahap input stage, yaitu melakukan analisis faktor eksternal dan internal dengan menggunakan matriksEFE (external factor evaluation) dan matriks IFE (internal factor evaluation). Tahap kedua adalah tahapmatching stage, yaitu menentukan posisi rumah sakit dengan menggunakan matriks IE (Internal External).Kemudian dengan matriks IE dan matriks TOWS menentukan strategi alternatif yang dapat dilakukan.Tahap ketiga adalah tahap decision stage, yaitu menentukan strategi prioritas dengan menggunakan matriksQSPM (Quantitatif Strategic Planning Matrix). Penelitian tentang rencana strategis bisnis yang dilakukandi RSIA SMBmenghasilkan skor EFE sebesar 3.8 dan skor IFE sebesar 2.725, sehingga diketahui posisiRSIA SMB berada pada sel II yang menunjukkan tahap tumbuh dan membangun. Pada tahap ini strategialternatif yang dikembangkan adalah market penetration, market development dan product development.Strategi prioritas yang dihasilkan adalah : 1) Pengembangan dan Penetrasi Pasar dengan MeningkatkanUpaya-Upaya Pemasaran (Skor 7.15); 2) Pembukaan Ruang NICU/PICU (Skor 7.10); 3) PengembanganRuang Rawat Inap (Skor 7.05); 4): Penambahan Layanan Radiologi (Skor 6.55); 5) Pengembangan AreaParkir dan Akses Masuk (Skor 4.68)","PeriodicalId":321010,"journal":{"name":"ARKESMAS (Arsip Kesehatan Masyarakat)","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121107320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-01DOI: 10.22236/arkesmas.v3i1.2518
Evindiyah Prita Dewi, Yuyun Umniyatun
Penyediaan pelayanan antenatal yang berkualitas dan terdistribusi dengan baikakan menurunkan kematianibu selama menjalani kehamilannya. Perencanaan kebutuhan bidansangat penting untuk memenuhikebutuhan masyarakat akan pelayanan antenatal. Penelitian ini merupakan penelitian operasionaluntukmendapatkan model matematika dari model proyeksi kebutuhan bidan untuk pelayanan antenatal 2007 –2020. Data primer yang digunakan adalah lamanya waktu pemberian pelayanan antenatal oleh bidan kepadasatu orang ibu hamil pada setiap kali kunjungannya yang diambil dengan menggunakan formulir worksampling di dua Puskesmas Kecamatan di Kabupaten Sumedang tahun 2018.Hasil penelitian menunjukanrata-rata lamanya waktu bidan untuk memberikan pelayanan antenatal adalah 26,3 menit untuk setiapkunjungan. Total waktu yang dibutuhkan oleh bidan untuk memberikan Paket Pelayanan Antenatal untuksatu orang ibu hamil adalah 147 menit. Persentase Waktu Kerja Efektif (WKE) Bidan terhadap Pelayananantenatal adalah 0,21%. Angka pertumbuhan rata-rata jumlah ibu hamil dari tahun 2017 sampai 2020adalah -0,007. Artinya jumlah ibu hamil dari tahun ke tahun terus mengalami penurunan.Pada tahun 2020,diperkirakan jumlah proyeksi ibu hamil adalah 5.218.028 jiwa.Model matematika yang didapatkan adalah0,0021 WKE x [∑ ibu hamil thn 2017 (1 + (- 0,007)n]. Kesimpulan penelitian ini jumlah suplai/produksi bidanperlu diturunkan.Pemerintah harus mengontrol jumlah bidan yang dihasilkan oleh institusi pendidikan.
{"title":"Model Proyeksi Kebutuhan Bidan untuk Pelayanan Antenatal di Indonesia","authors":"Evindiyah Prita Dewi, Yuyun Umniyatun","doi":"10.22236/arkesmas.v3i1.2518","DOIUrl":"https://doi.org/10.22236/arkesmas.v3i1.2518","url":null,"abstract":"Penyediaan pelayanan antenatal yang berkualitas dan terdistribusi dengan baikakan menurunkan kematianibu selama menjalani kehamilannya. Perencanaan kebutuhan bidansangat penting untuk memenuhikebutuhan masyarakat akan pelayanan antenatal. Penelitian ini merupakan penelitian operasionaluntukmendapatkan model matematika dari model proyeksi kebutuhan bidan untuk pelayanan antenatal 2007 –2020. Data primer yang digunakan adalah lamanya waktu pemberian pelayanan antenatal oleh bidan kepadasatu orang ibu hamil pada setiap kali kunjungannya yang diambil dengan menggunakan formulir worksampling di dua Puskesmas Kecamatan di Kabupaten Sumedang tahun 2018.Hasil penelitian menunjukanrata-rata lamanya waktu bidan untuk memberikan pelayanan antenatal adalah 26,3 menit untuk setiapkunjungan. Total waktu yang dibutuhkan oleh bidan untuk memberikan Paket Pelayanan Antenatal untuksatu orang ibu hamil adalah 147 menit. Persentase Waktu Kerja Efektif (WKE) Bidan terhadap Pelayananantenatal adalah 0,21%. Angka pertumbuhan rata-rata jumlah ibu hamil dari tahun 2017 sampai 2020adalah -0,007. Artinya jumlah ibu hamil dari tahun ke tahun terus mengalami penurunan.Pada tahun 2020,diperkirakan jumlah proyeksi ibu hamil adalah 5.218.028 jiwa.Model matematika yang didapatkan adalah0,0021 WKE x [∑ ibu hamil thn 2017 (1 + (- 0,007)n]. Kesimpulan penelitian ini jumlah suplai/produksi bidanperlu diturunkan.Pemerintah harus mengontrol jumlah bidan yang dihasilkan oleh institusi pendidikan.","PeriodicalId":321010,"journal":{"name":"ARKESMAS (Arsip Kesehatan Masyarakat)","volume":"26 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132622668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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