Pub Date : 2023-07-26DOI: 10.33657/jurkessia.v13i3.801
Siti Mahfiroh, Norfai Norfai, Zuhrupal Hadi
DHF is an endemic disease that occurs throughout the year. Efforts to control DHF still using chemical insecticides that can cause resistance and have negative. The use of vegetable insecticides from plants can be an alternative to natural larvicides, one of which is starfruit (Averrhoa bilimbi L.) which has the potential as an insecticide due to the presence of toxic substances. The purpose of this study was to analyze mortality, the difference in the average mortality of Aedes Albopictus larvae and to determine the Lethal Time and Lethal Concentration. This type of research is a quantitative research with the True Experimental Design method with Posttest Only Group Design. The results showed that 100% larval death was the fastest at a concentration of 8% after 4 hours of measurement. The results of the Kruskall Wallis test showed that there was no significant difference (>0.05) in the average mortality of larvae. The results of the Lethal Time probit test showed that it took 2,029 hours to kill 50% of larvae and 4,551 hours to kill 99% of larvae with a concentration of 8% while the Lethal Concentration showed that a concentration of 2.647% was needed to kill 50% of larvae and 7.854% to kill 99%. larvae. Further research is needed to develop starfruit extract (Averrhoa bilimbi L.) which, when applied to water, is colorless and tasteless, but does not remove the compounds present in starfruit extract.
{"title":"Analisis Potensi Ekstrak Belimbing Wuluh (Averrhoa Bilimbi L.) terhadap Kematian Larva Aedes Albopictus Di Laboratorium Balai Litbangkes Tanah Bumbu","authors":"Siti Mahfiroh, Norfai Norfai, Zuhrupal Hadi","doi":"10.33657/jurkessia.v13i3.801","DOIUrl":"https://doi.org/10.33657/jurkessia.v13i3.801","url":null,"abstract":"DHF is an endemic disease that occurs throughout the year. Efforts to control DHF still using chemical insecticides that can cause resistance and have negative. The use of vegetable insecticides from plants can be an alternative to natural larvicides, one of which is starfruit (Averrhoa bilimbi L.) which has the potential as an insecticide due to the presence of toxic substances. The purpose of this study was to analyze mortality, the difference in the average mortality of Aedes Albopictus larvae and to determine the Lethal Time and Lethal Concentration. This type of research is a quantitative research with the True Experimental Design method with Posttest Only Group Design. The results showed that 100% larval death was the fastest at a concentration of 8% after 4 hours of measurement. The results of the Kruskall Wallis test showed that there was no significant difference (>0.05) in the average mortality of larvae. The results of the Lethal Time probit test showed that it took 2,029 hours to kill 50% of larvae and 4,551 hours to kill 99% of larvae with a concentration of 8% while the Lethal Concentration showed that a concentration of 2.647% was needed to kill 50% of larvae and 7.854% to kill 99%. larvae. Further research is needed to develop starfruit extract (Averrhoa bilimbi L.) which, when applied to water, is colorless and tasteless, but does not remove the compounds present in starfruit extract.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91277689","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 : 2023-06-29DOI: 10.20473/ijha.v11i1.2023.154-166
E. Waiman, A. Achadi, R. Agustina
Background: Lean Six Sigma (LSS) is a beneficial data-driven tool for quality improvement. Literature regarding the use of LSS to reduce hospital outpatient waiting time is scarce despite numerous problems encountered in many countries. Aims: This systematic review aims to evaluate the causes of long outpatient waiting time, demonstrate the effectiveness of LSS and the improvement strategies applied to reduce outpatient waiting time. Methods: Literature search was performed on eight databases: Proquest, Wiley, Science Direct, Taylor and Francis, Oxford Journal, Sage Publication, Scopus, and Pubmed. Inclusion criteria were peer-reviewed English articles published from January 1, 2003, to May 25, 2021, and studies conducted in hospital settings. Results: Nine relevant articles were included. Inefficient clinic processes, inappropriate scheduling, human resources problems, workplace factors, patient communication problems, and patient characteristics are root causes found for long outpatient waiting time. All studies revealed a reduction in outpatient waiting time (5.2% to 97%) after implementation of LSS. Process redesign, improvement in appointment scheduling, patient communication, and improvement in workplace design, were strategies used to reduce outpatient waiting time. These strategies increase the number of patients seen and hospital gross revenue, as well as patient satisfaction. Conclusion: LSS is beneficial to reduce outpatient waiting time. Process redesign provide advantageous results. Keywords: hospital, lean six sigma, outpatient waiting time, process redesign
{"title":"REDUCING HOSPITAL OUTPATIENT WAITING TIME USING LEAN SIX SIGMA: A SYSTEMATIC REVIEW","authors":"E. Waiman, A. Achadi, R. Agustina","doi":"10.20473/ijha.v11i1.2023.154-166","DOIUrl":"https://doi.org/10.20473/ijha.v11i1.2023.154-166","url":null,"abstract":"Background: Lean Six Sigma (LSS) is a beneficial data-driven tool for quality improvement. Literature regarding the use of LSS to reduce hospital outpatient waiting time is scarce despite numerous problems encountered in many countries.\u0000Aims: This systematic review aims to evaluate the causes of long outpatient waiting time, demonstrate the effectiveness of LSS and the improvement strategies applied to reduce outpatient waiting time.\u0000Methods: Literature search was performed on eight databases: Proquest, Wiley, Science Direct, Taylor and Francis, Oxford Journal, Sage Publication, Scopus, and Pubmed. Inclusion criteria were peer-reviewed English articles published from January 1, 2003, to May 25, 2021, and studies conducted in hospital settings.\u0000Results: Nine relevant articles were included. Inefficient clinic processes, inappropriate scheduling, human resources problems, workplace factors, patient communication problems, and patient characteristics are root causes found for long outpatient waiting time. All studies revealed a reduction in outpatient waiting time (5.2% to 97%) after implementation of LSS. Process redesign, improvement in appointment scheduling, patient communication, and improvement in workplace design, were strategies used to reduce outpatient waiting time. These strategies increase the number of patients seen and hospital gross revenue, as well as patient satisfaction.\u0000Conclusion: LSS is beneficial to reduce outpatient waiting time. Process redesign provide advantageous results.\u0000Keywords: hospital, lean six sigma, outpatient waiting time, process redesign","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47385453","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 : 2023-06-29DOI: 10.20473/ijha.v11i1.2023.120-130
Yusuf Hanafi Lubis, S. Susilawati
Background: Adolescents tend to want to try things they have never experienced, and the main contributing factor is curiosity and doing what adults, do including sexuality. Aims: The aim of this study was to analyze the transmission prevention program of HIV and Syphilis for adolescents in North Sumatra. Methods: Using an analytical survey approach with a cross-sectional design by taking 729 people as a sample from the total adolescent population of around 19.4% quota sampling, research instrument using questionnaires adopted from The Prospero Network and made through an online platform, then the results were transferred into a statistics-based application for descriptive data analysis, bivariate and multilevel test. Results: Showing >50% of respondents conducted HIV and Syphilis testing through the laboratory quickly and free of charge and reactive confirmatory tests on both cases through health facilities, multilevel statistical tests result known to models 1 and 2, namely, the availability of syphilis screening referrals have a risk of 1-17 times higher the implementation of HIV and Syphilis programs for adolescents. Conclusion: Everything is interrelated with the implementation of HIV and Syphilis transmission prevention programs in adolescents. However, the government and community must work together to consistently implement this program properly. Keywords: Adolescents, Health Program, HIV, Syphilis
{"title":"ANALYSIS OF HIV AND SYPHILIS TRANSMISSION PREVENTION PROGRAMS FOR ADOLESCENTS","authors":"Yusuf Hanafi Lubis, S. Susilawati","doi":"10.20473/ijha.v11i1.2023.120-130","DOIUrl":"https://doi.org/10.20473/ijha.v11i1.2023.120-130","url":null,"abstract":"Background: Adolescents tend to want to try things they have never experienced, and the main contributing factor is curiosity and doing what adults, do including sexuality.\u0000Aims: The aim of this study was to analyze the transmission prevention program of HIV and Syphilis for adolescents in North Sumatra.\u0000Methods: Using an analytical survey approach with a cross-sectional design by taking 729 people as a sample from the total adolescent population of around 19.4% quota sampling, research instrument using questionnaires adopted from The Prospero Network and made through an online platform, then the results were transferred into a statistics-based application for descriptive data analysis, bivariate and multilevel test.\u0000Results: Showing >50% of respondents conducted HIV and Syphilis testing through the laboratory quickly and free of charge and reactive confirmatory tests on both cases through health facilities, multilevel statistical tests result known to models 1 and 2, namely, the availability of syphilis screening referrals have a risk of 1-17 times higher the implementation of HIV and Syphilis programs for adolescents.\u0000Conclusion: Everything is interrelated with the implementation of HIV and Syphilis transmission prevention programs in adolescents. However, the government and community must work together to consistently implement this program properly.\u0000Keywords: Adolescents, Health Program, HIV, Syphilis","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48195494","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 : 2023-06-29DOI: 10.20473/ijha.v11i1.2023.131-144
Hima Gupta, Shweta Garg, Utkarsh Gupta
Background: Healthcare organizations incorporate products and services at economical prices to deliver healthcare services of good quality. All the operations performed in the organizations aimed to achieve a higher level of environmental sustainability governed by the Sustainable Developmental Goals of 2030. Aims: This study aims to develop a sustainable healthcare model using Analytical Hierarchy Process (AHP). Methods: First and foremost, the authors have identified the factors associated with the sustainable healthcare system through a literature review. Based on these factors, a questionnaire was developed and administered to 25 healthcare organizations from December 2020 to March 2021. An Analytical Hierarchy Process is utilized to rank the factors, and a conceptual model is developed. The Felix Hospitals substantiate this model. The authors have also applied sensitivity analysis to validate the results achieved via AHP. Results: The AHP model demonstrates the focus is on the environment first, followed by the economic and social dimensions sustainably. The validated model was also substantiated by the hospital (Felix) results and sensitivity analysis. Conclusion: It can be concluded that hospital sustainability highly depends on the environment in the first stage and economic and social sustainability in the second and third stages. The same result was achieved through AHP. Keywords: analytical hierarchy process, hospital, sustainable healthcare.
{"title":"DEVELOPMENT OF SUSTAINABLE HEALTHCARE MODEL FOR THE HOSPITALS IN NORTHERN INDIA","authors":"Hima Gupta, Shweta Garg, Utkarsh Gupta","doi":"10.20473/ijha.v11i1.2023.131-144","DOIUrl":"https://doi.org/10.20473/ijha.v11i1.2023.131-144","url":null,"abstract":"Background: Healthcare organizations incorporate products and services at economical prices to deliver healthcare services of good quality. All the operations performed in the organizations aimed to achieve a higher level of environmental sustainability governed by the Sustainable Developmental Goals of 2030.\u0000Aims: This study aims to develop a sustainable healthcare model using Analytical Hierarchy Process (AHP).\u0000Methods: First and foremost, the authors have identified the factors associated with the sustainable healthcare system through a literature review. Based on these factors, a questionnaire was developed and administered to 25 healthcare organizations from December 2020 to March 2021. An Analytical Hierarchy Process is utilized to rank the factors, and a conceptual model is developed. The Felix Hospitals substantiate this model. The authors have also applied sensitivity analysis to validate the results achieved via AHP.\u0000Results: The AHP model demonstrates the focus is on the environment first, followed by the economic and social dimensions sustainably. The validated model was also substantiated by the hospital (Felix) results and sensitivity analysis.\u0000Conclusion: It can be concluded that hospital sustainability highly depends on the environment in the first stage and economic and social sustainability in the second and third stages. The same result was achieved through AHP.\u0000 Keywords: analytical hierarchy process, hospital, sustainable healthcare.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"37 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41282605","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 : 2023-06-29DOI: 10.20473/jaki.v11i1.2023.154-166
Elina Waiman, Anhari Achadi, Renita Agustina
Background: Lean Six Sigma (LSS) is a beneficial data-driven tool for quality improvement. Literature regarding the use of LSS to reduce hospital outpatient waiting time is scarce despite numerous problems encountered in many countries. Aims: This systematic review aims to evaluate the causes of long outpatient waiting time, demonstrate the effectiveness of LSS and the improvement strategies applied to reduce outpatient waiting time. Methods: Literature search was performed on eight databases: Proquest, Wiley, Science Direct, Taylor and Francis, Oxford Journal, Sage Publication, Scopus, and Pubmed. Inclusion criteria were peer-reviewed English articles published from January 1, 2003, to May 25, 2021, and studies conducted in hospital settings. Results: Nine relevant articles were included. Inefficient clinic processes, inappropriate scheduling, human resources problems, workplace factors, patient communication problems, and patient characteristics are root causes found for long outpatient waiting time. All studies revealed a reduction in outpatient waiting time (5.2% to 97%) after implementation of LSS. Process redesign, improvement in appointment scheduling, patient communication, and improvement in workplace design, were strategies used to reduce outpatient waiting time. These strategies increase the number of patients seen and hospital gross revenue, as well as patient satisfaction. Conclusion: LSS is beneficial to reduce outpatient waiting time. Process redesign provide advantageous results. Keywords: hospital, lean six sigma, outpatient waiting time, process redesign
背景:精益六西格玛(LSS)是一个有益的数据驱动的质量改进工具。尽管在许多国家遇到了许多问题，但关于使用LSS减少医院门诊候诊时间的文献很少。目的:本系统综述旨在评估门诊候诊时间过长的原因，展示LSS的有效性以及用于减少门诊候诊时间的改进策略。方法:在Proquest、Wiley、Science Direct、Taylor and Francis、Oxford Journal、Sage Publication、Scopus、Pubmed等8个数据库进行文献检索。纳入标准是2003年1月1日至2021年5月25日发表的同行评议的英文文章，以及在医院环境中进行的研究。结果:纳入相关文献9篇。门诊流程效率低下、排期不合理、人力资源问题、工作场所因素、患者沟通问题、患者特点等是门诊候诊时间过长的根本原因。所有研究都显示，实施LSS后门诊等待时间减少(5.2%至97%)。流程重新设计、预约安排的改进、患者沟通和工作场所设计的改进是减少门诊等待时间的策略。这些策略增加了就诊人数、医院总收入以及患者满意度。结论:LSS有利于减少门诊候诊时间。流程重新设计提供了有利的结果。关键词:医院，精益六西格玛，门诊候诊时间，流程再设计
{"title":"REDUCING HOSPITAL OUTPATIENT WAITING TIME USING LEAN SIX SIGMA: A SYSTEMATIC REVIEW","authors":"Elina Waiman, Anhari Achadi, Renita Agustina","doi":"10.20473/jaki.v11i1.2023.154-166","DOIUrl":"https://doi.org/10.20473/jaki.v11i1.2023.154-166","url":null,"abstract":"Background: Lean Six Sigma (LSS) is a beneficial data-driven tool for quality improvement. Literature regarding the use of LSS to reduce hospital outpatient waiting time is scarce despite numerous problems encountered in many countries. Aims: This systematic review aims to evaluate the causes of long outpatient waiting time, demonstrate the effectiveness of LSS and the improvement strategies applied to reduce outpatient waiting time. Methods: Literature search was performed on eight databases: Proquest, Wiley, Science Direct, Taylor and Francis, Oxford Journal, Sage Publication, Scopus, and Pubmed. Inclusion criteria were peer-reviewed English articles published from January 1, 2003, to May 25, 2021, and studies conducted in hospital settings. Results: Nine relevant articles were included. Inefficient clinic processes, inappropriate scheduling, human resources problems, workplace factors, patient communication problems, and patient characteristics are root causes found for long outpatient waiting time. All studies revealed a reduction in outpatient waiting time (5.2% to 97%) after implementation of LSS. Process redesign, improvement in appointment scheduling, patient communication, and improvement in workplace design, were strategies used to reduce outpatient waiting time. These strategies increase the number of patients seen and hospital gross revenue, as well as patient satisfaction. Conclusion: LSS is beneficial to reduce outpatient waiting time. Process redesign provide advantageous results. Keywords: hospital, lean six sigma, outpatient waiting time, process redesign","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135154537","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 : 2023-06-29DOI: 10.20473/jaki.v11i1.2023.120-130
Yusuf Hanafi Lubis, Susilawati Susilawati
Background: Adolescents tend to want to try things they have never experienced, and the main contributing factor is curiosity and imitating what adults do, including sexuality. Aims: This study aimed to analyze the transmission prevention program of HIV and Syphilis for adolescents in North Sumatra. Methods: This study used an analytic survey approach with a cross-sectional design by taking 729 people as a sample, selected using quota sampling, from the total adolescent population (19.4% of the population of North Sumatra). Questionnaires produced using an online platform and adapted from The Prospero Network. The results were then transferred into a statistics-based application for descriptive data analysis, bivariate, and multi-level tests. Results: The study showed that >50% of the respondents took a quick, free laboratory test for HIV and syphilis and a reactive confirmation test through a health facility in both cases. Moreover, the results of multi-level statistical tests show models 1 and 2, namely the availability of syphilis screening referrals, have a 1-17 times higher risk of implementing HIV and syphilis programs in adolescents. Conclusion: Everything is interrelated with the implementation of HIV and Syphilis transmission prevention programs in adolescents. However, there is still a significant chance that it will not work. Therefore, the government and the community must work together to implement this program properly and consistently. Keywords: Adolescents, Health Program, HIV, Syphilis
{"title":"ANALYSIS OF HIV AND SYPHILIS TRANSMISSION PREVENTION PROGRAMS FOR ADOLESCENTS","authors":"Yusuf Hanafi Lubis, Susilawati Susilawati","doi":"10.20473/jaki.v11i1.2023.120-130","DOIUrl":"https://doi.org/10.20473/jaki.v11i1.2023.120-130","url":null,"abstract":"Background: Adolescents tend to want to try things they have never experienced, and the main contributing factor is curiosity and imitating what adults do, including sexuality. Aims: This study aimed to analyze the transmission prevention program of HIV and Syphilis for adolescents in North Sumatra. Methods: This study used an analytic survey approach with a cross-sectional design by taking 729 people as a sample, selected using quota sampling, from the total adolescent population (19.4% of the population of North Sumatra). Questionnaires produced using an online platform and adapted from The Prospero Network. The results were then transferred into a statistics-based application for descriptive data analysis, bivariate, and multi-level tests. Results: The study showed that >50% of the respondents took a quick, free laboratory test for HIV and syphilis and a reactive confirmation test through a health facility in both cases. Moreover, the results of multi-level statistical tests show models 1 and 2, namely the availability of syphilis screening referrals, have a 1-17 times higher risk of implementing HIV and syphilis programs in adolescents. Conclusion: Everything is interrelated with the implementation of HIV and Syphilis transmission prevention programs in adolescents. However, there is still a significant chance that it will not work. Therefore, the government and the community must work together to implement this program properly and consistently. Keywords: Adolescents, Health Program, HIV, Syphilis","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135154536","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 : 2023-06-29DOI: 10.20473/jaki.v11i1.2023.131-144
Hima Gupta, Shweta Garg, Utkarsh Gupta
Background: Healthcare organizations incorporate products and services at economical prices to deliver healthcare services of good quality. All the operations performed in the organizations aimed to achieve a higher level of environmental sustainability governed by the Sustainable Developmental Goals of 2030. Aims: This study aims to develop a sustainable healthcare model using Analytical Hierarchy Process (AHP). Methods: First and foremost, the authors have identified the factors associated with the sustainable healthcare system through a literature review. Based on these factors, a questionnaire was developed and administered to 25 healthcare organizations from December 2020 to March 2021. An Analytical Hierarchy Process is utilized to rank the factors, and a conceptual model is developed. The Felix Hospitals substantiate this model. The authors have also applied sensitivity analysis to validate the results achieved via AHP. Results: The AHP model demonstrates the focus is on the environment first, followed by the economic and social dimensions sustainably. The validated model was also substantiated by the hospital (Felix) results and sensitivity analysis. Conclusion: It can be concluded that hospital sustainability highly depends on the environment in the first stage and economic and social sustainability in the second and third stages. The same result was achieved through AHP. Keywords: analytical hierarchy process, hospital, sustainable healthcare.
{"title":"DEVELOPMENT OF SUSTAINABLE HEALTHCARE MODEL FOR THE HOSPITALS IN NORTHERN INDIA","authors":"Hima Gupta, Shweta Garg, Utkarsh Gupta","doi":"10.20473/jaki.v11i1.2023.131-144","DOIUrl":"https://doi.org/10.20473/jaki.v11i1.2023.131-144","url":null,"abstract":"Background: Healthcare organizations incorporate products and services at economical prices to deliver healthcare services of good quality. All the operations performed in the organizations aimed to achieve a higher level of environmental sustainability governed by the Sustainable Developmental Goals of 2030. Aims: This study aims to develop a sustainable healthcare model using Analytical Hierarchy Process (AHP). Methods: First and foremost, the authors have identified the factors associated with the sustainable healthcare system through a literature review. Based on these factors, a questionnaire was developed and administered to 25 healthcare organizations from December 2020 to March 2021. An Analytical Hierarchy Process is utilized to rank the factors, and a conceptual model is developed. The Felix Hospitals substantiate this model. The authors have also applied sensitivity analysis to validate the results achieved via AHP. Results: The AHP model demonstrates the focus is on the environment first, followed by the economic and social dimensions sustainably. The validated model was also substantiated by the hospital (Felix) results and sensitivity analysis. Conclusion: It can be concluded that hospital sustainability highly depends on the environment in the first stage and economic and social sustainability in the second and third stages. The same result was achieved through AHP. Keywords: analytical hierarchy process, hospital, sustainable healthcare.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135154535","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 : 2023-06-29DOI: 10.20473/jaki.v11i1.2023.1-3
Abdu Nafan Aisul Muhlis
The Indonesian Journal of Health Administration Volume 11 No.1 (2023) has been published. This edition covers a wide range of main topics, including enhancing healthcare management, expediting Covid-19 vaccination efforts, and improving public health programs within the community. Healthcare sustainability is expected to help accomplish the Sustainable Development Goals (SDG) by 2030. Gupta et al. discuss environmental sustainability in healthcare using elicitation techniques and found that the hospital in India tends to utilize natural resource optimally to minimize the usage of electricity and water, install a waste treatment plant, and be accredited by a quality assurance body to assure them prioritize the sustainability in healthcare services. Regarding healthcare service equity, Suar analyzed the implementation of social inclusion in military hospitals in Indonesia. This study revealed that patients from particular groups received exclusive care compared to other National Health Insurance or Jaminan Kesehatan Nasional (JKN) program members. However, it contrasts with the Indonesian government's commitment to offer its citizens equitable and inclusive healthcare.
《印度尼西亚卫生管理杂志》第11卷第1期(2023年)已经出版。该版本涵盖了广泛的主题，包括加强医疗保健管理，加快Covid-19疫苗接种工作，以及改善社区内的公共卫生规划。预计医疗保健可持续性将有助于到2030年实现可持续发展目标(SDG)。Gupta等人使用启发技术讨论了医疗保健中的环境可持续性，并发现印度的医院倾向于最佳地利用自然资源，以尽量减少电力和水的使用，安装废物处理厂，并获得质量保证机构的认可，以确保他们优先考虑医疗保健服务的可持续性。关于医疗服务公平，Suar分析了印尼军队医院社会包容的实施情况。这项研究表明，与其他国民健康保险或Jaminan Kesehatan National (JKN)计划成员相比，来自特定群体的患者获得了独家护理。然而，这与印尼政府承诺为其公民提供公平和包容的医疗保健形成鲜明对比。
{"title":"ENVISIONING HEALTHCARE SERVICE QUALITY, SAFETY AND EQUITY: FROM PUBLIC HEALTH CENTRE TO MILITARY HOSPITAL","authors":"Abdu Nafan Aisul Muhlis","doi":"10.20473/jaki.v11i1.2023.1-3","DOIUrl":"https://doi.org/10.20473/jaki.v11i1.2023.1-3","url":null,"abstract":"The Indonesian Journal of Health Administration Volume 11 No.1 (2023) has been published. This edition covers a wide range of main topics, including enhancing healthcare management, expediting Covid-19 vaccination efforts, and improving public health programs within the community. Healthcare sustainability is expected to help accomplish the Sustainable Development Goals (SDG) by 2030. Gupta et al. discuss environmental sustainability in healthcare using elicitation techniques and found that the hospital in India tends to utilize natural resource optimally to minimize the usage of electricity and water, install a waste treatment plant, and be accredited by a quality assurance body to assure them prioritize the sustainability in healthcare services. Regarding healthcare service equity, Suar analyzed the implementation of social inclusion in military hospitals in Indonesia. This study revealed that patients from particular groups received exclusive care compared to other National Health Insurance or Jaminan Kesehatan Nasional (JKN) program members. However, it contrasts with the Indonesian government's commitment to offer its citizens equitable and inclusive healthcare.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135154538","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 : 2023-06-29DOI: 10.20473/ijha.v11i1.2023.1-3
A. Muhlis
The Indonesian Journal of Health Administration Volume 11 No.1 (2023) has been published. This edition covers a wide range of main topics, including enhancing healthcare management, expediting Covid-19 vaccination efforts, and improving public health programs within the community. Healthcare sustainability is expected to help accomplish the Sustainable Development Goals (SDG) by 2030. Gupta et al. discuss environmental sustainability in healthcare using elicitation techniques and found that the hospital in India tends to utilize natural resource optimally to minimize the usage of electricity and water, install a waste treatment plant, and be accredited by a quality assurance body to assure them prioritize the sustainability in healthcare services. Regarding healthcare service equity, Suar analyzed the implementation of social inclusion in military hospitals in Indonesia. This study revealed that patients from particular groups received exclusive care compared to other National Health Insurance or Jaminan Kesehatan Nasional (JKN) program members. However, it contrasts with the Indonesian government's commitment to offer its citizens equitable and inclusive healthcare.
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Pub Date : 2023-06-22DOI: 10.20473/jaki.v11i1.2023.107-119
Haifa Pasca Nadira Suar
Background: In the era of the COVID-19 pandemic, one of the social protections in Indonesia that still requires special attention is the protection of public health. Aims: This study aims to analyze the principles of social protection in the Social Security Agency for Health (BPJS Kesehatan) and the implementation of inclusive health services in Indonesia Military Hospital. Methods: This study used a qualitative approach by conducting in-depth interviews and made direct observations for one month by observing the processes and phenomena that occurred at the dr. Esnawan Antariksa Air Force Hospital as a case study. Results: The root cause of social exclusion in health services in military institutions was an aspect of the inherent hierarchy that caused exclusion in the income dimension triggered by socioeconomic level, status, and background of patients so that patients did not get the same rights in obtaining health services. Conclusion: Implementing social protection through BPJS Kesehatan in military-based hospitals caused patients with specific groups to experience layered exclusion. Patients who wanted to receive healthcare at military hospitals had differences in the stages of receiving them. However, the quality of medical services doctors and other health workers provided were not discriminatory. Keywords: BPJS kesehatan, health services, military hospital, social exclusion, social protection
{"title":"SOCIAL EXCLUSION IN INDONESIA MILITARY HOSPITAL","authors":"Haifa Pasca Nadira Suar","doi":"10.20473/jaki.v11i1.2023.107-119","DOIUrl":"https://doi.org/10.20473/jaki.v11i1.2023.107-119","url":null,"abstract":"Background: In the era of the COVID-19 pandemic, one of the social protections in Indonesia that still requires special attention is the protection of public health. Aims: This study aims to analyze the principles of social protection in the Social Security Agency for Health (BPJS Kesehatan) and the implementation of inclusive health services in Indonesia Military Hospital. Methods: This study used a qualitative approach by conducting in-depth interviews and made direct observations for one month by observing the processes and phenomena that occurred at the dr. Esnawan Antariksa Air Force Hospital as a case study. Results: The root cause of social exclusion in health services in military institutions was an aspect of the inherent hierarchy that caused exclusion in the income dimension triggered by socioeconomic level, status, and background of patients so that patients did not get the same rights in obtaining health services. Conclusion: Implementing social protection through BPJS Kesehatan in military-based hospitals caused patients with specific groups to experience layered exclusion. Patients who wanted to receive healthcare at military hospitals had differences in the stages of receiving them. However, the quality of medical services doctors and other health workers provided were not discriminatory. Keywords: BPJS kesehatan, health services, military hospital, social exclusion, social protection","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136286935","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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