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DAMPAK PEMBERIAN MIKROPLASTIK POLIETHILEN PERORAL TERHADAP HITUNG JENIS SEL LEUKOSIT DARAH RATTUS NORVEGICUS STRAIN WISTAR 口服微聚苯乙烯对促脑血细胞类型计数的影响
Pub Date : 2022-03-31 DOI: 10.33086/mtphj.v6i1.2611
Yudhiakuari Sincihu
Mikroplastik telah diketahui sebagai kontaminan rantai makanan. Polimer plastik terbanyak adalah polietilen. Mikroplastik di saluran cerna akan mengalami persopsi melalui celah sel di ujung vili usus masuk ke sirkulasi darah untuk menuju keseluruh jaringan. Diduga mikroplastik akan memicu inflamasi kronis. Tujuan penelitian adalah menganalisis dampak paparan mikroplastik polietilen peroral terhadap jumlah sel leukosit darah. Penelitian eksperimental murni dengan post-test only control group design. Alokasi random digunakan untuk membagi 30 ekor Rattus norvegicus strain wistar kedalam tiap kelompok sejumlah sama banyak. Terdapat 4 kelompok paparan dengan dosis D1=0,0375mg, D2=0,075mg, D3=0,15mg, D4=0,6mg partikel mikroplastik perhari melalui sonde oral dan 1 kelompok kontrol yang tidak diberikan mikroplastik. Paparan diberikan selama 90 hari. Uji ANOVA satu arah digunakan untuk analisis perbedaan nilai antar kelompok. Hasil penelitian nenunjukan tren peningkatan nilai rerata pada biomarker leukosit, hitung jenis neutrofil dan basofil pada kelompok paparan (1,2,3,4) dibanding kontrol (0). Uji statistika menunjukan nilai signifikan pada biomarker leukosit (P= .048) dan basofil (P= .040), dimana semakin tinggi dosis paparan yang diberikan menyebabkan peningkatan kadar biomarker tersebut di dalam darah. Paparan mikroplastik polietilen peroral pengaruh terhadap leukositosis di dalam darah Rattus norvegicus strain wistar.
微塑料被认为是食物链的一种污染物。最大的塑料聚合物是聚乙烯。欧洲垃圾填埋场的微塑料将通过肠道末端的细胞裂缝渗透到血液循环中,从而进入整个组织。怀疑微塑料会引起慢性炎症。研究的目的是分析口服微塑料对白细胞数量的影响。纯实验研究与post- only control group design。随机分配被用来将30只挪威棘轮菌株分成相同数量的组。有4组暴露在剂量D1= 0.0375mg, D2= 075mg, D3= 0.15mg, D4= 0.6mg微塑料颗粒每日通过口头sonde和1组控制未给予微塑料。曝光时间为90天。ANOVA测试用于分析组之间的值差异。nenunjukan增加平均价值趋势的研究结果biomarker白细胞、中性粒细胞的数种控制小组暴露(四)比上basofil(0)。统计显示测试成绩显著的biomarker白细胞(P = 048)和basofil (P =。040),哪里暴露剂量越高所导致这些biomarker在血液中的水平升高。聚乙烯微塑料暴露在紫杉菌根病变的影响中。
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引用次数: 1
COVID-19 VACCINE ACCEPTANCE AMONG PUBLIC HEALTH STUDENTS IN GRESIK CITY 格列西克市公共卫生专业学生COVID-19疫苗接受情况
Pub Date : 2021-09-30 DOI: 10.33086/MTPHJ
Nihayatul Munaa, Ida Herwati Hafid, Lailatul Kodriyah
One of the programs that can protect the community from COVID-19 is vaccination. Vaccination is an effective approach to prevent infection and reduce mortality. This study was conducted to determine the perception of acceptance of the Covid-19 vaccine among public health students as potential health workers in the future. This is a mixed-method study with 140 respondents of public health students. The data were analyzed using a non-parametric binomial test. The results of this study Statistics prove that as prospective health workers, the public health student has a good level of acceptance of the COVID-19 vaccine (p-value 0.002). However, several indicators still make students doubt the COVID-19 vaccine, including the effectiveness of the vaccine (p-value 0.006), information circulating (p-value 0,041), and the mandate from the government (p-value 0,041). Conclusion this research is the government must provide information on the effectiveness of the vaccine to the entire community so that the COVID-19 vaccine can be accepted by the public health worker to be and the public community.
可以保护社区免受COVID-19侵害的项目之一是疫苗接种。接种疫苗是预防感染和降低死亡率的有效方法。本研究旨在确定公共卫生专业学生对未来潜在卫生工作者接受Covid-19疫苗的看法。这是一项有140名公共卫生专业学生参与的混合方法研究。采用非参数二项检验对数据进行分析。统计结果表明,作为未来的卫生工作者,公共卫生专业学生对COVID-19疫苗的接受程度较高(p值为0.002)。然而,一些指标仍然使学生对COVID-19疫苗产生怀疑,包括疫苗的有效性(p值0.006)、信息流通(p值0.041)和政府授权(p值0.041)。结论:政府必须向整个社区提供有关疫苗有效性的信息,以便COVID-19疫苗能够被公共卫生工作者和公共社区接受。
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引用次数: 0
ANALYSIS CLASIFICATION FACTORS OF WORK PRODUCTIVITY AMONG TEACHERS DURING WFH (WORK FROM HOME) BASED ON DECISION TREE 基于决策树的教师在家办公工作效率分类因素分析
Pub Date : 2021-09-30 DOI: 10.33086/mtphj.v5i2.2590
Indah Lutfiya, Novelia Qothrunnada, Selvy Nur Amalia
The COVID-19 pandemic since its inception at the end of December in China and entering Indonesia in March 2020 has had many impacts on the world of employment, including in the realm of education. The COVID-19 pandemic has also had a strong impact on work productivity. Various different backgrounds ranging from work tenure, latest education level and emotional intelligence make the level of work productivity at SMPN 1 Tembelang quite varied. This research aims to analyze the classification factors that affect teacher work productivity during WFH. The type of research used is analytic observational with a cross-sectional approach. This research was conducted at SMP Negeri 1 Tembelang Jombang with a sample of 45 people. Data analysis is done by Decision Tree. The results of the accuracy of the model testing generated from the training data to the testing data show that the accuracy value is 65.67%. The classification of high productivity levels is found in the group of teachers who have a long work tenure, mature age and high emotional intelligence. While the classification of medium productivity is dominated by groups of teachers of medium and adult age. It is recommended to conduct training and mentoring of online learning programs to improve skills and expertise for teachers, especially those who have and are classified as elderly.
2019冠状病毒病大流行自去年12月底在中国爆发并于2020年3月进入印度尼西亚以来,对包括教育领域在内的就业领域产生了许多影响。COVID-19大流行也对工作生产力产生了严重影响。从工作年限、最新教育水平到情商,各种不同的背景使得SMPN 1 Tembelang的工作效率水平差异很大。本研究旨在分析影响教师工作生产力的分类因素。所使用的研究类型是采用横断面方法的分析观察。这项研究是在SMP Negeri 1 Tembelang Jombang进行的,样本为45人。数据分析由决策树完成。从训练数据到测试数据生成的模型测试的准确率结果显示准确率值为65.67%。高生产力水平的分类出现在工作年限长、年龄成熟、情商高的教师群体中。而中等生产力的分类则以中等和成人教师群体为主。建议对在线学习计划进行培训和指导,以提高教师的技能和专业知识,特别是那些已经和被归类为老年人的教师。
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引用次数: 0
Efektivitas bayam dan buah bit terhadap kadar hemoglobin ibu hamil 菠菜和甜菜对孕妇血红蛋白水平的影响
Pub Date : 2021-04-08 DOI: 10.33086/mtphj.v5i1.1839
Pratiwi Hariyani Putri, Fildzah Karunia Putri, Syarafina Rahmawati Rahmawati
Pregnancy is a process of growth and development in an intrauterine fetus from conception to be born (1). Pregnant women are a group that is prone to nutritional problems due to an increase in body metabolism resulting in an increase in the need for nutrients. One of the nutrients needed is iron and folic acid found in spinach and beets. This study aims to measure the effectiveness of spinach and beets on hemoglobin levels of pregnant women through a systematic literature review approach. The results of a review of studies related to the effectiveness of spinach on hemoglobin levels of pregnant women with varying amounts and times. This method is effective for increasing hemoglobin levels in pregnant women in addition to offering Fe tablets. Giving beets, both in the form of juice, extract / supplement is also effective in increasing hemoglobin levels for pregnant women. Based on the results of a systematic literature review in total it can be denied that spinach and beets can effectively increase hemoglobin levels for pregnant women with a minimum duration of administration for 7 days in various types of preparations.
妊娠是子宫内胎儿从受孕到出生的一个生长发育过程(1)。孕妇是一个容易出现营养问题的群体,由于机体代谢增加,对营养物质的需求增加。其中一种必需的营养素是菠菜和甜菜中的铁和叶酸。本研究旨在通过系统的文献综述方法来衡量菠菜和甜菜对孕妇血红蛋白水平的有效性。这是一项关于食用不同数量和时间的菠菜对孕妇血红蛋白水平影响的研究综述的结果。这种方法除了提供铁片外,还能有效地提高孕妇的血红蛋白水平。以甜菜汁、提取物或补充剂的形式食用甜菜,也能有效提高孕妇的血红蛋白水平。综合系统文献综述的结果,可以否定在各种剂型中,菠菜和甜菜在最少给药时间为7天的情况下,可以有效提高孕妇血红蛋白水平。
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引用次数: 0
ANALISIS KATEGORI TINGKAT AWAL SISTEM MANAJEMAN KESEHATAN DAN KESELAMATAN KERJA (SMK3) PT. KERTA RAJASA RAYA SIDOARJO 工作健康与安全管理系统(SMK3) PT. KERTA RAJASA SIDOARJO的初步类别分析
Pub Date : 2021-04-08 DOI: 10.33086/mtphj.v5i1.1715
Suherdin Suherdin
PT. X is a multinational company that focuses on the production of plastic bags. Based on company data, shows that the annual work accident rate is still high, in 2018 there were 97 cases of work accidents. Occupational accident cases can be handled through the development of a system that regulates every activity to be safe, namely the Occupational Health and Safety Management System (OHSMS). The purpose of this study was to determine the achievement of the application of K3 in the company by analyzing the initial level criteria for implementing OHSMS based on Government Regulation Number 50 of 2012 concerning OHSMS. This research uses a quantitative approach. Based on the data collection aspect, it is included in observational research. The data analysis was conducted descriptively, to see the percentage of fulfilment of the criteria and elements at the initial level of OHSMS. The results showed that PT. X has just met 19 criteria for the initial level of OHSMS and the fulfilment of the new criteria has reached 29.68%, meaning it is included in the poor category. Based on the research results it can be concluded that PT. X has not met the initial level 64 criteria, currently, the fulfilment category is still in the low category.
PT. X是一家专注于生产塑料袋的跨国公司。根据公司数据显示,每年的工作事故率仍然很高,2018年共发生了97起工作事故。职业意外个案的处理,可透过制订一套制度,即职业健康安全管理制度,以规管各项安全活动。本研究的目的是根据2012年政府法规第50号关于OHSMS的规定,通过分析实施OHSMS的初始水平标准,确定K3在公司的应用效果。本研究采用定量方法。基于数据收集方面,它被纳入观察研究。对数据进行描述性分析,以了解OHSMS初始水平的标准和要素的实现百分比。结果表明,PT. X刚刚达到OHSMS初始水平的19项标准,新标准的完成率为29.68%,属于不良类别。根据研究结果,可以得出结论,PT. X没有达到最初的64级标准,目前,履行类别仍处于低类别。
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引用次数: 1
PENILAIAN PROBABILITAS HUMAN ERROR DI INDUSTRI TAMBANG BATUBARA 对煤矿行业人为失误的概率评估
Pub Date : 2021-04-08 DOI: 10.33086/mtphj.v5i1.1825
Ratna Ayu Ratriwardhani, Friska Ayu
Based on data from the Health and Safety Executive, it can be concluded that as many as 90% of accidents are caused by human error. Coal mining is an industry that has a high risk of work accidents. If the mining process is not following procedures, then lives will be at stake. Human error probability assessment needs to be done because most accidents that occur in coal mining are caused by human error. HRA (Human Reliability Analysis) is part of the risk assessment process which aims to calculate the HEP value. HRA has been used in many studies to assess the risks involved in large, complex, and dangerous systems. The Success Likelihood Index Method (SLIM) is a method of analysis for human reliability. Prevention and control of human error need to be done at every stage of work. SLIM can analyze HEP at each stage of the work. SLIM aims to obtain a HEP value. To get the HEP value, we must first find the SLI (Success Likelihood Index) value. Finding the SLI value comes from a weighting questionnaire and PSF (Performance Shaping Factor) assessment that has been filled in by an expert judgment. After the HEP value is obtained, it can be seen which jobs fall into the safe risk level and which the risk cannot be accepted. Furthermore, risk reduction is carried out by making a task analysis of jobs that have a high hazard risk. Based on the research results, it can be seen the factors that cause a human error, namely unsafe conditions, unsafe actions, personal factors, and job factors. While the task that has the highest HEP value is on task 4, which is equal to 0,006932. The task with the smallest HEP value is task 1, amounting to 0,006478.
根据健康与安全执行局的数据,可以得出结论,多达90%的事故是由人为错误造成的。煤矿开采是一个工作事故风险较高的行业。如果采矿过程没有按照程序进行,那么生命就会受到威胁。由于煤矿开采中发生的事故大多是由人为失误引起的,因此需要进行人为失误概率评估。HRA(人类可靠性分析)是风险评估过程的一部分,旨在计算HEP值。HRA已在许多研究中用于评估大型、复杂和危险系统的风险。成功可能性指数法(SLIM)是一种分析人的可靠性的方法。预防和控制人为错误需要在工作的每个阶段进行。SLIM可以在工作的每个阶段分析HEP。SLIM旨在获得HEP值。为了得到HEP值,我们必须首先找到SLI(成功可能性指数)值。SLI值的发现来自于由专家判断填写的加权问卷和PSF(绩效塑造因子)评估。得到HEP值后,可以看出哪些作业属于安全风险等级,哪些作业的风险不可接受。此外,通过对具有高危害风险的工作进行任务分析来降低风险。根据研究结果,可以看出造成人为失误的因素,即不安全的条件、不安全的行为、个人因素和工作因素。而HEP值最高的任务是任务4,HEP值为0,006932。HEP值最小的任务是task1,其值为0 000 6478。
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引用次数: 0
Peluang dan Tantangan Interprofessional Education Di Masa Pandemi Covid-19
Pub Date : 2021-04-08 DOI: 10.33086/mtphj.v5i1.1818
Fifit Fitriyah, Wiwik Afridah, Silvia Puspitasari, S. Wijaya, E. Wikurendra
Health professionals are required to be ready to face challenges in the health sector (triple burden) caused by infectious diseases, degenerative diseases and emerging diseases such as Covid- 19 which is currently a pandemic. Health academics have a role to provide education and training for students with team-based service competencies. The research objective was to identify opportunities and challenges for interprofessional education (IPE) in the practical experiences of health faculty students. Collect data using a questionnaire and analyzed it descriptively. The results of the measurement of knowledge show that 73% of respondents understand IPE, 94.6% of respondents understand about working with other professions through IPE. 97.0% of respondents understand IPE to train the confidence of prospective health workers. 88.0% of respondents understand IPE to provide joint services with different professions. While the measurement results obtained 92.8% of respondents agreed to the application of IPE in learning at the Faculty of Health, choosing to agree that prospective health workers must study and practice directly for 98.8.0% by paying attention to 4 IPE factors (ethics, roles/responsibilities, interpersonal communication and teamwork, and 98.8% of respondents agreed that health services could be provided optimally if they were able to understand and appreciate the competence of each health profession, while the measurement results of IPE skills were obtained 97.0% of respondents agreed that when studying in the laboratory/field must respect different friends, 98.8% of respondents agree that students who try to be good listeners, and 56.3% of respondents who choose not to wait for orders, and 83.8% of respondents who are tasked with carrying out the correct task. It is felt that 46.7% find it difficult to use creativity when carrying out tasks when they have to work with other professions.
卫生专业人员必须准备好面对传染病、退行性疾病和新发疾病(如目前正在大流行的Covid- 19)造成的卫生部门挑战(三重负担)。卫生学者有责任为具有团队服务能力的学生提供教育和培训。本研究的目的是在卫生系学生的实践经验中找出跨专业教育(IPE)的机会和挑战。使用问卷收集数据,并对其进行描述性分析。知识测量结果显示,73%的受访者了解IPE, 94.6%的受访者了解通过IPE与其他专业合作。97.0%的应答者了解IPE是为了培养未来卫生工作者的信心。88.0%的受访者将IPE理解为提供不同专业的联合服务。在获得的测量结果中,92.8%的受访者同意将IPE应用于卫生学院的学习,98.8.0%的受访者选择同意未来的卫生工作者必须通过关注伦理、角色/责任、人际沟通和团队合作等4个IPE因素直接学习和实践。98.8%的受访者认为,如果他们能够理解和欣赏每个卫生专业的能力,就可以提供最佳的卫生服务,而IPE技能的测量结果获得了97.0%的受访者同意在实验室/现场学习时必须尊重不同的朋友,98.8%的受访者同意学生努力做好倾听者,56.3%的受访者选择不等待命令。83.8%的受访者被要求执行正确的任务。46.7%的人认为,当他们必须与其他职业合作时,很难在执行任务时发挥创造力。
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引用次数: 1
Pengaruh Lama Perawatan Terhadap Indeks Platelet Pasien Demam Berdarah Dengue (Dbd) Di Rumah Sakit Islam Jemursari Surabaya
Pub Date : 2021-04-07 DOI: 10.33086/mtphj.v5i1.1150
Ruri Arinil Khoiro, Gilang Nugraha, Wieke Sriwulan
Penyakit Demam Berdarah Dengue (DBD) merupakan salah satu penyakit infeksi tropis terbanyak di Indonesia yang disebabkan oleh virus dengue dan diperantarai oleh gigitan nyamuk Aedes aegypti dan Aedes albopictus. Salah satu gejala klinis dari penyakit dengue adalah menurunnya jumlah trombosit darah. Terdapat beberapa indeks trombosit yang diketahui sebagai indikator aktivasi trombosit, yaitu Mean Platelet Volume (MPV), dan Platelet Distribution Width (PDW). Pasien DBD yang mengalami perawatan di Rumah Sakit hanya memantau jumlah trombosit yang rendah selama proses penyembuhannya. Tujuan dari penelitian ini untuk mengetahui pengaruh lama perawatan terhadap Indeks Platelet MPV dan PDW pasien DBD. Data diperoleh dengan pengambilan data primer di Rumah Sakit Islam Jemursari Surabaya. Penelitian ini merupakan jenis penelitian One Shot Case Study dengan metode deskriptif analitik dan desain Cross sectional pada pasien DBD di Rumah Sakit Islam Jemursari Surabaya. Teknik pengambilan sampel menggunakan teknik accidental sampling. Analisis data MPV dan PDW menggunakan uji non-parametrik Wilcoxon Sign Rank Test.. Uji tersebut digunakan untuk melihat pengaruh lama perawatan pasien pada indeks platelet MPV dan PDW dengan tingkat kemaknaan α=0,05. Hasil uji statistik Wilcoxon Signk Rank Test pada MPV menunjukkan signifikansi sebesar (ρ=0,845), dan hasil uji statistik Wilcoxon Signk Rank Test pada PDW menunjukkan signifikansi sebesar (ρ=0,469). Berdasarkan hasil penelitian, dapat ditarik kesimpulan bahwa tidak terdapat pengaruh lama perawatan terhadap Indeks Platelet MPV dan PDW pada pasien DBD di RSI Jemursari Surabaya.
登革热热(DBD)是印尼由登革热病毒引起的最严重的热带传染病之一,由埃及伊蚊和白纹伊蚊的叮咬所引起。登革热的临床症状之一是血小板计数下降。有几个血小板索引,被称为血小板激活指示器,即质地体积(MPV)和血小板分配宽度(PDW)。在医院接受治疗的登革热患者在治疗过程中只监测血小板的低数量。本研究的目的是确定长期治疗对MPV Platelet和DBD患者PDW的影响。数据是通过泗水医院的初级数据检索获得的。该研究是一种单例案例研究,采用了伊斯兰医院Jemursari泗水登革热患者的分析性描述性和交叉设计。抽样技术进行抽样。MPV和PDW数据分析使用Wilcoxon mark mark beta测试的非参数测试。这些测试是用来看看旧影响病人护理的血小板指数级MPV和PDW kemaknaanα= 0。05。MPV上的统计测试Wilcoxon Signk等级测试显示大小的重要性(ρ= 0.845)统计,化验结果Wilcoxon Signk等级测试PDW显示大小的重要性(ρ= 0,469)。根据研究结果,可以得出结论,在泗水RSI Jemursari的DBD患者中,治疗方法对MPV和PDW的长期影响并不大。
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引用次数: 0
VARIASI WAKTU KONTAK ARANG AKTIF UNTUK MENURUNKAN BILANGAN PEROKSIDA PADA MINYAK GORENG BEKAS PAKAI
Pub Date : 2021-04-07 DOI: 10.33086/mtphj.v5i1.1470
Tuti Rustiana, Dinar Rahayu
Vegetable oil in the cooking process usually is used multiple times to fry food. This process exposes the oil to heat and oxidation. The oil itself is lipid. Lipid is a triglyceride, which means three carboxylic acids are bonded to one molecule of glycerol to form of ester. Exposing triglyceride to heat and oxidation causes it to deteriorate and break into smaller molecules such as aldehyde, ketones, and hydrocarbons. This molecule causes rancidity. Rancidity can be measured in terms of the amount of hydroperoxide presents in oil in mEq of O2/Kg. The peroxides present oxidize the iodide to iodine and the iodine is then titrated to a colorimetric endpoint using sodium thiosulfate with starch as an indicator. The amount of iodine produced is directly proportional to the peroxide value. The research has been conducted to reduce the peroxide value of used cooking oil using adsorption. The adsorbent used here is activated charcoal with a concentration of 3% and particle size of 100 Mesh. Contact time with oil is varied, ranged from 30 to 90 minutes. Statistic treatment of t-student test is performed between peroxide value before and after treatment and it is found that the difference is significant. That means active charcoal can decrease peroxide value. One way of ANOVA test among contact times (30, 60, 90 minutes) proves there is no significant difference, leading to the conclusion that activated charcoal at 3% and particle size 100 Mesh can decrease the peroxide value of oil in only 30 minutes of contact time.
在烹调过程中,植物油通常被多次使用来煎炸食物。这个过程使油暴露在高温和氧化中。油本身就是脂质。脂质是一种甘油三酯,这意味着三个羧酸与一个甘油分子结合形成酯。甘油三酯受热氧化会使其变质并分解成更小的分子,如醛、酮和碳氢化合物。这种分子会引起酸败。酸败程度可以用油中过氧化氢的含量(mEq = O2/Kg)来衡量。存在的过氧化物将碘化物氧化为碘,然后用淀粉作为指示剂,用硫代硫酸钠将碘滴定到比色终点。产生的碘的量与过氧化值成正比。研究了利用吸附法降低废油过氧化值的方法。这里使用的吸附剂为活性炭,浓度为3%,粒度为100目。与油接触的时间各不相同,从30分钟到90分钟不等。治疗前后过氧化值进行t-student检验统计处理,差异有显著性。这意味着活性炭可以降低过氧化值。一种方法对接触时间(30,60,90分钟)进行方差分析,证明没有显著差异,从而得出3%的活性炭和粒径为100 Mesh的活性炭仅在30分钟的接触时间内即可降低油的过氧化值。
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引用次数: 0
ANALISIS FAILURE MODE EFFECT (FMEA) PADA PENGADAAN OBAT DAN PERBEKALAN KESEHATAN PADA ERA JAMINAN KESEHATAN NASIONAL DI PUSKESMAS WONOKROMO SURABAYA FMEA (FMEA)对泗水PUSKESMAS WONOKROMO泗水的国民健康状况和医疗用品的需求进行了分析
Pub Date : 2021-04-07 DOI: 10.33086/mtphj.v5i1.1636
Nuning Farida, Amelia Lorensia, Budhi Setianto, Agus Aan Adriansyah
Drug services in Public Healthcare are an important component whose availability influences the success of health efforts. District / City Health Office is a regional government work unit in the health sector, one of the tasks and authorities of which is to provide and manage public medicines for the district/city area. Effective pharmaceutical management in health service facilities is very important for patient welfare so risks must be identified and controlled. One of the efforts made by the City Health Office is to procure drugs using other methods that are legal according to government procurement of goods/services besides e-purchasing, which is called non-e-purchasing of drugs. Risks in the pharmaceutical supply chain are related to product discontinuity, product shortages, poor performance, patient safety, expense errors, and technological errors, all of which can result in system disruption. This study aims to determine the suitability of the plan with the realization of e- purchasing of drugs, identify problems that hamper the implementation of e-purchasing of drugs, determine the impact of obstacles on procurement, cost efficiency of drug procurement and determine the potential savings of drug procurement by e-purchasing for the period 2015 to 2019 by using the FMEA method, the e-purchasing data was collected at the Wonokromo Public Health Center in Surabaya. Study Failure Mode Effect (FMEA) in the procurement of drugs and UHC health supplies in Surabaya Wonokromo Health Center for the period of 2015-2019, it can be concluded that the absorption of capitation funds is more considered using the availability variable compared to the uptake of funds based on the rupiah value because the availability of more guarantees the need for treatment in the sustainable health centre. In this case, the perception of procurement actors in the analysis of UHC procurement process obstacles there are 41 obstacles, the role of E-purchasing is a very helpful system even though the implementation has not been perfect.
公共卫生保健中的药物服务是一个重要组成部分,其可得性影响到卫生工作的成功。区/市卫生局是卫生部门的一个地区政府工作单位,其任务和权限之一是为区/市地区提供和管理公共药品。在卫生服务机构中,有效的药品管理对患者的福利至关重要,因此必须识别和控制风险。市卫生局所作的努力之一是,除电子采购外,根据政府采购货物/服务的规定,使用其他合法的方法采购药品,这被称为非电子采购药品。药品供应链中的风险与产品不连续性、产品短缺、性能差、患者安全、费用错误和技术错误有关,所有这些都可能导致系统中断。本研究以泗水市Wonokromo公共卫生中心2015 - 2019年的电子采购数据为样本,旨在确定该计划与实现药品电子采购的适宜性,找出阻碍药品电子采购实施的问题,确定这些障碍对药品采购成本效率的影响,并确定电子采购的潜在节约成本。研究失败模式效应(FMEA)在2015-2019年期间在泗水Wonokromo卫生中心采购药品和UHC卫生用品,可以得出结论,与基于卢比价值的资金吸收相比,使用可得性变量更多地考虑了资本的吸收,因为可得性更多地保证了可持续卫生中心的治疗需求。在这种情况下,采购行为者的感知在UHC采购过程中存在41个障碍,电子采购的作用是一个非常有益的系统,尽管实施并不完善。
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引用次数: 1
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Medical Technology and Public Health Journal
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