COVID-19大流行期间影响医疗服务提供的因素:以印度尼西亚Cicalengka为例

E. Nurhayati, Dika Ananda Elyani, Y. Fadillah
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摘要

自2020年颁布限制以来,Puskesmas Cicalengka面临着许多医疗保健服务问题,导致未能实现医疗保健计划的目标。重要的是要确定导致医疗保健问题的因素,以制定未来几年的计划。可以使用由输入、流程、输出和环境组成的逻辑模型框架来完成标识。本研究旨在确定2020年2019冠状病毒病大流行期间在Puskesmas Cicalengka的医疗保健服务产出中发挥作用的投入因素。本研究采用个案研究设计进行定性研究。本研究是通过分析相关文献,观察和访谈工作人员来完成的。数据于2021年3月收集。结果显示,2020年4月,因新冠肺炎疫情,Puskesmas一度关闭。2020年5月,Puskesmas按照卫生部的新规定重新开放并开始提供医疗服务。在2020年2019冠状病毒病大流行期间,影响Puskesmas Cicalengka医疗保健服务的投入因素是人员、资金、材料、方法、时间和信息。机器是唯一不影响医疗保健服务的因素,因为它处于良好状态。进一步的研究必须通过定量研究来完成,以达到一个全面的观点。
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Factors Influenced Healthcare Service Delivery During COVID-19 Pandemic: A Case Study in Cicalengka, Indonesia
Since the enactment of the restriction in 2020, Puskesmas Cicalengka has been faced numerous healthcare delivery problems, which led to the failure of achieving the target of the healthcare program. It is important to identify the factors which caused the healthcare problems to compose a plan for years to come. Identification can be accomplished using a logic model framework consisting of input, process, output, and environment. This study was conducted to identify the input factors that play the roles in healthcare service delivery output in Puskesmas Cicalengka during the COVID-19 pandemic in 2020. This study was conducted as a qualitative study using a case study design. The study was done by analyzing related documents, observing and interviewing staff. Data was collected in March 2021. The result shows that Puskesmas was once closed in April 2020 due to the pandemic. In May 2020, Puskesmas reopened and started to provide healthcare services by following the new regulation from the Ministry of Health. The input factors which affected healthcare delivery in Puskesmas Cicalengka during the pandemic of COVID-19 in 2020 were man, money, material, methods, minutes, and information. Machine was the only factor that did not affect healthcare delivery since it was in good condition. Further research must be completed with quantitative research to reach a comprehensive point of view.
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