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Implementasi Kebijakan Kendali Mutu dan Kendali Biaya Dalam Era Jaminan Kesehatan shelvy haria roza; Kamal Kasra; Annisa Rahmayona
VISIKES: Jurnal Kesehatan Masyarakat Vol 20, No 2 (2022): VISIKES (SUPLEMEN)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v20i2Supp.5494

Abstract

The coverage of the National Health Insurance (JKN) participation continues to increase but participant satisfaction with health services decreases. Quality control and cost control policies are efforts to improve the quality and satisfaction of JKN participants. This study aims to analyze the implementation of Quality Control and Cost Control (KMKB) policies in Padang City  This research was conducted at BPJS Health Offices, Hospitals and Health Centers in Padang City in 2019. This study used quantitative and qualitative methods. Quantitative data in the form of secondary data from participant satisfaction index reports and health facilities were analyzed with descriptive statistics. Qualitative research is carried out with a systems approach, namely the components of input, process, and output. . Collecting qualitative data with in-depth interviews and document review. Research informants were determined by purposive sampling with a total of 9 informants. Qualitative data analysis by triangulation of sources and methods. The results showed that the satisfaction index of participants and health service providers in 2016-2019 had increased. although it has not yet reached the target according to the JKN target map. The average satisfaction of JKN-KIS participants reached 80.1% and the satisfaction rate of JKN-KIS providers was 79.15%. Quality and cost control has been implemented at the advanced referral health facility (FKRTL) level in Padang City. The input components found that not all hospitals have a KMKB team but have carried out and carried out quality and cost control activities. The output component has been executed but the work achievement cannot be known because it cannot be measured. Quality and cost control efforts have been carried out and implemented, although not all Padang City FKRTLs have formed TKMKB. There is an increase in participant and provider satisfaction after the KMKB policy is implemented.  
Capaian Sasaran Keadilan Sosial dalam Layanan Jantung Bagi Peserta Jaminan Kesehatan Nasional di Kota Padang Shelvy Haria Roza
Jurnal Kebijakan Kesehatan Indonesia Vol 9, No 4 (2020)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.60656

Abstract

Sumatera Barat termasuk salah satu provinsi dengan angka penyakit jantung yang tinggi. Paket manfaat Jaminan Kesehatan Nasional (JKN) yang luas membuat ketimpangan pelayanan penyakit jantung. Tujuan Penelitian ini adalah mengevaluasi capaian ketersediaan dan pemerataan layanan kesehatan jantung  yang berkeadilan di kota Padang.  Jenis Penelitian merupakan studi kasus pada layanan jantung yang dilakukan di kota Padang. Metode penelitian dengan mix methode. Data kuantitatif menggunakan data sekunder yang bersumber dari BPJS Kesehatan. Data kualitatif diperoleh dari hasil indept interview terhadap delapan informan yang dipilih secara purposive sampling. Analisa data dilakukan dengan triangulasi sumber. Hasil penelitian didapatkan bahwa adanya ketersediaan katerisasi jantung di tiga rumah sakit di Kota Padang, namun, hanya satu rumah sakit yang melayani peserta JKN, ketersediaan dokter Spesialis Jantung sudah memadai, kunjungan jantung dan total dana klaim jantung tertinggi pada kelompok PBPU dengan angka kunjungan (30,77%) dan total klaim (31,21%) menunjukkan bahwa pemerataan pelayanan jantung belum merata dinikmati oleh segmen peserta PBI.  Paket manfaat JKN khususnya pelayanan jantung dapat mudah diakses oleh peserta JKN karena fasilitas kesehatan dan SDM kesehatan tersedia merata di kota Padang. Peserta JKN mendapatkan pelayanan yang adil kepada semua segmen peserta JKN. Namun, pemerataan pelayanan jantung belum merata dinikmati oleh semua segmen peserta JKN.   
UPAYA PENINGKATAN KAPASITAS KESIAPSIAGAAN BENCANA GEMPA BUMI DAN TSUNAMI PADA KOMUNITAS SEKOLAH DI SMP NEGERI 13 PADANG Shelvy Haria Roza; Melisa Yenti; Arinil Haq; Anggela Pradiva Putri
BULETIN ILMIAH NAGARI MEMBANGUN Vol 3 No 1 (2020)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v3i1.209

Abstract

Children are one of the most vulnerable groups at risk of being affected by disasters. The frequent occurrence of repeated earthquakes in the city of Padang has caused panic among students during lessons. This is because students are still weak in disaster preparedness. Efforts that can be made include improving earthquake and tsunami disaster preparedness in the school community through disaster preparedness education and training. SMP Negeri 13 Padang is one of the schools located in the earthquake and red tsunami zone, which already has a community of disaster smart students. However, they have never received disaster preparedness education and training. This activity aims to increase the capacity for earthquake and tsunami disaster preparedness in the school community. The method used is planning with program socialization; implementing activities to provide disaster preparedness education and emergency training through lectures, demonstrations, and simulations; providing disaster preparedness pocketbooks to the school environment; and evaluating by pretest and post-test of activity results. The activity results are the average increase in student knowledge, namely in the disaster-smart student community from 13.28 to 13.89, an increase in earthquake and tsunami disaster preparedness skills in the disaster-smart student community at SMP Negeri 13 Padang, and the availability of an alert pocketbook. Disaster. It is hoped that schools can provide and develop disaster preparedness education on an ongoing basis by including it in the school education curriculum.
UPAYA PENCEGAHAN COVID-19 PADA LANSIA DI KELURAHAN ANDALAS KOTA PADANG Ayulia Fardila Sari ZA; Shelvy Haria Roza; Ulfah Adesty Ayuningtias
BULETIN ILMIAH NAGARI MEMBANGUN Vol 3 No 3 (2020)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v3i3.222

Abstract

The Corona Virus Disease 2019 (Covid-19) spread so fast to the various countries and cause death. One of the susceptible groups that can be infected by this virus is the elderly. There were 190,000 cases (95%) in the elderly of the 60th and over until April 30, 2020. The mortality rate of COVID-19 cases in the Indonesian elderly got the second-highest number (34.2%) of 302 people. The positive confirmations of COVID-19 in West Sumatra have reached 148 people, with 18.18% from the elderly group. Padang City is the city with the highest number of positive confirmations in West Sumatra, which there were 99 people got infected. Andalas Urban Village in the East Padang Sub-district has the highest elderly population in the Padang city; its total is 8,250 people. The efforts to maintain the elderly's health were through the elderly Integrated Healthcare Center at the neighborhood and hamlet levels. The purpose of community service was to increase the knowledge and awareness of the elderly and the accompanying family in maintaining health, especially in the preventing of Covid-19. This method is to educate the elderly cadres and health promotion to the elderly. The activity result is implementing Covid-19 preventive education to the three elderly cadres in Andalas Urban Village, Padang City. This activity also encourages the implementation of delivery package to the elderly's houses. The package contains honey, snacks, liquid soap, masks, and a brochure on Covid-19 prevention to the elderly.
MENYONTEK DAN PERILAKU KORUPSI SERTA IMPLIKASI TERHADAP PENDIDIKAN Inge Angelia; Sri Handayani; Shelvy Haria Roza
JURNAL PENDIDIKAN ROKANIA Vol 4 No 1 (2019): Jurnal Pendidikan Rokania
Publisher : STKIP ROKANIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (133.131 KB)

Abstract

Corruption is a very urgent change in Indonesia at thistime. Corruption behavior in a person is formed by avariety of factors, one of which is fraudulent behaviorcarried out by someone at the time of education that ischeating. This article aims to discuss how to cheat asone of the factors forming corruption behavior. Theomission of cheating behavior in school is one form ofplanting corruption behavior on students. The role ofeducators here must be able to minimize cheatingbehavior so that schools do not only print graduateswho will become corruptors.
PEMBENTUKAN KADER KESEHATAN REPRODUKSI DI SMA NEGERI 9 PADANG shelvy haria roza; Melisa Yenti
Jurnal Abdimas Saintika Vol 2, No 2 (2020): November Jurnal Abdimas Saintika
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jas.v2i2.818

Abstract

Adanya program pemerintah melalui Pelayanan Kesehatan Peduli Remaja yang dilaksanakan di sekolah dapat mendukung meningkatkan pengetahuan pada remaja mengenai kesehatan reproduksi. SMA Negeri 9 Padang adalah salah satu SMA yang belum terbentuknya kader kesehatan reproduksi remaja. Tujuan kegiatan pengabdian ini adalah 1) meningkatkan pengetahuan kesehatan reproduksi remaja, 2) membentuk kader kesehatan reproduksi remaja. Sasaran pogram ini adalah siswa/i SMA N 9 Padang yang berjumlah 10 orang . Kegiatan pengabdian ini  dilaksanakan dari bulan Maret sampai Oktober 2020. Kegiatan yang dilakukan yaitu memberikan edukasi kesehatan reproduksi remaja dengan menggunakan media leaflet dan ceramah serta brainstorming melalui telekomunikasi yang dilakukan secara daring. Hasil kegiatan adalah terjadi peningkatan pengetahuan siswa tentang kesehatan reproduksi dimana rata-rata peningkatan sebanyak 0,71 point, siswa siap menjadi kader kesehatan reproduksi untuk  membina teman-temannya dalam pelayanan kesehatan reproduksi remaja. Kata kunci : Kader, Kesehatan Reproduksi, Remaja
ANALISIS IMPLEMENTASI KEBIJAKAN BLUD TERHADAP MUTU DAN KINERJA PELAYANAN RUMAH SAKIT shelvy haria roza
Jurnal Kesehatan Medika Saintika Vol 8, No 2 (2017): Desember 2017
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/882220172017%p1

Abstract

Tingkat kepuasan masyarakat terhadap pelayanan rumah sakit pemerintah masih cukup rendah yaitu hampir lebih dari 50% mengeluhkan pelayanan yang didapatnya.Adanya tuntutan akan kualitas pelayanan  rumah sakit, pemerintah memberlakukan  Kebijakan Badan Layanan Umum Daerah (BLUD) di rumah sakit. Penelitian ini bertujuan menganalisis implementasi kebijakan BLUD terhadap mutu dan kinerja pelayanan rumah sakit.  Penelitian ini merupakan penelitian deskriptif dengan pendekatan kuantitatif dan kualitatif. Tempat dan waktu penelitiandilakukan di RSUD dr Rasidin Kota Padang. Populasi adalah semua pasien di di RSUD Padang, dengan sample sebanyak 60 orang dengan accidental sampling. Informan kunci dipilih secara purposive sampling sebanyak lima orang yang memahami tentang BLUD.  Pengumpulan data melalui indept interview, telaah dokumen, dan observation. Data kuantitatif dianalisis secara deskriptif dan data kualitatif dianalisis dengan analisis tematik.Hasil penelitian didapatkan bahwa Implementasi kebijakan BLUD dari standar kebijakan telah dijalankan dengan baik, memiliki sumberdaya  yang cukup dan memadai. Disposisi para pelaksana positif dalam mendukung kebijakan ini terhadap kegiatan pelayanan. Komunikasi informasi BLUD belum tersebar merata di semua pegawai, hanya berkisar pada pegawai yang langsung menangani Badan Layanan Umum tersebut.Adanya struktur birokrasi yang jelas. Implementasi Kebijakan BLUD  telah memberikan peningkatan kinerja pelayanan di RSUD dr Rasidin Padang, namun dari mutu pelayanan masih kurang baik. Implementasi kebijakan BLUD telah berjalan dengan baik dari segi standar kebijakan, disposisi, sumberdaya, komunikasi, struktur birokrasi. Implementasi kebijakan BLUD mempunyai pengaruh terhadap kinerja pelayanan rumah sakit, tetapi kurang memiliki pengaruh terhadap mutu  pelayanan.Kata kunci: Implementasi Kebijakan,  BLUD, Rumah SakitABSTRACTLevel of community satisfaction with the services the government hospital is still quite low, almost more than 50% complain about the service their gets.The demands to the quality of services, the government imposed policy  about Regional Public Service Agency in the hospital. This study aims to analyze of regional public service agency policy implementation for service and quality performance hospital.  This research is a descriptive research with quantitative and qualitative approaches. The place and time of the study in dr Rasidin Padang Hospital. The population are all patients in hospital and sample are 60 people with accidental sampling. The key informants selected by purposive sampling as many as five people. Collecting data through indepth interviews, review of documents, and observation. Quantitative data were analyzed by descriptive and qualitative data were analyzed using thematic analysis. The results indicated that the implementation of public service agency policies at dr Rasidin Hospital standards and policies  have been run well, sufficient and adequate resources in terms of personnels, funds, facilities. The disposition of the employee support the implementation of policy for service. The communication of information has not been spead evenly  all employees. Clear bureaucratic structure in running the policy. Implementation of Publice Service Agency Policy has been increased  service performance, but on the quality of service is still not good. Implementation of public service agency policieshas worked well in terms of the standard policy, disposition, resources, communications, bureaucratic structure. Implementation of public service agency policieshas an influence on the service performance, but less has an influence on the quality  service.Keywords: Implementation Policy, Regional Public Service Agency, Hospital
ANALISIS PENYELENGGARAAN SISTEM PEMELIHARAAN PERALATAN RADIOLOGI DI RSUP DR. M. DJAMIL Shelvy Haria Roza
Jurnal Kesehatan Medika Saintika Vol 7, No 2 (2016): Desember 2016
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/78222016201785-941

Abstract

ABSTRAK Pelayanan Kesehatan yang berkesinambungan perlu didukung dengan peralatan yang selalu dalam kondisi siap pakai serta dapat difungsikan dengan baik. Hal ini menuntut manajemen rumah sakit untuk dapat mengelola dan memelihara peralatan medis seefektif dan seefisien mungkin. Penelitian ini bertujuan untuk mengetahui penyelenggaraan sistem pemeliharaan peralatan radiologi di RSUP Dr. M. Djamil Padang.  Penelitian ini bersifat analisis deskriptif dengan metode kualitatif. Instrumen yang digunakan yaitu dengan cara melakukan wawancara mendalan (indepth interview), observasi, dan telaah dokumen. Hasil penelitian ini, menunjukkan bahwa dalam pelaksanaannya, sistem pemeliharaan tidak dapat dijalankan semestinya, disebabkan oleh terbatasnya tenaga teknisi, kurangnya pelatihan, biaya pemeliharaan masih kurang, SOP pemeliharaan kurang sesuai dengan prosedur. Perencanaan, pengorganisasian, pengawasan yang kurang terlaksana dengan baik sehingga sistem pemeliharaan pencegahan dan pemeliharaan korektif tidak dapat berjalan dengan baik. Salah satu upaya meningkatkan sistem pemeliharaan agar berjalan dengan optimal yaitu perlu melakukan pelatihan, meningkatkan alokasi dana pemeliharaan, perlu melengkapi fasilitas pemeliharaan korektif kerja yang memadai, melaksanakan pemeliharaan preventif secara rutin, dukungan manajemen dalam program pemeliharaan preventif dan perlu melengkapi dokumen pemeliharaan.Kata Kunci  : Sistem Pemeliharaan, Radiologi, Rumah Sakit ABSTRACT Sustainable Health Services need to be supported with equipment that is always in a condition ready for use and able to function properly. This requires that the hospital management to be able to manage and maintain medical equipment effectively and efficiently. This study aims to determine the implementation of radiology equipment maintenance system in RSUP Dr. M. Djamil Padang. This research is with qualitative methods. The instrument used is by conducting indepth interviews, observation, and document review. The results of this study show that in the implementation, system maintenance can not be executed properly, due to the lack of qualified personnel, insufficient training, maintenance cost is less, less maintenance SOPs in accordance with the procedure. Planning, organizasing, and maintenance  that preventative maintenance system and corrective maintenance can not walk at all, while that can be carried out only based maintenance system malfunction. One effort to improve the maintenance system that is optimized to run with the need to conduct training, improve the allocation of funds for maintenance, corrective maintenance facilities will need to complete an adequate job, perform routine preventive maintenance, management support in the program need to complete preventive maintenance and maintenance documents.Key words       : Maintenance Systems, Radiology Equipment, Hospital
KAJIAN KUALITAS AIR LIMBAH PENAMBANGAN EMAS SEBAGAI AKIBAT PENAMBANGAN EMAS TANPA IZIN (PETI) Gusliani Eka Putri; Wiya Elsa Fitri; Eliza Arman; Shelvy Haria Roza
Jurnal Kesehatan Medika Saintika Vol 7, No 1 (2016): Juni 2016
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/781220162017%p1

Abstract

Aktivitas penambangan emas tanpa izin (PETI) dapat merusak lingkungan karena proses penambangan skala kecil mengeluarkan limbah merkuri dengan kadar yang tinggi ke perairan sebab para penambang menggunakan metoda amalgamasi dalam proses pendulanagan emas. Penggunaan amalgamator raksa dalam proses pendulangan emas mengahsilkan limbah merkuri yang tinggi akan tetapi perolehan emas sedikit. Hal ini tentu akan berakibat buruk pada lingkungan dan masyarakat. Jenis penelitian ini merupakan penelitian observasional, dengan desain penelitian menggunakan cross sectional. Sampel penelitian di dapatkan di kawasan penambangan emas di Desa Talakiak, Kecamatan Sangir, Kabupaten Solok Selatan. Dalam penelitian dianalisa kualitas alir limbah dengan parameter kekeruhan, zat padat terlarut, zat tersuspensi, Biological Oxygen Demand (BOD), Chemical Oxygen Demand (COD), DO (Dissolved Oxygen) dan kadar Merkuri (Hg). Hasil parameter tersebut menunjukkan kekeruhan, zat padat terlarut, zat tersuspensi, BOD, COD, DO yang tinggi pada semua titik sampel. Hasil tersebut menunjukan bahwa kualitas air lembah penambangan sudah tercemar. Hasil tersebut diperkuat dengan uji kandungan merkuri tiap sampel juga diatas ambang batas toleransi kadar merkuri dalam air yaitu 0,001 mg/L.Kata Kunci : Kadar Merkuri (Hg), penambangan emas, parameter kimia
EDUKASI KESEHATAN DAN PROMOSI KEGIATAN LEMBAGA TAHFIDZ BAITUL QUR’AN DALAM UPAYA PENCEGAHAN PENYALAHGUNAAN NARKOBA DI KELURAHAN SURAU GADANG KOTA PADANG Syafrawati syafrawati; Shelvy Haria Roza; Nia Oktavina; Sindi Maulani
BULETIN ILMIAH NAGARI MEMBANGUN Vol 4 No 4 (2021)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v4i4.337

Abstract

Nanggalo is vulnerable to social problems such as juvenile delinquency. Juvenile delinquency cases such as drug abuse, theft often occur around Surau Gadang Village, Nanggalo. One of the factors that cause delinquency is the lack of moral education. One of the qualified moral education is the religious approach. One of the religious institutions is the house of tahfiz Al-Qur'an. Based on the results of interviews with local RT officials, it was found that there had never been counseling about drugs in the area. In addition, there is a tahfidz institution as a means of preventing drug abuse, but the number of students is still minimal due to lack of promotion. The purpose of this community service is to increase the knowledge of teenagers about drugs and increase the promotion of the tahfidz house. Community service uses health promotion methods by distributing anti-drug flyers, education about drug prevention to teenagers and promoting the Baitul Qu'ran tahfidz house. The activity was carried out at the Raya Nanggalo Mosque and Al-Qadar Mosque. The results of this community service show that there is an increase in adolescent knowledge before and after being given counseling about drugs. Around 49 teenagers in Surau Gadang Village have been exposed to information about the existence of the Baitul Qur'an tahfidz house. It is hoped that in the future the promotion of the Tahfidz house can be carried out more broadly, such as using social media.