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All Journal Jurnal Kesmas dan Gizi (JKG) Jurnal Pengmas Kestra (JPK) Jurnal Ekonomi Kesehatan Indonesia
Ambarita, Anna Tirawani
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Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health

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ANALISIS CASE MIX INDEX PELAYANAN RAWAT INAP RUMAH SAKIT YANG BEKERJA SAMA DENGAN BPJS KESEHATAN TAHUN 2019-2020 Ambarita, Anna Tirawani; Nurwahyuni, Atik
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

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Abstract

BPJS Health experienced various challenges in achieving Universal Health Coverage / Jaminan Kesehatan Nasional (JKN), including a referral system. According to the 2018 National Health Account, curative spending costs reached 69.1%. The Case Mix Index (CMI) is a benchmark for hospital performance abroad, but Indonesian hospitals have not used it. In 2019, BPJS Health tested CMI in 30 hospitals. The research uses sample data from 2019-2020 based on province, hospital type and ownership. The methods used are anova test, independent T, linear regression and multiple linear regression. The research results show a decrease in cases in 2019-2020. The highest CMI was in region 1, hospital A, and the private sector. The beta coefficient value for the proportion of male gender, elderly age, PBI APBD participants, and class 1 is greater than for CMI. CMI inpatients in 2019 is related to region, type of hospital, hospital ownership, proportion of children, proportion of productive, proportion of elderly, proportion of BP, proportion of PBI APBN, proportion of PBI APBD, proportion of PBPU, and proportion of class 1. CMI of inpatients in 2020 related to region, type of hospital, hospital ownership, proportion of men, proportion of women, proportion of children, proportion of productive, proportion of elderly, proportion of BP, proportion of PBI APBN, proportion of class 1, and proportion of class 3. It is hoped that the government will accelerate the distribution of services health and BPJS Health monitor hospital CMI.
Factors for Improving Patient Health Facility Services at the Karang Anyer Health Center Beringin District Deli Serdang Regency Ambarita, Anna Tirawani; Nainggolan, Fikriyah Arfina
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v7i2.2736

Abstract

Health is a basic need of every individual which is an important part in improving the quality of human life. The quality of health facility services is one of the main indicators in assessing the success of a country's health care system. Good services not only contribute to improving the health status of the community, but also reflect the effectiveness of the management system and health policy as a whole. Good service quality will have a direct impact on increasing public trust and the effectiveness of patient handling. This study used a quantitative approach with descriptive analytic research. The number of samples determined based on the Slovin formula with a margin of error of 5% amounted to 100 respondents. Based on the results obtained, the variables of officer attitude, availability of medical personnel, and infrastructure have a significant influence on improving service quality (p < 0.05). The variable waiting time has an influence, but is not statistically significant (p> 0.05). Thus, improving service quality at the Karang Anyer Health Center can focus on developing the attitude and competence of officers, equitable distribution of medical personnel, and providing more patient-friendly service facilities.
Intervention of Balanced Nutrition Education for Adolescents to Prevent Obesity and Degenerative Diseases at SMP Swasta 102114244 Nusantara Lubuk Pakam Aisyah, Siti; Batubara, Winda Rizki Pebrina; Manurung, Jelita; Ambarita, Anna Tirawani; Nainggolan, Fikriyah Arfina
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/46cazv59

Abstract

Background: Changes in lifestyle and consumption patterns of Indonesian adolescents in recent years have shown an increasing trend towards a diet high in calories, fat, sugar, and salt and low in fiber. This condition has led to an increase in the rate of adolescent obesity, which is a major risk factor for degenerative diseases in adulthood. Based on the 2023 Riskesdas, the prevalence of adolescent obesity in Indonesia reached 18.7%, up from 13.5% in 2018. One of the effective promotive-preventive efforts is through balanced nutrition education in the school environment. Objective: This activity aims to improve the knowledge, attitudes, and behavior of adolescents about the principles of balanced nutrition and encourage the implementation of healthy eating patterns to prevent obesity and degenerative diseases. Methods: The activity was carried out through the stages of preparing educational materials, implementing interactive education, demonstrating the contents of my plate, and evaluating using pre-test and post-test. Results: The balanced nutrition education activity held at SMP Swasta 102114244 Nusantara Lubuk Pakam successfully attracted the attention and interest of all students. The participants' enthusiasm was evident from the start of the activity, from the presentation of the material, the question and answer session, to the simulation of preparing a balanced nutrition menu based on the “Isi Piringku” guidelines. This is shown by the results of an increase in knowledge of 41.12% with a p value of <0.001. Conclusion: Balanced nutrition education is proven to be effective in increasing knowledge and forming healthy eating habits in adolescents. This program should be implemented sustainably in schools to prevent obesity and degenerative diseases
Co-Authors Batubara, Winda Rizki Pebrina Manurung, Jelita Nainggolan, Fikriyah Arfina Nurwahyuni, Atik Siti Aisyah