Suchergebnisse

Hospital has a strategic role in providing quality services in accordance with the standards established and can reach all layers of society. Medicines management in hospitals need to have a good management. Purpose of this research to describe the planning of medicines, medicines acceptance, storage, procurement and distribution of medicines and know and understand the factors supporting and restricting and countermeasure strategy stock out of the medicines conducted by the management of the Kwaingga Hospital Regency of Keerom in 2016. Research methodology was qualitative descriptive study with the kind of approach to the case studies. Population and sample examined was the officer on duty in hospital health Kwaingga as many as 9 people. Data collection is done by observation, in-depth interviews and documentation. Data analysis technique used is descriptive qualitative. Research results obtained that the medicines planning in Kwaingga Hospital is done based on the amount of the budget is provided by the regional Government of the Regency of Keerom and funds dropping from Papua Province, and the selection of the remedy is done based on national formularium (FORNAS). Procurement of medicines in Kwaingga Hospital done by a third party so that it takes a relatively long time. Acceptance of medication in Kwaingga Hospital running slow. this is because the process of procurement of medicines carried out by third parties.Storage of medicines stored in the warehouse of medicines with the State of the storage areas are qualified by BPOM. Medicines distribution is done by installation of pharmaceuticals for room each performed four times each month with the format LPLPO by request of each room.

General hospital of Paniai regency health service institution under Local Government Paniai Regency with amount of nurse resource counted 69 one who have duty to remain to can improve more certifiable service and reached by society, so to be form degree of health which at the farthest, so that nurse performance of vital importance in giving of health service. The goal of research: To knowing of factors affecting performance of nurse at Paniai general hospital. Method: Type research is causal associative by using quantitative approach. Sample is all of nurse as much 69 nurse with date implemented in October 2016. Data obtained used questioner and analyzed by chi square test. Result of research is obtained that factor

This study aims to determine: (1) To determine the level of knowledge and engagement of staffs Abepura hospital pharmacy in the selection process of pharmaceuticals in Abepura IFRS. (2) To determine the level of knowledge and staffs engagement in installation Abepura hospital pharmacy in the planning process of pharmaceuticals in Abepura IFRS. (3) To know level of knowledge and engagement of staffs Abepura hospital pharmacy in the process of procurement of pharmaceuticals in Abepura IFRS. (4) To determine the level of knowledge and staffs engagement Abepura hospital pharmacy distribution process of pharmaceuticals in Abepura IFRS. (5) To determine the level of knowledge and employee involvement Installation Abepura hospital pharmacy in the evaluation process which includes recording and reporting in IFRS Abepura. (6) To know the strengths and weaknesses based on SWOT analysis in Abepura hospital pharmacy installation. (7) To determine the opportunities and threats based on SWOT analysis in Abepura hospital pharmacy installation. This study was conducted installed Abepura Hospital Pharmacy. Data taken with data collection by filling the questionnaire chief clerk pharmaceutical Installation Abepura Hospital, with the data needed for research and observation techniques done by observation and recording with a direct review of the factors internal and external to the Abepura hospital pharmacy installation. Analysis of the data used is descriptive qualitative analysis. The results showed that the pharmaceutical supply management process involves less labor Pharmacy Installation and knowledge of management of the drug in Abepura IFRS employee is still lacking and SWOT analysis states that the Abepura hospital pharmacy installation has been able to compete in the market competitive rivalry. Based on the SWOT analysis, Abepura Hospital Pharmacy Installation can take advantage of existing strengths and opportunities and minimize weaknesses and threats. Strategies that can be done consists of: (1) Strategy SO (Strength Opportunities) include market share, strengthen cooperation with institutions of health providers and governments. (2) Strategy WO (Weakness Opportunities) that increase customer loyalty and improve product quality and improve service procedures. (3) Strategy ST (Strength Treats) consists of cooperating with other hospitals, define your target market, and improve quality of service. (4) Strategy WT (Weakness Treats) is increasing promotion through various media and establish quality of service to users or BPJS Jamkemas program.

Acceptance and use of capitation funds JKN by capitation fund manager at the health center every month must be reported to the Chief Medical Officer for tiered supervised by government auditors. The problems that occurred in Department of Health Merauke accountability reports were late and incomplete from JKN capitation fund manager at the health center. This study aimed to assess the factors that affect the performance of the fund manager in Puskesmas capitation JKN environment Merauke District Health Office. This observational cross-sectional study design, sample is the total population of the capitation fund manager JKN in 21 health centers were 63 people, namely the Head, Treasurer and Administrative Health Center. The data were obtained using a questionnaire and analyzed using chi square. Results indicated that there was no effect of motivation (p-value 0.094), incentives (p-value 1.000), supervision (p-value 0.772) on the performance of the capitation fund manager at the health center in the working environment Merauke District Health Office. No effect of workload (p-value 0.000), infrastructure (p-value 0.005), skills and abilities (p-value 0.001) on the performance of the capitation fund manager at the health center in the neighborhood of Merauke District Health Office. In conclusion, workload, facilities and infrastructure, as well as the ability and skill of the fund manager capitation JKN dominant influence on the lack of performance JKN Capitation Fund Manager at the health center in the working environment DHO Merauke. Motivation JKN manager has a chance to lack of performance capitation fund manager at the health center in Merauke health office working environment.

Improved access for the public in order to ensure that the efforts of personal health services that provide inpatient, outpatient, emergency, and other supporting services. To get health insurance better and thorough, the government issued a health insurance, so that it can be felt by all walks of life and can improve patient satisfaction. Hospitals type D Primaries only provide care services Grade 3 (three) to increase access for the public in order to guarantee health care efforts and a proper assessment of satisfaction in Primary Hospital District Hospital Supiori which is just eight years old. Objective of this research was to analyze knowledgeable Patient Satisfaction Analysis Of Service Quality of the National Health Insurance Program in Primary Hospital District Supiori. Methods: The study was cross sectional descriptive analytic study. The study was conducted in September 28 to the October 28, 2016 at the Pratama Hospital Supiori District. Population of the patient as many as 210 people. The data were obtained using a questionnaire and analyzed using chi square test and binary logistic regression. Result indicated that patient satisfaction at room Outpatient Pratama Hospital in Supiori Disticti based on physical evidence (tangible) is not satisfied (50%) and satisfied (50%), based on the reliability (reliability) is not satisfied (48.6%) and satisfied (51, 4%), based on the responsiveness (responsiveness) is not satisfied (55.7%) and satisfied (44.3%), based on the guarantee (assurance) is not satisfied (59.5%) and satisfied (40.5%) and by concern (empathy) are not satisfied (47.6%) and satisfied (52.4%). There is a relationship between satisfaction of outpatients is based on the dimensions of physical evidence (tangible) (p-value 0.000), the dimensions of reliability (tangible) (p-value 0.005), dimensions of responsiveness (responsiveness) (p-value 0.005), the dimensions of the guarantee (assurance) (p-value 0.000) and the dimensions of concern (empathy) (p-value 0.001) against the national health care insurance program of the Outpatient in Pratama Hospital Supiori District.

System Measurement of performance can be made as a means of organizational operation. Balanced Scorecard represent a development from way of measurement of organizational efficacy in company by integrating some measurement technique or assessment of performance separated. Jayapura general hospital during the time need measurement of performance with balanced scorecardmethod, where measurement of performance is which during the time used by that is measurement from monetary performance aspect and performance size measure which pursuant to standard specified by government cannot depict hospital performance as a whole. Target of research: To knowing performance of jayapura general hospital used balanced scorecard on year 2015 and 2016. The method used in this research is case study that is by analysing company data is later;then measured by performance pursuant to four in perspective that is patient, finance, internal business and growth and study. Population is Jayapura officer as much 87 people and 100 patient people as sample. Data approach used questuionaire analysed by univariat. Performance pursuant to is in perspective of patient in Jayapura General Hospital about retention assessed by goodness, good ability in patient mengakuisisi, while satisfaction of patient still not yet is optimal. in perspective Performance of finance measured with growth of earnings of net profit margin conducted good of Jayapura General Hospitalso happened good effectiveness and efficiency. This matter can be seen by the existence of the make-up of earnings per annum. in perspective Performance of unfavourable assessed internal business process, because hospital not yet optimal improve sale of its service. Besides mortality which is high enough [at] taken care of patient < 48 hour. Performance Jayapura General Hospital pursuant to is in perspective of study and growth, where secretory officer retention experience of improvement, this matter of not satisfaction of officer besides, still its minim of training at sepecialist. Productivity of good Officerin improving and performance satisfaction of officer which need to be improved.

Job satisfaction is thing that momentously been noticed. Leadership, motivation, organisai's compensation and culture can regard clerk that perceives to please works to have present zoom and sometimes have the better than clerk achievement dissatisfies to work. This research aimed to analyze leadership influence, motivation, and compensation to Civil Public Servant job satisfaction at environmentally on duty Jayapura's City health .

Immunization is a government effort to prevent preventable diseases and the achievement of immunization has not been on target still found infants who are not complete immunization. The research objectives were to study the factors related to the completeness of immunization at the Puskesmas Kepi Mappi District. This study is designed as observational with cross sectional study, the population is all mothers with children aged ? 1 - 2 years, registered in Keport Kemi Community Health Center as many as 275 babies with a total sample of 170 people. Data were obtained using questionnaire and analyzed using chi square. There are relation of mother age (p-value 0,010), mother education (p-value 0,037), mother's knowledge (p-value = 0,000) and support of health worker (p-value 0,003) to basic immunization completeness at infant at Puskesmas Kepi ??Kabupaten Mappi. While unrelated variables are mother job (p-value 0,931), number of mother (p-value 0,428), mother attitude (p-value 1,000), mother's family support (p value = 0,135), facility availability (p-value0 , 600), cadre activeness (p-value1,000) and service accessibility (p-value0,780). To the completeness of basic immunization in infants at the Kepi District Health Center Mappi.

Background: Balanced Scorecard represent a development from way of measurement of organizational efficacy in company by integrating some measurement technique or assessment of performance separated. Phsiciatry hospital Abepura during the time have never been conducted by measurement of performance with scorecard balanced method, where measurement of performance is which during the time used, that is measurement from performance aspect which pursuant to standard specified by government cannot depict hospital performance as a whole Target of research: How phsiciatric Hospital Abepura by performance measured by using Balanced Scorecard year 2015-2016. Materials and Method : Type Research is case study that is by analysing company data is laterthen measured by performance pursuant to four in perpective that is is in perpective of patient, in perpective of finance, in perpective of in perpective and internal business process of growth and study. Population is phsiciatry hospital abepura staf as much 58 sampel and 100 patient people. Data approach usedquestioner and analysed by univariat. Result of research : Performance pursuant to is in perpective of patient in Phsiciatry hospital Abepura about patient retention assessed less with degradation 36,81%, owning good kemampuna in patient mengakuisisi with improvement 36,80%, while satisfaction of patient still not yet optimal with score enough satisfy/ good enoughly.In perpective performance of finance measured with growth of earnings NPM good with improvement 4,69% which is conducted Phsiciatry hospital Abepuraso happened efficiency 2.599,991%and good effectiveness although happened degradation 9,58%. in perpective Performance of internal business process, category BOR to be assessed according to standard (60-85%) but happened degradation, ALOS in good category according to standard [among/between] < 6 week. Performance Phsiciatry hospital Abepura pursuant to is in perpective of study and growth, where secretory officer retention experience of improvement 19,33% with unfavourable value, training [of] good officer happened improvement 29,31%. good Officer productivity happened profit improvement operate for Rp.13.570.401. satisfaction of officer in good enough category.

Background: Malaria is still an endemic disease and one of Papua's health problems. Indonesia is the seventh largest in the world with 200,378 cases. In the province of Papua, the district of Yalimo is the third-highest with 18,821 cases. The Government is working to detect and prevent malaria in Papua Province by launching a program called "Malaria Elimination in Papua Province by 2030." Research Objectives: Identify the risk factors associated with malaria incidence at the Elelim Public Health Center in Yalimo District, Papua Province. Research method: The research method used in this study was an observational analysis with a case-control study approach. A sample of 90 patients consisted of 30 patients diagnosed with malaria as positive cases and 60 patients diagnosed with malaria as negative controls. This research was performed in July 2019. The statistical methods used in this analysis were univariate, bivariate and multivariate analyses. Data gathered through questionnaires and interviews. Results: The bivariate analysis showed a number of risk factors associated with the incidence of malaria in the Elelim Public Health Center in Yalimo District, Papua Province: the use of wire mesh (p = 0.013; RP = 3.237; 95% CI = 1.302-8.047), the type of house wall (p = 0.003; RP = 4.316; 95% CI = 1.696-10.981), the puddle near the house (p = 0.004; RP = 4.333; 95% CI = 1.686-11.138), the distance between house and breading place (p = 0.001; RP = 5.675; 95% CI = 2.097-15.362), the distance between house and large cattle pens (p = 0.042; RP = 2.615; 95% CI = 1.048-6.529), and the use of insecticide net (p = 0.008; RP = 6.000; 95% CI = 1.668-21.583); while age (p = 0.695; RP = 0.740; 95% CI = 0.289-1.897), sex (p = 0.412; RP = 0.474; 95% CI = 0.193-1.165), occupation (p = 0.157; RP = 0.474; 95% CI = 0.193-1.165), education (p = 0.701; RP = 0.750; 95% CI = 0.299-1.878), family income (p = 0.262; RP = 0.546; 95% CI = 0.255-1.325), the use of anti-mosquito repellent (p = 0.705; RP = 1.321; 95% CI = 0.536-3.253), and nighttime habits (p = 0.392; RP = 1.650; 95% CI = 0.668-4.075) were not associated with malaria incidence in the Elelim Public Health Center in Yalimo District, Papua Province.