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"Penelitian ini bertujuan untuk mengetahui impelementasi Program Pengelolaan Penyakit Kronis (Prolanis) di BPJS Kesehatan Kantor Cabang Jakarta Timur Tahun 2016. Penelitian ini adalah penelitian kualitatif dengan pengumpulan data melalui wawancara, observasi dan telaah dokumen.Penelitian menunjukkan bahwa ada masalah dalam sisi komunikasi, sumber daya, sikap implementor, struktur birokrasi dan implementasi kegiatan Prolanis. Peneliti menyarankan agar dilakukan upaya perbaikan dalam hal sosialisasi, komitmen penyediaan obat, pembuatan SOP pelaksanaan kegiatan Prolanis, anggaran khusus Prolanis dan sebuah aplikasi yang menunjang kegiatan Prolanis.

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The purpose of this research is to determine Implementation of Chronic Disease Management Programe (Prolanis) at BPJS Kesehatan, Branch Office, East Jakarta, 2016. This study used qualitative method, data collection is done through in-depth interviews, observation and documents analysis.

Result of this study found that there are problems in communication, resources, bureaucracy structure, attitude implementor and implementation of activities Prolanis. Researches suggest that do improvements in terms of socialization, the commitments, manufacture of SOP implementation, budgets of all activities prolani and an application programe for prolanis."

"Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pengguna pelayanan Program Pengelolaan Penyakit Kronis Prolanis BPJS Kesehatan yang diselenggarakan oleh Puskesmas dan klinik pratama. Jenis penelitian ini adalah kuantitatif dengan menggunakan desain studi cross sectional. Penelitian ini menggunakan data primer yang diperoleh dengan menyebar kuesioner ke responden. Hasil penelitian menunjukan kepuasan pengguna pelayanan Prolanis terhadap dimensi responsiveness sebesar 73,6 di Puskesmas, sedangkan di klinik pratama 58,3. Kepuasan terhadap dimensi reliability sebesar 76,4 di Puskesmas, sedangkan di klinik pratama 73,3. Kepuasan terhadap dimensi assurance sebesar 76,4 di Puskesmas, sedangkan di klinik pratama 75. Kepuasan terhadap dimensi empathy sebesar 83,3 di Puskesmas, sedangkan di klinik pratama 61,7. Kepuasan terhadap dimensi tangible sebesar 73,6 di Puskesmas, sedangkan di klinik pratama 65. Berdasarkan kelima dimensi didapatkan kepuasan total pada Puskesmas lebih tinggi dibandingkan pada klinik pratama.

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This study aims to determine the user satisfaction level of Chronic Disease Management Program Prolanis BPJS Kesehatan services which organized by Puskesmas and primary clinics. Type of this research is quantitative using cross sectional design. This study used primary data obtained by spreading questionnaires to respondents. The results show that user satisfaction level of Prolanis services for the responsiveness dimension was 73,6 in Puskesmas, while in primary clinics was 58,3. Satisfaction with reliability dimension was 76,4 in Puskesmas, while in primary clinics was 73,3. Satisfaction with assurance dimension was 76,4 in Puskesmas, while in primary clinics was 75. Satisfaction with empathy dimension was 83,3 in Puskesmas, while in primary clinics was 61,7. Satisfaction with tangible dimension was 73,6 in Puskesmas, while in primary clinics was 65. Based on those dimensions, total satisfaction at Puskesmas was higher than in primary clinics."

"Chronic hepatitis C virus : lessons from the past, promise for the future documents the monumental advances that have been made in our understanding of chronic HCV during the past decade. The first section reviews the natural history of chronic HCV, how this virus can affect other organs in addition to the liver, and whether treating chronic HCV alters the natural history of this disease. Section 2 reviews the advances that have been made in the treatment of chronic HCV during the past decade with interferon based therapy. Separate chapters on response guided therapy and how to manage the adverse events associated with these medications provide the physician with the concepts required to more effectively treat chronic HCV now and in the future. As the genetics of virologic response have recently been elucidated, a chapter is devoted to helping the clinician understand how genes that modulate disease processes and their treatment are identified and utilized in clinical care. Section 3 deals with the future of HCV treatment and specific inhibitors of HCV. Specific chapters explain how targets for drugs are identified and how drugs are then developed and tested; how mutations of HCV develop and how anti-viral agents will affect this process; the most up to date data regarding the treatment of chronic HCV with peginterferon, ribavirin and anti-viral agents; and the potential to treat chronic HCV with just oral anti-viral agents and without peginterferon and ribavirin in the future. The final section of this book covers issues related to liver transplantation in patients with chronic HCV. Separate chapters review the natural history of chronic HCV in liver transplant recipients and the impact of utilizing HCV positive donors. The volume concludes with chapters that cover the treatment of chronic HCV both prior to and after liver transplantation with potent anti-viral agents. Chronic hepatitis C virus : lessons from the past, promise for the future is a valuable resource for all physicians caring for patients with chronic HCV."

"Penelitian ini bertujuan untuk mengetahui apakah self-compassion memediasi hubungan antara perceived social support dengan gejala depresi. Menimbang hasil penelitian bahwa gangguan psikologis terutama depresi paling rentan dialami oleh individu usia 18 hingga 25 tahun, maka gejala depresi penting untuk diperhatikan pada periode emerging adulthood. Desain penelitian ini yaitu korelasional. Jumlah partisipan 803 partisipan usia 18 hingga 25 tahun, dengan ketentuan belum menikah dan belum mempunyai anak. Instrumen dalam penelitian ini Multidimensional Scale of Perceived Social Support (MPSS), General Health Questionnaire-1 2 (GHQ-12), dan Self-Compassion Scale-Short Form (SCS-SF). Hasil pengujian statistik membuktikan bahwa self-compassion memediasi secara parsial hubungan antara perceived social support dan gejala depresi, dengan indirect effect(β = - .067, p = 0.0000) dan direct effect(β = - .081, p = 0.0000) yang signifikan. Hasil analisis mediasi menunjukan perceived social support dapat langsung melewati gejala depresi atau melewati self-compassion terlebih dahulu. Individu yang mempersepsi mendapatkan perceived social support yang tinggi, akan merasa dirinya berharga dan berusaha menoleransi kondisi sulit yang dialami, sehingga memunculkan pemberian kebaikan pada diri sendiri dan mengurangi gejala depresi.

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This study aims to determine whether self-compassion mediates the relationship between perceived social support and depressive symptoms. Considering the results under study that psychological disorders, especially depression, are the most susceptible to individuals aged 18 to 25 years, whose symptoms of depression are important to pay attention to what appears. The design of this study is correlational. Number of participants 803 participants aged 18 to 25 years, provided that they were single and had no children. The instrument in this study is Multidimensional Scale of Social Perception Support (MPSS), Public Health Questionnaire-12 (GHQ-12), and Self-Compassion Scale-Short Form (SCSSF). Statistical test results have shown that self-compassion partially mediates the relationship between perceived social support and depressive symptoms, with significant indirect effects (β = - .067, p = 0.0000) and direct effects (β = - 081, p = 0.0000). The results of the mediation analysis show that perceived social support can directly influence depressive symptoms or affect self-compliance = first. Emerging adults who feel they have high perceived social support, will feel themselves worthy and try to tolerate difficult conditions that are experienced, thus providing good for themselves and reducing symptoms of depression."

"Penelitian ini bertujuan untuk mendapatkan evaluasi input, process, dan output dari implementasi Prolanis pada FKTP di wilayah BPJS Kesehatan Kantor Cabang Depok tahun 2017. Jenis penelitian ini adalah kualitatif dengan menggunakan metode wawancara mendalam, observasi, dan telaah dokumen. Berdasarkan hasil penelitian didapatkan 70 dari 104 FKTP telah melaksanakan Prolanis, namun belum didukung dengan ketersedian buku pedoman Prolanis secara lengkap, fasilitas yang belum memadai, dan ketidaklengkapan alat untuk pemeriksaan kesehatan di empat FKTP tempat penelitian ini dilaksanakan. Kegiatan Home visit dan Reminder SMS Gateway belum terlaksana di sebagian FKTP. Selain itu, berdasarkan analisis data sekunder hasil pemeriksaan tekanan darah dan gula darah peserta selama 4 bulan didapatkan bahwa status kesehatan peserta beragam dan masih terdapat peserta dengan kadar gula darah dan tekanan darah yang belum terkendali karena melebihi batas kriteria pengendalian DM Tipe 2 dan Hipertensi.

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This research aims to get input, process, and output evaluation from Prolanis implementation at primary health facilities that cooperated with BPJS Kesehatan, Branch Office Depok in 2017. This is a qualitative research that use in depth interviews, observation, and document reviews methodology. The result shows that 70 of 104 primary health facilities have implemented Prolanis, but are not supported by the availability of completed Prolanis guidebooks, inadequate facilities, and incomplete medical devices for health checks at the four primary health facilities where this research was conducted. 'Home visit' and 'Reminder SMS Gateway' activities have not been done in some primary health facilities. And, based on secondary data analysis of blood pressure and blood glucose test results for 4 months, it was found that the participant 39 s health status varies and there are still participants with uncontrolled blood sugar and blood pressure levels, as it exceeded the limits of the controlled DM Type 2 and Hypertension criteria."

"Kurang aktivitas fisik menjadi salah satu faktor terjadinya penyakit kronis yang dapat menyebabkan kematian. Proporsi kurang aktivitas fisik di DKI Jakarta terutama pada pegawai perkantoran menghabiskan waktu lebih dari 8 jam di kantor dan 2-4 jam di perjalanan menuju kantor ataupun pulang ke rumah, membuat kurangnya waktu untuk melakukan aktivitas fisik. Penelitian ini dilakukan untuk mengetahui determinan yang berhubungan dengan perilaku aktivitas fisik pegawai di lingkungan Direktorat Jenderal Kesehatan Masyarakat Kementerian Kesehatan RI tahun 2019. Penelitian kuantitatif, desain cross sectional dengan jumlah sampel 125 PNS yang diambil secara systematic random sampling di 6 (enam) unit kerja di Direktorat Jenderal Kesehatan Masyarakat. Pengumpulan data menggunakan self administered questionnaire meliputi variabel dependen yaitu perilaku aktivitas fisik dan variabel independen dari penelitian ini yaitu pengetahuan pegawai tentang aktivitas fisik, karakteristik individu (umur, jenis kelamin, status pernikahan, pendidikan, pendapatan dan riwayat penyakit), pemanfataan media sosial, fasilitas penunjang aktivitas fisik serta dukungan sosial (dukungan keluarga dan dukungan teman). Hasil penelitian menunjukkan pegawai yang mendapatkan dukungan keluarga memiliki peluang hampir 3 kali (OR 2,632; 95% CI: 1,239-5,596) untuk berperilaku aktivitas fisik aktif dibandingkan dengan pegawai yang tidak mendapatkan dukungan keluarga. Perlunya menyusun dan mengembangkan strategi komunikasi perilaku aktivitas fisik dengan pendekatan di tingkat keluarga dengan mengumpulkan dan melibatkan pegawai dan anggota keluarga dengan minat kegiatan aktivitas fisik yang sama seperti penggiat olahraga permainan (seperti: sepak bola, futsal, voli), latihan fisik (seperti: senam, yoga, lari) ataupun penggiat sepeda yang menjadikan sepeda sebagai alternatif transportasi, dan memfasilitasi sekelompok keluarga tersebut untuk mengkampanyekan ke rekan-rekan keluarga lainnya secara berkesinambungan juga dapat menjadi salah satu model intervensi aktivitas fisik.

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Insufficient physical activity is one of the factor in the occurrence of chronic diseases that can cause death. The proportion of less physical activity in DKI Jakarta, especially in office employees spend more than 8 hours in the office and 2-4 hours on the way to work or go home, making a lack of time for physical activity. This research was conducted to determine the determinants relating to the behavior of physical activity of employees in the Directorate General of Public Health Ministry of Health of RI in 2019. Quantitative research, cross sectional design with a sample of 125 civil servants taken by systematic random sampling in 6 (six) units in Directorate General of Public Health. Data collection using a self-administered questionnaire included the dependent variable physical activity behavior and the independent variables of this study, employee knowledge of physical activity, individual characteristics (age, sex, marital status, education, income and disease history), utilization of social media, facilities supporting physical activity and social support (family support and friend support). The results showed that employees who received family support had an opportunity almost 3 times (OR 2,632; 95% CI: 1,239-5,596) to behave actively in physical activity compared to employees who did not get family support. Need to develop behavioral communication strategies for physical activity with approaches at the family level by collecting and involving employees and family members with an interest in physical activity activities similar to sports activists (such as soccer, futsal, volleyball), physical exercise (such as: gymnastics, yoga, running) or bicycle activists who make bicycles as an alternative transportation, and facilitate a group of families to campaign to other family colleagues on an ongoing basis can also be one model of physical activity intervention."

"Penelitian ini bertujuan untuk mengetahui pelaksanaan Program Pengelolaan Penyakit Kronis (Prolanis) di Fasilitas Kesehatan Tingkat Pertama (FKTP) Wilayah Kerja BPJS Kesehatan KCU Kota Bogor Tahun 2018. Penelitian ini adalah penelitian kualitatif dengan menggunakan data primer dan sekunder. Data primer diperoleh dari hasil wawancara mendalam dan observasi dengan menggunakan pedoman wawancara serta daftar tilik observasi. Data sekunder diperoleh dari hasil telaah dokumen. Penelitian menunjukkan bahwa masih terdapat masalah dalam sisi sumber daya manusia, sumber daya keuangan, dan peraturan. Empat dari lima kegiatan Prolanis sudah rutin dilaksanakan pada FKTP wilayah kerja BPJS Kesehatan KCU Kota Bogor. Peneliti menyarankan agar BPJS membuat adanya peninjauan ulang dalam keuangan serta melibatkan peran serta peserta dalam megelola kekurangan dana, melengkapi SOP yang ada dengan rincian jadwal kegiatan pada masing-masing kegiatan prolanis, dan pembuatan sistem reward pada pencapaian target Prolanis.

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This study aims to determine the implementation of the Chronic Disease Management Program (Prolanis) in the First Level Health Facilities of Bogor City at BPJS Work Area in the year 2018. This research is a qualitative study using primary and secondary data. Primary data obtained from the results of in-depth interviews and observations using interview guidelines and observation checklist. Secondary data obtained from the document review.

Research shows that there are problems in terms of human resources, financial resources, and regulations. Four of the five Prolanis activities are routinely carried out in the FKTP working area of the Bogor City KCU Health BPJS.

The researcher suggests that the BPJS make a review in finance and involve the participation of participants in managing funding shortages, supplementing the existing SOPs with a detailed schedule of activities in each prolongs activity, and making the system reward for achieving Prolanis targets."