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"Sektor kesehatan di Indonesia telah mengalami pertumbuhan yang signifikan melalui pertumbuhan PDB yang kuat, inisiatif pemerintah untuk meningkatkan akses ke layanan kesehatan, dan fokus yang semakin besar pada peningkatan infrastruktur dan kualitas perawatan kesehatan. Dalam menghadapi pertumbuhan ini, tindakan proaktif dan intervensi layanan kesehatan diperlukan untuk mengatasi beban penyakit kronis dan akut yang terus meningkat, dan transformasi digital melalui perancangan sistem informasi dapat menawarkan rumah sakit alat untuk melakukannya. Penelitian ini bertujuan untuk merancang sistem informasi terintegrasi yang dapat mendukung kepatuhan pengobatan pasien pada tahap pasca perawatannya dan merancang proses bisnis yang menginkorporasikan sistem informasi yang dirancang. Penelitian ini menggunakan metode System Development Life Cycle (SDLC), dan alat rancang entity relationship diagram, use case scenario, use case diagram, class diagram, activity diagram, dan sequence diagram. Sistem informasi yang dirancang mengubah arsitektur database dari arsitektur two tier client-server menjadi arsitektur three tier client-server. Sistem yang di rancang mencapai 3 tahap pengembangan teknologi dalam transformasi digital, yaitu digitalisasi, integrasi data, dan otomatisasi proses. Sistem yang dirancang memfasilitasi kepatuhan pengobatan pasien, memungkinkan deteksi dini masalah kesehatan, memfasilitasi pengambilan keputusan berbasis data, meningkatkan komunikasi dan kolaborasi dalam pemberian layanan kesehatan.

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The healthcare sector in Indonesia has experienced significant growth, supported by robust GDP growth, government initiatives to improve access to healthcare services, and a growing focus on enhancing healthcare infrastructure and quality of care. In facing this growth, necessitating proactive measures and healthcare interventions to address the growing burden of both chronic and acute diseases are predominant to do, and digital transformation through the development of information systems can offer hospitals the tools to do so. This study aims to design an integrated information system that can support patient medication adherence in their post-treatment stage and design the business process that incorporates the designed information systems. This study uses the System Development Life Cycle (SDLC) method, and design tools in entity relationship diagrams, use case scenarios, use case diagrams, class diagrams, activity diagrams, and sequence diagrams. The designed information system transforms the database architecture from two tier client-server architecture to three tier client-server architecture and achieve 3 stages of technology development in digital transformation, namely digitization, data integration, and process automation. The designed system facilitates patient medication adherence, enables early detection of health problems, facilitates data-driven decision making, and improves communication and collaboration in healthcare delivery."

"Implementasi Sistem Informasi Keluarga (SIGA) merupakan wujud pemanfaatan teknologi informasi pada Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN) untuk mendukung keberhasilan pelaksanaan program. SIGA telah dikem-bangkan sejak Tahun 2017, tetapi sampai saat ini belum bisa sepenuhnya dimanfaatkan karena masih rendahnya cakupan data registrasi fasilitas kesehatan pelayanan keluarga berencana dan kelompok kegiatan, yaitu sebesar 34,15% di Tahun 2019. Data tersebut penting karena merupakan data rujukan pada proses pelaporan dan pencatatan melalui aplikasi SIGA. Berdasarkan penelusuran akar masalah, ditemukan bahwa salah satu penyebab rendahnya cakupan data registrasi adalah masih rendahnya penerimaan pengguna aplikasi SIGA. Penggunaan aplikasi SIGA telah diatur dalam Peraturan Pemerintah RI Nomor 87 Tahun 2014, namun hanya 40,4% kab/kota dari target 188 kab/kota di Tahun 2020 yang telah melakukan pelaporan hasil pelayanan kontrasepsi melalui aplikasi SIGA (Data Bulan Februari 2020). Dengan permasalahan tersebut, peneliti menggunakan modifikasi model penerimaan pengguna UTAUT 2 untuk menge-tahui faktor-faktor apa saja yang memengaruhi penerimaan pengguna aplikasi SIGA. Pengolahan data dilakukan menggunakan metode Partial Least Square-Structural Equation Model pada 273 data yang berhasil dikumpulkan. Hasil penelitian menunjukan bahwa faktor Performance Expectancy, Effort Expectancy, dan Habit memengaruhi niat perilaku untuk menggunakan aplikasi SIGA, sedangkan Facilitating Conditions, Habit, dan Behavior Intention memengaruhi perilaku penggunaan aplikasi SIGA.

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Implementation of the Family Information System (SIGA) is a form of information tech-nology utilization by the National Population and Family Planning Board (BKKBN) to support the successful implementation of the current program. Even though it has been developed since 2017, SIGA has yet to be fully utilized, due to the low coverage of family planning service health data registration and activity group data registration, namely 34.15% in 2019. This data is important because it is a reference data for the reporting and recording process through SIGA. Based on problem tracing, it was found that one of the causes for the low coverage of registration data was the acceptance of SIGA users. Alt-hough the use of SIGA has been regulated in the Republic of Indonesia's Government Regulation Number 87 of 2014, only 40.4% of districts/cities of the target 188 districts/ cities in 2020 have reported contraceptive service results through SIGA (February 2020 data). With that problem, the researcher used a modified model, UTAUT 2 user ac-ceptance to see what factors affect the acceptance of SIGA users. 273 respondent data were processed using the Partial Least Square-Structural Equation Model method. The results show that Performance Expectancy, Effort Expectancy, and Habit influence be-havioral intention to use SIGA, while Facilitating Conditions, Habit, and Behavior Inten-tion of SIGA use behavior."

"Mutu Pelayanan Kesehatan merupakan standar layanan kesehatan untuk individu dan masyarakat yang dapat meningkatkan luaran kesehatan yang optimal. Indikator Nasional Mutu digunakan sebagai tolak ukur dalam mengukur mutu pelayanan kesehatan. Harapan pasien untuk mendapatkan mutu pelayanan yang baik dapat diberikan oleh dokter yang bertugas ketika melayani pasien yang mampu menerapkan kepemimpinan klinis dengan baik. Penelitian ini bertujuan untuk mengetahui hubungan domain-domain kepemimpinan klinis dokter terhadap mutu layanan kesehatan di rumah sakit. Penelitian ini dilakukan dengan metode survei dengan pendekatan kuantitatif. Penelitian dilakukan pada 42 orang dokter umum dan spesialis dengan kuesioner kepemimpinan klinis dokter. Sedangkan mutu layanan kesehatan di Rumah Sakit Izza dilihat pada capaian indikator nasional mutu rumah sakit. Terdapat 5 domain dengan masing-masing 8 dimensi pada kepemimpinan klinis dan 12 indikator nasional mutu yang dianalisis dari 13 total indikator nasional mutu. Pada penelitian ini didapatkan 2 domain kepemimpinan klinis yang berhubungan dengan mutu layanan kesehatan di rumah sakit, yaitu domain kualitas personal dan peningkatan pelayanan. Tiga domain lainnya, yaitu Kerja sama dengan sejawat dan interprofesi, pengelolaan pelayanan, dan penentuan arah pelayanan tidak berhubungan terhadap mutu layanan kesehatan di rumah sakit

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Quality of Health Services is a standard of health services for individuals and communities that can improve optimal health outcomes. National quality indicators are used as benchmark in measuring the quality of health services. Patient expectations for good quality of service can be provided by the doctor on duty when serving patients who are able to apply clinical leadership well. This study aims to determine the relationship of physician clinical leadership domains to the quality of health services in hospitals. This study was conducted using a survey method with a quantitative approach. The study was conducted on 42 general practitioners and specialists with a physician clinical leadership questionnaire. While the quality of health services at Izza Hospital is seen in the achievement of national indicators of hospital quality. There are 5 domains with 8 dimensions each in clinical leadership and 12 national quality indicators analyzed from 13 total national quality indicators. In this study, 2 domains of clinical leadership were found to be related to the quality of health services in the hospital, namely the domains of personal quality and service change. The other three domains, namely Collaboration with peers and interprofessionals, managing service, and setting direction are not related to the quality of health services in hospitals.

 

 

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"Customer oriented service quality was based on client oriented - provider efficient which was developed by engenderhealth in 1988. In its development, this kind of quality improvement was suggested to be implemented in health centres since it will be complied both the provider and patients demand...."

"Research is a systematic search for information and new knowledge. It serves to essential and powerful purposes in accelerating advances in health. First, basic or traditional research is necessary to generate new knowledge and technologies to deal with major unresolved health problems. Second, applied research is necessary in identifying the priority problem and to design and evaluating policies and programs that will be of the greatest health benefit, using existing knowledge and available resources, both financial and human. During the past decades, concepts and research approaches to support health development have evolved rapidly. Many of this has been describe by specific terms such as operation research, health services research, health men power research, policy and economic analysis, applied research, and decision-linked research. Each of this has made crucial contribution to the development of client-oriented research or health system research (HSR). It is ultimately concerned with improving the health of a community, however defined by enhancing the efficiency and effectiveness of the health system as an integral part of the overall process of socio-economic development. The aim of client-oriented research or HSR is to provide health managers at all levels with the relevant information they need to solve the problem they may face. The participatory nature of such a research is one of its major characteristic because HSR addresses health problem in the broad context: research input from many different disciplines are required. This includes demography, epidemiology, health economics, policy and management sciences, social and behavioral science, statistics, and some aspect of the clinical sciences. With progressive development, the uses of HSR are becoming widely appreciated. As a result, it is being integrated into and applied in special areas of management such as quality assurances, technology assessment, and resource management."

"Rendahnya jumlah kunjungan masyarakat di klinik pengobatan Puskesmas Way Laga dan mempersiapkan Puskesmas Way Laga sebagai unit Swadana tahun 2004, sehingga perlu untuk dilakukan penelitian tentang seberapa jauh permintaan masyarakat terhadap klinik pengobatan Puskesmas Way Laga.Penelitian ini dilakukan dengan menggunakan metode cross sectional atau potong lintang dan sasaran adalah masyarakat di wilayah kerja Puskesmas Way Laga yang pernah memanfaatkan klinik pengobatan di Puskesmas Way Laga.Sedangkan dalam penelitian yang dilakukan oleh peneliti di Puskesmas Way Laga Kota Bandar Lampung tahun 2004 diperoleh hasil analisis bivariat variabel yang berhubungan dengan Demand masyarakat terhadap pelayanan adalah variabel Pendidikan, pekerjaan, waktu tunggu, pendapatan, jumlah anggota keluarga dan JPKM dan variabel yang paling dominan dalam mempengaruhi Demand masyarakat terhadap pelayanan kesehatan dalam analisis multivariat adalah variabel jumlah anggota keluarga setelah mendapatkan kontrol dart variabel pendapatan, namun demikian dart basil analisis multivariat dimana p value variabel jumlah anggota keluarga sebesar 0,029 kurang dart 0,05 dan 95% confident interval yang paling sempit adalah variabel jumlah anggota keluarga sehingga diambil kesimpulan bahwa variabel jumlah anggota keluarga yang sangat mempengaruhi Demand masyarakat terhadap pelayanan kesehatan khususnya di wilayah Puskesmas Way Laga tahun 2004.Hasil dari analisis interaksi antara kedua variabel tersebut di peroleh hasil bahwa variabel pendapatan dan variabel jumlah anggota keluarga tidak sating berinteraksi kepada Demand masyarakat terhadap pelayanan kesehatan sehingga kedua variabel tersebut tidak dapat secara bersama-sama dalam mempengaruhi Demand masyarakat terhadap pelayanan kesehatan. Dengan demikian Puskesmas Way Laga yang akan menerapkan Puskesmas Swadana perlu memikirkan faktor pendapatan dalam menentukan harga atau tarif yang akan diberlakukan hanya saja perlu ditingkatkan atau perlunya perubahan sistem dalam pelayanan kesehatan terhadap masyarakat sehingga waktu tunggu akan semakin singkat mengingat sebagian besar penduduk diwilayah kerja Puskesmas Way Laga memiliki pekerjaan non formal sehingga waktu bagi mereka sangat bermanfaat untuk memperoleh atau meningkatkan penghasilan keluarga.

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Demand analysis to public health service at Way Laga Health Center, Bandar Lampung Municipality , 2004Way Laga Public Health Centre has low visited and still prepared as Swadana Unit in 2004 , so community demand of health care at Way Laga Public Health Centre was unknown and research of them must be carried out.

Some research have been done at some places like as the result of Husni Asbudin research at Bekasi that dominant factor of demand is price that be controlled by income and so the result of Ongko research at Ujung Pandang.

While in this study at Way Laga Public Health Center Bandar Lampung Municipality 2004, have been got p value 0,029 by bivariate analysis that is relation between community demand to health service and in multivariate analysis that been got dominant is amount of famiiiy variable which have been controlled by income, that shown by multivariate analysis that p value of both variable are 0,029 ( < 0,05 , 95% CI) and amount of familiy variable is narrower variable and more influence community demand to health service, especially at Way Laga Public Health Service 2004.

The result of interaction between time line and occupation is each interaction to community demand to health service, so the both variable are not separated to influence community demand to health service. Therefore, Way Laga Public Health Center will apply Swadana Public Health Center is not difficult to decide the tariff, just to arrange health service system, so time line will be short, because almost of the occupation of the community around Way Laga Public Health Center is non formal, and the time is more benefit for them."

"Pemenuhan kebutuhan layanan kesehatan di masyarakat dilakukan terintegrasi melalui Puskesmas sebagai penanggungjawab sistem pelayanan kesehatan di tingkat kecamatan dan Posyandu Prima di tingkat desa/kelurahan. Posyandu Prima adalah Posyandu yang berasal dari Posyandu sebagai wadah pemberdayaan masyarakat dan menyelenggarakan pelayanan kesehatan dasar terpadu berdasarkan kebutuhan di desa atau kelurahan. Provinsi DKI Jakarta memiliki kekhususan sebagai ibukota negara, mempunyai sumber daya yang cukup untuk melayani kesehatan masyarakatnya hingga tingkat kelurahan melalui keberadaan Puskesmas dan tingkat rukun warga melalui layanan Posyandu Prima/Pustu. Tujuan penelitian untuk menganalisis kesiapan dalam pengembangan layanan Posyandu Prima tingkat Rukun Warga di provinsi DKI Jakarta. Penelitian kualitatif dengan desain penelitian eksploratif research dilakukan pada bulan April hingga Mei 2023 di Provinsi DKI Jakarta. Pengambilan data dilakukan melalui wawancara mendalam, observasi dan telaah dokumen. Hasil penelitian menunjukkan kesiapan pengembangan layanan Posyandu Prima/Pustu tingkat Rukun Warga belum optimal digambarkan dari 6 persyaratan Posyandu Prima/Pustu, hanya persyaratan sumber daya manusia dan mekanisme hubungan kerja dengan pemangku kepentingan yang siap, sedangkan peryaratan lokasi, anggaran, standar pelayanan, standar operasional prosedur memiliki kekurangan yang harus dipenuhi oleh Pemerintah. Diperlukan komitmen yang kuat dari Pemerintah dan stakeholder terkait untuk merealisasikan peningkatan akses layanan kesehatan melalui pengembangan layanan Posyandu Prima/Pustu tingkat Rukun Warga di Provinsi DKI Jakarta.

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Meeting the needs of health services in the community is carried out in an integrated manner through the Puskesmas as the person in charge of the health service system at the sub-district level and Posyandu Prima at the village/kelurahan level. Posyandu Prima is a Posyandu that originates from Posyandu as a forum for community empowerment and provides integrated basic health services based on needs in the village or sub-district. DKI Jakarta Province has the specialty of being the nation's capital, having sufficient resources to serve the health of its people down to the sub-district level through the existence of a Community Health Center (Puskesmas) and the neighborhood level through the services of Posyandu Prima/Pustu. The aim of the study was to analyze readiness in the development of Posyandu Prima services at the Rukun Warga level in the province of DKI Jakarta. Qualitative research with an exploratory research design was conducted from April to May 2023 in DKI Jakarta Province. Data collection was carried out through in-depth interviews, observation and document review. The results showed that the readiness to develop Posyandu Prima/Pustu services at the Rukun Warga level was not optimal as described from the 6 requirements of Posyandu Prima/Pustu, only the human resource requirements and working relationship mechanisms with stakeholders were ready, while the location requirements, budget, service standards, operational standards procedures have deficiencies that must be met by the Government. A strong commitment from the Government and related stakeholders is needed to realize increased access to health services through the development of services at the Posyandu Prima/Pustu at the Rukun Warga level in DKI Jakarta Province."

"ABSTRAKAwal tahun 2019 terjadi peningkatan insiden DBD di hampir seluruh wilayahIndonesia. Data 2014-2015 menunjukkan DKI Jakarta selalu memiliki IR DBD di atasangka Nasional. Pola peningkatan IR DBD di DKI Jakarta sangat bervariasi antarKelurahan, beberapa Kelurahan mengalami peningkatan kasus sangat tinggi sementaraKelurahan lain justru turun. Penelitian ini bertujuan untuk mengetahui faktor-faktor yangberhubungan dengan peningkatan IR DBD per Kelurahan periode Januari-Mei 2019.Jenis penelitian observasional analitik dengan disain cross sectional. Hasil penelitianmendapatkan model fit multivariat memuat 3 variabel yang mempengaruhi peningkatanIR DBD per Kelurahan, yakni Angka Bebas Jentik (ABJ) dengan nilai Prevalens Rasio(PR) 1,66 (95% CI= 1,14-2,41), IR DBD sebelumnya, PR 0,60 (95% CI = 0,42-0,86)dan proporsi umur 6-17 tahun PR sebesar 1,52 (95% CI= 1,06-2,16). Untuk mencegahpeningkatan IR DBD tingkat Kelurahan maka ABJ perlu ditingkatkan minimal 90-95%dan dipertahankan bagi yang telah mencapai ≥ 95% melalui upaya pokok pengendalianvektor DBD yakni dengan melaksanakan kegiatan PSN 3 M Plus dan Gerakan 1 Rumah1 Jumantik (G1R1J), pihak Sekolah perlu dilibatkan dalam gerakan PSN ini sebabproporsi usia Sekolah SD sd SMA yang tinggi berperan dalam peningkatan IR DBD,Dinas Kesehatan beserta jajarannya perlu memberikan feed back pelaporan DBD kepadamasyarakat dan lintas sektor di tingkat Kelurahan secara rutin agar masyarakat dan aparatKelurahan senantiasa waspada terhadap potensi peningkatan kasus DBD di wilayahnya,untuk menjaga kualitas PE DBD hendaknya senantiasa mendapat pembinaan dari Dinkesdan Sudinkes.

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ABSTRACTBeginning 2019 year the incidence of dengue was increase in almost all of regions inIndonesia. Data from 2014 to 2015 shows that DKI Jakarta always has a DHF incidencerate above the national rate. The pattern of increasing DHF IR in DKI Jakarta variesgreatly among urban villages, some urban villages have experienced very high increasein cases while other urban villages have actually declined. This study aims to determinethe factors associated with an increase in DHF Incidence Rate by urban village in theperiod January to May 2019. This research is an analytic observational type with crosssectional design. The results get a multivariate fit model containing 3 variables that affectthe increase in DHF per village, namely larvae free rate (ABJ) with a Prevalence Ratio(PR) 1.66 (95% CI = 1.14-2.41), DHF Incidence Rate previously, PR was 0.60 (95% CI= 0.42-0.86) and the proportion of ages 6-17 years of PR was 1.52 (95% CI = 1.06-2.16). To prevent an increase in DHF at the Village level, the ABJ needs to be increasedby at least 90-95% and maintained for those who have reached ≥ 95% through the mainefforts to control the DHF vector, namely by carrying out the activities of the PSN 3MPlus and Movement 1 House 1 Larva Monitor (G1R1J), parties Schools need to beinvolved in this PSN movement because a high proportion of elementary school age tosenior high school plays a role in increasing DHF Incidence Rate, the Health Office andits staff need to provide DBD reporting back to the community and cross-sectoral at theurban village level regularly so that the community and village's officials are always onthe lookout for the potential increase in dengue cases in their region, to maintain thequality of DHF Epidemiological Investigation should always receive guidance from thePublic Health Office of DKI Jakarta Provincial."

"UMKM di bidang makanan dan minuman menjadi prioritas pemberdayaan bagi pemerintah. Dalam peta jalan Making Indonesia 4.0 oleh Kementerian Perindustrian, UMKM harus mengadopsi teknologi di sepanjang rantai nilai bisnis agar hasil produksi dan pangsa pasar meningkat. Pemerintah juga menargetkan 30 juta UMKM untuk melakukan transformasi digital di akhir 2023. Penerapan sistem informasi sebagai transformasi digital membantu UMKM untuk mengotomatisasi aktivitas operasional, mengintegrasikan data, dan mendapatkan data yang lebih akurat. Penelitian ini, menggunakan metode System Development Lifecycle (SDLC) dengan pendekatan Object Oriented. Sistem yang dihasilkan berupa sistem pemesanan, sistem manajemen produk, sistem manajemen karyawan, sistem input promosi, sistem input invoice, dan sistem transaksi. Dalam penelitian ini, alat bantu perancangan yang digunakan adalah entity relationship diagram, use case diagram, use case scenario, class diagram, activity diagram, dan sequence diagram. Sistem informasi yang dirancang memiliki arsitektur database berupa three-tier architecture. Adapun tahapan tranformasi digital yang dicapai adalah integrasi data dan otomatisasi proses.

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The government has made MSMEs in the food and beverage sector as a priority for empowerment. In the Making Indonesia 4.0 roadmap by the Ministry of Industry, MSMEs must adopt technology along the business value chain so that production results and market share increase. The government is also targeting 30 million MSMEs to carry out digital transformation by the end of 2023. The application of information systems as digital transformation helps MSMEs to automate operational activities, integrate data, and obtain more accurate data. This study uses the System Development Life Cycle (SDLC) method with an Object-Oriented approach. The resulting systems are order systems, product management systems, employee management systems, promotion input systems, invoice input systems, and transaction systems. In this study the design tools used are entity relationship diagrams, use case diagrams, use case scenarios, class diagrams, activity diagrams, and sequence diagrams. The designed information system has a database architecture in the form of a three-tier architecture. The stages of digital transformation that have been achieved are data integration and process automation."

"Menurut tingkat permintaan ekspor terhadap industri manufaktur sepatu dunia diperkirakan akan memengaruhi stabilitas perusahaan-perusahaan pada industri ini di Indonesia. Untuk dapat terus bersaing, diperlukan adanya inovasi dan strategi yang mumpuni di masa sekarang ini, dengan tujuan mempertahankan dan meningkatkan kepercayaan buyer. Inovasi dan strategi dapat dicapai dengan penerapan digital transformasi pada proses produksi dan logistik internal perusahaan, dimana salah satu penerapannya adalah dengan implementasi sistem informasi yang mendukung proses produksi dan logistik internal. Penelitian ini meneliti proses produksi dan logistik internal perusahaan manufaktur sepatu dan merancang proses bisnis yang menginkorporasikan sistem informasi terintegrasi dalam prosesnya selama operasional perusahaan berlangsung. Didapatkan hasil rancangan sistem informasi melalui metode System Development Life Cycle (SDLC) yang terdiri atas tiga sistem. Hasil perancangan berupa use case scenario and diagram, DFD, ERD, activity diagram, dan rancangan interface dari sistem informasi. Sistem informasi yang dirancang dapat mencapai 4 tahap pengembangan teknologi pada tranformasi digital proses penjualan, yaitu digitalisasi, integrasi data, otomatisasi proses, dan integrasi sistem.

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The global decline in export demand for the shoe manufacturing industry is expected to affect the stability of companies in this industry in Indonesia. To be able to continue to compete, innovation and qualified strategies are needed today, with the aim of maintaining and increasing consumer confidence. These innovations and strategies can be achieved by implementing digital transformation in the company's internal production and logistics processes, where one of the applications is the implementation of information systems that support the production and internal logistics processes. This research examines the production and internal logistics processes of shoe manufacturing companies and designs business processes that incorporate integrated information systems in the process during company operations. The results of designing information systems through the System Development Life Cycle (SDLC) method consisting of three systems were obtained. The design results are in the form of use case Scenarios, DFD, ERD, Activity Diagrams, and information system interface designs. The designed information system can achieve 3 stages of technology development in the digital transformation of the sales process, namely digitization, data integration, process automation, and integration system."