Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
Latar Belakang : Fatigue merupakan masalah yang menurunkan kualitas hidup dan terjadi pada sekitar 54-98% pasien gagal jantung. Fatigue mengganggu kemampuan individu untuk berfungsi dan melakukan aktivitas harian secara normal. Aktivasi saraf simpatis dan penarikan saraf parasimpatis merupakan ciri utama sindrom gagal jantung yang menjadi faktor pemicu perubahan-perubahan progresif pada bagian-bagian perifer tubuh. Terapi akupresur pada acopoints Shenmen, Zusanly dan Neiguan dapat menghambat aktivasi saraf simpatis dan mengaktifkan saraf para simpatis. Tujuan : mengetaui pengaruh akupresur pada acopoints Shenmen, Zusanly dan Neiguan terhadap penurunan level fatigue pada pasien gagal jantung yang menjalani rawat jalan. Desain Penelitian : penelitian kuantitatif dengan quasi experiment pre and post test with control group design dengan jumlah sampel total 40 responden. Analisis data menggunakan Mann-Withney U test , Wilcoxon test, Pooled t test. Hasil : Analisis data menunjukkan rata-rata level fatigue tidak berdaan secara signifikant pada pada kelompok intervensi dibandingkan dengan kelompok kontrol setelah dilakukan akupresur. Rata-rata level fatigue setelah dilakukan terapi akupresure pada kelompok intervensi menurun secara signifikant pada kelompok intervensi (p = 0,000). Kesimpulan : Hasil penelitian ini menunjukan bahwa terapi akupresur pada kelompok intervensi secara klinis dapat menurunkan level fatigue pada penderita gagal jantung (p = 0,000) namun jika dibandingkan dengan kelompok kontrol hasil uji statistik membuktikan tidak terdapat perbedaan yang signifikant (p = 0,104). ......Background : Fatigue is a problem that reduces the quality of life and occurs in about 54-98% of patients with heart failure. Fatigue interferes with an individual's ability to function and perform normal daily activities. Sympathetic nerve activation and parasympathetic retraction are the main features of the heart failure syndrome that trigger progressive changes in the peripheral parts of the body. Acupressure therapy on Shenmen, Zusanly and Neiguan acopoints can inhibit sympathetic nerve activation and activate parasympathetic nerves. Objective : to investigated the effect of acupressure on Shenmen, Zusanly and Neiguan acupoints on reducing fatigue levels in outpatients with heart failure. Design Study : quantitative research with a quasi-experimental pre and post test with control group design with a total sample of 40 respondents. Data analysis using Mann-Withney U test, Wilcoxon test, Pooled t test. Result : Data analysis showed that the average level of fatigue was not significantly different in the intervention group compared to the control group after acupressure was performed. The average level of fatigue after acupressure therapy in the intervention group decreased significantly in the intervention group (p = 0,000). Conclusion : The results of this study indicate that acupressure therapy in the clinical intervention group can reduce fatigue levels in patients with heart failure (p = 0.000) but when compared with the control group, the results of statistical tests prove that there is no significant difference (p = 0,104).

Abstrak :
[ABSTRAK
Tesis ini membahas analisis kelengkapan rekam medis rawat inap RSKO Jakarta tahun 2014. Penelitian ini adalah penelitian mixed method yaitu penelitian secara kuantitatif dan kualitatif. Penelitian kualitatif digunakan untunk mengetahui nilai kelengkapan rekam medis, dan penelitian kualitatif untuk menggali informasi terhadap input, proses, dan output. Hasil penelitian menunjukkan bahwa nilai kelengkapan rekam medis hanya 62,6% belum mencapai standard 100%. Pada penelitian kualitatif didapatkan hasil bahwa faktor input; sumber daya manusia, material, infrastruktur, dan prosedur, faktor proses; pengisian rekam medis dan monitoring evaluasi, dapat mempengaruhi kelengkapan rekam medis (faktor output). Rumah sakit harus membenahi faktor input dan proses agar neningkatkatkan nilai kelengkapan rekam medis sesuai standar sehingga dapat meningkatkan kualitas pelayanan kesehatan di RSKO Jakarta.

---

ABSTRACT
This thesis describes completeness of inpatient medical records at RSKO Jakarta hospital on 2014. This research used mixed methods, consists of quantitative and qualitative research. Quantitative research is used to determine the completeness value of medical records, and then qualitative research is used to get information from the input, process, and output. The result showed that the completeness value of inpatient medical records only 62,6% and it didn?t reach the target of 100 % standard. On qualitative research showed that input factors consisted of human resources, materials, infrastructures, and procedures, Process factors consisted of medical records recording, monitoring and evaluation, are influences by completeness of medical records (output factors). Hospital must improve input factors and process factors in order to increase the good completeness value, to improve the quality of medical services at RSKO Jakarta.;This thesis describes completeness of inpatient medical records at RSKO Jakarta hospital on 2014. This research used mixed methods, consists of quantitative and qualitative research. Quantitative research is used to determine the completeness value of medical records, and then qualitative research is used to get information from the input, process, and output. The result showed that the completeness value of inpatient medical records only 62,6% and it didn?t reach the target of 100 % standard. On qualitative research showed that input factors consisted of human resources, materials, infrastructures, and procedures, Process factors consisted of medical records recording, monitoring and evaluation, are influences by completeness of medical records (output factors). Hospital must improve input factors and process factors in order to increase the good completeness value, to improve the quality of medical services at RSKO Jakarta., This thesis describes completeness of inpatient medical records at RSKO Jakarta hospital on 2014. This research used mixed methods, consists of quantitative and qualitative research. Quantitative research is used to determine the completeness value of medical records, and then qualitative research is used to get information from the input, process, and output. The result showed that the completeness value of inpatient medical records only 62,6% and it didn’t reach the target of 100 % standard. On qualitative research showed that input factors consisted of human resources, materials, infrastructures, and procedures, Process factors consisted of medical records recording, monitoring and evaluation, are influences by completeness of medical records (output factors). Hospital must improve input factors and process factors in order to increase the good completeness value, to improve the quality of medical services at RSKO Jakarta.]

Abstrak :
Jaminan Kesehatan Nasional yang implementasinya dimulai Januari 2014 membuat perubahan system pembayaran dari Retrospektive Paymant System ke Prospective Payment System dengan tarif INA-CBG`s. Perbedaan tarif INACBG`s dan tarif RS menjadi masalah mendasar sehingga RS harus melakukan upaya agar tercapai kendali mutu dan biaya.Tujuan penelitian ini adalah untuk mengetahui upaya yang diambil RS terkait perbedaan tarif rumah sakit pelayanan rawat jalan dengan tarif INA-CBG`s. Metode penelitian dilakukan secara kuantitatif dan kualitatif. Hasil penelitian menunjukkan bahwa 645(27,1 %) kasus dari total 2384 kasus memiliki selisih negatif dan1739 (72,9%) kasus dengan selisih positif. Rerata tarif RS Rp 221.683 dan rerata tarif INA-CBG`s Rp278.676 dengan rerata selisih tarif Rp56.993. Total selisih tarif Rp135.871.933 atau 25,7% dari tarif RS.Selisih tarif positif ini sangat baik bagi RS dan dapat digunakan untuk peningkatan pelayanan dan pengembangan RS. Klaim obat penyakit kronis diluar tarif paket INA-CBG`s menambah selisih positif menjadi Rp.187.208.274 atau mendapat surplus sebesar 35,42% dari total tarif RS. Komponen tarif RS yang terbesar adalah obat sebesar 37,4%. Pihak manajemen menerapkan upaya efisiensi biaya dari mulai proses perencanaan sampai evaluasi, dengan tetap mengutamakan mutu, mempercepat penyusunan dan implementasi clinical pathway agar pelayanan lebih terstandarisasi dan dapat meningkatkan kualitas pelayanan serta sistem remunerasi yang baik yang mencerminkan asas adil dan layak. Dengan upaya yang diterapkan, diharapkan rumah sakit dapat memberikan pelayanan yang efektif dan rasional serta bermutu dan memberikan nilai tambah bagi rumah sakit dan meningkatkan derajat kesehatan masyarakat.

---

There is a fundamental change of hospital`s payment system in Indonesia since the Indonesian National Health Insurance was implemented (January 2014). The former retrospective payment system was changed into prospective payment system with Indonesia Case Base Groups (INA-CBG) as expense base. This change forced hospital to propose a new efforts to adjust the rate difference between the previous hospital-based-tariff system and the latter INA-CBG-basedtariff system in order to assure the health service quality. This study aims to find out hospital`s efforts to adjust the tariff difference between the hospital-basedtariff- system and INA-CBG-based-tariff-system.This is a quantitative as well as qualitative research. There were 2384 cases analyzed, with 645 cases (27.1%) with positive tariff balance and 1739 cases (72.9%) with negative tariff balance. Tariff differences was Rp. 135.871.977 (27.5% of the total hospital tarif). Average hospital tariff was Rp. 221.683, while the average INA CBG`s tariff was Rp. 278.676 and average difference was Rp 56.993. Hospital claim for chronic disease, which was not included in INA-CBG`s list, increased the positive balance to Rp. 187.208.274 (35,42% of hospital total tariff). Medication became the biggest part of the hospital cost (37.4%). The hospital`s management had worked efficiently to control the cost and assure the quality. Cost-efficiency-efforts as well as good remuneration system had been implemented from planning to evaluation. Hospital had to arrange and implement the clinical pathway as a standardization as well as quality controlhospital`s tariff, INA-CBG`s tariff, efficiency, quality, remuneration.

Abstrak :
[ABSTRAK
Latar belakang penelitian ini adalah tingginya tagihan biaya obat rawat jalan jika dibandingkan dengan biaya yang ditanggung oleh BPJS dengan menganut sistem tariff INA CBG?s. Sehingga diperlukan analisis yang lebih mendalam mengenai faktor-faktor yang mempengaruhi besaran biaya kesehatan tersebut. Penelitian ini menggunakan studi crosssectional dengan metode kuantitatif, dengan melihat faktor usia, jenis kelamin, peresepan obat, status dokter dan jaminan kesehatan sesuai dengan data sekunder yang didapat melalui data rekam medis dan tagihan biaya obat layanan rawat jalan. Dan berdasarkan hasil penelitian, faktor yang mempengaruhi biaya obat adalah usia, jaminan kesehatan, jumlah item obat (R/), penggunaan antibiotika dan penggunaan obat generik. Sehingga guna menyikapi permasalahan ini perlu adanya clinical previllage untuk kasus rawat jalan dan kebijakan yang mengatur tentang peresepan yang rasional.

---

ABSTRACT
The background of this study is the high bill outpatient drug costs when compared with the costs borne by BPJS by embracing INA CBG's tariff system. So, we need a more in-depth analysis of the factors that affect the amount of health care costs. This study uses a cross-sectional study with quantitative methods, by looking at factors of age, sex, prescription drugs, doctors and health insurance status in accordance with the secondary data obtained through medical records and bills medicine outpatient services. And based on the results of the study, factors that affect the cost of medication is the age, health insurance, the number of drug items (R /), the use of antibiotics and the use of generic drugs. So as to address these issues need for clinical previllage for outpatient cases and policies that govern rational prescribing, The background of this study is the high bill outpatient drug costs when compared with the costs borne by BPJS by embracing INA CBG's tariff system. So, we need a more in-depth analysis of the factors that affect the amount of health care costs. This study uses a cross-sectional study with quantitative methods, by looking at factors of age, sex, prescription drugs, doctors and health insurance status in accordance with the secondary data obtained through medical records and bills medicine outpatient services. And based on the results of the study, factors that affect the cost of medication is the age, health insurance, the number of drug items (R /), the use of antibiotics and the use of generic drugs. So as to address these issues need for clinical previllage for outpatient cases and policies that govern rational prescribing]

Abstrak :
Perawat sebagai SDM tenaga kesehatan memberikan kontribusi besar terhadappelayanan kesehatan di rumah sakit dalam hal pelayanan langsung kepada pasien Pelayanan keperawatan Unit Pelayanan Intensif merupakan pelayanan keperawatanyang saat ini perlu untuk dikembangkan di Indonesia sejalan denganperkembangan teknologi dibidang perawatan intensif Oleh karena itu demiefisiensi kebutuhan tenaga dan kompetensi perawat Unit Pelayanan Intensif perludikonsentrasikan Penelitian ini membahas tentang analisa kebutuhan tenagakeperawatan di Unit Pelayanan Intensif RS dr Oen Solo Baru berdasarkan bebankerja. ......Nurses as human resources for health also contribute greatly to the health servicesin hospitals and to provide services directly to patients Nursing services atIntensive Care Unit has to be developed along with the technology development Therefore there is a need to concern the effieciency of nurses in term of quantityand competencies This research discussed about the needs analysis nursing staffin the Intensive Care Unit of dr Oen Solo Baru Hospital based on workload.

Abstrak :
Pelayanan rawat jalan merupakan salah satu Unit kerja di rumah sakit yang melayani pasien dengan berobat jalan termasuk seluruh prosedur diagnostik serta terapeutik. Waktu tunggu merupakan salah satu hal penting yang akan menentukan citra awal pelayanan rumah sakit. Salah satu alat untuk mengidentifikasi kebutuhan konsumen rumah sakit adalah dengan Total Quality Service (TQS). Kepuasan pasien merupakan faktor utama dan tolak ukur keberhasilan rumah sakit yang diberikan kepada pelanggan yang berdampak jumlah kunjungan meningkat dan pasien yang puas cenderung akan kembali. Penelitian ini merupakan penelitian Kuantitatif dengan desain potong lintang (cross sectional) dengan melakukan analisis korelasi yang menganalisa hubungan variabel dependen dan variabel independen. Penelitian dilakukan dengan menghitung waktu tunggu poliklinik dan waktu pemeriksaan dokter, kemudian dilakukan survey kuesioner TQS terhadap 135 responden. Hasil penelitian menyatakan bahwa waktu tunggu poliklinik, waktu pemeriksaan dokter tidak mempengaruhi kepuasan pasien. Kualitas personil, pelayanan administrasi, pengalaman perawatan medis, dan tanggung jawab sosial memiliki hubungan yang signifikan dengan kepuasan pasien. Dan faktor tanggung jawab sosial merupakan variabel yang paling dominan dan berpengaruh terhadap kepuasan pasien di RSIA AMC Metro. ......Outpatient services is one of unit working in hospitals that serve patients with outpatient including all diagnostic and therapeutic procedures. The waiting time is one important thing that will determine the initial image of hospital services. One of the tools for identifying customer needs hospital is the Total Quality Service (TQS). Patient satisfaction is a major factor and a measure of the success of the hospital which is given to customers who impact the number of visits increased and patients are satisfied tend to be returned. This research is a quantitative research with cross sectional design (cross-sectional) with correlation analysis to analyze the relationship the dependent variable and independent variables. The study was conducted by calculating the waiting time and time clinic doctor examination, then conducted a TQS questionnaire survey on 135 respondents. The study states that the waiting time and the doctor's examination time did not affect patient satisfaction. The quality of personnel, administrative services, medical care experiences, and social responsibility has a significant relationship with patient satisfaction. And the social responsibility factor is the most dominant variable and the effect on patient satisfaction in RSIA AMC Metro.

Abstrak :
Gurdwara adalah sebuah bangunan keagamaan yang digunakan oleh komunitas Sikh. Sebagai komunitas agama dan diaspora, pembangunan dalam Gurdwara haruslah memiliki nilai simbolis yang berfungsi sebagai identitas mereka. Identitas Gurdwara dapat ditentukan dari penggunaan berbagai ornamen, simbol, dan ruang sakralnya. Pemaknaan simbol dalam penelitian ini digunakan untuk menganalisis makna signifikan dari Simbol. Penelitian ini bertujuan untuk menjelaskan identitas dan rasa memiliki komunitas Sikh, serta bagaimana mereka melestarikan ruang sakral untuk ritual ibadahh dan kenangan terhadap negara asal, serta sejarah kehidupan mereka. Perjalanan dalam berjuang bersama untuk menjaga sebuah fenomena arsitektur yang terbangun oleh rasa kepercayaan akan ajaran agama yang dijunjung serta perpaduan unsur kebudayaan negara lain. Penelitian ini merupakan suatu penelitian kualitatif dengan pendekatan ikonologi yang menggunakan metode deskriptif naratif untuk menggambarkan studi kasus yang diangkat. Pada penelitian ini sendiri pengumpulan data akan dilakukan melalui kegiatan pengumpulan arsip dan literatur yang akan disesuaikan dengan hasil wawancara di lapangan oleh koresponden yang relevan. Penelitian ini bertujuan merinci identifikasi tipe ruang yang ada di dalam Gurdwara berdasarkan dengan kebutuhan dan kebiasaan adat istiadat dari daerah asal kepercayaan mereka, identifikasi proses pembangunan Gurdwara berdasarkan timeline sejarah dan pembangunan di Tanjung Priok dan pengaruh serta hubungan antara budaya dari lokasi asal dan lingkungan sekitarnya. ......Gurdwara is a religious building used by the Sikh community. As a religious community and diaspora, development within the Gurdwara must have a symbolic value that serves as their identity. Gurdwara's identity can be determined from the use of various ornaments, symbols, and sacred spaces. The meaning of the symbol in this study is used to analyze the significant meaning of the symbol. This study aims to explain the identity and sense of belonging of the Sikh community, how they preserve sacred space for worship rituals and memories of their country of origin, and their life history. A journey of struggling together to maintain an architectural phenomenon that is awakened by a sense of belief in upheld religious teachings and a blend of cultural elements from other countries. This qualitative research uses an iconological approach that uses a narrative descriptive method to describe the case studies raised. In this research, data collection will be carried out through archive and literature collection activities which will be adjusted to the results of interviews in the field by relevant correspondents. This study aims to detail the identification of the types of space that exist in the Gurdwara based on the needs and customs of the area of origin of their beliefs, identification of the Gurdwara development process based on the historical and development timeline in Tanjung Priok, and the influences and relationships between the culture of the location of origin and the surrounding environment.

Abstrak :
Perluasan wilayah administrasi kota Jakarta dalam perkembangan pembangunan kota pasca kolonial menempatkan kawasan Menteng yang awal dibangunnya merupakan permukiman pinggiran kota menjadi pemukiman strategis di pusat kota. Kondisi tersebut mengancam keberadaan bangunan hunian “warisan” kolonial yang memiliki signifikansi sejarah dan arsitektur. Dengan tujuan menambah daya tarik kota, pada tahun 1975, bangunan dan lingkungan di Menteng yang tersisa, dilindungi melalui penetapannya sebagai Cagar Budaya hingga kemudian masuk dalam perencanaan tata ruang kota. Namun seiring perkembangan pembangunan dan politik, kesenjangan antara peraturan dan praktik pelestarian tidak dapat dihindari berdampak pada otentisitas bangunan hunian asli. Tinjauan peraturan dan praktik pelestarian dengan studi kasus bangunan hunian di KCB Menteng yang terjadi mulai dari penetapan, instrumen kebijakan, tujuan, dan dampak yang terjadi. Hasil penelitian menunjukan bahwa kesenjangan antara peraturan dan praktik pelestarian bangunan hunian di KCB Menteng terikat faktor masyarakat dan pemerintahan beriringan dengan peningkatan kebutuhan ruang dan juga ketakutan akan menghambat pembangunan modern. Padahal jika direncanakan dengan tepat, kombinasi antara yang lama dan yang baru dapat membuat bangunan lebih menarik, sebagai negosiasi terhadap kebutuhan baru. Walaupun disadari pada akhirnya perencanaan yang tepat pun tidak akan terealisasi tanpa pengawasan yang baik. Sehingga dibutuhkan panduan pelestarian yang jelas, berkelanjutan dan tersosialisasi dengan baik. ......The expansion of the administrative area of the city of Jakarta in the development of post-colonial urban development placed the Menteng area, which was originally built as a suburban settlement, into a strategic settlement in the city center. These conditions threaten the existence of colonial "heritage" residential buildings that have historical and architectural significance. With the aim of adding to the attractiveness of the city, in 1975, the remaining buildings and environment in Menteng were protected through their designation as cultural heritage, until later they were included in the city's spatial planning. However, along with developments and politics, the gap between regulations and preservation practices inevitably impacts the authenticity of the original residential buildings. Review of regulations and conservation practices with case studies of residential buildings in KCB Menteng that occurred, starting from the determination, policy instruments, goals, and impacts that occurred. The results of the study show that the gap between regulations and the practice of preserving residential buildings in KCB Menteng is bound by societal and government factors, along with increasing space requirements and fears of hindering modern development. Yet if planned properly, the combination of old and new can make a building more attractive through the negotiation of new requirements. Even though we realize that, in the end, even the best planning will not be realized without good supervision. So that clear, sustainable, and well-socialized conservation guidelines are needed.

Abstrak :
Ruang festival memiliki peran integral dalam berbagai aspek keberlangsungan suatu kota baik secara tangible dan intangible. Ruang-ruang ini merupakan evidence akan narasi historis yang menjadi akar identitas dan kultural dari kota serta masyarakatnya. Pada ruang festival di Sungai Cisadane Kota Tangerang, ruang festival menjadi bukti kemunculan Kota Tangerang yang diinisiasi oleh sungai dan aktivitas di sekitarnya. Dalam perkembangan dan pertumbuhan Tangerang, ruang festival di Sungai Cisadane telah menjadi ruang afirmasi nilai kultural, negosiasi sosial, serta wujud kendali oleh kuasa dari waktu ke waktu. Namun bagaimana kejelasan spesifik serta sebab akibat dari pergeseran peran ini masih perlu untuk diekspos secara menyeluruh. Penelitian ini menelusuri apa dan bagaimana hubungan antara festival dan sejarah suatu kota secara umum, serta bagaimana kemudian perubahan dari ruang-ruang festival ini terjadi dalam konteks perkembangan kota. Dalam kondisi kontemporer kota, ruang festival dominan menjadi target komodifikasi kota untuk kepentingan tertentu sehingga autentisitas menjadi isu utama dari Tesis ini. Dengan melihat ruang festival sebagai ruang pusaka, Tesis ini mendemonstrasikan bagaimana ruang festival di Sungai Cisadane merupakan ruang integral pada Kota Tangerang yang mampu membentuk identitas kultural Kota Tangerang serta memungkinkan inovasi dan perkembangan kota ikut hadir. ......Festival space has an integral role in various aspects of city history and its sustainability whether tangible or intangible. Furthermore, these spaces are evidence of the city and its community's historical, identity and cultural narrative. In the festival space of Cisadane River of Tangerang City, the festival space is the evidence for Tangerang Cits formation initiated by the river with the existence of various activities surrounding it. Following the development of Tangerang City, the festival space rove have shifted into a space of cultural affirmation, social negotiation, and act of ruling power throughout the times. This research explores the whatness and howness of these festival spaces in Tangerang City appears and relate to the city history and development with its shifting roles. In the city's contemporary condition, these festival spaces tend to be a target for city commodification for a specific purpose whereas then the authenticity of the festival spaces became the main concern. By seeing the festival spaces as a liminal and performative space, this Thesis demonstrates how the festival space in Cisadane River are an integral part of tangerang city which is capable of creating and preserving Tangerang cultural identity while also allowing innovation and development.

Abstrak :
Clinical Pathway di rumah sakit merupakan pedoman yang mencakup semua aktivitas dari pasien masuk hingga keluar rumah sakit. Tesis ini membahas mengenai pengaruh clinical pathway terhadap lama hari rawat dan biaya resep pasien di RS IMC. Penelitian ini adalah kualitatif dan kuantitatif dengan desain studi kasus analisis deskriptif. Hasil penelitian menggambarkan tahapan proses implementasi clinical pathway di RS IMC dimulai dengan perencanaan, pembentukan tim, penyusunan draft formulir clinical pathway, sosialisasi, uji coba hingga implementasi; serta terjadi penurunan lama hari rawat dan biaya resep pasien hernia inguinalis akibat pengaruh implementasi clinical pathway di RS IMC Bintaro. ...... Clinical Pathway in the hospital is a guideline which includes all activities from admission until hospital discharge. This thesis discusses the effect of clinical pathways towards length of stay and cost of prescription patient in IMC hospital. This study is a qualitative and quantitative, analysis of a descriptive case study design. Results of the study illustrate the stages of the process of implementing clinical pathways in IMC Hospital that begins with planning, team building, clinical pathways form drafting, dissemination, trial and implementation; as well as a decline in length of stay and cost of prescription inguinal hernia patients due to the effect of the implementation of clinical pathways in IMC Hospital.