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Abstrak :
Tesis ini bertujuan mengetahui rencana aksi pelayanan berkesinambungan di rawat jalan RSUP Fatmawati guna meningkatkan citra RS Fatmawati. Analisis dilakukan secara mikro melalui wawancara pasien, manajemen, serta petugas kesehatan dan secara makro melalui analisis kebijakan. Hasil menunjukkan bahwa gap pada pelayananan rawat jalan terdapat pada kesesuaian kualitas (kecepatan layanan, kelengkapan obat, kenyamanan) dan komunikasi. Masalah ketidakpuasan yang terjadi di Fatmawati merupakan pengembangan dari akar masalah yaitu meningkatnya kunjungan pasien akibat sistem rujukan yang tidak berjalan. Rencana aksi yang dirancang dibuat secara makro yaitu memperbaiki sistem rujukan dengan fokus menyeimbangkan peran Unit Kesehatan Masyarakat dan Unit Kesehatan Perseorangan dan juga secara mikro melalui perbaikan internal rumah sakit. ...... This thesis aims to find the continuous action plan in the Fatmawati general hospital outpatient services in order to increase the Fatmawati General Hospital's image. The micro-analysis was conducted by interviewing patients, managements, health workers and the macro analysis was done through policy analysis. The results showed that the gap in outpatient service were in the compatibility quality (service speed, drug completeness, comfort) and communication. The dissatisfaction problems that occur in Fatmawati general hospitals was the cultivation of the main root problem which was the rising number of patients as a result of the referral system ineffectiveness. The action plan designed in a macro scale is to improve the referral system with a focus on balancing the role of public health unit and individual health unit, in the micro scale the action plan is conducted through out hospitals internal improvements. This efforts also needs to be strengthened with Primary Health Care System as a strategy to ensure the affordability of essential health services provided universally to the public in order to achieve the common goal of a better health

Abstrak :
ABSTRAK
Proses penetapan kebijakan perencanaan dan penganggaran pada Direktorat Kesehatan Kerja dan Olahraga sangat dinamis dan bergerak sesuai dengan arah kebijakan dan prioritas. Tujuan penelitian ini yaitu untuk mendapatkan fakta sejauh mana aspek politik ikut berperan dalam penetapan kebijakan perencanaan dan anggaran. Penelitian ini menggunakan metode kualitatif dengan melakukan wawancara mendalam terhadap pihak-pihak yang terlibat. Hasil penelitian menunjukan bahwa aspek politik paling kental terjadi pada tahapan proses penetapan kebijakan terutama saat terjadi konflik, kerjasama, negoasiasi dalam penetapan besaran alokasi anggaran dan target yang disusun. Penelitian ini merekomendasikan untuk memperkuat SDM direktorat kesehatan kerja dan olahraga dalam hal kemampuan untuk melakukan advokasi mengenai pentingnya program kesehatan kerja dan olahraga.

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ABSTRACT
The process of establishing policy on planning and budgeting in directorate of occupational health and sport is very dynamic and moving in accordance with the policy and priorities. The purpose of this study is to get the facts extent to which the political aspect played a role in policy establishing and budget planning. This study uses a qualitative method by conducting in-depth interviews of the parties involved in the process of planning and budgeting. Results showed political aspect of most condensed occur in the process of the establishment of policies especially when conflict, cooperation, and negotiation happen in determining the amount of budget allocations and targets arranged. This study recommends to strengthen human resources of directorate in terms of ability to advocate on the importance of occupational health and sports programs

Abstrak :
Secara global, populasi lansia terus bertambah seiring dengan kemajuan sektor kesehatan, yang ditandai dengan peningkatan harapan hidup dan angka kematian yang lebih rendah. Peningkatan jumlah lansia di Indonesia berlangsung dalam kurun waktu sekitar 50 tahun pada 1971-2021. Pada tahun 2021, proporsi lansia mencapai 10,82 persen, artinya Indonesia dapat dikatakan negara dengan struktur penduduk tua (ageing population). Diproyeksikan pada tahun 2045, persentase lansia Indonesia diperkirakan akan mencapai hampir seperlima dari seluruh penduduk Indonesia atau sekitar 19,9 persen. Sehingga diperlukan perhatian terhadap upaya peningkatan kualitas hidup lansia. Jumlah usia lanjut di Kecamatan Gandus sebanyak 4.979 jiwa dengan cakupan pelayanan usia lanjut sebesar 40,3% pada tahun 2021. Penurunan kondisi fisik dan mental penduduk lansia seiring dengan bertambahnya umur, mengakibatkan para lansia sangat rawan terhadap gangguan berbagai penyakit. Penelitian ini bertujuan untuk mengetahui hubungan mekanisme coping dengan kualitas hidup lansia setelah dikontrol variabel konfounding usia, jenis kelamin, pendidikan, pekerjaan, status tinggal bersama, dan status pernikahan. Penelitian ini dilakukan di wilayah Kecamatan Gandus Kota Palembang April-Juni 2022. Penelitian menggunakan desain studi cross sectional, pengambilan sampel yaitu simple random sampling, pengambilan data dilakukan melalui wawancara menggunakan kuisioner pada 110 responden lansia. Hasil penelitian ini menemukan bahwa pada responden yang memiliki kualitas hidup baik, 75% menggunakan coping adaptif. Hasil regresi logistik menunjukkan hubungan bermakna antara mekanisme coping dengan kualitas hidup lansia setelah dikontrol variabel pendidikan dan pekerjaan (p value = 0,001, CI = 2,0 - 14,8). Penggunaan mekanisme coping adaptif merupakan faktor meningkatnya kualitas hidup, peningkatan kualitas hidup ini meningkat pada lansia yang berpendidikan tinggi dan memiliki pekerjaan. ......Globally, the elderly population continues to grow along with the progress of the health sector, which is characterized by increased life expectancy and lower mortality rates. The increase in the elderly population in Indonesia lasted for 50 years in 1971-2021. In 2021, the proportion of elderly reached 10.82 percent, it means that Indonesia is described as a country with an aging population structure. It is projected that in 2045, the percentage of Indonesia's elderly is expected to reach almost one-fifth of the entire population of Indonesia or about 19.9 percent. Therefore, it is necessary to pay attention to efforts to improve the quality of life in elderly. The elderly population in Gandus District is 4,979 people with the elderly service coverage of 40.3% in 2021. The decline in the physical and mental condition of the elderly population along with increasing age, makes the elderly very vulnerable to various diseases. This study aims to determine the relationship between coping mechanisms and the quality of life in elderly after controlling for the confounding variables of age, gender, education, occupation, cohabitation status, and marital status. This research was conducted in the Gandus District, Palembang City in April-June 2022. The study used a cross-sectional study design, sampling was simple random sampling, data collection was carried out through interviews using questionnaires on 110 elderly respondents. The results of this study found that respondents who have a good quality of life, 75% have used adaptive coping. The results of logistic regression showed a significant relationship between coping mechanisms and quality of life in elderly after being controlled by education and work variables (p value = 0.001, CI = 2.0 - 14.8). The use of adaptive coping mechanisms is a factor to improve the quality of life, the improvement of the quality of life will increase in elderly with higher education and having a job.