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"Tesis ini membahas kemampuan mahasiswa Fakultas Psikologi UAngka penemuan kasus menurut Global tuberculosis Report 2016 sebesar 77 dan dikawasan Asia Tenggara sebesar 46,5 . Sedangkan di Indonesia mengalami titik stagnan dalam 5tahun terakhir di kisaran 32 - 33 kasus. Angka penemuan kasus TBC di Kota Depok tahun2016 baru tercapai 58 dari target cakupan. Sedangkan di Kota Bekasi, cakupannya sebesar62 . Sejak tahun 2014 dengan menggunakan strategi PPM Public Private Mix di Kota Depokmelibatkan fasyankes Fasilitas Pelayanan Kesehatan swasta dalam penanganan TBCmenggunakan metode DOTS Directly Observed Treatment Shortcourse. Saat ini, dari 4 RSswasta yang sudah bekerja sama menjangkau 18,7 kasus TBC di seluruh Kota Depok.Penelitian ini bertujuan untuk mengetahui efektivitas biaya penerapan strategi DOTS di RumahSakit swasta Kota Depok. Penelitian ini merupakan penelitian evaluasi ekonomi dengan denganmetode kohort retrospektif. Penelitian ini akan dilakukan pada bulan Oktober ndash; April 2018dengan melakukan study comparative antara 3 alternatif Cost Effectiveness Analysis, yaitu Puskesmas yang menggunakan DOTS, RS DOTS dan RS Tanpa DOTS. Peneliti melakukanpenghitungan microcosting dari perspektif societal/masyarakat dengan menghitung biaya yangdikeluarkan oleh pasien dan provider pelayanan kesehatan. Output yang dipakai untuk mengukurpenanganan TBC adalah angka pengobatan lengkap Success Rate . Estimasi biaya berdasarkantarif Rumah Sakit, harga pasar, serta wawancara dari petugas RS.Hasil penelitian dari 36 sampel per kelompok menunjukkan bahwa Success Rate dipuskesmas 86,1 , RS dengan DOTS sebesar 77.78 sedangkan yang non DOTS sebesar 63.89 . Penambahan biaya provider di puskesmas dan RS DOTS meningkatkan success rate. Biayasocietal penatalaksanaan TBC di puskesmas 42 dari biaya di RS swasta. Dari perhitunganACER Average Cost Effectiveness Ratio didapatkan bahwa RS yang melaksanakan strategiDOTS lebih cost effective, dengan nilai ACER di Puskesmas adalah Rp 1.948.284, RS DOTS Rp3.989.576 dan RS tanpa DOTS sebesar Rp 5.390.323. Untuk menaikkan 1 angka kesuksesanpengobatan membutuhkan biaya Rp 10.084.572 dengan melakukan intervensi program DOTS keRS Swasta. Analisis bivariat menyatakan bahwa terdapat perbedaan bermakna efektivitas biayaperspektif societal pada pengobatan TBC di puskesmas, RS dengan DOTS, dan RS tanpa DOTS.

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According to Global Tuberculosis Report 2016, the number of TB cases 77 andSoutheast Asia cases 46.5. While Indonesia was at a stagnant point in the last 5 years in therange 32 33 of cases. Case Detection Rate 2016 at Depok City only reached 58 of targetcoverage. While at Bekasi, coverage of 62. Since the year 2014 by using strategies of PPM Public Private Mix in the Depok City involves private health service facility to handling TBusing DOTS Directly Observed Treatment Shortcourse . Currently, partnership between DepokHealth District Office with 4 private hospitals can increase 18.7 of TB cases. The aims of thisstudy is to determine cost effectiveness of DOTS strategy implementation in Private Hospital. This research is a study of the economic evaluation with method a retrospective cohortstudy. This research will be conducted in October ndash April 2018 by doing a comparative studybetween 3 alternatives Cost Effectiveness Analysis , i.e. Public Health Care PHC Puskesmas,DOTS and Non DOTS Private Hospitals. Researchers did a microcosting from the perspective ofsocietal by calculating the costs incurred by the patient and health care provider. Outputmeasured by the number of complete treatment Success Rate . Cost estimation based onHospital rates, market prices, and interviews of the officers of hospital.From 36 samples per group shows that the Success Rate at PHCis 86.1 DOTS hospitalof 77.78 and non DOTS hospital of 63.89 . The addition cost providers PHC and DOTShospital increase success rate. The cost of TB treatment in PHC 42 of costs in a privatehospital. ACER Average Cost Effectiveness Ratio is obtained that the hospital which carry outthe strategy of DOTS is more cost effective. ACER in PHC is Rp 1,948,284, DOTS Hospital Rp3,989,576 and Non DOTS Hospital is Rp 5,390,323. To increase 1 success rate of TBtreatment costs Rp 10,084,572 with intervention DOTS programs into a private hospital. Bivariatanalysis stated that cost effectiveness societal perspectives on TB treatment between PHC, DOTS hospital and Non DOTS hospital has a significant difference."

"Kesembuhan pasien TB merupakan outcome dari pelayanan kesehatan yang berkualitas yang dipengaruhi oleh faktor provider dan customer. Oleh sebab itu penting adanya pemenuhan kebutuhan berdasarkan perspektif faktor tersebut. Tahun 2019, dikembangkan instrumen penilaian kualitas pelayanan TB berdasarkan perspektif pasien (Quote TB Light) dengan sembilan dimensi. Penelitian ini bertujuan mengetahui hubungan kualitas pelayanan kesehatan Tuberkulosis dengan kesembuhan pasien TB. Penelitian menggunakan mix method embedded design yang dilakukan pada empat puskesmas Kota Bandung menggunakan kuesioner (google form) pada 61 pasien TB dan 11 informan (petugas kesehatan) yang dilakukan wawancara mendalam secara online. Hasil penelitian dengan menggambarkan variabel stigma masuk kategori kualitas baik tertinggi (95.1%) dan variabel keterjangkauan finansial kategori kualitas buruk (14.8%) juga terdapat kesenjangan antara perspektif customer dan provider pada variabel keterjangkauan finansial dan infrastuktur. Hasil uji fisher exact menyatakan adanya hubungan kualitas pelayanan kesehatan tuberkulosis dengan kesembuhan pasien TB (p value 0.000). Dengan hasil penelitian, disarankan adanya dukungan infrastruktur terkait ruangan DOTS, tunggu dan Laboratorium yang memadai, Serta pemantauan minum obatyang ruti pada pasien menggunakan media telepon seluler, menetapkan SOP waktu pelayanan TB dan menyediakan anggaran bantuan dana terkait kebutuhan pasien (transportasi dan gizi).

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TB patient cure is an outcome of quality health services which is influenced by provider and customer factors. Therefore, it is important to fulfill the needs based on the perspective of these factors. In 2019, an instrument for assessing the quality of TB services was developed based on the patient's perspective (Quote TB Light) with nine dimensions. This study aims to determine the relationship between the quality of Tuberculosis health services and the recovery of TB patients. The study used a mix method embedded design conducted at four Bandung City Health Centers using a questionnaire (google form) on 61 TB patients and 11 informants (health workers) who conducted in-depth online interviews. The results of the study by describing the stigma variable as being in the highest good quality category (95.1%) and the financial affordability variable in the poor quality category (14.8%) there is also a gap between the customer and provider perspectives on the financial and infrastructure affordability variables. Fisher's exact test results stated that there was a relationship between the quality of tuberculosis health services and the cure of TB patients (p value 0.000). With the results of the study, it is recommended that there be infrastructure support related to DOTS rooms, waiting rooms and adequate laboratories, as well as monitoring of routine drug taking in patients using cell phones, setting SOPs for TB service times and providing budget assistance funds related to patient needs (transportation and nutrition)."

"Tuberkulosis sampai saat ini masih menjadi masalah kesehatan masyarakat di dunia, terutama di negara-negara berkembang termasuk Indonesia. Indonesia negara tertinggi kedua untuk kasus TB terbanyak, Kabaupaten Tangerang penyumbang paling tinggi di Provinsi Banten, penemuan kasus TB di Kabupaten masih belum mencapai target. Tujuan penelitian adalah untuk mengetahui hubungan faktor determinan petugas TB yang berpengaruh dalam pelaksanaan kasus tuberkulosis paru di Puskesmas Kabupaten Tangerang. predisposisi yaitu pengetahuan, motivasi, imbalan, dan pemahaman tugas; faktor pemungkin yaitu sumber daya, tugas rangkap dan pelatihan; maupun faktor penguat yaitu supervisi. Penelitian ini menggunakan pendekatan cross sectional dengan metode campuran. Populasi penelitian adalah seluruh petugas TB di Puskesmas se-Kabupaten Tangerang dengan total sebanyak 44 orang, maka seluruh populasi diambil sebagai sampel dengan kriteria inkulsi sebanyak 35 orang petugas. Tahapan analisis data yaitu univariat, bivariat dan kualitatif. Hasil penelitian menunjukkan ada pengaruh sumber daya (p=0,003), supervisi (p=0,001), pelatihan (p=0,027), imbalan (p=0,001), tugas rangkap (p=0,001), tugas rangkap (p=0,001), pemahaman tugas(p=0,001), motivasi(p=0,001) dan pengetahuan (p=0,001) terhadap pelaksanaan penemuan kasus TB. Diharapkan puskesmas perlu berkomitmen dalam mendukung pelaksanaan penemuan kasus TB dengan cara menginstruksikan, melakukan supervisi, memberikan reward. Dinas Kesehatan Kabupaten Tangerang agar dapat melengkapi sarana maupun prasarana.

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Tuberculosis is still a public health problem in the world, especially in developing countries including Indonesia. Indonesia is the second highest country for the most TB cases, Tangerang Regency is the highest contributor in Banten Province, the discovery of TB cases in the Regency has not yet reached the target. The purpose of the study was to determine the relationship between the determinants of TB officers who had an effect on the implementation of pulmonary tuberculosis cases at the Tangerang District Health Center. predisposition, namely knowledge, motivation, reward, and understanding of the task; enabling factors, namely resources, dual tasks and training; as well as the reinforcing factor, namely supervision. This study used a cross sectional approach with mixed methods. The study population was all TB officers at Puskesmas throughout Tangerang Regency with a total of 44 people, so the entire population was taken as a sample with inclusion criteria as many as 35 people. The stages of data analysis are univariate, bivariate and qualitative. The results showed that there was an influence on resources (p=0.003), supervision (p=0.001), training (p=0.027), rewards (p=0.001), multiple assignments (p=0.001), multiple assignments (p=0.001), understanding of tasks (p = 0.001), motivation (p = 0.001) and knowledge (p = 0.001) on the implementation of TB case finding. It is hoped that puskesmas need to be committed to supporting the implementation of TB case finding by instructing, supervising, and providing rewards. Tangerang District Health Office in order to complete the facilities and infrastructure."