Abstract:BPJS services certainly cannot be separated from efforts to maintain service quality standards which at least include service procedures, completion time, service costs, service products, facilities and infrastructure, as…
s well as the competence of service personnel. Therefore, BPJS as an institution that provides health insurance to the public should measure the quality of services provided, especially through the HIS program. The aim of this research is to describe how the Health Insurance Administering Agency (BPJS) provides services at the Merauke Regency Regional General Hospital (RSUD Merauke Regency). The research method used is a qualitative descriptive technique. Based on the research results, the availability of adequate health facilities and equipment at BPJS counters can help officers in carrying out their duties in providing services to BPJS participants and is a factor that influences services at BPJS counters in Merauke-General Region. the affected hospitals are physical evidence. In accessing health services, officers must be sensitive in handling patient complaints and nursing staff must be responsive in resolving complaints from BPJS participants. Apart from that, nurses or civil servants must be punctual and each have an educational background related to BPJS. This applies to both training in the health and non-health sectors and the last is certainty, namely that to get services from BPJS, patients must follow the procedures set out in regional regulations, do not follow
Abstract:Chronic pain represents a major global health burden and often remains resistant to conventional pharmacological treatment, prompting the exploration of alternative therapeutic strategies. Electroencephalographic (EEG) neurofeedback…
eurofeedback has emerged as a non-invasive neuromodulatory intervention that enables patients to self-regulate brain activity and potentially alleviate persistent pain symptoms. This systematic review addresses the research problem of inconsistent evidence regarding the clinical efficacy and underlying mechanisms of EEG-based neurofeedback for chronic pain management in adults. A comprehensive analysis of 80 studies involving adults with chronic pain lasting at least three months was conducted, examining neurofeedback protocols, clinical pain outcomes, neurophysiological changes, secondary benefits, and methodological quality. Findings revealed heterogeneous results, with several studies reporting statistically significant and clinically meaningful pain reduction, particularly in conditions such as chemotherapy-induced neuropathy, fibromyalgia, and chronic back pain. Observed neurophysiological changes, including increased alpha power and modified connectivity in pain-related brain regions, were sometimes associated with clinical improvement, alongside reported benefits in sleep quality, mood, and overall well-being. However, evidence from sham-controlled randomized trials showed no significant differences between intervention and control groups, highlighting methodological limitations and challenges in blinding procedures. The review concludes that EEG neurofeedback is a safe and feasible intervention with potential therapeutic value for chronic pain, although current evidence remains inconsistent. The novelty of this study lies in its integrative evaluation of clinical outcomes, neurophysiological mechanisms, and protocol-specific effects, while emphasizing the need for personalized approaches, biomarker identification, and rigorous experimental designs to clarify efficacy and optimize treatment implementation.
Abstract:Chronic Obstructive Pulmonary Disease (COPD) is a progressive chronic respiratory disease that has become a global health concern due to its high morbidity and mortality rates and its impact on patients’ quality of life.…
e. In acute exacerbation conditions, impaired oxygenation becomes a major problem that may be influenced by various factors, including hemoglobin levels as the primary component of oxygen transport in the blood. However, the relationship between hemoglobin levels and oxygen saturation in patients with acute exacerbation COPD remains inconsistent, particularly in populations exposed to high environmental risk factors. This study aimed to determine the relationship between hemoglobin levels and oxygen saturation in patients with acute exacerbation COPD hospitalized at RSUD dr. Suhatman MARS Dumai, Kota Dumai. This research employed an analytic observational design with a cross-sectional approach involving 73 patients selected through total sampling based on medical record data. Bivariate analysis using the Spearman correlation test showed no significant relationship between hemoglobin levels and oxygen saturation (r = 0.098; p = 0.412), indicating a very weak and statistically insignificant correlation. The study concluded that hemoglobin levels do not directly influence the oxygenation status of patients with acute exacerbation COPD, where impaired oxygenation is more strongly affected by respiratory factors such as ventilation-perfusion imbalance and structural lung damage. The novelty of this study lies in its empirical evidence demonstrating the limited role of hemoglobin as a predictor of oxygenation in patients with acute exacerbation COPD within a population with specific environmental characteristics, thereby providing a basis for developing more comprehensive clinical approaches in monitoring and managing COPD patients.
Abstract:Physical fitness is a very important part of everyday life and almost everything that’s done depends on the physical member. In order to function properly, it is essential for us to maintain physical health so as not to…
o cause problems and risk illness. In addition to the illness caused by physical activity, it can also be caused by age actors. In the field of health continues to undergo rapid development, one of the breakthroughs that has been used is the use of ultrasonic waves. Ultrasonic waves are the result of mechanical vibrations produced by the movement of isolated molecules in their diffusion media. If tissues receive ultrasound waves, the impact includes biological effects, mechanical effects and thermal effects. Some of the findings that have been established are the application of ultrasound waves to therapies in cases that appear on physical limbs. On this article aims to be able to contribute in the field of health so that it is easier to develop the use of ultrasonic therapy. This article is compiled using a literature review method taken from the references that have been collected. Of all the references collected, ultrasonic waves are used as therapies for some physical function problems. This therapy also collaborates with several paractic methods of health to address the existing problems. Therapy using ultrasonic modality has been shown to reduce pain, muscle cramps and minor injuries. It can be concluded that ultrasound therapy can help deal with patients suffering from disorders in their physical bodies, either to reduce pain or during the recovery process.
Abstract:Abstract: The selection of pediatric cough medicine at Apotek Keluarga is currently subjective and highly dependent on the pharmacist's experience, which potentially leads to inconsistent recommendations for customers. This…
his research aims to develop a Decision Support System (DSS) using the Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) method to provide objective, fast, and accurate drug recommendations. The assessment criteria used in this system include cough type, side effects, age, and drug price, which are adjusted to clinical needs and consumer preferences. TOPSIS was chosen for its ability to rank drug alternatives based on their relative closeness to the positive ideal solution and the farthest distance from the negative ideal solution. The system development process involved problem identification, literature study, and data collection through interviews and direct field observations. The results indicate that the implementation of the TOPSIS method is effective in producing a list of cough medicine recommendations tailored to the specific conditions of pediatric patients. With this web-based system, the drug selection process becomes more transparent, systematic, and efficient, thereby enhancing the quality of pharmaceutical services at Apotek Keluarga.
Keywords: Decision Support System, TOPSIS, Pediatric Cough Medicine, Apotek Keluarga.
Abstrak: Pemilihan obat batuk anak di Apotek Keluarga saat ini masih bersifat subjektif dan sangat bergantung pada pengalaman apoteker, sehingga berpotensi menimbulkan ketidakkonsistenan dalam pemberian rekomendasi kepada pelanggan. Penelitian ini bertujuan untuk mengembangkan Sistem Pendukung Keputusan (SPK) menggunakan metode Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) guna memberikan rekomendasi obat secara objektif, cepat, dan akurat. Kriteria penilaian yang digunakan dalam sistem ini meliputi jenis batuk, efek samping, usia, dan harga obat, yang disesuaikan dengan kebutuhan klinis serta preferensi konsumen. Metode TOPSIS dipilih karena kemampuannya dalam meranking alternatif obat berdasarkan kedekatan relatif terhadap solusi ideal positif dan jarak terjauh dari solusi ideal negatif. Proses pengembangan sistem dilakukan melalui tahapan identifikasi masalah, studi literatur, serta pengumpulan data melalui wawancara dan observasi langsung di lapangan. Hasil penelitian menunjukkan bahwa penerapan metode TOPSIS efektif dalam menghasilkan urutan rekomendasi obat batuk yang paling sesuai dengan kondisi spesifik pasien anak. Dengan adanya sistem berbasis web ini, proses pemilihan obat menjadi lebih transparan, sistematis, dan efisien, sehingga mampu meningkatkan kualitas pelayanan farmasi di Apotek Keluarga.
Kata kunci: Sistem Pendukung Keputusan, TOPSIS, Obat Batuk Anak, Apotek Keluarga.
Abstract:Abstract: Babun Rizki Pratama Clinic is a business that operates in the health services sector. Pratama Babun Rizki Clinic is located in Haessa Air Genting Village Dusun IV, Air Batu District, Asahan Regency. The public…
always asks for quality medical services, but often these requests do not meet expectations, because the services provided to patients at Babunn Rizki Pratama Clinic are said to be less effective. The lack of staff at the Pratama Babun Rizki Clinic results in a long patient examination process, so that many patients receive less effective services and are at high risk of experiencing medical errors. These various problems can be overcome by using technology that carries the concept of service to patients using the Service Quality (SERVQUAL) method. The method used in this research is qualitative, where this research is carried out by distributing questionnaires to find out how respondents respond to the services provided. The results of service calculations using the Servqual method at Babun Rizki Pratama Clinic showed that 80% of respondents felt "Not Satisfied" and 20% felt "Very Satisfied". Of the total assessment, there were 20 data indicating "Not Satisfied" and 5 data indicating "Very Satisfied". From the results of this percentage, it can be seen that only 5 data stated "Very Satisfied".
Keywords: service quality (servqual); babun rizki pratama clinic; decision support system; ph; mysql
Abstrak: Klinik Pratama Babun Rizki merupakan salah satu usaha yang bergerak dalam bidang jasa kesehatan. Klinik Pratama Babun Rizki beralamat di desa Haessa Air Genting Dusun IV Kecamatan Air Batu Kabupaten Asahan. Masyarakat selalu meminta pelayanan medis yang berkualitas, namun seringkali permintaan tersebut tidak sesuai harapan, karena pelayanan yang diberikan kepada pasien di Klinik Pratama Babunn Rizki dikatakan kurang efektif. Kurangnya pegawai yang ada di Klinik Pratama Babun Rizki mengakibatkan lamanya proses pemeriksaan kepada pasien, sehingga banyak pasien yang mendapatkan layanan kurang efektif dan beresiko tinggi mengalami kesalahan medis. Berbagai permasalahan tersebut dapat diatasi dengan menggunakan teknologi yang mengusung konsep pelayanan kepada pasien dengan menggunakan metode Service Quality (SERVQUAL). Metode yang digunakan dalam penelitian ini adalah kulitatif, dimana penelitian ini dilakukan dengan cara menyebarkan kuisioner untuk mengetahui bagaimana tanggapan responden terhadap pelayanan yang diberikan. Hasil perhitungan pelayanan menggunakan metode Servqual di Klinik Pratama Babun Rizki menunjukkan bahwa 80% responden merasa "Tidak Puas" dan 20% merasa "Sangat Puas". Dari total penilaian, terdapat 20 data yang menunjukkan "Tidak Puas" dan 5 data yang menyatakan "Sangat Puas". Dari hasil persentasi tersebut dapat dilihat hanya 5 data yang menyatakan “Sangat Puasâ€.
Kata kunci: service quality (servqual); klinik pratama babun rizki; sistem pendukung keputusan; php; mysql
Abstract:Abstract: Puskesmas as a public health technical service unit (UPT) facilitated by the government. Medical record data at the Sidodadi Health Center is processed manually and has a weakness, which requires a long time to…
find medical record data, because the data is still in the form of print media. The purpose of this study can be to build and design applications that can find out the process of managing patient medical records, to design a medical record information system equipped with facilities to facilitate admins in inputting patient data. This research method is carried out with a qualitative descriptive method approach while the method in system development uses a waterfall model. Based on the results of the following study, the application of this medical record system to conduct examinations on patients based on websites so that it is easier and more accurate. It can be concluded that the medical record system applied based on the Website can manage medical record data faster because the management process is no longer handwritten which results in very long queues so many patients have to wait for medical record examinations
Keywords : e-application; puskesmas; information system.
Abstrak: Puskesmas menjadi layanan kesehatan masyarakat yang difasilitasi oleh pemerintah. permasalahan yang terjadi pada Puskesmas Sidodadi dalam pengolahan ata rekam medis yang dilakukan dengan cara manual, karena data masih berbentuk media cetak. Tujuan penelitian ini dapat membangun dan merancang aplikasi yang dapat mengetahui proses pengelolaan rekam medis pasien, untuk merancang sistem informasi rekam medis yang dilengkapi dengan fasilitas untuk memudahkan admin dalam menginputkan data-data pasien. Metode penelitian ini dilakukan dengan pendekatan metode deskriptif kualitatif sedangkan metode dalam pengembangan sistem menggunakan model waterfall. Berdasarkan hasil penelitian berikut penerapan system rekam medis ini untuk melakukan pemeriksaan pada pasien berbasis website sehingga lebih mudah dan akurat. Dapat disimpulkan system rekam medis yang diterapkan berbasis Website dapat mengelola data rekam medis lebih cepat karena pada proses pengelolaannya tidak lagi ditulis tangan yang mengakibatkan antrian sangat panjang sehingga banyak pasien harus menunggu dalam pemeriksaan rekam medis.
Kata kunci : e-aplikasi; puskesmas; sistem informasi.
Abstract:Abstract: The Air Joman Health Center is a community health center that provides services in the form of medical services to the Air Joman community and its surroundings. Based on the observations made by the author, the…
use of syringes at the Air Joman Health Center fluctuates every month consisting of 1 ml syringes, 2.5 ml syringes, 3 ml syringes, 5 ml syringes and 10 ml syringes. After use, the syringe should not be reused and must be discarded. However, sometimes there are obstacles in serving patients, this is due to the limitations of syringes. The number of needles data can only be estimated from the number of available medical devices (stock), because the need for each month is different. This resulted in not all the needs of medical devices were met and there was often additional stock. To overcome problems regarding the processing of medical device stock data, assistance with forecasting is needed, which is the process of estimating future demand. The forecasting system is designed using the PHP programming language and MySQL database. Forecasting the supply of syringes at the Air Joman Health Center speeds up the cashier's work process to make reports because the forecasting system automatically produces forecasting results when the calculate button is clicked and prints the report. Keywords: Single Moving Average Method; Syringe Supplies; Joman Water Health Center.
Abstrak: Puskesmas Air Joman merupakan pusat kesehatan masyarakat yang memberikan pelayanan dalam bentuk jasa pengobatan kepada masyarakat Air Joman dan sekitarnya. Berdasarkan observasi yang dilakukan penulis, adapun penggunaan jarum suntik di Puskesmas Air Joman setiap bulan berfluktuasi yang terdiri atas jarum suntik 1 ml, jarum suntik 2,5 ml, jarum suntik 3 ml, jarum suntik 5 ml dan jarum suntik 10 ml. Setelah pemakaian, jarum suntik tidak boleh dipakai kembali dan harus dibuang. Namun, terkadang terjadi kendala dalam melayani pasien, hal ini disebabkan karena keterbatasan jarum suntik. Banyaknya data jarum suntik hanya bisa diperkirakan dari banyak atau sedikitnya alat kesehatan yang ada (stok), dikarenakan kebutuhan setiap bulan berbeda-beda. Hal ini mengakibatkan tidak semua kebutuhan alat kesehatan terpenuhi dan sering terjadi stok tambahan. Untuk mengatasi permasalahan mengenai pengolahan data stok alat kesehatan, maka dibutuhkan bantuan dengan peramalan (forecasting) yang merupakan proses pengestimasian permintaan di masa mendatang. Sistem peramalan tersebut dirancang menggunakan bahasa pemrograman PHP dan database MySQL. Peramalan persediaan jarum suntik pada Puskesmas Air Joman mempercepat proses kerja Kasir untuk melakukan pembuatan laporan karena sistem peramalan secara otomatis menghasilkan hasil peramalan ketika diklik tombol hitung dan cetak laporan.
Kata Kunci: Metode Single Moving Average; Persediaan Jarum Suntik; Puskesmas Air Joman.
Abstract:Abstract: First level public health efforts are carried out to essential communities and community health development efforts. Essential health efforts include health promotion services, environmental health, maternal health,…
alth, child and family planning, nutrition and disease prevention. The phenomenon obtained when researchers conducted a survey of nursing care for high-risk families in the working area of the Rawang Panca Arga Health Center, obtained one family with hypertension health problems. Information obtained from the health center supervisor said that there were many hypertension cases at the Rawang Panca Arga Puskesmas. Almost every month there are new cases of hypertension. Puskesmas Rawang Panca Arga, shows that in 2019 hypertension ranks first in the top 10 diseases at Puskesmas Rawang Panca Arga with the number of new and old sufferers reaching 1239. Based on these data the researcher wants to forecast using a single exponential smoothing (SES) analysis. The incidence of hypertension is based on data on the number of incidence of hypertension in the previous year at Puskesmas Rawang Panca Arga, by first identifying patterns of hypertension at Puskesmas Rawang Panca Arga and then forecasting the number of incidence of hypertension at Puskesmas Rawang Panca Arga..
Keywords: SES Method; New Cases of Hypertension Patients; PHP and MySQL
Abstrak: Upaya kesehatan masyarakat tingkat pertama dilaksanakan kepada masyarakat esensial dan upaya pengembangan kesehatan masyarakat. Upaya kesehatan esensial diantaranya meliputi pelayanan promosi kesehatan, kesehatan lingkungan, kesehatan ibu, anak dan keluarga berencana, gizi serta pencegahan penyakit. Fenomena yang diperoleh pada saat peneliti melakukan survey asuhan keperawatan pada keluarga resiko tinggi di wilayah kerja Puskesmas Rawang Panca Arga, diperoleh satu keluarga dengan masalah kesehatan hipertensi. Keterangan yang diperoleh dari pembimbing puskesmas mengatakan bahwa kasus hipertensi di Puskesmas Rawang Panca Arga tergolong banyak. Hampir setiap bulan terjadi kasus baru hipertensi. Puskesmas Rawang Panca Arga, menunjukkan bahwa pada tahun 2019 hipertensi menempati urutan pertama pada 10 besar penyakit di Puskesmas Rawang Panca Arga dengan jumlah penderita baru dan lama mencapai 1239. Berdasarkan data tersebut peneliti ingin melakukan peramalan (forecasting) menggunakan analisa Single Exponential Smoothing (SES) pada angka kejadian hipertensi berdasarkan data jumlah kejadian hipertensi pada tahun sebelumnya di Puskesmas Rawang Panca Arga, dengan terlebih dahulu mengidentifikasi pola penyakit hipertensi yang ada di Puskesmas Rawang Panca Arga untuk kemudian dilakukan peramalan jumlah kejadian hipertensi di Puskesmas Rawang Panca Arga.
Kata kunci: Metode SES; Kasus Baru Penderita Hipertensi; PHP dan MySQL
Abstract:Abstract : Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia due to impaired insulin production and/or function. The prevalence of DM in Indonesia continues to rise, posing a significant…
nt public health concern, particularly due to its complications such as peripheral neuropathy, which may lead to diabetic foot ulcers. This community service activity aimed to improve patients’ knowledge and preventive practices through an educational and participatory approach focusing on diabetic foot care and screening. A total of 21 participants enrolled in the Prolanis program at St. Carolus Paseban Primary Clinic were involved in this activity. Data analysis showed that most participants were male (52.4%), aged 65–74 years (57.1%), and had a duration of DM of less than 4 years (57.1%). The majority had no history of foot ulcers (81%) and did not perform regular physical exercise (57.1%). The results of diabetic foot screening indicated that most participants were categorized as very low risk (57.1%). Based on these findings, recommendations and follow-up actions were provided according to the screening protocol. It is expected that participants will be able to regularly monitor their blood glucose levels and implement appropriate foot care practices to prevent the occurrence of diabetic foot ulcers
Keywords: Diabetes Mellitus; health education; foot screening
Abstrak : Diabetes Mellitus (DM) adalah penyakit kronis yang ditandai dengan kadar gula darah tinggi akibat gangguan produksi atau kerja insulin. Penyakit ini semakin meningkat di Indonesia dan menjadi salah satu masalah kesehatan utama karena dapat menimbulkan salah satu komplikasi serius yaitu neuropati perifer yang menyebabkan timbulnya ulkus diabetes pada kaki. Oleh karena itu perlu dilakukan upaya promotif dan preventif untuk meningkatkan kesehatan pasien DM dengan pendekatan edukatif dan partisipatif. Adapun tindakan yang dilakukan adalah pemberian edukasi kesehatan terkait perawatan kaki dan pemeriksaan atau skrining kaki DM. Peserta dalam kegiatan ini adalah pasien yang tergabung dalam Prolanis di Klinik Pratama St. Carolus Paseban sejumlah 21 peserta. Hasil analisis data pada kegiatan tersebut adalah mayoritas peserta laki laki (52,4 %), berusia 65 s.d 74 thn (57,1)dengan lama sakit DM adalah kurang dari 4 tahun (57,1 %). Selain itu mayoritas peserta tidak memiliki riwayat luka pada kaki (81%) dan tidak melakukan olahraga (57,1 %). Dari hasil skrining kaki DM yang dilakukan oleh tim Pengabdian Masyarakat didapatkan bahwa mayoritas peserta memiliki risiko sangat rendah yaitu sejumlah 57,1 %. Hasil yang diperoleh pada kegiatan pengabdian masyarakat ini adalah pemahaman peserta Prolanis yang meningkat tentang cara perawatan kaki dan pencegahan ulkus kaki diabetic. Selain itu juga terjadinya perubahan perilaku peserta Prolanis untuk melakukan pemantauan gula darah dan skrining ulang ke klinik pratama sebagai upaya pemeliharaan kesehatan.
Kata Kunci: diabetes Mellitus; edukasi kesehatan; skrining kaki