Jurnal Kesmas Prima Indonesia

Analysis of Increasing Trends in Hemodialysis Patients and Its Implications for National Health Financing Burden in Indonesia: Literature Study

2025-06-21T02:31:27+00:00

The number of chronic kidney disease (CKD) patients undergoing hemodialysis in Indonesia continues to increase, putting great pressure on the national health financing system, especially the National Health Insurance (JKN). This study is a literature review that analyzes five scientific articles published between 2021 and 2024. Articles were selected through targeted searches in Google Scholar and PubMed, then synthesized narratively to describe trends and financing implications. The synthesis results show a significant increase in the number of hemodialysis patients each year, with therapy costs reaching trillions of rupiah. Payment rates set in the INA-CBGs system are often not in accordance with real costs in hospitals, risking a deficit in health facilities and BPJS Kesehatan. The increasing trend of hemodialysis patients places a large economic burden on the national health system. Cost control strategies are needed through primary prevention, early detection of CKD, adjustment of INA-CBGs rates, and development of alternative therapies to maintain service sustainability.

Relationship of Knowledge to SBAR Communication Attitude During Patient Handover in Recovery Room in Anesthesiology Nursing Students of Aisyiyah University Yogyakarta

2025-06-09T02:39:12+00:00

Communication failure can lead to malpractice, misunderstanding, delayed diagnosis, service, additional costs, incomplete information, patient and family dissatisfaction and can even cause death, so effective communication with the SBAR method is needed during patient handover in the recovery room. This study aims to determine the relationship between the level of knowledge and the attitude of SBAR communication during patient handover in the recovery room in Anesthesiology Nursing students at 'Aisyiyah University of Yogyakarta. This research method uses quantitative correlation with a cross-sectional design. Sampling with random sampling totaling 67 respondents. Data were collected using a questionnaire with Spearman rank analysis. The results of the Spearman Rank correlation test obtained a p-value of 0.000 <0.005 and a correlation value of 0.758 (strong), meaning that there is a relationship between knowledge and the attitude of SBAR communication during patient handover in the recovery room in Anesthesiology Nursing students at 'Aisyiyah University of Yogyakarta. The majority of respondents had good knowledge of 35 respondents (52.5%) and good attitudes of 37 respondents (55.2%).

Analysis of the Level of Service Satisfaction of BPJS Patients at the Primary Outpatient Clinic of UIN North Sumatra Using the Servqual Method

2025-06-16T08:46:17+00:00

Service quality is closely related to customer satisfaction because service quality can create a good relationship with the company and tell the company how to meet consumer needs. This study aims to determine the level of patient satisfaction with the services provided by the Primary Outpatient Clinic of UIN North Sumatra. The method in this study uses a quantitative approach, and the research design is carried out in a cross-sectional manner. The research sample of 50 respondents was selected through the purposive sampling method in accordance with the criteria of patients who received BPJS and had reading and writing skills. The results showed that all dimensions of SERVQUAL had a positive gap, with responsiveness as the highest dimension (0.49), followed by tangibles (0.36), assurance (0.35), reliability (0.32), and empathy (0.31). The CSI value of 82.61% indicates that patient satisfaction is in the very satisfied category. The conclusion of this study shows that the level of satisfaction of BPJS patients with the services at the Primary Outpatient Clinic of UIN North Sumatra is in the category of very satisfied. The responsiveness and tangibles dimensions received the highest ratings, while the empathy and a dimensions still needed improvement to be able to meet patient expectations more optimally and sustainably.

The Relationship Between Field Clinical Practice Experience And Work Readiness Of Final Level Anesthesiology Nursing Students In Yogyakarta

2025-06-16T03:54:54+00:00

Field Clinical Practice (PKL) is an important stage in Anesthesiology Nursing education to equip students with technical skills and work readiness. Students are required to have competence in anesthesia management. However, students' work readiness after undergoing PKL is still a question, so this research needs to be carried out. This study aims to determine the relationship between PKL experience and work readiness of Anesthesiology Nursing students in Yogyakarta. This research uses quantitative methods with a correlational design and approach cross-sectional. The research population was final year Anesthesiology Nursing students at UNISA and the Yogyakarta Ministry of Health Polytechnic. The sampling technique uses stratified random sampling, with a total of 60 respondents. Data analysis was carried out using a correlation test Spearman Rank. Based on the results of statistical analysis, the results showed that 50 students (83.3%) had PKL experience in the good category, with 52 students (86.7%) in the ready category for work readiness. Correlation test results Spearman Rank The value obtained was 0.825** and the Sig (2-tailed) value between the PKL Experience and Work Readiness variables was 0.000 (p<0,05). There is a very strong relationship between PKL experience and job readiness of final year Anesthesiology Nursing students in Yogyakarta.

The Role of Technology in Primary Health Care Management Strategy : Literature Study

2025-06-15T04:52:21+00:00

Primary health care is a very important first-level service in the health system, especially in remote and low-income areas. The development of digital technology has great potential to improve the effectiveness and efficiency of primary health care through integration in management strategies. This article is a literature study that aims to explore the role of technology in primary health care management strategies based on the results of recent research. Data were obtained from various national and international scientific journals between 2021 and 2025 through searches on databases such as Google Scholar, PubMed, Scopus, and ScienceDirect. The results of the analysis show that the use of technology such as electronic medical records, telemedicine, and mobile health applications can improve access, service quality, and managerial efficiency. However, challenges such as limited infrastructure, digital literacy, and human resource readiness are still major obstacles. This study recommends the need for contextual adaptive strategies to optimize the use of technology in primary health care, especially in developing countries like Indonesia.

Analysis of Factors of Utilization of JKN Program Services in Pancur Batu District

2025-06-17T06:27:39+00:00

The JKN program in Pancur Batu District, Deli Serdang Regency, has not been running optimally, with a low number of participants utilizing health services. This is due to various factors, including access, service quality, and public understanding. This study aims to identify the relationship between factors that influence the utilization of health services in the area. The method used is a quantitative approach with a cross-sectional design, involving 97 respondents selected by simple random sampling. Data were collected through questionnaires and analyzed using chi-square analysis. The results showed a significant correlation between the use of JKN services and education level (p = 0.015), availability of facilities and infrastructure (p = 0.009), accessibility (p = 0.002), and complaints of illness (p = 0.011). In contrast, no significant correlation was found between employment status (p = 0.805) and salary (p = 0.622) with service utilization. The conclusion of this study is that increasing the utilization of the JKN program requires a holistic approach, which includes improving access to health facilities, improving service quality, and educating the public about the benefits of the JKN program.