ANALISIS TINGKAT KEPUASAN PASIEN BPJS DARI ASPEK KEWAJARAN BIAYA PELAYANAN BAGI PASIEN POLI PENYAKIT DALAM RUMAH SAKIT ISLAM SURABAYA JEMURSARI

Kepuasan pasien merupakan salah satu indikator kualitas pelayanan yang kita berikan dan kepuasan pasien adalah suatu modal untuk mendapatkan pasien lebih banyak lagi dan untuk mendapatkan pasien yang loyal (setia). Pasien yang loyal tidak sensitif terhadap tarif. Dalam jangka panjang loyalitas pasien meningkatkan profitabilitas rumah sakit. Pada kenyataannya 1 dari 10 pasien menyatakan tidak puas terhadap kewajaran biaya. Tujuan penelitian adalah menganalisis kepuasan pasien BPJS dari aspek kewajaran biaya pelayanan bagi pasien poli penyakit dalam Rumah Sakit Islam Surabaya Jemursari. Jenis metode penelitian ini adalah deskriptif dengan pendekatan crossectional. Populasi sebanyak 111 pasien yang menjalani rawat jalan di poli penyakit dalam Rumah Sakit Islam Surabaya Jemursari. Sampel sebanyak 87 pasien yang diambil menggunakan teknik Accidental sampling. Variabel penelitian adalah kepuasan pasien BPJS dari aspek kewajaran biaya. Instrumen yang digunakan adalah kuisioner. Data dianalisis dengan tabel distribusi frekuensi dalam bentuk persentase. Hasil penelitian sebagian besar atau 50 responden (57,5%) merasakan puas, sedangkan hampir setengahnya atau 37 responden (42,5%) merasakan tidak puas dengan kewajaran biaya pelayanan di poli penyakit dalam Rumah Sakit Islam Surabaya Jemursari. Simpulan penelitian adalah responden yang berkunjung di poli penyakit dalam Rumah Sakit Islam Surabaya Jemursari sebagian besar merasa puas terhadap kewajaran biaya pelayanan. Diharapkan rumah sakit dapat meningkatkan pelayanan agar tingkat kepuasan pasien dapat bertambah

Geomorphology of the Durmitor Mountains and surrounding plateau Jezerska Površ (Montenegro)

The geomorphological map of the northeastern Durmitor Mountains and the plateau Jezerska Povrs. (1: 10,000, 47 km(2), Montenegro, Dinaric Alps) was prepared from an intensive fieldwork campaign and remote sensing analysis, and was compiled within a GIS. The basic components of the legend are (i) processes/genesis, (ii) materials, (iii) morphometry/morphography, (iv) hydrography, (v) vegetation and (vi) anthropogenic features. The geomorphological setting of the area consists of Mesozoic limestones which are physically deformed by Quaternary glacial and periglacial activity and chemically affected during interglacials. Glacial deposits on the plateau of three middle-to-late Pleistocene glacial phases are intersected by a well-developed network of palaeo meltwater channels. In the mountains, Holocene glacier retreat left behind a series of well-preserved recessional moraines. The map serves as a valuable tool for Quaternary research in the Durmitor Mountains, and also in other mountains of the Western Balkans

DELIBERATIVE COMMUNICATION MODEL IN HANDLING “WRONG TYPING” DISCOURSE TO IMPROVE PUBLIC SERVICE QUALITY

Managing very large, massive information with negative sentiments in virtual space is a challenge for the government in the era of information technology development. The purpose of the study is to describe the deliberative communication model carried out by the Ministry of State Secretariat in dealing with the discourse of typos in Law Number 11 of 2020 concerning Job Creation in order to improve the quality of public services. The researcher uses the constructivist paradigm, with the intrinsic case study method, R. Stake, because the case still has an impact today. The main data is a record of the information management process using digital technology in a virtual room supported by interviews, mass media documentation from the internet, literature studies and books. The data were analyzed by the Miles & Huberman method, which was reduced, displayed and then concluded and the validity of the data was using the triangulation technique of data sources. This study uses Organizational Information Theory, Karl Weick with the concept of deliberative communication ofered by Thomas Englund. The results show that the deliberative communication model carried out by the Ministry of State Secretariat is by maximizing digital technology, listening, deliberation, policy, evaluating and continuity. Listening by analyzing the arguments of the virtual community that developed in the mass media, then carrying out internal deliberation by considering the three validity claims (truth, honesty and accuracy). The results of the deliberation are conveyed to the public in the form of a policy to then be evaluated in order to see the shared meaning of the value of the policy itself and this is done continuously. This empirical phenomenon is the deliberative communication model carried out by the Ministry of State Secretariat

PENERAPAN TEKNIK FISIOTERAPI DADA (CLAPPING) PADA PASIEN BRONCHOPNEUMONIA DENGAN MASALAH KEPERAWATAN KETIDAKEFEKTIFAN BERSIHAN JALAN NAFAS DI RUANG MELATI RUMAH SAKIT ISLAM JEMURSARI SURABAYA

Dalam masa pertumbuhan khususnya bayi, balita, maupun anak-anak rentan terhadap berbagai penyakit. Salah satunya penyakit infeksi saluran pernapasan seperti Bronchopneumonia. Bronchopneumonia merupakan peradangan pada parenkim paru yang melibatkan bronkus atau bronkiolus yang berupa distribusi bercak-bercak (patchy distribution), yang ditandai dengan panas tinggi, nafas cepat serta batuk kering dan produktif sehingga menimbulkan masalah ketidakefektifan bersihan jalan jalan nafas. Sehingga dilakukan penerapan teknik fisioterapi dada (clapping) untuk membersihakan jalan nafas. Desain penelitian ini adalah deskriptif dengan pendekatan studi kasus penerapan teknik fisioterapi dada (Clapping). Pada studi kasus ini yang akan menjadi subjek penelitian adalah An. U dengan diagnosa medis Bronkopneumonia. Pengumpulan data pada penelitian ini dimulai setelah mendapat izin oleh diklat Rumah Sakit Islam Jemursari Surabaya untuk melakukan praktik Profesi Ners Kompetensi Keperawatan Anak. Hasil studi kasus yang didapatkan setelah dilakukan penerapan fisioterapi dada (clapping) selama 3 kali selama 1 sampai 2 menit mengalami pengurangan sekret dan suara ronchi secara bertahap, tingkat pernafasan tidak terganggu, irama pernafasan regular, suara nafas tambahan terdengar samar-samar dan sekret berkurang setelah dilakukan penerapan fisioterapi dada (clapping). Kesimpulan dari studi kasus ini adalah dengan pemberian nebulizer dan melakukan penerapan fisioterapi dada (clapping), ini lebih mudah dan efisien dalam merontokkan sekret di dalam bronkus yang dialami klien serta membantu mengeluarkannya sehingga bersihan jalan nafas dapat kembali efektif

Impact of hydropower dam operation and management on downstream hydrogeomorphology in semi-arid environments (Tekeze, Northern Ethiopia)

Due to renewed interest in hydropower dams in the face of climate change, it is important to assess dam operations and management in combination with downstream impacts on rivers in (semi-)arid environments. In this study, the impacts of the Tekeze hydropower dam on downstream hydrology and river morphology were investigated, including impacts under normal and extreme reservoir operation conditions. Field observations, in-depth interviews, repeat terrestrial photographs, multi-year high-resolution satellite images, daily reservoir water levels and data on hourly to daily energy production were collected and studied. The results show that high flows (Q(5)) have declined (with factor 5), low flows (Q(95)) have increased (with factor 27), seasonal flow patterns have smoothened, river beds have incised (up to 4 m) and locally aggraded near tributary confluences. The active river bed has narrowed by 31%, which was accelerated by the gradual emergence ofTamarix niloticaand fruit plantations. A new post-dam equilibrium had been reached until it was disrupted by the 2018 emergency release, caused by reservoir management and above-normal reservoir inflow, and causing extensive erosion and agricultural losses downstream. Increased floodplain occupation for irrigated agriculture consequently provides an additional argument for reservoir operation optimization to avoid future risks for riparian communities