REGULASI DOKTER SPESIALIS: STUDI KOMPARASI REGULASI PELAYANAN KESEHATAN DI KOTA MEDAN INDONESIA DAN NEGERI PULAU PINANG MALAYSIA

TERSEDIA DALAM FIL

Pengaruh Pengetahuan dan Motivasi Kerja Terhadap Penerapan Early Warning Score System di RSUP H Adam Malik

ABSTRACTThe national and international scaled-accreditation in a hospital should implement Early Warning Score System (EWSS) as procedure to do early detection of any changing in condition which shows alarm, especially for patients. The data from RSUP H. Adam Malik Medan, revealed that of the 44 medical records, in the inpatiens wards, 46 % of them were are not accordance with the standardized. This research used cross sectional design which was aimed to analyze the influence of knowledge and work motivation on the implementation EWSS. The sample were 89 nurses who worked in the surgery department. The data were analyzed by using multiple linear regression analysis by applying the assumption of multicolliniarity, heteroscedasticity, and normality data. The result showed that the variables of knowledge and work motivation had positive influence on the implementation of EWSS (P-Value 0,00) which indicated that Y model = 0,236 X1+ 0,535 X2 in which Y was EWSS implementation, X1 was knowledge, and X2 was work motivation. The conclusion was that increase in knowledge and work motivation would be followed by the increase in EWSS implementation. It is recommended that the hospital management maximize the implementation of EWSS by increasing the level of knowledge and work motivation. Key Word: Knowledge, Work Motivation, EWS

Resource Mobilization and Preparedness to Control Dengue Haemorrhagic Fever in Medan, North Sumatera

Background: Infectious diseases continuously emerge and/or reemerge, resulting in epidemics of varying sizes and scope. Infection preventionists undertake preparedness activities to ensure that the healthcare facilities and communities are well-prepared to recognize and respond to an infectious disease epidemic. Infectious disease epidemic preparedness is an ever evolving process that addresses the four principles of emergency management: mitigation, preparedness, response, and recovery. This study aimed to determine the relationship between resource mobilization within community and preparedness to control DHF. Subjects and Method: A cross sectional study was carried out in Medan, North Sumatera. A sample of 100 household heads was selected for this study by random sampling. The dependent variable was preparedness to control DHF. The independent variable was resource mobilization within the community. The data were collected by questionnaire and analyzed by chi-square with Odd Ratio (OR) as the measure of association. Results: Preparedness to control DHF was positively associated with resource mobilization within the community (OR= 3.22; 95% CI= 1.32 to 7.85; p= 0.001). Conclusion: Preparedness to control DHF is associated with resource mobilization within the community. Keywords: dengue haemorrhagic fever, control, preparedness, resource mobilization

The Association between Motivation and Sanction on Hand Hygiene Compliance among Nurses at Dr. Pirngadi Hospital, Medan, North Sumatera

Background: Hand hygiene is an effective behavior to prevent infection among health workers. This study aimed to determine the associations of motivation and sanction on hand hygiene compliance among health workers at Dr. Pirngadi Hospital.Subjects and Method: A cross-sectional study was conducted at Dr. Pirngadi Hospital, Medan, North Sumatera, Indonesia. A sample of 33 health workers was selected for this study by total sampling. The dependent variable was hand hygiene obedience. The independent variables were sanction and motivation. The data were collected by questionnaire and analyzed by multiple logistic regression.Results: Hand hygiene compliance was associated with the presence of sanction (OR= 3.44; 95% CI= 1.22 to 4.95; p= 0.041) and motivation (OR= 4.77; 95% CI= 2.52 to 6.30; p= 0.029).Conclusion: Hand hygiene compliance is associated with sanction and motivation. Keywords: hand hygiene, compliance, sanction, motivationCorrespondence: Sondang Simanjuntak. Masters Program in Public Health, Universitas Sumatera Utara, Jl. Universitas 21, Medan 20155, North Sumatera, Indonesia. Email: [email protected] of Health Policy and Management (2019), 4(2): 91-95https://doi.org/10.26911/thejhpm.2019.04.02.0

Pengaruh Karakteristik Individu dan Faktor Ekstrinsik terhadap Kinerja Bidan

The performance of the midwife as part of the human resources owned by the hospital will affect the performance of the health service institution concerned as a whole. The purpose of this study was to analyze the effect of individual characteristics (including age, years of service, employment status, skills, and motivation) and extrinsic factors (including rewards, workload, supervision, and training) on the performance of midwives. This explanatory survey research used all of the midwives who served in the inpatient obstetrics room at Langsa Hospital, amounting to 47 people as respondents. Data were collected through questionnaires and analyzed by logistic regression method. The results showed that employment status, skills and motivation from individual characteristics as well as supervision and training from extrinsic factors had a significant effect on the performance of midwives. Furthermore, motivation was identified as the dominant variable influencing the performance of midwives

Role of Human Resource, Facilities, and Infrastructure in Early Warning System of Dengue Haemorrhagic Fever in Dumai, Riau

Background: Dengue/dengue hemorrhagic fever (DF/DHF) has been one of the most important resurgent tropical diseases in the past 3 decades, with expanding geographical distribution of both the viruses and the mosquito vectors, increased frequency of epidemics, development of hyper-endemicity (co-circulation of multiple virus serotypes), and the emergence of DHF in new areas. Early warning systems (EWS) are in most instances, timely surveillance systems that collect information on epidemic-prone diseases in order to trigger prompt public health interventions. An EWS is an instrument for communicating information about impending risks to vulnerable people before a hazard event occurs, thereby enabling actions to be taken to mitigate potential harm, and sometimes, providing an opportunity to prevent the hazardous event from occurring. This study aimed to describe the role of human resource, facilities, and infrastructure in EWS of dengue haemorrhagic fever in Dumai, Riau. Subjects and Method: This was a qualitative study conducted in Dumai, Riau. A sample of informants was selected for this study, including personnel from Dumai City Health Office, health center doctors, and communicable disease control personnel. The study theme was adequacy of resources for DHF EWS. The data were collected by in-depth interview, observation, and document review. Results: The qualification, competence, and number of human resources for DHF surveillance and EWS at Dumai Municipality Health Office had not conformed with the standards. Facilities and infrastructure, including computing devices, were sufficient in number. However, Standard Operating Procedures (SOP) for DHF surveillance program and EWS was non-existent. Conclusion: Health personnel for DHF control and prevention are limited in number competence and qualification. SOP for DHF surveillance program and EWS is non-existent. Keywords: Dengue Haemorrhagic Fever, human resource, facilities, infrastructure, warning syste

Analysis of Patient Safety Management in the In-Patient Room at Deli Hospital, Medan, North Sumatera

Background: Patient safety management means to reduce unnecessary risks and adverse events to the minimum possible level while providing health care. The application of pati­ent safety management had not been maximal in some hospitals. It can cause health problems for patients and health workers. This study aimed to analyze the patient safety manage­ment in the in-patient room at Deli Hospital, Medan, North Sumatera.Subjects and Method: This was a qualitative study conducted in February to July 2018. The three informants were consisted of the head of quality improvement and patient safety, the patient safety team, and the nursing committee at Deli Hospital, Medan, North Sumatera. The data were collected by in-depth interview and observation. The data were analyzed using data reduction, data presentation, and conclusion.Results: The role of hospital organization in implementing management patient safety in the in-patient care had not been maximized. The efforts of increasing the commit-ment of health workers, working environment condi­tion, facility, implementation of standard ope­rating procedure (SOP), and implementing Situation, Background, Assessment, and Re­commendation (SBAR), and implementing sanction, had not been maximize. Communi­ca­tion was not effective. The ability of health workers to perform patient safety had not been maximal as seen from the understanding of a poor safety system. Adverse event report was still of manual type. Number of fall accidents in 2018 was 2 cases.Conclusion: Patient safety management in the in-patient care has not been maximized. Patient safety management can be improved by implementing SOP, SBAR, and its sanctions. Keywords: management of patient safety, quality of service.Journal of Health Policy and Management (2020), 05(03): 180-188https://doi.org/10.26911/thejhpm.2020.05.03.03