Jurnal Inovasi Kesehatan Masyarakat

ANALISIS BIAYA SATUAN SECTIO CAESAREA (SC) ENHANCED RECOVERY AFTER CAESAREAN SURGERY (ERACS) DENGAN METODE ANALISIS BASED COSTING (ABC) DI RS Prof. dr. CHAIRUDDIN PANUSUNAN LUBIS UNIVERSITAS SUMATERA UTARA (RS CPL USU)

santi meyana tampubolon — 2025-11-07

RS CPL USU has implemented the Enhanced Recovery After Caesarean Surgery (ERACS) method to improve post-caesarean recovery. Although ERACS has been implemented to improve recovery outcomes after caesarean section, the hospital's current tariff system does not yet reflect the actual service cost. This study aims to determine the actual unit cost of SC ERACS services using the Activity-Based Costing (ABC) method to support more efficient budgeting and accurate tariff determination. This quantitative study applied a descriptive cross-sectional approach using observation, questionnaires, and interviews. The total unit cost was IDR 4,797,548. with direct costs of IDR 3,279,681 and indirect costs of IDR 1,517,867. The ABC method revealed that the actual unit cost is lower than the applied tariff, indicating potential for profit reallocation to improve service quality.

HUBUNGAN ASUPAN MAKANAN, STRES DAN AKTIFITAS FISIK DENGAN HIPERTENSI PADA WANITA MENOPAUSE DI PUSKESMAS SIHAPAS

Ipa Zuryani Harahap — 2025-11-07

Those above the age of 45 had the highest rates of hypertension deaths. Women really experience higher rates of hypertension compared to men. There is a 6% male preval_ence and an 11% female preval_ence in Sumalteral Utalral. One of the leading causes of mortality and morbidity in women is hypertension, often known as menopause. This study aims to identify the factors that contribute to hypertension in menopausal women, including food intake, stress, and physical activity. Centre for Health. Research of this kind is known as qualitative research. Of the 64 participants in this preliminary Kualntitaltif dengaln desalin Calse Control investigation, 64 were males. Maly in June 2025 was the site of the study. Only the primary and secondary data were used for the meal measurement of the valrialbles. Potential research challenges include high blood pressure, low sodium levels, stress, and physical activity. This study used logistic regression for multivariate analysis, Spearman rank test for bivariate analysis, and Logistic Regression for univariate analysis. Physical activity, stress, failure to improve (p = 0.001), sodium intake (p = 0.001), and hypertension (p = 0.017), according to the findings from the Sihalpals Health Centre. When compared to other factors, the logistic regression results reveal that thalt sodium intalke hals a higher risk for hypertension (p = 0.021). Hypertension affects as many as 70% of women who experience menopause symptoms. At the Sihalpals Health Centre, there is a significant correlation between stress factors, physical activity, fat intake, and sodium intake with hypertension and menopause.

HUBUNGAN PENERAPAN SMK3 DENGAN ANGKA KEJADIAN KECELAKAAN KERJA DI PT PUPUK ISKANDAR MUDA TAHUN 2025

Elmina Tampubolon — 2025-11-07

Occupational Safety and Health (K3) is a crucial aspect in the world of work to protect workers from the risk of accidents and occupational diseases. The development of the industrial world, the world of work is always faced with new challenges. Various new challenges emerge along with the development of the era. However, this development is always accompanied by new problems, one of which is work accidents. The Occupational Safety and Health Management System (SMK3) regulated in PP No. 50 of 2012 is designed to increase the effectiveness of K3 protection in a planned and measurable manner. However, the implementation of SMK3 in various industrial sectors still faces various obstacles. This study aims to Analyze the Relationship between the Implementation of SMK3 and the Number of Occupational Accidents at PT Pupuk Iskandar Muda in 2025. This study uses a quantitative descriptive research method. The study population is all employees at PT Pupuk Iskandar Muda. The total population of PT Pupuk Iskandar Muda workers as of January 2025 was 547 with a sample size of 85 people. Data were analyzed using the chi-square test and logistic regression. Based on the results of the study, there is a relationship between Policy (P-Value 0.007), Planning (P-Value 0.005), Plan Implementation (P-Value 0.007), Performance Monitoring and eval_uation (P-Value 0.02), Performance Review and Improvement (P-Value 0.04) with the number of work accidents. Based on the results of the multivariate analysis, it was found that the most dominant factor related to the Number of Work Accidents is Plan Implementation with a p-value of 0.01 where the Exp (B) value is 3.6. It is hoped that the Management of PT Pupuk Iskandar Muda can strengthen the implementation of the K3 plan that has been prepared by ensuring that all K3 work programs are carried out according to schedule, not just stated in formal documents.

ANALISIS FAKTOR YANG MEMPENGARUHI KEPUTUSAN SECTIO CAESAREA (SC) PADA IBU BERSALIN DI RSU SUNDARI

Nurhadimah Kasum — 2025-11-07

Every woman wants her birth process to run smoothly and normally. The birthing process can be spontaneous, but there is also a birthing process that has problems so that an operation called a caesarean section is required. This research aims to analyze the factors that influence the decision to caesarean section among women giving birth at Sundari RSU Medan in 2023. Quantitative (type) and section latitude (design). Mothers giving birth at RSU Sundari Medan (population). The bivariate test obtained results of maternal age, choice of birth date, history of SC delivery and complications during pregnancy. The multiple logistic regression test showed that the variable that had the most influence on the decision to have a caesarean section was complications during pregnancy. It is recommended to mothers in labor that mothers in labor dig up information regarding childbirth via caesarean section so that later they can make appropriate birth decisions that are correct and in accordance with the condition of the mother and baby and to staff, especially at the midwifery clinic at RSU Sundari Medan, so that they can correctly and appropriately carry out anamnesis and examination of pregnant women because it will have an impact on the type of delivery.

PENGARUH SISTEM INFORMASI MANAJEMEN RUMAH SAKIT DENGAN KINERJA PERAWAT DI RUMAH SAKIT UMUM HAJI MEDAN TAHUN 2024

Nadza Aqila Khairunnisa — 2025-11-07

Electronic medical records are needed for hospitals to organise vital health services. To record and report all hospital activities, a Hospital Management Information System (SIMRS) must be in place. Structural or functional units, such as nursing, are responsible for implementing SIMRS within the hospital organisation. All members of the healthcare team must work together efficiently for hospitals to provide high-quality service.

To determine how Haji General Hospital Medan's Hospital Management Information Systems (system quality, information quality, and service quality) affected nurse performance in 2024, this study used a quantitative research strategy based on a cross-sectional design. All nurses working at Haji General Hospital Medan make up the study population, and 75 participants were chosen using the Slovin formula.

There is a statistically significant relationship between system quality (p=0.005), information quality (p=0.003), and nurse performance, as determined by Chi-square tests. However, there is no significant relationship between service quality and nurse performance (p=0.306). With a p-value of 0.003 and a regression coefficient of 1.124 for information quality, multivariate analysis revealed that in 2024, nurse performance at Haji General Hospital Medan was most affected by this component. As a whole, healthcare service delivery might be improved if Haji General Hospital Medan invested in its infrastructure, especially its IT systems, eval_uated itself frequently, trained its nurses, and recognised their achievements.

ANALISIS PENERAPAN REKAM MEDIS ELEKTRONIK (RME) TERHADAP KUALITAS PELAYANAN KESEHATAN MENGGUNAKAN METODE HUMAN ORGANISATION TECHNOLOGY-FIT (HOT-FIT) DI RSU MADANI MEDAN TAHUN 2025

ana - apriana — 2025-11-07

Digital transformation in the health sector requires health service facilities to adopt electronic medical records as an effort to increase efficiency, effectiveness and quality of service. This research aims to analyze the application of electronic medical records to the quality of health services using the human organization technology-fit method at RSU Madani Medan in 2025. This type of research is quantitative, cross sectional in nature. The population in this study was all 222 health workers who used electronic medical records. The sampling technique used was purposive sampling with a sample size of 69 employees. The measuring instrument used is a questionnaire sheet with a Guttman measurement scale. The results of data analysis were processed using SPSS with the Chi-Square test. Data obtained from the human aspect shows no influence of the implementation of RME on the quality of health services with a p-value of 0.760 > α 0.05. From the organizational aspect, there is no influence of the implementation of RME on the quality of health services with a p-value of 0.688 > α 0.05. From the technological aspect, there is an influence of the implementation of RME on the quality of health services with a p-value of 0.035 < α 0.05. From the net-benefit aspect, there is no effect of implementing RME on the quality of health services with a p-value of 0.804 > α 0.05. Suggestions for hospitals to pay more attention to the process of implementing electronic medical records so that electronic medical records can be fully optimized at RSU Madani Medan so as to increase patient satisfaction in the future.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PENGISIAN CATATAN MEDIS PADA PENERAPAN REKAM MEDIS ELEKTRONIK DI RSUD SULTAN SULAIMAN KAB SERDANG BERDAGAI TAHUN 2025

Emmenita Carina Br Sinulingga — 2025-11-07

The implementation of electronic medical records (EMR) is an innovation in hospital service systems aimed at improving the efficiency and quality of healthcare services. However, the success of EMR implementation greatly depends on the compliance of health workers in accurately and completely filling out medical records. This study aims to analyze the factors associated with compliance in completing medical record documentation during EMR implementation at RSUD Sultan Sulaiman, Serdang Bedagai Regency, in 2025. This is a quantitative analytic study using a cross-sectional design. The research sample consisted of healthcare workers directly involved in EMR documentation. Data were collected using questionnaires and analyzed using the chi-square test. The results showed a significant relationship between human factors (man), machine factors, and material factors with compliance in EMR documentation. These findings suggest that the quality of human resources, readiness of technological infrastructure, and availability of supportive tools significantly influence the success of EMR implementation. Therefore, regular training, enhanced technological support, and strong managerial commitment are essential to improve compliance and the overall effectiveness of EMR systems in hospitals.

ANALISIS KINERJA PERAWAT DENGAN KEPUASAN PASIEN RAWAT INAP DI RSUD DOLOKSANGGUL KABUPATEN HUMBANG HASUNDUTAN

dewi sartika — 2025-11-07

To improve good health services as well as to increase patient satisfaction, hospitals need to implement one of the health service concepts that is difficult for many hospitals to implement in Indonesia, which has also been implemented by many developed countries to improve the quality of health services so that one of the health service quality indicators is achieved, namely by implementing Patient Centered care or what is also called PCC.

The type of research was Quantitative Research using a Cross-Sectional approach. This research was carried out at Subulussalam City Regional Hospital. The research period started from December 2024 to March 2025. The population in this research was all Social Health Insurance Administration patients in the Subulussalam City Hospital Inpatient Room who were being treated at the time of the research with a total of 718 patient visits per month.

The research respondents were 100 respondents. The sampling technique used was consecutive sampling. In consecutive sampling, all subjects who come and meet the selection criteria were included in the study until the required number of subjects is met.

The results of the research shown that there is a statistical relationship between Health Services and Emotional Support (p = 0.04), Physical Comfort (p = 0.001), Information and education (p = 0.012), Service Coordination (p = 0.001) and Service Access (p = 0.003) in the Subulussalam City Hospital Inpatient Room in 2025. The Service Coordination variable is the most related to Health Services in the City Hospital Inpatient Room. Subulussalam seen from the Sig value. Service Coordination (0.001) and Service Coordination have a 4.471 chance of improving Health Services in the Subulussalam City Hospital Inpatient Room in 2025.

ANALISIS HUBUNGAN FAKTOR DOMINAN DENGAN KINERJA KARYAWAN NON MEDIS DI RSU KARYA HUSADA PERDAGANGAN

Rini Santya Silitonga — 2025-11-07

The purpose of this research was to identify the factors that contribute to the positive or negative work environment, employee morale, and productivity among non-medical staff at RSU Karya Husada Perdagangan. Quantitative studies using a cross-sectional design were the norm. The 47 non-medical staff members of RSU Karya Husada Perdagangan made up the study's population. A total of 47 people participated in the survey. We employed the census sampling method for our sample technique. Questionnaires measuring work ethic, work discipline, and satisfaction with work environment and performance served as the main data set, which was subsequently analyzed using the Kendall tau test. The majority of RSU Karya Husada Perdagangan's non-medical staff members shown adequate levels of motivation, self-control, and satisfaction with their working
conditions. A substantial association between work enthusiasm, work discipline, and perceptions of work facilities and performance was shown by the results of the Kendall tau correlation test, which yielded a p value of 0.026 <α = 0.05.
There was a strong enough association between performance and factors including work excitement, work discipline, and eval_uations of work facilities (r=0.313). The study's authors concluded that non-medical staff at RSU Karya Husada Perdagangan can be more engaged, disciplined, and satisfied with their work and the hospital's facilities if the administration prioritizes their comfort and well-being, treats both current and prospective employees with respect, and fosters a sense of community.

ANALISIS RISIKO K3 PADA PENGELOLAAN BAHAN KIMIA DENGAN METODE HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) DI UPTD LABORATORIUM LINGKUNGAN DINAS LINGKUNGAN HIDUP TAHUN 2025

Ripai - Siregar — 2025-11-07

This study discusses occupational health and safety (OHS) risk analysis in chemical management at the Environmental Laboratory Unit of Asahan District. Using the HIRARC method, the study aims to identify hazards, assess risk levels, and determine control measures to prevent work accidents caused by exposure to hazardous chemicals in the laboratory. This research uses a descriptive method with a qualitative approach. Data were collected through observation, interviews, and documentation. The analysis was carried out using the HIRARC (Hazard Identification, Risk Assessment, and Risk Control) approach to identify potential hazards, assess risk levels based on consequence and likelihood, and formulate appropriate risk control measures in the laboratory. The results showed various potential hazards in chemical management, such as corrosive, flammable, and toxic substances. Based on HIRARC analysis, several high-risk activities were found that require immediate control. Control recommendations include elimination, substitution, engineering controls, safe work procedures, and consistent use of personal protective equipment (PPE). The study concludes that chemical management in laboratories has a high risk to occupational safety. Continuous implementation of the HIRARC method is needed to identify and control hazards. Recommendations include enhancing OHS training, regular use of PPE, and improving work procedures and infrastructure to minimize potential accidents.

PENGARUH EDUKASI BERBASIS LEMBAR BALIK TERHADAP PENINGKATAN PENGETAHUAN IBU HAMIL TENTANG TANDA BAHAYA KEHAMILAN

Putri Ayu Yessy Ariescha — 2025-11-07

The maternal mortality rate (MMR) remains a significant public health concern in Indonesia and serves as a key indicator in achieving the targets of the Sustainable Development Goals (SDGs). One of the major contributing factors to the high MMR is the delay in recognizing and managing pregnancy danger signs, which is often due to a lack of knowledge among pregnant women. Additionally, the suboptimal coverage of antenatal care (ANC) visits exacerbates this issue, as fewer women receive critical information during pregnancy. Providing education to pregnant women is a strategic effort to enhance their understanding and foster positive attitudes throughout pregnancy. One educational medium that can be utilized is the flipchart an interactive, visual, and communicative tool designed to deliver health information in an engaging and easy-to-understand manner. This study aimed to analyze the effect of flipchart-based education on improving pregnant women’s knowledge of pregnancy danger signs. A quasi-experimental design with a one-group pre-test–post-test approach was employed. The sample consisted of 17 primigravida women receiving antenatal care at Juliana Dalimunthe Clinic, selected through purposive sampling. A validated and reliable knowledge questionnaire was administered before and after the educational intervention. Data were analyzed using a paired sample t-test. The results showed a significant increase in knowledge among pregnant women regarding danger signs of pregnancy following the educational intervention, with a significance value of p = 0.004. These findings indicate that flipchart media is an effective educational tool in maternal health promotion. Not only does it improve maternal understanding of danger signs, but it is also expected to enhance awareness and motivation to attend regular ANC visits. Therefore, it is recommended that healthcare providers optimize the use of flipcharts in health education and counseling sessions for pregnant women, as part of preventive efforts to reduce complications.