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ABSTRAK Kata Kunci : sampah, permukiman, pengelolaan A. PENDAHULUANPertumbuhan penduduk cenderung semakin meningkat dari waktu ke waktu demikian juga terhadap Kota Malang. Kota Malang adalah salah satu wilayah di Jawa Timur yang merupakan bagian dari tujuan wisata. Berdasarkan tinjuan fungsionalnya wilayah ini adalah kawasan perkotaan. Oleh karena itu pertumbuhan fasilitas penunjang serta perdagangan dan jasa cukup pesat, maka penduduk juga semakin banyak menempati wilayah pusat -pusat perkotaan. Akibatnya, kepadatan penduduk semakin meningkat di wilayah yang bersangkutan. Di sisi lain bahwa, aktifitas perkotaan dan komponennya termasuk dalam hal ini penduduk, merupakan salah satu sumber sampah yang cukup besar. Oleh sebab itu pengelolaan persampahan menjadi prioritas utama. Di satu sisi Sudiro, Arief Setyawan dan Lukman Nulhakim, Model Pengelolaan Sampah Permukiman di

Patient loyalty greatly affects the survival of a hospital, because loyal patients not only make repeated visits but can act as loyalty advocators. In the last five years, there has been a decrease in the number of inpatient visits at RSU (Regional General Hospital) Bandung Medan, an average of 8.79% so that research is needed to determine the factors that affect patient loyalty. The study was conducted by cross sectional, using a questionnaire that has been tested valid and reliable. The research variables were service quality, patient satisfaction, and patient loyalty. The number of samples was 100 patients who met the criteria. Data were analyzed using SEM-PLS method. The results: service quality has a significant effect on patient satisfaction, patient satisfaction has a significant effect on patient loyalty, and service quality has a significant effect on patient loyalty. Patient loyalty at RSU Bandung Medan is significantly influenced by service quality factors and patient satisfaction factors. Regarding the service quality variable, 20% of respondents did not agree that nurses recorded accurately. In the patient satisfaction variable, 20% of respondents were dissatisfied with the cleanliness of the room, 20% of respondents were not satisfied with the food served, and 15% of respondents were dissatisfied with the results of the treatment. In the patient loyalty variable, 15% of respondents disagreed with giving positive responses to the relationship about the performance of the Bandung Hospital, and 15% of respondents would move to another hospital if they got a discount.

Family Support, Level Of Anxiety, Chronic Renal Failure, And Hemodialysis. Chronic kidney disease is a threat for human because the prevalency increase every years. Patient of chronic kidney disease with teraphy hemodialysis can cause psychological pressure pasca hemodialysis. One example of psychological pressure is anxiety. For decrease anxiety of patient with terapy hemodialysis need family support. Objectives To identity the relationship among family support with level of anxiety chronic renal failure of patients with therapy hemodialisis in Dr.Soehadi Prijonegoro Hospital. Methods Design of the research used descriptive analytic with cross sectional approach. The sampling method is total sampling. Instrument that used for measure level anxiety and family support is a questionnaire. Analysis for data used Kendall Tau. Ressearch result The majority of family support level is good with amount 38 (70,4%). The majority of level anxiety is not anxiety with amount 38 (70,4%).The result of kendall tau is α : 0,000, τ : 0,865.Conclusion There is relationship between family support with level of anxiety chronic renal failure of patients with therapy hemodialysis.

AbstrakTarif Sectio Caesarea (SC) dalam program JKN jauh berbeda dengan tarif di Rumah Sakit. Sehingga perlu dilakukan penelitian tentang kebijakan penetapan tarif seksio sesarea tanpa penyulit dengan metode activity based costing (ABC) berdasarkan ICD-9cm dalam program JKN di RS XY Kabupaten Kudus. Studi kasus ini menggunakan pendekatan kuantitatif yang didukung data kualitatif dan terbagi tiga tahap : 1). Brainstorming dan Focus Group Discussion (FGD) untuk penyusunan Clinical Pathway (CP) SC Tanpa Penyulit dan 2). Implementasi CP dan penghitungan unit cost SC Tanpa Penyulit dengan Activity Based Costing serta 3). FGD untuk merumuskan masukan kepada rumah sakit dalam menghadapi program JKN. Penelitian menghasilkan CP SC Tanpa Penyulit dan CP Penanganan Bayi Baru Lahir Sehat melalui SC Tanpa Penyulit. Hasil penghitungan unit cost SC Tanpa Penyulit kelas II Rp 5.320.957 dan kelas I Rp 5.484.564. Bila ditambahkan jasa pelayanan maka biaya yang dikeluarkan RS untuk SC Tanpa Penyulit kelas II menjadi Rp 7.485.745 dan kelas I menjadi Rp 8.380.564. Angka ini masih di atas standar tarif JKN yaitu Rp 5.306.800 (kelas II) dan Rp 6.191.300 (kelas I). Kebijakan penetapan tarif RS hanya mempertimbangkan tarif rumah sakit kompetitor. Perhitungan biaya satuan belum memasukkan biaya gedung. Dalam menghadapi program JKN, rumah sakit akan meninjau kembali struktur tarif, meningkatkan fungsi Tim Kendali Mutu dan Kendali Biaya (TKMKB), serta mengupayakan CoB (Coordination of Benefit) sebagai peluang income generating. Disarankan agar RS segera menerbitkan pedoman CP, meninjau ulang tarif dengan memasukkan biaya gedung, mencari inovasi layanan selain CoB, peningkatan peran Tim Kendali Mutu dan Kendali Biaya (TKMKB) serta mengupayakan SDM RS sadar biaya dalam rangka kendali biaya.AbstractTariff of the Caesarean Section (CS) in JKN Program is much different with the CS tariff applicable in hospital. Therefore it needs to be done the research of tariff assignment policy of CS without complications with the method of Activity-Based Costing (ABC) based on ICD-9CM in the implementation of JKN Program in XY hospital Kudus.This is an analytical case studies which has three stages. First, the preparation of Clinical Pathway (CP) CS without complications with a descriptive qualitative approach and methods of FGD and Brainstorming in data collection. Second, the implementation of CP and the calculation of unit cost of the CS without complications with the quantitative approach and methods of observation ctivity Based Costing. Third, analysis of the results and follow-up of the internal hospital policy to face JKN program by qualitative approach and FGD method.Research results generate CP CS without complication adn CP handling New Healthy Baby Born through CS without Complication . The calculation results of the CS without complications unit cost class II is Rp5,320,957 and Rp5,484,564 for class I. When added with the services then cost of CS without complications class II become Rp7,485,745. and Rp8,380,564 for class I. This figureis still above the applicable standard price of JKN which Rp5.306.800 for class II and Rp6.191.300 for class I. All this time, the hospital policy on tariff setting the priority component competitors as a consideration factor.