Kompetensi Sumber Daya Manusia Dalam Penyelenggaraan Hemodialisis Di Rumah Sakit  Dihubungkan Dengan Asas Perlindungan Hukum

Nugraha, Irene Ranny Kristya; Sewu, Pan Lindawaty Suherman; Siarif, Tammy J.

doi:10.24167/shk.v2i1.812

Cited by 2 publications

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“…Kedepan kondisi yang sama tidak baik inilah yang akan memicu semakin bertambah antrean panjang peningkatan jumlah penyakit degeneratif di tengah masyarakat serta berbagai determinan lainnya. 23 Berdasarkan laporan IRR tahun 2018 kenyataannya belum semua perawat yang bekerja di renal unit memiliki sertifikat, hanya sebesar 68% pada tahun 2017 dan meningkat pada tahun 2018 menjadi 70%. Akreditasi RS mensyaratkan wajib terpenuhinya standar sumber daya manusia (SDM), termasuk staf unit HD yang kompeten dan tersertifikasi, tetapi standar ini belum dapat terpenuhi sempurna.…”

Section: Pembahasan Ketersediaan Fasilitas Pelayanan Dialisis Masih T...unclassified

Implementasi Permenkes Nomor 812 Tahun 2010 tentang Tata Laksana Penyelenggaraan Pelayanan Hemodialisis di Indonesia

Neti

Dominata²

2021

jpppk

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Abstrak Implementasi Peraturan Menteri Kesehatan (Permenkes) RI No. 812 tahun 2010 tentang penyelenggaraan pelayanan dialisis pada fasilitas pelayanan kesehatan (yankes) di Indonesia menimbulkan masalah bagi penderita gagal ginjal kronis. Kajian ini menggunakan metode deskriptif kualitatif, teknik pengumpulan data melalui tinjauan pustaka pada sejumlah artikel, laporan penelitian, dan jurnal serta diskusi/konsultasi melalui daring. Data yang diperoleh dianalisis dengan teori Miles & Hubermans. Kajian dilakukan dari bulan Desember 2020 s.d. Maret 2021. Hasil menunjukkan bahwa implementasi Permenkes No. 812/2010 tentang penyelenggaraan pelayanan dialisis pada fasilitas yankes (fasyankes) belum optimal. Ketersediaan sarana dan prasarana, sumber daya manusia (SDM), alat, mesin, cairan dialisat, dan obat belum terbagi merata di seluruh Indonesia. Banyak pasien belum mendapatkan pelayanan hemodialisis (HD) 2 kali seminggu. Jumlah pasien dialisis terus meningkat, sekitar 20 ribu pasien belum mendapatkan akses pengobatan, pemilihan jenis terapi HD dan continuous ambulatory peritoneal dialysis (CAPD) yang dilaksanakan sesuai rekomendasi dokter. Pasien belum mendapat dosis obat dan waktu HD yang cukup karena berbagai kendala. RS/Klinik belum melakukan kunjungan rumah dalam rangka edukasi dan pemantauan, pasien dialisis berpotensi mengalami komplikasi/infeksi/kematian (drop out). Monev belum berjalan optimal, pembiayaan HD lebih mahal dari CAPD membebani keuangan negara, pelatihan dialisis masih minim di RS/Klinik. Kebijakan pelayanan dialisis saat ini belum terpadu. Belum ada pencerahan rohani dan kewajiban pencabutan/pemotongan alat dialisis bagi pasien muslim ketika sudah meninggal di rumah. Kajian ini merekomendasikan perlu melakukan perubahan Permenkes No. 812 tahun 2010 pasal 15 ayat 1 dan 2, seiring dengan upaya yang bisa dilakukan oleh Kementerian Kesehatan, Dinas Kesehatan dan Rumah Sakit dalam memperkuat sistem kesehatan dan mutu pelayanan bagi pasien dialisis. Kata kunci: Kebijakan Kesehatan, Pelayanan Dialisis, Penyakit Gagal Ginjal Abstract Implementation of Permenkes No. 812 of 2010 concerning the implementation of dialysis services in health facilities in Indonesia causing problems for people with cordic kidney failure. This study uses qualitative descriptive methods, data collection techniques through literature reviews in a number of articles, research reports, and journals and discussions / consultations through online. The data was obtained in the analysis with miles hubermans theory. Conducted from December 2020 to March 2021. The results concluded that the implementation of Permenkes No. 812/2010 on The Implementation of Dialysis Services in Health Care Facilities has not been optimal. The availability of facilities and infrastructure, human resources, tools, machinery, dialysis fluids, and drugs has not been evenly divided throughout Indonesia. Many patients do not get hemodialysis therapy (HD) services twice a week. Dialysis patients continue to increase, about 20 thousand patients have not received access to treatment, the selection of types of hemodialysis therapy HD and continuous ambulatory peritoneal dialysis (CAPD) implemented according to the recommendations of doctors. Patients have not received enough HD doses drugs and time due to various obstacles. Hospitals /Clinics have not made home visits in the framework of education and monitoring, dialysis patients have the potential to experience complications / infections / deaths (droup out). Monev has not run optimally, HD financing is more expensive than CAPD burdening the country’s finances, dialysis training is still minimal in hospitals / clinics. The current dialysis service policy is not yet integrated. There has been no spiritual revocation and obligation to revocation/cut dialysis equipment for Muslim patients when they have died at home. This study of authors recommends policy solutions that need changes to Permenkes No. 812 of 2010 article 15 paragraphs 1 and 2. And concrete efforts that can be done by the Ministry of Health, Hospitals, and Health Services. Keywords: Health Policy, Dialysis Services, Kidney Failure.

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Section: Pembahasan Ketersediaan Fasilitas Pelayanan Dialisis Masih T...unclassified

Implementasi Permenkes Nomor 812 Tahun 2010 tentang Tata Laksana Penyelenggaraan Pelayanan Hemodialisis di Indonesia

Neti

Dominata²

2021

jpppk

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“…Chronic kidney disease (CKD) is a type of degenerative disease with the highest prevalence in the world. In Indonesia alone, hemodialysis is still the main choice of renal replacement therapy in the management of End Stage Renal Disease (Nugraha et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Comparison Analysis of Rates by Unit Cost and INA-CBGs Rates in Hemodialysis Services at Hospital X

Fibionisa,

Ramadhan,

Nugroho

2023

EJBMR

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Hemodialysis is a method of kidney replacement treatment in patients with chronic kidney failure. This treatment is carried out routinely with a frequency of 2-3 times a week. This study aims to develop a pattern of hemodialysis rates based on unit cost calculations using the Activity-based Costing (ABC) method and analyze differences with INA-CBGs rates at X Hospital. This study used a quantitative method with a descriptive-analytical research design, which carried out hemodialysis unit cost analysis based on an Activity-based Costing approach, as well as a comparative study to analyze differences in hemodialysis unit costs and INA-CBGs rates. Sampling in this study used a purposive sampling method with a total sample of 118 hemodialysis measures in December 2021. The data sources used were primary data and secondary data. Data collection used interview and observation methods. The unit cost calculation was carried out using the ABC method, and the different test was carried out using the Wilcoxon Match-Pairs Test. The results showed that the unit cost for hemodialysis services using the ABC method was Rp. 927,554.95. This result is higher than the INA-CBGs rate of Rp. 879,100, - with a negative difference of Rp. 48,454.95 or 5.5% of the INA-CBGs rate for 1 hemodialysis action and Rp. 729,198,542.55 for all hemodialysis actions during 2021. The results of the different tests obtained a p-value lower than 0.05, so that H0 was rejected, and it was concluded that there is a significant difference between hemodialysis rates based on unit cost and INA-CBGs rates. The determinants of the difference in tariffs are the difference in the method of calculation, the amount of employee salary costs, the difference in rates for doctors’ services, the use of consumables, medicines, and supporting examinations, as well as the policy on the use of dialyzer reuse.

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Kompetensi Sumber Daya Manusia Dalam Penyelenggaraan Hemodialisis Di Rumah Sakit Dihubungkan Dengan Asas Perlindungan Hukum

Cited by 2 publications

References 0 publications

Implementasi Permenkes Nomor 812 Tahun 2010 tentang Tata Laksana Penyelenggaraan Pelayanan Hemodialisis di Indonesia

Implementasi Permenkes Nomor 812 Tahun 2010 tentang Tata Laksana Penyelenggaraan Pelayanan Hemodialisis di Indonesia

Comparison Analysis of Rates by Unit Cost and INA-CBGs Rates in Hemodialysis Services at Hospital X

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