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"Tesis ini meneliti tentang kecukupan kapitasi yang dibayarkan PT XYZ kepada provider dokter keluarga managed care. Penelitian ini dilakukan karena kapitasi merupakan bagian dari biaya kesehatan yang merupakan komponen utama dalam penghitungan premi. Dalam managed care, peran dokter keluarga sangat penting karena merupakan gatekeeper dalam pengendalian biaya dan mutu pelayanan. Oleh karena itu, sangat penting bagi perusaahan asuransi untuk mengetahui apakah kapitasi yang dibayarkan sudah layak atau belum. Kapitasi yang terlalu besar akanmembebani perusahaan asuransi, sedangkan jika terlalu kecil akan membebani dokter keluarga. Penelitian ini dilakukan terhadap 10 kantor operasional PT XYZ dan data yang digunakan adalah jumlah peserta terdaftar dan jumlah kunjungan periode Januari-Desember 2015. Selain untuk mengevaluasi besaran kapitasi, penelitian ini juga bertujuan untuk melihat hubungan antara jumlah peserta terdaftar dan umur terhadap angka utilisasi. Data penelitian diuji dengan metode Spearman dan Kruskal - Wallis menggunakan SPSS. Hasil penelitian menunjukan bahwa kapitasi yang digunakan saat ini lebih rendah dibandingkan dengan hasil perhitungan berdasarkan data experience sehingga perlu direview kembali. Kapitasiyang disarankan berkisar antara Rp 3.867,- sampai dengan Rp 7.387,-. Hasil penelitian juga menunjukan bahwa ada korelasi antara jumlah peserta dan umur peserta dengan ratio kunjungan sehingga kapitasi perlu dihitung berdasarkan kelompok umur. Kapitasi yang disarankan untuk umur 0-12 tahun adalah Rp 4.420,- sampai dengan Rp 9.943,-, umur 13 ? 55 tahun Rp 3.093,- sampai dengan Rp 6.925,-, umur > 55 tahun Rp 6.120,- sampai dengan Rp 11.513,-.

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This thesis examines the adequacy of capitation paid by PT XYZ to the managed care family doctor provider. This research was conducted as capitation is a part of health care costs as major component in the calculation of premium. In managed care, the role of the family doctor providers is very important because it is the gatekeeper in cost and quality of service controlling. Therefore, it is very important for the insurance company to acknowledge whether paid capitation is feasible or not. Capitation that is way too big will burden the insurance company, whereas if it is too small will burden the family doctor. This study was conducted on 10 operational office and the data used is the number of registered participants and the number of visits in the period of January to December 2015. In addition to

evaluating the capitation, the study also aims to look at the relationship between the number of registered participants and age on utilization ratio. Data were tested by Spearman and Kruskal - Wallis method using SPSS. The results showed that capitation used today is lower compared with the results of calculations based on

data experience. Capitation suggested ranges between Rp 3,867 , - up to Rp 7.387,-. The results also showed that there is correlatiobetween utilizaztion ratio and number of registered participants and age. Capitation suggested range for ages 0-12 years is Rp 4.420, - up to Rp 9.943, -, aged 13-55 years of Rp 3.093, - up to Rp 6.925, -, age > 55 years of Rp 6.120, - up to Rp 11.513,-."

"DM tipe 2 memiliki pengaruh cukup besar terhadap seluruh aspek kehidupan klien serta memiliki risiko terjadinya berbagai komplikasi yang dapat mengancam jiwa. Self-care diyakini mampu mempertahankan dan meningkatkan status kesehatan klien DM serta mencegah terjadinya komplikasi. Selain perhatian dan kasih sayang klien DM juga membutuhkan informasi terkait penyakit DM dari lingkungan sekitarnya termasuk keluarga. Penelitian ini bertujuan untuk mengetahui hubungan dukungan informasi keluarga dengan self-care klien DM tipe 2 di Kelurahan Ambarketawang Yogyakarta. Desain penelitian menggunakan analitic correlation dengan pendekatan cross sectional. Pengumpulan data dilakukan dengan menggunakan kuesioner dukungan informasi keluarga dan self-care kepada 119 responden. Hasil menunjukkan bahwa dukungan informasi keluarga memiliki hubungan kuat dan positif dengan self-care klien DM tipe 2 p value: 0,000 . Peningkatan dukungan informasi keluarga dianjurkan guna meningkatkan status kesehatan klien DM.

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DM type 2 has a considerable influence on all aspects of a client 39 s life as well as having the risk of complications that can be life threatening. Self care is believed to be able to maintain and improve the health status of the DM client and prevent complications. DM client also requires information related to DM disease of the surrounding environment, including the family. This study aims to determine the relationship of the family with information support self care clients type 2 diabetes in Ambarketawang Yogyakarta. The study design using analytic correlation with cross sectional approach. The data collection was conducted using questionnaires family support and self care to 120 respondents. The results show that the support of family information has a strong and positive relationship with self care clients with type 2 diabetes p Value 0,000 . Improved the support of family information is recommended in order to improve the health status of the DM client."

"ABSTRAKHipertensi merupakan penyebab penyakit kardiovascular terbanyak. Hipertensi diRSUD Kudus menempati peringkat tiga besar berdasarkan kunjungan pasien.Tujuan penelitian ini mengidentifikasi faktor-faktor yang berhubungan denganself care management pada pasien hipertensi di RSUD Kudus. Desainmenggunakan survey analitik pendekatan cross sectional, teknik sampling yangdigunakan adalah pruporsive sampling dengan jumlah sampel 157. Analisisstatistik menggunakan chi square. Penelitian mendapatkan hasil bahwa efikasidiri, dukungan sosial, pendidikan dan komplikasi memiliki hubungan bermaknadengan self care management. Penelitian ini merekomendasikan untukmeningkatkan efikasi diri dengan memperhatikan pendidikan san usia sehinggaself care management menjadi lebih baik.

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ABSTRACTHypertension is the most of caused cardiovascular disease in the word andIndonesia. Hypertension in RSUD Kudus had leather of third caued of visitingpatient The aims of research was identified factors associated with self-caremanagement in the patient with hypertension in RSUD Kudus. Design approachused analytic cross sectional survey, techniques of sampling used purposivesampling with 157 samples. Statistical analysis was used chi square. The result ofresearch obtained that self-efficacy; social support, education and complicationshad significant relationships with self care management. The study recommendedto increase self efficacy by focusing to education and aged so, the self caremanagement by better."

"[ABSTRAK Nama WidiaWatiNPM 1206195810Program Studi Ners Spesialis Keperawatan Medikal BedahJudul Penerapan Asuhan Keperawatan Model Self Care Orem pada Pasien Diabetes Melitus dengan Ulkus di RSUPN Cipto Mangunkusumo Diabetes melitus merupakan penyakit metabolik yang terjadi karena kelainan sekresi insulin kerja insulin atau keduanya yang ditandai dengan Hiperglikemia Kondisi hiperglikemia yang tidak teratasi dapat menimbulkan berbagai komplikasi baik komplikasi akut maupun kronik Salah satu komplikasi kronik adalah ulkus diabetes Seiring dengan meningkatnya jumlah kejadian DM maka prevalensi ulkus diabetes akan meningkat juga Di Indonesia ulkus diabetes dan ganggren merupakan komplikasi diabetes yang paling banyak dirawat di rumah sakit Penanganan ulkus diabetes yang tidak optimal menyebabkan meningkatnya hari rawat inap Kondisi luka menimbulkan gangguan pemenuhan kebutuhan perawatan diri bagi pasien Perawat berperan penting dalam membantu pemenuhan Self Care pasien Untuk itu penerapan asuhan keperawatan model Self Care Orem berfokus pada kemampuan individu dalam melakukan tindakan perawatan mandiri mengenali dan mengatur kebutuhan perawatannya Penerapan Evidence Based Nursing adalah terapi Progressive Muscle Relaxation PMR dan latihan nafas merupakan latihan untuk meningkatkan kontrol glikemik dan menurunkan tingkat stress pada pasien DM tipe 2 Sedangkan Inovasi Keperawatan yang diberikan bertujuan meningkatkan Self Care dengan cara meningkatkan kemampuan pasien dalam Self Health Assessment Kata kunci Diabetes melitus Ulkus diabetes Model Self Care Orem ABSTRAK Nama WidiaWatiNPM 1206195810Program Studi Ners Spesialis Keperawatan Medikal BedahJudul Penerapan Asuhan Keperawatan Model Self Care Orem pada Pasien Diabetes Melitus dengan Ulkus di RSUPN Cipto Mangunkusumo Diabetes melitus merupakan penyakit metabolik yang terjadi karena kelainan sekresi insulin kerja insulin atau keduanya yang ditandai dengan Hiperglikemia Kondisi hiperglikemia yang tidak teratasi dapat menimbulkan berbagai komplikasi baik komplikasi akut maupun kronik Salah satu komplikasi kronik adalah ulkus diabetes Seiring dengan meningkatnya jumlah kejadian DM maka prevalensi ulkus diabetes akan meningkat juga Di Indonesia ulkus diabetes dan ganggren merupakan komplikasi diabetes yang paling banyak dirawat di rumah sakit Penanganan ulkus diabetes yang tidak optimal menyebabkan meningkatnya hari rawat inap Kondisi luka menimbulkan gangguan pemenuhan kebutuhan perawatan diri bagi pasien Perawat berperan penting dalam membantu pemenuhan Self Care pasien Untuk itu penerapan asuhan keperawatan model Self Care Orem berfokus pada kemampuan individu dalam melakukan tindakan perawatan mandiri mengenali dan mengatur kebutuhan perawatannya Penerapan Evidence Based Nursing adalah terapi Progressive Muscle Relaxation PMR dan latihan nafas merupakan latihan untuk meningkatkan kontrol glikemik dan menurunkan tingkat stress pada pasien DM tipe 2 Sedangkan Inovasi Keperawatan yang diberikan bertujuan meningkatkan Self Care dengan cara meningkatkan kemampuan pasien dalam Self Health Assessment Kata kunci Diabetes melitus Ulkus diabetes Model Self Care Orem ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model;ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model;ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model;ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model, ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model]"