The Body Aids Orthosis As a Superior Product towards Public Service Agency (BLU) of the Polytechnic MOH Jakarta 1

Abstract

Background: The public service agency (BLU) plays an important role in serving the community because of its autonomy in the provision of goods and/or services. The number of patients in the orthotics prosthetics (OP) disability clinic at the Health Polytechnic Jakarta I is increasing. There are 70 new patients that have been waiting for services. Meanwhile, 20 patients have to be given maintenance. This study aims to perform an assessment of the services of the OP disability clinic towards the public service agency of the Health Polytechnic Jakarta 1. Method: The research design is a cross-sectional followed by a qualitative study. The 51 disabled patients visiting the clinic in September–November 2014 were asked to fill a questioner. In-depth interviews with top management, focus group discussions with providers were carried out to connect patient data. Result: The orthotic services are most requested by patients (51%). Crosstab analysis showed a relationship between the type of service and patients visit (p-value = 0,043). Although no significant relationship between insurance ownership and patient visits was seen, univariate analysis shows 43,7% patients have insurance. The qualitative data revealed that top management provided policy support so that the clinic can develop into BLU. Likewise, service providers feel confident to serve because of international standards owned by the clinic, and will continue to serve patients as long as infrastructure and human resources improved. Conclusion: Health Polytechnic Jakarta I has the big potential of becoming a BLU because it has a clinic that can be a source of income. Policies are needed to implement BLU.

References
[1] WHO, ISPO. Guidelines for training personnel in developing countries for prosthetics and orthotics services.; 2005.

[2] Achieve Australia. What is a physical disability? | achieve Australia. Https://achieveaustralia.org.au/ disability-services/physical-disability/. Published 2019. Accessed April 2, 2019.

[3] Ispo. About - international society for prosthetics and orthotics. Https://www.ispoint.org/page/history2. Published 2019. Accessed April 2, 2019.

[4] World health organization. The relationship between prosthetics and orthotics services and community-based rehabilitation (cbr).; 2003. Https://www.who.int/disabilities/technology/po_services_cbr.pdf. Accessed April 1, 2019.

[5] WHO, ISPO. International society for prosthetics and orthotics the relationship between prosthetics and orthotics services and community based rehabilitation ( cbr ). 2003.

[6] Aopa. About orthoses and prostheses - the Australian orthotic prosthetic association ltd. (aopa). Https:// www.aopa.org.au/careers/what-are-orthoses-and-prostheses. Published 2019. Accessed April 2, 2019.

[7] Irwanto, kasim er, lusli m, siradj o. Analisis situasi penyandang disabilitas di indonesia: sebuah desk-review.; 2010. Https://www.ilo.org/wcmsp5/groups/public/---asia/---ro-bangkok/---ilojakarta/ documents/publication/wcms_160340.pdf. Accessed April 1, 2019.

[8] Kementrian kesehatan republik indonesia. Potret-sehat-indonesia-dari-riskesdas-2018. Http: //www.depkes.go.id/article/view/18110200003/potret-sehat-indonesia-dari-riskesdas-2018.html. Published 2018. Accessed April 2, 2019.

[9] World Health Organisation & The World Bank. The world report on disability. Disabil soc. 2011;26(5):655- 658. Doi:10.1080/09687599.2011.589198

[10] Pemerintah republik indonesia. Peraturan pemerintah republik indonesia nomor 23 tahun 2005 tentang pengelolaan keuangan badan layanan umum dengan rahmat tuhan yang. Https://jdih. kemenkeu.go.id/fulltext/2005/23tahun2005pp.htm. Accessed April 5, 2019.

[11] Harkins cs, mcgarry a, buis a. Provision of prosthetic and orthotic services in low-income countries : a review of the literature. 2012. Doi:10.1177/0309364612470963

[12] Heinemann aw, fisher wp, gershon r. Improving health care quality with outcomes management. 2006;(6).

[13] Peaco a, halsne e, hafner bj. Assessing satisfaction with orthotic devices and services: a systematic literature review. Jpo j prosthetics orthot. 2011;23(2):95-105. Doi:10.1097/jpo.0b013e318217a0fe

[14] Rhomadona da, amabarwati, hariyadi ds. Faktor-faktor yang berhubungan dengan frekuensi kunjungan ulang pasien stroke untuk berobat ke rumah riset jamu hortus medicus tawamangu. 2014.

[15] Satrianegara mf. Faktor - faktor yang behubungan dengan pemanfaatan ulang pelayanan rawat jalan pada pasien tb paru di rsud labuang baji makassar tahun 2016. 2016;8:49-59.

[16] American Academy of Orthotists and Prosthetists. Health trends increase demand for orthotic & prosthetic practitioners - the American Academy of Orthotists and Prosthetists. Https://www.oandp.org/news/ 436949/health-trends-increase-demand-for-orthotic--prosthetic-practitioners.htm. Published 2016. Accessed April 4, 2019.

[17] Geil m, coulter c. Analysis of locomotor adaptations in young children with limb loss in an early prosthetic knee prescription protocol. Prosthet orthot int. 2014;38(1):54-61. Doi:10.1177/0309364613487546

[18] Wahyuni ns. Faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan di puskesmas sumber rejo kota balikpapan provinsi kalimantan timur 2012. Skripsi. 2011.

[19] Rumengan dss, kandou jmlugd. Faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan pada peserta bpjs kesehatan di puskesmas paniki bawah kecamatan mapanget kota manado factors associated with health care utilization health on bpjs participants in phc paniki mapanget d. Jikmu. 2015:88-100.

[20] Su’udi a. Analisis pemanfataan subsidi pelayanan kesehatan gratis tingkat puskesmas di kabupaten tabalong kalimantan selatan tahun 2010. 2010.

[21] Irawan b, ainy a. Analisis faktor-faktor yang berhubungan dengan pada peserta jaminan kesehatan nasional bambang irawan , asmaripa ainy 1 fakultas kesehatan masyarakat universitas sriwijaya analysis of associated factors with health services utilization for national health. J ilmu kesehat masy univ sriwij. 2018;9(november):189-197.

[22] Simanjuntak y. Faktor-faktor yang mempengaruhi rujukan pasien bpjs di puskesmas medan johor kecamatan medan johor tahun 2017. 2018.

[23] Su’udi a, hendarwan h. Pemanfaatan pelayanan kesehatan sasaran program jaminan tabalong sehat di kabupaten tabalong kalimantan selatan utilization of health services of targetting tabalong health security program in tabalong district , south kalimantan. 2017;1(2):102-112.

[24] Walzer S, Nuijten M, Wiesner C, Kaier K, Johansson PO, Oertel S. Microeconomic surplus in health care: applied economic theory in health care in four European countries. Front Pharmacol. 2013;4:17. Doi:10.3389/fphar.2013.00017

[25] WHO. 2000 health systems: improving performance. 2000. Doi:10.1146/annurev.ecolsys.35.021103.105711