You are on page 1of 19

KEBUTUHAN PELAYANAN

SEBAGAI
FAKTOR DOMINAN
PEMANFAATAN SKRINING
PENYAKIT TIDAK MENULAR
(PTM)
PADA PEGAWAI NEGERI
SIPIL (PNS)
DI KOTA DEPOK
TAHUN 2017

ZAKIAH
NPM 1606857362
PROPOSAL KUANTITATIF
OUTLINE
Latar Belakang Masalah

Umur, JK, Status Perkawinan,


Pengetahuan, Sikap

Dukungan Keluarga, Regulasi


Pemerintah

Perceived & Evaluated


(Gaol, 2013; Li, Nong, Wei,
Feng, & Luo, 2016)
Waller et al (1990) = 43,6%
Bjeerregaard (2009) = 43,7%
Si si (2014) = 30,3% Oxcheck Study (1996)
PNS Kota Depok (2016)=46% British Family Heart
Obesitas, aktivitas fisik, status Study (1996)
perokok dan buah sayur
Strong et al (2005)
Rumusan Masalah
Pertanyaan Penelitian
Kerangka Teori

Modifikasi Andersen, Ronald. Equity in Health Services. Emperial analysis in Social


Policy, Ballinger Publishing Comp, 1975 ; Green, Lawrence W, Health promotion
Planning an Education and Enviromental Approach. Mayfield Publishing Company.
Mountain View,2005:24.
Kerangka Konsep
Pengetahuan
Sikap

Dukungan Keluarga
Regulasi Pemerintah

Perceived Need
Evaluated Need

Obesitas
Aktifitas Fsik
Status perokok Umur
Kebiasaan Makan buah sayur Jenis Kelamin
Hasil & Skala Ukur Variabel (1)

VARIABEL HASIL SKALA


DEPENDEN

Pemanfaatan layanan 0= Tidak memanfaatkan Ordinal


skrining PTM 1= Memanfaatkan
Hasil & Skala Ukur Variabel (2)
VARIABEL HASIL SKALA
INDEPENDEN
Status Perkawinan 1= Belum Menikah Nominal
2= Janda / Duda
3= Menikah
Pengetahuan 0= Rendah ; (Jawaban benar < mean) Ordinal
1=Baik ; (Jawaban benar mean

Sikap 1= Tidak Setuju Ordinal


2= Kurang Setuju
3= Setuju
Dukungan Keluarga 0= Tidak Mendukung Ordinal
1= Mendukung

Regulasi Pemerintah 0= Tidak Mendukung Ordinal


Daerah 1= Mendukung
Hasil & Skala Ukur Variabel (3)
VARIABEL HASIL SKALA
INDEPENDEN
Kebutuhan yang
1= Baik Ordinal
dirasakan (Perceived
2= Sedang
Need) 3= Buruk
Kebutuhan yang di 1= Rendah Ordinal
nilai 2= Sedang
(Evaluated Need) 3= Tinggi
Obesitas 0=Tidak Obesitas (IMT<27 kg/m2) Ordinal
1= Obesitas (IMT 27 kg/m2)
Aktivitas Fisik 0=Aktif(Jika masuk kriteria aktivitas Ordinal
sedang&berat)
1=Tidak Aktif (Jika masuk kriteria aktivitas
ringan)
Status Perokok 1= Perokok aktif Ordinal
2= Pernah Merokok
3= Bukan Perokok
Kebiasaan Makan Buah 0=Kurang; bila konsumsi sayur dan buah < 5 porsi Ordinal
dan Sayur sehari dalam seminggu.
1= Cukup; bila konsumsi sayur dan buah 5 porsi
Hipotesis
Desain, Lokasi & Waktu Penelitian
Populasi & Sampel
Populasi Seluruh Pegawai Pemerintah Kota Depok = 11350
orang
Target

Populasi Seluruh PNS Pemerintah Kota Depok = 7752 orang


Populasi yang
berpartisipasi dalam
Studi
penelitian yaitu PNS

Inklusi : Seluruh PNS Pemerintah Eligible Seluruh PNS Pemerintah Kota Depok yang
Kota Depok memenuhi kriteria inklusi
Subject
Ekslusi : Cuti, sakit, hamil

Sampel penelitian berjumlah


Berdasarkan perhitungan Intended 397 orang
besar sampel Subject

Actual
Subject
Jumlah aktual subjek 397
orang
Besar Proporsi
Variabel P1 P2 n Sumber
Pemanfaatan pelayanan 0,713 0,287 397 Sampeluna, et al, 2013

Pengetahuan 0,354 0,646 65 Karamelka, 2015


Sikap 0,671 0,329 76 Sari, 2014
Dukungan Keluarga 0,847 0,153 85 Nara, 2014
Evaluated Need 0,333 0,667 138 Gaol, 2013

Metode
Sampling

Systematic Random Sampling


Pengumpulan, Pengolahan &
Analisa Data
DAFTAR PUSTAKA
Andersen, R., & Newman, J. F. (2005). Societal and Individual Determinants of Medical Care Utilization in the United States). The Milbank Quarterly.
Arber, S., & Thomas, H. (2007). From Womens Health to a Gender Analysis of Health. In The Blackwell Companion to Medical Sociology (pp. 94113). Oxford, UK: Blackwell Publishers Ltd.
https://doi.org/10.1002/9780470996447.ch5
Baker, D., Middleton, E., & Soljak, M. (2003). Cervical screening and health inequality in England in the 1990s. Journal of Epidemiology and Community Health, 57(6), 41723. https://doi.org/10.1136/JECH.57.6.417
Bjerregaard, A.-L., Maindal, H. T., Bruun, N. H., & Sandbk, A. (2017). Patterns of attendance to health checks in a municipality setting: the Danish Check Your Health Preventive Program. Preventive Medicine Reports,
5, 175182. https://doi.org/10.1016/j.pmedr.2016.12.011
Borkhoff, C. M., Saskin, R., Rabeneck, L., Baxter, N. N., Liu, Y., Tinmouth, J., & Paszat, L. F. (2013). Disparities in receipt of screening tests for cancer, diabetes and high cholesterol in Ontario, Canada: a population-based
study using area-based methods. Canadian Journal of Public Health = Revue Canadienne de Sante Publique, 104(4), e284-90. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/24044467
Brunner-Ziegler, S., Rieder, A., Stein, K. V., Koppensteiner, R., Hoffmann, K., & Dorner, T. E. (2013). Predictors of participation in preventive health examinations in Austria. BMC Public Health, 13(1), 1138.
https://doi.org/10.1186/1471-2458-13-1138
Cochrane, T., Davey, R., Iqbal, Z., Gidlow, C., Kumar, J., Chambers, R., & Mawby, Y. (2012). NHS health checks through general practice: randomised trial of population cardiovascular risk reduction. BMC Public Health, 12,
1. https://doi.org/10.1186/1471-2458-12-944
Dryden, R., Williams, B., Mccowan, C., & Themessl-Huber, M. (2012). What do we know about who does and does not attend general health checks? Findings from a narrative scoping review. BMC Public Health, 12, 1.
https://doi.org/10.1186/1471-2458-12-723
Gaol, T. (2013). PENGARUH FAKTOR SOSIODEMOGRAFI, SOSIOEKONOMI DAN KEBUTUHAN TERHADAP PERILAKU MASYARAKAT DALAM PENCARIAN PENGOBATAN DI KECAMATAN MEDAN KOTA TAHUN
2013.
Hoebel, J., Starker, A., Jordan, S., Richter, M., & Lampert, T. (2014). Determinants of health check attendance in adults: findings from the cross-sectional German Health Update (GEDA) study. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4167266/pdf/12889_2014_Article_7031.pdf
Jahangir, E., Irazola, V., Rubinstein, A., Ray, L., & Angel, R. (2012). Need, Enabling, Predisposing, and Behavioral Determinants of Access to Preventative Care in Argentina: Analysis of the National Survey of Risk Factors.
PLoS ONE, 7(9), e45053. https://doi.org/10.1371/journal.pone.0045053
Janen, C., Sauter, S., & Kowalski, C. (2012). The influence of social determinants on the use of prevention and health promotion services: Results of a systematic literature review. Psycho-Social Medicine, 9, Doc07.
https://doi.org/10.3205/psm000085
Kementrian Kesehatan. (2016). Peraturan Menteri Kesehatan RI Nomor 43 Tahun 2016 tentang Standar Pelayanan Minimal (SPM) Bidang Kesehatan.
Labeit, A., Peinemann, F., & Baker, R. (2013). Utilisation of preventative health check-ups in the UK: fi ndings from individual-level repeated cross-sectional data from 1992 to 2008. https://doi.org/10.1136/bmjopen-2013-
003387
Langham, S., & Thorogood, M. (1996). Health checks conducted by nurses in primary care cost between 1 . 46 and 2 . 25 per patient per 1 % reduction in coronary risk, 12. https://doi.org/10.1136/ebm.1997.2.30
Li, Y.-N., Nong, D.-X., Wei, B., Feng, Q.-M., & Luo, H.-Y. (2016). The impact of predisposing, enabling, and need factors in utilization of health services among rural residents in Guangxi, China. BMC Health Services
Research, 16(1), 592. https://doi.org/10.1186/s12913-016-1825-4
Lusiana, N., Andriyani, R., & Megasari, M. (2015). Buku Ajar Metodologi Penelitian Kebidanan - Deepublish | Penerbit Deepublish (I). Yogyakarta: Deepublish. Retrieved from
http://penerbitbukudeepublish.com/shop/metodologi-penelitian-kebidanan/
Strong, K., Wald, N., Miller, A., & Alwan, A. (2005). Current concepts in screening for noncommunicable disease: World Health Organization Consultation Group Report on methodology of noncommunicable disease
screening, 12(1), 1219.
Suhrcke, M., Nugent, R. A., Stuckler, D., & Rocco, L. (2006). Chronic disease: an economic perspective.
Teo, C. H., Ng, C. J., & White, A. (2017). Factors influencing young mens decision to undergo health screening in Malaysia: a qualitative study. BMJ Open 2017. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353258/pdf/bmjopen-2016-014364.pdf
Thorogood, M., Coluter, A., Jones, L., Yudkin, P., Muir, J., & Mant, D. (1993). Factors Affecting Response to an Invitation to Attend for a Health Check on JSTOR. Journal of Epidemiology and Community Health, 47, 224
228. Retrieved from https://www.jstor.org/stable/25567728?seq=1#page_scan_tab_contents
Waller, D., Agass, M., Mant, D., Coulter, A., Fuller, A., & Jones, L. (1990). Health checks in general practice: another example of inverse care? BMJ (Clinical Research Ed.), 300(6732), 11158.
https://doi.org/10.1136/BMJ.300.6732.1115
WHO. (2005). Preventing CHRONIC DISEASES a vital investment WHO Library Cataloguing-in-Publication Data.
Wonderling, D., McDermott, C., Buxton, M., Kinmonth, a L., Pyke, S., Thompson, S., & Wood, D. (1996). Costs and cost effectiveness of cardiovascular screening and intervention: the British family heart study. BMJ
(Clinical Research Ed.), 312(7041), 126973. https://doi.org/10.1136/bmj.312.7041.1269
TERIMAKASIH
Kerangka Teori
Kerangka Teori

You might also like