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Pendampingan  dalam kegiatan pengabdian kepada masyarakat (PKM)  di Gereja Kristen Jawa (GKJ) Kramas, Tembalang Kota Semarang sebagai upaya mewujudkan lanjut usia (Lansia) sehat, aktif dan mandiri.  Warga  lansia di gereja tersebut (2023) sebanyak 32,6% dari  110 warga,   sebagian besar  adalah perempuan  dan  aktif kegiatan rumah tangga,  sosial  dan usaha ekonomi mikro.   Pendampingan  dilaksanakan dengan fasilitasi menyusun Rencana Aksi Sekolah Adiyuswo GKJ Kramas, dengan pemberdayaan dan mengintegrasikan  tujuh kegiatan ke dalam Sekolah Adiyuswa yaitu : (1) Pemeriksaan Kesehatan; (2)  Kegiatan  Sosial/Keagamaan;  (3) Seni Budaya;  (4) Produktif secara ekonomi (untuk persembahan); (5) Jaminan  Sosial (tergabung dalam BPJS, bantuan bagi lansia  sakit dan santunan kematian)  (6) Pemberdayaan Keluarga  pra-lansia dan  keluarga yang memiliki lansia agar paham tentang kesehatan dan aktivitas)  (7)  Jejaring Kerjasama ( Posyandu dan Puskesmas Tembalang.   Kegiatan pendampingan dilaksanakan   pemberdayaan kader dari warga  gereja (doketr dan paramedic serta warga setempat), kelengkapan  data terpadu  lansia, penguatan kelembagaan  sekolah adiyuswo, peningkatan kapasitas kader, dan  promosi sehat, aktif dan  perilaku hidup bersih dan sehat, cek kesehatan  rutin  bersama kegiatan  bergereja dan  akses ke  Puskesmas.  Hasil pendampingan   dilakukan monitoring dan  evaluasi berdasarkan Rencana Aksi  Sekolah Adiyuswo GKJ Kramas menunjukkan perkembangan yang  baik  dan kegiatan sosial ekonomi  mendapatkan apresiasi dari  gereja dan masyarakat sekitar gereja.

One of the easiest ways to detect cervical cancer early is with a visual examination of acetic acid. Early detection of cervical cancer by visual examination with acetic acid is guaranteed by the government, namely BPJS Kesehatan, and is included in the national health insurance program. The purpose of the study was to determine the low participation of women of childbearing age in acetic acid visual examination by UPT Puskesmas Timpah. The method used in this study is descriptive research. Questionnaires made by purposive sampling technique are used as data collection instruments; The maximum number of samples in the study sample is 30 samples. The respondents of this study were women of childbearing age. The results showed that based on respondents' knowledge of information, 26 respondents were uninformed (86.66%), 20 respondents (93.33%) did not support men. In the field of education, 21 people were found to have elementary and junior high school education as much as 70%, in the support of officers it was found that 20 people did not support (66.67%). Regarding access to information, it is known that 22 people did not get any assistance to get information (73.33%).    

Patient satisfaction is a factor that can be used as a reference in determining the success of a service program. Patient satisfaction will arise when it is supported by good quality service. There are five dimensional aspects known as service quality (SERVQUAL), reliability, responsiveness, assurance, empathy, and tangible. These five dimensions influence patient satisfaction. This research aims to provide an overview of the level of satisfaction of outpatient BPJS patients at Hermina Bitung Hospital, Tanggerang Regency in 2023. This research uses a descriptive method with a quantitative approach with the data that has been collected being processed using SPSS (statistical packagen for the social sciences) then the results analyzed by measuring the average percentage for each patient criterion and a sample size of 76 respondents, from this research it can be concluded that patient satisfaction through the reliability dimension is 56.58%, the responsiveness dimension is 55.26%, the assurance dimension was 53.95%, the empathy dimension was 56.58%, while the direct evidence (tangible) was 51.32%. Thus, the researchers concluded that the number of BPJS patients in outpatient registration services was 52.63%. This result still does not reach the minimum service standard set by the Indonesian Ministry of Health in 2008, which is ≥90%.

Outpatient services are an important part of health services provided by hospitals. However, some BPJS hospitals experience obstacles in providing efficient and quality outpatient services, such as long queues, long waiting times, and lack of a good management system. the application of Lean Management to the outpatient services of BPJS patients in hospitals can help hospitals improve operational performance, so as to increase public trust in BPJS Health. This study aims to analyze the application of Lean Management to the outpatient services of BPJS patients in hospitals. This research uses a literature study method or Systematic Literature Review using the Google Scholar search engine and journal databases, such as Researchgate. The results showed that most outpatient service activities for BPJS patients still have patient waiting times below the established service standards. In analyzing the flow that patients go through, each activity is identified into two groups, namely Value Added (VA) as an activity that is considered necessary and profitable and Non Value Added (NVA) as an activity that is considered unnecessary. Based on the percentage of waste in the form of the largest waiting time can be described, namely, 35.1% in the registration process, 30.2% in the poly examination process, and 20.7% in the process of receiving drugs in the pharmaceutical installation

According to Law No. 36 of 2009, health is a state of health, both physically, mentally, spiritually and socially that allows everyone to lead a socially and economically productive life. To ensure this health, the government established a health insurance known as the National Health Insurance (JKN). In its implementation, the JKN program experienced several challenges and obstacles. Therefore, this study aims to evaluate the JKN program in terms of increasing public health access. The research method used was a literature review obtained from eight journals from the Google Schoolar online database  between 2018 and 2023. Based on BPJS Kesehatan data as of October 2022, as many as 89.35% of the entire Indonesian population has been guaranteed health financing through the JKN program. There are several factors that affect the implementation of the JKN program, namely internal and external factors. To overcome this, various strategies are needed to optimize the JKN program in Indonesia. In addition, collaboration between stakeholders and the implementation of digitalization of health services in various health care facilities are also needed as readiness to face the global world. In its implementation, the implementation of JKN still experiences various obstacles such as low stakeholder readiness and responsiveness,  facilities and infrastructure that have not been maximized, and regulations regarding the JKN program have not been available and socialized properly.

Every citizen has the right to guaranteed access to quality and affordable health services. Initially, all administrative matters related to JKN can be carried out at the BPJS Kesehatan office. However, the covid 19 pandemic situation requires people to limit social interactions to prevent the chain of transmission of covid 19 infection. Therefore, digital innovations such as the JKN mobile application are needed by the public, especially JKN participants. The JKN mobile application is an innovation developed to make it easier for participants who initially carried out administrative activities at the BPJS Kesehatan office, to switch to applications that can be accessed anytime and anywhere. This research is a qualitative research that aims to explore in depth how the use of the JKN mobile application, especially during the Covid-19 pandemic. The informants in this study consisted of 8 informants consisting of BPJS Kesehatan officers and 7 JKN participants who had used the JKN mobile application domiciled in Gianyar Regency, Bali. This study was conducted using the indepth interview method with purposive sampling technique. This research shows the results that the JKN mobile application is very helpful for participants in terms of checking or changing participant data, accessing contribution information and printing digital cards that can be used in health facilities. However, there are still many features that have not been utilized due to participants' ignorance of the existence of features such as online consultations and online queues. So that wider socialization is needed regarding the benefits of the JKN mobile application both on social media and electronic media.    

Kualitas Pelayanan Kesehatan adalah tingkat kesempurnaan pelayanan kesehatan dalam menimbulkan rasa puas pada diri setiap pasien yang berpendapat bahwa semakin puas rasa kesempurnaan maka makin baik pula mutu pelayanan kesehatan. Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan kepuasan pasien BPJS terhadap pelayanan rawat jalan di Wilayah Kerja Puskesmas Limboto. Penelitian ini menggunakan desain penelitian kuantitatif dengan pendekatan cross cestional. Sampel dalam penelitian ini berjumlah 98 orang, pengambilan sampel menggunakan teknik purposive  sampling dengan analisis uji statistik chi square dengan tingkat signifikan α (0,05). Dari hasil penelitian Lima Dimensi Kualitas Pelayanan Kesehatan terhadap kepuasan pasien yaitu nilai p value dimensi responsiveness (0,000), assurance (0,001) tangibles (0,000), emphaty (0,001) dan reliability (0,000). Dapat disimpulkan bahwa lima faktor dimensi pelayanan kesehatan saling berhubungan dengan kepuasan pasien di wilayah kerja Puskesmas Limboto.  

Program Pengelolaan Penyakit  Kronis atau Prolanis merupakan sebuah metode ataupun sistem pelayanan kesehatan dengan pendekatan pro-aktif yang di laksanakan secara terintegrasi dan melibatkan peserta dalam rangka pemeliharaan kesehatan bagi peserta bpjs kesehatan yang optimal dengan efektif/efisien. Tujuan dari penelitian ini untuk mengetahui “Faktor-Faktor Yang Mempengaruhi Pemanfaatan Prolanis di Puskesmas Botumoito tahun 2022”. Analisis data menggunakan uji Chi-Square. Hasil penelitian dari 64 responden pengetahuan baik yaitu 37 responden terhadap pemanfaatan prolanis untuk kategori sering yaitu 27 responden (73,0%). Berdasarkan pekerjaan responden sebagai IRT yaitu 38 responden terhadap pemanfaatan prolanis untuk kategori sering yaitu 25 responden (65,8%). Berdasarkan Dukungan keluarga kategori baik yaitu 41 responden terhadap pemanfaatan prolanis untuk kategori sering yaitu 31 responden (75,6%). Simpulan, ada hubungan antara tingkat pengetahuan terhadap pemanfaatan prolanis. Diperoleh nilai p value = 0,02, dimana nilai p value lebih kecil dari α = 0,05. Ada hubungan antara pekerjaan terhadap pemanfaatan prolanis. Diperoleh nilai p value = 0,04, dimana nilai p value lebih kecil dari α= 0,05. Ada hubungan antara dukungan keluarga terhadap pemanfaatan prolanis dimana nilai p value lebih kecil dari α= 0,05.  

BPJS sangat bermanfaat bagi masyarakat salah satunya sebagai pelayanan kesehatan medis di fasilitas kesehatan. Pelayanan kesehatan yang disediakan oleh rumah sakit salah satunya pelayanan rawat jalan. Pelayanan rawat jalan menjadi salah satu pelayanan yang mendapat penilaian secara instan dari pasien, sehingga kepuasan pasien akan langsung dirasakan saat itu juga. Penelitian ini bertujuan untuk mengetahui kepuasan pasien BPJS terhadap pelayanan rawat jalan. Desain penelitian ini deskriptif kuantitatif untuk mengetahui gambaran 5 dimensi yaitu responsivines, reliability, assurance, tangible, dan empathy. Pengambilan sampel menggunakan teknik Simple Random Sampling dengan 100 responden. Pengumpulan data menggunakan lembar kuesioner. Hasil penelitian yang didapatkan ini menunjukkan nilai kepuasan baik dengan jumlah responden 89 dan Kepuasan cukup dengan jumlah 11 responden dari 100 sampel yang ditentukan. Hasil penelitian pada 5 dimensi yaitu tangible terdapat 93 responden berkepuasan baik dan 7 responden berkepuasan cukup, pada reliability terdapat 92 responden berkepuasan baik dan 8 responden berkepuasan cukup, pada ketanggapan terdapat 91 responden berkepuasan baik dan 9 responden yang berkepuasan cukup, pada asuransi jaminan terdapat 96 responden berkepuasan baik dan 4 responden berkepuasan cukup, pada empaty terdapat 94 responden berkepuasan baik dan 6 responden berkepuasan cukup. Kesimpulannya kepuasan baik ini didapatkan dari pelayanan baik dan maksimal yang telah diberikan oleh para tenaga keshatan sehingga pasien BPJS merasa puas terhadap pelayanan yang ada.    

The Long-Term Contraception Method is an effective and efficient method to manage the pregnancy and stop the pregnancy of a fertile couple that does not want to have babies. This method is useful for the long-term duration, 10 years ahead. The selection of contraception tools receives various factors, such as socio- demographical factors: education, age, job, and the number of children. This research determined the correlation between education, profession, and family support toward the long-term contraception method selection for fertile women. This analytical survey research used a cross-sectional design. The population consisted of fertile women with active contraception acceptors at the BPJS Clinic, Irma Solikhin, consisting 201 people. The applied sampling technique was purposive sampling. The obtained sample was 134 respondents. The applied instrument was a questionnaire. The applied data analysis technique was Chi-square. The results showed a correlation between education and the selection of the Long-Term Contraception Method with a p-value of 0.000, lower than 0.05. The result showed a correlation between profession and the Long-Term Contraception Method at the clinic with a p-value of 0.000, lower than 0.05. The same result was also observable in the family support toward the Long-Term Contraception Method with a p-value of 0.000, lower than 0.05.   Keywords: Education, Profession, Family Support, LTCM