* Corresponding Author
Implementasi Portable Health Clinic Pada Masa Pandemi COVID-19 Di Indonesia: Case Study
https://doi.org/10.22146/jisph.76364 Tika Sari Dewi(1*)
(1) Gadjah Mada University
(*) Corresponding Author
Abstract
Latar belakang: Pandemi COVID-19 mengakibatkan perubahan perilaku pencarian kesehatan dan terbatasnya pelayanan kesehatan masyarakat di puskemas, terutama populasi risiko tinggi. Pendekatan digital memungkinkan layanan jarak jauh dengan menggunakan teknologi mobile sangat potensial meningkatkan akses pelayanan kesehatan di tingkat masyarakat. Portable Health Clinic (PHC) adalah layanan kesehatan keliling berbasis komunitas, dilengkapi telemonitoring dan telekonsultasi menggunakan perangkan medis portable dan aplikasi android.
Tujuan: Penelitian ini bertujuan untuk menilai proses implementasi PHC dan mengevaluasi faktor-faktor yang menpengaruhi penerimaan.
Metode: Wawancara mendalam dilakukan kepada 11 tenaga kesehatan dan kader. Dilaksanakan di 3 Puskesmas, Samigaluh II di Kabupaten Kulon Progo, Kalikotes di Kabupaten Klaten, dan Mlati II di Kabupaten Sleman. Wawancara dilakukan secara virtual antara bulan April-Mei 2022.
Hasil: Terdapat sedikit perbedaan model pelaksanaan di antara tiga puskesmas yaitu secara kolektif berdasarkan jadwal Pos Binaan Terpadu (Posbindu) PTM dan kunjungan rumah. Temuan penelitian ini dikategorikan menjadi 7 tema penerimaan PHC: kendala teknis, kendala non teknis, persepsi kegunaan, persepsi kemudahan, persepsi risiko, persepsi positif PHC, dan dukungan sosial.
Kesimpulan: PHC dapat memperkuat pelayanan kesehatan yang sudah ada dengan menambah value added alat kesehatan portable dan sistem informasi untuk mendukung pemeriksaan secara lengkap dan konsultasi jarak jauh. Terlepas dari banyak manfaat tetapi Implementasi PHC masih banyak menemukan kendala baik dari segi teknologi, manusia, organisasi, dan legalitas.
Kata kunci: Evaluasi Penerimaan, Pelayanan Kesehatan Berbasis komunitas, Portable Health Clinic.
Background: Covid-19 pandemic has resulted in changes of health seeking behaviours and limited community health service programs at the Primary Health Center, especially of high risk populations. Digital approach that allows remote services using mobile technology is potential to be used to improve health access at the community level. Portable Health Clinic (PHC) is a community-based mobile health service, equipped with telemonitoring and teleconsultation using portable medical devices and android app.
Objective: This study aims to assess the PHC implementation process and evaluate the factors that influence the acceptance.
Methods: This qualitative study utilized in-depth online interviews with eleven health workers and community cadres from three Primary Health Centers in Sleman, Kulon Progo, and Klaten districts. This research conducted virtually between April and May 2022.
Results: Primary Health Care (PHC) was operationalised in three Puskesmas through the utilisation of village health post schedules and home visitation programmes. The study identified seven themes pertaining to the acceptance of PHC: technical constraints, non-technical constraints, perceived usefulness, perceived convenience, perceived risk, favourable perceptions of PHC, and social support.
Conclusion: The Primary Health Care (PHC) model contributes significantly to the advancement of health services by integrating portable medical devices and sophisticated information systems, thereby facilitating comprehensive clinical examinations and telemedicine consultations. Nonetheless, persistent challenges exist in relation to technological infrastructure, human resources, organisational frameworks, and legal considerations.
Keywords: acceptance evaluation, community-based health services, portable health clinic
Keywords
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DOI: https://doi.org/10.22146/jisph.76364
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