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"Terdapatnya suatu jaminan kesehatan baru yang menggantikan jaminan kesehatan sebelumnya dapat membawa kebaikan ataupun keburukan bagi pengguna. Oleh sebeb itu, perlu adanya survei kepuasan kepada peserta pengguna tentang pelayanan yang diberikan oleh masing-masing jaminan kesehatan JPKM Jaminan Pemeliharaan Kesehatan Masyarakat ataupun JKN Jaminan Kesehatan Nasional di kota Sawahlunto. Tujuan : Mengetahui hubungan dan membandingkan antara sistem jaminan kesehatan JPKM dan JKN terhadap kepuasan peserta dalam pelayanan kesehatan gigi dan mulut di kota Sawahlunto. Metode : menggunakan cross-sectional, dengan sampel pada penelitian ini diberikan kuesioner ServQual yang terdiri atas harapan dan kinerja. Subjek : Masyarakat yang pernah atau sedang menggunakan JPKM dan JKN, jumlahnya adalah 182 orang. Analisa : Kepuasan pengguna dilihat dengan menganalisa gap antara kinerja dan harapan pada status sosiodemografi dan uji komparasi Mann Whitney test untuk melihat perbedaan kepuasan JPKM dan JKN. Kesimpulan hasil : terdapat perbedaan kepuasan pada dimensi assurance JKN kelompok usia, semakin muda tingkat kepuasannya semakin tinggi. Pada kelompok profesi PNS/pensiunan memiliki persepsi kepuasan yang lebih tinggi dibandingkan kelompok profesi lainnya. Kemudian, dimensi assurance dan reliability memberikan pengaruh signifikan pada kepuasan total pengguna JPKM dan JKN. Selanjutnya, pengguna JPKM memiliki nilai hampir mendekati kepuasan dibandingkan JKN.

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The new health insurance which change the old insurance it doesn rsquo t absolutely have a goodness. Therefore, we need observe user satisfaction in dental health service which have been given to users by JPKM Sub regional Community Health Insurance and JKN National Health Insurance in Sawahlunto city.

Purpose to see the relationship and compare between JPKM system and JKN system to user satisfaction in dental health service.

Method it was cross sectional study, the subject for this study were given expectation ServQual questionnaire and perception ServQual questionnaire. Subject all users had experiences using JPKM and JKN or were current users in Sawahlunto city, a total are 182 people.

Analysis user satisfaction was identified by analizing gap between perception and expectation on sosiodemographic status and comparison test Mann Whitney test to see significantly differences.

Conclusion of findings on JKN assurance dimention there are differences of satisfaction based on age variable. On profession variables, PNS pensiunan group has higher satisfaction than other professions. Then, reliability and assurance dimentions give signifficant effect to total satisfaction, and JPKM user have higher satisfaction than JKN user."

"All chapters in this second edition have been revised and more clinical pictures have been added for ease of understanding. A detailed step-by step approach to the history taking, clinical diagnosis, treatment planning and prevention of dental diseases makes this a practical quick reference guide for undergraduate and postgraduate students."

"Perubahan sistem pelayanan kesehatan yang terjadi di Jakarta menyebabkan peningkatan pengguna pelayanan kesehatan yang berdampak pada ketidakpuasan pasien. Tujuan: Penelitian ini untuk mengetahui korelasi kepuasan pasien terhadap mutu pelayanan kesehatan di Poli Gigi Puskesmas Jakarta Pusat. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain studi potong lintang dengan menggunakan 92 sampel yang diberikan kuisoner. Uji non-parametik Spearman digunakan untuk mengetahui seberapa kuat korelasi yang ada. Hasil: Terdapat 15 item pada variabel mutu pelayanan yang memiliki nilai p< 0,05. Kesimpulan: Terdapat 13 item yang memiliki korelasi positif sangat kuat, dan 2 item memiliki korelasi positif yang kuat.

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System changing in health service that’s happening in Jakarta increase dental and oral health service user number which may cause unsatisfied patient.

Objective:The purpose of this study is to know how strong the correlation between patient satisfaction and the service quality in Poli Gigi Puskesmas Jakarta Pusat is.

Method:A quantitative study with a cross-sectional design was used in this study and there were 92respondents which have been given questionnaire. Spearman’s non-parametric test was used to know how strong the correlation is.

Result:15 items from service quality variables had p-value<0,05.

Conclusion: There’re 13 items that show very-strong positive correlation, and 2items show strong correlation."

"Tujuan: Untuk mendeskripsikan kebutuhan yang dirasakan akan dan pemanfaatan layanan kesehatan gigi di Indonesia Indonesia pada 2013. Metode: Studi cross-sectional dilakukan dengan menggunakan data sekunder dari Survei Sosial Ekonomi Nasional Indonesia tahun 2013 (n = 260.925). Deskriptif analisis dan regresi logistik digunakan untuk menggambarkan proporsi dan hubungan antara kebutuhan yang dirasakan dan pemanfaatan perawatan kesehatan gigi dari beberapa karakteristik sosiodemografi. Hubungan antara kebutuhan yang dirasakan dan kebiasaan menyikat gigi juga dianalisis menggunakan regresi logistik. Hasil: 1,64% dari Orang Indonesia memiliki kebutuhan yang dirasakan akan perawatan kesehatan gigi pada tahun 2013 dan persentase untuk pemanfaatannya adalah 2,30% orang Indonesia pada tahun yang sama. Analisis regresi logistik menunjukkan hasil yang signifikan secara statistik yang menunjukkan rasio odds yang lebih tinggi untuk kebutuhan yang dirasakan untuk dan pemanfaatan perawatan kesehatan gigi pada responden yang berusia <15 tahun, perempuan, belum menikah, memiliki pendidikan tinggi, dan diasuransikan. Hasil juga menunjukkan bahwa responden dengan kebutuhan yang dirasakan memiliki rasio odds yang lebih tinggi untuk kebiasaan menyikat gigi. Kesimpulan: The proporsi kebutuhan yang dirasakan dan pemanfaatan layanan kesehatan gigi di Indonesia pada tahun 2013 ditemukan rendah dan dikaitkan dengan beberapa faktor sosiodemografi.

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Objective: To describe the perceived need for and utilization of dental health services in Indonesia in Indonesia in 2013. Method: A cross-sectional study was conducted using secondary data from the 2013 Indonesian National Socio-Economic Survey (n = 260,925). Descriptive analysis and logistic regression are used to illustrate the proportion and relationship between perceived needs and utilization of dental health care from several sociodemographic characteristics. The relationship between perceived needs and toothbrushing habits was also analyzed using logistic regression. Results: 1.64% of Indonesians had a perceived need for dental health care in 2013 and the percentage for utilization was 2.30% of Indonesians in the same year. Logistic regression analysis showed statistically significant results which showed a higher odds ratio for perceived need for and utilization of dental health care for respondents aged <15 years, women, unmarried, highly educated, and insured. The results also showed that respondents with perceived needs had a higher odds ratio for toothbrushing habits. Conclusion: The proportion of perceived need and utilization of dental health services in Indonesia in 2013 was found to be low and associated with several sociodemographic factors."

"Reviewed indicators of National Household Health Survey (NHHS) 1995 were done to know wheter the target of dental health for all by the year 2000 which was the program goals has been achieved. The indicators reviewed were index DMF-T, prevalence of dental caries, percent people with a minimum of 20 functional teeth and percent people with complete teeth. Index DMF-T is a total number of D-T (decayed teeth) score, M-F (missing teeth) score and F-T (filled teeth) score that shows level of seriousness of dental damage caused by dental caries/ cavity. The findings showed that indicator "DMF-T index among children aged 12 years" was low (2.21) and achieved the target. But it is not a positive one finding that the score was dominated by D-T score which have not been took up yet, and the high prevalence of population with dental caries experience which was covered 77% of children aged 12 years. Indicator "population aged 18 years that retain all their teeth" is not a sharp one because it is only show the retainning of the teeth without knowing the conditions of the teeth, loss or caries. Target year 2000 that was "75% population aged 35-44 years have a minimum of 20 functional teeth" has been achieved. Target year 2000 that was "50% population aged 65+ years have a minimum of 20 functional teeth" can not been achieved. Indicator of "children aged 5 years with caries free" was not collected by SKRT 1995, but it is needed to monitor the program prevention. Indicator "population with deep pocket" is important to know the damage of teeth that caused by periodontal diseases. It is recommended to have a comprehensive services which consist of promotion, protection, early diagnosis and prompt treatment. Indicator "prevalence of caries" on a couple of age groups is needed, and also indicator of "children aged 5 years with caries free" and "population with deep pocket" specifically on age 35-44 years and 65+ years."

"Latar Belakang: Kesehatan gigi dan mulut merupakan salah satu hal yang perlu diperhatikan pada dengan keterbatasan pendengaran. Untuk meningkatkan kemandirian dalam menjaga kesehatan gigi dan mulut, diperlukan sebuah metode edukasi kesehatan gigi yang efektif. Penelitian bertujuan untuk menguji metode edukasi penayangan video bahasa isyarat dan permainan kartu interaktif terhadap pengetahuan, sikap dan praktik kesehatan gigi dan mulut anak disabilitas rungu. Metode: 40 anak disabilitas rungu pada sebuah sekolah khusus tunarungu dibagi secara acak ke dalam dua kelompok. Kelompok 1 mendapatkan intervensi edukasi penayangan video bahasa isyarat dan kelompok 2 mendapatkan intervensi edukasi permainan kartu interaktif. Pengetahuan, sikap dan praktik kesehatan gigi dan mulut anak disabilitas rungu dinilai dengan kuesioner, dan status kebersihan gigi dan mulut dinilai dengan indeks Oral Hygiene Index-Simplified (OHI-S) sebelum dan sesudah intervensi dilakukan. Hasil: Terdapat hasil signifikan pada peningkatan sikap dan praktik pada kelompok penayangan video, dan hasil signifikan pada peningkatan pengetahuan, sikap, praktik dan penurunan skor OHI-S pada kelompok permainan kartu dalam interval 1 bulan. Kesimpulan: Kedua jenis intervensi dapat digunakan sebagai metode edukasi pada anak disabilitas rungu. Edukasi interaktif lebih signifikan dalam meningkatkan pengetahuan, sikap, praktik kesehatan gigi dan mulut serta menurunkan skor OHI-S.

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Background: Oral health is one thing that needs to be considered in children with hearing impairments. To increase independence in maintaining oral and dental health, an effective dental health education method is needed. The aim of the study was to test education with video and interactive games method on the increase of oral health knowledge, attitudes and practices of children with hearing disabilities.

Method: 40 children with hearing disabilities in a special school were randomly divided into two groups. Group 1 received a one-way educational intervention by showing video with sign language and group 2 received an interactive educational intervention by playing cards game. Oral health knowledge, attitudes practices of children with hearing disabilities were assessed by a Knowledge-Attitude-Practice questionnaire, and oral hygiene status was assessed by the Oral Hygiene Index-Simplified (OHI-S) index before and after the intervention was carried out.

Results: There were significant results in increasing attitudes and practices in the video group, and significant results in increasing knowledge, attitudes, practices and decreasing OHI-S scores in the interactive card game group after 1 month interval.

Conclusion: Both type of interventions can be used as educational methods for children with hearing disabilities. Interactive education is more significant in increasing knowledge, attitudes, dental and oral health practices and decreasing OHI-S scores."

"Tujuan: Mendeskripsikan inequality dalam perceived need dan utilisasi pelayanan kesehatan gigi dan mulut di Indonesia tahun 1993-2014. Metode: Penelitian ini merupakan penelitian analitik deskriptif dengan desain cohort menggunakan data sekunder dari Indonesian Family Life Survey (IFLS) pada tahun 1993-2014 (n = 122.575). Analisis deskriptif, penghitungan Concentration Index (CI) dilakukan untuk melihat inequality pada pelayanan kesehatan gigi dan mulut dengan berbagai karakteristik sosiodemografi penduduk Indonesia pada tahun 1993-2014. Hasil: Dari total keseluruhan responden IFLS 1-5, terdapat 12,86% individu yang memiliki perceived need dan hanya 23,13% individu yang melakukan utilisasi. Kemudian pada hasil analisis concentration index (CI) dari perceived need bernilai negatif pada IFLS 1 (CI = -0,006), IFLS 4 (CI = -0,014), dan IFLS 5 (CI = -0,004) sehingga mengindikasikan adanya signifikansi pro-poor inequality dalam perceived need dan bernilai positif pada IFLS 2 (CI = 0,02) dan IFLS 3 (CI = 0,015) sehingga mengindikasikan adanya signifikansi pro-rich inequality dalam perceived need. Sedangkan pada hasil analisis concentration index (CI) dari utilisasi bernilai positif pada IFLS 1 (CI = 0,111), IFLS 3 (CI = 0,092), IFLS 4 (CI = 0,94), dan IFLS 5 (CI = 0,249) sehingga mengindikasikan adanya signifikansi pro-rich inequality dalam utilisasi pelayanan kesehatan gigi dan mulut bernilai negative pada IFLS 2 (CI = - 0,008) sehingga mengindikasikan adanya signifikansi pro-poor inequality dalam utilisasi pelayanan kesehatan gigi dan mulut. Kesimpulan: Berdasarkan penelitian ini menunjukkan bahwa masih terdapat inequality dalam perceived need dan utilisasi pelayanan kesehatan gigi dan mulut di Indonesia pada tahun 1993-2014.

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Objectives: Describe the inequality in perceived need and utilization of dental and oral health services in Indonesia in 1993-2014.

Method: This research is a descriptive analytic study with a cohort design using secondary data from the Indonesian Family Life Survey (IFLS) in 1993-2014 (n = 122.575). Descriptive analysis, calculating the Concentration Index (CI) was carried out to see the inequality in dental and oral health services with various sociodemographic characteristics of the Indonesian population in 1993-2014.

Result: Of the total IFLS respondents 1-5, there are 12.86% individuals who have perceived need and only 23.13% individuals who do utilization. Then the results of the concentration index (CI) analysis of perceived need are negative at IFLS 1 (CI = -0.006), IFLS 4 (CI = -0.014), and IFLS 5 (CI = -0.004), indicating a significant pro-poor inequality. in perceived need and has a positive value in IFLS 2 (CI = 0.02) and IFLS 3 (CI = 0.015) thus indicating a significant pro-rich inequality in perceived need. While the results of the concentration index (CI) analysis of utilization are positive at IFLS 1 (CI = 0.111), IFLS 3 (CI = 0.092), IFLS 4 (CI = 0.94), and IFLS 5 (CI = 0.249) thus indicating the significance of the pro-rich inequality in the utilization of dental and oral health services is negative in IFLS 2 (CI = -0.008), thus indicating a significant pro-poor inequality in the utilization of dental and oral health services.

Conclusion: Based on this research, it shows that there is still inequality in the perceived need and utilization of dental and oral health services in Indonesia in 1993-2014."

"Improvement of human resources has the purpose of increasing the quality of service for patients in every treatment unit, which should be anticipated by the oral health unit in every hospital. Improvement of service quality can be obtained by increasing the number of dental units. Along with the increasing knowledge in the society, the need for special services as also expanding. This problem can be solved by increasing the number of specialists in dentistry through scholarships, provided for dentists with high achievements. The samples for this cross sectional designed research were taken from all non-educational class B government hospitals in Indonesia. The data were gathered by using questionnaire and guided in depth interviews. The data were analyzed descriptively. The results showed that most hospitals have no completely with the dental unit is 78.8%. There are 14 hospital (42.4%) needs oral laboratory."

"Latar belakang: Penelitian ini bertujuan untuk mengetahui hubungan tingkat oral health literacy (OHL)terhadap status klinis dan perilaku kesehatan gigi dan mulut serta denga faktor sosiodemografis pada lansia independen. Metode: Desain penelitian yang digunakan adalah cross-sectional dengan total 195 subjek lansia di Kota Depok berusia 60 tahun ke atas dengan pengisian data sosiodemografis, kuesioner dengan metode wawancara mengenai tingkat oral health literacy menggunakan HeLD-29, dan kuesioner perilaku menjaga kesehatan gigi dan mulut. Status klinis dinilai melalui pemeriksaan klinis menggunakan indeks DMF-T, status periodontal menggunakan CPI-modified, status pemakaian gigi tiruan, status kebersihan mulut menggunakan indeks OHI-S, serta penilaian kemampuan mastikasi secara subjektif. Hasil: Rerataskor oral health literacy pada penelitian ini adalah 3,45±0,67. Nilai Cronbachs alpha = 0.945. Validitas diskriminan memiliki hubungan signifikan dengan kemampuan mastikasi (p<0,01) dan validitas konvergen memiliki hubungan signifikan dengan gigi hilang, skor DMF-T, dan kemampuan mastikasi (p<0,01), serta gigi yang direstorasi (p<0,05). Terdapat hubungan bermakna antara beberapa domain HeLD-29 dengan status klinis kesehatan gigi dan mulut. Perbedaan bermakna secara statistik juga terdapat pada jumlah gigi yang hilang, gigi yang direstorasi, dan poket periodontal antara kelompok dengan oral health literacy rendah dengan kelompok dengan oral health literacy tinggi (p<0,05). Didapatkan pula perbedaan rerata skor oral health literacy yang bermakna pada variabel usia dan tingkat pendidikan, serta adanya hubungan signifikan antara nilai DMF-T dengan frekuensi kunjungan ke dokter gigi dan antara perdarahan gingiva dengan status merokok. Kesimpulan: Terdapat hubungan antara tingkat oral health literacy dengan status klinis kesehatan gigi dan mulut serta dengan faktor sosiodemografis yaitu usia dan tingkat pendidikan pada lansia independen. Terdapat hubungan antara status klinis dengan perilaku kesehatan gigi dan mulut.

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Background: The aim of this study is to evaluate the association between oral health literacy(OHL), oral healthstatus, and oral health behavior of independent elderly.

Methods: Cross-sectional study involved 195 independent living elderly in Depok aged 60 and above. The subjects completed a self-administered questionnaire collectin information about socio-demographics, Health Literacy in Dentistry (HeLD-29) questionnaire to assessed oral health literacy, and oral health behavior questionnaire by interviewing subjects. Oral health status was recorded by clinical oral examination using DMF-T index, CPI-modified, denture status, OHI-S, and the masticatory performance wasassessed subjectively.

Results: Oral health literacy mean score in this study is 3,45±0,67. The Cronbachs alpha = 0.945. The discriminant validity were confirmed by HeLD scores being significantly associated with mastication ability(p<0.01). The convergent validity were confirmed by HeLD score being significantly associated with amount of tooth loss, DMF-T score, and mastication ability (p<0,01) also with amount of filled teeth (p<0,05). There were correlations between some HeLD-29 domain with oral health status. There were significant differences of amount of tooth loss (M-T), amount of filled teeth (F-T), and amount of deep pocket between the group with low oral health literacy and the group with high oral health literacy (p<0,05). Statistical differences were also found between oral health literacy mean score amongst age and education level group. There were also correlations between DMF-T score and dental visits and between amount of bleeding on probing and smoking status of the subjects.

Conclusion: Oral health literacy was associated with oral health status and the socio-demographics such as age and education level there is a relationship between oral health status and oral health behavior in independent elderly."