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KULIAH PKP
DEFINISI MASALAH
Kesenjangan Realitas:
Antara SEHARUSNYA dg. KENYATAAN
Kesenjangan hasil
Medical
34
26 23 22 17 14 11 7 4 6 8 8 5 2 12 16 16 13 88 5 6 2 12 3 0 1 0 0 0 1 000 11 8 22 19 15 14 20 14 13
1999
2000
2001
2002
2003
70 60 50 40 30 20 10 0 DM CAD HT JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV 24 25 24 22 41 28 40 39 44 37 39 24 45 39 40 38 41 34 BULAN 37 43 38 72 71 67 78 84 77 70 78 74 66 71 61 DM CAD HT
2003 2004
92 72 55 11 NIDDM
KASUS CAD
169
JML KASUS
120 100 80 60 40 20 0
90
HIPERTENSI
top management directs process and makes all decisions top management directs process and makes all decisions but seeks input top management retains decisions making but shares direction of process top management shares decision making and direction of process employees direct process and direction making
If the management goal of reducing medical care costs the following process might be followed:
Analyze past, current, and projected health care expenditures for patterns and high-cost areas. Determine current and projected future health conditions of employees as they relate to health care expenditures. This is done through health screenings and by reviewing medical insurance and workers compensation records. Determine which health conditions have the greatest impact on cost and which can be successfully addressed by health promotion programs.
Continue
Perform a cost/benefit analysis to determine which programs product benefits that are greater than their cost. Investigates methods to correct or prevent the highcost health conditions that cannot be affected by health promotion. Develop methods to track the impact of the program on health care cost. Develop health promotion programs that will have the greatest impact on medical care cost. These will probably include special programs for employees with the highest medical care cost, smoking cessation, hypertension control, prevention of lower back problems, auto safety, and general injury prevention programs.
If the goal is a health goal, such as reducing the incidence of heart attacks, the following might be followed:
Determine causes of heart attacks. Determine which of these causes can be affected by health promotion programs. Conduct screening of employees to identify cardiac risk factors. Determine which programs are most effective in reducing the cardiac risk factors in the employee population.
Continue
Investigate methods to correct the cardiac risk factor that cannot be reduced by the health promotion program. Develop methods to track the impact of the programs on cardiac risk factor. Develop the programs that will have the greatest impact on cardiac risk factor. These will probably include nutrition, smoking cessation, fitness, stress management, hypertension control, and social support enhancement.
If the goal is a management goal to enhance the image of the organization, the following process would be followed:
Determine the groups and individuals whose perception the organization is most important. Determine the components of a health promotion program most likely to shape this groups perception and develop this programs. Develop mechanisms to capitalize on the image value of the program.
Continue
Investigate methods to enhance image other than the health promotion program. Develop methods to track the impact of the program on image. Develop other nonhealth promotion programs that will have the greatest impact on image.
Teknik Multivoting
Melibatkan pekerja identifikasi masalah Menentukan prioritas seluruh pekerja Membicarakan program yang ditetapkan (jadwal & komitmen)
DAFTAR MASALAH
Masalah Olah Raga Masalah Penggunaan Obat2an terlarang/Narkotika Masalah tingginya kecelakaan kerja Masalah Stress pada pekerja Masalah Gizi Pekerja Masalah Berat Badan Masalah Pengendalian Darah Tinggi
Morbiditas/mortalitas meningkat
Jantung koroner Stroke Kanker Diabetes Mellitus Tuli/Kebisingan Penyakit Akibat Kerja lain
faktor timbulnya masalah perilaku Mengapa ada masalah Distribusi masalah Siapa ( umur, pendidikan, dll) Kapan Dimana Untuk menjawab, cari strategi I. Prilaku Pendekatan apa Apakah Model memadai
What Why
Who When Where
How
lapangan
: angka, kata, gambar Teknik sampling : random, sistematik, stratified Teknik : Survey, model epidemiologi Kuesioner : apa yg diperkirakan/dirasakan Output : data dasar & pola masalah
Inventarisasi permasalahan Penyampaian program pimpinan Menetapkan prioritas program Mengevaluasi kegiatan periodik Melaporkan hasilnya