1 10 45 https://repository.horizon.ac.id/files/original/f7a9e2ae28614195138698675b9ccf9c.pdf 55c73ffe1258d65f6fbca41281d360ad Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prosiding STIKES Bethesda VOL 4 NO 1 2024 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource GAMBARAN PERILAKU PENCEGAHAN MALARIA PADA ANAK SEKOLAH DASAR NEGERI DI KECAMATAN KANATANG KABUPATEN SUMBA TIMUR Subject The topic of the resource malaria, children, elementary school Description An account of the resource Background : Malaria prevalence in Indonesia according to Riskesdas 2018 in part big Malaria incidence is in parts of Indonesia east from 34 Provinces there is seven Province with prevalence and incidence highest are Papua 12.07%, West Papua 8.64%, East Nusa Tenggara (NTT) 1.99%, Bengkulu 1.54%, North Maluku 1.36%, Maluku 1.21%, Bangka Belitung 1.07 %. Purpose: For know behavior preventing malaria in children Primary School in the District Kanatang East Sumba Regency in 2024. Method: Design used in study This is descriptive quantitative . Population in study This is every students who are active at one of State Elementary School Class IV and V District Kanatang East Sumba Regency 2024 as many as 52 respondents with tool measuring questionnaire. Result of results study against 52 respondents at most many types 27 people (52%) were women , 25 men (48%). Based on most ages namely 11-12 years as many as 32 people (61.6%), 9-10 years as many as 20 people (38.4%). And Behavior positive as many as 50 people (96%), negative behavior as many as 2 people (4%). Conclusion: S e part big student behaved female students positive as many as 50 people (96%). Suggestion : For study furthermore expected For increase promotion health about behavior malaria prevention . Keywords : malaria, children, elementary school Creator An entity primarily responsible for making the resource Solfina Tanggu Hana, Ethic Palupi*, IgnasiaYunita Sari, Antonius Yogi Pratama Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text malaria, children, elementary school https://repository.horizon.ac.id/files/original/2dd2d3391a89fc2ea520353ae8b46c32.pdf ee5672f589430a7519169ac9a0eda6e0 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prosiding STIKES Bethesda VOL 4 NO 1 2024 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource EVALUASI PELAKSANAAN SASARAN KESELAMATAN PASIEN DI RUMAH SAKIT SWASTA TIPE C SEMARANG Subject The topic of the resource evaluation, patients, nurses, safety goals. Description An account of the resource Hospitals are required to provide excellent service, including patient safety, which determines the quality of the hospital. Healthcare providers, especially nurses, are expected to be competent in implementing a patient safety culture to prevent the occurrence of adverse events. The implementation of patient safety goals needs to be evaluated periodically. This study aims to determine how to evaluate the implementation of patient safety goals in Type C private hospitals in Semarang. This study was used a quantitative descriptive design that describes the evaluation of the implementation of patient safety goals in Type C private hospitals in Semarang in 2023. The sample size was 42 associate nurses used random sampling techniques. The instrument used was the Hospital Survey on Patient Safety Culture observation sheet. The data were analyzed with univariate. This study describe the implementation of patient safety goals mostly in the good category, namely 25 respondents (59.5%), 15 (35.7%) in the moderate category, and 2 (4.8%) in the poor category. The hospital accreditation rating system that contains the implementation of patient safety goals encourages nurses to carry out nursing care services according to patient safety standards. Hospital policies, monitoring, and evaluation that have been carried out motivate nurses to obey the procedures for implementing nursing actions. The evaluation of the implementation of patient safety goals in Semarang Type C hospitals is mostly in the good category. It is necessary to improve the practice of patient safety culture of nurses. Keywords: evaluation, patients, nurses, safety goals. Creator An entity primarily responsible for making the resource 1Fitri Arum Sari, 2Vivi Retno Intening*,2Yullya Permina, 2 I Wayan Sudarta Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text evaluation, patients, nurses, safety goals. https://repository.horizon.ac.id/files/original/2e47d17ff7988a326cb1665bd24ec471.pdf 93347cc02b88a2dad5dda334fa7f5de1 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prosiding STIKES Bethesda VOL 4 NO 1 2024 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource CASE REPORT: RANGE OF MOTION (ROM) AKTIF ASISTIF SPHERICAL GRIP TERHADAP PENINGKATAN KEKUATAN OTOT EKSTERMITAS ATAS DENGAN GANGGUAN MOBILITAS FISIK PADA PASIEN STROKE NON HEMORAGIK Subject The topic of the resource Stroke Non Hemoragik, Gangguan Mobilitas Fisik, Peningkatan, Kekuatan, Otot, Spherical Grip Description An account of the resource Background: Stroke is non-communicable diseases that occurs due to blockage or rupture of blood vessels in the brain. Symptoms of stroke often appear weakness muscle strength and treatment is needed to prevent muscle contractures. Handling can be provided with active Range Of Motion (ROM) spherical grip exercises. In The ICU 2 of Yogyakarta Private Hospital, 10 patients had non-hemorrhagic strokes, the majority of whom had muscle weakness. Objective: Provide an overview and improve nursing care in the Active Range Of Motion (ROM) Asistive Spherical Grip action to increase upper extremity muscle strength with impaired physical mobility in Non-Hemorrhagic Stroke patients in The ICU 2 of a Private Hospital in Yogyakarta. Results: After the active range of motion (ROM) Asistive Spherical Grip on Mr. M (71 years) obtained a score of 4 to 1, the intervention could not be continued because the results of the re-examination of the patient's MSCT Head contained cerebri atrophy and lacunar infarction on the pons. Conclusion: The Range Of Motion (ROM) Active Assistive Spherical Grip cannot be continued because the patient has decreased muscle strength. Suggestion: Researchers can then add nursing interventions related to the condition of patients who experience upper extremity weakness with muscle strength scores below 3 as additional further references. Keywords: Non Hemorrhagic Stroke, Physical Mobility Impairment, Enhancement, Strength, Muscle, Spherical Grip Creator An entity primarily responsible for making the resource Dwestri Octavinda Kurnia*, Tri Wahyuni Ismoyowati, Yossana Herliana Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Stroke Non Hemoragik, Gangguan Mobilitas Fisik, Peningkatan, Kekuatan, Otot, Spherical Grip https://repository.horizon.ac.id/files/original/6cd4acbf18882c0a72588ac4401309dc.pdf 6ad03b60101e0cf7b4e996a2aa551aca Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prosiding STIKES Bethesda VOL 4 NO 1 2024 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource HUBUNGAN PELAKSANAAN PEMBELAJARAN OFFLINE DENGAN TINGKAT STRES PADA MAHASISWA PROGRAM STUDI SARJANA KEPERAWATAN TINGKAT IV PASCA PANDEMI COVID-19 Subject The topic of the resource offline learning, stress, students, nursing. Description An account of the resource Offline learning was again implemented in the period after the Covid-19 pandemic subsided, starting in the odd semester of 2022-2023. Students show symptoms of fatigue with monotonous learning, feeling bored during the process of lecturing material, not using interesting learning media, lack of focus, and stress since offline learning began to be implemented. The purpose of this study was to determine the relationship between the implementation of offline learning and stress levels among level IV nursing undergraduate program students in the post-Covid-19 pandemic. The research method used was quantitative with correlation, with 74 students selected by the total sampling technique. The measuring instrument uses a questionnaire. The results of the reliability test using Cronbach's alpha of 0.892 for the implementation of offline learning and 0.9483 stress levels belong to Dinamik 2011 in Maulana and Iswari 2020. Data analysis using the Spearman rank statistical test. The results obtained in this study showed that most respondents were female, totaling 56 respondents (75.7%), and ages 20–22, totaling 69 respondents (93.2%). The statistical test results showed no p-value of 0.096 (p-value > 0.05), so it can be concluded that there is no relationship between the implementation of offline learning and stress levels in level IV nursing undergraduate program students after the Covid-19 pandemic. It is necessary to know more about the factors that cause stress levels in undergraduate nursing program IV students. Keywords: offline learning, stress, students, nursing. Creator An entity primarily responsible for making the resource Angelin, Vivi Retno Intening*, Nurlia Ikaningtyas, I Wayan Sudarta Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text offline learning, stress, students, nursing. https://repository.horizon.ac.id/files/original/90ed4507c4581624674b10db9cd9a00d.pdf 8ac7a700724208417758876364f50604 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prosiding STIKES Bethesda VOL 4 NO 1 2024 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource CASE REPORT: TEKNIK MENDELSOHN MANEUVER TERHADAP KEMAMPUAN MENELAN PASIEN STROKE INFARK DENGAN DIAGNOSA KEPERAWATAN GANGGUAN MENELAN DI RUANG INTENSIVE CARE UNIT Subject The topic of the resource Infarction Stroke, Swallowing Disorders, Swallowing Therapy, Mendelsohn Maneuver Description An account of the resource Background: Cerebral infarction is a disruption in blood flow to the brain, causing brain cells to lose oxygen and important nutrients, causing parts of the brain to die. The incidence of dysphagia in stroke patients is around 14% -94%. Nine out of ten patients admitted to Intensive Care Unit 2 at private hospitals in Yogyakarta from January 29 – February 5 2024 experienced swallowing problems so a nasogastric tube (NGT) was installed. Objective: To describe the Mendelsohn Maneuver intervention on the swallowing ability of stroke infarction patients. Results: Mr. J, 74 years old, with a cholesterol risk factor for stroke, infarction, experiencing swallowing disorders, underwent the Mendelsohn Maneuver intervention, the Functional Dysphagia Scale measuring instrument, pre-test score 38, post- test score 24 after two interventions with a duration of 30 minutes per session. Conclusion: The Mendelsohn Maneuver intervention was successful in improving swallowing ability, but because the patient was reluctant to eat, the intervention could not be continued. Suggestion: The next researcher will increase the duration of the intervention days to a frequency of 2 times a day so that more significant results can be seen on the Functional Dysphagia Scale. Keywords: Infarction Stroke, Swallowing Disorders, Swallowing Therapy, Mendelsohn Maneuver Creator An entity primarily responsible for making the resource Diah Listiani1 , Tri Wahyuni Ismoyowati2 , Yossana Herliana3 Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text https://repository.horizon.ac.id/files/original/b248e95397f41d269340696aa81084bb.pdf 61f254645b37f4b17f93f42ad51e5e88 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prosiding STIKES Bethesda VOL 4 NO 1 2024 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource CASE REPORT : BRIDGING EXERCISE TERHADAP PENINGKATAN KEKUATAN OTOT DENGAN CVA NON HEMORAGE DENGAN GANGGUAN MOBILITAS FISIK DI RUANG ICU RUMAH SAKIT SWASTA YOGYAKARTA Subject The topic of the resource Non-Hemorrhagic Stroke, Impaired Physical Mobility, Muscle Strength, Bridging Exercise Therapy Description An account of the resource Background: Non-Hemorrhagic Stroke (SNH) is a stroke caused by a clot or thrombus in the blood vessels of the brain, resulting in Blood flow and oxygen supply to the brain will decrease, which will cause the brain to become ischemic and infarcted. One of the nursing management of hemiparesis that can be carried out is Bridging Exercise therapy to improve muscle tone and increase the client's muscle strength. Bridging exercise is the right technique to strengthen the muscles around the lumbar and pelvic vertebral columns, especially for stroke patients with impaired balance and muscle strength. In ICU 2 of the Yogyakarta Private Hospital, data was obtained that 7 patients experienced hemorrhagic strokes and 5 non-hemorrhagic strokes and 3 of them experienced impaired physical mobility and decreased muscle strength. Main Symptoms in Mr. S, Therapeutic Intervention, and Outcome: The results of the assessment found general symptoms, namely the client experienced a decrease in muscle strength in the right hand and right leg. The muscle strength scale of the right hand and leg was two on the first day. Bridging Exercise therapy is given according to the inclusion criteria for patients. Bridging Exercise Therapy is carried out twice a day for three days. This therapy is carried out eight repetitions with a duration of eight seconds for one movement. The results of the intervention showed that there was a difference in the average value before and after the Bridging Exercise therapy for the right hand was 3 and the right leg was 4.Conclusion: Bridging Exercise Therapy can increase muscle strength in non-hemorrhagic stroke patients. Keywords: Non-Hemorrhagic Stroke, Impaired Physical Mobility, Muscle Strength, Bridging Exercise Therapy Creator An entity primarily responsible for making the resource Dwi Indah Larasati1 , Tri Wahyuni Ismoyowati2 , Yossana Herliana2 Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Non-Hemorrhagic Stroke, Impaired Physical Mobility, Muscle Strength, Bridging Exercise Therapy https://repository.horizon.ac.id/files/original/017fb19065b6fb2c571cbda92f9ba5d5.pdf 01c6e4173aa5572f5ee35f1dbca8e690 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prosiding STIKES Bethesda VOL 4 NO 1 2024 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource CASE REPORT : EFFORTFUL SWALLOW EXERCISE TERHADAP KEMAMPUAN MENELAN PADA PASIEN STROKE NON HEMORAGIK DI RUANG INTENSIVE CARE UNIT RUMAH SAKIT SWASTA DI YOGYAKARTA Subject The topic of the resource Effortful Swallow Exercise–Swallowing Ability–Non Hemorrhagic Stroke–Swallowing Disorder Description An account of the resource Background: Stroke is a dysfunction in the brain, which is caused by blockage or rupture of blood vessels in the brain. The clinical manifestation that is often encountered is swallowing disorders that are at risk of causing aspiration pneumonia. Therefore, an intervention is needed, one of which is by swallowing exercises using the Effortful Swallow technique. Based on the initial study, obtained from 10 patients with Non-Hemorrhagic CVA, as many as 2 patients experienced swallowing disorders. Objective: To provide an overview of Effortful Swallow Exercise actions on swallowing ability and to provide comprehensive nursing care for stroke patients with swallowing disorders in ICU 2 of a Private Hospital in Yogyakarta. Results: The results of the assessment of Mrs. N aged 64 years, found difficulty swallowing food and the results of screening dysphagia <250 cc choking. Then an Effortful Swallow Exercise intervention was carried out on February 19-21, 2024, which was carried out 2 times a day with a duration of 15 minutes using the MBSS instrument, it was found that patients experienced an increase in swallowing ability on the third day of implementation, where patients were able to finish 1 portion of filter porridge without choking. Conclusion: Effortful Swallow Exercise therapy is able to improve swallowing ability in stroke patients. Suggestion: Can be used as one of the nursing independent interventions in dealing with stroke patients with swallowing disorders. Keywords: Effortful Swallow Exercise–Swallowing Ability–Non Hemorrhagic Stroke–Swallowing Disorder Creator An entity primarily responsible for making the resource Martha Merlyanti Saputri1 , Tri Wahyuni Ismoyowati2 Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Effortful Swallow Exercise–Swallowing Ability–Non Hemorrhagic Stroke–Swallowing Disorder https://repository.horizon.ac.id/files/original/9483de226711e2e17e491ad13f401248.pdf cfe16d6da9eb23d59e3e42a8ecfc9dea Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prosiding STIKES Bethesda VOL 4 NO 1 2024 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource PELAKSANAAN AUSTRALASIAN TRIAGE SCALE (ATS) PADA STAFF MEDIS DAN PARAMEDIS IGD RS SWASTA DI BANJARNEGARA Subject The topic of the resource Triage - ATS Description An account of the resource Background: ATS is one of numerous triage systems that gauge clinical urgency to ensure that a patient is seen when it is most urgent. More than 50% of Indonesian medical professionals still use ATS, and reaction times are not suitable, and medical staff occasionally struggles to manage recently admitted patients. At private hospital in Banjarnegara, the ATS implementation is still not operating well, and some nurses continue to admit new patients without following the SOP's ATS category. Objective: Identifying the characteristics of respondents and describing the implementation of ATS on medical and paramedical staff in the Emergency Room of private hospital in Banjarnegara. Methods: The descriptive quantitative design with a cross sectional approach. The population amounted to 40 people. The sampling technique used a total population with a sample size of 40 people. Data collection was done by observation. The data analysis used descriptive analysis with computerization. Results: The result showed that most of the respondents were 25-35 years old (60%), female (55%), educated with Diploma 3 (77.5%), had a working period of ≥ 6 years (90%), all respondents participated in training (100%) and the implementation of ATS was good (100%). Conclusion: The implementation of ATS on medical and paramedical staff in the emergency room of private hospital in Banjarnegara were classified as good. Suggestion: Further researchers are recommended to examine the factors that influence the implementation of the ATS in the emergency department. Creator An entity primarily responsible for making the resource Harti, Diah Pujiastuti* Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Triage - ATS https://repository.horizon.ac.id/files/original/70286e212c97af93e258dcc1a38988f8.pdf a097c358d9c57282d6e946d8e32c5ad0 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prosiding STIKES Bethesda VOL 4 NO 1 2024 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource TINGKAT KESIAPSIAGAAN BENCANA GEMPA BUMI PADA MASYARAKAT KECAMATAN MANTRIJERON YOGYAKARTA Subject The topic of the resource Earthquake, Disaster Preparedness Description An account of the resource Background: The Special Region of Yogyakarta is one of the areas in Indonesia with the potential for tectonic earthquakes, based on historical records of earthquakes that have occurred above 5.9 on the Richter scale. The lack of adequate facilities such as evacuation routes, counseling and socialization has not been held so that the level of preparedness in the RT 40 RW 09 community of Gedongkiwo Village is in the less prepared category. Objective: Knowing the description of the level of earthquake disaster preparedness in the community in RT 40 RW 09, Gedongkiwo, Mantrijeron, Yogyakarta 2023. Method: Quantitative descriptive with a cross sectional approach. Using purposive sampling technique obtained 38 respondents. The research measuring instrument used a questionnaire from LIPI-UNESCO/ISDR (2006) which had been tested by researchers. Result: Characteristics of respondents based on the highest number for ages 36-45 years 28.9%, male gender 63.2%, upper secondary education 65.8%, respondents who work as much as 52.6%. The results of the analysis, most people are in the category of less preparedness with a percentage of 97.4%. Conclusion: The description of the level of preparedness in facing earthquake disasters in the community of RT 40 RW 09 Gedongkiwo Village, Mantrijeron Subdistrict, Yogyakarta in 2023 is in the category of less preparedness. Suggestion: Education related to the five parameters needs to be provided to the community to improve earthquake preparedness. Keywords: Earthquake, Disaster Preparedness Creator An entity primarily responsible for making the resource Edwin Himawan, Diah Pujiastuti* Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Earthquake, Disaster Preparedness https://repository.horizon.ac.id/files/original/362447d6f6e2a290ec4dd6130e86cd19.pdf d7c43e01be18893db51a2e654ee4eddb Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prosiding STIKES Bethesda VOL 4 NO 1 2024 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource GAMBARAN PELAKSANAAN SISTEM RUJUKAN PASIEN BADAN PENYELENGGARA JAMINAN SOSIAL (BPJS) KLINIK PRATAMA DI WONOSOBO Subject The topic of the resource BPJS, klinik pratama, sistem rujukan Description An account of the resource The main focus of BPJS is to improve access to and quality of health services through a coordinated and efficient approach. Monitoring the implementation of BPJS services needs to be carried out to ensure their accessibility and usefulness for the community. BPJS services, especially the proper referral system, are expected to be a solution to improve the level of public health. Referral systems that are not in accordance with the flow, not in accordance with the level of health services, and mismatches in disease diagnosis are some of the problems that occur in the BPJS referral system. The referral system in private clinics needs to be reviewed and evaluated periodically. This study aims to determine the implementation of the BPJS patient referral system. A quantitative descriptive design with 32 outpatients at Winongsari Kaliwiro Wonosobo Primary Clinic, applied by accidental sampling, was carried out in this study. The instrument used was a questionnaire prepared by the researcher, which had been tested for validity and reliability. The data analysis used was univariate. The results of the analysis showed that the majority of respondents were aged 46–65 years (81.24%), male (56.25%), and had elementary and high school education with a percentage of 34.38%. Most respondents were diagnosed with diabetes mellitus (15.7%), with the results of the implementation of the referral system in the good category (100%). This study concludes that the BPJS patient referral system at the Winongsari Kaliwiro Wonosobo Primary Clinic is in the good category. It is necessary to develop an information system that facilitates and evaluates the BPJS referral system and to conduct continuous monitoring and evaluation to detect referral problems early and provide the best solution for patients. Keywords: BPJS, primary clinic, referral system Creator An entity primarily responsible for making the resource Budi Pranoto1 , Vivi Retno Intening2*, I Wayan Sudarta2 , Mei Rianita Elfrida Sinaga2 Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text BPJS, klinik pratama, sistem rujukan