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Anastasia Piramitha Angela Soesanto
Universitas Diponegoro
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Scoping Review: Strategi Efisiensi Biaya Rumah Sakit pada Tindakan Operatif di Berbagai Negara Anastasia Piramitha Angela Soesanto; Ayun Sriatmi; Septo Pawelas Arso
Jurnal Ragam Pengabdian Vol. 3 No. 1 (Spesial Issue) (2026): "Dharma Samudera"
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/5c2j8313

Abstract

The healthcare sector faces global challenges in controlling service costs, particularly in operative procedures that require substantial resources, including highly skilled medical personnel, advanced medical technology, and adequate supporting facilities. These circumstances encourages hospitals to implement various strategies to improve cost efficiency while maintaining the quality of care. This study aims to review cost-efficiency strategies implemented by hospitals in managing operative procedures across different countries. A scoping review was conducted using the PRISMA approach. Literature searches were conducted in the PubMed, Scopus, Google Scholar, Web of Science, and Cochrane Library databases for articles published between January 2020 and May 2025. A total of 14 articles were analyzed. Effective strategies include the implementation of standardized clinical protocols such as Enhanced Recovery After Surgery (ERAS) and fast-track surgery, optimization of medical technologies, unit cost analysis, application of lean management principles, and more flexible human resource management. Cost-efficiency strategies in operative care vary considerably, and no single universal approach can be applied across all healthcare settings. The effectiveness of these strategies depends on the specific context of each hospital, including the availability of resources, the types of surgical procedures performed, and the characteristics of the healthcare system.
Analisis Kualitas Pelayanan Rawat Inap Eksekutif Menggunakan Metode Servqual dan Importance Performance Analysis (IPA) di Rumah Sakit Budi Rahayu Pekalongan Anastasia Piramitha Angela Soesanto; Ayun Sriatmi; Septo Pawelas Arso
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57206

Abstract

Kualitas pelayanan kesehatan berperan penting dalam menentukan kepuasan pasien dan keberlanjutan layanan rumah sakit. Evaluasi pelayanan rawat inap eksekutif diperlukan karena tingginya ekspektasi pasien serta tuntutan peningkatan mutu layanan. Penelitian ini bertujuan untuk menganalisis kualitas pelayanan rawat inap eksekutif di Rumah Sakit Budi Rahayu Pekalongan menggunakan metode SERVQUAL dan Importance Performance Analysis (IPA). Penelitian kuantitatif dengan desain cross sectional ini melibatkan 160 pasien sebagai responden melalui kuesioner pada dimensi kehandalan, daya tanggap, jaminan, empati dan bukti fisik. Hasil menunjukkan tingkat kepuasan pasien sebesar 98,84%, dengan tingkat kesesuaian tertinggi pada dimensi jaminan (100%), diikuti daya tanggap (99,41%), kehandalan (98,96%), empati (98,35%), dan bukti fisik (95,57%). Hasil IPA mengidentifikasi indikator prioritas perbaikan pada Kuadran I ada pada dimensi kecepatan administrasi, empati petugas, ketersediaan perawat standby 24 jam, dan fasilitas fisik di ruang rawat inap eksekutif. Upaya perbaikan perlu dilakukan secara sistematis melalui penguatan manajemen sumber daya manusia, optimalisasi proses administrasi berbasis digital, serta peningkatan komunikasi tenaga kesehatan berbasis patient-centered care. Selain itu, peningkatan kualitas dan keselamatan fasilitas melalui implementasi K3RS juga menjadi prioritas. Seluruh upaya tersebut perlu diintegrasikan dalam siklus peningkatan mutu berkelanjutan untuk meningkatkan kualitas pelayanan dan kepuasan pasien secara optimal.
Co-Authors Ayun Sriatmi Septo Pawelas Arso