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All Journal International Journal of Health Sciences Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan
Restu Prihandini Widiar
Institut Kesehatan dan Teknologi Kartini Batam
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Hospital Management Strategies in Improving the Quality of Inpatient Services Suaib Suaib; Victor E.D Palapessy; Rini Susanti; Rusli Abdullah; Djunaedi Djunaedi; Restu Prihandini Widiar
International Journal of Health Sciences Vol. 4 No. 2 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i2.1201

Abstract

ABSTRACT The quality of healthcare services is an important indicator in assessing hospital performance. Quality inpatient services can improve patient satisfaction and public trust in healthcare facilities. Hospital management has a strategic role in designing and implementing various policies to improve service quality. This study aims to analyze hospital management strategies in improving the quality of inpatient services. The study used a descriptive analytical design with a cross-sectional approach . The study sample was 90 inpatients selected using a purposive sampling technique. Data were collected through patient satisfaction questionnaires and service observations. Data analysis used the chi-square test . The results showed that the implementation of good management strategies such as improving the competence of healthcare workers, improving facilities, and an effective service management system had a significant relationship with improving the quality of inpatient services (p = 0.017). It was concluded that hospital management strategies have an important influence in improving the quality of inpatient services. Keywords: Hospital Management, Service Quality, Inpatient Care, Patient Satisfaction
Analisis Retrospektif Pemanfaatan Hemodialisis pada Awal Implementasi Kebijakan JKN di Indonesia Irma Fitrilia; Dwi Ani Rahmawati; Restu Prihandini Widiar
Jurnal Ventilator Vol. 4 No. 2 (2026): Juni : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i2.2527

Abstract

It has been more than a decade since the initial National Health Insurance (JKN) policy was enacted by the government, and as of 2026, chronic kidney disease (CKD) remains among the top five countries with the highest catastrophic costs, with the number continuing to increase annually. According to 2023 data, 38.71% of patients with kidney failure underwent hemodialysis therapy. Health service utilization is a critical issue that requires attention in achieving health system goals. This can be achieved if health services are distributed according to geography, socioeconomic status, and community needs. Objective: To analyze and describe hemodialysis utilization in the early phase of JKN implementation based on BPJS Kesehatan data. This is an analytical study with a cross-sectional design using secondary data from the 2015-2016 BPJS Kesehatan sample. The variables used were individual characteristics (age, gender, type of membership) and region. Data analysis was performed using univariate analysis, bivariate analysis using chi-square analysis, and multivariate analysis using logistic regression.The analysis showed that hemodialysis utilization among BPJS Kesehatan patients in 2015-2016 was influenced by gender, age, membership type, and region. Multivariate analysis showed that women were more likely to utilize hemodialysis, with an OR of 1.25 compared to men aged >64 years (OR=3.50). Those with PBPU membership and residing in Java were 4.36 times more likely to utilize hemodialysis. Hemodialysis utilization is influenced by participant characteristics and geographic location. These findings provide important historical empirical evidence for further policymaking and the formulation of preventive strategies.
Co-Authors Djunaedi Djunaedi Dwi Ani Rahmawati Irma Fitrilia Rini Susanti Rusli Abdullah Suaib Suaib Victor E.D Palapessy