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REDUCED LENGTH OF STAY IN CHILDREN WITH DIARRHEA FOLLOWING IMPLEMENTATION OF CLINICAL PATHWAY Suwedia, I Nyoman Gede Bayu Wiratama; Nurwahyuni, Atik
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Diarrhea or Acute Gastroenteritis (AGE) is a dissease that common found in toddlers at emergecy room. The complication of diarrhea such as dehydration may go undetected by parents will affect the treatment and length of stay in the hospital. Decreasing the length of stay in the hospital can be done by implementing clinical pathways. This study aims to examine the effect of implementing clinical pathways on length of stay in children with diarrhea. Methods: This study was a systematic review that used PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. Data obtained from Electronic databases Proquest and Scopus that published between 2009-2019 and used English. By using keywords such as clinical pathway, gastroenteritis, and length of stay to find the relevant articles. Results: The search found 610 studies, of which 6 studies were included in the systematic review. These studies conducted majority in USA and 1 study in Australia. Analysis of the studies found out that implemented clinical pathway can decrease length of stay 0.4 days (95% CI 0.04 to 0.7, p <0.01). The decreased of length of stay can increased 2.5% (CI 0.25% to 4.38%) used of medical beds then the bed can be more effective and used by other patients. Conclusion: Implementing clinical pathway in the treatment process of diarrhea towards children not only reduce the length of stay in hospital but also useful in providing patient diagnosed and reduce the bed use per day and year.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGGINYA RUJUKAN KASUS NON SPESIALISTIK OLEH FASILITAS KESEHATAN TINGKAT PERTAMA DI ERA JAMINAN KESEHATAN NASIONAL: SYSTEMATIC REVIEW Semarajana, I Nyoman Gede; Suwedia, I Nyoman Gede Bayu Wiratama; Daruki, Maria Wahyu; Damayanti, Anak Agung Sri Stuti
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 8, No. 3
Publisher : UI Scholars Hub

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Abstract

The Primary Health Facility (FKTP) in the era of National Health Insurance (JKN) must behave effective and efficiently in serving patients. Referring patients as indicated is an effort to achieve this. The research shows that optimizing primary services has the potential to save on health costs from the Social Security Agency of Health (BPJS) source of 49.1 billion per year. BPJS data also shows the high number of referrals for non- specialist cases, namely 714 thousand cases during 2014-2017. This study aims to find out the factors that are related to the high number of non-specialist cases referral by FKTP in the JKN era. The PRISMA protocol (Preferred Reporting Items for Systematic Reviews & Meta-Analyses) is used to select articles in this study. This study aims to determine the factors associated with the high number of non-specialist case referrals by Higher Level Health Facilities (FKTPs) in the JKN era. It applied The Preferred Reporting Items for Systematic Reviews & Meta-Analyses (PRISMA) protocol to select articles for this study. The article search was conducted on Google Scholar from 2 – 6 December 2019, and five eligible articles were found in this study. The findings of this review study show that factors related to non-specialty referral cases include health workers, supporting facilities, administration and regulation, service management, FKTP location and distance to FKTL, and disease complications. Comprehensive handling and collaboration of various parties and relevant stakeholders are needed to reduce the referral rate for non-specialist cases.
Strategi Pemasaran dalam Pengembangan Pelayanan Klinik Estetika Daruki, Maria Wahyu; Suwedia, I Nyoman Gede Bayu Wiratama
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 7, No. 1
Publisher : UI Scholars Hub

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Abstract

Aesthetic Services is growing in many big cities and developing cities in Indonesia. It is due to the tendency of people who want to improve their physical performance, in the era of national health insurance, private hospitals must also improve and add services to clients while maintaining good service and adding new services which can be another source of income for hospital. Services provided with mottto from Bhakti Rahayu Hospital Denpasar "we care and we serve" Bhakti Rahayu Hospital Denpasar wants to be able to provide beauty and skin care services to the community at large with low prices and remain competitive so marketing becomes an important thing in order to develop and continue to grow. This study shows the importance of marketing strategies in the growth of aesthetic services. This study uses a qualitative descriptive study with in-depth interviews with stakeholders related to the development of aesthetic services at Bhakti Rahayu Hospital in Denpasar.
Strategi Pemasaran Pelayanan Home Care Rumah Sakit Umum Bhakti Rahayu Denpasar Suwedia, I Nyoman Gede Bayu Wiratama; Daruki, Maria Wahyu
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

Changes in the pattern of diseases to degenerative diseases and chronic diseases are growing lately and many hospitals have not yet developed chronic disease services. Bhakti Rahayu General Hospital has one of them Home Care (HC) services that has been running but has not developed well due to the lack of marketing to patients with categories and diagnoses of diseases that can be treated with HC, so it is necessary to develop and plan strategies in marketing home care services as one of the hospital's earnings. This study was conducted using a pattern of observation and participation; in-depth interviews with home care officers, patients and directors. Based on the results of the study, information was obtained that the opportunities and potential for developing HC with a pattern of determining the right strategy can lead to good direction as one of the income posts for the hospital by prioritizing patient satisfaction so that the patient's desire to pay can occur and the patient feels comfortable with the service provided. given an ongoing quality of service and improved skills and product improvements offered and the appropriate price can be a pretty good bargaining value. So, it can be concluded that the prospect of developing HC services in Bhakti Rahayu General Hospital is quite large. Alternative marketing strategies for visiting and hospitalized patients and offering through social media can be a strong enough point in marketing the products offered.
The Effect of Reward And Punishment Systems on Improving the Quality of Health Services in Hospitals in Denpasar City: Literature Review Rosita, Ni Putu Indah; Wijaya, I Wayan Septa; Wira, I.A Dwidyaniti; Suwedia, I Nyoman Gede Bayu Wiratama; Nijyoti, Nitya
Journal of Language and Health Vol 5 No 3 (2024): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v5i3.4926

Abstract

This study aims to examine the effect of reward and punishment systems on improving the quality of health services in hospitals, particularly in Denpasar City. Reward and punishment systems are crucial elements of human resource management that can motivate both medical and non-medical staff to enhance their performance. In the context of hospitals, these systems not only influence employee motivation but also have a direct impact on the quality of services received by patients. This research employs a literature review method, with data sourced from indexed national and international journals, textbooks, and related research reports. Data were collected through a literature search using databases such as, Scopus, and Google Scholar. Relevant articles were critically analyzed to identify key findings regarding the implementation of reward and punishment systems in the healthcare sector.The study reveals that an effective reward system can significantly boost employee motivation and improve service quality, while an appropriate punishment system helps maintain work discipline and prevents a decline in service standards. Achieving a balanced implementation of both systems is essential for optimal outcomes. Therefore, hospitals in Denpasar City are encouraged to adopt more effective reward and punishment systems to support the goal of enhancing health service quality. This research is expected to contribute to identifying the benefits and challenges of implementing such systems, as well as providing recommendations to improve their efficiency. Additionally, it aims to enrich the literature on quality management in healthcare services, particularly in the Indonesian context.
Strategi Pengembangan Inovasi Manajemen Sumber Daya Manusia di Rumah Sakit: Literature Review Wijaya, I Wayan Septa; Rosita, Ni Putu Indah; Wira, Ida Ayu Dwidyaniti; Nijyoti, Nitya; Suwedia, I Nyoman Gede Bayu Wiratama
Journal of Language and Health Vol 6 No 2 (2025): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v6i2.6677

Abstract

Rumah sakit sebagai institusi pelayanan kesehatan menghadapi tantangan organisasi yang dinamis dan kemajuan teknologi yang pesat di era digital. Oleh karena itu, strategi inovatif dalam manajemen sumber daya manusia (SDM) sangat penting untuk meningkatkan kualitas layanan dan menjaga daya saing rumah sakit. Tujuan: Penelitian ini bertujuan untuk mengulas dan merangkum berbagai strategi pengembangan inovasi dalam manajemen SDM di rumah sakit melalui tinjauan literatur. Penelitian ini menggunakan metode literature review dengan menganalisis artikel-artikel yang diperoleh dari mesin pencari Google Scholar dalam rentang tahun 2020 hingga 2024. Kata kunci yang digunakan dalam pencarian meliputi “human resource management”, “hospital”, dan “innovative management strategies”. Dari total 37 artikel yang ditemukan, sebanyak 15 artikel yang memenuhi kriteria inklusi digunakan dalam kajian ini. Artikel yang dipilih merupakan artikel original, berbahasa Indonesia dan Inggris, bersifat open access, dan tersedia dalam versi full-text. Analisis dilakukan dengan menelaah isi artikel terkait pendekatan, metode, dan temuan utama mengenai inovasi strategi manajemen SDM di rumah sakit. Kajian menunjukkan bahwa kepemimpinan yang efektif dan kolaboratif menjadi faktor utama pendorong inovasi di rumah sakit. Berbagai inovasi pelatihan SDM seperti pembelajaran berbasis teknologi, microlearning, penggunaan simulasi, dan gamifikasi terbukti meningkatkan keterlibatan dan efektivitas pembelajaran. Penerapan e-learning memungkinkan fleksibilitas pembelajaran sesuai kebutuhan individu. Selain itu, penggunaan analisis data dan komunikasi yang efektif turut berkontribusi dalam pengambilan keputusan strategis dan peningkatan produktivitas staf. Pengembangan strategi manajemen SDM yang inovatif dan berbasis teknologi sangat penting agar rumah sakit mampu beradaptasi dan bertahan dalam menghadapi tantangan transformasi digital.