Articles
The influence of burden and discipline of medical record personnel on performance and work motivation in hospitals
Laelani, Sofi Nur Eka April;
Ramadhan, Yanuar;
Hilmy, Mohammad Reza;
Kusumapradja, Rokiah;
Nofierni, Nofierni
Science Midwifery Vol 12 No 4 (2024): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)
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DOI: 10.35335/midwifery.v12i4.1675
Background: In the process of achieving good employee performance, of course there are several factors that can influence it. From the results of observations and interviews conducted by the author, there are several problems that are indicated related to the performance of outpatient medical records personnel at Berkah Pandeglang Regional Hospital. This problem is one of the triggers for the low performance of medical records personnel. Performance-related problems encountered in hospitals include workload, work discipline, knowledge, leadership style and motivation. Aims: to determine the factors related to workload, work discipline and work motivation of medical record personnel on the performance of medical record personnel. Methods: This research is quantitative observational research. The population in this study was all 52 medical records employees. The sampling technique in this research is total sampling, where the sample taken is the same as the population. The sampling technique in this research is total sampling, where the sample taken is the same as the population. Results: Based on the results of the Sobel test, the significance value of the Work Load (X1) – work motivation (Z) – performance of Medical Record Personnel (Y) path is 0.007 < 0.05 with a calculated T value of 2.353 > 1.675, it concluded that work motivation is able to mediate the relationship between workload and the performance of Medical Records Personnel. Conclusion: Based on the results, it shows that work motivation can significantly mediate the influence of workload and work discipline on the performance variables of medical record personnel.
Patient Engagement’s Influence On Brand Image As A Mediator To Strengthen Revisit Intention
Kharisma Berlian Sjukri;
Rokiah Kusumapradja;
Erry Yudhya Mulyani
Jurnal Medika Nusantara Vol. 3 No. 1 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia
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DOI: 10.59680/medika.v3i1.1688
The transformation of medical services in Indonesia from a disease-centered model to a patient-centered model has created intense competition among medical institutions. At one of the Maternal and Child Hospitals in Jakarta, a decline in visits from Non-BPJS patients indicates the need for a deeper understanding of the factors influencing patients' intentions to revisit. This study aims to analyze the influence of patient involvement and patient experience on the intention to revisit the hospital, with the mediation of the hospital's brand image. A quantitative approach with a cross-sectional design was used in this study. Data were collected through questionnaires from 119 Non-BPJS patients in the Outpatient Unit. Data analysis was conducted using PLS-SEM with the Smart-PLS program. The results showed that patient involvement and patient experience significantly influenced the intention to revisit, with the hospital's brand image serving as a strong mediator. Enhancing patient involvement, positive experiences, and a strong brand image can significantly increase patients' intention to return to the Maternal and Child Hospital in Jakarta.
Analysis of the Differences in Unit Costs for Bronchopneumonia Services Based on Clinical Pathway with INACBGs Rates and Hospital Rates at Dr. RSAL. Mintohardjo
Jack Steven Saripantung;
Rokiah Kusumapradja;
Intan Silviana
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 1 (2025): Januari : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA
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DOI: 10.57213/jrikuf.v3i1.552
Hospital is one of the health service facilities that tries to overcome the health service balance between investment costs and the availability of applicable unit costs. Calculation of unit costs has an important role, including being used for budget planning, cost control, subsidies and as information in decision making. In the era of National Health Insurance (JKN) in Indonesia, Hospitals that cooperate with the Social Security Administering Agency (BPJS) Health are paid using the Indonesian Case Base Groups (INACBGs) package system. The acquisition of claim payments at Dr. Mintohardjo Naval Hospital according to the INACBGs rate compared to Hospital costs has a negative difference value for Bronchopneumonia cases. The purpose of this study was to analyze the difference in unit costs of Bronchopneumonia services based on Clinical Pathway towards the determination of INACBGs Rates and Hospital Rates at Dr. Mintohardjo Naval Hospital. This type of research is quantitative, comparative analytical observation using a cross-sectional research design according to the Hospital perspective. The subjects of the study were Medical Records and BPJS Kesehatan claim files for Bronchopneumonia services for the period April to September 2023, totaling 61 files. The study was conducted from January 2024 to April 2024. Data analysis used the paired t-test statistical method in the statistical test application (SPSS Version 26). The results of the study on calculating unit costs using the Activity Based Costing (ABC) method are as follows: 1) There is a difference between the calculation of unit costs with INACBGs rates of negative 6.2% and unit costs with Hospital rates of positive 11.2%, 2) There is a difference in the unit cost of Bronchopneumonia services based on Clinical Pathway with the Activity Based Costing method against INA-CBGs Rates, 3) There is a difference in the unit cost of Bronchopneumonia services based on Clinical Pathway with the Activity Based Costing method against Hospital Rates. The suggestions in this study are: 1) For the financial management of RSAL Dr. Mintohardjo to improve competence in calculating unit cost rates for services based on clinical pathways with the Activity Based Costing method, one of which is through training, 2) Updating and conducting clinical pathway audits periodically, 3) Re-evaluating hospital rates to increase the margin of each service so that the margin obtained is in accordance with what has been set, 4) Digitizing patient usage data that was previously still written manually to avoid errors in entering details of service costs.
Pengaruh Persepsi Manajemen Perubahan Terhadap Kinerja Dokter Dengan Gaya Kepemimpinan Transformasional Dan Resistensi Sebagai Variabel Intervening
R. M, Elvina.;
Adhikara, M.F Arrozi;
Kusumapradja, Rokiah
GEMA EKONOMI Vol 12 No 3 (2023): GEMA EKONOMI
Publisher : Fakultas Ekonomi Universitas Gresik
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DOI: 10.55129/https://doi.org/10.55129/.v12i4.2927
Physician performance cannot be assessed in general because it concerns the patient's clinical outcomes to the services provided. Change management is a strategy used to maintain the position of RS in today's business world, if change management is not prepared and managed properly, it will cause resistance and affect performance, especially if without the support of leaders who have a transformational leadership style. The purpose of this study was to analyze the effect of change management on physician performance mediated by transformational and resistance leadership styles. This study is an explanatory research with a quantitative approach in the form of using hypothetical causality on 62 doctors who worked at least 1 year before change management occurred. The data analysis methods used are the Three Box Method and path analysis. In this study, it was found that the perception of change management has a negative and significant influence on doctor performance, the perception of change management does not have a significant effect on transformational leadership style, the perception of change management has a positive and significant effect on resistance, transformational leadership style has a positive and significant effect on doctor performance, resistance has a positive and significant effect on doctor performance, leadership style Transformational has a positive and significant effect on resistance and the perception of change management has a significant positive effect on clinician performance if mediated by transformational leadership style and resistance as intervening variables.
The Influence Of Clinical Skills and Supervision Techniques On the Implementation Of Patient Safety Standards With Caring Behavior as An Intervening Variable in Inpatient Nurses at Rsau Soemitro
Dwi Yanti Elok Palupi;
Kemala Rita;
Nofierni Nofierni;
Rokiah Kusumapradja
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 2 (2025): April : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia
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DOI: 10.61132/vitamin.v3i2.1197
The implementation of patient safety standards is a major challenge in healthcare services, particularly in hospitals such as RSAU Soemitro. Data indicates that there were 25 patient safety incidents in the Inpatient Installation in 2023, with falls being the most common case (9), followed by nosocomial infections, medication errors (4), and the absence of patient identification bracelets during surgery (7). This study aims to analyze the influence of clinical skills and supervisory techniques on the implementation of patient safety standards at RSAU Soemitro, with caring behavior as an intervening variable. This quantitative research employs a cross-sectional study design, using a sample of 110 nurses in the inpatient installation. Data collection was conducted using questionnaires, and data analysis was performed using SEM-PLS techniques. The results show that the implementation of patient safety standards is simultaneously influenced by clinical skills, supervisory techniques, and caring behavior. Caring behavior can be significantly influenced by both clinical skills and supervisory techniques. Additionally, the implementation of patient safety standards is influenced by clinical skills and supervisory techniques both directly and indirectly through caring behavior. Furthermore, caring behavior has been proven to be the most significant factor, contributing 53.1%. These findings suggest that hospital management should focus on interpersonal skills training to support better implementation of patient safety standards.
DETERMINANT ANALYSIS OF JOB SATISFACTION ON HOSPITAL’S EMPLOYEE PERFORMANCE
Harahap, Sabasdin;
Andry, Andry;
Kusumapradja, Rokiah
Journals of Ners Community Vol 13 No 2 (2022): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik
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DOI: 10.55129/jnerscommunity.v13i2.1798
Productivity and hospital quality service depend on the hospital's ability to manage its human resources. Job satisfaction reflects the feeling of the worker shown in their attitude towards work and their working environment. Dissatisfied employees tend to have poor performance and affected hospital performance, such as decreasing Bed Occupancy Rate (BOR) or increasing turnover employee numbers. The purpose of this study is to identify the determinant factors of job satisfaction towards employee’s performance. This Cross-sectional study was done at RS MB, Tulang Bawang, Lampung in December 2019-February 2020 with a total sampling method. Data collection using questionnaires regarding determinant factors of job satisfaction towards employee’s performance. The factors analyzed were co-workers, relationship with superiors, work itself, salaries, career patterns. Data analysis using multiple linear regressions. The result was that job satisfaction influenced employee performance. Factors determinant of job satisfaction towards employee performance was work it-self.
Pengaruh Persepsi Manajemen Perubahan Terhadap Kinerja Dokter Dengan Gaya Kepemimpinan Transformasional Dan Resistensi Sebagai Variabel Intervening
R. M, Elvina.;
Arrozi Adhikara, M.F;
Kusumapradja, Rokiah
Journals of Ners Community Vol 14 No 2 (2023): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik
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DOI: 10.55129/jnerscommunity.v13i2.2877
Kinerja dokter tidak dapat dinilai secara umum karena menyangkut outcome klinis pasien terhadap pelayanan yang diberikan. Manajemen perubahan merupakan strategi yang digunakan untuk mempertahankan posisi RS dalam dunia bisnis saat ini, jika manajemen perubahan tidak dipersiapkan dan dikelola dengan baik, akan menyebabkan resistensi dan berpengaruh terhadap kinerja, terutama bila tanpa dukungan pemimpin yang memiliki gaya kepemimpinan transformasional. Tujuan dari penelitian ini untuk menganalisis pengaruh manajemen perubahan terhadap kinerja dokter yang dimediasi oleh gaya kepemimpinan transformasional dan resistensi. Penelitian ini merupakan penelitian explanatory research dengan pendekatan kuantitatif dalam bentuk penggunaan kausalitas hipotesis terhadap 62 dokter yang bekerja minimal 1 tahun sebelum terjadinya manajemen perubahan. Metode analisis data yang digunakan adalah Three Box Method dan analisa jalur. Pada penelitian ini didapatkan persepsi manajemen perubahan memiliki pengaruh negatif dan signifikan terhadap kinerja dokter, persepsi manajemen perubahan tidak berpengaruh signifikan terhadap gaya kepemimpinan transformasional, persepsi manajemen perubahan berpengaruh positif dan signifikan terhadap resistensi, gaya kepemimpinan transformasional berpengaruh positif dan signifikan terhadap kinerja dokter, resistensi berpengaruh positif dan signifikan terhadap kinerja dokter, gaya kepemimpinan transformasional berpengaruh positif dan signifikan terhadap resistensi dan persepsi manajemen perubahan berpengaruh positif signifikan terhadap kinerja dokter jika dimediasi oleh gaya kepemimpinan transformasional dan resistensi sebagai variabel intervening
Analysis of the Influence of Family Support and Medical Personnel, Medical Personnel Competence on Childbirth Planning Decisions with Patient Experience at the Obstetrics Polyclinic as an Intervening Variable at Mayapada Hospital Kuningan
Denny Khusen;
Natsir Nugroho;
Idrus Jus'at;
Rokiah Kusumapradja
Jurnal Ventilator Vol. 3 No. 1 (2025): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia
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DOI: 10.59680/ventilator.v3i1.1736
The background of this research is relevant to evaluate and improve services in Mayapada Hospital Kuningan , especially in the obstetrics polyclinic. By understanding the relationship between family support and medical personnel, medical personnel competence, patient experience to the obstetrics polyclinic as an intervening variable, and the decision of the birth plan. In addition, there is also a need to evaluate the factors that influence the decision of the birth plan. The purpose of the study is to analyze influence family support and medical personnel, the competence of medical personnel simultaneously with patient experience at the obstetrics polyclinic regarding the decision to plan childbirth at Mayapada Hospital Kuningan. Method Study, this is study associative causality with cross sectional design. This study aims to determine the influence of family support and medical personnel (X1), the competence of medical personnel (X2) on the decision of birth plan (Y) with the patient's experience to the obstetric polyclinic as an intervening variable (Z). The findings of this study are from the statistical test analysis we can find that the most influential variables on the decision of birth plan are family support and medical personnel. The results of the study say that the patient's experience to the polyclinic as an intervening variable does not affect the decision of birth plan. The implications of this study can help management in improving the system for family support and medical personnel, the competence of medical personnel and the patient's experience to the obstetric polyclinic so that it is expected to improve the decision of birth plan to the hospital.
Tam Approach: The Role Of Perceived Usefulness On Attitude In The Use Of Hospital Applications In Indonesia
Rizkaully Permatasari Fitrianingsih;
Hasyim Hasyim;
Rokiah Kusumapradja
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 2 (2025): Juni : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan
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DOI: 10.62027/praba.v3i2.343
The development of information technology has changed the way patients interact with hospitals. The Minimum Service Standard Indicator for Hospitals in Indonesia shows that the number of registrations via mobile applications has still not reached the target and the results of the review show that there are still complexities and difficulties in using the application. Understanding the factors that influence patient intention to use the hospital mobile application is essential to optimize its adoption and use. This study aims to test the Technology Acceptance Model in understanding patient intention to use the Hospital mobile application. This quantitative study with the causality method used a sample of 100 users of the application who met the criteria. Data were collected through questionnaires and analyzed using path analysis. The results showed that perceived ease of use and perceived usefulness had an indirect effect on behavioral intention to use through attitude. Research findings show that Perceived Usefulness is the most dominant factor in influencing users attitudes towards applications. The implications are improvements in simplifying features, design, increasing the function of hospital mobile applications, as well as considering patient expectations of the application in order to increase user intention to adopt the application. These findings provide insight for hospital management to design mobile applications that are easier to use and provide benefits to patients, to increase adoption and use of the application.
Understanding Nurse Behavior And The Factors That Influence It In Receiving Electronic Medical Records
Dwi Purnomo;
Rokiah Kusumapradja;
Tjipto Rini
Green Inflation: International Journal of Management and Strategic Business Leadership Vol. 2 No. 2 (2025): May : Green Inflation: International Journal of Management and Strategic Busine
Publisher : Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia
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DOI: 10.61132/greeninflation.v2i2.322
Background: The implementation of Electronic Medical Records (RME) in healthcare facilities still faces a high failure rate, with more than 50% of RME systems not being used optimally. Sawah Besar Hospital, which began implementing RME in August 2023, recorded 1,500 cases of errors in a year, with 60% of system errors and 30% of user errors. This study aims to analyze the factors that affect the intention of using RME by nurses by integrating the Technology Acceptance Model (TAM) and the Theory of Planned Behavior (TPB). This quantitative research uses a census method by involving 70 nurses as respondents. Data were collected through questionnaires and analyzed using path analysis. The results showed that perceived ease of use, perceived usefulness, subjective norm, perceived behavioral control, and attitude toward use simultaneously affected the intention to use RME (F=77.917, p<0.05). Attitude toward use acts as a mediator in the relationship between perceived ease of use and perceived usefulness to the intention to use RME. These findings have important implications for hospital management in optimizing the implementation of RME through improving technical aspects and forming positive user attitudes.