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Teleconsultation in Hospital Service: Implementation Challenge Ernawati, Cicilia Maria; Agustina, Else; Suryanto, Suryanto
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.3s

Abstract

Teleconsultation is one of the telemedicine services provided by hospitals and is getting popular during the Covid-19 pandemic. As a new service model, developing a quality management system that can ensure the effectiveness and safety of this service to provide users' satisfaction is necessary. This research aimed to identify and analyze the process and problems of teleconsultation services. This research was qualitative with a descriptive case study approach to get a detailed picture of the teleconsultation process in a hospital and its issues. The study was conducted from September to October 2021 in a type C private hospital in Malang. Data were obtained from interviews with officers and patient feedback on teleconsultation services. Problems in teleconsultation services in the hospital were ineffective communication, limited-service coverage, lack of support for medical support facilities, technological constraints, lack of understanding of service flow, and cost affordability.
Developing a maturity-level model for interprofessional collaboration in elective surgery preparation Agustina, Else; Dradjat, Respati S.; Wardhani, Viera; Putra, Kuswantoro R.
Narra J Vol. 5 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i2.2213

Abstract

Interprofessional collaboration plays a crucial role in the preparation for elective surgeries to enhance the quality, safety, and efficiency of patient care. However, its implementation continues to encounter substantial obstacles, which require the creation of a customized maturity model to effectively resolve these concerns. The aim of this study was to develop an interprofessional collaboration maturity model that is specifically designed for the context of elective surgery preparation. This qualitative study employed a case study approach, conducted in 2024. This maturity model was developed through four stages: (1) a literature study to identify key interprofessional collaboration indicators in surgery; (2) in-depth interviews with ten healthcare professionals at Universitas Muhammadiyah Malang Hospital, Malang, Indonesia; (3) adaptation of existing maturity models (Fleming, Hudson, collaboration maturity model, and quality management system) as a framework for synthesizing data from the findings of stage 2 (in-depth interviews); and (4) expert panel review to evaluate the maturity model. We successfully developed an interprofessional collaboration maturity model specifically applied to elective surgery preparation, Preoperative Interprofessional Collaboration Maturity Model (P-ICMM), consisting of five maturity levels: emerging, developing, coordinated, integrated, and optimized. Each level’s assessment criteria are based on indicators of interprofessional collaboration. This maturity model has been evaluated by the experts in elective surgery preparation to ensure its validity and applicability. This maturity model is expected to help hospitals identify the level of interprofessional collaboration, design strategies to enhance collaboration, and ultimately improve the quality of healthcare services and patient safety in the preparation for elective surgeries.