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All Journal KESANS : International Journal of Health and Science Public Health and Preventive Medicine Archive
Manuaba, I.B.G. Fajar
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Chemistry Health Professions Medicine & Pharmacology Physics Public Health

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Hospital financial control strategy in the COVID-19 Pandemic era Citra Mutiarahati, Ni Luh; Ani, Luh Seri; Suarjana, Ketut; Januraga, Pande Putu; Manuaba, I.B.G. Fajar; Lesmana, Cokorda Bagus Jaya; Indrayathi, Putu Ayu
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p06

Abstract

Background and purpose: The pandemic of COVID-19 is an unprecedented medical and economic challenge for healthcare system. The number of patients during pandemic of COVID-19 had a rapid growth which led to changes in services aspects that threaten financial viability of hospitals, including private hospitals. This study aims to determine the efforts of private hospitals in maintaining financial stability during the pandemic of COVID-19. Methods:  A qualitative study with a multi-case design carried out in 7 (seven) private hospitals in Denpasar. Informants were obtained based on a purposive sampling approach. This study recruited 19 informants from 7 private hospitals in Denpasar. Data was collected through in-depth interviews conducted face-to-face, using the Zoom and Whatsapp applications. The data were analysed using a content analysis approach. Results: Almost all hospitals stated that their finances disrupted. Financial mitigation efforts were difficult to do, hospital preparation and responses were dependent on the hospital's financial condition and regulations that changing, and recovery efforts were not easy either because in general the community's economy has not recovered. Conclusion: Private hospital finances were experiencing disruption. Mitigation efforts were difficult to do due to the unpredictable changing regulations and policies during the pandemic. Based on the study results, it can be recommended that the hospital management needs to develop a service strategy that is able to overcome the problem of the surge in the number of patients.
Identifying Barriers to the Implementation of the Standard Inpatient Class (KRIS): A Study in Denpasar City's Private Hospitals Effendi, Julham; Manuaba, I.B.G. Fajar; Sanjaya, I.N Hariyasa; Tania Fidzikri, Nanda Berliana; Yamin, Imam Syahputra
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 1 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i1.474

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Introduction: The Indonesian government and BPJS Kesehatan plan to replace the current class-based inpatient system with a Standard Inpatient Class (KRIS) to ensure service equality. Government Regulation No. 47 of 2021 mandates that private hospitals must prepare at least 40% of their beds for KRIS. A preliminary survey showed only 57% of private hospitals in Denpasar were ready for this implementation. Objective: This study aimed to identify and analyze the obstacle factors in the implementation of KRIS in private hospitals in Denpasar. Method: This study used a qualitative design with a descriptive approach. Data were collected through in-depth interviews with 17 informants, including representatives from 14 private hospitals, BPJS Kesehatan, and the Provincial and City Health Offices between April and July 2023. Data were analyzed using thematic analysis. Result and Discussion: The study identified four main barriers: 1) Resource factors, particularly in meeting 12 KRIS criteria such as room density (50% compliance), bathroom accessibility (57.14%), and oxygen outlets (71.42%), compounded by land, building, and budget limitations; 2) Communication issues, including differing perceptions of KRIS implementation regulations; 3) Disposition challenges, where hospitals feel unable to meet the implementation timeline and 4) Bureaucratic hurdles, specifically the absence of specific technical government regulations. Conclusions: The most dominant obstacles are inadequate facilities and infrastructure, land and budget constraints, differing information perceptions, unachievable implementation targets, and the lack of technical guidelines.
Co-Authors Citra Mutiarahati, Ni Luh Cokorda Bagus Jaya Lesmana, Cokorda Bagus Jaya Effendi, Julham Imam Syahputra Yamin Ketut Suarjana Luh Seri Ani Nanda Berliana Tania Fidzikri Pande Putu Januraga Putu Ayu Indrayathi Sanjaya, I.N Hariyasa