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All Journal Jurnal Kedokteran Brawijaya Journal of Issues in Midwifery Journal of Community Health and Preventive Medicine (JOCHAPM) Jurnal Ilmiah Administrasi Publik
Ratri, Devita Rahmani
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Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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ICU SERVICE FINANCING: WEIGHING REGULATIONS AGAINST PROFESSIONAL JUDGMENT Santoso, Widodo Mardi; Manzilati, Asfi; Ratri, Devita Rahmani; Hariyanti, Tita
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

The Intensive Care Unit (ICU) is one of the most resource-intensive departments in a hospital. Patients admitted to the ICU incur, on average, three times higher costs than those in general wards. However, healthcare professionals, particularly doctors and nurses, often remain unaware of these high costs.   This study employs a qualitative research design using a case study approach. A total of seven participants were selected through purposive sampling. Data were collected through unstructured observations of the ICU environment and unstructured interviews with participants. Thematic analysis was then used to interpret the findings. Four key themes emerged: (1) The ICU as the last hope for survival, (2) Doctors and nurses feeling powerless over treatment costs, (3) The predominant focus of doctors and nurses on medical aspects, and (4) Sentosa Hospital: Between Regulation and Professionalism. The study was conducted at a provincial referral hospital, classified as a type A hospital and a teaching center, where patients present with complex medical conditions. This complexity often leads doctors and nurses to prioritize medical care over financial considerations. In conclusion, ICU doctors and nurses demonstrate limited awareness of the financial burden of patient care. To enhance this awareness, targeted interventions are needed to sensitize all healthcare professionals, particularly doctors and nurses, to the economic aspects of critical care.
CHALLENGES OF JKN MOBILE APPLICATION UTILIZATION IN THE BPJS PATIENT REGISTRATION PROCESS AT X HOSPITAL: A CASE STUDY IN X HOSPITAL Jimmy S., Rifdinia Bregita; Ratri, Devita Rahmani; Harjayanti, Nofita Dwi
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

The JKN mobile application (MJKN), is an application presented by BPJS with the aim of providing convenience for its participants. MJKN utilization in registration process is one of the BPJS compliance indicators for hospitals. As part of BPJS partners, the achievement of compliance indicators is something that must be achieved by Hospital X. Until September 2024, the highest rate of MJKN utilization in X Hospital was 21% of the target achievement of ≥30%. This study aims to determine the challenges and barriers of fulfilling the MJKN utilization indicators in registration process at X Hospital. This research is a qualitative research with a case study approach. In-depth interviews were conducted with eight BPJS patients and eight people from X Hospital management related to the implementation of MJKN. Data analysis is strengthened by triangulating based on observations and secondary data related to the MJKN process. Seven challenges were identified, including the low quality of evaluation of staff performance at Hospital X related to MJKN, the difficulty of bridging between hospital information system and the MJKN information system, patient difficulties during the MJKN account registration process, low access to information related to MJKN, the complexity of the MJKN check in process, resistance to technology, and patient devices that do not meet MJKN standards. The results of this study can be the basis for Hospital X management in determining solutions to improve the achievement of MJKN utilization.
Pengaruh Pelatihan Komunikasi Efektif terhadap Peningkatan Pengetahuan Karyawan RSUD Kota Malang Emilia Gondowahjudi, Lana; Ratri, Devita Rahmani; Hakim, Lukman
Jurnal Ilmiah Administrasi Publik Vol. 4 No. 2 (2018): Jurnal Ilmiah Administrasi Publik (JIAP)
Publisher : Badan Penerbitan Jurnal (BPJ) FIA-UB

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jiap.2018.004.02.2

Abstract

The purpose of this study is to determine the effect of effective communication training on knowledge of employees of Malang City Hospital. This research type is quantitative with experiment method. The experimental model used is one group pre-test post-test, where the employees of RSUD Malang will be given two tests, namely the pre-test and the post-test to know the effect of the training given to the improvement of employee knowledge. The results showed that effective communication training provided could encourage the improvement of employees knowledge of RSUD Malang, which was seen in the increase of the average of test result, that is from 49,37 in pre-test to 59,64 in post-test.
Pengaruh Komunikasi Organisasi terhadap Kinerja Tenaga Kesehatan yang Dimediasi oleh Motivasi di RSUD Kota Malang Gondowahjudi, Lana Emilia; Ratri, Devita Rahmani; Hakim, Lukman
Jurnal Ilmiah Administrasi Publik Vol. 4 No. 4 (2018): Jurnal Ilmiah Administrasi Publik (JIAP)
Publisher : Badan Penerbitan Jurnal (BPJ) FIA-UB

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jiap.2018.004.04.7

Abstract

The result of preliminary study about the clinical effectiveness of RSUD Malang, the success of effective communication training in Malang Hospital is caused by the lack of motivation owned by health personnel, thus giving the influence of the decreasing of the performance of the health personnel. The purpose of this study is to determine the effect of organizational communication on the performance of health personnels of RSUD Kota Malang, which is assumed to be mediated by motivation. The results showed that organizational communication had a significant positive effect on motivation (original sample = 0,434, value of TStatistics = 6,021); organizational communication has a significant positive effect on the performance of health personnel (original sample = 0.617, T-Statistics = 11.778); motivation has a significant positive effect on the performance of health personnel (original sample = 0.226, T-Statistics = 3,533); and motivation mediate between the influence of organizational communication on the performance of health personnel (Zsobel test = 3.050, value P-Value = 0.002).
Co-Authors Ahsan Asfi Manzilati Drie, Ivan DRIE, IVAN - Dwi Ratna Sari, Dwi Ratna Emilia Gondowahjudi, Lana Erzi, Alfan Erzi’, Alfan Gondowahjudi, Lana Emilia Harjayanti, Nofita Dwi Hasyim, Mafrurrochim Hidayati, Khusnul Jimmy S., Rifdinia Bregita Lukman Hakim Megawati, Devvy Nuthea, Merry Nuthea, Merry - Rahmawati, Tri Wahyuning Ratna Diana Fransiska Suhailah, Wildatus Suyanto Suyanto Tita Hariyanti Tri Utami, Ni Nyoman Ayu Viera Wardhani Widodo Mardi Santoso, Widodo Mardi Wulandari, Meidina