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All Journal Jurnal Kedokteran Brawijaya
Kusumawati, Anita Mardiana
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Medicine & Pharmacology

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WHY VISITS OF EMERGENCY DEPARTMENT DECREASED DURING THE COVID-19 PANDEMIC? CASE STUDY IN X HOSPITALS, MALANG REGENCY Kusumawati, Anita Mardiana; widyaningrum, kurnia
Jurnal Kedokteran Brawijaya Article in Press 2
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

The visits rate to the Emergency DepartmentofX Hospital in the period April to June 2020, on average, decreased by 45.11% compared to the January - March 2020 period. The study aimed to identify the factors causing the decrease in the number of the Emergency Departmentduring the Covid-19 pandemic at X hospital. This study used a qualitative descriptive approach with Focus Group Discussion (FGD) data collection techniques analyzed using Fishbone Diagram combined with 5 WHYs.The subjects were determined based on purposive sampling, namely 8 respondents consisting of Nurses, Doctors and CoordinatorofEmergency Department, Head of Public Relations and Marketing Unit, Coordinator of Security Guard and Coordinator of Patient Registration Office. The results showed that there were several root causes of the decrease in the number of the Emergency Departmentat Xhospital: Emergency departmentstaffs had difficulty in providing education about Covid-19 screening and isolation care to patients and their families, patients refused further treatment, and patients refused to go to the hospital. Thus the decrease in the number of inpatients of the Emergency Department during the Covid-19 pandemic were caused by various factors, especially the difficulty of Emergency Departmentstaffs in providing education on Covid-19 screening and its subsequent care.
Why the Emergency Department Visit Decreased during the Covid-19 Pandemic? Case Study in Hospital, Malang Regency Kusumawati, Anita Mardiana; Widyaningrum, Kurnia
Jurnal Kedokteran Brawijaya Vol. 31 Supplement 2 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.02.5s

Abstract

During the 2020 Covid-19 pandemic, emergency department experienced a drastic decreasing visit that could disrupt hospital financing. This study was conducted to identify the root cause of the declining ED visit. The study was conducted descriptively from FGD involving eight selected respondents, surveys on 83 patients regarding service perceptions and satisfaction, as well as secondary data on visits and requests of discharge against medical advice. The results showed that the decreasing visit was due to the patient's refusal on treatment in the isolation room, the staff's skills to provide communication and education, and the potential of cooperation termination from partners. Those refusals were due to the patient's perception of hospital services and the differences in patient needs on health protocols resulted from the lack of individual and organizational communication. Hospitals need to build staff's skills in communication and education as well as intensive communication strategies with partners to communicate policies and service system changes so that trust and a positive image are built.
Co-Authors Kurnia Widyaningrum