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FINANCIAL PLANNING ANALYSIS AT THE PRINCIPAL CLINIC OF ANNISA BLORA TRANSITIONING TO MOTHER AND CHILD HOSPITAL Nugraha, Gagah Baskara Adi; Syaodih, Erliany; Andriani, Rian
Jurnal Manajemen Sains dan Organisasi Vol. 5 No. 3 (2024)
Publisher : Fakultas Ekonomi dan Bisnis, Universitas Palangka Raya

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Abstract

Objective – The research aims to assess the income, health facility levels, potential new funding sources, and financial planning policies at a Principal Clinic transitioning to a Mother and Child Hospital.Design/Methodology/Approach – This qualitative descriptive case study will be conducted from November 2023 to March 2024.Findings – The analysis indicates plans to collaborate with BPJS for funding. The income will be allocated for medical equipment procurement, and NPV analysis yielded a positive value of IDR 985,286,391, with a 4-year and 1.5-month payback period.Conclusion and Implications – Limited existing research on financial planning analysis for transitioning clinics into hospitals is noted, whereas this research is influenced by differing socio-demographic conditions in each case. Keywords: Financial Planning, Transitioning, Mother and Child Hospital
Multidisciplinary Approach of Placenta Accreta Spectrum Management to Reduce Blood Loss and Prevent Organ Injury in Referral Center Nugraha, Gagah Baskara Adi; Yuliantara, Eric Edwin
Indonesian Journal of Obstetrics and Gynecology Volume 12 No. 3 Jully 2024
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v12i3.2098

Abstract

Objective: To investigate the differences in blood loss and organ injury at our PAS referral center over the past six years.Methods: This retrospective analytical study included 150 subjects diagnosed with PAS based on histopathological findings from 2018 to 2023 at the PAS Center of Dr. Moewardi Regional Hospital, Surakarta, Indonesia. Subjects were divided into two groups: before 2020 and after 2021, based on multidisciplinary team appointments.Results: The highest number of Placenta Accreta Spectrum (PAS) cases occurred in 2020, with 36 patients. Hysterectomy was the most frequently performed procedure for managing PAS in all groups. However, differences in blood loss, organ injury, and length of hospital stay between the periods from 2018 to 2020 and 2021 to 2023 were statistically significant (p < 0.05).Conclusion: Multidisciplinary approaches involving various medical specialties and teams are essential to ensure maternal safety and effectively manage massive blood loss and organ damage during PAS surgery procedures.Keywords: Placenta accreta spectrum, Blood loss reduction, Organ injury prevention.