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Analisis Antrian Pelayanan Obat Non Racikan di Instalasi Farmasi Rawat Jalan Aris Sujoko; Djazuly Chalidyanto
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 3 No. 2 (2015)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (77.63 KB) | DOI: 10.20473/jaki.v3i2.2015.99-107

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ABSTRACTDuring 2013 until 2014, pharmacy outpatient services had not reached indicator of the standard minimum service. The average time of respons time was over the standard minimum service. It caused complain from patient, in 2014 the highest complain was 83% about time services. The objective of this research was to find better model queueing system to decrease the waiting time. This study is a quantitative descriptive study with cross sectional design and observational method. The sample calculated by proportional random sampling formula, with 74 prescription and collected by accidental random sampling in peak time. Primary data was obtained by observation and secondary data was collected from documentations in pharmacy outpatients service. The highest service time occured in drugs preparation process with 3.71 minutes and the highest waiting time occured in last checking drugs process. The highest utilization rate occurred in drugs preparation process with 256% and after simulation became 73% with increased service rate in 81%. The lowest utilization rate occurred in giving drugs process was 19%. The conclusion from this study was the drugs preparation process had high workload and caused queueing. A suggestion from this research was to add workload for giving drugs process to help drugs preparation process. Keywords: outpatient pharmacy, queueing system, simulation
Hubungan Karakteristik Individu terhadap Penilaian Kualitas Produk Apotek Rawat Jalan Ade Nurma Ruditya; Djazuly Chalidyanto
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 3 No. 2 (2015)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.421 KB) | DOI: 10.20473/jaki.v3i2.2015.108-117

Abstract

ABSTRACTPharmacy services in hospitals need special attention to achieve effectiveness and efficiency of quality dimensions. Achievement of customer satisfaction figures in Dr. Moewardi Pharmacy Hospital Surakarta didn't meet hospital standards that set in the amount of ≥ 80% over the years 2013 to 2014, especially in the outpatient pharmacy. The purpose of this research is to study the relationship between the individual factors of patient (age, sex, educational level, employment status, income level) to product quality assessment in an outpatient pharmacy. This research is an observational analytic with cross sectional study design. Data was collected by interview using a questionnaire. Analyzed using univariate and bivariate analysis. The Results of the analysis of the factor that were significantly associated with the assessment of product quality are age and employment status. The majority of respondents give high scores for product quality assessment. Individual patient factors associated with product quality assessment in outpatient pharmacies are age and employment status. Need to maintain the quality of existing products, and specifically to the dimensions of the product's features need to increase in order to better product quality.Keywords: pharmacy services, individual factors, products quality
Customer Gap Pelayanan BPJSKesehatan Center Indira Probo Handini; Djazuly Chalidyanto
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 3 No. 2 (2015)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (76.585 KB) | DOI: 10.20473/jaki.v3i2.2015.161-169

Abstract

ABSTRACTAfter almost 2 years implementation of National Health Insurance (JKN) held by Health Social Insurance Organizing Board (BPJS Kesehatan), many evaluation needs to be done. One of them is BPJS Kesehatan Center located in hospital that provide direct service for patients who referred by the First Level Health Care (FKTP). This studyaim to analyzecustomer gap betweenexpected serviceand perceived service patientsinBPJS Kesehatan CenterRSALdr. RamelanSurabaya. This is an observasional study and cross sectional analytic design. Sample were in equal to 95 people and collected by systematic random sampling. Samples were outpatients who ever used BPJS Kesehatan Center service in RSAL dr. Ramelan Surabaya. Data were collected by questionnaires and calculated by Customer Gap to identify the differences between expected service and perceived service. Data were processed by Wilcoxon Sign Rank Test (α = 0,05). The results showedmost respondentshadvery high expectationsandreceived quite good services. Wilcoxon SignRankTestshowedthere is a differencebetweenthe expected service and perceived service (p = 0,000). This studyconcluded that customer gap in all aspects of BPJS Kesehatan Center service, such as competency, responsiveness, assurance, empathy, communication, caring, dan physical environment. Negative result indicates that expectedservice (ES) is greater than theperceived service(PS). Respondentsare not satisfiedwith the overallperceived serviceatBPJS Kesehatan Center.Keywords : BPJS Kesehatan Center, customer gap, expected service, perceived service                
Hubungan Faktor Psikologis Terhadap Kinerja Radiografer Rumah Sakit Amen Desina Sari; Djazuly Chalidyanto
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 1 (2016)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (147.473 KB) | DOI: 10.20473/jaki.v4i1.2016.9-17

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Performance is a depiction on achievement rate of an activity, programs or policy in fulfilling target, goals,  vision and mission. In 2012-2014, the number of x-rays damage film in Husada Utama’s Hospital was increase (2.59%). To minimize the loss, Husada Utama Hospital needs correction effort. This research aims to analyze the correlation between psychological factors with radiographer’s performance in radiology unit at Husada Utama Hospital Surabaya. This research is descriptive with cross sectional design. The independent variable on this research is psychological factors while the dependent variable is performance. The analysis unit in this research calculated total sampling of radiographer. Data were obtained from questioners to all the radiographer was 12 people who practice in Husada Utama Hospital using an instrument that has been tested for validity and reliability. The result showed that are psychological factors that respondent have high perception on patient caring (75%), 75% respondent have good attitude, 100% respondent have type A personality, respondents had high learning ability (83,3%),almost all respondents (91,7%) have work stress, Psychological factors correlate with the high performance that showed by respondents (80%).Keywords: Performance, physiological factor, psychological factor, radiology unit
Evaluasi Kinerja Billingsystem Rawat Inap Menggunakan Kerangka Pieces Jihan Anfa; Djazuly Chalidyanto
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 1 (2016)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (150.391 KB) | DOI: 10.20473/jaki.v4i1.2016.18-27

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The occurrence of patient dissatisfaction in Wiyung Sejahtera Hospital associated with the duration in providing the hospitalization bills information shows 90.26% in January to November 2014. This research aimed to analyze the knowledge, necessity of skills training and human resource needed related to billingsysteminevaluating the performance of billing system through user’s perspective by using PIECES Framework. This isdescriptive analytic studywith cross-sectional design. Information obtained from 57 respondents, which inputand verifies bills on the application billingsystem hospitalization. The result showed that the knowledge of billingsystemusers is good, the necessity of IT training is not fulfilled and user’s skills is not good. Billingsystemhospitalization performance evaluation using PIECES Framework results for all indicators are constraints; Performancemean 2,6667; Informationmean 2,8319; Economymean 2,6901; Controlmean 2,7544; Efficiency mean 2,7661 and Servicemean 2,8596. There is a strong correlation between training toward users knowledge about billingsystem. In order to improve the quality of service, it is urgently required to hospital itself providing training to users, developing into a fully package integrated system and arranging standard operating procedures.Keywords: billingsystemperformance, evaluation,PIECES framework
Pengelolaan Sediaan Obat Pada Logistik Farmasi Rumah Sakit Umum Tipe B di Jawa Timur Stella Herliantine Febreani; Djazuly Chalidyanto
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 2 (2016)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (143.7 KB) | DOI: 10.20473/jaki.v4i2.2016.136-145

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Inventory control of drugs in hospital which are not done properly can cause stockout or stagnant of supplies. Based of data processing of the drug at Siti Khodijah Sepanjang Hospital experienced stagnant amount 38,9% and stockout amount 29,3% during period January-September 2015. The objectives of the study were to analysis inventory control of drug in logistic pharmacy Siti Khodijah Sepanjang Hospital. This research was a descriptive research with cross sectional design by observation and interviews. Indepth interviews were carried out to get more detailed information about the variables examined. Activity of planning, procurement, distribution, and storage are performed not effective enough so led to stagnant and stockout drug. Also evaluation that has running was not adequate because only looks about financial audit. The conclusion that can be drawn is logistic management system has not run effectively so that the occurrence so stagnant and stockout drug.Keywords: drug stagnant and stockout, hospital, inventory control, logistic management
THE EFFECT OF CLINICAL PATHWAY COMPLIANCE IN REDUCING LENGTH OF STAY Michael Siswanto; Djazuly Chalidyanto
Indonesian Journal of Health Administration Vol. 8 No. 1 (2020): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i1.2020.65-77

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Background: Clinical pathway is multidisciplinary care plan based on the best clinical practice for a group of patients with a particular diagnosis, designed to minimize care delay as well as maximize the quality of care and clinical outcomes. In 2017, average length of stay for pediatric patient with acute gastroenteritis was prolonged even clinical pathways had been implemented.Aim: Thid study determined the diagnostic examination and therapy compliance of clinical pathway related to the length of stay.Method: This study was cross sectional research through simple random sampling. Researchers analyzed pediatric patients whose clinical pathway were filled completely by doctors. The inclusion criteria were pediatric patients, admitted to hospitals during January to December 2018 as acute gastroenteritis patients. The data were analyzed using multiple classification analysis.Results: There were 197 patients with clinical pathway filled completely. As much as 60.91% of cases were compiled for diagnostic examination and 88.32% for therapy. There was no statistically significant correlation between diagnostic examination compliance (p > 0.05) and therapy compliance (p > 0.05) of clinical pathway with patients’ length of stay (combined = p > 0.05).Conclusion: Many factors could be related with the length of stay especially patients’ condition itself. In this study, clinical pathway compliance has no impact in reducing length of stay. Keywords: clinical pathway, compliance, length of stay, pediatric. 
ECONOMIC EVALUATION FOR HEALTH ADVOCACY AND INFORMED POLICY Maznah Dahlui; Thinni Nurul Rochmah; Ernawaty Ernawaty; Djazuly Chalidyanto
Indonesian Journal of Health Administration Vol. 9 No. 2 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i2.2021.202-209

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Background: Healthcare resources are limited therefore, adequate, appropriate and timely allocation of resources are important. Decision to invest on health care program can be made from the analysis of the information obtained on the cost and consequences of the various alternative health programs, often known as economic evaluation of health interventions.Aims: This write-up emphasizes on the importance of evidence driven policy of health intervention whereby economic evaluation should be performed to indicate whether investment on health intervention would benefit the country.Methods: Literature review on economic evaluation studies conducted by the first author during her 14 years tenure as academician had been performed. Various studies which applied the cost-effectiveness analysis tools to economically evaluate health interventions and programs in Malaysia and other countries are shared.Results: The economic evaluation studies cut across different programs such as disease prevention and treatment, public health monitoring and control, and implications of health issues to the healthcare system. Many of the findings have been used for advocacy to shape the delivery of more effective health intervention programs in the country.Conclusion: The country will benefit from economic evaluation studies which could provide evidence to assist in policy making on health programs for the country.Keywords: economic evaluation, health programs, policy making
Knowledge on Breastfeeding and Breastfeeding Behavior among Working Mothers and Housewives : A Cohort Study Nurhasmadiar Nandini; Novia Handayani; Djazuly Chalidyanto; Widodo Jatim Pudjirahardjo; Nuzulul Kusuma Putri
Journal of Public Health for Tropical and Coastal Region Vol 2, No 1 (2019): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.069 KB) | DOI: 10.14710/jphtcr.v2i1.3941

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Background : Surabaya is one of the cities with low coverage of exclusive breastfeeding in East Java. The average rate of babies who got exclusive breastfeeding in Surabaya from 2012 to 2015 was 63.13% (target 80%). Decision about whether to breastfeed or not is a challenge for every mother, especially for working mothers. This research aimed to identify breastfeeding behavior among working mothers and housewives.Methods : This was descriptive observational research with prospective cohort study design.The sample size was 79 mothers in the eastern part of Surabaya chosen by purposive sampling technique.Results : Result showed that 56.6% of housewives have low knowledge on breastfeeding. Both working mothers (100%) and housewives (90.6%) already give colostrum right after baby born. However, There were 54.7% of housewives and 46.2% of working mothers already give formula milk during the first month after baby born.Conclusion : There were not much difference between working mothers and housewives in knowledge, feeding colostrum and skin to skin contact aspects. But, working mothers mostly give formula milk during the first month of baby born than housewives.
ANALISIS FAKTOR PENDORONG PELAKSANAAN STANDAR PROSEDUR OPERASIONAL (SPO) DALAM PEMBERIAN OBAT OLEH PERAWAT DI INTENSIVE CARE UNIT (ICU) RUMAH SAKIT UNIVERSITAS AIRLANGGA Ria Asti Septianti; Djazuly Chalidyanto
JURNAL PENELITIAN KESEHATAN Vol 14, No 3 (2016): Jurnal Penelitian Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.393 KB)

Abstract

Medication errors in Intensive Care Unit (ICU) in the Airlangga University Hospital were increased 32% during 2014-2015. The objective of the study was to analyze motivating factor of the implementation of the Standard Operational Procedure (SOP) in drug delivery by nurse in ICU in the Airlangga University Hospital. This study was a descriptive with cross sectional study design. Subjects were selected by total sampling. The result that ICU nurses don’t know and understand about the type, content, and functionality of SOP in drug delivery, supervision by the hospital to the implementation of the SOP in drug delivery is good, and assessment of the ICU nurses about the creation, socialization, implementation, monitoring, and evaluation of SOP in drug delivery is not appropriate. The conclusion is ICU nurses don’t know and understand about the type, content, and functionality of SOP in drug delivery, supervision by the hospital to the implementation of the SOP in drug delivery is good, and assessment of the ICU nurses about the creation, socialization, implementation, monitoring, and evaluation of SOP in drug delivery is not appropriate. Keywords: motivating factor, SOP in drug delivery, ICU nurses
Co-Authors Achmad Noerkhaerin Putra Achmad Yudi Arifiyanto Achmad Yudi Arifiyanto Ade Nurma Ruditya Ade Nurma Ruditya, Ade Nurma Agung Dwi Laksono Akas Yekti Pulih Asih Alita Dewi Percunda Amen Desina Sari Arif Setiawan Arindani, Farichah Septiana ARIS KURNIAWAN Aris Kurniawan Aris Sujoko Aris Sujoko, Aris Arlina, Launa Inayati AS, Andi Indahwaty Asri, Fusarina Mumpuni Intantyana Auli Fisty Noor Azizah Budhi Setianto Budi Pranoto Dahlui, Maznah Dewi Kusumawati Dewi Retno Suminar Dhamanti, Inge Dyah Yuniati Elida Zairina Endang Lestari Ernawaty Ernawaty Eva Firdayanti Bisono Fandaruzzahra Putri Perdani Fany Arsyad Hidayaturachman Fathiyah Rahmah Hadi Masyurrosyidi Hadinata, Immanuel Michael Handayani, Novia Hapsari, Niky Isa Harlin, Ririk Hendrik Santoso Hikmah Ridho Hardyanti Hikmah Ridho Hardyanti, Hikmah Ridho I Gusti Bagus Wiksuana Indana Tri Rahmawati Indira Probo Handini Indira Probo Handini, Indira Probo Indra Gunawan Intantyana Asri, Fusarina Mumpuni Iriandoko, Ossy Wijaya Irwandy Irwandy Ismawantri, Putu Jihan Anfa Kinanti Setyastuti Kristina Dewi Lilik Wijayati Mahmudin, Ahmad Amin Mangilep, Adelia U. Ady Margarita, Livia Marlia Tanaya, Evelyn Martanto, Tri Wahyu Maznah Dahlui Mega Nurmalasari Wira Putri Michael Siswanto Mochammad Bagus Qomaruddin Moh Sholeh moh sholeh, moh Mohammad Hendra Kurniawan Monita Fenny Sudarsono Muhammad Atoillah Isfandiari Muhammad Miftahussurur Mustikawati, Bernadetta Indah Nadya Kumalasari Nila Novita Ningrum, Shely Oktavia Puspita Nungky Taniasari Nurhasmadiar Nandini Nuzulul Kusuma Putri Nyoman Anita Damayanti Ongko, Tjindrawati Oskar Renagalih Amarta Ossy Wijaya Iriandoko Ossy Wijaya Iriandoko Paramita, Ristiya Galih Pathak, Yashwant Perdani, Fandaruzzahra Putri Permatasari, Ririn Indah Prayitno, Antonius Adji Putri, Mutiara Sitha Rachmad Suhanda Raden Muhammad Ali Satria Raissa Manika Purwaningtias Raissa Manika Purwaningtyas Resty Varia Tutupoho Ria Asti Septianti Rien Rahmi Riandini Rinanti Rahayunig Bekti Ririk Harlin Ririn Indah Permatasari Riris Diana Rachmayanti Riris Diana Rachmayanti Rizmi Novishia Wijaya Rosally, Ruby Rizal Rosyidah Arafat, Rosyidah Ruby Rizal Rosally Saleh, Lalu Muhammad Setyastuti, Kinanti Shely Oktavia Puspita Ningrum Siti Fatonah Siti Hunainah Siti Hunainah Soesianingsih , Njoman Oly Sri Ramadany, Sri Stella Herliantine Febreani Sugiyatmi, Tri A. Supangat, Ririn Widyowati Sururut Tazkiyah Terivenna Wijaya Thinni Nurul Rochmah Tumbelaka, Reyner Valiant Ulfa, Ana Mariatul Ummu Kalsum Usman Hadi Usman Hadi Wagiyo Wagiyo Warih Kusumaningtyas Widodo J. Pudjirahardjo Widodo Jatim Pudjirahardjo Wijaya , Terivenna Windhu Purnomo Yenny Purwanti Yuniati, Dyah