Claim Missing Document
Check
Articles

HUBUNGAN MUTU, INDIKATOR KINERJA KUNCI, DAN KINERJA PELAYANAN RUMAH SAKIT (STUDI KASUS PADA RUMAH SAKIT AUMAKES) Dewi, Arlina; Wijaya, Aris Suparman; Sukardi, Fradita Eka
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 2, No 2 (2013): July
Publisher : Magister Manajemen Rumah Sakit

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Muhammadiyah and Aisha had a vision of 2020 is going to be a major driver of the establishment of networks between social groups that support healthy communities self-reliant and vision of 2015. Thus conducted a study of 40 hospitals under the auspices of Aumakes in 2009, from that data, researchers interested in conducting research on the quality of 40 hospitals under the auspices of Aumakes.Purpose: The research objective is 1). To analyze the relationship of the hospital quality  with Key Performance Indicators (KPI), 2) to analyze the relationship of the Hospital Quality with BOR and 3). To analyze the relationship of the hospital quality with ALOS.Methods: Types of research taking secondary data in 2009 with the design of the quantitative analysis method of retrospective study. Location of the study in 40 hospitals under the auspices of Aumakes. Analyzed using quantitative with correlation statistical program.Result:. Correlation statistical data shows significant relationship exists between the quality and KPI with significance values is 0.00 and with strong correlation is 0.719. There is a significant relationship between hospital quality and BOR with significant value is 0.016 by weak correlation 0.394. There was no significant relationship between the quality and ALOS which is significance values 0.831.Keyword Hospital quality, Key Performance Indicators (KPI), BOR, ALOS
EVALUASI KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN RAWAT JALAN PESERTA BPJS DI RSUD PANEMBAHAN SENOPATI BANTUL Firdaus, Fidela Firwan; Dewi, Arlina
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 4, No 2 (2015): July
Publisher : Magister Manajemen Rumah Sakit

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang: Masalah yang sering dihadapi secara umum oleh rumah sakit adalah rumah sakit belum mampu memberikan sesuatu hal yang benar-benar diharapkan pengguna jasa. Beberapa pasien banyak yang masih bingung mengenai sistem rujukan yang ditetapkan dalam BPJS Kesehatan. Begitu juga dengan pasien yang mengeluh biaya kesehatan yang dulu seluruhnya terinci saat masih berupa PT Jamsostek, sekarang banyak yang tidak terinci saat sudah berubah menjadi BPJS.Metode: Penelitian kualitatif untuk menganalisis kualitas pelayanan terhadap kepuasan pasien rawat jalan peserta BPJS di RSUD Panembahan Senopati Bantul. Data primer diperoleh dari wawancara mendalam terhadap pasien rawat jalan peserta BPJS, dokter pelayanan rawat jalan, dan petugas BPJS di RSUD Panembahan Senopati Bantul.Hasil dan pembahasan: Hal yang mempengaruhi kepuasan pasien antara lain: pendaftaran lancar, waktu tunggu, pelayanan cepat, ramah, sopan, keterampilan dan perawatan medis bagus, profesional, ruangan bersih dan fasilitas lengkap. Sebaliknya, hal-hal yang menjadi hambatan kepuasan pasien antara lain: karyawan pendaftaran datang terlambat, lambat, dan mengobrol sendiri, waktu tunggu lama, nada suara petugas medis tinggi, keramahan kurang, ruangan kurang luas, tidak memakai sekat, ruang tunggu kurang, jarak poli satu ke poli lain terlalu dekat, dan tidak ada pengeras suara. Faktor lain yang mempengaruhi yaitu BPJS.Kesimpulan dan saran: Kepuasan pasien sesuai dengan teori SERVQUAL (Parasuraman dan Zeithml, 1990). Hambatannya yaitu ruangan dan fasilitas, waktu tunggu lama, jumlah SDM, SIM RS versi lama, dan tata cara sistem rujukan. Solusinya yaitu ruangan yang lebih luas, ruang tunggu yang lebih nyaman, sekat dari dinding, memberikan pengeras suara, menambah jumlah SDM, dan memperbarui SIM RS. Sarannya yaitu melakukan survey hal-hal yang sudah membuat pasien puas dan yang masih kurang, melakukan perbaikan dan melengkapi ruangan dan fasilitas di rumah sakit, menambah sumber daya manusia, mempertimbangkan bridging system, dan melakukan evaluasi terhadap program yang sudah berjalan. Kata kunci: kepuasan pasien, kualitas pelayanan, BPJS
ANALISIS BUDAYA KESELAMATAN PASIEN DI RSU PKU MUHAMMADIYAH, BANTUL Wijaya, Aris Suparman; Dewi, Arlina; Dwita, Della Mawros
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 4, No 1 (2015): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Patient safety culture in PKU Muhammadiyah Hospital of Bantul based on Putri (2010) in the category of enough. Though PKU Muhammadiyah Hospital of Bantul is a Class C has an obligation to implement the Patient Safety throughout the service area.Method: This study used a mixed methods research approach is a quantitative method using cross sectional and qualitative methods with case study approach with a descriptive research design. Research subjects are nurses who deal directly with patients. A total of 61 people. Measurement of patient safety culture using a questionnaire from the AHRQ (Agency for Healthcare Research and Quality) in 2004 entitled HSOPSC (Hospital Survey on Patient Safety Culture). The questionnaire consisted of 12 questions dimensions with 42 items and is equipped with the interview data and report patient safety incidents from Patient Safety Team PKU Muhammadiyah Hospital, Bantul.Results and Discussion: Patient Safety Culture at PKU Muhammadiyah Hospital of Bantul in the category of enough with a mean and median of 73.9. Still found gaps between the patient safety incident reporting patient safety teams and real in the field. As well as barriers to implementation of patient safety in PKU Muhammadiyah Hospital of Bantul is still not optimal support came from management, not optimal team performance because the work load and the persistence of blaming culture in the unit.Keywords: Patient Safety Culture, PKU Muhammadiyah Hospital of Bantul
PERBANDINGAN EFISIENSI PENATALAKSANAAN APENDISITIS AKUT PADA PASIEN JAMINAN KESEHATAN NASIONAL DENGAN PASIEN UMUM (STUDI KASUS DI RSUD PANEMBAHAN SENOPATI BANTUL) Widiyantara, Agus Tri; Dewi, Arlina
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 1 (2016): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: BPJS PBI’s participants patients that a part of National Health Insurrance have financing with prospective payment system, while general patient use fee for service., To avoid losses, the hospital must manage patients more efficiently in the prospective payment system than the fee for service with strict quality control and control of costsMethods: The type of research is a quantitative research using secondary data.  Population is BPJS PBI’s patient and general patients who experiencing uncomplicated acute appendicitis and action appedictomi. There are 60 respondent. Analyses test using independent t test and Mann-Whitney test.Results and Discussion: BPJS PBI’s participants patient’s length of stay are shorter than general patients (p <0.001). The management cost of BPJS PBI participant patients are lower and significantly different than public patients at the component cost of the drugs (p <0.001), the cost of a physicians examination (p = 0.012), the cost of accommodation (p <0.001), the cost of BMHP (p <0.001), supporting examination (p = 0.023) and total cost (p <0.001). There is no differences of operating costs. BPJS PBI’s participants care costs are lower than public patients but there was no significant difference (p = 0.487).Conclusion: Based on the length of stay and cost management in appendicitis procedures, BPJS PBI’s participant patients more efficient than general patients.Keywords: efficiency, length of stay, costs
Evaluasi Implementasi Clinical Pathway Sectio Caesarea di RSUD Panembahan Senopati Bantul Astuti, Yurni Dwi; Dewi, Arlina; Arini, Merita
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 6, No 2 (2017): August
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The purpose of this study was performed to evaluate the content and quality of clinical pathway sectio Caesarea (CP SC), compliance evaluate the implementation of CP SC and know that there are barriers in the implementation of CP SC, so it can make recommendations to improve the implementation of CP SC in hospitals Panembahan Senopati Bantul. The research used mix method focusing in case study design at obsgyn unit room in Panembahan Senopati State Hospital in Bantul. Sample of respondent to the quantitative data to observe at the documentation and obedience to the medical records of patients who had been operated sectio caesarea’s elective that choosen by total sampling and evaluation of CP SC using the Integrated Care Pathway Appraisal Tools (ICPAT) consisting of six dimensi. Data qualitative is obtained by do a deep interviews with a purposive sampling method.
Maternal Mortality Evaluation: A Case Study in Bantul, Yogyakarta Dewi, Arlina; Bekti, Nikma Kurnianingtyas; Supriyatiningsih, Supriyatiningsih
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (431.217 KB)

Abstract

Background: Maternal mortality rate is one of the indicators to measure the level of a woman's health. The maternal mortality rate in Indonesia is still high, it's about 190/100.000 live birth. The objective of the present study is to evaluate the cause of maternal death in Bantul at 2016 which related to the health services including human resources.Subjects and Method: This was a mixed method with case study design on maternal mortality in Bantul District. The qualitative data collected through Focus Group Discussion (FGD) and the quantitative data from the questionnaire were filled by a senior midwife throughout the hospital in Bantul. The number of hospitals in Bantul District was 11 consisting of 1 government hospital and 10 private hospitals.Results: The number of obstetricians who could be available 24 hours in hospitals was still limited. The skills of midwives were still considered to be limited in handling a number of obstetric emergency conditions due to the lack of regular training. The primary health care services which had been provided to support and handle obstetric emergencies, but the infrastructure and human resources were still considered inadequate. Thus, there was also a condition where the utilization of integrated ANC facilities in the primary health center (Puskesmas) was still low, soan early detection of complications of pregnancy was less optimal.Conclusion: There are three main topics causing the maternal mortality at Bantul, and those are 1)Maternal mortality related to hospital facilities, 2) Maternal mortality related to human resources at the hospital, 3) Maternal mortality related to health center facility.Keywords: maternal, obstetrician stand-by, hospitalCorrespondence: Arlina Dewi. Masters Program in Hospital Management, Universitas Muhammadiyah Yogyakarta. Jl. Brawijaya, Bantul 55183, Yogyakarta, Indonesia. Email: dewikoen@yahoo.com. Mobile: +6281­22972576Journal of Maternal and Child Health (2019), 4(5): 342-350https://doi.org/10.26911/thejmch.2019.04.05.07 
Appendicitis Clinical Pathway Implementations Compliance Evaluation in Hospital Wijaya, Adi Indra; Dewi, Arlina; Listiowati, Ekorini
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.858 KB) | DOI: 10.12928/kesmas.v11i2.6871

Abstract

Background: Clinical pathway (CP) is a collaborative guidance for patients treatments that focused on diagnosis, clinical problems, and stages of care. CP implementation becomes a guideline on hospital quality and safety improvement for the patient services. Method: The research used a descriptive-qualitative mixed methods. Primary data collected through medical record and secondary data is done by interview and observation by using CP format. Results: From medical records total, 23 cases were found that met the inclusion criteria. The acute appendicitis case in adults is more than children in number (3,6:1). Acute appendicitis CP compliance is 86%. There are three problems in CP compliance of acute appendicitis i.e doctor's visit adherence (physician in charge of patient 87%, 0% anesthesia), 65% adherence therapy compliance, and 52% inpatient admission. The root of the problem is the lack of socialization, monitoring, and evaluation of established standards. Some activity variations may occur during each process from time to time that will produce a variety of the outcomes as well. How to reduce process variation is to standardize. The process of standardization includes the preparation, socialization, monitoring, control, evaluation and revision of thew standards. CP profit is that it could reduce variation, is a professional requirement, and the basis for quality measurement. Implementation of good standards will ensure the safety of patients and the healthcare providers. Conclusion: Almost all employees have conducted medical record (MR) in accordance with clinical pathway criteria as well, but the CP sheet is not included in the MR
PERSEPSI DOSEN TERHADAP PEMBENTUKAN ACADEMIC HEALTH CENTER DI FAKULTAS KEDOKTERAN UNIVERSITAS MUHAMMADIYAH MAKASSAR Fananie, Yasser Ahmad; Dewi, Arlina; Setyonugroho, Winny
JIKI Jurnal Ilmiah Kesehatan IQRA Vol 7 No 01 (2019)
Publisher : LPPM STIKES Muhammadiyah Sidrap

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

UU no.20 tahun 2013 tentang pendidikan kedokteran mengarahkan bahwa peran fakultas kedokteran selain sebagai produsen juga berperan dalam meningkatan kualitas pelayanan kesehatan untuk meningkatkan derajat kesehatan masyarakat. Academic Health Center (AHC) adalah suatu organisasi yang dibuat dengan tujuan terjadinya sinergi antara perguruan tinggi, RS. pendidikan, dan regulator. Dosen sebagai salah satu komponen penting dalam suatu fakultas kedokteran akan menjadi komponen penggerak jika ingin dibentuk AHC di fakultas kedokteran Tujuan penelitian ini adalah untuk mengetahui kesiapan dosen dalam mewujudkan Academic Health Center di Fakultas Kedokteran Universitas Muhammadiyah Makassar. Metode penelitian ini menggunakan desain penelitian deskriptif kuantitatif cross sectional dengan menggunakan kuesioner yang disebarkan kepada seluruh dosen fakultas kedokteran universitas muhammadiyah makassar. Data akan dianalisis untuk mengetahui pengetahuan dan sikap para dosen terhadap AHC. Hasil yang diperoleh bahwa hampir ½ dari responden belum pernah mendengar tentang AHC. Hanya sebagian kecil dosen yang memiliki pengetahuan yang cukup tentang AHC. Tetapi sebagian besar dosen bersedia untuk mencari informasi lebih banyak tetang AHC dan bersedia berkontribusi dalam pembentukan AHC. Sikap para dosen setuju dengan peran AHC yang akan dapat bemanfaat bagi sistem kesehatan di Indonesia. AHC dinilai mampu mengatasi masalah-masalah akibat dari perubahan lingkungan di dunia kesehatan. Persepsi para dosen tentang AHC yang positif perlu diimbangi dengan pengetahuan yang mumpuni dari para dosen.
Pengaruh APGAR Keluarga terhadap Kecerdasan Emosi Remaja Dewi, Arlina; Puspitosari, Warih Andan
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 10, No 2 (2010)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v10i2.1571

Abstract

Emotional intelligence (EQ) contributed 80% in determining one ’s success. EQ was developed in 3 containers, namely: family, school and society, and experts agree that keluargalah have great influence on the development anak.Untuk, it is necessary to find whether the relationship between healthy functioning in the family (Apgar family) with adolescent emotional intelligence in family. This study aims to determine whether or not there any healthy relationship between family junction with emotional intelligence in adolescents in the family. Observational study conducted by the research design of cross-sectional survey. Samples were selected by simple random sampling from the population at SMU Negeri 1 Bantul Poor. Research instruments for assessing emotional intelligence using the instrument Baron Emotional Quotient Inventory Version andfamily function assessment using the Family Apgar instrument of Gabriel Smilkstein, which has been translated. Data analysis to determine relations between the two variables above using Pearson test. Statistical analysis showed that the Apgar Family related/correlated (r = 0.460) was significant (p 0.05) with adolescent emotional intelligence in the family. Concluded that there is a significant relationship between Apgar Families with teenagers Emotional Intelligence.Kecerdasan emosi (EQ) menyumbang 80% dalam menentukan keberhasilan seseorang. Kecerdasan emosi dikembangkan dalam 3 wadah, yaitu : keluarga, sekolah dan masyarakat, dan para ahli sepakat bahwa keluargalah yang sangat berpengaruh terhadap perkembangan anak.Untuk itu, perlu dicari hubungan antara sehat tidaknya fungsi di dalam keluarga (APGAR keluarga) dengan kecerdasan emosi remaja di dalam keluarga tersebut. Penelitian ini bertujuan untuk mengetahui adakah hubungan antara sehat tidaknya fungsi keluarga dengan kecerdasan emosi pada remaja di keluarga tersebut. Penelitian dilakukan secara observasional dengan rancangan penelitian cross-sectional. Sampel penelitian dipilih secara simple random sampling dari populasi di SMU Negeri 1 Kasihan Bantul. Instrumen penelitian untuk menilai kecerdasan emosi menggunakan BarOn Emotional Quotient Inventory Version dan penilaian fungsi keluarga menggunakan instrumen Family APGAR dari Gabriel Smilkstein, yang telah dialihbahasakan. Analisis data untuk mengetahui hubungan antara kedua variabel di atas menggunakan uji Pearson. Hasil analisis statistik menunjukkan bahwa APGAR Keluarga mempunyai hubungan/ korelasi (r=0,460) yang bermakna (p 0,05) dengan kecerdasan emosi remaja di keluarga tersebut. Disimpulkan bahwa terdapat hubungan bermakna antara APGAR Keluarga dengan Kecerdasan Emosi remaja.
Penggunaan Ranah Afektif sebagai Salah Satu Penilaian Keberhasilan Belajar di Fakultas Kedokteran Dewi, Arlina
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 6, No 2 (2006)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v6i2.1884

Abstract

Affective domain (attitude, feeling, etc) is an important part of education in medical science besides cognitive and psychomotor domains. Some ofthe responsibilities of Indonesian doctors written in the “Kurikulum Inti Pendidikan Dokter Indonesia III (KIPDIIII) ” can be categorized into affective domain.Difficulties in evaluating affective domain include: 1) Disparity on the credibility of students ’ answers on the affective evaluation 2) Failure on the evaluation objectivity; 3) There is no agreement yet on how to measure and how far the affective domain will be evaluated in medical education. Therefore, medical faculties need to discuss together the methods and tools for measuring affective domain. This includes considering the objectives and function of the measurement and defining study goals on affective domain (using taxonomy of affective domain).Ranah afektif atau pengukuran terhadap sikap, perasaan, dll merupakan bagian penting dalam pendidikan di bidang kedokteran, selain ranah kognitif dan psikomotor. Di dalam Kurikulum Inti Pendidikan Dokter Indonesia (KIPDI) DI, dicantumkan tentang sejumlah tanggungj awab dokter di Indonesia yang dapat digolongkan dalam ranah afektif.Kesulitan yang muncul dalam penilaian ranah afektif yaitu: 1) Kesenj angan dalam kredibilitas jawaban-jawaban mahasiswa terhadap penilaian afektif; 2) Kegagalan dalam objektifitas penilaian; dan 3) Dalam dunia pendidikan, belum adanya kesepakatan cara mengukurnya dan seberapa jauh ranah afektif ini akan dinilai. Untuk itu perlu institusi secara bersama-sama membicarakan cara dan instrumen pengukuran yang digunakan dengan mempertimbangkan antara lain tujuan dan fungsi pengukuran serta menetapkan target belaj ar dalam ranah afektif (misal menggunakan taksonomi ranah afektif).
Co-Authors A.A. Ketut Agung Cahyawan W Agus Tri Widiyantara Agus Tri Widiyantara, Agus Tri Agustiani, Sirli Amirul Mustofa ANNISA FIRDAUSI Arini, Merita Aris Suparman Wijaya Aris Suparman Wijaya, Aris Suparman Asmi, Sarah Ayu Budi Asri Bashir Astuti, Yurni Dwi Ayu, Yennyka Dwi azizah khoiriyati Basha, Muzaitul Akma Binti Mustapa Kamal Bekti, Nikma Kurnianingtyas Bekti, Nikma Kurnianingtyas Cahyani, Faridha Cherol Nelson Ering Della Mawros Dwita Della Mawros Dwita, Della Mawros Dewi, Trisna Setya Dharmayuda, Cokorda Gde Oka Dianita Sugiyo, Dianita Dwi Ambarwati, Dwi Dwi Nur Anggraeni Ekorini Listiowati, Ekorini Endang Sulistyawati Erni Rahmawati Fananie, Yasser Ahmad Fidela Firwan Firdaus Fidela Firwan Firdaus, Fidela Firwan Fradita Eka Sukardi Fradita Eka Sukardi, Fradita Eka Gofur Ahmad Harigustian, Yayang Idris, Desi Natalia Trijayanti Ietje Nazaruddin Kusuma Dewi, Dyah Tri Kusumo, Mahendro Prasetyo Lellee, Ralph. J. Mariska Urhmila, Mariska Merita Arini Minanton Murnani, Sari Nanik Sri Khodriyati Novita Kurnia Sari Novita Kurnia Sari Nugroho, Irfan Helmi Nur Hidayah Prakoso, Denny Anggoro R. Sapto Hendri Boedi Soesatyo Rudy Dwi Laksono Saputra, Rahmana Febri Sekarsiwi, Anggraini Respati Setyonugroho, Winny Sri Sumaryani Suhendar Sulaeman Sumardi Sumardi Supriyatiningsih, Supriyatiningsih Supriyatiningsih, Supriyatiningsih Suryanto, Farid Susanto Susanto Tendean, Angelia Friska Titih Huriah Veronica Retno Setyaningsih Warih Andan Puspitosari, Warih Andan Widyatmoko, Danar Wijaya, Adi Indra Wirasto, Anggit Yurni Dwi Astuti