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IMPROVING PATIENT SAFETY AND HOSPITAL SERVICE QUALITY THROUGH ELECTRONIC MEDICAL RECORD: A SYSTEMATIC REVIEW Muhammad Firdaus; Amal Chalik Sjaaf
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Examines properly implementation of Electronic Medical Records (EMR) which associated with workflows, policies and health services in enhancing patient safety. The electronic medical records have benefit to the patients due to the efficiency in the healthcare process. Therefore, the aim of this study was to examine the literatures on patients safety reporting based on electronic system review and assess the implementation. Methods: Systematic review with Prisma at the literature published between 2010 – 2019 using three large database: Proquest, Oxford Academic Journals, and Scopus. The eligible articles in this review should show an effect of patient’ safety, and product quality in hospital in correlation on using EMR. It must include some effect on medication error, prescribing error, error in the use of EMR that potentially endanger patient safety. Results:The most important function of EMR implementation is to improve patient safety in hospital and to reduce the cost. EMR reduce excess cost of Hospital Acquired Condition (HAC) by 16%, reduce death due to HAC by 34%. Doctor and nurses believe that the quality of patient data would be better by using EMR as their daily routines. Conclusion: EMR can improve patient safety due to some skills in technology. Thus, it would not harm to the patients safety. However, the implementation of EMR requires the human skill resources in using technologies, computer and programs. Keywords : electronic medical record, hospital, patient safety, electronic health record
THE RELATIONSHIP BETWEEN HEALTH FINANCING MECHANISM AND MORTALITY RATE IN SANTA MARIA PEKANBARU HOSPITAL Arifin Arifin; Amal Chalik Sjaaf
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: The main challenge of the health financing mechanism in Indonesia is the allocation of health spending which is still dominated by the private sector, whereas the largest proportion comes from out of pocket payments. The system are a significant barrier in accessing health services. Many individuals with chronis diseases postpone the search for medical services because of high health care cost. The consequences of the delay is the loss of opportunities to overcome chronic illness. This research was aimed to analyze the relationship between health financing mechanism and mortality rate (GDR and NDR) in Santa Maria Pekanbaru Hospital. Methods: This cross-sectional study involves GDR and NDR of patients using out of pocket payment and those using health insurance in the year between 2014 - 2017. Data analysis was performed by independent samples t-Test (significance level p < 0,05). Result:The result of independent samples t-test analysis indicated that there was a significant difference between GDR and NDR of patients using out of pocket payment and health insurance patients (p < 0,05). GDR score of patients using out of pocket payment was 9.58 times higher than health insurance patients. The NDR score of patients with out of pocket payment 6.79 times higher than health insurance patients. Conclusion: The health service outcome in patients with out of pocket payment is lower than health insurance patients. The out of pocket payment financing mechanism is one of the major problems in the transition to Universal Health Covered. It is recommended that our government must increase the health budget which is at least in accordance with the rule of law and improve the allocation of public sector health funds at least 2/3 of the total health budget to reduce the proportion of out of pocket to total health expenditure. Health care providers should do efficiency in all areas to reduce the cost of health services. Patient who do not have health insurance will have to rearrenge the allocation of their household expense to pay premium insurance and implement the healthy life habits.
Implementing Business Model In Hospital: A Scoping Review Lastri Swastanita; Amal Chalik Sjaaf
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (302.764 KB) | DOI: 10.36418/syntax-literate.v7i10.9585

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Increased competition between hospitals, population growth, advances in medical technology, increased life expectancy, and digital transformation urges hospitals to adapt. Health care providers are stuck in situations that require cutting health costs while still maintaining the quality of care to patients. Many believe that the business model will be a major contributor to the sustainability of competitive advantage for hospitals. This research aimed to look at the role and application of hospital business models that can maintain quality, effective financing services, and sustainability. Searches for articles were conducted on four databases using PRISMA-ScR protocol. We included studies containing the business models in a hospital setting, using relevant search terms related to the hospital business model. Systematic search yielded five articles that lay out some of the business models. Sixty percent of articles were published in Asian countries. Study designs were descriptive and observational studies. Each business model has its uniqueness that can give an idea of how to run a business model tailored to the characteristics of the hospital itself.
EVALUASI PROTOKOL KESEHATAN PRAKTIK DOKTER GIGI SAAT PANDEMI: A SYSTEMATIC REVIEW Sitti Ashari; Amal Chalik Sjaaf
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 3 (2022): DESEMBER 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i3.7777

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Dampak dari pandemi COVID-19 sangat berpengaruh bagi dokter gigi dalam pelaksanaan pelayanan kesehatan gigi dan mulut selama masa pandemi COVID-19. Perlunya pedoman pelayanan kedokteran gigi selama pandemi virus COVID-19 dan terdapat sejumlah hal yang perlu diperhatikan oleh dokter gigi dalam menjalankan tugasnya. Oleh karena itu, untuk menindaklanjuti kasus COVID-19 saat ini diperlukan dokter gigi dalam memenuhi pedoman tersebut dalam evaluasi protokol kesehatan dalam praktik dokter gigi. Penelitian menggunakan metode PRISMA (Preferred reporting Items for Systematic Reviews and Meta-analyses). Systematic review ini menggunakan database yakni PubMed, Springerlink dan Science Direct berdasarkan kriteria inklusi dan kriteria eksklusi yang ditetapkan. Dari hasil review, pasien dilakukan triase kondisi praktik melalui teledentistry untuk menilai perlu tidaknya tindakan perawatan gigi dan mulut secara langsung. Pasien yang terlanjur mendatangi unit perawatan gigi dilakukan screening, ditinjau kontak pasien dan lakukan strategi untuk menghindari prosedur yang menghasilkan aerosol, serta prosedur desinfeksi untuk praktek dokter gigi sebelum, selama, dan setelah setiap kunjungan pasien. Serangkaian rekomendasi dan standar diterapkan dalam konteks pandemi COVID-19. Ruangan diatur, menerapkan protokol kesehatan, penggunaan alat pelindung diri lengkap, meminimalisir tindakan aerosol generating procedure, prosedur desinfeksi, melakukan vaksin dan penerapan protokol kesehatan pada pasien dalam rangka menekan paparan COVID-19.
Penilaian Kinerja Rumah Sakit Metode Balanced Scorecard – Implementasinya Pada Dekade Ketiga : Scoping Review: - Lasma Frisca Yoselina Panjaitan; Amal Chalik Sjaaf; Roza Falinda
Jurnal Kesehatan Komunitas Vol 8 No 3 (2022): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol8.Iss3.1305

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Background : Balanced score card (BSC) has been for decades  used as a performance measurement tool in many healthcare setting including hospital. Hospital performance measurement is essential to gauge, spesifically during the covid-19 pandemic where many hospitals are experiencing difficulties to sustain. Balanced  Scorecard  (BSC) is one of the widely used method to improve hospital performance for it’s comprehensiveness. The method applied four perspectives, those are financial perspective, growth and learning, custumor, and internal process. The aim of this study is to review the development of BSC implementation in hospitals across the globe in the 3rd decade, and the benefit to implement in local hospitals. Method : Research method is scoping review. The search manually started by studying related articles. Key words used to search articles are  Hospital Performance  and Balanced Scorecard, hospital performance measurement through data base EMBASE, MEDLINE and PuBMed. Result : 400 records were identified and 23 underwent a full text review. 10 articles were included.  BSC in hospital setting has developed, not only as a performance evaluation tool but also to drive performance by integrating BSC as mapping strategy. This study shows that most hospitals still adapt the 2nd  generation of BSC,  mapping strategy.  Only one hospital performed the destination statement. A few of which applies it as a tool to measure performance Conclusion : BSC has been implemented as performance management tool in hospitals worldwide. There have been  improvements in the 3rd decade, its not only for monitoring performance as mapping strategy to approach hospital’s goals..
ENGAGING PATIENTS FOR PATIENT SAFETY: A QUALITATIVE STUDY ON HEALTHCARE RECIPIENTS’ PERSPECTIVES Ekorini Listiowati; Amal Chalik Sjaaf; Anhari Achadi; Adang Bachtiar; Merita Arini
Indonesian Journal of Health Administration Vol. 11 No. 1 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijha.v11i1.2023.67-80

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Background: Patient safety (PS) is a global priority for achieving quality healthcare. Although patient engagement (PE) is a crucial risk-reduction strategy, research on this subject in Indonesia is scarce. Aim: This study aims to explore healthcare recipients’ (HCRs’) perspectives and their potential role in PS. Methods: Exploratory qualitative research was conducted with in-depth interviews (IDIs). This study purposively selected fourteen patients and fifteen caretakers in chronic wards. Content analysis was subjected to the IDIs data that has been transcribed verbatim. Results: HCRs showed inadequate knowledge, perception, and willingness to engage in patient safety. Four themes were identified from data analysis: (1) complexity barriers to PE Implementation; (2) enabling factors for PE; (3) HCRs' expectations; and (4) existing and potential HCRs' roles in PS. HCRs' roles were still limited to communication, positive attitude and behavior, aided healthcare process, and error prevention. Conclusion: The limited roles of HCRs resulted from their unreadiness to participate more in PS. For patients to be engaged in safety measures, it was essential to improve the ability of patients and caregivers and eliminate obstacles encountered by healthcare professionals and the broader health system. Keywords: patient engagement, patient safety, quality healthcare
Analisis Pembiayaan Kesehatan Pegawai Pada Masa Pandemi Covid 19 Ulfia Mutiara Supatmanto; Amal Chalik Sjaaf
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (166.389 KB) | DOI: 10.36418/syntax-literate.v7i10.9711

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Peningkatan anggaran kesehatan pada Anggaran Pengeluaran dan Belanja Negara (APBN) sangat signifikan selama pandemi COVID 19. Alokasi belanja anggaran kesehatan diperoleh dari refocusing dan realokasi anggaran. Penelitian ini bertujuan untuk mengetahui besarnya peningkatan anggaran belanja kesehatan dan penggunaannya selama pandemi COVID 19 pada tahun anggaran 2020-2021 dibanding pada tahun anggaran 2019 dimana pandemi COVID 19 belum dimulai. Penelitian dilakukan secara kuantitatif dengan melihat laporan tahunan salah satu klinik kementerian pada tahun 2019 hingga 2021. Penelitian ini juga menggunakan wawancara kepada narasumber terkait penyusun dan pelaksana penggunaan anggaran. Hasil penelitian menunjukkan bahwa adanya peningkatan anggaran kesehatan hingga 11 kali lipat dibandingkan dengan anggaran sebelum pandemi berlangsung. Peningkatan anggaran ini dialokasikan untuk upaya pencegahan penularan COVID 19 serta tracing pegawai yang tertular COVID 19. Upaya pencegahan meliputi pemberian vitamin, susu, madu, hand sanitizer dan masker kepada pegawai secara berkala; penyediaan masker N95, gloves dan gown kepada petugas kesehatan; serta pemeriksaan swab secara rutin dan berkala bagi pegawai di lingkungan kementerian. Kesimpulan pada penelitian ini adalah ada peningkatan anggaran kesehatan yang sangat signifikan selama tahun 2020 hingga 2021 karena pandemi COVID 19 yang menunjukkan adanya upaya dari kementerian untuk melindungi pegawainya dari penularan COVID 19 secara maksimal.
Evaluasi Tahap Seleksi, Perencanaan Dan Pengadaan Obat Di RSUD Kembangan Roza Falinda; Helen Andriani; Amal Chalik Sjaaf
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.353 KB) | DOI: 10.36418/syntax-literate.v7i11.9914

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Komponen penting dalam menjamin mutu pelayanan pada ketersediaan obat di Instalasi Farmasi adalah pada tahap seleksi, perencanaan dan pengadaan Rumah Sakit. Penelitian ini merupakan studi kasus yang bertujuan untuk melihat gambaran pada tahapan seleksi, perencanaan dan pengadaan obat di RSUD Kembangan tahun 2021. Evaluasi dilakukan dengan mengukur nilai indikator terhadap standar yang berlaku. Penelitian ini bersifat deskriptif dengan data-data logistik farmasi pada tahap seleksi, perencanaan dan pengadaan Tahun 2021 yang dikumpulkan secara retrospektif. Daftar obat tersedia yang sesuai dengan DOEN (Daftar Obat Esensial Nasional) 60%. Jumlah item obat tersedia terhadap jumlah item obat pada kenyataan pemakaian 87%. Jumlah obat yang diterima secara riil terhadap jumlah yang direncanakan pada periode yang sama 98%. Ada beberapa nilai indikator dari hasil penelitian ini yang belum sesuai standar.
Self-Medication and Outpatient Care Utilization after Implementation of National Health Insurance in Indonesia Via Dolorosa Halilintar; Amal Chalik Sjaaf
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 2 (2019): August 2019
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.8291

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The implementation of National Health Insurance in 2014 is expected to increase access in health services while reducing the economic burden due to illness. This study aims to see how the behavior of people in choosing treatment when experiencing health problems, whether they tend to select self-medication or outpatient treatment. Quantitative analysis was carried out on variables previously formed based on the KOR Data questionnaire found in SUSENAS 2017. The results of the study showed that more respondents chose to do self-medication than those who accessed formal services with outpatient care. Multivariate tests show all variables except secondary education significantly influence individual decisions to self-medication.
Marketing Strategy of Teaching Hospital: Challenges For Teaching Hospitals in Indonesia Ardiansyah Ardiansyah; Amal Chalik Sjaaf
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v7i9.13965

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The increasing demands of the community for quality and affordable health services make hospitals have to always try to survive amid increasing competition. This article is a systematic review where data is taken from online databases such as ProQuest, Wiley Online, JStore, ScienceDirect, Embase, Scopus, and local journals (Garuda Portal, Jurnal Promkes) using the keywords "Strategy", and "Hospital Marketing", "Marketing". The search engine obtained 6234 international journals and 6 local journals. Then again sorting by year (starting from 2012 and above), duplication, type of article (journal, not systematic review), and full article only, then the final result is 7 titles. The result of this literature review article may provide experiences for directing future investigations regarding the marketing strategy of a teaching hospital. Thus, the findings of this article could help governments, universities, health providers, and academia to concentrate their efforts and policies on the development of the current teaching hospital, especially using marketing tools. Directions for improving the healthcare systems should mainly focus on reducing diseases, disabilities, and mortality among the population; improving the quality and accessibility of healthcare; and developing a competitive market of innovative medical services. The creation of an effective healthcare system could lead to improving the quality of life. Hospital marketing is an important element in introducing the hospital to the wider community. It is necessary to combine and coordinate related elements so that marketing programs can be carried out as effectively as possible.