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Andriani, Helen
Departemen Administrasi Dan Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Indonesia, Depok, Indonesia
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The ANALISIS HUBUNGAN KEPATUHAN DOKUMENTASI DISCHARGE PLANNING DENGAN LAMA RAWAT INAP DAN READMISI PADA PASIEN STROKE DAN CEDERA KEPALA DI RUMAH SAKIT AWAL BROS PEKANBARU Ruth Hutagalung; Helen Andriani
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.936

Abstract

Stroke and traumatic brain injury are commonly associated with prolonged hospital stay and readmission. Effective discharge planning is essential to ensure continuity of care; however, documentation compliance remains suboptimal. The objective of this research is to examine the association between discharge planning documentation compliance based on the METHOD and IDEAL models and length of hospital stay and 30-day readmission among stroke and traumatic brain injury patients. A quantitative analytical observational study with a retrospective cross-sectional design was conducted using medical records of 111 stroke and traumatic brain injury patients admitted to Awal Bros Hospital Pekanbaru between October and December 2025. Data were analyzed using Spearman's correlation, Mann–Whitney U, Kruskal–Wallis, multiple linear regression, and logistic regression. Source triangulation through confirmatory interviews with healthcare professionals was performed to validate discharge planning implementation. Poor discharge planning documentation was identified in 51.4% of the METHOD model and 44.1% of the IDEAL model. The IDEAL score showed a weak positive association with length of hospital stay (r=0.194; p=0.042), whereas the METHOD score was not significant. Neither model was associated with 30-day readmission (p>0.05). Comorbidity and complete functional dependence were significant predictors of prolonged hospitalization. Source triangulation confirmed that discharge planning was routinely implemented, although documentation remained incomplete, particularly in patient education, medication management, and dietary counseling. Discharge planning documentation showed a weak association with length of hospital stay but not with 30-day readmission. Strengthening documentation quality and multidisciplinary coordination is essential to improve continuity of care.
Co-Authors Acintya Wika Sitakusuma Afiyani, Nadia Ahmat Yurdiansyah Alexander Waits Alphyyanto E. Sutrisno Andriyanto, Dendhi Bagus Arofah, Sari Nur Arsyi, Miftahul Ayudewi Komala Indriastuti Balgis Alzagladi Basabih, Masyitoh Dewi Laksmi Dewi, Inaz K. Dharmaningsih, Dwi Dhima Paramitha Oktacynara Dwi Dharmaningsih Erlin Friska Evarista Theofika Fajarwati, Sinta Fandianto, Yusron Febrianti, Icha Tiara Devi Friska, Erlin Grara Vema Tuzauna Grara Vema Tuzauna Hairi, Farizah M. Helvira Helvira Ilyas, Jaslis Inaz Kemala Dewi Indah Prihatin Irmawati Irmawati Kartika Malahayati Katon, Hilda Sri Khairunnisa, Dhiennada Putri Kiranti, Mutiara Larasati, Clara Niken Maharani Sylvia Rindawati Masita, Maya MELIA ROZA Melia Roza Miftahul Arsyi Mirah Wijaya Munthe, Sarah Narumi Nabila, Nasrin Nasrin Nabila Naufal Hilmi Marzuq Nisa, Sefria Nora Fitria Tu Novi Handoko Nurjaman, Evelina Endang Nurul D. Rahmawati Oktaviani, Ulfa Pattyranie, Hermansyah Permanasari, Vetty Yulianty Pertiwi, Khairunnisa Cahya Pertiwi, Revita Anisa Pita Aprilia Pratiwi Ananta A Pujiyanto Puput Oktamianti Putri, Cahya Adriani Raafiana, Mirna Rahmawati, Nurul D. Rasendah, Rasendah Rendra Fariadi Rini, Tia Aditya Roza Falinda Rusmawati, Sisca Ruth Hutagalung Saly Salim Saleh Alatas Sandry Tri Sumarni Saputra, Ade Akhmad Septian Ekawati Silalahi, Ronauli Margaretha Siti Nurhaliza Sjaaf, Amal Chalik Suprihati - Suryana, Icha Sutrisno, Alphyyanto E. Suwandi, Indah Pratiwi Tahir, Hadijah Ulfa Oktaviani Waits, Alexander Widya P Sakul Yohana Septiani Merrynda yongky tamigoes Yoseva, Veronica