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The Influence of Patient Engagement and Effective Communication on ED Image with Service Quality as a Moderating Variable Athika Rodhya; Rokiah Kusumapradja; Wahyuni Dian
Management Dynamics: International Journal of Management and Digital Sciences Vol. 2 No. 3 (2025): International Journal of Management and Digital Sciences
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/managementdynamics.v2i3.288

Abstract

This study investigates the influence of patient involvement and effective communication on the image of the Emergency Department (ED) at Dr. Dradjat Prawiranegara Regional Hospital in Serang, with service quality acting as a moderating variable. Utilizing a quantitative research method, data were collected through questionnaires distributed to 315 patients who received emergency care services between October 1 and November 1, 2024. The data were analyzed using multiple regression analysis and Moderated Regression Analysis (MRA). The findings show that patient involvement has a significant and positive impact on the image of the ED, while effective communication alone does not show a statistically significant effect. However, service quality positively moderates the relationship between effective communication and the ED’s image, enhancing its influence. In contrast, service quality does not moderate the relationship between patient involvement and ED image. These results highlight the importance of engaging patients in medical decisions and ensuring effective communication strategies supported by high service quality to enhance the institutional image of emergency healthcare services. The study suggests that hospital management should develop integrated service improvement policies focusing on staff communication training, patient-centered care practices, and continuous quality improvement. It also recommends further qualitative studies to explore deeper insights into patient experiences and to examine other hospital departments to broaden the understanding of healthcare service quality's role in shaping hospital image.
The Influence of SI-RS Development and Computer Self-Efficacy on the Implementation of EMR Mediated by Barrier Self-Efficacy at Firdaus Hospital Erish Harry Angkat; MF. Arrozi Adhikara; Wahyuni Dian
Jurnal Cinta Nusantara (JCN) Vol. 1 No. 2 (2023): JURNAL CINTA NUSANTARA
Publisher : CV. Bunda Ratu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63754/jcn.v1i2.22

Abstract

Health technology transformation is realized through development and utilization technology, digitalization, as well as bio-technology. The implementation of health technology transformation that has been carried out by the Ministry of Health is the enactment of Minister of Health Regulation Number 24 of 2022 concerning Medical Records which requires all hospitals to maintain electronic medical records (EMR) no later than 31 December 2023. The aim of this research namely to analyze the influence of the development of SI-RS and computer self-efficiency on the implementation of EMR which is mediated by self-efficacy barriers at Firdaus Hospital. The research method used is an associative quantitative research method. This research was conducted on medical service and examination officers with a population of 261 people. The sample used was 110 people who were calculated proportionally. This research uses path analysis and regression analysis techniques. The results of this study indicate that the simultaneous development of SI-RS and computer self-efficiency have an effect on the implementation of EMR which is mediated by self-efficacy barriers, partial development of SI-RS has no effect on self-efficacy barriers, computer self-efficiency partially influences barrier self-efficacy, barrier self-efficacy partially influences EMR implementation, SI-RS development partially influences EMR implementation, and computer self-efficacy partially influences EMR implementation.
Ketersediaan Tempat Tidur sebagai Determinan Utama Boarding Time Dari Instalasi Gawat Darurat ke Rawat Inap RSUD Jatisampurna Kota Bekasi Teresia, Sannauli Teresia Manik; Wahyuni Dian; Ratna Indrawati
EKOMA : Jurnal Ekonomi, Manajemen, Akuntansi Vol. 5 No. 4: Mei 2026
Publisher : CV. Ulil Albab Corp

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/ekoma.v5i4.15864

Abstract

Peningkatan responsivitas dan ketersediaan sumber daya di rumah sakit dapat meningkatkan koordinasi antarunit. Oleh karena itu, para pemangku kepentingan diharapkan dapat mengurangi lama waktu tunggu di Instalasi Gawat Darurat (IGD). Studi ini bertujuan untuk menganalisis pengaruh respons dari Dokter Penanggung Jawab Pelayanan (DPJP) dan ketersediaan tempat tidur terhadap Boarding time IGD–rawat inap dengan koordinasi antarunit sebagai variabel mediator di RSUD Jatisampurna. Desain penelitian ini bersifat analitik kuantitatif dengan pendekatan cross-sectional, melibatkan 42 responden sebagai tenaga kesehatan yang terlibat dalam proses penerimaan pasien rawat inap di ED, yang dilakukan antara Oktober hingga Desember 2025 di RSUD Jatisampurna. Sampel diambil menggunakan teknik sampling Jenuh (full sampling). Variabel dalam penelitian ini adalah Tanggapan dari DPJP dan Ketersediaan Tempat Tidur sebagai variabel independen, Waktu Penempatan sebagai variabel dependen, dan Koordinasi antarunit sebagai variabel mediasi. Alat penelitian berupa kuesioner terstruktur dan lembar observasi, menggunakan skala Likert 4 poin. Data dianalisis menggunakan Partial Least Squares–Structural Equation Modeling (PLS-SEM). Hasil menunjukkan bahwa Respons dari DPJP dan Ketersediaan Tempat Tidur memiliki efek langsung dan tidak langsung terhadap Waktu Penempatan, baik signifikan maupun tidak signifikan tergantung pada jalur yang diuji. Variabel independen yang dominan adalah Ketersediaan Tempat Tidur.