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Implementasi Lean Hospital dalam Menurunkan Waktu Tunggu Obat Pasien Rawat Jalan Instalasi Farmasi RSUD Dr Saiful Anwar (RSSA) Jawa Timur Widyastuti, Indri; Widya, Reta Anggraeni; Hamidah, Rif'atul; Risnawati, Vina
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol. 17 No. 1 (2025): Jurnal Farmasi Indonesia
Publisher : Pengurus Pusat Ikatan Apoteker Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35617/jfionline.v17i1.343

Abstract

The minimum service standards (MSS) for drug service- waiting time (26,16%) has not been achieved and the low usage of free delivery services (RAOS SAE) led Pharmacy Department to improve the services with lean hospital management approach. This research aimed to shorten the drug service waiting time at JKN outpatient pharmacy unit with lean hospital management concept. This research was designed with Participation action research (PAR) approach. The data obtained through observations and interviews, analyzed by comparing the waiting time of prescription screening and drug service time with independent t-test comparison.  There were 4 wastes resolved out of 8 wastes that successfully identified, They were; flow of personnel and prescriptions which did not match the process (motion and transportation), The time for  prescriptions screening (waiting) is too long, and the officer could not do the job effectively because of the slowness of online system. (Non Uti talent). The result of implementation decreased the waiting time of prescription screening from 73 minutes to 61 minutes, and the mean of drug service waiting time decreased from 101 minutes to 63 minutes. Comparing the data before and after lean management application for prescription screening waiting time did not statistically different p>0,05 (p=0,057), this activity increased the usage of RAOS SAE, reducing the number of overtime officer at JKN outpatient pharmacy unit. The implementation of lean hospital management reduced drug service waiting time, even though unachieved the MSS yet. There were external factors that could not be controlled causing insignificant decreases. Several improvements need to be done to achieve the established standards.
Exploring The Impact Of Service Quality On BPJS Patient Satisfaction In Hospitals: A Scoping Review Widyastuti, Indri; Hamidah, Rif'atul; Kusumawati, Silvia Dewi; Ratnawati, Ratnawati
Management Science Research Journal Vol. 3 No. 4 (2024): November 2024
Publisher : PT Larva Wijaya Penerbit

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56548/msr.v3i4.125

Abstract

One of the key initiatives to regulate the healthcare system in Indonesia is the establishment of the National Health System, implemented through the BPJS program. Previous research has investigated the impact of healthcare service quality in hospitals on patient satisfaction among BPJS participants. This scoping review aims to map existing research on the relationship between service quality and BPJS patient satisfaction in hospitals. The stages of a scoping review consist of (1) Formulating the research question; (2) Identifying relevant literature; (3) Selecting studies; (4) Mapping the data; and (5) Summarizing, synthesizing, and reporting the results. The studies included in this review cover eight years from 2015 to 2023. The results indicate that all dimensions of service quality significantly influence patient satisfaction (Lahdji et al., 2015; Mukaromah et al., 2022; Natassa & Dwijayanti, 2019; Putri et al., 2016; Tridiyawati & Prahasta, 2022). However, as highlighted by Amalia et al. (2023), Fajri (2016), Pramita et al. (2019), Rahmadani et al. (2021), and Widyastuti et al. (2018), certain dimensions of service quality have a notable impact on patient satisfaction, while others do not.