Garuda - Garba Rujukan Digital

HUBUNGAN WAKTU TUNGGU PELAYANAN RAWAT JALAN DENGAN TINGKAT KEPUASAN PASIEN DI RSUD D.R M.M DUNDA LIMBOTO Nggule, Zulkifli; Antu, Moh. Ichsan A.; Rahman, Merlin Abd.
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.46250

Pelayanan kesehatan yang cepat dan efisien merupakan harapan utama pasien. Salah satu indikator mutu pelayanan rumah sakit adalah waktu tunggu, yang berpengaruh terhadap tingkat kepuasan pasien. Masalah utama dalam penelitian ini adalah masih adanya keluhan terkait lamanya waktu tunggu rawat jalan. Tujuan Penelitian untuk mengetahui hubungan antara waktu tunggu pelayanan rawat jalan dengan tingkat kepuasan pasien di RSUD Dr. M.M. Dunda Limboto. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional. Populasi dalam penelitian ini adalah seluruh pasien rawat jalan, dengan sampel sebanyak 100 responden yang dipilih menggunakan teknik purposive sampling. Variabel dalam penelitian ini terdiri dari waktu tunggu sebagai variabel independen dan kepuasan pasien sebagai variabel dependen. Instrumen pengumpulan data berupa kuesioner tertutup dengan skala Likert. Data dianalisis menggunakan uji korelasi Pearson. Adanya hubungan yang signifikan antara waktu tunggu pelayanan dengan tingkat kepuasan pasien (nilai p < 0,05), di mana semakin lama waktu tunggu yang dialami pasien maka tingkat kepuasan cenderung menurun. Ketidakpuasan pasien disebabkan oleh antrean yang belum optimal, keterbatasan jumlah tenaga medis, dan prosedur administrasi yang rumitWaktu tunggu pelayanan memiliki pengaruh signifikan terhadap kepuasan pasien. Oleh karena itu, manajemen rumah sakit perlu melakukan perbaikan sistem antrean, efisiensi proses administrasi, dan penyesuaian jumlah tenaga medis guna meningkatkan mutu pelayanan kesehatan.

HUBUNGAN KUALITAS PELAYANAN DENGAN KEPUASAN PENGGUNA MOBILE JKN PASIEN RAWAT JALAN DI RSUD OTANAHA TAHUN 2025 Mohamad Firmansyah Yunus; Moh Ichsan Arifin Antu; Merlin Abd Rahman
PRIMA WIYATA HEALTH Vol 6 No 2 (2025): Prima Wiyata Health: Juli 2025
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v6i2.96

Background: Digital transformation in public health services has led to the development of the Mobile JKN application by BPJS Kesehatan, aiming to improve access, efficiency, and quality of outpatient services. However, the implementation still faces challenges related to system reliability, user readiness, and service performance, especially in regional hospitals. Objectives: This study aims to evaluate the relationship between service quality dimensionsm (efficiency, fulfillment, and system availability and patient satisfaction with the use of the Mobile JKN application among outpatients at RSUD Otanaha, Gorontalo. Methods: A quantitative analytic study with a cross-sectional design was conducted in April 2025. A total of 97 respondents were selected using accidental sampling. Data were collected using a structured questionnaire based on the E-S-QUAL model, tested for validity and reliability. Data analysis included descriptive statistics and Spearman correlation using SPSS. Results: The majority of respondents rated the Mobile JKN service as “less good” in efficiency (35.1%) and system availability (41.2%), while 48.5% expressed being “less satisfied” overall. Correlation results showed a strong, positive, and significant relationship between efficiency (r = 0.748), fulfillment (r = 0.624), system availability (r = 0.739), and patient satisfaction (p = 0.000). The results also indicated that elderly patients with lower digital literacy experienced more difficulties using the application. Conclusion: The quality of digital health services, particularly in efficiency and system availability, significantly influences patient satisfaction. Targeted educational interventions and user support are crucial for ensuring equitable access to health technology among vulnerable groups such as the elderly.

HUBUNGAN PENGETAHUAN PASIEN RAWAT JALAN DENGAN PENGGUNAAN APLIKASI MOBILE JKN DI RSUD OTANAHA Clara Hijra Audia Hasan; Riska Ahmad; Moh Ichsan Arifin Antu
PRIMA WIYATA HEALTH Vol 6 No 2 (2025): Prima Wiyata Health: Juli 2025
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v6i2.97

Background: The Mobile JKN application is a digital innovation by BPJS Kesehatan designed to simplify public access to the National Health Insurance system. However, its adoption remains limited, partly due to patients’ lack of knowledge regarding the application’s functions and use. Objectives: This study aims to examine the relationship between the knowledge level of outpatients and their use of the Mobile JKN application at RSUD Otanaha in 2025. Methods: This research used a quantitative method with a cross-sectional design. A total of 97 outpatients were selected using the Slovin formula and accidental sampling technique. Data were collected using a structured questionnaire consisting of five indicators: know, comprehension, application, effort expectancy, and performance expectancy. Statistical analysis included univariate description and Pearson correlation to assess the relationship between knowledge and Mobile JKN usage. Results: The study revealed that most respondents rated the Mobile JKN application's efficiency (35.1%) and system availability (41.2%) as “less good,” while 48.5% expressed overall dissatisfaction. Pearson correlation analysis showed a strong and statistically significant relationship between patients’ knowledge and their perception of the application's usability and performance. Specifically, knowledge was strongly correlated with effort expectancy (r = 0.733) and performance expectancy (r = 0.819). Comprehension and application dimensions also demonstrated strong correlations with both effort and performance expectancy (r values ranging from 0.770 to 0.830, p < 0.001). Elderly users experienced more difficulties due to lower digital literacy. Conclusion: There is a significant relationship between patient knowledge and the use of the Mobile JKN application. Knowledge plays a key role in optimizing the application’s utilization. More intensive educational efforts are needed to empower patients to use the app independently as part of improved health service delivery.

ANALISIS KEBUTUHAN PETUGAS REKAM MEDIS PASCA IMPLEMENTASI REKAM MEDIS ELEKTRONIK (RME) MENGGUNAKAN METODE ABK-KES DI RSUD TOTO KABILA TAHUN 2025 Putri Rahmawati Sujitno; Merlin Abd Rahman; Moh Ichsan Arifin Antu
PRIMA WIYATA HEALTH Vol 6 No 2 (2025): Prima Wiyata Health: Juli 2025
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v6i2.98

Background: The Health Workload Analysis (ABK-Kes) method is a standardized approach used to calculate the need for healthcare personnel based on actual workloads in each functional unit. Following the implementation of the Electronic Medical Record (EMR) system at RSUD Toto Kabila, several disparities in workload distribution were observed, with some staff, particularly in the analysis unit, assigned overlapping tasks. This condition led to inefficiencies and an imbalance in human resource deployment. Objectives: This study aimed to analyze the ideal number of medical record personnel required after the implementation of the Electronic Medical Record (EMR) system at RSUD Toto Kabila in 2025 using the Health Workload Analysis (ABK-Kes) method, in order to ensure optimal human resource distribution and workload efficiency. Methods: This research employed a quantitative descriptive design. All medical record officers at RSUD Toto Kabila were included using total sampling. Data were collected through observation, structured interviews, stopwatch timing, and document review. The ABK-Kes method was applied to calculate workload volume, effective working time, and standard time per task in each unit. Results: The results indicated that the ideal staffing needs include 3 officers in outpatient registration, 2 in inpatient/ER registration, 4 in analysis, 5 in coding, 2 in filing, and 1 in reporting. Staffing shortages were identified in the inpatient registration and analysis units, while other units met or exceeded requirements. An imbalance in task distribution was found, especially in cases where one officer performed duties across multiple units. Conclusion: The implementation of the EMR system has created changes in workload distribution among medical record officers. The ABK-Kes method provides a structured basis for evaluating staffing needs. Periodic evaluation and strategic workforce planning are necessary to ensure balanced workloads and improved data accuracy in EMR management.

GAMBARAN PENGGUNAAN SISTEM E-PUSKESMAS DENGAN METODE PIECES DI PUSKESMAS TELAGA KABUPATEN GORONTALO Bahu, Nofanrawati; Rahman, Merlin Abd.; Antu, Moh. Ichsan A.
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.48861

Penerapan sistem informasi kesehatan berbasis digital menjadi strategi utama dalam meningkatkan mutu pelayanan kesehatan primer di Indonesia. Salah satu bentuk implementasi transformasi digital tersebut adalah sistem e-Puskesmas, yang bertujuan mendukung efisiensi, keamanan, dan akuntabilitas dalam pencatatan serta pelaporan data kesehatan. Penelitian ini bertujuan untuk menggambarkan penggunaan sistem e-Puskesmas di Puskesmas Telaga Kabupaten Gorontalo dengan menggunakan pendekatan metode PIECES (Performance, Information, Economy, Control, Efficiency, Service), yang difokuskan pada tiga aspek utama: ekonomi, kontrol, dan efisiensi. Penelitian ini menggunakan metode kualitatif dengan pendekatan deskriptif. Data dikumpulkan melalui wawancara mendalam, observasi lapangan, dan dokumentasi. Informan penelitian terdiri dari kepala puskesmas, petugas layanan kesehatan, dan operator sistem. Analisis dilakukan menggunakan tahapan reduksi data, penyajian data, dan penarikan kesimpulan tematik. Hasil penelitian menunjukkan bahwa penerapan e-Puskesmas memberikan dampak positif dalam penghematan kertas dan efisiensi pencatatan. Namun, tantangan masih ditemukan, seperti biaya operasional tinggi, keterbatasan akses jaringan internet, dan lemahnya kontrol akun pengguna. Sistem juga belum sepenuhnya efisien karena petugas masih melakukan pencatatan ganda saat sistem mengalami gangguan. Kesimpulan dari penelitian ini menunjukkan bahwa sistem e-Puskesmas sudah cukup mendukung pelayanan, tetapi masih perlu ditingkatkan dalam aspek infrastruktur, keamanan, dan integrasi sistem. Penelitian ini diharapkan menjadi masukan untuk pengembangan sistem informasi kesehatan yang lebih baik.

OPTIMALISASI PEMUSNAHAN BERKAS REKAM MEDIS DALAM MENGHADAPI ERA DIGITALISASI DATA RUMAH SAKIT DI RSIA SITTI KHADIJAH GORONTALO Olii, Yogi Triadmo; Antu, Moh. Ichsan A.; Ahmad, Riska
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.49162

Perkembangan era digital mendorong rumah sakit untuk beralih dari pengelolaan arsip rekam medis fisik ke sistem Rekam Medis Elektronik (RME). Namun, di RSIA Sitti Khadijah Gorontalo, penumpukan berkas rekam medis yang sudah tidak aktif masih terjadi akibat belum optimalnya pelaksanaan pemusnahan. Kondisi ini menimbulkan keterbatasan ruang penyimpanan, inefisiensi kerja, serta potensi gangguan keamanan dan kerahasiaan data pasien. Penelitian ini bertujuan untuk menganalisis prosedur pelaksanaan, kendala, dan kesiapan rumah sakit dalam optimalisasi pemusnahan berkas rekam medis pada era digitalisasi. Penelitian menggunakan metode deskriptif kualitatif dengan teknik purposive sampling terhadap lima informan, yang terdiri dari kepala instalasi rekam medis, petugas rekam medis, staf IT, dan manajemen. Data diperoleh melalui wawancara mendalam, observasi, dan dokumentasi, lalu dianalisis secara tematik. Hasil penelitian menunjukkan bahwa meskipun prosedur pemusnahan telah diatur melalui SOP, pelaksanaan belum maksimal karena keterbatasan sarana seperti mesin penghancur dokumen, kurangnya SDM khusus, dan minimnya pemahaman petugas terhadap regulasi retensi dan pemusnahan. Kesiapan digitalisasi sudah cukup baik dengan 90% data beralih ke RME, namun masih terdapat formulir manual yang digunakan. Disimpulkan bahwa optimalisasi pemusnahan memerlukan peningkatan fasilitas, penguatan kompetensi SDM, dan penegakan SOP secara konsisten untuk mendukung transformasi digital rumah sakit.

GAMBARAN PENERAPAN REKAM MEDIS ELEKTRONIK TERHADAP EFEKTIVITAS WAKTU TUNGGU PELAYANAN PASIEN RAWAT JALAN DI RUMAH SAKIT BHAYANGKARA GORONTALO Djailolo, Nurfadila; Antu, Moh. Ichsan A.; Katili, Rismunandar
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.49683

Rekam Medis Elektronik (RME) merupakan inovasi digital dalam pelayanan kesehatan yang diharapkan dapat meningkatkan efisiensi pelayanan, khususnya dalam menekan waktu tunggu pasien. Rumah Sakit Bhayangkara Gorontalo mulai menerapkan RME sejak Maret 2023 untuk mempercepat proses pendaftaran pasien rawat jalan. Namun, dalam praktiknya masih ditemukan kendala dari aspek struktur, proses, dan hasil pelayanan. Tujuan Penelitian ini bertujuan untuk menggambarkan penerapan RME terhadap efektivitas waktu tunggu pasien rawat jalan di Rumah Sakit Bhayangkara Gorontalo. Metode Penelitian menggunakan metode kualitatif dengan pendekatan deskriptif. Data diperoleh melalui wawancara mendalam, observasi langsung, dan studi dokumentasi, dengan informan terdiri atas petugas pendaftaran, kepala instalasi rekam medis, duta Mobile JKN, dan pasien rawat jalan. Analisis data dilakukan secara tematik berdasarkan kerangka Donabedian (struktur, proses, hasil). Hasil Penelitian menunjukan bahwa Penerapan RME memberikan perubahan positif dalam mempercepat proses pendaftaran dan memudahkan akses data pasien, sehingga waktu tunggu berkurang dibandingkan sistem manual. Namun, kendala masih dijumpai pada keterbatasan sarana komputer, gangguan jaringan internet, serta error sistem yang menyebabkan keterlambatan pelayanan. Tingkat kepuasan pasien menunjukkan perbaikan meski belum optimal. Kesimpulannya penerapan RME di Rumah Sakit Bhayangkara Gorontalo mampu meningkatkan efektivitas waktu tunggu pasien rawat jalan, meskipun diperlukan peningkatan infrastruktur, pelatihan SDM, dan penguatan sistem agar manfaatnya lebih maksimal.

IMPLEMENTASI REKAM MEDIS ELEKTRONIK (RME) RAWAT JALAN DI RSUD TOTO KABILA BONE BOLANGO Fassyalina Khayla Badu; Moh Ichsan Arifin Antu; Riska Ahmad
MOTORIK Jurnal Ilmu Kesehatan Vol 20 No 2 (2025): September
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/motorik.v20i2.1743

The implementation of electronic medical records (EMR) as a computerized health information system has become a strategic focus in modernizing hospitals in Indonesia. RSUD Toto Kabila Bone Bolango has adopted this system for outpatient services since early 2025. However, the implementation process still faces several challenges, including limited network infrastructure, uneven staff training, high dependence on IT teams, data input errors, and suboptimal system utilization by medical personnel. This study aims to explore the implementation of EMR at RSUD Toto Kabila and analyze its impact on service efficiency and healthcare worker readiness. The research used a qualitative approach with phenomenological methods and triangulation techniques, including interviews, observation, and documentation. Conducted from April to June 2025, the study involved seven informants: the head of the medical record unit, IT staff, and outpatient medical personnel. The findings show that EMR implementation has had a positive impact on service efficiency, workflow acceleration, and reduced reliance on paper-based records. Nevertheless, structural issues such as unstable connectivity and competency gaps among professions hinder optimal system use. Strategic improvements in cross-professional training and digital culture reinforcement are needed to ensure the sustainability of electronic health information systems in healthcare facilities.

IMPLEMENTASI SISTEM RUJUKAN TERINTEGRASI (SISRUTE) INSTALASI GAWAT DARURAT DI RSUD TOTO KABILA Trilaila Kadir; Riska Ahmad; Moh Ichsan Arifin Antu
MOTORIK Jurnal Ilmu Kesehatan Vol 20 No 2 (2025): September
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/motorik.v20i2.1744

The Integrated Referral System (SISRUTE) is a technological innovation in health services designed to accelerate, simplify, and clarify the patient referral process between healthcare facilities electronically. This system plays a crucial role, especially in emergency services that demand rapid and accurate coordination. However, its implementation at RSUD Toto Kabila remains suboptimal. Key issues include the absence of written Standard Operating Procedures (SOP), limited technical training for health personnel, and unstable internet connectivity. This study aims to describe the implementation of SISRUTE at the Emergency Department of RSUD Toto Kabila Bone Bolango and identify obstacles encountered during the process. This is a qualitative study using a phenomenological approach and source triangulation technique. The research was conducted from May to June 2025 involving five informants from medical and administrative personnel. The findings reveal that SISRUTE implementation is still partial and heavily reliant on admission staff, with minimal involvement from doctors and nurses. The application tends to be slow in emergency situations, and the referral flow is not yet standardized. The study concludes that managerial improvements, cross-professional training, and reinforcement of a technology-oriented work culture are essential to ensure effective and sustainable implementation of SISRUTE.

Pengaruh Rekam Medis Elektronik Terhadap Tingkat Kualitas Pelayanan Pada Pasien Rawat Jalan Di RSUD Toto Kabila Tahun 2025 Saputra Usman, Moh. Rizky; Arifin Antu, Moh Ichsan; Rahman, Merlin Abd.
Cerdika: Jurnal Ilmiah Indonesia Vol. 5 No. 9 (2025): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v5i9.2836

Penerapan Rekam Medis Elektronik (RME) merupakan bagian penting dalam upaya peningkatan kualitas pelayanan kesehatan di rumah sakit. Penelitian ini bertujuan untuk mengetahui pengaruh RME terhadap kualitas pelayanan pada pasien rawat jalan di RSUD Toto Kabila tahun 2025. Metode yang digunakan adalah kuantitatif dengan pendekatan deskriptif analitik. Pengumpulan data dilakukan melalui kuesioner berdasarkan lima dimensi SERVQUAL, yaitu Tangibles, Reliability, Responsiveness, Assurance, dan Empathy, dengan jumlah responden sebanyak 100 orang. Hasil penelitian menunjukkan bahwa seluruh dimensi kualitas pelayanan memiliki pengaruh signifikan terhadap penerapan RME. Dimensi Tangibles merupakan faktor yang paling dominan, yang mencakup fasilitas fisik dan tampilan sistem pelayanan elektronik. Hal ini menunjukkan bahwa infrastruktur dan sarana yang memadai sangat berperan dalam membentuk persepsi positif pasien terhadap pelayanan rumah sakit. RME dinilai mampu meningkatkan efisiensi, mempercepat proses layanan, dan meningkatkan kepuasan pasien. Oleh karena itu, penguatan dukungan teknologi dan SDM sangat diperlukan.

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