Media Penelitian dan Pengembangan Kesehatan
Vol. 35 No. 2 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN

INTERVENSI LEAN-MED BERBASIS DATA EPIDEMIOLOGIS LOKAL DALAM MENURUNKAN WAKTU TUNGGU PASIEN RAWAT JALAN DI RUMAH SAKIT RUJUKAN SAMARINDA

Ardan, M. (Unknown)
Rahman, Ferry Fadzlul (Unknown)



Article Info

Publish Date
28 May 2025

Abstract

Outpatient waiting time remains a persistent challenge in hospital management, especially amid rising service demands and patient expectations. This study applied a Lean Management for Healthcare Delivery (Lean-Med) intervention based on epidemiological findings, including peak visit times, patient distribution per clinic, and staff workload imbalances. A quasi-experimental pre–post design was used involving 120 respondents (60 pre- and 60 post-intervention) selected via purposive sampling across three priority clinics: internal medicine, neurology, and pulmonology. The intervention included digital queue systems, physician schedule adjustments, and pharmacy service optimization.Paired t-test analysis showed a significant reduction in total waiting time from 129 to 69 minutes (46% decrease, p < 0.001). All service components, from registration to medication retrieval, saw statistically significant reductions. Patient satisfaction improved from 3.3 to 4.2 (p < 0.001), especially regarding information clarity, waiting time, and service accuracy. Healthcare staff workload was more evenly distributed (p = 0.012), notably in pulmonology after the addition of personnel, reducing clinical load from 37.8 to 28.3 patients per provider. These findings affirm that Lean-Med, when aligned with epidemiological insights, offers a transformational strategy for improving hospital service delivery and responsiveness under high patient volume conditions.

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Journal Info

Abbrev

jmp2k

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Environmental Science Medicine & Pharmacology

Description

Media of Health Research and Development is a journal that was developed to disseminate and discuss scientific papers on health development and other research of health. The journal is intended as a medium of communication for those who were interested to study health, among others, for researchers, ...