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LEAN METHOD IMPLEMENTATION TO REDUCE OVERCROWDING IN THE EMERGENCY DEPARTMENT: A SYSTEMATIC REVIEW Asti Arieyani; Dumilah Ayuningtyas
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Throughout the world, emergency departments (ED) are characterized by overcrowding and excessive waiting times. Furthermore, the related delays significantly increase patient mortality and make inefficient use of resources to the detriment of the satisfaction of employees and patients. Lean thinking is a philosophy that focuses on eliminating waste or non-value added elements from the processes so that customers are given greater value. Therefore, many Emergency Departments have begun to apply lean as a way to fight against the problems of crowding, delays and medical incidents.Methods: Eligible studies for this systematic review constitute result summarized that lean method implementation was capable of reducing overcrowding in Emergency Departement. The journal employed in this systematic review sourced from ProQuest, Pubmed, and Google Scholar, whereas the analyzed journals were seven journals.Results: From the total of seven journals reviewed, the studies analyzed the result after implementing the lean method in the Emergency Department. In addition, all of the studies were reported successful in implementing lean intervention. Several studies explained that lean method implementation was capable of reducing waiting time, staying length, and the proportion of patients leaving without being seen in the emergency department. One study suggested that reducing radiography transportation time can reduce turnaround time and can help improve the Emergency Department flow.Conclusion: Lean method implementation can contribute to a decrease in waiting time, stay length, and the proportion of patients leaving without being seen. According to the results of the study, the lean implementation identifies that the lean is capable of decreasing waiting times, stay length, and the proportion of patients leaving without being seen. There must be a policy that governs the lean process. Lean can inspired changes to employee roles, staffing and scheduling, communication and coordination, expertise, workspace layout, and problem-solving.

STRATEGY FORMULATION FOR HOSPITALS IN REMOTE AREAS: CASE STUDY OF X HOSPITAL, WEST BORNEO PROVINCE, INDONESIA, 2019 Dewi Citra Puspita; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Located in remote area, X Hospital is facing various challenges as a private non-profit class C hospital. Therefore, it needs to develop an appropriate strategic plan for the year 2020-2024 to overcome challenges and achieve its vision. This study is aimed at identifying the strengths, weaknesses, opportunities and threats from internal and external strategic factors, determine strategic positioning, and formulate alternative strategies for X Hospital. Method: This is a preliminary study with qualitative - exploratory design. Data were collected through in-depth interviews, group discussions and observation. The interviews were conducted with 7 key informants holding strategic management positions. This study was conducted in two in-depth stages using Consensus Decision Making Group (CDMG) method to avoid bias. Data were analyzed using Internal Factor Evaluation (IFE) and External Factor Evaluation (EFE) matrixes at the input stage and Internal External (IE) and Threat Opportunity Weakness Strength (TOWS) matrixes at the matching stage. This study was conducted at X Hospital, West Borneo Province, Indonesia, from March to April 2019. Results: The IFE final score was 2.38 with strength (1.68) greater than weakness (0.70) and EFE score of 2.16 with threats (1.10) greater than opportunities (1.06). Such input stage results indicate that X Hospital has average response in utilizing its internal and external strategic factors where strengths are more prominent than weaknesses but the threats are still overshadowing its opportunities. Consequently, the results of matching stage place X Hospital on the position of hold or maintain strategies and formulate 11 alternative strategies that focus on market or product development. Conclusions: X Hospital is currently on a strategic position to develop its services as the basis for the five-year strategic planning. A new policy should be made to encourage the establishment of a network with private hospitals to promote healthcare in remote areas.

HALAL FOOD SUPPLY MOTIVATION FOR MUSLIM PATIENTS Elsa Primasari; Wahyu Sulistiadi
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: The obligation of consuming halal food for muslims as a religious requirement. Unfortunately in Indonesia not all hospital provide health service that are capable of providing halal food and offering Halal certification food. This might cause patient to feel distrust and discomfort. Therefore, all reliable stakeholder are expected to have the motivation and commitment to guarantee halal food in the hospital services. This study aimed to analyze the providers’ (hospitals’) motivation to provide halal food for their Muslim patients according to Islamic rule.Methods: This study employed a systematic review to observe articles related to halal food awareness and halal food certification in Indonesia and other countries that serve Muslim consumers, which have been published online in the accredited journal, such as Scopus journals, ProQuest journals, and Google Scholar. The inclusion criteria employed in this study were halal Food, certification, academic journals, and full papers. This searching was limited to articles in the last ten years, except the articles which are not related to the theme. PRISMA method was implemented to assess the selected articles critically. The article searching was based on Halal Food keywords in ProQuest, Scopus, and Google Scholar. The full inclusion tests resulted in one thousand three hundred seventy articles; however, after conducting the inclusion and exclusion, the researcher obtained five articles.Results: The researchers found that hospitals, both in the Muslim majority and minority places, were not fully aware of halal food services. Nevertheless, few Islamic hospitals have Halal Assurance certification in providing their food due to the Sharia accreditation requirement. The low interest in obtaining the Halal Guarantee certification was due to several problems, such as lack of knowledge about halal, financial problems, and government support.Conclusions: The need of awareness of hospital as a health service provider to provide a halal food for muslim patient by participating in the implementation of Halal Food Guarantee Certification.

SPECIAL DENTAL CASE SHEET AS A MEDICAL AND FORENSIC COMMUNICATION TOOL Irin Kirana; Wahyu Sulistiadi; Tjen Dravinne Winata
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: The implementation of the International Classification of Diseases, Tenth Edition (ICD-10 codes) in the medical records serving as the humanitarial tools for practitioners is to establish treatment procedures for re-admitted patients in a hospital. Medical records serves as a tool in determining the appropriate treatment for each patient. But in reality, has never the ICD-10 been applied to the Electronic Medical Record Management. For it to be used as a humanitarian tool, it has first to be used as legal evidence in the court as a written legal system in Indonesia. However, the implementation by the lawyers and relevant officers is under the progress. The result of the previous research showed on the Dental Professionals’ Medical Record Form in 2014 at FKG Usakti [29] had determined the need for special dental case sheets as a humanitarian tool between practitioners and dentists. The Special Sheet should meet the specific requirement to be utilized in a class A hospital and it also needs to be standardized with the Indonesian National Police. Methods: In this Systematic Review, the researchers conducted a Proquest database published from January 2012 to June 2019. 10 relevant studies of the medical records were selected as a humanitarian tool in Disaster Victim Identification (DVI) done by the dentist.Results: From 10 present studies and previous studies [29] conducted by the researcher, it had succesfullyidentified the importance of medical record management as a humanitarian tool between practitioners and dentists in hospitals.Conclusion: Special Dental Case Sheet is required for the implementation of collective information which serve as a general humanitarian tool among health professionals. It is required as a comparative data in the identification process if the related patients are the disaster victims.

ANALYSIS EFFECTIVITAS RELATING TO THE WAITING TIME IN CT SCANNING PROCEDURE BASED ON THE MALCOM BALDRIDGE APPROACH ON OUTPATIENT TREATMENT PATIENTS AT THE RADIOLOGY INSTALLATION OF THE CENTRAL POLICE HOSPITAL R. SAID SUKANTO Leti Ratna Kusumawati; Munir Munir; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Introduction: Hospitals have the mission to provide excellent, comprehensive and standardized medical services in the context of improving people’s health conditional through among others reduced waiting time. Waiting time is the time used by a patient to receive health services beginning from at the registration counter to the doctor’s examination room. Method: This research used the Qualitative study. The research was conducted from April 2019 through May 2019 at the Outpatient Treatment Unit of the Radiology Installation of the Central Police Hospital R. Said Sukanto Jakarta The informants in this research were chosen based on the principle of suitability and sufficiency namely 8 informants; they were head of the Radiology Installation, a radiologist, a senior supervisor or radiographer, a registration counter officer, a nurse and 3 selected patients. The data collected in this study was primary data namely through in-depth interviews and direct observation, while secondary data was obtained through document reviewing. Analysis using Malcolm Baldrige frameworkResults: The result of this study indicates that the waiting time in CT Scanning procedures average 3 hours 1 minute and 25 seconds, which exceeds the standard stipulated by the Ministry of Health of the Republic of Indonesia the standard time ≤ 3 hours. Assessment aspect of Malcolm Baldrige the best is aspect organization profile, leadership and customer/ patient focus, an aspect have substantial effect on the waiting time in CT Scanning procedures. Mismatch between the theory and the result of this study may be caused by limitation in the research.Conclusion: In principle, services are already good except for few matters that need improvement namely on customer/patient care, strategic planning, measurement of analysis and management of knowledge as well as results in the organization.

THE ROLE OF HOSPITAL MARKETING MIX TO THE SELECTION OF THE HOSPITAL CONSUMER Mardiah Mardiah; Sulistiadi Wahyu
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: The significant growth of hospital both of private and public hospital, additions requiring productive marketing strategy to sustained and increase consumers. Concept of 7p was developed from concept of 4p to create transparent communication between hospital and its customers. The given information will become the reason for customers to make their health related decision. This review is to see the role of each 7p concepst (person, place, promotion, physic, price, product and proses) in marketing and maintaining of hospitals. Methods: Full articles available at PubMed and Google Scholar, published from 2010-2018, and the student thesis were considered to explore the hospital marketing with mix marketing approach. Results: Of 412 full articles available at the searching tools, 10 articles have been selected for further discussion and analysis. From the results, it is noted that the 7p concepts of the costumer satisfactions present significant effects to the customers’ trust to the hospital. Conclusion: This systematic review even only answer four out of seven P concept including proses, promotion, person and product, the findings may present the references to the hospital marketing in delivering the significant result for increasing customers’ satisfaction.

TRAVEL MEDICINE MANAGEMENT FOR THE ANTICIPATION OF INFECTIOUS DISEASES IN SOUTHEAST ASIA: A SYSTEMATIC REVIEW Ni Putu Ayu Prima Dewi; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Travelling abroad have various health risks such as sudden and significant changes in altitude, humidity, temperature and exposure to a variety of infectious diseases. Travel medicine concept is needed to provide information to professional health services not only on risk of infectious diseases but also to ensure the personal safety of travellers and to minimize environmental risk during travel. The Objective of this study is to investigate the practices of travel medicine management for the anticipation of infectious disease spread by travellers. Methods: This study used systematic literature review based on PRISMA (Prefered Reporting Items for Systematic Reviews & Meta-Analyses)protocol to identify all the published articles using relevant keywords.We searched in Scopus (Elsevier), Science direct (Web of Science), Cochrane library and Pubmed. Period of study was between 2005 and 2018. In total, there were eight studies that discussed travel medicine management regarding the anticipation of infectious diseases in Southeast Asia, which includes the spread and narrative synthesis. Results: From 126 authors finally include 8 papers in this review. Almost all of the management of travel medicine can reduce the risks of travel-related diseases. The travel medicine management explained how to effectively prevent the spread of infectious diseases, for example dengue, malaria, rabies, zika virus, diarrhea and respiratory syndrome. Those diseases can easily spread when the travellers body immunity decreases or when they are exhausted during the trip. Thus, it is necessary for the travellers to anticipate the spread of diseases by knowing the information of particular diseases in a country or a region that will be visited and having prophylaxis or vaccination before travelling. Conclusions: The travel medicine management can significantly impact on the anticipation of infectious diseases spread by travellers since the practices require the latest facts and information about the epidemiology of infectious health risks worldwide.The recommendation for future research is to review more travel medicine management studies in order to get deeper understanding.For Policy maker, it is suggested to design policy to improve and updating knowledge.

SYSTEMATIC REVIEW: DETERMINANTS OF PATIENT SATISFACTION WITH HOSPITAL SERVICES Ni Putu Deni Adi; Yaslis Ilyas
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Satisfactory and quality service will shape patient or customer loyalty, and satisfaction is closely related to "word of mouth". The next effect will be on the process of forming an image of an increasing hospital. This is due to very tight competition conditions. So each hospital will try to put itself as best as possible in the eyes of patients / customers to be trusted to meet their needs in the health sector. Usually health care satisfaction is the highest level of satisfaction above 85%. Research is needed on the determinants of patient satisfaction with hospital services as a reference for improving the quality of hospital services. Objectives: To determine the determinant of patient satisfaction with hospital services. Method: A systematic review through journal review regarding the determinants of patient satisfaction with hospital services. Search articles accessed from internet databases, namely: ProQuest for English language publications, overall from abroad, last 12 months, using a combination of search terms " Patient satisfaction, determinants, hospital ", article selection using screening. Qualitative thematic analysis is used for synthesis. Result:. The similar key findings from the 10 papers are empathy or interpersonal relations becomes a determinant that dominates the increase in patient satisfaction with hospital services. Empathy is a channel of efficient communication with patients and is also considered an important determinant of clinical outcomes. Conclusions: 10 studies included in this systematic review show the similar key findings. empathy or interpersonal relations becomes a determinant that dominates the increase in patient satisfaction with hospital services. As a recommendation for further research, it is necessary to search for the determinants of patient satisfaction with hospital services through several data bases to obtain more information about the determinants of patient satisfaction with hospitals.

FACTORS AFFECTING THE COMPLIANCE AND UTILISATION OF ANTENATAL CARE (ANC) IN BOTH HIGH INCOME COUNTRIES AND LOW-MIDDLE INCOME COUNTRIES: A SYSTEMATIC REVIEW Petra Ade Paramita Lestari; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Every pregnancy has its own risk related to unwanted complication. ANC or antenatal care is a program to help the improvement of both pregnancy experience and ensure the health of a baby. ANC itself has been practiced since 100 years ago, a heritage process from the European community, which facilitates pregnant women during the pregnancy to have 12 visitations to nearby health facility. However, reasoning behind such intervention was unknown. As time goes by, many researches, evaluation, and review have been done regarding the content of visitations, amount of attendance each pregnant women need to do during pregnancy period, and further outcome of ANC program. This review is done to clarify ANC program throughout countries with high, middle and low income in the world and gather knowledge from such experience. Methods: Review was done by using databases such as PubMed, Springerlink, and proquest with keyword factors related to utilization of ANC as intervention and mother's compliance, years of publication and PRISMA method. Results: Out of all 33 articles obtained, 12 articles were chosen as other article did not comply to the selection criteria such as year of publication and the content. Variations among different countries in such studies occurred in factors such as the program itself, subject compliance towards the study, and the number of attendees. Furthermore, technologies such as instant messages and internet was also utilized in some programs. Among many factors related to the utilized and compliance of pregnant mother, each country policies, lifestyle, education level, and family incomes played a major role in such differentiation. Furthermore, perception of mother towards the program will also affect her motivation. Conclusion: Although the implementation of ANC in many countries still varies, there were many positive evidences to support the utilization of ANC. Surrounding communities could implement the program if it is suitable to the individuals. Monitoring and evaluation of such program also need to be done

TURNAROUND TIME OF DIAGNOSTIC LABORATORY RESULTS AS A QUALITY IMPROVEMENT TO PATIENT SATISFACTION: A SYSTEMATIC LITERATURE REVIEW Purbosari Purbosari; Ede Surya Darmawan
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Laboratory information is increasingly recognized as a crucial factor to reduce diagnostic uncertainty and enhance quality care. Medical diagnoses and effective treatments depend on the accurate and timely reporting of laboratory test results, and the trend toward disease prevention and personalized care calls for more complex and effective tests and biomarkers. Today's clinical laboratory provides essential information for the diagnosis, monitoring, screening, prevention, early diagnosis, tailored treatment and more effective monitoring of human diseases. Response Time is an action that is carried out quickly and precisely to handle patients. While an ability for fast (responsive) service is the response time taken to the patient when the patient arrives to get a response. Response time is one indicator of service quality that affects patient satisfaction. The laboratory turnaround time is the starting point for the time of for receiving the sample, the time for registration, or the analytical sampling time and end point for analytical completion, the time for verification of results, the transfer of results to the time for medical record, and the time for report printing. Methods: In this systematic review, we searched Pubmed, Science Direct, and Scopus database published from January 2010 to March 2019. The included studies were broadly classified as reporting from healthcare/hospital and international survey. There were 21 studies that met keywords searching criteria. Then we analysed based on the content of studies, matching to our objectives Results: Out of 21 identified studies, we recognized 6 scholarly journals of turnaround time diagnostic laboratory results as quality improvement of medical care and medical diagnoses and that affects patient satisfaction. These studies concluded that turnaround time becomes a key element to patient safety that contributes to patient satisfaction. Conclusion: Turnaround time as one of quality indicator in a laboratory setting. Improvement in this parameter could give benefit to the patient and deliver service excellence. Standardized reporting method is mandatory as it will not only allow the accreditation of clinical laboratories according to the International Standard but also to assure guidance for promoting improvement processes and guaranteeing quality care to patients and patient satisfaction.

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Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)

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info@inschool.id

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Journal Mail Official
icash@inschool.id

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Location
Kota semarang,

Jawa tengah

INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)

Contact Email info@inschool.id

Phone -

Journal Mail Official icash@inschool.id

Editorial Address -

Location Kota semarang, Jawa tengah INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)

Contact Email
info@inschool.id

Phone
-

Journal Mail Official
icash@inschool.id

Editorial Address
-

Location
Kota semarang,

Jawa tengah

INDONESIA