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Andri Pranolo
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INDONESIA
International Journal of Healthcare Research
Published by Universitas Ahmad Dahlan
ISSN : 26205521     EISSN : 26205521     DOI : Prefix 10.12928/ijhr
Core Subject : Health,
Public Health
The Journal invites original articles and not simultaneously submitted to another journal or conference. The area of research focuses on particular issues related to public health, health economic, health policy, healthcare quality, health insurance, hospital management, health system and other issues related with healthcare management and policy.
Arjuna Subject : Ilmu Sosial - Kesehatan (Ilmu Sosial)
Articles 65 Documents
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Hubungan Komponen Quality of Work Life dengan Motivasi Kerja Perawat di Puskesmas Wera Kab. Bima NTB Nismawati Nismawati
International Journal of Healthcare Research Vol. 2 No. 1 (2019)
Publisher : Universitas Ahmad Dahlan

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Abstract

This study aims to see determine the components of the quality of work-life associated with the work motivation of nurses in Puskesmas Wera. The quality of work-life components that are have been investigated is that the facilities available, occupational health and safety, employee involvement, balanced compensation, communication, career development, problem-solving, the safety of labor , and pride in institutions. This research is could be a quantitative research employing a cross-sectional approach. Sampling amounting to 40 respondents, with a compplete sampling method. Bivariate analysis was obtained based on the results of research conducted by nurses who have low work motivation as much as 14 (35% ) and nurses who have high work motivation as much as 26 (65% ). Components of quality of work life related to work motivation are available facilities, employee engagement, balanced compensation, communication, problem solving, job security and pride in the institution.
Hubungan Kepemimpinan dan Komunikasi dengan Kinerja Tenaga Kesehatan di Seluruh Puskesmas Kota Yogyakarta Maya Amalia
International Journal of Healthcare Research Vol. 2 No. 1 (2019)
Publisher : Universitas Ahmad Dahlan

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Abstract

One of the government's efforts to achieve health development goals is the issuance of the Minister of Health regulation of the Republic of Indonesia Number 75 year 2014 about Community Health Center (Puskesmas).Good leadership and communication are needed for the achievement of organizational goals. Implementation of community health center policies that are less than optimal can be characterized by lack of communication, programs that haven't been socialized and weak human resources in providing services. This can occur because the employees not fulfill their duties and responsibilities. So evaluation is needed to produce good performance. The purpose of this study is to find out the relationship between leadership and communication with the performance of health workers in all over the community health centers in Yogyakarta City. This research is analytic research with cross-sectional approach. There are 189 community health centers employees as the samples of this study who were selected by propotionate stratified random sampling. This study conducted in April - June 2019 in all over community health center in Yogyakarta city. The data were analyzed using univariate and bivariate analysis with chi square statistical test. The chi square statistical test show that the p-value of leadership with performance is 0,012 (p-value <0,05), as well as the statistical test performed on communication variables with performance show that the p-value is 0,011 (p-value <0,05). There is a significant relationship between leadership and communication with performance.
Evaluasi Kegiatan Surveilans dalam Pencegahan dan Pengendalian Infeksi di RSUD KRT. Setjonegoro Wonosobo Mahardika Primadani
International Journal of Healthcare Research Vol. 2 No. 1 (2019)
Publisher : Universitas Ahmad Dahlan

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Abstract

Nosocomial infections or currently known as Health care associated infections (HAIs) is an important problem worldwide and an interesting issue to research, especially regarding infection prevention efforts. The prevalence of HAIs in world hospitals reaches 9% or approximately 1.40 million. From the surveillance data of Setjonegoro Hospital from 2018 to 2020, it was found that the incidence of phlebitis was 7.2 ‰. One of the strategies to control HAIs is surveillance. The purpose of this study was to evaluate the implementation of the surveillance program in the Prevention and Control of Infection at RSUD Setjonegoro, Wonosobo Regency. This type of research is a qualitative study with a phenomenological design. The research subjects were the chair of the PPI, IPCN, IPCLN and IPCD committees. The instruments used were observation and interview guidelines. The data analysis technique used the theory of Miles and Huberman. Surveillance activity in RSUD KRT. Setjonegoro Wonosobo is quite optimal, both in terms of human resources, facilities, and infrastructure to the timeliness of reporting, so that the surveillance reports always get feedback to find out what follow-up plans will be carried out. The mistake that often occurs is the negligence of officers in inputting surveillance data. The surveillance activities at the Setjonegoro Regional Hospital have been running well, all PPI Teams have received training related to surveillance activities, data input is carried out using software, reporting of surveillance results is running on time, and feedback is given both verbally and in writing.
Peran Komite Keperawatan dalam Meningkatkan Mutu Pelayanan Keperawatan di Salah Satu Rumah Sakit Swasta di Yogyakarta Titania Miranda
International Journal of Healthcare Research Vol. 4 No. 1 (2021)
Publisher : Universitas Ahmad Dahlan

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Abstract

The Nursing Committee is a hospital apparatus that have the task to increase nursing professionalism through credential process, maintaining professional quality, professional ethics and disciplines. The committee plays a major role in increasing professionalism among the nurses, assuring the quality of nursing services in hospital. The purpose of this study is to determine the role of the Nursing Committee in improving the quality of nursing services at a private hospital in Yogyakarta. This is a qualitative research using case study approach. The participants are selected using purposive sampling technique and the data are acquired through in-depth interviews. The sub-committee of credentials has prepared the white paper, carried out the credential and recredential process. However, they lack sufficient assessors and, therefore, lack determination in timekeeping; (2) the sub-committee of professional quality has carried out nursing audits and developing sustainable profession for nurses. However, almost all committee’s member have multiple positions in the hospital. This situation has made it difficult to allocate time for program implementation; (3) the sub-committee of ethics has made ethical guidelines, disseminated the nursing ethics, created ethical reporting system, and audit ethics. However, the activities has not been regularly conducted. The nursing committee has not significantly improved the quality of nursing services as the sub-committee of credential, professional quality, and ethics has not been effective.
Analisis Pengaruh Program Customer Relationship Management (CRM) Terhadap Kepuasan Pasien di RS PKU Muhammadiyah Yogyakarta Siti Ayunda Mauliddina; Triani Marwati
International Journal of Healthcare Research Vol. 4 No. 1 (2021)
Publisher : Universitas Ahmad Dahlan

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Abstract

uilding customer relationships is one of the keys to business success. The quality of a good relationship between customers and the company will contribute to increasing customer satisfaction. The purpose of this study was to examine the effect of the application of customer relationship management on patient satisfaction at PKU Muhammadiah Hospital Yogyakarta. This research was analitic observational by cross sectional approach. Data collection was carried out by distributing questionnaires to 120 service users of PKU Muhammadiah Hospital Yogyakarta. The data analysis method used is multiple linear regression analysis. Customer relationship management (CRM) which consists of people has an influence on patient satisfaction at PKU Muhammadiyah Yogyakarta Hospital with a probability value (p) 0.000 <0.05, process has an influence on patient satisfaction at PKU Muhammadiyah Yogyakarta Hospital with a probability value (p) 0.000 <0.05 and technology had an influence on patient satisfaction at PKU Muhammadiyah Hospital with a probability value (p) 0.009 <0.05, an increase in patient satisfaction RS PKU Muhammadiah Yogyakarta. To increase patient satisfaction, one way that can be done is to improve the quality of customer relationship program. To increase patient satisfaction, one way that can be done is to improve the quality program of customer relationships
Dampak Ketidaklengkapan Rekam Medis Rawat Inap Kasus Covid-19 Terhadap Pelayanan di Rumah Sakit Condong Catur Yogyakarta Paskalia Gabrielsa Dehoni; Kori Puspita Ningsih
International Journal of Healthcare Research Vol. 4 No. 1 (2021)
Publisher : Universitas Ahmad Dahlan

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Abstract

A well-written and complete medical record have many uses, including aspects of administration, legal, finance, research, education and documentation (ALFRED). Therefore, incomplete medical records will have an impact on hospital services. To find out the benefits of medical records from users in RSCC and to know the type of medical record form to claim Covid-19 patients at RSCC. Also, to find out the impact of incomplete inpatient medical records for Covid-19 cases from the aspects of Administration, Legal, Finance, Research, Education, Documentation (ALFRED) at RSCC. This study used a qualitative descriptive method with a case study design. The informants in this study are 11 people consisting of 1 medical record officer, 1 distribution officer, 1 covid-19 claim officer, 1 claim verification doctor, 1 head of medical services, 1 head of medical support, 1 head of ICU officer, 1 head of inpatient care officer, 2 heads of ward officers and 1 head of nursing. The object of this study used 8 inpatient medical records of Covid-19 patients in the period January-March 2021 at RSCC. In addition, the head of RSCC medical record carried out data validation as triangulation. The benefits of medical records for health care workers at the RSCC are knowing the activities of health care providers in treating patients, BPJS/insurance claims and predicting hospital income, as a source of data for research, learning materials about service activities in hospitals, to know about patient medical history and hospital reports. In claiming Covid-19 patients, the RSCC uses medical resumes, Covid-19 screening, laboratory results, isolation certificates, CPPT sheets, medical prescriptions, and inpatient approval sheets. However, the incompleteness of medical records from the administrative aspect causes delays in the administrative process, the financial aspect causes claims to be disputed, and the documentation aspect causes delays in the making of hospital reports. Incompleteness of medical records at RSCC have impacts on administrative aspects, financial aspects, and documentation aspects.
Evaluasi Program Pendidikan Keluarga di Instalasi Kesehatan Jiwa Masyarakat Rumah Sakit Jiwa Grhasia Daerah Istimewa Yogyakarta Cicilia Nindi Arsita
International Journal of Healthcare Research Vol. 4 No. 2 (2021)
Publisher : Universitas Ahmad Dahlan

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Abstract

The Family Education Program is a program that aims to increase the capacity of caregivers in mentoring ODGJs. Program evaluation is needed in order to know how the condition of the evaluation object is in the design, implementation and results. The purpose of this study is to evaluate the family education program in the Community Mental Health Installation at the Grhasia Mental Hospital Special Region of Yogyakarta. This type of research is qualitative with a case study approach. The sampling technique in this study was divided into two, namely the subject of implementing the program using total sampling and the subject of the program's target using purposive sampling. The data in this study were obtained from in-depth interviews. In this variable it is good, the Family Education program does not have a certain Standars Prosedures but has a Terms of Reference for Activities that are compiled in accordance with Permenkes RI No. 44/2018. In quantity, it is sufficient by dividing the jobdesk according to their respective abilities. The budget spent is sufficient and allocated for program needs such as: stationery, modules, participant transport, snacks / consumption and others. The facilities used in the Family Education program are accordance with the Republic of Indonesia Minister of Health Regulation No. 44/2018. Program planning is carried out at the end of each period involving all of the Keswamas human resouces. Program supervision is carried out by the Technical Implementation Officer appointed by the Hospital. Supervision is also carried out during the learning process, to see the abilities of the participants. Program achievement can be seen from the pre-post test results, attendance of participants, and participant testimony. The pre-post test results show that the post test results are greater. The attendance of participants in every meeting is still inconsistent in the sense that there are still participants who are still absent in every meeting. Testimony of participants said that the Family Education program is very important and has a positive impact not only for participants but also for patients and other families. Overall the Family Education program is good. This can be seen from the human resources, adequate budget and facilities, planning in accordance with applicable policies, and high program achievement seen from the pre-post results, attendance of participants and testimonials.
Analisis Piutang Rawat Inap pada Kasus JKN dengan Pendekatan Rasio Aktivitas di RSUP Dr. Soeradji Tirtonegoro Klaten Indrawati Indah
International Journal of Healthcare Research Vol. 4 No. 2 (2021)
Publisher : Universitas Ahmad Dahlan

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Abstract

Rasio Aktivitas merupakan tipe analisis untuk menganalisis perputaran piutang dan periode pengumpulan piutang. Tujuan penelitian untuk mengetahui piutang rawat inap pada kausu JKN dalam upaya manajemen untuk mengatasi klaim yang belum terbayar 22% dan piutang yang tertolak. Metode penelitian ini ialah menggunakan pendekatan kualitatif dengan rancangan studi kasus dengan 3 subjek penelitian. Analisis data menggunakan perhitungan perputaran piutang, pengumpulaan piutang. Hasil perhitungan perputaran piutang didaptakan sebesar 0,78 kali dan hasil perhitungan pengumpulan piutang didapatkan sebesar 275 hari dalam satu tahun. Hasil ini dikatakan tidak efisien. Hal ini disebabkan karena adanya berkas klaim yang dikembalikan dan adanya piutang pasien. Berdasarkan perhitungan rasio aktivitas, total perputaran piutang di RSUP dr. Soeradji Tirtonegoro Klaten terlalu lama. Hal ini disebabkan karena pengembalian berkas klaim dan piutang pasien, serta terdapat piutang yang tertolak.
Analisis Kebutuhan Tenaga Rekam Medis di Rumah Sakit Jiwa Grhasia Yogyakarta Mutiara Ginanty Putri; Ahmad Ahid Mudayana
International Journal of Healthcare Research Vol. 4 No. 1 (2021)
Publisher : Universitas Ahmad Dahlan

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Abstract

Workload analysis is an effort to calculate the workload in a work unit by adding up all workloads and then dividing it by individual work capacity, because there are still many officers who have double jobs. This research was conducted to analyze the number of manpower requirements at the Grhasia Mental Hospital Medical Record Installation in Yogyakarta which will be adjusted to the existing workload. This study used a qualitative method where data collection was obtained by observation using work sampling techniques to describe patterns of activity / workload and the proportion of time spent carrying out activities as well as conducting in-depth interviews with informants and document review. Meanwhile, the calculation of labor requirements uses the Workload Indicator Staffing Needs (WISN) method. The results showed that the use of officers' working time for productive activities was 60.3%, non-productive activities were 19% and personal activities were 20.7%. The results of calculations using WISN, the optimal number of medical record personnel is 17 people compared to the current number of personnel of 8 people. So that the need for medical record unit personnel requires additional details with 1 person in the assembling section, 3 people in the filling section, 4 people in the coding section, and 1 person in the reporting section. Based on the results of WISN calculations, the need for medical record personnel at Grhasia Mental Hospital Yogyakarta in 2021 requires additional personnel.
Identifikasi Potensi Bahaya Kerja pada Instalasi Catatan Medik RSUP Dr Sardjito Yogyakarta Marisa Kuncaraning Probo; Ahmad Ahid Mudayana
International Journal of Healthcare Research Vol. 4 No. 1 (2021)
Publisher : Universitas Ahmad Dahlan

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Abstract

Rumah sakit memiliki ancaman besar terhadap dampak kesehatan bagi pekerja, pasien dan pengunjung. Berdasarkan studi pendahuluan, Instalasi Catatan Medik (ICM) RSUP Dr. Sardjito Yogyakarta memiliki 162 pegawai dan berbagai jenis pekerjaan yang memiliki potensi bahaya tersendiri. Di bagian penyimpanan berkas misalnya, memiliki potensi bahaya debu, kegiatan angkat-angkut berkas, dan lain-lain. Sehingga perlu dilakukan penelitian dengan tujuan mengetahui potensi bahaya kerja pada ICM RSUP Dr Sardjito Yogyakarta. Penelitian ini berjenis deskriptif kualitatif melalui observasi lapangan, wawancara, dan telaah dokumen. Penelitian ini melibatkan enam narasumber dan analisa data menggunakan lembar kerja Job Safety Analysis (JSA). Diketahui ada 13 jenis pekerjaan yang ada di ICM RSUP Dr. Sardjito Yogyakarta, yaitu: registrasi, filing, distribusi, verifikasi, coding, assembling, penggabungan, surat keterangan medis, penelitian, pelaporan, penyusutan, pemusnahan, dan logistik. Setiap jenis pekerjaan tersebut terbagi menjadi beberapa langkah aktivitas yang memiliki potensi bahaya yang berasal dari: radiasi monitor, sekeliling kertas dan isi stapler yang tajam, debu; alat kerja dumbwaiter, stapler, gunting, dan Roll O’ Pack; kegiatan angkat-angkut, posisi kerja, lokasi kerja yang tinggi, cara dan lama bekerja; kegiatan berulang, komunikasi dengan pasien/ keluarga, serta dengan petugas/pihak lain, dan beban kerja yang tidak tentu; dari aliran listrik; dan bakteri/ virus dari berkas, maupun dari pasien sendiri saat kontak langsung. Upaya pengendalian risiko yang telah ditetapkan di ICM RSUP Dr Sardjito Yogyakarta mengikuti hirarki pengendalian risiko, yaitu: substitusi, rekayasa teknik, administrasi, dan alat pelindung diri. Sedangkan upaya eliminasi yang disarankan sedang dalam proses, menunggu optimalisasi pemberlakuan Elektronik Medical Record. Telah diketahui berbagai potensi bahaya kerja pada ICM RSUP Dr Sardjito Yogyakarta hingga dapat diberlakukan pengendalian risiko sesuai hirarki pengendalian risiko.

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