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Lutfan Lazuardi
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Jl. Farmako Sekip Utara, Yogyakarta, Indonesia 55281 Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada
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Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Published by Universitas Gadjah Mada
ISSN : 14106515     EISSN : 28286774     DOI : https://doi.org/10.22146/jmpk.v25i03.5186
Core Subject : Health,
Health Professions Public Health
Misi JMPK adalah menerbitkan, menyebarluaskan dan mendiskusikan berbagai tulisan ilmiah mengenai manajemen pelayanan kesehatan yang membantu manajer pelayanan kesehatan, peneliti, dan praktisi agar lebih efektif. Jurnal ini ditujukan sebagai media komunikasi bagi kalangan yang mempunyai perhatian terhadap ilmu manajemen pelayanan kesehatan antara lain para manajer, pengambil kebijakan manajerial di organisasi-organisasi pelayanan kesehatan seperti rumah sakit, dinas kesehatan, Kementerian Kesehatan, pusat-pusat pelayanan kesehatan masyarakat, BKKBN, pengelola industri obat, dan asuransi kesehatan, serta institusi pendidikan penelitian.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 5 Documents
 1 
Search results for , issue "Vol 24 No 02 (2021)" : 5 Documents clear
EVALUASI PERESEPAN ELEKTRONIK DI DEPARTEMEN ILMU KESEHATAN ANAK Dyah Anggraini; Andreasta Meliala; Iwan Dwiprahasto
Journal of Health Service Management Vol 24 No 02 (2021)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (143.239 KB) | DOI: 10.22146/jmpk.v24i02.4115

Abstract

Background: Hospitals can prevent errors in medical actions or pharmaceutical services to patients called medication errors. One of the incidences of medication errors that are still high in Indonesia is the prescribing phase. So, currently, many hospitals have replaced manual prescription writing with electronic prescribing systems, including at Dr. Hospital. Cipto Mangunkusumo (RSCM). However, prescribing errors are still often found, especially in pediatric patients’ prescriptions. Objective: To evaluate the implementation of electronic prescribing and measure the results of personnel interventions on electronic prescribing in pediatric patients. Methods: Experimental with a quasi-experimental design, the one group pretest-posttest design. The research was conducted from December 2019 to January 2020 in pediatrics. The research subjects were 100 doctors participating in the Specialist Medical Education Program (PPDS). Training subjects carried out the intervention to write electronic prescriptions and provide feedback in the form of personal letters. Reassessment of the incidence of prescribing errors was carried out after four weeks. Results: The incidence of prescribing errors decreased after the intervention. (p = 0.05). The most types of prescription errors are the wrong dosage, strength, frequency. Prescribing errors in perinatology ward, pediatric inpatient ward and polyclinics decreased after intervention, while prescribing errors in the emergency room remained. There is a significant relationship between the provision of intervention with the level of education (p = 0.001). PPDS mid-level doctors make more prescribing errors in almost all types of errors and workplaces than junior and senior PPDS doctors. The results of the calculation of prescribing error pre and post intervention shows that giving an intervention can reduce the risk of prescription errors by up to 37%. Conclusion: Personnel intervention in education and providing feedback plays a role in reducing the incidence of prescribing errors. Education and providing feedback should be done regularly. In addition, it is necessary to add an electronic prescription support system to support the reduction of prescribing errors.
EVALUASI IMPLEMENTASI KEBIJAKAN TATA KELOLA KEPESERTAAN PBI DAERAH JAMINAN KESEHATAN NASIONAL DI KABUPATEN KAYONG UTARA DAN KABUPATEN KETAPANG PROVINSI KALIMANTAN BARAT Dedet Triwahyudi; Firdaus Hafidz As Shidieq; Laksono Trisnantoro
Journal of Health Service Management Vol 24 No 02 (2021)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (149.498 KB) | DOI: 10.22146/jmpk.v24i02.4117

Abstract

Background: The management of the Regional Health Insurance was merged into BPJS Health after the implementation of the 2014 National Health Insurance program. Kayong Utara Regency and Ketapang Regency are part of the Regency that combines regional health insurance participation into BPJS Health. The implementation of regional PBI governance needs to be supported by adequate regulations, a strong stakeholder vision, communication between stakeholders that is in line with the policies of regional leaders. Objective: The general objective of this research was to explore the ability of stakeholders in implementing the governance of PBI participation in the National Health Insurance Region. Methods: This study used a realist evaluation approach with a descriptive case study design. The study used purposive sampling, the research subjects were 24 people. Data was collected by means of in-depth interviews and document review. Results: The implementation of the JKN Program is a strategic policy. North Kayong Regency insures the rich and the poor at BPJS Health, while Ketapang Regency only insures the poor or the poor. Based on the Context, Mechanism, and Outcome hypothesis, the management of PBI participants responded differently in the two districts. In the implementation of non-comprehensive regulatory influences, the Regional PBI Management had not been good in the two districts, a strategic vision that was not accompanied by a strategic plan and partial communication (mechanism) contributes to the results or in ensuring health insurance for the poor (outcomes). Conclusion: The government of Kayong Utara and Kabupaten Ketapang have a strong commitment to managing health insurance for the poor. The implementation of the Regional PBI in the two districts faces challenges in the form of regulations that are not yet comprehensive. Comprehensive regulations, clear targets, and cross-structure coordination are needed in the management of Regional PBI in North Kayong Regency and Ketapang Regency so that it can be carried out properly.
RESPONS TINDAK LANJUT REKOMENDASI AUDIT MATERNAL DI KABUPATEN BREBES DAN KABUPATEN BANYUMAS Dessyana Iriani; Eugenius Phyowai Ganap; Dwi Handono Sulistyo
Journal of Health Service Management Vol 24 No 02 (2021)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.444 KB) | DOI: 10.22146/jmpk.v24i02.4119

Abstract

Background: The number of cases of maternal deaths in several districts is still high and has increased as in Brebes and Banyumas districts. The Maternal Perinatal Audit Policy in the District / City as an effort to reduce the number of maternal deaths is felt to be unsuccessful. In addition, the extent to which policy makers and implementers respond to or follow up on the results of maternal audit recommendations is still a big question. Objective: To explore the responses and factors that influence the implementation of follow-up maternal audits recommendations in Brebes and Banyumas Districts. Methods: This study used a qualitative design with a case study research design. Data collection techniques through document review, in-depth interviews and focus group discussions with a total of 14 informants. Results: The immediate response to the follow-up to the maternal audit in Brebes Regency was adequate and in Banyumas District good. Planned responses in both districts were not analyzed in this study because terms of reference for activities is not reviewed. Based on the characteristics of the problems the Brebes Regency is difficult to control because there are still many problems in the field and Banyumas Regency is easy to control. Based on the Policy Characteristics of the two districts included in the good category and based on the environment the Brebes Regency has not supported and the Banyumas Regency environment supports the implementation of the follow-up to the maternal audit recommendations. Conclusion: The response of the regencies is very dependent on leadership to make decisions immediately. The immediate response to the follow-up of the maternal audit in Brebes Regency was sufficient and in Banyumas District was good. It is recommended that the District Health Offices need to make a follow-up SOP on recommendations to the implementation of monitoring and evaluation by adding a reward and punishment system and Brebes Regency should accelerate the process of adding PONEK Hospitals and pay more attention to the principles of response in MDSR.
STRATEGI PENGEMBANGAN BALAI PENELITIAN DAN PENGEMBANGAN KESEHATAN BANJARNEGARA Agung Puja Kesuma; Laksono Trisnantoro; Yodi Mahendrahata
Journal of Health Service Management Vol 24 No 02 (2021)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (123.998 KB) | DOI: 10.22146/jmpk.v24i02.4122

Abstract

Background: Based on Permenkes No. 65 the year 2017, the Banjarnegara Health Research and Development (R&D) Unit is one oft he units under the NIHRD Ministry of Health, which has the task of conducting research and development of health with the advantage of leptospirosis control. The working area includes four provinces: DI Yogyakarta, DKI Jakarta, West Kalimantan, and South Sulawesi. In addition to conducting excellent research, Banjarnegara Health R&D Unit also has to do health research based on program needs in the target area. The Banjarnegara Health R&D Unit needs to understand its strengths, weaknesses, opportunities, and challenges through the identification of internal and external environments that can be using as a basis for developing strategic planning for organizational development. Objective: Formulate alternative strategies for the development of The Banjarnegara Health R&D Unit. Methods: Research A descriptive case study by using a holistic single case design plan. Variable research is the internal and external factor of Banjarnegara Health R&D Unit, development issues, and the strategies of develepment. Data obtained through in-depth interviews with the related informants, observation, and study of documents. Results: Internal environmental analysis to see the strengths and weaknesses of the Banjarnegara Health R&D Unit. Based on the results of internal environmental analysis, the Banjarnegara Health R&D Unit has considerable strength in terms of organizational as pects, HR experience, a budget that continues to increase every year, and infrastructure. External environmental analysis opportunities that can be utilized by the Banjarnegara Health R&D Unit are excellent stakeholder support, opportunities to collaborate with various institutions, sources of research funding, availability of information technology, and regulations that support the research climate. While the threats identified, require large budgets to keep abreast of medical or laboratory equipment technology, the development of potential epidemic diseases, limited recruitment of human resources and the potential to reduce PNBP. Conclusion: Strategies that can be used Banjarnegara Health R&D Unit for development are the development of services and products according to the needs of the stakeholders, the development of cooperation with strategic stakeholders, and the development of organizations with public service agency financial management patterns.
DAMPAK IMPLEMENTASI APLIKASI PENDAFTARAN DARING PELAYANAN RAWAT JALAN RUMAH SAKIT Yohana Denyka Kurniawati; Hanevi Djasri; Adi Utarini
Journal of Health Service Management Vol 24 No 02 (2021)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (146.429 KB) | DOI: 10.22146/jmpk.v24i02.4123

Abstract

Background: Outpatients at the polyclinic of Dr. Oen Solo Baru Hospital complained to the hospital regarding the waiting time from registration to the specialist clinic. Meanwhile, the policy of a tiered referral system also causes an accumulation of patients. Hospitals have been trying to increase the speed of outpatient services by implementing an online registration application since July 2010. Still, there has never been an evaluation of the implementation of the application. Objective: To assess the impact of using the online registration application on waiting time for outpatients and to identify the constraints in implementing the online registration application and the possibility of developing this application in the future. Methods: A mixed-method with explanatory sequential design. A quantitative approach to measure the difference in waiting time of outpatients before and after implementing the online registration application and the patient’s experience of using the application. Qualitative method to explore application implementation constraints and management’s strategy for application development. Results: There is a difference in outpatient waiting time before and after implementing the online registration application. Before the online registration application, the average waiting time is 1.97 + 0.92 hours. After implementation, 1.49 +1.06 hours for patients who register manually (there is an acceleration of 24.4%) and 1.69 +0.93 hours for patients who use the application (there is an acceleration of 18.8%). Some of the obstacles found were application utilization which was still stagnant, patient problems related to gadgets, and a penalty and blocklist system. The strategy that will be taken by hospital management is to increase the use and development of applications, namely increasing promotions, increasing service ac cess, developing towards e-payments, and commercial benefits. Conclusion: The online registration application can significantly reduce the waiting time for outpatients and meet user expectations. However, the number of users is still stagnant, and there are still obstacles that prevent patients from switching to using the application. Efforts need to increase the number of users and develop online registration applications.

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