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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
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Search results for , issue "Vol 25 No 01 (2022)" : 5 Documents clear
PENGHEMATAN BIAYA PERSEDIAAN OBAT MENGGUNAKAN METODE HYBRID DI RSIA PERDANA MEDICA SURABAYA Astri Widya Krisyunita; Achmad Djunawan; Khoirul Umam
Journal of Health Service Management Vol 25 No 01 (2022)
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 (627.474 KB) | DOI: 10.22146/jmpk.v25i01.3984

Abstract

Background: Based on drugs inventories data at pharmacy unit Perdana Medica Maternal and Child Hospital Surabaya in March 2020, 35 items of drugs and medical devices were expired and damaged. In addition, stock out caused an Rp11,295,500.00 profit loss (estimated). Based on these problems, research is needed to find how much savings can be achieved in planning the procurement of drugs using the hybrid method. Objective: Find out how much savings can be made by RSIA Perdana Medica in planning the procurement of drugs using the hybrid method. Methods: This research is quantitative descriptive research. The ABC-VED method is used to classify drug inventories based on their use and investment levels. Inventory policy is searched using the hybrid method by comparing actual costs with expected total costs. Result: Perdana Medica Maternal and Child Hospital could save Rp4,440,457.85 expenses based on the calculation results. Conclusion: The hybrid method can be used as a new method in inventory planning at Perdana Medica Maternal and Child Hospital.
FAKTOR-FAKTOR PENGGUNAAN OUT-OF-POCKET PADA PESERTA BPJS PBI DI KLINIK “ASIH SASAMA” Azizah Boenjamin; Diah Ayu Puspandari
Journal of Health Service Management Vol 25 No 01 (2022)
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 (622.55 KB) | DOI: 10.22146/jmpk.v25i01.4209

Abstract

Background: The Social Security Administering Body (Badan Penyelenggara Jaminan Sosial, BPJS) established a health system based on Social Health Insurance called the National Health Insurance (Jaminan Kesehatan Nasional, JKN). The current implementation still does not meet one of the Universal Health Coverage (UHC) indicators, namely protection against financial risks due to the high use of Out-of Pocket (OOP). Many JKN participants still choose to seek treatment at the Primary Healthcare (FKTP) they are not registered in, resultingin OOP use.Objective: This study aims to explore the factors that cause the use of OOP in BPJS subsidized scheme participants who seek treatment in Outpatient Primary Clinic "Asih Sasama".Methods: This study uses a qualitative research design by using an analytical method, namely Framework Analysis. This research was conducted at the Outpatient Primary Clinic “Asih Sasama” locatedin Saptosari subdistrict, Gunung Kidul regency, Special Region of Yogyakarta. Researchers selected 15 respondents in this study. The theme of the discussion consists of 3 factors: knowledge, preferences,and roles of health workers.Results: Most of the respondents lack the knowledge and understanding regarding their rights and policies related to participation, especially the right to transfer FKTP. The closer distance from the place of residence, and the faster waiting time are the factors affecting the preferences of respondents to choose treatment using OOP. The role of health workers and village officials is still lacking in providing information to the community.Conclusion: It is necessary to strengthen regulations for implementing the JKN program, especially for PBI participants. There is a need for cooperation between stakeholders to hold outreach activities for the poor. There needs to be a solution to the problem of access in the community.
PEMODELAN DAN SIMULASI ANTRIAN UNTUK MEMPERBAIKI WAKTU TUNGGU POLIKLINIK VITREORETINA RS MATA “DR.YAP” YOGYAKARTA Anggun Desi Wulandari; Irwan Endrayanto Aluicius; Firman Setya Wardhana
Journal of Health Service Management Vol 25 No 01 (2022)
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 | DOI: 10.22146/jmpk.v25i01.4771

Abstract

Background: Queuing problems often occur in the health care industry, such as hospitals. The problem has arisen because many requests access the services, but it is in imbalance with the adequacy of providers. Increased outpatient visits at the vitreoretinal polyclinic at the “Dr. YAP” causes long queues and long waiting times. Meanwhile, waiting time is an essential indicator of service quality in hospitals and affects patient satisfaction. Queueing model and simulation can be one method to identify queuing process problems and find the most optimal queuing scenario. Objectives: Identify the queuing system model at the vitreoretinal polyclinic service at the “Dr. YAP”, analyze the vitreoretinal polyclinic queuing system’s performance measures, and identify the optimal queuing scenario through simulation to improve the total waiting time. Methods: This research was conducted in two stages. The first stage is a quantitative descriptive analysis where the queue performance parameters are calculated. Data collection techniques used in this research are observation to obtain primary data (patient arrival time, service time, and waiting time on each server) and interviews to get supporting data. The second stage is the study of model construction. At this stage, the simulation model is designed to predict changes in patient waiting time for several scenarios using Ms. Excel and JaamSim software. Results: The queuing system model in the vitreoretinal polyclinic is Multi-Channel Multi-Phase, consisting of 3 queue phases with more than 1 server. A total of 338 patients were served, and the patients’ largest distribution for total waiting time was patients who waited for > 2 hours (41.12%) and between 1-2 hours (37.57%). The longest waiting time is for a doctor’s check-up length of 1 hour and 47 minutes. Several queuing scenarios were made from several identified problems. The first scenario, simulating the doctor’s arrival on time, reduces 25% of the total waiting time to 1 hour and 20 minutes. In the second scenario, separating the laser procedure schedule reduces 4% of the waiting time to 1 hour and 43 minutes. By combining scenarios 1 and 2, the third scenario reduced the total waiting time by 29% to 1 hour and 16 minutes. The fourth scenario is carried out through modeling on the JaamSim software by adding one doctor and one nurse, and the result is that there is a decrease in waiting time and the number of patients waiting in queues. Conclusions: Hospitals can take several ways to improve the waiting time. The first is to improve the punctuality of doctor’s practice time. This effort can be made by evaluating the starting hours of a doctor’s practice following the doctor’s feasibility and using an information system that can send automatic messages to the patients regarding the doctor’s practice start time and the patient’s arrival time. The second is the separation of the queue for laser procedures from the polyclinic queue. Laser procedures for reserved patients can be scheduled before the start of practice, after the practice, or on another day. Third, the addition of a Retinal Subspecialist Doctor and nurses at certain hours when there is no retinal schedule. The doctor is a preferably permanent doctor who has first practice license at the “Dr. YAP” Eye Hospital.
PERHITUNGAN BIAYA SATUAN (UNIT COST) PADA INSTALASI RAWAT JALAN RUMAH SAKIT BERSALIN RIA KENCANA PKBI KOTA SAMARINDA Eka Putri Rahayu; Ratno Adrianto; Subirman
Journal of Health Service Management Vol 25 No 01 (2022)
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 (59.567 KB) | DOI: 10.22146/jmpk.v25i01.4930

Abstract

Seiring dengan kemajuan ilmu pengetahuan dan teknologi, kebutuhan akan pelayanan kesehatan semakin tinggi. Rumah sakit,sebagai pusat pelayanan kesehatan prima dituntut untuk memberikan pelayanan kesehatan yang maksimal. Namun, seringkali luput dari perhatian yaitu tarif. Penetapan tarif tidak sesuai dapat menyebabkan terjadinya kerugian rumah sakit. Penelitian ini merupakan survey deskriptif. Untuk perhitungan biaya satuan. Populasi adalah semua transaksi keuangan yang terjadi di RSB Ria Kencana PKBI Kota Samarinda tahun 2014. Sampel dalam penelitian ini adalah semua keuangan yang berhubungan dengan biaya investasi, biaya operasional, biaya pemeliharaan pada pusat biaya, baik pusat biaya produksi maupun penunjang di RSB Ria Kencana PKBI Kota Samarinda. Analisa data menggunakan spreadsheet Microsoft Excel dengan metode distribusi ganda. Hasil penelitian menunjukkan bahwa biaya satuan untuk instalasi rawat jalan bagian UGD sebesar Rp 267.809,-; poli anak sebesar Rp 144.435,-; poli kandungan sebesar Rp 634.646,- dan layanan kontrasepsi sebesar Rp 201.883,-. Berdasarkan hasil penelitian disarankan untuk melakukan penetapan tarif rasional berdasarkan perhitungan biaya satuan. Kata kunci : Biaya Satuan, Instalasi Rawat Jalan, Rumah Sakit Bersalin
STRATEGI SURVIVAL KLINIK YOGA DARMA Albert Yosua; Susilowati; Ni Luh Putu Eka Putri Andayani
Journal of Health Service Management Vol 25 No 01 (2022)
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 (395.169 KB)

Abstract

Background: Yoga Darma Clinic, as a non-profit organization, is expected to survive in health services. There is a shift in revenue, where non-profit organizations are becoming more like for-profit organizations – becoming more professional and independent. The number of outpatient and inpatient visits has not reached the target, affecting the amount of income received by the clinic. The total operating expenses of the clinic are still greater than the income, so the Yoga Darma Clinic still receives subsidies from the foundation. Yoga Darma Clinic is expected to continue to exist in health services and be more independent in its operations. It takes innovation, adaptability to change, excellent service, and competitiveness. Therefore, an appropriate survival strategy is needed for the clinic to survive. Objective: To determine the right survival strategy for the clinic to survive. Methods: This research uses the type of research capstone project. The data were obtained through in-depth interviews with the purposive sampling method of sample selection. The data obtained from the interviews were triangulated by examining secondary data from observations and documentation. Results: This study found that the strength factors (strengths) had a score of 1.32 while the weaknesses (weaknesses) had a score of -1.02. The total IFAS score is 0.3. Furthermore, the opportunity factors (opportunities) have a score of 1.08, and the threat factors (threats) have a score of -1.20. The total EFAS score is -0.12. Conclusion: The SWOT analysis conducted by the researcher shows that the clinic is in quadrant II, meaning that the clinic must use a diversification strategy to maximize strengths and overcome existing threats.

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