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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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INDONESIA
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 25 No 4 (2022)" : 5 Documents clear
EVALUASI PENGGUNAAN TELEMEDISIN PADA PELAYANAN RAWAT JALAN DI RUMAH SAKIT AKADEMIK UGM SAAT PANDEMI COVID-19 DENGAN METODE HOT-FIT Fajrul Falah Farhany; Lutfan Lazuardi; Dewi Ratmasari
Journal of Health Service Management Vol 25 No 4 (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 (705.714 KB) | DOI: 10.22146/jmpk.v25i4.6111

Abstract

Background: One hospital that has adapted services to the COVID-19 pandemic is the UGM Academic Hospital (RSA UGM). RSA UGM offers long-distance or telemedicine services, later named the Joempa Dokter Telemedicine RSA UGM. Joempa Dokter stands for Journey for Online Electronic Medical Professional Assistance. Telemedicine Joempa Dokter RSA UGM has been running for 1.5 years. Still, it was found that it had not been appropriately utilized by health workers who worked at the Outpatient Installation at RSA UGM. The process flow for telemedicine services was also not adequately systemized, as evidenced by using semi-conventional technology in practice. Objective: To evaluate ‘Joempa Dokter’ telemedicine service at RSA UGM during the COVID-19 pandemic. Methods: The type of research used in this study is a mixed method with an embedded or nested research design using a survey approach and in-depth interviews. This research was conducted in the outpatient ward of RSA UGM from July to August 2022. Results: The flow of telemedicine services for Joempa Dokter RSA UGM starts with patient registration via the Google form, consulting with doctors via the Zoom platform, then prescribing drugs online. Telemedicine services have not been integrated with the SISTEMA RSA UGM, but this service is helpful and easy to use. There are still some deficiencies in this telemedicine service, such as unattractive features; the platform used is still different from registration to postservice; there is no Standard Operating Procedure (SOP) for Joempa Dokter Telemedicine Services; incentives are not appropriate; and telemedicine services are not a priority service at RSA UGM yet. Conclusion: Joempa Dokter Telemedicine at RSA UGM is beneficial as an alternative solution to improve the quality of health services in hospitals during the COVID-19 pandemic. For better service continuity, UGM RSA management needs to prepare Standard Operating Procedures (SPO) and service roadmaps, adjust incentives to improve the performance and motivation of the health workers involved, and service integration with existing information systems at RSA UGM also needs to be done.
KEPEMIMPINAN KLINIS DOKTER UMUM DI RUMAH SAKIT KANKER DHARMAIS Ratna Budi Setiani; Andreasta Meliala; Rina Kusumaratna
Journal of Health Service Management Vol 25 No 4 (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 (399.607 KB) | DOI: 10.22146/jmpk.v25i4.6119

Abstract

Background: Dharmais Cancer Hospital is a special class A cancer hospital which is a reference for the National Cancer Center with multidisciplinary health workers. With the specialist role of the Dharmais Cancer Hospital, general practitioners are also involved in improving the quality of patient care. To encourage this, the clinical leadership skills of a general practitioner are also urgently needed. Objective: Assess the level of clinical leadership and explore individual and service factors that play a role in clinical leadership in General Practitioners at Dharmais Cancer Hospital. Methods: Case study research using quantitative and qualitative data approaches to all general practitioners who serve as doctors on duty at the Dharmais Cancer Hospital. Collecting data using a questionnaire using modified instruments from the Clinical Leadership Competency Framework-self-assessment tool, document review, interviews and observations. Quantitative data analysis with frequency distribution and qualitative data analysis with thematic analysis. Results: Quantitative data shows that the dimensions of service improvement are included in the standard category. Qualitative data shows aspects of clinical leadership that need to be improved, including 2 aspects on the dimension of showing self-quality, namely self-management and acting with integrity, 2 aspects on the dimension of working with others, namely encouraging contribution and working in teams, 1 aspect on the dimension of managing services, namely managing resources, and 2 aspects on the dimensions of improving services, namely encouraging improvement and innovation and facilitating change. The individual factors considered to play a role were the majority at a younger age, the majority of years of service were new, the employment status of the majority were non-PNS not permanent, no work experience, no managerial experience, lack of managerial training, and lack of leadership training. Service factors considered to play a role include poor service communication, work situations with high workloads, and unclear roles at work. Conclusion: General practitioners at the Dharmais Cancer Hospital do not yet have optimal clinical leadership, so management support is needed to improve the clinical leadership of general practitioners.
STRATEGI OPTIMALISASI PELAKSANAAN PROGRAM RUJUK BALIK PASIEN DIABETES MELITUS PESERTA BPJS KESEHATAN DI PUSKESMAS KECAMATAN PANCORAN Tita Meitia Dianingsih; Adi Utarini; Haryo Bismantara
Journal of Health Service Management Vol 25 No 4 (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 (338.821 KB) | DOI: 10.22146/jmpk.v25i4.6214

Abstract

Background: The Back-Referral Program for Diabetes Mellitus (DM) patients in the health system in Indonesia demands the role of the Community Health Center in its implementation. The Pancoran Community Health Center seeks to answer the need for Referral Program by innovating service development in the form of an optimization strategy for Referral Program implementation, including increasing Prolanis participants and taking Referral Program prescriptions through clinical teleconsultation. Various factors influencing the success of the Referral Program, including the effectiveness of the innovations implemented, have not yet been evaluated in depth. Objective: Exploring the factors influencing the continuity of Back-Referral Program patient visits and evaluating strategies for optimizing Back-Referral Program implementation at the Pancoran Community Health Center. Methods: The research design used is Mixed-Method, sequential explanatory. The research was conducted at the Pancoran Community Health Center, with quantitative research subjects being DM patients who visited to take referral program prescriptions for 2020-2021, with as many as 69 people. The qualitative research subjects were ten patients registered as back-referral program participants in 2021-March 2022, chosen by a purposive sampling technique. In the quantitative study, secondary data were taken from medical records and analyzed in a simple descriptive manner using statistical analysis software. Qualitative research conducted indepth interviews, analyzed through coding, and interpreted descriptively. Results: There is no relationship between increasing the continuity of the Back-Referral Program 2020-2021 and Prolanis participation or taking Back-Referral Program prescriptions through clinical teleconsultation. The increase in the continuity of Back-Referral Program patient visits was not related to the characteristics of the patient’s gender, age, domicile, educational level, and occupation. There are supporting and inhibiting factors in the implementation of The Back-Referral Program. Such as the level of satisfaction of patients consulting general practitioners, staff hospitality, easy access to services and information, patient-staff communication, infrastructure, drug availability, family and work support, budget flexibility, waiting time, and health conditions patient. Conclusion: The increase in the continuity of DM patient visits taking Back-Referral Program prescriptions in 2020-2021 is not significantly related to optimization strategies and variations in patient characteristics. Based on patient perceptions, supporting and inhibiting factors for Back-Referral Program implementation were identified. Comprehensive steps are needed to optimize Back-Referral Program in the short, medium, and long-term stages, including the potential for using new programs based on patient perception.
GAMBARAN KESIAPAN PERANCANGAN SISTEM NAVIGASI PASIEN KANKER DI RUMAH SAKIT KANKER DHARMAIS Fitria Suryani; Hanevi Djasri; Rina R Kusumaratna
Journal of Health Service Management Vol 25 No 4 (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 (381.781 KB) | DOI: 10.22146/jmpk.v25i4.6272

Abstract

Background: Cancer patient navigation is a coordinated assistance process that assists patients in overcoming barriers to timely and high-quality cancer care. Nonetheless, research on the design of an effective patient navigation system is still scarce.Objectives: To obtain an overview of the readiness of the navigation system for cancer patients at the Dharmais Cancer Hospital from the aspect of leadership policy, availability of resources, and assessing the knowledge level of navigators.Method: Case studies at the Dharmais Cancer Hospital were conducted from August to November 2022. A total of 13 informants involved in designing the cancer patient navigation system conductedin-depth interviews. Qualitative data were analyzed by the thematic analysis method. Quantitative data were obtained from field obser vations and document reviews using a modified checklist of the conformity of the American Cancer Society’s standard - cancer patient navigation design practices, as well as a closed questionnaire to assess eight navigators’ knowledge levels.Results: There are 15 components, each representing a different aspect of the design. The standards define four components that represent the leadership policy standpoint. All four requirements are met.Inconsistency in patient monitoring and the availability of approved SOPs were two of the seven resource availability components that were ineffective. The subjective navigator recruitment process is onecomponent that is unsuitable from the perspective of a navigator. The patient navigator candidate’s knowledge level is 35.12%, which is considered good.Conclusion: Only the leadership and policy aspects are fully met out of the 15 components representing three aspects of the design. Patient monitoring, ratification of activity SOPs, and the presence of an open navigator healing process and goals can all help to improve navigation system development.
MANAJEMEN PENGELOLAAN LIMBAH B3 DI RSUD DRS. H. AMRI TAMBUNAN Adellia Shaffenia Sinar Nst; Hari Kusnanto; Darwito
Journal of Health Service Management Vol 25 No 4 (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 (324.613 KB) | DOI: 10.22146/jmpk.v25i4.6289

Abstract

Latar belakang: Meningkatnya jumlah rumah sakit menyebabkan jumlah timbulan limbah medis yang dihasilkan juga ikut meningkat. Limbah rumah sakit berpotensi mencemari lingkungan dan dapat menyebabkan kecelakaan kerja serta penularan penyakit jika limbah medis rumah sakit tidak di kelola dengan baik. Pengelolaan limbah di rumah sakit adalah tanggung jawab pihak rumah sakit dan seluruh tenaga kesehatannya oleh karena itu pengelolaan limbah harus sesuai dengan peraturan perundang-undangan yang berlaku dan peran manajemen rumah sakit juga sangat penting dimulai dari perencanaan, pengorganisasian, pelaksanaan, dan pengawasan. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi peran manajemen dan kebijakan dalam pengelolaan limbah B3 di RSUD Drs. H. Amri Tambunan. Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan deskriptif. Pengumpulan data menggunakan observasi sistematis dan wawancara mendalam. Hasil dan pembahasan: Hasil penelitian menunjukkan sudah sesuai dengan peraturan yang berlaku tetapi belum optimal. Pada tahap perencanaan dan pengawasan sudah berjalan dengan baik tetapi tahap pengorganisasian dan pelaksanaan belum terlaksana dengan baik. Petugas tidak menggunakan APD yang lengkap, masih belum adanya pembagian tugas yang jelas, dan petugas belum mendapatkan pelatihan dalam pengelolaan limbah B3. Kesimpulan dan saran: Diharapkan rumah sakit melakukan pelatihan khusus tentang pengelolaan limbah B3 bagi petugas agar dapat melakukan tanggung jawabnya sesuai dengan ketentuan yang telah ditetapkan. Kata kunci: Manajemen, Peraturan, Limbah B3

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