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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
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Search results for , issue "Vol 26 No 2 (2023)" : 5 Documents clear
REKAM MEDIS ELEKTRONIK (RME) UNTUK PELAYANAN GIZI RUMAH SAKIT Diah Ayu Ratnaningsih; Guardian Yoki Sanjaya; Adhiyanti Asikin
Journal of Health Service Management Vol 26 No 2 (2023)
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.v26i2.8557

Abstract

Background: Electronic Medical Record (EMR) is mandatory for the healthcare provider in Indonesia. EMR were also developed for medical support services such as nutrition services. EMR application for nutrition services consists of nutrition assessment forms and patient-integrated clinical development records.Objective: To determine factors that influence the implementation of EMR for hospital nutrition services.Methods: This research is qualitative research with a single-case holistic design. The research location was in Instalasi Gizi RSUD Dr. Soetomo, from May to June 2023. The data collecting method was using in depth-interview and focus group discussions. Participants were selected using purposive sampling. Data was analyzed based on the Human, Organization, and Technology (HOT)–Fit Framework.Results: This research showed that the main factor influencing the success of EMR implementation for hospital nutrition is the digital competencies of the staff. These competencies could be increased by giving some training to the staff. Another essential factor is that organization should support by providing Standard Operating Procedures (SOPs) for EMR implementation and technical support from the Information Technology (IT) team. IT team has the responsibility to handle complaints and problems about EMR. Facilities such as computers and Local Area Networks (LAN) should be sufficient to make EMR implementation run well. The interface and features of EMR should answer the needs of the staff. So, staff would feel EMR is beneficial to help them finish their work, and they would show their acceptance toward this EMR.Conclusions: The success of EMR implementation for hospital nutrition services is determined by several factors like staff digital competencies, organizational support, and provision of computers and LAN for implementing EMR. Positive perception about the benefit of EMR encouraged the increase of EMR utilization in hospitals.
PENGARUH IMPLEMENTASI REKAM MEDIS ELEKTRONIK TERHADAP WAKTU TUNGGU RAWAT JALAN REGULER DI RS HERMINA SOLO Fitri Ayu Rachmawati; Guardian Yoki Sanjaya; Firman
Journal of Health Service Management Vol 26 No 2 (2023)
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.v26i2.8645

Abstract

Background: Patient complaints related to the long waiting time for medical record files in the outpatient installation of regular polyclinics at Hermina Solo Hospital increased from January to June 2022, and the average patient waiting time was 3 hours and 30 minutes in the same period. There were delays in sending patient data. There are medical record files that are not found during searches and cause doctor complaints; these also impact doctor services related to illegible data or writing, which risks causing patient safety incidents. Objectives: The general objective of this study was to identify the effect of electronic medical record implementation on polyclinic outpatient waiting times. The specific objectives were to identify the effect of electronic medical records on waiting time, waiting time for doctor’s examination, and waiting time for drugs at the pharmacy.Methods: This quantitative research with an analytic observational design through a retrospective cohort approach using the t-test. With the stratified random sampling method, the number of samples before 207 and after 207 samples were carried out from May 2, 2023, to June 5, 2023, at Hermina Solo Hospital in 12 outpatient examination rooms. The research variables were total outpatient waiting time, pharmacy waiting time, and doctor waiting time.Results: Total waiting time after EMR implementation is better than before, namely before 200,21 minutes after 140,87 minutes (p-value 0.000<0.05). Waiting time for doctors before 97,96 minutes and after 88,30 minutes (p-value 0.000<0.05) and waiting time for pharmaceutical services before 72,42 minutes and after 66,97 minutes (p-value 0.035<0.05). The results of the t-test statistical test showed that the effect of EMR on waiting time was significant. Ophthalmologic, urology, orthopedic, and dental departments have a longer waiting time, averaging 105,64 minutes. Conclusion: EMR reduces total outpatient waiting time for doctors and pharmacies. The effect of EMR implementation in outpatient can reduce the number of complaints and increase patient satisfaction.
KOMITMEN ORGANISASI DAN KEINGINAN BERPINDAH KERJA KARYAWAN PADA RUMAH SAKIT IBU DAN ANAK BUNDA BAHAGIA Hilda Mutia Hanum; Andreasta Meliala
Journal of Health Service Management Vol 26 No 2 (2023)
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.v26i2.8666

Abstract

Background: A frequent phenomenon in human resources (HR) is that many employees leave their jobs (turnover). Efforts to control and reduce employee turnover begin with eliminating the desire to change jobs (turnover intention). There are many causes of turnover intention, including job satisfaction, work environment, and organizational commitment. High organizational commitment is what every organization, especially hospitals, expects from their employees. RSIA Bunda Bahagia shows an increasing turnover rate until 2022 reaching 79.4%. That condition proves that the turnover rate is high because the ideal condition of the turnover standard is 5-10% per year, so it is necessary to improve better employee management to achieve hospital success.Objective: This study aims to describe organizational commitment and turnover intention and measure the relationship of employee organizational commitment to turnover intention at RSIA Bunda Bahagia.Methods: This type of research is an exploratory case study research with a single case research design with qualitative data presentation. This research was conducted for 2 to 3 months after Ethical Clearance was issued, which was conducted on 51 employees with the Three-Component Model (TCM) Employee Commitment Survey research instrument to measure organizational commitment and Turnover Intention Scale-6 (TIS-6) to measure turnover intention.Results: Twenty-eight (54.9%) employees had a high level of organizational commitment, and 32 (62.7%) employees had a low turnover intention. Spearman’s Rank Correlation test results on organizational commitment and turnover intention showed a p-value of 0.001 (<0.05) with a correlation coefficient of -0.442. Organizational factors, individual factors, and social factors in organizational commitment have a relationship to turnover intention.Conclusion: There is a significant unidirectional relationship between organizational commitment and turnover intention in employees of RSIA Bunda Bahagia, so management needs to increase organizational commitment in employees so that turnover intention rates decrease.
IMPLEMENTASI LEAN THINKING UNTUK MENURUNKAN WAKTU TUNGGU PELAYANAN OBAT DI INSTALASI FARMASI RAWAT JALAN, RUMAH SAKIT PANTI RINI Denny Widhiyanto Yanong; Erna Kristin; Firman
Journal of Health Service Management Vol 26 No 2 (2023)
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.v26i2.8671

Abstract

Background: Panti Rini Hospital is trying to improve service quality, one of which is in the Outpatient Pharmacy Installation. There are several problems in the Outpatient Pharmacy Installation in the drug service process until the patient receives the drug.Objective: Implementing lean thinking to reduce waiting time for drug services at the Outpatient Pharmacy Installation at Panti Rini Hospital. In particular, it will identify waste, implement solutions to it, and analyze drug service waiting times before and after implementing lean thinking at the Outpatient Pharmacy Installation at Panti Rini Hospital.Method: This type of action research consists of 1) The stage of preparing instruments and permits; 2) The preparation stage of data collection prior to intervention and action planning, conducting interviews, direct observation, focus group discussions with pharmacy staff and hospital IT staff and debriefing regarding the relationship between service flow and waiting time; 3) The stage of implementing lean thinking in dealing with waste; 4) The evaluation stage after the intervention by calculating the delay time at each sub-process point, calculating the lead time, cycle time, VAR.Results: The dominantly identified waste in the drug service process is waste of waiting, extra processing, motion, defects, and inventory. The solution to overcome this waste that is implemented is the use of an IT system. The impact was that the lead time for compounding recipes decreased from 85 minutes to 52.9 minutes and for non-compounding recipes from 37.6 minutes to 19.8 minutes. There is an increase in VAR (Value Added Ratio) of 24% for compounding electronic recipes and 25% for non-compounding electronic recipes. The results of the Independent Samples T-Test for compounding recipes showed that p=0.00 (p<0.05), and the results of the Mann-Whitney U Test for non-compounding recipes showed that p=0.00 (p<0.05), so the results were significant.Conclusion: Implementing Lean Thinking can increase the efficiency of the drug service process, thereby reducing waiting time at outpatient pharmacy installations.
HUBUNGAN KUALITAS PELAYANAN KESEHATAN GIGI DAN MULUT DENGAN TINGKAT KEPUASAN PASIEN DAN DISPARITAS KEPUASAN PASIEN DI PUSKESMAS KABUPATEN PEMALANG Putri Awwalia Abdul Latif; Hanevi Djasri
Journal of Health Service Management Vol 26 No 2 (2023)
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.v26i2.8718

Abstract

Background: Patient satisfaction is one of the key components in various healthcare service parameters as patient feedback can be a measure of healthcare service quality. The rates of oral and dental disease cases are considered high globally, followed by an increased prevalence in Indonesia according to the Basic Health Research from 2007 to 2008, as well as a high rate of self-treatment for dental and oral diseases. Public health centers, as government healthcare service units, require the management to improve the service quality to an optimum level, which is measured by examining the level of patient satisfaction.Objectives: This study aimed to measure the correlation between the quality of dental and oral healthcare services and the level of patient satisfaction at public health centers in Pemalang Regency.Methods: This study is an analytical quantitative study with a cross-sectional approach. A theory proposed by the Institute of Medicine (IOM) stating that healthcare services should pursue six primary goals: patient safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity, was used as a modified design to determine patient satisfaction in dental clinics. The sample size was 212 patients, with 106 patients drawn from each of the two Public Health Centers: Mulyoharjo (urban area) and Bantarbolang (rural area) using the consecutive sampling technique. The data were collected through a survey that involved a questionnaire. Univariate, bivariate, and multivariate analyses were used to analyze the data.Results: Patient characteristics (age, education, occupation, income, and access to healthcare facilities) and the quality of dental and oral health services had a significant correlation with the level of patient satisfaction. The most influential predictor was the quality of dental and oral health services, as indicated by the p-value, with moderate correlation strength. There was a disparity in patient satisfaction between Mulyoharjo Public Health Center (urban area) and Bantarbolang Public Health Center (rural area), where the level of patient satisfaction at Bantarbolang Public Health Center was higher than that at Mulyoharjo Public Health Center.Conclusions: In conclusion, there was a correlation between patient characteristics and the quality of dental and oral health services with the level of patient satisfaction. A disparity in patient satisfaction was found at the dental clinics between Mulyoharjo Public Health Center (urban area) and Bantarbolang Public Health Center (rural area).

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