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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 135 Documents
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ANALISIS FAKTOR YANG BERPENGARUH TERHADAP MORTALITAS PASIEN INTENSIVE CARE UNIT (ICU) DI RSUD Dr. SOEDIRMAN KEBUMEN Diah Ayu Putriyanti; Kristin, Erna; Ratmasari, Dewi
Journal of Health Service Management Vol 28 No 03 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, 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.v28i03.22366

Abstract

Background: The ICU patient mortality rate is an indicator of hospital service quality. The ICU mortality rate at Dr. Soedirman Kebumen Regional General Hospital over the last five years has been over 40%. This rate is higher compared to the national ICU patient mortality rate in Indonesia, which is 27.6%. Objective: To identify factors influencing ICU patient mortality and to develop recommendations for an ICU mortality reduction program at Dr. Soedirman Kebumen Regional General Hospital. Methods: This study employed a mixed-methods research design with a sequential explanatory approach. Quantitative data were obtained from the medical records of ICU patients from July 2024 to December 2024. Qualitative data were gathered through in-depth interviews (management group) and focus group discussions (doctors and nurses). Quantitative data were analyzed using chi-square and Fisher's exact tests, as well as multivariate logistic regression. Qualitative data were analyzed using thematic analysis. Results: The study included 278 subjects, of whom 126 (45.3%) died in the ICU. Factors identified as significantly influencing ICU patient mortality at Dr. Soedirman Kebumen Regional General Hospital were age (p-value = 0.001), type of diagnosis (p-value = 0.008), Glasgow Coma Scale (GCS) score (p-value <0.001), use of mechanical ventilation (p-value <0.001), and length of stay (p-value = 0.004). The use of mechanical ventilation was the variable with the most significant influence on ICU patient mortality (p = 0.001, OR 43.73, 95% CI 15.84-120.72). Qualitative results suggested several programs to reduce ICU patient mortality, including: re-socialization of ICU admission criteria, activation of palliative care, improvement of human resources competency, multidisciplinary team collaboration, periodic evaluation of Early Warning System (EWS) implementation, evaluation of culture examination procedures, and initiation of High Care Unit (HCU) establishment. Conclusion: Age, type of diagnosis, Glasgow Coma Scale (GCS) score, use of mechanical ventilation and length of stay are factors influencing ICU patient mortality at Dr. Soedirman Kebumen Regional General Hospital. Given these factors contributing to the high ICU mortality rate, it is crucial for the hospital management to enhance service quality by implementing strategies to reduce ICU patient mortality at Dr. Soedirman Kebumen Regional General Hospital. Keywords: Intensive Care Unit, ICU, ICU mortality, determinants of ICU mortality, mortality reduction
EVALUASI PENGEMBANGAN SISTEM INFORMASI MEDICAL CHECKUP DI RUMAH SAKIT PERTAMINA JAYA Andi Pramono; Guardian Yoki Sanjaya; Dwi Ratmasari
Journal of Health Service Management Vol 27 No 1 (2024)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, 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.v27i1.9677

Abstract

Latar belakang: Implementasi Sistem Informasi Medical Checkup di Rumah Sakit pada tahap awal implementasi masih terjadi masalah dalam penggunaan, Rumah Sakit Pertamina Jaya belum lama ini mengimplementasikan Sistem Informasi Medical Checkup di Instalasi Medical Checkup Rumah Sakit Pertamina Jaya. Dalam implementasinya masih terjadi kendala yaitu masih terjadi antrian pada saat pendaftaran, kendala dalam mengunggah dokumen, dan melakukan entri data penunjang secara manual Tujuan: Tujuan penelitian ini untuk melakukan penilaian implementasi rekam medis elektronik sebagai dampak pengembangan sistem informasi Medical Checkup di Rumah Sakit Pertamina Jaya Metode: Penelitian ini menggunakan metode deskriptif kualitatif dengan menggunaan pendekatan studi kasus. Pengambilan sampel menggunakan Purposive Sampling kepada 11 staff rumah sakit, 3 peserta medical checkup dan 9 dari pihak rekanan perusahaan. Teknik pengumpulan data melalui observasi lapangan, wawancara mendalam dan Focus Group Discussion (FGD) Hasil: Penelitian ini menunjukkan minat dan perilaku penggunaan sistem informasi pengguna berdasarkan empat konstruk UTAUT(Unified Theory of Acceptance and Use of Technology). Keempat konstruk yaitu manfaat penggunaan sistem informasi(Performance Expectancy), kemudahan penggunaan sistem informasi(Effort Expectancy), pengaruh sosial(Social Influence), kondisi yang memfasilitasi(Fasilitating Condition) berpengaruh pada minat penggunaan(Behavioral Intention) dan perilaku penggunaan(Use Behavior) sistem informasi medical checkup, mesikpun masih ditemukan kendala namun dirasakan sudah cukup optimalDampak postitif yang dirasakan lebih besar daripada kendala yang bersifat teknis Kesimpulan: Secara umum, penggunaan sistem informasi medical checkup tersebut dapat memberikan nilai tambah dalam aspek kebermanfaatan, kemudahan pengguaan sistem, pengaruh lingkungan di tempat kerja dan dukungan fasilitas untuk mendorong minat pengguna dan perilaku penggunaan sistem informasi. Sistem medical checkup ini mendukung Permenkes Nomor 24 Tahun 2022 Tentang Rekam Medis, di dalam rangkaian implementasi sistem medical checkup tersebut didalamnya menyimpan data-data registrasi pasien berupa data pelayanan, data identitas peserta MCU, anamnesis, dan informasi klinis termasuk kode penyakit International Statistical Classification of Disease (ICD-10) disimpan dalam manajemen basis data medis secara elektronik.
PENGARUH PEMBERIAN WALKING ON THE SPOT EXERCISE TERHADAP PENINGKATAN KEBUGARAN FISIK PADA PENDERITA HIPERTENSI DI KELOMPOK LANSIA PUSKESMAS SANDEN BANTUL Nurhayati, Ummy A'isyah
Journal of Health Service Management Vol 28 No 04 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, 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.v28i04.19557

Abstract

Background: Elderly is a term used to describe people who undergo biological, physical and social changes as they age. Hypertension has become a common health problem in Indonesia. In Bantul Regency in 2020, there were 83,932 cases of hypertension from the total population. Walking is a form of low- to moderate-intensity aerobic exercise that most people can do easily and with minimal risk. Walking can improve cardiorespiratory fitness, muscle strength and body composition in older people. By measuring the 6MWT, a fitness level can be obtained which becomes a database for determining exercise programmes and interventions that are appropriate to the cardiorespiratory capacity of elderly hypertensive patients. Objectives: This study investigates the impact of walking on the spot exercise, on enhancing physical fitness in hypertensive patients in the elderly group of Puskesmas Sanden Bantul. Methods: Experimental research with a group pretest-posttest design. The sampling technique was purposive sampling. The number of samples is 30 people who are members of "Simbah Bugar" community who will be given walking on the spot exercise treatment. Normality test was conducted using Saphiro-Wilk test and hypothesis testing using Paired Sample T-test to determine the improvement in physical fitness from the treatment given. Results: The results of processing VO2 max values before and after treatment in testing the hypothesis of walking on the spot exercise using paired sample t-test obtained a value of p = 0.00. Before treatment, the mean VO2 max result was 13.38 and after treatment, the mean VO2 max result was 14.54 when measuring VO2 max using the 6MWT. Therefore, it can be concluded that the elderly group "Simbah Bugar" at the Sanden Bantul Health Centre has an effect on increasing the VO2 max by giving walking exercises on the spot. Conclusions: Walking on the spot may improve VO2 max in elderly hypertensive patients because it can improve respiratory function and oxygen transport.
MENUJU KESEHATAN DAN KESEJAHTERAAN BERKELANJUTAN INDONESIA MELALUI TRANSFORMASI DIGITAL 5.0: WAWASAN DARI KAJIAN LITERATUR SISTEMATIK Alfarizi, Muhammad; Noer, Lissa Rosdiana
Journal of Health Service Management Vol 28 No 04 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, 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.v28i04.19806

Abstract

Latar belakang: Tantangan global abad ke-21, terutama terkait keberlanjutan, semakin mendesak dengan meningkatnya konsumsi sumber daya alam dan ketimpangan sosial. Salah satu Tujuan Pembangunan Berkelanjutan (SDG) yang penting adalah "Kesehatan dan Kesejahteraan yang Baik," yang menjadi prioritas selama pandemi COVID-19. Transformasi digital melalui Teknologi Informasi dan Komunikasi (TIK) disruptif berperan penting dalam meningkatkan kualitas pelayanan kesehatan yang adil bagi seluruh lapisan masyarakat. Namun, tantangan ilmiah dalam integrasi teknologi maju untuk mendukung sistem kesehatan nasional yang berkelanjutan belum banyak dikaji. Tujuan: Studi ini bertujuan untuk mengeksplorasi transformasi digital 5.0 dalam mendukung tujuan SDGs Kesehatan dan Kesejahteraan Berkelanjutan serta menganalisis integrasi teknologi digital dalam sistem kesehatan yang lebih inklusif dan efisien. Metode: Studi ini menggunakan pendekatan kualitatif dengan metode tinjauan sistematis untuk menganalisis integrasi transformasi digital 5.0 dalam sistem kesehatan berkelanjutan. Hasil: Studi ini menyoroti transformasi signifikan yang dihadirkan oleh Artificial Intelligence (AI), Internet of Things (IoT), blockchain, Big Data, robotika medis, dan metaverse. AI meningkatkan efisiensi dalam diagnosis dan perawatan, IoT memungkinkan pemantauan kesehatan secara real-time, sementara blockchain menjamin keamanan data medis. Big Data mendukung analisis epidemiologi, robotika mempercepat prosedur medis, dan metaverse menawarkan pelatihan interaktif bagi tenaga kesehatan. Integrasi ICT 5.0 dalam sistem kesehatan di Indonesia membuka peluang untuk pengembangan e-Health yang lebih efisien dan inklusif, meningkatkan akses serta kualitas layanan, mendukung universal health coverage (UHC), dan membantu pencapaian SDGs. Kesimpulan: Meskipun terdapat tantangan seperti kesenjangan digital dan keterbatasan infrastruktur, kolaborasi lintas sektor diperlukan untuk mengoptimalkan integrasi ICT dalam sistem kesehatan nasional. Digitalisasi layanan kesehatan tidak hanya berpotensi mengurangi kesenjangan sosial dan dampak ekologis, tetapi juga meningkatkan efisiensi operasional. Dengan demikian, transformasi digital 5.0 dapat membantu Indonesia menciptakan sistem kesehatan yang berkelanjutan serta memberikan dampak positif bagi kesejahteraan masyarakat.
EVALUASI PENERAPAN REKAM MEDIS ELEKTRONIK PADA FASILITAS PELAYANAN KESEHATAN DI INDONESIA: A SYSTEMATIC REVIEW Rahayu, Eka Putri; Ariyanti, Rea
Journal of Health Service Management Vol 28 No 04 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, 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.v28i04.20034

Abstract

Background: The issuance of the Minister of Health Regulation Number 24 of 2022 requires every health care facility to improve the medical record management system that has not been implemented optimally. Every health care facility, including hospitals, is required to implement an electronic patient medical history recording system no later than December 2023. With the implementation deadline ending at the end of 2023, many health care facilities are immediately complying with the regulation, although in reality not all health care facilities have been able to implement Electronic Medical Records according to its standards. Objectives: This study aims to evaluate the implementation of electronic medical records in health care facilities in Indonesia. Methods: This study is a systematic review compiled based on the PRISMA flowchart method as a guide. Three electronic databases used in the literature search are: Portal Garuda, Pubmed and Science Direct. Boolean "AND" and "OR" are used to combine keywords described in Table 1. Articles are selected based on the last 3 years of publication, namely from 2022-2024. Results: From the 6 literature findings, the evaluation related to the application of electronic medical records used was the TAM (Technology Acceptance Model) method to assess technology acceptance from three main aspects, namely perceived usefulness, perceived ease of use, and interest in using (behavioral intention to use). These 6 pieces of literature discuss 3 main aspects of the TAM method Conclusion: The implementation of electronic medical records in hospitals has great potential to improve the efficiency and quality of health services. However, successful implementation is highly dependent on comprehensive handling of various aspects, especially human resources, infrastructure and regulations.

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