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Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)

JMPK
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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 131 Documents

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KESENJANGAN DISTRIBUSI TENAGA KESEHATAN DI PUSKESMAS WILAYAH INDONESIA TIMUR (Analisis Data IFLS East 2012) Nurul Hikmah B.; Lutfan Lazuardi; Dwi Handono
Journal of Health Service Management Vol 19 No 3 (2016)
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

Background: Since 1980s the Ministry of Health has usedseveral approaches to determine staffing needs, usingprojections based on public health status, demographicchanges and health programs that exist. This study describesthe distribution of health personnel gap in eastern Indonesiadue to see the injustice of health workers in eastern Indonesiaso that the government can deal seriously and firmly to theproblems of the distribution of health personnel, particularlyareas that are difficult to reach. Purpose: This study aims to determine the unequal distributionof health personnel in the health centers in Eastern Indonesia. Methods: This study is a quantitative research with quantitativemethods using cross sectional design. Using a large-scalesecondary data from the Indonesia Family Life Survey (IFLS)East. Results: This study indicate that there is a big gap in equity ofhealth workforce in primary health care in eastern Indonesiaexperienced vacancies even some of primary health care bothdoctors, nurses, midwives and midwife. This is evident from thedistribution of health personnel imbalance between primarycare located in areas with high and low number of population;high and low poverty rates; geographic location based on theurban/rural and remoteness even provinces. Conclusion: Primary health care in eastern Indonesia moreexperienced vacancies in particular labor of doctors andmidwives, as well as the low number of community healthworkers to prove that primary health care is oriented onpromotive and preventive neglected. Optimizing the role ofgovernment as a regulator and facilitator to give more focus andhelp the areas that lack health worker especially in the provinceof East Nusa Tenggara, Maluku and West Papua are more likelyto be a shortage of public health vacancy even doctors andmidwives.

MENGAPA TENAGA PENGAJAR PRODI KEPERAWATAN DI YOGYAKARTA TIDAK MEMENUHI STANDAR AKREDITASI BAN PERGURUAN TINGGI? Nurul Isnaini F.; Hari Kusnanto; Mubasysyir Hasanbasri
Journal of Health Service Management Vol 19 No 3 (2016)
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

Background: The main factor that determines the quality ofeducation in higher education is the quality of the lecturers in it.Quality nursing services need to be supported by nursingresources that are produced from quality educationalinstitutions according to established standards. In fact, thecurrent nursing education does not have a national standard sothat the quality of its graduates varies.Objective: This study aimed to describe and determine thecharacteristics of the lecturers that include educationalqualifications, functional, certification, and the ratio of faculty innursing studies program and see the extent to which facultycontribute to meet the accreditation status of private nursingstudies program in Yogyakarta.Methods: Analysis of a cross sectional quantitative data byunivariate analysis.Result: The status of accreditation in private nursing courses inYogyakarta (40%) accreditation of B and (60%) accreditedprograms C. length stand of Nursing program did'nt showevidence of accreditation better. Based on the educationalqualifications of teachers who are eligible according to thestandard Accreditation B (35%), which does not meet thestandards yet accredited B (5%), the variable functional and nolecturer certification courses that meet the standards of BAN PT.The ratio of lecturers in private nursing studies program is stillnot ideal proved to be only 10% of nursing study program thathas a good ratio. From observations and interviews obtainedevidence several nursing program still face many obstacles inimproving the quality of human resources and implementationof accreditation.Conclusion: The status of accreditation of private nursing inYogyakarta is still low, faculty of Nursing Prodi also still don'tmeet the qualifications in accordance with Law 14 of 2005. Ittakes a strong commitment from study program organizers andthe government to foster private nursing colleges in Yogyakarta.

EVALUASI INTERVENSI PERAWATAN PALIATIF PADA PENDERITA KANKER TERMINAL DEWASA DI RSUPN DR. CIPTOMANGUNKUSUMO Putranto R.; Laksono Trisnantoro; Hendra Y.
Journal of Health Service Management Vol 19 No 3 (2016)
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

Background: Cancer is one of the catastrophic diseases whichhave the characteristics of high cost, high volume, and high risk.Based on Basic Health Research (Riskesdas) 2013, 65%among 240.000 new cases of advanced cancer per year areseeking medical assistance where the curative treatment nolonger effective. Palliative care is an approach that is no longereradicates the disease, in contrary, it's an approach to increasethe quality of patient's life until the end of life period (death).Objective: This research aimed to evaluate the correlation oflength of stay (LOS) and direct cost of terminal cancer patientswho get palliative intervention or not receive palliativeintervention.Methods: This study used a retrospective cohort design whichinvolving 120 patients (29 cases and 91 controls) that takenfrom medical records of hospitalized patient in CiptoMangunkusumo Hospital (RSCM). The inclusion criteria consistof patient has been diagnosed as terminal cancer disease, aged≥18 years, and palliative care consultation.Results: The results of the bivariate analysis using Mann-Whitney test showed a significant correlation between directcost and palliative intervention (p-value = 0,041) and nosignificant relationship between length of stay (LOS) andpalliative intervention (p-value = 0,873).Conclusion: There was a significant relationship betweenpalliative intervention and room expenditure rates, visites,actions, and drugs. Therefore, it's necessary to further researchto explore variables that influence LOS and direct cost inpalliative care intervention patients with terminal cancer.

HUBUNGAN GAYA KEPEMIMPINAN KEPALA RUANG RAWAT YANG DIPERSEPSIKAN OLEH PERAWAT PELAKSANA TERHADAP KEPUASAN KERJA PERAWAT PELAKSANA DI RUMAH SAKIT Yohan Wenas Gunawan; Setyowati; Andreasta Meliala
Journal of Health Service Management Vol 19 No 3 (2016)
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

Background: Nurses are the biggest health personnel in thehospital. Despite their important role in providing services topatients, their job satisfaction is still low. Leadership is one of thefactors affecting the nurses’ job satisfaction. Objective: The research was conducted to measure therelationship between head nurse leadership style and nurses’job satisfaction in hospital wards. Methods: This study was an analytic research using crosssectionaldesign. This research was conducted in the DistrictHospital on May 2015. Subjects were 156 nurses who work inthe general and special wards. Questionnaire was divided into 3sections, demography variable, job satisfaction using Mueller-McCloskey Satisfaction Scale and leadership style using“Multiple Leadership Questionnaire 5x”. Results: Marital status, educational level, and type of wardhave a significant relationship with job satisfaction with p valueof 0,033, 0,010, and 0,007 respectively. Transformationalleadership style also has a significant relationship to jobsatisfaction, providing four times greater job satisfactioncompared to passive avoidant style (p = 0,01). Conclusion: There is a relationship between head nurse’leadership style and nurse job satisfaction. Hospitalmanagement has to give serious attention on nursingleadership to enhance attending nurses’ job satisfaction.

PELAPORAN SURVEILANS DEMAM BERDARAH BERBASIS SMS DI KOTA YOGYAKARTA Anwar Dwi Cahyono; Tri Baskoro Tunggul Satoto; Lutfan Lazuardi
Journal of Health Service Management Vol 19 No 2 (2016)
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

Background: The need of accurate and accelerate informationlead to decision making in order to dengue treatment now adays is high in Yogyakarta City Government. This was related tothe fact that there is a delay more than 24 hours from patient isdiagnosed with dengue until the case was reported fromhospital. Objective: to describe dengue surveillance report using SMSgateway. Methods: This research is using qualitative approach.Respondent from this research are Head of Disease ControlDepartment, Head of Health Promotion and Health InformationSystem and the others are hospital staffs who is responsible fordengue reporting. Result: SMS based reporting does not show the real amountnumber of dengue cases for a year, during the implementationthere has been 187 cases from the SMS. This was far beyondthe real number of cases which is 411 cases. Conclusion: This SMS based for dengue surveillance reportingcannot be the information that can lead to decision making.

AKSESIBILITAS TERHADAP UTILISASI FASILITAS LAYANAN KESEHATAN DASAR DI PROVINSI PAPUA (RISKESDAS 2013) Efraim Mudumi; Mubasysyir Hasanbasri; Lutfan Lazuardi
Journal of Health Service Management Vol 19 No 2 (2016)
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

Background: Access to basic health services is a human rightin the health sector achieve social justice for all Indonesianpeople. Access to health care facilities in Papua remains a realchallenge for the government, especially if it is associated withthe goal to improve the health status, reduce morbidity andmortality. The difficulty of access to health facilities led todisparities in health status between regions in Indonesia.Objective: Analysis patterns utilization of health facilities andthe factors that access barriers to health centers in the provinceof Papua.Methods: Analysis of secondary data comes from a survey ofbasic health research in 2013 with the kind of cross-sectionalstudies.Results: Of the 4562 respondents as many as 3152 (69,09%)utilize health centers. Probability better utilization of healthcenters on the rich than the poor (OR = 4,17, 95% CI = 3,23-5,38). Participants private health insurance and social securityare more likely to utilize health centers (OR = 5,87, 95% CI =2,82-12,23). Living in the urban area increasing the utilization ofhealth centers compared with rural area (OR = 1,24, 95% CI =0,98-1,56). Probability health centers utilization in swamplandbetter than others (OR = 2,17, 95% CI = 1,36- 3,45). Time travelless than 30 minutes are more likely to utilize health centerscompared with a travel time more than 30 minutes (OR = 1,28,CI = 1,14-2,17). Motor vehicles are more likely to utilize healthcenters (OR = 3,00, CI = 2,36 to 3,81). Transportation costs ofmore than IDR100.000 is more likely to take advantage of healthcenter (OR = 2,59, 95% CI = 1,59-4,2). Conclusion: The availability of health facilities, travel time,transport costs and the availability of transportation still bebarriers of accessibility. Utilization patterns varied types of basichealth facilities, primary health centers are the types of facilitiesthat the most widely used. There is inequity between the poorand rich in the utilization of basic health services.

KOMPETENSI MANAJEMEN DOKTER DI FASILITAS PELAYANAN KESEHATAN PADA DAERAH TERTINGGAL DI INDONESIA: KEBUTUHAN DAN TANGGUNG JAWAB INSTITUSI PENDIDIKAN KEDOKTERAN Fury Maulina; Riris Andono Ahmad; Mubasysyir Hasanbasri
Journal of Health Service Management Vol 19 No 2 (2016)
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

Background: challenges to work in underdeveloped areas andpeople's expectations of the quality of healthcare requiresdoctors who have public health program managementcompetencies. Objectives: identify perception of the needs and responsibilityof medical education institution to meet the managementcompetencies. Method: a mixed method study mixed method with sequentialexploratory. Results: Communication skills and respecting the right ofothers are the most needed competencies and the less neededcompetency is become chairman/leader of an activity.Competency to manage the organization's finances have notbeen met by a medical education institution and competencywhich has been met by medical education institutions is anupdating of medical knowledge actively. Conclusion: doctors need management competencies whileon duty in underdeveloped areas, but medical educationinstitutions are not yet fully meet its responsibilities in thefulfilment of these competencies.

PERUBAHAN PELAYANAN KLINIK NON-BPJS SEBELUM DAN SETELAH IMPLEMENTASI BADAN PENYELENGGARA JAMINAN SOSIAL (BPJS) KESEHATAN (Studi Kasus di Klinik Utama Rawat Inap Sumber Bahagia, Depok, Jawa Barat) Gregorius Budi Rooseno Putro; Hari Kusnanto
Journal of Health Service Management Vol 19 No 2 (2016)
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

Background: The implementation of the BPJS Kesehatan as asingle payer healthcare cover back in 2014 in Indonesia starts anew era of a nationwide coverage of health insurance. Everycitizen should be a member of that program, according to thelaw. The state owned health services are the main providers ofthe services, along with the private owned hospitals and clinics,as long as they can fulfill the requirements given by thegovernment. But some small clinics are not eligible to met thecriteria of the BPJS Kesehatan, resulting in the inability to be theprovider. This can lead to the decrease of revenues of thoseclinics, and can cause bankruptcy. Objective: The main objective of this research is to find fewalternative strategies that can be applied by the non-BPJSclinics so they can still gain a significant portion of the healthservice industry business and even increase their revenues byapplying those strategies. Methods: This research is a case study conducted in a cliniccalled KURI Sumber Bahagia in the city of Depok, West Java,with using both quantitative data of patient visitation, that wasanalysed using a linear regression technique to determine thesignification effect of BPJS Kesehatan, as well as qualitativeinformation gathering by means of interviewing the stakeholdersin that clinic. The interview data would help theresearcher to explain the phenomena found by the statisticsmeasurements. Results: The statistic results of this research showed asignificant decrease (p<0,05) in patient visitation after theimplementation of BPJS Kesehatan back in 2014, especially intypes of services such as manual labour, sectio caeserea labor,infant immunisation in general, and birth control shots. Incontrast, there are several services that showed an increaseusage (p<0,05) even after BPJS Kesehatan, such as IUDsservices, Hepatitis A shots, and Cervical Cancer shots. Basedon the interview conducted afterwards, researcher found onmost health services, patients tend choose BPJS than privateclinics of the same services because it is cost efficient, but onsome services they were willing to pay out of pocket in privateclinics because the quality of services or the products that werenot available in BPJS Kesehatan (eg. NOVA T brand of IUD).Furthermore, the research also found the increase on serviceswhich are not available in BPJS Kesehatan (eg. Hepatitis Ashots, Cervical cancer shots). Conclusion: There are significant decreases of patientvisitation numbers in KURI Sumber Bahagia clinic since theimplementation of BPJS Kesehatan. This phenomenon isresponded by the clinic by giving a better quality services andproducts and also by providing other services in which notcovered by BPJS Kesehatan. Differentiation of services and quality services is proven effective to maintain and evenincrease patient visitation, which in the end can give a goodrevenues for the clinic.

PERSEPSI PASIEN KELAS III PBI DAN NON-PBI TERHADAP PELAYANAN RAWAT INAP DI RSUD dr. M. YUNUS BENGKULU Johan; Tjahjono Kuntjoro; Rizaldy Pinzon
Journal of Health Service Management Vol 19 No 2 (2016)
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

Background: Management of Public Hospital of dr. M. Yunuscontinues to strive on improving services quality for their patient,although the result has not been optimal. It demonstrated onachievement of Bed Occupancy Rate (BOR) of the 3rd inpatientclass in 2014 still 44,25% (Standard BOR by Health Ministry is60-85%) means most hospital bed have not utilized and patientnumber of the 3rd inpatient class showed decreasing from5.486 in 2013 becomes 3.813 in 2014. Objectives: Identifying perception of the 3rd class patienttowards inpatient services in dr. M. Yunus Public HospitalBengkulu, to know are there differences in perception betweeninsurance contribution and non-insurance contribution. Methods: This study was analytical observational researchusing cross sectional approach. Number of respondents of thisstudy were 130 patient as beneficiaries of health insurance and130 patient as non-beneficiaries of health insurance. Samplewas determined by proportional random sampling. The analysisused chi square test and qualitative data. Results: Patient perception to quality of service to come cut ofpaint 25.99 when compared to the cut of point / mean theoretical25 is categorized good results. The relationship between patientperception PBI towards service quality results are statisticallysignificant p < 0.05. OR value of 2:13 means that the patient'sperception PBI towards service quality is better than the 2:13time patients NonPBI. Patients' perceptions towards skills ofofficers of 26.17 when compared to the cut of point/meantheoretical 25 is categorized good results. The relationshipbetween the patient's perception PBI towards perceptions ofskills results are significant p < 0.05. Practically obtained ORvalue 1.87 means that the patient's perception towards skills ofofficers PBI better by 1.87 times compared to patients NonPBI. Conclusion: Perception of the third-class patient PBI and Non-PBI towards third class inpatient services has been good. Thereis a difference of perceptions between the groups of patientsPBI with NonPBI patient groups.

EFISIENSI RUMAH SAKIT JIWA PEMERINTAH DI PROVINSI JAWA TENGAH DAN DIY SEBELUM DAN SESUDAH JKN DENGAN MENGGUNAKAN TWO-STAGE DATA ENVELOPMENT ANALYSIS (DEA) Rina Indrayanti; Lutfan Lazuardi; Mubasysyir Hasanbasri
Journal of Health Service Management Vol 19 No 2 (2016)
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

Background: During a national health insuranceimplementation, efficiency improvement becomes an importantissue as a result of the change of a payment method from freefor service to fixed pricing mechanism of INA CBG's bycontaining cost and improving quality. Inefficiency occurs whena psychiatric hospital uses an excessive input resource toproduce a given level output.Objective: This study aimed to measure the level of efficiencyof government psychiatric hospitals in the provinces of CentralJava and Yogyakarta before and after the implementation ofJKN. Methods: A descriptive quantitative study was conductedusing two-stage data envelopment analysis (DEA). The firststage was to measure hospital efficiency. Second stage usedpaired samples t-test to analyze different mean of BOR, LOS,BTO, TOI and cost efficiency score. This study used secondarydata from financial report, human resources report, hospitalpatient visit report of 5 psychiatric hospitals in central java andDIY province, period 2010 until 2014.Results: Efficiency measurement using DEA CRS inputorientedmodel obtained the mean of cost efficiency score was0,896. Mean of efficiency score decreased during a transitionperiod of national health insurance implementation from 0,947in 2013 became 0,866 in 2014. Soedjarwadi hospital was theonly one of a psychiatric hospital that achieved cost efficiency in2014. Paired samples t test analysis showed that there was nodifference of mean of BOR, LOS, BTO, TOI and score costefficiency before and after efficiency improvement in 2013 from2010. There was no difference of mean of BOR, LOS, BTO andscore efficiency before and after implementation of nationalhealth insurance. The only one variable had difference of meanbefore and after implementation of national health insurancewas TOI.Conclusion: Most psychiatric hospital in this study are stillinefficient. National health insurance has not been able toimprove efficiency in the early implementation period.Decreasing of efficiency score happened because of thedecreasing of hospital output.

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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

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Home Page

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Editorial Team

Contact

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Google Scholar

Contact Name Lutfan Lazuardi

Contact Email lutfan.lazuardi@ugm.ac.id

Phone +62274547490

Journal Mail Official jmpkfk@ugm.ac.id

Editorial Address Jl. Farmako Sekip Utara, Yogyakarta, Indonesia 55281 Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada

Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

Abstract

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Lutfan Lazuardi

Contact Email
lutfan.lazuardi@ugm.ac.id

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+62274547490

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jmpkfk@ugm.ac.id

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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

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA