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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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POLA PEMANFAATAN PELAYANAN KESEHATAN DAERAH TERTINGGAL, PERBATASAN, KEPULAUAN, DAN TERPENCIL (DTPK-T) DI INDONESIA (ANALISIS DATA RISKESDAS 2013) Sri Wiyanti; Hari Kusnanto; 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: Utilization of health services is an importantelement in determining the health status of the community.Information on the utilization of health services are needed byhealth services management, in taking appropriate policy(Feldstein 1988). communities disadvantaged areas, islands,and remote border (DTPK-T) have limitations in the use ofhealth services, this is due to geographical conditions that aredifficult to reach, limited infrastructure and health humanresources that add to the complexity of the problem.Objectives: Reviewing and analyzing the patterns of utilizationof health services for people in underdeveloped regions, border,island, and remote. Method: This study uses secondary data from the Basic HealthResearch (RISKESDAS) in 2013, with a cross-sectional design.In this study focused to see the pattern of utilization of the publicin disadvantaged areas, border, island, and remote in obtaininghealth services at the health center. Results: Least developed society, border, island, and remoteuse more health centers, out of total 42.623 respondents,approximately 18.882 people or 43.5% are utilizing the serviceshealth centers, physician practices 19.5%, gender, economicstatus, education, travel time and transportation costs, doctor'sdiagnosis of the disease in the suffering of both communicableand non-communicable, rural location had a significant effect onhealth care utilization, while the category of regions did not havea significant effect on the utilization of health centers.Conclusion: People in, Less developed, border, island, andremote areas (DTPK-T) have made use of basic health carefacilities (health centers), in addressing health issues. Specialpolicies are needed in order to improve the quality of care byproviding health resources, infrastructure, and availability ofdrugs.

PENGAMBILAN KEPUTUSAN STRATEGIS GIZI DAN KESEHATAN IBU DAN ANAK (KIA) PADA KEPALA DINAS KESEHATAN KABUPATEN/KOTA DI DAERAH ISTIMEWA YOGYAKARTA Febria Rahmi; Mubasysyir Hasanbasri; Yodi Mahendradhata
Journal of Health Service Management Vol 19 No 4 (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 high maternal and child mortality andmalnutrition in regency/city in special region of Yogyakartademanded head of health department to take strategicdecisions.Objectives: to describe the strategic decision making by headof health department on the issue of maternal and child healthand nutrition.Methods: qualitative with exploratory study.Results: District health office/city in special region ofYogyakarta have not many strategic decisions to solveproblems on maternal and child health and nutrition. However,the decisions are always be hampered by human resources.Only Gunung Kidul District Health Office which states that therewas no political involvement in decisions by the head of thehealth department.Conclusions: Strategic decisions taken by district healthoffice/city in special region of Yogyakarta such as regulationmayor books Maternal and Child Health, delay the age ofmarriage at the age of the child, WhatsApp group of district levelnutritional recovery home.

MENGAPA KOMPETENSI PEMERIKSAAN PRENATAL KONSELING TANDA BAHAYA OLEH BIDAN DI PUSKESMAS LEBIH BAIK DIBANDINGKAN PRAKTIK SWASTA DI INDONESIA? DATA INDONESIA FAMILY LIFE SURVEY (IFLS) 2007 Helen Try Juni Asti; Ova Emilia; Mubasysyir Hasanbasri
Journal of Health Service Management Vol 19 No 4 (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: Indonesia's maternal mortality rate increased in 2013 while antenatal care coverage K4 also increased. The element is important to know the health status of the pregnancy is highly dependent on the implementation of the prenatal examination by a midwife. Midwives have a good quality in the implementation of prenatal examinations can reduce morbidity and mortality of pregnant women.Objectives: To investigate implementation prenatal examination in Indonesia by midwives in the health center facilities (public) and private practice, working time, training participation, geographical location (urban-rural), and the regions lagging.Methods: This research is a quantitative research. We analyzed 1,433 midwives from 13 provinces in Indonesia which respondents IFLS 2007. The implementation details of prenatal care by midwives obtained from nine item prenatal procedures on questionnaires vignettes.Results: Statistical tests showed that the percentage of implementation of prenatal care is still low. Variable types of facilities most influence on the implementation of prenatal examinations and tests hemoglobin fe tablet. Public facilities tend to be carrying out the procedure with (OR 1,30; CI 1,04-1,61) and hemoglobin tests (OR 1,62; CI 1,30-2,02) compared to private practice. Variable training participation proved to be the most influential on the implementation of urine testing, counseling danger signs of pregnancy, and ask a history of high blood, midwife training are more likely to implementing procedures prenatal urine (OR 1,95; CI 1,21-3,14), counseling danger signs of pregnancy (OR 1,45; CI 0,98-2,15], and asking a history of high blood pressure (OR 1,61; CI 1,12-2,33) compared the midwife did not follow the training.still low. Strategies to increase implementation of antenatal care by improving the function of regulation, training and continuing education, and supervision.

RESPON SPESIFIK PUSKESMAS TERHADAP KEBUTUHAN SANITASI PENDUDUK PERMUKIMAN KUMUH DI BANTARAN SUNGAI CODE, KOTA YOGYAKARTA Relmbuss Biljers Fanda; Mubasysyir Hasanbasri; Retna Siwi Padmawati
Journal of Health Service Management Vol 19 No 4 (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: Gondomanan Primary Health Care (PHC) have the toughest slums in the Code River, which Prawirodirjan village, but has made a declaration STBM in 2013. Objetive: To understand specifific response of PHC to sanitation need of slum dweller in Code riverbank in Yogyakarta. Method: This research used a qualitative method. This study used the case study, and data collection techniques in depth interview. This research held in Prawirodirjan village. The participants of this research were included 16 people, that consist of employees of Gondomanan PHC and Ministry of Health (MOH), infrastructure, enviroment agency, The Head Prawirodirjan village, cadre of CLTS and slum communities. Results: CLTS that implemented in Gondomanan PHC has reached the stage of the declaration. Gondomanan performs the function of empowerment and coordination with other stakeholders in CLTS with open defecation free (ODF). However, the achievement of the declaration still leaves problems, namely the wrong faeces disposal, the diffiffifficulty of access to communal wastewater treatment plant (WWTP), and the source of water around the river polluted. Conclusion: Gondomanan PHC responded to the slums dwellers needs of with implementing CLTS. Gondomanan PHC performed the functions of public health leadership through the main functions of assessment, policy development and assurance. Although there were still weaknesses in the leadership of public health, but cooperation could be improved.

PENGEMBANGAN SISTEM PENCATATAN DAN PELAPORAN INSIDEN KESELAMATAN PASIEN (IKP) BERBASIS WEB DI RUMAH SAKIT Siti Zahro
Journal of Health Service Management Vol 19 No 4 (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: In an effffort to improve patient safety in Hj. Anna Lasmanah Hospital Banjarnegara Regency, this study developed a web-based incident reporting system. This is an effffective tool with advantages suitable for promoting an open culture for patient safety. Objectives: Improve incident reporting mechanisms in hospital considering the comfort, convenience and confifidentiality, so that it can support the efffforts of improve patient safety. Methods:This was action research design, conducted at the Hj. Anna Lasmanah Hospital Banjarnegara Regency. Research participants amounted to 7 (seven) people. The research began with the identifification of needs through interviews, observation and study of documentation. The process of making the prototype systems was based on the results of the identifification of needs. The evaluation process was carried out using a questionnaire, distributed to 40 participants to assess usability. While for evaluating importance, scientififically acceptable, transparency, and feasibility, we conducted observation and interviews with participants. Interview data were analyzed qualitatively, through the process of data transcription, coding and categorization. Data from questionnaires done by calculating the average. Results: This research resulted a prototype incident reporting system that accommodated to the basic needs of the user. Most participants (91,96%) were satisfified with the application developed. The prototype system is considered appropriate to be applied in the hospital, with some suggestions for the need for improvement regarding the application program, network infrastructure and human resource capacity. Conclusion: A prototype system developed was considered can improve incident reporting mechanisms in hospital considering the comfort, convenience and confifidentiality, so that it can support the efffforts of improve patient safety.

STUDI KASUS POLA PEMBERIAN REMUNERASI RESIDEN DI RSUD DR. MOEWARDI SURAKARTA Sudirman; Laksono Trisnantoro; Andreasta Meliala
Journal of Health Service Management Vol 19 No 4 (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 the commencement of the national health insurance program (JKN), patient visits to hospitals have increased. The same is true for patient referrals with specialist cases. The limited ability of specialist doctors in dealing with the increasing number of specialized cases has made hospitals start considering resident personnel to help provide medical services, especially in teaching hospitals. The magnitude of the resident's role in providing medical services in teaching hospitals needs serious attention, especially in relation to the resident's right to receive remuneration for medical services carried out in accordance with the mandate of Law Number 20 of 2013 concerning medical education. Objectives: This study aimed to evaluate the policy of providing remuneration or incentives for residents who provide medical services at Dr. Moewardi Surakarta. Methods: This study is a non-experimental study with a descriptive case study design with a single holistic case design. The research was conducted at Dr. Moewardi and FK UNS during January–February 2016 with 10 respondents as research subjects and carried out by purposive sampling method. Results: Remuneration for residents that has been applied in Dr. Moewardi was very dependent on the university-based system applied by FK UNS in organizing specialist medical education programs. Resident remuneration that has been given only includes incentives and does not refer to Law Number 20 of 2013 concerning medical education which regulates resident incentives. The provision of resident incentives has the same pattern regardless of the type of specialization and level of competence. Conclusions: The pattern of incentives that have been implemented by RSUD Dr. Moewardi does not difffferentiate incentives based on the type of specialization or level of competence and is not in accordance with Law Number 20 of 2013 concerning medical education.

MENGEMBANGKAN SISTEM KOMPENSASI BERBASIS KINERJA DI RUMAH SAKIT HARAPAN MAGELANG Tri Juli Wati; Sugianto Adisaputro; Andreasta Meliala
Journal of Health Service Management Vol 19 No 4 (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: Harapan Hospital has started performance appraisal toward employees since 2010. The result of these performance appraisal become the base for the following year's payment. Within five years of performance appraisal, the result hasn't improved, but decreased instead. On the other side, employee's salary continuously increased. So, we can say that the compensation which is received by the employee isn't relevant with their performance appraisal, and doesn't affect the performance's improvement, therefore evaluations and improvements on the recent compensation system are necessary. Objective: The goal of this research was to develop a performance-based compensation system in Harapan Hospital Magelang. Methods: This research is a case study research with a case study research design type 1, which means holistic single case design. Results: Four factors that based the completeness of the Pay Model as the foundation of the payment structure, is yet to be fulfifilled by the recent payment system. Performance appraisal that have been used so far is incapable of pushing better performance, because the guide used during the performance appraisal are too subjective that it can't diffffer each employee's capabilities. Performance appraisal results today become the base of the employee's salary, and this caused uncertainty about the salary changes. Incentive is being given equally. The perception of compensation system and its component are still yet to be well understood by neither the company nor the employee. There is still yet to be any agreement in formulating performance-based compensation system because of the employee's pessimistic behaviour and their thought, which considers performance appraisal nothing more than routines for formality. Conclusion: The completeness of Pay Model is yet to be based on performance based compensation system which are still valid, so more evaluations and improvements have to be done, which would resulted with a reliable compensation structure that can be formulated and able to become an attraction for potential employees as well as becoming a pushing factor for performance's improvement.

KLAIM TIDAK LAYAK BAYAR PESERTA JAMINAN KESEHATAN NASIONAL DI LAYANAN RAWAT JALAN RUMAH SAKIT JIWA PROF. DR. SOEROJO, MAGELANG Vera Otifa; Andreasta Meliala; Yulita Hendrartini
Journal of Health Service Management Vol 19 No 4 (2016)
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

Background: The hospital payment mechanism in National Health Insurance era used INA-CBG's package tarif. The service payment which had given by hospital was paid by Indonesian National Health Insurance Agency with claiming mechanism. There were several factors and causes that affected unfeasible payment claim which could harm the hospital. Objective: Identify the factors that caused the unfeasible payment claim, identify the cause of the unfeasible payment claim, describe the attitude of doctors, the attitude of the leader ship of the hospital, the attitude of the administration RSJS, attitude BPJS Health Magelang and describe RSJS leadership communication to the cause of the unfeasible payment claim in the outpatient service RSJS. Method: This research was an exploratory case study research with single holistic case study design. Analysis unit in this research was outpatient services in Prof. dr. Soerojo Magelang Mental Health Hospital. Research informants were specialized doctor and general practitioner RSJS, Prof. dr. Soerojo Magelang Mental Health Hospital's leaders, Prof. dr. Soerojo Magelang Mental Health Hospital's administrators, and Indonesian National Health Insurance Agency branch in Magelang City. The informant selection used purposive sampling. Data collection used in-depth interview and document observation. Result: The cause of unfeasible payment claim consisted of medical services cause and administrative cause. The cause of medical services most that one episode of outpatient, one episode of inpatient and diagnosis is not emergency. The data difffference between BPJS Kesehatan and medical record, non-emergency diagnosis that considered as emergency diagnosis, one episode of outpatient/inpatient considered as two episodes of outpatient/inpatient. The communication RSJS leaders about unfeasible payment claim is not optimal, the attitude doctor's with less information, the rules have not been clearly linked specifificity RSJS in healthcare delivery, indifffference claim services were they have rendered to the participant JKN, understanding verififier BPJS about medically less in determining the unfeasible payment claim into inconsistencies, too tight in the verifification process and the workload verififier BPJS in RSJS large enough can increase in unfeasible payment claim .The attitude of the leadership of RSJS own conduct follow-up but followup information was not communicated to the doctor RSJS, the attitude of the administration RSJS who respond positively to minimize the unfeasible payment claim. Conclusion: The leaders' communication, doctor's attitude, Indonesian National Health Insurance Agency's attitude and the unpresented operational standard, and procedure in determining steps of unfeasible payment claim were factors that could enhance the incidence of unfeasible payment claim.

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

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.

KESIAPAN INTEGRASI LAYANAN TB-HIV PUSKESMAS DI KABUPATEN KULON PROGO Titi Supriati; Yodi Mahendrahata; Ari Natalia Probandari
Journal of Health Service Management Vol 24 No 01 (2021)
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: Indonesia is one of the countries with a high burden of TB and HIV. In response, countries adopted collaborative TB-HIVguidelines which recommending integrated services including diagnostic screening and care for TB-HIV patients. In Kulon Progo, onlyhalf of the target achieved for HIV testing on TB patients and efforts to improve services under the existing health system resources.Therefore, it is very important to understand its capacity to provide integrated TB-HIV services.Objective: This study aimed to assess the readiness for integration of TB-HIV services at the Puskesmas for the health system in Kulon Progo District.Methods: The research used mixed methods explanatory sequential design. The unit of analysis was the Puskesmas. Crosssectional observations using a modified SARA questionnaire followed by in-depth interviews explored the barriers and opportunitiesfor integration of TB-HIV services at the Puskesmas were conducted.Results: Overall from 21 Puskesmas, 93.3% (95% CI; 92.7%-93.9) Puskesmas had readiness to provide basic health services, 63.8%(95% CI, 60.7–66.8) Puskesmas had TB service readiness, 80.9% (95% CI: 73.6–88.2) Puskesmas had readiness for HIV testing counseling services, only 1 Puskesmas (4.7%) had good readiness forboth services. Based on the domain assessment, only 40.4% of Puskesmas have trained staff in TB diagnosis and treatment and61.9% of Puskesmas have trained personnel and guidance on HIV testing counseling. Leadership involvement had a positive effecton strengthening integration readiness, while negative responses from access to knowledge and training weaken service integration readiness.Conclusion: Puskesmas had good readiness for general services and HIV counseling services. However, readiness for TB serviceswas suboptimal, only one puskesmas had readiness in the good category for both services. Leadership involvement coordinatesthe two services and directs management support to strengthen integration readiness. Trained staff and the availability of TB-HIV guidelines must be met to support the integration of TB-HIV services.

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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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Home Page

OAI Link

Editorial Team

Contact

Reviewer

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

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Contact Name
Lutfan Lazuardi

Contact Email
lutfan.lazuardi@ugm.ac.id

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+62274547490

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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