Journal of Community Health and Preventive Medicine (JOCHAPM)
JOCHAPM is a peer-reviewed and open-access journal officially published twice a year in English by the Faculty of Medicine, Universitas Brawijaya. JOCHAPM focuses on community health, epidemiology, environmental health, and preventive health. However, the focus of the study can develop following the improvement of the journal.
Articles
84 Documents
<![CDATA[ANALYSIS OF THE CAUSES OF WAITING TIME FOR PATIENT TRANSFER IN THE EMERGENCY ROOM TO INPATIENT AND DISCHARGE HOSPITAL X MALANG CITY ]]>
<![CDATA[Puspasari, Nuzulya]]>;
<![CDATA[Ahsan]]>;
<![CDATA[Khulud, Khoiron]]>
<![CDATA[ Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025 ]]>
Publisher : <![CDATA[Universitas Brawijaya ]]>
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DOI: 10.21776/
<![CDATA[Waiting time for patient services, especially in the Emergency Installation (IGD), which is the main entrance to the hospital, is one of the important aspects that affect the quality of service. The existence of patient complaints or dissatisfaction and the decline in quality and patient safety is one of the reasons for the long waiting time for patients in the emergency room. Based on the 2024 RS X quality indicator report, the waiting time for emergency room patients to be admitted to the hospital or go home ≤ 60 minutes is still 46.1% of the 100% target. The purpose of this study is to find out the cause of the long service process of emergency room patients being admitted to the hospital or going home. This research is qualitative research with a phenomenological approach. Data collection was carried out at Hospital X from September to October 2024 through in-depth interviews with informants and direct observation of the service process of emergency room patients before being admitted to the hospital or going home. The informants of this study are 6 management and staff of Hospital X related to the waiting time for emergency room patient services. The results of the research that were analyzed thematically revealed that there are 6 main root problems that cause the long waiting time for emergency room patients before being admitted to the emergency room or discharged, because there is no effective division of tasks and workflows in the emergency room, a lack of coordination between emergency room and inpatient officers, limited authority of assistant cashiers, an administrative flow of inpatient registration that is still inefficient, a lack of coordination between hospitals and insurance companies, and limited SIMRS features. The results of this study can be the basis for hospital management X in determining solutions to improve the achievement of waiting times for emergency room patients.]]>
<![CDATA[IDENTIFYING FACTORS AFFECTING WAITING TIMES IN EMERGENCY INSTALLATION AT A PRIVATE HOSPITAL IN MALANG: TIME MOTION STUDY ]]>
<![CDATA[agus, Muharami]]>;
<![CDATA[djauhari, thantowi]]>;
<![CDATA[Putra, Kuswantoro Rusca]]>
<![CDATA[ Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025 ]]>
Publisher : <![CDATA[Universitas Brawijaya ]]>
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DOI: 10.21776/
<![CDATA[Emergency Installation (IGD) is the main point of entry for patients to the hospital. Prolonged IGD waiting time. may lead to crowding that results in patients’ complaints, patient safety incident, and decrease in the quality of service. Waiting time starts from triage to when the patient is transferred to the hospital room with the standard waiting time set < 6 jam. The research aimed at identifying what factors dominantly affected prolonged IGD waiting time in Hospital X. The descriptive research, conducted in a private hospital in Malang Regency, used Time and Motion Study. The sample was collected using simple random sampling technique and included 50 IGD patients that met Emergency Safety index (ESI) 1, 2, dan 3 category. The result revealed that the average waiting time of ESI 1, ESI 2 and ESI 3 patients was 5 hours. There were 12 patients (24%) with waiting time longer than 6 hours. Partial referral for CT scan, delayed patient transfer due to the wait time for result of consultation with attending physician, stabilization of patients, and unavailable hospital rooms were identified as contributing factors to prolonged IGD waiting time.]]>
<![CDATA[ANALYSIS OF WASTE IN THE HEMODIALYSIS SERVICE CLAIM PROCESS AT UNIVERSITAS MUHAMMADIYAH MALANG GENERAL HOSPITAL ]]>
<![CDATA[Amalia Rizki, Nurul]]>;
<![CDATA[Rusca Putra, Kuswantoro]]>;
<![CDATA[Syamsiah anwar, Jamilatus]]>
<![CDATA[ Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025 ]]>
Publisher : <![CDATA[Universitas Brawijaya ]]>
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DOI: 10.21776/
<![CDATA[Hospitals as healthcare providers depend on the claims process to maintain financial stability, especially in the National Health Insurance (JKN) program managed by BPJS. Inefficient claims management can cause delays in fund disbursement and increase pending claims. This descriptive qualitative study identifies waste in the Hemodialysis (HD) service claim process at RSU UMM using the Lean Management approach. The results of the analysis showed that administrative defects were the biggest waste with 22 occurrences, caused by paper-based manual systems, such as duplication or loss of files. In addition, waiting time waste was found 14 times, as well as overprocessing and motion 3 times each. To improve efficiency, digitization of the claims system is recommended to reduce administrative errors and speed up the disbursement process]]>
<![CDATA[CORRELATION OF DISTRIBUTOR EXPECTATIONS WITH PERFORMANCE QUALITY OF THE PHARMACEUTICAL SUPPLY PROCUREMENT SECTION AT DR SAIFUL ANWAR HOSPITAL WITH THE SERVQUAL METHOD AS A STUDY BASIS ]]>
<![CDATA[Prayoga, I Wayan Eka Putra]]>;
<![CDATA[Puspitasari, Vicky]]>;
<![CDATA[Mahardika, Yesika Yuristi]]>;
<![CDATA[Dewanto, Aryo]]>;
<![CDATA[Hariyanti, Tita]]>
<![CDATA[ Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025 ]]>
Publisher : <![CDATA[Universitas Brawijaya ]]>
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DOI: 10.21776/
<![CDATA[The availability of medical devices in hospitals greatly affects the quality of service, safety, and patient satisfaction. Choosing the right supplier is very important to ensure the sustainability of the company and the quality of service. However, distributors also have high expectations for the quality of performance of the hospital drug procurement section related to health supply services, the high-quality performance carried out by the procurement department will increase distributor satisfaction. This study aims to determine the relationship between distributor expectations and the quality of hospital performance, especially in the Pharmaceutical Supply Procurement Section at Dr Saiful Anwar Hospital (RSSA) by using the SERVQUAL Method as the basis for the study.The population in this study is all distributors of pharmaceutical supplies in collaboration with Dr. Saiful Anwar Hospital in 2023 as many as 103 distributors. The research was conducted in September 2023. This study uses an observational analytical design with a cross-sectional design. The variables used were in the form of independent variables, namely the expectations of RSSA pharmaceutical supply distributors, and dependent variables in the form of the quality of performance of the RSSA pharmaceutical supply section, how to collect data using questionnaires distributed through Google Forms. Each dimension measures service expectations and performance totaling 20 questions on a measurement scale of 1 to 4. The data analysis techniques used were descriptive tests and Spearmen correlation tests. The results of the assessment of distributors' expectations on the quality of the performance of the Pharmaceutical Supply Procurement Section were in the high category (71.39±1.14) and the performance quality of the Pharmaceutical Supply Procurement Section was in the good category (69.23±1.14). The relationship between distributor expectations and the performance of the Pharmaceutical Supply Procurement of Dr. Saiful Anwar Hospital in each dimension of service quality also showed a positive correlation. p=<0.001, r=0.689-0.798). Hospital management, especially the pharmaceutical supply team, should maintain the good relationship that has been established so far by improving the performance and quality of services provided to pharmaceutical distributors.]]>
<![CDATA[OPTIMIZATION OF OBSTETRICS AND GYNECOLOGY CLINIC SERVICE VISITS WITH A MARKETING PLAN APPROACH AND PUBLICATION ON SOCIAL MEDIA ]]>
<![CDATA[Athallandi, Kemal]]>;
<![CDATA[Hariyanti, Tita]]>;
<![CDATA[Mardiana Kusumawati, Anita]]>
<![CDATA[ Journal of Community Health and Preventive Medicine Vol. 5 No. 1 (2025): JOCHAPM Vol. 5 No. 1 2025 ]]>
Publisher : <![CDATA[Universitas Brawijaya ]]>
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DOI: 10.21776/ub.jochapm.2025.005.01.1
<![CDATA[Quality antenatal care examinations can detect the risk of pregnancy and childbirth so that they can play an essential role in reducing maternal mortality in Indonesia. However, obstetric and gynecology clinic patient visits are not always high. Even in a private hospital where this study was conducted, the clinic visit rate became one of the outpatient clinics with the lowest number of visits. The purpose of this study is to find out how to optimize obstetrics and gynecology clinic visits. This study uses a qualitative method with a case study approach. Data collection was carried out by in-depth interviews, observations, and document studies. After that, a fishbone analysis is carried out to find out the root of the problem. Alternative solutions to problems are identified through literature studies and brainstorming. The results of this study show that two themes cause the problem of non-optimal obstetric and gynecology service visits. The first theme is that there is no marketing plan yet. The subtheme of this problem is that there has never been an analysis of hospital data for marketing activities, and there has been no marketing planning. The second is the lack of optimal service publication on social media. The subtheme of this problem is due to the lack of planning in the publication of social media content, the lack of standard operational procedures related to the publication of content on social media, and the limitations of marketing teams in content creation ideas. The problem of suboptimal obstetric and gynecology service visits at private hospitals can be caused by the lack of marketing planning and suboptimal publication of obstetrics and gynecology clinic services on social media. The hospital marketing team can compile marketing plans and publish hospital service content on social media to increase the number of patient visits. ]]>
<![CDATA[HOSPITAL HOME CARE SERVICE : PATIENT PERSPECTIVES AT A PRIVATE HOSPITAL IN BLITAR REGENCY ]]>
<![CDATA[Fatmawati, Dwi Indah]]>;
<![CDATA[Dewanto, Aryo]]>
<![CDATA[ Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025 ]]>
Publisher : <![CDATA[Universitas Brawijaya ]]>
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DOI: 10.21776/
<![CDATA[Hospital-based home care is an innovative service offered by hospitals, emerging as a crucial solution for patients requiring continued care at home. Hospitals inherently possess a significant potential to provide home care services due to the rising demand for these services, particularly because of the flexibility and convenience they offer. This study aims to explore patient and family perspectives on home care services and to identify the potential for developing such services in the private hospital where the research was conducted. A qualitative approach was employed through in-depth interviews with ten patients and their families-both inpatients and outpatients-at a private hospital in Blitar Regency. Thematic analysis was used to categorize interview results into emerging themes. Four primary themes were identified: patient and family understanding of home care services, types of services needed, expectations from the service, and perceived barriers. The findings also reveal the potential to develop home care services for both chronic and non-chronic patients based on specific needs. These results can be utilized by private hospitals as a foundation for home care service development, particularly focusing on chronic disease management and other medically indicated services.]]>
<![CDATA[SOCIAL MEDIA FOR HOSPITAL MARKETING IN RURAL AREAS: PATIENT PERSPECTIVES OF A PRIVATE HOSPITAL ]]>
<![CDATA[Yunita, Eva]]>;
<![CDATA[Megawati, Devvy]]>;
<![CDATA[Dewanto, Aryo]]>
<![CDATA[ Journal of Community Health and Preventive Medicine Vol. 5 No. 1 (2025): JOCHAPM Vol. 5 No. 1 2025 ]]>
Publisher : <![CDATA[Universitas Brawijaya ]]>
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DOI: 10.21776/ub.jochapm.2025.005.01.2
<![CDATA[Social media has emerged as a widely utilized marketing tool across various industries globally, including the healthcare sector in Indonesia. It serves as a critical platform for hospital marketing; however, limited research has been conducted to examine its effectiveness, particularly in rural areas. This study aims to assess the potential and effectiveness of social media as a marketing tool for a private hospital in a rural setting. A qualitative research approach was employed, involving in-depth interviews with ten outpatients and inpatients at the selected hospital. Data were analyzed using thematic analysis, categorizing responses based on emerging themes. The findings indicated that WhatsApp was the most frequently used social media platform among patients, while patients’ families engaged with other platforms. Although social media platforms such as Instagram, TikTok, and Facebook were primarily used for entertainment, some respondents reported using them to obtain hospital-related information. The primary factors influencing hospital selection among patients were proximity to their residence and prior experience rather than information obtained through social media. The findings suggest that social media was not the primary source of information in patients’ decision-making processes regarding hospital selection. These insights may inform hospital management strategies in optimizing social media as a marketing tool to enhance patient engagement and outreach in rural healthcare settings.]]>
<![CDATA[CHALLENGES OF JKN MOBILE APPLICATION UTILIZATION IN THE BPJS PATIENT REGISTRATION PROCESS AT X HOSPITAL: A CASE STUDY IN X HOSPITAL ]]>
<![CDATA[Jimmy S., Rifdinia Bregita]]>;
<![CDATA[Ratri, Devita Rahmani]]>;
<![CDATA[Harjayanti, Nofita Dwi]]>
<![CDATA[ Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025 ]]>
Publisher : <![CDATA[Universitas Brawijaya ]]>
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DOI: 10.21776/
<![CDATA[The JKN mobile application (MJKN), is an application presented by BPJS with the aim of providing convenience for its participants. MJKN utilization in registration process is one of the BPJS compliance indicators for hospitals. As part of BPJS partners, the achievement of compliance indicators is something that must be achieved by Hospital X. Until September 2024, the highest rate of MJKN utilization in X Hospital was 21% of the target achievement of ≥30%. This study aims to determine the challenges and barriers of fulfilling the MJKN utilization indicators in registration process at X Hospital. This research is a qualitative research with a case study approach. In-depth interviews were conducted with eight BPJS patients and eight people from X Hospital management related to the implementation of MJKN. Data analysis is strengthened by triangulating based on observations and secondary data related to the MJKN process. Seven challenges were identified, including the low quality of evaluation of staff performance at Hospital X related to MJKN, the difficulty of bridging between hospital information system and the MJKN information system, patient difficulties during the MJKN account registration process, low access to information related to MJKN, the complexity of the MJKN check in process, resistance to technology, and patient devices that do not meet MJKN standards. The results of this study can be the basis for Hospital X management in determining solutions to improve the achievement of MJKN utilization.]]>
<![CDATA[INVESTIGATION OF WAITING TIME FOR PATIENT TRANSFER FROM EMERGENCY ROOM TO INPATIENT WARD AT DR. ETTY ASHARTO HOSPITAL BATU CITY ]]>
<![CDATA[bagus sadewo, ageng]]>;
<![CDATA[Holipah]]>;
<![CDATA[Irawan, Rachmad Ari]]>
<![CDATA[ Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025 ]]>
Publisher : <![CDATA[Universitas Brawijaya ]]>
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DOI: 10.21776/
<![CDATA[The emergency department is a critical service in hospitals. The duration of patient waiting time in the emergency unit is a sensitive matter, as it can affect the patient's condition and serves as an indicator of hospital service quality. This study aims to determine the length of waiting time in the Emergency Unit (ER) and the issues related to the delay in transferring patients from the ER to inpatient care.This research uses a time and motion study method, conducted by following and recording the time starting from the patient's arrival at the ER until their transfer to the inpatient ward. Data were collected across various work shifts and different days, with a total of 21 samples.The results of this study show that waiting times ranged from 1 to 10 hours. The high volume of patients planning for inpatient care during the morning and afternoon shifts—coming from both the polyclinic and the ER—creates service bottlenecks. Additionally, supporting examinations from the polyclinic often overlap with those from the emergency unit.The findings of this study can help hospital management identify service obstacles, and further analysis is needed to address the problems related to patient transfer time from the ER to inpatient care, as this directly impacts the quality of service.]]>
<![CDATA[NURSES’ FATIGUE IN IN VITRO FERTILIZATION (IVF) SERVICE PROVISION: A CASE STUDY AT A FERTILITY CENTRE IN INDONESIA ]]>
<![CDATA[Hinting, Lia Natalia]]>;
<![CDATA[Kristianingsih, Rey]]>;
<![CDATA[Sadewo, Ageng Bagus]]>;
<![CDATA[Setijowatie, Eva Diah]]>;
<![CDATA[Dewanto, Aryo]]>;
<![CDATA[Hariyanti, Tita]]>
<![CDATA[ Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025 ]]>
Publisher : <![CDATA[Universitas Brawijaya ]]>
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DOI: 10.21776/
<![CDATA[Infertility patients encounter stress stemming from their challenges in conceiving. This makes patients more sensitive when interacting with healthcare providers, especially nurses, during the IVF program. However, professional nursing care puts strain on nurses, leading to fatigue. The causes and coping mechanisms of nurse fatigue are examined in this study. This qualitative exploratory study was conducted at a hospital in Surabaya, Indonesia, known for its excellent IVF treatments. In-depth, semi-structured interviews were conducted with fifteen purposive-sampled nurses. Transcription and theme analysis were performed on the recordings. The findings revealed that all nurses involved in the study experienced burnout with six themes: personal characteristics, adaptability, managing heavy workloads, intention to continue working, and internal and external factors contributing to fatigue. The interconnected themes illustrate the professional nursing culture and offer insights into burnout management. Hospital management must acknowledge and mitigate nurse burnout for their well-being, as this directly influences the quality of care delivered.]]>
