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Marian Tonis
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Journal of Hospital Administration and Management (JHAM)
Published by Universitas Awal Bros
ISSN : 27228193     EISSN : 27228193     DOI : https://doi.org/10.54973/jham.v3i2
Core Subject : Health, Science,
Decision Sciences, Operations Research & Management Medicine & Pharmacology Public Health
Focus & Scope Hospital Information and Management System Hospital Administration Occupational Health and Safety Health Education and Promotion Public Health Science Medical records Hospital Accreditation General Management Leadership Human Resource Management Production Management Marketing Management Financial management Information Management Strategy and Operations Management
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 167 Documents
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STRATEGI PENGELOLAAN LIMBAH CAIR BERDASARKAN KONDISI SARANA DAN PRASARANA DI LABORATORIUM KESEHATAN MASYARAKAT PROVINSI RIAU MENGGUNAKAN METODE SWOT DAN MATRIKS IFAS–EFAS Hayati, Sri; Herniwanti
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.846

Abstract

Laboratory wastewater management is essential for environmental protection and public health due to the presence of hazardous chemical and microbiological contaminants. This study aimed to analyze wastewater management conditions based on facilities and infrastructure at the Public Health Laboratory of Riau Province and to formulate appropriate management strategies. A descriptive-analytical approach was applied using SWOT analysis followed by Internal and External Factor Analysis Summary (IFAS–EFAS). Data were collected through observation, interviews, and document review. The analysis showed an internal factor score of -0.35 and an external factor score of 0.05, placing the laboratory wastewater management system in Quadrant III (Weakness–Opportunities). This indicates significant internal weaknesses, particularly in wastewater treatment plant (WWTP) performance, limited technical facilities, and inadequate human resource capacity. However, substantial external opportunities exist, including regulatory support, technological advancements, funding opportunities, and institutional guidance. The recommended strategy emphasizes utilizing external opportunities to address internal weaknesses through WWTP upgrading, SOP standardization, strengthened effluent monitoring, digital documentation, and continuous capacity building.
LITERATURE RIVIEW TOKSIKOLOGI LIMBAH B3 PUSKESMAS Haryani, Linda; Herniwanti; Marwad
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.847

Abstract

The management of hazardous and toxic (B3) solid waste in Primary Health Care Centers (Puskesmas) remains a critical issue due to its potential to cause harmful biological and chemical exposure to health workers, the community, and the environment. This study aims to analyze toxicological risks and management challenges of B3 solid waste in Primary Health Care Centers based on a review of recent literature. The research employed a literature review method with a descriptive qualitative approach, involving a search of nationally indexed and international journals published between 2020 and 2025; article selection based on inclusion and exclusion criteria; and thematic extraction and analysis of eight relevant publications from the Riau region and comparative areas. Data analysis covered waste characteristics, human resources, facilities and infrastructure, and policy aspects. The review results indicate that infectious waste and sharps constitute the largest fractions of B3 solid waste generated by Primary Health Care Centers. Major issues include improper waste segregation, non-standard temporary storage facilities, limited availability of trained human resources, and dependence on third-party waste handlers. Identified toxicological risks include potential infections from needle-stick injuries, exposure to heavy metals and pharmaceutical residues, and environmental contamination that adversely affects public health. Overall, the studies reveal that the primary problem lies in weak implementation of standard operating procedures despite the existence of national regulations. This study concludes that strengthening human resource capacity, providing adequate infrastructure, ensuring compliance with technical standards, and implementing risk management based on toxicological principles are key strategies to improve safety and the quality of B3 solid waste management in Primary Health Care Centers.
PENGARUH JUMLAH RESEP HARIAN TERHADAP PEMAKAIAN OBAT ESENSIAL DI PUSKESMAS PUTRI AYU KOTA JAMBI wahyuni, delly; Elfrida, Erna; Samsinar
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.849

Abstract

The availability and utilization of essential medicines are important indicators of pharmaceutical service quality in primary health centers. The increase in patient visits leads to a higher number of daily prescriptions which may affect essential medicine utilization. This study aimed to analyze the effect of daily prescription quantity on essential medicine utilization at Putri Ayu Primary Health Center, Jambi City. This research used a quantitative observational analytic design. Secondary data were obtained from daily prescription reports and essential medicine utilization reports from January–November 2025. Total sampling technique was applied. Data were analyzed using normality test, linearity test, heteroscedasticity test, simple linear regression, t-test, and coefficient of determination at a significance level of 0.05. The results showed that daily prescription quantity had a significant effect on essential medicine utilization (p < 0.05). The coefficient of determination indicated that variation in essential medicine utilization could be explained by daily prescription quantity. The most frequently used essential medicines were Paracetamol, Amoxicillin, and Ibuprofen. It is concluded that daily prescription quantity significantly influences essential medicine utilization; therefore, medicine planning should consider prescription trends to prevent stock shortages or overstock.
IMPLEMENTASI BUDAYA KESELAMATAN PASIEN PADA PERAWAT RAWAT INAP DI RUMAH SAKIT X KOTA SEMARANG Rizqulloh, Lutfiyah; Mugiyanto; Kari Artati, Diah
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.853

Abstract

Patient safety is an important component in improving the quality of healthcare services in hospitals. However, various patient safety incidents such as Adverse Events (AE), Near Misses (NM), and Non-Injury Events (NIE) still occur in various healthcare facilities, including Hospital X in Semarang City. This study aims to analyse the factors that influence patient safety culture among inpatient nurses at Hospital X in Semarang City. The study uses a quantitative design with a cross-sectional approach. The study population consists of all 442 inpatient nurses, with a sample of 82 respondents selected using simple random sampling. Data were collected via questionnaires and analysed using statistical tests to assess relationships among variables. The results showed that the average positive response to patient safety culture was 83.5%. The dimension with the highest positive response was cooperation within the unit (90.2%), followed by open communication and staffing, each at 84.1%. Bivariate analysis showed that all variables studied had a significant relationship with patient safety culture (p < 0.05), namely management support (p=0.018), cooperation within the unit (p=0.039), open communication (p=0.001), safety promotion by leaders (p=0.025), staffing (p=0.001), continuous improvement (p=0.011), patient safety perception (p=0.004), and non-punitive response to errors (p=0.007). The conclusion of the study shows that the patient safety culture at Hospital X in Semarang City is relatively good, but still needs to be strengthened, especially in terms of open communication and adequate staffing. The hospital is advised to increase management support, strengthen the incident reporting system without blaming, and optimise the number and distribution of health workers to improve patient safety.
HUBUNGAN KUALITAS PELAYANAN ADMINISTRASI PENDAFTARAN DENGAN MINAT KUNJUNGAN ULANG PASIEN UMUM DI PUSKESMAS SIMPANG KAWAT KOTA JAMBI rahmawati, restidewirahmawati_15; Gustina Irawan, Yeyen; Listautin
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.866

Abstract

The quality of registration administrative services is an important aspect of healthcare services as it represents the first point of contact between patients and healthcare facilities, which can influence patients’ intention to revisit. This study aims to determine the relationship between the quality of registration administrative services and the revisit intention of general patients at Simpang Kawat Public Health Center, Jambi City. This study used a quantitative method with a correlational analytic design and a cross-sectional approach. The study was conducted from December to January 2026 at Simpang Kawat Public Health Center, Jambi City. The population consisted of general patients who had visited at least twice, with a sample of 83 respondents selected using simple random sampling. Data were collected using questionnaires with a Likert scale for service quality variables and a Guttman scale for revisit intention. Data analysis was performed using univariate and bivariate analysis with the Chi-Square test. The results showed that most respondents perceived the quality of registration administrative services as good. The bivariate analysis indicated that only the assurance dimension had a significant relationship with patients’ revisit intention (p < 0.05), while tangibles, reliability, responsiveness, and empathy dimensions did not show a significant relationship (p > 0,05). In conclusion, there is a relationship between the assurance dimension of service quality and patients’ revisit intention. Therefore, it is recommended that the health center improve service quality, especially in the assurance aspect, such as staff competence, effective communication, and trust and security in service delivery.
MUTU PELAYANAN KESEHATAN PESERTA ASKES DITINJAU DARI SEGI PELAYANAN PRIMA PADA UNIT RAWAT INAP RUMAH SAKIT GRAHA JUANDA Kurniati Nawangwulan; Zulaika; Yusfik, Yusnita
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.870

Abstract

Efforts to provide good health services to speed up the healing process of illnesses suffered are everyone's hope and human right. The aim of the research is to determine the description of the quality of health services for Askes participants in terms of Responsiveness, Assurance, and Empathy Based on Education, Years of Service, and Incentives for health workers at Hospital Graha Juanda. This type of research is observational with a descriptive approach to obtain an overview of quality Health services are reviewed in terms of excellent service at Hospital Graha Juanda. The results showed that 89.2% of the 37 health workers who said they received incentives provided good quality service to health insurance patients, while 41.4% of the 29 health workers who said they did not receive incentives provided good quality service. The conclusion is that there are 83.0% of health workers who have a D3 education level and provide excellent quality service to health insurance patients and 89.2% of health workers who receive incentives and provide good quality service to health insurance patients are 89.2%.
ANALISIS ASPEK KEAMANAN DAN PERLINDUNGAN DATA TANDA TANGAN DIGITAL DPJP (DOKTER PENANGGUNG JAWAB PELAYANAN) DALAM REKAM MEDIS ELEKTRONIK DI UPT RSUD HAJI MAKASSAR Dian, Dian Ekawaty; Yaumil, Andi Yaumil Bay R. Thaifur; Nuraisyah; Zulkifli, Zulkifli Ambo
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.872

Abstract

Background, improving the security of electronic medical record data is an important concern for users and application developers. Digital signatures in electronic transactions have an important role in authenticating the identity of the signer, as well as ensuring the integrity and authencity of electronic information. Electronic transaction have risks regarding the security and protection of signature data on electronic documents, especially in electronic medical records. Electronic documents unlike paper are easily edited seamlessly without traces such as scribbles so there is a possibility of manipulation or engineering. The purpose of this study was to analyze the security and data protection aspects of DPJP digital signatures in electronic medical records at the Makassar Haji Hospital. The method used is descriptive with a phenomenological approach. Data collected through purposive sampling technique. Results and conclusions obtained the security and protection of DPJP digital signature data in electronic medical records at the Makassar Haji Hospital is safe to use but has not used a certified signature. It is recommended that the Makassar Haji Hospital immediately strive for certified digital signatures to ensure the legal force of electronic medical records at RSUD Haji Makassar.
EVALUASI PENERAPAN BUDAYA 5S ( SENYUM, SAPA, SALAM, SOPAN, DAN SANTUN ) DALAM KEPUASAN PASIEN RAWAT JALAN RUMAH SAKIT ISLAM METRO Aprilianingsih, Maya; Dita Tri Sekarwati
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.875

Abstract

Outpatient services are one of the service units that greatly influence the hospital’s image and patient satisfaction. Based on the observation results, Rumah Sakit Islam Metro experienced a 15.72% decrease in patient visits. This decline was identified through reviews on Google Maps and direct observations, which showed that employees were still not optimal in implementing 5S behavior (Smile, Greeting, Salutation, Politeness, and Courtesy) in service delivery. The implementation of 5S culture has become essential as an effort to improve service quality and increase patient visits. This study aims to evaluate the consistency of 5S culture implementation on outpatient satisfaction at Rumah Sakit Islam Metro. Method used was descriptive qualitative with a case study approach, which seeks to understand phenomena occurring in the field through direct observation and focuses deeply on one object of study. Data were obtained through direct observation of employees, management, and outpatients visiting the hospital, followed by interviews based on questions prepared by the researcher. The results showed that the Standard Operating Procedure (SOP) of 5S culture had been implemented well by employees. Most patients stated that they were satisfied with the services provided, and this was proven by a 19.19% increase in patient visits. The conclusion of this study shows that the implementation of the 5S culture SOP plays an important role in improving service quality, patient satisfaction, and the number of outpatient visits. The 5S culture is an effective strategy in building patient trust and loyalty toward hospital services. Keywords: 5S SOP, outpatient services, patient visits, patient satisfaction, hospital.
IMPLEMENTASI PATIENT CASE MANAGER DALAM PENANGGULANGAN TUBERKULOSIS DI RUMAH SAKIT UMUM MUHAMMADIYAH METRO Pertiwi, Windi; Mayasari, Fitri Yuli; Putra, Yogi Catur; Angguniar, Eva Nirmala; Safira, Retno Sofy
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.878

Abstract

Tuberculosis remains a major global health problem with challenges in treatment adherence, loss to follow-up, and treatment completion. Patient Case Manager (PCM) is considered an important strategy to improve tuberculosis management through systematic patient assistance and monitoring. This study aimed to analyze differences in tuberculosis treatment outcomes before and after the implementation of Patient Case Manager at Muhammadiyah Metro General Hospital. This study used a quantitative retrospective comparative design with a before–after approach. The study population consisted of all tuberculosis patients recorded in the hospital tuberculosis information system from 2021–2024. Sampling was conducted using total sampling technique. Data analyzed included number of diagnosed patients, patients undergoing treatment, and treatment success rates before and after PCM implementation. Statistical analysis used Chi-square test with significance level p<0.05. The results showed that tuberculosis case detection increased from 333 patients before PCM implementation to 818 patients after implementation. The number of patients undergoing treatment also increased from 199 to 350 patients. Treatment success rate increased from 96.0% before PCM implementation to 97.1% after implementation. Statistical analysis showed significant differences in treatment indicators before and after PCM implementation (p<0.05). In conclusion, the implementation of Patient Case Manager contributed to improved tuberculosis case detection, patient treatment participation, and treatment success rates. Strengthening the role of Patient Case Manager is recommended to optimize tuberculosis control programs in hospitals.
A ANALISIS KEPUASAN PASIEN TERHADAP PELAYANAN RAWAT JALAN BERDASARKAN PERSEPSI DAN HARAPAN PASIEN DENGAN METODE IMPORTANCE PERFORMANCE ANALYSIS Laksono, Adi; Kirnanda, Putri Listiya
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.879

Abstract

An outpatient satisfaction RSM Ahmad Dahlan survey conducted in the 2022-2024 period showed a decrease in patient satisfaction levels, from 98,67% to 98,27%.. This study aims to analyze patient satisfaction with outpatient services based on patient perceptions and expectations at RSM Ahmad Dahlan Kediri City using the Importance Performance Analysis (IPA) method. This study used a quantitative descriptive design with a cross-sectional approach. The study employed a quantitative descriptive design with a cross-sectional methodology. An unintentional sampling strategy was used to pick 100 outpatient respondents for the study. Data were collected using a questionnaire that covered five elements of service quality: reliability, assurance, responsiveness, empathy, and concrete evidence. The Wilcoxon signed rank test and Importance Performance Analysis (IPA) matrix were used to analyse the data. The results showed an overall patient satisfaction level of 95.65%. The tangible dimension recorded the highest satisfaction level (98.40%), while the reliability dimension showed the lowest satisfaction level (91.90%). Statistical analysis revealed a significant difference in patient perceptions and expectations (p < 0.05). The Importance Performance Analysis (IPA) matrix identifies various service areas that require immediate improvement in the dependability and responsiveness dimensions. Regular evaluation and service improvement strategies are needed to increase and maintain outpatient satisfaction especially in term of service time and empathy in handling complaints. Keywords : Patient Satisfaction, Outpatient Services, Perceptions and Expectations, Importance Performance Analysis

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