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JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Published by Universitas Muhammadiyah Yogyakarta
ISSN : 20882831     EISSN : 25416715     DOI : https://doi.org/10.18196/jmmr
Core Subject : Economy, Health,
Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) focuses on the research and research review related to hospital management that is relevant to the development of the theory and practice of hospital management in Indonesia and Southeast Asia. Focus on hospital management (but not limited) to hospital services such as primary health care, laboratory, pharmacy, and radiology. JMMR covered various research approaches, namely: quantitative, qualitative, and mixed-method. JMMR focuses on various themes, topics, and aspects of accounting and investment, including (but not limited) to the following topics: Hospital Management, Hospital Accounting, Health Services Management, Health Insurance, Health Policy, Community Health Center, Medicine, Nursing, Pharmacy, Information Technology Health Services, Health Law and Ethics.
Arjuna Subject : Umum - Umum
Articles 9 Documents
 1 
Search results for , issue "Vol. 10 No. 3 (2021): December 2021" : 9 Documents clear
Change Organizational Culture at Private Hospital Surabaya in Facing the COVID-19 Pandemic and New Normal Abu Thoyyib; Ratna Wardani; Estiningtyas Nugraheni; Yohana Rusmeitasari
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 10 No. 3 (2021): December 2021
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v10i3.12729

Abstract

This study aims to analyze changes in organizational culture in hospitals in the face of the COVID-19 Pandemic and the New Normal. Using qualitative methods with a case study approach and data collection techniques through interviews and document review. Research informants as many as 4 people, the Chairman of the Foundation as a representative of the owner and representatives of top management as key informants, for triangulation informants represented by the Head of the Internal Control Unit and representatives of Middle Management and a document review was carried out. Data analysis used the Organizational Culture Assessment Instrument (OCAI) method. The results show that the dominant organizational culture before the Covid-19 pandemic was Clan and during the pandemic it became Hierarchy and Adhocracy became the expected culture. This finding indicates that before the pandemic the organization became a fun place like family and during the pandemic it became structured, controlled and there were procedures for each activity. The expected culture is that the organization becomes a dynamic, entrepreneurial, and innovative place. To integrate adhocracy culture into the organization, there are several things that must be done: 1). Anticipating needs, 2) Continuous improvement; 3) Finding creative solutions; 4) Creating new standards; 5) Encouraging innovation 5) Creating new opportunities/customers; 6) Dare to take risks.
The use of PPE Against the Incidence of COVID-19 Infection on Indonesian Healthcare Workers Maria Ulfa; Momoyo Azuma; Dayu Laras Wening; Ahmad Veda Yudanto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 10 No. 3 (2021): December 2021
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v10i3.13310

Abstract

As the front-liner in handling the spread of COVID-19, healthcare workers are a susceptible group toward the exposure of SARS-CoV-2. This study aims to examine the compliance of PPE use by health workers, FFRs reuse, the participation of healthcare workers in infection and prevention training, and the relationship between mentioned variables and COVID-19 infection among healthcare workers. This research was conducted with a quantitative approach through a retrospective cohort design. Respondents in this study were the healthcare workers throughout Indonesia who worked actively during the pandemic in healthcare facilities. This study found that the level of compliance of PPE use among healthcare workers was high. The groups who reuse masks are mostly doctors and nurses and the most widely used method of disinfection is UVC radiation. Some of the respondents were recorded for being attended the infection and prevention training. However, there is no correlation between adherence to wearing PPE, reuse of masks, and infection prevention training with COVID-19 infection in health workers in Indonesia (r=0.02; p=0.5).
Effect of Perceived Organizational Support and Organizational Justice on Nurses’ Work Engagement with Intermediate Factors of Organizational Trust Indra Theodorus; Wahyuni Dian Purwati; Mohamad Reza Hilmy
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 10 No. 3 (2021): December 2021
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v10i3.12218

Abstract

Work engagement is major concern for human resource management at XYZ Hospital Tangerang in order to improve performance of nursing profession. This study aims to study the effect of perceived organizational support and organizational justice on work engagement with intermediary factors of organizational trust. Quantitative associative research was conducted on 96 nurses in the hospital. XYZ Tangerang in March 2021, with primary data obtained by survey. The research instruments used are Utrecht Work Engagement Scale (UWES), The Survey of Perceived Organizational Support (SPOS), Measures of Trust, Trustworthines, and Performance Appraisal Perceptions, and Organizational Justice Survey. The data analysis method used is Path Analysis. The results of this study found that there was a significant positive effect of perceived organizational support on work engagement through organizational trust as an intermediary factor and a significant positive effect of organizational justice on work engagement through organizational trust as an intermediary factor, as well as a positive influence of organizational trust on work engagement. It was also found that the positive effect of perceived organizational support and organizational justice on organizational trust was found. Thus increasing organizational trust, perceived organizational support, and organizational justice will increase nursing work engagement.
Potential Fraud in The Implementation of National Health Insurance in The Health Sector: Systematic Review Rizki Nurul Fatimah; Misnaniarti Misnaniarti; Rizma Adlia Syakurah
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 10 No. 3 (2021): December 2021
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v10i3.10825

Abstract

Fraud in the national health insurance is a form of deliberate effort to create a benefit that should not be enjoyed by individuals or institutions and could harm other parties. This study aims to further analyze the potential for fraud in the implementation of national health insurance at health facilities. The method used a systematic review based on PRISMA with a qualitative approach through descriptive analysis. The articles selection based on the specified inclusion and exclusion criteria. The study found that the potential for fraud can occur in the primary care health facilities (FKTP) and secondary care health facilities (FKRTL) in the form of potency such as inappropriate capitation fund management, maximizing the number of claims, upcoding, dissatisfaction with the salaries received, and inadequate internal controlling/supervision. As the conclusion of this study, the potential fraud in the implementation of national health insurance in Indonesia occurs in the primary care health facilities (FKTP) and secondary care health facilities (FKRTL). The prevention of potential fraud can be done by implementing the principles of Corporate Governance and the implementation of fraud prevention based on the Regulation of the Minister of Health Number 16 of 2019.
Quality Of Work Life Of Nurse Anesthetist During Covid-19 In Indonesia Richa Noprianty; Fikri Mourly
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 10 No. 3 (2021): December 2021
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v10i3.12589

Abstract

Nurse anesthetist are health workers who are competent to carry out anesthetic administration care in hospitals. The quality of the anesthetic administration care provided reflects the quality of the hospital. Anesthesiologists in carrying out their competence are in a work setting with high stressors. Therefore, it is necessary to pay attention to the Quality of Work Life in the anesthesiologist. The purpose of this study was to photograph the Quality of Work Life of anesthesiologists in a hospital. This study uses a quantitative descriptive method. The study population was all anesthesiologists working in the hospital. The research sample used simple random sampling method with a total of 108 respondents. The instrument used is a questionnaire that is given online using four dimensions, namely the dimensions of life at work/home, the dimensions of work design, the dimensions of the work context and the dimensions of the world of work. The analysis used is univariate using a mean value of 105. Data collection using gform, The results obtained are the mean value of 124.28. For each dimension, the dimensions of life at work/home are 20.03, the work design dimension is 29.08, the context dimension is 61.70, and the world of work is 13.46. The conclusion is that the Quality of Work Life of the anesthesiologist in the hospital is in the good category. Suggested in this study is the development of human resources that lead to a high workload and a great risk of anesthesia
Stress and Coping Among Emergency Unit Healthcare Workers in Tanjungpinang During Covid-19 Pandemic Muhammad Rizki; Eka Kurnia Saputra; Octojaya Abriyoso; Indra Widianto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 10 No. 3 (2021): December 2021
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v10i3.11444

Abstract

COVID-19 is a global health problem. The number of positive cases keep increasing globally towards the end of 2020, including in Indonesia. This is a challenging situation for the healthcare workers who provide services to the patient without knowing whether the patients infected by COVID-19 or not, especially for those who work in emergency unit of the hospital. This study aims to explore the stressors and coping strategies among emergency unit healthcare workers in Tanjungpinang, Indonesia. The sample was taken from the emergency unit of Raja Ahmad Tabib Kepulauan Riau Regional Public Hospital as the only referral hospital in Tanjungpinang. Data was collected through interview and then analyze by using thematic analysis approach. The result shows that the source of stress that the emergency unit healthcare workers feel during Covid-19 pandemic is the fear of contacting the disease, fear of infecting family members, as well as negative perceptions from the public. As for the coping methods, it was found out that the emergency unit healthcare workers adhere to health protocol, adding insight on Covid-19 related issues, performing religious activities, adopting healthier lifestyle, seeking social support, and doing relaxing activities in the spare time.
How Interprofessional Collaboration and Transformational Leadership Affect Nurses’ Turnover Intention through Job Satisfaction Peter Pratama; Supriyantoro Supriyantoro; Agusdini Saptaningsih
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 10 No. 3 (2021): December 2021
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v10i3.12212

Abstract

Nursing turnover is problem for hospitals around the world, including at XYZ Hospital in Tangerang, Indonesia. Studies on the causes of turnover are required to reduce turnover effectively and efficiently. We aimed to study the effect of interprofessional collaboration and transformational leadership on turnover intention, with job satisfaction as intervening factor. This associative quantitative study gathered primary data obtained through survey on nurses at XYZ Hospital, Tangerang in April 2021, using Turnover Intention Scale-15, Interprofessional Collaboration Scale, Transformational Leadership Behavior Inventory, and McCloskey/Mueller Satisfaction Scale. Analysis was performed with Structural Equation Modeling (SEM) method. From a total of 95 subjects, we found that there was significant negative effect of Interprofessional Collaboration (β = -0.560, p = 0.004) and Transformational Leadership (β = ‑0.271, p = 0.031) on Turnover Intention through Job Satisfaction as intervening factor (β = -0.560, p = 0.004) and significant negative effect of Job Satisfaction on Turnover Intention (β = 0.808, p = 0.001). Also found was positive effect of Interprofessional Collaboration (β = 0.692, p <0.001) and Transformational Leadership (β = 0.335, p = 0.032) on Job Satisfaction. Therefore, promoting job satisfaction, interprofessional collaboration, and transformational leadership may be beneficial in reducing nursing turnover intention.
Readiness Analysis of Hospital Management Information System Implementation using COBIT 5 Framework Talsi Transino; Ifmaily Ifmaily; Husna Yetti
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 10 No. 3 (2021): December 2021
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v10i3.12193

Abstract

Every hospital has to implement Hospital Management Information System (HMIS) based on Permenkes No. 82 Tahun 2013. Health care delivery can be more effective and efficient through HMIS implementation. RSUD Solok Selatan has planned to implement HMIS since 2019 until recently. The purpose of this study is to know the readiness of HMIS implementation in RSUD Solok Selatan using COBIT 5 Framework, specifically APO02 process (strategic management), APO07 (human resource management), and APO12 (risk management). This study was conducted with qualitative-quantitative approach. Qualitative data was collected with an interview. Meanwhile, quantitative data was collected with questionnaire according to COBIT 5 Framework. Respondents of this study was determined by RACI chart in COBIT 5. Capability level of APO02 achieved level 0, based on the level 1 assessment was 2,48 (not achieved). The capability level of APO07 was level 0 and level 1 assessment was 1,25 (partially achieved). Capability level of APO12 was level 0 and level 1 assessment was 1,0 (not achieved). Level 0 indicated that COBIT 5 was non implemented or the process fails to achieve its outcome. Readiness in strategic management, human resource management, and risk management was not optimally planned. RSUD Solok Selatan needs to increase its capability to plan HMIS implementation for better output.
Unit Cost Analysis of Central Sterile Supply Department (CSSD) using Activity Based Costing Method in PKU Muhammadiyah Bantul Hospital Firman Pribadi; Avi Syifa; Mariska Urhmila
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 10 No. 3 (2021): December 2021
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v10i3.12605

Abstract

PKU Muhammadiyah Bantul Hospital has not set sterilization rates in the Central Sterile Supply Department (CSSD) unit since 2017. The calculation of unit cost using the activity-based costing (ABC) method. The method aimed to obtain information on budget planning, cost control, and pricing by developing estimated costs by dividing an action into activities that can be divide based on units of work. The unit cost calculation process is expected to improve the efficiency and performance of each installation and polyclinic. Also, all service process components at health service providers can be well monitored. This research used a descriptive qualitative with a case study approach. This study aims to analyze the unit cost of sterilization in the CSSD unit based on the Activity-Based Costing (ABC) method. Based on the results, the unit cost of sterilizing the CSDD unit at PKU Muhammadiyah Bantul Hospital using the Activity Based Costing method was Rp. 2,049,388.00. The total unit cost of one sterilization procedure on average in CSSD units.

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