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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 10 Documents
 1 
Search results for , issue "Vol. 12 No. 3 (2023): December 2023" : 10 Documents clear
Analysis of Barriers Implementation Health Information Technology Using Vosviewer: A Bibliometric Study Latifah Mutiara Haryanto; Winny Setyonugroho; Passakorn Suanrueang
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 3 (2023): December 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i3.11

Abstract

Information technology is growing rapidly in various fields, especially in health services. The development of information technology in health services is e-health, which aims to improve public health, expand and reach health services, and manage patients in real-time. This study aims to determine the publication trend of articles on barriers to medical technology implementation from 2015 – 2022. The publications were retrieved through a search through the Scopus database and obtained 422 publications. This study analyzed the number of publications per year, document type, most contributing countries, subject area of publication, influential authors, number of article citations, and contributing search sources. This study also analyzed and collated documents with Vos Viewer. The results showed that the trend of publications has increased the number of publications from year to year. The types of papers published with the highest number were articles (322 publications) and reviews (90 publications). The most contributing country was the United States, with 191 reports. The dominant subject area was medicine, at 66.23%. The publication with the most citations was an article by Scott Kruse et al. entitled “Evaluating Barriers to Adopting Telemedicine Worldwide: A Systematic Review” from the Journal of Telemedicine and Telecare, with the subject area of medicine having 413 citations. Researchers with the highest number of publications (3) were ten authors. The study was limited by the search for literature from a single database, which allowed the literature to not cover all of the literature on barriers to medical technology implementation.
Development of Hand Hygiene Monitoring System Based on Android Mobile Application and User Perspective Gavin Pratama Nugraha; Arlina Dewi; Nurdiansyah Ramadhan
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 3 (2023): December 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i3.19

Abstract

Hand hygiene plays a crucial role in promoting overall health and preventing the spread of diseases. The World Health Organization reported that the prevalence of healthcare-associated infections (HAIs) ranges from 3-12% in high-income countries and 5-19% in low-and middle-income countries. Improved hand hygiene compliance can substantially reduce HAI rates. In Indonesia, the Ministry of Health has designated handwashing compliance as a compulsory quality indicator for hospitals. Introducing a mobile app can improve hand hygiene practices. This study aims to develop and design an Android mobile application that serves as an easy-to-operate hand hygiene monitoring system and to understand user perspectives. The study used Agile Methods for app development and a qualitative approach to know users' perspectives. Respondents (n=10) from AMC Muhammadiyah Hospital, including the IPC team, department heads, and administrators, were interviewed. The result revealed that mobile application is easy to use and have an attractive user interface. Users expressed the application's user-friendliness and utility in conducting observations. Nonetheless, they identified some drawbacks, such as lagging issues and a complicated manual installation process due to the app's unavailability on Playstore. Users expect the app's future inclusion on Play Store for simplified installation and request its development for iOS to cater to hospital staff using iPhones.
Factors Causing Pending Claims at Nyi Ageng Serang Regional General Hospital Rosmeida Marwah Utami; Savitri Citra Budi; Fendi Septiawan
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 3 (2023): December 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i3.80

Abstract

Nyi Ageng Serang Regional General Hospital submits monthly collective claims for the Social Health Insurance Administration Body patients. Based on the observations made at the Nyi Ageng Serang Regional General Hospital, the Social Health Insurance Administration Body claim file was pending by the Social Health Insurance Administration Body verifier because it needed to be confirmed. The pending claims will cause the payment of claims from the Social Health Insurance Administration Body to the hospital to be delayed, and it might affect service activities and financing for the hospital. Pending claims must be explored more deeply to the causal factors so they can be handled appropriately. This study aims to describe the factors causing pending claims for the Social Health Insurance Administration Body at the Nyi Ageng Serang Regional General Hospital. Data collection techniques used observation techniques, documentation studies, and interviews. Data analysis was performed using descriptive analysis. External factors that have caused pending claims include discrepancies in claim rates with the Minister of Health Regulations, incorrect codes, and incomplete codes. Meanwhile, the internal factors causing pending claims, according to the 5M management element, were the Man, Material, and Method factors.
Does Satisfaction Increase Patient Loyalty? (Investigation on Jogja International Hospital Surakarta, Indonesia) Sudarwati Sudarwati; Ida Aryati Diyah Purnomo Wulan; Adina Safitri Ayu Saputri
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 3 (2023): December 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i3.85

Abstract

This research aims to test and analyze the influence of patient satisfaction on patient loyalty. It also measures the role of consumer satisfaction as a mediating variable of brand trust and service quality on patient loyalty. This research used a quantitative descriptive approach. This research was conducted at JIH Solo Hospital, with 125 respondents. Sampling was done using the purposive sampling technique. This research was analyzed using Partial Least Square (PLS) with SmartPLS3 software. The research results showed that brand trust positively and significantly affected patient satisfaction. Service quality had a positive and significant impact on patient satisfaction. Brand trust had a positive and significant effect on patient loyalty. Service quality had a positive and significant impact on patient loyalty. Patient satisfaction had a positive and significant impact on loyalty. Patient satisfaction was a partial mediator of the influence of brand trust on patient loyalty. Patient satisfaction partially mediated the influence of service quality on patient loyalty.
The Effect of the SDKI, SLKI, and SIKI Education Program on Nurses' Attitudes on Nursing Documentation Umboh Morenita Jeanifer; Ati Surya Mediawati; Irman Somantri
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 3 (2023): December 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i3.88

Abstract

Standardized nursing language must be accurately communicated between nurses and other healthcare professionals. Based on the Decree of the Minister of Health of the Republic of Indonesia Number HK.01.07/MENKES/425/2020 concerning professional standards for nurses, the documentation of nursing care refers to Indonesian nursing diagnosis standard (SDKI), Indonesian nursing outcomes standard (SLKI), Indonesian nursing intervention standard (SIKI). This study aimed to determine the effect of the Indonesian nursing diagnosis standard (SDKI), Indonesian nursing outcomes standard (SLKI), Indonesian nursing intervention standard (SIKI) education program’s goal attainment and interaction approach of Imogene M. King’s theory on nurses’ attitudes toward nursing documentation in the Inpatient Room. The method of this study was quasi-experimental with one group pre-test and post-test design. The sampling technique used a total sampling of 41 nurses. The analysis implemented the Wilcoxon Signed Test. The results showed differences in nurses’ attitudes toward cognitive aspects (p-value, 0.002<0.05), nurses’ attitudes toward affective aspects (p-value, 0.001<0.05), and nurses’ attitudes toward conative of the Indonesian Nursing Diagnosis standard (SDKI) nursing documentation (p-value, -0.001<0.05). There are differences in nurses’ attitudes toward cognitive aspects (p-value, 0.001<0.05), nurses’ attitudes toward affective aspects (p-value, -0.001<0.05), and nurses’ attitudes toward conative aspects of the Indonesian nursing output standard (SLKI) nursing documentation (p-value, -0.001<0.05). There are differences in nurses’ attitudes toward cognitive aspects (p-value, -0.001<0.05), nurses’ attitudes toward affective aspects (p-value, -0.001<0.05), and nurses’ attitudes toward conative aspects of the Indonesian nursing intervention standard (SIKI) nursing documentation (p-value, -0.001<0.05).
The Analysis of Causes of Inpatient Medical Records Delayed Retrieval at Muna Anggita Hospital Bojonegoro, Indonesia Selvia Juwita Swari; Cindy Kurnia Ressa Fransiska; Demiawan Rachmatta Putro Mudiono; Erna Selviyanti; Gamasiano Alfiansyah; Maya Weka Santi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 3 (2023): December 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i3.89

Abstract

The delayed retrieval (return) of medical records at Muna Anggita Hospital Bojonegoro in January-May 2022 hindered the data process, reporting, and BPJS claim submissions. It also impeded services when patients underwent health check-ups and affected the quality of hospitals and patient satisfaction. This study aims to analyze the factors causing the tardy return of inpatient medical records based on Lawrence Green's behavior theory, which includes predisposing, enabling, and reinforcing factors. This qualitative study collected data through interviews, observations, documentation, USG (Urgency Seriousness and Growth), and brainstorming. The research subjects include one medical record head, two assembling officers, and four inpatient ward heads. The results indicated that predisposing factors included the lack of knowledge of ward heads and their attitude (behavior) towards extending the return time of medical records. These predisposing factors can occur due to the lack of supporting facilities. Also, motivating external factors such as rewards or reprimands from ward heads and minimal socialization of standard operating procedures (SOPs) regarding borrowing and return of medical records also contribute to the delay. Behavioral factors refer to the ward heads' lack of compliance and discipline in returning medical records. Muna Anggita Hospital should conduct SOP socialization every three months and regularly provide supporting facilities. The ward heads should also set an example regarding medical record return punctuality. The subsequent researchers are encouraged to formulate a strategic plan to reduce the delays in returning inpatient medical records at Muna Anggita Hospital in Bojonegoro.
Legality for Electronic Signatures in Implementing Electronic Medical Records I Wayan Dody Putra Wardana; Ni Ketut Supasti Dharmawan; Ni Luh Gede Astariyani
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 3 (2023): December 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i3.96

Abstract

An electronic signature is an authentic marker to show a person's responsibility. Electronic signatures also ensure confidentiality, integrity, authorization, access control, and non-repudiation of information in electronic medical records. Therefore, this research was conducted to determine the legal aspects of electronic signatures in administering electronic medical records. This research used a qualitative method with a normative juridical approach. The research sources were based on laws, government regulations, journals, and other tertiary sources related to electronic signatures and electronic medical records in health facilities. Research findings illustrated that Minister of Health Regulation Number 24 of 2022 concerning medical records only defined electronic signatures as an authentication and verification of the security and privacy of medical record information. Electronic signatures are specifically regulated by Constitution Number 11 of 2008 concerning Information and Electronic Transactions and Government Regulation Number 71 of 2019 concerning Electronic Systems and Transaction Operators. Both certified and uncertified electronic signatures have legal legitimacy in their application in electronic medical records. However, how they are supported by evidence is what makes them different. Certified electronic signatures are more trustworthy than uncertified electronic signatures.
Nurse Compliance of Electronic Nursing Care Documentation in Inpatient Rooms Erny Prasetyowati; Puguh Widiyanto; Sri Hananto Ponco Nugroho
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 3 (2023): December 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i3.100

Abstract

Electronic Nursing Care contains various record files, such as medical records of doctors, nurses, and other health workers who collaborate to provide health services. Documentation of nursing care can be hampered due to several factors, such as nurse's knowledge, attitude, motivation, and compliance. This study aims to determine the relationship between factors of nurse compliance in documenting nursing care using Electronic Medical Records. This study used a cross-sectional approach with 41 subjects selected using total sampling. The data obtained was tested using the Spearman Rank test using IBM Statistics 25 for Windows. The measuring tool used was a questionnaire of knowledge, attitudes, motivation, and observations regarding compliance with filling out nursing care. The result obtained produced a p of 0.000 (p <0.05). There was a significant relationship between the knowledge, attitudes, and motivation of nurses with compliance in documenting nursing care using electronic medical records with the strength of a strong relationship with a positive pattern, meaning that the better the level of knowledge, attitudes, and motivation of nurses, the more obedient they will be toward documentation of nursing care with electronic medical records.
Compliance with Clinical Pathways and Pilot Implementation Impact on Financial Outcome in Hospitals Using National Health Insurance: An Action Research Rien Rahmi Riandini; Achmad Yudi Arifiyanto; Thinni Nurul Rochmah; Djazuly Chalidyanto; Raissa Manika Purwaningtyas
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 3 (2023): December 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i3.116

Abstract

Payment for health services with national health insurance applies a prospective method. Hospitals must make efforts so that health services can run efficiently and not cause losses. The problem in this research is the negative difference between the Indonesian Case Based Group (INA-CBG) rates and service costs based on actual patient rates with national health insurance. This study aimed to develop a clinical pathway on 10 top CBG codes with the largest negative differences between INA-CBG and hospital rate. It also evaluated its pilot implementation impact on financial outcomes. Action research was conducted on a sample of the top 10 Case Based Group (CBG) codes with the largest negative difference between INA-CBG rates. One thousand ninety-nine (1099) medical records were analyzed and taken randomly using simple random sampling. Most of the variants found were the provision of consumable medical materials that exceeded standards and the administration of patent medicines outside the national formulary without written medical indications. The value of compliance with the clinical pathway was still below the expected standard (< 80%), especially in medical consumables. Researchers carried out a three-month intervention of a new clinical pathway implementation. The results showed increased compliance with clinical pathways and reduced negative differences between INA-CBG and hospital rates. Clinical pathway audits could reduce the negative difference between INA-CBG and hospital rates.
Legal Protection of Hospitals as Whistleblowers According to the Republic of Indonesia Act Number 17 of 2023 Concerning Health in Cases Involving Fake Doctors Aditya Pratama Sarwono
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 3 (2023): December 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i3.117

Abstract

This research explores legal protection for hospitals as whistleblowers in doctor identity forgery cases, emphasizing the Act of the Republic of Indonesia Number 17 of 2023 on Health in Indonesia. These cases, as seen in Primasatya Husada Citra Hospital (PHC) Surabaya, revealed vulnerabilities in the healthcare system to individuals without proper qualifications, highlighting the potential criminal penalties for hospital directors due to negligence in recruiting fake doctors. This research aims to delve into the Health Law's content and find strategies to help hospitals minimize criminal liability risks and ensure compliance with this law. The focus of the analysis will be on key legal aspects affecting the legal protection of hospitals in reporting cases of doctor identity forgery. The results will provide valuable guidance to hospitals in maintaining the integrity of healthcare services, protecting hospitals, and ensuring the safety of patients from the challenges of doctor identity forgery by irresponsible individuals.

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