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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. 13 No. 2 (2024): August 2024" : 10 Documents clear
Readiness and Service Model Exploration for Chronic Kidney Disease Telemonitoring at Public Hospital in Bengkulu, Indonesia Nurhidayati, Nurhidayati; Arini, Merita; Wan Mamat, Wan Hasliza
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.79

Abstract

Public hospitals in Bengkulu lack health workers in hemodialysis units, making services not optimal, and the quality of life of chronic kidney disease patients is not controlled. Thus, telemonitoring should be an alternative to a remote health service. This study aimed to determine readiness and explore the telemonitoring service model needed in public hospitals in Bengkulu. This qualitative research used group discussion forums and in-depth interviews with 24 informants, consisting of management and health workers in the hemodialysis unit, recruited by purposive sampling. Audio recordings, verbatim transcripts, and thematic analyses were carried out. Public hospitals in Bengkulu are ready to carry out telemonitoring services regarding potential reasons, expectations from health workers, and benefits to implement as alternative solutions to improve service quality—inhibiting factors such as support tools, patients, health workers, organization, and low understanding of telemonitoring. Supporting factors are the adequacy of basic infrastructure facilities, the allocation of funds, and the required service models such as materials, supporting devices, and service settings. In conclusion, a public hospital in Bengkulu meets the readiness indicators of telemonitoring services for chronic kidney disease patients from a health worker’s perspective. Potential supporting factors need to be improved, inhibiting factors need to be anticipated, and the required service model needs to be described.
The Influence of the Use of Electronic Medical Record Systems on Effective Doctor-Patient Communication Relationships in the Outpatient Clinic Lestari, Nadia Putri; Ramadhani, Isniani; NurCita, Boenga; Kristanti, Melly
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.134

Abstract

Electronic medical records are being used based on the Regulation of the Minister of Health (PMK) number 24 of 2022 concerning Medical Records, which is a transition of patient medical records from conventional systems to electronic-based. This study aims to determine the effect of using an electronic medical record system on effective doctor-patient communication relationships in hospital outpatient clinics. This study was conducted at a B-class general hospital in Jakarta Regional General Hospital, using an analytical descriptive method and a cross-sectional approach. A total of 153 respondents followed quota sampling rules. The test used was the chi-square test, with the p-value being less than 0.05. Approximately 50% of respondents demonstrated high levels of effective doctor-patient communication and high levels of knowledge on the use of RME. This study states that there is a positive relationship between the use of electronic medical records and effective communication between doctors and patients.
Behavior Mapping Study of The Layout of Drug Service Room in Outpatient Pharmacy of X Hospital Yulianto, Wahyu; Zuhriyah, Lilik; Haripradiantoi, Tito
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.145

Abstract

The quality of pharmaceutical services is related to patient satisfaction and the short waiting times for their accomplished drug in pharmacy installation. This research was conducted to describe the prescription service process in the outpatient pharmacy at X Hospital by observing the flow of drug dispensing and officer movement along with the time required for the process, with the environment behavior study and value stream mapping as the observation method. This action research was conducted by collecting qualitative and quantitative data. Data collection was carried out by observation (time allocation, time for drug service activities), interviews, focus group discussion (FGD), and Behavior Mapping. The results of value stream mapping showed that non-value added was greater than value-added, 78.5% versus 21.5%. Behavior mapping showed a physical trace in a stack of prescription files in all POSs during the service process. The longest process time occurred at post 4, which is during drug preparation, while the longest interval time was interval time 4, which is waiting for the re-check process. Other factors cause the waiting time for drug services to be lengthened. The spatial structure of pharmacy depot block A was less effective. The waiting time was still long. The researchers suggest that the space be regulated again and continued to the next action research cycle, up to the effective drug services, so that the waiting times can be short.
Accuracy Analysis of Topographical and Morphological Code in the RSUP Dr. Sardjito Cancer Registry, Indonesia Nurhidayah, Novi; Putri, Dhea Edvy Permata; Budi, Savitri Citra; Yuliana, Yuliana
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.406

Abstract

In cancer cases, a cancer registry functions as a national cancer control program to analyze cancer severity and risk factors in specific areas, aiming to reduce morbidity and mortality. Accurate coding is essential for producing a high-quality cancer database. This study aims to analyze the accuracy of the cancer registry at RSUP Dr. Sardjito in assigning topography and morphology codes. A mixed-methods approach was employed to evaluate code accuracy and identify factors influencing accuracy and inaccuracy based on the 5M framework. Data were sourced from the Hospital-Based Cancer Registry at RSUP Dr. Sardjito, with a total population of 4500 patients in 2021. A sample of 1000 cancer patients was selected using a simple random sampling technique.   Each sample was analyzed as true or false based on verifier notes, revealing that 904 topography codes were accurate (90.40%) and 96 were inaccurate (9.60%). For morphology codes, 913 were accurate (91.30%) and 87 were inaccurate (8.70%). Researchers conducted in-depth interviews with registrars and verifier doctors and observed all cancer registry activities, focusing on topography and morphology codification. Observations and interviews indicated no obstacles in codification activities, but inaccuracies occurred, possibly due to case complexity. In conclusion, the study demonstrates high accuracy in the coding of cancer cases at RSUP Dr. Sardjito. The complexity of cases may contribute to inaccuracies. The study suggests continuous evaluation to enhance coding accuracy, which is crucial for effective cancer control programs.
Employee Engagement in a Multigenerational Workforce at Hospital X Kristi, Gandhi; Basabih, Masyitoh
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.411

Abstract

As the organization grows each year, the workforce will continue to change. New hires may come from older or younger generational groups, leading to a multigenerational workforce in the organization. It is known that each generational group has different characteristics that can affect employee engagement per generation in the workplace. This study aims to determine the depiction of the multigenerational workforce and employee engagement in the multigenerational workforce at the hospital. This study used a cross-sectional study and was conducted by distributing online questionnaires to health workers who worked at Hospital X. The results found that a multigenerational workforce is apparent in Hospital X. It was also found that the oldest generation group in the hospital, Generation X, had the highest average engagement score. Through analysis, a significant relationship was also found between the multigenerational workforce and employee engagement. The discovery of a multigenerational workforce and differences in the level of employee engagement in generational groups indicates that hospital management must take advantage of the diversity that exists. Strategies are also needed to increase and maintain employee engagement in each generational group.
Managing CCTV in Indonesian Hospitals: A Legal, Ethical, and Managerial Perspective Sarwono, Aditya Pratama
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.412

Abstract

Closed Circuit Television (CCTV) in Indonesian hospitals presents significant legal, ethical, and managerial challenges, particularly due to unclear regulations governing its installation in clinic rooms. The absence of specific guidelines raises legal uncertainties, casting doubt on patient privacy and the hospital's responsibility for safeguarding sensitive medical information. Ethical concerns intensify as the use of CCTV in clinic rooms may lead to potential privacy violations in the absence of clear regulations. This condition certainly poses managerial challenges for hospitals, affecting resource allocation, personnel training, and the management of data related to the CCTV system. Effectively managing this system becomes crucial to balance surveillance needs with privacy protection. Hence, this research aims to explore legal uncertainties surrounding CCTV installation, identify ethical issues, and evaluate managerial impacts. The study seeks to offer profound insights, aiding the development of pertinent policies, ethical frameworks, and effective managerial strategies for a balanced and responsible CCTV implementation in healthcare settings.
Strategy to Improve Electronic Medical Certification of Cause of Death at Rumah Sakit Persahabatan, Jakarta, Indonesia Meilia, Putri Dianita Ika; Djasri, Hanevi; Sanjaya, Guardian Yoki
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.420

Abstract

Proper death certification has broad medical and public health benefits. Therefore, death certificates should be completed accurately according to the medical certification of cause of death (MCCD) scheme. To improve the data quality of MCCD, Rumah Sakit Persahabatan (RSP) has implemented an electronic form (e-SMPK) since 2023. Although equipped with a user manual and coordination support system, incomplete and inaccurate e-SMPKs are still found. This study aims to identify interventions that can improve the quality (completeness and accuracy) of e-SMPK in RSP using one action research cycle consisting of 4 stages, i.e., diagnosing, planning, taking, and evaluating action. Qualitative data was collected through focused group discussions and field observations. Quantitative data was collected by comparing the completeness and accuracy of e-SMPKs before and after the intervention agreed upon with the participants. Triangulation of the data was carried out to maintain the credibility of the research. This study found that obstacles to e-SMPK consist of system and regulatory factors, skills, practical tools, and processes. Interventions are implemented by adjusting regulations, providing guidance and training, revising electronic forms, improving coordination, and facilitating consultation and verification to overcome obstacles. An increase in the completeness and accuracy of filling in the e-SMPK elements was obtained, most of which were statistically significant.
Hospital Pharmaceutical Inventory Control in In-Vitro Fertilization Services Using Minimum-Maximum Stock Level Paramesthi, Prasasya; Jati, Sutopo Patria; Suryoputro, Antono
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.421

Abstract

Type C "X" Specialized Hospital in Semarang experienced in vitro fertilization (IVF) and embryology laboratory consumable medical supplies (CMS) stockouts in early 2023, delaying medical care. Minimum-maximum stock level (MMSL) is an alternative pharmaceutical inventory procurement method. Compared to the conventional method, this study examined how well the MMSL method controls IVF medications and embryology laboratory CMS at Hospital “X” Department of Pharmacy. This study is a quantitative, secondary data-based, quasi-experimental, non-equivalent study without a control group. The study sampled all IVF medications and embryology laboratory CMS data from October to December 2023 at Hospital “X” with consistent supply. MMSL was implemented prospectively in January – March 2024. Twelve (12) IVF medications and fifty-six (56) embryology laboratory CMS were studied. Efficiency analysis included inventory value, inventory turnover ratio (ITOR), and stockout value; effectiveness analysis included stockout incidences. Statistics were tested using Wilcoxon signed-rank and McNemar tests. MMSL implementation led to increased inventory value of IVF medications (from IDR21,514,537.00 to IDR49,635,116.00, p=0.040, p<0.05), decreased inventory value of embryology laboratory CMS (from IDR117,421,582.00 to IDR105,318,804.00, p=0.005, p<0.05), and increased ITOR of embryology laboratory CMS (from 0.82 to 0.84 times, p=0.040, p<0.05). MMSL significantly improved IVF medications and embryology laboratory CMS inventory management efficiency.
Performance Measurement Analysis Based on The Balanced Scorecard at The Private Hospital in Boyolali, Indonesia Mushhaf, Muhammad Dhiyaul; Kuswati, Rini; Ichsan, Burhannudin
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.437

Abstract

Hospitals must contend with the fierce competition in the rapidly expanding healthcare business. Hospitals, particularly private ones, operate in a highly competitive health service business. Therefore, hospitals must engage in performance assessment in order to enhance many facets of their performance. This study aims to assess the efficiency of the private hospital in Boyolali, Indonesia, by employing the Balanced Scorecard method. Measurement was conducted utilizing four distinct perspectives: money, customers, internal company processes, and learning and growth. The study involved collecting primary and secondary data over four years, specifically from 2020 to 2023. Comparative analysis was employed to assess the hospital's performance throughout different periods and compare it to pre-established targets. Subsequently, a score was assigned based on the findings. The findings indicated a total score of 0.52, signifying that the overall performance evaluation results of this study are classified as satisfactory. It is necessary to oversee hospital investments, enhance marketing efforts, train workers to deliver exceptional care, and offer awards based on success.
Antecedents of Patient Satisfaction with Outpatient Pharmacy Services on Patient Well-Being and Hospital Image Austin, Ryan; Antonio, Ferdi; Pebriana, Regina
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.456

Abstract

This study examined the influence of patient satisfaction with outpatient pharmacy services on patient well-being and hospital image, focusing on pharmacy location, service time, pharmacist attitude, medication supply, and medication teaching. A survey with cross-sectional data was conducted using a questionnaire modified from Khudair & Raza (2013). Data from 115 respondents were analyzed using Partial Least Square-Structural Equation Modelling (PLS-SEM). Pharmacy location and medication supply negatively impacted patient satisfaction. Service time, pharmacist attitude, and medication teaching had positive, significant impacts. Patient satisfaction positively influenced the hospital's image and patient well-being. Efficient service time, positive pharmacist attitude, and effective medication teaching enhanced patient satisfaction, improving hospital image and patient well-being. The study concluded that optimizing service time, pharmacist attitude, and medication teaching in outpatient pharmacy services could significantly enhance patient satisfaction, thereby improving patient well-being and hospital image.

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