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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
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Search results for , issue "Vol. 5 No. 1 (2016): January 2016" : 10 Documents clear
ANALISIS PERSEPSI KEPUASAN PELANGGAN DALAM UPAYA PENGEMBANGAN MUTU PELAYANAN RAWAT INAP DI RS PKU MUHAMMADIYAH GOMBONG Rizka Fakhriani; Hasnah Rimiyati
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 5 No. 1 (2016): January 2016
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5101

Abstract

Background: PKU Muhammadiyah Gombong Hospital is Muhammadiyah Business Cahrity in health which is located in Gombong and is facing competition from other healthcare providers. There are some ways to win the competition, by providing value and satisfaction to customers with quality services. Therefore, PKU Muhammadiyah gombong Hospital must improve the quality to maintain patient satisfaction. Objectives: Analyzing the gap betqeen expectation and customer perception of quality at inpatient care in PKU Muhammadiyah Gombong Hospital. Methods: The research is a quantitative research with cross sesctional design. The study was conducted on December 1st to 20th November 2010 in PKU Muhammadiyah Gombong Hospital. The sample obtained was 100 people. The sampling design is a random sampling with proportional strata. The data analysis with different test average in pairs (t-test). Results: The results showed that there are significant gaps between the average expectation and perception (p<0,05). The highest gap score on each dimension contained in the procedure item thoroughly explained the to the patient (the dimension of communication with the gap = - 0,43), hospital wards cleanliness (the dimensions of physical evidence with the gap = - 0,68), nurses never feel busy yo respond to the needs of patients (dimensions of nurse’s attentive with gap = - 0,52), patients feel comfortable while they are in the PKU Muhammadiyah Gombong Hospital (dimension of security with gap = - 0,56), admission (entrance) coped quickly and efficiently by administrative staff (dimension of administrative staff responsiveness with gap = - 0,5), provided sufficient security staff at the hospital (dimension of security with gap = -0,24), and the on time doctors when the ward supervision (dimension of responsiveness doctor with gap = - 0,39). Conclusion: Quality of service in the RS PKU Muhammadiyah Gombong still does not meet customer expectations.
KEPATUHAN 5 MOMEN HAND HYGIENE PADA PETUGAS DI LABORATORIUM KLINIK CITO YOGYAKARTA (ACTION RESEARCH) Pangisti Dwi Ananingsih; Elsye Maria Rosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 5 No. 1 (2016): January 2016
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5102

Abstract

Background: Hospital Associated Infection (HAIs) is still a problem through out the world and in Indonesia. Health officials have a major role in the transmission of these infections. However, the low level of compliance of five moments of hand hygiene among health care workers is still one of the factors that cause high spread of HAIs. To hand let his, it is necessary to counseling about the importance of 5 moments of hand hygiene for health worker towards patient health. Counseling can be done in various models, such as posters, training and simulation. Methods: The study is a qualitative research with action research. Conducted in September 2015 in wards in Clinical Laboratory “Cito” Yogyakarta, population as well as samples in this study were all health care workers in first floor of the Clinical Laboratory Cito Yogyakarta that consisting of nurses, analysts, doctors, radiographers, customer service, and cleaning service. Results and Discussion: The results showed the average rate of compliance of five moments of hand hygiene officer in the Clinical Laboratory Cito Yogyakarta continues to increase after extension, from 0% at the stage of the pretest be at 16,67% after being given counseling using the poster (cycle I) , increased to 32,50% after being given training (cycle II) and increased to 40,83% after being given counseling using simulation (cycle III). The factors that influencing the adherence of 5moments of hand hygiene in Cito Clinical Laboratory are: workload, the fear of hitting by irritant dermatitis, forgotten, lack of motivation, the lack of commitment of the company, lack of knowledge, and access to hand hygiene. Conclusion: 5moments of hand hygiene compliance of the workers increasing after the poster socialitation, training, and simulation. The management is expected to give more attention in improving of5moments of hand hygiene for health worker in Clinical Laboratory Cito Yogyakarta.
EVALUASI MUTU REKAM MEDIS DI RS PKU 1 MUHAMMADIYAH YOGYAKARTA: STUDI KASUS PADA PASIEN SECTIO CAESARIA Hafid Hutama; Erwin Santosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 5 No. 1 (2016): January 2016
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5103

Abstract

Background: Health carein patients who come for treatment can not be handled by one personal one. Because it isa means of communication as a source of patient information stored systematically. Medical records is one source inforrmasi well as a means of communication needed for medical services and administrative activities at the hospital. However, the management of medical records has so far hampered the low quality of medical records. Some studies reveal in completeness document medical records, doctors writing difficult to read and management that seemedsober. Likewise in PKU Muhammadiyah Hospital in Yogyakarta where management of medical records there are constraints such as incomplete filling of doctors inthe medical records. Research Methods: This research is a qualitative descriptive research with case study design. Subjects were doctors, medical record quality control manager, and supervisor of data processing in medical records. Data collected by observation, document check medical records, interview the research subjects. Research Results: Completeness of medical records at PKU Muhammadiyah Hospital in Yogyakarta It is> 75% of the completeness of the medical record documents. Data were recorded accurately, Returns medical record file on time, already the SOP charging medical records, medical records format complexity, less a maximum of organizing medical records, existing storage procedures, extermination and confidentiality in medical records, and the less the maximum guidance and supervision of the management of PKU Muhammadiyah Hospital in Yogyakarta. Conclusion: Quality of Medical Records at PKU Muhammadiyah Hospital in Yogyakarta has been good only there are some advantages that already SOP is used as a standard in filling out medical records, has maximum storage efforts, extermination and confidentiality of medical records, but there are some obstacles include limitations charging time medical record, less maximum effort organizing, and less the maximum guidance and supervision of the management.
PERBANDINGAN EFISIENSI PENATALAKSANAAN APENDISITIS AKUT PADA PASIEN JAMINAN KESEHATAN NASIONAL DENGAN PASIEN UMUM (STUDI KASUS DI RSUD PANEMBAHAN SENOPATI BANTUL) Agus Tri Widiyantara; Arlina Dewi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 5 No. 1 (2016): January 2016
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5104

Abstract

Background: BPJS PBI’s participants patients that a part of National Health Insurrance have financing with prospective payment system, while general patient use fee for service., To avoid losses, the hospital must manage patients more efficiently in the prospective payment system than the fee for service with strict quality control and control of costs Methods: The type of research is a quantitative research using secondary data. Population is BPJS PBI’s patient and general patients who experiencing uncomplicated acute appendicitis and action appedictomi. There are 60 respondent. Analyses test using independent t test and Mann-Whitney test. Results and Discussion: BPJS PBI’s participants patient’s length of stay are shorter than general patients (p <0.001). The management cost of BPJS PBI participant patients are lower and significantly different than public patients at the component cost of the drugs (p <0.001), the cost of a physician's examination (p = 0.012), the cost of accommodation (p <0.001), the cost of BMHP (p <0.001), supporting examination (p = 0.023) and total cost (p <0.001). There is no differences of operating costs. BPJS PBI’s participants care costs are lower than public patients but there was no significant difference (p = 0.487). Conclusion: Based on the length of stay and cost management in appendicitis procedures, BPJS PBI’s participant patients more efficient than general patients.
EVALUASI PELAKSANAAN SASARAN KESELAMATAN PASIEN SESUAI AKREDITASI RUMAH SAKIT VERSI 2012 DI RUMAH SAKIT KHUSUS IBU DAN ANAK PKU MUHAMMADIYAH KOTAGEDE YOGYAKARTA Totok Sundoro; Elsye Maria Rosa; Irma Risdiana
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 5 No. 1 (2016): January 2016
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5105

Abstract

The purpose of this study was to knowing description (policy, implementation, barriers, recommendation) on compliance efforts in patient safety goals RSKIA PKU Muhammadiyah Yogyakarta Kota Gede. Qualitative research with case study design (case study). Subjects were hospital management, the staff of the hospital and the patient. The study object is the implementation of Patient Safety Goals Hospital Accreditation Hospital In Version 2012. Policy and implementation for the implementation of 6 targets have not been fully made patient safety and well-executed yet because there are still adhere to standards that do not, do not know the rules, socialization and motivation are lacking and there is no management support. Recommendation needs to be done is the hospital management and the need to formulate a policy direction that comes with phasing as a guide to target patient safety in hospitals.
PENGARUH FAKTOR INTERNAL DAN EKSTERNAL TERHADAP KEPATUHAN PERAWAT DALAM MELAKSANAKAN STANDAR PROSEDUR OPERASIONAL PEMASANGAN KATETER DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA UNIT II Maria Ulfa; Tantri Sarzuli
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 5 No. 1 (2016): January 2016
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5106

Abstract

Background: Patient safety is one of quality indicator of hospital service. Hospitals always improve the quality of care and patient safety, such as implementing Standard Operating Procedures (SOP) in any action of nurses to prevent Hospital Acquired Infection (HAIs). A nurse has certain factors that can influence the SOP implementation in their every action. This study is required to determine factors that influence nurses obedience in implementing SOP of catheter installation at PKU Muhammadiyah Yogyakarta Unit II Hospital. Method: This study using the cross-sectional approach which results are presented in analytical descritive. Research subjects are 30 observed nurses, taken from Emergency room, Naim room, Wardah room, Firdaus room and Zaitun room, by proportionate purposive sampling technique; and 97 nurses for questionnaire. Results and Discussion: Nurses who are obedient to implement catheter installation SOP are 73.33% and 26.67% do not comply. Internal factors (gender, age, years of service, level of education, knowledge, attitude) and external factors (work environment, the characteristics of the group and workload) has no effect on nurses compliance (sig. > 0.05). Conclusion: Internal and external factors have no significant effect on the nurses compliance in implementing SOP of catheter installation at PKU Muhammadiyah Yogyakarta Unit II Hospital. Nurses perform catheter properly and accordant to the SOP are 73.33%.
ANALISIS UPAYA PENINGKATAN MUTU MANAJEMEN PELAYANAN BENCANA TERHADAP KORBAN BENCANA DI RS PKU MUHAMMADIYAH BANTUL BERDASARKAN METODE QUALITY FUNCTION DEPLOYMENT (QFD) Dyah Mustika Kurniatri; Sunaryadi Sunaryadi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 5 No. 1 (2016): January 2016
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5107

Abstract

Background: Hospitals must be well prepared and ready for any kind of disaster in both of its facilities and human resources. PKU Muhammadiyah Bantul Hospital is situated within disaster prone area. The main issues faced by the hospital are complaints from disaster victims regarding its medical services, nursing, and medical facilities. Therefore, PKU Muhammadiyah Bantul Hospital tries to make serious efforts to improve its service quality by conducting a deep analysis of patients. Method: The Quality Function Deployment (QFD) method is applied to measure the service quality improvement in PKU Muhammadiyah Bantul Hospital. This method mainly formulates the management’s improvement efforts based on demands. Subjects of this research were earthquake’s victims at Yogyakarta in 2006 with 30 people as the samples. Result and discussion: House of Quality analysis in QFD recommends several improvements that are required by PKU Muhammadiyah Bantul Hospital regarding medical services, nursing and other supporting facilities: 1. Medical personnel excellence training; 2. Physician competency assessment; 3. Medical personnel’s respond time; 4. The number increase of medical personnel; 5. Doctor’s procedure suitability improvement. Meanwhile, several nursing improvements also need to be taken: 1. Medical personnel’s respond time; 2. The number increase of medical personnel; 3. Medical personnel excellence training. Furthermore, supporting medical services also need improvements: 1. Re-recordkeeping hospital facilities; 2. Hygiene services assessment scheme; 3. Infrastructure improvements for disaster response. Conclusions: PKU Muhammadiyah Bantul Hospital has had preparedness of medical services, nursing and other supporting facilities for disaster management, but there was some elements that need to be improved to reach custumer satisfaction.
KEPUASAN DAN MOTIVASI TENAGA MEDIS : STUDI KASUS TERHADAP PENDAPATAN, KOMPENSASI DAN LINGKUNGAN KERJA PADA RSUD Dr. SOEDIRMAN KABUPATEN KEBUMEN Iwan Danardono; Firman Pribadi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 5 No. 1 (2016): January 2016
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5108

Abstract

Background: Quality of services in hospital is determined by the performance of medical workers. It is a human resources that mostly determine the hospital performance. Manager should pay attention to the problem of job satisfaction and the factors that affect the work motivation of medical workers. Aim of the study to examinee the relationship between health worker incomes and work environment to their satisfactionand motivation. Method: This study descriptive qualitative case study design with objects are medical staff. Questionare based on Immpact Toolkit ”Health Worker Incentives Survey (HWIS)”from University of Abeerden. Results and Discussion: Distributionof incentivesbetweentypes ofmedical workersis quitevaried,this causesdissatisfaction.57% of respondents believe that thenew buildingis nowa greatplace.85% of respondents are notinterested toleave the professionnowas a medical staff. 15% of respondentsundecidedwhether toleavethe professionnowornot. 100% of respondentsclaimedno onewould resign from RSUD dr. Soedirman.62% of respondentsexpressed satisfaction with thehighcategory, 27% of respondent swerenot satisfied because the working conditions. Some 11% of respondentsexpressedsatisfactionwith theworkin low category. Background respondents withlow satisfaction is general practitioner ordentist. Conclusions: The amount ofrevenuesandservicesreceivedfluctuateanddifferfrom individual toindividual. There is adisparitybetweenmedical personnelandcivil servants PTT, and betweentypes ofmedical personnelin terms ofthe amount ofrevenueandservicesreceived, itcauses themajority ofrespondentshave low incomeschoose the level ofjob satisfactionat the level ofmedium and low, but caused nodesireto movethe workplace.there arerespondentswhocomplained ofpoorworking conditionsandthis led totheir job satisfactionin the low category.
UPAYA PENINGKATAN MUTU PELAYANAN MEDIS PADA PEMBUATAN STANDAR PROSEDUR OPERASIONAL PELAYANAN MEDIS DI RSIA ‘AISYIYAH KLATEN Susi Salmah; Susanto Susanto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 5 No. 1 (2016): January 2016
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5109

Abstract

Background: Quality is a total picture of the nature of a product or service which is able to give satisfaction. The quality of hospital services can be measured by using the standard operating procedures (SOPs) which are the instructions made together to carry out routine activities based on professional standards. The purpose of this research is to analyze the efforts to improve the quality of medical services in RSIA (Child and Maternity Hospital) ‘Aisyiyah Klaten related to the doctor’s knowledge of the philosophy of making SOPs for Medical Services. Methods: The study design was a case study with a qualitative and quantitative approach. It was conducted by in-depth interviews with directors, the chairman of the medical committee, the secretary of the medical committee and the special staff of directors relating to the medical committee and making of SOPs for Medical Services. The questionnaire is addressed to all the doctors associated with the knowledge, attitudes and behavior in making the SOPs for Medical Services. Analysis of the data is presented descriptively from the perspective of input, process and output. Results and discussion: The results obtained on the input which is the vision to become the recommended hospital with the mission of providing services in accordance with medical and administrative standards of professional and accredited. There are meeting facilities, budget, commitments director on the decree on the medical committee and the accreditation team. From the process side, the meeting attendance of accreditation team doctors is 62.90%, non- accreditation team specialists by 50%, non-accreditation team general practitioners by 18.18%. The making of the meeting minutes reaches 100%. On the SOPs of Medical Services, the value of all the doctor's knowledge is 90.68%, the value of all the doctor's attitude is 84.78% and the value of the behavior of all doctors is 63.37%. From the output side, the number of SOPs of Medical Services which have been made are 31 types (88.24%). The number of SPOs which was passed are 50 titles (43.10%). There are constraints on the time and the ability of doctors. Conclusion: RSIA ‘Aisyiyah Klaten has undertaken efforts to improve medical services quality in making the SOPs for Medical Services through a systems approach well and the doctors already understand the philosophy of making good SOPs for Medical Services.
EVALUASI PASCA HUNI PERFORMANSI FISIK INSTALASI KEBIDANAN DAN PENYAKIT KANDUNGAN RUMAH SAKIT PKU MUHAMMADIYAH GAMPING Siti Hardiyanti Adam; Widodo Hariyono; Iswanta Iswanta
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 5 No. 1 (2016): January 2016
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5110

Abstract

Hospitals must meet the facilities and infrastructure technical requirements of the hospital that support health care services completely. The evaluation of Hospital buildings standard's fulfillment can be done by Post Occupancy Evaluation. The study used mix method. Population consisted of all internal user in Obstaetric and Gynaecology Unit. There are 23 samples that determined by shovin formula. The result of study showed that location of Obstetrics and Gynecology Unit is not easy to be reached from Emergency Room, Intensive Care Unit, and Operating Room. Location, room availability, width, lighting, humidity, and temperature in Obstetrics and Gynecology Unit are not fulfill the standard yet. Technical and functional aspects are appropriate with Depkes 2007, process aspect is almost appropriate with Depkes 2007.

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