JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
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.
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<![CDATA[Development Model of Perinatal Death Surveilance and Response (PDSR) in Semarang City, Indonesia ]]>
<![CDATA[Sutopo Patria Jati]]>;
<![CDATA[Rani Tiyas Budiyanti]]>;
<![CDATA[Nikie Astorina Yunita Dewanti]]>;
<![CDATA[Ayun Sriatmi]]>;
<![CDATA[Martini Martini]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 1 (2019): April 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.8181
<![CDATA[The infant mortality rate is the important things to measure health status and achievement of Sustained Development Goals (SDGs). It can be used to audit the cause of perinatal death and used to planning program to prevent the death. In addition, data on perinatal deaths must be recorded in terms of population administration. The problem is underreported perinatal death so that data not valid. This is because many government stakeholder such as Health Office, Administrative Village, Family Empowerment and Welfare (PKK), and the Information and Communication Department has reported and recorded perinatal death themself but not integrated. This study aims to develop a concept of integrated perinatal death report and record. This research is qualitative research with following steps advocation, initial assessment, and development models through interview, observation, and Focus Group Discussion methods. The result of this study is existing condition and concept model that can integrate of perinatal death record and reported. The concept model in Semarang City, Indonesia can be done in two ways. First, data comes from the Health Office (SIM-KIA). Second, data comes from Administrative Village and Family Empowerment and Welfare (PKK). All of the data forwarded to the Integrated Data Integration System (SIDADU) in Information and Communication Service in Semarang City. To support the validity of data, the Health Office should identify all public and private health facilities related to perinatal care. The local government should release Circular Letter concerning the notification of services regarding the recording and reporting of perinatal deaths in Administrative Village.]]>
<![CDATA[Patient Information System and Doctor Competence in Increasing Satisfaction and Loyalty to Primary Level Health Service ]]>
<![CDATA[Nur Choirul Afif]]>;
<![CDATA[Lusi Suwandari]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 1 (2019): April 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.8182
<![CDATA[The establishment of Puskesmas (Community Health Centers) aims to make it possible for communities to get quality services that are affordable for all levels of society. The things that are necessary to be improved in the services of Puskesmas are the quality and access. This study aimed at predicting the factors influencing satisfaction and loyalty of BPJS patients of the primary level health facility. This research was an explanatory study aiming at determining whether there is an influence of management information system and doctor competence on patient satisfaction and patient loyalty. The results showed that the management information system (SIM) of the patients had a positive and significant influence on the BPJS patients’ satisfaction; doctor competence had a positive and significant influence on BPJS patients’ satisfaction; the management information system (SIM) of the patients had a positive and significant influence on the BPJS patients’ loyalty to the primary level health facility in Banjarnegara; doctor competence had a positive and significant influence on the BPJS patients’ loyalty, and patient satisfaction had a positive and significant effect on the BPJS patients’ loyalty to the primary level health facility in Banjarnegara.]]>
<![CDATA[Unit Cost Analysis of Sectio Caesarea with Activity-Based Costing in Yogyakarta City Hospital ]]>
<![CDATA[Rijal Maulana Haqim]]>;
<![CDATA[Firman Pribadi]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 1 (2019): April 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.8183
<![CDATA[The selection of unit cost calculation method in hospital services is a challenge for hospitals. Errors in the selection of the calculation method will make a big difference in the final results of the total costs required after the service. Yogyakarta City Hospital still uses traditional methods of determining service rates. Design of this study is a qualitative study with a case study approach to the unit costs required for uncomplicated section Caesarea which is calculated using the activity-based costing method compared to the unit cost of section Caesarea calculated using traditional methods. The purposes are to know the differences between the two methods. The results of this study indicate the unit cost of uncomplicated section Caesarea using the ABC method is IDR 2,703,919. the action rate by the hospital is IDR. 3,051,000, greater than the ABC method. The difference obtained is Rp 347,081. The Conclusions is a positive difference between the unit cost of the ABC method and the hospital rate so it is necessary to evaluate the service rates in Yogyakarta City Hospital.]]>
<![CDATA[The Presence of Description on Spirometry Disorder in the Old TB Patients who were Suffering from Dyspnea in BBKPM Surakarta ]]>
<![CDATA[Muhammad Ali]]>;
<![CDATA[Riana Sari]]>;
<![CDATA[Sri Wahyu Basuki]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 1 (2019): April 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.8184
<![CDATA[Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis signified by the formation of granuloma by the infected tissue. Old TB is a case of TB that once suffered from tuberculosis infection and declared as being cured. This research aims to know the presence of description on spirometry disorder in the old TB patients who were suffering from dyspnea in BBKPM Surakarta. Type of this research is descriptive research using Cross-Sectional approach. Population which becomes the subject of this research is the outpatient in the Non-TB Clinic of BBKPM Surakarta according to the criteria. Sampling was conducted using the method of Purposive Sampling and it was obtained 50 samples of old TB patients who were suffering from Dyspnea. Data were then processed by editing, coding, and tabulation. From the results of the data processing through editing, coding, and tabulation, there were 27 patients who were suffering from Obstruction disorder, 5 patients were suffering from Restriction disorder, 17 patients were suffering from mixed disorder (Obstruction and Restriction), and 2 patients were Normal. This research concluded who was suffering from dyspnea, in BBKPM Surakarta.]]>
<![CDATA[Is buying behavior influenced by segmentation? ]]>
<![CDATA[Tita Hariyanti]]>;
<![CDATA[Harun Al Rasyid]]>;
<![CDATA[Anisa Ramadhani Kusumastiti]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 1 (2019): April 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.8185
<![CDATA[Buying behavior in choosing health care is a long process. Segmentation is one of the things that underlies the decision of the patient. This study aims to determine the buying behavior of patients who do the first child labor and its relationship with buying behavior in RSIA Puri Bunda (PB) Malang. This research uses the cross-sectional method. The sampling technique used the total sampling method, ie all inpatients who gave birth to the first child at the time of this study were executed. The number of samples was 55 respondents in April-May 2017. Data were analyzed using multinomial logistic regression. The results showed that customer segmentation of RSIA PB was from Blimbing sub-district, 21-25 years old, last high school education, income <Rp.1.500.000,00, housewife, Islam, class of 3rd class and payment method using BPJS . Buying behavior of respondents is included in complex type and dissonance reducing buying behavior. Geographic, demographic, psychographic and behavioral segmentation is not related to buying behavior. Segments that have been detected are expected to get attention from the hospital to determine the marketing efforts that will be done next. In its marketing efforts, RSIA PB should pay more attention to customers who have a high-involvement type in order to provide all the information expected by the customer.]]>
<![CDATA[Patient safety: antibiotics prescription review in pediatric patient ]]>
<![CDATA[Chamim Faizin]]>;
<![CDATA[Wiwik Kusumawati]]>;
<![CDATA[Inayati Habib]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 1 (2019): April 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.8186
<![CDATA[The patient safety incidents is closely related to treatment services. Medication errors in pediatric patients are generally three times higher than adult patients. 40.8% medication errors occur in prescribing drugs such as antibiotics. This study was to analyze the management of antibiotic prescribing in hospitalized pediatric patients at X Hospital for patient safety. This study used mixed methods namely quantitative by observational cross sectional and qualitative case study. It used a purposive sampling method with inclusion and exclusion criteria obtained from 494 medical record data from 2367 total patients in 2017. Analysis of the antibiotic rationality of the Gyssens method and deep interviews of pediatricians, pharmacists and patient safety management. The most antibiotic use is cefotaxime 51,83%. It used rational antibiotics (40.69%). The irrational antibiotics were in category V (22.8%), IVD category (25.10%), IIIA category (8.10%), IIC category (2.63%). Giving antibiotics rationally is not maximized so that it needs better regulation and systems. Patient safety incidents occur in patients' identity errors and LASA drugs (look-alike and sound-alike) do not cause serious incidents. Prescribing rational antibiotics in hospitalized pediatric patients has not been maximized and patient safety incidents are still found. Need support from management in optimizing rational antibiotic use programs as well as patient safety culture.]]>
<![CDATA[Factors Influencing Nurses’ Compliance Level in the Application of Hand Hygiene in Inpatient Wards of Muntilan General Hospital ]]>
<![CDATA[Andika Dwi Rianita]]>;
<![CDATA[Dyah Suryani]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 1 (2019): April 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.8187
<![CDATA[Infectious diseases are still the leading cause of morbidity and mortality in the world. One of the infections was a nosocomial infection. Nurses have appreciable influence regarding nosocomial infection incident because nurses have a great deal of interaction with the patient during 24 hours. The prevention of nosocomial infection can be conducted by a nurse is with hand hygiene practice. The purpose of this research is to know factors influencing nurses’ compliance level in the application of hand hygiene at in inpatient ward of Muntilan General Hospital. This was a quantitative research with research design cross-sectional. The sampling technique used was the Proportionate Stratified Random Sampling with the number of respondents was 54 nurses. The instrument of the research applied a questionnaire and checklist. Analyses of the data used were the Chi-Square test. This research indicated there was a correlation between motivation with a compliance level of nurses in application of hand hygiene (p-value 0.000<0,05).There was a correlation between attitudes with a compliance level of nurses in application of hand hygiene (p-value 0.000<0,05).There was no correlation between work period with a compliance level of nurses in application of hand hygiene in of Muntilan General Hospital (p-value 0.459>0,05).]]>
<![CDATA[Implementation Standards Access to Hospitals and Continuity Of Service ]]>
<![CDATA[Dwi Yuliannisa Amri]]>;
<![CDATA[Nur Hidayah]]>;
<![CDATA[Ekorini Listiowati]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 1 (2019): April 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.8188
<![CDATA[Access to a hospital and continuity of services are very important for the continuity of the hospital so that people who need health services are interested in visiting the hospital and utilizing the health services. The aims of the research are to find out the implementation of access to the hospital and continuity of service at X Hospital. The design of the research was descriptive qualitative research with observation and interview to collect the data. In observation, the subjects are 180 patients registered. In the interview, step is human resources who concerned on hospital access and continuity of service. Data analysis used interviews coding and calculated the observation result. Results and discussion are Observations on the implementation of a standard operating procedure for hospital access and continuity of services have been carried out in excess of 80%, but there are obstacles in the implementation, one of which is not all clinical staffs know the step in standard operational procedure. The conclusion is Clinical staff has implemented the standard operational procedure of Hospital access and service continuity exceeds 80%.]]>
<![CDATA[The Implementation of Patient-Centered Collaborative Care Training Concept to Increase Inpatient Unit Nurse Performances of X Hospital ]]>
<![CDATA[Yeyen Gustina Irawan]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 1 (2019): April 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.8189
<![CDATA[The implementation of best Patient-Centered Collaborative Care training concept becomes one of the important aspects of providing health services in a hospital. The improvement of health services conducted bt the hospital is aimed to support healing and recovery with the full attention of patient comfort. This study used Mixed Method Research or a combination of quantitative and qualitative approaches os Sequential Explanatory, and qualitative data analysis in the second stage, to support the quantitative research finding which is done in the first stage. This study used One Group Pre – Test – Post – Test Design without Control, is a way of performing one pretest- before treatment (treatment/training) and afterward measuring again (post-test) without giving a control treatment. There are 96 respondents with one year of minimum work period in X Hospital. The respondent's observations are included gender, educational background, work period, status, children, residence and the workplace. The result of this study shows that the highest level of nurse’s knowledge is influenced by the age, work experience, educational background, and motivation of self-development. Statistically, there are no signification differences, but from training appreciation, a nurse is unrealized that there is the influence of PCC implementation at the Surgical and Intern Ward Inpatient Unit X Hospital and supported by nurse’s performances. Good knowledge of PCC concept proved to have an effect on PCC implementation inpatient Surgery and Interna Ward X Hospital supported by the improvement of nurse performance in inpatient room.]]>
<![CDATA[SIMPUS eHealth Evaluation at Bantul District, Yogyakarta ]]>
<![CDATA[Lusiana Wiwid Endriani]]>;
<![CDATA[Sulistyawati Sulistyawati]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 1 (2019): April 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.8190
<![CDATA[Indonesia government through Indonesia Ministry of Health has developing Health Information System, including Primary Health Care Information System Management (SIMPUS), as a tool to acquire an accurate data to improve society health quality. SIMPUS has been implemented in several districts in Indonesia, including Bantul District, Yogyakarta. But, founded several problems during the implementation. This research aimed to evaluate SIMPUS eHealth implementation compared to IHIS. Qualitative with case study approach was used to capture the data in Piyungan Public Health Centre. PIECES was employed as an evaluation method. Our respondents were SIMPUS manager, SIMPUS officer in mother and child health, SIMPUS officer in patient registration, and SIMPUS officer in the medical record. Our research revealed that eHealth was powerfull than IHIS. Nevertheless, there were several limitations on eHealth such as less of control-security and service. For future research suggested to include more number of Puskesmas as a sample to figure out the comprehensive problem.]]>
