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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 321 Documents
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Prevalence and Determinants of Early Antenatal Care Visits Among Pregnant Women Attending Antenatal Care in Rural Gambia Babucarr Jassey
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 1 (2023): April 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i1.32

Abstract

An estimated 303,000 maternal deaths occurred worldwide in 2018. The Gambia has a MMR of 400/100,000 live births. In the Gambia, 24% of pregnant women receive antenatal treatment four times. Insufficient knowledge of the value of prenatal care and lack of subsidized ANC services are the main causes of the growing maternal and newborn mortality rate in Gambia. The study's major goal was to investigate factors influencing pregnant women in rural Gambia who attend early prenatal care. A cross-sectional community-based survey using structured questionnaires was used for the investigation. Cluster random sampling was utilized in the study to choose samples from 5 distinct districts. The study found that socioeconomic factors, economic factors, and accessibility to antenatal care service center influenced early ANC Attendance. After multivariate analysis, marital status, number of children, mother's occupation, cultural acceptance, and education level significantly correlate with early ANC attendance. The Foni district's early ANC attendance rate (ANC) was comparatively low compared to WHO criteria and fell short of the national requirement. This finding may explain the high mother and child mortalities observed in the Foni districts. The study found significant knowledge of ANC services, but this did not help increase early ANC attendance rate.
Determination of Loyalty Through Mediation of Patient Satisfaction at Indriati Boyolali Hospital Restu Wijang Setiabudi; Sudarwati; Ida Aryati Diyah Purnomo Wulan
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 1 (2023): April 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i1.33

Abstract

This study aims to reveal the influence between CRM, SST, customer satisfaction and loyalty variables with the mediation of patient satisfaction in outpatients of Indriati Boyolali Hospital. This research used a quantitative descriptive approach—data collection using questionnaires, observations and documentation. The research location was Indriati Boyolali Hospital which is located at Jl. Raya Boyolali-Semarang No.KM. 02, Mojosngopermai, Mojosongo, Boyolali District, Boyolali Regency, Central Java. In conducting this study, the time needed was six months, and the sample of respondents was 230 outpatients at Indriati Boyolali Hospital. Some of the following conclusions Customer relationship marketing affects patient loyalty. Customer Relationship Marketing affected Patient Satisfaction. Self Service Technology affected Patient Loyalty, Self Service Technology affected Patient Satisfaction, Patient Satisfaction affected Patient Loyalty, and Patient Trust as an Intervening Variable did not affect patient loyalty. Customer Relationship Marketing affected patient commitment with patient satisfaction mediation. Self Service Technology affected patient loyalty with patient satisfaction mediation.
Exploring Factors Behind Low Bed Occupation Rate of Hospital: A Case Study Umi kulsum; Gunawan; Devita Rahmani Ratri
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 1 (2023): April 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i1.34

Abstract

Bed Occupancy Rate (BOR) Psychiatric Hospital of DR.Radjiman W regency had a low percentage. In April 2022, it was 59,80%, May at 50,55%, and June at 48,84%. It may be due to the governor’s and BPJS regulations, the development of psychiatric in other health services, the limited facilities and infrastructure for non-psychiatric patients, and the lack of information about non-psychiatric services. This study analyzed the low percentage of BOR (Bed Occupancy Rate). The sample was four respondents: the head of the inpatient, the head of the outpatient, the head of the emergency room, and the public relation. The main priority is to solve this research problem using the 5 WHYs and find an alternative solution by discussion method with all respondents. The result showed the main factor causing the low percentage of BOR in RSJRW was the lack of facilities and infrastructure. It was suggested that RSJRW should be aware of cleaning up and provide fewer facilities and infrastructure. 
The Effect of Customer Value, Customer Experience, and Customer Preference on the Utilization of Inpatient Care Facilities: A Cross-Sectional Study Rohilatul Jannah; Moh. Soleh; Thinni Nurul Rochmah; Raissa Manika Purwaningtias
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 2 (2023): August 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i2.40

Abstract

The prevalence of outpatient care patients increased from 56.3% to 72.3%, while inpatient care patients significantly decreased from 5.2% to 1.9% from 2018 to 2019 in Bangkalan Regency. This study aims to analyze the effect of customer values, customer experience, and preference on the utilization of Inpatient Care Facilities in Public Hospitals. This study is an analytical observation with a cross-sectional design. Two hundred twenty respondents were included and chosen by simple random sampling.  The result showed that 44.5% of customer value was negative with a p-value of 0.0001; the proportion of customer experience at the sense level was 33.4% with a p-value of 0.0001; the highest proportion of customer preference was 27.3% for Service Quality and 20.9% for Good Doctors with a p-value of 0.0001. Customer value, customer experience, and preference significantly affected inpatient care facility utilization in Public Hospitals in Bangkalan Regency. This study recommends structuring a unique selling point based on the people’s needs using marketing sense to improve customer experience, paying attention to Service Quality, and using the Good Doctor as one of the important criteria in hiring doctors in a hospital.
Evaluation of Organizational Culture As a Step To Improve Patient Safety at RSIGMP Sultan Agung Semarang Gesti Bening Aulia; Kusuma Arbianti; Nira Ardlina
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 1 (2023): April 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i1.43

Abstract

This study assessed and evaluated organizational culture to improve RSIGMP Sultan Agung Semarang patient safety. This observational analytic study used a cross-sectional model. Data were collected by distributing questionnaires of the Organizational Culture Assessment Instrument (OCAI) to all RSIGMP Sultan Agung Semarang staff, with a total of 54 people. The questionnaire was previously tested for validity and reliability. It consisted of 24 statements from 10 dimensions of organizational culture (dominant characteristics, organizational leadership, management of employees, organizational glue, strategic emphasis, and criteria for success). The study results showed that the dominant type of culture at RSIGMP Sultan Agung Semarang was clan culture.
Research Trends on Patient Satisfaction during the Pandemic Nuryakin
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 2 (2023): August 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i2.48

Abstract

The COVID-19 pandemic has affected the health sector, including mental health, and is considered a global pandemic that contributed to research in the health sector. This study aims to study research trends on patient satisfaction during a pandemic. A bibliometric analysis helped to measure research trends on patient satisfaction during a pandemic. The research approach elaborated data in the bibliography through extraction from the Scopus database, then filtering research articles published during 2019-2021 using bibliometric techniques, co-citation analysis and citation analysis. This study used bibliometric analysis by conducting a library search paper referring to Scopus databases. Scopus database identified relevant articles published from 2019 to 2021 using VosViewer. The results showed research trends conducted in-depth patient satisfaction studies over the past three years. The trend of publications on patient satisfaction continued to increase (2020 –2022). However, in 2021 – 2022, it was decreasing. International Journal of Environmental Research and Public Health published many papers on patient satisfaction. Loughborough University was the institution with the most publications. Research field citations on patient satisfaction showed Biasco, G. with the most citations.
Overview of The Infection Control Risk Assessment (ICRA) Implementation in Dental Practice at RSGM Unimus Dwi Windu Kinanti Arti; Aulia Rizqi Niami; Retno Kusniati
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 2 (2023): August 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i2.49

Abstract

Infections present while undergoing treatment or obtained from health services are called Healthcare-Associated Infections (HAIs). The impact of this incident is the length of treatment and costs provided, increased morbidity, and can result in death. One of the many occupations in the world with the highest risk of infection transmission is health workers working in dentistry since most of human microbial pathogens originate from oral secretions. In contrast, these health workers require their proximity to the patient’s oropharynx. The increase in HAIs occurs due to the lack of application of infection control, so we need to assess this implementation. The Centers for Disease Control and Prevention (CDC), in 2016, issued standardized Infection Control Risk Assessment (ICRA) guidelines to assess the risk of infection in dental and oral health services. This research aims to describe ICRA in the dentist practice at RSGM Unimus. The type of research used was observational, with quantitative analysis methods and a descriptive research design. The results showed that overall, infection control at RSGM Unimus had a percentage of 82%, which was included in the low infection risk category. RSGM Unimus was good at implementing infection control programs.
Antecedents of Online Patient Experience of the Hospital Telemedicine Application and Its Consequences Cynthia; Ferdi Antonio; Dewi Wuisan
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 2 (2023): August 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i2.51

Abstract

Hospitals had to adjust by offering telemedicine services in response to the COVID-19 outbreak. In contrast to telemedicine, which is developed independently, telemedicine used to have adequate resources. Unfortunately, few studies have been conducted to capture online patient experience from hospital telemedicine services. Therefore, this study attempts to analyze factors that can affect Online Patient Experience (OPX) and assess the impact on Continue Usage Intention (CUI) and Intention to Recommend (ITR). The independent variables that become the antecedents of OPX are Professional Knowledge (PKL), Physician Rank (PRK), Physician Image (PIM), Response Speed (RSP), Service Commitment (SCM), Service Attitude (SAT), and Communication Efforts (CEF). This study is a quantitative survey with cross-sectional data obtained by questionnaire instrument. Respondents were taken purposively using judgment sampling to get those who had received telemedicine services managed by a large group of hospitals in Jakarta. Based on the result, 172 respondents were eligible. The result indicated that all the antecedents studied had a positive and significant relation (p-value < 0,05) with OPX. The results also found that RSP (β = 0.317), SCM (β = 0.216), and PIM (β = 0,186) are the three constructs that play the dominant role. Thus, it is important to create a positive online patient experience so that patients can continue to use teleconsultation services and recommend them to others.
Evaluation of Decision-to-Delivery Interval and Its Effect on Maternal and Neonatal Outcomes in Category-1 and Category-2 Emergency Caesarean Section Deliveries: A Systematic Review Jimmy Sakti Nanda Berguna; Masyitoh Basabih
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 2 (2023): August 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i2.57

Abstract

Emergency cesarean section is a surgery delivery through the abdomen that must be carried out immediately within a decision-to-delivery interval (DDI) <30 minutes because it threatens the maternal and neonatal. This study prevents prolonged DDI response time for emergency cesarean section categories 1 and 2. This study aims to determine the causes of prolonged DDI for maternal and neonatal outcomes so that hospital management becomes standardized with the standard of care for emergency cesarean sections and the quality of care for patients increases. A literature search was conducted through four databases, SpringerLink, ScienceDirect, Google Scholar, and PubMed, using keywords that matched the clinical questions. Article selection was carried out based on exclusion and inclusion criteria. The selected literature was reviewed and assessed for validity, importance, and applicability based on the Oxford Center of Evidence-Based Medicine guidelines. Nineteen (19) studies examined category 1 or category 2 emergency cesarean sections from publications from 2018 to 2022. Of the 19 studies, only 3 achieved a response time of 30 minutes for emergency cesarean section category 1 and 75 minutes for category 2. However, 17 studies explained that DDI did not affect maternal and neonatal outcomes. Factors that influence not achieving the DDI target are the unavailability of operating rooms, anesthesiologists, pediatricians, and insufficient nurses. On the other hand, lack of special training, no standard emergency cesarean section service, and limited places and facilities impact maternal and neonatal outcomes.
The Impact of Sharia Certification on Nutrition Management at YARSI Hospital Sri Rahayu; Pradnya Paramitha; Vican Sefiany Koloi; Lanlan Lesmana; Wahyu Sulistiadi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 2 (2023): August 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i2.61

Abstract

Sharia certification guarantees the ummah's need for Islamic standardized health services, including food services for hospital patients. Nutrition management includes planning, organizing, implementing nutrition services, supervising nutrition services, and evaluating. YARSI Hospital has received sharia certification from the National Certification Council-Majelis Ulama Indonesia, hoping to benefit hospitals and users of halal, safe and tayyib nutrition services and social transformation for the community. This research aims to analyze the impact of Sharia certification on nutrition management at YARSI Hospital, which consists of planning, organizing, implementing nutrition services, supervising nutrition services, and evaluating. Descriptive analytics followed by a different "Wilcoxon Signed Ranks Test" test with a cross-sectional approach. The sample for filling out the questionnaire was 24 respondents, and for the interview was 1 respondent. Respondents are the managers of the nutrition installation of YARSI Hospital. The certification proved an increase in the assessment of being better in nutrition management before and after Sharia certification. Respondents gave an average assessment (positive ranks) after Sharia certification> (greater) than before Sharia certification, and there was a significant difference because of the Asymp. Sig. (2-tailed) on all factors was < than the value of α (0.05). YARSI Hospital's nutrition services are committed to implementing halal, safe and tayyib nutrition services and are expected to become an example for other hospitals to obtain Sharia certification.

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