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Contact Name
Arlina Dewi
Contact Email
jmmr@umy.ac.id
Phone
-
Journal Mail Official
jmmr@umy.ac.id
Editorial Address
Ruang Jurnal JMMR, Gedung Pascasarjana Universitas Muhammadiyah Yogyakarta, Brawijaya Street, Tamantirto, Kasihan, Bantul, D.I. Yogyakarta, Indonesia
Location
Kab. bantul,
Daerah istimewa yogyakarta
INDONESIA
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
ISSN : 20882831     EISSN : 25416715     DOI : https://doi.org/10.18196/jmmr
Core Subject : Economy, 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
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.
Cross-Generational Customer Journey Analysis: Unveiling Instagram's Effectiveness in Clinic Marketing Husen, Abeng Anandri; Arini, Merita; Wan Mamat, Wan Hasliza
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 3 (2024): December 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i3.423

Abstract

The rise in private primary care necessitates clinic entrepreneurs to innovate and improve clinic performance through effective marketing, particularly through social media platforms like Instagram. The digital era presents challenges due to the simultaneous presence of five generations: baby boomers, generation X, generation Y, generation Z, and generation Alpha, each with unique attitudes, preferences, and behaviors. This research aims to explore the effectiveness of Instagram as a clinic marketing platform across generations in a private clinic. Method: A cross-sectional design was conducted in this research. Data was collected using a consecutive sampling method among the Instagram clinic’s followers (n = 377). The collected data is then analyzed using the percentage value of customer path 5A attributes, conversion rate, purchase action ratio (PAR), brand advocacy ratio (BAR), and one-way ANOVA. The percentage value of customer path 5A attributes showed a good result in four generations, including the conversion rate scores. PAR and BAR scores have optimal results in four generations. There was a significant difference in 5A attributes, PAR, and BAR (p<0.05). Instagram is an effective social media platform for clinical marketing for every generation. This study contributes to reassuring clinic entrepreneurs to utilize Instagram as their marketing platform.
Challenges and Opportunities to Achieve Digital Maturity in Healthcare: A Literature Review Putra, Dewa Ngakan Gde Wahyu Mahatma; Khoiri, Abu; Naya, Aulia Riswanti
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 3 (2024): December 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i3.453

Abstract

Digital transformation in the healthcare sector offers many benefits, but achieving it requires good digital maturity. This study aimed to identify the role of digital maturity in innovative healthcare, challenges, opportunities, and recommendations that could be applied in an effort to achieve digital maturity. This study used a systematic literature review method by extracting articles from the Scopus, PubMed, and Google Scholar databases in the last 10 years using the keywords "digital maturity", "healthcare", "hospital", and "health." The selected articles were in English and available open-access, which were then synthesized theoretically and presented in narratives. The results of the study showed significant benefits of digital maturity, including improved diagnostic accuracy, resource optimization, and patient engagement. However, obstacles such as limited funding, diverse digital literacy, and regulatory challenges were still found. The study provided recommendations to address barriers and emphasized the need for tailored digital solutions and supportive regulations for health practitioners and policymakers in an effort to increase digital maturity in the healthcare sector.
Transforming CT-Scan Scheduling System in Hospital Through Web-Based Technology Hayati, Nur; Sudiyono, Sudiyono; Handoko, Bagus Dwi; Budiati, Tri Asih; Kartikasari, Yeti; Wibowo, Gatot Murti
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 3 (2024): December 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i3.463

Abstract

The schedule for outpatient CT-Scan examinations at Bhayangkara Level I Hospital is encountered with problems, including recording errors due to poor patient manual scheduling and service delays. These challenges have been a great disadvantage to health workers and administrative systems, impacting the quality of health service. A web-based application, “SIJARO-CT,” in integration with the Hospital Health Management Information System (SIMRS), was designed and assessed to solve this problem. The method used for this study was R&D), which also placed emphasis on the ISO 9126 standard for system quality evaluation and its efficiency with regard to resources, time, cost, and quality of functional services. The results show that the system validation was rated 100% in the excellent range, which substantially improved resource use and quality of services (p=0.003). The study points out that even though the system potentially improves operational performance, its weaknesses include the single site implementation and limited scale as it shows quite room for further exploration. This research adds value to the healthcare sector through operationalizing, optimizing hospital management, and integrating these systems across levels to increase efficiency, service delivery, and satisfaction in healthcare sector institutions operating in a variety of contexts.
Optimization of Pediatric Surgery Services: An Integrated Approach Trismayanti, Ni Made Rika; Gunadi, Gunadi; Meliala, Andreasta
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 3 (2024): December 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i3.464

Abstract

The background of this journal explores the urgency of improving pediatric surgery services through infrastructure development, increasing the competence of medical personnel, and implementing better service standards with the end result of increased visits and patient satisfaction. In addition, this study also highlights the challenges faced and effective strategies to overcome obstacles in efforts to optimize pediatric surgery services at Persahabatan Hospital (RSP). This study aims to explain the factors related to the optimization of pediatric surgery services at RSP and formulate the concept of optimizing pediatric surgery services at RSP. This study uses a qualitative research design with descriptive analysis. This study was carried out by observation and filling out questionnaires by the families of pediatric surgery patients and hospital management related to pediatric surgery services at RSP, with a SWOT analysis. The average strength rating is 4.49; The average weakness rating is 3.55; The average opportunity rating is 4.07; The average threat rating is 3.49. The most appropriate strategy for RSUPP is the SO strategy or aggressive strategy (0.475; 0.299). The Strengths Opportunities method is most suitable for optimizing pediatric surgery services at RSP, namely the use of strategic locations, medical personnel, and complete infrastructure. Research on pediatric surgery services has never been done in Indonesia. Unfortunately, this research was only carried out at RSP, and could not be applied nationally.
Importance Performance Map Analysis on Hospital Branding toward Hospital Choice Intention Wiyono, Stevie Pramudita; Antonio, Ferdi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 3 (2024): December 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i3.481

Abstract

The development of hospitals in Indonesia is increasing every year. Due to inevitable competition between hospitals, hospital management has to try to improve hospital branding, which can be an opportunity for hospitals to attract new patients and retain patients. In this study, brand benevolence, brand reliability, brand prestige, and brand sincerity were used in the Importance Performance Map Analysis (IPMA) analysis of hospital choice intention. IPMA analysis uses SmartPLS 4.0.9.6 software with online and offline survey data collection methods for all patients who have visited an Indonesia type C private hospital (>100 beds) in the last year. Data collection was carried out in April 2024, obtaining 292 respondents who met the predetermined inclusion criteria. The results show that brand benevolence and brand reliability are included in high importance and high performance, while brand prestige is included in high importance and low performance, which must be considered by hospital management. Meanwhile, brand sincerity is included in the low-importance and low-performance categories. Hospital management must pay attention to brand prestige, which can increase patient satisfaction and hospital revenue in the long term. The study contributes to the understanding of hospital choice intention by highlighting the importance of hospital branding in shaping patient decisions.
The Impact of Social Media Marketing Activities and Customer Experience on Instagram on Outpatient Relationship Quality Widasmara, Dhelya; Setijowati, Nanik; Rahmah, Shofi Nur
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 3 (2024): December 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i3.486

Abstract

Instagram, which ranks fourth globally in usage in Indonesia, has become an effective and cost-efficient marketing tool, especially in the healthcare sector. Hospitals, such as RSUD Dr. Saiful Anwar Malang, utilize Instagram to promote services and engage patients. However, despite a growing following and content, fluctuating patient visits suggest that the hospital's Instagram marketing strategy may need further optimization. The purpose of this study was to identify social media marketing activities (SMMA) and customer experience on Instagram regarding the relationship quality of outpatient patients at RSUD Dr. Saiful Anwar Malang. This study used a quantitative approach with a cross-sectional design and accidental sampling of outpatients during February-March 2024. Data were collected through surveys and analyzed statistically to examine the impact of SMMA and customer experience on Instagram on the relationship quality of outpatients.  The results of the multiple linear regression analysis show that SMMA has a significant effect on relationship quality (regression coefficient = 0.34, p=0.039), while customer experience has a significant positive effect (regression coefficient = 1.003, p=0.000), indicating that improving customer experience has a stronger impact on relationship quality compared to SMMA. The study concludes that SMMA has a partial effect on relationship quality, meaning that better SMMA increases relationship quality. This suggests that future media services should prioritize building connections, satisfaction, and patient retention.