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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 332 Documents
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The Role of Insurance Relation Doctors in Reducing the Waiting Time for Inpatient Discharge: An Observational Study Bernadette, Jesslyn; Bashabih, Masyitoh
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.v13i3.489

Abstract

Waiting time for patient discharge is a key indicator in determining the quality of hospital services. In an effort to improve waiting time for patient discharge, some hospitals recruit insurance relation doctors to help check discharge paperwork, especially for patients with insurance coverage. This study aims to see the role of insurance relation doctors in reducing the waiting time for inpatient discharge. This study is an observational study with a cross-sectional study design. Waiting time data was taken through the hospital system and analyzed univariately and bivariately using the independent t-statistical test. Univariate data showed a decrease in the waiting time for inpatient discharge by 5% after the insurance relation doctor joined. However, the statistical test results showed that there was no significant relationship (CI 95% p>0.05) between the joining of insurance relation doctors and the decrease in the waiting time for inpatient discharge. The role of insurance relations doctors has yet to have a significant effect in reducing waiting time for discharge, possibly due to the short duration of the intervention, the involvement of many parties, and the workload of insurance relations doctors. Further research is needed regarding the details of the inpatient discharge process and the productivity of insurance relations doctors in carrying out their roles in the hospital.
Organizational Support for Green Hospital Initiatives: A Case Study Rahman, Ferry Fadzlul; Haris, Fahni; Febriyanto, Kresna
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.v13i3.501

Abstract

Organizational support plays a critical role in sustaining green hospital policies, particularly in managing medical waste, improving energy efficiency, and enhancing air quality. Implementing these practices is believed to enhance the quality of healthcare services, employee well-being, and the overall operational sustainability of hospitals. This study aimed to analyze factors influencing organizational support for green hospital initiatives, including employee engagement and motivation, participation and initiative, environmental training, green rewards, and employee satisfaction. Using an observational analytic design and a cross-sectional approach, we collected a research sample of 117 civil servants who met the inclusion and exclusion criteria from May to August 2024. Data were analyzed using Spearman's rank correlation and linear regression for multivariate analysis. The study demonstrated that involvement and motivation contributed 0.177, participation and initiative 0.116, and employee satisfaction 0.599 to organizational support for green hospital initiatives. The findings emphasize the importance of employee engagement, participation, satisfaction, and training in fostering sustainable healthcare practices. Strengthening organizational support enhances environmental practices, employee well-being, and operational efficiency. The study provides recommendations to improve the implementation of organizational support in hospitals.
The Effect of The Mediation Role of Value Co-Creation on Patient Participation and Customer Relationship Management (CRM) on Patient Loyalty Ratri, Ayuningtyas Dewi; Aini, Qurratul
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.v13i3.506

Abstract

Patient loyalty has become a critical success factor for healthcare institutions in the evolving healthcare landscape. The hospital seeks to differentiate itself by emphasizing patient-centered care, robust CRM systems, and the value of co-creation. This research analyzed the mediation of value co-creation on patient participation and customer relationship management toward patients' loyalty at the Obstetrics and Gynaecology Polyclinic of Islamic Hospital of Hj. Siti Muniroh Tasikmalaya. This quantitative methodology used a cross-sectional survey and primary data from the questionnaire. The sample size was 271 patients. The sampling technique used purposive sampling, a sampling technique with the criteria. The analysis technique was Partial Least Square (PLS). The result indicated that the patient’s participation and customer relationship management toward loyalty had a mediation effect from the value co-creation variable. Patient participation and CRM affect value co-creation in outpatients at the Obstetrics and Gynaecology Polyclinic of the Islamic Hospital of Tasikmalaya, both partially and simultaneously. The hospital should actively engage patients in co-creating healthcare experiences by involving them in treatment decisions, personalized care plans, and feedback loops. Then, the implication of this research was to enhance value co-creation, which could increase patient satisfaction, leading to higher loyalty and more effective CRM efforts.
Competitive Strategic Position Analysis of Publicly Listed Hospital Companies in Indonesia Febrianto, Alvano; Kaltum, Umi
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.v13i3.507

Abstract

In the rapidly evolving and highly competitive landscape of the hospital industry, analysing the strategic competitive position of the hospital is crucial in the process of strategic planning. This research evaluates the strategic competitive positions of 11 publicly listed hospital companies by performing a dynamic portfolio analysis starting in the 2020-2023 period, representing the most recent developments in the hospital sector in Indonesia. This research employs the BCG matrix technique, drawing on data related to the actual throughput of the hospital industry. This technique enables quantitative comparisons at the micro-level regarding hospitals' growth rates and market shares. The dynamic portfolio analysis findings indicated that Siloam Hospitals, Hermina Hospitals, and Mitra Keluarga Hospitals are well-performing companies with good positions in the industry. However, the results also revealed that some companies exhibited a negative trend in growth rate in terms of their competitive positions. By exploring a topic that has received limited attention from researchers, this research will contribute to the academic literature in defining the market structure of the hospital industry in Indonesia.
Optimizing Healthcare Professionals' Communication with Patients during Inpatient Hospital Discharge: A Systematic Review Gultom, Chiefriana Dearni; Basabih, Masyitoh
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i1.498

Abstract

This systematic review analyzed the role of communication between nurses, doctors, and patients in the inpatient discharge process, as well as the barriers encountered during this process. A total of 34 studies meeting the inclusion criteria—articles published in English or Indonesian addressing nurse-doctor communication and patient discharge—were analyzed. The exclusion criteria included studies that did not involve nurse-doctor communication, did not assess discharge communication, or did not undergo peer review. Findings from the studies indicate that caregiver involvement, the use of written guidelines, and communication technologies such as telemedicine can enhance patient understanding and improve discharge outcomes. However, barriers such as lack of coordination among medical professionals, communication difficulties with patients who have language limitations or complex medical conditions, and unclear post-discharge information were identified. This review adheres to the PRISMA reporting standards and is registered with PROSPERO. The study provides insights into the importance of clear communication, caregiver involvement, and interprofessional collaboration in improving patient safety and discharge success. It is hoped that these findings will help enhance the effectiveness and safety of patient discharge practices.
Cost Minimization Analysis of Analgesics for Tooth Extraction Lubis, Yolanda Eliza Putri; Rizky, Muhammad Irvan; Ginting, Chrismis Novalinda; Manalu, Putranto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i1.529

Abstract

Tooth extraction remains a common dental procedure in Indonesia owing to the increasing prevalence of oral health problems. Despite standard operating procedures and analgesics, pain management following tooth extraction remains a challenge. By analyzing different analgesic options and their associated costs, this study seeks to provide valuable insights for healthcare providers and patients in selecting the most effective and affordable pain management strategies. This study aimed to assess the cost-effectiveness of analgesic drugs for pain management after tooth extraction. This cross-sectional study was conducted on 92 patients who underwent dental extractions in Pabatu Hospital, Serdang Bedagai. Secondary data from the medical records were analyzed to assess patient demographics, diagnoses, analgesics used, pain levels, and treatment costs. Cost minimization analysis (CMA) was employed to compare the direct medical costs associated with different analgesics. The analysis highlighted that the combination of paracetamol and Na-diclofenac had the lowest average cost per patient (IDR 238,150.00), making it a financially viable option for both healthcare providers and patients. In contrast, the average cost of ibuprofen was significantly higher (IDR 433,954.97), suggesting that it may not be the best choice when considering both effectiveness and expense. Approximately 80% of the total direct medical costs for all three analgesics are attributed to procedure and treatment expenses, indicating that the choice of analgesics has a relatively small impact on overall costs. These findings advocate the use of cost-effective analgesic combinations in clinical practice, particularly in settings in which budget constraints are a concern.
Patient Satisfaction and Compliance in One-Day Care Chemotherapy: A Study at Dr. Moewardi Hospital Hadi, Cahyono; Isa, Muzakar; Sutrisna, Em; Pangestu, Mulyoto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i1.531

Abstract

The purpose of this study is to ascertain how satisfied and compliant cancer patients are with Dr. Moewardi Hospital's one-day care chemotherapy treatments, as well as how these factors relate to age, gender, education, and cancer type. Methods of research: This study used a descriptive method with a quantitative approach and correlational design. One hundred individuals who satisfied the inclusion and exclusion criteria made up the study's sample. A questionnaire was employed as the data collection method. According to the study's findings, 53% of chemotherapy patients were very satisfied, 37% were satisfied, and 10% were fairly satisfied when the five primary quality characteristics of tangibles, responsiveness, assurance, empathy, and reliability, were used to gauge their degree of satisfaction. 99% of cancer patients have complied with one-day care chemotherapy services. There is a noteworthy and favorable correlation between cancer patients' satisfaction and compliance with one-day care chemotherapy services. The main findings in this study indicate that most one-day care chemotherapy patients at Dr. Moewardi Hospital were very satisfied with the services provided, with a satisfaction level reaching 53%, and 99% of patients showed high compliance with the chemotherapy schedule. In addition, a significant and positive relationship was found between the level of satisfaction and patient compliance. Based on these findings, recommendations for further research are to explore non-demographic factors, such as socioeconomic status and family support, which may affect patient satisfaction and compliance, as well as to expand the study sample to obtain more comprehensive results.
Antecedents of Patient Satisfaction and Its Impact on Intention to Recommend at XYZ Aesthetic Clinic Handoyo Alphanto, Alvin; Wuisan, Dewi Sri Surya; Yuliana, Merryl Esther
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i1.537

Abstract

The aesthetic clinic industry in Indonesia has experienced rapid growth, with the number of clinics increasing by approximately 6% annually, driven by high demand among Indonesian women to maintain their skin health. In the face of growing competition, aesthetic clinics must integrate traditional service approaches with various effective factors, taking into account both provider and patient perspectives. The patient-centered principle, which prioritizes the needs and preferences of the patient, becomes a key focus in improving service quality. This study aims to analyze the factors that influence patient satisfaction and the intention to recommend services at aesthetic clinics. Through a PLS-SEM model approach, the research findings revealed that physician behavior, price, social media engagement, and service quality exerted a significant positive effect on patient satisfaction. Meanwhile, the clinic’s image did not have a significant impact on patient satisfaction. Patient satisfaction was found to have a significant positive effect on the intention to recommend the clinic to others. This research provides valuable insights for aesthetic clinic management in developing more effective service strategies that focus on patient satisfaction to maintain competitiveness in this increasingly competitive industry.
Health Risk Assessment in Forensic and Mortuary Services at Persahabatan General Hospital: Identifying and Mitigating Occupational Hazards Ratman, Muhammad Faisal; Meilia, Putri Dianita Ika; Ariningsih, Ariningsih; Mubin, Ma’rifatul
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i1.540

Abstract

Forensic and mortuary personnel face significant occupational hazards, yet comprehensive health risk assessments in these settings remain limited. This study assessed workplace risks at the Forensic Medicine and Mortuary Unit of Persahabatan General Hospital using the Health Risk Assessment (HRA) framework to recommend effective control measures. Seventeen personnel participated, with data collected through interviews, questionnaires, walk-through surveys, and internal records. Environmental measurements included noise levels (sound level meters), lighting (lux meters), and air quality parameters such as PM2.5, PM10, formaldehyde, and total volatile organic compounds (TVOCs). Ergonomic risks were assessed using REBA and ROSA, while psychosocial risks were analyzed using the SV-NBJSQ. The key risks identified were low back pain, nasopharyngeal carcinoma, leukemia, computer vision syndrome, and irritant contact dermatitis. Contributing factors included manual handling, awkward postures, insufficient lighting, and exposure to formalin. Proposed solutions encompassed introducing ergonomic tools, implementing educational programs, and revising operational guidelines. These interventions aim to reduce workplace hazards, enhance worker safety, and improve overall productivity. This study provides a structured approach for implementing workplace safety interventions, offering a model that can be applied in forensic and mortuary settings globally.
Harmonizing Faith and Care: Analyzing Inpatient Satisfaction in Islamic Healthcare at Unimus Hospital, Indonesia Ashidiqi, Aswin Imam; Shariff, Shaharom; Kusbaryanto, Kusbaryanto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i1.549

Abstract

Islamic hospitals aim to integrate religious values with healthcare delivery, ensuring services align with both medical standards and Shariah principles. The study analyzes the impact of Islamic service dimensions on inpatient satisfaction at Unimus Hospital, focusing on compliance, reliability, responsiveness, assurance, empathy, and tangibles, using SERVQUAL, CARTER, and PAKSERV models. A mixed-method approach with a sequential explanatory design was applied, integrating quantitative and qualitative research. The quantitative phase involved a cross-sectional survey of 94 inpatients, selected through total sampling, using a structured questionnaire validated through instrument testing, including Pearson correlation for validity and Cronbach’s alpha (≥0.6) for reliability. The qualitative phase employed purposive sampling, engaging six key informants through semi-structured interviews to explore patient experiences and service challenges. Data analysis included descriptive statistics for quantitative findings, while Miles and Huberman’s interactive model was applied for qualitative data. Methodological and data triangulation ensured validity by integrating multiple data sources and analytical methods. Findings indicated that 88.5% of patients reported high satisfaction, yet 1.06% expressed dissatisfaction regarding compliance, reliability, and responsiveness, citing delays in medical services, inconsistencies in religious support, and limited implementation of Shariah-based healthcare protocols. Strengthening staff training, religious service consistency, and hospital infrastructure could enhance patient trust and satisfaction. The study contributes empirical insights for Islamic healthcare management, supporting policy refinement and service improvements in faith-based hospitals.

Page 31 of 34 | Total Record : 332

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