Garuda - Garba Rujukan Digital

Differences in Satisfaction Level between Subsidised JKN Patients and Non-Subsidised JKN Patients: A Case Study in a Hospital in Bantul with Quantitative Analysis Approach Yanasta Yudo Pratama; Muhammad Syamsu Hidayat; Tri Ani Marwati; Lina Handayani
Academic Hospital Journal Vol 4, No 1 (2022)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v4i1.71744

ABSTRACTIntroduction: The National Health Insurance (JKN) organized by BPJS is a guarantee in the form of health protection so that participants get the benefits of health checks and protection in meeting basic health needs given to everyone. Measuring the level of patient satisfaction is needed to determine the level of service provided by a service provider. To identify differences in the satisfaction of JKN class 3 PBI patients and JKN class 3 non PBI patients who received health services at the place research.Materials and Methods: This study used an analytical observational research design with a cross sectional method through a Quantitative Method approach. Data obtained by using questionnaires and interviews with respondents. The level of patient satisfaction was analyzed using GAP scores, CSI, and Independent Samples T Test.Results: The results of the GAP score indicate that JKN class 3 PBI patients have the lowest GAP score on the reliability dimension, which is -0.1733 and the highest GAP score on the assurance dimension with a score of -0.0875. Meanwhile, JKN class 3 non-PBI patients had the lowest score on the tangibles dimension with -0.1955 and the highest on the reliability dimension with -0.1711. JKN class 3 PBI patients had a CSI score of 69.81% and JKN class 3 non-PBI patients had 66.938%. If statistically tested, there is a significant difference between JKN class 3 PBI patients and JKN class 3 non-PBI patients with p value < 0.05.Conclusion: From the results of the analysis, at the placed research patients are generally satisfied with the services provided. JKN class 3 PBI patients feel more satisfied than JKN class 3 non PBI patients.

Study of Survival of COVID19 Patients with Severe or Critical Symptoms: Study of D-dimer on Survival of COVID19 Patients with Severe or Critical Degrees in ICU COVID, Academic Hospital, Gadjah Mada University, Yogyakarta Purwadi Sujalmo; Rosita Yunanda Purwanto; Rochmi Isnaini Rismawanti; Yanasta Yudo Pratama; Wandira Lalitya; Afridhia Bidari Fachrudin
Academic Hospital Journal Vol 4, No 1 (2022)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v4i1.71798

The SARS-CoV 2 virus pandemic has been a scourge since 2020. The number of cases that continues to increase, both mild, moderate, severe-critical confirmed cases are directly proportional to the need for treatment rooms, both ordinary wards and intensive care units (ICU), which is inversely proportional to the available capacity. room. Based on research, the high mortality and morbidity rate due to COVID 19 is due to the incidence of patient sepsis. Research abroad states that the value of D-dimer is a prognostic factor for COVID-19 patients, although there is no agreement on the best cut-off point for specificity and sensitivity. hypercoagulability conditions and increased lactic acid in patients with severe sepsis. It is necessary to evaluate the role of this laboratory result in estimating the prognosis of COVID-19 patients in Indonesia. There is no study that examines the relationship between the incidence of sepsis and the characteristics of hypercoagulability with the dominance of the thrombotic process in COVID19 patients in Indonesia. The purpose of this study was to provide information to health workers about the role of D-dimer value as a prognostic factor for severe-critical COVID-19 patients. This quantitative retrospective research data in the form of proportions were collected for 12 months from the medical records of the UGM Academic Hospital of patients with confirmed severe-critical COVID-19. Overall survival was assessed by the Kaplan-Meier curve. The cut-off determination for the D-dimer variable was carried out using the Receiver Operating Curve (ROC) followed by the calculation of the Youden index. Then the hazard ratio was determined by cox regression with a p value of <0.05 which was considered significant. Statistical analysis with SPSS version 26 software.

Childbirth experience in women at high risk in facing the delivery process at UGM academic hospital Evita Ratih Dewayani
Academic Hospital Journal Vol 3, No 2 (2021)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v3i2.72410

Background: High-risk pregnancy is a severe threat to the health and life of pregnant women and babies, considering that this can increase the risk of complications during pregnancy, childbirth and puerperium. About 20 million women worldwide have high-risk pregnancies, and it is known that more than 800 die each day. Pregnant women have potential risks during pregnancy, childbirth and the puerperium. The mother's lack of knowledge about pregnancy health problems and health service providers can increase inappropriate handling risk by health workers. So, women should understand the concept of high-risk pregnancies to reduce these risks. Research Objectives: To determine the childbirth experiences in mothers at high risk in the delivery process at UGM Academic Hospital. Method: Qualitative Research with Descriptive-Narrative Design. Results: The mothers knew the risks of pregnancy, but they were less aware of the risks of other pregnancies. Mothers’ experience in choosing a place of delivery was influenced by personal experiences, family, friends, or other people. The availability of adequate hospital facilities, service flow, and ownership of insurance coverage were also other factors in choosing a maternity hospital. Conclusion: Mothers are aware of the risks of pregnancy, but they are less aware of other pregnancy risks. Suggestion: Mothers should be aware of the risks of pregnancy and need to learn more about other pregnancy risks. It is hoped that they will be better prepared if a high-risk pregnancy occurs.

The Establishment of Sharia-Based Class D General Hospital in Purwantoro Wonogiri Maryama Aisyah Pribadi
Academic Hospital Journal Vol 3, No 2 (2021)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v3i2.72453

Purwantoro is a very strategic area, located in the middle of its surrounding subdistricts, and is a transit point to get to the surrounding sub-districts. In Wonogiri, there are nine general hospitals, but none are located in Purwantoro. The ratio of hospital beds per 1,000 population in Wonogiri is still 0.96. Indonesia is a country with the largest Muslim population (87.2%). The Muslim population of Wonogiri Regency reached 1,108,696 (97.65%), and specifically in Purwantoro, 99.06% are Muslims. So that awareness and need for sharia-based health services increased. This research is a feasibility study. Primary and secondary data obtained are collected and processed, then analyzed by the situation, demand, and needs, as well as financial analysis. Investment evaluation using the Investible Surplus Method (ISM). Situation analysis, both external and internal aspects, supports this project. Demand and needs analysis also have been fulfilled, but necessary to pay attention to the needs of male nurses. The total cost of the entire project excluding land purchases is Rp 42.231.739.375,00 through two-step constructions with an ISR of 16,81% in the ninth year. The establishment of a sharia-based class D general hospital in Purwantoro Wonogiri is feasible to be established with a capacity of 60 beds at an area of 4.252 m2, an investment value of Rp. 42.231.739.375,00 through two-step constructions with ISR of 16,81 % for nine years.

Modified COVID-19 Mortality Scoring as a Mortality Prognostic in COVID-19 Patients Rahmadani Puji Lestari; Benedictus Hangga Harinawantara; Khoironi Rachmad Damarjati; Purwadi Sujalmo
Academic Hospital Journal Vol 4, No 1 (2022)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v4i1.72845

Background: The number of patients infected with COVID-19 was increasing. The COVID-19 clinical presentation varies from asymptomatic, mild, moderate, severe, and critical. Mortality rates increase with morbidity and disease severity. This study aimed to develop a prognostic intrahospital mortality scoring named "Modified COVID-19 Mortality Scoring".Methods: A retrospective cohort study was conducted on COVID-19 inpatients at the UGM Academic Hospital during November 2020-March 2021. Data were obtained from electronic medical records. Clinical and laboratory parameters were taken at the time of admission.Results: The study involved 413 patients, including 50 subjects who died from COVID-19 and 363 survivors. The final stage of multivariate analysis resulted in some variables; age≥55 years, history of stroke, qSOFA score≥2, d-dimer≥1500 ng/mL, absolute neutrophil count (ANC)≥5,000 cells/uL, and absolute lymphocyte count (ALC)<1,000 cells /uL affected intrahospital mortality (p<0.050). In the scoring model, the d-dimer≥1500 ng/mL was worth 2 points, and each remaining variable was worth 1 point. The score had a strong predictive ability with an area under the ROC curve, 0.814(95%CI=0.757–0.871). The sensitivity and specificity of the score was 76%, with a cutoff point score of 3, an OR of 10,357 (95%CI=5.179-20,710, p=0.000). Moreover, the probability scores of 3, 4,5,6,7 were 18%, 33%, 53%, 72%, and 85%.Conclusion: The existence of a scoring system is expected to help identify COVID-19 inpatients who have a higher risk of death so that stricter monitoring and early intervention can be carried out.

Multilevel Spinal Canal Stenosis with Ossification of the Ligamentum Flavum in an Achondroplastic Patient : A Case Report Arya Widyatama; Adam Moeljono
Academic Hospital Journal Vol 4, No 2 (2022)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v4i2.73093

Achondroplasia is the most common form of dwarfism in humans. There are abnormalities of intracartilaginous ossification caused by mutation of FGFR 3 gene resulting in a narrow spinal canal accompanied by neurological impairements in some patients. The neurological impairements could be caused by ossification of ligamentum flavum, disc degeneration, kyphosis of lumbar spine, bony spurs, thickened laminae and facet joints. We reported a case of 23-year-old Indonesian male with achondroplasia, spinal canal stenosis accompanied by ossification of ligamentum flavum presented with progressive myelopathy and neurogenic claudication. Spinal canal stenosis with OLF was observed at L2-L5 level of lumbar spine. Laminectomy with decompression and removal of the OLF was performed at L2-L5. There was an improvement on patient's neurological symptoms and function after the surgery. In this report, we describe a rare case of achondroplasia with OLF presenting with neurological symptoms from multiple level of spinal canal stenosis. We perfromed decompressive wide laminectomy and resection of adherent OLF followed by fusion with instrumentation resulted in the improvement of patient's neurological symptoms and function.

Effectivity of Management Events with Integrated System Organization Rumah Sakit Dr. Oen Kandang Sapi Solo Laurentina Karissa Komala Dewi
Academic Hospital Journal Vol 4, No 2 (2022)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v4i2.73941

Background: To provide information on health services and education, hospitals require marketing communication, one of which is event. The hospital holds a variety of events for employees and citizen, which are routine or even incidental. Along with era development, hospitals are required to make fast and precise movements, so that performance is efficient and effective to achieve the success of events. President Director of RUMAH SAKIT Dr. OEN KANDANG SAPI SOLO (Droenska) decided to establish the Hospital Event Committee in 2019 with integrated system organization (ISO DOI) to replace the role of the event committee which is formed in every events. It is expected that the performance of each unit can be more effective, efficient, and the entire hospital community makes the culture of hospitals, internal marketers, as a way of life, because intangible marketing assets are important to embrace customers. After the Decision of the President Director is determined and implemented, of course, monitoring and evaluation are required.Purpose: Evaluating the effectiveness of events management which used Integrated System Organization RUMAH SAKIT Dr. OEN KANDANG SAPI SOLO (ISO DOI).Method: Qualitative descriptive research was used. The research datas were obtained through in-depth interviews with 17 informans who are choosen by purposive sampling selection method at the Hospital Event Committee in 2019–2020. Then it is formulated with the study of proposal recapitulation data as well as liability sheet (LPJ) in 2019–2020.Result: Component and function of Hospital events committee already fulfilled the standard of EO. The concept of events is quite good and clear. Coordination between the committees of events is inadequate due to a lack of communication and initiative. The event went smoothly and also there were no obstacles that led to the failure of the event, although there were still some shortcomings. Some of the event committees have not evaluated and given accountability (LPJ).Conclusion: The completeness of EO component’s and work function’s already exists and running on the Hospital Event Committee (ISO DOI). Events held by hospital with ISO DOI committees become more organized, effective, and efficient, but the function of coordination and evaluation must be improved. ISO DOI is potensial to develop as an event organizer that manage events with partners so that it can be additional revenue for Droenska.

Analysis of Remuneration System Satisfaction and Its Affecting Factors (Case Study on Specialist-Physician at Government Hospital in Jakarta) Citra Sari Pratiwi; Andreasta Meliala
Academic Hospital Journal Vol 5, No 1 (2023)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v5i1.67946

Background: Remuneration is an important strategy to improve the competence of hospital services. Remuneration aims to motivate employees which can be achieved if the remuneration system is implemented fairly, but the gap between the ratio of the number of doctors and the average points to rates causes’ physician dissatisfaction toward the remuneration system. Analyze satisfaction level and measure remuneration satisfaction factors on Pediatricians and Obstetrics and Gynecologists at ABC Hospital Jakarta. Methods:This study used quantitative methods with multiple linear regression analysis measured by the Equity Scale and Remuneration Satisfaction Scale. Interviews were used to obtain comprehensive analysis results from respondents who were in the lower and upper limits of the questionnaire results. The interview also involved the management of ABC Hospital Jakarta.Results:Total 44 respondents consisting of 30 Pediatricians and 14 Obstetricians and Gynecologists, showed dissatisfaction with the remuneration system (45,46%), neutral (31,53%), and satisfied (23%). There was a relationship between perceptions of external fairness (P= 0,003) and procedural fairness (P= 0,002) with remuneration satisfaction. There was no relationship between perceptions of internal justice (P= 0,929) and perceptions of individual justice (P= 0,130) with remuneration satisfaction. These results were explored using interviews and the causes of doctor dissatisfaction due to the gap in the achievement of the Individual Performance Index, lots of doctor examinations that were not listed in the rates, and remuneration points did not consider the complexity of each job. Meanwhile, the dissatisfaction felt by the management was due to the lack of measurement of quality indicators in the remuneration system.Conclusion: External and procedural justices are factors that affect the satisfaction of remuneration felt by specialist-physician. The remuneration obtained at ABC Hospital Jakarta is lower than other Government Hospitals of the same type. In addition, there are binding rules, doctors' lack of understanding of the remuneration system, and lack of socialization. The management needs to formulate a more detailed remuneration system based on applicable regulations by adjusting the hospital situation.

The Role of The Marketing Mix Factors in Hospital Selection Yuni Rahmawati; Susilowati Susilowati
Academic Hospital Journal Vol 5, No 1 (2023)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v5i1.73529

Background: The problems faced by Soerojo Hospital is currently decreasing the number of outpatient visits and decreasing customer satisfaction. Marketing mix analysis based on satisfaction surveys which on average are good based on hospital customer perceptions and targeted revenue targets from out-of-pocket sources of 30 percent require the right marketing mix tactics for potential customers in the comunity. This study will help Soerojo Hospital choose dominant factor of the marketing mix in hospital selection for making optimal marketing strategy. The aims of this study was to identify the role of the marketing mix factors on people's decisions in hospital selection. Materials and Methods: This study was conducted with a descriptive, quantitative approach, cross sectional research design, 385 respondents were surveyed with questionnaires and data analysis was carried out with program packages. Results: The components of the marketing mix that occupy the top three positions are the location component with a median of 4.67(1-5), the process component with a median of 4.60 (1-5) and the cost component with a median of 4.50 (1-5). There was a significant difference between the groups who choose and did not choose Soerojo mental hospital in the doctor/staff and promotion (p value <0.05). Conclusion: The location, process and cost components are the components of the marketing mix that most influence the decision to choose a hospital. Suggestions for improvements that can be made by RSJ Prof. Dr. Soerojo Magelang based on the results of this study.

Evaluation of Completeness of Cancer Data Variables on Data Quality in Hospital-Based Cancer Registration Activities at Dharmais Cancer Hospital Grace Shalmont; Pradnya Sri Rahayu; Susanna Hilda Hutajulu; Lutfan Lazuardi
Academic Hospital Journal Vol 5, No 1 (2023)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v5i1.80443

Background: Cancer is a major burden of disease worldwide, including in Indonesia. As an effort to control the burden of cancer, WHO established National Cancer Control Programs (NCCP) where cancer registration is one of the key points. Dharmais Cancer Center Hospital, appointed as the national cancer center, has the responsibility to conduct a cancer registry in Indonesia. The good quality data of cancer registry according to international standards is beneficial to describe the cancer burden in the country. In Dharmais Cancer Center Hospital, microscopic verification is one of the variables that has not been qualified. Therefore, it is important to evaluate the completeness of cancer data variables toward data cancer quality on hospital-based cancer registry of Dharmais Cancer Center Hospital. To assess the quality of cancer data based on microscopic verification, to evaluate the completeness of hospital-based cancer registry variables and the quality of data based on microscopic verification between complete and incomplete variable groups. Materials and Methods: This quantitative research is an observational study (non-experimental) with cross-sectional study design. It utilizes secondary data from hospital-based cancer registry of Dharmais Cancer Center Hospital for incidence year 2013-2017.Results: Data quality of microscopic verification that assessed on a complete data group is 87,8% and for overall cancer cases is 62%. Among social variables, identity numbers are the most incomplete variable, which is 39%. While among tumor data variables, stage is also the most incomplete variable with 82% data. There are differences between the quality of data based on microscopic verification with the completeness of data, especially among social data variables and tumor data variables. Conclusion: The quality data based on microscopic verification that is assessed on a complete variable group is better than microscopic verification on overall cancer cases. The incomplete variables among social variables are identity number, date of birth, address, and district/province. Whereas on tumor variables, the incomplete variables are stage, treatment, metastasis, and laterality. The completeness of cancer data has an importantrole on data quality based on microscopic verification mainly on social and tumor variables. Improvement and strengthening particularly on management and technical aspects of cancer registration are indispensable

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name
Arif Faisal

Contact Email
academichospitaljournal@gmail.com

Phone
+62895413919029

Journal Mail Official
ahj.rsugm@ugm.ac.id

Editorial Address
Jl. Kabupaten, Kranggahan I, Trihanggo, Kec. Gamping, Kabupaten Sleman, Daerah Istimewa Yogyakarta 55291

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Arif Faisal

Contact Email academichospitaljournal@gmail.com

Phone +62895413919029

Journal Mail Official ahj.rsugm@ugm.ac.id

Editorial Address Jl. Kabupaten, Kranggahan I, Trihanggo, Kec. Gamping, Kabupaten Sleman, Daerah Istimewa Yogyakarta 55291

Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Arif Faisal

Contact Email
academichospitaljournal@gmail.com

Phone
+62895413919029

Journal Mail Official
ahj.rsugm@ugm.ac.id

Editorial Address
Jl. Kabupaten, Kranggahan I, Trihanggo, Kec. Gamping, Kabupaten Sleman, Daerah Istimewa Yogyakarta 55291

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA