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Amal C. Sjaaf
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Department of Health and Policy, Building F Floor 1, Faculty of Public Health Universitas Indonesia, Kampus Baru UI Depok 16424, Depok City, West Java Province, Indonesia
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Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Published by Universitas Indonesia
ISSN : 24069108     EISSN : 2476986X     DOI : https://doi.org/10.7454/arsi
Core Subject : Health, Science, Social,
Decision Sciences, Operations Research & Management Public Health Social Sciences
Jurnal ARSI (Administrasi Rumah Sakit Indonesia) was initiated by the Center for Health Administration and Policy Studies (CHAMPS) Faculty of Public Health, University of Indonesia (FKM UI) and is currently managed by the Department of Health Administration and Policy, Faculty of Public Health, University Indonesia . Jurnal ARSI (Administrasi Rumah Sakit Indonesia) was published with the Indonesian Hospital Association (PERSI) and the FKM UI Hospital Management Association (IKAMARS). Jurnal ARSI (Administrasi Rumah Sakit Indonesia) is a peer-reviewed journal that focuses on service administration and management in hospitals in Indonesia. The articles or scientific manuscripts published in the Jurnal ARSI (Administrasi Rumah Sakit Indonesia) include original research, case studies, and reviews supporting corporate governance, clinical governance, or both (bridging). This journal is published electronically, featuring articles in either Bahasa or English. Printed versions are produced only by request. This journal also provides direct open access to its content with the principle that research publications are freely available to the public for broad benefit.
Arjuna Subject : Umum - Umum
Articles 201 Documents
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Analisis Gambaran Peta Perjalanan Pasien di Pelayanan Rawat Jalan RS Kanker “Dharmais” Tahun 2014 Majid, Fitri Amalia Nur
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

The focus of this study is about outpatient journey of “Dharmais” Cancer Hospital in 2014 with purposes to find the unit with highest variation of patient journey and to analize the cause of the variation. This research is cross-sectional qualitative. The results of this research show that APJ Instalation is the unit with the highest variation of patient journey, and the causing factors are softtare of the computer supporting the service, human resource, infrastructure, and service procedures. The researcher found out that high variation of patient journey will reduce the quality of the service.
Analisis Implementasi Kebijakan Penggunaan Antibiotika Rasional Untuk Mencegah Resistensi Antibiotika di RSUP Sanglah Denpasar: Studi Kasus Infeksi Methicillin Resistant Staphylococcus Aureus Negara, Ketut Surya
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

Irrational use of antibiotics lead to antibiotic resistance. Implementation of the policy on the use of antibiotics in Sanglah Hospital in Denpasar has never been evaluated. The purpose of this study to know the implementation of policy on the use of antibiotics, preventing antibiotics resistance and determine the application ofthe WHO interventions to improve rational drug use. This research is aqualitative descriptive study, with interviews and document traces. Data analysis through content analysis. The result shows the implementation of antibitics usage policy and application of WHO intervention has not gone well. Prevention of antibiotic resistance have not been well coordinated by team of four pillars of Antimicrobial Resistance Control Program. Required revision and dissemination of antibiotic usage policy traces, as well as prevention and control of infection.
Evaluasi Tata Kelola Rumah Sakit Badan Layanan Umum pada 4 Rumah Sakit Vertikal Kelas A di Jawa dan Bali Partakusuma, Lia G.
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

A hospital as an institution needs to implement good corporate governance and good clinical governance to improve service quality continuously. Public Service Agency (BLU) is a government agency established in order to provide services to the community in the form of supply of goods and/or services being sold without profit and doing activities based on the principles of efficiency and productivity. The government realized the needs for flexibility in healthy business practices of various institution, so it has issued Government Regulation No. 23, 2005 (PP 23/2005) of the Financial Management BLU and allow its application to be implemented in a variety of government agencies including the hospitals. The purpose of this research is to evaluate governance at four (4) type A vertical hospitals in Java and Bali. There are differences in the implementation. These include differences in achievement of the completeness document on good corporate governance as well as governance requirements documents as well as differences in the 4 (four) elements of governance from PP 23/2005 that includes 12 (twelve) related factors of Donabedian1.a and Glickman’s2.a scheme: corporate culture, BLU establishment, hospital by laws,strategic planning & business plan budget, service development, procurement of goods and services, service standards, tariffs, management officer, remuneration, staffing, training and supervision. This research suggested the need for improved understanding of work force management officer, the quality of guidance and supervision, the establishment of specialized managers in BLU in Ministry of Health, the establishment of an integrated team involving all stakeholders. Improvements needed in change organizational culture, BLU’s hospital selection & evaluation, BLU’s institutional requirements, reward & punishment system, clear rules and strategic plan & business plan budget. Appropriate public policy to determine the success of a country in achieving its objectives is needed.
Analisis Kelengkapan Catatan Rekam Medis Kasus Tetralogy of Fallot pada Implementasi INA-CBGS di RSPJN Harapan Kita Sakidjan, Indriwanto
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

This qualitative study discusses the inaccuracies on medical record entry charging, and inaccuracy on coding that caused provider bear the financial risk in the case of Tetralogy of Fallot in INA-CBG at the Pediatric Cardiology and congenital heart disease unit RS Harapan Kita from January-September 2013. This study showed that 21.4% of cases with incomplete secondary diagnosis and the difference between the claim of Rp 251.273.615,- (4%). Factors contributed incomplete secondary diagnoses are: responsiblity, physical facilities, standard operating procedure of medical record, training, monitoring, and socialization. Therefore, tt is recommended to improve: physical facilities, structure and infra-structure, standard operating procedure of medical record, socialization, training and monitoring at regular intervals
Hasil Pengobatan dan Variasi Biaya TB-MDR/XDR dengan Strategi PMDT di RSUP Persahabatan Soepandi, Priyanti
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

The treatment duration of MDR-TB patients is very long approximately, 18 until 24 months and the cost is very expensive. This study aimed to find out the treatment outcome as well as the cost variation of MDR/XDR-TB patients. This is an operational research using quantitative and qualitative mix methods. The sample were treatedMDR/XDR-TB patients who started the treatment from August 2009 until December 31, 2010. Total number of sample were 104 patients. The study revealed that the duration of treatment for XDR-TB patients is longer than MDR TB patients with lower success rate. The cost per patient of TB XDR were cured and completed treatment was USD 9,357 and USD 7,373 for the XDR-TB patients and statistically significant. The cost spent for XDR-TB patients who died during the treatment was higher compare to MDR-TB patients, USD 6,453 and USD 3,484 respectively. Additional time for length of treatment would give the probability of spending USD 11,75 per day. Male TB-MDR patients who live in East Jakarta with length of treatment less than 569 days have the curing chance 1.7 fold as compared to females TB-XDR patients with the same condition in term of length of stay.
Rencana Strategis Pengembangan Pusat Kanker Nasional Indonesia, Sebuah Studi Kasus Panigoro, Sonar Soni
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

Cancer is a chronic disease and its prevalence is increasing nowadays. Uptudate, Indonesia doesn’t have a comprehensive program for National Cancer Control. This study aims to develop a strategic plan for the development of National Cancer Center for Indonesia. This study is conducted by using operational research approach, and is conducted during the months of March to December 2013 by involving various stakeholders. In Indonesia, cancer is the third killer disease among the NCD (Non Communicable Disease), the incidence is increasing as well as the funding for cancer treatment. All informants expressed the importance of establishing a national institute that plays a role in cancer control in a comprehensive manner. The most ideal institute is a non structural form and to achieve it, a National Cancer Center Development Team to be formed that coordinates with the Director of Cancer Hospital "Dharmais" which is a top referral center for cancer at this time. In conclusion, it is really important for national institute to take part in a comprehensive cancer control manner. The most ideal form of organization for the above function is a non-structural institution.
Rencana Aksi Pelayanan Berkesinambungan Rawat Jalan dalam Rangka Meningkatkan Citra RSUP Fatmawati Attas, Andi Wahyuningsih
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

This study aims to identify the continuous action plan in Fatmawati General Hospital outpatient services in order to increase the Fatmawati General Hospital’s image. The study is conducted through interviewing patients, health workers, managements staff, and the macro analysis is done through policy analysis. The results showed that thegap in outpatient service is in the compatibility quality (service speed, drug completeness, comfort) and communication. The dissatisfaction occured in Fatmawati General Hospitals is the cultivation of the main root problem which is the rising numbered of patients as a result of the referral system ineffectiveness. The action plan designed in a macro scale is to improve the referral system with a focus on balancing the role of public health unit and the individual health unit and in the micro scale the action plan is conducted through out hospitals internal improvements. This efforts also needs to be strengthened through Primary Health Care System as a strategy to ensure the affordability of essential health services provided universally to the public in order to achieve the common goal of better health.
Analisis Lean Six Sigma Perbekalan Farmasi di Gudang Farmasi RS PMI Bogor Tahun 2013 Putri, Elizabeth Indah Prihanti Soetardi
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

This pharmacy service study was conducted at PMI Hospital which has low inventory turnover. Lean six sigma method was used in action research approach with focus on pharmacy distribution and inventory storage. The study analyzed distribution process, material request period, buffer stock, quantity of demand, material request conditions, ROP, pharmacy indicator, adjusting stock quantity, expired material and medicines, expired item management, material handling in warehouse. The low inventory turnover was caused by poor understanding of inventory stock by pharmacy personnel. The results showed that deviation standard for pharmacy item request was 54,8 and deviation standard for completeness of pharmacy item was 50,4, and the value of Six Sigma Defect Per Million Opportunities was 0,09, the pharmacy item distribution process was 47,6% that means it was non value added. The contributing factors were the long item request time, inaccuracy estimation, lack of understanding of request estimation, inaccuracy documentation, bottleneck on distribution process at pharmacy installation, no evaluation on inventory turnover, no detail procedure. Technology on inventory system was not optimal used due to no standard of minimum-maximum level of each pharmacy item and the storage and warehouse management standard was not implemented yet.
Analisis Sistem Formularium 2013 Rumah Sakit St. Elisabeth - Bekasi Fedrini, Sally
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

Pharmaceutical service is one of the revenue center at the hospital. Hospital formulary system is the basic principles that must be considered in pharmacy management. Hospital formulary system should be managed optimally in order to mantain consistency of clinician's prescribing utilization. The purpose of this study is to analyze the system of St Elisabeth Hospital Formulary 2013-Bekasi. Researcher conducted analysis starting from the selection, procurement and supervision of the formulary; ABC analysis; also comparation with DOEN. This study using qualitative approach through in-depth interviews and document review. The results were: the process of formulary selection is still not optimal, there is no inventory control system, and hospitals have yet to find an appropriate control system to supervise the formulary system. There were 70.860 (5%) of non-formulary drugs used in the amount of Rp1.257.098.400, there are 114 drug classes in DOEN that does not exist in the formulary. 65.89% items of drug are slow moving. There are only 100 items of drugs (14%) had an investment of 69.86% of the entire investment value. There are only 21 types of drugs (3.05%) that are very critical to patient care.
Analisis Sistem Rujukan Jaminan Kesehatan Nasional RSUD. Dr. Adjidarmo Kabupaten Lebak Primasari, Karleanne Lony
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

National Health Insurance (NHI) is the implementation of the Law. 40 year 2004 on National Social Security System in the field of healthcare with the concept of Universal Health Coverage (UHC) that forced participants to follow a tiered referral system to get comprehensive health care, cheap, affordable but good quality. The ineffectiveness of the referral system in Indonesia gives impact on the accumulation of patients in healthcare facilities resulting in the utilization of advanced skilled providers and advanced equipments are inappropriate and the declining quality of health care. This study used a qualitative approach, the analytical methods used of content analysis are based on method triangulation , source triangulation and data triangulation. The results of the study were divided into two components, namely the medical referral system characteristics and tiered referral system. In medical referral system characteristics, NHI led to improvements in the implementation of a referral system in Dr. Adjidarmo Hospital although it is not too significant. While in the and tiered referral system components, improvements existed in the aspect of policy and procedures, so that a strong effort is still needed to improve other aspects of creating a better referral system. It is expected that the results of this study may be one of the input for the hospital management and related institutions in improving various aspects related to the successful implementation of a tiered referral system in Lebak District in order to achieve Universal Health Coverage (UHC) in Indonesia.

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