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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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INDONESIA
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 6 Documents
 1 
Search results for , issue "vol. 12, no. 2" : 6 Documents clear
Community Perceptions and Hospital Selection in Depok: A Comparative Study of RSUD Anugerah Sehat Afiat and Competitors Based on the 5A Framework Faridah, Iva Nur; Sulistiadi, Wahyu
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 12, No. 2
Publisher : UI Scholars Hub

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Abstract

RSUD Anugerah Sehat Afiat (ASA) Depok faces challenges in enhancing service utilization and competitiveness as a public hospital in the increasingly competitive healthcare environment of eastern Depok City. This study aimed to identify factors influencing community preferences in hospital selection and to determine appropriate positioning strategies for RSUD ASA. A mixed-methods case study design was employed. Quantitative data were collected from 132 respondents aged over 25 years who had visited four hospitals included in the study, using structured questionnaires. Qualitative data were obtained through in-depth interviews with eight key informants representing RSUD ASA management. Data analysis was based on five dimensions: availability, affordability, accessibility, accommodation, and acceptability. The results showed that acceptability was the most dominant factor influencing hospital preference (p-value < 0.001), followed by accessibility (p-value = 0.007) and availability (p-value = 0.026). In contrast, affordability and accommodation were not significantly associated with community preference. Qualitative findings supported these results, indicating that patient trust, hospital reputation, service readiness, and ease of access were perceived as the main determinants of hospital choice. These findings suggest that community preference is driven primarily by perceived service value rather than cost or physical facilities. Therefore, positioning RSUD ASA as the community’s primary hospital should focus on strengthening service quality, trust, accessibility, and hospital image through a value-based strategic approach.
Pengetahuan dan Motivasi Meningkatkan Penggunaan Aplikasi Mobile JKN pada Pasien BPJS di Instalasi Rawat Jalan RSD Idaman Banjarbaru Kanzha Khairunnisa, Salbia Putri; Raziansyah, Raziansyah; Fahriadi, Fahriadi
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 12, No. 2
Publisher : UI Scholars Hub

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Abstract

The development of digital health services encourages the use of the Mobile JKN application to enhance access and service efficiency for BPJS participants. However, its utilization remains inconsistent due to limited knowledge of its functions and low motivation to use it. This study examined the relationship between knowledge and motivation with the use of the Mobile JKN application among BPJS patients at the Outpatient Installation of RSD Idaman Banjarbaru in 2025. This study employed a quantitative approach with a cross-sectional design. The population comprised 10,478 BPJS patients, while the sample consisted of 100 outpatient BPJS patients who used the Mobile JKN application during March-April 2025 and were selected using a stratified random sampling technique. Data were obtained using a questionnaire and analyzed with the Spearman Rank test. The results indicated that most respondents had good knowledge (74.0%), high motivation (53.0%), and active use of the Mobile JKN application (80.0%). There was a relationship between knowledge and the use of the Mobile JKN application (p-value = 0.030; r = 0.217), as well as a relationship between motivation and the use of the Mobile JKN application (p-value = 0.006; r = 0.272). This study concluded that although most respondents had good knowledge, high motivation, and active application use, there were still users who had not utilized the application optimally. Therefore, the findings of this study may serve as a consideration for hospital management to expand socialization strategies and digital assistance services in order to support the sustainable use of Mobile JKN.
Exploring the Determinants of Operating Room Utilization: A Scoping Review of Influential Factors in Surgical Efficiency Chumairah, Isma Sari; Basabih, Masyitoh
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 12, No. 2
Publisher : UI Scholars Hub

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Abstract

Optimal utilization of the operating room (OR) is a crucial element in improving the efficiency of surgical services and hospital performance. This scoping review aimed to identify and map the factors influencing OR utilization based on recent scientific literature. We conducted a scoping review using the Population–Concept–Context (PCC) framework and reported it according to the PRISMA-ScR guidelines. We systematically searched PubMed, Scopus, and ScienceDirect for articles published between 2015 and 2025. Eligible studies were screened, and information on study characteristics and reported determinants of OR utilization was extracted and summarized descriptively. Forty studies were included. The reported determinants clustered into two broad domains: patient-related factors including age, Body Mass Index (BMI), American Society of Anesthesiologists (ASA) status, medical history, preoperative readiness, and financial conditions; and hospital-related factors including scheduling systems, waiting times, staff preparedness, resource availability, Post-Anesthesia Care Unit (PACU) and Intensive Care Unit (ICU) bed capacity, procedure complexity, and technology utilization. Across different settings, hospital and organizational factors showed a more consistent association with OR utilization than patient characteristics. The findings suggest that how ORs are managed and coordinated matters more for utilization than who the patients are. Strengthening scheduling, teamwork, and operational processes may therefore be key to improving OR utilization.
Implementasi Lean Management untuk Efisiensi Pengelolaan Linen dan Kesesuaian Standar Pencegahan dan Pengendalian Infeksi di RSU X Sari, Rionugrah; Kodyat, Alih Germas; Sunadi, Apri
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 12, No. 2
Publisher : UI Scholars Hub

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Abstract

Linen management is an important process in hospitals that is directly related to service quality and Infection Prevention and Control (IPC) efforts. This study aimed to analyze the implementation of Lean Management in linen management at the laundry unit of RSU X and to evaluate its contribution to improving process efficiency and strengthening IPC practices. The study employed an operational research design with a qualitative approach through observation, in-depth interviews, and document review. Data analysis was conducted using Value Stream Mapping, waste identification based on the eight waste concept, and root cause analysis using the 5 Whys method. The results showed that the average lead time of linen management before improvement was 534.41 minutes, with non-value-added (NVA) activities accounting for 61.11% of the total process time. The most dominant type of waste identified was Defects in Products and Information, characterized by non-compliance with work procedures, inconsistent use of personal protective equipment (PPE), and suboptimal separation of clean and dirty linen flows. As a follow-up action, Lean Kaizen interventions were implemented through the Plan-Do-Check-Act (PDCA) cycle, including the development and dissemination of standard operating procedures (SOPs), work process standardization, reinforcement of PPE compliance, and improvement of supporting facilities. After the implementation, the lead time decreased to 343.24 minutes and NVA activities were reduced to 134.47 minutes. The study concludes that Lean Management is effective in reducing waste, improving the efficiency of linen management processes, and strengthening IPC implementation in hospitals.
Gambaran Administrasi Rekam Medis Semi-Digital berdasarkan Pendekatan 5M dan POAC di RSU X Kota Depok Tahun 2025 Shinta, Dewi; Hartono, Risky Kusuma; Rum, Malihah Ramadhani
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 12, No. 2
Publisher : UI Scholars Hub

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Abstract

Medical record administration is an essential component in supporting healthcare service quality. During the transition toward Electronic Medical Records (EMR), many hospitals still use semi-digital systems that combine conventional and electronic processes. This study aimed to describe semi-digital medical record administration at RSU X, Depok City, based on the Man, Money, Material, Method, and Machine (5M) management elements and the Planning, Organizing, Actuating, and Controlling (POAC) management functions. This study employed a descriptive qualitative approach through in-depth interviews and observations involving five informants. The results showed that the semi-digital system operated through the parallel use of physical medical records and the EMR system. In terms of Man, only four staff members had a medical record educational background, and training had not been equally provided. Regarding Money, budgeting was managed by the central management. For Material, storage facilities did not meet standards, particularly storage racks, tracers, and color-coding systems. In terms of Machine, technical problems with computers and printers were still encountered. Regarding Method, implementation complied with the Indonesian Ministry of Health Regulation No. 24 of 2022 through 15 Standard Operating Procedures covering manual and digital processes. The implementation of POAC functions was not optimal because coordination and supervision remained limited to the unit coordinator level without active involvement from the department head. This study indicates that the semi-digital system at RSU X Depok City has not been fully integrated and requires improvements in human resources, infrastructure, and policy support to ensure an effective transition toward full EMR implementation.
Faktor yang Berhubungan dengan Lama Rawat Inap Pasien Demam Berdarah Dengue di Rumah Sakit Islam Nahdlatul Ulama Demak Safi’i, Akhmad; Rohmah, Solikhatur; Asumta, Muhammad Zulfikar; Aziz, Abdul; Hasyim, Masruroh; Khusniyah, Zulfa; Rajin, Mukhamad
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 12, No. 2
Publisher : UI Scholars Hub

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Abstract

Dengue Hemorrhagic Fever (DHF) is an acute infectious disease that often requires hospitalization with a variable length of stay (LOS). Several factors have been shown to influence LOS; however, findings from previous studies conducted in different hospitals remain inconsistent. This study aimed to analyze the association between age, gender, platelet count, hematocrit level, and leukocyte count with LOS among patients with DHF at Nahdlatul Ulama Islamic Hospital (RSI NU) Demak. This study employed a cross-sectional design using medical record data from 64 hospitalized patients with DHF admitted between January and May 2025, selected through purposive sampling. The sample eligibility criteria included inclusion and exclusion criteria. The inclusion criteria were patients diagnosed with DHF (ICD-10: A90) who were hospitalized for ≥24 hours and had complete medical records. The exclusion criteria were patients with severe comorbidities or incomplete medical records. Data were analyzed using Spearman’s correlation test, which demonstrated a significant association between platelet count and LOS (rₛ = -0.322; 95% CI [-0.522; -0.080]; p-value = 0.009). The negative correlation coefficient indicates that an increase in platelet count was associated with a shorter LOS, although the strength of the association was weak. These findings indicate that platelet count plays an important role in determining the length of hospital stay among patients with DHF. Early monitoring of platelet count is important for supporting prognosis assessment and guiding therapeutic decision-making.

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