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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 207 Documents
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Towards The Four-Hour Rule: Impact of Observation Units and Emergency Medicine Specialists in an Indonesian Tertiary Hospital Sulistio, Septo; Gani, Ascobat
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 3
Publisher : UI Scholars Hub

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Abstract

Emergency Department (ED) overcrowding is a global challenge. In response, the government of Indonesia mandates an ED Length of Stay (LOS) of ≤4 hours. This study aims to evaluate the impact of implementing an Emergency Department Observation Unit (EDOU) combined with an Emergency Medicine (EM) specialist-led disposition process on ED LOS at a national referral hospital in Indonesia. This was a retrospective, pre-post analysis comparing all ED visits in 2023 (pre-intervention, n = 26,282) with all visits in 2024 (post-intervention, n = 31,483). The primary outcome was the proportion of patients with an ED LOS ≤4 hours. Secondary outcomes included median ED LOS and the odds ratios (OR) for yellow zone patients achieving the ≤4-hour target based on the intervention period and the deciding physician's specialty. Following the intervention, the median ED LOS decreased from 16.4 hours to 8.0 hours (p-value = <0.05). Yellow zone patients in the post-intervention period had 6.37 times the odds of achieving a ≤4-hour LOS compared to the pre-intervention period (95% CI [5.72–7.09]). When the decision to admit to the EDOU was made by an EM specialist, the odds of achieving the target were 1.86 times higher than for other specialists (95% CI [1.43–2.42]). The combined implementation of an EDOU and EM specialists-led disposition significantly reduced ED LOS and dramatically increased the odds of meeting national performance targets. The success was driven by both increased downstream bed capacity and streamlined, specialist-led disposition processes.
Penguatan Pengendalian Persediaan Obat melalui Integrasi ABC-VEN, EOQ, dan ROP di Rumah Sakit Rujukan Nasional Rasendah, Rasendah; Andriani, Helen; Andriyanto, Dendhi Bagus
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Abstract

Drug inventory control is a critical component of pharmaceutical management in referral hospitals with high service complexity. This study aimed to evaluate pharmaceutical inventory control performance at the Pharmacy Installation of RSUP Persahabatan and to formulate improvement strategies using an Operational Research approach. A mixed-methods design with a sequential explanatory approach was applied. Quantitative analysis was conducted on 2,291 drug items recorded in the inventory system during October 2025 using ABC-VEN classification to identify priority medicines, followed by calculations of Economic Order Quantity (EOQ) and Reorder Point (ROP). Qualitative data were obtained through in-depth interviews with key informants to strengthen the interpretation of quantitative findings. The results showed that 131 Pareto A medicines had an investment value of IDR 6,788,411,815, indicating a high concentration of inventory investment in a small proportion of items. In addition, stagnant stock was identified in 211 drug items with a total investment value of IDR 444,994,656, while stock out events accounted for 11.25% of total drug items. EOQ and ROP calculations revealed substantial variation across drug items, reflecting differences in demand characteristics, investment value, and procurement lead times, indicating that uniform ordering policies are not appropriate. Scenario-based simulations demonstrated that integrating ABC-VEN, EOQ, and ROP has the potential to improve inventory management efficiency, reduce the risks of stock outs and stagnant stock, and support the continuity of hospital pharmaceutical services.
Analisis Pengaruh Patient-Perceived Hospital Service Quality terhadap Customer Satisfaction dan Behavioral Intention Pelayanan Rawat Inap Arlina, Launa Inayati; Yuanasika, Dwiky; Qomaruddin, Mochammad Bagus; Chalidyanto, Djazuly
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Abstract

The Bed Occupancy Rate (BOR) of inpatient rooms at Mitra Sehat Mandiri Hospital Sidoarjo during 2019-2023 has not reached the ideal standard. The BOR values were 22%, 28%, 37%, 25%, and 20%, with an average of 26.4%, remaining below the ideal range of 60-85%. One of the most influential factors contributing to the low BOR is suboptimal service quality. This study aims to analyze the relationship between Patient-Perceived Hospital Service Quality, customer satisfaction , and behavioral intention among inpatients at Mitra Sehat Mandiri Hospital Sidoarjo. This study employed a quantitative method with an analytical approach and a cross-sectional design. The population included all inpatients, with a sample of 97 respondents determined using the Lemeshow formula. Multiple linear regression was conducted to examine the influence of variables. The results showed that the dimensions of Clinical Care Process, Relationship, and Administrative Procedures contribute significantly to customer satisfaction, with p-values of 0.006, 0.026, and 0.032, respectively. In addition, Trustworthiness, Clinical Care Process, and Administrative Procedures also significantly affected patients’ behavioral intention with a p-value < α (0.05). Furthermore, customer satisfaction has a significant effect on the behavioral intention of inpatients, as evidenced by a p-value < α (0.05). These findings indicate that improving service quality in various crucial aspects can encourage customer satisfaction and strengthen positive behavioral intentions in hospital services. Overall, the study concludes that improvements in key aspects of Patient-Perceived Hospital Service Quality directly enhance customer satisfaction, which in turn strengthens positive behavioral intention at Mitra Sehat Mandiri Hospital Sidoarjo.
Hubungan Marketing Mix dan Hospital Brand Image dengan Minat Kunjungan Ulang Pasien di RSI Sultan Agung Banjarbaru Fitriani, Fitriani; Ifansyah, M. Noor; Zubaidah, Zubaidah
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Abstract

Hospitals are required to provide high-quality services to increase patient visits. Over the past six months, RSI Sultan Agung Banjarbaru has experienced a decline in the number of patient visits. This study aimed to analyze the relationship between the marketing mix and hospital brand image with revisit intention. The study employed a correlational analytic design, involving an outpatient population of 107,146 patients. A total of 100 respondents were selected using purposive sampling, and data were collected through questionnaires. Data analysis was conducted using the Spearman’s Rho test. The results showed that the marketing mix and hospital brand image variables were both categorized as good, with percentages of 76% and 74%, respectively. Meanwhile, respondents’ revisit intention was categorized as interested, with a percentage of 97%. The Spearman’s Rho test showed no significant relationship between the marketing mix and revisit intention (p-value = 0.704), whereas hospital brand image had a statistically significant but weak relationship with revisit intention (p-value = 0.004). It can be concluded that revisit intention is not influenced by the marketing mix but is associated with hospital brand image. Therefore, hospitals are recommended to optimize other factors such as loyalty, satisfaction, brand equity, service quality, and patient experience to enhance revisit intention.
Efektivitas Pertemuan Tim Multidisiplin dalam Meningkatkan Outcome Tata Laksana Kanker di Rumah Sakit: Literature Review Ganapati, Ngakan Putu Daksa; Sulistiadi, Wahyu
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Abstract

Optimal cancer management requires a multidisciplinary approach to improve the quality of patient care. Multidisciplinary teams (MDTs) enable interprofessional collaboration in designing comprehensive, patient-centered care. However, the implementation of MDTs in Indonesia still faces various challenges, necessitating a systematic review to understand their effectiveness in improving cancer management outcomes. This systematic review employed the PRISMA method, searching articles from the ScienceDirect, Semantic Scholar, and PubMed databases, published between 2014 and 2024. Ten scientific articles were analyzed from 745 articles retrieved to understand the effectiveness of MDTs in improving cancer management outcomes. The results indicate that MDTs improve the quality of clinical decisions, expedite diagnosis, and increase adherence to treatment protocols. MDTs also reduce postoperative complications and improve patients' quality of life through a more holistic approach. However, limitations such as resource constraints, decision fatigue, and communication challenges can hinder their effectiveness. MDTs improve the quality of clinical decisions, expedite diagnosis, and optimize patient care plans by holistically considering medical, psychosocial, and nutritional needs. Therefore, the development and implementation of more effective MDTs are crucial to ensure equitable access and quality of cancer care.
Dampak Penerapan Integrated Care for Older People dan Ina-FRAIL dalam Menurunkan Sindroma Kerapuhan pada Lansia Putra, Mochamad Ramadhan Arista Pesat Eka; Permanasari, Vetty Yulianty
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Abstract

Indonesia is facing a significant increase in its elderly population, requiring effective and sustainable integrated geriatric services, one of which is through the implementation of Integrated Care for Older People (ICOPE) to assess intrinsic capacity decline combined with the Ina-FRAIL questionnaire to measure frailty in the elderly. This study aims to assess the condition of frailty in older adults through the ICOPE approach in integrated geriatric services at Humana Prima Hospital in Bandung using a quantitative design with an experimental approach. The assessment was conducted using the ICOPE and Ina-FRAIL instruments to monitor intrinsic capacity and the level of frailty in older adults. The results showed a prevalence of frailty impairment (50%), mobility limitations (56%), decreased appetite (46%), visual impairment (56%), hearing impairment (23%), and loss of interest or symptoms of depression (73%), with significant differences between the control and intervention groups before and after the implementation of ICOPE, as well as a meaningful relationship between frailty levels and geriatric syndromes. In conclusion, the combination of ICOPE and Ina-FRAIL is effective in comprehensively detecting geriatric syndromes and frailty in the elderly, so it is recommended that its application be expanded to primary health care facilities through training of health workers and integration of clinical follow-up to improve the quality of life of the elderly.
Kepuasan Pasien terhadap Pelayanan Pendaftaran Rawat Jalan Rumah Sakit Pemerintah: Analisis Kesenjangan Ekspektasi dan Persepsi Heryana, Ade; Farhana, Najla Kamilia; Nurmawaty, Dwi; Handayani, Rini
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Abstract

Outpatient registration services represent a critical touchpoint in the patient experience at hospitals. A mismatch between expectations and the actual service delivered can affect patient satisfaction. Public hospitals continue to face complaints related to the registration process, such as long waiting times, unclear information, and inadequate waiting facilities. This study aims to assess patient satisfaction with outpatient registration services by comparing expectations and perceptions based on Expectancy Disconfirmation Theory and by using the Importance Performance Analysis (IPA) method to provide service improvement recommendations. This quantitative study employed an analysis of identically similar characteristics of paired Expectation and Perception 84 patients, using a questionnaire based on the World Health Organization’s seven service quality dimensions. The findings reveal a negative gap between expectation scores (mean = 3.21, CI Lower Bound = 3.0204, Upper Bound = 3.3956) and perception scores (mean = 2.75, CI Lower Bound = 2.5008, Upper Bound = 2.9962). The Wilcoxon Signed Rank Test showed a significant difference (p-value < 0.05) between expectations and perceptions. The IPA analysis indicated that priority service attributes that need to be improved include the availability of waiting chairs, accuracy and speed, attention and empathy, and service discrimination. These results suggest that outpatient registration services in public hospitals have not fully met patient expectations. Therefore, improving service quality in several key attributes is crucial to enhancing patient satisfaction.

Page 21 of 21 | Total Record : 207

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