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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 219 Documents
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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.
Persepsi Dokter terhadap Kompetensi Perawat di RSUD Siti Aisyah Lubuklinggau: Analisis Domain Komunikasi, Profesionalisme, dan Kolaborasi Tim Purnamasari, Novita; Adisasmito, Wiku Bakti Bawono
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 12, No. 3
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Abstract

This study analyzes doctors' perceptions of nurses' competencies at Siti Aisyah Regional Hospital in Lubuklinggau across three domains: communication, professionalism, and team collaboration. Doctors' perceptions are important for supporting interprofessional collaboration, quality of patient care, and patient outcomes. The study results are expected to identify competency gaps and provide an evidence-based foundation for developing measurable and effective nurse training programs. The study used a quantitative descriptive design with a cross-sectional approach, with a sample of 24 doctors who evaluated nurses' overall competencies in their work units. Data were collected through a structured questionnaire containing 11 Likert-scale items and were analyzed descriptively using SPSS 20 and Microsoft Excel 2021. The results showed that 58.3% of doctors rated nurses as less competent, 16.7% as incompetent, and 25% as competent. The communication domain had the lowest percentage (59.83%), especially regarding nurses' responsiveness to medical instructions. Decomposition Analysis identified the biggest gap in the communication domain, while Spearman correlation tests showed that professionalism has the highest correlation. These results highlight the need for structured nurse competency development, particularly in communication, to support patient safety and service quality. Recommendations include implementing e-learning, case reflection forums, setting measurable Key Performance Indicators (KPIs), and regular interprofessional team meetings.
Key Drivers of Revisit Intention in Dental and Oral Teaching Hospital Aldila, Mega Denada; Sulistiadi, Wahyu
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 12, No. 3
Publisher : UI Scholars Hub

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Abstract

Digital transformation in dental and oral teaching hospitals demands strategies that not only ensure clinical quality but also sustain patient loyalty. This study examines the effects of digital storytelling and service quality on outpatient revisit intention at the Dental and Oral Hospital of Universitas Jenderal Soedirman (RSGMP Unsoed), with brand image and patient satisfaction as mediating variables. A quantitative cross-sectional design was applied to 115 outpatients aged ≥18 years who had completed one full episode of dental treatment. After exposure to a standardized digital storytelling video about RSGMP Unsoed, respondents completed a structured Likert-scale questionnaire. Data were analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM). Service quality showed a strong effect on brand image (β = 0.828) and patient satisfaction (β = 0.514). Brand image (β = 0.518) and patient satisfaction (β = 0.284) had significant effects on revisit intention. Indirect effects indicated that service quality contributed to revisit intention through brand image and patient satisfaction, with substantial explained variance for brand image (R² = 0.806), patient satisfaction (R² = 0.864), and revisit intention (R² = 0.715). In contrast, digital storytelling did not show significant direct or mediating effects on brand image, patient satisfaction, or revisit intention. These findings position service quality as the primary driver of revisit intention in a teaching hospital context, while digital storytelling currently functions as a complementary communication approach that may require stronger integration with service delivery and more resonant narrative design to become behaviorally impactful.
Evaluasi Penerapan Rekam Medis Elektronik terhadap Kinerja Perawat di Unit Rawat Inap RS Grha Permata Ibu Kota Depok Tahun 2025 Andriani, Ratna Dian; Pangkey, Dicky Yulius; Trigono, Ahdun
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 12, No. 3
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Abstract

Electronic Medical Records (EMR) adoption aims to improve documentation efficiency and nurses’ performance; however, system instability and limited continuous training remain obstacles. This study examined the effects of EMR features and functionality, technical support and training, and users’ perceptions and attitudes on nurses’ performance at Grha Permata Ibu Hospital. This study employed an analytic observational design with a cross-sectional approach, using a quantitative survey conducted among 74 inpatient nurses through a Likert-scale questionnaire. Descriptive analysis, Spearman correlations, and multiple linear regression were employed. Results indicate that features and functionality (X1) have a strong positive association with performance (p = 0.652; p < 0.001), and users’ perceptions or attitudes (X3) show a moderate positive association (p = 0.482; p < 0.001), while technical support and training (X2) are not significant when assessed partially. Collectively, the three variables explain 67% of performance variance. These findings underscore the importance of a reliable system, relevant functionality, and user acceptance in optimizing EMR use. Key gaps include the lack of periodic training and issues with system stability and inter-unit integration. Continuous, structured training, more responsive technical support, and improvements to system quality and stability are recommended to maximize EMR utilization and enhance nurses’ performance and the quality of nursing services.
Efektivitas Implementasi RASPRO terhadap Pola Resistensi dan Biaya Antibiotik di RSUD Kabupaten Bekasi Hasan, Irmawati; Andriani, Helen
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 12, No. 3
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Abstract

The increasing use of antibiotics over recent decades has significantly affected global public health, primarily through the emergence of antimicrobial resistance (AMR), which contributes to higher morbidity, mortality, and economic burden. As a regional referral hospital, Bekasi Regency General Hospital faces substantial challenges related to high resistance rates, with multidrug-resistant organisms (MDROs) showing MRSA at 22.22% and ESBL at 40% in 2024. This study evaluated the implementation of the Prospective System Antimicrobial Regulation Program (RASPRO) in relation to resistance patterns, antibiotic cost efficiency, and supporting roles of governance, human resources, and monitoring systems. A quantitative prospective cohort design was applied, analyzing inpatient data before and after RASPRO implementation. Antibiotic utilization was assessed using Defined Daily Dose (DDD), therapeutic rationality was evaluated using the Gyssens method, and procurement cost efficiency was examined. The results showed improved rational antibiotic use and reduced consumption of broad-spectrum antibiotics (third/fourth-generation cephalosporins, meropenem, levofloxacin, ciprofloxacin, vancomycin), while narrow-spectrum antibiotics (cefazolin, cefotaxime, gentamicin, metronidazole) increased as definitive therapy. However, procurement costs for certain antibiotics increased. The effectiveness of RASPRO relies heavily on management commitment and collaboration within the Antimicrobial Stewardship Team (PPRA), supported by consistent prospective audits. While RASPRO improves rational antibiotic use, further evaluation of procurement cost efficiency is needed for program sustainability.
Kepuasan Pasien terhadap Pelayanan di Rumah Sakit Pemerintah dan Rumah Sakit Swasta: Tinjauan Literatur Syah, Bahar; Nadjib, Mardiati
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 12, No. 3
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Patient satisfaction is an important indicator for assessing the quality and performance of hospital services as it reflects patients’ experiences through the healthcare delivery process; this study explore how patient satisfaction toward hospital services in public and private hospitals by analyzing 23 selected scientific articles published between 2015 and 2024 and gathered from ProQuest, Scopus, PubMed, and ScienceDirect databases from an initial total of 176 articles founded based on inclusion and exclusion criteria, and the findings indicate that service quality has a significant impact toward patient satisfaction in both types of hospitals, with private hospitals generally demonstrating higher satisfaction levels in non medical aspects such as responsiveness, communication, and facility comfort, while public hospitals show advantages in clinical competence, service accessibility, and cost affordability, suggesting that patient satisfaction is influenced by a combination of medical and non medical service dimensions, institutional characteristics, and patient expectations, and these results emphasize that service quality improvement strategies should be tailored to the specific characteristics of each hospital.
Kualitas Hidup Pasien Penyakit Gagal Ginjal Kronik dan Kepuasan Pelayanan di Unit Hemodialisis Rumah Sakit Alia Depok: Studi Mixed-Methods Kusumo, Bimo; Permanasari, Vetty Yulianty
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 12, No. 3
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Abstract

The prevalence of chronic kidney disease (CKD) in Indonesia remains a high-incidence condition and most of it underwent hemodialysis in Hospital. This study aims to analyze the quality of life of patients with chronic kidney disease and satisfaction with services in the hemodialysis unit. This study is a mixed-methods study with a quantitative study using the World Health Organization Quality of Life (WHOQOL-BREF) and Service Quality (SERVQUAL) questionnaires, and a qualitative study with in-depth interviews related to hospital services from both service providers (healthcare professionals) and service recipients (patients). The study found predominantly moderate scores on the WHOQOL-BREF and poor scores on the quality of hemodialysis unit services on several points across all domains. This study provides recommendations for improving the quality of hemodialysis unit services to enhance patient quality of life.

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