Jurnal ARSI : Administrasi Rumah Sakit Indonesia
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.
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<![CDATA[FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGGINYA RUJUKAN KASUS NON SPESIALISTIK OLEH FASILITAS KESEHATAN TINGKAT PERTAMA DI ERA JAMINAN KESEHATAN NASIONAL: SYSTEMATIC REVIEW ]]>
<![CDATA[Semarajana, I Nyoman Gede]]>;
<![CDATA[Suwedia, I Nyoman Gede Bayu Wiratama]]>;
<![CDATA[Daruki, Maria Wahyu]]>;
<![CDATA[Damayanti, Anak Agung Sri Stuti]]>
<![CDATA[ Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 8, No. 3 ]]>
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<![CDATA[The Primary Health Facility (FKTP) in the era of National Health Insurance (JKN) must behave effective and efficiently in serving patients. Referring patients as indicated is an effort to achieve this. The research shows that optimizing primary services has the potential to save on health costs from the Social Security Agency of Health (BPJS) source of 49.1 billion per year. BPJS data also shows the high number of referrals for non- specialist cases, namely 714 thousand cases during 2014-2017. This study aims to find out the factors that are related to the high number of non-specialist cases referral by FKTP in the JKN era. The PRISMA protocol (Preferred Reporting Items for Systematic Reviews & Meta-Analyses) is used to select articles in this study. This study aims to determine the factors associated with the high number of non-specialist case referrals by Higher Level Health Facilities (FKTPs) in the JKN era. It applied The Preferred Reporting Items for Systematic Reviews & Meta-Analyses (PRISMA) protocol to select articles for this study. The article search was conducted on Google Scholar from 2 – 6 December 2019, and five eligible articles were found in this study. The findings of this review study show that factors related to non-specialty referral cases include health workers, supporting facilities, administration and regulation, service management, FKTP location and distance to FKTL, and disease complications. Comprehensive handling and collaboration of various parties and relevant stakeholders are needed to reduce the referral rate for non-specialist cases.]]>
<![CDATA[STRATEGI PROMOSI MEDICAL CHECK-UP COVID-19 RSUD MATRAMAN ]]>
<![CDATA[Gustik, Vellyana]]>;
<![CDATA[Sulistiadi, Wahyu]]>
<![CDATA[ Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 8, No. 3 ]]>
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<![CDATA[The community's need for health services during the Coronavirus Disease (COVID-19) pandemic has increased drastically. The need for health services at the hospital level includes examining and issuing a COVID-19 examination certificate. Responding to this, the Matraman Hospital incidentally created a new service, the COVID-19 Medical Check-Up (MCU). The management of RSUD Matraman realizes the importance of a promotional strategy to increase public interest in using the new service. This study aims to obtain an overview of the MCU COVID-19 service promotion strategy at the Matraman Hospital. The case study design in this study uses qualitative methods with in-depth interviews with informants. The results of this study, RSUD Matraman implemented four promotional strategies; (1) Advertising for disseminating information through social media, Instagram, (2) Sales Promotion by making leaflets, standing banners, and short videos that can make it easier for consumers to see service information. (3) Personal Selling by providing customer satisfaction surveys to MCU patients to get an overview of service quality and (4) publicity from wider stakeholders such as Dinas Kesehatan Provinsi DKI Jakarta. These four promotion strategies complement each other in disseminating service information and effectively increasing interest in patient visits at RSUD Matraman. It is necessary to monitor and evaluate the promotion strategy for the MCU COVID-19 service carried out by RSUD Matraman to get an overview of the most effective and efficient promotion strategy steps.]]>
<![CDATA[RENCANA STRATEGI PEMASARAN RUMAH SAKIT SAAT PANDEMI COVID-19 (STUDI KASUS RS XYZ DI BOGOR) ]]>
<![CDATA[Dewi, Makassari]]>
<![CDATA[ Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 8, No. 3 ]]>
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<![CDATA[The COVID-19 pandemic has changed the behavior of hospital organizations in medical services and patient behavior. This encourages the hospitals to develop specific strategies to restore patient trust by providing a sense of security for patients and customers to obtain hospital services during the COVID-19 pandemic. The purpose of this study is to formulate the design of hospital marketing strategy of XYZ Hospital Bogor during the COVID-19 pandemic. This research method is descriptive qualitative with a case study approach in the XYZ Hospital Bogor using triangulation methods. The results was XYZ Hospital Bogor developed Telemedicine and digital marketing services as a marketing strategy during the COVID-19 pandemic. The strategic design is determined based on SWOT analysis by determining strategic steps using the TOWS matrix. Besides that, this strategy design also considers STP analysis (segmenting, targeting, positioning) and the marketing mix (product, place/distribution, price, and promotion). The conclusion of this research was that XYZ Hospital Bogor more focused on digital services, especially telemedicine in health services and digital marketing as their marketing strategy.]]>
<![CDATA[ANALISIS LAYANAN DAN BAURAN PEMASARAN KLINIK TELEKONSULTASI GIZI RUMAH SAKIT IZZA KARAWANG DI MASA PANDEMI COVID-19 ]]>
<![CDATA[Wiryawan, Arif Guntur]]>
<![CDATA[ Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 8, No. 3 ]]>
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<![CDATA[Izza Karawang Hospital Nutrition Clinic as an excellent service must adapt to the COVID-19 pandemic situation, in this case the transformation into a virtual or Nutrition Teleconsultation Clinic. The Nutrition Teleconsultation Clinic is expected to provide benefits as a means of consulting about healthy diet patterns. The research objective was to analyze the marketing of Nutrition Teleconsultation Clinic services using the STP (Segmenting, Targeting, Positioning) method and the marketing mix with the 4P concept (Product, Price, Place, Promotion). This type of research is quantitative descriptive research. Using primary data collected by questionnaire to 100 respondents, patients who seek treatment at the Izza Hospital Outpatient Installation. The results of the geographic segmentation analysis of Izza Hospital patients are mostly from Karawang Regency (85%), travel time is <30 minutes (67%), and use private vehicles (84%). The demographic segmentation is mostly aged > 50 (41%), female (61%), works taking care of the household (50%). Determining the target of potential customers is patients aged over 20 years with middle economic class.]]>
<![CDATA[PERILAKU PETUGAS MEDIS DALAM MERUJUK PASIEN ANTENATAL CARE (ANC) KE RUMAH SAKIT ]]>
<![CDATA[Hardina, Siti]]>;
<![CDATA[Idris, Haerawati]]>
<![CDATA[ Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 8, No. 3 ]]>
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<![CDATA[High referrals can increase hospital workloads and result in increased claims costs to BPJS Health. The purpose of this study was to determine the behavior of health center staff in referring antenatal care patients to hospitals. The research method uses a descriptive qualitative design with a health belief model approach. Informants were selected using a purposive technique. Data were collected using an in-depth interview guide, observation, and document review in one of the primary health care in Palembang City. Data validation is done using the triangulation of sources, methods, and data. This study uses content analysis as a data analysis technique. The results showed that medical staff referred to antenatal care patients when there were indications of illness and high-risk patients. The hospital is chosen based on the consideration of the distance between the patient's house and the hospital. High reference can cause a decrease in capitation. The obstacles in referring to antenatal care patients are more from external obstacles in the form of technical obstacles. Medical staff have confidence and know the limits in referring patients. Medical personnel conduct an examination and confirm the patient's condition before making a referral. The existence of a high referral is due to a request for a referral from a patient. BPJS Health is expected to coordinate with the health center to overcome the referral problem.]]>
<![CDATA[FOSTERING ORGANIZATIONAL CITIZENSHIP BEHAVIOR BY DEVELOPING ORGANIZATIONAL CULTURE THROUGH WORK ENGAGEMENT ]]>
<![CDATA[Gunawan, Yuke Yolan]]>;
<![CDATA[Anindita, Rina]]>;
<![CDATA[Gunawan, Weka]]>
<![CDATA[ Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 9, No. 3 ]]>
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<![CDATA[In the hospital industry, patient- and family-centered care is a key factor that measures hospital management performance. Hospital management requires the support of quality resources, especially human resources, who directly provide services to their customers. Therefore, Organizational Citizenship Behavior (OCB), known as extra role behavior from employees, is highly effective to apply because it can lead employees to deliver performance that goes beyond just performing their formal duties. The purpose of this study was to analyze the effect of organizational culture and leadership style on the OCB of employees in A Class A- Noncommunicable disease hospital in Jakarta through Work Engagement. The research method used a quantitative method with a sample of 260 employees. The hypotheses were tested through the SEM (Structural Equation Model) method with the SmartPLS3.0 application and SPSS version 27. The results showed that organizational culture, leadership style and work engagement affected OCB simultaneously. Organizational culture and leadership style were positively related to work engagement and OCB among employees. Meanwhile, leadership style affected OCB through work engagement. Having employees who demonstrate OCB is crucial to the hospitals to provide quality service delivery. Hence, maintain the stability of a positive organizational culture are required to improve work engagement amongst employee such as employee career development strategies and holding togetherness events that may increase work engagement thereby motivating employees to carry out OCB.]]>
<![CDATA[KINERJA RUMAH SAKIT DENGAN PENDEKATAN BALANCED SCORECARD (BSC): STUDI KASUS ]]>
<![CDATA[Nabella, Nabella]]>;
<![CDATA[Sulistiadi, Wahyu]]>
<![CDATA[ Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 9, No. 2 ]]>
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<![CDATA[Regional General Hospitals as hospitals owned by local governments must provide the best service for the community, one way to assess the performance of the services provided is to use the Balanced Scorecard (BSC) method where this assessment does not only look at the financial perspective. but other aspects in the provision of health services to patients in hospitals. This study aims to see the results of the application of the use of the Balanced Scorecard (BSC) in the performance analysis of hospitals in Indonesia. This study uses a literature review method. Based on a study conducted by looking at the 3 journals seen, it was found that several targets had not been achieved in the assessment of several existing perspectives. The results obtained that the lack of budget efficiency in existing hospitals, not realizing the planned budget, customer acquisitions that do not increase causing new customers to not increase significantly, not achieving several hospital indicators and lack of productivity of hospital employees. The application of the BSC is very important for health services to assess and see which aspects need to be improved by the RSUD as a provider of health services to patients who receive services, the BSC does not only look at the profitability of the hospital but also customer satisfaction in existing health care facilities.]]>
<![CDATA[IMPLEMENTASI LEAN DALAM STRATEGI PEMASARAN DI RUMAH SAKIT GIGI DAN MULUT: TINJAUAN LITERATUR ]]>
<![CDATA[Prastiwi, Arini Cyndwiana]]>;
<![CDATA[Ayuningtyas, Dumilah]]>
<![CDATA[ Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 9, No. 2 ]]>
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<![CDATA[Hospitals as health services must make strategies in developing marketing activities so that they get a good response from the community. Oral and Dental Hospital (RSGM) is a health service that provides dental and oral health services in the form of prevention, treatment and recovery as well as providing emergency, outpatient, and inpatient services. The growing number of RSGM has forced health service management to plan the right marketing strategy to increase and maintain interest in patient visits. In addition, RSGM must also pay attention to service quality and cost efficiency. The benefits of lean in marketing can improve service quality and productivity by determining useful value and eliminating waste so that it can maximize its potential and marketing can be in accordance with the target market. This study was conducted descriptively, and the search results will be associated with Lean in the discussion as a method to help identify the right marketing strategy based on available resources. The benefits of lean in marketing strategy are that it can help identify the right marketing mix using several types of tools, for example fishbone diagrams, and reduce unnecessary waste in RSGM marketing efforts Dental and oral hospital, Marketing strategy, Lean]]>
<![CDATA[PATIENT SAFETY CULTURE IN PUBLIC GENERAL HOSPITALS: LITERATURE REVIEW ]]>
<![CDATA[Fauziyyah, Rifa]]>;
<![CDATA[Basabih, Masyitoh]]>
<![CDATA[ Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 9, No. 2 ]]>
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<![CDATA[Background: The global prevalence of preventable adverse events in healthcare is a significant problem, with approximately 42.7 million annual accidents resulting in 23 million DALYs lost. Safety culture plays a crucial role in mitigating or exacerbating these incidents within hospitals. Objectives: To identify the results of the assessment of patient safety culture and the characteristics associated with patient safety culture in public general hospitals in various countries. Methods: This study was conducted between April-July 2021 utilizing a literature review approach using study searches through PubMed, Scopus, ScienceDirect, Google Scholar, and Garuda databases, and it discovered 17 papers from 2011-2021 that used the Hospital Survey on Patient Safety Culture (HSOPSC) as an instrument to assess patient safety culture. Results: This study found that patient safety culture at public general hospitals remains low, and hospital staff perception of safety has to be improved. Discussions: “Teamwork in hospital units” receives the most favorable replies, while “non-punitive response to error” receives the least positive responses. The majority of the employees assessed patient safety in their work unit as “excellent/very good/acceptable” and reported no incidents in the previous year. Staff and hospital characteristics were also found to be related to patient safety culture.]]>
<![CDATA[ANALISIS MANAJEMEN RISIKO PASIEN JATUH DI INSTALASI RAWAT INAP RSIA XYZ JAKARTA TIMUR ]]>
<![CDATA[Umina, Rani]]>;
<![CDATA[Permanasari, Vetty Yulianty]]>
<![CDATA[ Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 9, No. 2 ]]>
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<![CDATA[The incidence of patients fall is a second big issue after the incidence of medication errors. Reducing the risk of falls is one measure of service quality that is the main focus of the Hospital. This study aims to analyze the risk management of inpatient falls at Woman and Children Hospital SMB in 2020 by using FMEA tool. This research is a qualitative study by using in-depth interviews, observation, document review, and FGD as data collection methods. The results of this study indicate that factors of patient fall which become high priority potential failure modes are found in the structure and process variables. Factors in the structure variables include hospital protocols that do not regulate the mobilization of discharged patients and infrastructures that have not been provided. Factors in the process variable include inconsistent documentation and patient supervision. The potential impacts are difficulty to measure risk management of patient fall and increased risk of patient fall. Research recommendations are strengthening the monitoring system through the implementation of bedside checklist status, shift reports on patient needs related to falling prevention, optimization briefings and de-briefings of patient Safety, and improving the SOP of discharge planning.]]>
