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INDONESIA
Jurnal Kedokteran Brawijaya
Published by Universitas Brawijaya
ISSN : 02169347     EISSN : 23380772     DOI : http://dx.doi.org/10.21776/ub.jkb
Core Subject : Health,
Medicine & Pharmacology
JKB contains articles from research that focus on basic medicine, clinical medicine, epidemiology, and preventive medicine (social medicine).
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 822 Documents
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Optimization of Online Pharmacy System to Lower the Late Billing for Chronic Disease Drugs Herwendanasari, Deltania; Andarini, Sri; Zuhriyah, Lilik
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.13s

Abstract

One of the biggest cost control problems among hospitals in the National Health Insurance is chronic disease drug services. Billing fee delays or unpaid billing fees often occur due to patient failure to revisit the doctor according to the requirement of 30 (thirty) days from the last visit. It resulted in the hospital's inability to collect the financing for chronic disease drugs from Social Security Administrative Agency (BPJS). This study aimed to discover the root cause of the pending billing of chronic disease drug costs and executable solutions in hospitals. This research was conducted at X Hospital Malang. This research used mix-method of qualitative and quantitative. The qualitative method were observations of the service flow for chronic disease patients, interviews with all unit coordinators, and focus group discussion with the Pharmacy Unit and Casemix Unit coordinators. The quantitative method was done using CARL scoring to determine the priority of the problem solution. The root of the problem was the lack of adequate systems and resources in chronic disease drug services. The possible solution is to modify the flow in the outpatient pharmacy. It is necessary to apply patient screening through the Online Pharmacy Application at the outpatient pharmacy to prevent patients who visit for less than 30 days. The results of the solution implementation are expected to reduce the amount of money from pending billing for chronic disease drug costs, thereby minimizing hospital financial losses.
Instagram Optimization as Digital Marketing Media: Study at a Private Hospital in Batu City Sunaryo, Nico Christian; Indriani, Wiwin; Fitriasari, Nikma
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.14s

Abstract

During the COVID-19 pandemic, up-to-date information becomes a necessity for the public, and social media, especially Instagram, play a significant role in digital marketing, including hospitals. The Instagram account of a private hospital in Batu City had a decreasing performance and has become inactive since the Covid-19 pandemic outbreak. This study aimed to find a solution to the decreasing performance of the hospital's Instagram account to increase visits, trust, and patient satisfaction. This research was a quasi-experimental study with a pre- and post-test design without control conducted from September to October 2021. The intervention carried out was conducting training on optimizing the Instagram features. The research sample was ten people obtained through the total sampling method. The data were analyzed using a descriptive analysis test. The training was carried out twice in a period of one week. The first training session discussed the basic features of Instagram and their use, and discussions on the technical aspects of content creation were done in the second session. Measurement of training understanding was carried out by pre-test and post-test. All points in the questionnaire showed positive points of increasing knowledge after the training. Instagram optimization training at the hospital in Batu City can improve staff understanding of digital marketing and is expected to expand the business and introduce the hospital to new patients.
Emergency Room Medical Record Modification to Optimize Patient Education at X Hospital Hariyanto, Engelbert; Prastowo, Wening; Zuhriyah, Lilik
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.6s

Abstract

Regularly delivering information to patients and their families becomes a challenge for medical personnel in the Emergency Room (ER). Patients, or their families, often do not remember that education about their illness has been delivered. It can also happen because family members who took the patients into the emergency room differed from those who received the education. This situation can lead to misunderstandings, especially if there are legal problems in the future. This study aimed to find the priority problem in the hospital, the root of the problem, and solutions to optimize patient education in the ER. The methods used in the problem-finding were interviews, Focus Group Discussions (FGD), and USG (Urgency, Seriousness, and Growth) scoring. The solution selection method used FGD, fishbone analysis, 5-whys table, and CARL (Capability, Accessible, Readiness, and Leverage) scoring. The problem found was the lack of optimal patient education in the ER. The priority of the root of the problem found was no written documentation in the patient's medical record regarding providing education to patients or families. The chosen solution was to modify the ER medical record by including a checklist of educational points and a column for patients or families to sign. Further research is needed to prove the effectiveness of this medical record modification in optimizing education in the ER.
Time Waste at Specialist Clinic Service of Primasatya Husada Citra (PHC) Hospital Surabaya Mulyawan, Indra; Kurniawan, Rony; Wardhani, Viera
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.2s

Abstract

Waiting time in outpatient services is a factor that causes patient dissatisfaction and affects hospital image. The standard waiting time for outpatient services in hospitals, starting from the registration until the end of the doctor's examination, is 60 minutes. This study was conducted to identify time waste in the registration process of outpatient services. This descriptive study was done at the Specialist Clinic of Primasatya Husada Citra Hospital (PHC Hospital) Surabaya. The time waste identification on waiting time was carried out using the Value Stream Mapping (VSM) method using observation data at PHC Hospital, which were categorized as defect, overproduction, waiting, non-utilized talent, transportation, inventory, motion, and extra processing. Activities carried out were identified and grouped into categories, namely waiting, service, and transport document, and then reclassified into value added, non-value added, and necessary non-value added. The results show that the waiting time wastes were waiting after verification (± 60.2 minutes), filling out e-RM (± 139.6 minutes), and waiting for the doctor to come.
Instagram Optimization as Hospital Digital Marketing Tool Rahayu, Dina Nofitria; Anang Imam Massa Arif; Nikma Fitriasari
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.15s

Abstract

Social media, one of which is Instagram, has been proven effective as a hospital marketing medium. A private hospital in Tulungagung Regency has had an Instagram account for four months but has not been well managed. As a result, the account does not function optimally and reflect digital marketing facilities. Based on this condition, the researchers aimed to analyze the ways to optimize Instagram as a hospital digital marketing tool. The method used was experimental research with pre- and post-experimental design without control in a private hospital in Tulungagung Regency in October 2021. The unit analyzed was the hospital marketing department. Two interventions were implemented, providing digital marketing training through Instagram and optimizing the hospital's Instagram management. The knowledge instrument was measured using a questionnaire, and the Instagram management instrument was measured by examining Instagram Insights. The results showed that Instagram training and management could optimize the use of Instagram as a hospital digital marketing tool. Knowledge about Instagram and activity increased after training and management on Instagram had been implemented. Yearly, monthly, and daily schedule preparation needs to be implemented to increase marketing optimization. The absence of a dedicated settle team in charge of managing the Instagram account makes the implementation challenging to evaluate. A team specifically addressing hospital social media will be able to focus the work and improve the management, so digital marketing through social media can be optimized.
Talk Show Program as an Effort to Build Brand Awareness of Udayana University Hospital's Instagram Wirya Pratama, I Wayan Agus; Gede Utara Hartawan, I Gusti Agung; Rusca Putra, Kuswantoro
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.16s

Abstract

Non-Covid-19 service closure has formed a stigma that hospitals only serve Covid-19 patients. This condition affects brand awareness and decreases the number of hospital visits. An interactive talk show using Instagram can be used to reintroduce hospital services to the public. This study aimed to measure the success of the talk show program in building brand awareness of Udayana University Hospital's Instagram account. One group pretest-posttest research was carried out at Udayana University Hospital on October 7, 14, and 21, 2021, by intervening with the Instagram content of Udayana University Hospital. After the live broadcast ended, the talk show content was published on the Instagram feed. The success of the talk show program was seen by comparing the audience growth, engagement rate, and brand awareness measurements before and after the talk show took place. Brand awareness can be seen in profiles, post-impressions, and profile visits to the Instagram account. The highest post-engagement (36.46%) was obtained in the first episode of the talk show and was in the very high category. Instagram followers and engagement rates increased and categorized very high. Profile impressions and visit profiles increased, indicating a wide range of content on the Udayana University Hospital's Instagram account. This study shows that talk show program can be implemented as a routine program that builds brand awareness on the Instagram account of Udayana University Hospital. This program can be used as a solution to introduce Udayana University Hospital to Instagram users by inviting quality guest stars and using easy-to-understand material.
Implementation of Google Forms as Alternative for Quality Indicator Recording and Reporting Systems in the Time of Covid-19 Pandemic Octavianus, Marshal; Indriani, Wiwin; Fitriasari, Nikma
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.11s

Abstract

Recording and reporting are parts of health services aiming to create administrative discipline to improve health service quality. Covid-19 pandemic prevalence has impeded unit quality indicator recording and reporting, causing suboptimal quality measurements. This study aimed to see the implementation of Google Forms as a solution to overcome obstacles in unit quality indicator recording and reporting. This study was a one-group pre-experimental with a pre-and post-intervention design without control. The sample was seven people who were Laboratory Unit staff of a Private Hospital in Batu City. The results showed that applying Google Forms can provide staff's ability and timeliness in measuring unit quality indicators. A good quality measurement method can increase the effectiveness of monitoring and evaluation related to patient-centered quality improvement.
Determinant Factors of Limited Oxygen Supply at Marsudi Waluyo Hospital during the Covid-19 Pandemic Suryaningati, Engelbertha Retno; Hanggriyani, Kristiwi; Prawestiningtyas, Eriko
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.10s

Abstract

The demand for oxygen in hospitals has been increasing during the Covid-19 pandemic due to oxygen therapy required by most Covid-19 patients. Fulfillment of oxygen supply is related to logistics management. This study aimed to determine the factors affecting the limited oxygen supply at Marsudi Waluyo Hospital, Malang. This research was conducted with a qualitative descriptive method. Data collection was carried out by observing the process of ordering and replacing oxygen cylinders for central oxygen fulfillment at the Facility Maintenance Unit (FMU), reviewing oxygen usage and supply reports, and conducting Focus Group Discussion (FGD) to identify the root of the problem. The FGD respondents consisted of the Head of General Affairs and Administration, the Head of Finance, the Coordinator and Staff of the Facility Maintenance Unit, and the Head of the Inpatient Installation. The root of the problem was compiled using the 5 Whys method and grouped into Man, Material, Money, Method, Machine, Management, and Environment categories. The root of the problem identified was the limited number of human resources in the Facility Maintenance Unit, the procedure for procuring oxygen cylinders that did not include a case of oxygen demand surge, and no oxygen supply other than oxygen cylinders.
Demographic, Clinical, and Laboratory Characteristics of HIV Patients with Cerebral Toxoplasmosis at Haji Adam Malik General Hospital Medan Alfansuri Kadri; Eko Yandra
Jurnal Kedokteran Brawijaya Vol. 32 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.02.7

Abstract

Cerebral toxoplasmosis is one of the frequent opportunistic infections of the central nervous system of Human Immunodeficiency Virus (HIV) patients in the presence of Toxoplasma Gondii infection. In Indonesia, the incidence of HIV patients with cerebral toxoplasmosis is 45%. This study was done to determine the demographic, clinical, and laboratory characteristics of HIV patients with cerebral toxoplasmosis at Haji Adam Malik Hospital, Medan, based on medical record data in 2022. The total sample was 23 patients with time periods from January to March 2022. Demographically, the data showed that most of the HIV patients with cerebral toxoplasmosis were male (91.3%), a mean age of 36.48 ± 5.74 years, married (87%), high school graduates (69.6%), and working (91.3%). The most common clinical characteristics were headache (69.6%) and cognitive impairment (56.5%). Laboratory characteristics found were (56.5%) non-reactive (<0.8 COI) and (43.5%) reactive (≥1 COI) anti toxoplasma IgM, while reactive anti-toxoplasma IgG (≥3 IU/ml) was obtained in all research samples (100%).
A Two-Year-Old Boy with Diphallia and Multiple Congenital Anomalies Rizal Trianto; Pradana Nurhadi; Besut Daryanto
Jurnal Kedokteran Brawijaya Vol. 32 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.02.10

Abstract

Diphallia is a rare urogenital defect and varies from a small accessory penis or duplication of the glans to complete penile duplication. Its incidence is 1 in 5.5 million live births. Only 100 cases were reported from 1609 until 2021. A two-year-old boy with diphallia and multiple congenital anomalies had an uncircumcised penis with two glans penis and two complete urethral orifices, accompanied by scrotum bifidum, asymmetric right buttock, with normal anorectal position. Spina bifida with lipomyelocele, tethered cord at the level of vertebra lumbar 3-4, scrotum bifidum, and left mild hydronephrosis were observed using Magnetic Resonance Imaging (MRI). Urethrocystoscopy of both complete urethra revealed meatal stenosis and bulbar urethral stricture, normal posterior urethral, and no verumontanum in the right urethral orifice and did dilatation. Whereas normal urethral orifice, anterior urethra, posterior urethra and verumontanum were found in the left side. Management for diphallia must consider associated anomalies and the goal of patient satisfaction. In this case, conservative treatment is the best choice.

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