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Jurnal Administrasi Kesehatan Indonesia

JAKI
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Published by Universitas Airlangga

ISSN : 23033592 EISSN : 25409301 DOI : -

Core Subject : Health,

Health Professions

Jurnal Administrasi Kesehatan Indonesia (JAKI) is a scientific journal that contains editorials, research articles, and literature reviews related to the scope of the management, organization and leadership in health institutions. This journal is supported by practitioners and scientists from various institutions which involve expertises in health management and health organization. JAKI (p-ISSN 2303-3592, e-ISSN 2540-9301) has mission in developing knowledge in health administration through publication. Based on this mission, this journal aims at facilitating numerous experts in the field of Health Administration to share their ideas and scientific studies in order to improve the quality of healthcare services.

Arjuna Subject : -

Articles 304 Documents

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Meningkatkan Mutu Pelayanan Kesehatan dengan Penerapan Upaya Keselamatan Pasien di Puskesmas Nurul Hidayatul Ulumiyah
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: Patient safety is an indicator of health service quality that becomes an important issue although data of patient safety incident at primary health care are not always accurate in Indonesia. Public health center is a health service facility that implements patient safety to improve the health service quality as stated in Health Ministry Law Republic of Indonesia Number 36 Year 2009.Aim: The aim of this study was to identify the implementation of patient safety to improve the service quality.Method: Data collection techniques used were observation, interview, and literature study. The research was done at a public health center in Surabaya from January to February 2018.Results: The results showed that the implementation of patient safety at the public health center was adjusted to the accreditation standard of the public health center. However, there are still some obstacles and shortcomings in the fulfillment of patient safety standards, so it is necessary to optimize the implementation of patient safety from all stakeholders.Conclusion: It can be concluded that public health centers should provide safe and qualified services to achieve healthy disctrict. The public health centers also need to improve the patient safety according to Health Ministry Law Republic of Indonesia Number 36 Year 2009.Keywords: health service quality, patient safety, public health center

Evaluasi Sistem Pelaporan Insiden Keselamatan Pasien di Rumah Sakit Arfella Dara Tristantia
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: Incident reporting systems are designed to obtain information about patient safety and used for organizational and individual learning.Aims: The objective is to evaluate the implementation of patient safety incident reporting system at a hospital of Surabaya.Method: This study was an observational descriptive research supported by qualitative data. This study used Health Metrics Network (HMN) model.Results: The results of the input evaluation show that there was a policy that regulates the incident report, but its implementation was still not appropriate with no direct funding. However, facilities were provided for reporting. There were socialization for employees who have different understanding and responsibility, organizational structure of the patient safety team, problem solving method which had not used PDSA (Plan, Do, Study, Action), and computerized technology.Conclusion: The process evaluation shows that the indicators were in line with the rules. The data sources were in accordance with the guidelines. Data collection, process, presentation, and analysis were in line with the theory. The output evaluation shows the submission of incident reports had not been timely. Moreover, the report was complete and suitable to the existing guidelines, and it had been used for decision-making. It is required for the hospital to revise the guidebook of incidence reporting and improve the human resource skill.Keywords: evaluation, incident, patient safety, reporting

Penilaian Kepuasan Karyawan pada Sistem Pengelolaan Organisasi di RSUD Dr. Soetomo Surabaya Maya Weka Santi; Thinni Nurul Rochmah
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: Assessment of employee’s job satisfaction in an organization management system was conducted periodically by Dr. Soetemo Hospital. The data can be an archive of organizational value, supervision reinforcement, and effective communication for the manager. The measurement of employees’ job satisfactionwas performed through Job Description Index (JDI).Aim: The aim of the research was to measure job satisfaction level of the employee at Dr. Soetomo Hospital.Method: The population of this study was 4347 employees at Dr. Soetomo Hospital, but only 413 were taken as the samples. The sample was calculated by Slovin formula. This sample size was taken based on proportional number of profession and department at Dr. Soetomo Hospital.Results: Most of the employees gave good assessment on Job Description Index (JDI) indicators among others which include job in general (78.9%), pay (59.1%), opportunities for promotion (67.3%), supervision (74.6%), people in present job (73.6%) and work in Present Job (72.9%). If JDI indicators are valued as employees’ job satisfaction, it can be said that most of employees felt satisfied about the organization’s management system at Dr. Soetomo Hospital, Surabaya (80,6%). However, there were still 12.3% of employees feeling unsatisfied about the organization’s management system at Dr. Soetomo Surabaya Hospital.Conclusion: Overall, many staffs mentioned that their income and compensation were respectively bad and very bad. The study provides implications for increasing opportunities of staff’s salary and career path such as promotions.Keywords: employee’s job satisfaction, hospital, Job Description Index

Pengaruh Responsiveness Perawat dalam Praktik Komunikasi Terapeutik terhadap Kepuasan Pasien Instalasi Rawat Inap RSU Haji Surabaya Ajenk Nanda Saprilla
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: Patient’s satisfaction is one of indicators measured in the hospital minimum service standards. In Installation of Inpatient (IRNA) of Haji Surabaya hospital, there are 17 indicators, but only nine are met (52.94%). One of them is patients’ satisfaction level amounted to 74.35% out of the standard (82%). The high number of complaints on nurses’ competence in providing services causes the unachieved patients’ satisfaction. There were 61 complaints from 2014 to 2017.Aim: This study aimed to analyze the influence of nurses’ responsiveness to patients’ satisfaction of in-patient installation (IRNA) at Haji Surabaya Hospital.Method: The questionnaires used Likert scale 1-5 for independent variables and dependent variables. The scoring scales for the independent variable or nurses’ responsiveness range from strongly disagree to strongly agree. Meanwhile, the scoring scale for the dependent variable ranges from very dissatisfied to very satisfied.Results: The findings indicated that there was a significant influence of responsiveness on patients’ satisfaction amounted to 0.003 (<α = 0.05). This indicated that the better assessment on the nurses’ responsiveness is, themore satisfied the patients are at in-patient installation (IRNA), Haji Surabaya Hospital.Conclusion: It can be concluded that more than 20% of responses was satisfied with the nurses’ responsiveness. The hospital needs to hold a human resource training especially a nurse-patient therapeutic communication training for maintaining the service quality at the hospital.Keywords: hospitalization, patient, responsiveness, satisfaction

Analisis Kesenjangan Kualitas Pelayanan berdasarkan Kepuasan Pasien Poliklinik Saraf RS Bhayangkara Surabaya Luh Wayan Ema Natarini
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: Neurological polyclinic service at Bhayangkara Hospital in Surabaya is one of polyclinics that has an increasing number of patient visits every year. To keep patients’ loyalty towards a neurological polyclinic, the hospital must be able to meet patients’ needs so that patients feel satisfied.Aims: Therefore, it is necessary to conduct an assessment related to expectations and real service obtained by patients at the neurological polyclinic. The purpose of this study is to analyze the gap on the service quality and satisfaction level based on expectations and real service quality.Method: The study design was cross sectional with 50 respondents as the sample taken by simple random sampling. The research method was a survey as a questionnaire instrument.Results: The result showed that the satisfaction level of respondents in neurological polyclinic in general was very satisfying. The gap value of the overall research is that the service quality at the neuropathic polyclinics has a negative gap (-0.06). The service quality has not met patients’ expectations.Conclusion: In conclusion, the service quality is a vital part in Bhayangkara Hospital, Surabaya. The hospital can maintain their good image and patient visit if the service quality is excellent too. The hospital should improve the waiting room convenience and the discipline of their staffs to create better service quality.Keywords: patients’ satisfaction, gap analysis, quality dimension, service quality

Back Matter VOL 6 NO 2 Back Matter
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Front Matter VOL 6 NO 1 Front Matter
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 1 (2018)
Publisher : Universitas Airlangga

Back Matter VOL 6 NO 1 Back Matter
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 1 (2018)
Publisher : Universitas Airlangga

Front Matter VOL 6 NO 2 Front Matter
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

OPPORTUNITY LOSS ANALYSIS OF DISCHARGE AGAINST MEDICAL ADVICE (DAMA) AT INPATIENT UNIT OF TYPE A HOSPITAL IN SURABAYA Nabilah Bilqis; Seta Prakoso
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 1 (2019)
Publisher : Universitas Airlangga

Background: Patients who Discharge Against Medical Advice (DAMA) will experience the opportunity loss. DAMA will result in opportunity loss for patients to get treatment and cure their illness. For hospitals, DAMA patients will cause the opportunity loss for hospitals to provide services to patients.Aim: The purpose of this research was to analyze the opportunity loss as the result of DAMA patient. Methods: The method used in this research was a descriptive research. The samples were chosen from the total sample of inpatient population who did DAMA as many as 77 medical records. The inclusive samples were doctors who were responsible for other doctors and dentists as well as inpatient medical records. Meanwhile, the exclusive samples were doctors who are not responsible for other doctors and dentists as well as inpatient medical records. Data analysis used Microsoft Excel to see the total and percentage of DAMA patients.Results: The number of DAMA patients was 77 patients. The highest number of DAMA patients was those in grade 3 as many as 25%. It happened because the grade 3 was cheaper than others. As many as 65% of DAMA patients paid hospital fees using general payments. Patients felt free to discharge themselves from the hospitals because they funded on their own. The majority of DAMA patients were type 2 DM patients amounted to 12% because they assumed they could carry out self-care at home.Conclusions: DAMA patients caused opportunity loss and no Social Security Agency for Health (BPJS Kesehatan) guarantees. Therefore, the hospital has to form a policy to prevent patients from DAMA, notify and ask patients’ reasons of doing DAMA, so the hospital can use these as information for hospital service evaluation. Keywords: Opportunity loss, DAMA, Hospital.

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