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JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
ISSN : 20882831     EISSN : 25416715     DOI : -
Core Subject : Economy, Health,
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) is peer reviewed journal published by Universitas Muhammadiyah Yogyakarta in collaboration with The Muhammadiyah Lecturer of Hospital Management Graduate Program Association (ADMMIRASI). ISSN: 2541-6715 (online) and 2088-2831 (print). JMMR focuses on the research and research review related to hospital management that is relevant for the development of the theory and practice of hospital management in Indonesia and southeast asia. JMMR is indexed by Directory Open Access Journal (DOAJ), Google Scholar, and Crossref (DOI), and neliti. JMMR covered various of research approach, namely: quantitative, qualitative and mixed method. JMMR focuses related on various themes, topics and aspects of accounting and investment.
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Articles 16 Documents
Search results for , issue "Vol 8, No 3 (2019): December" : 16 Documents clear
PATIENT SAFETY INCIDENT DIFFERENCES BETWEEN ACCREDITED AND NOT ACCREDITED PRIMARY HEALTH CENTER Dewi, Arlina; Seftaviani, Nevi; Rochmawati, Erna
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 3 (2019): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83109

Abstract

The study aims to identify the differences of patient safety incident (PSI) by health workers in accredited and non-accredited Primary health care (PHC) by its frequency and severity of harm. This research used analytic crossectional method. A well-structured questionairre of 15 patients? safety indicators was administered to collect response of Nurse and midwife in 3 accredited PHC and 3 non-accredited PHC about patients? safety incident in last month. In the result, overall the incident happened more frequent in non-accredited PHC than in acrredited PHC which is statistically significant (CI 95%, p=0.002). Specifically, what the nurses handle is about medication (CI 95% p=0.018) and therapeutic treatment (CI 95% p=0.036). Also, it is about the education (CI 95% p=0.025) and documentation (CI 95% p=0.013). Still, two indicators of midwife?s treatment while transferring and about the education involved minor harm.
PROVISION OF RESOURCES IN THE IMPLEMENTATION OF TUBERCULOSIS-MULTI DRUGS RESISTANCE TREATMENT SERVICE IN “X” HOSPITAL Ardiansyah, Dandy Nova; Suryawati, Chriswardhani; Adi, M Sakundarno
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 3 (2019): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83103

Abstract

The purpose of the study is to evaluate the provision of resources in the implementation of Tuberculosis - Multi Drugs Resistance (MDR-TB) treatment service in ?X? Hospital. The research type is qualitative research with in-depth interviews, observations, and documentation. The main informants are health workers who have been trained and involved in MDR-TB treatment service while the triangulation informants are MDR-TB patients and the Head of Community Health Center. Existing data is collected, reduced, presented, evaluated, drawn conclusion and verified with 5 components of resources studied, namely the components of labor, facilities, logistics, funding and work methods or procedures. In this study, information was obtained that the implementation of MDR-TB treatment service in ?X? Hospital must be supported by adequate preparation of resources by following applicable regulations. Therefore, an appropriate and measurable planning mechanism is needed so that in the preparation of resource requirements namely personnel, funding, facilities and logistics, as well as working methods or procedures in MDR-TB treatment service, can be calculated accurately and measurably to develop service.
ALTRUISM AS PERSPECTIVE OF MEDICAL STUDENTS Kusumawati, Wiwik; Indriani, Yunita D
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 3 (2019): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83110

Abstract

Altruism is an important attribute for medical doctors and other health professionals. The behavior of altruism must be understood and trained in the early stage of medical education. The aim of this study was to know the medical students? perception of altruism. This was a qualitative study and the participants were 24 medical students who were chosen by purposive sampling with criterion reference. The data were collected using in-depth interviews and focus group discussions. The data then were transcribed into verbatim and analyzed using the constant comparative method. This study revealed 90 codes, 16 themes, and five final themes. The final theme consisted of 1) altruism and attribute of medical professions, 2) altruism and influential factors, 3) altruism of medical students, 4) medical profession from a student perspective, and 5) altruism and malpractice. Altruism and medical professionalism are important attributes of the medical profession. There are many factors that can influence medical student's altruism, it can be internal or external factors. Medical students have various levels of altruism and we can assess the degree of altruism of medical students through their understanding of the medical profession. A low degree of altruism of doctor may cause unexpected things such as malpractice.
THE IMPLEMENTATION OF LEAN MANAGEMENT IN ACCELERATING HEALTH INSURANCE CLAIM PROCESS AT HOSPITALS Friskasari, Elisabeth Lia; Suryawati, Chriswardani; Setyawan, Henry
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 3 (2019): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83107

Abstract

Due to the changing payment system of healthcare services in the era of National Health Insurance from fee for service to be INACBGs (Indonesian Case Base Groups), health care financing system has changed from fee for service to INACBGs (Indonesian Case Base Groups) package system. In this case, hospitals especially the private ones, must have a stable financial capacity to be able to survive and operate. One of efforts to overcome this issue is to improve efficiency in all aspects and to make the claim submission on time. A continous improvement effort is needed to identify waste and improve the efficiency of a process, one of which is application of Lean Management. This study aimed to identify waste which can delays the process of claim submission. This study was conducted at a private hospital in Central Java. The research is a qualitative research with descriptive analytic methods. The result showed that the waste in the outpatient claim process was 52,4% and the waste in the inpatient claim process was 52,2 % of all activities. The implementation of lean management  for the process of health insurance claims was estimated to reduce the time cycle of outpatient claim process from 97.018 seconds to 181 seconds and the time cycle of inpatient claim process from 109.897 seconds to 406 seconds.
THE EFFECT OF EMOTIONAL FREEDOM TECHNIQUE THERAPY ON NURSE BURNOUT Wati, Ni Made Nopita; Mirayanti, Ni Wayan; Juanamasta, I Gede
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 3 (2019): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83104

Abstract

Burnout can develop as a result of long work stress and cause a change in attitudes and behaviors withdrawing psychologically. The most visible impact of burnout is the decline in performance and quality of service. As a result, they were unable to fulfill the work demands and finally decided not to attend, increasing rates of sick leave, reduced work effectiveness or even leaving their jobs. This study aims to determine the effect of Emotional Freedom Technique (EFT) therapy on burnout in implementing nurses. The design of this study uses quasi-experimental design with control group. The sample in the study were 38 nurses, divided into 2 groups, each group consisting of 19 people selected through purposive sampling. This study used the Wilxocon Signed Rank Test to determine the differences in one pre-post group and the Mann Whitney Test to analyze changes after two different post-post groups. The results showed the value of p value in the treatment group = 0,000 which means that there was an effect of therapy (EFT) on burnout in the implementing nurses, whereas in the control group there was no difference with the p value = 0.925, the p value was influenced by EFT therapy (Emotional Freedom Technique ) towards burnout of nurse nurses before and after in groups of 0,000. It is expected that the Hospital can overcome burnout by passing EFT therapy.
PATIENT SATISFACTION REVIEWED FROM DIMENSION RELIABILITY IN COMMUNITY HEALTH CENTER Wau, Herbert; Gustrianingsih Purba, Dewinta Isabora
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 3 (2019): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83101

Abstract

Patient satisfaction in health care is a key indicator of the success of health service delivery. Reliability is the ability to provide the promised service immediately, accurately and satisfactorily. If the reliability dimension is not implemented properly it will cause problems so that it can affect patient satisfaction. The purpose of this study was to determine the effect of the reliability dimension on patient satisfaction at the Padang Bulan Community Health Center in Medan. Data collection was carried out by in-depth interviews (in-depth interviews). Data analysis was performed descriptively and presented in narrative form. The sample in this study were 4 patients and 2 health workers with a total of 6 people. The results showed that there was an influence on the speed of health checks, accuracy of service schedules, and health workers provided clear information on patient satisfaction at the Padang Bulan Community Health Center in Medan.
ANALYSIS OF FACTORS RELATED TO THE HEAD OF THE NURSES IN THE IMPLEMENTATION OF PREVENTION AND CONTROL OF INFECTIONS IN THE HOSPITAL Hutahaean, Serri; Anggraini, Nourmayansa Vidya; Nababan, Dosmaida
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 3 (2019): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83102

Abstract

The problem of infection in nursing services in the hospital and in health care facilities is that Healthcare-associated infections are still high. The compliance rate in implementing Infection Prevention and Control is still low. Nurses' non-compliance with Infection Prevention and Control implementation can be found in the ward with a variety of causative factors. This study aims to analyze the factors associated with nurse compliance in implementing infection prevention and control in the hospital. The method used was quantitative research with a cross-sectional design. The respondents consisted of 34 implementing nurses at hospital X in Jakarta. The results showed a significant relationship between nurses 'knowledge (pv 0.01; ? 0.05), motivation, (pv 0.04; ? 0.05) and nurses' perceptions (pv 0.02; ? 0.05) on adherence Infection Prevention and Control implementation, but there is no relationship between attitude factor with the implementation of Infection Prevention and Control (pv 0.51; ? 0.05). It is suggested that the support of nursing management, the head of room and service providers are needed to improve nurses' compliance with the implementation of Infection Prevention and Control as a basis for improving the quality of nursing services in hospitals through increasing the knowledge, motivation, and perceptions of nurses in the provision of facilities and infrastructure in infection prevention and control.
Analysis of Factors Related to the Head of the Nurses in the Implementation of Prevention and Control of Infections in the Hospital Serri Hutahaean; Nourmayansa Vidya Anggraini; Dosmaida Nababan
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 3 (2019): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83102

Abstract

The problem of infection in nursing services in the hospital and in health care facilities is that Healthcare-associated infections are still high. The compliance rate in implementing Infection Prevention and Control is still low. Nurses' non-compliance with Infection Prevention and Control implementation can be found in the ward with a variety of causative factors. This study aims to analyze the factors associated with nurse compliance in implementing infection prevention and control in the hospital. The method used was quantitative research with a cross-sectional design. The respondents consisted of 34 implementing nurses at hospital X in Jakarta. The results showed a significant relationship between nurses 'knowledge (pv 0.01; α 0.05), motivation, (pv 0.04; α 0.05) and nurses' perceptions (pv 0.02; α 0.05) on adherence Infection Prevention and Control implementation, but there is no relationship between attitude factor with the implementation of Infection Prevention and Control (pv 0.51; α 0.05). It is suggested that the support of nursing management, the head of room and service providers are needed to improve nurses' compliance with the implementation of Infection Prevention and Control as a basis for improving the quality of nursing services in hospitals through increasing the knowledge, motivation, and perceptions of nurses in the provision of facilities and infrastructure in infection prevention and control.
Altruism as Perspective of Medical Students Wiwik Kusumawati; Yunita D Indriani
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 3 (2019): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83110

Abstract

Altruism is an important attribute for medical doctors and other health professionals. The behavior of altruism must be understood and trained in the early stage of medical education. The aim of this study was to know the medical students’ perception of altruism. This was a qualitative study and the participants were 24 medical students who were chosen by purposive sampling with criterion reference. The data were collected using in-depth interviews and focus group discussions. The data then were transcribed into verbatim and analyzed using the constant comparative method. This study revealed 90 codes, 16 themes, and five final themes. The final theme consisted of 1) altruism and attribute of medical professions, 2) altruism and influential factors, 3) altruism of medical students, 4) medical profession from a student perspective, and 5) altruism and malpractice. Altruism and medical professionalism are important attributes of the medical profession. There are many factors that can influence medical student's altruism, it can be internal or external factors. Medical students have various levels of altruism and we can assess the degree of altruism of medical students through their understanding of the medical profession. A low degree of altruism of doctor may cause unexpected things such as malpractice.
Patient Safety Incident Differences Between Accredited and not Accredited Primary Health Center Arlina Dewi; Nevi Seftaviani; Erna Rochmawati
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 3 (2019): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83109

Abstract

The study aims to identify the differences of patient safety incident (PSI) by health workers in accredited and non-accredited Primary health care (PHC) by its frequency and severity of harm. This research used analytic crossectional method. A well-structured questionairre of 15 patients’ safety indicators was administered to collect response of Nurse and midwife in 3 accredited PHC and 3 non-accredited PHC about patients’ safety incident in last month. In the result, overall the incident happened more frequent in non-accredited PHC than in acrredited PHC which is statistically significant (CI 95%, p=0.002). Specifically, what the nurses handle is about medication (CI 95% p=0.018) and therapeutic treatment (CI 95% p=0.036). Also, it is about the education (CI 95% p=0.025) and documentation (CI 95% p=0.013). Still, two indicators of midwife’s treatment while transferring and about the education involved minor harm.

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