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Jurnal Manajemen Kesehatan Indonesia

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Published by Universitas Diponegoro

ISSN : 23033622 EISSN : 25487213. DOI : -

Core Subject : Health, Science,

Decision Sciences, Operations Research & Management Health Professions

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Articles 373 Documents

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Identifikasi Waste pada Waktu Tunggu Pasien Rumah Sakit Nasional Diponegoro dengan Pendekatan Lean Hospital Jessica Christanti Pualamsyah; Sudiro Sudiro
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Outpatient waiting time based on minimum standart of care is defined as a time duration since patient in registrated until they meet the doctor. Lean management is a method that could improve outpatient process. There was persistence complain in outpatient waiting time in Diponegoro National Hospital since May 2016 until November 2016. Therefore, lean is expected to improve outpatient wait time. Based on Lean theory, waste is comprised of waste defect, overproduction, transportation, waiting, inventory, motion, overprocessing, and non-utilized talent. This study is going to identified waste that occurred in internal medicine outpatient. 　　　This was qualitative study research and conducted by observation, indepth interview, and focussed group disscusion. Total of key informant was 10 internal medicine patients and 6 hospital staffs, including registration, administration, information technology (IT) , procurement, helper, and nurse. Total of informant triangulation was 2 informants, including head of outpatient unit and medical records unit. Waste identification was done by value stream mapping analysis and value-added assessment. Root cause analysis (RCA) which used in this study was 5 whys method. 　　　The longest activity in outpatient was waiting in registration booth with mean value of 30,9 minutes, the second was waiting for doctor activity with mean value of 25,2 minutes and the third was waiting medical records to be given by helper with mean value of 8,8 minutes. Waste waiting, overprocessing, defect, inventory, motion were found in this study. It recommends an establisment of flowchart for patient, interdepartment coordination, and Standar Operation Procedure (SOP). Procrument for medical record facility and implementation of 6 S culture are mandatory.

Analisis Pemilihan Dukun sebagai Penolong Persalinan (Studi Kasus di Puskesmas Bulak Banteng, Kota Surabaya) Nurul Habibah Umar
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 1 (2019): April 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Maternal mortality of Surabaya, in 2017, reached 79.40 per 100,000 live births due to direct causes by 77.2%. There are many programs to reduce maternal mortality and infant mortality such as improving delivery services in the health facility. In 2008, the partnership program between midwives and traditional birth attendants had developed to increase the access of quality maternal services for mothers and babies. However, in 2017 the delivery practice with traditional birth attendants has remained active in the area of Bulak Banteng Community Health Center, Surabaya. This study aimed to analyze the women’s decision selecting the traditional birth attendants for their delivery practice by exploring knowledge factor, belief factor, health service access factor, and family factor in Bulak Banteng Community Health Center of Surabaya. The research was a qualitative study using the approach of case study including in-depth interview and exploring secondary data. The sample was the mothers who delivered the baby with the traditional birth attendant from a previous year ago, and the midwife of health community center. The variable from this study were knowledge factor, belief factor, health service access factor, and family factor. The study used the analytical method consisted of data collecting, data reduction, and verification. The result showed less knowledge factor of healthy and safe delivery in the community. The belief factor and family factor held an important role in the selection of the traditional birth attendants during birth attendance, while the factor of health service access showed nothing related to the selection process. There is a need to implement health education for pregnant women, husband, family, and people with an aim of giving the understanding about healthy and safe birth attendance. In conclude, the selection on traditional birth attendant was influenced by knowledge factor, belief factor, and family factor.

Pengembangan Sistem Pengumpulan Data Imunisasi Terpadu Elektronik untuk Mendukung Evaluasi Program Imunisasi Di Dinas Kesehatan Kabupaten Brebes Lina Khasanah; Aris Puji Widodo; Farid Agushybana
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 3 (2017): Desember 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Immunization program includes planning, implementation, monitoring and evaluation of immunization activities. Implementation of immunization program evaluation through recording and reporting of immunization activities. The current immunization data recording system has not been able to produce complete, relevant, timely, accessible and easily understood information and has not provided a presentation of information that is easily interpreted according to the needs of the management.Implementation of information technology in the management of health data requires attention and conceptual framework as a whole. This is also required in the evaluation process of the immunization program at Brebes District Health Office. The provision of information that is interpretative and timely is needed in line with technological developments.The development of this immunization information system uses the FAST (framework for the application of systems techniques) method that produces input, process and output components that can cover the needs of immunization program reporting and evaluation of immunization programs through mapping areas.

Analisis Sistem Program One Student One Client Pendampingan Ibu Hamil oleh Mahasiswa Keperawatan di Kota Semarang Mukhamad Musta'in; Sri Achadi Nugraheni; Untung Sujianto
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Maternal mortality rate (MMR) and infant mortality rate (IMR) are one of the main indicators of a country's health status. MMR in Semarang was increasing since 2013 (107.95 per 100,000 live birth) become (128.05 per 100,000 live birth) in 2015. Various efforts have been made to handle the increase in maternal mortality rate in Semarang, one of them is OSOC program to accompany pregnant women. However, its implementation has not run optimally and encounters several obstacles. The purpose of the research was to analyze the input, process, and output aspects of the One Student One Client Program to accompany pregnant women by Nursing Students in Semarang. This was qualitative research with descriptive explorative approach through in-depth interview and focus of group discussion. The main informants were; Head of Health Section of Central Java Provincial Health Office and triangulation informant; 2 Heads of Public health services and 2 nurses / midwife coordinator, 2 Head of study program, 2 field supervisors, 14 nursing students and 7 pregnant women / postpartum. Data processed and analysed by content analysis method. The result showed that the input aspect: which was human resources, had been sufficient, but insufficient in funds, infrastructure facilities only in the form of modules, the policy had not been written and there was no memorandum of understanding / MoU between the health office and educational institutions.

Model Evaluasi Penerimaan Pengguna Sistem Informasi Rekam Medis di Sektor Kesehatan Ni Kadek Armini; Aris Puji Widodo; Suhartono Suhartono
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

In the development of advanced technology, information users are required to follow the progress that has grown rapidly. One of the programs implemented by the Ministry of Health of the Republic of Indonesia has issued a policy that guides the implementation of health development implemented by the government and private sector in order to improve the quality of information in this case the quality of medical record information. And one of the efforts to improve the quality of medical record information in the hospital in the form of the application of Medical Record Information System (SIRM). Application of SIRM is currently experiencing obstacles and barriers in the level of user acceptance. There are still many things that are operational and managerial, making the implementation of SIRM is not going well. . This study evaluates the results of SIRM implementation to process the data of inpatients at Undata Hospital of Central Sulawesi Province from the user acceptance level, using the combined model of Unified Theory of Acceptance and Usage of Technology (UTAUT) and Human, Organization, Technology Fit (HOT Fit ).

Analisis Kepuasan Pasien Terhadap Kualitas Layanan Poli Gigi di Rumah Sakit Banyumanik Semarang Aulia Ika Pratiwi; Bagoes Widjanarko; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 1 (2019): April 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Based on the medical records of the Banyumanik Hospital, the number of visits in the Banyumanik Hospital dental clinic in 2015 was 766 patients (90%), increasing in 2016 to 781 (91%), but decreased in 2017 to 724 patients (85%) one factor the cause is the quality of service. This study aimed to analyze the effect of quality outpatient services on patient satisfaction in dental polyclinics in hospitals. Banyumanik Semarang. This was quantitative research with cross sectional design. The number of samples in this study were 54 respondents. Research variables were 5 dimensions of service quality. The results of the study showed the dimensions of the quality of outpatient care in dental poly: Real Evidence had a poor result of 68.5, reliability had poor results of 32 respondents 59.3%, poor responsiveness 40.7%, poor guarantees 59.3%, poor empathy at 55.6%, and less patient satisfaction at 44.4%. In the results of multivariate analysis that the responsiveness variable has the highest significance of 0.039 with the value of Exp (B) 4,566. The conclusion of this study was that the dimensions of service quality namely Real Evidence, Responsiveness, and Empathy affect patient satisfaction, while the guarantee does not affect the satisfaction of outpatients in the Dental Polyclinic Hospital. Banyumanik Semarang.

Evaluasi Sistem Informasi Pelayanan Rekam Medis di RSJ Prof. Dr. V.L. Ratumbuysang Provinsi Sulawesi Utara dengan Pendekatan Hot Fit Model Donny Makalalag; Farid Agushybana; Atik Mawarni
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

　　　Medical Record Information System Service at Prof. Dr. V.L. Ratumbuysang Mental Hospital North Sulawesi Province had not run as expected. Indicated by the differences in patient data in the recording and the medical records. Factors that allegedly affect are human, organization and technology. This study aims to evaluate medical record service information system with the HOT FIT Model approach and its benefits. 　　　This was a qualitative study. Data collected through in depth interviews and analyzed by content analysis method. Research subjects were 1 admin officer and 3 archival officers as main informants and the chief of medical record service, the head medical services division and an assistant director of medical services and nursing as the triangulation informants. 　　　The results showed that the medical record service information system had facilitated the work but the knowledge and skills of the officers were still lacking. Organizational factors were supported but the budget was still lacking in system development. Technological factors had not run optimally because the LAN network did not work. The quality of the information had not been met because the data of the visits should be checked again before used for decision making. Quality of service was not maximal yet, because the connectivity between medical record and polyclinic was impaired, then the officer used manual form. 　　　It can be concluded that the hospital need to increase the staff knowledge and allocate funds for improvement and development of information systems or cooperate with other parties in system maintenance.

Analisis Pelaksanaan Peran, Fungsi dan Wewenang Governing Body di Rumah Sakit Islam NU Demak Rudi Ansyah; Sarsintorini Putra; Sudiro Sudiro
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Hospital health services have a high level of complexity and are prone to conflicts both inside and outside the hospital. The implementation of quality management is still a lot of obstacles faced evidenced by many hospital staff who do not know about quality management, frequent conflicts and lack of clarity of coordination, communication and information channels. The purpose of this research is to analyze the implementation of the role, function and authority of governing body, director, medical committee and nursing committee, quality management implementation, quality leadership and hospital barrier in order to improve quality management of NU Demak Islamic Hospital. This research design using descriptive method with qualitative approach. The main informants were the governing body, the director, the medical committee and the nursing committee and the triangulation informant were the executing physician, the nurse and the chairman of the quality team. Data were collected by in-depth interview techniques. Processing and data analysis using content analysis. The results show the role and function governing body has been implemented but the authority has not been implemented optimally. The role and authority of the director have been implemented but the function has not been implemented optimally. The role and function of the medical committee has been implemented but the authority has not been implemented optimally. The role and function of the nursing committee has not been implemented optimally but the authority has been implemented. Quality planning has been implemented, but quality control and improvement has not been implemented optimally. Building vision, inspiring processes, mobilizing human resources and becoming a model has been implemented. It is recommended to allocate budgets for the training of the ex-house training, to make guidelines for recording and reporting, to make guidance on performance evaluation of officers, to create a checklist of performance evaluation and to make an assessment of internal satisfaction

Kepuasan Pasien Terhadap Layanan Puskesmas BLUD di Kota Semarang Chriswardani Suryawati; Nurhasmadiar Nandini; Novia Handayani
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 1 (2019): April 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Primary Health Centre (PHC) is one of the public institution which have important role to provide health care services to the community. According to Regulation of Semarang Major no. 13 year 2016 about Governance Pattern of Local Public Service Institution (BLUD) of Puskesmas, since 2017 PHC in Semarang transformed into BLUD PHC which enable PHC to be more flexible, productive, efficient, and effective on managing their resources and finance. This research objective was to identify patient satisfaction of BLUD PHC in Semarang. This was quantitative research with cross-sectional design and research variables are tangible, reliability, responsiveness, assurance, empaty, dan patient’s satisfaction. Respondents were 140 patients of BLUD PHC in Semarang City: Bulu Lor, Gayamsari, Pudakpayung, Bangetayu, Halmahera, Kedungmundu, dan Mangkang. Result showed that most of the patient satisfied with the health care services in PHC. From all of the indicators, more than 80% respondents stated that they were satisfied with the services in PHC. The highest score was on responsiveness aspect, which 95.0% patient scored high on the PHC responsiveness. It could be because PHC already maximize their resources to provide high quality health care services.

Beban Unit Rekam Medis Paska Sistem Vedika BPJS di RSUD Ungaran Wulan Kusumastuti; Ayun Sriatmi; Septo Pawelas Arso; Jhovia Aloedya Pramana
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 1 (2019): April 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Diterapkannya sistem implementasi verifikasi digital klaim (Vedika) oleh BPJS Kesehatan bagi fasilitas kesehatan rujukan tingkat lanjutan (FKRTL) mengakibatkan terjadinya penarikan petugas/pekerja BPJS Kesehatan di rumah sakit pemberi FKRTL. Akibat dari diterapkannya sistem ini, unit BPJS Kesehatan Centre yang sebelumnya ada di RSUD Ungaran dan memiliki fungsi sebagai unit penanganan masalah pelayanan kesehatan peserta BPJS Kesehatan menjadi hilang. Hal ini berpengaruh kepada proses pelayanan kesehatan di RSUD Ungaran terutama dalam hal penanganan keluhan pelayanan kesehatan dan pemberian informasi perihal kepesertaan BPJS, dimana hilangnya unit BPJS Kesehatan Centre ini berdampak kepada timbulnya keluhan pelayanan kesehatan oleh pasien peserta BPJS Kesehatan. Di RSUD Ungaran, fungsi unit BPJS Kesehatan Centre ini digantikan oleh unit Rekam Medis. Tujuan penelitian ini adalah untuk menganalisa beban unit Rekam Medis di RSUD Ungaran paska pemberlakuan sistem Vedika.Metode penelitian bersifat kualitatif disajikan dalam bentuk deskriptif untuk menggambarkan secara obyektif perilaku, persepsi, motivasi, dan tindakan.Dengan menggunakan analisa perspektif relatives advantage, compatibility dan complexity, hasil menunjukkan bahwa beban kerja unit Rekam Medis di RSUD menjadi bertambah karena dibebankan tugas pokok dan fungsi yang sama dengan unit BPJS Kesehatan Centre.RSUD Ungaran memerlukan solusi kebijakan berupa pembentukan unit baru untuk menangani masalah keluhan pelayanan kesehatan dan pemberian informasi terkait kepesertaan BPJS Kesehatan untuk memastikan hak dan kewajiban pasien peserta BPJS Kesehatan terpenuhi.

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