Other Medicine and Health Sciences Commons^™

Analisis Deskriptif Tentang Strategi Mutu Pelayanan Kandungan (Obstetri Dan Ginekologi) Di Rumah Sakit Islam Nu Demak, Akhmad Safi’I, Abdul Aziz

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Demak Regency are still high. In 2023, the MMR was 13 cases or 67 per 100,000 live births with a delivery rate of 18,784. The 2023 IMR data reached 7.2 per 1000 live births. The still high MMR and IMR and the socio-cultural market conditions of Demak, which are religious, are very relevant to the need for integrated superior services. Especially in Obgyn, perinatal, and child services. The Islamic Hospital (RSI) NU Demak is present through comprehensive, superior Obgyn services with a trend in patient visits that continues to …

Strengthening Legal Frameworks And Patient Safety: A Narrative Review Of Medical And Dental Malpractice In Indonesia, Ghulam Mustafa, Ede Surya Darmawan

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Many cases of medical and dental malpractice in Indonesia are still related to patient safety and healthcare quality. This narrative review aims to identify solutions that can be implemented. The main focus is to compare the incidence of malpractice in clinical medical and dental practice, emphasizing legal implications, coverage, and internal organizational issues. A systematic literature search was conducted through databases such as Pubmed, ScienceDirect, Google Scholar, Springer, Garuda, and other online databases. Articles published no later than 2024. Eleven studies were selected that discussed the problem of malpractice in Indonesia. Independent screening and critical appraisal were carried out to …

Analisis Prediktif Mutasi Egfr Pada Adenokarsinoma Paru Menggunakan Pendekatan Pembelajaran Mesin, Edwin Nugroho Njoto, Yuri Pamungkas, Atina I.W. Putri, Muhammad. Najib Haykal, Dwinka Syafira Eljatin, Edith Maria Djaputra

Jurnal Penyakit Dalam Indonesia

Introduction. Lung adenocarcinoma is a prevalent form of lung cancer, and mutations in the epidermal growth factor receptor (EGFR) gene are known to play a crucial role in its pathogenesis. This study aimed to develop a machine-learning model to predict EGFR mutations in lung adenocarcinoma patients using clinical and radiological features.

Methods. A case-control study was conducted using a dataset comprising 160 patients with lung adenocarcinoma. Several machine learning algorithms, including decision tree, linear regression, Naive Bayes, support vector machine, K-nearest neighbor, and random forest, were employed to predict EGFR mutations based on variables such as smoking status, …

Hospital Readiness To Implement Electronic Medical Records: A Systematic Literature Review, Afni Fatmasari, Mardiati Nadjib

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Implementing electronic medical records (EMR) in hospitals can increase the efficiency and effectiveness of health services. However, hospitals' readiness to adopt this technology is influenced by various complex factors. This study aims to identify factors that affect hospital readiness in implementing EMR through a systematic literature review (SLR). The SLR process followed the PRISMA method and included a literature search from Scopus, PubMed, and Cochrane databases with keywords related to RME readiness, which yielded 412 articles. After the screening and eligibility stages, 19 articles were selected for further analysis. The findings of this research identify readiness factors based on the …

Length Of Stay Di Instalasi Gawat Darurat Sebagai Indikator Mutu Pelayanan Kesehatan Di Rumah Sakit X Tahun 2024, Gustiane Adriani Dwisari, Kurnia Sari

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The Emergency Department (ED) is crucial for ensuring patient care and safety in hospitals. A key performance indicator is Length of Stay (LOS), where prolonged LOS can lead to overcrowding, increase the risk of adverse events, and lower patient satisfaction. This study examines the service flow, barriers, and root causes of LOS in Hospital X's ED and provides improvement recommendations. Data were gathered through observation of 30 patients, interviews, and document reviews. Lean Thinking principles and the BAS method from BASICS (Baseline, Assess, Suggest Solution, Implement, Check Result, Sustain) were used in the analysis, employing flowcharts to map the process, …

Rencana Strategis Peningkatan Kinerja Poliklinik Eksekutif Rumah Sakit X Tahun 2024 -2027: Pendekatan Balanced Scorecard, Irfan Rohot Uli Manik, Adang Bachtiar

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Hospital X is a private hospital that has executive polyclinic services. Medical record data shows that in the last four years, the number of visits from the executive polyclinic unit has never reached the target set. This research is to prepare the strategic plan for improving the executive polyclinic of Hospital X's performance for 2024-2027. The types of data in this research are primary data and secondary data. Primary data is qualitative data from in-depth interviews, Consensus Decision Making Group (CDMG) with informants, and direct observation. Secondary data consists of quantitative data and qualitative data. Strategy implementation will be described …

Faktor Yang Berhubungan Pada Motivasi Pengguna Dan Implementasi Rekam Medis Elektronik Dengan Efisiensi Pelayanan Di Instalasi Rawat Jalan Rsud Kebayoran Lama, Jean Francis Melanny Kassiuw, Budi Hidayat

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Electronic Medical Records (EMR) have emerged as an innovative solution in healthcare because EMR offers several advantages and provides a comprehensive solution to improve health information management in today’s digital era. This study applies the Technology Acceptance Model (TAM) as its theoretical foundation, aiming to evaluate the relationship between user perceptions of key factors influencing EMR implementation and service efficiency in the Kebayoran Lama Regional Hospital outpatient unit. The research design is non-experimental with a quantitative approach, utilizing numerical data analyzed through Structural Equation Modeling (SEM). The study collected data on user perceptions regarding EMR implementation and service efficiency through …

Strategi Optimalisasi Klaim Jaminan Kesehatan Nasional Di Unit Casemix Rumah Sakit “X” Blitar, Nurfathina Syahira, Achmad Jaelani Rusdi, Prima Soultoni Akbar

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The funding for patient care of participants of the Social Security Administering Body (BPJS) Health in hospitals is carried out through a claim mechanism. This study aims to design a strategy to optimize the claims for patient care costs for BPJS participants at Hospital "X" in Blitar. The study is conducted with a descriptive qualitative approach, and data collection is done through interviews and Focus Group Discussions (FGD). The informants consist of a doctor and four coders in the casemix unit. The study begins with an analysis of the claim service system situation, focusing on strengths, weaknesses, opportunities, and threats …

Analisis Implementasi Aplikasi Mobile System Pada Sistem Informasi Manajemen Di Rumah Sakit Umum Daerah (Rsud) Budhi Asih, Annisa Apriani Safitri, Mustakim Mustakim

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Hospital Information System (HIS) or Hospital Management Information System (SIMRS) is important in supporting the entire hospital process through information technology. Budi Asih Regional Hospital has a Hospital Information System in its management but still has various issues and challenges in its implementation. This study uses qualitative methods, informant selection with purposive sampling, and data collection techniques through in-depth interviews, observations, and document analysis. Information systems are part of organizational resources for decision-making regarding leadership needs. The Management Information System must be designed by considering data architecture including automated codification in an integrated manner such as statistics, mapping for further …

Penyakit Sel Sabit Pada Pasien Laki-Laki Berusia 27 Tahun Yang Sebelumnya Didiagnosis Sebagai Talasemia: Sebuah Laporan Kasus, Rahmat Cahyanur, Andree Kurniawan, Ratuafni Sharfina, Nadia Ayu Mulansari

Jurnal Penyakit Dalam Indonesia

Sickle cell disease (SCD) is a hemoglobinopathy inherited in an autosomal recessive pattern arising from a mutation causing substitution of valine for glutamic acid in the sixth amino acid of the β-globin chain. The clinical manifestation of SCD varies from acute pain, chronic anemia, to multi-organ infarct and failure. SCD is known to be rare in Indonesia. However, we recently encountered a SCD patient presenting with recurrent pain and hypesthesia since a year ago. The diagnosis of SCD in this patient was established based on the results of peripheral blood smear and hemoglobin electrophoresis. The patient had previously been diagnosed …

Health-Related Cognitive Factors And Intention To Adopt Mhealth: The Mediating Influence Of Attitude, Ashraf Sadat Ahadzadeh, Fon Sim Ong, Shin Ling Wu

Makara Human Behavior Studies in Asia

Mobile health (mHealth) is an important service that has remarkable effects on the development of the health care system. Health-related cognitive factors, such as perceived susceptibility (PSU), perceived severity (PSE), and health consciousness (HC), are associated with health-related technology adoption behavior. However, the underlying mechanisms of these associations have not been studied sufficiently. Attitude toward technology is a key construct in health psychology because it has a central role in motivating and changing behavior. Individuals’ attitude toward a particular behavior is expected to have a strong association with the behavior. This study aimed to examine how attitude toward mHealth plays …

Enhancing Healthcare Professional Practice In The Philippines Toward Asean Integration Through The Continuing Professional Development Law, Kevin T. Crispino, Ian Christopher N. Rocha

ASEAN Journal of Community Engagement

The Republic Act 10912, otherwise known as the Continuing Professional Development (CPD) Act of 2016, was passed into law to promote and upgrade the practice of healthcare professions in the Philippines. Since the establishment of the Association of Southeast Asian Nations (ASEAN) Economic Community (AEC), CPD has been considered an area of development through which Filipino professionals are trained to become globally competitive. The Philippine government upholds several agreements made among ASEAN member-states, including recognizing professionals in every ASEAN country, facilitating the mobility of professions within the region, exchanging expertise on standards and qualifications, promoting best practices, and providing valuable …

Prevalence And Associated Factors Of Dizziness Among A National Community-Dwelling Sample Of Older Adults In India In 2017–2018, Supa Pengpid, Karl Peltzer

Makara Journal of Health Research

Background: This study aimed to determine the prevalence and associated factors of dizziness in older community-dwelling adults in India.

Methods: The cross-sectional sample was composed of 21,343 individuals (≥65 years) from the Longitudinal Aging Study in India (LASI) Wave 1 in 2017–2018. Dizziness was assessed by determining if the individuals suffered from “persistent or troublesome dizziness or light headedness” in the past 2 years.

Results: Women and men had the overall prevalence of 14.6%/17.2% and 11.6% in past 2-year dizziness, respectively. Adjusted logistic regression analysis revealed that sociodemographic factors (female sex), physical chronic conditions (angina), geriatric conditions …

Strategi Pemasaran Poli Bedah Estetik Bali Royal Hospital (Bros) Denpasar, Deity Indrayati Nugraha

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

This study aims to create a good marketing strategy to determine the problems faced so it is expected that in the end the number of visits to the aesthetic surgery surgery BROS Denpasar has increased. This research uses qualitative method with observation, and in-depth interview. From the product-price mix, there are several strategies, namely by providing variations of products or additional services, buying aesthetic surgical instruments with the latest technology, and can also lower the rates of aesthetic surgery services. For the price place mix, the strategy is to move the esthetic surgical poly to a more private room. The …

Analisis Kesiapan Rumah Sakit Umum Daerah Kramat Jati Menjadi Health Promoting Hospital Tahun 2017, Winarto Winarto

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The readiness of Regional General Hospital (RSUD) of Kramat Jati to become Health Promoting Hospital (HPH) is very important based on Health Promotion Standard of Ministry of Health Republic of Indonesia Year 2011. Therefore, the purpose of this research is to know the preparedness of RSUD Kramat Jati become Health Promoting Hospital, done by qualitative approach. The results showed that from six (6) standard of hospital health promotion, one (1) standard of hospital health promotion has been fulfilled by RSUD Kramat Jati, while five (5) standard of health promotion of hospital have not been fulfilled. Preparation of technical policies for …

Analisis Kesiapan Sistem Remunerasi Berdasarkan Peraturan Gubernur Provinsi Dki Jakarta Nomor 222 Tahun 2016 Di Rsud Pesanggrahan Tahun 2017, Endah Kartika Dewi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

RSUD Pesanggrahan as a Health Service Unit of Special Capital Region of Jakarta which has applied financial pattern of Regional Public Service Board (BLUD). This research uses quantitative with simulation of system calculation to be applied and qualitative with explore stakeholder perception readiness with indepth interview. From the result of research it is known that in general the informant is satisfied with the income received now. And from the simulate conducted, RSUD Pesanggrahan has not been able to apply the system based on Governor Regulation No. 222/2016 yet. Suggestion to the Health Department as a regulator is to give the …

Analisis Elemen Bauran Pemasaran Yang Mempengaruhi Loyalitas Pelanggan Rumah Sakit: Systematic Review, Elisabeth Dewi Agustine

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Increasing the number of hospitals improves the competitive of medical services. Hospitals must have the right marketing strategy to retain old customers and attract new customers. To increase of the hospital customer loyalty, the marketing mix can be use as tool. Aim: To know the marketing mix elements that influence the loyalty of hospital customers. Preferred report items for systematic reviews and meta-analyzes (PRISMA) are evidence based methods for performing systematic reviews. There are 33.33% of the 9 studies that mention 7 elements (product, price, place, people, process, physical evidence, promotion) in the marketing mix, all of which affect the …

Analisis Penerapan Program Pencegahan Dan Pengendalian Infeksi Di Ruang Rawat Inap Rsud Tebet Tahun 2017, Tetyana Madjid

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The focus of this research is indentifying infection prevention and control program in Tebet hospital through observation of nursing action on infusion, bandage, injecting and waste management, and indentifying nurse’s characteristics, policies, facilities, monitoring and reporting of infection. This research using qualitative and quantitative approach. Unit analysis of this research is 105 of actions mentioned above by all nurses in the inpatient room. The results of this study show that most of the actions performed by the nurses were good, analysis with univariat, bivariat and logistic regression of multivariat. The most affecting variables is the reporting of infection. Suggestions for …

Analisis Standar Kompetensi Tenaga Kesehatan Di Rumah Sakit Bhakti Yudha Depok Tahun 2017, Syifa Silviana

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Competency of healthcare provider has significant impact on performance of the hospital. Measuring competency of healthcare provider are essential to improve better quality of service provisioned. The study evaluates competency of healthcare provider at Bhakti Yudha Hospital by using the competency standards established by multiple organizations of Indonesian national healthcare provider association mapped against eight units of health provider. The result stated that competency level of healthcare providers at Bhakti Yudha Hospital have had not met the expectations. It is concluded that working experiences and number of relevant training received has significant impact on competency level of healthcare provider.

Penerapan Lean Thinking Untuk Mereduksi Waktu Boarding Pasien Igd Ke Rawat Inap Di Rsud Koja Tahun 2017, Theryoto Theryoto

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The implementation of the National Health Insurance Program (Program JKN) affects the increased number of patients to emergency unit and boarding patients that resulting crowding in the emergency unit. Koja Hospital has implemented bed management in order to reduce the boarding time of emergency unit patients but has not succeeded, so an effort to help reducing the boarding time of emergency unit patients to inpatient in order to continuous improvement was done using the lean thinking principle. This research uses operational research method and intervention with PDCA (Plan, Do, Check, Action) cycle. The study revealed that lean thinking approach could …