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Full-Text Articles in Health Services Research

Analisis Perbandingan Biaya Pengelolaan Limbah Medis Padat Antara Sistem Swakelola Dengan Sistem Outsourcing Di Rumah Sakit Kanker “Dharmais”, Ari Purwohandoyo Jun 2016

Analisis Perbandingan Biaya Pengelolaan Limbah Medis Padat Antara Sistem Swakelola Dengan Sistem Outsourcing Di Rumah Sakit Kanker “Dharmais”, Ari Purwohandoyo

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Based on the principle of "the polluter pays", every health care need to be financially responsible for the management of their waste safely. Such costs should be funded by a special allocation of hospital budgets. Total expenses generally consist of an initial capital investment, depreciation of equipment and buildings, the cost of operation of these elements such as personnel and consumables, vehicle operating costs, third-party management fees, license fees, and other expenses that everything must be carefully fastidiously if it will choose the lowest cost option.This study discusses The comparative cost analyse of solid medical waste management in the "Dharmais" …


Analisis Hubungan Budaya Organisasi, Komitmen Organisasi Dengan Turnover Intention Perawat Rumah Sakit Prikasih Tahun 2015, Erta Rahmawati Jun 2016

Analisis Hubungan Budaya Organisasi, Komitmen Organisasi Dengan Turnover Intention Perawat Rumah Sakit Prikasih Tahun 2015, Erta Rahmawati

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The high rate of nurse turnover > 10% at Prikasih hospital causes a variety of problems, increased operating cost, disruption operations and raising moral issues in nurse who stay, This research is a quantitative analytical research aiming to describe the types of organizational culture (clan, adhocracy, market, hierarchy) and organizational commitment (affective, normative, continuance). The research also aims to illustrate the relations between the different types of organizational culture and organizational commitment, and the association with turnover intention at Prikasih hospital as well as to identify the most dominant factor of relations. The research uses cross-sectional method with 102 nurses as …


Penyusunan Rencana Strategis Rumah Sakit Pertamina Jaya Tahun 2017-2022, Budi Karmawan Feb 2016

Penyusunan Rencana Strategis Rumah Sakit Pertamina Jaya Tahun 2017-2022, Budi Karmawan

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The focus of this study is how to develop strategic planning for hospitals, with case studies of Pertamina Jaya Hospital which is a class C private hospital. This research is qualitative research with descriptive design. The results showed that environmental factors both external as well as internal hospital put the Pertamina Jaya Hospital on the position of Growth and Build on IE Matrix and Internal Fix-It on TOWS Matrix. An alternative strategy is doing market penetration accompanied improvements in hospital weaknesses to capture opportunities. Implementation plan was drawn up in order to be in line with the achievement of Hospital …


Analisis Pelayanan Kemoterapi Peserta Badan Penyelenggara Jaminan Sosial Di Rawat Singkat Anyelir Rumah Sakit Kanker “Dharmais” Dengan Metode Lean Tahun 2015, Agung Julipriohadi Feb 2016

Analisis Pelayanan Kemoterapi Peserta Badan Penyelenggara Jaminan Sosial Di Rawat Singkat Anyelir Rumah Sakit Kanker “Dharmais” Dengan Metode Lean Tahun 2015, Agung Julipriohadi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Rumah Sakit Kanker “Dharmais” (RSKD) as a cancer referral centers nationwide in Indonesia, trying to implement a culture of continuous improvement. Lean methods provide analytical approach to the problem of organizing the queue chemotherapy participant of Badan Penyelenggaran Jaminan Sosial (BPJS), particularly in Anyelir ward (One Day Care). Cross-functional Flowchart, Value Stream Mapping, Fishbone diagram, and 5 Why's were used to show the situation and identify activities that Value Added and Non-Value Added based on the patient's perspective. With the proposed improvements, Projected Value Perfomance showed increased activity efficiency up to 43,1%, save the time up to 48%, and cut …


Analisis Efektivitas Biaya Laparoskopik Herniotomy Dan Open Herniotomy Pada Pasien Hernia Inguinalis Unilateral Di Rumah Sakit Gading Pluit Jakarta Utara Tahun 2014, Dewi Saputra Tjitra Feb 2016

Analisis Efektivitas Biaya Laparoskopik Herniotomy Dan Open Herniotomy Pada Pasien Hernia Inguinalis Unilateral Di Rumah Sakit Gading Pluit Jakarta Utara Tahun 2014, Dewi Saputra Tjitra

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

This thesis is an economic evaluation with a cross sectional quantitative method design, observational and using comparative studies between two herniotomy techniques. The aim of this thesis is to analyze the cost effectiveness between patients with Laparoscopic Herniotomy and patients with Open Herniotomy of the inguinal hernia. This research is using Activity Based Costing with simple distribution to achieve total cost and then compared with the output, therefore cost effectiveness ratio (CER) is achieved. The CER is then compared to understand which is the lesser cost therefore is more effective. The research result shows that Open Herniotomy gives a smaller …


Pengembangan Model Instrumen Penilaian Kinerja Dokter Spesialis Obsgyn Melalui Analisis Kinerja Di Rumah Sehat Ibu Dan Anak Budi Kemuliaan, Titi Setyorini Feb 2016

Pengembangan Model Instrumen Penilaian Kinerja Dokter Spesialis Obsgyn Melalui Analisis Kinerja Di Rumah Sehat Ibu Dan Anak Budi Kemuliaan, Titi Setyorini

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The purpose of this studyis to develop an instrument that appropriate to measured Obstetrician and Gynecologist performance in Budi Kemuliaan Hospital through Performance Analysis. Descriptive study with qualitative method aims to constructed a Performance Appraisal’s Instrument. A convenience Informan of Obstetrician and Gynecologists and stakeholders in Budi Kemuliaan Hospital participated in this study. This study successfully developed a valid method to constructed a Performance Appraisal’s Instrument in Budi Kemuliaan Hospital by using Nominal Group Technique Method. A performance appraisal’s instrument contains 8 (eight) specific measurable criteria for Obstetrician and Gynecologists using the JCAHO’s six competencies to evaluated Medical Doctors performance …


Faktor-Faktor Yang Berhubungan Dengan Motivasi Kerja Pegawai Tetap Di Rumah Sakit Umum Daerah Kabupaten Penajam Paser Utara Kalimantan Timur Tahun 2014, Sisvana Damayanti Feb 2016

Faktor-Faktor Yang Berhubungan Dengan Motivasi Kerja Pegawai Tetap Di Rumah Sakit Umum Daerah Kabupaten Penajam Paser Utara Kalimantan Timur Tahun 2014, Sisvana Damayanti

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The study aims to determine the relationship between the characteristics of a permanent employee, factors satisfiers and dissatisfiers factors on employee motivation remains in District General Hospital North Penajam Paser. The study was conducted in May and June 2014 using a questionnaire with closed questions. Analyses were performed quantitative approach with a cross-sectional study design. The sample of the study was 138 from 181 people of the total population. The results of this study indicate that as many as 57,2% of respondents have less motivation to work better, and 42,8% of respondents have a good motivation to work, as well …


Analisis Kebutuhan Tenaga Perawat Unit Pelayanan Intensif Berdasarkan Beban Kerja Dan Kompetensi Di Unit Pelayanan Intensif Rumah Sakit Dr Oen Solo Baru Tahun 2015, Antonny Halim Gunawan Feb 2016

Analisis Kebutuhan Tenaga Perawat Unit Pelayanan Intensif Berdasarkan Beban Kerja Dan Kompetensi Di Unit Pelayanan Intensif Rumah Sakit Dr Oen Solo Baru Tahun 2015, Antonny Halim Gunawan

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Nurses, as human resources for health also contribute greatly to the health services in hospitals and to provide services directly to patients. Nursing services at Intensive Care Unit has to be developed along with the technology development. Therefore, there is a need to concern the effieciency of nurses in term of quantity and competencies. This research discussed about the needs analysis nursing staff in the Intensive Care Unit of dr. Oen Solo Baru Hospital based on workload (using time and motion technique to 7 nurses then processed by Ilyas Methods) and work competencies based on Aditama 2007 and Ilyas (depth …


Analisis Faktor-Faktor Yang Berhubungan Dengan Keinginan Pindah Kerja Perawat Rumah Sakit X Balikpapan Tahun 2014, Susila Indrayani Feb 2016

Analisis Faktor-Faktor Yang Berhubungan Dengan Keinginan Pindah Kerja Perawat Rumah Sakit X Balikpapan Tahun 2014, Susila Indrayani

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

This is a descriptive analytical study with quantitative and qualitative design aim to descripe and analysis factors related to move out of nurses at the X hospital Balikpapan. The study collected using questionnaire to 199 nurses, followed by in-depth interviews to 5 senior management, 1 chief ward and 1 secretary of nursing committe of hospital. Career development, compensation, and communication are the mean factors related to the intention to move out, communication is the most factor influencing the intention to move out. Qualitative methode validated the important communication between the management and the nurses which is not in a good …


Analisis Faktor-Faktor Yang Berhubungan Dengan Efektivitas Komunikasi Perawat Dan Pasien Di Ruang Rawat Inap Rumah Sakit Harapan Mulia Kabupaten Bekasi Tahun 2015, Prasetyaningtyas Agustrianti Oct 2015

Analisis Faktor-Faktor Yang Berhubungan Dengan Efektivitas Komunikasi Perawat Dan Pasien Di Ruang Rawat Inap Rumah Sakit Harapan Mulia Kabupaten Bekasi Tahun 2015, Prasetyaningtyas Agustrianti

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The study aims to determine the factors associated with the effectiveness of nurse and patient communication atinpatient unit in Harapan Mulia Hospitallocated in Bekasi Regency.It is a quantitative study with cross-sectional design.Samples are the total population amounted to 30 nurses with 60 patients as respondentsconducted in March - May 2015. The results showed that 53.3% of patients perceived that nurses’s communication was effective, further analysis with logistic regression showed no significant relationship between the characters nurses, physical and mental fatigue, language, leadership and management support for hospitals, facilities and reward with the nurses and patients communication effectiveness.


Analisis Faktor Yang Berhubungan Dengan Waktu Tunggu Pemeriksaan Foto Toraks Pasien Rawat Jalan Di Instalasi Radiologi Rumah Sakit Dr. Mohammad Hoesin Palembang Tahun 2015, Muhammad Yusri Oct 2015

Analisis Faktor Yang Berhubungan Dengan Waktu Tunggu Pemeriksaan Foto Toraks Pasien Rawat Jalan Di Instalasi Radiologi Rumah Sakit Dr. Mohammad Hoesin Palembang Tahun 2015, Muhammad Yusri

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Department of Radiology Dr. Mohammad Hoesin hospital in Palembang 2014, many patients perform chest x ray examination, whom were patients radiographic outpatient. The waiting time radiographic services in RSMH not in accordance with the Standard Minimum Service Hospital less than 3 hours. This study aims to determine the factors associated with waiting time chest X-ray. This research was conducted by measuring the waiting time to 68 selected respondents The result showed radiographic waiting time 184.44 minutes. Based on statistical test found the waiting time in the reading room is the photo that most affect the length of waiting time radiographic.


Analisis Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Pasien Tuberkulosis Paru Tahap Lanjutan Untuk Minum Obat Di Rs Rumah Sehat Terpadu Tahun 2015, Dewi Hapsari Wulandari Oct 2015

Analisis Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Pasien Tuberkulosis Paru Tahap Lanjutan Untuk Minum Obat Di Rs Rumah Sehat Terpadu Tahun 2015, Dewi Hapsari Wulandari

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

This research discussed on the This thesis aims to determine the factors that associated compliance patien lung Tuberculosis to swallowing drug at Rumah Sehat Terpadu Dompet Dhuafa Hospital 2015This research used mix methods approach with cross sectional design. This research found that there is still non compliances patient lung tuberculosis to swallowing medicine. The compliance is related on behavior (Predisposisi, Enabling, dan Reinforcing) and non behavior factor. To increase the compliance this research suggest to hospital support fot TB DOTS program, intens of counseling, support the PMO, availability of drug, and frequent recording dan reporting.


Penggunaan Konsep Lean Untuk Meningkatkan Efisiensi Pelayanan Instalasi Farmasi Rawat Jalan Di Rumah Sakit Anna Medika Bekasi, Dima Lintya Siti Karima Zahra Oct 2015

Penggunaan Konsep Lean Untuk Meningkatkan Efisiensi Pelayanan Instalasi Farmasi Rawat Jalan Di Rumah Sakit Anna Medika Bekasi, Dima Lintya Siti Karima Zahra

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The National Health Insurance which was launched on January 1, 2014, is a form of transformation and reformation of health services in Indonesia. In implementation of the JKN, Hospital Pharmacy Installation is forced to improve its quality service sustainably in order to achieve cost effective and efficient service. Lean is a management system that fully focuses on effiency with the objectives to reduce stock, service cycle time and cost. Research was conducted on outpatient pharmacy installation service at Anna Medika Bekasi Hospital in April to May 2016. It focuses on prescription process flow of non-pulvis medicine using action research method …


Analisis Kualitas Dan Kuantitas Tenaga Keperawatan Terhadap Persepsi Insiden Keselamatan Pasien Di Rs X Jakarta Tahun 2015, Evelyne Sumihar Friyanti Oct 2015

Analisis Kualitas Dan Kuantitas Tenaga Keperawatan Terhadap Persepsi Insiden Keselamatan Pasien Di Rs X Jakarta Tahun 2015, Evelyne Sumihar Friyanti

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Patient safety has become a very important issue in health care. Everyone wants to get health care that is safe and free from unwanted injuries. Through this study, analyzed the quality and quantity of nurse perceptions of patient safety incidents in the hospital X. The study was conducted on 44 nurses and midwives using cross sectional design to examine the relationship between the variables of knowledge, education, ease of use tools, work experience, discipline and the number of nurses on patient safety incidents.


Analisis Besaran Biaya Obat Beberapa Penyakit Rawat Jalan Dan Faktor- Faktor Yang Mempengaruhi Di Rs. Awal Bros Bekasi Tahun 2014, Hastuti Hadiningsih Oct 2015

Analisis Besaran Biaya Obat Beberapa Penyakit Rawat Jalan Dan Faktor- Faktor Yang Mempengaruhi Di Rs. Awal Bros Bekasi Tahun 2014, Hastuti Hadiningsih

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The background of this study is the high bill outpatient drug costs when compared with the costs borne by BPJS by embracing INA CBG's tariff system. So, we need a more in-depth analysis of the factors that affect the amount of health care costs. This study uses a cross-sectional study with quantitative methods, by looking at factors of age, sex, prescription drugs, doctor and health insurance status in accordance with the secondary data obtained through medical records and bills medicine outpatient services. And based on the results of the study, factors that affect the cost of the drug is age, …


Analisis Alur Proses Penerimaan Pasien Rawat Inap Di Rumah Sakit “X” Tahun 2015 Dengan Pendekatan Lean Hospital, Pretty Kristianti Dewi Oct 2015

Analisis Alur Proses Penerimaan Pasien Rawat Inap Di Rumah Sakit “X” Tahun 2015 Dengan Pendekatan Lean Hospital, Pretty Kristianti Dewi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Lean hospital is lean methods used in hospitals, is a continuous effort made to eliminate waste and increase value added in patient care in hospitals. This method is very appropriate to analyze the process flow of inpatient admission in "X" hospital by making Current State Value Stream Map derived from observation, interviews and review of documents. Then through the application of Lean Tools, Future State Value Stream Map was made as the idea of improvement for short and medium/long term in the process. The results showed there were 31 total events with value added time process is just 44,9% at …


Analisis Sistem Penyelenggaraan Rekam Medis Di Instalasi Rekam Medis Rs “X” Tangerang Periode April-Mei 2015, Novita Nuraini Jun 2015

Analisis Sistem Penyelenggaraan Rekam Medis Di Instalasi Rekam Medis Rs “X” Tangerang Periode April-Mei 2015, Novita Nuraini

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

This study aims to analyze the medical records implementation system (input, process, output, feedback and control) in the "X" Hospital Tangerang period from April to May 2015. This research is a mixed method. The data collected by observation, interview, documentation. Results: The medical record system implementation was not running optimally so this is due to produce output completeness of medical record file is only 55.2%, while the timeliness of the provision of medical record file is only 31%. This relates to the control and the process does not complete the analysis of the file. Suggestion: Hospital activate Control Committee of …


Kelengkapan Resume Medis Dan Kesesuaian Penulisan Diagnosis Berdasarkan Icd-10 Sebelum Dan Sesudah Jkn Di Rsu Bahteramas, Fera Retno Mangentang Jun 2015

Kelengkapan Resume Medis Dan Kesesuaian Penulisan Diagnosis Berdasarkan Icd-10 Sebelum Dan Sesudah Jkn Di Rsu Bahteramas, Fera Retno Mangentang

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Medical resume is the summary of the whole medical treatment and care provided by medical doctor to patient. Completeness of medical resume is the reflection of the quality of medical record and serives provided by hospital. Diagnostic must be completely written in accordance with ICD-10. This research used mix method, with cross sectional quantitative method to find out the relation between the characteristic of medical doctor with the completeness of the medical resume and compliance with the diagnostic guidelines based on ICD-10. Result of the research proved that there is a relation between the characteristic of medical doctor with the …


Analisis Implementasi Kebijakan Dokter Spesialis Jaga On Site Di Instalasi Gawat Darurat Rumah Sakit Dr. Mohammad Hoesin Palembang, Kms Anhar Jun 2015

Analisis Implementasi Kebijakan Dokter Spesialis Jaga On Site Di Instalasi Gawat Darurat Rumah Sakit Dr. Mohammad Hoesin Palembang, Kms Anhar

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Since the introduction of the National Health Insurance Program January 1, 2014 has been an increase in patients visit to hospital-government hospitals. Emergency Department (ED) Hospital is a unit leader in the provision of hospital services. The increasing amount of patients visit especially in dr. Moh. Hoesin Palembang (RSMH) raises complex issues which experienced by other hospitals both at world, national and regional. Although the problems in the ED is complex they still expected to provide a certifiable quality service in accordance with the Decree of the Minister of Health no. 856 in 2009 about ED service standards. The problems …


Analisis Biaya Satuan Dan Kualitas Hidup Penderita Gagal Ginjal Kronik Yang Menggunakan Tindakan Hemodialisis Di Rumah Sakit Tebet Tahun 2015, Anggun Nabila Jun 2015

Analisis Biaya Satuan Dan Kualitas Hidup Penderita Gagal Ginjal Kronik Yang Menggunakan Tindakan Hemodialisis Di Rumah Sakit Tebet Tahun 2015, Anggun Nabila

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The research aims to describe unit cost of hemodialysis and quality of life of Chronic Kidney Disease patients who use hemodialysis as a therapy at Tebet Hospital in 2015. Unit cost is calculated based on hospital perspective. Developing questioner of quality of life of Chronic Kidney Disease (CKD) patients (Dialysis Health Related Quality of Life) and clinical pathway of hemodialysis. Dialysis Health Related Quality of Life has 13 dimensions (sense of taste, sleep disorders, mobility, fatigue, anxiety, emotional, pain, self-care, daily activities (working, shopping, study, travelling, etc), communication, social interaction, being isolated, the burdens of others), measuring utility and time …


Pengaruh Kepemimpinan Manajemen Rumah Sakit Dalam Iklim Keselamatan Pasien Di Rumah Sakit Sentra Medika Cibinong Tahun 2013, Regina Angelia Suwignjo Jun 2015

Pengaruh Kepemimpinan Manajemen Rumah Sakit Dalam Iklim Keselamatan Pasien Di Rumah Sakit Sentra Medika Cibinong Tahun 2013, Regina Angelia Suwignjo

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Transformational leadership as one of leadership style become the most important factor to build a patient safety culture in hospital environment and ensure the program will run succesfully to promote patient safety hospital services. The transformational leadership style indicator is intellectual stimulation, inspirational motivation, idealized influence, and individual consideration. Indicator of patient safety climate is management commitment, employee empowerment, reporting system, reward system and organizational identity. The aim of the study was to obtain every leadership factor that affect patient safety climate and which one is the most prominent leadership factor that influenced the patient safety climate in Sentra Medika …


Analisis Konsep Lean Thinking Pelayanan Laboratorium Pada Pasien Ugd Rs Masmitra Bekasi, Relia Sari Jun 2015

Analisis Konsep Lean Thinking Pelayanan Laboratorium Pada Pasien Ugd Rs Masmitra Bekasi, Relia Sari

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Thesis describes the improvement of quality and laboratory services at. Masmitra Hospital through Lean method which aims to create value by reducing errors and waiting time. This study is a qualitative analytical research method by observation, interviews and data analysis to analyze the flow process of laboratory services for ER patients. The results showed that laboratory services at Masmitra Hospital still found delays which is prooven on the Current State Value Stream Map where 39% of the activities are non-value - added and 7 types of waste as well as through the aplication of Lean Tools has created improvement ideas …


Analisis Budaya Organisasi Dan Budaya Keselamatan Pasien Sebagai Langkah Pengembangan Keselamatan Pasien Di Rsia Budi Kemuliaan Tahun 2014, Afrisya Iriviranty Jun 2015

Analisis Budaya Organisasi Dan Budaya Keselamatan Pasien Sebagai Langkah Pengembangan Keselamatan Pasien Di Rsia Budi Kemuliaan Tahun 2014, Afrisya Iriviranty

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Establishing patient safety culture is the first step in patient safety improvement.Therefore we need an assessment of patient safety culture in hospitals. Patient safety culture is part of the organizational culture, so that the study of organizational culture needed to be a guidance in developing patient safety. The aims of this study is to determine the patient safety culture among clinical staff in RSIA Budi Kemuliaan and identify organizational culture profiles. This study is descriptive with qualitative interpretation and analysis. It was found that teamwork within the unit is the strongest dimension of patient safety culture. While staffing and non-punitive …