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Sejak tanggal 20 April 2000 yang lalu, pemerintah telah memberlakukan Undang-Undang Republik Indonesia Nomor 8 Tahun 1999 tentang Perlindungan Konsumen (UUPK). Sebenarnya sebelum UUPK, sudah ada produk hukum yang memberikan perlindungan terhadap konsumen, salah satu diantaranya adalah Undang-Undang Republik Indonesia Nomor 23 tahun 1992 tentang Kesehatan (UUK). Pada bidang kesehatan, pasien selaku penerima jasa layanan dapat disebut sebagai konsumen, sedangkan rumah sakit sebagai institusi pemberi layanan dapat disebut sebagai pelaku usaha. Majunya sistem informasi yang ditunjang dengan semakin tingginya tingkat pendidikan dan kesadaran masyarakat terhadap hukum, membuat mereka semakin mengerti dan berani menuntut haknya apabila mereka dirugikan. Untuk itu, RSUP Fatmawati sebagai salah satu rumah sakit pemerintah yang akan diPERJANkan telah melakukan beberapa upaya antisipasi, diantaranya adalah penataan peraturan internal sesuai dengan jenis, jumlah dan fasilitas layanan. Instalasi Rawat Jalan (IRJ) merupakan salah satu sumber dana rumah sakit yang setiap hari melayani pasien dalam jumlah besar. Keadaan ini membuat peluang untuk terjadi gugatan semakin besar. Untuk memperkecil kemungkinan tersebut, perlu dilakukan analisa peraturan internal yang sejalan dengan ketentuan UUPK dan UUK serta peraturan perundangan lain, sehingga mutu layanan dapat diperbaiki dan ditingkatkan. Disain penelitian yang dilakukan adalah penelitian deskriptif dengan model penelitian survey pada bulan Juni dan Juli 2001 di IRJ RSUP Fatmawati. Dari hasil penelitian tersebut dapat disimpulkan bahwa: 1. Sebagian besar peraturan internal IRJ RSUP Fatmawati bagi perlindungan pasien dan rumah sakit sudah sejalan dengan ketentuan UUPK dan UUK serta peraturan perundang-undangan lain yang berlaku. 2. Semua peraturan internal IRJ RSUP Fatmawati bagi perlindungan pasien dan rumah sakit sudah dapat diterapkan walaupun pada kondisi tertentu ada beberapa peraturan yang tidak dapat diterapkan sepenuhnya. 3. Masukan masyarakat terhadap peraturan IRJP RSU Fatmawati yang disampaikan melalui loket pengaduan, tata usaha IRJ RSUP Fatmawati dan kotak saran periode April 2000 sampai dengan April 2001, sebagian besar mengeluhkan pelayanan umum/askes tidak/kurang baik/profesional. Sedangkan sebagian kecil lainnya mengeluhkan akan sikap dokter/petugas tidak ramah, dokter datang terlambat dan waktu pelayanan yang lama/lambat. 4. Sebagian besar saran yang diberikan oleh pelanggan adalah peningkatan pelayanan pasien umum/askes, jumlah dokter/petugas ditambah dan perbaikan perilaku dokter/petugas. 5. Sebagian besar rekomendasi yang diberikan peneliti berdasarkan analisa peraturan internal IRJ RSUP Fatmawati bagi perlindungan pasien dan rumah sakit adalah berupa penambahan hak dan atau kewajiban pasien dan rumah sakit. Daftar bacaan: 54 (1986-2001)
Analysis on Internal Regulation of Outpatient Installation at Fatmawati Hospital, on Law of Consumer's Protections 1999 and Law of Health 1992Since 20`h April 2000, government has applied Law No. 8/1999 about Law of Consumer's Protections (ULTPK). Actually, prior to UUPK, there were law products, which provided protection to consumer, one among others is Law No. 23/1992 about Health (UUK). In health, patient as recipient of service could be considered as consumer, while hospital as institution of service provider could be considered as business doer. Advance of information system that is supported by the growth of education level and community awareness on law make them more understand and dare to fight for their rights if they are being harmed. In that sense, Fatmawati Hospital which will be being PERJAN, Service Company, has done several anticipation efforts, among others are arrangement of internal regulation according to kinds and service facilities. Outpatient Installation (IRJ) is one fund source of the hospital which everyday provides service to patients in big amount. This situation leads to bigger chance to cause of suit. To minimize such possibility, analysis of internal regulation needs to be done according to the stipulation of UUPK and UUK, and also other regulation of law, so that quality of service can be corrected and improved. Research design that was done is descriptive research with model of survey research, done in June and July 2001 at Outpatient Installation (IRJ) Fatmawati Hospital. Results from the research can be concluded that : 1. Most of internal regulation at outpatient installation of Fatmawati Hospital for patient and hospital protection has run according to the stipulation of UUPK and UUK, and also other applied regulation of law. 2. All of internal regulations at outpatient installation of Fatmawati Hospital for patient protection and hospital have been able to be applied even though at a certain condition there were regulation, which cannot be fully applied. 3. Public input on regulation at outpatient installation of Fatmawati Hospital addressed to counter of complaint, management of outpatient installation of Fatmawati Hospital and box of suggestions for period of April 2000 up to April 2001, most of them complained that public service/health insurance (askes) did not good/less professional. While others complained about unfriendliness attitude of doctors/officers, doctors late coming and service which is longer I slower. 4. Most of suggestions given by customers were improvement of service to general patient/askes, increase quantity of doctors/officers and improvement on attitude of doctors/officers. 5. Most of recommendations given by researcher based on analysis of internal regulation at outpatient installation of Fatmawati Hospital for patient and hospital protection are to increase rights and or obligations of patients and hospital. Bibliography: 54 (1986-2001)
Each state has its own history on the development of hospital, eventhough nowadaysfor many different reason, all countries in the world is talking about governance inhospital. In Indonesia cuurent situation, Indonesian Hospital Law does notspecifically refer to corporate governance, however in the Elucidation of Article 29para (1) point r of the Hospital Law, it is implied that corporate governance waspart of hospital governance. Meanwhile the conception and terminology of corporategovenance in Indonesia belongs to corporation, especially public corporation. Insuch conception, all corporations must comply with Corporate Law, including allcorporations with line of business of hospital. The aim of this research is to provethat there has been a misconception of corporate governance terminology in hospitalmanagement. This research tries to contrast the conception of corporate governanceused in Hospital Law against the Corporate Law. This research uses qualitativeresearch. This reseacrh uses secondary data, with triangulation to maintain validityof result. This research also uses comparative legal method to understand theconcept of corporation and corporate governance in order to explain the applicationof corporate governance in hospital. Result of the research shows that Hospital Lawhas misinterpreted the status of hospital. It has mislead the function of hospital,which shall be seen as a line of business of a corporation. It means that hospital mustbe seen as part of the corporation as organisation and not vice versa. Researcherrecommends to make amendments to some articles of the Hospital Act in order tomake it inline with the prevailing concept and can be consistently applied.Key Words: corporate governance, corporation, governance in hospital, hospital
Metode: Penelitian ini merupakan penelitian observational descriptive denganmenggunakan metode quantitative dan wawancara mendalam. Pengumpulan datasecara quantitative dilakukan dengan cara observasi, yang dilakukan dengan pendekatanwork sampling. Pengumpulan data dilakukan melalui pengamatan terhadap kegiatanyang dilakukan perawat di instalasi rawat inap Rumah Sakit FMC. Samplepenelitiannya adalah seluruh perawat (27 perawat) di instalasi rawat inap. Data dianalisamenggunakan formula Gillies, PPNI, Ilyas dan Douglas.
Hasil: analisa ini menunjukkan bahwa penggunaan waktu produktif terhadap totalwaktu kerja kerja selama observasi 7 hari sebesar 64,87%. 28,11% digunakan untukaktifitas keperawatan langsung dan 36,11% digunakan untuk aktifitas keperawatan tidaklangsung. Dapat disimpulkan bahwa penggunaan waktu produktif oleh perawat masihrendah. Berdasarkan penggunaan waktu produktif yang dianalisa menggunakan formulaGillies, PPNI, Ilyas dan Douglas rata-rata tenaga keperawatan yang dibutuhkan adalah22 perawat.
Kesimpulan: Jumlah optimal kebutuhan tenaga perawat yang dibutuhkan di instalasirawat inap Rumah Sakit FMC sebanyak 22 orang perawat. Hal ini menunjukkan adanyakelebihan jumlah perawat di instalasi rawat nap Rumah Sakit FMC sebanyak 5 orangperawat.
Kata kunci: beban kerja, work sampling, perawat
Background: Professional management is needed to determine the type as well as thequality of the human resources to assure the quality productive hospital services.Nurses, as one kind of the resources in hospital, act as a frontline service that should beplanned. This study aimed at finding out of workload and the optimal number ofnurses in the inpatient instalasi at FMC hospital 2018.
Method: This research is a descriptive observational study using quantitative methodand deep interview. Quantitative data collection observation was done by using worksampling approach. Data were collect through observation of nurses activities atinpatient instalasi at FMC hospital will be observed for seven days. Samples were allnurses (27 nurses) at inpatient instalasi. The data were analyzed using Gillies,Indonesian nurses association, Ilyas and Douglas formulas.
Results: The analysis showed that using the total productive activities time wereobserved for seven days at 64,87%. 28,76% is used for direct nursing activities and36,11% is used for indirect nursing activities, it was conclude that the productive timeuse of the nurses still very low. Based on the productive working hours that analyzedusing Gillies, Indonesian Nursse Association, Ilyas and Duoglas formulas, average onlytwenty two nurses needed.
Conclusion: The optimal number of nurses needed in the inpatient instalasi at FMChospital is twenty two nurses. This means that there are an excessive number of nursesas five nurses.
Keywords: workload, work sampling , nurses.
This Research aims to determine patient satisfaction on service of ambulatory care Installation at Drug Dependence Hospital Jakarta in year 2010 and the factors associated with patient satisfaction, ie, patient characteristics and service in ambulatory care installation. The method of this thesis is cross sectional analytic study on 110 patients that used univariate analysis, bivariate and multivariate analysis. Chi square and logistic regression is used as statistic test.
The research results that 64% respondents who expressed satisfaction. There are three dominant variables of patient characteristics that are related to occupation, income and education. There are three dominant variables of ambulatory services related with satisfaction, that are environmental infrastructure in the waiting room, nursing services, and physician services. By patients characteristics this research informed that requiring community services more customer-oriented, communicative, fast, responsive, and competence and quality of the service implementation.
Rumah Sakit Pertamina Jaya (RSPJ) merupakan rumah sakit setara tipe C+ yang pada awalnya hanya memberi pelayanan kepada karyawan, keluarga Pertamina serta perusahaan yang berhubungan dengan Pertamina. Dengan perubahan status RSPJ menjadi salah [p;'-09satu unit usaha Peramedika, maka pihak manajemen RSPJ mempunyai kesempatan yang lebih luas untuk mengembangkan pengelolaan rumah sakit dengan mandiri yaitu dengan menerima pasien Non Pertamina. Penelitian ini dilatarbelakangi oleh perbandingan yang ekstrem antara kunjungan pasien Pertamina dan Non Pertamina pada poli Rawat Jalan RS Pertamina Jaya Tahun 2006 yang mencapai kurang lebih 85 :15. Faktor tersebut mendorong penulis untuk melakukan penelitian di bidang pemasaran rurnah sakit dalam hal ini RS Pertarnina Jaya khususnya tentang segmentasi,target dan posisi RS Pertamina Jaya sehingga diharapkan terjadinya peningkatan kunjungan pasien Non Pertamina. Tujuan dari penelitian ini adalah mendapat informasi mengenai segmen pasar Rumah Sakit Pertamina Jaya sebagai dasar analisa penetapan segrnentasi, target, posisi pasar sehingga selanjutnya dapat direncanakan strategi pemasaran untuk meningkatkan kunjungan pasien Non Pertamina. Penelitian dilakukan dengan melakukan survei kepada 150 pasien poli rawat jalan RS Pertamina Jaya, bersifat deskriptif dengan pendekatan gabungan kuantitatif yaitu pengumpulan data melalui kuesioner untuk mengetahui segmentasi pasar dan kualitatif dengan analisa hasil wawancara mendalam kepada pihak manajemen RSPJ untuk mengetahui segrnentasi, target dan posisi rumah sakit. Hasil penelitian segmentasi demografi, geografi dan psikografi diperoleh bahwa profil pasien Non Pertamina yang berobat ke poli Rawat Jalan RSPJ adalah dari segmen menengah ke atas, dengan rincian jenis kelamin perempuan, usia produktif yaitu. 15 -
Pertamina Jaya Hospital (Rumah Sakit Pertamina Jaya RSPJ), as the member Pertamedica's Strategic Business Unit, was established to provide medical services particularly for their traditional customer, i.e the employees of Pertamina with their family and any company who has business relationship with Pertamina. Considering current development, however, as C+ Class Hospital, RSPJ may extend their services by receiving non traditional customer, that is, Non Pertamina patients. Background of the research was the extreme composition of 85% : 15% of "Pertamina" and "Non Pertamina" at Outpatient Clinic RSPJ in the year of 2006. As the objective of this research is to get clear market segmentation of RSPJ, and at the end, to define sound marketing plan (segmentation, targetting, and positioning) in order to increase the incoming of Non Pertamina Patient. The data for the research was collected through questionaire, descriptive with the approach of combining either quantitative and qualitative, towards 150 patients who visited Outpatient Policlinic R,SPJ 2006. To provide a comprehensive result, indepth interview was done also with Pertamina Jaya Hospital management. As summary of the result, the profile of Non Pertamina patient that comes to outpatient policlinic Pertamina Jaya Hospital 2006 are from middle to high segment as follows, gender is female, age from 15 -
Kata kunci: Revolusi Industri Keempat, Teknologi Informasi dan Komunikasi, Kualitas Pelayanan Kesehatan, Aplikasi Digital, Sistem Informasi Rumah Sakit
The world is currently on the cusp of Fourth Industrial Revolution which is characterized by the use of information and communication technology for the automation of industrial production. This revolution will impact the entire goods and services industry. Health industries such as hospitals will also be affected. Hospital growth in Indonesia has been increasing approximately by 5.2% since 2012 until April 2018, 17,3% dominated mostly by profit oriented private hospitals. The competition will become tougher. Outpatient care is one of the hospital health services that should be given more attention because it is the entrance and first point of initial contact between patient and hospital. It will reflect the overall quality of hospital services. Large number of outpatient visits and crowded environment will cause various negative effects. Quality of service is one of the driving determinants for the importance and usage of the information technology. It becomes priority in health services industry nowadays. Mobile and wireless technology are amongst the most popular information technology growing and used in health services. As part of the Hospital Information System, this technology will be able to improve the quality of health services in hospital. This research aims to develop a digital application for health services in the Outpatient Department of Santa Maria Hospital Pekanbaru. This is a qualitative study with operational analysis design by conducting in-depth interviews to explore the problems in outpatient health services. Access to health services and information exchange are the main problems found in this study. Features of polyclinic registration, e- consultation, mobile medical records, service information, product information, health education, contact us, reminders and games in a digital application provide an alternative solution to the health service problems in Outpatient Department. The development of this digital application will improve the quality of health services.
Keywords: Fourth Industrial Revolution, Information and Communication Technology, Health Services, Digital Applications, Quality
