Rumah sakit sebagai suatu lcmbaga usaha harus memberikan pelayanan kesehatan yang berorientasi customer satisfaction dan merupakan perpaduan unsur Keramah tamahan., Kecapatan., Ketelitian dan K.enyamanan dalam pelayanannya.Untuk itu Rumah sakit perlu wadah dalam memberikan pelayanan itu yaitu suatu hangunan phisik yang memenuhi persaratan teknis dan kesehatan. Bangunan rumah sakit ini secara prinsip ada dua type sistem desain yaitu Sistem Desain Horisontal dan sistem desaio VertikaL Pada sislem desain horisontal senlua bangunannya disebar secara blok hangunan ke arab laban yang tersedia. Pada sistem desain Vertikal semua hangunan yarg menjalankan fungsi medis disehar kearah Vertikal keatas. Tujuan dari penelitiaan ini adalah un!uk mengkaji besar biaya pemhangunan dari dua sistem diatas serta untuk mengetahui efek.tifitasnya dari masing-masing sitem. Metode yang dipakai adalah menggunakan obyek Rumah Sakit Islam Jakarta yang menggunakan konsep desain sec.ara borisontal, Kemudian dibuatkan simniasi desain secara horiosntal dibandingkan der gan Simulasi desain seeam vertikal dari rumah sakit obyek tersebut. Kemudian dilakukan Analisa perhitungan biaya dan Analisa Efektifitas Biaya.

Hospital as business institution must give good services in health care which is oriented to the Customer satisfaction and include of some attitude such as Kindly., Speed accurate and convenience services. Hospital must have good building for supporting medical services that follow technical and healthy requirement. Principally hospital building is using two design system consist of design system horizontal and vertika) system. The Horizontal design system commonly conctructs buildings in horizontal direction on wide ground. The Vertical design system commonly constructs buildings in vertical direction or above manner on certainty ground. The aim of study is to observe and calculate two design prototype horizontal and vertical system of building in Cost Effectiveness. Methods used in this study is observe and calculate base on the exiting Jakarta Islam hospital as horizontal design object. Then design sumulation for Horizontal system should be made and compare with vertical simulation design hollding in 4 th stories. The two prototype design will be calculated in cost for construction. ThenAnalysis of Cost effectiveness will be calculated.

Rumah Sakit memiliki fungsi sosial dan fungsi ekonomi. Dalam menjalankan fungsi sosialnya rumah sakit berkewajiban memberikan pelayanan kepada semua lapisan masyarakat tanpa terkecuali. Dalam menjalankan fungsi ekonominya, rumah sakit membutuhkan cashflow yang sehat untuk dapat membiayai operasionalnya. Sehingga rumah sakit dituntut untuk meningkatkan pendapatan sekaligus melakukan efesiensi agar tercapai margin yang optimal dengan tarif yang terjangkau oleh masyarakat. Rumah Sakit Islam Bogor selama ini belum pernah melakukan analisa biaya, sehingga penetapan tarif belum berdasarkan pada biaya satuan. Penelitian ini dilakukan untuk mengetahui total biaya di Kelas I Mina , jumlah kegiatan di Kelas I Mina, biaya satuan aktual dan normatif di Kelas I Mina, CRR di Kelas IMina, ATP dan tarif rumah sakit pesaing. Penelitian ini merupakan studi kasus dengan pendekatan kuantitatif, menggunakan metode analisa biaya yang digunakan adalah metode Double Distribution untuk menghitung biaya satuan. Data yang diperlukan adalah data sekunder. Hasil penelitian memperlihatkan bahwa total biaya di Kelas I Mina adalah Rp.352.428.437 dengan jumlah kegiatan (LHR) 826, biaya satuan aktual sebesar Rp 426.689 dan biaya satuan normatif Rp.251.828.CRR aktual 68% dan CRR normatif 115%. Bila dibandingkan dengan tarif pesaing, terlihat tarif yang berlaku saat ini di Kelas I Mina cukup rendah, sehingga rumah sakit ini masih mempunyai kesempatan untuk menaikan tarif. Dengan tarif awal Rp.290.000, kemampuan membayar masyarakat di Kab.Bogor sebanyak 55% dan di Kotamadya Bogor 65%.  Bila dilihat dari tarif rumah sakit pesaing pada Kelas I, maka tarif yang digunakan sebagai pembanding dalam pembuatan simulasi tarif adalah Rp.400.000. Usulan tarif yang digunakan dalam penetapan tarif adalah Rp.390.000 dengan CRR yang sudah mengalami peningkatan dari tarif awal yaitu 91%. dan kemampuan membayar masyarakat di Kab. Bogor sebanyak 35% dan di Kotamadya Bogor 50%. Hasil penelitian ini diharapkan merupakan informasi awal dan dapat ditindaklanjuti oleh Rumah Sakit Islam Bogor dalam melakukan analisa biaya satuan dan penetapan tarif untuk unit produksi lainnya, sehingga efektivitas dan efesiensi dapat berjalan dengan baik. Daftar Pustaka :   45  (1986 – 2010)

Hospital has a functioning social and economic functions. In carrying out its social functions hospitals are obliged to provide services to all segments of society without exception. In carrying out its economic functions, the hospital requires a healthy cash flow to finance its operations. So that hospitals are required to increase income and efficiency in order to achieve optimal margins at rates affordable by the community. Bogor Islamic Hospital there has not yet been analyzing the cost, so that tariffs have not been based on unit costs. The research  was conducted to determine the total cost of the Class I Mina, the number of activities in Class I Mina, the actual unit costs and normative in Class I Mina, CRR in Class I Mina, ATP and rates hospital competitors. This study is a case study with a quantitative approach, using cost analysis method used is the Double Distribution method for calculating the unit cost. Necessary data is secondary data. The results showed that the total cost of the Class I Mina is Rp.352.428.437 by the number of activities (LHR) 826, the actual unit cost of Rp 426,689 and the normative Rp.251.828.CRR actual unit costs 68% and 115% CRR normative. When compared with competitors' rates, visible current rates in Class I Mina quite low, so that the hospital still has a chance to raise rates. With the initial tariff Rp.290.000, the ability to pay people in Kab.Bogor by 55% and 65% in Kotamadya Bogor. When viewed from the hospital fare competitors in Class I, then the tariff is used as a comparison in the manufacturing simulation rate is 400,000. The proposed tariffs are used in the determination of tariff is Rp.390.000 with CRR already increased from the initial rate of 91%. and ability to pay people in Kab. Bogor as much as 35% and 50% in Kotamadya Bogor. The results of this study is preliminary information and is expected to be acted upon by the Islamic Hospital in Bogor conduct unit cost analysis and tariff setting for another production unit, so the effectiveness and efficiency can be run properly. References    :  45  (1986 - 2010)

Pergeseran peta pemasaran Indonesia dari pasar rasional ke pasar emosional bahkan ke pasar spiritual berdampak pada perubahan pola nilai konsumen. Masyarakat muslirn sebagal komunitas terbesar di Indonesia clan begitu pula di Kota Depok jumlahnya mencapak 91,94%, diperkirakan sebagai pasar potensial untuk bisnis Islam termasuk juga di bidang perumahsakitan. Untuk itu perlu dilakukan analisis potensi pasar dan atribut pelayanan rumah sakit Islam. Penelitian ini ditujukan untuk mengetahui gambaran karakteristik potensi pasar rumah sakit Islam di kota Depok secara demografis dan geografis, pola pemanfaatan layanan kesehatan, atribut pelayanan rumah sakit Islam harapan masyarakat muslim Depok, meliputi atribut fiskk, SDIvI, fasilitas, pembiayaan, dan atribut lokasi. Desain penelitian bersifat deskriptif analitik dengan pendekatan kuantitatif menggunakan metode survey melaiui self administered questionaire. Sampel berjumlah 120 diambil dari pasien yang berobat di rumah sakit yang ada di Kota Depok. Selain itu dilakukan pendekatan kualitatif dengan indepth interview kepada pakar terkait (expert judgment) untuk memperoleh masukan tentang atribut pelayanan rumah sakit Islam dari menggali lebih jauh informasi lain yang terkait. Dari hasil penelitian diketahui identitas responden terbanyak berusia 20-39 tahun, wanita lebih banyak dari pria, berpendidikan akademi keatas, mayoritas berkeluarga, mayoritas tinggal di Kecarnatan Sukmajaya dan Cimanggis, umumnya karyawan swasta, profesi dan ibu rumah tangga, berpendapatan 1-5 juta per bulan, dari alokasi untuk kesehatan kurang dari 100 ribu per bulan dan mayoritas berasal dari kantong sendiri. Pola pemanfaatan rumah sakit umumnya memiIih kelas I dan keIas 11 13i/a rawat map, memilih rumah saki( karena pelayanan dokter¬perawat, fasilitas yang bersih dari suasananya yang nyaman. Semua responden mengatakan perlu adanya rumah sakit Islam di Kota Depok, namun pertimbangan bersedia berobat bila pelayanan baik, fasilitas lengkap dan tarif terjangkau. Attribute pelayanan rumah sakit Islam pilihan responden bersifat universal clan spesifik. Atribut yang universal merupakan bentuk-bentuk pelaya.nan yang diinginkan konsumen di rumah sakit pada umumnya. Atribut spesifik yang mencirikan pelayanan Islarni dad fisik meliputi tampiian SDM reenutup aurat, tata ruang dapat menjaga privasi, ada petunjuk arah kiblat di kamar, petunjuk dan perlengkapan wudhu untuk pasien, disain interior Islami, mushola dan tempat berwudhu di setiap /antai. Atribut fasilitas berupa bimbingan pasien kritis oleh petugas khusus, tersedia perlengkapan ibadah bagi pasien yang sakit berat, dark bimbingan ruhani untuk pasien serta keluarga. Atribut tarif berupa komitmen tetap melayani pasien tak mampu, kerjasama dengan Lernbagn Amil Zakat untuk subsidi dhikafa, bentuk pelayanan tidak dipengaruhi tarifkelas dan tidA sepenuhnya profit oriented. Dari basil in-depth interview pa/car diforrnulasikan atribut pelayanan rurnah sakit Islam yang bersifat universal dan spesifik. Atribut pelayanan rumah sakit Islam spesifik meliputi aspek fisik : mengikuti kaidah rumah Islam, hadir eorak Islam, tidak mewah, tataruang sesuai pelayanan gender, dilengkapi masjid atau mushola yang pantas dan mudah diakses; aspek SDM berupa salam, intens melafazkan Basmallah, Alhamdulillah, Insyaallah, mendoakan pasien, sanggup lakukan pelayanan berdasarkan gender, dan pembinaan rutin perilaku Islami SDM. Aspek fasilitas berupa adanya petugas bimbingan ruhani, tersedia sarana audiovisual, tersedia buku doa dan bimbingan ibadah pasien, dan sarana petayanan berbasis gender. Atribut pembiayaan dimana tidak ada pernbedaan tarif berdasarkan kelas, tidak menerapkan uang muka, kerjasama dengan lembaga donasi dhuafa. Atribut prosedur pelayanan medis berupa pelayanan bersalin dengan konsep pure gender, menjaga dan menghormati privasi dan aurat pasien, dan adanya standar operasional prosedur yang memperhatikan aspek layanan gender di kamar operasi atau kamar bersalin. Atribut pelayanan spesilik rumah sakit Islam pilihan responden dan rekomendasi pakar bersifat similar dan sating tnelengkapi. Manajemen rumah sakit Islam peril; mempertimbangkan potensi pasarnya clan merealisasikan atribut universal dan spesiftk agar dapat memberikan petayanan berkualitas yang berciri Islam sesuai harapan dan kebutuhan pasarya.

The shifting of Indonesian market position from rational to emotional market and even to spiritual one has result in the change of customers appraise pattern. Muslim community as the largest population in Indonesia, and in the city of Depok with the percentage of 91.94 out of the total population, is considered as a prospective market for Islamic dcaling including hospital business. Hence, it is significant to investigate the market potency and the service attributes of the Islamic hospitals. This research is designated to identify the characteristic description of market strength of Islamic hospitals in the City of Depok demographically and geographically, the pattern utilization of health services, the service attributes of Islamic hospitals expected by Muslim community in Depok, including physical attributes, human resources, facilities, cost, and location attribute. The design of study is analytic descriptive with quantitative approach using survey method through self administered questionnaires. The number of samples was 120 taken from the patients nursed in the hospitals in Depok. In addition, qualitative approach was conducted with in-depth interview of the related experts (expert judgement) to get input about service attributes of the Islamic hospitals and to investigate correlated information further. It was identified from the research that the major respondent identity was between 20 to 39 years old, and the number of women was more than men, graduates of higher education or above, majority were married, living in the Sub-District of Sukmajaya and Cimanggis, generally were private employees, professionals, and unwaged mothers, having family income of 1.5 millions rupiah per month with the budget allocated for their healthiness less than 100 thousands rupiah per month, and majority was taken from their own pockets. The pattern of hospital utilisation was generally preferring first and second classes for staying in the hospital, choosing the hospitals due to doctors' and nurses' services, clean facilities, and comfort place. All respondents said that it was important to have Islamic hospitals in the City of Depok, but considering that they are ready to go to the hospital if the services are good, the facilities are complete, and the cost is low-priced. The attributes of service of Islamic hospitals selected by the respondents were universal and specific. The universal attributes were the service models preferred by the consumers in the hospitals in general. The specific attribute which indicated Islamic services physically comprised: the appearance of personnel wearing Muslim costumes, layout of the rooms which keeps customers' privacy, availability of sign of the direction of kiblah in the room, availability of the instructions and kits to take ablution for the patients, !skunk interior design, and availability of prayer room and place for taking ablution in each floor. The attributes of facilities included guide for critical patients by particular staff, availability of prayer facilities and costumes for prayer for serious patients, and religious guide for the patients and their family. The attributes or price were the commitment to serve unfortunate patients, collaboration with the charity organizations, such as: Lembaga Amil Zakat (LAZ) to subsidize the needy; the services are not influenced by the class tariff and not fully profit-oriented. Universal and specific attributes of service of Islamic hospitals were formulated from the result of experts' in-depth interview. The specific attributes of service include physical aspects: complying with the rules of Islamic home, presenting the Islamic features, not-luxurious, room lay-out is according to sexual category (gender) service, providing easily-accessed mosque or prayer room, salaam (Islamic-salutation) as human aspect, frequently reciting Bismillah, Allhamdulillah, and Insya-Allah, praying for the patients, able to serve patients in accordance with the gender, and frequently teaching of Islamic conduct for the personnel. The aspects of facility encompass the presence of religious-teaching staffs, availability of audio-visual facility, availability of prayer and worship-instruction books for the patients, and gender-based service facilities. The attributes of costing comprise: the absence of tariff differences based on the class, there is no deposit, collaboration with the charity/ donor organization. The attributes of medical services consist of purely gender-based maternity services, preserving and respecting patients' privacy and patients'aurat, and the existence standard operation procedures which considers the aspects gender-based services in operation rooms or delivery rooms. The attributes of specific services of Islamic hospitals preferred by the respondents and the experts' recommendations were quite similar and maintain one another. The management of Islamic hospitals should consider their market potencies and implement the universal and specific attributes to enable them to perform Islamic high-quality services as expected by their customers and the market demand.