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Rumah Sakit Muhammad Husni Thamrin lntcmasional Sa1emba(RSMI~IT1S) merupakan RS swasta dcngan tipe kelas utama dan berada di bawah naungan Yayasan RS MH Thamrin. Dari lapuran tahunan RSMHTIS, diketahui bahwa periode tahun 2007, jumlah penebusan resep di instalasi farmasi RSMHTIS sebesar 97.017 resep atau hanya mencapai 74% dari total target jumlah penebusan resep di instalasi farmasi sebesar 131292. Hal ini menjadi perhatian manajemen karcna penghasilan instalasi farmasi merupakan penyumbang terbanyak (35%) dari pendapatan rumah sakit, yang berarti bcrkurangnya pendapatan instalasi farmasi maka akan berkurang pula pendapatan rumah sakit. Olehnya itu, perlu adanya analisis faktor-faktor yang berpengaruh pada pilihan tempat pcnebusan rescp pasien rawat jalan di RS MH. Thamrin Salemba Jakarta. Beberapa hal yang akan diteliti adalah faktor predisposisi, faktor pendukung, dan Faktor pendorong. Penelixian ini dilakukan di Instalasi Farmasi Rumah Sakit Muhammad Ilusni Thamrin Internasional Salemba (RSMHTIS) pada bulan Nopember - Descmber 2008. Rancangan penclitian ini adalah bersifat analitik dengan pendekatan kuantitatif. Desain penelitian adalah survei cross sectional untuk menganalisis faktor-faktor yang berpengaruh pada pilihan tempat penebusan resep pasien rawat jalan RS M.H. Thamrin lntcmasional Jakarta yaitu faktor predisposisi, faktor pendukung, dan faktor pendorong. Populasi pcnelitian ini adalah semua pasien rawat jalan RSMHTIS pada tahun 2008. Sampel dalam penelitian ini adalah sebagian dari pasien rawat jalan RSM1-ITIS pada saat penelitian dilakukan dengan kriteria inklusi pasien yang teiah kcluar dari rawat jalan dan mendapatkan resep dokter, pcmah mcmbeii obat pada kunjungan sebelumnya scrta mampu menjawab pertanyaan kucsioner. Hasil penelitian menunjukkan bahwa masih terdapat pasien yang memilih menebus resep di luar instalasi farmasi RSMHTIS yaitu sebanyak l3,2%. Pada penelitian ini diketahui juga bahwa faktor-ihktor yang secara statistik terhukti signitikan bcrhubungan dengan pilihan tempat penebusan resep obat pada pasien rawatjalan RSMHTIS adalah jcnis kelamin (p=0,047), sumber rekomendasi (p=0,0l9), persepsi terhadap harga (p=0,007), persepsi terhadap ketersediazm obat (p=0,045) dan pcrsepsi terhadap keoepatan layanan (p==0,02). Hasil analisis multivariat memperlihatkan bahwa faktor yang paling berpengaruh adalah persepsi terhadap harga. Diharapkan kepada pihak manajerial RS M.H. Thamrin Internasional melakukan evaluasi terhadap metode strategi penetapan harga, evaluasi dalam pengaplikasian akreditasi mutu layanan farmasi, obat-obat racikan untuk anak dipersiapkan terlebih dahulu agar waktu tunggu peracikan obat bisa menjadi berkurang, membuat sistem infonnasi farmasi yang dapat mencegah penebusan obat di luar, serta pemberlakuan reward dan punishment kepada dokter untuk meningkatkan kepatuhan dokter terhadap formularium obat, dibuat kebijakan yang berlaku pada dokter dan tcnaga kesehatan lainnya untuk memotivasi pasien untuk menebus rescp di IF RSMHTIS, serta dibuat penelitian Iebih lanjut mengenai faktor internal rumah sakit yang tcrkait dengan texjadinya penebusan resep obat di luar RSMHTIS. Dengan adanya data dalam penelitian ini dapat digunakan sebagai bahan perencanaan dalam pcngelolaan famxasi pada masa yang akan datang.
M.H. Thamrin Salemba lntemational Hospital (RSMHTIS) is a private hospital with first class type and under wings of M.H. Thamrin Hospital Foundation. From RSMl~l'l`lS’s annual report, lcnown that in 2007 period, the amount of prescription payment in pharmacy department of RSM!-ITIS is 97.017 prescriptions or only reach 74% from total goals which are 131.292 prescriptions. This condition becomes management attention because pharmacy department is the most contributor (35%) for hospital revenue, it means the decrease of pharmacy dcpartment’s revenue will also decrease hospital’s revenue. There is a need to analyze several factors that related to outpatient choice for place of prescription payment in M.H. Thamrin Salemba Hospital, Jakarta. Several things that will be studied is predisposing factors, enabling factors, and reinforcing factors. This study is conducted in Pharmacy Department of M.H. Thamrin on November to December 2008. This study is analytical study with quantitative approach. The design of study is cross sectional survey to analyze several factors that related to outpatient choice of prescription payment location in M.H. Thamrin Internasionai Hospital, Jakarta such predisposing, enabling, and reinforcing factors. Population of this study are all outpatients RSM!-ITIS in 2008. Sample are some of RSMH'l`IS’s outpatient in period when the study conducted with inclusion criteria are outpatients which got doctor prescription, have ever bought medicine at previous visit and can answer qucstionary. Result of this study indicates that percentation of patient that redeem prescription outside pharmacy department of RSMHTIS is l3,2%. At this study, factors that statistically proven significant affect the choice of prescription payment location at outpatient RSMHTIS is gender (p=0,047), recommendation sources (p=0,0l9), perception to price (p=0,007), perception to medicine availability (p=0,045) and perception to service speed (p=0,02). Multivariate analysis result shows that the most influence factor is perception to price. It is recommended to M.H Thamrin lntemasional Hospital Management to conduct evaluation in pricing strategy method, evaluation in compilation medicine formularium, evaluation in accredited aplication of pharmacy service quality, preparing recipe for children patient beforehand to lessen patient waiting time, constructing pharmacy information system that can prevent medicine payment outside, assembling hospital policy in doctors and other health providers to motivate patients to redeem their prescription inside the hospital, applying the reward and punishment mechanism to doctor to improve doctor compliance to medicine formularium, for the next researcher, it is advised to conduct further research regarding hospital intemal factors related to prescription payment. Results of this study can be used as planning materials in pharmacy management in the future.
The patient?s complaints regarding the lack of attitude and care of a nurse emerges due to the un fulfillment of bio-psycho-social-spiritual needs. This should not happen if nurse cares to the need of patient. In other hand, a nurse is an individual whose job is affected by his work environment, in this case, internal environment of organization as a consequence of assignment method employed. This research is aimed at proving a hypothesis of the association among work loads; interpersonal relationship; and leadership as a consequence of assignment method employed, and caring attitude of non intensive care unit nurse of Muhammad Husni Thamrin Internasional Salemba Hospital. This research employs cross sectional design. Chi Square Test was employed to analyze the association among work loads, interpersonal relationship and leadership; and caring attitude of the assigned nurse. Regression logistic was employed to see which variable is dominant toward caring attitude of assigned nurse. The population is the assigned nurse at non intensive care unit with total sampling of 42 taken from five rooms. Research instrument is made in the form of questioner which is developed from the previous research and nursing management theories to measure nurse-work-loads, inter personal relationship, leadership and Watson Caring Theory to measure nurse caring attitude according to the perception of assigned nurse. The validity and reliability of the instrument were tested at Puri Cinere Hospital. The result of the research shows that the proportion of 47.6% respondents have caring attitude while 52.4% have less caring attitude. Three (3) independent variables have significant association with caring attitude perceived by respondent. Interpersonal relationship and work loads variables are the strongest connected and significantly dominant variables. This research concludes that the less interpersonal relationship and the more work loads will cause the less caring assigned nurse. Therefore this research recommends Muhammad Husni Thamrin Internasional Salemba Hospital, to be specific the Assigned Nurse to consider the importance of communication especially therapeutic communication and work priority as Nursing Ethics in order to improve caring attitude of nurse in the frame work of enhancing the quality of nursing care. Bibliography: 56 (1974-2005)
ABSTRAK Hasil Rapat Keljia RS MH Thamrin lntemasional Salemba tahun 2006 menetapkan bahwa salah satu Program Prioritas tahun 2007 adalah Peningkatan jumlah kunjungan pasien Rawatjalan karena selama 3 tahun terakhir ( 2004 - 2006 ) jumlah kunjngammya belum optimal. Selain itu biaya xawat inap scmakin mahal sehinga teljadi pergeseran pelayanan terhadap ambuiatory care dan menjadikan unit rawat jalan salah satu unit primadona dimasa yang akan datang. Keunggulan dalam berkompetisi dapat terbangun melalui kamampuan pemsahaan merekonstruksi pasar dan industri yang ada menjadi pasar dan industri baru yang memiliki rule of game baru sehingga menghasilkan suatu stratcgi Inovasi Nilai. Penelitian ini merupakan penelitian kualitatif, pengambilan data dilakukan dengan metoda wawancara mcndalam dan observasi yang bertujuan untuk mengidentifikasi dan menganalisa bentuk Strategi lnovasi Nilai yang dapat diterapkan dalam mengoptimalkan jumlah kunjungan. Analisis yang digunakan adalah analisa tema. Penelitian diadakan di Divisi Rawat jalan RS MI-I Tharnrin Intemasional Salemba pada bulan Mei - Juni 2007 dengan infonnan pejabat struktural mcdis, pejabat su-uktural non medis, dokter praktck dan pasien loyal. Penelitian menemukan suatu strategi Inovasi Nilai dengan memperhatikan adanya perubahan pada penataan kembali desain Ruangan, meningkatkan ketepatan jam praktek dokter sesuai dahar dengan merekrut dokter tetap yang bertaraf Intemasional, mempercepat distribusi status medical record dengan sistem data elelctronik, mengadakan rotasi terhadap perawat Poliklinik, melengkapi samna medis dan non medis scsuai kemajuan teknologi, mempertahankan tarif yang berlaku saat ini dengan senantiasa meningkatkan kualitas pelayanan serta meningkatkan peran marketing terutama dalam promosi produk Rumah sakit dengan tetap mengacu kepada Kebijakan DepKes tentang Etika Promosi Rumah Sakit. Peneliti menyarankan kepada pihak managemen terkait untuk berkoordinasi dalam upaya merealisasikan bentuk lnovasi Nilai yang telah discsuaikan dengan situasi dan kondisi yang ada di Divisi rawat Jalan RS MH Thamrin Intemasional salemba.
ABSTRACT MH Thamrin Intemational Hospital had point out the result of year conference 2006 that one of main concerns need to be follow up in the year 2007 is to increase the number of out patient visits as it still regligible during the last three years ( 2004 - 2006). Moreover cost of inpatient services becomes more expensive that could lead to a shift where people would prefer to have outpatient service as a protection rather than inpatient services to lessen their health expenses. Due to this condition it can be predicted that the outpatient services would become more populer in the next few years. Tough competition among private hospitals had force to the real market and industry. How the companies capable enough to reconstnict the market to keep exist in the health industry would be a new challenge for them. The rule would be the one with best strategic value to innovatio is the winner. This research performs by using a qualitative method and the data is collected by doing direct observation and in depth interview to identify and analyze the method of strategic innovation to create value in order to optimize number of patient visits. The participants included are from medical and non medical level of employee, structural and functional practitioners and from customer?s point of view as well. Having done the research in two months of period we found that the way how to create value to customers would be a strategic innovation that can be adopt fiom many factors. For example to have a comfort room through a modem interior design of the axamination room wold give the sense of healing in the beginning they come to the hospital. Others wolud be on time doctor?s schedule based on listed, proifesional competency of the nurse and doctors fast delivery medical record status, routine job rotation of the nurse, updated medical and non medical facilities, competitive price a long with quality services available at pnesent and last how to improve promotion and sales activity from marketing division to generate value for customer and get the relationship with he loyal one. In conclusion we would suggest that all level of management should cordinate each other to participate. in realimtion path of. innovation value based on condition adapted at MH Tharnrin Intemational Hospital.