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ABSTRAK
Pokok permasalahan yang terdapat pada bagian rawat jalan pada RSIA SINTA, Bandar Lampung saat ini adalah belum adanya sistem administrasi dikarenakan rumah sakit yang akan mulai berdiri. Untuk itu diperlukan sistem informasi manajemen yang memadai untuk menunjang proses sehari-harinya. Sehingga tujuan dari penelitian ini adalah untuk merancang suatu usulan pengembangan sistem informasi yang terintegrasi secara baik dengan bagian-bagian yang terkait. Pemecahan terhadap masalah diawali dengan penelitian kualitatif berupa pengumpulan data, analisis data, dilanjutkan dengan pembuatan rancangan awal sistem usulan, pembuatan kamus data, normalisasi data yang akhirnya dilanjutkan dengan perancangan struktur database. Data-data untuk keperluan pengembangan sistem informasi ini dikumpulkan melalui teknik wawancara dan observasi langsung, terutama mengenai sistem dan aliran informasi. Dari hasil pengumpulan data ini, kemudian dibuat rancangan sistem informasi manual berdasarkan hasil interview, lalu diuraikan kelemahan-kelemahan yang ada serta usulan-usulan perbaikan yang harus dilakukan. Berdasarkan pengumpulan dan analisa data, kemudian dirancang sistem informasi usulan untuk bagian rawat jalan serta hubungannya dengan bagian lainnya dalam RSIA SINTA, yang pada dasarnya merupakan pengembangan dari rancangan sistem informasi manual berdasarkan pengalaman responden pegawai RSIA SINTA.
ABSTRACT
SINTA Maternal and Child Hospital is a start-up hospital. There is an absence in administration system for the outpatient department to support day-to-day process. The purpose of this research is to design an information system improvement that would be well integrated with other departments. Fragmentation of the problem begins with the form of qualitative research data collection, data analysis, followed by making the initial plan proposed system, data dictionary, data normalization which eventually extended with database structure planning. The data for this research was collected through in-depth interviews and direct observations, especially in systems and information flow. From the results of this data collection, manual information system is made based on interviews, then outlined some weaknesses and suggestions for improvement. Based on data collection and analysis, a proposal of information system was designed for the outpatient department and its relationship with the rest department of SINTA Maternal and Child Hospital, which is basically an improvement of the manual information system based on the experience of respondent officers at SINTA Maternal and Child Hospital
ABSTRAK Penelitian ini bertujuan untuk mengetahui gambaran pemanfaatan pelayanan kesehatan rawat jalan dan rawat inap pasien multiguna di RSU Kabupaten Tangerang, mengetahui factor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan, dan untuk mengetahui estimasi nilai rata-rata pemanfaatan pelayanan kesehatan rawat jalan dan rawat inap di RSU Kabupaten Tangerang bagi pasien peserta multiguna. Dan akan dihasilkan suatu nilai estimasi yang menjadi standard acuan untuk melakukan utilisasi review. Dilakukan dengan rancangan cross sectional dan pendekatan kuantitatif. Populasi penelitian adalah seluruh pasien peserta multiguna yang memanfaatkan pelayanan kesehatan rawat jalan dan rawat inap di RSU Kabupaten Tangerang. Dari hasil penelitian dapat terlihat bahwa visite rate rawat jalan pasien peserta multiguna di RSU Kabupaten Tangerang adalah 1,3 kali yang mana hampir sama dengan visite rate pasien peserta Jamkesda di Kota/Kabupaten lain. Visite rate rawat inap pasien peserta multiguna di RSU Kabupaten Tangerang hanya 0,03 kali, dan ini masih rendah dibandingkan dengan visite rate rawat inap peserta Jamkesda Kota/Kabupaten lainnya. Rata-rata biaya rawat jalan dan ALOS pasien peserta multiguna hampir sama dengan tariff rawat jalan dan ALOS INADRG RS Tipe B, Kelas 3 dan Poli Biasa. Pemanfaatan pelayanan kesehatan rawat jalan dan rawat inap pasien peserta multiguna di RSU Kabupaten Tangerang di pengaruhi oleh umur, jenis kelamin, status perkawinan dan diagnose penyakit pasien. Peneliti menyarankan agar di dalam menyusun anggaran untuk peserta kartu multiguna bidang kesehatan ini hendaknya diperhatikan factor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan tersebut. Kata Kunci : pemanfaatan pelayanan kesehatan, utilisassi review, standard acuan, visite rate, alos.
ABSTRACT The goal of this research is to describe of utilization of health service outpatient and inpatient by Multiguna’s patient in The General Hospital of Tangerang, knowing the factors associated with utilization of health services, and to determine an average value of health care utilization of outpatient and inpatient in The General Hospital of Tangerang for Multiguna’s patient that will be estimate the gold standard to conduct the utilization review. Performed with a cross-sectional design using quantitative approach. Population was all Multiguna’s patients who utilize health care outpatient and inpatient at The Genaral Hospital of Tangerang. The result of research showed visite rate of outpatient is 1,3 times which is almost the same visite rate outpatient of Jamkesda participants in the other city. Visite rate of hospitalization only 0,03 times, still low compared with visite rate of hospitalization Jamkesda participants in the other city. The average cost of outpatient care and ALOS multiguna’s patient almost equal with rates of outpatient and ALOS of INA-DRG Type B Hospital, Class 3 and ordinary clinic. The results showed that the utilization of outpatient health services and inpatient care by the multiguna’s patient in the general hospital of Tangerang influenced by age, sex, marital status and diagnosis of patient illness. From this study obtained a standard of reference for utilization review. The research suggested that in preparing the budget for health sector of Multiguna are to be considered factors related to the utilization of health services. Key words: utilization of health services, utilization review, reference standard, visite rate, average length of stay.
Medical record is a source of health information management that requires gooddata, information is crucial in the determination of policy or decision making.Outpatient medical record management in UPT Puskesmas Kecamatan Cileungsimanuals still lead to many limitations and problems. This problem resulted in theinability of the processing of data into information you need quickly andaccurately. The purpose of the research is to make the design of electronicmedical record information system outpatient which can facilitate the processingof data to be made into the needed information. Information systems developmentusing Iterative, Incremental method and data collection by means of observation,review of documents and interviews. This research resulted in the logical designof the information system of the electronic medical record outpatient, accordingthe needs of users who are able to generate information quickly and accurately.Speed of information flow in primary health care help management in decisionmaking and running the functions of planning, monitoring and evaluation. Thisinformation system can be implemented with some conditions that can supportthis system properly, namely the availability of hardware and software accordingto the needs of information systems developed gradually, officer training andmanagement support in the form of funds, policies and procedures.Keywords: Electronic; Information; Medical Record; Primary Health Care;Systems.
