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The inpatient indicator at Bintang General Hospital is known to be below the established standard. One of the indicators is BOR and TOI. Indicators that are under average show the effectiveness and efficiency of the service. The difference in the number of patient visits in the inpatient unit and the policlinic of the obstetric and gynecological parts is significant. It needs performance measurement to find out what perspectives cause performance in inpatient unit and polyclinic not maximal yet. The purpose of this study was to assess service performance by using balanced scorecard approach in inpatient unit and polyclinic of children, obstetric and gynecology section at Bintang Hospital. This research is a quantitative and qualitative research using primary data (in-depth interview and questionnaire) and secondary data (data from public relations and finance department). The results of financial performance research is quite good, but the cost effectiveness is still less on the inpatient unit of children, customer perspective is quite satisfactory, internal business perspective is quite well aimed at the implementation of SOP, and has had patient referral procedures, but on outgoing referrals and hospital facilities are lacking in all service units. The performance of the learning growth perspective is well aimed at decreasing employee turnover, better access to training and education but needs to be evaluated for effectiveness, as well as information systems that have been good but need to support the accuracy of information. The performance of inpatient obstetric care unit is relatively better compared to the performance of the inpatient because the effectiveness level of the in-patient unit's financial unit is still not good. While the policlinic content and children have a performance that is equally good. The advice given is that management should be more careful in making budget planning and appropriately determine a good strategy with quality control of cost control and clinical pathways (CPW). Hospitals should develop quality of information system for service efficiency. Management coordinates with the head of the room to implement transformational leadership, as well as conducting ongoing monitoring and evaluation.
As hospital owned by Government RSUP Fatmawati known as hospital to faction the middle segment downwards, but not thus for service products VIP has different target are middle—up onward. General purposes of this research are obtaining the strategy of marketing plan VIP inpatient space. This research has utilized the approach of quantitative and qualitative method, quantitative approach done by doing data collecting questionnaire to patients, responder and society outside of Hospital Fatmawati to obtain description subscribers accordance marketing strategy. VIP inpatient. space. Qualitative approach was done by conducting in-depth interview..to doctor’s specialisteat inpatient VIP, and the management of Fatmawati Hospital. From the SWOT,analysis, the position of the VIP ward at the second quadrant. On the marketing strategy adopted to maximize opportunities and minimize the weaknesses ofefforts. tovintroduce product and services is inadequate if only supported by tangible, such as new buildings, service facilities, a sufficient number of human resources and supported increased medical support, but also the intangible dimension, such as work culture, procedures and behavioral services inmarketing products.
Penelitian ini menggunakan pendekatan kuantitatif dengan rancangan crosssectional yang dilakukan pada periode rawat 4-15 Maret 2013 pada 114 pasien sebagai responden. Tujuan penelitian ini adalah mengetahui faktor-faktor yang berhubungan dengan persepsi pasien terhadap efektivitas komunikasi terapeutik perawat di ruang rawat inap RSU Bhakti Yudha Depok.
The study was a quantitative cross sectional study conducted during the periodMarch 4th to March 15th 2013 and covering 114 client. The aim of the study was to determine the factors associated with patient's perceptions about effectiveness of therapeutic communication nursing inpatient unit.
ABSTRAK
Kepuasan pasien merupakan salah satu indikator untuk mengukur keberhasilan pelayanan rumah sakit. Sedangkan pelayanan Unit Rawat Jalan merupakan pelayanan terdepan dan menampilkan citra rumah sakit, dimana kunjungannya dapat mempengaruhi pemakaian pelayanan rawat inap dan pelayanan penunjang. Dalam penelitian ini akan dibahas tentang analisis kepuasan pasien di Unit Rawat Jalan RSBY menggunakan metode penelitian kuantitatif dengan pendekatan cross sectional terhadap 110 sampel. Hasil penelitian ini menyatakan bahwa 23 sampel (20,9%) menyatakan puas dan 87 sampel (79,1%) menyatakan tidak puas terhadap seluruh proses pelayanan di Unit Rawat Jalan RSBY.
ABSTRACT
Patient satisfaction is one of many indicators of hospital success key service measurement. Meanwhile outpatient unit service act out as the front liner in conveying the hospital image, whereas every visitation will effect the number of inpatient unit stay and support service utilization. This research analyzed patient satisfaction level in outpatient unit at RSBY using cross sectional quantitative method from110 samples. Research found that out of the total sample, 23 samples (20,9%) are satisfied while 87 other (79,1%) are not satisfied with the whole service thet outpatient unit in RSBY offer.
Diarrhea is a disease that is often found and causes 4% of all deaths in the world. Cases of acute diarrhea in children is a disease that includes high risk, high volume, and high cost. According to 2018 data, there were 938 cases of acute diarrhea and were in first place in the top 10 causes of hospitalization at Bhakti Yudha General Hospital. The implementation of clinical pathways is closely related to efforts to control the quality and cost of affordable and predictable health services. Cost control can be realized if the process of overall health services can be planned and standardized from the start. Clinical pathways if done properly and correctly can reduce the cost of health services, reduce the length of stay, and improve patient clinical outcomes. The existence of a mismatch in the application of clinical pathways can affect the number of billing patients. This study aims to determine the appropriateness of the application of clinical pathways of mild acute diarrhea - moderate inpatient children in Bhakti Yudha General Hospital. The mixed-method research design is quantitative descriptive and qualitative case studies. The results showed that doctor compliance was still lacking in the provision of medical management. There are still discrepancies between clinical pathways and services provided. These discrepancies include variations in drug therapy, supporting examinations, and nursing actions. This variation was made because the patient's condition needed different treatments. The biggest gap in the use of drugs is 145% wherein real billing is greater than the bill according to the clinical pathway due to the use of drugs that are not following the clinical pathway. The number of variants that do not fit the clinical pathway will affect the amount of the hospital bill.
