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Tesis ini menganalisis efektifitas biaya yang dikeluarkan pasien hemoroid interna grade 3-4 yang menjalani tindakan haemorrhoidectomy Stapled dan konvensional. Penelitian ini menggunakan perhitungan Activity Based Costing dengan simple distribution untuk mendapatkan cost lalu dibandingkan dengan nilai output, sehingga didapatkan Cost Effectiveness Ratio (CER). Nilai CER kemudian dibandingkan dan mana yang lebih kecil adalah yang lebih efektif. Hasil penelitian menunjukkan bahwa alternatif Stapled menghasilkan nilai CER yang lebih kecil dibandingkan dengan CER alternatif konvensional. Maka dapat disimpulkan bahwa tindakan haemorrhoidectomy Stapled lebih efektif dibandingkan dengan alternatif konvensional.
This thesis was analysing the effectiveness of cost that spent by patients with internal hemorrhoid grade 3 to 4 underwent haemorrhoidectomy Stapled and conventionals. This research was using Activity Based Costing with simple distribution method to calculate the cost then divided by output value to get Cost Effectiveness Ratio (CER). CER values were then compared and the lower is the more effective. Result of this research showed that value of CER of Stapled alternative were smaller compared with CER of conventionals alternative. It can be concluded that Stapled haemorrhoidectomy is more effective than conventionals alternative.
With the aim of streamlining the inpatient's discharge process at the Elizabeth HospitalBekasi, this study analyzed the efficiency of discharge process using the Lean Six Sigmamethod. Six Sigma method tries to reduce time variation in each step of the discharge processfollowed by identifying the appropriate time. The Lean method identifies the non valuesactivities (waste) to be reduced. For that, qualitative approach using observation wasimplied. The study resulted with 238 minute as average total timing of discharge and thegreatest impact to reduce it will be the one day earlier written discharge instruction preparedby the physician.
Retensi perawat merupakan kemampuan organisasi dalam mempertahankan perawat selama mungkin bekerja dalam organisasi tersebut. Penelitian ini bertujuan untuk mengetahui retensi perawat di Rumah Sakit Santa Elisabeth Bekasi. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional, dilakukan pada bulan Maret 2011 dengan melibatkan 60 perawat. Data yang telah dikumpulkan dianalisis secara univariat dan bivariat. Hasil penelitian menunjukkan tingkat retensi perawat sebesar 45% dan faktorfaktor yang mempengaruhi retensi perawat adalah beban kerja, lingkungan kerja, keamanan kerja, praktek professional dan organisasi tempat kerja. Faktor dominan dari beban kerja yang menyebabkan perawat tidak retensi yaitu jumlah staf keperawatan yang belum cukup dan jumlah waktu kerja yang berlebih. Faktor dominan dari lingkungan kerja yaitu ketersediaan peralatan dan teknologi, resiko cendera dan penyakit tinggi serta keadaan lingkungan kerja yang menimbulkan stress. Faktor dominan dari keamanan kerja yaitu kompensasi dan keuntungan yang didapat belum memadai. Faktor dominan dari organisasi tempat kerja yaitu manajemen belum mengerti kebutuhan perawat. Kepustakaan 33 (1986 - 2010), Tabel 21, Grafik 5, Lampiran 4 Kata Kunci : Retensi, Beban Kerja, Lingkungan Kerja, Keamanan Kerja, Praktek Professional, Organisasi Tempat Kerja
Nurse retention is an organization’s ability to retain nurses as long as possible to work within the organization. This study aims to determine the retention of nurses at RS Santa Elisabeth Bekasi. This study is a quantitative research with cross sectional approach, conducted in March 2011 involving 60 nurses. Data collected were analyzed by univariate and bivariate. The results showed the nurse retention rate by 45% and the factors that affect the retention of nurses are workload, working environment, employment security, professional practice and wokplace organization. Dominant factor of the workload that causes retention of nurses is not the amount of nursing staff who have not been sufficient and excessive amount of work time. Dominant factor of the work environment is the availability of equipment and technology, risk as well as souvenir high disease, situation stressfull work environment. Dominant factor of the compensation and job security benefits have not been adequate. Dominant factor of the organizational work that management has not understood the needs of nurses. Bibliography 33 (1986 - 2010), Table 21, Chart 5, Annex 4 Keywords: Retention, Workload, Working Environment, Employment security, Professional Practice, Workplace organization.
This thesis is an economic evaluation with a cross sectional quantitative methoddesign, observational and using comparative studies between two herniotomytechniques. The aim of this thesis is to analyze the cost effectiveness betweenpatients with Laparoscopic Herniotomy and patients with Open Herniotomy of theinguinal hernia. This research is using Activity Based Costing with simpledistribution to achieve total cost and then compared with the output, therefore costeffectiveness ratio (CER) is achieved. The CER is then compared to understandwhich is the lesser cost therefore is more effective. The research result shows thatOpen Herniotomy gives a smaller CER than the Laparoscopic Herniotomy.Therefore it is found that Open Herniotomy is more effective compared withLaparoscopic Herniotomy.Keyword :Cost Effectiveness Analysis, Activity Based Costing, Herniotomy.
As one of chronic diseases, COPD patient has a potential to excacerbate and readmitted to hospital, having few relatable determinants if which avoided or controlled can give a chance of avoidable excacerbation and or readmssion.This thesis discusses how clinical pathway implementation adherence influences Chronic Obstructive Pulmonary Disease (COPD) readmission in St Elisabeth Lela Hospital in Sikka District 2019. This research used cross sectional design with quantitative approach. Variables analyzed were within 3 determinant groups related to COPD patient readmission : referral health facilites (clinical pathway implementation adherence), treatment follow up (to policlinics or primary care health facilities) and patient (age, gender, comorbidities and complications). Research result suggest that complications dominantly related to patient readmission, controlled with clinical pathway implementation adherence and follow up visits to primary care health facility. Further improvement on clinical pathway implementation is needed especially for the nutrition indicator and also the need to put Case Manager into practice to coordinate health proffesionals surrounding and taking take of COPD patients in hospital to be able to attain continued treatment from referral to primary care health facilities and vice versa
Meningkatnya biaya kesehatan membuat PT Pelindo II mengubah sistem jaminan pemeliharan kesehatan untuk karyawan, pensiunan dan keluarganya dari sistem _/Zee for service menjadi bentuk asuransi dengan premi tertentu. Untuk itu PT Pelindo II menunjuk Bapel JPKM RSPJ sebagai asuradumya. Setelah berjalan hampir tujuh tahun RS. Pelabuhan Jakarta mengalami dCfiSil yang cukup signifikan. Sejak tahun 2007 Bapel memberlakukan kapitasi untuk PPK I di RS. Pelabuhan Jakarta. Penelitian ini bertujuan untuk mengetahui gambaran utilisasi pelayanan kesehalan dan mengevaluasi biaya obat berdasarkan karakteristik pasien di PPK I hanya dibatasi tentang analisis biaya pelayanan kesehatan berdasarkan karakteristikdi PPK I pada pasien JPKM tahun 2007. Metode penelitian yang digunakan aclalah metode survey operasional dengan pendekatan kuantitatif dimana populasi adalah pcscrta Bapel JPKM RSP] tahun 2007 dan sampel penelitian adalah peserta yan mcnggunakan PPK I tahun 2007. Hasil penelitian menunjukkan utilisasi PPK I adalah 28,4%. Dari kapitasi tahun 2007 sebesar Rp. 2.2l7_999.700,- terjadi kerugian sebesar 17,8%. Faktor umur, domisili, dan kelas jabatan atau status pegawai memiliki hubungan bermakna terhadap tingginya biaya obat di PPK I, sehingga diperlukan penghematan biaya obat di rawatjalan. RSPJ sebagai penerima kapitasi sebaiknya melakukan review utilisasi terhadap penggunaan biaya kapitasi disemua PPK yang ada.
Increasment in health services cost make PT. Pelindo II change their health savety net system from fee for service to insurance form with certain premi for the employees. pensioners and their family. In order to that, PT. Pelindo II chose Bapel J PKM as the provider. Aiier runs almost seven years, RS. Pelabuhan Jakarta had a significant deficit, so in 2007 Bapel applied capitation for PPK I in RS. Pelabuhan Jakarta. This research aim is to viewed the health services utilization and evaluate the medication cost in which only on analyzing health services cost by the characteristic of patients in PPK I especially JPKM patiens in 2007. Research conducted in operational survey methode with quantitative approach for which the population arc participants of Bapel JPKM RS. Pelabuhan Jakarta in 2007, and the sample of this research are PPK I users in 2007. Result of this research shows utilization of PPK I is 28,4 percent, and Rp.2.2l7.999.700,- from the capitation in 2007 means 17,8 percent loss. The age factor, place of stay, and employee status has a significant correlation to the increasment of medication cost in PPK I, that is why the medication cost in out- patient unit has to be reduce. According to that. RS. Pelabuhan, as the capitation reception, needs to overview the utilization within users of capitation in all existing PPK in RS. Pelabuhan Jakana.