Abstrak: Rumah sakit Haji Jakarta, Rumah sakit type C plus dengan kinerja pelayanan unit produksi pelayanan medik mengalami kenaikan dari tahun ke tahun, dan mutu layanan kesehatan sudah mendapat sertifikat ISO 9001-2000. Namun pada unit rawat inap nampak mengalami penurunan mulai tahun 2003. Hal ini perlu dicermati dengan memperhatikan faktor-faktor yang mempengaruhi ?permintaan? dan faktor-faktor yang mempengaruhi ?penggunaan? rawat inap. Tujuan penelitian ini untuk melihat gambaran secara umum penggunaan unit rawat inap, terutama kelas I,II dan III, dan mengetahui gambaran karakteristik pasien dan besarnya jenis-jenis tarif dikaitkan dengan persepsi pasien terhadap tarif layanan rawat inap. Penelitian ini merupakan penelitian dekskriptif dengan metode survei dan data primer didapat dari hasil wawancara yang berpedoman pada kuesioner dengan mengambil sampel secara purposive dan dilaksanakan pada bulan juni 2005. Hasil Penelitian menunjukkan dari responden yang diambil sebanyak 85 responden dengan perbandingan jumlah sebesar 60% berasal dari kelas perawatan kelas II, sementara dari kelas I dan III masing-masing sebesar 20% pendidikan responden cukup tinggi lebih dari 85% tamat SLTA dan perguruan tinggi. Dan jenis pekerjaan terbanyak wiraswasta dan karyawan swasta, namun Penghasilan yang rendah (penghasilan kurang dari satu juta mencapai 30%, dan 50% berkisar satu sampai tiga juta dan hanya 20% yang berpenghasilan lebih dari tiga juta) merupakan salah satu faktor yang mempengaruhi persepsi pasien terhadap tarif, dan mempengaruhi kesanggupan membayar. Selain perbedaan tarif kelas II yang hampir tiga kali lipat dari tarif kelas III. Sementara mahalnya tarif jasa medis, obat-obatan, penunjang medis, alat kesehatan , tindakan medis dan administrasi dipengaruhi tingkat beratnya penyakit, dan lamanya hari rawat disamping alat teknologi dan obat-obatan yang masih impor. Mencermati perbedaan tarif ruangan dan perubahan proporsi kelas perawatan , pemberian obat-obatan misalnya generik, penggunaan teknologi kedokteran.

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Rumah Sakit Haji Jakarta, is a type ?C? Plus hospital with service performance of medical service production has been increasing from year to year, has proven with ISO 9001-2000 certificate. However, hospitalization unit experienced decrease since 2003. It needs to concern by observing the influencing factors to ?demand? and hospitalization ?use?. Objective of this research is to know general description on the hospitalization unit use especially class I, II and III, and to know characteristic description of the patient and the amount of tariff type related to the patient?s perception to the hospitalization service tariff. This research is descriptive research with survey method and the primary data were derived from interview referring to the questioner by taking purposive sample and held on June 2005. The result of Research shows from the 85 respondents with comparison at 60% from health care class II, while class I and III are respectively amounting to 20% Education of the respondent is sufficiently high more than 85% graduated from Senior High School (SLTA) and university. And type of occupation is mostly entrepreneur and private employee, The low income (however the income is less than one million is about 30%, and one million until up to three million about 50% and only 20% more than three million).is one of the factors influencing patient?s perception to the tariff, and influencing the most capability to pay. In addition, the difference of tariff for class II is nearly three times of tariff class III. While concerning the expensive medical service tariff, medicine, medical support, health equipment, medical treatment and administration are influenced by the level of disease size, and the period of hospitalization other than the technology equipment and imported medicines. This research is hoped in order the management is able to concern on the difference of room tariff and the proportion change of health care class, medicine prescription such as generic, the use of medical technology is only for the required one. It is recommended to conduct further research to know the market segment in order to defend the existing market.

Abstrak: Reimbursement policy for DBD by Health Office Of DKI Jakarta Province, on be half Indonesian Government, on 17 State Hospitals has implication on delay of hospital cash inflow. At Pasar Rebo Hospital, from total amount of account receivable didn?t paid completely by Health Office Of DKI Jakarta Province. This payment lateness affect to hospital loss out, especially for financial capital which related with account receivables, in turn will be affect to cash inflow smoothness This research is quantitative and qualitative study, aimed to know number of account receivables distinction for DBD patient?s expenses and amount of opportunity cost from payment lateness of patient account receivable as effect from government reimbursement policy to Pasar Rebo Hospital and see how hospital manage this issue. The result of this research shows that policy from Health Office Of DKI Jakarta Province on manages the payment for DBD patient based-on decision of Governor DKI Jakarta no. 446/2005. Unfortunately, the policy did not followed by regulation to define time limit for reimbursement completion time of account receivables claim, so there is anticipation action if delay is happen. In other hand, at Pasar Rebo Hospital has no own policy on service regulation for DHF patients, just refer to regulation that released by Health Office Of DKI Jakarta Province. Longer time needed to complete account receivable claim payment affect to changes of value of money. The account receivables value changes observed through perspective of time value of money, where in this concept interest of bank?s loan is important factor. In this study, where number of interest which used for calculation is 14 % p.a, found that from total claim of DHF patient?s account receivable Rp. 389,547,330,- there is an opportunity cost Rp.31,409,925 or equal to 8.06 % From the study knew that due to the lateness of DHF patient?s account receivables reimbursement by Health Office Of DKI Jakarta Province to Pasar Rebo Hospital there is 84.51 % that still not paid from total claim, so for operational cost hospital must re-budgeting their spent for not disturb their cash flow and suggested to make a standard time requirement to complete claim payment since sent claim report until receive claim payment. The result of this study expected can be use for Pasar Rebo Hospital as an input for management, especially department that related to account receivable management.
References : 28 (1977 - 2005)

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ABSTRAK

Rumah Sakit Umum Daerah Pasar Rebo Jakarta adalah Rumah Sakit Unit SwadanaDaerah Kelas B Non Pendidikan, berlokasi di Jl. TB. Simatupang No. 30 Jakarta 13760,sesuai dengan misinya melayani masyarakat menengah ke bawah yang rnembutuhkanlayanan kesehatan yang bermutu dan terjangkau, sedangkan visinya adalah menjadi salahsatu dari tiga rumah sakit swdana di Indonesia yang terbaik dalam pelayanan GawatDarurat dan Pelayanan Rawat Jalan.Penelitian ini dilatarbelakangi oleh keadaan yang terjadi di Instalasi PemeliharaanRumah Sakit RSUD Pasar Rebo, dimana program pelaksanaan pemeliharaan alat medisbelum dijalankan secara optimal. Dari analisa situasi yang ada ditemukan bahwa alokasianggaran pemeliharaan alat medis masih rendah, yaitu untuk alokasi anggaran di tahun2001 untuk anggaran pemeliharaan sebesar Rp. 2.000.000.000,- atau 8 % dan totalaggaran rumah sakit yang sebesar Rp. 24.450.000.000,-, sedanglcan khusus anggaranpemeliharaan alat medís sebesar Rp. 151.200.000,- atau 0.6 %. Pada an.ggaran tahun2002 alokasi anggaran PSRS sebesar Rp. 3.033.000.000,- atau J % dan total anggaranrurnali sakit yang sebesar Rp. 26.579.000.000,- khusus unluk anggaran pemeliliaraan alatmedis sebesar Rp. 559.741.049,- atan 2 % dan total anggaran nunafl saldt, setain ituadanya pengeluaran biaya perbaikan alat medis ( X - Ray ) yang meiicladak sebesar Rp.190.000.000,- di tahun 2000. Pada tahun 2003 direncanakan akan dilakukan perubahanbadan hukum RSUD Pasar Rebo dan Unit Swadana menjadi Bailan Usaha Milik Daerah.Dengan latar belakang ini, dilakukan penelitian dengan tujuan memperolehgambaran proses pemeliharaan alat - alat medís untuk merighasilkan ketersediaau alatmedis yang siap pakai gima menunjang pelayanan kepada pasien.Jenis penelitian ini merupakan studi kasus dengan pendekatan kualltatil data daninformasi diperoleh melalui wawancara yang mendalam dan observasi serta melihat arsipdan dokumen yang ada di unit - unit yang terkait.Hasil penelitian ini menunjukan bahwa proses pemeliharaan alat medís belumdilaksanakan secara optimal, pemeliharaan hanya dilakukan atas dasar kerusakan (BreakDown Maintenance ), tidak melalui tahapan perencanaan, penetapan sistem pemeliharaan,pelaksanaan pemeliharaan, pencatafan & pelaporan, monitoring dan evaluasi.Berdasarkan hasil penelitian ini di?arankan agar pihak manejemen ruiuah sakitmelakukan beberapa tindakan untuk meningkatkan kualitas dan kuantitas sumber daya,organisasi,peraturan dan kebijakan rumah sakit ( protap - protap ) pemeliharaan danpengoperasian alat media, diharapkan dapat mendorong peningkatan kinerja IPSRS dalammelaksanakan proses pemeliharaan alat media sehingga menghasilkan ketersediaan alatmedia yang siap pakai.

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ABSTRACT

The Local Public Hospital of Pasar Rebo Jakarta is a selfund local hospital unit,non education class B, located aL Jalan TB. Simatupang No. 30 Jakarta 13760. Inaccordance with its mission to serve law middle classes society needing high quality andaffordable health care, while its vision is to become one of the these best seiflind hospitalin Indonesia which lias the best service in the emergency care unit and out patient care.The background of this research was the condition happeriiiig at the Pasar Rebolocal public hospital maintenance installation where a program of medical equipment hadnot been carried out in the optimal manner. From the analysis of the existing condition, itwas found that the alocation budget for medical equipment was still law, that is thealocation budget in 2001 for maintenance was Rp 2.000.000.000,- or 8% of the hospitaltotal budget of Rp 24.450.000.000,- while the one especially for medical equipmentmaintenance was Rp 151.200.000.,- or 0.6%. [n the year 2002 budget, the alocationbudget ofthe local public Hospital of Pasar Rebo was Rp 3.033.000.000,- or 11% of thehospital total budget of Rp 26.579.000.000,- the one especially for the medical equipmentof the 559.741.049,- or 2% of the hospital total budget, besides that there was anunexpected expenditure of Rp 190,000.000,- in 2000 to repair a medical equipment(X Ray). In 2003 the hospital plan to change to corporate law of local public HospitalPasar Rebo from selifunded unit into local government company.With this background a research was carried out with the aim to get a picture ofmedicai equipment maintenance process which results in the availability of ready usemedical equipment to support service to the patients.The type of this research was a qualitative approach the data and information wereobtain ftom in the depth interview, observation files and document study which wereavailable in the related units.The result of the research showed that the process of the medical equipmentmaintenance had not been done in the optimal manner. A maintenance was doue base onbreak down (break down maintenance ) not on planning, decided maintenance system,recording and rporting, monitoring and evaluation.Based on this research it is suggested that the hospital management must take someactions to improve the quality and quantity of human resources, organization, hospitalrules and policies (protap) in the field of medical equipment maintenance and operation, itis hope that this can encourage the improvement of local public Hospital of Pasar ReboJakarta working performance in carryng out the medical equipment maintenance process toproduce/make the availability of ready use medical equipment.