Ditemukan 29 dokumen yang sesuai dengan query :: Simpan CSV
Selvie Fitria Pinandita; Pembimbing: Wachyu Sulistiadi; Penguji: Adang Bachtiar, Dumilah Ayuningtyas, Evy Febrina Nurpeni, Cholid Yamani
Abstrak:
Latar belakang : Ketidaktercapaian target kunjungan pasien rawat jalan di RSIA Kenari Graha Medika selama 3 tahun terakhir menunjukkan adanya masalah yang perlu segera diatasi. Tidak tercapainya target pasien lama selama periode tersebut mengindikasikan rendahnya minat pasien untuk kembali (repurchase intention). Komunikasi antara dokter dan pasien di unit rawat jalan RSIA Kenari Graha Medika menjadi perhatian karena beberapa kali mendapatkan komplain pasien. Tujuan : untuk mengetahui hubungan keterampilan komunikasi dokter dengan repurchase intention pasien rawat jalan di RSIA Kenari Graha Medika. Metode : Desain penelitian cross sectional dengan jumlah sampel sebesar 152 sampel. Variabel yang diteliti adalah keterampilan komunikasi dokter dihubungkan dengan repurchase intention yang dimediasi oleh variabel customer satisfaction. Analisis data dilakukan dengan analisis univariat (deskriptif) dan multivariat dengan SEM PLS. Hasil : Dari analisis data didapatkan seluruh konstruk dinyatakan valid dan reliabel berdasarkan hasil perhitungan loading factor, AVE dan corbach alpha. Uji hipotesis menunjukkan semua variabel diterima. Kesimpulan : Keterampilan komunikasi dokter berhubungan positif dan signifikan terhadap repurchase intention melalui kepuasan pasien, semakin tinggi keterampilan komunikasi dokter maka semakin tinggi juga repurchase intention. Berdasarkan temuan bahwa keterampilan komunikasi dokter berhubungan signifikan dengan kepuasan pasien dan repurchase intention, penting untuk terus melatih dokter dalam keterampilan komunikasi yang efektif.
Background: The failure to achieve the target for outpatient visits at RSIA Kenari Graha Medika over the last 3 years indicates a problem that needs to be addressed immediately. Not achieving the old patient target during this period indicates the patient's low interest in returning (repurchase intention). Communication between doctors and patients in the RSIA Kenari Graha Medika outpatient unit has become a concern because several times patient complaints have been received. Objective: to determine the relationship between doctors' communication skills and repurchase intention of outpatients at RSIA Kenari Graha Medika. Method: Cross sectional research design with a sample size of 152 samples. The variable studied is the doctor's communication skills which are associated with repurchase intention which is mediated by the customer satisfaction variable. Data analysis was carried out using univariate (descriptive) and multivariate analysis with SEM PLS. Results: From data analysis, it was found that all constructs were declared valid and reliable based on the results of loading factor, AVE and Corbach alpha calculations. Hypothesis testing shows all variables are accepted. Conclusion: Doctors' communication skills are positively and significantly related to repurchase intention through patient satisfaction. The higher the doctor's communication skills, the higher the repurchase intention. Based on the finding that physician communication skills are significantly related to patient satisfaction and repurchase intention, it is important to continue training physicians in effective communication skills.
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Background: The failure to achieve the target for outpatient visits at RSIA Kenari Graha Medika over the last 3 years indicates a problem that needs to be addressed immediately. Not achieving the old patient target during this period indicates the patient's low interest in returning (repurchase intention). Communication between doctors and patients in the RSIA Kenari Graha Medika outpatient unit has become a concern because several times patient complaints have been received. Objective: to determine the relationship between doctors' communication skills and repurchase intention of outpatients at RSIA Kenari Graha Medika. Method: Cross sectional research design with a sample size of 152 samples. The variable studied is the doctor's communication skills which are associated with repurchase intention which is mediated by the customer satisfaction variable. Data analysis was carried out using univariate (descriptive) and multivariate analysis with SEM PLS. Results: From data analysis, it was found that all constructs were declared valid and reliable based on the results of loading factor, AVE and Corbach alpha calculations. Hypothesis testing shows all variables are accepted. Conclusion: Doctors' communication skills are positively and significantly related to repurchase intention through patient satisfaction. The higher the doctor's communication skills, the higher the repurchase intention. Based on the finding that physician communication skills are significantly related to patient satisfaction and repurchase intention, it is important to continue training physicians in effective communication skills.
B-2487
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Rendra Fariadi; Pembimbing: Helen Andriani; Penguji: Purnawan Junadi, Nine Mei, IIng Ichsan Hanafi
Abstrak:
Persediaan farmasi harus dikelola dengan baik untuk kelancaran pelayanan dan keuangan rumah sakit. Pengelolaan sedian farmasi rumah sakit dimulai dari alur perencanaan dan pengadaan obat-obatan di rumah sakit. Sistem perencaanaan yang tepat dibutuhkan untuk pengelolaan perencaan dan persediaan di rumah sakit agar efisiensi dalam proses pengadaan obat dapat tercapai. RS Hermina Medan melakukan perubahan dalam sistem perencaan obat-obatan dari awalnya menggunakan sistem min-max menjadi sistem pareto. Penelitian ini bertujuan untuk membandingkan tingkat efisiensi terhadap kedua sistem tersebut. Penelitian ini dilakukan dengan riset operasional terhadap sampel obat hasil analisis ABC dan menggabungkan metode kualitatif. Hasil analisis ABC berdasarkan nilai pemakaian selama Agustus dan September 2023 diperoleh obat kategori A mewakili 80% dari total nilai persedian obat JKN di Instalasi Farmasi. Hasil penelitian menunjukan dengan membandingkan perhitungan untuk perencanaan pengadaan obat kategori A dengan sistem pareto dan min-max didapatkan total inventory cost lebih rendah dengan menggunakan sistem min-max. Namun, rencana pengadaan dengan sistem min-max dapat lebih baik apabila perhitungan pemakaian obat di kontrol secara rutin dan proses perencanaan pengadaan dibantu oleh sistem informasi yang lebih baik. Penelitian diharapkan dapat dilanjutkan dengan waktu yang lebih panjang agar penilaian inventory cost dapat lebih akurat.
Pharmaceutical supplies must be managed well for the smooth running of hospital services and finances. Management of hospital pharmaceutical supplies starts from the flow of planning and procurement of medicines in the hospital. An appropriate planning system is needed for managing planning and supplies in hospitals so that efficiency in the drug procurement process can be achieved. Hermina Medan Hospital made changes to its medicine planning system from initially using a min-max system to a Pareto system. This research aims to compare the level of efficiency of the two systems. This research was conducted using operational research on drug samples resulting from ABC analysis and combining qualitative methods. The results of ABC analysis based on usage values during August and September 2023 showed that category A drugs represent 80% of the total value of UHC drug supplies in pharmacy installations. The research results show that by comparing calculations for planning the procurement of category A drugs using the Pareto and min-max systems, the total inventory cost is lower using the min-max system. Procurement planning using a min-max system can be better if the calculation of drug use is routinely controlled and the procurement planning process is assisted by a better information system. It is hoped that the research can be continued for a longer period so that inventory cost assessments can be more accurate.
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Pharmaceutical supplies must be managed well for the smooth running of hospital services and finances. Management of hospital pharmaceutical supplies starts from the flow of planning and procurement of medicines in the hospital. An appropriate planning system is needed for managing planning and supplies in hospitals so that efficiency in the drug procurement process can be achieved. Hermina Medan Hospital made changes to its medicine planning system from initially using a min-max system to a Pareto system. This research aims to compare the level of efficiency of the two systems. This research was conducted using operational research on drug samples resulting from ABC analysis and combining qualitative methods. The results of ABC analysis based on usage values during August and September 2023 showed that category A drugs represent 80% of the total value of UHC drug supplies in pharmacy installations. The research results show that by comparing calculations for planning the procurement of category A drugs using the Pareto and min-max systems, the total inventory cost is lower using the min-max system. Procurement planning using a min-max system can be better if the calculation of drug use is routinely controlled and the procurement planning process is assisted by a better information system. It is hoped that the research can be continued for a longer period so that inventory cost assessments can be more accurate.
B-2489
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Adhika Putra Marsaban; Pembimbing: Mardiati Nadjib; Penguji: Masyitoh, Lia Gardenia Partakusuma, Veronica Fridawati
Abstrak:
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Rumah Sakit Pusat Pertamina (RSPP) menghadapi tantangan operasional dalam sistem penyediaan darahnya, yang ditandai dengan tingginya angka pembatalan darah, waktu tunggu layanan yang lama, dan biaya pengadaan eksternal yang signifikan, yang berpotensi menghambat pengembangan layanan unggulan. Penelitian ini bertujuan untuk melakukan analisis pra-kelayakan yang komprehensif terhadap rencana pendirian Unit Pengelola Darah (UPD) di RSPP guna memberikan rekomendasi strategis berbasis bukti. Penelitian ini menggunakan metode studi kasus kualitatif dengan dukungan data kuantitatif. Pengumpulan data dilakukan melalui analisis dokumen, wawancara mendalam dengan pemangku kepentingan utama, dan observasi langsung. Hasil analisis menunjukkan bahwa pendirian UPD dengan klasifikasi Madya sangat layak untuk dilaksanakan. Terdapat potensi permintaan yang sangat besar, dengan proyeksi volume gabungan untuk RSPP dan RS PELNI mencapai 28.093 kantong pada tahun 2025. Proyek ini memerlukan estimasi biaya investasi (CAPEX) sebesar Rp 10,65 miliar dan biaya operasional (OPEX) tahunan sekitar Rp 6,46 miliar. Meskipun memerlukan investasi besar, analisis finansial awal menunjukkan kelayakan yang sangat kuat dengan periode pengembalian (Payback Period) 3,22 tahun, Net Present Value (NPV) positif sebesar Rp 30,05 miliar, dan Internal Rate of Return (IRR) mencapai 34,22%. Disimpulkan bahwa proyek ini layak untuk dilanjutkan ke tahap studi kelayakan (FS) penuh, dengan fokus pada penyusunan desain teknis rinci, analisis finansial mendalam, rencana induk SDM, dan mitigasi risiko utama terkait pendanaan, teknis, sumber daya manusia, dan keberlanjutan pasokan donor.
Pertamina Central Hospital (RSPP) faces operational challenges in its blood supply system, characterized by high blood cancellation rates, long service turnaround times, and significant external procurement costs, which potentially hinder the development of its centers of excellence. This study aims to conduct a comprehensive pre-feasibility analysis of the plan to establish a Blood Management Unit (UPD) at RSPP to provide evidence-based strategic recommendations. This research employed a qualitative case study method supported by quantitative data. Data was collected through document analysis, in-depth interviews with key stakeholders, and direct observation. The results indicate that the establishment of an Intermediate (Madya) classification UPD is highly feasible. There is significant potential demand, with a projected combined volume for RSPP and PELNI Hospital reaching 28,093 bags in 2025. The project requires an estimated investment cost (CAPEX) of IDR 10.65 billion and annual operational costs (OPEX) of approximately IDR 6.46 billion. Despite the large investment, the preliminary financial analysis shows very strong viability with a Payback Period of 3.22 years, a positive Net Present Value (NPV) of IDR 30.05 billion, and an Internal Rate of Return (IRR) of 34.22%. It is concluded that the project is feasible to proceed to a full Feasibility Study (FS) stage, with a focus on detailed engineering design, in-depth financial analysis, a human resources master plan, and mitigation of key risks related to funding, technical aspects, human resources, and the sustainability of donor supply.
Pertamina Central Hospital (RSPP) faces operational challenges in its blood supply system, characterized by high blood cancellation rates, long service turnaround times, and significant external procurement costs, which potentially hinder the development of its centers of excellence. This study aims to conduct a comprehensive pre-feasibility analysis of the plan to establish a Blood Management Unit (UPD) at RSPP to provide evidence-based strategic recommendations. This research employed a qualitative case study method supported by quantitative data. Data was collected through document analysis, in-depth interviews with key stakeholders, and direct observation. The results indicate that the establishment of an Intermediate (Madya) classification UPD is highly feasible. There is significant potential demand, with a projected combined volume for RSPP and PELNI Hospital reaching 28,093 bags in 2025. The project requires an estimated investment cost (CAPEX) of IDR 10.65 billion and annual operational costs (OPEX) of approximately IDR 6.46 billion. Despite the large investment, the preliminary financial analysis shows very strong viability with a Payback Period of 3.22 years, a positive Net Present Value (NPV) of IDR 30.05 billion, and an Internal Rate of Return (IRR) of 34.22%. It is concluded that the project is feasible to proceed to a full Feasibility Study (FS) stage, with a focus on detailed engineering design, in-depth financial analysis, a human resources master plan, and mitigation of key risks related to funding, technical aspects, human resources, and the sustainability of donor supply.
T-7384
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Ghulam Mustafa; Pembimbing: Ede Surya Darmawan; Penguji: Dumilah Ayuningtyas, Helen Andriani, Adang Bachtiar,Rakhmad Hidayat
Abstrak:
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Penelitian ini menggunakan desain kuantitatif, non-eksperimental, dan observasional untuk menilai kepuasan pasien mahasiswa internasional terhadap layanan kesehatan di Rumah Sakit Universitas Indonesia (RSUI), sebuah rumah sakit pendidikan utama yang berkomitmen memberikan KEYWORDS: International student satisfaction, Universitas Indonesia Hospital, service quality, healthcare quality, patient-centred care) pelayanan berkualitas tinggi dan berpusat pada pasien. Dengan meningkatnya jumlah mahasiswa internasional yang mengandalkan RSUI, pemahaman terhadap pengalaman mereka sangat penting untuk meningkatkan kualitas layanan dan menyelaraskan standar dengan praktik global. Kuesioner terstruktur digunakan dengan menggabungkan model SERVQUAL (tangibles, reliability, responsiveness, assurance, empathy) dan HEALTHQUAL (safety, efficiency, care improvement), serta dimensi komunikasi dan sensitivitas budaya. Sebanyak 100 pasien mahasiswa internasional berpartisipasi dalam penelitian ini selama periode April hingga Mei 2025. Data dianalisis menggunakan statistik deskriptif, crosstabulation, dan regresi logistik. Hasil penelitian menunjukkan tingkat kepuasan tinggi pada dimensi tangibles, assurance, dan safety. Namun, empathy dan komunikasi memiliki pengaruh negatif terhadap kepuasan secara keseluruhan, menunjukkan perlunya perbaikan dalam aspek-aspek tersebut. Terdapat hubungan signifikan antara kualitas layanan, komunikasi, dan kepuasan pasien (p < 0,05). Temuan ini menyoroti pentingnya penguatan layanan penerjemah, pelatihan staf dalam kompetensi budaya dan komunikasi, serta perbaikan alur pelayanan. Studi ini mengisi kesenjangan literatur terkait kepuasan pasien asing di Indonesia dan memberikan rekomendasi strategis bagi RSUI dalam mencapai keunggulan layanan bagi pasien internasional.
This study used a quantitative, non-experimental, observational design to assess international student patient satisfaction with healthcare services at Universitas Indonesia Hospital (RSUI), a major academic hospital committed to high-quality, patient-centred care. With a growing international student population relying on RSUI, understanding their service experiences is critical to enhancing care delivery and aligning with international standards. A structured questionnaire was used, combining the SERVQUAL (tangibles, reliability, responsiveness, assurance, empathy) and HEALTHQUAL (safety, efficiency, care improvement) models, along with communication and cultural sensitivity dimensions. A total of 100 international student patients participated between April and May 2025. Data were analysed using descriptive statistics, crosstabulation, and logistic regression. The results showed high satisfaction in the dimensions of tangibility, assurance, and safety. However, empathy and communication were found to have a negative influence on overall satisfaction, indicating key areas that require improvement. A significant relationship was observed between service quality, communication, and patient satisfaction (p < 0.05). These findings underscore the need for strengthening interpreter services, implementing staff training in cultural and communication competence, and improving service workflows. This study contributes new insights to the limited literature on foreign patient satisfaction in Indonesia and offers strategic recommendations to support RSUI in achieving service excellence for international patients.
B-2547
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Wirdah; Pembimbing: Prastuti Soewondo; Penguji: Mardiati Nadjib, Pujiyanto, Amal Chalik Sjaaf, Endah Kartika Dewi
Abstrak:
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Layanan radioterapi sebagai modalitas penanganan kasus kanker secara komprehensif menjadi permasalahan global atas sebaran yang belum merata dan pengembangan layanan yang memerlukan investasi sumberdaya manusia serta sarana dan prasarana berbiaya tinggi. Pemanfaatan layanan radioterapi yang optimal diharapkan dapat menjadikan layanan tersebut sustainable dan mandiri dalam pembiayaannya. Penelitian ini bertujuan untuk mengetahui strategi optimalisasi pemanfaatan layanan radioterapi yang dikembangkan dalam suatu rencana aksi. Dengan pendekatan kualitatif dilakukan pengolahan data primer dan sekunder melalui tahap input stage dengan matriks IFE dan EFE, matching stage dengan matriks SWOT dan IE Matriks, serta decission stage dengan matriks QSPM. Hasil penelitian didapatkan strategi terpilih meliputi product development, market penetration dan market development. Strategi product development meliputi pengembangan layanan okologi terpadu dalam kemampuan diagnostik, layanan kanker sistemik (kemoterapi) pengembangan cakupan layanan pembedahan dan penyinaran (radiasi), serta penyusunan layanan radioterapi eksekutif. Strategi market penetration meliputi penyusunan jejaring rujukan kanker dan penyusunan kesepakatan kerja sama rujukan radioterapi pada RSUD di Jakarta dan rumah sakit jejaring rujukan. Strategi market development yang dipilih adalah pengembangan pemasaran radioterapi dengan digital marketing, pengukuran capaian pemasaran radioterapi serta promosi layanan rasioterapi dengan menggunakan sistem informasi estimasi waktu tunggu layanan. Rekomendasi hasil penelitian menitik beratkan pada perlunya pengkajian pemanfaatan SDM unit radioterapi dalam penelitian selanjutnya.
Radiotherapy services as a comprehensive cancer case treatment modality are a global problem due to uneven distribution and service development that requires investment in human resources and high-cost facilities and infrastructure. Optimal utilization of radiotherapy services is expected to make these services sustainable and independent in their financing. This study aims to determine the strategy for optimizing the utilization of radiotherapy services developed in an action plan. With a qualitative approach, primary and secondary data processing was carried out through the input stage with the IFE and EFE matrices, the matching stage with the SWOT and IE matrices, and the decision stage with the QSPM matrix. The results of the study obtained selected strategies including product development, namely market penetration and market development. The product development strategy includes the development of integrated oncology services in diagnostic capabilities, systemic cancer services (chemotherapy), development of surgical and radiation (radiation) service coverage, and the preparation of executive radiotherapy services. The market penetration strategy includes the preparation of a cancer referral network and the preparation of a radiotherapy referral cooperation agreement at regional hospitals in Jakarta and referral network hospitals. The chosen market development strategy is the development of radiotherapy marketing with digital marketing, measurement of radiotherapy marketing achievements and promotion of ratiotherapy services using a service waiting time estimation information system. The recommendations of the research results emphasize the need for an assessment of the utilization of radiotherapy unit human resources in further research.
B-2542
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Yesti Mulia Eryani; Pembimbing: Pujiyanti; Penguji:
Abstrak:
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Latar belakang: Perkembangan teknologi informasi di bidang kesehatan telah mendorong rumah sakit untuk menyelenggarakan Rekam Medis Elektronik (RME) guna meningkatkan mutu pelayanan, efisiensi kerja, dan keselamatan pasien. Kerangka PIECES merupakan kerangka kerja yang mengklasifikasikan masalah, peluang, dan arahan menjadi 6 kategori yang dapat memberikan panduan yang komprehensif dan seluruh faktor penting diperhatikan dalam melakukan evaluasi sehingga dapat diidentifikasi area-area yang membutuhkan perbaikan dan dapat mengukur dampak terhadap organisasi secara menyeluruh dalam evaluasi sistem RME. Penerapan RME di RS Andhika berjalan sejak 2022 namun sampai saat ini belum berjalan maksimal dan masih ditemukan kendala dalam pelaksanaannya seperti formulir yang tidak lengkap, hak akses staf tidak aktif masih ada, adanya dobel rekam medis dan capaian pengisian rekam medis di RS Andhika baru mencapai 93% dengan standar 100%. Tujuan: Penelitian ini bertujuan untuk menganalisis penerapan RME di RSU Andhika Jakarta Selatan menggunakan metode PIECES yang mencakup enam aspek terdiri dari Performance, Information and Data, Economics, Control and Security, Efficiency, dan Service. Metode: Penelitian ini merupakan penelitian kualitatif dengan teknik pengumpulan data dilakukan melalui observasi, wawancara mendalam serta telaah dokumen. Hasil: Hasil menunjukkan bahwa pada aspek Performance, sistem RME telah memberikan informasi yang cukup tetapi masih ditemukan kendala teknis dan kelengkapan data. Information and Data dinilai cukup informatif namun fleksibilitas dan kesesuaian data dengan kebutuhan masih perlu ditingkatkan. Pada aspek Economics, ditemukan tantangan terkait keterbatasan integrasi dan tingginya biaya operasional. Control and Security sudah mengatur hak akses, namun masih ditemukan kelemahan dalam autentikasi pengguna. Efficiency menunjukkan sistem cukup mudah dipelajari namun tidak memberi notifikasi kesalahan. Aspek Service menunjukkan akurasi cukup baik, namun masih terdapat ketidakkonsistenan data di beberapa jenis data. Kesimpulan: Penerapan RME di RS Andhika saat ini belum optimal yang masih diperlukan perbaikan dalam setiap aspek yang mempengaruhi dilihat dari segi Performance, Information and Data, Economic, Control and Security, Efficiency, dan Service dengan melakukan perencanaan, evaluasi, dan monitoring dalam penerapan rekam medis elektronik serta berupaya untuk selalu melakukan perbaikan.
Background: The development of information technology in the health sector has encouraged hospitals to organize Electronic Medical Records (EMR) to improve reciprocal services, work efficiency, and patient safety. The PIECES framework is a framework that classifies problems, opportunities, and directions into 6 categories that can provide comprehensive guidance and all important factors are considered in conducting evaluations so that areas that need improvement can be identified and the impact on the organization as a whole can be measured in the EMR evaluation system. The implementation of EMR at Andhika Hospital has been running since 2022, but until now it has not been running optimally and there are still obstacles in its implementation such as incomplete forms, inactive staff access rights still exist, there are double medical records and the achievement of filling in medical records at Andhika Hospital has only reached 93% with a standard of 100%. Purpose: This study aims to analyze the implementation of EMR at Andhika Hospital, South Jakarta using the PIECES method which includes six aspects consisting of Performance, Information and Data, Economics, Control and Security, Efficiency, and Service. Method: This study is a qualitative study with data collection techniques carried out through observation, in-depth interviews and document review. Results: The results show that in the Performance aspect, the RME system has provided sufficient information but there are still technical constraints and data completeness. Information and Data are considered quite informative but anxiety and alignment of data with needs still need to be improved. In the Economic aspect, challenges were found related to limited integration and high operational costs. Control and Security have regulated access rights, but there are still weaknesses in user authentication. Efficiency shows that the system is quite easy to learn but does not provide error notifications. The Service aspect shows fairly good accuracy, but there is still data inconsistency in several types of data. Conclusion: The implementation of RME at Andhika Hospital is currently not optimal and still needs improvement in every aspect that affects it in terms of Performance, Information and Data, Economic, Control and Security, Efficiency, and Service by planning, evaluating, and monitoring in the implementation of electronic medical records and trying to always make improvements.
B-2534
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Mirna Raafiana; Pembimbing: Helen Andriani; Penguji: Vetty Yulianty Permanasari, Purnawan Junadi, A. Heri Iswanto, Endang Adriyani
Abstrak:
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Pengelolaan logistik farmasi merupakan tulang punggung yang menunjang keberhasilan dan kelancaran suatu tindakan operasi. Operasi Sectio caesarea (SC) merupakan tindakan operasi yang terbanyak di RS Prikasih dan merupakan prosedur operasi yang sangat penting dan beresiko tinggi karena menyangkut keselamatan 2 (dua) nyawa yaitu nyawa ibu dan bayinya sehingga perlu dipastikan semua faktor pendukung harus optimal dan dalam kondisi prima. Disamping itu, pengelolaan logistik kamar operasi juga sangat berpengaruh pada kondisi kestabilan keuangan rumah sakit. Penelitian ini bertujuan untuk mengetahui, memperbaiki dan meringkas alur logistik farmasi pada operasi SC agar lebih efektif dan efisien dengan penerapan konsep lean hospital. Penelitian ini menggunakan metode operational research dengan menggabungkan pendekatan kuantitatif dan kualitatif yang dilakukan pada November-Desember 2024 di RS Prikasih dengan melakukan observasi langsung (time motion study) pada seluruh tahapan proses resep operasi SC. Data yang didambil adalah sebanyak 38 tindakan operasi SC (sebelum implementasi) dan 29 tindakan operasi (setelah implementasi intervensi). Pada penelitian ini juga dilakukan wawancara mendalam serta telaah dokumen. Pada kondisi current state didapatkan lead time waktu pelayanan resep operasi SC adalah 121,5 menit dengan rata-rata VAT 41,8 menit dan NVAT 79,7 menit dengan aktivitas NVAT terlama adalah pada tahapan penyerahan obat ke ruangan rawat inap sebesar 53,2 menit (66,7% dari total NVAT). Jenis waste yang memberikan kontribusi besar adalah waiting dan transportation yang sebagian besar terjadi pada proses persiapan obat mulai dari depo farmasi rawat inap hingga proses serah terima ke ruangan rawat inap sebelum digunakan untuk tindakan operasi. Dalam diagram fishbone didapatkan banyak faktor penyebab masalah yang saling berkaitan dimana yang terbanyak pada faktor “methods”. Pada Analisa Five whys didapatkan akar masalah yang multiple yaitu tidak terdapatnya resep operasi standar, alur peresepan yang tidak ringkas, kurangnya ketelitian petugas serta kendala pada proses persiapan/perencanaan obat. Intervensi yang dilakukan yaitu membuat standarisasi paket resep operasi SC, merubah alur persiapan paket operasi, merubah alur pergerakan obat operasi SC langsung ke kamar bedah, meningkatkan komunikasi dan koordinasi antar unit untuk resep operasi melalui group WA serta penerapan metode 5S logistic kamar bedah. Pada kondisi future state condition didapatkan penurunan lead time sebesar 64,7% dengan rata-rata VAT 30 menit dan NVAT 12,9 menit. Hal ini dikarenakan terjadi perubahan alur obat operasi dengan meringkas 2 tahapan kegiatan yaitu tahapan penyerahan obat ke rawat inap dan tahapan pengembalian obat ke ruangan rawat inap. Kesimpulan pada penelitian ini menunjukkan penerapan metode lean hospital dapat memperbaiki dan meringkas alur logistic farmasi operasi SC menjadi lebih efektif dan efisien.
Pharmaceutical logistics management is a critical component in the success of surgical procedures, particularly Caesarean Section (SC), the most frequent and high-risk operation at Prikasih Hospital. This study aims to evaluate and streamline the SC pharmaceutical logistics process using the Lean Hospital approach to improve efficiency and effectiveness. This research applied an operational research design with both quantitative and qualitative methods. Data were collected through direct observation (time motion study) involving 38 SC operations before and 29 operations after the intervention. In-depth interviews and document reviews were also conducted. In the initial condition, the average prescription lead time was 121.5 minutes, consisting of 41.8 minutes of Value-Added Time (VAT) and 79.7 minutes of Non-Value-Added Time (NVAT). The dominant types of waste identified were waiting and transportation, especially during drug transfer to inpatient wards. Interventions included standardizing prescription packages, redirecting drug flow directly to the operating room, enhancing communication among units via WhatsApp, and implementing the 5S method. As a result, the total prescription lead time was reduced by 64.7% to 42.9 minutes, with average VAT of 30 minutes and NVAT of 12.9 minutes. The study concludes that Lean Hospital implementation significantly improves and simplifies the SC pharmaceutical logistics flow, leading to greater operational efficiency.
B-2524
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Ingrid Amadea Sucipto; Pembimbing: Helen Andriani; Penguji: Vetty Yulianty Permanasari, Purnawan Junadi, Mohammad Budiman, Teuku Teuku Nebrisa Zagladin
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Manajemen farmasi yang efektif berperan krusial bagi operasional rumah sakit, serta memengaruhi statusnya sebagai cost center atau revenue center. Rumah Sakit Utama merupakan rumah sakit di wilayah kepulauan yang sering menghadapi tantangan dalam variabilitas waktu pengiriman obat, sehingga IFRS Utama memerlukan sistem logistik farmasi yang baik untuk menjamin ketersediaan obat secara efisien. Penelitian ini menganalisis sistem perencanaan dan pengendalian obat di RS Utama saat ini, sekaligus mengevaluasi potensi peningkatannya dengan mensimulasikan penerapan metode ABC Indeks Kritis (yang mengklasifikasikan obat menjadi kategori A, B, C berdasarkan data penggunaan periode Oktober 2024 – Maret 2025) yang dikombinasikan dengan perhitungan safety stock, reorder point, dan economic order quantity secara spesifik untuk obat Kategori A. Model perencanaan dan pengendalian perbekalan farmasi usulan ini kemudian disimulasikan dan kinerjanya dibandingkan dengan metode yang saat ini digunakan oleh rumah sakit, dengan evaluasi terfokus pada dampaknya terhadap nilai persediaan dan Inventory Turnover Ratio (ITOR) obat kategori A Indeks Kritis. Hasil simulasi menunjukkan bahwa metode yang diusulkan, berpotensi menghasilkan penurunan substansial pada rata-rata nilai persediaan serta peningkatan ITOR . Penelitian ini diharapkan memberikan kontribusi empiris dan landasan strategis bagi RS Utama dalam upaya optimalisasi sistem manajemen logistik farmasi, guna meningkatkan efisiensi operasional dan menjamin ketersediaan obat secara lebih efektif.
Kata kunci : ABC Indeks Kritis, safety stock, reorder point, economic order quantity, nilai persediaan, inventory turn over.
Effective pharmaceutical management is vital, determining whether the pharmacy as a cost or revenue center. For Utama Hospital, operating in an archipelagic region with variable drug delivery times, a highly efficient pharmaceutical logistics system at its Pharmacy Installation is essential for ensuring consistent and efficient drug availability. This study, therefore, analyzes Utama Hospital's current drug planning and control system, exploring potential improvements by simulating a new model that integrates an ABC-Criticality Index classification with calculations for safety stock, reorder point, and economic order quantity (EOQ). To achieve this, the research methodology involved analyzing drug usage data (October 2024 – March 2025), classifying drugs into categories A, B, and C using an ABC-Criticality Index approach, and then calculating key inventory parameters—safety stock, reorder point, and EOQ—specifically for Category A drugs. The proposed pharmaceutical supply planning and control model, incorporating these parameters, was subsequently simulated. Its performance was then benchmarked against the hospital's current methods, with a focused evaluation on changes to inventory value and the Inventory Turnover Ratio (ITOR) for these critical Category A drugs. The simulation revealed that the proposed method holds strong potential for substantially decreasing average inventory value while significantly boosting the ITOR. This research aims to offer an empirical contribution and strategic framework, enabling Utama Hospital to optimize its pharmaceutical logistics for enhanced operational efficiency and more effective, timely drug availability. Keywords: ABC-Criticality Index, safety stock, reorder point, economic order quantity, inventory value, inventory turnover
B-2543
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Astriana; Pembimbing: Wachyu Sulistiadi; Penguji: Puput Oktamianti, Dumilah Ayuningtyas, Herdiana Eta Prananti, Fitria Saftarina
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Meningkatnya tren jumlah Bed Occupancy Rate (BOR) dari tahun ke tahun di Rumah Sakit Graha Husada menjadi kewaspadaan pada kinerja perawat. Penilaian kinerja yang menurun pada tahun 2023 sangat disayangkan oleh manajemen dan dapat berdampak pada pelayanan kesehatan di Rumah Sakit Graha Husada pada masa yang akan datang. Penilaian kinerja yang dapat diukur melalui teori Gibson melalui variabel individu, organisasi, psikologis serta kebugaran perawat merupakan salah satu langkah untuk menilai kualitas kinerja yang bermutu baik. Tujuan penelitian ini untuk mengetahui hubungan variabel individu, organisasi dan psikologis terhadap kinerja perawat di Rumah Sakit Graha Husada Bandar Lampung. Penelitian ini merupakan jenis penelitian metode penelitian kuantitatif dengan menggunakan desain cross sectional dengan tujuan dapat mengetahui besarnya signifikansi faktor-faktor yang berhubungan dengan kinerja perawat. Penelitian ini dilakukan pada bulan Mei 2024 kepada 82 perawat yang bekerja di Rumah Sakit Graha Husada Bandar Lampung. Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara variabel individu dengan p-value 0,0012 < 0,05, kebugaran dengan p-value 0,090 < 0,05, variabel organisasi dengan p-value 0,000 < 0,05 dan variabel psikologis dengan p-value 0,0002 < 0,05 terhadap kinerja perawat dengan nilai OR secara berurutan (3,93), (20,308), dan (5,438). Hasil penelitian menunjukkan bahwa variabel yang memiliki hubungan kuat terhadap kinerja perawat adalah variabel organisasi dan variabel psikiologis, namun dari kedua variabel tersebut variabel yang memiliki hubungan paling kuat terhadap kinerja perawat adalah variabel organisasi. Artinya dengan meningkatnya variabel organisasi maka dapat meningkatkan kinerja perawat di rumah sakit. Sehingga rumah sakit perlu untuk mengembangkan pengelolaan organisasi dengan berbagai cara seperti meningkatkan akses yang memadai, meningkatkan sumber daya fisik yang diperlukan, memperbaiki struktur organisasi dan hirarki kepemimpinan, memperhatikan desain pekerjaan dengan keberagaman tugas dan tantangan serta memperhatikan kepuasan kerja perawat.
The increasing trend in the Bed Occupancy Rate (BOR) year by year at Graha Husada Hospital has raised concerns about the performance of the nurses. The decline in performance ratings in 2023 is regrettable for management and could impact healthcare services at Graha Husada Hospital in the future. Performance assessment, which can be measured through Gibson's theory via individual, organizational, psychological, and wellness variables of the nurses, is one of the steps to evaluate high-quality performance. The aim of this research is to determine the relationship between individual, organizational, and psychological variables on the performance of nurses at Graha Husada Hospital in Bandar Lampung. This study is a type of quantitative research using a cross-sectional design to determine the significance of factors related to nurse performance. The study was conducted in May 2024 with 82 nurses working at Graha Husada Hospital in Bandar Lampung. The results showed a significant relationship between individual variables with a p-value of 0.0012 < 0.05, wellness with a p-value of 0.090 < 0.05, organizational variables with a p-value of 0.000 < 0.05, and psychological variables with a p-value of 0.0002 < 0.05 on nurse performance, with OR values of (3.93), (20.308), and (5.438) respectively. The results indicate that the variables with a strong relationship to nurse performance are organizational and psychological variables, with organizational variables having the strongest relationship to nurse performance. This means that improving organizational variables can enhance nurse performance in the hospital. Therefore, the hospital needs to develop organizational management in various ways, such as increasing adequate access, improving necessary physical resources, refining organizational structure and leadership hierarchy, paying attention to job design with task variety and challenges, and considering nurse job satisfaction.
B-2488
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Aria Pratama Surya Anggara; Pembimbing: Atik Nurwahyuni; Penguji: Anhari Achadi, Pujiyanto, Rina Nulianti, Syahnural Lubis
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Infertilitas adalah gangguan reproduksi yang menyebabkan pasangan suami-istri sulit untuk mendapat kehamilan. Penatalaksanaan infertilitas dengan invasif adalah bayi tabung. Proses tindakan bayi tabung terdiri dari petik sel telur, preparasi sperma, inseminasi oosit, dan transfer embrio. Analisis tarif di rumah sakit semakin penting sejalan dengan kebijakan pengembangan contohnya tarif pelayanan Tindakan bayi tabung. Tarif yang berlaku dikaji dan dianalisis untuk dapat menyesuaikan dan rekomendasi tarif. Tujuan penelitian ini untuk menganalisis biaya satuan tarif tindakan bayi tabung di Morula IVF Pontianak Rumah Sakit Anugerah Bunda Khatulistiwa. Penelitian ini menggunakan pendekatan retrospektif. Desain penelitian ini dengan metode Metode Activity Based Costing (ABC). Hasil penelitian ini didapatkan besaran biaya satuan aktual untuk perhitungan unit cost tindakan In-Vitro Fertilization di Morula IVF Pontianak sebesar Rp 136.682.495,-, sedangkan biaya satuan normatif untuk perhitungan unit cost tindakan In-Vitro Fertilization di Morula IVF Pontianak sebesar Rp 117.578.928,-.
Infertility is a reproductive disorder that makes it difficult for married couples to get pregnant. Invasive infertility treatment is IVF. The IVF procedure consists of ovum pick-up, sperm preparation, oocyte insemination, and embryo transfer. The analysis of rates in hospitals is increasingly important in line with development policies, for example, rates for IVF services. Applicable rate are reviewed and analyzed in order to be able to adjust and rates recommend. The purpose of this study was to analyze the unit cost of IVF treatment at the Morula IVF Pontianak Anugerah Bunda Khatulistiwa Hospital. This study uses a retrospective approach. This research design uses the Activity Based Costing (ABC) method. The results of this research showed that the actual unit cost for calculating the unit cost of the In-Vitro Fertilization procedure at Morula IVF Pontianak was IDR 136.682.495,00 for each procedure, while the normative unit cost for calculating the unit cost of the In-Vitro Fertilization procedure at Morula IVF Pontianak is IDR 117.578.928,00.
B-2486
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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