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Sri Hastuti; Pembimbing: Sandi Iljanto; Penguji: Amal C. Sjaaf, Anwar Hassan, Mohammad Baharudin
Abstrak:

RSIA Budi Kemuliaan merupakan salah satu rumah sakit tertua dan tetap eksis di kota Jakarta.Tinggi rendahnya kunjungan/utilisasi poliklinik merupakan interaksi antara pemberi pelayanan dan pengguna pelayanan (pasien). Peningkatan jumlah kunjungan yang berbeda di setiap poliklinik dan belum tercapainya target peningkatan jumlah kunjungan 10% setiap tahunnya menjadi latar belakang penelitiaan ini. Penelitian ini bertujuan untuk mengetahui gambaran karakteristik responden RSIABK dan mengetahui faktor-faktor yang berhubungan dengan utilisasi poliklinik di RSIABK. Jenis penelitian ini adalah penelitian kuantitatif yang bersifat deskriptif analitik dengan menggunakan pendekatan cross-sectional. Sampel penelitian sebanyak 270 responden yang mewakili poliklinik lantai II, lantai III pagi dan lantai III sore. Hasil penelitian menunjukkan bahwa sebagian besar responden mempunyai tingkat pendidikan menengah ke atas (SLTA - ≥ tamat S1) sebesar 83,7%, sebagian besar responden adalah bekerja (69,3%) dengan penghasilan keluarga kurang dari Rp.3 juta (51,5%), memiliki tingkat pengetahuan yang kurang baik (67,4%), sebanyak 76,3% biaya pengobatan ditanggung sendiri (out of pocket), memiliki rata-rata waktu tempuh dari tempat tinggal ke rumah sakit 37,01 menit. Terdapat perbedaan karakteristik responden yang memilih poliklinik lantai II,lantai III pagi dan lantai III sore. Faktor yang langsung mempengaruhi utilisasi poliklinik lantai II vs poliklinik lantai III sore adalah kualitas alur pelayanan, pengetahuan, jarak tempuh, tarif dan asal biaya pengobatan. Sedangkan faktor yang langsung mempengaruhi utilisasi poliklinik lantai II vs poliklinik lantai III pagi adalah kualitas fisik RS, keterampilan bidan/perawat,asal biaya pengobatan dan pendapatan. Citra poliklinik RSIABK umumnya cukup baik dengan skor rata-rata 7,7.

Budi Kemuliaan Maternal and Child Hospital is one of the oldest hospitals and still exists in Jakarta. The frequency of polyclinic utilization represents the interaction between service providers and service users (patients). The difference of visit amount development for each polyclinic and the 10% target of visit amount development that has not been achieved become the background of this research. The purpose of this study is to understand the picture of respondents characteristic and to understand of the factors associated with utilization polyclinic of Budi Kemuliaan Maternal and Child Hospital. The type of this research is quantitative research. The writer applies analytical descriptive study by using cross-sectional approach. There are 270 respondents as the sample of the research representing polyclinic 2nd floor, 3rd floor in the morning and afternoon the 3rd floor. The results showed that the majority of respondents upper middle level of education (≥ high school graduation-S1) of 83.7%, the majority of respondents were working (69.3%) with family income of less than Rp.3 million (51.5%), has a poor level of knowledge (67.4%), as much as 76.3% of medical costs are afforded privately (outof- pocket), and has an average travel time from residence to hospital 37.01 minutes. There are several differences in respondent characteristics between polyclinics 2nd floor, 3rd floor in the morning and the 3rd floor in the afternoon. Factors that directly affect of polyclinic's utilization 2nd floor vs polyclinic 3rd floor in the afternoon are the quality of service, knowledge, mileage, rates and home treatment costs. While the factors that directly affect of the polyclinic's utilization 2nd floor vs polyclinic 3rd floor in the morning are the physical quality of hospital, midwives or nurses' skills, and sources of medical expenses and revenues. Polyclinic RSIABK image is generally quite good with an average score of 7.7.

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B-1378
Depok : FKM UI, 2012
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
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Regina Angelia Suwignjo; Pembimbing: Adang Bachtiar; Penguji: Purnawan Junadi, Dumilah Ayuningtyas, Mohammad Baharudin, P. Lanjar Sugiyanto
B-1597
Depok : FKM-UI, 2014
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
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Rita Kumalasari; Pembimbing: Wahyu Sulistiadi; Penguji: Amal Chalik Sjaaf, Ascobat Gani, Arief Wardoyo, Mohammad Baharudin
Abstrak:
Pandemi COVID-19 berdampak pada keberlangsungan suatu rumah sakit, salah satunya penurunan jumlah kunjungan pasien, terutama pasien rawat jalan. Hal ini terjadi karena adanya penerapan protokol kesehatan, pembatasan mobilitas, ketakutan masyarakat untuk berkunjung ke rumah sakit, dan kekhawatiran para petugas dan tenaga kesehatan di rumah sakit tertular COVID-19. Perubahan ini juga berdampak dalam pelaksanaan pemberian pelayanan rumah sakit kepada pasien. Seperti pelayanan Rehabilitasi Medik di Rumah Sakit Simpangan Depok (RSSD) pada masa pandemi ini, mengalami perubahan pada pemberlakuan alur pelayanan, penerapan protokol kesehatan, juga adanya pembatasan jumlah dan jenis pelayanan yang berpotensi menyebabkan penularan COVID-19. Tujuan penelitian ini melakukan analisis optimalisasi kinerja pelayanan Rehabilitasi Medik di RSSD pada masa pandemi COVID-19, pada kasus Osteoarthritis (OA) lutut yang banyak ditemukan di poliklinik rawat jalan dan merupakan layanan unggulan di RSSD. Penelitian ini merupakan penelitian mixed methods (kualitatif dan kuantitatif) dengan disain penelitian kualitatif adalah studi kasus dengan sampelnya staf (tenaga kesehatan dan non kesehatan) yang berkaitan dengan pelayanan Poliklinik Rehabilitasi Medik dan pasien OA lutut, kemudian disain penelitian kuantitatif adalah potong lintang dengan sampelnya pasien OA lutut. Hasil penelitian ini menunjukkan bahwa struktur pelayanan di RSSD, seperti kecukupan jumlah sumber daya manusia (SDM) saat awal dan puncak pandemi tidak mengalami permasalahan karena jumlah kunjungan pasien yang menurun, namun sejak awal tahun 2022 kunjungan pasien sudah mulai meningkat, sehingga kecukupan SDM perlu mendapatkan solusi. Kinerja pelayanan Poliklinik Rehabilitasi Medik selama pandemi COVID-19 tetap optimal, dilihat dari penilaian penentu kualitas pelayanan melalui efikasi, efisiensi, efektivitas, optimalitas, akseptabilitas, legitimasi dan ekuitas yang menurut persepsi pasien secara umum sudah baik. Namun, terakait sarana penunjang pada penilaian akseptabilitas menunjukkan penilaian yang masih kurang, yaitu pada kenyamanan ruang tunggu, kelengkapan fasilitas kamar mandi, dan fasilitas pendukung ketersediaan kantin bagi pasien dan keluarganya. Disarankan kepada pihak manajemen RSSD untuk mendukung perbaikan pelaksanaan pelayanan terutama pada beberapa permasalahan yang ada. Kemudian, meningkatkan kesadaran dan kedisiplinan dari seluruh staf di RSSD dan pemberian informasi secara rutin kepada pasien dan keluarganya juga sangat diperlukan dalam terlaksananya pelayanan yang optimal. Kata kunci: Optimalisasi, kinerja pelayanan, rumah sakit, osteoartritis lutut, COVID-19

The COVID-19 pandemic impacts the sustainability of a hospital, one of which is a decrease in the number of patient visits, especially outpatients. This happened because of the implementation of health protocols, restrictions on mobility, people's fear of visiting hospitals, and concerns of officers and health workers at hospitals contracting COVID- 19. This change also has an impact on the implementation of hospital service delivery to patients, such as the Medical Rehabilitation service at the Simpangan Depok Hospital (SDH) during this pandemic, experiencing changes in the implementation of the service flow, the application of health protocols, as well as restrictions on the number and types of services that have the potential to cause COVID-19 transmission. The purpose of this study is to analyze the optimization of the performance of Medical Rehabilitation services at the SDH during the COVID-19 pandemic, in cases of knee osteoarthritis (OA), which are often found in outpatient polyclinics and are the flagship service at SDH. This research is a mixed methods research (qualitative and quantitative) with a qualitative research design is a case study with the sample are staff (health workers and non-health) related to the services of the Medical Rehabilitation Polyclinic and knee OA patients. Then, the quantitative research design is cross-sectional with the sample being knee OA patients. The results of this study indicate that the service structure at SDH, such as the adequacy of the number of human resources (HR) at the beginning and peak of the pandemic did not experience problems because the number of patient visits decreased, but since the beginning of 2022 patient visits have begun to increase so that the adequacy of human resources needs to find a solution. The service performance of the Medical Rehabilitation Polyclinic during the COVID-19 pandemic remains optimal, as seen from the assessment of service quality determinants through efficacy, efficiency, effectiveness, optimality, acceptability, legitimacy, and equity according to patient perceptions are generally good. However, related to supporting facilities, the acceptability assessment shows that the assessment is still lacking, namely in the comfort of the waiting room, completeness of bathroom facilities, and supporting facilities for the availability of canteens for patients and their families. It is recommended to the SDH management to support the improvement of service implementation, especially on some of the existing problems. Then, increasing awareness and discipline of all staff in SDH, and providing information regularly to patients and their families are also very necessary in the implementation of optimal services. Key words: Optimization, service performance, hospital, knee osteoarthritis, COVID-19
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B-2280
Depok : FKM-UI, 2022
S2 - Tesis   Pusat Informasi Kesehatan Masyarakat
:: Pengguna : Pusat Informasi Kesehatan Masyarakat
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