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ABSTRAK Nama : Muhammad Rizki Fajriansyah Program Studi : Kajian Administrasi Rumah Sakit Judul : Studi Tentang Pilihan Pelayanan Yang Berhubungan Dengan Utilisasi Rawat Inap RSIA Budi Kemuliaan Tahun 2012 RSIA Budi Kemuliaan memiliki posisi strategis di pusat kota Jakarta diantara perumahan dan perkantoran. Peningkatan pemanfaatan kelas rawat inap setiap tahunnya belum mencapai target optimal yang signifikan, terutama rawat inap kelas 1 (I,VIP,VVIP) yang menjadi latar belakang penelitian ini. Tujuan penelitian untuk melihat gambaran karakteristik pasien rawat inap RSIA Budi Kemuliaan serta mengetahui faktor yang berhubungan dengan utilisasi. Disain penelitian cross sectional dengan pendekatan kuantitatif yang bersifat analitik deskriptif. Sampel penelitian 210 responden mewakili rawat inap kelas 1, 2 dan 3. Hasil penelitian menunjukkan mayoritas responden adalah ibu RT berpendidikan SLTA, penghasilan kurang dari 3 juta, memiliki pengetahuan yang kurang baik tentang pelayanan, referensi terbesar dari keluarga, biaya perawatan ditanggung sendiri, dan rata-rata jarak rumah pasien ke rumah sakit 10,14 km dengan waktu tempuh 20 menit. Terdapat perbedaan karakteristik dan perbedaan persepsi yang berkaitan dengan perilaku petugas di rawat inap kelas 1, 2 dan 3. Analisis multinomial diperoleh hasil dimana yang signifikan mempengaruhi utilisasi kelas 1 versus kelas 3 adalah pendidikan, ketrampilan perawat/bidan, referensi keluarga dan yang paling dominan perilaku petugas, sedangkan variabel yang mempengaruhi utilisasi kelas 2 versus kelas 3 adalah penanggung biaya. Hasil penelitian menyarankan upaya peningkatan dengan melakukan pemeliharaan, penambahan fasilitas, pemenuhan kebutuhan yang diperlukan tenaga medis dan non medis dalam melaksanakan fungsi pelayanannya serta dilakukan pendekatan pemasaran terdiferensiasi (differentiated marketing approach). Kata kunci : Utilisasi, Rumah Sakit, Rawat Inap
ABSTRACT Nama : Muhammad Rizki Fajriansyah Program Studi : Post Graduate of Hospital Administration Judul : Study of factor option related to services utilitization inpatient of Budi Kemuliaan Martenal and Child Hospital in 2012 Located in the city center of Jakarta, Budi Kemuliaan Martenal and Child Hospital has a strategic position among the houses and offices. Increased utilization of hospital admissions each year has not reached the significant of optimal target, especially inpatient class 1 (I, VIP, VVIP), is the background of this research. The research objective to observe the picture of the characteristics of inpatients Budi Kemuliaan Martenal and Child Hospital and its determine factors associated with utilization. Design of this study are Cross-sectional research with quantitative descriptive - analytic approaches. Sample of 210 respondents representing research inpatient class 1, 2 and 3. The results showed the majority of respondents were housewife graduated high school education, earning less than 3 million, have poor knowledge about the service, the largest reference is from the family, medical cost are affordes privately, and the average distance of the patient to the hospital with 10.14 miles travel time 20 minutes. There are differences in characteristics and differences in perceptions related to officer behavior in inpatient class 1, 2 and 3. Multinomial analysis of obtained results which are affecting the utilization of class 1 versus class 3 is the education, skills nurses, family reference and the most dominant are behavior of officers, while the variables that affect the utilization of class 2 versus class 3 is the person in charge. The results suggest efforts to increase with improvements, additional facilities, meeting the needs of the required medical and non-medical personnel in carrying out the functions of his ministry as well as the marketing approach is differentiated (differentiated marketing approach) Keywords: Utilization, Hospital, Inpatient
Program Orientasi Berbasis Kompetensi merupakan metode dalam program orientasi perawat baru. Penelitian descriptive correlational secara cross sectional bertujuan menganalisis Hubungan antara Kompetensi Pasca Orientasi dengan Kinerja Perawat Baru di RS X Jakarta Tahun 2013.
Hasil penelitian pada 127 perawat baru di RS X didapatkan perawat baru mempersepsikan kompetensi interpersonal baik (74.81%), kompetensi teknis baik (80.31%), kompetensi berpikir kritis baik (62.21%). Kinerja perawat baru mempersepsikan baik adalah 69,39%.
Analisis menunjukkan ada hubungan antara program orientasi berbasis kompetensi dengan kinerja perawat baru (pvalue= 0,000, CI: 0,336; 0,696). Variabel dominan berhubungan dengan kinerja perawat baru adalah kompetensi teknis. Kompetensi perawat baru membentuk perawat baru memiliki penampilan kerja profesional sehingga program ini penting diterapkan di setiap orientasi perawat baru.
Competency-based orientation program is a method of new nurse orientation programs. Research on cross-sectional descriptive correlational aimed to analyze the relationship of competency-based orientation program with the performance of new nurses at X Hospital, Jakarta in 2013.
Results for 127 new nurses in X Hospital, Jakarta new nurses get a good view of interpersonal competence (74.81%), good technical competence (80.31%), good competence in critical thinking (62.21%). New nurses to see better performance is 69,39%.
Analysis showed no relationship between competency-based orientation program with the performance of new nurses (p = 0.000, CI: 0.336, 0.696). The dominant variables associated with the performance of new nurses is technical competencies. Competence of new nurses to form a new nurse has a professional performance so that important programs applied in any orientation of new nurses.
Keselamatan pasien merupakan salah satu faktor penting di dalam pelaksanaan rumah sakit. Tujuan penelitian ini untuk melihat kesiapan penerapan keselamatan pasien di RSIA Assalam. Penelitian dilakukan dengan metode penelitian kuantitatif dan penelitian kualitatif. Metode survey dilakukan secara total sampling terhadap 59 pegawai, dan wawancara mendalam terhadap 5 informan. Hasil survey menunjukkan RSIA Assalam membudaya sedang dalam keselamatan pasien.
Dari hasil analisis menunjukkan belum siapnya RSIA Assalam dalam menerapkan budaya keselamatan pasien. Penelitian merekomendasikan penyusunan standar prosedur operasional tentang keselamatan pasien, meningkatkan jumlah pelaporan kejadian dan memberikan pendidikan dan pelatihan kepada seluruh pegawai tentang keselamatan pasien.
Patient safety is one of the important factors in the implementation of the hospital. The purpose of this study to look at the implementation of patient safety preparedness in Assalam RSIA. The research was conducted using quantitative research and qualitative research. Methods of sampling survey conducted to 59 employees total, and depth interviews with 5 informants. The survey shows RSIA Assalam being entrenched in patient safety.
From the analysis of the readiness of the application of patient safety culture in hospitals shows RSIA Assalam unprepared to implement patient safety culture. Study recommends the creation of standard operating procedures on patient safety, increase the number of reporting events and providing education and training to all employees about patient safety.
Kegiatan pemasaran yang dilakukan oleh RS pada dasarnya adalah upaya untuk memahami kebutuhan dan keinginan para pelanggan yang memerlukan jasa pelayanan kesehatan yang disediakan rumah sakit. RS PMC dengan beberapa pesaing di sekitarnya memiliki angka kunjungan persalinan yang masih rendah. Penelitian ini bertujuan untuk mengetahui hubungan antara karakteristik personal dan bauran produk dengan keputusan pembelian pelayanan persalinan di RS PMC. Penelitian ini bersifat deskriptif analitik dengan menggunakan desain cross sectional, Pendekatan penelitian menggunakan kuantitatif dan kualitatif. Instrumen yang digunakan adalah kuisioner dan wawancara mendalam terhadap manajemen RS PMC. Jumlah sampel sehanyak 76 responden yang diperoleh dari pasien poli kandungan. Analisa menggunakan uji univariat, bivariat dan multivariat. Hasil analisa bivariat dan multivariat didapatkan bahwa persepsi terhadap harga persalinan mempengaruhi keputusan pembelian pnlayanan persalinan. Melalui wawancara diketahui bahwa RS PMC memiliki paket persalinan SC dan paket persalinan normal yang dalam tahap uji coba. Peneliti menyarankan agar tariff yang ditetapkan oleh RS PMC saat ini sebaiknya dipertahankan dan memperluas jaringan kerjasama dengan perusahaan dan asuransi baik yang di wilayah Jakarta maupun sekitarnyadengan memberikan informasi kepastian biaya persalinan atau system yang ada di RS PMC.
Basically marketing conducted by hospital is an effort to recognize the customer's need and want that calls for health care service provided by hospital. The Port Medical Centcr (PMC) Hospital and the competitors nearby have the low number or delivery care visit. The Study was aimed to asses the association of patient's characteristics and mix product with decision to buy of delivery care service in PMC Hospital. The study was an analytic descriptive using cross-sectional design. It used quantitative and qualitative study approach. Instrument used in the study was questionnaire and the in-depth interview was oonducted toward the management of PMC Hospital. There were 76 respondents as sample gained from the obstetric and gynecology clinic. Statistic analysis used was univariate, bivariate and multivariate test. Bivariate and multivariate analysis revealed that the perception of delivery care price influenced the decision to buy of delivery care service. From the interview conducted in hospital showed that PMC Hospital had SC and normal delivery care packages that was in trial. The study recommended the price decided by the PMC Hospital should be maintained and the hospital should enlarge the network with other companies and insurance companies in the region of Jakarta and around it by providing the information of certain price of delivry care service of package system that is available in the Hospital.
Rumah Sakit Islam AI-lhsan sebagai sebuah rumah sakit Swasta dituntut untuk mampu memenuhi tuntutan masyarakat akan sebuah peiayanan kesehatan yang bermutu, sehingga mampu meningkatkan daya saing dengan rumah sakil swasta lain baik rumah sakit swasta nasional maupun rumah sakit swasta Asing. Rumah Sakit Islam Ai ihsan Hingga buian Seplernber Tahun 2005 kapasitas tempat tidur meniadi 139, untuk melihat trend cakupar: pelayanan rawat Rumah Sakit. Tujuan penelitian ini adaiah untuk mengetahui anaiisis keterkaitan faktor- faklor karakteristik pasien di intnslaasi rawai inap Rumah Sakil islam Ai ihsan padan tahun 2003 dengan kepuasannya melaui pengukuran harapan dan persepsi pasien tersebut. Data primer melalui pengisian kueeioner oieh pasien yang seda ng dan reiah dirawat di instaiasi Rawat Inap Rumah Sakit islam Al Ihsan Bandung pada buian Oktober tahun 2005.jumiah sample scbanyak 100 responfien. ‘fariabei independent yang dianaiisis adaiah karatcteristik pasien yaitui Umur pasien, jenis keiamin, tingkat pendidikan, status keiompoic pasien dan pendapatan sedangkan variabel dependennya adalah kepuasan pasien melalui pengukuran persepsi dan harapan pasien berdasarkan 5 (lima) di mensi service qur1/ily. Data yang clikumpuikan dioiah secara kuantitatii Analisa statistic yang digunakan aciaiah anaiisis univariat, bivariat, serta anailisis Rat-tesius. Hasil penelitian menunjukan bahwa proporsi pasien yang puas yaitu 37% seciangkan yang tidak puas scbcsar 63%, karakteristik pasien yang iebih banyak afiaiah umur 3 36 tanun ( 53% }, iaki-iaizi 53%, 5 SMA (66%), keiompok pasien umum (63%), dan pendapatan 2 Rp i.OUO.UOU,- (59%), Uji bivariai dengan Chi Square secara garis besar didapat karaktcristik pasien yang berhubungan dcngan harapan adalah pendapatan pasien seciangkan karakteristik pasien yang berhubungan dengan pcrsepsi adalah: umur, pendiciikan dan status keiompok pasien sedangkan pada karakteristiit pasicn yang bcrhubungan cicngan kepuasan adalah semua kelompok pasten yang ciihagi menurut umur, jems kelamin, pendidikan,status keiompok pasien dan pendapalan memiiiki tingkai itepuasan yang sama untuk sumua dimcnsi pelayanan. Hasil amalisis kartesius didapatkan factor ruang perawatan yang nyaman, bersih, keiengkapan pcraiatan kesehatan dan prosedur pasien puiang merupakan komponen yang harus menjadi prioritas mama, factor pemeriksaan rutin pasien, cepat tanggap dolder dan perawat, kemampuan dokter mendiagnosa penyakit, sopannsantun doktcr da perawat scrta peiayanan yang tidak memandang status socialmerupakan prestasi yang harus dipertahankan, factor ruangan yang sejuk, ketepatan waktu visits, cepat tanggap petugas kebersihan, keamanan lingkungan, pemberian keterangan pcnyakil lanpa diminta, komunikasi dan pemberian kesempatan bertanya dan perhatian perawat dan petugas kepada pasien merupakan prioritas rendah ( Hi ) dan factor ruang perawatan yang Iuas, kecepat langgapan petugas adrnnnintrasi, keterampilan perawat, komunikasi dan pe-mberian kesempatan bertanya dart perawat merupakan kinerja yang bcriebihan ( IV ). Berdasarkan hasii peneiitian, disarankan kepatia scmua pihak yang terkait untuk memperhatikan pasien yang mempunyai harapan tinggi tetapi berpersepsi rendah, dimana hal tersebtu mcnggambarkan tingginya tingkat kctidakpuasan dari paslen.
Al Ihsan Islamic Hospital as a private hospital has already trusted for fultill the society demand which concerning to high quality health care, that makes Al Ihsan able to increasing its competitiveness compare with other national private hospital, even other foreign-private hospital. Until September 2005, the bed capacity of Al Ihsan Islamic Hospital has reached 139 number of beds. The aim of this research is to analyze the connection among the patient characteristic factors in the hospitalization installation of Al Ihsan Islamic Hospital on 2005 and sc the patient satisfaction by measuring the patient expectations and perceptions. This research is using a cross sectional design. The primary data is from the questionnaire which has been answered by the patient on the hospitalization by October 2005 as much as 100 respondent. The independent variables are the patient characteristic, that is, patient age, gender, education level, patient grouping status, and patient income. While the dependent variables are the patient satisfaction by measuring their expectations and perceptions based on S (five) dimensions of service quality. The data has been processed quantitatively and the statistic analysis that is used are univariat analysis, bivariat analysis, and cartesius analysis. This research result indicating that 37% are satisfied patient and 63% are unsatistied~ patient. Large number of patients are having demcgraphy characteristic as follow, by this as many as 53% patients are equal or more than 36 years old, 58% are men, 66% has a senior high school background, 63% are grouping patients, and 59% are the patient who has producing income Rp. l.OO0.00O,- / month. Bivariat test with chi square, by and large, had obtained that patient characteristic which related to an expectation is patients income, where as characteristic that related to perceptions are age, education level, patient grouping status, while characteristics that related to satisfactions are all ofthe patient group which divided according by age, gender, education level, patient grouping status, and income has equal satisfaction level with all of service dimensions. Based on cartesius analysis, we know that a comfortable and neat treatment room, a comprehensiveness of medical equipment and after-hospitalize procedure are the first priority component (I). The patient routine examination, doctor and nurse responsiveness, doctor capability in diagnosing disease, the behavior of a doctor and nurse, and not discriminate a social status is an achievement that we should appreciate (II). A chilly room, exactness of visiting time, responsiveness of cleaning service officer, area safety, giving disease information initiatively, communicative, giving a chance to ask, and a nurse attention are a lowers priority (III). A vast treatment room, responsiveness of administration officer, a nurse skill, communicative, and giving a chance to ask fiom a nurse are an excessive performance (IV). Based on this research, I suggesting to all interrelated party to pay attention to the patient which has a higher expectations but has a lower perceptions which is depict the highness of an unsatisfied patient.
This study aims to determine the relationship between the work environment andjob satisfaction and employee performance at the Hospital Pharmacy Dr. M.Yunus Bengkulu. This type of quantitative research with cross sectional methodusing questionnaires and assessment form by the supervisor. The study wasconducted at Hospital Pharmacy Dr. M. Yunus Bengkulu in April 2014, with asample totaling 64 employees. Analysis of the relationship using gammasomers'd test and logistic regression. The results showed the physical and nonphysical work environment and job satisfaction has a significant relationshipwith employee performance. The Hospital Pharmacy should improve the workenvironment and job satisfaction in order to increase employee performance.