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All Journal Proceedings of the International Conference on Applied Science and Health Jurnal ARSI (Administrasi Rumah Sakit Indonesia)
Suwedia, I Nyoman Gede Bayu Wiratama
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Decision Sciences, Operations Research & Management Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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REDUCED LENGTH OF STAY IN CHILDREN WITH DIARRHEA FOLLOWING IMPLEMENTATION OF CLINICAL PATHWAY Suwedia, I Nyoman Gede Bayu Wiratama; Nurwahyuni, Atik
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Diarrhea or Acute Gastroenteritis (AGE) is a dissease that common found in toddlers at emergecy room. The complication of diarrhea such as dehydration may go undetected by parents will affect the treatment and length of stay in the hospital. Decreasing the length of stay in the hospital can be done by implementing clinical pathways. This study aims to examine the effect of implementing clinical pathways on length of stay in children with diarrhea. Methods: This study was a systematic review that used PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. Data obtained from Electronic databases Proquest and Scopus that published between 2009-2019 and used English. By using keywords such as clinical pathway, gastroenteritis, and length of stay to find the relevant articles. Results: The search found 610 studies, of which 6 studies were included in the systematic review. These studies conducted majority in USA and 1 study in Australia. Analysis of the studies found out that implemented clinical pathway can decrease length of stay 0.4 days (95% CI 0.04 to 0.7, p <0.01). The decreased of length of stay can increased 2.5% (CI 0.25% to 4.38%) used of medical beds then the bed can be more effective and used by other patients. Conclusion: Implementing clinical pathway in the treatment process of diarrhea towards children not only reduce the length of stay in hospital but also useful in providing patient diagnosed and reduce the bed use per day and year.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGGINYA RUJUKAN KASUS NON SPESIALISTIK OLEH FASILITAS KESEHATAN TINGKAT PERTAMA DI ERA JAMINAN KESEHATAN NASIONAL: SYSTEMATIC REVIEW Semarajana, I Nyoman Gede; Suwedia, I Nyoman Gede Bayu Wiratama; Daruki, Maria Wahyu; Damayanti, Anak Agung Sri Stuti
Jurnal ARSI (Administrasi Rumah Sakit Indonesia) Vol. 8, No. 3
Publisher : UI Scholars Hub

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The Primary Health Facility (FKTP) in the era of National Health Insurance (JKN) must behave effective and efficiently in serving patients. Referring patients as indicated is an effort to achieve this. The research shows that optimizing primary services has the potential to save on health costs from the Social Security Agency of Health (BPJS) source of 49.1 billion per year. BPJS data also shows the high number of referrals for non- specialist cases, namely 714 thousand cases during 2014-2017. This study aims to find out the factors that are related to the high number of non-specialist cases referral by FKTP in the JKN era. The PRISMA protocol (Preferred Reporting Items for Systematic Reviews & Meta-Analyses) is used to select articles in this study. This study aims to determine the factors associated with the high number of non-specialist case referrals by Higher Level Health Facilities (FKTPs) in the JKN era. It applied The Preferred Reporting Items for Systematic Reviews & Meta-Analyses (PRISMA) protocol to select articles for this study. The article search was conducted on Google Scholar from 2 – 6 December 2019, and five eligible articles were found in this study. The findings of this review study show that factors related to non-specialty referral cases include health workers, supporting facilities, administration and regulation, service management, FKTP location and distance to FKTL, and disease complications. Comprehensive handling and collaboration of various parties and relevant stakeholders are needed to reduce the referral rate for non-specialist cases.
Strategi Pemasaran dalam Pengembangan Pelayanan Klinik Estetika Marketing Strategy in The Development of Aesthetic Clinic Services Daruki, Maria Wahyu; Suwedia, I Nyoman Gede Bayu Wiratama
Jurnal ARSI (Administrasi Rumah Sakit Indonesia) Vol. 7, No. 1
Publisher : UI Scholars Hub

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Aesthetic Services is growing in many big cities and developing cities in Indonesia. It is due to the tendency of people who want to improve their physical performance, in the era of national health insurance, private hospitals must also improve and add services to clients while maintaining good service and adding new services which can be another source of income for hospital. Services provided with mottto from Bhakti Rahayu Hospital Denpasar "we care and we serve" Bhakti Rahayu Hospital Denpasar wants to be able to provide beauty and skin care services to the community at large with low prices and remain competitive so marketing becomes an important thing in order to develop and continue to grow. This study shows the importance of marketing strategies in the growth of aesthetic services. This study uses a qualitative descriptive study with in-depth interviews with stakeholders related to the development of aesthetic services at Bhakti Rahayu Hospital in Denpasar.
Strategi Pemasaran Pelayanan Home Care Rumah Sakit Umum Bhakti Rahayu Denpasar Suwedia, I Nyoman Gede Bayu Wiratama; Daruki, Maria Wahyu
Jurnal ARSI (Administrasi Rumah Sakit Indonesia) Vol. 6, No. 1
Publisher : UI Scholars Hub

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Changes in the pattern of diseases to degenerative diseases and chronic diseases are growing lately and many hospitals have not yet developed chronic disease services. Bhakti Rahayu General Hospital has one of them Home Care (HC) services that has been running but has not developed well due to the lack of marketing to patients with categories and diagnoses of diseases that can be treated with HC, so it is necessary to develop and plan strategies in marketing home care services as one of the hospital's earnings. This study was conducted using a pattern of observation and participation; in-depth interviews with home care officers, patients and directors. Based on the results of the study, information was obtained that the opportunities and potential for developing HC with a pattern of determining the right strategy can lead to good direction as one of the income posts for the hospital by prioritizing patient satisfaction so that the patient's desire to pay can occur and the patient feels comfortable with the service provided. given an ongoing quality of service and improved skills and product improvements offered and the appropriate price can be a pretty good bargaining value. So, it can be concluded that the prospect of developing HC services in Bhakti Rahayu General Hospital is quite large. Alternative marketing strategies for visiting and hospitalized patients and offering through social media can be a strong enough point in marketing the products offered.
Co-Authors Damayanti, Anak Agung Sri Stuti Daruki, Maria Wahyu I Nyoman Gede Semarajana Nurwahyuni, Atik