Garuda - Garba Rujukan Digital

Analisis risiko bahaya dengan metode HIRADC pada salah satu perusahaan berskala internasional di Sulawesi Utara Junita E. Katihokang; Diana V. D. Doda; Rizald M. Rompas; Aaltje E. Manampiring
e-CliniC Vol. 11 No. 2 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i2.44902

Abstract: Companies need a strategy to determine the number of occupational accidents and occupational diseases with risk management. HIRADC (Hazard Identification Risk Assessment and Determining Control) is one of the key elements of a safe work plan that can minimize cases of occupational accidents and occupational diseases. This study aimed to determine the potential hazards and risk levels of the oilmill and maintenance work area of PT. X international crude oil companies in North Sulawesi, risk control and application of control methods in the field. This was a qualitative study for the application of HIRADC method conducted in South Minahasa Regency. Recruitment of informants based on purposive sampling as many as 11 employees at oilmill and maintenance area as the main informants, and EHS Supervisor as the key informant and the Head of Department (HOD) as additional informants. The instruments of this study were the in-depth interview matrix and the HIRADC matrix. Data were obtained by observation, in-depth interviews and company document, then were analyzed with HIRADC method. The results obtained 68 types of hazards including physical, chemical, biological, ergonomic, and psychological hazards. The risk levels of hazards were high risk (H 35.2%), medium risk (M 58.8%), and low risk (L 5,8%) hazards; no hazard at the extreme risk level (E). The identification of highlighted hazards was the potential hazard of noise, heatstress, welding and grinding dust, with the highest levels of risk were the M risk (58.8%) and the H risk (35.2%). In conclusion, it is necessary to take control of measures according to the hierarchy of control in the form of substitution, engineering control, administration and personal protective equipment (PPE). Keywords: potential hazard; risk level; Occupational Health and Safety; Hazard Identification, Risk Assessment and Determing Control (HIRADC) Abstrak: Perusahaan memerlukan strategi untuk menentukan angka kecelakaan kerja dan penyakit akibat kerja dengan manajemen risiko. HIRADC (Hazard Identification Risk Assessment and Determining Control) ialah salah satu elemen kunci dari rencana kerja yang aman yang bisa meminimalisir kasus kecelakaan kerja dan penyakit akibat kerja. Penelitian ini bertujuan untuk mengetahui potensi bahaya dan tingkat risiko area kerja Oilmill dan Maintenance PT. X perusahaan minyak kelapa mentah bertaraf internasional di Sulawesi Utara, pengendalian risiko serta penerapan metode pengendalian di lapangan. Jenis penelitian ialah kualitatif untuk aplikasi metode HIRADC. Penelitian dilaksanakan pada salah satu perusahaan berskala internasional di Kabupaten Minahasa Selatan. Rekrutmen informan berdasarkan purposive sampling, sebanyak 11 orang yaitu karyawan area Oilmill dan Maintenance sebagai informan utama, serta EHS Supervisor sebagai informan kunci dan Head of Department (HOD) sebagai informan tambahan. Instrumen penelitian ini yaitu matriks wawancara mendalam dan matriks HIRADC. Data diperoleh dengan wawancara mendalam, observasi lapangan dan dokumen perusahaan, kemudian dianalisis dengan metode HIRADC. Hasil penelitian mendapatkan 68 jenis bahaya termasuk bahaya fisik, kimia, biologi, ergonomi dan psikologi. Tingkat risiko didapatkan rendah (L 5,8%), sedang (M 58,8%), dan tinggi (H 35,2%); tidak terdapat jenis bahaya tingkat risiko ekstrim (E). Identifikasi bahaya yang menjadi highlight ialah potensi bahaya kebisingan, heatstress, debu pengelasan dan gerinda dengan tingkat risiko terbanyak ialah tingkat M (58,8%) dan H (35,2%). Simpulan penelitian ini ialah diperlukan tindakan pengendalian sesuai hierarchy of control berupa substitusi, rekayasa engineering, administrasi dan APD (alat pelindung diri). Kata kunci: potensi bahaya; tingkat risiko; Kesehatan dan Keselamatan Kerja; Hazard Identification, Risk Assessment and Determing Control (HIRADC)

Analisis Peran Kepolisian Daerah (Polda) Sulut dalam Pengembangan Health Tourism di Wilayah Hukum Sulawesi Utara Faridah Alkatiri; Gustaaf A. E. Ratag; Aaltje E. Manampiring
Medical Scope Journal Vol. 5 No. 1 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i1.45515

Tourist safety and security play an important role in the image of a destination to increase tourist visits. North Sulawesi Province as one of the regions that is currently intensively promoting its regional tourist destinations and cooperation between the local government, tourism office, health facilities, and the Police. This study aimed to analyze the contribution of the North Sulawesi Regional Police to the management of tourist events according to the factors that hindered the North Sulawesi Regional Police, and the efforts and strategies that had been carried out by the North Sulawesi Regional Police in developing health tourism. This was a descriptive and qualitative study. Primary data were obtained through in-depth interviews and using interview guidelines. Data analysis was carried out using the interactive Miles and Hubberman model. The results showed that the role of the police in developing health tourism was carried out quite well, albeit it was not optimal. Obstacles to the police in carrying out their role, namely the absence of a tiered system regarding inter-regional security arrangements and a system for reporting the security of tourists and the absence of coordination between relevant stakeholders, and the regional police in carrying out the main duties of Keskamtibmas. The health tourism program must be known by all parties, a digital system that clearly regulated the security duties of the regional police, and coordination of all relevant stakeholders. In conclusion, North Sulawesi has the potential to advance the tourism industry, especially health tourism, but the contribution of the regional police in the development of health tourism is still not optimal. Keywords: health tourism; tourist safety; Regional Police Abstrak: Keselamatan dan keamanan wisatawan berperan penting dalam membangun citra destinasi untuk meningkatkan kunjungan wisatawan. Provinsi Sulawesi Utara tengah gencar memromosikan destinasi wisata daerahnya dan membangun kerjasama antara pemerintah daerah, Dinas Pariwisata, fasilitas kesehatan, dan Kepolisian Daerah (Polda). Penelitian ini bertujuan untuk menganalisis kontribusi Polda Sulawesi Utara (Sulut) dengan pengelola tempat wisata sesuai faktor-faktor yang menghambat Polda Sulut, dan upaya serta strategi yang telah dilakukan Polda Sulut dalam pengembangan health tourism. Jenis penelitian ialah kualitatif deksriptif. Pengambilan data primer melalui in-depth interview dan pedoman wawancara. Analisis data menggunakan model interaktif Miles dan Hubberman. Hasil penelitian menunjukkan bahwa peran Kepolisian dalam pengembangan health tourism telah dilaksanakan cukup baik namun masih kurang maksimal. Hambatan Kepolisian dalam menjalankan perannya yaitu belum adanya sistem berjenjang mengenai pengaturan pengamanan antar wilayah dan sistem pelaporan pengamanan wisatawan, serta belum adanya koordinasi stakeholder terkait dengan polda dalam menjalankan tugas pokok Keskamtibmas. Program health tourism harus diketahui oleh semua pihak, adanya sistem secara digital yang mengatur secara jelas tugas pengamanan Polda serta adanya koordinasi setiap stakeholder terkait. Simpulan penelitian ini ialah Sulawesi Utara telah memiliki potensi untuk memajukan industri pariwisata khususnya health tourism, namun kontribusi Kepolisian Daerah dalam pengembangan health tourism masih kurang maksimal. Kata kunci: health tourism; pengamanan wisatawan; Kepolisian Daerah

Analisis Hubungan Indikator Mutu Pelayanan Gizi dengan Kepuasan Pasien Rawat Inap di RSUP Prof. Dr. R. D. Kandou, Manado Sumiati Sumiati; Aaltje E. Manampiring; Herlina I. S. Wungouw
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.46149

Abstract: Patient satisfaction is one of the benchmarks in evaluation of the success of a hospital in providing services. Nutrition is one of the determinants in supporting patient health; therefore, nutrition services for patients must be well considered to improve patient satisfaction in receiving all services at the hospital. This study aimed to determine inpatient satisfaction using indicators of the quality of nutrition services at Prof. Dr. R. D. Kandou Hospital, Manado. This was a quantitative study with a cross sectional design. A questionnaire was used as the instrument. Data were analyzed using the SPSS program with univariate, bivariate, and multivariate analyses. The results obtained 43 inpatients as respondents. The chi-square test showed significant p-values for timeliness (p=0.000), diet prescription accuracy (p=0.000), and food waste (p=0.000). Moreover, the multivariate analysis indicated that the highest Exp(B) value was 38,000 for the timeliness of feeding. In conclusion, there are significant relationships between the service indicators namely timeliness of feeding, accuracy of diet prescriptions, and food waste with the satisfaction of inpatients at Prof. Dr. R. D. Kandou Hospital, Manado. Timeliness is the most relevant factor. Keywords: patients’ satisfaction; timeliness; diet prescription accuracy; food waste Abstrak: Kepuasan pasien menjadi salah satu tolok ukur pada penilaian keberhasilan rumah sakit dalam memberikan pelayanan. Gizi menjadi salah satu penentu dalam menunjang kesehatan pasien dan pelayanan gizi pada pasien harus diperhatikan agar pasien tetap merasa puas dalam menerima semua pelayanan di rumah sakit. Penelitian ini bertujuan untuk mengetahui hubungan indikator mutu pelayanan gizi dengan kepuasan pasien rawat inap di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah kuantitatif dengan desain potong lintang menggunakan kuesioner. Sampel penelitian ialah pasien rawat inap di RSUP Prof. Dr. R. D. Kandou. Data perolehan dianalisis menggunakan program SPSS dengan analisis univariat, bivariat dan multivariat. Hasil penelitian mendapatkan 43 pasien rawat inap sebagai responden. Hasil uji chi-square mendapat-kan nilai signifikansi untuk ketepatan waktu p=0,000, ketepatan preskripsi diet p=0,000 dan sisa makanan p=0,000. Hasil analisis multivariat menunjukkan nilai Exp(B) tertinggi sebesar 38,000 pada ketepatan waktu pemberian makanan. Simpulan penelitian ini ialah indikator pelayanan ketepatan waktu pemberian makanan, ketepatan preskripsi diet, dan sisa makanan berhubungan bermakna dengan kepuasan pasien rawat inap di RSUP Prof. Dr. R. D. Kandou, Manado. Ketepatan waktu merupakan faktor yang paling berhubungan dengan kepuasan pasien. Kata kunci: kepuasan pasien; ketepatan waktu; ketepatan preskripsi diet; sisa makanan

Faktor-faktor yang Berhubungan dengan Kepuasan Pasien di Instalasi Rawat Jalan RSUP Prof. Dr. R. D. Kandou, Manado Pontoh J. Ch. Putera; Jimmy Posangi; Aaltje E. Manampiring
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.46227

Abstract: Measuring the level of patient satisfaction in hospitals must be carried out periodically, accurately, and continuously. Patient satisfaction can be achieved if the patient receives services according to what is needed and expected. The level of patient satisfaction describes the quality of services provided by the hospital. This study aimed to analyze factors related to outpatient satisfaction at Prof. Dr. R. D. Kandou Hospital, Manado. This was a quantitative study with a cross sectional approach. This study was conducted at Prof. Dr. R. D. Kandou Hospital with a total sample of 390 patients taken by simple random sampling. Data were obtained from questionnaires and were analyzed univariately, bivariately using the chi-square test, and multivariately using the logistic regression test. Statistical calculation using the SPSS program. The results of the chi-square test showed the p-values of relationships between patient satisfaction and the variable aspects, as follows: tangibles p=0.000; responsiveness p=0.000; reliability p=0.000; assurance p=0.000; and empathy p=0.000. The results of multivariate analysis using the logistic regression test obtained that the highest Exp (B) value of 586.267 on the tangibles aspect. In conclusion, tangibles, responsiveness, reliability, assurance and empathy have significant relationships with patient satisfaction to the services at Prof. Dr. R. D. Kandou Manado. The most related factor with patient satisfaction is tangibles. Keywords: patient satisfaction; service quality; tangibles; responsiveness; reliability; assurance; empathy Abstrak: Pengukuran tingkat kepuasan pasien di rumah sakit wajib dilakukan seara berkala, akurat dan berkesinambungan. Kepuasan pasien dapat tercapai apabila pasien menerima pelayanan sesuai dengan yang dibutuhkan dan diharapkan. Tingkat kepuasan pasien menggambarkan kualitas pelayanan yang diberikan oleh rumah sakit. Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan kepuasan pasien rawat jalan di RSUP Prof. R. D. Kandou Manado. Jenis penelitian ialah kuantitatif dengan desain potong lintang. Penelitian ini dilaksanakan di RSUP Prof. R. D. Kandou Manado dengan jumlah sampel 390 pasien yang diambil secara simple random sampling. Data diperoleh melalui kuesioner, kemudian dianalisis secara univariat, bivariat dengan menggunakan uji chi square, dan multivariat menggnakan uji regresi logistik. Penghitungan statistik menggunakan program SPSS. Hasil uji chi-square terhadap hubungan dengan kepuasan pasien mendapatkan untuk aspek tangibles p=0,000; responsiveness p=0,000; reliability p=0,000; assurance p=0,000; dan empathy p=0,000. Hasil analisis multivariat menggunakan uji regresi logistik mendapatkan nilai Exp (B) tertinggi yaitu 586,267 pada aspek tangibles. Simpulan penelitian ini ialah tangibles, responsiveness, reliability, assurance, dan empathy berhubungan bermakna dengan kepuasan pasien terhadap pelayanan di RSUP Prof. R. D. Kandou Manado. Faktor yang paling berhubungan dengan kepuasan pasien yaitu tangibles. Kata kunci: kepuasan pasien; kualitas layanan; tangibles; responsiveness; reliability; assurance; empathy

Faktor-faktor yang Memengaruhi Stigma Anti Vaksin Covid-19 di Wilayah Kerja UPTD Puskesmas Lirung Beatris Matei; Billy J. Kepel; Dina V. Rombot; Aaltje E. Manampiring
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.46240

Abstract: Covid-19 pandemic has a major impact on health and economy. Every individual is required to carry out the Covid-19 vaccination to prevent transmission of the Covid-19 virus. Various stigmas arise among the public regarding the Covid-19 vaccination. This study aimed to determine the factors that influenced the anti-Covid-19 vaccine stigma in the working area of the Unit Pelaksana Teknis Daerah (UPTD) Lirung Health Center. This was a quantitative study with a cross sectional design conducted from August 2022 to January 2023. Variables in this study were: age, sex, education, economic status, and disease history. The chi-square test showed total sample was 200 patients taken by probability sampling. Data were obtained from the questionnaire and analyzed univariately and bivariately using the chi-square test with the SPSS program. Based on the Chi-square test analysis, the relationships between five variables and the stigma showed p-values of >0.05, namely age (p=0.732), sex (p=0.921), education (p=0.564), economic status (p=0.086), dan disease history (p=0.688). In conclusion, age, sex, education, economic status, and disease history have not significant relationships with the anti-vaccine-Covid-19 stigma at the working area of UPTD Puskesmas Lirung. Keywords: Covid-19; stigma in the community; Covid-19 vaccination Abstrak: Pandemi Covid-19 memberikan dampak besar baik dalam dunia kesehatan maupun perekonomian. Setiap anggota masyarakat diwajibkan untuk menerima vaksinasi Covid-19 untuk mencegah penularan virus Covid-19. Berbagai stigma muncul di kalangan masyarakat tertang vaksin Covid-19. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi stigma anti vaksin Covid-19 di wilayah kerja Unit Pelaksana Teknis Daerah (UPTD) Puskesmas Lirung. Penelitian ini menggunakan metode kuantitatif dengan desain potong lintang, dan dilaksanakan pada bulan Agustus-Januari 2023. Variabel penelitian ialah usia, jenis kelamin, pendidikan, status ekonomi, dan riwayat penyakit. Jumlah sampel 200 pasien yang diambil secara probability sampling. Data penelitian diperoleh melalui kuesioner kemudian dianalisis secara univariat dan bivariat dengan uji chi square menggunakan program SPSS. Hasil analisis uji chi-square terhadap hubungan kelima variabel dengan stigma menunjukkan nilai p>0,05, yaitu usia (p=0,732), jenis kelamin (p=0,921), pendidikan (p=0,564), status ekonomi (p=0,086), dan riwayat penyakit (p=0,688). Simpulan penelitian ini ialah usia, jenis kelamin, pendidikan, status ekonomi, dan riwayat penyakit tidak memengaruhi stigma anti vaksin Covid-19 di wilayah kerja UPTD Puskesmas Lirung. Kata kunci: Covid-19; stigma di masyarakat; vaksinasi Covid-19

Analisis Mutu Pelayanan Asuhan Gizi di Rawat Inap RSUP Prof. Dr. R. D. Kandou Manado Nora Poluan; Nova H. Kapantow; Aaltje E. Manampiring
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.46147

Abstract: The success of standardized nutrition care process (PAGT) is determined by the effectiveness of nutrition interventions through effective education and counseling, providing appropriate dietetics for patients in hospitals, and collaboration with other professions greatly influences the success of PAGT. This study aimed to analyze the quality of nutrition care services in the inpatient care of Prof. Dr. R. D. Kandou Hospital Manado. This was a qualitative descriptive study using in-depth interview techniques and document review with seven informants. The data analysis process used an interactive analysis model of Miles and Huberman. The results showed that the services at Prof. Dr. R. D. Kandou Hospital Manado had already a policy referring to rules, Permenkes, and highest policies. Standardized Nutrition Care Process Guidelines by the Ministry of Health of the Republic of Indonesia 2014, and Hospital Nutrition Services (PGRS) of the Republic of Indonesia Ministry of Health 2013 were references for nutrition care services which must be updated continuously. Nutrition services to patients was good but not yet in accordance with the expected dietary requirements. Nutrition care services related to nutrition education to patients were good and were in line with patient expectations. The quality of nutritionists at Prof. Dr. R.D. Kandou Hospital Manado was good in knowledge and skills. In conclusion, the quality of service is an important thing that has to be up-dated continuously. Most of the nutritionists as nutrition care providers, are working in discipline and on time in service. However, in carrying out the standardized nutrition care process, errors were still found in filling out the integrated patient progress notes. Keywords: quality of service at the hospital; nutrition care; standardized nutrition care process Abstrak: Keberhasilan proses asuhan gizi terstandar (PAGT) ditentukan oleh efektivitas intervensi gizi melalui edukasi dan konseling yang efektif, pemberian dietetik sesuai untuk pasien di rumah sakit, dan kolaborasi dengan profesi lain. Penelitian ini bertujuan untuk menganalisis mutu pelayanan asuhan gizi di rawat inap RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif kualitatif dengan menggunakan tehnik wawancara mendalam dan telaah dokumen dengan jumlah tujuh informan. Proses analisis data dalam penelitian ini menggunakan model analisis interaktif Miles dan Huberman. Hasil penelitian mendapatkan bahwa pelayanan di RSUP Prof. Dr. R. D. Kandou Manado telah memiliki kebijakan yang mengacu pada aturan–aturan, permenkes, dan kebijakan-kebijakan tertinggi. Pelayanan Pedoman Proses Asuhan Gizi terstandar oleh Kemenkes RI 2014 dan Pelayanan Gizi Rumah Sakit (PGRS) Kemenkes RI 2013 menjadi acuan untuk Pelayanan Asuhan Gizi yang harus setiap waktu dikembangkan. Pelayanan gizi kepada pasien sudah baik tetapi belum sesuai dengan syarat diet yang diharapkan. Pelayanan asuhan gizi terkait edukasi gizi kepada pasien sudah baik dan sudah sesuai dengan harapan pasien. Kualitas ahli gizi di RSUP Prof. Dr. R. D. Kandou Manado sudah baik dalam pengetahuan dan keterampilan. Simpulan penelitian ini ialah mutu pelayanan asuhan gizi ialah hal penting yang harus terus diperbaharui. Sebagian besar ahli gizi sebagai pemberi asuhan gizi sudah baik dalam bekerja baik dalam disiplin, dan tepat waktu dalam pelayanan. Dalam pelakasanaan proses asuhan gizi terstandar masih ditemukan kesalahan dalam pengisian catatan perkembangan pasien terintegrasi Kata kunci: mutu pelayanan gizi di rumah sakit; asuhan gizi; proses asuhan gizi terstandar

Analysis Of Factors That Influence Patient Satisfaction In The Inpatient Installation Manembo-nembo Type C Hospital Bitung Pradika Hanrianri Koampa; Aaltje E. Manampiring; Eva M. Mantjoro
Lead Journal of Economy and Administration Vol 2 No 1 (2023): Lead Journal of Economy and Administration (LEJEA), August 2023
Publisher : International Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56403/lejea.v2i1.120

ccording to the World Health Organization (WHO) Hospital is a medical institution that functions as a provider of curative and rehabilitative health service to the community. Hospital is a health institution that provides comprehensive health services in the form of emergency, outpatient, and inpatient. According to its type, hospitals are devided into Special Hospitals and General Hospitals. Then General Hospitals are devided into Type A, Type B, Type C, and Type D. Satisfaction is a person’s feelings towards the comparison of the results recived and his expectations. The level of patient satisfaction is caused by several factors namely reliability, tangibles, responsiveness, empathy, and assurance. This research is an analytic observational survey research with cross sectional approach. The population of this study were patients who were temporarily treated in the inpatient room of Manembo-nembo Type C Hospital, Bitung. The determination of the research sample was carried out using the accidental sampling method. The total number of samples obtained was 70 people. The variable that is significantly related to inpatient satisfaction are reliability (p value = 0,000), tangibles (p value = 0,000), responsiveness (p value = 0,000), empathy (p value = 0,000), and assurance (p value = 0,000). There is a relationship between reliability, tangibles, responsiveness, empathy, and assurance for patient satisfaction at Manembo-nembo Type C Hospital , Bitung.

Analisis Konsep Hospital Without Walls pada Pelayanan Kelainan Refraksi di UPTD Rumah Sakit Mata Provinsi Sulawesi Utara Gabriella O. Mokolensang; Aaltje E. Manampiring; Jimmy Posangi
Medical Scope Journal Vol. 6 No. 1 (2024): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v6i1.49221

A hospital without walls or known as a hospital without walls is very useful for patients who come to the hospital for treatment with referrals from the public health center as the entry point for referral diagnosis, this is to minimize the risk of infection transmission and other disease problems. The purpose of this study is to analyze the concept of a hospital without walls and the obstacles and challenges in providing refractive errors. The research was conducted at the UPTD Eye Hospital in North Sulawesi Province, from January to December 2022 using in-depth interviews with five research informants, namely the director, head of medical services, ophthalmologist, family doctor and patient. Instruments in the form of in-depth interview guidelines and a list of questions that have been provided. The stages of data processing are narrating, inferring, reducing, recording, sampling, unitizing. Data analysis is content analysis. The validity of the research results using triangulation of data sources and methods. The results of this study were obtained from the summary of the answers of the research informants that the concept of a hospital without walls all understand and know this concept to mitigate the accumulation of services in hospitals, but this concept has not been implemented because there are several factors such as standard operating procedures, human resources and infrastructure which is not yet possible for some FKTPs to be able to complete services at the community health center or family doctor, the obstacle presented by the informant is that there are still many patients who want to carry out direct services to the hospital without going to the health center or family doctor, another obstacle is the lack of tools for examining refractive errors and competence general practitioners to be able to make referrals in the diagnosis of disease. Hospital income will also increase if implementing this concept, if there is collaboration with related stakeholders such as BPJS Health, the Health Service, and other private parties, so that this will also have a good impact on the quality of service when hospital accreditation is carried out. The sophistication of information technology needs to be implemented as much as possible from the hospital so that it is easier so that patients do not pile up during services by registering online. The conclusion of this study is that the concept of a hospital without walls has not been implemented in the Eye Hospital of North Sulawesi Province because it has not followed standard operating procedures, quality competent resources and adequate infrastructure. FKTP Puskesmas in providing refractive error services have not provided complete supporting tools and the skills of FKTP doctors are still lacking, this will have an impact on assessing hospital accreditation in the quality of health services. Keywords: hospitals without walls, eye refractive error, family doctors

Title

Found 18 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 18 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 18 Documents
Search