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I Ketut Surya Negara
Department Of Obstetrics And Gynecology, Sanglah General Hospital
Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Environmental Science Health Professions Medicine & Pharmacology Public Health

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Journal : Public Health and Preventive Medicine Archive

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Delphi Approach to explore ways to optimize case manager services in inpatient wards of Sanglah General Hospital Sayu Kade Alit Sagitariani; Pande Putu Januraga; I Ketut Surya Negara
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (873.183 KB) | DOI: 10.53638/phpma.2020.v8.i2.p11

Abstract

Background and purpose: Case manager services in inpatientrooms have gained popularity in many hospitals in Indonesia,however there are challenges in its implementation. This study aims to explore ways to optimize the characteristics of the case manager, case management practice and outcome of the case manager in cases in inpatient wards based on the Sanglah Hospital standards. Methods: The study utilized a two-stage Delphi study design,started with a qualitative data collection and followed by aquantitative survey. Data collection was done in May-June 2020 based on the concept of case manager characteristics, practice and outcomes. The qualitative data collection through in-depth interviews involved 9 key informants. It aimed to explore case manager services based on qualifications, competencies, ethical standards, workload, hierarchy and guidelines, implementation of case management and indicators of effectiveness of case management at Sanglah General Hospital. The results of the indepth interviews with thematic analysis informed the Delphi survey instrument development. The Delphi survey aimed to generate agreement on the characteristic of the case manager, case management practice and outcome of the case manager among 21 expert panelists (case managers) in the inpatient wards of Sanglah Hospital. This Delphi survey was conducted in 3 rounds, the results were analyzed based on the median value and quartile deviation (QD). Results: The three rounds of the Delphi survey showed that there was an agreement regarding the qualifications of the case manager, competency development, mechanism for appointment and placement of case managers, case manager guidelines, organizational structure, job descriptions and authorities, information of the presence and role of case managers, screening indicators according to characteristics of inpatient cases, case management target measurement tools, case manager service evaluation indicators as well as the activity feedback loop. Conclusion: Optimization of the case manager service should focus on aspects of human resources, developing guidelines and work systems as well as evaluation indicators and feedback mechanism.
Co-Authors Agrifa Eko Albert Sembiring Anak Agung Ngurah Anantasika Danny Aguswahyudi EKA ARDHANI SISDYANI Evert Solomon Pangkahila Gede Agus Hendra Sujana I Gde Sastra Winata I Gede Mega Putra I Gusti Putu Mayun Mayura I Ketut Suwiyoga I Made Mahardika I Nengah Wardana I Nyoman Gede Budiana I Nyoman Hariyasa Sanjaya I Wayan Artana Putra I Wayan Megadhana I Wayan Santyasa Ida Bagus Putra Adnyana IGP Surya, IGP Ines Kurniaty Hartono Made Bagus Dwi Aryana Ni Luh Putu Nurhaeni Ni Made Aries Minarti Nyoman Bayu Mahendra Pande Putu Januraga Piere Emanuel Yoltuwu Putu Sudarmika Sagitariani, Sayu Kade Alit Sayu Kade Alit Sagitariani Tjokorda Gde Agung Suwardewa