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Jurnal Manajemen Pelayanan Kesehatan
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Articles 900 Documents
INISIASI MENYUSU DINI PADA SEKSIO SESAREA: STUDI MIXED METHODS PADA DUA RUMAH SAKIT SWASTA SAYANG IBU DAN ANAK DI JAKARTA DAN BEKASI Dian Izwar
Jurnal Manajemen Pelayanan Kesehatan Vol 15, No 03 (2012)
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Background: Early initiation of breastfeeding (EIB) for allbabies is recommended globally and nationally as a part ofBaby Friendly Hospital Initiatives. Caesarean section (C-section)has been identified as an obstacle to EIB implementationObjectives: (1) To measure the proportion of EIB amongbabies born by C-section, and (2) To explore the barriers ofEIB in C-section.Methods: This study used a mixed-methods study, in whichthe qualitative study embedded to the quantitative study. Across sectional design was applied to measure the proportionof EIB in all babies born by C-section in two baby friendlyhospitals during two months of observation. In-depthinterviews were conducted among two pediatricians, twoanesthesiologist, two obstetricians, two nurses and twomanagers. Qualitative data was analyzed by content analysis.Result: Of 68 babies born by C-section, none were performedfor adequate EIB. Variations of knowledge on EIB procedure,lack of cooperation among SC team, lack of infrastructure andpolicy, as well as other obstacle from patients’ side wereamong the barriers.Conclusion: EIB is not adequately implemented in the twobaby friendly hospitals. Standards of EIB practice should beestablished and disseminated to C-section team and patientsin the hospitals.Keywords: early initiation of breastfeeding, caesareansection, baby friendly hospital initiative, hospital practices
PERSIAPAN RUMAH SAKIT SWASTA DALAM MENERAPKAN TARIF PELAYANAN JAMINAN PERSALINAN: STUDI KASUS DI RUMAH SAKIT KHUSUS IBU DAN ANAK DI KOTAMADIA MALANG Asri Maharani Maharani
Jurnal Manajemen Pelayanan Kesehatan Vol 15, No 03 (2012)
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Abstract

Background: High maternal death is mainly caused by limitedaccess to maternity services due to unaffordable cost of services.Therefore, a special insurance scheme named JaminanPersalinan (Jampersal) was launched and it is expected to beable to solve this problem.The Muhammadiyah Maternal andChild Hospital in Malang is a private hospital that offers obstetricand neonatal emergency service for those with Jampersal.The Jampersal fee was already set similar to that of JaminanKesehatan (Jamkesmas)scheme, using INA-CBG. Therefore,it is important to elicit the possibility of Jampersal fees beingaccomodated by private hospital.Objective:This research aimed to compare between Jampersaland hospital fees and analyse efforts of a private hospital inaccomodating the INA-CBG’s pricing scheme.Methods:This study was carried out at Muhammadiyah MalangMaternal and Child Hospital. Unit cost calculation and hospitalpricing were collected using the secondary data available fromthe department of finance in the hospital, while Focus GroupDiscussion (FGD) was held with the management level to understandwillingness and opportunity of hospital managersto collaboratewith the government in providing Jampersal services.Results: The results showed that INA-CBG’s tariff was lowerthan both unit cost and hospital pricing for normal delivery anddelivery with cesarean section.The unit costand tariff of normaldelivery were Rp1.633.704,00 and Rp2.070.275,00, respectively.Both of them were higher than the INA-CBG’s tariff(i.e., Rp1.487.770,00).The INA-CBG’s tariff for cesarean section(i.e. Rp2.712.943,00) was lower than both the unit costand hospital tariff of similar service (i.e. Rp4.782.072,00 andRp 5.110.500,-, respectively). From the FGD, it was found thatunlike for cesarean section, efforts to accommodate the Jampersalpricing for patients with normal delivery are possible.Conclusions: The findings indicate that Jampersal feesarelower than both the Muhammadiyah Malang Maternal and ChildHospital’s pricing and unit cost.Development of clinicalpathwaymay become a solution for the hospital to apply theINA-CBG’s tariff.Keywords: fees, Jampersal, private hospital
Hubungan Besaran Iur Biaya Dengan Kepuasan Peserta Askes Di Rumah Sakit Umum Wangaya Kade Widnjani, Ida Ayu
Jurnal Manajemen Pelayanan Kesehatan Vol 7, No 03 (2004)
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PEMAJANGAN SAFETY POSTER, PENYULUHAN DAN PELATIHAN PROSEDUR OPERASIONAL TETAP: KAJIAN PENGARUH TERHADAP SIKAP, TINDAKAN TENAGA KERJA DAN ANGKA KECELAKAAN KERJA Sumihardi, Sumihardi
Jurnal Manajemen Pelayanan Kesehatan Vol 14, No 03 (2011)
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Background: Work accident in Indonesia was remaining highdue to less attention toward occupational health and safety.There was an elevation number of work accident from 95,418cases in 2005 to 95,624 cases in 2007 in Indonesia. In Padang,West Sumatera there was decreasing of accident case. However,the number of work accident in PT P & P Lembah Karetwas reported elevated from 9 cases in 2005 to 24 cases in2007. Therefore, there is a need to apply work safety control.Generally, there are two methods for controlling occupationalsafety, i.e. mechanical and human intervention, but mechanicaltreatment is expensive and need more expertise, whilehuman intervention is considerable. One of human interventionthat can be applied to control occupational safety is displayingposter and disseminat of SOP. The objectives of thisstudy is to assess the influence of displaying safety posterand disseminat of SOP through education and training towardattitude and practice of safety among labour, as well as on thenumber of work accident.Method: This study was carried at PT P & P Lembah KaretPadang. Design of this study was time series. This designwas chosen based on the advantage on multiple observationsbefore and after intervention. Participants of this study was115 worker and taken from stratified random sampling. Safetyposter and SOP delivered through education and training studyintervention were. Study instruments were attitude scale, accidentlog and check list of safety behavior. Data were analyzedwith repeated measures analysis of variance and pairedt test.Result: Result showed there was a different on attitude scale(t = 31,747, p< 0,001) before and after with gain score of30,73%. Indeed, the mean score of practice was also significantlydifferent before and after (F = 99865,228, p < 0,001). Ttest analysis showed that there was a different score ofpractice before intervention and after the fourth observation (t= 547,792, p < 0,001), and total number of occupational accidentsignificantly different before and after intervention (t =4,371, p < 0,05) with decreasing point of 78,57%.Conclusion: It can be concluded that safety poster and SOPdelivered through education and training increased attitude30,73% and practice 88,79%. Moreover, total number of occupationalaccident decreased of 78,57%. Based on this study,it is recommend that monitoring of occupational safety periodicallythrough safety poster accompany with education andtraining is needed, to increase attitude and practice of towardoccupational accident, so the number of work accident willdecrease into zero.Keywords: safety poster, SOP, attitude, practice, work accident
PENGEMBANGAN LEADERSHIP UNTUK KESEHATAN SECARA BERSAMA-SAMA Trisnantoro, Laksono
Jurnal Manajemen Pelayanan Kesehatan Vol 9, No 01 (2006)
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ASPEK DONATUR KEMANSIAAN DALAM PEMBIAYAAN PERAWATAN PASIEN TIDAK MAMPU DI RUMAH SAKIT SWASTA KEAGAMAAN DI YOGYAKARTA Aji, Santoso
Jurnal Manajemen Pelayanan Kesehatan Vol 3, No 03 (2000)
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Implementasi Clinical Governance: Pengembangan Indikator Klinik Cedera Kepala di Instalasi Gawat Darurat Wijanarko, Agus
Jurnal Manajemen Pelayanan Kesehatan Vol 8, No 04 (2005)
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CITRA RUMAH SAKIT BALIMÉD DENPASAR Rahajeng, Ida Ayu
Jurnal Manajemen Pelayanan Kesehatan Vol 13, No 01 (2010)
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Background: Hospital industry competition in Indonesia isgetting more intense. Identifying image position and positiveimage building of new hospital become one of importantstrategies in anticipating competitive situation and consumers’characteristics that are getting more critical in the choice ofhealth service. Positive image building of hospitals encouragepatients to pay more for health services they get and helps todecide purchase of the community.Objective: To identify perception of patients and visitors aboutimage of BaliMéd Hospital Denpasar, and to identify effect ofrespondent demography characteristics toward perceptionabout image of BaliMéd Hospital Denpasar.Method: The study used cross sectional survey design withquantitative as well as qualitative method as supplement.Primary data were obtained through questionnaire distributedto 200 patients and visitors as respondents at BaliMéd HospitalDenpasar. Qualitative method was applied through in-depthinterview to 4 patients and 3 visitors of BaliMéd HospitalDenpasar. Data were analyzed descriptively, usingindependent t-test and U Mann – Whitney test followed bymultiple regression analysis to identify the effect ofrespondents’ characteristics to perception about image ofBaliMéd Hospital Denpasar.Result: Average perception of patients (150.12) about theimage of BaliMéd Hospital Denpasar showed positive imagewhereas average perception of visitors (144.68) showedneutral image. The result of independent t-test with p=0.003(p<0.05) showed there was significant difference in perceptionabout the image of BaliMéd Hospital Denpasar between thepatients and the visitors. R=5.5% indicated low contribution ofeffect of variables of education, income, and frequency ofhealth service utilization to perception about the image ofBaliMéd Hospital Denpasar. Only the variable of frequency ofhealth service utilization at regression coefficient 1.658 thathad significant effect p=0.016 (p<0.05) to perception abouthospital image.Conclusion: Perception of patients about the image of BaliMédHospital Denpasar was positive image but visitors had neutralimage. In general, patients and visitors had significantdifference in perception about the image of BaliMéd HospitalDenpasar. Only the frequency of health service utilization thathad positive and significant effect to the image of BaliMédHospital Denpasar. Education, income and frequency of healthservice utilization all together did not have significant effect tothe process of perception building on the image of BaliMédHospital Denpasar.Keywords: image of hospital, perception
Penerapan Analisis Konjoin Untuk Kebijakan Asuransi Kesehatan Murti, Bhisma
Jurnal Manajemen Pelayanan Kesehatan Vol 5, No 01 (2002)
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PROSPEK PENGEMBANGAN PELAYANAN HOME CARE RUMAH SAKIT PRIMA MEDIKA DENPASAR Suarjana, Ketut
Jurnal Manajemen Pelayanan Kesehatan Vol 15, No 03 (2012)
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Background: Demographic and epidemiologic transitionscause population structure and changes in disease patterninto degenerative and chronic disease. Hospitals in Indonesiahave not developed chronic care service. Prima Medika hospitalhome care (HC) has not been developed, without assessingthe prospect of HC service development as a revenuecenter.Methods: Qualitative research using methods of participationobservation; in-depth interview with patients, personnelof HC unit, and management; close observation with checklist.Data were analyzed qualitatively using thematic content analysisResults: Based on concept of strategic management, thefollowing opportunities and potentials of HC exist: patient satisfaction,payment ability, and benefit perception, dependencesof cancer patients and elders. The hospital has the followingstrengths: personnel readiness, presence of personnel motivator,personnel commitment to work, facility and hospital equipment,commitment from directors. However, their weaknessesand barriers are: limited human resources, marketing, and tariffcalculation. Challenges and expectations of patients are:diversification of service types, use of tools, visit frequencies,and personnel qualification.Conclusion: The prospect of HC service development washigh. Alternatives strategy proposed are: specific administrationfor HC selection and offer to patients, HC tariff makingaccording to unit cost, provision or coordination of personnel,rental and sales of tools, and focus for cancer patients andelders.Keywords: home care, prospect, strategy

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