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Jurnal Administrasi Kesehatan Indonesia

JAKI
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Published by Universitas Airlangga

ISSN : 23033592 EISSN : 25409301 DOI : -

Core Subject : Health,

Health Professions

Jurnal Administrasi Kesehatan Indonesia (JAKI) is a scientific journal that contains editorials, research articles, and literature reviews related to the scope of the management, organization and leadership in health institutions. This journal is supported by practitioners and scientists from various institutions which involve expertises in health management and health organization. JAKI (p-ISSN 2303-3592, e-ISSN 2540-9301) has mission in developing knowledge in health administration through publication. Based on this mission, this journal aims at facilitating numerous experts in the field of Health Administration to share their ideas and scientific studies in order to improve the quality of healthcare services.

Arjuna Subject : -

Articles 240 Documents

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Planning Matrix Sebagai Upaya Peningkatan Mutu Pelayanan Rawat Inap di Rumah Sakit Umum Bhakti Rahayu Surabaya Ika Avrianti
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 2 (2016)
Publisher : Universitas Airlangga

Inpatient unit of Bhakti Rahayu Hospital as one potential revenue center for the hospital expected to be able to support an increas the income of the hospital. The issue of this research is the decrease trend of Bed Occupancy rate 48,96% with trend -15,79%.This research aims to increas the quality of inpatient services care in Bhakti Rahayu Hospital based on planning matrix. This research was in inpatient unit Bhakti Rahayu Hospital with an descriptive design cross sectional study of the 80 patients who are representing inpatient hospitalization were taken by simple random sampling. Data was collected by using questionnaires distributed to patients and analysed by quantitative methods arranged in the planning matrix table. The results showed that inpatient services quality has not met the standards of good service so that the service implementation need improvement and enhancement services primarily on aspects of the physical and human resources. The conclusions showed that to increase the quality of health care based on internal factors was very important. Physical aspects and human resources are the top priority to fix up.Keywords:services quality, planning matrix, inpatient unit

Analisis Kesenjangan Pelayanan Pada Pasien Poliklinik Rawat Jalan Menggunakan Customer Window Linta Meyla Putri; Linta Meyla Putri; Stefanus Supriyanto
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 2 (2016)
Publisher : Universitas Airlangga

Patient complaints toward service at Undaan Eyes Hospital in 2015 amounted to 9 complaints, and has not yet reached target set by the hospital which was equal to 0 complaints. Therefore, the purpose of this research is to analyze gaps in expected service and perceived service of responsiveness, reliability and emphatyat UndaanEyes Hospital. This research was an analytic observational survey and to be analyzed by customer window. Sample were in equal to 98 people and collected by systematic random sampling. The result showed from the analysis of the customer windowwas that some aspects in service are in quadrant A or Attention, which patient expected service higher than perceived service. Some aspects that were in Attention quadrant, are: waiting time > 30 minutes, speed of service delivery was slow and lack information. It can be concluded that some of the things that are in quadrant A or Attention is a strategic issue that must consider and resolve byUndaan Eyes Hospital to meet the expectations of patients. Keywords: customer window, gap analysis,service

Pengukuran Kinerja Rawat Inap Berdasarkan Perspektif Balanced Scorecard Yangga Dzikrin Nur; Setya Haksama
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 1 (2016)
Publisher : Universitas Airlangga

The 3rd class of inpatient ward in Surya Medika Gresik Hospital had an ideal Bed Occupancy Rate. This rate also had been decreased since 2014. This study is aimed to assess the performance of the 3rd class of inpatient ward based on Balanced Scorecard. This is a descriptive observational study with cross sectional design. Respondents are Chief Inpatient, Head of the Division of Finance and Family Patients. The results of scoring showed that the are only two perspectives that show a positive performance. The learning and growth perspective has 0.9 which means good performance. The internal business process perspective has 1.6 that categorized as very poor performance. The customer focus perspective has 0.25 that categorized as poor performance. The last perspective, financial perspective, valued 0.05 which is good performance. This study suggest to employing cleaning service, making and socialization of Standard Operating Procedure, making the scheme service flow, improving discipline of doctor, holding service quality training, also increasing the intensity of monitoring and evaluation .Keywords: balanced scorecard, performance assessment, scoring

Evaluasi Kinerja Billingsystem Rawat Inap Menggunakan Kerangka Pieces Jihan Anfa; Djazuly Chalidyanto
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 1 (2016)
Publisher : Universitas Airlangga

The occurrence of patient dissatisfaction in Wiyung Sejahtera Hospital associated with the duration in providing the hospitalization bills information shows 90.26% in January to November 2014. This research aimed to analyze the knowledge, necessity of skills training and human resource needed related to billingsysteminevaluating the performance of billing system through user’s perspective by using PIECES Framework. This isdescriptive analytic studywith cross-sectional design. Information obtained from 57 respondents, which inputand verifies bills on the application billingsystem hospitalization. The result showed that the knowledge of billingsystemusers is good, the necessity of IT training is not fulfilled and user’s skills is not good. Billingsystemhospitalization performance evaluation using PIECES Framework results for all indicators are constraints; Performancemean 2,6667; Informationmean 2,8319; Economymean 2,6901; Controlmean 2,7544; Efficiency mean 2,7661 and Servicemean 2,8596. There is a strong correlation between training toward users knowledge about billingsystem. In order to improve the quality of service, it is urgently required to hospital itself providing training to users, developing into a fully package integrated system and arranging standard operating procedures.Keywords: billingsystemperformance, evaluation,PIECES framework

Analisis Motivasi Terhadap Kinerja Kader Posyandu Berdasarkan Teori Victor Vroom Yeni Rahmah Husniyawati; Ratna Dwi Wulandari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 2 (2016)
Publisher : Universitas Airlangga

The coverage of under-five children weighed at Posyandu represent the level of participation mothers in Posyandu activities. During three-year period, the coverage of under-five children weighed at Posyandu Puskesmas Sidotopo Wetan Surabaya City has not reached the target. It is also the responsibility of cadres. The object of this study was to to analyze the effect of motivation on the performance of health cadres based on Victor Vroom expectancy theory motivation in Posyandu Puskesmas Sidotopo Wetan Kota Surabaya. This research was an analytic observational research with quantitative approach. Design was cross sectional. Sampling was done by using simple random sampling method. The results showed that the performance varied health cadres that was lacking, enough and good. Level of health cadres motivation was high. Health cadres had high score of expectancy, instrumentally, and valency.Ordinallogistic regression analys was showed the influence of motivation (p-value = 0.000) on the performance of cadres (p-value <α (0.05)). In conclusion, motivation influenced the performance of health cadres in Posyandu Puskesmas Sidotopo Wetan Surabaya City.Keywords:motivation, performance, health cadres, posyandu, victor vroom

Indeks Kepuasan Pasien BPJS Kesehatan Terhadap Pelayanan Rumah Sakit Mata Masyarakat Jawa Timur Alya Hazfiarini; Ernawaty Ernawaty
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 2 (2016)
Publisher : Universitas Airlangga

Quality control is an essential part in delivering health services, especially under the implementation of national health insurance nowsdays. Particularly for health facilities, it is a crucial to control its services quality as it is a requirment in establishing a partnership with BPJS Kesehatan. Community Eye Hospital East Jawa has been worked with BPJS Kesehatan for years. The number of BPJS Kesehatan patients was more than 50% from total number of patients on August 2015 – January 2016. The aims of this study is to analyse the satisfation of BPJS Kesehatan patients towards the services of the hospital using 14 indicators which adopted from Kepmenpan No. Kep/25/M.PAN/2/2004. The study applied observational analysis with cross sectional design and accidental sampling. The overall indicators measurements pointed out that the quality of services of the hospital falled into excellent category (Satisfaction index / IKM = 82,32). However, there are 5 of 14 indicators, namely, speed of delivering a service, identity of hospital official, fairness in getting service, hospital amenities and service safety had the lowest mean score (NRR). Therefore, the study suggets the hospitals to improve its performance on those lowest five indicators especially its current queuing system because this is the most complaint from the patients.Keywords: BPJS Kesehatan patient, satisfaction index, service quality

Beban Kerja Subyektif dan Obyektif Tenaga Farmasi Rawat Jalan di Rumah Sakit Vreza Budi Setiawan; Ratna Dwi Wulandari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 1 (2016)
Publisher : Universitas Airlangga

In 2014 patient visits to pharmacy services increased 75% from the previous year. Man power in the pharmacy unit was not comparable with the number of pharmacy service.The availability of human resources isinadequate when being compared to the number of outpatient pharmacy visits, therefore it influenced the respon time up to 43,91% for non paten drugs which as not in accordance with the standart services minimum pharmacy services. This data indicate that there was overload capacity on man power in outpatient pharmacy unit. The purpose of this study was to show wordload category on man power in outpatient pharmacy unit, particularly to pharmacists and assistants pharmacists. This was quantitative descriptive study. There were 26 samples consisting of 1 pharmacist, 16 asisstants pharmacists in depo 1 and 9 asisstants pharmacists in depo 5 outpatient pharmacy unit. Data collected by observation for 2 week in working hours. Result of the study was pharmacicts and assitants pharmacists in depo 1 had subjective and objective workload in overload category while depo 5 inmoderate category.Keywords: subjective and objective workload, pharmacicts and assitants pharmacists, work sampling

Pengelolaan Sediaan Obat Pada Logistik Farmasi Rumah Sakit Umum Tipe B di Jawa Timur Stella Herliantine Febreani; Djazuly Chalidyanto
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 4 No. 2 (2016)
Publisher : Universitas Airlangga

Inventory control of drugs in hospital which are not done properly can cause stockout or stagnant of supplies. Based of data processing of the drug at Siti Khodijah Sepanjang Hospital experienced stagnant amount 38,9% and stockout amount 29,3% during period January-September 2015. The objectives of the study were to analysis inventory control of drug in logistic pharmacy Siti Khodijah Sepanjang Hospital. This research was a descriptive research with cross sectional design by observation and interviews. Indepth interviews were carried out to get more detailed information about the variables examined. Activity of planning, procurement, distribution, and storage are performed not effective enough so led to stagnant and stockout drug. Also evaluation that has running was not adequate because only looks about financial audit. The conclusion that can be drawn is logistic management system has not run effectively so that the occurrence so stagnant and stockout drug.Keywords: drug stagnant and stockout, hospital, inventory control, logistic management

Pengaruh Dimensi Staffing terhadap Insiden Keselamatan Pasien berdasarkan Agency For Healthcare Research And Quality (AHRQ) Di RSU Haji Surabaya Setya Budi Rahayu
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 5 No. 1 (2017)
Publisher : Universitas Airlangga

The incidence of patient safety is an indicator that can be used to describe the quality of hospital services. Based on data obtained from reports IKP in RSU Haji Surabaya in 2015 is known to have occurred 40 patient safety incidents. This research to analyze the influence of staffing dimension base on AHRQ with patient safety incidents in service work unit RSU Haji Surabayausing simple linier regression test. The results showed from the 38 unit service work RSU Haji Surabaya there are 18 units (47,36%) categorized as a strong staffing dimension with a positive response ≥ 75%, 16 units (42,11%) the medium categorized staffing dimension with a positive response from 75% - 50% and 4 units (10,53%) the weak categorized staffing dimension with a positive response < 50%. And according to a report IKP RSU Haji Surabaya January - October 2016 there were 22 incidents of patient safety that consists of 5 KTD, 3 KNC and 14 KTC. In this research can be concluded that there is no significant relationship between staffing dimension with patient safety incidents in service work unit RSU Haji Surabaya. This can be due to by various factors that occurs in the system.Keywords: AHRQ, Patient Safety Incident, Staffing Dimension

Analisis Antrian Pelayanan Obat Non Racikan di Instalasi Farmasi Rawat Jalan Aris Sujoko; Djazuly Chalidyanto
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 3 No. 2 (2015)
Publisher : Universitas Airlangga

ABSTRACTDuring 2013 until 2014, pharmacy outpatient services had not reached indicator of the standard minimum service. The average time of respons time was over the standard minimum service. It caused complain from patient, in 2014 the highest complain was 83% about time services. The objective of this research was to find better model queueing system to decrease the waiting time. This study is a quantitative descriptive study with cross sectional design and observational method. The sample calculated by proportional random sampling formula, with 74 prescription and collected by accidental random sampling in peak time. Primary data was obtained by observation and secondary data was collected from documentations in pharmacy outpatients service. The highest service time occured in drugs preparation process with 3.71 minutes and the highest waiting time occured in last checking drugs process. The highest utilization rate occurred in drugs preparation process with 256% and after simulation became 73% with increased service rate in 81%. The lowest utilization rate occurred in giving drugs process was 19%. The conclusion from this study was the drugs preparation process had high workload and caused queueing. A suggestion from this research was to add workload for giving drugs process to help drugs preparation process. Keywords: outpatient pharmacy, queueing system, simulation

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