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JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Published by Universitas Muhammadiyah Yogyakarta
ISSN : 20882831     EISSN : 25416715     DOI : -
Core Subject : Economy, Health,
Economics, Econometrics & Finance Health Professions
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) is peer reviewed journal published by Universitas Muhammadiyah Yogyakarta in collaboration with The Muhammadiyah Lecturer of Hospital Management Graduate Program Association (ADMMIRASI). ISSN: 2541-6715 (online) and 2088-2831 (print). JMMR focuses on the research and research review related to hospital management that is relevant for the development of the theory and practice of hospital management in Indonesia and southeast asia. JMMR is indexed by Directory Open Access Journal (DOAJ), Google Scholar, and Crossref (DOI), and neliti. JMMR covered various of research approach, namely: quantitative, qualitative and mixed method. JMMR focuses related on various themes, topics and aspects of accounting and investment.
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Articles 10 Documents
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Search results for , issue " Vol 5, No 2 (2016): July" : 10 Documents clear
Pengaruh Mutu Pelayanan Dokter Terhadap Loyalitas Pasien di RS PKU Muhammadiyah Bantul Fatmawati, Tati
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 2 (2016): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5120

Abstract

Doctors is one of the main resources that provide services directly to patients. Doctor’s quality service at the hospital will build the patient’s attitudes and trust related to the reuse of hospital services. Loyal patients will have linkages with hospital and enable the ralization of long term relationship. Purpose knowing the influence of technical skills, interpersonal relationship, availability of information and the involvement of patient to the patient loyalty at general polyclinic in RS PKU Muhammadiyah Bantul. This research is an analytic inferential with cross sectional approaches. Populations of this research are olden patient in general polyclinic at RS PKU Muhammadiyah Bantul. Sampling technique is purposive sampling with number of samples are 87 persons. Collecting data using kuesioner. Data analysis with multiple regretion analysis. There is influence doctor quality service to the patient loyalty. Dimentions who influence to the patient loyalty are technical skill, interpersonal relationship, availability of information, and patent involvement.  All dimensions of doctor quality service include technical skills, interpersonal relationship, and availability of information and the involvement influence of patient to the patient loyalty. Technical skills, interpersonal relationship, availability of information, and patent involvement have an influence to the patient loyalty in general polyclinic in RS PKU Muhammadiyah Bantul. 
Pengaruh Faktor Bauran Pemasaran Terhadap Loyalitas Pasien Rawat Inap RS PKU Muhammadiyah Bantul kusumo, mahendra prasetyo
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 2 (2016): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRACTBackground: PKU Muhammadiyah Hospital of Bantul is a type C hospital with 133 bed capacities. Bed Occcupation Rate during the last 5 years is about 57% - 67%. It is a private hospital with operational cost supported entirely from revenue obtained from patiens.Method: The study used observasional and survey method with cross sectional approach. Population consisted of all in patients. There are 120 respondent. Analyses test using linier regression.Result and Discussion: The result of study showed correlation coefficient as much as 0,755. This meant that marketing mix (X) had very significant relationship whit patient loyality (Y). Regresion equivalent showed Y= -0,285-0,020X1+0,017X2+0,024X3+0,100X4+0,065X5+0,096X6+0,315X7.Whereas determinant coefficient (R2) 0,542. This implied that patient loyality simultaneously affected as much as 54,2% to patient loyality. Value of F calculation was 21,157, F significant was 0,000, reliability 95%. Marketing Mix factors that influence patient’s decision to reuse in patient service at Bantul Muhammadiyah PKU Hospital are building condition (4,347, p=0,000) and process (2,320, p=0,022). The other factors: product, price, place, promotion and people has not yet been influence  in patient loyality in-patient service in Bantul Muhammadiyah PKU Hospital, product (0,354, p=0,724), price (0,287, p=0,775), place (0,470,p=0,639), promotion (1,633, p=0,105), people (1,133,p=0,260).Conclussion: Marketing Mix factors that influence patient’s decision to reused in patient service at Bantul Muhammadiyah PKU Hospital are the building condition and service process that has been given.
Analisis Pelaksanaan Sertifikasi Iso 9001 : 2008 Puskesmas Kalasan Kabupaten Sleman Yuliati, Khamidah
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 2 (2016): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5116

Abstract

The background of the study was the implementation of standardization of health service quality stated in ISO 9001: 2008 in Kalasan Health Center effectively applied on July 9th, 2009. It was hoped that the implementation of standardization of basic health service quality increase the quality of health service and human resources. The data collection was conducted by interview and questionnaire, and the collected data were in the form of primary and secondary data. The number of the research sample was 40 respondents. The data analysis method used was descriptive. The result of the research includes: (1) Based on the result of descriptive analysis in the implementation of ISO 9001: 2008 certification, the implementation of employee duty needs job knowledge and skill so that they can work as their responsibility. (2) The sub-variable of Employee Work Satisfaction was included in employee involvement in all lines so that the goal of the health center was achieved. (3) The sub-variable of employee work environment means having cooperation with other employees in all lines. (4)  The sub-variable of Kalasan Health Center was obtained from work practice experience, in all service departments that focus on the increase of the service quality in Kalasan Health Center appropriately. The conclusions of the research result and analysis were (1) all employees increase the service quality for all patients in Kalasan Health Center. The curative aspect was emphasized on outpatients, and the stabilization of emergency and referral patients. (2) Acknowledging qualified work achievements by giving the opportunity to have position promotion as procedure assigned. Work satisfaction was from the existing of formation facility or space condition that gave comfort feeling. (3) Work team and colleague feeling needed to be maintained so that priority gap got decreased. The coordination between the employer and the employee is useful to finish the work. (4) The institution gave guarantee on health service quality which was as the hope of the consumer (patient) and strengthened the competitiveness. Therefore, the implementation of quality management system based on the concept of ISO 9001:2008 as the effort to strengthen the competitiveness was urgent. 
HEALTH BELIEF MODEL pada KEPATUHAN HAND HYGIENE DI BANGSAL BERISIKO TINGGI HEALTHCARE ACQUIRED INFECTIONS (HAIs) (STUDI KASUS PADA RS X) Arini, Merita
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 2 (2016): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5117

Abstract

as a global problem, patient morbidity and mortality in hospital caused by Healthcare Acquired Infections (HAIs) can be prevented by implementation of Hand Hygiene (HH). This research aims to know the influence of Health Belief Model variables to HH compliance. there was a quantitative study by survey approach and cross-sectional design. The population consisted all of nurses in high risk HAIs ward (ICU and surgical ward, 30 respondents). HCW’s perceptions were measured through self-administered questioner. The compliance of HCWs was measured by observation form of HH. compliance rate of HH based on moment was 46,29 %. Compliance of ICU nurses where higer than surgery ward nurses. Only workplace variable that had significant influence HH compliance (p=0,000). Perception variables can not used as predictor to HH compliance. HH compliance should be increase. Workplace factor had significant influence to HH compliance. 
Efektifitas Pelatihan High Alert Medication Terhadap Pengetahuan dan Sikap Petugas di RS KIA PKU Muhammadiyah Kotagede Sofiani, Irni
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 2 (2016): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5115

Abstract

RSKIA PKU Muhammadiyah Kotagede Hospital Type C Special, that in order to maintain the quality and safety of hospital patients, especially the handling of High Alert Medication and prepare for the accreditation of the 2012 version, then RSKIA PKU Muh Kotagede working to improve implementation one of that the Goals Patient Safety with training. Occurrence data and research in pharmaceutical care, as well as general data risk high incidence of errors in the pharmaceutical field especially high alert medications make it a priority to take precedence understanding for officers and implemented. This type of research is descriptive research using a type of mixture (mixed methodology), with a quasi-experimental. The study population were hospital health workers, the sampling technique by purposive sampling. Test analysis using descriptive statistics and qualitatively by comparing with the results of observation, interviews and document research. Test Results Kolmogorov Smirnov normality assumption both knowledge and attitude variables to pre-test and post test both normal distribution. Results Paired Samples Test A (Knowledge) note that t is -6.672 with a significance value of 0.000. Hence the significance of 0.000 <0.05, then Ho is rejected, it means that there is a difference between the average variable knowledge of pre-test and post test. Paired Samples Test / T-test B (attitude), it is known that t is -2.932 with a significance value of 0,010. Hence the significance of 0.010 <0.05, then Ho is rejected, it means that there is a difference between the average variable attitude of pre-test and post test. From interviews with respondents felt more knowledgeable and increase in knowledge after the training given. From the aspect of attitude because respondents feel more knowledgeable after being given training, it leads to a positive attitude in handling the implementation of High Alert Medication. There were changes in knowledge to healthcare workers at RSKIA PKU Muhammadiyah Kotagede after training on High Alert Medication. There is a change in attitude to healthcare workers at RSKIA PKU Muhammadiyah Kotagede after training on High Alert Medication.
Metode Activity Based Costing Dalam Penentuan Unit Cost Eksisi Fibroadenoma Mammae Luthfita, Afiazka
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 2 (2016): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5111

Abstract

Indonesian began to operate health insurance program in 2014 with payment scheme by INA-CBG’s  (Indonesian Case-Based Group). That makes hospital to have appropriate tariff calculation. Breast fibroadenoma (FAM)must have an appropriate tariff calculation because it will be increasing. One of a calculating method that can be used is Activity Based Costing (ABC) because this method can measure accurately cost out of any activity, improve the precision and accuracy in the details of charging fees. This study was descriptive quantitative. This study is limited to a patient with FAM cases that occurred in 2015 in patients using BPJS class III and without complications. The unit cost excision FAM at RS PKU Muhammadiyah Yogyakarta which is calculated by the method of activity-based costing is Rp 4,704,877. The difference with the hospital unit cost of Rp 218.923 hospitals are higher, while the difference with INA-CBG rates Rp Rp 679.471 smaller. The unit cost of service excision FAM still under INA-CBG’s rates, calculations by the ABC method is higer  than the unit cost PKU Muhammadiyah Hospital. The management should be re-evaluated the tarif of this service .
Pengaruh Gaya Kepemimpinan Dan Loyalitas Karyawan Terhadap Kinerja Karyawan Di Rumah Sakit Islam Hidayatullah Yogyakarta Ariyani, Rita Ivana
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 2 (2016): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5118

Abstract

The background of this research is Hidayatullah Islamic Hospital (RSI) Yogyakarta and is done through leadership interferential, employee’s loyalty gives influence toward employee’s performance. (1) The phenomenon factor of harmonious relationship between leader and subordinate. (2) Factor of employee’s performance which has not yet indicating employment conduciveness. (3) Factor of employee’s loyalty toward the lack of leader’s concern on employee’s performance and opportunity to receive compensation. (4) The phenomenon of employee’s performance; the employee’s incompetence in comprehending leader’s instruction and the individual employee’s minimum responsibility which hinder the work performance. Data were compiled through interview and questionnaire, and were classified into primary and secondary data. The sample of the research consisted of 40 respondents. Method used in analyzing the data was linearity test, significance test of multiple linear regression coefficient, t test, F test, R2. The results of the research include: (1) The leader of Hidayatullah Islamic Hospital Yogyakarta doesn’t always impose sanction to its employee but instead puts trust on the head of unit to manage employee, conducts control/supervisory toward subordinate’s performance periodically in every line of work. (2) Employee’s loyalty is correlated with employee’s job and total self-image, as well as the purpose similarity between the individual and the hospital management. (3) The compatibility among willingness, achievement, and result gained is believed to create an individual with high work ethic, professionalism and commitment for its institution and also for its work achievement. The conclusions of the research are; (1) There is a positive and significant influence of leadership style toward the employee’s performance at Hidayatullah islamic hospital Yogyakarta. (2) There is a positive and significant influence of employee’s loyalty toward employee’s performance at Hidayatullah islamic hospital Yogyakarta. (3) The independent variable (leadership style and employee’s loyalty) gives positive and significant influence toward the employee’s performance at Hidayatullah Islamic hospital Yogyakarta
Pemahaman Implementasi Rencana Strategi Bisnis RS PKU Muhammadiyah Petanahan Aji, Andika Purwita
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 2 (2016): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/10.18196/jmmr.5112

Abstract

Managers Hospital admit that Strategy planning is important forces management, but  this Strategy planning still become problem because some obstacles that faced to manage it well and exact. Basic obstacle relate to human resource  obstacle that very determine quality and axact strategy planning.There are some obstacles that make strategy planning doesn’t  yet optimal as important forces management that very needed on face change environment that change quickly. Key factor success strategy planning is formation systematic strategy, implementation strategy that effective, and restrain even follow up from Implementation (Brenes, et al.2008). According to view of resource, the resource based view of the firm(RBV), Resource that had Hospital can become source that enable to approximating and implementation that can increase efficiency and effectiveness of Hospital (Barney, 1991). Resource and capability determine factor Hospital strategy and profitability determiner factor Hospital (Grant 1997;Collis&Montgomery, 1998). Kind of Research that used in this Research is  Qualitative, Populations are head room Nurse, Midwife and all Components  that support data Research.Every staff in Hospital hope in order to business strategy planning Hospital can informed spread all to all staffs Hospital through special seminar because Hospital that qualified become hope and wish all of Hospital Components. Strategy business planning Components Hospital generally has prepared well but doesn’t socialised yet to employee in Muhammadiyah Hospital of Petanahan. Suggestion do socialiszation and Implementation workshop Business planning Strategy Hospital.
Efektifitas Media Video Penggunaan Spill Kit Terhadap Kemampuan Petugas di RS PKU Muhammadiyah Yogyakarta unit II Listiarsasih, Sussy
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 2 (2016): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5119

Abstract

Infection prevention and control programs areinclude to the important programs because the transmission of infection are particularly vulnerable occur in hospitals, especially from body fluid spills. Related to infectious body fluids, spill kit is used to handle it. The use of spill kits are made by the officer who first discovered the infectious body fluids. The study assessed the effectiveness of training with video media on ability of PKU Muhammadiyah Hospital Unit II officers to use spill kit. Qualitative research with action research that consisted of planning, action, observation, and reflection. The training was conducted by video media. The ability of officials assessed by a checklist based on Standard Operating Procedures (SOP) when pretest and posttest. Focus Group Discussion (FGD) also held  after the training. The study was conducted during the months of November to December 2015. Data analysis of training value using paired T-Test as support data. Only 31.6% participants that can use spill kit properly before training and after training 100% participants can use spill kit properly that appropriate to SOP in the hospital. Additionally, many suggestion submitted by officers when FGD associated with the stages of use spill kit at PKU Muhammadiyah Hospital Unit II. There are differences in the ability of PKU Muhammadiyah Hospital officers Unit II in use spill kit before and after training with video media. The SOP that already exist should be revised. There should also be disseminated more adequately on the use of spill kit at PKU Muhammadiyah Hospital Unit II.
Membangun Tata Kelola Klinis Melalui Clinical Pathway Demam Berdarah Dengue RSU Rizki Amalia Medika Sunarto, Enuk Endah
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 2 (2016): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5114

Abstract

In Rizki Amalia Medika Hospital there are variations in the treatment of patients with dengue haemorrhagic fever, so that it is requires better governance. This study is purposed to develop a clinical pathway of dengue haemorrhagic fever and to formulate clinical governance which are required to develop in Rizki Amalia Medika Hospital. This study is a qualitative research in Rizki Amalia Medika Hospital from September to November 2014. The data were obtained from medical records, standards of medical services and hospital reports, and interviews. The data analysis was performed with qualitative data analysis techniques. This research resulted in clinical pathways dengue fever based on the agreement of medical and paramedical staff in Rizki Amalia Medika Hospital, which is a template containing the information : a) the name of the patient, No. RM, date of birth, and special notes, b) information services every day for 6 days, c) variations in service with a date, reason and signature, d) the date of entry and exit, and e) the main diagnosis and the concomitant, accompanied ICD 10 code. Clinical pathway of dengue fever was used as the basis of examination and medical care of patients. This experiment also produced clinical governance which should be built in Rizki Amalia Medika Hospital among others: clinical audit activity, evidence-based clinical practice, and continuing education for medical staff. Clinical governance is necessary to achieve an appropriate health care standards.

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