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JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
ISSN : 20882831     EISSN : 25416715     DOI : -
Core Subject : Economy, Health,
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 428 Documents
PENGARUH KEPEMIMPINAN TRANSFORMASIONAL, KEADILAN DISTRIBUTIF DAN PROSEDURAL KOMPENSASI TERHADAP KEPUASAN KERJA PERAWAT DI RSU PKU MUHAMMADIYAH BANTUL Satriani, Meise; Tjahjono, Heru Kurnianto
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 1, No 1 (2012): January
Publisher : Magister Manajemen Rumah Sakit

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Background: RSU PKU Muhammadiyah Bantul is a privately-owned public hospital that has been burgeoning. Leadership held at PKU Muhammadiyah Hospital in Bantul today is a transformational leadership. While, for motivating employee, the management of the hospital strives to provide adequate and fair compensation based on employee status, class rank and tenure. Hence, the compensation system will encourage every employee to give excellent service for each patient.Methodology: The research is a quantitative analysis using cross-sectional survey method. Data is obtained by disseminating questionnaire to the population, the whole permanent employee up to 104 respondents.Result: The statistical result indicates that management’s policy transformational leadership and distributive justice and procedural compensation rate affect to the satisfaction of work of the nurses at RSU PKU Muhammadiyah Bantul.Summary: Regarding to the result of the research, management’s policy to appreciate its employee through a good and fair compensation can significantly improve the satisfaction of work of the nurses at RSU PKU Muhammadiyah Bantul. Moreover, the management should maintain a workable situation and pay a lot of attention to the nurses. Keywords : Transformational Leadership, Distributive and Procedural Compensation, Job Satisfaction of Nurses
INTISARI ANALISIS PERSIAPAN PELAKSANAAN PATIENT SAFETY DI RUANG RAWAT INAP (STUDY KASUS DI RSUD KABUPATEN BIMA) Santosa, Erwin; Wibowo, Arif Budi
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 2, No 1 (2013): January
Publisher : Magister Manajemen Rumah Sakit

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The era of globalization impact very rapidly, in the development of advanced medical technology. These conditions have an impact on medical services is very complex and it is potentially causing the error, so that the necessary improvement of health care quality. Patient safety is one important component in the quality of health care. Improved patient safety is a necessary step to prevent and minimize unwanted incident (KTD). Nurses are one of the health workers who are at the forefront of health care and have a very important role in improving patient safety. To determine attitudes on the analysis of patient safety in the inpatient unit nurse Bima district hospital and in particular to identify the components of patient safety attitudes include climate of team work, working conditions, employment decisions, and some factors that support and hinder patient safety attitudes.The research is descriptive qualitative. Subjects were 3 nurses and 3 patients with interview techniques. Data collection techniques in this study used the analysis of qualitative data. A qualitative data analysis technique is using descriptive analysis techniques to describe the data in the field which were analyzed and concluded.Components of the patient safety attitudes is climate of teamwork that showed lower patient safety attitudes, job satisfaction showed high patient safety attitudes, working conditions showed lower patient safety attitudes, for logistical support in the form of medical equipment are laboratory equipments that still lacking.Components of the patient safety attitudes were high  that  consist  job satisfaction, and the low patient safety attitudes components were the teamwork climate and conditions of employment, because they needed additional medical equipment such as laboratory equipments.Keywords: Patient safety attitudes, nurses, patient safety component.
ANALISIS UPAYA PENINGKATAN MUTU MANAJEMEN PELAYANAN BENCANA TERHADAP KORBAN BENCANA DI RS PKU MUHAMMADIYAH BANTUL BERDASARKAN METODE QUALITY FUNCTION DEPLOYMENT (QFD) Kurniatri, Dyah Mustika; Sunaryadi, Sunaryadi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 1 (2016): January
Publisher : Universitas Muhammadiyah Yogyakarta

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Background: Hospitals must be well prepared and ready for any kind of disaster in both of its facilities and human resources. PKU Muhammadiyah Bantul Hospital is situated within disaster prone area. The main issues faced by the hospital are complaints from disaster victims regarding its medical services, nursing, and medical facilities. Therefore, PKU Muhammadiyah Bantul Hospital tries to make serious efforts to improve its service quality by conducting a deep analysis of patients.Method: The Quality Function Deployment (QFD) method is applied to measure the service quality improvement in PKU Muhammadiyah Bantul Hospital. This method mainly formulates the management’s improvement efforts based on demands. Subjects of this research were earthquake’s victims at Yogyakarta in 2006 with 30 people as the samples.Result and discussion: House of Quality analysis in QFD recommends several improvements that are required by PKU Muhammadiyah Bantul Hospital regarding medical services, nursing and other supporting facilities: 1. Medical personnel excellence training; 2. Physician competency assessment; 3. Medical personnel’s respond time; 4. The number increase of medical personnel; 5. Doctor’s procedure suitability improvement. Meanwhile, several nursing improvements also need to be taken: 1. Medical personnel’s respond time; 2. The number increase of medical personnel; 3. Medical personnel excellence training. Furthermore, supporting medical services also need improvements: 1. Re-recordkeeping hospital facilities; 2. Hygiene services assessment scheme; 3. Infrastructure improvements for disaster response.Conclusions: PKU Muhammadiyah Bantul Hospital has had preparedness of medical services, nursing and other supporting facilities for disaster management, but there was some elements that need to be improved to reach custumer satisfaction. Keywords: Disaster, Quality, Medical Services, Nursing, Supporting Medical Facilities, QFD
PENGARUH KUALITAS JASA PELAYANAN TERHADAP CITRA INSTALASI RADIOLOGI DI RUMAH SAKIT GIGI DAN MULUT PENDIDIKAN UNIVERSITAS MUHAMMADIYAH YOGYAKARTA Umam, Shohibul; Handayani, Siti Dyah
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 3, No 2 (2014): July
Publisher : Magister Manajemen Rumah Sakit

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Background : RSGM-P UMY already have tools such as the installation of radiological medical support enforcement destined diagnose oral disease. Problems that arise sometimes results are not as expected , and response less in service . The purpose of this study to analyze and explain the effect of partial and simultaneous quality radiology services to the installation image in RSGM-P UMY. Method : using quantitative methods , research subjects dentists and coass student in RSGM- P UMY . Installation of radiological research object . Types of studies using cross-sectional data was obtained from questionnaires and analyzed using multiple regression. Results: The regression equation based on existing variables positively influence the assurance (0.069), empathy (0.171), reliability (0.073), responsiveness (0,037), services (0.450), professionalism (0.326) and there was a negative , namely physical appearance (-0.016). Based on the t test of the quality of service simultaneously affect the installation image RSGMP UMY , based on the F test ( Anova : Sig . 0,000 ) is the quality of service simultaneously affect the image RSGMP UMY installation , and test results influence the determination coefficient percentage at 39.5 % . Conclusion: The services quality there are  assurance, empathy , reliability , responsiveness , physical appearance have partial can’t effect on image radiologi installation. Variable  service and professionalism have an influence on the image of radiological installations RSGMP UMY . The variable quality services have an simultan effect on the image of radiological installations RSGMP UMY.Keywords: Quality, Image Radiology Installation
KELENGKAPAN PENGISIAN BERKAS REKAM MEDIS PELAYANAN MEDIK RAWAT JALAN DAN PATIENT SAFETY DI RSGMP UMY Santosa, Erwin; Rosa, Elsye Maria; Nadya, Famella Tiara
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 3, No 1 (2014): January
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Background: health care givers are required to make the medical record and give priority to patient safety. The problems that often arise in medical record is charging charging medical record completeness and implementation of patient safety. The purpose of this research is to know the implementation and problems in charging medical record and patient safety that is run by koass at RSGMP UMY.Method: qualitative descriptive method. The subjects of the research koass in RSGMP UMY. Medical record file the research object 2013 as much as 367 medical record. Qualitative Data using descriptive statistics and coding interviews.Results: completeness of patient identity aspects 367 (100%) name, medical record number 338 (92,1%), place/date of birth and gender of 366 (99,7%). Increase of effective communication has not been fully carried out effectively. Improving drug safety needs to be policed for the right drug, right dose, right patient, right document 66 (68.7%) and timely and precise ways of administering 64 (66,7%). Exact location of certainty, right procedure, the right of patients to the operating date and time actions 320 (99.3%), anamnesa 322 results (100%), charging odontogram 169 (91,8%), 318 (98.7%) diagnostic, treatment action plan of 321 (99,7%), supporting and physical examination (94.5 per cent) of 120 and informed consent 71 (65,1%). Reduction of risk of infection related to medical services is already quite good but not completely orderly run.Summary: the completeness of charging medical record and implementation of patient safety in RSGMP UMY due to time limitations, the knowledge operator, not a supervisor and physician supervision.Key words: completeness, medical record, patient safety.
PENGARUH PROMOTION MIX TERHADAP LOYALITAS PASIEN DI POLIKLINIK RSUD PANEMBAHAN SENOPATI BANTUL ., Pambudi; ., Susanto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 1, No 2 (2012): July
Publisher : Universitas Muhammadiyah Yogyakarta

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The emergence of new hospitals and the development of private hospitals lead to a competition. The hospital must maintain customer and seize the competitors’customers, so that the hospitals need to do a promotion. Promotion mix evaluation has not ever been done in RSUD Panembahan Senopati Bantul. The type of the study is a descriptive study, cross sectional design, and proportionate sampling stratified random sampling. The amount of population is 135 056 patients. The amount of sample is 100 people. It is a linear regression analysis test.The regression equation Y : 0,188 X1 + 0,196 X2 + 0,385 X3 + 0,174 X4. It is obtained from the t test promotion mix variable that partially effect on the loyalty of the clinic patients. The smallest value of p / t the largest count shows that the most influence on patient loyalty is a personal selling variable. F test results obtained from the simultaneous promotion mix variable (X) effect on patient loyalty variable (Y). Promotion mix variables partially effect on the loyalty of the clinic patients. The most dominant of promotion mix variables is the personal selling variable, promotion mix variables simultaneously influence the loyalty of Poliklinik RSUD Panembahan Senopati. Keywords: Promotion Mix, Patient Loyalty
EFEKTIVITAS PEMBERIAN SIMULASI HAND HYGIENE TERHADAP KEPATUHAN HAND HYGIENE PETUGAS NON MEDIS DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA UNIT II Listiowati, Ekorini; Nilamsari, Lisa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 4, No 1 (2015): January
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Hospital Associated Infection (HAIs) is the world’s problem and one of the causes is hand hygiene compliance in healthcare workers are still low. Data showed 80% of HAIs spread by hands. Non medical healthcare workers are at risk for spreading the phatogen by hands, because although they don’t give intervention directly to the patients, they still have big possibilities to be in one of 5 moments hand hygiene. Hand hygiene simulation is one of training methods for heakthcare workers to create higher compliance in hand hygiene. This research was an experimental design with one group pre-posttest design. The population were all non medical healthcare workers in security department, nutritional department, and cleaning service department, the total sample is 37 persons. Paired T-test is used for stastitical analysis.The results obtained, the implementation of hand hygiene with proper procedure is 0,55%. The compliance rate increase after intervention by hand hygiene simulation 13,83%. Statistical analysis showed significant result p<0,05; p=0,026 for security department, p=0,027 for nutritional department, and p=0,002 for cleaning service department, meaning there is a difference in hand hygiene compliance of non medical healthcare workers before and after intervention by hand hand hygiene simulation.Hand hygiene simulation is effecticve to improve hand hygiene compliance. Therefore it can be used to improve hand hygiene compliance in non medical healthcare workers.Keywords: hand hygiene, compliance, non medical healthcare workers, simulation
UPAYA PENINGKATAN MUTU PELAYANAN MEDIS PADA PEMBUATAN STANDAR PROSEDUR OPERASIONAL PELAYANAN MEDIS DI RSIA ‘AISYIYAH KLATEN Salmah, Susi; Susanto, Susanto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 1 (2016): January
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Background: Quality is a total picture of the nature of a product or service which is able to give satisfaction. The quality of hospital services can be measured by using the standard operating procedures (SOPs) which are the instructions made together to carry out routine activities based on professional standards. The purpose of this research is to analyze the efforts to improve the quality of medical services in RSIA (Child and Maternity Hospital) ‘Aisyiyah Klaten related to the doctor’s knowledge of the philosophy of making SOPs for Medical Services.Methods: The study design was a case study with a qualitative and quantitative approach. It was conducted by in-depth interviews with directors, the chairman of the medical committee, the secretary of the medical committee and the special staff of directors relating to the medical committee and making of SOPs for Medical Services. The questionnaire is addressed to all the doctors associated with the knowledge, attitudes and behavior in making the SOPs for Medical Services. Analysis of the data is presented descriptively from the perspective of input, process and output.Results and discussion: The results obtained on the input which is the vision to become the recommended hospital with the mission of providing services in accordance with medical and administrative standards of professional and accredited. There are meeting facilities, budget, commitments director on the decree on the medical committee and the accreditation team. From the process side, the meeting attendance of accreditation team doctors is 62.90%, non- accreditation team specialists by 50%, non-accreditation team general practitioners by 18.18%. The making of the meeting minutes reaches 100%. On the SOPs of Medical Services, the value of all the doctors knowledge is 90.68%, the value of all the doctors attitude is 84.78% and the value of the behavior of all doctors is 63.37%. From the output side, the number of SOPs of Medical Services which have been made are 31 types (88.24%). The number of SPOs which was passed are 50 titles (43.10%). There are constraints on the time and the ability of doctors.Conclusion: RSIA ‘Aisyiyah Klaten has undertaken efforts to improve medical services quality in making the SOPs for Medical Services through a systems approach well and the doctors already understand the philosophy of making good SOPs for Medical Services. Keywords: quality, medical services, SOPs
PERSEPSI DAN EKSPEKTASI DOKTER TERHADAP JASA MEDISDI RS PKU MUHAMMADIYAHNANGGULAN Yuliyanto, Heru; Santosa, Erwin
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 4, No 1 (2015): January
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Background: General practitioners / specialist considerations a hospital which are most suitable to be used as a practice. There are several considerations in determining a doctors office, one of which is the most powerful pull factor is the amount of medical services to be received from the PKU Muhammadiyah Hospital Nanggulan.Objectives: in this study is to describe the perceptions and expectations of general practitioners and specialists for medical services in PKU Muhammadiyah Hospital Nanggulan.Method: This study used a qualitative research approach. The study was conducted in PKU Muhammadiyah Hospital Nanggulan, KulonProgo, Yogyakarta during the month of July 2011 - February 2015. The subjects in this study were four general practitioners and four specialists in PKU Muhammadiyah Hospital Nanggulan who has had a license to practice. Data analyze used descriptive qualitatively.Result: Perception of general practitioners / specialists in PKU Muhammadiyah Hospital Nanggulan vary according to the characteristics of informants that includes needs, age, status, workplace, social conditions, and hope the doctor. General practitioners revealed that remuneration has been timely received, but not yet in accordance with the load of work done. Specialist physicians perceive that the medical services received are in accordance with the assumption that the meaning of work for informants as worship and religious symbols. General practitioners hope that hospitals provide child support and medical benefits. Specialist doctors have hope in order to meet current needs and hope that PKU Muhammadiyah Hospital Nanggulan can improve the quality and infrastructure for specialists, provide health insurance for specialists, and in order to improve reply to specialist medical services in accordance with the development of the hospital.          Conclusion: Remuneration received by general practitioners has on time, but not in accordance with the load of work done. Medical services received by specialists are in accordance with the assumption that the meaning of work for informants as worship and religious symbols.Keyword: Doctor Perceptions, Doctor Expectations, Medical Services
EVALUASI KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN RAWAT JALAN PESERTA BPJS DI RSUD PANEMBAHAN SENOPATI BANTUL Firdaus, Fidela Firwan; Dewi, Arlina
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 4, No 2 (2015): July
Publisher : Magister Manajemen Rumah Sakit

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Latar Belakang: Masalah yang sering dihadapi secara umum oleh rumah sakit adalah rumah sakit belum mampu memberikan sesuatu hal yang benar-benar diharapkan pengguna jasa. Beberapa pasien banyak yang masih bingung mengenai sistem rujukan yang ditetapkan dalam BPJS Kesehatan. Begitu juga dengan pasien yang mengeluh biaya kesehatan yang dulu seluruhnya terinci saat masih berupa PT Jamsostek, sekarang banyak yang tidak terinci saat sudah berubah menjadi BPJS.Metode: Penelitian kualitatif untuk menganalisis kualitas pelayanan terhadap kepuasan pasien rawat jalan peserta BPJS di RSUD Panembahan Senopati Bantul. Data primer diperoleh dari wawancara mendalam terhadap pasien rawat jalan peserta BPJS, dokter pelayanan rawat jalan, dan petugas BPJS di RSUD Panembahan Senopati Bantul.Hasil dan pembahasan: Hal yang mempengaruhi kepuasan pasien antara lain: pendaftaran lancar, waktu tunggu, pelayanan cepat, ramah, sopan, keterampilan dan perawatan medis bagus, profesional, ruangan bersih dan fasilitas lengkap. Sebaliknya, hal-hal yang menjadi hambatan kepuasan pasien antara lain: karyawan pendaftaran datang terlambat, lambat, dan mengobrol sendiri, waktu tunggu lama, nada suara petugas medis tinggi, keramahan kurang, ruangan kurang luas, tidak memakai sekat, ruang tunggu kurang, jarak poli satu ke poli lain terlalu dekat, dan tidak ada pengeras suara. Faktor lain yang mempengaruhi yaitu BPJS.Kesimpulan dan saran: Kepuasan pasien sesuai dengan teori SERVQUAL (Parasuraman dan Zeithml, 1990). Hambatannya yaitu ruangan dan fasilitas, waktu tunggu lama, jumlah SDM, SIM RS versi lama, dan tata cara sistem rujukan. Solusinya yaitu ruangan yang lebih luas, ruang tunggu yang lebih nyaman, sekat dari dinding, memberikan pengeras suara, menambah jumlah SDM, dan memperbarui SIM RS. Sarannya yaitu melakukan survey hal-hal yang sudah membuat pasien puas dan yang masih kurang, melakukan perbaikan dan melengkapi ruangan dan fasilitas di rumah sakit, menambah sumber daya manusia, mempertimbangkan bridging system, dan melakukan evaluasi terhadap program yang sudah berjalan. Kata kunci: kepuasan pasien, kualitas pelayanan, BPJS

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