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Abstract Topic: Other Hospital Issue

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CHALLENGES TO ESTABLISH EXECUTIVE POLYCLINIC SERVICES IN THE GOVERNMENT HOSPITAL: A Qualitative Study
Iqbal Sayyidil Affan Purba1; Tita Hariyanti2 ; Lilik Zuhriyah3

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Corresponding Author
Iqbal Sayyidil Affan Purba

Institutions
Magister Manajemen Rumah Sakit
Medical Faculty
Brawijaya University

Abstract
Background: Quality in a service is assessed thoroughly on the actions given and related to excellence in the service so as to cause a perception of customers towards the results of these services. Quality in service depends on individual perceptions and it also depends on stakeholders, namely the government, doctors, medical staff, or hospital managers. From the preliminary study conducted at RSUD Bangil, problems were found, namely the number of visits to executive polyclinic for 7 months was still low. From the data obtained the number of visits is still below the number of 10 patients each month from March to September 2018. This encourages researchers to conduct case studies to explore the reasons. Method: The method used in this study is qualitative with a case study approach. The case study in this study is a detailed study of the services of the Executive Polyclinic in Bangil District Hospital, Pasuruan Regency, during the period prepared by the researcher. This case study analyzes from various perspectives. This means that researchers not only pay attention to the voice and perspective of the management ranks of Bangil District Hospital, Pasuruan Regency, but also the relevant parties. Results and Conclusion: From the results of the study, it was found that the reasons for the establishment of executive polyclinic there are for the benefit of patients, specialist doctors, and to increase income for hospital outside BPJS patients. The aim of establishing executive poly is for the benefit of patients, specialist doctors, and to increase income outside BPJS patients. Besides that, there are some challenges that can hamper the progress of the executive polyclinic. The challenges are in the form of political interests, regulation, the interests of doctors, and readiness of hospitals.

Keywords
quality of service, executive polyclinic, increasing hospital income, qualitative case study

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/ug3CLWMn4Ewp


Creepy Experiences In Hospital: How Patients Interpret Their Experiences During Hospitalization
dr. Lisa Setiawati,MMRS, Supervisor: Dr. Indah Winarni, MA, Co-supervisor: Dr. dr. Tita Hariyanti, MKes.

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Lisa Setiawati

Institutions
Postgraduate Program in Hospital Management, Faculty of Medicine, University of Brawijaya, Malang

Abstract
Patients frequently dread hospital ambience associated with the dread of diseases as well as of the somber atmosphere. The dwindling BOR of last three years at the Panti Waluya Sawahan Hospital in Malang established in 1929, requires investigation concerning patient-s lived experience comprising lived body, lived space, lived time, and lived relationship during hospitalization in terms of the elements of healing environment. This research employed qualitative hermeneutical interpretive phenomenological method. The instrument is the researcher herself. The site is Panti Waluya Sawahan Hospital in Malang. In- depth interview was conducted on four patients who were or are being hospitalized. The data analysis yielded 13 themes including feelings of comfort with the hospital ambience despite dissatisfaction with the care quality; contentment with the care quality despite the ambience discomfort; and desiring faster recovery for family support. The core theme comprised faster recovery feeling from the provision of quality service and the homey ambience. The core themes constitute healing supportive lived experiences. Homey ambience can be afforded by sincerity in extending the best performance, service, and creating cozy, safe, and loving environment.

Keywords
lived experience, healing environment, homey

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/JWpn9huTqwBL


Establishing Customer Loyalty in the Era of National Health Insurance (A Phenomenology Study)
Harjanti ; Chief: Dr. dr. Tita Hariyanti, MKes, Member: A. Zani Pitoyo, MKes., MMRS.

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Corresponding Author
Harjanti Harjanti

Institutions
1Nusantara Inpatients Clinic
2Masters of Hospital Management Study Program
Medical Faculty of Universitas Brawijaya Malang
3Poltekkes Kemenkes of Malang

Abstract
The result of exploratory study based on unstructured observations has been performed on the Prolanis KRI Nusantara activity. Several phenomena are encountered by researchers when National Health Insurance (JKN) participants, who joined Prolanis, are administered in Advanced-Level Health Facility (FKTL) for their diseases. Upon selecting the referred hospitals for these JKN participants, patients who resides near “A” hospital prefers “B” hospital that is comparatively farther than their residence and vice versa. The referred JKN participants once moved to another hospital for their referral. The problem of this phenomena needs to be examined deeper to discover the reason behind the behavior. The purpose of this research is to establish customer loyalty in the era of JKN by exploring patients- experiences who are JKN participants in selecting hospital for medication referrals. The methods used in this study were by qualitative method with phenomenology approach. In-depth interview was carried out to six informants who were considered representative this study. The result of this study shows that they were both pleasant and unpleasant experiences during the informants- medication period. Pleasant experiences can establish customer loyalty towards hospitals. The conclusion is that patients will feel contented if hospitals provide good service. A continuous pleasant feeling will result in the satisfaction towards the hospital. Satisfaction will lead to loyalty to a certain service.

Keywords
experience, JKN participants, customer loyalty

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/j3ZGU7yzHrKf


Evaluation of Hospital Good Corporate Governance (GCG) in Makassar, South Sulawesi
Arni Rizqiani Rusydi, Sukri Palutturi, Noer Bahry Noor, Syahrir A. Pasinringi

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Corresponding Author
Arni Rizqiani Rusydi

Institutions
Hasanuddin University

Abstract
ABSTRACT Background: The current increase of hospital growth in Indonesia has not been followed by an increase in hospital performance. The low level of hospital governance is a very significant matter to be questioned related to the performance and application of the principles of Good Corporate Governance. Aims: To evaluate the application of Good Corporate Governance to the performance of hospitals in South Sulawesi. Methods: This study used qualitative methods. Six informants consisting of academics, practitioners and policy makers were interviewed in-depth. Instruments used is based on the National Hospital Accreditation Standards with the approach to the concept of Good Corporate Governance, tools using tape recorders, camcorders and field notes. Results: This study found that the application of Good Corporate Governance in hospitals involved the concept of transparency, accountability, responsibility, independency and fairness. The transparency in the hospital besides the community also to the internal hospital. The transparency to the community includes the existence of an organizational structure that can be accessed by everyone, but only with a structural board and not with basic tasks and functions (tupoksi). The transparency on the internal hospital can be in the form of superior to subordinate or between subordinates. Hospitals do not have an absolute concept of independence, because there are binding rules especially when the hospital is a government hospital. Conclusion: Need special policies regarding good corporate governance in hospitals even though the application has been accommodated in the hospital ational accreditation standard survey instrument.

Keywords
Good Corporate Governance, Performance, Hospital

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/PBbwy7T8GLKR


Good Hospital Governance and the Role of Pharmacists from the Perspective of Indonesian Law and Regulations
Gunawan Widjaja

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Corresponding Author
GUNAWAN WIDJAJA

Institutions
Universitas Tarumanagara

Abstract
Objective: This research aimed to elaborate the role of pharmacists in hospital to establish good hospital governance in accordance with Indonesian rules and regulations. Method: This research is a normative research. Data were obtained through literature search using “google machine” with “good hospital governance”, “pharmacists- role in hosptal”, “pharmacists- regulations in indonesia” as keywords. Data were analyzed using qualitative method. Collected raw data were reduced to the most relevant data by conducting content analysis. The relevant data were used to analyze the purpose of the research. Results: Good hospital governance needs a good administration of alll hospital activities that support the madical care, and good clinical governance in providing medical care for patient safety. Finding proved that there were not many provisions in the rules and regulations that govern the role of pharmacists in hospital. However those provisions were sufficient enough to justify the role of pharmacists to assist “creating” and maintaining good hospital governance. Conclusion: Pharmacists have two important but different side by side roles in good hospital governance settings.

Keywords
hospital governance, pharmacist- role, clinical governance

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/guXaryN9ZPxH


Hospital Readiness Study in Travel Medicine Services
Erlina Puspitaloka Mahadewi(1*); Reza Hilmy(2)

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Corresponding Author
Erlina Puspitaloka Mahadewi

Institutions
Erlina Puspitaloka Mahadewi1,*, Reza Hilmy2
1,2 Department of Public Health, Faculty of Health Siences, Esa Unggul University Jakarta
*Doktoral Program, Mercu Buana University Jakarta
erlina.puspitaloka[at]esaunggul.ac.id

Abstract
ABSTRACT Healthcare travel services for tourists in the nearly future is critical issue. Jakarta as the capital city of Indonesia have the increasing tourists visits also impact growth on the risk of disease spread from tourism. Background article certainly requires a readiness for hospitals in Jakarta area to handle it, one of which is to adjust the standard of health services for foreign tourists, namely the standard of travel medicine. The research objective is to analyze hospitals readiness in the implementation of travel medicine services in Jakarta. The study uses qualitative methods and validation uses source with method triangulation such as in-depth interviews, observation and document reviews. Several input factors had not been fulfilled in this study for implementing travel medicine services. The result of article included the process factor had not been implemented due to the lack of fulfilment of several input factors and the implementation of service models which were different from travel medicine services. In terms of qualifications, the hospitals of this article almost ready to implement travel medicine services.

Keywords
hospital, hospital readiness, medicine services, traveller, travel medicine

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/4BHKwxf3raEQ


MEDICAL TOURISM AS THE IMPROVEMENT OF PUBLIC HEALTH SERVICE : CASE STUDY IN BALI AND WEST NUSA TENGGARA
1. Dumilah Ayuningtyas, 2. Anwar Fachry, 3. Ni Nyoman Dwi Sutrisnawati, 4. Sayyidatul Munawaroh

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Corresponding Author
DUMILAH AYUNINGTYAS

Institutions
1. Health Administration and Policy Department, Faculty of Public Health, University of Indonesia
2. Center of Population and Development Research, University Mataram
3. Departement of Hospital Administration, Medika Persada Bali Health Sciences Institute
4. Faculty of Public Health, University of Indonesia

Abstract
Objective : Indonesia has a natural beauty and strategic location. This increased the tourist arrivals to Indonesia up to 12.58%. The increasing growth of tourist visit was responded by the government through of the Minister of Health Regulation No. 76 of 2015 concerning medical tourism services. This study aims to investigate the implementation of medical tourism in hospitals in accordance with the regulation of the ministry of health Indonesia. Method : This research applies the Literature review method using secondary data obtained from Ebsco, Pubmed, Google Scholar, and Willey and according to the inclusion categories. The results of the literature review are combined with the interviews with stakeholders related to medical tourism in Bali and West Nusa Tenggara. Furthermore, the SWOT analysis is used to evaluate internal perspective and external. Results : The readiness of public and private hospitals in terms of facilities and human resources is sufficient to medical tourism. However, in terms of promotion, cross-sectoral coordination, and the regulations from the ministry of health in the implementation of medical tourism. External factors the existence of government regulations on traditional medicines that can be integrated with Medical Tourism can support the implementation of medical tourism. Conclusion : The supports from local government in mobilizing, advocating and strengthening the cross-sectoral coordination is expected to optimize the potential of Indonesia, especially in case study.

Keywords
Medical Tourism, hospital, strategy, policy

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/GMAvBQDcEkag


PHYSICIANS JOB SATISFACTION ON HEALTH SERVICES PAYMENT IN NATIONAL HEALTH INSURANCE (JKN) AT SINJAI REGIONAL PUBLIC HOSPITAL
Nur Fadhilah Arifin(a)*, Syahrir A.Pasinringi(b), Irwandy(c) , Nurasisa Lestari(d)

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Corresponding Author
Nur Fadhilah Arifin

Institutions
(a,d) Faculty of Dentistry, Universitas Muslim Indonesia
(b,c) Faculty of Pumblic Health, Universitas Hasanuddin

Abstract
Objective: Physician as the spearhead of hospital services deeply feel the change in health care system in JKN era that implements the system of quality control and cost control.The aim of the research was to explore the job satisfaction of physician in the era of the National Health Insurance in Regional Public Hospital of Sinjai. Methods: The research was a descriptive qualitative study with a case study approacch. The data were obtained through in-depth interview, observation and documentation. Result: The result of the research indicate Physician in Regional Public Hospital of Sinjai is satisfied with transparency of medical service division, but the number of Ina CBGs packages are still under the standar and time of payment of medical service is late. Conclusion : Physician in Regional Public Hospital of Sinjai is satisfied to transparancy payment and unsatisfied to standart amount and time of payment medical service system

Keywords
job satisfaction, health services payment, National Health Insurance

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/Y3VAWXFn62hf


THE IMPLEMENTATION OF NON-SMOKING AREA POLICY IN HOSPITAL OF ISLAM FAISAL MAKASSAR
Alwy Arifin1, Nurhayani2, , Indar3, Saifuddin Sirajuddi4 Andriana Susanti5Nur Inayah Ismaniar6Rosdiana7

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Corresponding Author
Indar Indar

Institutions
123Departmen Administrasi dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Hasanuddin
(Email: indar.sh[at]gmail.com)
4Program Studi Ilmu Gizi, Fakultas Kesehatan Masyarakat, Universitas Hasanuddin
(Email: saifuddin59[at]yahoo.com)

5Program Pascasarjana, Departmen Administrasi dan Kebijakan Kesehatan, Fakultas Kesehatan
Masyarakat, Universitas Hasanuddin
(Email: qienna888[at]gmail.com)
6.STIKES Baramuli Pinrang
7 STIKES Mega Buana Palopo

Abstract
Determination of non-smoking area should be held in health care facilities, one of them in hospitals. That-s why, the policy of implementing non-smoking areas (KTR) has been identified as the main intervention strategy in disease control and environmental sanitation. The study aimed to examined more deeply about the implementation of non smoking area (KTR) policy at the Hospital of Islam Faisal Makassar. Qualitative designs have been used in this research. The informants 8 people were obtained by using snowballing sampling/ chain sampling. Data collection is done by in-depth interviews, continuous observation during the research and focus group discussion (FGD). Data processing is done by using triangulation and content analysis method. The results showed that communication variables run well based on transmission, consistency, and clarity of the rules that must apply concerning KTR and its application in the Hospital of Islam Faisal Makassar. Whereas, based on the variable of resources at the Hospital of Islam Faisal Makassar has not supported in terms of staff, information and authority, and also in terms of facilities are still not fulfilled. It is expected that the hospital should be increase the things in the form of communication, structure of bureaucracy and disposition well to all elements of the hospital.

Keywords
non smoking area, policy, hospital implementation

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/jActpueKTL4b


The role of Bugis cultural value towards leader-member exchange and organizational citizenship in Bugis nurses in Makassar
Andi Indahwaty Sidin(a,b), Fridawati Rivai (a,b), Rifaah Mahmudah Bulu

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Corresponding Author
Andi Indahwaty Sidin

Institutions
1. Hospital Administration Department, Public Health Faculty, Hasanuddin University, Indonesia
2. Hasanuddin University Hospital, Indonesia

Abstract
This literature review is about the role of cultural value towards Leader-member exchange (LMX) and Organizational Citizenship Behavior (OCB) of Bugis nurses that can help the researcher to understand nurse performance based on the culture. This literature review was compiled using the PRISMA method with stages 1) defining eligibility criteria; 2) identify sources of information; 3) selection of studies; 4) data collection process; 5) data selection. In the Google Scholar online database, 39 related articles were obtained and an assumption was obtained that culture value played a role in creating OCB and LMX in Bugis nurse. The culture values adopted by Bugis nurses, namely siri na passé, actively support the creation of OCB. Siri na passé, which is one of the concepts of Bugis culture, influences attitudes and behaviors, including interacting. Other literature also found that high LMX would also have a positive effect on OCB. A high LMX can be seen from the relationship of the superior-subordinates or ajjarang-joa which are very thick to the Bugis tribe, who have high loyalty to the superior. A form of high commitment to the head can motivate employees to show high OCB behavior and be motivated to do work that has better quality than expected.

Keywords
Cultural, Value, Buginese,OCB, LMX

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/WFnMGd9zLCHE


The Strategic Role of Information Communication Technology in Succeeding Medical Tourism
Dumilah Ayuningtyas1, Dionisius Alvian Ariwibowo2

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Corresponding Author
Dionisius Alvian Ariwibowo

Institutions
1. Department of Administration and Health Policy, Faculty of Public Health Universitas Indonesia
2. Department of Administration and Health Policy, Faculty of Public Health Universitas Indonesia

Abstract
In recent years, medical tourism has become a good business opportunity to increase the country income by bringing benefit for both health and tourism sectors. The turnover for medical tourism in ASEAN reached 150 trillion Rupiah per year. Information Communication Technology (ICT) itself play an important role in many kinds of sector such as e-commerce by enabling user to access, store, and manipulate information. This study aims to gain a deep understanding of ICT strategic role in succeeding medical tourism. Literature review was conducted from 2 websites, 14 journals, and 3 books by year 2008-2019 in order to find the role of ICT in the pre-procedure and post-procedure of medical tourism. Main healthcare services, such as patient admission, electronic medical record, etc., can be optimized by utilizing ICT. ICT is also necessary for supporting integrated services for both health and tourism providers. It can be concluded that ICT played important strategic role in medical tourism. Adequate infrastructures, human resources, and standard need to be improved first to maximize ICT in medical tourism implementation.

Keywords
ICT, Medical Tourism, Strategic Role

Topic
Other Hospital Issue

Link: https://ifory.id/abstract/NngHxDbtBpFz


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