Indonesia Conference Directory

Corresponding Author
Iin Karmila Yusri

Institutions
Computer and Networking Engineering Study Program, Politeknik Negeri Ujung Pandang

Occupational Health and Safety Department, Public Health Faculty, Hasanuddin university

Abstract
This paper presents a model of electronic medical record that developed in cloud computing environment. The model integrates the activity of recording, reporting, and utilizing medical data. Currently, hospitals and health centers in South Sulawesi use paper record for diagnosis and medicine prescriptions. The disadvantages of using paper record are it takes time to find patients data; especially referred patients, and the record are easily to damage and lost. The objective of the developed model is to synchronize all data patients in hospitals and health centers in South Sulawesi which allows all physicians in South Sulawesi improve their working efficiency and accuracy. Furthermore, the model system design offers high efficiency for operations such as data mining on the medical data collected during diagnosis. The data mining results can be applied on inventory planning, diagnosis assistance, clinical research and disease control and prevention.

Keywords
medical record, cloud computing, patients data, data mining

Topic
Management Information System

Link: https://ifory.id/abstract/DTGbu8k4ACH3

Corresponding Author
Nining Ade Ningsih

Institutions
STIK Tamalatea Makassar

Abstract
In ensuring quality of pharmaceutical services, pharmacy supplies must be controlled responsibly. Therefore, drugs must be managed effectively and efficiently. This study aims to determine the causes of drug stockout and stagnant in the pharmacy installation at Regional General Hospital Makassar. This type of research is qualitative with a Case Study approach. The informants in this study consisted of key informants namely the head of pharmacy installations and ordinary informants specifically the head of the warehouse, the management of pharmacy supplies, and partners/distributors. Determination of informants in this study was made by purposive sampling. Data collection was carried out by means of direct in-depth interviews with informants, observations, and document reviews. The results of the study show that the cause of the drug stockout was the ineffective procurement of drugs as a result of delayed budgeting that caused huge losses in the Pharmacy Installation of Regional General Hospital Makassar. The other factor was distributor emptiness. While the factors that caused Stagnant were due to slow moving drugs due to changes in disease patterns, there were changes in the history of drug use by the user. Suggestions that can be given are by applying the analytical methods of all types of drugs available in the pharmaceutical warehouse. Thus, they can determine which drugs should be prioritized and avoid drug emptiness and purchase of cito.

Keywords
Stockout, Stagnant, Drug Logistic Management

Topic
Logistic and Medicine

Link: https://ifory.id/abstract/KwbMjh8fDAza

Corresponding Author
Mahendro Prasetyo Kusumo

Institutions
1Department of Health Behaviour, Environment and Social Medicine, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia
2Department of Health Policy and Management Faculty of Medicine, Publich Health and Nersing Universitas Gadjah Mada, Yogyakarta, Indonesia
3Departement of Physiology Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia
4Department of Public Health, Universitas Muhamadiyah Yogyakarta, Indonesia
5Master of Hospital Management, Postgraduate Program, Universitas Muhammadiyah Yogyakarta, Indonesia

Abstract
Background: This study aims to explore patient-s perceptions about dietary control, including barriers in blood glucose controlling of type 2 diabetes mellitus (DM) patients in the majority of the Javanese population. Method: This study used qualitative design. The researchers conducted a Focus Group Discussion Session (FGD) in primary health care. Most participants were Javanese. The FGD was used to get answers about questions related to the participants diet in Javanese culture, including challenges and their actions to control blood glucose. Results: Fourteen DM type 2 patients- age were 18-70 years old with Javanese culture experienced dissection. Participants were mostly female (n: 9), and the distribution pattern showed all participants were Javanese (n: 14). When the researchers asked some participants from low socioeconomic status about food control, they explained that food served when visiting people-s houses could not be refused, including fried food. Some patients had a culture of having to eat all the food served. Conclusion: People with DM type 2 have the perception that to respect the host, they must eat the food served. Practical implications: This study explores patient perspectives on food control in the Javanese population. Background In 2048, the International Diabetes Federation estimates an increase in the number of DM by 48%. In 2017, Indonesia ranked in the top five of DM in the world (1). Based on the 2018 Basic Health Research report, Yogyakarta was in the 3rd rank with the highest number of DM sufferers in Indonesia (2). Indonesia is one of the countries with the highest mortality due to DM (1,3). The high number of deaths causes economic impacts due to the loss of productivity and high medical costs (4). DM is one of the four main factors of death due to non-contagious diseases (1,3). The DM management recommendation emphasizes improving the quality of life by maintaining the blood sugar level, the blood pressure, and the bodyweight within the normal limits. Controlling the diet, keeping exercise, and using the drugs routinely can help control the blood sugar level (1,5–7). The food pyramid is one method that can help patients in choosing foods based on existing food content. The food pyramid explains that people should consume processed wheat products because they have more nutrients and fiber. Fiber will help stabilize the blood sugar levels and encourage the intestinal function (8,9). Diabetes Mellitus (DM) can increase the risk of heart disease, so it is recommended to choose products that contain lots of omega-3 derived from grains (8,10). Diet control has an essential role in controlling the blood sugar level (1,5) and preventing overweight or obesity (11). DM patients should avoid sugar, sweet, and fatty foods (5,12). Yogyakarta is a region that still maintains the ancient tradition, but also embraces the new behavior due to the effects of globalization and immigration. It-s a regi

Keywords
dietary control, DM type 2, Javanese culture

Topic
Public Health Issue

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

Corresponding Author
Badra Al Aufa

Institutions
a) Hospital Administration Department, Vocational Education Program, Universitas Indonesia
Kampus UI Depok Gedung A, Jl. Akses Vokasi UI, Kukusan, Kecamatan Beji, Kota Depok, Jawa Barat 16424
*badra[at]vokasi.ui.ac.id

Abstract
This study aims to identify the determinants of patients- intention to use hospital mobile application by applying the Unified Theory of Acceptance and Use of Technology (UTAUT) model. This cross-sectional study was conducted in two hospitals in Bekasi, Indonesia. A total of 148 respondents took part in this study. The data were between April and May 2019. The questionnaire has been developed based on UTAUT model. Respondents ranged from 20 to 69 years old. Respondents were 78.4% female. The variables that significantly associated with the intention of the use of the hospital mobile application were satisfaction in using the app, perceived of benefit, easiness of operation and learning of application and the high application speed. More than half of the respondents revealed that they have high intention in using hospital mobile application. It implies that hospital managers should pay an attention so that enable patients to use it properly.

Keywords
Hospital, Mobile Application, Online Registration, Acceptance, Use of Technology

Topic
Marketing Management

Link: https://ifory.id/abstract/7HBgTa3NqcUx

Corresponding Author
Yahya Thamrin

Institutions
Department of Occupational Health and Safety, Faculty of Public Health, Hasanuddin University

Abstract
OHS and risk management system is obligated to be implemented in hospital. The management is a proactive approach for identifying, assessing, and prioritizing risks in order to minimize or eliminate impacts. This research aims to explore the current situation regarding OHS and the effects of risk management training among nurses regarding their knowledge and attitude toward OHS. This study used the mixed method design which combined qualitative and quantitative research. For qualitative data collection, in-depth interviews was performed. Content analysis method was conducted to analyse the obtained data. Quantitative data was collected using observational sheets and questionnaire. One group pretest and post test design was occupied to examine the effectiveness of training and the resulted data were analyzed by paired t test. 35 nurses were involved in this experimental study. The result of current situation analysis regarding the identification of hazards indicates that nurses generally recognize the potential of biological, physical, chemical, and ergonomics hazards. Risk assessment using the risk grading matrix and root cause analysis resulted that in general, utilizing Personal Protective Equipment (PPE) and engineering controls are applying for risk control. The paired t test results obtained knowledge (p-value = 0.000) and attitude (p-value = 0.029) and the result signified that risk management training affected on nurses- knowledge and attitude on OHS, prior and after intervention. This research recommends the hospital management to conduct the training in regular basis as an effort to increase nurses- knowledge and attitude towards OHS.

Keywords
Risk Management, OHS, Knowledge, Attitude, Nurse

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/HWgTCvcDZF9q

Corresponding Author
Lukman Prayitno Prayitno

Institutions
National Institute Of Health Research and Development
Center for Research and Development of Humanities and Health Management, Ministry of Health Republic of Indonesia, Jakarta, Indonesia

Abstract
Introduction: On September 28, 2019, there was an earthquake followed by liquefaction, landslides and tsunamis in Palu City, Donggala and Sigi Regencies. Disasters cause many victims and health problems. Diarrhea and dysentery were influenced by the worsened of environment and sanitation caused by disaster. Methods: Qualitative research with indepth interviews to officer of Central Sulawesi Provincial Health Office, officer of Sigi District Health Office, Head of Puskesmas. Respondents must cite operational evidence based on direct experience. Analyze results with qualitative content. The study was conducted in February - March 2019. Results: an increase of diarrhea cases from 1.76x to 4.1x after the disaster. No cases of dysentery were reported before and after the disaster. Projections of WASH disorders and diarrhea occur up to 12 months after the disaster. Dysentery are not projected as a health problem. There were increasing of refugees in the first week after the disaster from 15000 to 93000 after 4 months. There were increasing of refugee camps from 10,000 to 90,000. The number of refugee vulnerable groups is 46,961 and 57.51% of infants and children. Conclusion: There was an increase in diarrhea and WASH disruption cases in Sigi district, but no cases of dysentery were reported before and after the disaster. This relates to the number of places of refuge that is less than the number of refugees, the high percentage of vulnerable groups of infants and children.

Keywords
Disaster, Sigi Regency, Diarrhea, Dysentery

Topic
Public Health Issue

Link: https://ifory.id/abstract/YLxZfCj9hNAX

Corresponding Author
Rinie Indah Chandra Wirasati

Institutions
*) Hospital Administration Students, Faculty of Public Health, University of Indonesia, Depok / Psychiatrist, Army Hospital RS Tk. IV Singaraja, Bali. (rinieindah[at]gmail.com)
**) Doctor / Lecturer, Faculty of Public Health, University of Indonesia, Depok.

Abstract
Objective: An organization is formed to achieve a common goal, but to achieve goals effectively requires good and right management. Management is a process to make activities organized efficiently and effectively with and through others. The purpose of the study to determine the most dominant factor associated with the employees performance in Army Hospital RS Tk. IV Singaraja, Bali. Methods: This research is descriptive analysis. Data collection method used in the study was a questionnaire method. Factors that associated with the employees performance in Army Hospital RS Tk. IV Singaraja, Bali that analysis are personal factor, leadership factors, team factors, systems factors, and contextual factors. Conclusion: Leadership factors is the factor that greatly associated with employees performance in Army Hospital RS Tk IV Singaraja, Bali.

Keywords
Employees Performance, Personal Factor, Leadership Factors, Team Factors, System Factors, Contextual Factors.

Topic
Human Resources Management

Link: https://ifory.id/abstract/4RaLrejGb92g

Corresponding Author
Haerawati Idris

Institutions
a),b),c) Faculty of Public Health, Universitas Sriwijaya, South Sumatera
*haera[at]fkm.unsri.ac.id

Abstract
Quality health services have a very important role in improving the degree of public health. The result of survey by BPJS at the Regional General Hospital of Banyuasin District showed that the degree of patient-s satisfaction was the lowest (53%). This study aimed to analyze the health service quality of BPJS participants of the Regional General Hospital of Banyuasin District. The study used a cross sectional design with the samples taken from the outpatients and inpatients of BPJS with each participants (n=90). The data were analyzed using the method of Quality Function Deployment (QFD) to measure the service quality and the results were interpreted using matrix of House of Quality (HOQ). Supporting data collected by Interview by health workers, and hospital officials. The results of the study showed that according to the patients there were five important dimensions, namely technical competency, effectiveness, comfort, punctuality, and human relationship. The average result of each dimension was still negative, that is technical competency (-0.53), effectiveness (-0.59), comfort (0.58), punctuality (0.87), and human relationship (0.98). The attribute of “the nurses come and leave on time” had the highest gap (-1.39) and the biggest target value (2.39) that the time punctuality of the staff was the priority for the service improvement. The health service quality of this hospital was not yet optimal because the average of the whole gaps was negative (-0.7). It is recommended that the hospital reinforce the punishment for late employees, optimize regularly the activity of service quality evaluation such as periodically measuring the degree of patients- satisfaction

Keywords
House of Quality, Satisfaction, Health Service Quality, Quality Function Deployment

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/DXC7wvNWMzpu

Corresponding Author
Julia Indriaty

Institutions
Universitas Esa Unggul

Abstract
Background: The high number of patients falling for a year in a hospital is a serious problem in the hospital because the incidence of falling patients is one indicator of patient safety. The purpose of this study was to analyze the effect of the application of fall risk prevention management and training on the implementation of patient safety with the leadership role of the head of the room as an intervening variable. The research uses quantitative research methods with questionnaires survey and Structural Equation Model (SEM) analysis methods, Amos version 23. Research samples are 178 nurses who have received patient safety training. The test result on the model has met the Goodness of fit criteria. The results of this study indicates that the risk reduction prevention management variable has a positive effect on patient safety. Training has a positive effect on patient safety management. The implementation of falling risk management has a positive effect on the leadership role of the head of room, training has a positive effect on patient safety management, training has a positive effect on risk management the leadership role of the head of the room has a positive effect on patient safety. The direct coefficient of patient risk falls on patient safety is greater than the indirect coefficient which shows there is an indirect effect of the patients risk of falling on the implementation of patient safety through the leadership role of the head of the room. The coefficient of directors training on patient safety is greater than the indirect coefficient which indicates there is an indirect effect of patient safety training on the implementation of patient safety through the leadership role of the head of the room.

Keywords
falling risk prevention management, training, Implementation of patient safety, role of leadership of room heads

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/en23YMK9JQt6

Corresponding Author
Rosalyne Rosalyne

Institutions
*Ketua Komite PMKP Rumah Sakit Panti Wilasa “Dr.Cipto”, **Staf Pengajar Program Magister Kesehatan Masyarakat Universitas Diponegoro

Abstract
Background: National Health Insurance has changed the healthcare system in Indonesia and has given impact not only to patients and healthcare facilities but also doctors. Panti Wilasa “Dr. Cipto” Hospital predominantly serve patients with National Health Insurance, so they need to manage doctor-s satisfaction which can affect the quality of service, service effectiveness, patient-s satisfaction and compliance. Clinical autonomy, medical service cost, relationship between nurses and daily practice administration are relevant variables which relate to doctor-s satisfaction at the hospital. Aim: This study aimed to identify doctor specialist-s satisfaction at Outpatient Unit of Panti Wilasa “Dr. Cipto” Hospital in the era of National Health Insurance and its relationship with clinical autonomy, medical service cost, relationship between nurses and daily practice administration. Method: This study was observasional using a cross-sectional design. Data were collected by using questionnaires given to doctors at Outpatient Unit of Panti Wilasa “Dr. Cipto” Hospital. The data were analyzed using Chi square test. Results: The majority of doctors felt unsatisfied (56.6%), and others (43.4%) were satisfied. Daily practice administration (p=0.033) has a significant relationship with doctor-s satisfaction at Outpatient Unit of the hospital. Implication : Identifying doctor-s satisfaction and affecting variables will increase the collaboration between doctors and management, and hopefully medical service will be more effective. Manager-s roles in communicating and doctor-s involvement in formulating hospitals regulation are kind of job enrichment which can develop responsibility, accountability, and belongingness, so doctor-s satisfaction increases.

Keywords
Job satisfaction, doctor, Outpatient Unit, National Health Insurance

Topic
Social Health Insurance

Link: https://ifory.id/abstract/7T9CynF8ZjEV

Corresponding Author
NUR ARIFAH ARIEF

Institutions
Universitas Hasanuddin

Abstract
Lean hospital is a method that aims to continuously increasing value-added activities compared to non-value added activities and waste (the value to waste-ratio). The average waiting time in providing outpatient medical records in RSUD Kota Makassar was 28.39 minutes. This result is still below the Minimum Service Standard (SPM) for the time of providing medical record files that is 10 minutes. The purpose of this study is to analyze the process of providing medical records for outpatients by using lean approach in RSUD Kota Makassar. This research was a mixed method study with Sequential Explanatory study design. Sequential Explanatory is characterized by collecting and analyzing quantitative data in the first stage (i.e. average, highest, and lowest time of each activity), then followed by collecting and analyzing qualitative data in the second stage (i.e. kind of activity, waste identification, and input aspects). 30 respondents of outpatient were chosen for quantitative data and 6 informants for qualitative data. The finding shows that only 22% value-added activities and remained 78% non-value added activities in the process of providing medical record files. Four of eight types of waste were found in the process of providing medical record files, namely; overproduction, waiting, extra-processing, and defects. Fishbone diagram was employed for the root cause analysis. Aspects that affects are men, method, machine, and environment. For improvement suggestions, lean tools were included such as seiri, seiton, shitsuke, visual management, kaizen, and error proofing. The conclusion of this study is that the process of providing medical records for outpatients in RSUD Kota Makassar was still considered in Un-Lean Enterprise. It is recommended to reduce waiting time by conducting more stringent supervision of arrival time of officers and renew the Hospital Management Information System in order to fully integrate among units or counters. Keywords: Lean Hospitals, Value-added, waste

Keywords
Lean Hospitals, Value-added, waste

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/ZRdW9PBtkfM2

Corresponding Author
Agung Dwi Laksono

Institutions
a. National Institute of Health Research and Development, the MOH of the Republic of Indonesia
b. Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia

Abstract
Background: Although hospital services were available, urban poor people often have limited access to hospitals when needed. This situation could occur because of their ignorance, or because they did not have health insurance. This study was conducted to analyze the determinants of childbirth in a hospital in urban poor women in Indonesia. Methods: The analysis in this study uses raw data from the 2017 IDHS. With stratification and multistage random sampling, 7891 women aged 15-49 years in urban poor communities with live births in the last 5 years were sampled. Data were analyzed using a Binary Logistic Regression test. Results: "Problems during pregnancy" was not proven as a determinant of the hospital use for delivery in urban poor women in Indonesia. Age was proven to be one of the determinants, while in the education level category, urban poor women with tertiary education were 2.506 times more likely to use hospitals for delivery than urban poor women who were not in school (OR 2.506; 95% CI 1.059-5.929). Parity was significantly proven as one of the determinants that influence the use of hospital for delivery in urban poor women in Indonesia. Urban poor women who were covered by health insurance have 1.933 times more possibility of utilizing hospital for delivery than those who do not have health insurance (OR 1.933; 95% CI 1.744-2.143). Conclusion: Variable "problem during pregnancy" was not a predictor of the hospital use for childbirth in the urban poor community in Indonesia. The determinants or variables that influence, on the hospital use for childbirth were age, education level, parity, and ownership of health insurance.

Keywords
urban poor community, pregnancy problems, wealth status, childbirth, facility-based childbirth

Topic
Public Health Issue

Link: https://ifory.id/abstract/LjZYKty3TM9R

Corresponding Author
Nindya Putri Pamungkas

Institutions
(1)Center for Public Health Innovation, Faculty of Medicine, Udayana University, (2)Global Alliance for Improved Nutrition (GAIN), Indonesia

Abstract
Background: Provision of early initiation of breastfeeding in health care facilities by applying ten steps to successful breastfeeding (STSB) is formally regulated; however, its implementation is still facing many problems. This study aimed to assess the implementation of 10 STSB in various health care facilities in East Java. Methods: Cross-sectional study with a total sample of 372 respondents consist of 242 health facility managers and 130 post-partum mothers for data validation was conducted from February until April 2019 in five districts in East Java covering Bondowoso, Jember, Probolinggo, Surabaya and Trenggalek. Data collected through questionnaire adapted from BFHI Unicef/WHO using Epicollect5 application. Results: The compliance of all steps in 10 STSB policy in the health care facilities at the five districts was below 30%. The criteria presented high compliance were step 8 (encouraging mother to breastfeed) and step 9 (breastfeeding support group) with mean compliance of 93% and 82% respectively. While the reminding implementation of other steps showed low conformity, the step 1 (written policy), step 2 (training to medical and nonmedical staff), step 4 (skin to skin contact), and step 7 (rooming-in practice) showed mean compliance of only 40.2%, 44.7%, 20.8% and 28.5% respectively. Regarding the validation result, some criteria pointed significance difference namely in step 3 (breastfeeding information), step 4 (skin to skin contact) and step 7 (rooming-in practice) where the health facility reported higher compliance compared to actual practices reported by mothers. Conclusion: Less than half of all health facilities in the five districts complied to all the 10 STSB with lowest mean compliance were regarding written policy, training, skin to skin contact and rooming-in practice. Future steps taken should be to encourage health facility manager to formulate 10 STSB policy and conduct training for staff to improve implementation of other steps.

Keywords
Breastfeeding, BFHI, 10 STSB

Topic
Public Health Issue

Link: https://ifory.id/abstract/m3WJgNMkrFvz

Corresponding Author
Syamsiar S. Russeng

Institutions
Occupational Safety and Health Departement, Public Health Faculty Hasanuddin University

Abstract
The diseases that related to diving among the divers require special attention. Incorrect diving is not only caused a short-term risk but also a long-term risk. The aim of this study is to descriptively analyze the knowledge of fishermen due to work-related diseases, analyze the factors of work-related diseases and provide training of standard diving techniques in Lumu-Lumu Island Makassar. The type of research is observational analytic with the cross-sectional study. The population of this study are all fishermen in Lumu-Lumu Island, the sample was taken using simple random sampling techniques. This was conducted on March-August 2019 in Lumu-Lumu Island, Makassar. Primary data collected from the interview using a questionnaire with the fisherman. Secondary data were collected from Puskesmas and Polindes. The result shows that the knowledge, attitude, and act of the divers are increased after the socialization that conducts in Lumu-Lumu Island. This provides the result of a statistical test that shows Asymp sig. (2-tailed) from knowledge, attitude and the action of divers 0,001<0,05 for each variable which mean there are an increase of knowledge, attitude and the action after the socialization and training for divers in Lumu-Lumu Island.

Keywords
Barotrauma, traditional divers, knowledge, attitude, practice

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/PDEZy9FMp8hL

Corresponding Author
Dewi Banjarsari Sintauli Manalu

Institutions
Universitas Esa Unggul Jakarta

Abstract
An organization needs manpower as resources to develop the organization. Therefore, to achieve organizational goals, every employee is expected to work optimally. The purpose of this research is to determine the effect of work environment, motivation, and job satisfaction on work commitments in Citra Harapan Hospitals.The research method used is quantitave descriptive method with the of causality research. The data analysis unit is permanent employee, and the time horizon of the research is six months Based on the results of the analysis, it is known that the work environment, motivation and job satisfaction simulaneously affect organizational commitment. Improvement in work environment,motivation, job satisfaction increase organizational commitment. Commitment is an attitude shown by employees who are loyal to the company where they work. Loyalty can be seen from how often employees involve themselves in their work activities to achive company goals. The results showed that work motivation is the most dominant influence to organizational commitment, which means that any increase of work motivation will increase organizational improvement in Citra Harapan Hospital.

Keywords
work environment, work motivation, job satisfaction and organizational commitment

Topic
Human Resources Management

Link: https://ifory.id/abstract/knFmZzM9rAtg

Corresponding Author
Andi Indahwaty Sidin

Institutions
(a) Public Health Faculty, Hasanuddin University, Indonesia
(b) Public Health Faculty, Hasanuddin University, Indonesia
(c) Public Health Faculty, Hasanuddin University, Indonesia
(d)Public Health Faculty, Hasanuddin University, Indonesia

Abstract
One of critical factor for creating organizational citizenship behavior (OCB) is cultural value. Bugis is one of important tribe in Asia, not only in Indonesia, the buginese population also spread on Asia, and South Africa.This study-s aim was to explore the role of cultural values of buginese in creating the OCB of civil servants at local hospital in Makassar city, Indonesia. It was a cross sectional study. The population was 265 and 106 sampel was selected from all buginese staff in hospital. Data was analyzed by Spearman correlation test. The Spearman-s rho value was 0,314 with p.value <0,05. There was a relationship between siri na pesse value of buginese and OCB. It was implied that buginese staff may have high performance due to high OCB, hospital manager is supposed to foster the cultural value of staff to increase their OCB.

Keywords
Cultural, Value, Buginese,OCB

Topic
Human Resources Management

Link: https://ifory.id/abstract/Pym86BNDWHub

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

Corresponding Author
Savitri Citra Budi

Institutions
a,b,c) Medical Record and Health Information Management, Vocational College, Universitas Gadjah Mada

Abstract
Background: Infectious diseases that occur in the community as an immediate case to be taken. Fast and precise handling can be done. This hospital reported 379 cases of infectious diseases in 2016-2017. Variations in infectious diseases transmitted through animals are greater than direct infectious diseases. This study aims to determine the types of diseases transmitted through animals and trends that occur in 2016-2018. Method: This type of research is a quantitative descriptive study with a cross-sectional design. The research sample was all reports of infectious diseases that were published in the Hospital Early Warning System (KDRS). Research location in Type B Government Hospital in Kulon Progo Regency, Yogyakarta. Data collection uses documentation study techniques. Results: There are 11 types of diseases with 8 types of diseases confirmed and 3 diseases that have not been confirmed. Trends in the incidence of infectious diseases transmitted by paralyzed animals. Conclusion: The efforts of hospitals and communities to reduce the incidence are quite successful. A good reporting system is one of the supporting factors for the success of this program. Keywords: Infectious Diseases, Animal Diseases, Trends

Keywords
Infectious Diseases, Animal Diseases, Trends

Topic
Management Information System

Link: https://ifory.id/abstract/LWMRT7CNKQGV

Corresponding Author
Masyitha Muis

Institutions
Occupational Health and safety Faculty of Public Health, Hasanuddin University

Abstract
The main factors that determine the success of a hospital disaster alert team are the ability to communicate, coordinate and work effectively as a team, ability to deliver commands quickly and effectively during catastrophic events using the unified command structure, maximizing coordination role with related agencies is the key to successful handling of any emergency condition This research aims to determine the communication and coordination system in hospital X during catastrophic events. A qualitative study uses a descriptive approach to the design of Phenyomology. Data obtained through in-depth interview, focused observation, document review, as many as 11 informants are determined by using purposive and Snowball Sampling, 9 informants from hospital are director, officer who served as disaster Commander, team member, public relations and 2 informants from (Badan Penanggulangan Bencana Daerah) BPBD and coordinator of Call Centre unit 112. Data processed with QSR NVivo 12 Plus. The communication system includes the command centre has not been determined, the placement of officers on communication systems in the ER planning does not exist, there has been no placement of radio operator officers, a Visitor control centre planning around the ER does not exist, communication plan with the media does not exist, a special telephone line planning (involving local ORARI) does not exist, the number of HT are still limited (4 pcs), while the coordination with MOU other agency/stakeholder with BPBD and Call Centre 112 already exists. Coordination meeting has been conducted in 2018. The management suggested making a Hospital Disaster Plan which contains integrated communication and coordination system planning for external and internal disasters and applies with disaster simulation immediately.

Keywords
Command centre, hospital disaster plan, nvivo

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/98a2JKwptMDy

Corresponding Author
Navella Restina

Institutions
(a,c)Magister Manajemen Rumah Sakit Fakultas Kedokteran Universitas Brawijaya Malang,
(b)Fakultas Ekonomi dan Bisnis Universitas Brawijaya Malang,

Abstract
Outpatient services are a priority service for hospitals so efforts need to be made to improve service quality. One effort that can be done is to develop appropriate service procedures. Appropriate service procedures guarantee an increase in the quality of outpatient services to be effective by taking into account the comfort factors of the non physical work environment and employee performance. This study aims to determine the relationship between outpatient service procedures with service effectiveness, non-physical work environment and employee performance at X Hospital. The study used a correlational quantitative design with a cross sectional approach involving all members of the population as a sample of Outpatient Unit employees. X Hospital as many as 38 respondents. Sampling was carried out in April 2019 by distributing questionnaires. Data were analyzed using the Spearman correlation coefficient. Analysis of service procedure relations with service effectiveness, service effectiveness and employee performance has a correlation coefficient of 0.790 (very strong), 0.536 (strong enough) and 0.259 (weak). The results of the study state that service procedures have a correlation with the effectiveness of services and non-physical work environment, but are not related to employee performance.

Keywords
Outpatient Services, Service Procedures, Service Effectiveness, Work Convenience, Employee Performance

Topic
Human Resources Management

Link: https://ifory.id/abstract/B8p9WfTPUmL4

Corresponding Author
Navella Restina

Institutions
(a,c)Magister Manajemen Rumah Sakit Fakultas Kedokteran Universitas Brawijaya
(b)Fakultas Ekonomi dan Bisnis Universitas Brawijaya

Abstract
Outpatient services are a priority service for hospitals so efforts need to be made to improve service quality. One effort that can be done is to develop appropriate service procedures. Appropriate service procedures guarantee an increase in the quality of outpatient services to be effective by taking into account the comfort factors of the non physical work environment and employee performance. This study aims to determine the relationship between outpatient service procedures with service effectiveness, non-physical work environment and employee performance at X Hospital. The study used a correlational quantitative design with a cross sectional approach involving all members of the population as a sample of Outpatient Unit employees. X Hospital as many as 38 respondents. Sampling was carried out in April 2019 by distributing questionnaires. Data were analyzed using the Spearman correlation coefficient. Analysis of service procedure relations with service effectiveness, service effectiveness and employee performance has a correlation coefficient of 0.790 (very strong), 0.536 (strong enough) and 0.259 (weak). The results of the study state that service procedures have a correlation with the effectiveness of services and non-physical work environment, but are not related to employee performance.

Keywords
Outpatient Services, Service Procedures, Service Effectiveness, Work Convenience, Employee Performance

Topic
Human Resources Management

Link: https://ifory.id/abstract/QEMtGKwxmfy9

Corresponding Author
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

Corresponding Author
Kurnia Widyaningrum

Institutions
Postgraduate Program in Hospital Management, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.

Abstract
Medication errors in hospital are problematic worldwide. Before seeking the solution, hospital managers should have the data about patient-s knowledge about their medication. This study aims to determine the extent of patient-s knowledge on medication safety implementation in the hospital. This study was conducted as an observational analytic study with a cross-sectional approach. Data were collected using a questionnaire from 748 patients in 15 hospitals in Malang Indonesia. The instrument measures patient perception on five moments for medication safety using a 5-point Likert scale. The result showed that in five moments for medication safety stages, in the starting medicine stage of 748 respondents, 65.2% were asked about the history of allergies, 52.7% asked about pregnancy and breastfeeding conditions, 40.9% informed about drug function and 39.9% informed about drug side effects. In taking medicine stage, the respondents stated that they had already gained information about the medication plan (54.8%), about the time of drug administration (55.5%), and the drug dose (41.5%). In adding medicine stage, 51.6% of the respondents stated that they were asked about the history of the drugs they had taken and were informed about drug changes (44.6%). In the reviewing medicine stage, the result showed that 41.9% was informed about the length of time in taking the drug. Lastly, in stopping medicine stage, the result showed that some respondents experienced drug allergic reactions (43%) and side effects (46.7%). In conclusion, the lowest level of patient-s perception on medication safety implementation is in the starting medicine stage about the drug side effects, while the highest level of patient-s perception is about the history of allergies. Keywords: Medication safety, implementation, patient perception

Keywords
medication safety, implementation, patient perception

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/mRAQpYJxb7XF

Corresponding Author
Rini Anggraeni

Institutions
Doctoral Program Student, Public Health Science, Faculty of Public Health Hasanuddin University, Makassar, Indonesia

Abstract
Background/Objective: Good governance principles used to arrange the management of the health insurance system in the NHI era. To ensure the sustainability of this program, an evaluation of the implementation policies of NHI is needed. The research aimed to measured implementation of good governance of NHI in Makassar. Methods: This was qualitative research with phenomenology design study. The research was conducted in the health service system in Makassar (Hospital, PHC, General Clinic, and Public Health Office). This study collected data using an in-depth interview from each leader and manager. Results: BPJS as a health insurance manager was not effective in managing health services on transparence, efficient and accountable manner in easy access to data used in the preparation of health planning and budgeting programs. In the context of regulatory quality variables, BPJS had not been maximized in several policies made, the coordination and collaboration functions had not been carried out properly. The resulting policy will be difficult to implement because of differences between policies and local conditions so that implementation is not optimal in some policies that were made centralized Conclusions: Policies relating to governance should be made transparently by involving local governments and communities to accommodate every need of each party to support health care programs for improving the quality of health services.

Keywords
health insurance, good governance

Topic
Social Health Insurance

Link: https://ifory.id/abstract/JFnkNTGKjWZ9

Corresponding Author
Dian Pertiwi

Institutions
Masters in Hospital Management, Faculty of Medicine, University of Brawijaya Malang.

Abstract
Many things are done by the company to make customers loyal, one of them is the concept of experiential marketing. Other efforts made to maintain the market are creating customer satisfaction. Medical record data in 2018, Emergency Room visit increases. From the preliminary study, 8 out of 10 customers felt dissatisfied. The results of the 2018 Hospital Hospital IGD customer satisfaction survey were 74%. This study was conducted with observational analytic. Data collection uses a questionnaire with purposive sampling of 100 respondents. Data analysis using Partial Least Square (PLS). The results showed that the majority of respondents were 67% with female gender, ages 26-41 years old, working as entrepreneurs with the latest education level was higher education. The results of the study also show that customer visits are more than 3 times and mostly use BPJS. Research shows that hospital experiential marketing is able to process patient experiences through emotional patients so that patients become satisfied and re-use hospital services. The results also indicate that experiential marketing has a dominant influence on loyalty. The positive and pleasant experiences that patients receive make patients loyal to the Plantation Hospital. Experiential marketing has been shown to have a significant influence on patient satisfaction. Patient satisfaction proved to have a significant influence on patient loyalty. Experiential marketing has proven to have a positive and significant influence on patient loyalty through patient satisfaction.

Keywords
experiential marketing, loyalty, satisfaction

Topic
Marketing Management

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

Corresponding Author
Zulkarnain Abubakar

Institutions
Department of Hospital Management, Faculty of Public Health, Hasanuddin University

Abstract
Objective: The study aimed at evaluating effect of patient-centered care application on inpatient outcomes, notably patient satisfaction and the clinical outcomes after emergency cesarean section surgery. Methods: The study design was cross-sectional. A sample of 71 patients were determined proportionally, and selected with the inclusion criteria. Data was collected using measuring tools consisting of patient-centered care questionnaires, patient satisfaction questionnaires, and patient medical record to evaluate the clinical outcomes of inpatient. Multivariate analysis was carried out to correlate the effect of the patient centered-care on patient satisfaction, and the clinical outcomes of inpatient. Result: There was effect of patient-centered care on patient satisfaction (p = 0,000), but there was no effect show to the clinical outcomes (p = 0.440). Conclusion: The application of patient-centered care attributed to the patient satisfaction, but did not affect the clinical outcomes of inpatient after emergency cesarean section surgery.

Keywords
Patient-Centered Care, Patient Satisfaction, Clinical Outcomes

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/rtCh9xWazZFg

Corresponding Author
Rokanita Alinan

Institutions
ESA UNGGUL UNIVERSITY

Abstract
Service quality can be measured through patient safety, patient-focused services, effectiveness, timeliness and fairness. Radiology examination as a supporting examination supports diagnostics and treatment services. Therefore, good quality radiology services for patients are highly needed by medical staff and professionals through skills and knowledge development. The purpose of this study was to obtain empirical confirmation of how workload and radiology unit performance influence service quality, using time effectiveness as intervening variables at Tarakan Hospital. This study was a quantitative research with hypothesis testing type of research. This research was an explanatory causality research, which explains casualties on workload, employee performance, and time effectiveness towards service quality. Samples were obtained using saturated sampling techniques from a total population and sample of 43 people. The unit of analysis was the radiology unit, using time horizon group or one shot study and analyzed using Path Analysis. The results of this study were that workload, and employee performance altogether had a significant positive effect on service quality and time effectiveness as the intervening variable. The workload had a negative effect on-time effectiveness; employee performance had a significant positive effect on-time effectiveness, time effectiveness had a positive effect on service quality, the workload had a negative effect on service quality, and employee performance had a significant positive effect on service quality. The test results also showed that the effectiveness of time did not have a mediating role. The results indicated that employee performance becomes direct determinant on service quality as employees conformity in maintaining tools and equipment in handling their work has been stated clearly in the Radiology Units Standard Operating Procedures. Time effectiveness did not mediate the relationship between workload and service quality. This result confirms that should the radiology unit wish to improve its quality service, then the adjusted workload does not require improvement on time effectiveness.

Keywords
Keywords: workload, employee performance, service quality and time effectiveness

Topic
Human Resources Management

Link: https://ifory.id/abstract/AQjy2pwWtmMu

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

Corresponding Author
Nasaruddin Nawir

Institutions
Department of Hospital Management, Public Health Faculty, Hasanuddin University,Indonesia
*nawir_nasaruddin[at]yahoo.com

Abstract
Patient experience has been recognized as one of important outcome measure for healthcare organization. This study aimed to measure patient experience and identify patient experience dimensions that needed to be prioritized for quality improvement in Sawerigading Hospital. A descriptive-analytic study, using a cross-sectional method in the inpatient unit of Sawerigading Hospital, was implemented on June, 2019. Using proportional stratified random sampling, 137 patients were selected. Data were collected using an importance-performance analysis (IPA) questionnaire, which measures current performance and determines each item-s importance from the patients- perspectives. Based on IPA analysis, we highlighted important patient experiences attributes for improvements and categorized it into four categories: (1) Concentrate Here; (2) Keep Up the Good Work; (3) Low Priority; and (4) Possible Overkill. The results revealed that 38 attributes from 12 patient experience dimensions were differently allocated into each of categories. Quadrant II (keep up the good work) was quadrant with the largest attributes included (18 attributes). Quadrant I (concentrate here) and quadrant III (low priority) had 6 and 13 attributes, respectively. The fewest number of attributes was in Quadrant IV (Possible overkill) with only 1 attributes. The attributes of patient experience that became main priority in Quadrant 1 were information about patient-s rights and obligations, hygiene of inpatient ward, hygiene of toilet, drug information, and food serving. Patient experience attributes were mainly in “keep up the good work” category, it is necessary to maintain those attributes and hospital managers could consider “concentrate here” cattegory to improve quality of inpatient services.

Keywords
Patient Experience, Importance Performance Analysis

Topic
Quality, Safety and Service

Link: https://ifory.id/abstract/TA7tHPLUzdpe

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