1,720,975 research outputs found
POTRAIT OF PUBLIC PRIVATE PARTNERSHIP POLICY SUBSTANCES IN REGIONAL HOSPITALS IN INDONESIA
Full text linkPublic Private Partnership (PPP) is a strategy of the Indonesian Government to deal with budget constraints and overcome gaps in infrastructure, access, and quality of health services. PPP on the operational cooperation (KSO) model is the oldest and most widely applied practice by regional hospitals in Indonesia. The implementation of KSO must refer to government policies in the form of laws and regulations. Since its initial implementation until today, the Ministry of Home Affairs, as the body that oversees the local government, has not carried out a comprehensive evaluation of the KSO policy. This study was carried out by conducting document analysis related to the operational cooperation policies of regional hospitals and reviewing the substance of operational cooperation policies at the national and regional levels. Study found that there are no articles governing service level agreements; no performance indicators of cooperation in monitoring and evaluation, limited autonomy; several regional head regulations are not accompanied by technical guidelines; and there are variations in the substance of the regional head regulations. This study concludes that the KSO policy framework for regional hospitals is inadequate, incomplete, and limits the autonomy of regional hospitals
Perlukah Keselamatan Pasien Menjadi Indikator Kinerja RS BLU?
Full text linkABSTRAK Pemerintah dalam hal ini Kementerian Kesehatan melalui peraturannya mengamanahkan pentingnya keselamatan pasien. Hal ini dapat dilihat dari disebutkannnya keselamatan pasien dalam empat pasal di Undang-Undang Nomor 44 Tahun 2009 tentang Rumah Sakit dan secara khusus dalam Peraturan Menteri Kesehatan. Pentingnya isu kesela-matan pasien di rumah sakit tidak berbanding lurus dengan indikator kinerja Rumah Sakit BLU yang tertulis dalam Peraturan Direktur Jenderal Perbendaharaan Nomor 34 Tahun 2014 Tentang Pedoman Penilaian Kinerja Badan Layanan Umum Bidang Layanan Kesehatan. Dalam Perdirjen ini, dapat dilihat bahwa penilaian kinerja RS BLU terdiri dari aspek keuangan dan aspek pelayanan. Keselamatan pasien dapat dilihat pada aspek pelayanan lebih khu-susnya dapat dilihat pada kelompok indikator mutu klinik yang memiliki skor maksimal 12 dari 100. Mutu klinik di ukur dengan lima indikator yang empat di antaranya adalah angka kematian. Jika merujuk kepada besarnya penekanan terhadap keselamatan pasien dan definisi keselamatan pasien, maka pertanyaannya adalah apakah indi-kator berupa angka kematian cukup merepresentasikan pentingnya keselamatan pasien dirumah sakit? Penulisan ini bertujuan untuk memberikan gambaran peranan keselamatan pasien dalam tatanan indikator kinerja Rumah Sakit BLU. Penulisan ini menggunakan metode literatur review. Hasil dari telaah ini menunjukkan bahwa upaya kesela-matan pasien belum sepenuhnya menjadi tolak ukur kinerja Rumah Sakit BLU. ABSTRACT The government which is the Ministry of Health through its regulations mandates the importance of patient safety. This can be seen from the mention of patient safety in the four articles in Undang-Undang Number 44 Year 2009 about Hospital and specifically in the Minister of Health Regulation. The importance of patient safety issues in hos-pitals is not directly proportional to the performance indicators of the BLU Hospital written inPeraturan Direktur Jenderal Pembendaharaan Number 34 Year 2014 about the Guidelines for Performance Appraisal of Public Ser-vice Bodies for Health Services. In this regulation, it can be seen that the performance assessment of BLU Hospital consists of financial aspect and service aspect. Patient safety can be seen in service aspect more specially can be seen in group of clinical quality indicator which have maximum score 12 from 100. Clinic quality is measured with five indicator which four of them is death rate. If it refers to the magnitude of the emphasis on patient safety and the definition of patient safety, then the question is whether the indicator of mortality adequately represents the im-portance of patient safety in the hospital? This article aimed to provide an overview of the role of patient safety in the performance indicators of hospital performance BLU. This study was conducted by using the literature review method. The results of this study indicate that the patient's safety efforts have not fully become the benchmark of BLU Hospital performance.
ANALYSIS OF THE ANNUAL PLANNING PROCESS IN DINAS KESEHATAN PROVINSI DKI JAKARTA ON THE YEAR OF 2019
Full text linkPlanning is important in setting the basis for regulating and controlling the goals to be achieved from a system. The purpose of this research is to understand the annual planning process in government office, specifically in Dinas Kesehatan Provinsi DKI Jakarta in the year 2019. The research is a descriptive study with qualitative methods. The collection of data or information is supported by using several instruments, including a list of interview guidelines and a checklist. This research found that the human resources (HR) of the existing planning staff were not in accordance with the needs. There was also no standard operational procedure (SOP) that regulates both in terms of planning HR needs and a more detailed planning process that could be used as a reference for planning staff in planning preparation. In the process stage,this research found that Dinas Kesehatan Provinsi DKI Jakarta has carried this out in analyzing the situation by seeing if there are situational matters by looking at the data obtained from the Data and Information section (Datin) and also following directions from the Head of Dinas Kesehatan. The researcher suggests that the planner's quality needs to be improved again, given adequate facilities and more detailed SOP development
EVALUASI EFEKTIVITAS PENGGUNAAN TELEDENTISTRY PADA PELAYANAN KESEHATAN GIGI DAN MULUT PADA MASA PANDEMI COVID19 – SISTEMATIK REVIEW
Full text linkPandemi COVID-19 membawa dampak yang sangat banyak terhadap berbagai aspek, tidak terkecuali pada pelayanan kesehatan gigi dan mulut. Sejumlah prosedur perawatan dalam pelayanan kesehatan gigi dan mulut dapat memicu terjadinya droplets dan aerosol sehingga berpotensi meningkatkan risiko penularan COVID-19. Berbagai upaya dilakukan untuk memberikan akses pelayanan kesehatan kepada masyarakat pada masa pandemi saat ini sehingga dapat membatasi rute penularan virus. Teledentistry menjadi alternativ sebuah praktik dalam menegakkan dan merencanakan perawatan dari jarak jauh oleh tenaga medis dengan memanfaatkan teknologi informasi dan komunikasi. Peran teledentistry menjadi sebuah solusi dalam menyebarkan informasi dengan cepat kepada masyarakat pada masa pandemi saat ini. Penelitian ini bertujuan untuk evaluasi penggunaan teledentistry sebagai akses pelayanan kesehatan gigi dan mulut pada masa pandemic COVID-19. Metode penelitian dilakukan dengan Systematic Review dengan pencarian manual data base melalui scopus, sciencedirect, proquest, dan pubmed dari tahun 2017-2023 yang berkaitan dengan teledentistry pada masa pandemi. Hasil penelitian diperoleh bahwa penggunaan teledentistry pada masa pandemi COVID-19 memberikan keefektifitasan menegakkan diagnose, penghematan biaya, serta dokter gigi dapat membantu proses konsultasi dan penjadwalan waktu yang tepat untuk dilakukan perawatan. Teledentistry merupakan solusi yang efektif dilakukan dimasa pandemi untuk mengurangi penyebaran virus sehingga dapat membantu masyarakat dalam melakukan konsultasi mengenai masalah kesehatan gigi dan mulut
Has Regional Hospital Autonomy Achieved Its Goals? Lessons Learned from Indonesia: A Systematic Review
No full textThis study examined the impact of hospital autonomy implementation on the performance of regional public hospitals in Indonesia, particularly in terms of efficiency, effectiveness, and governance. A systematic review of 32 peer-reviewed studies published between June 12 and September 6, 2023, was conducted using Garba Rujukan Digital and Google Scholar, following PRISMA guidelines. Studies addressing financial performance, service outcomes, and challenges related to implementing autonomy were included. The findings indicated that while autonomy led to improvements in infrastructure, service types, visit volumes, and hospital revenues, it had only a marginal impact on improving key health performance outcomes, such as service efficiency, effectiveness, and overall quality, suggesting the core goals of autonomy had not yet been fully achieved. Key barriers included weak policy capacity, inadequate governance structures, and limited human resources. Unlike centrally managed hospitals, the success of regional hospital autonomy is significantly shaped by local institutional arrangements and the broader decentralization framework, which together influence hospitals’ capacity to manage their operations effectively
Analysis of Non-Prescription Drug Services Via Telemedicine Using the Lean Six Sigma Method: Case Study in a Company Clinic
Full text linkThe non-compounded prescription drug service via telemedicine became an alternative solution to continue providing pharmaceutical services while simultaneously controlling physical contact in hospitals during the COVID-19 pandemic. However, after its implementation, hospitals still need to improve the effectiveness of this telemedicine service. This study aims to propose improvements to enhance the effectiveness and efficiency of non-compounded drug services via telemedicine using the Lean Six Sigma method. This method is used to identify and eliminate all waste in the business process (service) to make efficient use of time and other resources. The study uses both quantitative and qualitative approaches, with data collection through observation, document review, and in-depth interviews. The quantitative approach was used to calculate service times, while the qualitative approach was employed to explore and examine the implementation of telemedicine for non-compounded drug services. The interview results revealed at least three main problems that cause significant delays in drug service processes, namely: drug requests not being processed through the system, incomplete patient data, and delays in doctors\u27 confirmations regarding medication changes. Observations showed that the average service time for non-compounded drug prescriptions via telemedicine is 1 hour, 37 minutes, and 11 seconds, with value add activities taking 32 minutes and 39 seconds (33.6%) and non-value-added activities taking 1 hour, 4 minutes, and 32 seconds (66.4%). The identified waste includes overprocessing, waiting, motion, and defects, leading to proposed improvements such as work standardization, flowchart refinement, 5S, and Kaizen
ANALYSIS OF THE ANNUAL PLANNING PROCESS IN DINAS KESEHATAN PROVINSI DKI JAKARTA ON THE YEAR OF 2019
Full text linkPlanning is important in setting the basis for regulating and controlling the goals to be achieved from a system. The purpose of this research is to understand the annual planning process in Dinas Kesehatan Provinsi DKI Jakarta in the year 2019. The research is a descriptive study with qualitative methods. The data were collected through in-depth interviews and document review. This research found that the human resources (HR) of the existing planning staff were not in accordance with the needs. There was also no standard operational procedure (SOP) that regulates both in terms of planning HR needs and a more detailed planning process that could be used as a reference for planning staff in planning preparation. The researcher suggests that the planner\u27s quality needs to be improved again, given adequate facilities and more detailed SOP development. Keywords: Planning is important in setting the basis for regulating and controlling the goals to be achieved from a system. The purpose of this research is to understand the annual planning process in Dinas Kesehatan Provinsi DKI Jakarta in the year 2019. The research is a descriptive study with qualitative methods. The data were collected through in-depth interviews and document review. This research found that the human resources (HR) of the existing planning staff were not in accordance with the needs. There was also no standard operational procedure (SOP) that regulates both in terms of planning HR needs and a more detailed planning process that could be used as a reference for planning staff in planning preparation. The researcher suggests that the planner\u27s quality needs to be improved again, given adequate facilities and more detailed SOP development
Analisis Waktu Tunggu Pelayanan Resep Pasien Rawat Jalan di Instalasi Farmasi Rumah Sakit Swasta Ditinjau dari Tingkat Kepuasan Pasien: Literature Review
Full text linkPenelitian ini merupakan literature review yang menggunakan metode PRISMA untuk menganalisis pengaruh waktu tunggu pelayanan resep terhadap tingkat kepuasan pasien rawat jalan di instalasi farmasi rumah sakit swasta. Studi ini mengkaji berbagai literatur dari tahun 2015–2025 yang memenuhi kriteria inklusi seperti metode kuantitatif, akses terbuka dan relevansi topik. Hasil sintesis dari sepuluh artikel menunjukkan bahwa waktu tunggu pelayanan resep, baik obat jadi maupun racikan,sangat memengaruhi kepuasan pasien. Waktu tunggu yang singkat dan pelayanan yang efisien berkorelasi positif dengan meningkatnya kepuasan dan loyalitas pasien, sedangkan keterlambatan pelayanan dapat menurunkan persepsi kualitas layanan rumah sakit. Temuan ini menggarisbawahi pentingnya optimalisasi sumber daya dan SOP di instalasi farmasi untuk meningkatkan mutu layanan dan pengalaman pasien
Analysis of Hospital Emergency Department Performance Measurement with Balanced Scorecard
Full text linkEmergency Department (IGD) is the face of a hospital (RS). Good hospital emergency room services will result in patient satisfaction and the community around the hospital, so that the hospital becomes an option as a health facility. The performance of a hospital emergency room needs to be assessed objectively so that continuous efforts can be made to improve services. Balanced Scorecard (BSC) assessment can be used in service assessment in organizations such as hospitals or parts of organizations such as emergency room hospitals. This study aims to determine the components in emergency room services that play the most role in achieving the performance of emergency room services that support hospital performance. This research method is a scoping review using literature studies using keywords from the Balanced Scorecard AND Hospital AND Emergency with literature search strategies from the databases Ebsco Host, Embase, Scopus, Pubmed, Proquest, and Google Scholar. The results of the study contained 6 (six) appropriate articles after screening using PRISMA 2020 Flow Diagram. BSC either independently or combined with other methods can be used as performance monitoring in the health sector both in hospitals and in one of the units such as the Emergency Installation. There are 4 perspectives, namely: finance, customers, internal business processes and growth learning, where it is found that the education factor of staff training is the most widely intervened approach that results in improving the performance of emergency rooms and hospital finances. Further research suggestion is that further research is needed to assess the other three factors in the Balanced Scorecard that will effectively improve performance in other units of RS
PATIENT SAFETY CULTURE IN PUBLIC GENERAL HOSPITALS: LITERATURE REVIEW
Full text linkBackground: The global prevalence of preventable adverse events in healthcare is a significant problem, with approximately 42.7 million annual accidents resulting in 23 million DALYs lost. Safety culture plays a crucial role in mitigating or exacerbating these incidents within hospitals. Objectives: To identify the results of the assessment of patient safety culture and the characteristics associated with patient safety culture in public general hospitals in various countries. Methods: This study was conducted between April-July 2021 utilizing a literature review approach using study searches through PubMed, Scopus, ScienceDirect, Google Scholar, and Garuda databases, and it discovered 17 papers from 2011-2021 that used the Hospital Survey on Patient Safety Culture (HSOPSC) as an instrument to assess patient safety culture. Results: This study found that patient safety culture at public general hospitals remains low, and hospital staff perception of safety has to be improved. Discussions: “Teamwork in hospital units” receives the most favorable replies, while “non-punitive response to error” receives the least positive responses. The majority of the employees assessed patient safety in their work unit as “excellent/very good/acceptable” and reported no incidents in the previous year. Staff and hospital characteristics were also found to be related to patient safety culture
- …
