510 research outputs found
MODEL KEPEMIMPINAN RUMAH SAKIT UMUM DAERAH BERBASIS KEBUDAYAAN MINANGKABAU DI SUMATERA BARAT
Get PDFMODEL KEPEMIMPINAN RUMAH SAKIT UMUM DAERAH BERBASIS
KEBUDAYAAN MINANGKABAU DI SUMATERA BARAT
Rima Semiarty
The new public health menerapkan program berdasarkan pendekatan sains berbasis bukti,
teknologi, dan sistem manajemen dan kepemimpinan dalam rangka mendukung kesehatan
individu dan masyarakat. Perlunya pimpinan rumah sakit memperhatikan budaya lokal
dijelaskan oleh Reeleder dkk (2006) bahwa fungsi kepemimpinan itu haruslah sensitif, kompeten
dan peduli terhadap nilai-nilai kepercayaan dari budaya setempat.
Pada penelitian awal didapatkan bahwa terjadi permasalahan kepemimpinan antara atasan
dan bawahan di rumah sakit yang menyangkut aspek komunikasi yang belum sesuai dengan
konsep budaya Minangkabau. Tujuan penelitian ini adalah untuk merancang model
kepemimpinan yang menggabungkan budaya kepemimpinan modern dengan kepemimpinan
Minangkabau khususnya di rumah sakit Sumatera Barat. Penelitian ini menggunakan metode
kualitatif melalui in-depth interview kepada beberapa pimpinan puncak rumah sakit dan jajaran
di bawahnya serta ahli budaya untuk menguji validitas internal instrumen terkait dengan atribut
yang menjadi ciri kepemimpinan rumah sakit di Sumatera Barat. Analisis tematik dan studi
etnografi juga dilakukan untuk mendukung triangulasi data yang diperoleh dari stakeholder.
Hasil penelitian ini menemukan model kepemimpinan rumah sakit berbasis budaya
minangkabau dengan ciri: Koordinasi dan supervisi pimpinan terhadap bawahan dilakukan
sejalan sesuai dengan istilah adat Minangkabau yaitu ditinggikan sarantiang dan didahulukan
salangkah. Dalam menghadapi pihak eksternal adalah mematuhi peraturan yang ada, memahami
anggo jo tanggo, memakai raso jo pareso, menyesuaikan dengan keadaan (kama kelok lilin,
kasinan kelok loyang). Sementara, dalam menghadapi pihak internal adalah mengikutkan empati
yaitu “lamak dek awak katuju dek urang”.
Dari penelitian ini dapat disimpulkan bahwa kepemimpinan RS yang menyerupai
kepemimpinan Minangkabau menghasilkan kinerja RS yang baik sesuai standar kemenkes
maupun target dari pemerintah daerah. Untuk itu, disarankan pemimpin rumah sakit dapat
mempelajari dan memahami budaya Minangkabau dalam menjalankan fungsi kepemimpinan
mempengaruhi bawahan.
Kata kunci: Kepemimpinan, rumah sakit, dan budaya Minangkabau.
ABSTRACT
A Model of Leadership in regional Hospitals in West Sumatera
Based on Minangkabau Culture
Rima Semiarty
The new public health paradigm implemented program based on science, evidence
approach, and management-leadership system to provide individual and health community.
Hospital leadership need to considered local culture in order achieve hospital aim and function
(reeleder et al., 2006). In the preliminary research showed that there was a gap in communication
between leader and employees related to awareness for Minangkabau local culture.
The aim of this research is to develop a model of leadership that combines modern
principles with those in the Minangkabau culture, specifically in West Sumatera hospitals.
Preliminary findings included the existence of issues related to aspects of communications
between the leadership and the employees that do not conform to Minangkabau cultural norms.
The study took a qualitative approach involving in-depth interviews with hospital
directors and the managers directly below them as well as experts on culture to test the internal
validity of the concepts used in identifying attributes of leadership that were characteristic of
hospitals directors in West Sumatra. Thematic analysis was carried out and case studies
developed, including triangulation of data obtained from stakeholders.
The findings of this study showed a model of leadership in regional hospitals in West
Sumatera based on Minangkabau culture with the characteristic: coordination and supervision
between leader and the employees conducted in accordance with the value of proverb in
Minangkabau culture like ditinggikan sarantiang dan didahulukan salangka [(a leader) should
be one twig higher, one step ahead]. On facing external was comply with existing regulation
memahami anggo jo tanggo, memakai raso jo pareso [understand thoughts and considerations,
use feeelings and intutition], adapting with the situasion kama kelok lilin, kasinan kelok loyang
loyang [where the wax flows, so goes the brass]. Internal issues had to be faced using empathy as
in lamak dek awak katuju dek urang [what tastes good to us is pleasing to others]. This study
showed that hospital leadership that more closely conforms to Minangkabau cultural norms is
associated with better outcomes as measured by the standards used by the Ministry of Health as
well as the targets established by local governments. For this reason, these findings suggest that
hospital directors must know and understand local culture (in this case, Minangkabau culture).
For this reason, it is suggested that people appointed to leadership positions in West Sumatera
hospitals have an understanding of local culture and recognize the role it may play their
relationships with their employees.
Key words: leadership, hospitals, Minangkabau cultur
ANALISIS SWOT SEBAGAI PENENTU STRATEGI PEMASARAN PADA RUMAH SAKIT GIGI DAN MULUT BAITURRAHMAH PADANG
Get PDFANALISIS SWOT SEBAGAI PENENTU STRATEGI PEMASARAN
PADA RUMAH SAKIT GIGI DAN MULUT
BAITURRAHMAH PADANG
Oleh: Hanim Khalida Zia (1620322023)
(Di bawah bimbingan: Dr.dr. Rima Semiarty, MARS dan
Dr. Ratni Prima Lita, SE,MM)
Abstrak
Jumlah kunjungan pasien Instalasi Rawat Jalan Rumah Sakit Gigi dan Mulut Baiturrahmah Padang pada tahun 2016 yaitu 27.933 kunjungan. Pada tahun 2017 mengalami penurunan (41,7%) yaitu 16.288 kunjungan. Sedangkan, pada tahun 2018 mengalami sedikit peningkatan (3,7%) yaitu 16.884 kunjungan. Setiap rumah sakit harus dapat membuat suatu strategi pemasaran yang tepat untuk dapat bersaing di masa sekarang dan akan datang. Salah satu upaya strategi pemasaran adalah analisis SWOT. Analisis SWOT mengidentifikasi strengths (kekuatan) dan weaknesses (kelemahan) pada aspek internal serta opportunities (peluang) dan threats (ancaman) pada aspek eksternal perusahaan.
Penelitian ini bertujuan untuk mengetahui strategi pemasaran yang dapat dilakukan oleh Rumah Sakit Gigi dan Mulut Baiturrahmah Padang berdasarkan analisis SWOT. Jenis penelitian adalah kualitatif. Penentuan informan dengan teknik purposive sampling terdiri dari Pemilik, Direktur, Wakil Direktur, Karyawan, Mahasiswa, Pasien dan Masyarakat yang tinggal di sekitar Rumah Sakit Gigi dan Mulut Baiturrahmah Padang.
Hasil penelitian menunjukkan bahwa strategi SO (Strengths Opportunities): meningkatkan kualitas kesehatan pelayanan gigi dan mulut, menjalin kerja sama dengan instansi di bidang kesehatan, menggunakan alat dan bahan terbaru dan menjadi pusat rujukan pelayanan kesehatan gigi dan mulut. Strategi WO (Weaknesses Opportunities): menyelesaikan proses akreditasi, pengaturan jadwal dan tarif dokter, melakukan promosi melalui berbagai media dan menambah jumlah SDM untuk kegiatan pemasaran. Strategi ST (Strengths Threats): meningkatkan pelayanan unggulan di bidang Periodonsia dengan pelatihan kepada karyawan dan membuat pendaftaran online. Sedangkan, strategi WT (Weaknesses Threats): membentuk bagian pemasaran untuk meningkatkan kegiatan promosi.
Kata Kunci: analisis SWOT, strategi pemasaran, Rumah Sakit Gigi dan Mulut Baiturrahmah Padan
Observaciones acerca de la rima
No full textAfter reading the interesting and insightful study Acerca de la Rima, by
Professor Rafael de Balbín, the author tries to find out what the situation is
with respect to Chilean poetry and reaches some conclusions, wich he
comments along the way.Después de leer el interesante y sugerente estudio Acerca de la Rima, del
profesor Rafael de Balbín1, el autor trata de averiguar lo que ocurre al
respecto en el ámbito de la poesía chilena y llega a algunas conclusiones, las
que va señalando a modo de comentarios
POLA KEBIJAKAN PENTARIFAN JASA LAYANAN BEDAH DI RUMAH SAKIT KHUSUS BEDAH ROPANASURI
No full textAbstrakDalam rangka globalisasi perlu upaya lebih besar untuk membenahi rumah sakit, termasuk upaya penetapan pola tarif agar tetap bertahan hidup. Rumah Sakit Ropanasuri sebagai rumah sakit dengan pelayanan bedah belum menetapkan pola tarif pelayanan bedah yang merujuk pada biaya. Penelitian ini bertujuan untuk mengidentifikasikan biaya satuan tindakan bedah serta mengidentifikasi tindakan yang mencapai break event point dan kebijakan pola tarif tindakan bedah. Penelitian ini merupakan penelitian deskriptif analisis dengan metoda evaluatif dan analisa tarif yang berlaku selama ini di kamar bedah. Data yang digunakan adalah data isian sekunder dari bagian keuangan dan wawancara serta Focus Group Discussion (FGD) dengan para Dokter Bedah. Dari hasil penelitian diperoleh gambaran biaya satuan tindakan bedah dari empat kelompok bedah yaitu digestif, orthopaedi, onkologi dan urologi serta biaya satuan yang memperhitungkan utilisasi untuk empat jenis operasi (minor, medium, mayor, khusus). Ternyata terdapat beberapa tindakan yang tidak mencapai break event point, defisit serta ada yang surplus. Atas dasar perhitungan analisa tarif didapatkan pola kebijakan tarif yang berdasarkan perhitungan unit cost.Kata kunci: tarif – pelayanan bedahAbstractIn the context of globalization, greater efforts for good hospital administration is needed, including efforts to establish the imbursement pattern for hospital survival. Ropanasuri Hospital as a hospital with surgical services has not set a tariff pattern with reference to the cost of surgery. This study aims to identify unit cost of surgery and to identify actions to achieve break-event point tariff policy and the pattern of surgical costs. This descriptive-analysis research study used analytical and evaluative methods on tariffs currently used operating rooms. Data were gathered from secondary data from financial department, and from interviews with focus group discussion (FGD) and surgeons involved in the hospital. The result showed the pattern of the costs from four surgical groups, namely digestive, orthopaedics, oncology and urology, and the units costs of the utilization in four types of surgeries (minor, medium, major, and specialistic surgeries). There are some operations that do not reach the break-point event, some results in deficit and some in surplus. Based on tariff analysis evaluation, the pattern ofARTIKEL PENELITIAN38tariff policy is established using the calculation of the unit cost.Keywords: hospital tariffs - surgical service
Observaciones acerca de la rima
Get PDFAfter reading the interesting and insightful study Acerca de la Rima, by Professor Rafael de Balbín, the author tries to find out what the situation is with respect to Chilean poetry and reaches some conclusions, wich he comments along the way. Después de leer el interesante y sugerente estudio Acerca de la Rima, del profesor Rafael de Balbí n1, el autor trata de averiguar lo que ocurre al respecto en el ámbito de la poesía chilena y llega a algunas conclusiones, las que va señalando a modo de comentarios.
 
POLA KEBIJAKAN PENTARIFAN JASA LAYANAN BEDAH DI RUMAH SAKIT KHUSUS BEDAH ROPANASURI
No full textAbstrakDalam rangka globalisasi perlu upaya lebih besar untuk membenahi rumah sakit, termasuk upaya penetapan pola tarif agar tetap bertahan hidup. Rumah Sakit Ropanasuri sebagai rumah sakit dengan pelayanan bedah belum menetapkan pola tarif pelayanan bedah yang merujuk pada biaya. Penelitian ini bertujuan untuk mengidentifikasikan biaya satuan tindakan bedah serta mengidentifikasi tindakan yang mencapai break event point dan kebijakan pola tarif tindakan bedah. Penelitian ini merupakan penelitian deskriptif analisis dengan metoda evaluatif dan analisa tarif yang berlaku selama ini di kamar bedah. Data yang digunakan adalah data isian sekunder dari bagian keuangan dan wawancara serta Focus Group Discussion (FGD) dengan para Dokter Bedah. Dari hasil penelitian diperoleh gambaran biaya satuan tindakan bedah dari empat kelompok bedah yaitu digestif, orthopaedi, onkologi dan urologi serta biaya satuan yang memperhitungkan utilisasi untuk empat jenis operasi (minor, medium, mayor, khusus). Ternyata terdapat beberapa tindakan yang tidak mencapai break event point, defisit serta ada yang surplus. Atas dasar perhitungan analisa tarif didapatkan pola kebijakan tarif yang berdasarkan perhitungan unit cost.Kata kunci: tarif – pelayanan bedahAbstractIn the context of globalization, greater efforts for good hospital administration is needed, including efforts to establish the imbursement pattern for hospital survival. Ropanasuri Hospital as a hospital with surgical services has not set a tariff pattern with reference to the cost of surgery. This study aims to identify unit cost of surgery and to identify actions to achieve break-event point tariff policy and the pattern of surgical costs. This descriptive-analysis research study used analytical and evaluative methods on tariffs currently used operating rooms. Data were gathered from secondary data from financial department, and from interviews with focus group discussion (FGD) and surgeons involved in the hospital. The result showed the pattern of the costs from four surgical groups, namely digestive, orthopaedics, oncology and urology, and the units costs of the utilization in four types of surgeries (minor, medium, major, and specialistic surgeries). There are some operations that do not reach the break-point event, some results in deficit and some in surplus. Based on tariff analysis evaluation, the pattern ofARTIKEL PENELITIAN38tariff policy is established using the calculation of the unit cost.Keywords: hospital tariffs - surgical services</p
Experiences of Mother and Indonesian Doctors During Earthquake in West Sumatra in 2009
Get PDFIntroduction: West Sumatra as a region lies along the Indian Ocean
and at the equator area. The province also has a large number of
volcanoes, of which several are active. Sometimes the volcanoes cause
a small thrill, which we consider as a small earthquake. Due to this,
the inhabitants of the province frequently face this experience and
constantly worry about the possibility of a big volcano earthquake. At
the same time, the Sumatra island is also situated between Eurasian
and Indo-Australian geological plates. The geological condition
contributes to vulnerability of the region to natural disaster, which
may be risk of tectonic earthquakes. A big tectonic earthquake
occurred in 2004 in the Aceh province, which caused tsunami,
and in West Sumatra province in 2009. As doctors in Padang, the
capital of the province, we experienced the moment in 2009, both
as inhabitants of the city and medical professionals. This paper will
describe those experiences from both sides. The paper will benefit for
implementing better preparation during disasters in the future.
Methods: This report has been developed using qualitative inquiry.
Data were primarily obtained from government reports, personal
observations and experiences. As the nature of qualitative methodology,
this report does not have any intention to make generalisation people
experience during the disaster in Indonesia or in the Sumatra region.
However, this report aims to provide a deeper understanding of the
situation after the earthquake in West Sumatra in 2009 and our
experiences during the moment.
Situation and Experience: The West Sumatra province had about
5 million people, of which nearly one-third of them lived along the
coastal area. After the Aceh tsunami in December 2004, many West
Sumatran people were afraid of the Megatrust earthquake that might
happen near Mentawai Islands. Moreover, the first big earthquake
with a magnitude of about 6 RS happened in the West Sumatra
province. The tectonic earthquake also triggered the volcanoes
to be more active and cause thrills. This experience made many
people more anxious and worried and believed that the Megatrust
is inevitable. Finally, the biggest ever earthquake in West Sumatra
occurred on 30 September 2009 in the late afternoon at 4:30 PM.
The earthquake magnitude was 7.9 RS as officially reported. This big
earthquake caused many life casualties and damages in seven districts
and municipalities in the province. It was reported that 1117 people
died, 1214 were severely injured and more than 135,000 houses
and buildings collapsed. The big quake was followed by countless
medium and small quakes during the night and within 24 hours.
Major building collapses and fire also occurred in Padang, the capital
city of the province, where we experienced the moment. Despite
having a negative impact, the authority had to stop electricity supply
to stop more devastating effects. The situation was worsened as the
water treatment plant of the city collapsed, shutting down the water
supply. Soon after the first shock, many people ran onto the roads and
tried to find the highest location possible due to fear and possibility
of tsunami. The situation in the hospitals in the city was also the
same and all people panicked. Even Djamil General Hospital, the
main referral hospital in West Sumatra, faced major devastation. The
four-level outpatient building of the hospital collapsed to the ground.
As mother (Dr Rima), all experiences of that moment will give me
more value of family strength and role of mother. As doctors, we
joined the health volunteer coordinators the next day by opening
many field clinics for emergency treatments. In the following days
during the week, we also contributed by receiving and distributing
donations through ‘Ropanasuri Care’ on behalf of Dr Rima’s own
private hospital, Emergency Team of Faculty of Andalas University
and coordinating with the local people.
Recommendation: The big earthquake taught the lesson that,
as a region in ‘Megatrust’, disasters may come at any time. The
inhabitants and especially doctors must be prepared. One of the
methods to improve knowledge and awareness of people towards this situation is to do a disaster simulation. Social relationships within the
neighbourhood have to be maintained and improved, which will be
very crucial during critical moments and disasters. Improving family
strength, trust and harmony is very important to face hard times and
for resilience
[Challenges and steps forward for public services reforms in Libya]
No full text[authors: Mohamed Elmagbri - lead author, Heba Al-Sheikh, Lamis Ben Aiyad, Rima Hamidan]Text arabischArabisc
Reliability-based analaysis [sic] of crack control in reinforced concrete beams
No full textThis thesis is a study on reliability-based analysis of reinforced concrete beams at the crack control limit state. Past approaches to crack control and crack widths predictions in various codes are discussed. The limit state considered in this study is the maximum flexural crack width of reinforced concrete structures. Reliability index, β, is calculated to assess the level of safety in the ACI 318-08 Building Code. Resistance prediction equations for the flexural crack control limit state as well as load equations are researched and developed in terms of the stress in the reinforcing steel. Statistical properties of variables are obtained from available literature. The effects of several parameters on the reliability index are also studied. The equation by Frosch (1999) provided the most accurate crack width predictions for various beam data obtained and is used as the resistance model in the limit state function. The live load model used is based on statistical information provided in the study by Nowak et. al (2008) which was also used in the calibration of the ACI318-08 building code. Monte Carlo simulation is performed using statistical parameters obtained for each variable. A total of 1290 beams are designed using the ACI 318-08 Building Code and included in a detailed parametric study. It is concluded that the spacing of steel reinforcement and the concrete cover had the most significant effects on the reliability of crack width predictions. When spacing of reinforcement and concrete cover are increased, the reliability index decreases. However, increasing beam effective depth and area of reinforcement did not significantly increase the reliability index. Additionally, using a larger number of bars with smaller diameters yields higher reliability indices than using a small number of bars with larger diameters. Furthermore, an overall trend was observed that as steel yield strength increases and concrete strength decreases, the reliability index decreases. This study can be considered as a prelude to a future code calibration process of the ACI 318-08 Building Code at the serviceability limit state of crack control.M.S.Includes abstractIncludes bibliographical referencesby Rima Zahala
Challenges and steps forward for public services reforms in Libya
No full textauthors: Mohamed Elmagbri - lead author, Heba Al-Sheikh, Lamis Ben Aiyad, Rima Hamida
- …
