1,720,993 research outputs found
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
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Experiences of Mother and Indonesian Doctors During Earthquake in West Sumatra in 2009
Full text linkIntroduction: 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
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
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