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Budi Setyorini; Dety Mulyanti

Jurnal Riset dan Inovasi Manajemen 2023 International Forum of Researchers and Lecturers

The Pharmacy Installation Section of the BPJS Outpatient Unit is that there are still many patients who complain about the waiting time for drug services. Calculating the waiting time for prescription drug service and concoction medicine, then analyzing compliance with the minimum service standard for the long waiting time category. Evaluating performance in providing health services to BPJS Outpatient patients and can help improve the quality and efficiency of health services. Quantitative and qualitative methods in analyzing the data obtained. Quantitative methods can be used to calculate average waiting times and other statistical analyses, while qualitative methods can be used to analyze interview data and gain a deeper understanding of the factors that affect waiting times. Average waiting time needed to complete a concoction recipe is 49 minutes and to complete a non concoction recipe 32 minutes. The number of standard non-concoction recipes is 699 recipes. Meanwhile, there were 2 recipes that did not meet the standards. For concoction recipes, 146 recipes have met the standard. The waiting time for prescription service at the pharmacy installation for outpatients at BPJS Bella General Hospital for non-concoction recipes still does not meet the standards, while for concoction recipes they meet the minimum standards.

Akbar, Mohammad Irham; Hyanang Trie Novka

Jurnal Universal Technic (UNITECH) 2023 Fakultas Teknik Universitas Maritim AMNI Semarang

Queue printers and outpatient registration are systems used in hospitals to help speed up the patient registration process and provide a better patient experience. This system uses information technology to automate the registration process, reduce waiting times and prevent crowding in the registration area. After receiving the queue number, the patient then waits for a call to get an examination or service. The system can be programmed to provide information about expected waiting times, enabling patients to make more effective use of their time. The outpatient registration system uses information technology to help patients speed up the registration process, reduce waiting times, and optimize the use of resources, such as doctors' space and time. This system can also help improve the patient experience by providing convenience and comfort in the registration process. Overall, the use of queuing presses and outpatient registration systems can help improve efficiency and patient experience in a hospital, as well as optimize resource use.

Alma Marinda; Dety Mulyanti

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2023 International Forum of Researchers and Lecturers

A hospital is an individual health care institution that provides inpatient, outpatient, and emergency services. The statement is based on the Regulation of the Minister of Health of the Republic of Indonesia No. 72 of 2016 concerning Pharmaceutical Service Standards in Hospitals. Drug processing management is an important part of drug management in hospitals, and if one process is not appropriate, it will hinder or affect the drug management system. The hospital does not have standards in recording and planning budgets for the procurement of drugs and other facilities, late delivery of expeditions or late disbursement of BPJS funds must be reconsidered seeing that many communities and hospitals use funds from the BPJS system. Collaborating with other hospitals, pharmacies and with the Health Office can help to meet the availability of drugs.

Astria Apriliavini Priscila Palenewen; Dety Mulyanti

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2023 International Forum of Researchers and Lecturers

The hospital as a health service institution that organizes individual health services in a complete manner that provides inpatient, outpatient and emergency services. Efforts to improve health services as an agreement on setting long-term goals and visions which then become a common reference in achieving the goals that have been set. The purpose of this theoretical review is to find out how to improve health services in hospitals. The method used is a theoretical review by analyzing and comparing existing theories. The results of this theoretical review are by increasing efforts such as providing adequate infrastructure facilities including from a physical perspective, besides being efficient, fair, timely, secure, integrated, focused, reliable and effective. It can be concluded that efforts to improve the quality of health services as a process of meeting the needs and life expectancy of patients, both internally and externally. Quality can also be associated as a gradual and continuous improvement process. In general, the quality of health services focuses on the concept that health services have three main foundations, namely quality, access and cost.

Putri, Anak Agung Istri Dwintya; Karsana, I Wayan Widi; Diaris, Ni Made

Bali Health Published Journal (BHPJ) 2022 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: The first point of contact for patients seeking medical attention at the hospital is patient registration. Of course, the hospital needs to be able to deliver quality care. Hospitals, particularly in Bali, have a system in place for online reservations. Patients who wish to receive treatment at the cardiac polyclinic must first wait in line in the morning in order to receive a queue number before being able to receive treatment in the afternoon because the Tk II Udayana Hospital's outpatient registration system does not currently use an online reservation system. This study's objective was to develop an online reservation system for outpatients at Tk II Udayana Hospital's web-based cardiac polyclinic.   Methods: The study design used was the Pre Experimental Design method. Create an online registration system in the form of a web using the System Development Life Cycle or SDLC development stage. The samples used in this study were registration officers and patients using non-probability sampling technique with quota sampling. The instrument in this study used an observation checklist, stopwatch and also a questionnaire that was used, namely the usability USE questionnaire by Amond M Lund. Results: The study's usability test findings showed a percentage of 78.90%, which is considered "Eligible." The Outpatient Online Reservation System at the Web-based Cardiology Poly at Tk II Udayana Hospital is being used effectively, as shown by the Mann-Whitney Test findings, which have a significant value of 0.000 0.05. Conclusion: The study's findings show that the outpatient online reservation system at web-based cardiac polyclinics was successful in reducing waiting times and in making it easier for cardiac outpatients to make reservations online. The Mann-Whitney Test can be used to demonstrate this.

Aqlya Zuhra Ilma; Catur Sugiarto

Prosiding Seminar Nasional Manajemen dan Ekonomi 2022 Universitas Kristen Indonesia Toraja

The Covid-19 pandemic and the hospital class transition caused a decrease in the number of outpatient visitors at the Pandan Arang Hospital, Boyolali, except for the Gastroentero Hepatology (GEH) clinic. This study aims to determine the service quality by management to create patient satisfaction and loyalty, especially at the GEH clinic. In this study, the factors of service quality, customer experience, and customer perceived value that link trust and customer satisfaction to customers loyalty to find out motivate consumers or patients in the selection of hospitals. The methodology in this research is a mixed-method approach to Sequential Exploratory design, starting with interviews with the management and consultant doctors of GEH, followed by distributing questionnaires to GEH clinic patients with a total of 307 respondents at different and sequential times. The results of the study are Pandan Arang Hospital prepared infrastructure and competent human resources according to type B hospital qualifications. During the pandemic era, Pandan Arang Hospital provided outpatient services according to the recommendations of WHO and the Ministry of Health with a separate service flow between Covid-19 and Non-Covid-19 patients. The results of quantitative research found a positive and significant relationship between service quality, customer experience, customer perceived value on trust; a positive and significant relationship between service quality, customer perceived value, and trust in customer satisfaction; the positive and significant relationship between customer satisfaction and customer loyalty.

Diana Diana

Ocean Engineering : Jurnal Ilmu Teknik dan Teknologi Maritim 2022 Fakultas Teknik Universitas Maritim AMNI Semarang

In 2016 - 2018 the number of visits to 6 poles including general surgery poly, echocardiography, eye poly, internal medicine, ENT poly, poly urology fluctuated from 11.23% to -5.23%. Fluctuations in the number of visits can be caused by several factors, one of which is consumer behavior in health service selection decisions. This study aims to determine the effect of the marketing mix on service selection decisions.This research is an analytic survey research with cross sectional approach. The population in this study were patients in 6 outpatient clinics at Jemursari Islamic Hospital in Surabaya. The number of samples is taken by quota sampling within one month.The results showed that the marketing mix at 6 Polis RSI Jemursari Surabaya with a good category of 77.5% resulted in high service selection decisions. The results of the ordinal regression test show a significance value of 0,000 which means that there is an influence of the marketing mix on the decision of choosing the Jemursari Hospital. Of the seven marketing mix elements that have the lowest influence on service selection decisions are the 47.1% price mix element, while the most influential marketing mix element is the human resource mix element with a percentage of 68.6%.The conclusion in this study is the positive influence of the marketing mix on the decision to choose outpatient services at the Jemursari Hospital in 2019.

Rizal Rizal

Jurnal Sains dan Kesehatan (JUSIKA) 2021 Universitas Muhamadiyah Manado

The adherence with therapy in hypertensive patients is important to note because hypertension is a disease that cannot be cured but can only be controlled. The success of controlling blood pressure in hypertensive patients influenced by compliance factors in taking antihypertensive drugs. The purpose of this study is to evaluate the relationship between the level of adherence of antihypertensive drugsuse  in first and advanced health facilities. The study design was an observational cross sectional using subjects with hypertension patients older than or equal to 18 years old at Kotabunan Bolaang Mongondow Health Center (first level health facility) and outpatient installation of Robert Wolter Monginsidi Hospital in Manado (advanced health facilities) during the period from October to December 2019. The level of compliance with the use of antihypertensive drugs was assessed using the MMAS-8 questionnaire (Morisky 8-Item Medication Adherence Scale). The total patients in this study were 171 patients, as many as 73 patients in the first level health facilities and 98 patients in the advanced health facilities. The data of patient adherence in the use of antihypertensive drugs in the first level of health facilities showed 83.56% with low levels of adherence (MMAS score <6), and only 16.44% with moderate to high levels of adherence (MMAS score 6-8). In the advanced level of health facilities were 85.71% of patients with low adherence and 14.29% with moderate to high adherence. Comparative statistical of adherence on the two health facilities was not significantly different, with p = 0.767 (95% confidence interval). The data shows that the average patient has a routine history of control as much as 91.8% in health facilities. Based on these results, recommended that each hospital and health center must require its pharmacists to do pharmaceutical practices, and each pharmacy must not provide drug services without the presence of a pharmacist.    

Irma M. Yahya; Rahmat Djalil

Jurnal Sains dan Kesehatan (JUSIKA) 2021 Universitas Muhamadiyah Manado

Introduction.Effective therapeutic lack of communication between a nurse with patient resulted in the increasingly distress often what happens on patients can refuse to give the act of nursing by therapeutic lack of communication. Purpose of this research is to analyze The Relation of Communication of Nurse’s Therapeutic towards Outpatients’ satisfaction at Rumah Sakit Umum GMIM Pancaran Kasih Manado. This research used descriptive analytic method with cross sectional study approach. The sampling technique in this research used accidental sampling method. Method.Data collecting was conducted by observation and questionnaires. The collected data then processed by SPSS version 16.0. Result.The test result of chi-square got a significant value p=0,000 that shows that p value is smaller than α 0,05. Conclusion.of this research is the researcher found there is a significant relation of Communication of Nurse’s Therapeutic towards Outpatients’ satisfaction at Rumah Sakit Umum GMIM Pancaran Kasih Manado that is showed by the test result of chi-square that got (p) = 0.000 < 0.05. The value of 0,000 is below of value of alpha 5% (0,05).    

Sugianto, Made Agus

Jurnal Kesehatan Medika Udayana 2021 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: The Central Government and Local Governments including Badung Regency are facing the burden of communicable and non-communicable diseases which has not ended until now. Purpose: to find out the most priority diseases to be prevented and controlled in Badung Regency. Methods: This is a descriptive-analytic study using secondary data from monthly reports of outpatient visits and inpatients at the health center and the Mangusada Regional Hospital during 2014 - 2018. Besides, interviews were also conducted with respondents with a health education background. Results: The scoring results show Hypertension as the first ranked disease to be treated in Badung Regency with a score of 63.8. This disease is classified as a non-communicable disease group. The disease that is ranked second is HIV / AIDS which is an infectious disease with a score of 58.9, and the third rank is occupied by Diabetes Mellitus, which is also a non-communicable disease with a score of 58.7. Conclusion: Based on the results of the interview, hypertension is the most priority disease to be tackled in Badung Regency in 2019. The second and third priority diseases are respectively occupied by HIV / AIDS and Diabetes Mellitus. Latar belakang: Pemerintah Pusat maupun Pemerintah Daerah termasuk Kabupaten Badung menghadapi beban penyakit menular dan penyakit tidak menular yang tidak kunjung usai sampai dengan saat ini. Tujuan: untuk mengetahui penyakit yang paling prioritas untuk dicegah dan dikendalikan di Kabupaten Badung. Metode: adalah penelitian deskriptif analitik menggunakan data sekunder laporan bulanan kunjungan pasien jalan dan pasien rawat inap di puskesmas serta RS Daerah Mangusada sepanjang tahun 2014 – 2018. Selain itu, juga dilakukan wawancara kepada responden dengan latar belakang pendidikan kesehatan.  Hasil: Hasil scoring menunjukan Hipertensi sebagai penyakit ranking pertama untuk ditangani di Kabupaten Badung dengan nilai score 63,8. Penyakit ini tergolong dalam kelompok penyakit tidak menular. Penyakit yang menduduki ranking kedua adalah HIV/AIDS yang merupakan penyakit menular dengan nilai score 58,9, dan ranking ketiga diduduki oleh penyakit Diabetes Melitus yang juga penyakit tidak menular dengan nilai score 58,7. Simpulan: Hipertensi merupakan penyakit yang paling prioritas untuk ditanggulangi di Kabupaten Badung pada tahun 2019. Penyakit kedua dan ketiga yang menjadi prioritas masing-masing ditempati oleh penyakit HIV/AIDS dan Diabetes Melitus.

Canggih Ajika Pamungkas; Zahra Anggra Aztiza; Ana Aprilia Anna Fingandari; Tina Rindiarum Dwinimastuti; Mutiara Nur Hanifah

Jurnal Sains dan Kesehatan (JUSIKA) 2020 Universitas Muhamadiyah Manado

This study aims to create an electronic medical record information design system where an electronic medical record system is a system that provides complete information on patient data and medical records during the maintenance and storage of all patient data. The Archive Management System at the Indonusa Surakarta Polytechnic Medical Records Laboratory is not yet computerized. Patient data entry still uses paper, while the recording and storage of medical records is done manually. This study aims to make applications related to electronic medical record information systems at the Indonusa Surakarta Polytechnic Laboratory. In this descriptive study the researcher used a qualitative approach, what will be done to the person in charge of the medical record laboratory. Based on the study results by conducting questionnaires and observations, data relevant to outpatient outpatient recordings is needed, for example medical information record numbers, patient data info, and disease data info, in designing an electronic medical record information system.    

A.Awaliya Anwar; Andi Khairul Musyawir; Era Pratiwi

Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) 2020 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

The purpose of this study was to analyze the effect of management information systems on the work effectiveness of outpatients at the Prof.Dr.H.M Anwar Makkatutu Regional General Hospital, Bantaeng Regency. The type of research used is quantitative research. This research method uses primary data through a survey using a questionnaire as many as 73 outpatient employees of the Regional General Hospital Prof.Dr.H.M Anwar Makkatutu Bantaeng as the research sample. Data were analyzed through univariate and bivariate analysis with Chi-Square test using SPSS program. The results showed that: (1) The quality of the system showed a value of p = 0.001 < from = 0.05, which means it can be concluded that Ho is rejected, meaning that the system user has an effect on the work effectiveness of outpatients at Prof. Hospital. Dr. H. M. Anwar Makkatutu 2020, (2) The quality of information affects the work effectiveness of employees with a p value = 0.000, (3) System users affect the work effectiveness of outpatients with a p value = 0.000, (4) User satisfaction affects the work effectiveness of outpatients path with p value = 0.000. This shows that the quality of the management information system can increase the work effectiveness of outpatient employees at Prof. Hospital. Dr. H. M. Anwar Makkatutu Bantaeng. If the management information system is good, it will increase the work effectiveness of outpatients and increase employee satisfaction.

Epi Dusra

Jurnal Sains dan Kesehatan (JUSIKA) 2020 Universitas Muhamadiyah Manado

Quality of service not yet optimal because many basic health facilities do not meet the standards of service readiness and the absence of standard health service guidelines. Puskesmas, which are first-level health facilities, are at the forefront of efforts to reduce inequalities in health development in all regions. The purpose of this study was to describe the quality of health services for outpatients at the Lateri Public Health Center in Ambon City in 2020. This type of research is a quantitative study using a descriptive design with a sample of 137 respondents by using accidental sampling. The instruments used were questionnaires and writing instruments. The data analysis used was univariate analysis. Research resultIt is known that the tangibles variable (evidence / form) the respondent answered did not support more with it, the number of respondents was 69 people (50.4%). Reliability (Reliability), respondents answered more not according to amounting to 69 (50.4%). For the responsiveness variable (responsiveness), respondents answered responsiveness amounted to 83 people (60.6%), good Assurance (Assurance) amounted to 95 people (69.3%) while the empathy variable (empathy) who answered was 97 people (70.8 %).It is concluded that almost all of the dimensions of service quality found in this study are good.

Sugiharti, Sugiharti

Jurnal Ilmu Manajemen dan Akuntansi Terapan 2010 Sekolah Tinggi Ilmu Ekonomi Totalwin

Hospital is one of type effort for service that is now stays in very tightening emulation climate. Struggle to create recuring business with customeroccupies central point in the effort hospital to exeed at long-range emulation. Service quality and cutomer value becomes thing which necessary for hospital. This research analysis factors influence customer satisfaction to create hospital service reference enthusiasm in Hospital PKU Muhamadiyah Gubug Kabupaten Grobogan.Research problem is existence of gap or debate at antecedent research would consequence and from customer satisfaction. Other problems is thehappening of downdraft of number of outpatients continually at last four months and existence of improvement of number sighs from patient. Respondent in this research 120 patients with sampling method applies acidental sampling. This research applies analysis Structural Equation Modeling (SEM) what implemented through program AMOS as a means of assists its the analysis.Result of research proves that service quality, cutomer value and excellence of product has positive influence and signifikan to customersatisfaction. Hereinafter, customer satisfaction of influence positive and signifikan to hospital service reference enthusiasm. Excelsior service quality and cutomer value has customer satisfaction of excelsior and causes home service reference enthusiasm which excelsior.