Jurnal Manajemen Kesehatan Indonesia
Vol 4, No 1 (2016): April 2016

Analisis Penyusunan Draf Panduan Praktik Klinis Pelayanan Radiologi di RRSUD Ajibarang Kabupaten Banyumas

Aryani, Asri Indah (Unknown)
Jati, Sutopo Patria (Unknown)
Kuntjoro, Tjahjono (Unknown)



Article Info

Publish Date
01 Dec 2016

Abstract

Panduan Praktik Klinis adalah prosedur yang dilaksanakan oleh sekelompok profesi yang mengacu pada Pedoman Nasional Pelayanan Kedokteran yang dibuat oleh organisasi profesi dan disyahkan oleh Pimpinan Rumah Sakit.Dalam memberikan pelayanan kesehatan kepada pasien maka pelayanan radiologi harus berdasarkan pada Panduan Praktik Klinis yang ada pada pelayanan tersebut. Tujuan dari penelitian ini yaitu menjelaskan proses penyusunan draf Panduan Praktik Klinis Pelayanan Radiologi di RSUD Ajibarang Kabupaten Banyumas. Metode penelitian yang digunakan adalah penelitian kualitatif dengan tujuan ingin menggali lebih dalam dari berbagai sumber dan informan mengenai proses penyusunan panduan praktik klinik pelayanan radiologi di RSUD Ajibarang Kabupaten Banyumas. Pengumpulan data dengan menggunakan metode wawancara mendalam, observasi dan telaah dokumen. Metode pengolahan data dengan contens analisys (analisis isi ) . Data dalam penelitian ini disajikan dalam bentuk narasi dan dilengkapi dengan matriks hasil wawancara.Penyajian data didukung dengan hasil observasi lapangan dan telaah dokumen. Hasil penelitian menunjukan bahwa dari aspek sumber daya terdapat hambatan, yaitu dokter spesialis radiologi belum berperan dalam proses penyusunan,dan kurang terjalinnya komunikasi antara pelaksana radiologii dengan tim penyusun panduan praktik klinis rumah sakit. Aspek pola tarif tidak terdapat hambatan, tarif INA-CBGs sudah digunakan pada program Jaminan Kesehatan Nasional (JKN) dan diberlakukan per 1 Januari 2014. Pada aspek ketersediaan bukti, panduan praktik klinis yang tersusun sudah berdasarkan literature dan textbook. Format draf panduan praktik klinis yang tersusun meliputi, judul prosedur tindakan, pengertian, indikasi, kontra indikasi, persiapan, prosedur tindakan , pasca prosedur tindakan, tingkat evidens, tingkat rekomendasi, penelaah kritis, indikator prosedur tidakan penata radiologi, kepustakaan Kesimpulan bahwa proses penyusunan panduan praktik klinis sudah berjalan dengan baik, tetapi dokter spesialis radiologi belum berperan. Direkomendasikan agar surat keputusan direktur tentang Tim Penyusun Panduan Praktik Klinis RSUD Ajibarang direvisi. Pelayanan radiologi untuk menyelesaikan dan menetapkan draf panduan praktik Panduan Praktik Klinis yang sudah final.A clinical practice guideline is a procedure implemented by group of a profession referred to National Guideline of Medical Service made by organisation of profession and approved by Director of a hospital. In providing health services to patients, radiology service must refer to the clinical practice guideline that is available in its service. The aim of this study was to explain the process of draft arrangement of the clinical practice guideline of radiology service at Ajibarang Public Hospital in Banyumas District. This was qualitative research aimed at investigating the arrangement process of the clinical practice guideline of radiology service collected from various sources and informants at Ajibarang Public Hospital in Banyumas District. Data were collected using methods of indepth interview, observation, and literature review, analysed using content analysis, and presented descriptively combined with matrix of interview results. In addition, data presentation was supported by results of field observation and literature review. The results of this research showed that viewed from aspects of resources, there were any barriers as follows: radiologist did not involve in the arrangement process and there was lack of communication between radiographer and an arrangement team of the clinical practice guideline of hospital. On the other hand, there was no barrier in the aspect of tariff pattern. Tariff of INA- CBGs have been used in a program of National Health Insurance and implemented since 1 January 2014. In the aspect of evidence availability, arranged clinical practice guideline was based on literature and textbook. A format of arranged clinical practice guideline draft consisted of title of action procedure, definition, indication, contra-indication, preparation, action procedure, post action procedure, levels of evidence, levels of recommendation, reviewers, indicators of action procedure of radiographer, and references. In conclusion, the arrangement process of the clinical practice guideline had been well implemented. However, radiologist had not involved. Director’s decree about arrangement team of the clinical practice guideline at Ajibarang Public Hospital needs to be revised. Radiology service needs to accomplish and determine final draft of the clinical practice guideline.

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