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JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) is peer reviewed journal published by Universitas Muhammadiyah Yogyakarta in collaboration with The Muhammadiyah Lecturer of Hospital Management Graduate Program Association (ADMMIRASI). ISSN: 2541-6715 (online) and 2088-2831 (print). JMMR focuses on the research and research review related to hospital management that is relevant for the development of the theory and practice of hospital management in Indonesia and southeast asia. JMMR is indexed by Directory Open Access Journal (DOAJ), Google Scholar, and Crossref (DOI), and neliti. JMMR covered various of research approach, namely: quantitative, qualitative and mixed method. JMMR focuses related on various themes, topics and aspects of accounting and investment.
Articles
123
Articles
The Influence of Nursing Care Documenting Behavior to the Completeness of Nursing Care Documentation at Hospital X

Saputra, Muhammad Ardiansyah ( Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

Nursing care documentation is a written evidence of nursing process given to patient.It is very important to both the health care team, the patient and the hospital. The completeness of nursing care documentation at hospital X in February 2017 are 76.3% in assessment, 86.4% in diagnosis, 93.3% in planning, 96% in implementation and 92.2% in evaluation. The purpose of this research is to discover the factors that influence the completeness of nursing care documentation at hospital X. This research is an analytical survey using cross sectional study with 89 nurses as its samples. The data are analyzed using chi-square and multiple linier regression. The completeness of nursing care documentation is affected by knowledge (χ2 12.776), attitude (17.692) and supervision (14.417). The availability of nursing facilities has no influence on the completeness of nursing care documentation (3.384). Knowledge, attitude, availability of facilities and supervision has influence on the completeness of nursing care documentation at 34.1%. The variable with highest influence on the completeness of nursing care documentation is supervision (B 0.180).Knowledge, attitude and supervision have influence on the completeness of nursing care documentation. The availability of facilities has no influence on it and the one with highest influence is supervision.

The Analysis of Inpatients Satisfaction on Service Quality At Yogyakarta Respira Hospital

Dahyanto, Dahyanto ( Master of Hospital Management, Postgraduate in Universitas Muhammadiyah Yogyakarta, Indonesia ) , Arofiati, Fitri ( Master of Nursing, Postgraduate Program, Universitas Muhammadyah Yogyakarta, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

Health service quality is the level of perfection of health services that are organized in accordance with the code of ethics and service standards, so as to give satisfaction for each patient. This study aims to analyze the satisfaction of inpatients in the disease section at Respira Yogyakarta Hospital. Method: Mix-method research with a case study design. The quantitative samples are questionnaires (March - April 2017, n = 9). And the qualitative samples are lung specialists, nurses, nutritionists and people who are involved in patient satisfaction (n = 30) taken using purposive sampling technique. Results: Input: Inpatients at RS Respira Yogyakarta are satisfied. This hospital plays a role in the quality of health services. One of its ways is to provide the amount of equipment in Inpatient Installation according to the needs of patients, both in terms of its quality and quantity. Process: Development of patient satisfaction has involved the health service quality team. Obstacles are still in the way in fulfilling patient satisfaction including non-routine satisfaction surveys, uneven knowledge, lack of ownership, low of professionalism, evaluation of patient satisfaction is not done routinely. Output: Patients feel satisfied with the service at Respira Yogyakarta Hospital. Conclusions: The result of this research is that inpatients at Respira Yogyakarta Hospital are satisfied.

Evaluation of Traditional Medicine Programs In Public Health Centre Mengwi, Bali

Kartika Dewi, Ni Made Umi ( Health Science of Institute Medika Persada Bali )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

Public Health Centre in Mengwi is one of the Public Health Centre (PHC) that apply for traditional medicine program since 2012. However, the result of the program is still under the expected target. This study aims to evaluate the traditional medicine program at PHC in Mengwi. This study was a descriptive evaluation research with the qualitative method. Data collection used in-depth interviews with 11 informants. Data analysis was done by thematic analysis using the evaluation method of the program (input and process program). The result found in the lack of staff knowledge, this program had not been supported by special funding and facilities. The process of implementing the guidance and visits from PHC in Mengwi had not been done routinely. Traditional in healer has a low level of information about the requirements of making registered permit and registered letters of a traditional healer. The availability of inputs on the traditional medicine program at PHC in Mengwi is not optimal yet and the implementation process has not been run maximally. So, it is recommended for local government to use the result of program evaluation as the basis to provide further guidance for health workers and traditional healers. 

Implementation of Case Management in Improving Quality of Service in Islamic Hospital Purwokerto (Case Study Patient DM Type II)

Indrian, Rini ( Purwokerto, Banyumas, Central Java, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

Quality service is a service based on Patient Center Care that requires integration and coordination of various care providers. Lack of communication, coordination and collaboration between caregivers and dissatisfaction of patients can affect the quality of service. To find out communication, collaboration, coordination and satisfaction of care givers and patient satisfaction by using Case Management implementation. This research is a qualitative research using Action Reaserch method. The tools used in the study used interviews. The results of the study before the implementation of Case Management 3 of 4 Case Managers said that (communication, coordination and collaboration) the care giver was still lacking, and was not satisfied in providing services, and 3 patient respondents said they were not satisfied with inpatient services. After the Case Management implementation, 5 of the 6 Case Managers said (communication, coordination and collaboration) had increased more than before, and were satisfied in providing services to patients in inpatient installations. While for respondents with patient satisfaction (case study of DM patients), 11 of 15 patients said they were satisfied, 4 patients said they were not satisfied with the service. The implementation of Case Management carried out in inpatient installations is able to improve the quality of service (communication, coordination, and collaboration) of the care givers and increase the satisfaction of officers in providing services to patients inpatients, and provide patient satisfaction while getting services in hospital inpatient installations islam purwokerto.

The Evaluation of Clinical Pathway Implementation on Cerebral Infarction in the Inpatient Care Unit of Bantul X Hospital

Fitri, Duane Ayu ( Master of Hospital Management Universitas Muhammadiyah Yogyakarta ) , Sundari, Sri ( Faculty of Medicine and Health Sciences in Muhammadiyah Universitas Muhammadiyah Yogyakarta, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

Stroke remains one of the major health problems, not only in Indonesia but also in the world. The improvement of stroke service process is expected to support better outcomes of stroke service quality. One of the clinical management uses is the implementation of clinical pathway  (CP). The purpose of this study was to explore the implementation of clinical pathway cerebral infarction in the inpatient unit of Bantul X hospital. A convergent parallel mix-method design with case study approach. The quantitative sample is the patient’s total cerebral infarction medical record (June 2016-November 2016, n=27) and ICPAT checklist. Qualitative samples are doctors, nurses and people involved in the implementation of CP cerebral infarction obtained from deep interview with purposive sampling technique. The result of this study, ICPAT dimensio 1 (CP format) content and quality are good. Dimension 2 (CP documentation) moderate content and good quality. Dimension 3 (CP development) moderate content and good quality. Dimension 4 (CP implementation) content and quality are poor. Dimension 5 (CP maintenance) content and quality are moderate. Dimension 6 (role of organization) content and quality are good. Compliance rate of completeness of CP form is 22% and compliance of filling clinical pathway is 0 %. Most contraints due to busyness of the officer and time constraints. To improve the cerebral infarction CP implementation need more socialization, training, regular evaluation and full time facilitator.

Safety Culture Assessment: a Tool for Improving Patient Safety in Hospital

Agustina, Dewi ( RSIA Kader Bangsa, Palembang City, South Sumatra, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

The patient safety culture at the ‘X’ Hospital Palembang is still not good enough as can be seen from the number of reported patient safety incidents from KPRS team. Meanwhile, this C-type hospital is obligated to implement patient safety culture in improving health service quality. This research uses the quantitative method with a cross-sectional approach. The research samples are taken using Slovin’s formula from medic and paramedic, medical support, and management and sampling with proportional stratified random sampling. Measurement of patient safety culture uses MaPSaF (Manchester Patient Safety Framework) questionnaire which has been published by NPSA (National Patient Safety Agency) in 2006 and has been tested for its validity and reliability by previous research. The questionnaire consists of 10 dimensions with 24 aspects of the question. The implementation of the patient safety culture at the ‘X’ Hospital Palembang has been in accordance with MaPSaF assessment of 70% at the proactive level, 20% at the generative level, and also 10% at the bureaucratic level. Overall, the patient safety culture is dominant at the proactive level, yet improvement is still needed to the generative level by raising awareness, good cooperation, and responsibility for the importance of patient safety culture. 

Prevalence of Dengue Virus Transovarial Transmission and DHF Incidence Rate in Grogol Sub-district of Sukoharjo District

Sunardi, Paul ( Gadjah Mada University, Indonesia ) , Kusnanto, Hari ( Department of Public Health, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta. ) , T. Satoto, Tri Baskoro ( Department of Parasitology, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta. ) , Lazuardi, Lutfan ( Department of Public Health, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

Environmental changes in physical, biological, and social aspects have enabled the occurrence of DHF cases in Sukoharjo. Such changes may affect virulence of dengue virus, shorten extrinsic periods and increase vector dengue capacity. This study aimed to determine the spread of dengue virus transovarial transmission and the incidence rate of DHF in Grogol Sub-district of Sukoharjo District. This observational analytic study used a cross-sectional approach conducted in 2016. The population was Ae. aegypti mosquitoes and DHF patients (based on laboratory diagnosis with serologic examination, i.e., IgG, IgM and/or NS1 indicating positive DHF). Data analysis used Chi-square, Multiple Linear Regression, and spatially weighted regression with GeoDa and SatScan. The study found virDEN-3 transovarial transmission in Grogol Sub-district of Sukoharjo District and the spread of virDEN-3 transovarial transmission following the high spread of Ovitrap Index. The DHF incidences (cases) tended to cluster at a radius of 100-200 m from a region found the positive virDEN-3 transovarial transmission. The statistical tests showed a relationship between the virDEN-3 transovarial transmission and the DHF incidence with a p-value of <0.05. Spatially, the incidence of DHF in this area followed a certain spatial distribution pattern, with a clustering of dengue cases centered on the coordinates of -7.588240 S, 110.809450 E with a radius of 2.00 km.

Analysis on Blood Transfusion Service System According to GMP (A Case Study in Blood Transfusion Unit of Indonesian Red Cross (UTD PMI) of Polewali Mandar)

Purnama, A Emy ( UTD PMI Polewali Mandar )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

Good Manufacturing Practice (GMP) is an absolutely thing which has to do in every units of blood providers to eliminate the risks in the quality of Blood Providing Unit under the control of BPOM. The purposes of this research are; to get the information in budgeting aspect and government regulation; quality and personnel management; buildings, facilities and equipment; and the documentations of giving blood transfusion service according to GMP in UTD PMI of Polewali Mandar. The research method is qualitative based on the case study. UTD PMI of Polewali Mandar has not applied this as well as the others yet. Because of the government’s regulation has not inclined yet. UTD PMI of  Polewali Mandar is not consistent yet with GMP because of the low quality of the human resources. The buildings, facilities and equipment are not in compliance with GMP standard. The documentation is simple, it is incomplete and no commitment yet to make it runs. To overcome those obstacles, the comprehensive strategies are needed; such as government should publish the government regulation to support the blood services according to GMP and the commitment from the other parties to run it properly.

ARIMA Models of Dengue Cases in Kartamantul, Based on Area Risk Classification

Rubaya, Agus Kharmayana ( Polytechnic of Health of Yogyakarta ) , Kusnanto, Hari ( Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia ) , Lazuardi, Lutfan ( Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia ) , T. Satoto, Tri Baskoro ( Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

Dengue is still one of the public health problems in Indonesia. In this study, three temporal indices (frequency, duration and intensity indices) based on serologically confirmed cases between 2010 and 2014 in Yogyakarta Municipality, Sleman Regency and Bantul Regency (acronym: Kartamantul), which are spatially analyzed, used to determine the risk level of Dengue transmission for each village in that area in 2015. Subsequently, ARIMA models with Box-Jenkins approach for those risk classification are developed to predict the number of cases in 2015. The results show that the risk categorization yielded from those Dengue data series has relatively high concordance with risk classification resulting from Dengue data in 2015 (the Kappa coefficient: 0.593; p-value < 0.001). The best ARIMA models for both the “high” and “medium” risk villages are (0, 1, 0)(1, 1, 0)12; and for “low” risk areas it is (0, 1, 0)(0, 1, 0)12; which means that both models demonstrate a seasonal pattern. The analysis shows that the ARIMA models have relatively good predictability for the upcoming number of cases. Therefore, these analyses approach is suggested to be adopted for complementing the techniques of area stratification and transmission period which are commonly used in Dengue surveillance.

The Evaluation of Directly Observed Treatment Short-Course (DOTS) Implementation for TB in Hospital X

Prameswari, Ayu ( Faculty of Medicine and Science, Universitas ‘Aisyiyah Yogyakarta, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

This research discusses about implementation of DOTS strategy in implementing TB services in health service units that organize TB control programs in Indonesia. DOTS is a TB treatment strategy with drug ingestion control. This program focuses on finding cases as early as possible and patient healing. This research uses qualitative methods, using in-depth interview techniques, observation, and document review. The total number of respondents in this study is 9 people. Results input: Human Resources is a lot of officers in the DOTS team who have not attended the training. Facilities and infrastucture are sufficient just does not yet have a specail ply TB patient. Policies, both hospitals and the government are good enough. Process: inadequate political commitment to which internal and external networks are running is not maximized, microscopic examination not yet optimal because many patients who do not perform the examination at the beginning of the diagnosis, in the treatment of many patients who did not perform sputum checks and radiological examination for evaluation of treatment progress, non-standard OAT management, and incomplete records. This ultimately affects the output component where the healing rate is low only reached 21,1% and conversion rate 32,7%. The conclusion is from the result that the implementation of DOTS strategy in PKU Muhammadiyah hospital Gamping Yogyakarta has not optimally.