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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
133
Articles
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Effect of Work Motivation with Working Discipline in Nursing Performance in Special Unit X Hospital in Yogyakarta

Dewi, Sri Tungga ( Master of Hospital Management, Universitas Muhammadiyah Yogyakarta, Indonesia ) , Mahanggoro, Tri Pitara ( Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakrta, Indonesia ) , Urmila, Mariska ( PKU Bantul Hospital, Bantul City, Daerah Istimewa Yogyakarta, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 3 (2018): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

The research was conducted at X hospital which aims to determine the effect of work motivation, work discipline on the performance of nurses in the inpatient room. The data obtained has been analyzed using descriptive analysis and quantitative analysis. Quantitative analysis used multiple regression analysis to determine the effect of independent variables on the dependent variable, but before the test is carry out the validity and reliability has been tasted, sampling was using total sampling technique where the population is equal to the number of samples as many as 47 nurses. The results of the study revealed that work motivation factors had a significant effect on the performance of nurses in X hospital, while the discipline factors did not have a significant effect on the performance of nurses of X hospital while the influence of work motivation and work discipline on performance shows a positive number which means there is an influence on performance. The results of the study revealed that motivation factors had a significant effect on performance as (0.041) which means that h0 was rejected and h1 was accepted. While the results of work discipline on performance did not have a significant effect, value of the discipline as (0.750) where the value is bigger than the standard value of error (0.05) which means h0 was accepted and h1 was rejected. From the research, it was found that the human resources at X hospital were still lacking in terms of motivation and in terms of work discipline the quality of human resources had improved.

Analysis of Hygiene and Sanitation Practice Within Hospital Foodservice Employees. a Case Study in a Private Hospital in Yogyakarta

Hapsari, Oldriana Prawiro ( Mater of Hospital Management, Universitas Muhammadiyah Yogyakarta, Indonesia ) , Permana, Iman ( Master of Nursing, Universitas Muhammadiyah Yogyakarta, Indonesia ) , Listiowati, Ekorini ( Faculty of Medical and Health Science, Universitas Muhammadiyah Yogyakarta, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 3 (2018): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

Hospitals are expected to provide service according to the accreditation committee standard. One of the accreditation criteria is Infection and Prevention Control, in which the hospital must minimalize infection risk from the provided facilities such as hospital food service. Analyzing food handlers hygiene and sanitian practice in PKU Muhammadiyah Gamping Hospital’s Food Service Unit. The research method is a qualitative method, and the design is a case study. Subjects of the research are 13 food handlers, one food service unit supervisor, one sanitation unit supervisor, one infection and prevention control unit, supervisor. Here we conducted a questionnaire to measure knowledge, an observation checklist to observe food handlers compliance and an in-depth interview for their perspective on hygiene and sanitation practice. Food handlers perspective in hygiene and sanitation practice, on knowledge wise 10 (76,92%) food handlers have good knowledge on hygiene and sanitation. 13 (100%) food handlers have a good practice and compliance on practicing food safety and hygiene and sanitation practice. The Conclusion and Advice there are some adversities such as neglection to wear personal protective types of equipment and some facilities need to be upgraded.

Relationship Between Knowledge and Attitude with Implementation of Patient Safety Targets in RSUD Yogyakarta

Syam, Nur Syarianingsih ( Faculty of Human Health Science, Universitas Ahmad Dahlan, Yogyakarta, Indonesia ) , Widi Hastuti, Siti Kurnia ( Faculty of Human Health Science, Universitas Ahmad Dahlan, Yogyakarta, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 3 (2018): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

Joint Commission International stipulates the International Patient Safety Goals (IPSG) as one of the points in the hospitals international accreditation assessment. In Indonesia the IPSG target was translated by the hospital accreditation committee (KARS) into 6 patient safety targets (SKP) in the 2012 hospital accreditation guidelines (KARS 2012). Yogyakarta Regional General Hospital (RSUD) is one of the class B public hospitals that have received Akreditasi Paripurna, in this case all working groups including patient safety standards at the hospital have been assessed. However, there are still KTD, KNC, KPC, and KTC in Yogyakarta Hospital. This study aimed to analyze the relationship between attitudes and knowledge with the implementation of patient safety goals by nurses in Yogyakarta Hospital. The study used quantitative research methods with a cross sectional research design. Data retrieval is done by distributing questionnaires related to attitudes and knowledge to 80 nurses with the implementation of patient safety goals, the sampling technique with clustered stratified sampling. Data analysis techniques for quantitative analysis with univariate, bivariate (chi square test). Research results of the relationship between knowledge and implementation of SKP showed that the p-value of α (0.631> 0.05), means that there is no relationship between nurse knowledge and the implementation of patient safety goals (SKP). The results of the study of attitude relations with SKP Implementation can be seen that the p-value α (0.045 <0.05), meaning that there is a relationship between nurse attitudes and the implementation of patient safety goals (SKP).

Intention of Hospital Managers in Implementing the Balanced Scorecard

Rupita, Aglita Janis ( Master of Hospital Management, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia ) , Tjahjono, Heru Kurnianto ( Master of Management, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 3 (2018): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

Achieving the implementation of a hospitals vision and mission depends on the strategies that used and the management of human resources. Balanced scorecard (BSC) is one of the strategic tools that are in great demand today to be applied in the health sector. The interest or intention in implementing of BSC depends on individual attitudinal factors, subjective norms and behavioral controls that refer to Planned Behavior (TPB). The aim of this study is to determine the intention of hospital managers in implementing the balanced scorecard. This type of research is quantitative descriptive with a cross sectional approach and the sampling technique used purposive sampling. The methods of data collecting used questionnaires, interviewed and analyzed by multiple linear regression. The results of the 90 samples showed an influence on attitudinal variables, subjective norms and simultaneous behavioral control as indicated by Sig = 0,000. While partially attitudinal variables (Sig = 0.029<0.05), subjective norm (Sig = 0.011<0.05) and behaviour control have  effect on intention (Sig = 0.036<0.05).

The Influence of Brand Image Towards Brand Loyalty of Dental Hospital of Universitas Muhammadiyah Yogyakarta

Aristiyanto, Regia ( Master of Hospital Management, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 3 (2018): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

The change of hospital image become socio-economic organizations requires hospital has to be able to finance its operations and compete to gain the market share. Dental Hospital of Univesitas Muhammadiyah Yogyakarta is hospital in Yogyakarta. Hospital uses various marketing strategies to seize and retain consumer. One of them is making good brand image to get consumer loyalty. The purpose of study was to determine the influence of brand image towards brand loyalty of Dental Hospital of Universitas Muhammadiyah Yogyakarta. The type study was quantitative research with causality and descriptive explanation. The samples were dental specialist pastient of Dental Hospital of Universitas Muhammadiyah Yogyakarta who had visited more than once with quota sampling technique. Data analysis was multiple regression analysis. The results showed brand image dimensions had a positive and significant simultaneously influence toward consumer loyalty of Dental Hospital of Universitas Muhammadiyah Yogyakarta. The favorability of brand association and uniqueness of brand association had positive and significant influence towards brand loyalty, while the strength of brand association had positive and insignificant influence towards brand loyalty. The conclusion of the study showed brand image had a positive and significant influence towards brand loyalty of Dental Hospital of Universitas Muhammadiyah Yogyakarta.

Effectiveness of Patient Centered Care to Reduce Anxiety Level and Improve Satisfaction in Patients Undergoing Cataract Surgery

Sjarifudhin, Mochammad ( Master of Hospital Management, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia ) , Rosa, Elsye Maria ( Master of Hospital Management, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 3 (2018): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

Research on Patient Centered Care (PCC) in cataract patients is still limited, especially those that analyze the effectiveness of PCC in reducing anxiety levels and improving the patient satisfaction. This study was a quasi-experimental pre- and post-test design, which involved 30 treatment respondents and 30 control respondents. The instrument used a SAI questionnaire to measure anxiety and SERVQUAL modifications to measure patient satisfaction. The study was conducted at Nganjuk Eye Clinic in October-November 2018. Analysis of data using paired t-test and independent t-test. The results of difference tests of anxiety levels before and after PCC and difference tests of anxiety levels of the control and PCC group showed the results of sig. 2-tailed = 0,000. Whereas the difference tests of satisfaction levels between the control and PCC group were obtained sig. 2-tailed = 0.035. The PCC Effect Size obtained strong effects (2.59 and 4.31) in reducing anxiety and average effect (0.56) on improving satisfaction. There were significant differences in the level of anxiety and satisfaction in both groups. The results showed that PCC was very effective in reducing anxiety levels and quite effective in improving the satisfaction on cataract surgery patients.

Cost Analysis with Activity Based Costing Method on Coronary Heart Catheterization at Dr. Sardjito Hospital Yogyakarta

Aji, Nugroho Bayu ( Magister Manajemen Rumah Sakit Universitas Muhammadiyah Yogyakarta ) , Yaya, Rizal ( Faculty of Economics and Business, Universitas Muhammadiyah Yogyakarta, Indonesia ) , Kusumawati, Wiwik ( Faculty of Medical and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 3 (2018): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

The purpose of this study was to calculate unit cost coronary angiography with the ABC method and analyze the differences in the results of the calculation unit cost of the ABC method with the current rates at RSUP Dr. Sardjito Yogyakarta. The research method is qualitative with a descriptive design case study, this study uses primary data and secondary data. Primary data is in the form of interviews, while secondary data is obtained through financial data in 2016. Methods for analyzing costs using the method of Activity Based Costing (ABC). The study resulted that coronary angiography-guided by the SPO, the results of the calculation unit cost of the ABC method were Rp7.927.171,13 higher than the current fare. The unit cost of coronary angiography at RSUP Dr. Sardjito Yogyakarta by the ABC method is a unit cost for coronary angiography without difficulty which is calculated by charging all costs both direct costs and costs overhead. Hospital rates have not been recalculated since 2014, so it has not yet described the real conditions in 2016. In addition, personnel expenditure conditions that exceed the provisions of the proportion of a maximum of 44% as mandated in the Republic of Indonesia Minister of Health Regulation are the factors causing higher unit cost calculation ABC method rather than rates coronary-angiography hospital.

Potential Fraud in The Primary Healthcare

Fathurrohman, Nizar ( Master of Hospital Management, Postgraduate Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia ) , Dewi, Arlina ( Master of Hospital Management, Postgraduate Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 3 (2018): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

This study discusses of potential fraud at the primary healthcare. Fraud is more often associated with secondary healthcare, namely hospitals, so that fraud in primary healthcare rarely supervises. Premi of JKN around 38.5 trillion and estimating the potential fraud of around 5% will disappear 1.8 trillion per year. This research used qualitative methods with phenomenological design, as the data are collected using in-depth interview and observation techniques. The number of respondents in this research were 3 public healthcare and 2 private healthcare in X regency. The results showed potential fraud in primary healthcare related to human resources (HR), management of health service, leadership policies, management of capitation funds and operational audits.

Analysis of Positioning at Kasih Ibu Hospital Surakarta

Dhani, Muhamad Marwan ( Universitas Muhammadiyah Yogyakarta )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 3 (2018): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

Kasih Ibu Hospital is one of the private B type hospitals in Surakarta residency which is facing a tight competition in maintaining its quality in proportion to its income. Kasih Ibu Hospital competes with other type B hospitals, namely X Surakarta Hospital and Y Hospital Surakarta. This research used a descriptive method. The population was the service users of Kasih Ibu Hospital, X Hospital Surakarta and Y Hospital Surakarta. A sample of 50 people was taken by accidental sampling. Data collection was by questionnaire. Data analysis was performed by Multidimensional Scaling (MDS) and biplot perception maps. X Hospital Surakarta is the closest competitor of Kasih Ibu Hospital Surakarta, with a Euclidean distance of 2.8127. X Surakarta Hospital, more prominent intangibles, and empathy dimensions. Kasih Ibu Hospital Surakarta is more prominent in the dimensions of responsiveness, and at a lower level is the reliability and assurance dimension. Y Hospital Surakarta does not specifically stand out on the dimension of service quality based on patient perception. The dimensions which although not too prominent but the closest are empathy. X Surakarta Hospital is the closest competitor of Kasih Ibu Hospital Surakarta. X Hospital Surakarta, more prominent intangibles and empathy dimensions. Kasih Ibu Hospital Surakarta is more prominent in the dimensions of responsiveness, and at a lower level is the reliability and assurance dimension.

Association Between Leadership and Job Satisfaction Of Primary Health Centers In Denpasar

Wirajaya, Karma Maha ( Institut Ilmu Kesehatan Medika Persada Bali )

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 3 (2018): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

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Abstract

Job satisfaction is very important because it can affect the behavior of employees working in the organization. Employees who are satisfied in the work will have positive behavior so they have a better performance. The preliminary study found that some employees are less satisfied with the supervisory aspects and attention of leader to employees. This study aims to determine the relationship between leadership and job satisfaction in primary health centers Denpasar. This research is a cross-sectional study, which involved75 samples. Samples were selected using total population sampling and analyzed using chi-square test. Most of the employees perceived a lack in the leadership of primary health centers leaders (52%) and satisfied with their work (52%). The result of chi-square test shows that leadership with OR = 12,01 (95% CI = 4,02-35,89) is related to job satisfaction of primary health centers in Denpasar. The leader who is able to feel employees need can make employees feel satisfied for the work. Employees who feel satisfied will give the best for the organization so can achieve its objectives. Most employees of primary health centers in Denpasar feel satisfied in work and leadership related to employees satisfaction in primary health centers in Denpasar.