The Influence of Service Quality, Financing, and Compliance on Clinical Pathways Performance at Medika Dramaga Hospital, Bogor
DOI:
https://doi.org/10.37641/jimkes.v11i3.2243Keywords:
Clinical Pathways, Costs of Hospitalization , JKN Patients,Abstract
This study aims to know and analyze the influence of service quality, financing, and compliance on the performance of clinical pathways in Medika Dramaga Hospital Bogor. The samples for primary data taken were 100 JKN patients who were hospitalized with a diagnosis of Tuberculosis, DHF, PEB with SC, Hernia with Herniorrhoea, and BPH with TURP measures. Secondary data were taken from various sources, for variable service quality from the Marketing Unit report, Funding from the recap of data in inpatient billing, and CP compliance from the case manager data recap. Then the data were analyzed using the Partial Least Square method with the Confirmatory Factor Analysis (CFA) system. The results of the study on primary data show CFA reliability factor (0.941) is dominant in the service quality variable. Meanwhile in the secondary data, the service quality variable has a dominant CFA (0.902) compared to the financing variable and clinical pathways adherence to clinical pathways performance. From primary and secondary data the quality of service with 5 factors is the goal of quality service that has been proven to be dominant in influencing the performance of clinical pathways.
Keywords : Clinical Pathways, Costs of Hospitalization , JKN Patients
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References
Armen, F & Azwar, V. (2013). Dasar-Dasar Manajemen Keuangan Rumah Sakit, Yogjakarta: Gosyen Publishing.
Djasri, H. (2006). Konsep Dasar dan Manfaat Clinical Pathway, Pelatihan Clinical Pathway untuk Rumah Sakit, Jakarta: Pusat Manajemen Pelayanan Kesehatan UGM.
Dotchin, J. A., & Oakland, J. S. (1994). Total quality management in services: Part 2: Service quality. International Journal of Quality & Reliability Management, 11(3), 27-42.
Dumaris, H. (2016). Analisis Perbedaan Tarif Rumah Sakit dan Tarif INA-CBG’s Pelayanan Rawat Jalan di RSUD Budhi Asih Jakarta Tahun 2015. Jurnal Administrasi Rumah Sakit Indonesia. 3(1)
Feuth, S., & Claes, L. (2008). Introducing clinical pathways as a strategy for improving care. Journal of integrated care pathways, 12(2), 56-60.
Firmanda, D. (2007). Implementasi Clinical Pathways dalam Pengendalian Mutu dan Biaya di Rumah Sakit. Jakarta.
Firmanda, D. (2012). Materi Workshop Penyusunan clinical Pathways Sebagi Dasar Penentuan Tarif Pelayanan Kesehatan dalam Menyongsong Pelaksanaan SJSN dan Akreditasi Rumah Sakit Versi Baru. Surabaya.
Ghozali, I. (2008). Structural equation modeling: Metode alternatif dengan partial least square (pls), Semarang: Badan Penerbit Universitas Diponegoro.
Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2010). Multivariate data analysis 7th Edition, New Jersey: Pearson Prentice Hall.
Hasibuan, M. (2002). Manajemen Sumber Daya Manusia, Jakarta: Bumi Aksara.
Hendrartini, J. (2010). Model Kinerja Dokter dengan Pembayaran Kapitasi dalam Program Asuransi Kesehatan. Disertasi. Universitas Gadjah Mada,Yogyakarta
Kalaja, R., Myshketa, R., & Scalera, F. (2016). Service quality assessment in health care sector: the case of Durres public hospital. Procedia-Social and Behavioral Sciences, 235, 557-565.
Kementerian Kesehatan Republik Indonesia. (2012). Pedoman Penyelenggaraan Pelayanan di Rumah Sakit. Jakarta.
Kongstvedt, P. R. (1996). Essentials of managed health care. The Journal for Healthcare Quality (JHQ), 18(2), 40.
Lewis, B. R., & Mitchell, V. W. (1990). Defining and Measuring the Quality of Customer Service. Marketing Intelligence and Planning, 8(6), 11-17. https://doi.org/10.1108/EUM0000000001086
Mosby. (2009). Mosby's Medical Dictionary, 9th edition. Elsevier
Muninjaya, A. A. G. (2011). Manajemen Mutu Pelayanan Kesehatan, Jakarta: EGC. Manajemen Mutu Pelayanan Kesehatan. Jakarta: EGC.
Nursalam. (2011). Metodologi Penelitian Ilmu Keperawatan Pendekatan Praktis Edisi 3. Jakarta: Salemba Medika.
Parasuraman, A. B. L. L., Zeithaml, V. A., & Berry, L. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of retailing, 64(1), 12-40
Peraturan Menteri Kesehatan Nomor 34 Tahun 2017 tentang Akreditasi Rumah Sakit. Indonesia, Kementerian Kesehatan.
Qarari, H., Ruswana, A., Mursyid, B., & Shimaditya, N. (2018). Analyzing patient satisfaction towards resident at the Internal Medicine Department in Hasan Sadikin Hospital Bandung using revised importance-performance Analysis. International Journal of Business and Society, 19(1), 59-72. https://doi.org/10.1002/er.786
Supartiningsih, S. (2017). Kualitas pelayanan kepuasan pasien rumah sakit: kasus pada pasien rawat jalan. Jurnal medicoeticolegal dan manajemen rumah sakit, 6(1), 9-15.
Trisnawati, K., Sumarni., & Fudholi, A. (2015). Analisis kepuasan pasien rawat jalan PNS padamasa pelaksanaan ASKES dan JKN. Jurnal Manajemen dan Pelayanan Farmasi, (1):33–9.
Undang - Undang Sistem Jaminan Sosial Nasional No.40 Tahun 2004. http://www.jkn.kemkes.go.id/attachment/unduhan/UU%20No.%2040%20Tahun%202004%20tentang%20SJSN.pdf
Undang-Undang No. 44 Tahun 2009 Tentang Rumah Sakit. http://www.depkes.go.id/resources/download/peraturan/UU%20No.%2044%20Th%202009%20ttg%20Rumah%20Sakit.PDF
Whittle, C. (2009). ICPAT: Integrated care pathways appraisal tool. International Journal of Care Pathways. The Evaluation of Clinical Pathway. https://doi.org/10.1258/jicp.2009.009012.
