Exploring factors affecting health service performance in a local government hospital in a competitive environment

I Gusti Ayu Mirah Dwijayanti

doi:10.22146/bkm.53403

Exploring factors affecting health service performance in a local government hospital in a competitive environment

https://doi.org/10.22146/bkm.53403

I Gusti Ayu Mirah Dwijayanti^(1*)

(1) Universitas Indonesia
(*) Corresponding Author

Abstract

Purpose: A local government hospital in Jakarta monitored the data of the last three years of services and indicated the declining utilization of inpatient care. This study explored factors and sought to identify rooms for improvement in hospital performance.

Method: A qualitative method was employed, using case study design in 2019. This study used a descriptive and qualitative approach in a case study design. Applied Pabon Lasso model signified the hospital performance was categorized into first zone, meaning the low of Bed Occupancy Rate and Bed Turn Over. The data collected through in-depth interview, observation, and document review.

Results: The Result showed that during a three-year period, hospital X in Jakarta were placed in zone 1, that is the inefficient area. The Hospital had exceeded the number of beds, the low community demand to utilize the hospital service, slightly weak quality of care, and high competition with other health facilities in its surrounding area.

Conclusion: The results showed that the hospital is not efficient. It calls for a review of the number of beds and the stronger marketing.

Keywords

Rumah sakit, Jakarta, Kinerja, Kualitas Pelayanan, Pabon-Lasso Model

References

1. Kemenkes RI. Undang - Undang Republik Indonesia Nomor 36 Tahun 2009 tentang Kesehatan. UU No 36 Tahun 2009 2009.

2. Depkes. Undang-Undang Republik Indonesia Nomor 44 Tahun 2009 tentang Rumah Sakit. 2009.

3. Ditjen Yankes. RS Online : Grafik RS berdasarkan Pemilik dan Kelas [Internet]. 2017 [cited 2019 Feb 23]. Available from: yankes.kemkes.go.id

4. Permenkes RI. Klasifikasi dan Perizinan Rumah Sakit. 56 2014.

5. Aeenparast A, Farzadi F, Maftoon F, Zandian H, Yazdeli MR. Quality of Hospital Bed Performance Studies based on Pabon Lasso Model. Int J Hosp Res. 2015;4(3):143–8.

6. Goshtasebi A, Vahdaninia M, Gorgipour R, Samanpour A, Maftoon F, Farzad F, et al. Assessing Hospital Performance by the Pabon Lasso Model. Iran J Publ Heal. 2009;38(2):119–24.

7. Kalhor R, Salehi A, Keshavarz A, Bastani P, Orojloo PH. Assessing Hospital Performance in Iran Using the Pabon Lasso Model. Asia Pacific J Heal Manag. 2014;9(2):77–82.

8. Kavozi Z, Goodarzi S, Almasiankia, Abdollah. Performance Evaluation in Hospitals of Lorestan University of Medical Sciences using Pabon-Lasso Model. Payavard Salamat. 2013;6(5):36–46.

9. Mansoor Z, Iman K. Performance Evaluating inHospitals Affiliated in AHWAZ University of Medical Sciences based on Pabon Lasso Model. Hosp J. 2012;11(3):37–44.

10. Lasso HP. Evaluating Hospital Performance Through Simultaneous Application of Several Indicators. PAHO Bull. 1986;20(4).

11. Supriani N. Analisis Faktor-faktor yang Mempengaruhi Frekuensi Pemanfaatan Pelayanan Bersalin di RS Hermina Bekasi Tahun 2012. Universitas Indonesia; 2013.

12. Djojodibroto RD. Kiat Mengelola Rumah Sakit. Komala S, Santoso AH, editors. Jakarta: Hipokrates; 1997.

13. Kemenkes RI. Juknis Sistem Informasi Rumah Sakit [Internet]. Jakarta; 2011. Available from: https://www.academia.edu/37049288/Juknis_SIRS

14. Baniasadi T, Khorrami F, Jebraeily M, Khamzade F, Kisomi FG. Performance Evaluation of Hormozgan University of Medical Sciences (HUMS) hospital based on Pabon Lasso Model. Evidence Based Health Policy, Manag Econ. 2018;2(4):249–57.

15. Suryawati C, Dharminto, Shaluhiyah Z. Penyusunan Indikator Kepuasan Pasien Rawat Inap Rumah Sakit di Provinsi Jawa Tengah. J Manaj Pelayanan Kesehat. 2006;9:177–84.

16. Delamater PL, Messina JP, Grady SC, WinklerPrins V, Shortridge AM. Do More Hospital Beds Lead to Higher Hospitalization Rates? A Spatial Examination of Roemer’s Law. PLoS One. 2013;8(2).

17. Ginsburg PB, Koretz DM. Bed Availability and Hospital Utilization : Estimates of hte “Roemer Effect.” Health Care Financ Rev. 1983;5(1):87–92.

18. Maulina NA, Supriyanto S. Promotion Effects dan Switching Barriers terhadap Loyalitas Pasien Ruang Sakinah Rumah Sakit Muhammadiyah Lamongan. J Adm Kesehatan Indones. 2014;2:108–19.

19. Ulfah M, Rachmi AT, Yuniarinto A. Pengaruh Bauran Pemasaran (Marketing Mix) terhadap Keputusan menggunakan Jasa Rawat Jalan di Rumah Sakit Bina Sehat Jember. J Apl Manaj. 2013;11(384–391).

20. Dewi MU. Analisis Kualitatif Pemilihan Rawat Inap di Paviliun Dr. R Darmawan P.S. RSPAD Gatot Soebroto Periode Tahun Anggaran 1997/1998 sampai 2000/2001. Universitas Indonesia; 2002.

21. Sugiono EF, Maidin MA, Irwandy. Faktor yang berhubungan dengan Minat Pemanfaatan Kembali Pelayanan Rawat Inap di Rumah Sakit Stella Maris Makassar Tahun 2013. Hasanuddin Univ [Internet]. 2013; Available from: http://repository.unhas.ac.id/handle/123456789/5538

DOI: https://doi.org/10.22146/bkm.53403