International Journal of Healthcare Research

Analysis of Occupational Safety and Health Risk in the Private Hospital Laboratory

Rani Deviani Siregar — 2024-08-29

Background: Hospitals are complex healthcare institutions, which provide diagnosis, treatment and rehabilitation services to individuals in need. Its main focus is on patient safety and risk management, including occupational safety and Health. Occupational safety and health measures aim to protect workers and visitors from potential accidents in the workplace. Clinical laboratories in hospitals are one of the areas with the highest OHS risks, which have a key role in creating a safe environment for both patients and workers. This study aims to understand laboratory activities, identify hazards and risks, assess risks, evaluate risks, and provide risk control recommendations.

Methods: This study used qualitative methods with in-depth interview techniques and observation using HIRARC form sheets. The research design used was a case study approach. Interview informants were selected through snowball sampling technique.

Results: The results of the study are in accordance with the AS/NZS 4360: 2004 standard on the HIRARC form to conduct risk assessments on microbiology, clinical chemistry and immunology, hematology, and hospital blood bank service activities. This risk assessment is used to provide risk control recommendations, which are based on the Occupational Health Safety Administration's OHS risk control hierarchy. The most dominant risk controls carried out are engineering controls and the use of personal protective equipment (PPE).

Conclusion: OHS risk analysis in the laboratory activities of PKU Muhammadiyah Yogyakarta Hospital shows satisfactory results, but still requires increased compliance in the use of PPE, updating laboratory SOPs, as well as monitoring and rearranging workspace and environmental cleanliness.

Prediction Analysis of the Number of Outpatient Visits at the Internal Medicine Polyclinic at At-Turots Al-Islamy Hospital Yogyakarta

Firman Firman — 2024-08-29

Background : The COVID-19 outbreak crisis has had a significant impact on the continuity of health services in hospitals. The trend in the number of outpatient visits has decreased dramatically during the 2 years of the pandemic. This study aims to identify or predict the number of post-pandemic patient visits at the Internal Medicine Polyclinic at At-Turots Al-Islamy Hospital Yogyakarta.

Methods: The research method is mixed, namely a combination of quantitative and qualitative research. The sampling technique uses purposive sampling with two main data sets; 1) Secondary data from medical records regarding internal medicine patients during the 2017-2021 period, and 2) In-depth interview data with three informants, namely management, doctors, and administrative staff. Analysis visit prediction using least squares.

Results: The research results show that the average number of patient visits in 2017-2021 was 5,684 visits. Meanwhile, predictions of visits in 2022 will increase by x%, in 2023 they will increase by 14%, and in 2024 they will increase by 12%.

Conclussions: Researchers assume that the increase in the number of patient visits could occur because the COVID-19 trend has decreased and government activity restrictions have been relaxed or no longer apply.

Relationship Between Characteristics of Pregnant Women and The Degree of Anemia in the Work Area of Karya Wanita of Community Health Center (Puskesmas Karya Wanita) in the Pekanbaru City , 2023

Lasiah Susanti — 2024-08-29

Background : Anemia in pregnancy had negative effect to maternal and child health. Globally, anemia in pregnancy were 36,5%, in Indonesia it reach 44,2%. In fact, anemia in pregnancy in Indonesia were rising continually since 2017. Same phenomenon were seen in Karya Wanita Public Health Centre, where anemia in pregnancy prevalence were rise 3-4 fold in only 1 year (2022-2023). This could lead to rising rates of premature birth, low birth weight, intrauterine growth restriction, intrauterine-death, maternal, neonatal, and perinatal death. Research shown that maternal characteristics significantly correlated to pregnancy anemia. Such characteristic were mother age, educational status, working status, residence, nutritional status, financial status, gestational age, parity, interpregnancy interval.

Method : In this research, the method used is quantitative with a cross sectional approach and total sampling technique. While the test used is the Spearman rank correlation test and Chi Square test with a sample of 44.

Results : Factors associated with anemia in pregnancy were gestational age ( p value=0,000), parity ( p value=0,020), and nutritional status (p value=0,000).

Conclusion: It can be conclude that factors related to anemia is gestational age, paritym and nutritional status.

Analysis of Customer Needs in the House of Quality to Improve the Quality of Inpatient Room Services at Hospital X in Yogyakarta

Erlin Susilo Wati — 2024-08-29

Background: House of Quality is a matrix that is widely used to achieve higher customer satisfaction. Hospital X in Yogyakarta City is one of the Private Hospitals type B, The number of unstable patient visits each year and the presence of various patient complaints may be caused by several factors that influence patient perceptions in choosing health services in inpatient installations. The purpose of this study was to analyze Customer Need in the House of Quality (HOQ) in improving the quality of service in the Inpatient Installation of Hospital X in Yogyakarta City.

Methods: This study uses a qualitative method with a phenomenology design type. The method of selecting subjects uses a purposive sampling method with the consideration of researchers, namely, patients from the VIP sakinah ward of Hospital X in Yogyakarta City with details, 3 key informants with a minimum of 2 days of care. While the triangulation informants are 3 people. with details, 1 Ward Officer, 1 Service Quality Committee Officer, 1 Public Relations and Marketing Officer.

Results: Based on the results of the analysis of 5 dimensions, tangibles, reliability, responsiveness, assurance and empathy. Each patient gives their own perception and expectations, there is one dimension of service quality that patients consider less good, namely the empathy dimension. In the empathy dimension, patients feel that officers have not fully paid attention to patients.

Conclusion: there is one dimension of service quality that patients consider less good, namely the empathy dimension, as a quality improvement strategy, hospitals can conduct excellent service training.

Analysis of The Increase In National Health Insurance Contributions on The Rights and Obligations of Participants at the Puput Community Health Center (Puskesmas Puput)

Salsabila Khoiriyah — 2024-08-29

Background: A total of 727 visits of JKN participants were served at Puput Bangka Barat Health Center. Based on the number of visits per month in January 2015, there were 1,536 cases served at eight Bangka Barat Health Centers. Based on the agreement, JKN participants in Bangka Barat Regency were budgeted by the Central Government, Bangka Belitung Provincial Government and Askes. The Bangka Barat community of JKN participants funded by the central government were 26,045 people, funded by the provincial government were 11,500 people and PNS, TNI, Polri were 13,865 people or a total of 51,419 people.

Methods: This study used phenomenological research with a qualitative descriptive approach. The subjects of the study were key informants and triangulation informants totaling 10 informants at Puput Health Center. And the research instrument used in-depth interviews and documentation.

Results: participants did not feel the difference in health services, some of them felt for health services For routine contribution payments, informants pay contributions routinely according to their respective classes. Some complained about the increase in JKN contributions and some of them had no complaints about the increase in contributions. And for the perception of the increase in contributions, participants responded negatively to the government's policy related to the increase in BPJS Health contributions, although on the other hand they still hoped that the JKN contributions could be reduced.

Conclusion: Utilization of Health Services at Puput Health Center, some of the participants were quite satisfied with the health services at Puput Health Center. Level of Compliance of JKN Participants in Making Routine Payments of JKN Contributions, there were participants who did not pay contributions on the grounds that they were due to the increase in contributions. And the perception of participants about the policy of increasing JKN contributions in JKN membership, policies related to BPJS Health, informants strongly objected to this policy.