Effectiveness of Inter-Health Professional Collaboration for an Improved Management of In-Patient Care at an Ni’mah Wangon Hospital


Ratna Widarastuti, Wiwik Kusumawati

 

Masters Program in Hospital Management, Universitas Muhammadiyah Yogyakarta

 

ABSTRACT

Background: An Ni’mah Hospital is a type D hospital located in Banyumas, Central Java. Obstetric and gynecologic services are the main services provided with birth delivery, curettage, and caesarian section, as the most common ser­vices. The hospital is financed under the Indonesian National Health Insurance (JKN, BPJS) payment scheme, and it often experiences loss. Recently, the hos­pi­tal management has implemented a new policy, namely inter-health professional collaboration, which aims to improve hospital performance. This study aimed to examine the effectiveness of inter-health professional collaboration on the im­pro­ve­ment of in-patient care management at An Ni’mah Wangon Hospital.

Subjects and Method: This was a mixed method study carried out at An Ni’mah Wangon Hospital, Banyumas, Central Java. A sample of informants was se­lec­ted for this study, consisting of gynecologists, general practitioners, nurses, mid­­wives, pharmacists, and nutritionists. The data were collected by ques­tion­naire, interview, observation, and document review. Quantitative and qualitative da­ta were integrated by triangulation to increase data credibility.

Results: Paramedics had practiced inter-health professional collaboration. However, inter-health professional communication remained a point of concern due to some hospital internal problem. Paramedics at the medical record unit had wor­­ked according to the Standard Operating Procedure (SOP). Overall, patients were satisfied with the collaboration process. However, paramedics in the in-pa­tient unit had not comply with the clinical pathway. The pharmacy and the nut­rition units were under-staffed.

Conclusion: The collaboration process has not been fully implemented due to some hospital internal problem. However, overall the patients are satisfied with the inter-health professional collaboration. Paramedics have not implemented cli­nical pathway, which may lead to in-effective service and some losses to hos­pital.

Keywords: inter-health professional, collaboration, management, in-patient care, hospital

Correspondence: Ratna Widarastuti. Masters Program in Hospital Management, Universitas Muhammadiyah Yogyakarta, Jl. Lingkar Selatan, Tamantirto, Kasihan, Bantul, Yogyakarta. Email: rwidarastuti@gmail.com. Mobile: 08122679186

DOI: https://doi.org/10.26911/theicph.2018.04.34

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