Why Do Inpatient Visits Decrease during the Covid-19 Pandemic? A Case Study in Hospital, Malang Regency
DOI:
https://doi.org/10.21776/ub.jkb.2021.031.02.3sKeywords:
Covid-19 pandemic, hospital utilization, stigmaAbstract
The Covid-19 pandemic has caused a decreasing number of non-Covid-19 inpatient visits in almost all hospitals, including the hospital where the study was conducted, which experienced decreasing Bed Occupancy Rate (BOR) up to 35.5%. This study aimed to identify the factors causing the decrease in the number of inpatients at the hospital. The research was conducted using a case study approach at a type D hospital in Malang Regency. Data was collected through a Focus Group Discussion (FGD) analyzed using a Fishbone Diagram combined with 5 whys and triangulation using secondary data and surveys. FGD respondents determined were eight respondents consisting of the Head of Inpatient Room, the Coordinator of Inpatient Room, the Coordinator of Outpatient, the Head of the Public Relations and Marketing Unit, and the Coordinator of the Admission Department. The results show that the causes can originate from human, method, market, and environmental aspects. Distrust in hospitals is caused by negative stigmatization and instructions to delay hospital services and communication barriers due to media as a consequence of implementing health protocols.
Downloads
References
Rinjani V and Triyanti E. Analisis Efisiensi Penggunaan Tempat Tidur Per Ruangan Berdasarkan Indikator Depkes dan Barber Johnson di Rumah Sakit Singaparna Medika Citra Utama Kabupaten Tasikmalaya Triwulan 1 Tahun 2016. Jurnal Manajemen Informasi Kesehatan Indonesia. 2016; 4(2): 38–45.
Rumah Sakit Marsudi Waluyo. Profil Rumah Sakit Marsudi Waluyo. Malang: Rumah Sakit Marsudi Waluyo; 2020.
Sholeh M and Lestari T. Hubungan Jumlah Pasien Rawat Inap dengan Bor (Bed Occupancy Rate) di RSUD Dr. Moewardi Periode Tahun 2009-2011. Jurnal Rekam Medis. 2012; 6(1): 58–68.
Andita V, Hermawat W, and Hartati NS. Pengaruh Jumlah Pelayanan Rawat Jalan, Rawat IGD dan Rawat Inap Terhadap Tingkat Pendapatan Rumah Sakit Umum Daerah (RSUD) Cideres Kabupaten Majalengka. Jurnal Manajemen Sekolah Tinggi Ilmu Ekonomi Cirebon. 2019; 14(2): 370-378.
Riskiyah, Harijanto T, and Noor VMM. Faktor yang Mempengaruhi Pemahaman Kepala Ruang Rawat Inap tentang Pelaporan Kinerja Utilitas Bangsal di Rumah Sakit. Jurnal Kedokteran Brawijaya. 2016; 29(3): 300–304.
Chou YC, Yen YF, Feng RC, et al. Impact of the Covid-19 Pandemic on the Utilization of Hospice Care Services: A Cohort Study in Taiwan. Journal of Pain Symptom Management. 2020; 60(3): 1-6.
Nicholls M. Covid-19 And Cardiovascular Disease. Europen Heart Journal. 2020; 41(29): 2727–2729.
Rubin R. COVID-19's Crushing Effects on Medical Practices, Some of Which Might Not Survive. Journal of American Medical Association. 2020; 324(4): 321–323.
Arumsari DP, Emaliyawati E, and Sriati A. Hambatan Komunikasi Efektif Perawat dengan Keluarga Pasien dalam Perspektif Perawat. Jurnal Pendidikan Keperawatan Indonesia. 2016; 2(2): 104–114.
Wardani IK, Koeswo M, and Sarwiyata TW. Efektifitas Pelatihan Komunikasi terhadap Kepuasan Pasien pada Petugas Informasi dan Pendaftaran Rumah Sakit. PROFESI (Profesional Islam) Media Publikasi Penelitian. 2018; 15(2): 68-71.
Adiputra PAT. Dampak Pandemi COVID-19 pada Pelayanan Pasien Kanker di Rumah Sakit Tersier di Indonesia: Serial Kasus. Jurnal Bedah Nasional. 2020; 4(1): 29-33.
Agnena SAK. Analisa Komunikasi Terapeutik Dokter dan Pasien dalam Meningkatkan Pelayanan Kesehatan Ibu di Rumah Sakit Aisyiyah Samarinda. eJournal Ilmu Komunikasi. 2015; 3(1): 155–271.
Kementerian Kesehatan Republik Indonesia. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MenKes/413/2020 tentang Pedoman Pencegahan dan Pengendalian Corona Virus Disease 2019 (Covid-19). Jakarta: Kementerian Kesehatan RI; 2020.
Nurjannah I. Perilaku Penunggu Pasien di Rumah Sakit Provinsi Sulawesi Tenggara (Suatu Kajian tentang Antropologi Ruang). Unity Jurnal Arsitektur. 2011; 2(1): 25–34.
Pradana AA, Casman, and Nur'aini. Pengaruh kebijakan Social Distancing pada Wabah COVID-19 terhadap Kelompok Rentan di Indonesia. Jurnal Kebijakan Kesehatan Indonesia. 2020; 9(2): 61–67.
Agung IM. Memahami Pandemi Covid-19 dalam Perspektif Psikologi Sosial. Psikobuletin: Buletin Ilmu Psikologi. 2020; 1(2): 68–84.
Livana, Setiawati L, Sariti I. Stigma dan Perilaku Masyarakat pada Pasien Positif COVID-19. Jurnal Gawat Darurat. 2020; 2(2): 95–100.
Supartiningsih S. Kualitas Pelayanan Kepuasan Pasien Rumah Sakit: Kasus Pada Pasien Rawat Jalan. Jurnal Medicoeticolegal dan Manajamen Rumah Sakit. 2017; 6(1): 9–15.
Wasisto B, Librianty N, and Harinda F. Tinjauan Etik Upaya Promotif Kesehatan untuk Menunda ke Dokter Kecuali Kasus Berpotensi Gawat Darurat atau Pelayanan yang Tidak Dapat Ditunda. Jurnal Etika Kedokteran Indonesia. 2020; 4(2): 63-66.
Wiresti RD. Analisis Dampak Work From Home pada Anak Usia Dini di Masa Pandemi Covid-19. Jurnal Obsesi: Jurnal Pendidikan Anak Usia Dini. 2020; 5(1): 641-653.
Downloads
Published
Versions
- 2022-07-11 (2)
- 2021-09-23 (1)
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
