ANALISIS PENGARUH FAKTOR PASIEN TERHADAP RASIONALITAS PASIEN BUKAN GAWAT DARURAT DI INSTALASI GAWAT DARURAT RUMAH SAKIT SEMEN GRESIK
The use of Emergency Room (ER) by the patients with non-urgent medical condition is a general problem at the hospital. The use of ER for non emergency cases can complicate the guarantee of access to the emergency cases, reduce the alertness of service, lower the quality of emergency service and...
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| Main Author: | |
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| Format: | Theses and Dissertations NonPeerReviewed |
| Language: | Indonesian Indonesian |
| Published: |
2016
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| Subjects: | |
| Online Access: | http://repository.unair.ac.id/45574/1/ABSTRAK.pdf http://repository.unair.ac.id/45574/13/TKA.52-16%20Irh%20a.pdf http://repository.unair.ac.id/45574/ http://lib.unair.ac.id |
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| Institution: | Universitas Airlangga |
| Language: | Indonesian Indonesian |
| Summary: | The use of Emergency Room (ER) by the patients with non-urgent
medical condition is a general problem at the hospital. The use of ER for non
emergency cases can complicate the guarantee of access to the emergency cases,
reduce the alertness of service, lower the quality of emergency service and
increase the cost of health care. Several factors that affect the non emergency
visits are grouped in patient, hospital and environment factors. This study aims to
determine the influence of patient factor to the rationality of non emergency
patients in Semen Gresik Hospital ER. The rationality of patients was measured
by using indicators that are arranged based on criteria of emergency and rational
choice model. According to the rational choice model theory the rationality of non
emergency patient is divided into preferences, opportunity costs and constraints.
This research was an observational analytic cross sectional study. The data
were collected in October – November 2015 using questionnaires. Population of
the study was non emergency patients at Semen Gresik Hospital ER. There are as
many as 39.0% rational patients and 61.0% irrational patients utilizing ER
services. Both groups represent different expectations toward the desired health
services. A different approach is needed in dealing with rational and irrational
patients who utilizing ER services. Result showed the patient factors influences
the rationality of non emergency patients in ER. The patient factor that affects the
rationality can be seen on income level and the use of health insurance. Patients
with higher income level tend to be more irrational. Patients who use health
insurance are more irrational than those who do not use health insurance. Study of
the rationality of the non emergency patients in ER will be useful to the hospitals
especially in organizing the services as an effort to decrease the number of non
emergency visits at ER |
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