FAKOR-FAKTOR YANG MENYEBABKAN KETIDAKLENGKAPAN PENGISIAN LEMBAR RESUME MEDIS PASIEN JKN DAN NON-JKN DI RS. MATA �Dr. Yap� YOGYAKARTA
Background: hospital health care facilities that are absolutely required by all levels of society in an effort to improve health status, both individuals and society as a whole. therefore hospitals should improve the quality of its services, including the improvement of the quality of medical record...
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| Main Authors: | , |
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| Format: | Theses and Dissertations NonPeerReviewed |
| Published: |
[Yogyakarta] : Universitas Gadjah Mada
2014
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| Subjects: | |
| Online Access: | https://repository.ugm.ac.id/129670/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=70066 |
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| Institution: | Universitas Gadjah Mada |
| Summary: | Background: hospital health care facilities that are absolutely required by all levels of
society in an effort to improve health status, both individuals and society as a whole.
therefore hospitals should improve the quality of its services, including the improvement
of the quality of medical records. The purpose of the medical record is to uphold the
orderly administration in the context of efforts to improve health services in the hospital.
Sheet medical resume is a summary or the core of the entire record of the treatment or
management of medical records of the patients in the hospital, and a very important role
in ensuring the quality of hospital medical implementation, especially in terms of
completeness of medical record documentation. Based on early studies in hospital. Eye
\"Dr. Yap\" the researchers found an incomplete medical resume sheet, while the sheet is
a summary of the entire period of care and treatment of patients.
Objective: To Knowing the percentage of completeness of data identification, important
reports, and authentication resume sheet, to determine the factors incompleteness and
efforts to improve the completeness sheet resume on file in the inpatient medical record
Eye Hospital \"Dr. Yap \"Yogyakarta.
Methods: type of study is a descriptive study with a qualitative approach to data collection
using the technique of study documentation, interview and observation. The study design
was cross-sectional. For the validation of data sources and using triangulation
techniques. Using purposive sampling subjects research object while using a random
sample calculations. This research was performed at the Hospital Medical Records. Eye
\"Dr. Yap \"Yogyakarta.
Results : Based on the studies contained documentation of patient medical resume JKN
sheet complete with the percentage 71.92 % and 68.65 % NON JKN , sheet resume
incomplete patient medical JKN with a percentage of 3.26 % and 1.53 % NON JKN and
medical resume sheet JKN patients are not charged 24.8 % and 29.8 % NON JKN of 40
files each being analyzed . Based on interviews and observations of the causes of
incompleteness contained in human resources , namely doctors , nurses . Most of the
physicians who practice at the hospital . Eye \" Dr . Yap \" is a doctor , the doctor busyness
in serving patients , physicians indiscipline in completing medical resume sheet , limited
practice time , and doctors working in various health care . While the nurse was still less
alert physicians to complete medical resume sheet also be a factor incompleteness
medical resume sheet . HR factor in charging sheets on medical resume not abide by the
rules , while the existing rules and is good . In addition other factors that have not been
enactment of punishment and reward . The efforts made by the Installation Medical
Record sheet is to verify the completeness of medical resume , medical resume sheet
returns to the physician in charge , conduct meetings completeness of the medical record
file and perform the communication between the officer and physician medical records . |
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