Implementation Analysis Of Clinical Pathway At Royal Prima Hospital
DOI:
https://doi.org/10.51601/ijhp.v3i2.146Keywords:
Regulation, Compliance, Supporting Factors, Inhibiting Factors and Clinical Pathway Implementation.Abstract
Clinical pathways are an important part of documents and tools in realizing good clinical
governance in hospitals. In Indonesia, this document is also one of the requirements that must be
met in the KARS version of the Hospital Accreditation Standard. However, the process of
implementing this Clinical Pathway itself also has various problems. Things that might hinder
the implementation of this clinical pathway could come from the staff and hospital members
themselves because they have not adapted to this Clinical Pathway. This study aims to analyze
the implementation of the Clinical Pathway at the Royal Prima Hospital in Medan. This study
uses a quantitative design with a cross sectional approach. The research sample was all doctors,
nurses, nutritionists, pharmacists at the Royal Prima Hospital Medan who filled the Clinical
Pathway as many as 83 people. The results of the Fisher's Exact test showed that there was a
significant effect between regulation (p=0.000), compliance (p=0.004), supporting factors
(p=0.025), and inhibiting factors (p=0.002). By using the t-test at a significance level of 0.05,
the results obtained that regulation is the variable that has the main influence on the
implementation of the Clinical Pathway at Royal Prima Hospital Medan (Sig.0.001). Suggestions
to hospitals are expected to strengthen policies regarding the implementation of Clinical
Pathway to improve health services in hospitals. Caregivers are expected to maintain
compliance with the implementation of the Clinical Pathway to improve health services in
hospitals.
References
Butow, Phyllis, et al. Clinical Pathway for The Screening, Assessment and Management of Anxiety and Depression in Adult Cancer Patients: Australian Guidelines. Psycho‐Oncology, 24.9, 2015 p. 987-1001.
Permenkes RI. Peraturan Menteri Kesehatan Republik Indonesia No. 69 Tahun 2013 Tentang Standar Tarif Pelayanan Kesehatan Pada Fasilitas Kesehatan Tingkat Pertama Dan Fasilitas Kesehatan Tingkat Lanjutan Dalam Penyelenggaran Jaminan Kesehatan, 2013
Paat, C., Kristanto, E., & Kalalo, F. P. Analisis Pelaksanaan Clinical Pathway di RSUP Prof. Dr. RD Kandou Manado. Jurnal Biomedik: JBM, 2017. p. 9(1).
Khairunnisa, I. ‘Analisis Kepatuhan Profesional Pemberi Asuhan Terhadap Penerapan Clinical Pathway Untuk Meningkatkan Mutu Pelayanan Kesehatan Di Rumah Sakit Dinda Tangerang’. Universitas Katholik Soegijapranata Semarang 2021
Suharjito, D. Pengantar Metodologi Penelitian. PT Penerbit IPB Press, 2019.
Suwendra, I. W., Metodologi Penelitian Kualitatif Dalam Ilmu Sosial, Pendidikan,
Kebudayaan Dan Keagamaan. Nilacakra. 2018
Barlian, E., Metodologi Penelitian Kualitatif & Kuantitatif. Ina-Rxiv. 2018
Ariyanti, H. R., Pengembangan Clinical Pathway Klien CVA Infark: Diagnosis Dan Intervensi Keperawatan Berbasis Sdki Dan Siki Terhadap Mutu Pelayanan Keperawatan Di Rumah Sakit’. Universitas Airlangga. 2019
Bradywood, Alison, et al. Reduction of Inpatient Hospital Length of Stay in Lumbar Fusion Patients with Implementation of An Evidence-Based Clinical Care Pathway. Spine, 2017, 42.3: p 169-176.
Chawla A, Westrich K, Matter S, Kaltenboeck A, Dubois R., ‘Care Pathways in US Healthcare Settings: Current Successes and Limitations, and Future Challenges,’ The American Journal of Managed Care. America. 2016
Sari, I. And Sundari, S., Evaluasi Implementasi Clinical Pathway Krisis Hipertensi Di Instalasi Rawat Inap Rs Pku Muhammadiyah Bantul’, Health Architecture, 1(1), 2017 p. 113–121.
Nugroho, Eko Eryanto; Mahsyar, Abd; Usman, Jaelan. Implemetasi Kebijakan Dinas Kesehatan Dalam Penanganan Gizi Buruk Pada Balita di Kabupaten Enrekang. Kajian Ilmiah Mahasiswa Administrasi Publik (KIMAP), 2020, 1.2: p. 700-714.
Devitra A. Analisis implementasi Clinical Pathway Kasus Stroke Berdasarkan INA-CBGs di Rumah Sakit Stroke Nasional Bukit Tinggi. Padang: Universitas Andalas; 2011.
Romeyke, Tobias; Stummer, Harald. Clinical Pathways as Instruments for Risk and Cost Management in Hospitals-A Discussion Paper. Global Journal of Health Science, 2012, 4.2 p. 50.
DjasrI, H. Peran Clinical Pathways dalam Sistem Jaminan Sosial Nasional Bidang Kesehatan: Materi Workshop Ina-Cbg. Imrspersi. Hotel Menara Peninsula. Jakarta, 2013.
Paat, C., Kristanto, E. And Kalalo, F. P., Analisis Pelaksanaan Clinical Pathway Di Rsup Prof. Dr. Rd Kandou Manado’, Jurnal Biomedik: Jbm, 2017 p. 9(1)
Astuti, R. W., Maidin, A. And Mangilep, A. U. A. ‘Gambaran Pelaksanaan Clinical Pathway Dari Perspektif Manajerial Di RSUD Lasinrang Kabupaten Pinrang’, 2018
Widyanita, A., Arini, M., & Dewi, A. Evaluasi Implementasi Clinical Pathway Appendicitis Akut Pada Unit Rawat Inap Bagian Bedah Di RSUD Panembahan Senopati Bantul, 2, 1–19. 2016.
Wardhana, Arroyan; Rahayu, Sri; Triguno, Ahdun. Implementasi Clinical Pathway Tahun 2018 dalam Upaya Meningkatkan Mutu Pelayanan di Rumah Sakit Umum Daerah Koja. Majalah Sainstekes, 2019, p. 6.1.
Aarhus, Rikke, et al. Coordinating Objects of Care: Exploring the Role of Case Managers as Brokers in Cancer Patient Pathways. European Journal of Cancer Care, 2019, p 28.3: 7.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Yessica Putri H, Ermi Girsang, Maya Sari Mutia
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
