Faktor-Faktor Yang Mempengaruhi Kepatuhan Dokter Dalam Mengisi Rekam Medis Di Unit Rawat Inap Rumah Sakit Wava Husada

Doby Indrawan

Abstract


The hospital is a public organization that consists of several person with their scientific competences , that is hoped to give a qualified health service to the people. The qualified health service has to be able to give clear information about what, who, when, where and how the health service will be done or had done in form of eligible medical record by the doctors and other medical persons.The study was done by survey method for three weeks on  26 respondents (general doctors and specialist) who give health service in Wava Husada Hospital Care Unit, Kepanjen. The data collecting technique is using questionaires. The data analysis methods with brainstorming and Literature Review.26 questionaires were fulfilled completely; there are doctor’s character according to age, 30% is between 25-34 years old, 25% is 45-54 years old and 20% is 55-64 years old. According to the gender, there are 80% men and 20% women. According to their competences, 20% general doctors and 80% are specialists. According to the work experience in Wava Husada Hospital, there are 48% respondent have worked for 0-5 years, 52% have worked for 6-10 years. The attitude aspects of doctor is founded to be in hurry (40%),unwilling to give their time (5%) and have ever reminded their colleague to fulfill the medical record (20%). The medical record form aspects, the doctors still thinks that the medical record for is not appropriate (15%), several doctors thinks that the working place is not comfortable (15%), have not been given feedbacks (10%) and the order to fulfll the medical report (20%). There are also found during the survey, several willings of the doctors about the medical record to be fulfilled completely according to Minimum Service Standard.Completing medical record is affected by the doctors’ attitude towards the records, the form of the medical record and the medical record person as the service agent of medical record in the hospital. It is needed a good collaboration and synergy between the medical record person, the nurses and the doctors in order to increase the medical records completing number.

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References


Lubis E. Pengaruh Karakteristik Individu dan Motivasi Ekstrinsik terhadap Kinerja Dokter dalam Kelengkapan Pengisian Rekam Medis Pasien Rawat Inap di Rumah Sakit PT Perkebunan Nusantara IV (Persero) 2009.

Pohan SI. Dasar-dasar Pengertian dan Penerapan. Jakarta: EGC; 2007.

Djojodibroto D. Kiat Mengelola Rumah Sakit. Jakarta: Hipokrates; 1997.

Kemenkes. Nomor 269/MENKES/PER/III/2008 tentang Rekam Medis. 2008.

Departemen Kesehatan Republik Indonesia Direktorat Jendral Pelayanan Medik. Pedoman Pengelolaan Rekam Medis: Jakarta; 1998.

Kemenkes. Nomor: 129/Menkes/SK/II/2008 tentang Standar Pelayanan Minimal Rumah Sakit 2008.

Rumah Sakit Wava Husada Kepanjen. Laporan Tahunan 2013.

Andrew McGhie. Psychology as Applied to Nursing. Yogyakarta: Andi Offset; 1996.

Indar I, Naiem MF. Faktor yang berhubungan dengan kelengkapan rekam medis di RSUD H. Padjonga Ngalle Takalar. Jurnal Adminsitrasi & Kebijakan Kesehatan Indonesia. 2013;2(02).

Sugiyanto Z. Analisis perilaku dokter dalam pengisian kelengkapan rekam medis lembar resume rawat inap di RS Ungaran. Ilmu Kesehatan Masyarakat. 2005.

Yuliana L. Upaya Menyelesaikan Masalah Ketidakterisian Diagnosis Akhir pada Lembar Ringkasan Masuk dan Keluar di Rumah Sakit Panti Rini Kalasan Yogyakarta 2010.

Izha Sukma Rahmadhani SS, Antik Pujihastuti,. Faktor Penyebab Ketidaklengkapan Dokumen Rekam Medis Pasien Rawat Inap Dalam Batas Waktu Pelengkapan Di Rumah Sakit Umum Daerah Dr. Moewardi Surakarta. Jurnal Kesehatan. 2008;II(2):82-8.

Konsil Kedokteran Indonesia. Manual rekam medis 2006.




DOI: https://doi.org/10.18860/jim.v1i2.4454

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