| dc.description | The health service institutions must always give the service to all people so that the optimal health degree can be achieved. This case encourages the improvement of health service in many institutions which is supported by several related factors, for instance by providing medical records in every health service facility. In health service area, the most important thing is to provide health services by giving information to hospitals, medical staff, and patients in order to meet the needs of hospital management especially related to obtain the data. The health service is one of people primer needs to achieve the optimal health.
Based on the regulation of Health Minister (Permenkes) number 269/menkes/Per/III/2008 about the medical record files, medical record file is a file that contains notes and documents such as patient identity, examination results, treatments that have been given, and other actions and services that have been given to the patient. The medical record unit is responsible for managing, collecting the data, processing, and presenting the patients’ data into useful health information for decision making. In addition, health services have an administrative obligation to create, store and maintain medical records . The issue of medical records aims to obtain data from patients related to medical history, past and present illness, and also treatment that has been given to patients as an effort to improve health services. The information related to identity, diagnosis, history of the disease, history of the examination, and the patient's medical history must be kept confidential by the doctor, dentist, certain health staff, management officers, and leaders of health service facilities.
Based on permenkes number 129/Menkes/SK/II/2008 about minimum hospital service standards, the provision of standard medical record files in the provision of medical record files is ≤ 10 minutes, so in the provision of medical record files starting from the registration of the patient until the medical record provided / discovered by the officer is ≥ 10 minutes. According to Health Ministry Regulation (Permenkes) number 129 / Menkes / SK / II / 2008 on Minimum Hospital Service Standards, including promotive, preventive hospital is a health facility that organizes individual health services, including promotive preventive, curative, and rehabilitative services which mainly provides inpatient, outpatient, and emergency care services. The Hospital Minimum Service Standards is the provision of the service type and the basic quality services that become the compulsory matter of the area which must be acquired by all people minimally. Furthermore, it is also a specification about the minimum service benchmarks provided by public service agencies to the public.
A fast and accurate service in providing and distributing medical records can provide convenience to doctors in providing further services and provide satisfaction to patients because the examination will be done quickly without too much waiting for the arrival of medical records. Surely, the quick and accurate provision and distribution of medical records is not separated from the cooperation between various units in the hospital; because of the lack of optimization in the cooperation between units in the hospital, the provision and distribution of
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medical record files will not go smoothly. In addition, SIM (management information system) also has an important influence in order to optimize the service, in which the management information system is a collection of subsystems that are mutually integrated and collaborate to assist management to solve problems and provide a good quality of information to management by processing the data with computer so that it gives added values and is useful for user, or by processing the data with computers so that it produces added values
The implementation of medical records is still not perfect, medical records are still considered not too important by some health service whereas the quality of medical records is a reflection of good or bad health services. Medical record is one of the data that can be used to prove malpractice case in court. The medical records are also one of the documentations of the patient's condition, and the contents of the medical record are considered confidential. Therefore, they must be kept confidential by every health worker. The delays in medical records cause the delays of taking care of the patients in the clinic. Consequently, doctors cannot immediately document the services already provided, and doctors cannot see what treatments have been done to the patients, so that it can lead to undesired effect.
The research study aimed at analyzing the process of medical record files provision and distribution in the polyclinics of Yogyakarta public hospital and analyzing any factors that cause the delays of medical record files provision and distribution to the polyclinics of the public hospital of Yogyakarta. | en_US |
| dc.description.abstract | Yogyakarta Region Public Hospital (RSUD Yogyakarta) is a B type Education Hospital with strategic location in the middle of Yogyakarta city. The results of the survey of Public satisfaction index in 2015 with responsive service category reached 72.01% with the conclusion of service quality B with good service unit performance. However, there were still complains existed whether the internal or external especially about long-awaited medical record. The objectives of this research were to analyze the process of providing and distributing medical record files of Yogyakarta Region Public Hospital policlinics, and analyze any possible factors related to the inaccurate timing of provision and distribution of medical record files in policlinics of RSUD Yogyakarta. This research applied mix method namely quantitative and qualitative. The population of polyclinic patients in 2015 was 108.451, sampling technique object by using purposive sampling gained 399 medical record files, while subject samplings were 2 registration staff, 2 filling staff, 1 tracer staff, 2 distribution staff, 2 verification staff, and 3 policlinic nurses. Data collection techniques were observation, interview, and documentation study. Quantitative data were analyzed descriptively, while qualitative data were analyzed using coding. The on time percentage of the provision and distribution of medical record files in accordance with the regulation of Health Minister (Permenkes) number 129 year 2008 was 13 medical record files or 3%, while the on time number of the provision and distribution of medical record files in accordance with hospital SPO was 106 medical record files or 27 %. The average time needed to the provision and distribution of medical record files was about 41 minutes 43 seconds. The punctuality of officers returning medical record files will help the punctuality in the provision and distribution of medical record files. Composing SPO in distribution is the main improvement effort as reference for the distribution of medical records file at RSUD Kota Yogyakarta. | en_US |
