Analisis Konsep Hospital Without Walls pada Pelayanan Kelainan Refraksi di UPTD Rumah Sakit Mata Provinsi Sulawesi Utara
DOI:
https://doi.org/10.35790/msj.v6i1.49221Abstract
A hospital without walls or known as a hospital without walls is very useful for patients who come to the hospital for treatment with referrals from the public health center as the entry point for referral diagnosis, this is to minimize the risk of infection transmission and other disease problems. The purpose of this study is to analyze the concept of a hospital without walls and the obstacles and challenges in providing refractive errors. The research was conducted at the UPTD Eye Hospital in North Sulawesi Province, from January to December 2022 using in-depth interviews with five research informants, namely the director, head of medical services, ophthalmologist, family doctor and patient. Instruments in the form of in-depth interview guidelines and a list of questions that have been provided. The stages of data processing are narrating, inferring, reducing, recording, sampling, unitizing. Data analysis is content analysis. The validity of the research results using triangulation of data sources and methods. The results of this study were obtained from the summary of the answers of the research informants that the concept of a hospital without walls all understand and know this concept to mitigate the accumulation of services in hospitals, but this concept has not been implemented because there are several factors such as standard operating procedures, human resources and infrastructure which is not yet possible for some FKTPs to be able to complete services at the community health center or family doctor, the obstacle presented by the informant is that there are still many patients who want to carry out direct services to the hospital without going to the health center or family doctor, another obstacle is the lack of tools for examining refractive errors and competence general practitioners to be able to make referrals in the diagnosis of disease. Hospital income will also increase if implementing this concept, if there is collaboration with related stakeholders such as BPJS Health, the Health Service, and other private parties, so that this will also have a good impact on the quality of service when hospital accreditation is carried out. The sophistication of information technology needs to be implemented as much as possible from the hospital so that it is easier so that patients do not pile up during services by registering online. The conclusion of this study is that the concept of a hospital without walls has not been implemented in the Eye Hospital of North Sulawesi Province because it has not followed standard operating procedures, quality competent resources and adequate infrastructure. FKTP Puskesmas in providing refractive error services have not provided complete supporting tools and the skills of FKTP doctors are still lacking, this will have an impact on assessing hospital accreditation in the quality of health services.
Keywords: hospitals without walls, eye refractive error, family doctors
References
Permenkes RI. Peraturan Menteri Kesehatan Republik Indonesia No 5 tentang panduan praktik klinis bagi dokter di fasilitas pelayanan kesehatan primer. Jakarta: Menteri Kesehatan Republik Indonesia; 2014. Available from: https://peraturan.bpk.go.id/Details/116719/permenkes-no-5-tahun-2014
Permenkes RI. Peraturan Menteri Kesehatan Republik Indonesia No. 4 tentang kewajiban rumah sakit dan kewajiban pasien. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018. Available from: https://peraturan.bpk.go.id/Details/111761/permenkes-no-4-tahun-2018
Peraturan Pemerintah Republik Indonesia No 47 Tahun 2021 tentang penyelenggaraan bidang perumahsakitan. Jakarta: Presiden Republik Indonesia; 2021. Available from: https:// peraturan.bpk.go.id/Details/161982/pp-no-47-tahun-2021
Permenkes RI. 2016. Peraturan Menteri Kesehatan No 29 Tahun 2016 tentang penyelenggaraan pelayanan kesehatan mata di fasilitas pelayanan kesehatan. BN.2016/NO. 1067. Available from: https:// peraturan.bpk.go.id/Home/Details/113060/permenkes-no-29-tahun-2016
Annisa V, Jati SP, Budiyanti RT. Analisis pelaksanaan program rumah sakit tanpa dinding (hospital without walls) pada fase pra hospital di RSJD Dr. Amino Gondohutomo. Jurnal Kesehatan Masyarakat (JKM). 2021;9(2):274-5. Available from: https://doi.org/10.14710/jkm.v9i2.28896.
Masruroh M, Haq FFS, Sugiarto A. Implementation of hospital without walls. Jurnal Keperawatan. 2020;12(4):952-68.
Waworuntu MY, Ratag GAE, Lapian J. Peluang dan tantangan hospital without walls pelayanan kesehatan anak. Indonesian Journal of Public Health and Community Medicine. 2020;1(3):62-8.
Mewengkang ML, Ratag GAE, Posangi J. Peluang pelaksanaan dan tantangan pengembangan hospital without walls pada pelayanan kebidanan dan kandungan di RSUD Noongan. e-CliniC. 2021;9(2):532–40. Doi: 10.35790/ecl.v9i2.36903.
Tampian Z, Wariki WMV, Ratag AE. Penerapan konsep hospital without walls dalam rangka menurunkan angka cold case di pelayanan kesehatan Poli Gigi dan Mulut. Medika Saintika. 2021;12(2). Doi: http://dx.doi.org/10.30633/jkms.v12i2.1111.
Waworuntu LV, Manampiring AE, Ratag GAE. penerapan konsep hospital without walls pelayanan kesehatan kulit dan kelamin di Rumah Sakit Umum Maria Walanda Maramis Minahasa Utara. Medical Scope Journal (MSJ). 2022;3(2):185-93. Doi: 10.35790/msj.v3i2.40927
Kemenkes RI. 2021. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/4829 tentang pedoman pelayanan kesehatan melalui telemedicine pada masa pandemi corona virus disease 2019 (COVID-19). Jakarta: Kementerian Kesehatan Republik Indonesia; 2021. Available from: https:// peraturan.bpk.go.id/Details/171640/keputusan-menkes-no-hk0107menkes46382021
Kepmenkes RI. 2022. Keputusan Menteri Kesehatan Republik Indonesia No 1128 Tahun 2022 tentang standar akreditasi rumah sakit. Available from: https:// yankes.kemkes.go.id/view_unduhan/59/ keputusan-menteri-kesehatan-ri-nomor-1128-tahun-2022-tentang-standar-akreditasi-rs
O'Donnell B, Gupta V. Continuous Quality Improvement In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan. 2023 Apr 3. PMID: 32644665. Bookshelf ID: NBK559239
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Gabriella O. Mokolensang, Aaltje E. Manampiring, Jimmy Posangi
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
COPYRIGHT
Authors who publish with this journal agree to the following terms:
Authors hold their copyright and grant this journal the privilege of first publication, with the work simultaneously licensed under a Creative Commons Attribution License that permits others to impart the work with an acknowledgment of the work's origin and initial publication by this journal.
Authors can enter into separate or additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (for example, post it to an institutional repository or publish it in a book), with an acknowledgment of its underlying publication in this journal.
Authors are permitted and encouraged to post their work online (for example, in institutional repositories or on their website) as it can lead to productive exchanges, as well as earlier and greater citation of the published work (See The Effect of Open Access).