Authors:

I Gede Diki Sudarsana, Ketut Suarjana, Pande Putu Januraga

Abstract:

“ABSTRAKRSUD Kabupaten Klungkung merupakan salah satu rumah sakit yang belum dapat mencapai indikator mutu kelengkapan rekam medis 24 jam setelah selesai pelayanan. Kelengkapan, keakuratan, dan ketepatan rekam medis merupakan tanggungjawab utama dokter. Perilaku dokter dalam penyelesaian pengisian rekam medis salah satunya dapat dipengaruhi oleh kondisi kerja tempatnya bertugas. Penelitian ini bertujuan untuk mengetahui faktor-faktor kondisi kerja yang melatarbelakangi keterlambatan penyelesaian pengisian dokumen rekam medis oleh dokter di Instalasi Rawat Inap RSUD Kabupaten Klungkung. Penelitian ini menggunakan metode deskriptif kualitatif. Pengumpulan data menggunakan metode wawancara mendalam dan studi dokumentasi yang dilakukan di instalasi rawat inap RSUD Kabupaten Klungkung pada bulan April-Mei 2017. Informan pberjumlah delapan orang yang terdiri dari dokter spesialis dan manajemen rumah sakit. Hasil penelitian ini menunjukan bahwa beban kerja yang cukup tinggi, belum efektifnya supervisi, belum maksimal pengetahuan dokter terkait rekam medis, belum terbiasanya dokter menggunakan formulir rekam medis yang baru, serta belum efektifnya pelaksanaan sosialisasi melatarbelakangi keterlambatan penyelesaian pengisian rekam medis oleh dokter. Selain itu, faktor diluar kondisi kerja yang melatarbelakangi keterlambatan penyelesaian pengisian yaitu kebijakan hari libur dan kepulangan pasien diluar jam kerja dokter spesialis. Simpulan penelitian ini diketahui bahwa faktor kondisi kerja yang belum optimal di RSUD Kabupaten Klungkung melatarbelakangi terjadinya keterlambatan penyelesaian pengisian dokumen rekam medis oleh dokter spesialis di instalasi rawat inap. Maka perlu adanya perbaikan pada faktor kondisi kerja yang ada di RSUD Kabupaten Klungkung.Kata Kunci : Dokter, Kondisi Kerja, Rekam Medis. ABSTRACTKlungkung Public General Hospital has not able to achieve one of the quality indicators namely completeness of patients’ medical records after 24 hours of the patient care is finalized. The completeness and validity of the medical record is the responsibility of the physician. This study aimed at identifying factors related to the physicians’ performance in filling up the medical records. This study used a qualitative method with in-depth interviews conducted among eight specialized physician and administrative staff working at in-patient wards of Klungkung Public General Hospital from April to May 2017. The study results showed two groups of factors influencing the performance of physicians in filling up the medical records. The first was internal working condition factors consist of a high work-load, lack of socialization and supervision, lack of knowledge related to the medical records management, and problems with the new forms. The second was external factors such as off-day policy as well as the time difference between patients’ discharge and physician working hours. The study conclusion is that suboptimal working conditions influence the completeness of patients’ medical records. A human resources strategy to optimize working condition particularly for physicians, is needed.Keywords: Doctor, Work Condition, Medical Record”

Keywords

: Dokter, Kondisi Kerja, Rekam Medis. ABSTRACTKlungkung Public General Hospital has not able to achieve one of the quality indicators namely completeness of patients’ medical records after 24 hours of the patient care is finalized. The completeness and validity of the medical record is the responsibility of the physician. This study aimed at identifying factors related to the physicians’ performance in filling up the medical records. This study used a qualitative method with in-depth interviews conducted among eight specialized physician and administrative staff working at in-patient wards of Klungkung Public General Hospital from April to May 2017. The study results showed two groups of factors influencing the performance of physicians in filling up the medical records. The first was internal working condition factors consist of a high work-load, lack of socialization and supervision, lack of knowledge related to the medical records management, and problems with the new forms. The second was external factors such as off-day policy as well as the time difference between patients’ discharge and physician working hours. The study conclusion is that suboptimal working conditions influence the completeness of patients’ medical records. A human resources strategy to optimize working condition particularly for physicians, is needed.Keywords: Doctor, Work Condition, Medical Record

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PDF:

https://jurnal.harianregional.com/ach/full-58119

Published

2020-03-07

How To Cite

SUDARSANA, I Gede Diki; SUARJANA, Ketut; JANURAGA, Pande Putu. ANALISIS FAKTOR – FAKTOR KONDISI KERJA YANG MELATARBELAKANGI KETERLAMBATAN PENYELESAIAN PENGISIAN DOKUMEN REKAM MEDIS OLEH DOKTER DI INSTALASI RAWAT INAP RUMAH SAKIT UMUM DAERAH KABUPATEN KLUNGKUNG.ARCHIVE OF COMMUNITY HEALTH, [S.l.], v. 4, n. 2, p. 81 - 88, mar. 2020. ISSN 2527-3620. Available at: https://jurnal.harianregional.com/ach/id-58119. Date accessed: 02 Jun. 2025. doi:https://doi.org/10.24843/ACH.2017.v04.i02.p09.

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Issue

Vol 4 No 2 (2017): Desember (2017)

Section

Articles

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