Analisis Pelaksanaan Clinical Pathway Berdasarkan Perspektif Pasien dan Tenaga Kesehatan
Abstract
Penerapan clinical pathway di rumah sakit memberikan pelayanan yang aman, berkualitas, dan efektif kepada pasien dengan menjaga kepentingan mereka sesuai dengan standar pelayanan. Tujuan dari penelitian ini adalah untuk menganalisis pelaksanaan Clinical Pathway dari perspektif pasien dan tenaga kesehatan dengan metode mix-methods. Dalam metode kuantitatif, 361 pasien menjadi sampel penelitian yang dianalisis secara univariat, sedangkan metode kualitatif menggunakan teknik wawancara mendalam terhadap informan komite medik, manajemen, komite mutu, case manager, dokter, perawat, farmasi dan nutrisionis. Analisis data kualitatif dilakukan dengan teknik triangulasi. Hasil penelitian menggambarkan pelaksanaan Clinical Pathway menurut perspektif pasien secara umum berjalan dengan baik dengan persentase sebesar 66,5% akan tetapi masih banyak pasien yang menjawab pelaksanaan Clinical Pathway kurang baik dengan persentase sebesar 33,5%. Pelaksanaan Clinical Pathway berdasarkan perspektif tenaga kesehatan sudah berjalan dengan baik namun sering ditemukan beberapa kendala dalam pelaksanaaan terkhususnya dalam komunikasi, pelatihan, komitmen, serta monitoring dan evaluasi yang berkelanjutan terhadap pelaksanaan Clinical Pathway masih kurang.
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Akademica, S., & Pendidikan, J. (2019). Analisis Pelaksanaan Clinical Pathway di Rumah Sakit Umum dr . Fauziah Bireun. Pendidikan, Sains, Dan Humaniora, 7(4), 538–550.
Alfano, C. M., Jefford, M., Maher, J., Birken, S. A., & Mayer, D. K. (2019). Building Personalized Cancer Follow-up Care Pathways in the United States: Lessons Learned From Implementation in England, Northern Ireland, and Australia. American Society of Clinical Oncology Educational Book, 39, 625–639. https://doi.org/10.1200/EDBK_238267
AlOmari, F. (2021). Measuring gaps in healthcare quality using SERVQUAL model: challenges and opportunities in developing countries. Measuring Business Excellence, 25(4), 407–420. https://doi.org/10.1108/MBE-11-2019-0104
Andersen‐Hollekim, T. E., Kvangarsnes, M., Landstad, B. J., Talseth‐Palmer, B. A., & Hole, T. (2019). Patient participation in the clinical pathway—Nurses’ perceptions of adults’ involvement in haemodialysis. Nursing Open, 6(2), 574–582. https://doi.org/10.1002/nop2.241
Asmirajanti, M., Syuhaimie Hamid, A. Y., & Hariyati, T. S. (2018). Clinical care pathway strenghens interprofessional collaboration and quality of health service: a literature review. Enfermería Clínica, 28, 240–244. https://doi.org/10.1016/S1130-8621(18)30076-7
Aspland, E., Gartner, D., & Harper, P. (2021). Clinical pathway modelling: a literature review. Health Systems, 10(1), 1–23. https://doi.org/10.1080/20476965.2019.1652547
Berg, U., Berg, M., Rolfson, O., & Erichsen-Andersson, A. (2019). Fast-track program of elective joint replacement in hip and knee - Patients’ experiences of the clinical pathway and care process. Journal of Orthopaedic Surgery and Research, 14(1), 1–8. https://doi.org/10.1186/s13018-019-1232-8
Brahmbhatt, K., Kurtz, B. P., Afzal, K. I., Giles, L. L., Kowal, E. D., Johnson, K. P., Lanzillo, E., Pao, M., Plioplys, S., & Horowitz, L. M. (2019). Suicide Risk Screening in Pediatric Hospitals: Clinical Pathways to Address a Global Health Crisis. Psychosomatics, 60(1), 1–9. https://doi.org/10.1016/j.psym.2018.09.003
Dwi Astuti, Y., Dewi, A., & Arini, M. (2017). Evaluasi Implementasi Clinical Pathway Sectio Caesarea di RSUD Panembahan Senopati Bantul. Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit, 6(2). https://doi.org/10.18196/jmmr.6133
Endang Widi Winarni. (2018). Teori dan Praktik Penelitian Kuantitatif, Kualitatif, PTK, R & D (R. A. Kusumaningtyas (ed.); 1st ed.). Bumi Aksara.
Fitria, A., Armani, A. S., Rochmah, T. N., Purwaka, B. T., & Pudjirahardjo, W. J. (2021). Penerapan Clinical Pathways sebagai Instrumen Pengendalian Biaya Pelayanan : Studi Penelitian Tindakan Penderita BPJS yang Menjalani Operasi Caesar dengan Sistem Pembayaran INA-CBG. Jurnal Keperawatan Silampari, 4(2), 593–599. https://doi.org/10.31539/jks.v4i2.1546
Improta, G., Balato, G., Ricciardi, C., Russo, M. A., Santalucia, I., Triassi, M., & Cesarelli, M. (2019). Lean Six Sigma in healthcare. The TQM Journal, 31(4), 526–540. https://doi.org/10.1108/TQM-10-2018-0142
Long, Q., Jiang, W., Dong, D., Chen, J., Xiang, L., Li, Q., Huang, F., Lucas, H., & Tang, S. (2020). A New Financing Model for Tuberculosis (TB) Care in China: Challenges of Policy Development and Lessons Learned from the Implementation. International Journal of Environmental Research and Public Health, 17(4), 1400. https://doi.org/10.3390/ijerph17041400
Platz, T. (2019). Evidence-Based Guidelines and Clinical Pathways in Stroke Rehabilitation—An International Perspective. Frontiers in Neurology, 10. https://doi.org/10.3389/fneur.2019.00200
Putri H, Y., Girsang, E., & Sari Mutia, M. (2022). Implementation Analysis Of Clinical Pathway At Royal Prima Hospital. International Journal of Health and Pharmaceutical (IJHP), 3(2), 216–224. https://doi.org/10.51601/ijhp.v3i2.146
Rovels Agber Maywell Iroth1, A. A. (2019). the Impact of Clinical Pathway To Effectiveness of Patient Care in Current Medical Practice in Hospital: a Literature Review. Proceedings of International Conference on Applied Science and Health, 4, 864–872.
Sayre, K. S., Kovatch, K. J., Hanks, J. E., Stucken, C. L., & Ward, B. B. (2021). Current Practices in Microvascular Reconstruction by Oral and Maxillofacial Surgeons. Journal of Oral and Maxillofacial Surgery, 79(9), 1963–1969. https://doi.org/10.1016/j.joms.2021.04.008
Scala, A., Ponsiglione, A. M., Loperto, I., Della Vecchia, A., Borrelli, A., Russo, G., Triassi, M., & Improta, G. (2021). Lean Six Sigma Approach for Reducing Length of Hospital Stay for Patients with Femur Fracture in a University Hospital. International Journal of Environmental Research and Public Health, 18(6), 2843. https://doi.org/10.3390/ijerph18062843
Sumarni, T., & Yulastri. (2019). Clinical Pathway dalam Pelayanan Sectio Caesar. NERS: Jurnal Keperawatan, 15(1), 54–59.
Wardhana, A., Rahayu, S., & Triguno, A. (2019). Implementasi Clinical Pathway Tahun 2018 dalam Upaya Meningkatkan Mutu Pelayanan di Rumah Sakit Umum Daerah Koja. Majalah Sainstekes, 6(1). https://doi.org/10.33476/ms.v6i1.1217
Y. Sihotang, W., Girsang, E., I.N. Silangit, S., & A.F. Depari, S. (2022). Implementation of Lean Management for Covid-19 Patient Services at Hospitals in Deli Serdang. International Journal of Health and Pharmaceutical (IJHP), 3(1), 55–62. https://doi.org/10.51601/ijhp.v3i1.119
DOI: http://dx.doi.org/10.30829/jumantik.v9i2.16079
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