Eksplorasi Pengelolaan Sarana dan Prasarana dalam Upaya Peningkatan Mutu Pelayanan Rumah Sakit: Studi Kualitatif
DOI:
https://doi.org/10.35870/emt.v10i3.6332Keywords:
Management of Facilities and Infrastructure, Quality of Service, Maternity and Children's Hospital, Hospital ManagementAbstract
This study aims to analyze the management of health facilities and infrastructure, identify supporting and inhibiting factors, and examine the influence of facility and infrastructure management on service quality at the Anugerah Medical Center Metro Lampung Maternity and Child Hospital (RSIA). The study uses a qualitative approach with descriptive methods. Data collection was conducted through in-depth interviews, direct observation, and documentation studies with purposively selected informants, including elements of management, health workers, administrative staff, and patients or patient families. Data validity was guaranteed through source and technical triangulation. The results of the study indicate that the management of facilities and infrastructure at the Anugerah Medical Center Metro Lampung Maternity and Child Hospital has been implemented systematically through the stages of planning, procurement, maintenance, and supervision and evaluation, although not yet fully optimal. The main supporting factors include the hospital management's commitment to improving service quality and patient safety, as well as internal policy support. Meanwhile, inhibiting factors are more technical and managerial in nature, such as the time-consuming procurement administration process, limited human resources specifically for facility maintenance, and suboptimal cross-unit coordination. The management of facilities and infrastructure has been shown to significantly impact service quality, particularly in terms of service effectiveness, patient comfort, and healthcare worker performance. The conclusion of this study indicates that the management of facilities and infrastructure is a crucial component in supporting the quality of healthcare services at the Anugerah Medical Center Metro Lampung Hospital. Therefore, it is recommended that the hospital strengthen short-term and long-term planning, optimize the integrated electronic inventory system, improve the competency of human resource facility managers, and strengthen cross-unit coordination and supervision to ensure the sustainability of the quality of maternal and child healthcare services.
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References
Alexander, K. (1996). Facilities management: Theory and practice.
Ambari, A., Sunarsih, E., & Minarti, M. (2023). Studi literatur tentang peningkatan manajemen mutu pelayanan kesehatan di rumah sakit Indonesia. JNPH, 11(2), 318–330.
Bekele, C., Bekele, D., Hunegnaw, B. M., Van Wickle, K., Gebremeskel, F. A., Korte, M., Tedijanto, C., Taddesse, L., & Chan, G. J. (2022). Impact of the COVID-19 pandemic on utilisation of facility-based essential maternal and child health services from March to August 2020 compared with pre-pandemic March-August 2019: A mixed-methods study in North Shewa Zone, Ethiopia. BMJ Open, 12(6). https://doi.org/10.1136/bmjopen-2021-059408.
Darzi, M. A., Islam, S. B., Khursheed, S. O., & Bhat, S. A. (2023). Service quality in the healthcare sector: A systematic review and meta-analysis. LBS Journal of Management & Research, 21(1), 13–29. https://doi.org/10.1108/lbsjmr-06-2022-0025.
Ebiloma, D. O., Aigbavboa, C. O., & Anumba, C. (2023). Towards digital twin maintenance management of health facilities in Nigeria: The need for maintenance documentation. Buildings, 13(5). https://doi.org/10.3390/buildings13051339.
Fachrurrozi, A., Prayogo, D. Y., & Mulyanti, D. (2023). Systematic literature review: Strategi peningkatan mutu pelayanan kesehatan di rumah sakit. Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE), 2(1).
Hasan, M., Khairani, H. T., Hasibuan, S., Rodliyah, I., Thalhah, S. Z., Rakhman, C. U., Widiastuti, P., Inanna, I., Mattunruang, A. A., Nursaeni, N., Yusriani, Y., Nahriana, N., Silalahi, D., Hasyim, S. H., Rahmat, A., Ulfah, Y. F., & Arisah, N. (2022). Metode penelitian kualitatif.
Khatri, R. B., Assefa, Y., & Durham, J. (2022). Assessment of health system readiness for routine maternal and newborn health services in Nepal: Analysis of a nationally representative health facility survey, 2015. PLOS Global Public Health, 2(11). https://doi.org/10.1371/journal.pgph.0001298.
Layli, R. (2022). Pengaruh mutu pelayanan kesehatan dengan kepuasan pasien rawat inap di rumah sakit: Literature review. Jurnal Pendidikan Tambusai, 6(2), 12746–12752.
Mega, F. Z., Haninun, H., & Rahayu, N. P. W. (2024). Exploring the effects of work motivation and organizational culture on employee performance at the Bandar Lampung Middle Tax Service Office. Journal of Management, Business, and Social Science, 4, 266–275.
Omar, M. F., Ibrahim, F. A., & Wan Omar, W. M. S. (2017). Key performance indicators for maintenance management effectiveness of public hospital building. MATEC Web of Conferences, 1–6.
Orwa, J., Temmerman, M., Nyaga, L., Mulama, K., & Luchters, S. (2023). Health facilities preparedness to deliver maternal and newborn health care in Kilifi and Kisii Counties, Kenya. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-09884-9.
Pink Berlianto, M. (2022). The service quality, patient satisfaction and its impact to patient loyalty at X Hospital. Enrichment: Journal of Management, 12(4).
Powell-Jackson, T., King, J. J. C., Makungu, C., Quaife, M., & Goodman, C. (2024). Management practices and quality of care: Evidence from the private health care sector in Tanzania. The Economic Journal, 134(657), 436–456. https://doi.org/10.1093/ej/uead075.
Septiani, S., Solin, A. P., Khairunnisa, S. A., Dinata, A. S., Siregar, W., & Agustina, D. (2023). Management of medicines and health supplies hospitals in Indonesia. PROMOTOR: Jurnal Mahasiswa Kesehatan Masyarakat, 6(6), 622–625.
Tanjung, I. M., Nadapdap, T., & Muhammad, I. (2023). Evaluasi mutu pelayanan kesehatan terhadap kepuasan pasien di Instalasi Rawat Inap RS Imelda Pekerja Indonesia Medan. Detector: Jurnal Inovasi Riset Ilmu Kesehatan, 1(4), 121–134. https://doi.org/10.55606/detector.v1i4.2531.
Tristanti, S., Kurniawan, R., & Ambarsari, A. (2017). Medical equipment management: A case study from Wiyung Sejahtera Hospital in Surabaya, Indonesia. International Journal of Research in Advent Technology, 5(3).
Wafula, S. T., Kananura, R. M., Pande, G., Kizito, F., Namutamba, S., Kyobe, B., Agiraembabazi, G., Ekirapa-Kiracho, E., & Waiswa, P. (2024). Effect of community-facility linked interventions on maternal health service utilization and newborn care in rural low-resource settings in Eastern Uganda. BMC Pregnancy and Childbirth, 24(1). https://doi.org/10.1186/s12884-024-06883-4.
Ward, C., Phiri, E. R. M., Goodman, C., Nyondo-Mipando, A. L., Malata, M., Manda, W. C., Mwapasa, V., & Powell-Jackson, T. (2025). What is the relationship between hospital management practices and quality of care? A systematic review of the global evidence. Health Policy and Planning, 40(3), 409–421. https://doi.org/10.1093/heapol/czae112.
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