Evaluation of waiting time for outpatient services at Respira Hospital Yogyakarta using discrete system simulation

Yuli Dwi Astanti, Berty Dwi Rahmawati, Ahmad Taufiq Akbar, Alya Pangesti Rysnalendra

Abstract


The Ministry of Health of the Republic of Indonesia has established standard rules for the quality of outpatient service in hospitals. One indicator of the quality of outpatient services at a hospital is the patient's waiting time to be served either by a specialist or other services such as a pharmacy. Respira Hospital Yogyakarta is a special pulmonary and respiratory hospital in Yogyakarta that continues to improve the quality of its services. Based on the results of observations and interviews it is known that in terms of waiting time, patients at Respira Hospital Yogyakarta still have to wait to get service. Examples of queues that occur include patients waiting for a specialist doctor's examination for around 75 to 90 minutes. waiting at the pharmacy and cashier for up to 60 minutes or more. This study attempts to evaluate the waiting time for outpatient services at Respira Hospital Yogyakarta using a simulation. Based on the simulation results, it is known that the patient's waiting time in the system is 217.33 minutes and the longest waiting time is in the pediatric polyclinic and pharmacy departments. After the scenario implementation were made, namely in the pediatric polyclinic and pharmacy sections, the waiting time decreased to 177.19 minutes. This means that evaluations carried out using simulations can help hospitals reduce waiting time for outpatients

Keywords


Waiting Time; Hospital; Discrete Event Simulation; Promodel;

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References


Undang-Undang RI, Undang-Undang Republik Indonesia Nomor 44 Tahun 2009 Tentang Rumah Sakit. 2009. [Online]. Available: http://dx.doi.org/10.1016/j.jsames.2011.03.003%0Ahttps://doi.org/10.1016/j.gr.2017.08.001%0Ahttp://dx.doi.org/10.1016/j.precamres.2014.12.018%0Ahttp://dx.doi.org/10.1016/j.precamres.2011.08.005%0Ahttp://dx.doi.org/10.1080/00206814.2014.902757%0Ahttp://dx.

D. Fatrida and A. Saputra, “Hubungan Waktu Tunggu Dengan Tingkat Kepuasan Pasien Dalam Mendapatkan Pelayanan Kesehatan,” J. ’Aisyiyah Med., vol. 4, no. 1, pp. 11–21, 2019.

E. Simanjuntak, “Pengaruh Waktu Tunggu Petugas Pelayanan Rekam Medis Terhadap Kepuasan Pasien di Pendaftaran Rawat Jalan di RSUD Dr. M. Djoelham Binjai Tahun 2015,” J. Ilm. Perekam dan Inf. Kesehat. Imelda, vol. 1, no. 1, pp. 35–38, 2016.

T. Torry, M. Koeswo, and S. Sujianto, “Faktor yang Mempengaruhi Waktu Tunggu Pelayanan Kesehatan kaitannya dengan Kepuasan Pasien Rawat Jalan Klinik penyakit dalam RSUD Dr. Iskak Tulungagung,” J. Kedokt. Brawijaya, vol. 29, no. 3, pp. 252–257, 2016, doi: 10.21776/ub.jkb.2016.029.03.3.

N. E. Sari, I. Indasah, and S. I. Suprapto, “Analysis of Waiting Time Factors and Patient Satisfaction Level in Diseases Poly in Hospital dr. Sayidiman Magetan,” J. Qual. Public Heal., vol. 3, no. 2, pp. 408–413, 2020, doi: 10.30994/jqph.v3i2.90.

A. Dewi, Eravianti, and D. K. Putri, “Hubungan Lama Waktu Tunggu Pasien Dengan Kepuasan Pasien Di Puskesmas Lubuk Begalung,” in Prosiding Seminar Nasional STIKES Syedza Saintika, 2020, pp. 45–54.

D. Dahyanto and F. Arofiati, “The Analysis of Inpatients Satisfaction on Service Quality At Yogyakarta Respira Hospital,” J. Medicoeticolegal dan Manaj. Rumah Sakit, vol. 7, no. 2, pp. 162–169, 2018, doi: 10.18196/jmmr.7269.

Indeks Kepuasan Masyarakat Rumah Sakit Respira 2023, “Berita,” 2023. https://rsprespira.jogjaprov.go.id/indeks-kepuasan-masyarakat-2022/#respond (accessed Jun. 05, 2023).

Menteri Kesehatan Republik Indonesia, “Menteri Kesehatan Republik Indonesia Nomor : 129/Menkes/SK/II/2008.” DKI Jakarta, Indonesia, 2008.

F. Mayasari, “Analisis Hubungan Waktu Pelayanan dan Faktor Total Quality Service Terhadap Kepuasan Pasien di Poliklinik Kebidanan dan Kandungan RSIA Anugerah Medical Centre Kota Metro Tahun 2015,” J. Adm. Rumah Sakit Indones., vol. 2, no. 3, pp. 214–230, 2016, doi: 10.7454/arsi.v2i3.2203.

D. D. Lestari, S. K. Parinduri, and R. Fatimah, “Hubungan Waktu Tunggu Pelayana Rawat Jalan Terhadap Kepuasan Pasien Di Poliklinik Spesialis Penyakit Dalam Rsud Kota Bogor Tahun 2018-2019,” Promot. J. Mhs. Kesehat. Masy., vol. 3, no. 3, pp. 231–240, 2020, doi: 10.32832/pro.v3i3.4172.

J. B. Jun, S. H. Jacobson, and J. R. Swisher, “Application of discrete-event simulation in health care clinics: A survey,” J. Oper. Res. Soc., vol. 50, no. 2, pp. 109–123, 1999, doi: 10.1057/palgrave.jors.2600669.

M. M. Günal and M. Pidd, “Discrete event simulation for performance modelling in health care: A review of the literature,” J. Simul., vol. 4, no. 1, pp. 42–51, 2010, doi: 10.1057/jos.2009.25.

I. Berlianty, Y. D. Astanti, and I. Soejanto, “Application Of Discrete-Event Simulation in Health Care : A Preleminary Studies,” in Prosiding Seminar Nasional Tekniologi Informasi dan Kedirgantaraan, Yogyakarta, 2019, pp. 501–506. doi: 10.28989/senatik.v5i0.380.

E. Febianti, Y. Muharni, and E. A. Mustikawati, “Pendekatan lean healthcare dan simulasi untuk meminimasi waktu pelayanan rawat jalan di rsud x,” J. Ind. Serv., vol. 4, no. 1, pp. 38–46, 2018.

Y. Widiatama, “SIMULASI PERBAIKAN ALUR PELAYANAN PASIEN RAWAT JALAN DENGAN PENDEKATAN LEAN HOSPITAL PADA RUMAH SAKIT UMUM ( RSU ) KABUPATEN TANGERANG,” JITMI, vol. 1, no. 1, pp. 37–49, 2018.

N. Trisnawati, A. Bahauddin, and R. Ekawati, “Rancangan Perbaikan Pelayanan Puskesmas dengan Pendekatan Lean Healthcare dan Simulasi,” J. Tek. Ind., vol. 1, no. 1, pp. 71–76, 2013, [Online]. Available: http://download.portalgaruda.org/article.php?article=313736&val=7597&title=Rancangan Perbaikan Pelayanan Puskesmas dengan Pendekatan Lean Healthcare dan Simulasi

P. Sharma, “Discrete-Event Simulation,” Int. J. Sci. Technol. Res. Vol., vol. 4, no. 04, pp. 136–140, 2015.

K. Chahal and T. Eldabi, “Applicability of Hybrid Simulation To Different Modes Of Governance in UK Healthcare,” in Proceedings of the 2008 Winter Simulation Conference, 2008, pp. 1469–1477.

M. P. Fanti and W. Ukovich, “Discrete event systems models and methods for different problems in healthcare management,” 19th IEEE Int. Conf. Emerg. Technol. Fact. Autom. ETFA 2014, 2014, doi: 10.1109/ETFA.2014.7005031.

N. B. Puspitasari, “Simulasi Pelayanan Puskesmas Sandang Serang,” J. J@ti Undip, vol. IV, no. 3, pp. 177–184, 2009.

A. Darmawan and D. F. Anindar, “Analisis Sistem Antrian Unit Rawat Jalan Subspesialis Untuk Minimasi Waktu Tunggu Pasien,” in Prosiding Seminar Nasional IDEC 2014, Surakarta, 2014, pp. 206–212.

N. Trisna, W. Safitri, and M. Pratiwi, “Penerapan Sistem Antrian Sebagai Upaya Pengoptimalkan Pelayanan Terhadap Pasien Pada Loket Pengambilan Obat Di Rsi. Ibnu Sina Pasaman Barat Dengan Menggunakan Metode Monte Carlo,” J. Teknol. Inf., vol. 3, no. 1, p. 7, 2019, doi: 10.36294/jurti.v3i1.681.

D. P. Sari and A. M. S. Asih, “Simulasi Antrian Untuk Appointment scheduling Pada Sistem Pelayanan Kesehatan ( Studi Kasus Poliklinik Penyakit Dalam ),” J. Teknosains, vol. 5, no. 1, pp. 49–60, 2015.

M. I. D. Putra, I. Berlianty, I. Soejanto, and Y. D. Astanti, “Pendekatan Simulasi Sistem Diskrit Dalam Mengurangi Waktu Tunggu Antrian Dengan Perbaikan Sistem Appointment Scheduling,” JJurtie urnal Tek. Inform. dan Elektro, vol. 4, no. 2, pp. 60–72, 2022, doi: 10.55542/jurtie.v4i2.253.

C. Harrel, B. K. Ghosh, and R. Boyden, Simulation Using Promodel. McGraw Hill, 2000.

J. Banks, B. L. Nelson, J. S. Carson, and D. M. Nicol, Discrete-Event System Simulation. 2010. doi: 10.2307/1268124.




DOI: https://doi.org/10.31315/opsi.v16i2.11536

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