Analysis of Waiting Time for Outpatient Services at dr Rasidin Padang Regional Hospital

Fitri Yunita Sari; Rosfita Rasyid; Firdawati Firdawati

doi:10.37899/journallamedihealtico.v6i2.2038

Fitri Yunita Sari Master of Public Health Study Program, Faculty of Medicine, Andalas University
Rosfita Rasyid Master of Public Health Study Program, Faculty of Medicine, Andalas University
Firdawati Master of Public Health Study Program, Faculty of Medicine, Andalas University

DOI: https://doi.org/10.37899/journallamedihealtico.v6i2.2038

Keywords: Social Support, Self-Efficacy, Quality of Life, Breast Cancer

Abstract

The outpatient waiting time at RSUD dr. Rasidin Padang remains a concern, as an initial survey revealed that it exceeds the minimum standard for outpatient services, which is 100 minutes, while it should be ≤ 60 minutes. This study aims to analyze outpatient waiting times at RSUD dr. Rasidin Padang. This research employed a mixed-methods approach using a sequential explanatory strategy by measuring waiting times for 107 patients and conducting semi-structured interviews, observations, and focus group discussions (FGD). Data collection involved interviews with 14 informants and FGDs with 8 participants. The study examined three components: input (human resources, policies/SOPs, and infrastructure), process (registration and examination), and output. The findings indicate a shortage of human resources and a lack of discipline among staff, particularly specialist doctors. The availability of infrastructure is insufficient. The registration process takes too long due to a lack of staff, especially in the medical records department, and insufficient infrastructure such as computers. The examination process does not start on time because doctors arrive late. The outpatient waiting time remains above the standard, at 2 hours and 10 minutes. It is recommended that the hospital minimize outpatient waiting times by increasing the number of staff, improving infrastructure, optimizing doctor scheduling, and strengthening hospital regulations.

References

Afif, I. F. (2017). Analysis of Waiting Time for Outpatient Services at Adnaan WD Payakumbuh Regional Hospital in 2017. (Thesis). Andalas University.

Amirudin, F., & Koesnadi, K. (2021). The Effect of Drug Types, Facility, and Infrastructure against the Waiting Times at the Pharmacy Installation of Caruban General Hospital. Journal for Quality in Public Health, 4(2), 204-210.

Buchmueller, T. C., Jacobson, M., & Wold, C. (2006). How far to the hospital?: The effect of hospital closures on access to care. Journal of health economics, 25(4), 740-761.

Chandra, D., & Tiwari, A. (2019). A Systematic Survey on Different Modeling Methods to Manage Waiting Time in Ambulatory Patient Services. International Journal, 7(2), 84-90.

Dafny, L. S. (2005). How do hospitals respond to price changes?. American Economic Review, 95(5), 1525-1547.

Dewi, S., Machmud, R., & Lestari, Y. (2019). Analisis waktu tunggu rawat jalan di rumah sakit umum daerah dr achmad darwis suliki tahun 2019. Andalas Journal of Health, 8(4).

Dobkin, C., Finkelstein, A., Kluender, R., & Notowidigdo, M. J. (2018). The economic consequences of hospital admissions. American Economic Review, 108(2), 308-352.

Garg, A. (2023). Policies and Standard Operating Procedures (SOP). In Monitoring Tools for Setting up the Hospital Project: Initial Planning, Building and Equipment (pp. 511-613). Singapore: Springer Nature Singapore.

Lunanda, L., Nyorong, M., & Rifai, A. (2021). Analysis of affecting factors of the medical record service waiting time of outpatient ambulatory in Sundari Medan hospital. Journal La Medihealtico, 2(2), 78-85.

Meliala, S. A., Nur, F., & Lase, E. M. (2023). Factors Affecting Waiting Time for Completion of BPJS Patient Administration. Jurnal Perilaku Kesehatan Terpadu, 2(1), 30-38.

Nguyen, S. T. T., Yamamoto, E., Nguyen, M. T. N., Le, H. B., Kariya, T., Saw, Y. M., ... & Hamajima, N. (2018). Waiting time in the outpatient clinic at a national hospital in Vietnam. Nagoya journal of medical science, 80(2), 227.

Nuraini, N., Damayani, D. S., & Wijayanti, R. A. (2021). Factors Causing Delays in Submitting Inpatient BPJS Claims at RSU dr. H. Koesnadi Bondowoso. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 6(2), 245-252.

Pohan, I. S. (2007). Quality Assurance of Health Services. Jakarta: EGC.

Sabri, F. P., & Rasyid, Z. (2023). Analysis of Drug Waiting Time at the Pharmacy Depot at the Outpatient Installation at the Bangkinang Regional General Hospital, Kampar Regency, in 2023. Riwayat: Educational Journal of History and Humanities, 6(3), 1619-1627.

Tafdiel, T., & Kasrin, R. (2018). Relationship Length of Time Patient Waiting In Poly Interne With Patient Satisfaction In Dr. Achmad Mochtar Bukittinggi Year 2017. Jurnal Kesehatan, 9(1), 289823.

Xie, Z., & Or, C. (2017). Associations between waiting times, service times, and patient satisfaction in an endocrinology outpatient department: a time study and questionnaire survey. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 54, 0046958017739527.

Yakop, F. F. H., Dunggio, T., & Daud, S. (2021). The Effect of Waiting Time for Doctor's Services on Patient Satisfaction in the Outpatient Department of RSUD Toto Kabila. Journal of Health, Technology and Science (JHTS), 2(1), 1-10.