PROSPEK PENGEMBANGAN PELAYANAN HOME CARE RUMAH SAKIT PRIMA MEDIKA DENPASAR

Abstract

Background: Demographic and epidemiologic transitions
cause population structure and changes in disease pattern
into degenerative and chronic disease. Hospitals in Indonesia
have not developed chronic care service. Prima Medika hospital
home care (HC) has not been developed, without assessing
the prospect of HC service development as a revenue
center.
Methods: Qualitative research using methods of participation
observation; in-depth interview with patients, personnel
of HC unit, and management; close observation with checklist.
Data were analyzed qualitatively using thematic content analysis
Results: Based on concept of strategic management, the
following opportunities and potentials of HC exist: patient satisfaction,
payment ability, and benefit perception, dependences
of cancer patients and elders. The hospital has the following
strengths: personnel readiness, presence of personnel motivator,
personnel commitment to work, facility and hospital equipment,
commitment from directors. However, their weaknesses
and barriers are: limited human resources, marketing, and tariff
calculation. Challenges and expectations of patients are:
diversification of service types, use of tools, visit frequencies,
and personnel qualification.
Conclusion: The prospect of HC service development was
high. Alternatives strategy proposed are: specific administration
for HC selection and offer to patients, HC tariff making
according to unit cost, provision or coordination of personnel,
rental and sales of tools, and focus for cancer patients and
elders.
Keywords: home care, prospect, strategy