Strategi Kebijakan Internal dalam Peningkatan Mutu Pelayanan Kesehatan di Rumah Sakit: Systematic Literatur Review
Keywords:
Quality, Healthcare, Hospital, Mutu, Pelayanan Kesehatan, Rumah SakitAbstract
ABSTRAK
Pelaksanaan pelayanan yang bermutu menjadi indikator keberhasilan rumah sakit dalam menjamin bahwa pelayanan kesehatan berjalan dengan adil, efektif, efisien serta berorientasi kepada kepuasan pasien. Pentingya penyelenggaraan pelayanan kesehatan yang berbasis mutu menjadi tuntutan bagi pelayanan kesehatan. Untuk mencapai mutu pelayanan kesehatan yang baik, pentingnya untuk menyusun strategi kebijakan internal rumah sakit guna mencapai sasaran mutu pelayanan pasien. Penelitian ini disusun dan difokuskan dalam Upaya mendapatkan strategi kebijakan internal yang memiliki pengaruh penting dalam pelaksanaan mutu pelayanan kesehatan. Metode penelitian ini menggunakan pendekatan Systematic Literature Review (SLR). Tahapan dalam penelitian ini yaitu merumuskan masalah penelitian, menelusuri literatur, menilai kualitas penelitian, menggabungkan hasil dan meletakkan temuan dalam konteks. Penelitian ini menggunakan kerangka PICO (Population, Intervention, Comparison, Outcome). Artikel yang dipilih dalam rentang waktu tahun 2021 hingga tahun 2025. Proses pencarian data dilakukan melalui beberapa basis data terindeks, yaitu Google Scholar, PubMed dan Science Direct. Seluruh proses ini kemudian sajikan menggunakan alur Diagram PRISMA Flow. Hasil penelitian didapatkan 16 Artikel yang dilakukan analisis. Hasil analisis menunjukkan bahwa pelaksanaan patient safety yang sesuai standart, pelaksanaan akreditasi pada pelayanan Kesehatan dan penerapan Rekam Medis Elektronik berpengaruh terhadap mutu pelayanan kesehatan di RS. Kesimpulan dari penelitian ini adalah strategi Kebijakan Internal yang dapat diimplementasikan dalam Upaya peningkatan mutu pelayanan kesehatan dibagi menjadi tiga aspek ( patient safety, akreditasi dan Rekam Medik Elektronik). Ketiga aspek hasil penelitian ini relevan sebagai dasar perumusan kebijakan internal rumah sakit dalam peningkatan mutu pelayanan melalui penguatan patient safety, pemenuhan standar akreditasi, dan optimalisasi penerapan rekam medis elektronik.
Kata kunci: Mutu, Pelayanan Kesehatan, Rumah Sakit
ABSTRACT
The implementation of quality services is an indicator of a hospital's success in ensuring that healthcare services are delivered fairly, effectively, efficiently, and with a focus on patient satisfaction. The importance of providing quality-based healthcare services has become a demand for health services. To achieve good quality in healthcare services, it is crucial to develop internal policy strategies within the hospital aimed at meeting the quality objectives for patient care. This research is organized and focused on efforts to obtain internal policy strategies that significantly influence the implementation of quality healthcare services. The research method employs a Systematic Literature Review (SLR) approach. The stages of this research include formulating, searching the literature, assessing the quality of research, combining results, and placing findings in context. This study uses PICO framework (Population, Intervention, Comparison, Outcome). The selected articles span the years 2021 to 2025. The data search process is conducted through several indexed databases, namely Google Scholar, PubMed, and Science Direct. The entire process is then presented using a PRISMA Flow Diagram. The research identified 16 articles for analysis. The results of the analysis indicate that the implementation of patient safety that meets standards, the implementation of accreditation in health services, and the application of Electronic Medical Records influence the quality of healthcare services in hospitals. The conclusion of this research is that internal policy strategies that can be implemented to improve the quality of healthcare services are divided into three aspects ( patient safety, accreditation, and Electronic Medical Records). The findings provide empirical support for hospital management in formulating internal policies aimed at enhancing service quality through strengthening patient safety practices, meeting accreditation standards, and optimizing the use of electronic medical records.
Keywords: Quality, Healthcare, Hospital
References
1. Kementerian1 Kesehatan1 RI. Peraturan1 Menteri 1Kesehatan Republik 1Indonesia 1Nomor 12 Tahun 2020 Tentang Akreditasi Rumah Sakit. 2020.
2. Andriani ND, Sumardiyono S, Murti B. Meta-Analysis: Effects of Unsafe Action and Work Experience on Occupational Exposure to Needlestick Injury among Health Workers in the Hospital. J Heal Policy Manag [Internet]. 2022;7(1):58–71. Available from: https://thejhpm.com/index.php?journal=thejhpm&page=article&op=view&path%5B%5D=276&path%5B%5D=pdf
3. Anggraini1 R, Ernawati1, Nurfianti1 A. Hubungan1 1Mutu Pelayanan1 Keperawatan1 Dengan1 Kepuasan1 Pasien Rawat1 Inap Di Rumah 1Sakit : Literature 1Review. ProNers. 2020;5(02).
4. Phonna1 CD, Sari1 DR, Nuryanti1 A, Karo1 DB. Persepsi1 Perawat1 Tentang 1Dampak Akreditasi 1Terhadap Mutu1 Pelayanan Kesehatan1. J Hosp Accredit. 2021;03(2):79.
5. Dalfian1 D, Muhani1 N, Afiah1 N, Azizah1 N, Rivaldi1 MI, 1Pangestu DA, et al. 1Persepsi pasien terhadap1 mutu pelayanan1 dalam penerapan patient1 safety. 1Holistik J Kesehat. 2022 Apr 20;16(2):118–27.
6. Muhani1 N, Utari1 EM, Ilham1 1Rivaldi M. Relationship1 Of Patient1 1Safety Implementation1 To 1Quality Of Nutritional Services1 For Inpatients1. Avicenna. 2021;16(1).
7. Pasinringi1 SA, Rivai1 F, Arifah1 N, 1Rezeki SF. The 1relationship between1 service quality perceptions and the level of hospital accreditation. Gac Sanit. 2021;35(2):S116–9.
8. Joseph1 L, Agarwal1 V, Raju1 U, Mavaji A, Rajkumar P. Perception1 of Hospital Accreditation1 Impact1 among Quality Management1 Professionals in India: A Survey-Based1 Multicenter1 Study. Glob J Qual Saf Healthc. 2021 May 1;4(2):58–64.
9. Ibrahim1 AA, Ahmad Zamzuri1 MAI, Ismail1 R, Ariffin AH, Ismail1 A, Muhamad1 Hasani MH, et al. The 1role of electronic1 medical records1 in improving1 health1 care quality: A quasi-experimental1 study1. Med (United States). 2022 Jul 29;101(30):E29627.
10. Solehudin, Sihura SSG. Pengaruh Akreditasi Terhadap Peningkatan Mutu Pelayanan Rumah Sakit. J Med Husada. 2023;3(Volume 3 Nomor 1):25–36.
11. Gabriella T, Cicilia W, Ahdun T. Analisis Pengaruh Rekam Medis Elektronik Rumah Sakit Terhadap Peningkatan Kualitas Mutu dan Keselamatan Pasien di RSIA Permata Sarana Husada Tahun 2023. 2023;7(4).
12. Setiatin S, Dewi MK. Pengaruh Penggunaan Rekam Medis Elektronik Rawat Jalan Guna Menunjang Mutu Pelayanan Di Rumah Sakit X. J Hosp Manag Serv Student. 2024;02(02).
13. Alraimi AA, Al-Nashmi MM. The interactive effect of the application of accreditation standards (JCIs) and the practice of administrative control in improving the quality of health services: a study on Yemeni hospitals. BMC Health Serv Res. 2024 Dec 1;24(1).
14. Zabin LM, Shayeb BF, Kishek AAA, Hayek M. Nursing perception towards the impact of JCI accreditation on the quality of care in a university hospital in Palestine: a cross-sectional study. BMC Nurs. 2024 Dec 1;23(1).
15. Wardana CK, Licia R. Evaluasi Penerapan Rekam Medis Elektronik Terhadap PeningkatanMutu Pelayanan Rawat Jalan Di RS PKU Muhammadiyah Gombong. J Kesehat Trop Indones. 2025;03(03):142–54.
16. Khairani M, Redha PS, Putri SA. Hubungan Pelaksanaan Manajemen Patient Safety Dengan Mutu Pelayanan Kesehatan Di Ruangan Rawat Inap Rumah Sakit Umum Madina Bukittinggi. J Kesehat Mercusuar [Internet]. 2025;08(1). Available from: http://jurnal.mercubaktijaya.ac.id/index.php/mercusuar
17. Rohmatin GH, Widianto H, Kuswiadji A. Pengelolaan Rekam Medis Elektronik dalam Peningkatan Mutu Pelayanan Kesehatan. Enferm Cienc. 2025 May;3(Volume 3 Nomor 2):113–23.
18. Meilani AH, Nugraheni SW, Suprawita B. Analisis Implementasi Rekam Medis Elektronik Terhadap Mutu Pelayanan Rawat JalanDi RSUD Ibu Fatmawati Soekarno Kota Surakarta. INFOKES J Ilm Rekam Medis dan Inform Kesehat. 2025;15(2):158.
19. Kementerian Kesehatan RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 11 Tahun 2017 Tentang Keselamatan Pasien. 2017.
20. Fernandez LDI, Kenjam Y, Dodo DO. Mutu Yan Pasca Akeritasi. 2021;3(3):276–85.
21. Cahyani MB, Syafanny LDA, Kamil SSA, Mukharama KA, Sutha DW. Tinjauan Literatur_ Peran Rekam Medis Berbasis Elektronik Terhadap Pelayanan Kesehatan. J Manaj Inf Kesehat Indones. 2024;12(02).
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