Perbedaan waktu tunggu pelayanan bedah Caesar di RSUD Koja

FARIDA, Ellya, dr. Adi Utarini, MSc.,MPH

2001 | Tesis | S2 Ilmu Kesehatan Masyarakat

Program Jaring Perlindungan Sosial Bidang Kesehatan (JPS-BK) telah diresmikan berlakunya di seluruh Indonesia oleh Menteri Kesehatan RI pada tanggal 7 Agustus 1998. Program ini bertujuan untuk mengatasi dampak krisis ekonomi yang berkaitan dengan kesehatan terhadap kaum miskin. Penelitian ini mengamati waktu tunggu pelayanan sectio caesarea terhadap pasien JPS-BK dan non-JPS-BK di RSUD Koja. Tujuan penelitian ini adalah untuk mengetahui adakah perbedaan lama waktu tunggu pasien JPS-BK dan non-JPS-BK kelas III dalam pelayanan sectio caesarea di RSUD Koja. Penelitian ini bersifat retrospektif dengan menggunakan rancangan cross sectional. Didapat sejumlah 150 kasus persalinan dengan tindakan sectio caesarea tercliri dari 119 pasien kelas 111 non-JPS-BK dan 31 pasien JPS BK yang dianalisis secara deskriptif dengan menggunakan uji statistik t-test dan anova. Ditemukan bahwa terdapat perbedaan yang bermakna antara waktu tunggu pasien JPS-BK dan non-JPS-BK, dengan lama 4 jam untuk pasien non-JPS-BK dan 8 jam untuk pasien JPS-BK. Berdasarkan pemikiran bahwa standar waktu tunggu adalah 30 menit, maka di sini masih terlihat perbedaan perlakuan terhadap pasien JPS-BK. Selanjutnya diupayakan untuk memperbaiki lama waktu tunggu.

The social safety net in health sector program (JPSBK) was launched in Indonesia by the Minister of Health, Republic of Indonesia nation wide on August 7,1998. The objective of this program is to solve the effect of the economic crisis to the poor people. The specific aim of this program is to enable the poor keep receiving the basic health services. The success of the JPSBK program, therefore, should be evaluated . This research observed the waiting time of sectio Caesarea services for the JPSBK and non JPSBK patients at Koja district hospital. The aim of this study was to find out the difference of waiting time between JPSBK and non JPSBK patients among the cito sectio Caesarea cases admitted in third class, Koja district hospital. A cross sectional survey was applied. The sample was taken from the medical records from January to December 2000. A number of 150 sectio Caesarea cases were identified, i.e., 119 non JPSBK and 31 JPSBK patients. The data were analyzed descriptively and t-test and Anova test were applied. A statistically sitmificant differences in waiting time of JPSBK and non JPSBK patients was found, in which the duration was 270 minute for the non JPSBK and 480 minute for JPSBK patients. It should be borne in mind that the standard is 30 minutes. This difference reflects different treatment received by the JPSBK patients. Futher efforts to reduce the waiting time should be carried out.

Kata Kunci : waktu tunggu, sectio caesarea, JPSBK, waiting time, Caesarea section, social safety net