Internal and External Factors That Influence Behaviour of Physicians in Charge of Service (DPJP) within Completeness of JKN Inpatient Discharge Summary in St. Carolus Hospital

Demi Sahhan, Syefira Salsabila, W. Qomarania
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Abstract

: The incomplete discharge summary can allow inaccuracies in the diagnosis code and affect the INA-CBGs payment rates, thereby impacting the JKN patient claim process. Completeness of filling discharge summaries is the responsibility of Physicians in Charge of Services (DPJP) as a direct implementer of services in hospitals. This study aims to analyze the influence of internal and external factors on DPJP’s behavior within completeness JKN inpatient discharge summaries. This research is a quantitative study with a cross-sectional research design. The population in this study is DPJP as many as 46. The sample used a saturated sample. Based on the results of multiple linear regression analysis, internal factors (gender, personality) and external factors (education, work environment) simultaneously have no significant effect on DPJP’s behavior in completeness JKN inpatient discharge summaries (p-value 0.070). While partially internal factors (personality) significantly influence DPJP’s behavior in filling JKN discharge summaries (p.value 0.033) and other variables do not. In conclusion, there is no influence between internal and external factors simultaneously on DPJP's behavior in filling out discharge summaries. While partially internal factors (personality) significantly influence the behavior of DPJP in filling JKN discharge summaries at Carolus Hospital.
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圣卡洛勒斯医院JKN住院出院总结完整性影响服务医师行为的内外部因素
:不完整的出院总结可能导致诊断代码不准确,影响INA-CBGs的支付率,从而影响JKN患者索赔流程。作为医院服务的直接执行者,负责服务的医生(DPJP)的责任是填写出院摘要的完整性。本研究旨在分析内部和外部因素对DPJP在完整性JKN住院出院总结中的行为的影响。本研究为定量研究,采用横断面研究设计。本研究中DPJP人群多达46人。样品采用饱和样品。多元线性回归分析结果显示,内部因素(性别、性格)和外部因素(教育程度、工作环境)同时对DPJP在JKN住院出院总结完整性方面的行为没有显著影响(p值为0.070)。而部分内部因素(人格)显著影响DPJP填写JKN出院摘要的行为(p值为0.033),其他变量无显著影响。综上所述,内部和外部因素对DPJP填写出院摘要的行为没有同时影响。而部分内在因素(人格)显著影响副住院病人填写JKN出院总结的行为。
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