Determinants Influencing Bed Occupancy Rate (BOR) at Langsa Hospital in the Covid-19 Pandemic

Main Article Content

Iskandar Iskandar
Arifah Devi Fitriani
Asriwati Asriwati

Abstract

Health facilities with referral status for COVID-19 cases, reported a decrease in non-COVID inpatients, compared to facilities with non-referral status. The decrease in bed utilization (BOR) was very significant in several health facilities including Langsa Hospital 10-15% before 65-75%,. This study aims to study the Determinants of Factors Affecting the Decrease in Bed Utilization (BOR) at Langsa Hospital during the COVID-19 Pandemic Period in 2021. The research approach uses descriptive qualitative data collection techniques through in-depth interviews and informants are determined by purposive sampling of key informants, namely 4 inpatients and 2 supporting informants. The total number of informants is 6 people. The research instrument is the researcher himself and data collection through interviews, documentation and field observations. Data analysis technique with taxonomy. The results of the study, namely the availability of services due to reduced facilities, hospital policies in implementing health care programs, priority to hospitals from patients in independent practice health care services and community stigma regarding the confirmation of COVID-19 status in each patient, were the driving factors for the decrease in BOR at Langsa Hospital in the 2021 COVID-19 pandemic. It is recommended that the Langsa Hospital management coordinate with IPSRS for the availability of facilities, the health promotion section conducts more effective promotion and socialization methods and nursing provides training on effective communication.

Downloads

Download data is not yet available.

Article Details

How to Cite
Iskandar, I., Fitriani, A. D. ., & Asriwati, A. (2021). Determinants Influencing Bed Occupancy Rate (BOR) at Langsa Hospital in the Covid-19 Pandemic. Journal of Asian Multicultural Research for Medical and Health Science Study, 2(4), 6-14. https://doi.org/10.47616/jamrmhss.v2i4.183
Section
Articles

References

Atherton, H., Brant, H., Ziebland, S., Bikker, A., Campbell, J., Gibson, A., ... & Salisbury, C. (2018). The potential of alternatives to face-to-face consultation in general practice, and the impact on different patient groups: a mixed-methods case study. Health Services and Delivery Research, 6(20).

Cho, W. H., Lee, H., Kim, C., Lee, S., & Choi, K. S. (2004). The impact of visit frequency on the relationship between service quality and outpatient satisfaction: a South Korean study. Health services research, 39(1), 13-34.

Forster, A. J., Stiell, I., Wells, G., Lee, A. J., & Van Walraven, C. (2003). The effect of hospital occupancy on emergency department length of stay and patient disposition. Academic Emergency Medicine, 10(2), 127-133.

Gill, J. M., Mainous III, A. G., & Nsereko, M. (2000). The effect of continuity of care on emergency department use. Archives of family medicine, 9(4), 333.

Gilmartin, J. (2004). Day surgery: patients’ perceptions of a nurse‐led preadmission clinic. Journal of clinical nursing, 13(2), 243-250.

Kennelly, B., O'Callaghan, M., Coughlan, D., Cullinan, J., Doherty, E., Glynn, L., ... & Queally, M. (2020). The COVID-19 pandemic in Ireland: An overview of the health service and economic policy response. Health Policy and Technology, 9(4), 419-429.

Needleman, J., Buerhaus, P., Pankratz, V. S., Leibson, C. L., Stevens, S. R., & Harris, M. (2011). Nurse staffing and inpatient hospital mortality. New England Journal of Medicine, 364(11), 1037-1045.

Robinson, A., & Thomson, R. (2001). Variability in patient preferences for participating in medical decision making: implication for the use of decision support tools. BMJ Quality & Safety, 10(suppl 1), i34-i38.

Saaty, T. L., & Peniwati, K. (2013). Group decision making: drawing out and reconciling differences. RWS publications.

Sitzia, J., & Wood, N. (1997). Patient satisfaction: a review of issues and concepts. Social science & medicine, 45(12), 1829-1843.

Sudore, R. L., & Fried, T. R. (2010). Redefining the “planning” in advance care planning: preparing for end-of-life decision making. Annals of internal medicine, 153(4), 256-261.

Sun, N., Wei, L., Shi, S., Jiao, D., Song, R., Ma, L., ... & Wang, H. (2020). A qualitative study on the psychological experience of caregivers of COVID-19 patients. American journal of infection control, 48(6), 592-598.

Thekkur, P., Takarinda, K. C., Timire, C., Sandy, C., Apollo, T., Kumar, A., ... & Harries, A. D. (2021). Operational research to assess the real-time impact of COVID-19 on TB and HIV services: The experience and response from health facilities in Harare, Zimbabwe. Tropical Medicine and Infectious Disease, 6(2), 94.

Van Zyl, D. G., & Rheeder, P. (2008). Survey on knowledge and attitudes regarding diabetic inpatient management by medical and nursing staff at Kalafong Hospital. Journal of Endocrinology, Metabolism and Diabetes in South Africa, 13(3), 90-97.

Weller, W. E., Minkovitz, C. S., & Anderson, G. F. (2003). Utilization of medical and health-related services among school-age children and adolescents with special health care needs (1994 National Health Interview Survey on Disability [NHIS-D] Baseline Data). Pediatrics, 112(3), 593-603