The Effect of Compliance Clinical Pathway on the Quality Of Service, Cost of Treatment, Length of Stay at Linggajati Hospital

Roheman; M.F. Arrozi; Sandra Dewi

Authors

Roheman Esa Unggul University
M.F. Arrozi Esa Unggul University
Sandra Dewi Esa Unggul University

Keywords:

Clinical Pathways; Inguinal Hernia, Compliance and Service Quality

Abstract

Clinical pathways are essential for achieving good clinical governance in hospitals as they standardize patient care. However, the compliance with the implementation of the inguinal hernia clinical pathway at Linggajati Hospital does not meet the minimum standard of 80%. Specifically, the service quality is below the desired 80%, treatment costs do not align with INA CBGs standards, and the length of stay exceeds the recommended ≤3 days. This study aims to analyze the effect of compliance with the implementation of the inguinal hernia clinical pathway on service quality, treatment costs and length of stay at Linggajati Hospital. This type of research is survey research. The population of this study was the medical records of inguinal hernia patients from January 2023 to June 2024. The sample in this study was 204 respondents taken using the purposive sampling technique. Univariate data analysis uses frequency distribution and the Three Box Method, and multivariate analysis uses multinomial regression and ordinary least squares (OLS) regression. Results: Compliance with the implementation of the inguinal hernia clinical pathway does not have an impact on the quality of service and cost of care but only has an impact on the length of stay at Linggajati Hospital with an R-square value of 0.039 and a P-value of 0.000. Conclusions: The results of this research have implications for providing information to health workers to further optimise clinical pathway compliance and monitor quality control evaluation and hospital care costs.

Author Biographies

Roheman, Esa Unggul University

Programme Master of Hospital Administration

M.F. Arrozi, Esa Unggul University

Programme Master of Hospital Administration

Sandra Dewi, Esa Unggul University

Programme Master of Hospital Administration

References

Agiwahyuanto, F., Widianawati, E., Wulan, W. R., Putri, R. B., & Article, I. (2020). Hospital Rates with INA-CBGs Rates for Faik Inpatients. 4(207), 520–532.

Anas, C. A. (2019). Analysis of Integrated Clinical Pathway Implementation in Community Pneumonia Cases in Hasanuddin University Hospital Inpatient Rooms. Hasanuddin University.

Azisah, A. (2019). Effectiveness of the Integrated Clinical Pathway on Patient Health Outcomes, Length of Stay and Hospital Costs at Sayang Rakyat Hospital Makassar. Hasanuddin University.

Dy, S. M., Garg, P. P., Nyberg, D., Dawson, P. B., Pronovost, P. J., Morlock, L., Rubin, H. R., Diener-West, M., & Wu, A. W. (2003). Are critical pathways effective for reducing postoperative length of stay. Medical Care, 41(5), 637–648.

Jayanti, L. D., & Hariyati, R. T. S. (2020). Development of a Management Information System with an Integrated Clinical Pathway for the Quality of Nursing Services. Syntax Idea, 2(2).

Johnson, S. (Ed.). (1997). Pathways of care—a tool for minimising risk.

Langitan, A. (2019). Right lateral inguinal hernia with left hemiparesis. Medical Profession Journal (MedPro), 1(1), 12–15.

Layli, R. (2022). The Influence of Health Service Quality on Inpatient Satisfaction in Hospitals: Literature Review. Tambusai Education Journal, 6(2), 12746–12752.

Meo, M. Y. (2015). Development of a nursing management information system with integrated clinical pathways to improve service quality. Journal of Nursing Management, 3(1), 48–55.

N. R., Hochman, J., Becker, R., Kopecky, S., & Cannon, C. P. (2000). Critical pathways: a review. Circulation, 101(4), 461–465.

Odo, G. F., Darmajaya, I. M., & Golden, N. (2022). Comparison of C-reactive protein (CRP) levels based on herniotomy type and their relationship with clinical outcomes in pediatric indirect inguinal hernias. 13(2), 346–351. https://doi.org/10.15562/ism.v13i2.143

Rafli, M. (2023). Effectiveness of Clinical Pathway Health Services at RSUD dr. Fauziah Bireuen. UIN Ar-Raniry.

Sayuti, M., Khairunnisa, C., Salsabila, E. N., Haura, J., & Aprilita, R. (2023). Surgical Technique and Risk Factors for Recurrent Lateral Inguinal Hernia at Cut Meutia General Hospital, North Aceh Regency. Manuju: Malajayati Nursing Journal, 5, 728–738.

Simangunsong, A. (2017). The Influence of the Implementation of the Clinical Pathway for Acute Appendicitis and Inguinal Hernia on the Quality, Cost and Variance of Services in the Inpatient Surgical Unit at the Abdul Wahab Syahrani Samarinda General Hospital. Hasanuddin University.

Wilson, J. (1997). Pathways of care—a tool for minimising risk.

Wong, C., Visram, F., Cook, D., Griffith, L., Randall, J., O’Brien, B., & Higgins, D. (2000). Development, dissemination, implementation and evaluation of a clinical pathway for oxygen therapy. CMAJ, 162(1), 29–33.

Yuditio, Y. P., Nastiti, R., Maladi, M., & Daud, I. (2024). The Influence of Communication and Teamwork on Employee Performance at the Regional Secretariat of East Barito Regency. Management: An Economic Journal, 6(1), 143–151