| Resumo: | Background: Improving quality of health care is a major issue in national and global
health development. Fulfillment of patient's rights is absolutely to be critical in the
management of quality health care. As of June 1, 2011 Sleman District Hospital and
PT. Askes Branch Yogyakarta have agreed to improve the quality of services through
increased tariff within the colaboration and no cost sharing policy. With BOR rate >
90%, interesting to be learned whether the right patient for the right class Askes care,
freedom and the right cost sharing information can still be met. Analysis of the
fulfillment of this right is important, given the critical patients in selecting and
assessing the performance of health care providers.
Objective: Measure the level of fulfillment of Askes inpatients with surgical at
Sleman District Hospital, and knowing the influence between characteristic of patient
and disease with fulfillment of patient right and identify factors which become
obstacles in the fulfillment of Askes surgical patient�s right.
Methods: This study used Mixed Method Sequential Explanatory design. Quantitative
descriptive study was conducted to measure the level of fulfillment of inpatients
undergoing surgery at Sleman District Hospital, for the period of 2 months. Qualitative
data collection with in-depth interviews was carried out to identify constraints faced
by hospitals in fulfilling of Askes surgical patients. Respondents consisted of surgical
patients covered by Askes, officers at Askes Center, chief of ward, doctors and
hospital management representative.
Results and Discussion: The fulfillment of appropriate class was 51.43%, with no
room cost sharing was 58.57% and no medication cost sharing was 1.43%.
Completeness of surgical informed consent only reached 8.57%, unlike anesthesia
informed consent which was 85.71%. There is no influence between the characteristic
of patient and disease with fulfillment of patient right. Factors that hinders fulfillment
of patient rights include lack of bed capacity, lack of dissemination about patient rights
and lack of monitoring drug availability. Efforts that have been made included
physical expansion of inpatient and regular meetings between hospital and Askes
Centre.
Conclusions and Recommendations: Fulfillment of Askes patient�s right is not yet
optimal. Sleman District Hospital and PT. Askes should jointly promote dissemination
of rights to patients, striving for a system service that can provide information the
amount of cost sharing, room avaibility and drugs not covered by Askes, monitoring
DPHO drugs avaibility and improve the performance of front liners by providing
education and training on excellent service.
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