Electronic Theses and Dissertation

KEMENTERIAN PENDIDIKAN DAN KEBUDAYAAN
UNIVERSITAS SYIAH KUALA
FAKULTAS KEPERAWATAN
PROGRAM STUDI MAGISTER KEPERAWATAN

TESIS
13 Juli 2021

xxi + 5 BAB + 108 halaman + 1 tabel + 4 skema + 5 lampiran

AFRILIA FAZRINA
NPM. 1712201010007

PENGALAMAN CASE MANAGER DALAM MELAKSANAKAN CASE MANAGEMENT DI RUMAH SAKIT UMUM DAERAH KOTA LANGSA

ABSTRAK
Case manager adalah orang yang memiliki tanggung jawab untuk memfasilitasi dan mengkoordinasikan perawatan pasien. Kehadiran case manager dalam pelaksanaan case management diharapkan dapat memberikan dampak yang bermanfaat. Program dijalankannya case manager seharusnya dapat memberikan banyak keuntungan bagi pihak rumah sakit, terutama dalam hal manajerial pelayanan pasien terkait biaya pelayanan yang lebih efektif. Penelitian ini bertujuan untuk mengeksplorasikan pengalaman case manager dalam melaksanakan case management di Rumah Sakit Umum Daerah (RSUD) Kota Langsa yang baru diaktivasi sejak Juni 2019. Jenis penelitian ini menggunakan desain kualitatif dengan pendekatan fenomenologi deskriptif. Populasi dalam penelitian ini adalah sebanyak lima case manager dari total 7 case manager yang bertugas. Dua diantaranya berlatar belakang dari profesi kedokteran dan menolak berpartisipasi dengan alasan tidak seprofesi dengan peneliti, sementara lima lainnya berasal dari profesi keperawatan. Pengumpulan data dilakukan dengan melakukan wawancara, observasi, dan dokumentasi. Hasil penelitian ini mendeskripsikan bahwa case manager masih berada dalam fase honeymoon, fokus pelayanan: pasien, collaboration gap, dan overlapping roles.

Kata Kunci : case manager, case management, dan pengalaman case manager

MINISTRY OF EDUCATION AND CULTURE SYIAH KUALA UNIVERSITY NURSING FACULTY NURSING MASTER STUDY PROGRAM THESIS 13 Juli 2021 xxi + 5 chapters + 108 pages + 1 table + 4 schematics + 5 appendices AFRILIA FAZRINA NPM. 1712201010007 CASE MANAGER EXPERIENCE IN IMPLEMENTING CASE MANAGEMENT IN LANGSA CITY REGIONAL GENERAL HOSPITAL ABSTRACT The case manager is the person who has the responsibility to facilitate and coordinate patient care. The presence of a case manager in the implementation of case management is expected to have a beneficial impact. The case manager program should be able to provide many benefits for the hospital, especially in terms of patient service management related to more cost-effective services. This study aims to explore the experience of case managers in carrying out case management at the Langsa City General Hospital (RSUD), which has only been activated since June 2019. This type of research uses a qualitative design with a descriptive phenomenological approach. The population in this study was five case managers from a total of 7 case managers on duty. Two of them came from the medical profession and refused to participate because they were not in the same direction as researchers, while the other five were from the nursing profession. Data were collected by conducting interviews, observations, and documentation. The results of this study describe that the case manager is still in the honeymoon phase: The ability to collaborate has not been effective, the services are focused on the patient, the guidelines for implementing case management have not been effective, and the implementation of job descriptions is still overlapping. Keywords: case manager, case management, and case manager experience