Causes of Decreasing Hospital Visit during the Covid-19 Pandemic

Authors

  • Devvy Megawati Postgraduate Program in Hospital, Management Faculty of Medicine, Brawijaya University RSU An-Nisaa' Blitar
  • Devita Rahmani Ratri Postgraduate Program in Hospital, Management Faculty of Medicine, Brawijaya University
  • Alfan Erzi RSU Muhammadiyah Bandung Tulungagung

DOI:

https://doi.org/10.21776/ub.jkb.2021.031.02.2s

Keywords:

Community stigma, Covid-19 pandemic, decreased visits

Abstract

The problem of decreasing bed utilization resulted in a decrease in hospital income during the Covid-19 pandemic, including in a class D private hospital, Tulungagung, that experienced a 32.5% decrease in revenue. The decrease in hospital income has made the hospital suffer losses and, at the same time, threatened the cash flow, the operating expenses, and the continuity of service operations. The study was conducted to identify the root cause of the decreasing patient visits at the hospital. The research was conducted with a case study approach at a private hospital in Tulungagung in September and October 2020. The data were collected using a Focus Group Discussion (FGD) with eight respondents who were determined based on purposive sampling. Data were analyzed using Fishbone diagrams and priorities were set based on cumulative percentages. The public's stigma about hospitals during the Covid-19 pandemic and the cost of rapid tests are the two root causes that are suspected of contributing to the decline in patient visits at the hospital.

Downloads

Download data is not yet available.

References

Pertiwi DS, Fitriasari N, and Lailiyah L. Peningkatan BOR Rumah Sakit “X” dengan Pendekatan Marketing Plan. Jurnal Ilmiah Kesehatan Rustida. 2019; 6(1): 619-626.

Sekarwati T. Analisis Dampak Tingkat Hunian terhadap Rentabilitas Modal Sendiri Rumah Sakit X. (Online) 2017. https://www.poltekkesjakarta1.ac.id /analisis-dampak-tingkat-hunian-terhadap-rentabilitas-modal- sendiri- rumah-sakit-x/

Sidiq R and Afrina R. Kajian Efisiensi Pelayanan Rumah Sakit. Idea Nurs J. 2017; 8(1): 29–34.

Westgard BC, Morgan MW, Vazquez-Benitez G, Erickson LO, and Zwank MD. An Analysis of Changes in Emergency Department Visits After a State Declaration During the Time of COVID-19. Annals of Emergency Medicine. 2020; 76(5): 595–601.

Basu S, Phillips RS, Phillips R, Peterson LE, and Landon BE. Primary Care Practice Finances in the United States Amid the COVID-19 Pandemic. Health Affairs. 2020; 39(9): 1605–1614.

Nourazari S, Davis SR, Granovsky R, et al. Decreased Hospital Admissions through Emergency Departments during the COVID-19 Pandemic. The American Journal of Emergency Medicine. 2021; 42: 203–210.

Wongtanasarasin W, Srisawang T, Yothiya W, and Phinyo P. Impact of National Lockdown Towards Emergency Department Visits and Admission Rates during the COVID-19 Pandemic in Thailand: A Hospital-Based Study. Emergency Medicine Australasia. 2021; 33(2): 316–323.

Baldassarre A, Giorgi G, Alessio F, Lulli LG, Arcangeli G, and Mucci N. Stigma and Discrimination (SAD) at the Time of the SARS-CoV-2 Pandemic. International Journal of Environmental Research and Public Health. 2020; 17(17): 1–29.

Bhanot D, Singh T, Verma SK, and Sharad S. Stigma and Discrimination During COVID-19 Pandemic. Frontiers in Public Health. 2021; 8: 1–11.

Abdelhafiz AS and Alorabi M. Social Stigma: The Hidden Threat of COVID-19. Frontiers in Public Health. 2020; 8: 1-4.

Sulistiadi W, Slamet SR, and Harmani N. Handling of Public Stigma on COVID-19 in Indonesian Society. Kesmas (Jurnal Kesehatan Masyarakat Nasional). 2020; 15(2): 70–76.

Schmidt T, Cloete A, Davids A, Makola L, Zondi N, and Jantjies M. Myths, Misconceptions, Othering and Stigmatizing Responses to Covid-19 in South Africa: A Rapid Qualitative Assessment. PLoS One. 2021; 15(12): 1–20.

Abdullah I. COVID-19: Threat and Fear in Indonesia. Psychological Trauma: Theory, Research, Practice, and Policy. 2020; 12(5): 488–490.

Pikoulis E, Solomos Z, Riza E, et al. Gathering Evidence on the Decreased Emergency Room Visits During the Coronavirus Disease 19 Pandemic. Public Health. 2020; 185: 42–43.

Dewi F. Ebook End Corona: Kumpulan Informasi Seputar COVID-19. In: Sihotang RC (Ed). Jakarta: Departemen Ilmu Kedokteran Komunitas Fakultas Kedokteran Universitas Indonesia; 2020: p. 61.

Downloads

Published

2021-11-17 — Updated on 2022-07-12

Versions

Issue

Section

Supplement