Why the Emergency Department Visit Decreased during the Covid-19 Pandemic? Case Study in Hospital, Malang Regency
Keywords:Covid-19 Pandemic, emergency department, patient visits
During the 2020 Covid-19 pandemic, emergency department experienced a drastic decreasing visit that could disrupt hospital financing. This study was conducted to identify the root cause of the declining ED visit. The study was conducted descriptively from FGD involving eight selected respondents, surveys on 83 patients regarding service perceptions and satisfaction, as well as secondary data on visits and requests of discharge against medical advice. The results showed that the decreasing visit was due to the patient's refusal on treatment in the isolation room, the staff's skills to provide communication and education, and the potential of cooperation termination from partners. Those refusals were due to the patient's perception of hospital services and the differences in patient needs on health protocols resulted from the lack of individual and organizational communication. Hospitals need to build staff's skills in communication and education as well as intensive communication strategies with partners to communicate policies and service system changes so that trust and a positive image are built.
Kementerian Sekretariat Negara Republik Indonesia. Keputusan Presiden Nomor 12 Tahun 2020 tentang Penetapan Bencana Nonalam Penyebaran Corona Virus Disease 2019 sebagai Bencana Nasional. Jakarta: Kementerian Sekretariat Negara RI; 2020.
Lerner EB, Newgard CD, and Mann NC. Effect of the Coronavirus Disease 2019 (COVID‐19) Pandemic on the US Emergency Medical Services System: A Preliminary Report. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine. 2020; 27(8): 693-699.
Giamello JD, Abram S, Bernardi S, and Lauria G. The Emergency Department in the Covid-19 Era. Who are Missing? European Journal of Emergency Medicine. 2020; 27(4): 305-306.
Hartnett KP, Kite-Powell A, DeVies J, et al. Impact of the COVID-19 Pandemic On Emergency Department Visits. MMWR. Morbidity and Mortality Weekly Report. 2020; 69(23): 699-704.
Adiputra PAT. Dampak Pandemi COVID-19 pada Pelayanan Pasien Kanker di Rumah Sakit Tersier di Indonesia: Serial Kasus. Jurnal Bedah Nasional. 2020; 4(1): 29-33.
Harahap MW, Sinulingga D, and Sari NM. Faktor-faktor yang Mempengaruhi Keputusan Pulang Atas Permintaan Sendiri di Rumah Sakit Kota Pinang. Jurnal Kajian Kesehatan Masyarakat. 2020; 1(2): 23-31.
Arumsari DP, Emaliyawati E, and Sriati A. Hambatan Komunikasi Efektif Perawat Dengan Keluarga Pasien Dalam Perspektif Perawat. Jurnal Pendidikan Keperawatan Indonesia. 2016; 2(2): 104–114.
Fahra RU, Widayati N, and Sutawardana JH. Hubungan Peran Perawat Sebagai Edukator Dalam Perawatan Diri Pasien Diabetes Melitus Tipe 2 di Poli Penyakit Dalam di Rumah Sakit Bina Sehat Jember. Nurseline Journal. 2017; 2(1): 61–72.
Riadi A. Pengaruh Komunikasi Dan Lingkungan Kerja Terhadap Kepuasan Kerja Karyawan Pada PT. Mitra Indonesia Makmur Sejahtera. Forum Ilmiah Pendidikan Akuntansi. 2015; 3(1): 1-10.
Susanto F and Semuel H. Pengaruh Relationship Marketing terhadap Loyalitas Pelanggan PT. Mitra 10 Surabaya. Jurnal Manajemen Pemasaran. 2013; 1(1): 1–15.
- 2022-07-11 (2)
- 2021-09-23 (1)
LicenseAuthors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).