MOHAMAD JUNAIDI (2015) PENGARUH FAKTOR OBLIGATION DAN VOLUNTARY TERHADAP KEPATUHAN PENGISIAN BERKAS REKAM MEDIS DI RSUD dr. M. SOEWANDHIE SURABAYA (KAJIAN BERDASARKAN TEORI MILGRAM DAN NIVEN). Thesis thesis, UNIVERSITAS AIRLANGGA.

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Abstract

The implementation of National Social Security Reform Act (SJSN) urged dr. M. Soewandhie Hospital to fix its medical records system. In February 2014, amongst the treatment rooms, only one room had complete inpatient medical records. Explanation for this could be possibly found in the theories by Milgram and by Niven. The factors in Milgram’s theory (i.e. status of the hospital, status of the Hospital chair person and the monitoring and evaluation sub-division chiefs, legitimacy of the hospital chairperson and the monitoring and evaluation subdivision chiefs, responsibility of doctors, among doctors, and closeness of the hospital chairperson and the monitoring and evaluation director) are related to obligation whereas in Niven’s, the factors (i.e. understanding of instruction, quality of interaction, assurance, attitude, personality, and social isolation) are related to voluntary. The purpose of the study was to compose a recommendation in increasing doctors’ compliance in filling out medical records. The study used observational study using questionnaires. Secondary data, medical records and recapitulation data of the completeness of the filling out of medical records, was also used. The research design was descriptive observational method. This was a cross-sectional research with sample of 35 specialist doctors. The study was conducted in inpatient unit of the hospital during January and February 2015. The findings were as follows. The majority of both the obligation factors and the voluntary factors scored high according to the doctors. Most of the medical records that should be filled out were found incomplete, signaling that the doctors weren’tcompliant in filling out the medical records. Influence test on obligation factorsshown that legitimacy of the hospital chairperson and the monitoring and evaluation director and responsibility of doctors were significant subvariables in influencing compliance while influence test on voluntary factorsshown that understanding of instruction was significant. The study suggests using medical records performance as measure for work performance, identifying doctors with too much work strain, optimizing Medical Records Committee(Panitia Rekam Medis), conducting evaluation and publication on Medical Records Guidebook (Buku Pedoman Pengisian Rekam Medis), evaluating forms in medical record periodically, involving Functional Medical Staff (Staf Medis Fungsional) and Medical Committee (Komite Medik) in composing medical records, and procuring Medical Records Guidebook for every doctor and in every room.

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