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Abstract

Decomposition Analysis System is operating a system that includes identification efforts objectives, activities, implementation of activities, the situation faced and information needed at each stage of system implementation. This study uses a blend of Systems Theory approach Donabedian-Azwar, the principal stages of Structural or Input Process-Output or Outcome to look at heart disease care system in hospitals Dr.Kanujoso Djatiwibowo Balikpapan 2014. The study was conducted from April to November 2015, using a design qualitative descriptive analytic method. Analysis was performed with the data derived from the study of medical documents cardiac patients in hospitals Dr Kanujoso Djatiwibowo Balikpapan in 2014, observation and depth interview with selected informants. The results showed a factor of structure or Inputs that influence mortality in cardiovascular disease care system in the Hospital Dr Kanujoso Djatiwibowo Balikpapan is Patient factors, human resources, facilities, and methods. Factors such as the process of service delivery, the doctor- nurse coordination and integration of services. It is recommended that the hospitals Dr Kanujosos Djatiwibowo Balikpapan perform additional doctors Heart Specialist, create one- stop service for cardiovasculardisease or Cardiac Center and increase cooperation orcoordination between the hospitals Dr Kanujosos Djatiwibowo with Primary Health Care Facility, City Health Department Balikpapan and house parties other hospitals in the city of Balikpapan.

Bahasa Abstract

Analisis Sistem merupakan penguraian operasional suatu sistem yang meliputi upaya pengidentifikasian tujuan, kegiatan, pelaksanaan kegiatan, situasi yang dihadapi serta informasi yang dibutuhkan sistem disetiap tahap pelaksanaannya. Penelitian ini menggunakan pendekatan perpaduan Teori Sistem Donabedian-Azwar, dengan pokok tahapan Struktur/Input-Proses-Output/Outcome untuk melihat sistem pelayanan penyakit jantung di RSUD Dr.Kanujoso Djatiwibowo Balikpapan Tahun 2014. Penelitian dilakukan pada bulan April hingga Nopember 2015, menggunakan rancangan kualitatif dengan metode deskriptif analitik. Analisis dilakukan dengan data bersumber dari telaah dokumen medik pasien penyakit jantung di RSUD Dr Kanujoso Djatiwibowo Balikpapan tahun 2014, observasi dan wawancara mendalam terhadap informan terpilih. Hasil penelitian menunjukan faktor dari Struktur/Input yang berpengaruh terhadap mortalita dalam sistem pelayanan penyakit jantung di RSUD Dr Kanujoso Djatiwibowo Balikpapan adalah faktor Pasien, SDM, Fasilitas, dan Metode. Faktor Proses berupa proses pemberian pelayanan, koordinasi dokter-perawat dan keterpaduan layanan. Disarankan agar pihak RSUD Dr Kanujosos Djatiwibowo Balikpapan melakukan penambahan tenaga dokter Spesialis Jantung, membuat pelayanan satu atap pasien penyakit jantung/Cardiac Center dan meningkatkan kerjasama/koordinasi yang baik antara pihak RSUD Dr Kanujosos Djatiwibowo dengan Faskes Pelayanan Primer, Dinas Kesehatan Kota Balikpapan dan pihak rumah sakit lainnya yang ada di Kota Balikpapan.

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