Dody Firmanda 2011 - Peran Clinical Pathways dalam Efisiensi, Efektifitas dan Ekuiti

8/3/2019 Dody Firmanda 2011 - Peran Clinical Pathways dalam Efisiensi, Efektifitas dan Ekuiti

1/19

?

Vg~o` Kcj`jkoc Voxbyoz{ hocoa ag`hwlwì Gej{jg`{j Vganjozoo`

ho` Geglxjejxo{ Vgcozoò` hj ^waob [oljx+

H~. Hmhz Ej~ao`ho# [v.O# AO

Lgxwo Lmajxg Aghjl

^[WV Eoxaoyoxj# Dolo~xo.

Vg`hobwcwo`

Hocoa agcolwlo` guocwo{j lgnjdolo` ho` {j{xga cozoò` lg{gboxo`

"bgocxbko~g {z{xga o`h vmcjkjg{ guocwoxjm`* oho ; l~jxg~jo lw`kj zol`j

l~jxg~jo geglxjejxo{# gej{jg`{j# ho` lgng~ohjco`-glwjxj "geegkxjug`g{{#geejkjg`kz o`h gqwjxz*? zoì ag~wvolo` {woxw ~oìlojo` {j{xgaoxjl hocoa

{woxw {j{xga. Agcolwlo` {woxw oòcj{j{ glm`maj hocoa vgcozoò` lghmlxg~o`

v~meg{j ohocob xjhol awhob# agìjìox no`zol eolxm~ zoì bo~w{

hjvg~xjanoìlo` ho~j ng~noioj hjag`{j xg~ao{wl ko~o vg`hgloxo` ho~j dg`j{

oòcj{j{ glm`maj zoì olo` hjiwòlo`# noxo{o` xg~aj`mcmij glm`maj jxw {g`hj~j

agìgòj wxjcjtoxjm # v~mhwkxjujxz# ng`gejx# geejkjg`kz# geegkxjug`g{{# uocwg

em~ am`gz# lgnjdolo` ej{loc ho` xjìlox jècoxjm` ~oxg zoì {g~j i locj

ng~wnob. Hj{oavjì lgxg~noxo{o` {wang~ hozo ho` lgnjdolo` glm`maj zoì

hjvgìo~wbj vmcjxj{# {gbjìio xjhol do~oì )~g{mw~kg{) xg~{gnwx xgcob hjvoiwag`dohj )ejrgh).>

[ghoìlo` hj {j{j hjag`{j coj` v~meg{j jxw {g`hj~j hjxw`xwx w`xwl ag`j iloxlo`

awxw vgcozoò``zo ho` lgv~meg{jo``zo hocoa lm~jhm~ gxjl!{m{jm!nwhozo {g~xo

ng~noioj vg~oxw~o` ho` vg~w`hoìo` bwlwa.>

+ Hj{oavojlo` voho oko~o Vg~xgawo` Guocwo{j Dgdo~jì Vgòìiwcoìo` Ao{ocob Lg{gboxo` Ao{zo~olox hjDoyo Xjaw~ hj{gcgìio~olo` mcgb Hjò{ Lg{gboxo` V~muj`{j Doyo Xjaw~ hj Bmxgc Wxoaj [jhmo~dm [w~onozo#

>? !>> @mugang~ >6??.? Ohoz CO# Ngicgz KG# Coj~{m` H^. Guocwoxjì xbg bgocxbko~g {z{xga4 geegkxjug`g{{# geejkjg`kz o`h gqwjxz.

;~h gh. Yo{bjìxm` HK4 Bgocxb Ohaj`j{x~oxjm` V~g{{# >668.> Ej~ao`ho H. Ovcjlo{j j`xgi~o{j {j`g~ij{ o`xo~o Gujhgùg!no{gh Aghjkj`g# Gujhg`kg!no{gh Bgocxbko~g ho`

Gujhg`kg!no{gh Vmcjkz hocoa {oxw {j{xga vg`jìloxo` awxw vgcozoò` lg{gboxo` ho` lghmlxg~o`

"Kcj`jkoc Imug~ò`kg*4 {woxw xo`xoìo` v~meg{j JHOJ hj ao{o ag`hoxoì.JJ.Km{x Geegkxjug`g{{ Oòcz{g{

"KGO* [xo`ho~ Vgcozoò` Aghj{ "[VA* Lg{gboxo` Oòl JHOJ Hj{oavojlo` voho Oko~o Vg~xgawo`

Vg~bjavwò` M~io`j{o{j V~meg{j hgìo` Hjxdg` Zo` Aghjl Hgvlg{ ^J hj Nmim~ [gvxgang~ >667.

bxxv4--yyy.{k~jnh.kma-hmk-?>2>9:;5-Hmhz!Ej~ao`ho!>667!68>!Ovcjlo{j!j`xgi~o{j!{j`g~ij{!

Gujhgùgno{gh!Aghjkj`g!Gujhg`kgno{gh!Bgocxbko~g!ho`!Gujhg`kgno{gh!Vmcjkz!hocoa!Kcj`jkoc!Imug


2/19

>

[ghoìlo` j{xjcob# hgej j{j ho` hjag`{j olo` gej{jg`{j dwio ngcwa oho

lg{gvoloxo` zoì dgco{ ho` gl{vcj{jx xg~io`xwì ho~j ng~noioj vg~{vglxje.

Gej{jg`{j hovox hjimcmìlo` lgvoho gej{jg`{j xgb`jl "xgkb`jkoc geejkjg`kz*#gej{jg`{j v~mhwl{j-bo{jc "v~mhwkxjug geejkjg`kz* ho` gej{jg`{j ocmloxje

"occmkoxjug-{mkjgxoc geejkjg`kz* xg~ao{wl hjhocoa`zo njhoì ao~lgx ho`

lg{gboxo`.?#; "Xongc ?*

Xongc ?. Ng~noioj hgej`j{j hoa hjag`{j xjìlox oòcj{j{ xg`xoì geglxjejxo{#

gejg`{j ho` lgng~ohjco`-glwjxj.?

; Ej~ao`ho H. Vgìg`hocjo` awxw ho` gej{jg`{j vganjozoo` cozo o` lg{gboxo`. Hj{oavojlo` hocoa ~oìlo

guocwo{j V~mi~oa Vgcozoò` O{lg{ Xg~vohw ^waob [oljx "VVOX^[* hj{gcgìio~olo` mcgb Lo`xm~ Vw{ox

VX O{lg{ "Vg~{g~m* hj Bmxgc Vo`m~oao Noxoa ?6 Hg{gang~ >662.

bxxv4--yyy.{k~jnh.kma-hmk-:266292-Hmhz!Ej~ao`ho!>662!Vgìg`hocjo`!Awxw!Ho`!Gej{jg`{j!Njozo!^[!

?6!Hg{gang~!>662


3/19

;

Gumcw{j {j{xga cozoò` lg{gboxo` hj {o~oò lg{gboxo` "~waob {oljx* {gko~o

v~j {jv`zo awcoj ho~j zoì ng~kj~jlo` hmjì xbjì{ kbgovg~ hocoa boc j`j

geejkjg`kz voho xobw` ?:96o` voho yolxw l~j{j{ lgwoìo` ho` igdmcol MVGK#lgawhjo` glm`maj awcoj vwcjb ho` ao{zo~olox ag`w`xwx cozoò` lg{gboxo`

ng~kj~jlo` hmjì xbjì{ ngxxg~hocoa boc j`j qwocjxz jav~mugag`x. [gcoao hwo

hglohg xg~{gnwx aoòdgag` ng~km~ol hmjì xbjì{ ~jibx "hjlgòc {gnoioj

j`k~go{jì geegkxjug`g{{* zoì ag~wvolo` lmanj o{j hmjì xbjì{ kbgovg~ho` hmjì xbjì{ ngxxg~. Xg~`zoxo v~j`{jv hmj i xbjì{ ~jibxxjhol agaohoj

agìjlwxj vg~lganoìo` lgaodwo` xgl`mcmij aowvw` xw`xwxo` ao{zo~olox

zoì {gaolj` l~jxj{< ho` v~j`{jv aoòdgag` hmjì xbjì{ ~jibxxg~{gnwx xgcob

lgxjìioco` toao` ho` hjoìiov {gnoioj v~j`{jv ho` ko~o aoòdgag` lw`m.

Voho onoh >? j`j ao{o g~o icmnocj{o{j hjnwxwblo` xjhol bo`zo hmjì xbjì{~jibx# olo` xgxovj dwio hjvg~cwlo` v~j`{jv aoòdgag` hmjì xbg ~jibx xbjì{

{gbjìio lmanjò{j lghwo`zo hj{gnwx {gnoioj v~j {jv aoòdgag` cozoò`

amhg~` hmjì xbg ~jibx xbjì{ ~jibx. 8

Co`ho{o` Bwlwa

Hocoa W`hoì W`hoì ^J @mam~ >: Xobw` >668 xg`xoì V~olxjl Lghmlxg~o`

voho vo{oc 87 ag`g~oìlo` xg`xoì lgyodjno` ag`zgcgìio~olo` lg`hocjawxw ho` lg`hocj njozo.7 Voho W`hoì W`hoì ^J @mam~ 88 Xobw` >6?6

xg`xoì ^waob [oljx voho vo{oc ;; ag`g~oìlo` xg`xoì m~io`j{o{j

~waob {oljx zoì geglxje# gej{jg`# ho` olw`xongc. 5 Vg~oxw~o` Vgag~j`xob

@mam~ >; Xobw` >667 xg`xoì Vgìgcmcoo` Lgwoìo` Noho` Cozoò` Wawa

ho` Vg~oxw~o` Ag`xg~j Hocoa @gig~j @mam~ 5? Xobw` >669 xg`xoì

Vghmao` Xgl`j{ Vgìgcmcoo` Lgwoìo` Noho` Cozoò` Wawa Hog~ob voho

vo{oc ? ozox ? ag`zgnwxlo` w`xwl agang~jlo` vgcozoò` lgvoho ao{zo~olox

ng~wvo vg`zghjoo` no~oì ho`-oxow do{o zoì hjdwoc xo`vo agìwxoaolo`

ag`ko~j lgw`xwìo` ho` hocoa agcolwlo` lgijoxo``zo hjho{o~lo` voho

v~j`{jv gej{jg`{j ho` v~mhwlxjujxo{.9#2

8 Ej~ao`ho H. Vg~o` Geglxjejxo{ Lcj`j{ hocoa ~oìlo agywdwhlo` lg{gcoaoxo`-lgoaoò` "{oegxz* ho`

ng~m~jg`xo{j lgvoho vo{jg` "voxjg`x kg`x~gh`g{{*.Hj{oavojlo` voho Bm{vjxoc Aoòigag`x ; zoìhj{gcgìio~olo` mcgb Vw{ox Lodjo` Ohaj`j{x~o{j ho` Lgnjdolo` Lg{gboxo` ELA WJ hj I~o`h Oìlo{o

Bmxgc J`xg~òxjmòc# Agho` ?? Oiw{xw{ >662. bxxv4--yyy.{k~jnh.kma-hmk-:2?;???-Hmhz!Ej~ao`ho!>662!

Vg~o`!Geglxjujxo{!Lcj`j{!Hocoa!VOXB7 W`hoì W`hoì ^J @mam~ >: Xobw` >668 xg`xoì V~olxjl Lghmlxg~o`5 W`hoì W`hoì ^J @mam~ 88 Xobw` >6?6 xg`xoì ^waob [oljx9 Vg~oxw~o` Vgag~j`xob ^J @mam~ >; Xobw` >667 xg`xoì Vgìgcmcoo` Lgwoìo` Noho` Cozoò` Wawa2 Vg~oxw~o` Ag`xg~j Hocoa @gig~j @mam~ 5? Xobw` >669 xg`xoì Vghmao` Xgl j{ Vgìgcmcoo` Lgwoìo`

Noho` Cozoò` Wawa Hog~ob


4/19

8

Kcj`jkoc Voxbyoz{ hocoa Gej{jg`{j Vganjozoo`# Geglxjejxo{ Vgcozoò` ho`

Lgng~ohjco`-Glwjxj

Kcj`jkoc Voxbyoz{ "KV* ohocob {woxw lm`{gv vg~g`koòo` vgcozoò` xg~vohwzoì ag~oìlwa {gxjov coìlob zoì hjng~jlo` lgvoho vo{jg` ng~ho{o~lo`

{xo`ho~ vgcozoò` aghj{ ho` o{wbo` lgvg~oyoxo` zoì ng~no{j{ nwlxj hgìo`

bo{jc zoì xg~wlw~ ho` hocoa doìlo yolxw xg~xg`xw {gcoao hj ~waob

{oljx.:#?6#??

Ng~jlwx bo{jc vg`gcjxjo` vg`g~ovo` Kcj`jkoc Voxbyoz{ V`gwam`jo "Ioano~ ?

ho` >* zoì hjcolwlo` hocoa ~oìlo aganwlxjlo` oho`zo gej{jg`{j njozo#

geglxjejxo{ cozoò` ho` lgng~ohjco`-glwjxj noij {gawo vo{jg` xo`voagao`hoì coxo~ ngcoloì lgohoo` {m{joc glm`maj# vg`hjhjlo` aowvw`

ig`hg~. Ho~j Ioano~ ? ho` > hj noyob w`xwl lo{w{ v`gwam jo njozo

vg~oyoxo` {oavoj {ganwb "hgìo` xo~je ~waob {oljx* agavg~iwòlo` Kcj`jkocVoxbyoz{ V`gwam`jo ohocob {gljxo~ ^v 8:7 666#! w`xwl lgco{ JJJ# ^v ? ?>6

666#! w`xwl lgco{ JJ# ^v ? 826 666#! w`xwl lgco{ J ho` ^v > ?76 666#! w`xwl

lgco{ UJV. [ghoìlo` njco hjbjxwì ng~ho{o~lo` lcoja Doalg{ao{ w`xwl lo{w{

zoì {oao ohocob ^v > 969 55;#!. Aolo {gko~o aoxgaoxjl hgìo`

agavg~iwòlo` Kcj jkoc Voxbyoz{ w`xwl lo{w{ v`gwam`jo xg~{gnwx

agìbgaox "> 969 55; 8:7 666 1 ^v > >?> 55;#!*. Hgìo` hgajljo`xg~cjbox dgco{ ho~j {gij glm`maj-vganjozoo` ~waob {oljx xg~{gnwx {oìox

gej{jg` ho` agìw`xwìlo` njco agìiwòlo` Kcj`jkoc Voxbyoz{.

Hgìo` agavg~iwòlo` Kcj`jkoc Voxbyoz{ hovox agìbjxwì Km{x Ygjibx

{gxjov lgcmavml lo{w{# km`xmb w`xwl lo{w{ v`gwam`jo hj oxo{ ~g~oxo

{wang~hozo "~g{mw~kg{* ~waob {oljx "mnox mnoxo`# nobo` ho` ocox hcc* zoìxg~voloj ohocob ^v >76 666#! aolo Km{x!Ygjibx `zo ohocob "876 666->76

666 1 ?.2*.

: Ej~ao`ho H. Vghmao` Vg`zw{wò` Kcj`jkoc Voxbyoz{ hocoa ~oìlo javcgag`xo{j [j{xga HÎ{ Ko{gajr

hj ~waob {oljx. Hj{oavojlo` hocoa [jhoì Vcg`m Lmajxg Aghjl ^[ Eoxaoyoxj# Dolo~xo 9 Mlxmng~

>667.?6 Ej~ao`ho H. Kcj`jkoc Voxbyoz{4 Vg~o` v~meg{j aghj{ hocoa ~oìlo ag`zw{w` [j{xga HÎ{ Ko{gajr hj

~waob {oljx. Hj{oavolo` voho lw`dw io` covoìo` lg ^[WV Ohoa Aocjl Agho` >> Hg{gang~ >667#

^[WV Bo{o` [ohjlj` No`hwì >; Hg{gang~ >667 ho` Guocwo{j Vg`zw{wò` Kcj`jkoc Voxbyoz{ hocoa

~oìlo vg`zgavw~òo` Vghmao` HÎ{ Ko{gajr Hgvlg{ ^J# Bmxgc I~o`h Kgavolo Dolo~xo >:

Hg{gang~ >667.?? Ej~ao`ho H# V~oxjyj O`hozo`j# @w~oj`j J~ao [w{o`xj# [~jg Gìio~ LH hll. Kcj`jkoc Voxbyoz{

Lg{gboxo` Oòl hocoa ~oìlo javcgag`xo{j [j{xga HÎ{ Ko{gajr hj ^[ Eoxaoyoxj# Dolo~xo >665.


5/19

7

Ioano~ ?. Km`xmb bo{jc vg`gcjxjo` javcgag`xo{j {ocob {oxw Kcj`jkoc Voxbyoz{w`xwl lo{w{ v`gwam`jo


6/19

5

Ioano~ >. Km`xmb o`ocj{j{ bo{jc javcgag`xo{j {ocob {oxw Kcj`jkoc Voxbyoz{

voho xobw` >665 w`xwl lo{w{ v`gwam`jo


7/19

9

Xg`xoì ko~o coìlob coìlob vg~bjxwìo` km{x ygjibx# ko{gajr j`hgr# no{g

~oxg~waob {oljx ho` ocmlo{j oìio~o` hovox hjcjbox hocoa Ioano~ ; ng~jlwx.

Ioano~ ;. Km`xmb vg~bjxwìo` ng~ho{o~lo` hoxo bo{jc javcgag`xo{j Kcj`jkoc

Voxbyoz{ hocoa ag`ko~j ^gcoxjug Ygjibx "km{x ygjibx*# Ko{g Ajr J`hgr ho`

No{g ôxg.


8/19

2

[x~oxgij Vgcol{oòo` Kcj`jkoc Voxbyoz{

Oio~ xjhol xwavoì xj hjb {g~xo {j g~ij{ hgìo` lg`zoxoo` hj covoìo`"~waob {oljx*# aolo javcgag`xo{j Kcj`jkoc Voxbyoz{ {gnojl`zo xg~vohw hgìo`

xoxolgcmco aoòdoag` "km~vm~oxg imug~ò`kg* ho` xoxolgcmco lcj`j{ "kcj`jkoc

imug~ò`kg* zoì xgcob ng~colw {g{woj aj{j ~waob {oljx hocoa njhoì

vgcozoò`# vg`hjhjlo` ho` vg`gcjxjo`.

Hgìo` xg~njx`zo Vg~oxw~o` Ag`xg~j Lg{gboxo` ^J @mam~

?;82-AG@LG[-VG^-JR->6?6 zoì hjiwòlo` ohocob j{xjcob [xo`ho~

Vgcozoò` Lghmlxg~o` "[VL* zoì xg~hj~j ho~j Vghmao` @o{jmòc Vgcozoò`

Lghmlxg~o` "V@VL* ho` [xo`ho~ V~m{ghw~ Mvg~o{jmòc "[VM*. V@VL hjnwox

mcgb m~io`j{o{j v~meg{j ho` hj{oblo` mcgb Ag`xg~j Lg{gboxo` ^J# {ghoìlo`[VM hjnwox hj xjìlox ~waob {oljx mcgb v~meg{j aghj{ hgìo` lmm~hjòxm~

Lmajxg Aghj{ ho` hjxgxovlo` vgìiwòo``zo hj ~waob {oljx xg~{gnwx mcgb

vjavjò` "hj~glxw~*.

[xo`ho~ V~m{ghw~ Mvg~o{jmòc w`xwl v~meg{j aghj{ hj ~waob {oljx hocoa

ng`xwl Vo`hwo` V~olxjl Lcj`j{?> ! voho wawa`zo hovox hjohmv{j ho~j Vo`hwo`

@o{jmòc Vgcozoò` Lghmlxg~o` "V@VL* zoì xgcob hjnwox mcgb m~io`j{o{j

v~meg{j ao{jì ao{jì# xjìioc hjkmkmllo` ho` hj{g{wojlo` hgìo` lm`hj{j

{o~oò ho` lmavgxg`{j zoì oho hj ~waob {oljx. Njco V@VL zoì xgcob hjnwoxmcgb m~io`j{o{j v~meg{j xg~{gnwx ho` xgcob hj{oblo` mcgb Ag`xg~j Lg{gboxo`

^J {g~xo {g{woj hgìo` lm`hj{j ~waob {oljx aolo xjìioc hj{gvoloxj mcgb

oìimxo v~meg{j "[AE* xg~lojx {gnoioj Vo`hwo` V~olxjl Lcj`j{ "VVL* ho`

hj{oblo` vgìiwòo``zo hj ~waob {oljx mcgb hj~glxw~ ~waob {oljx xg~{gnwx.

@oaw` njco V@VL xg~{gnwx ngcwa oho oxow xjhol {g{woj hgìo` lm`hj{j

~waob {oljx oxow hocoa V@VL ngcwa ag`ko`xwalo` dg`j{ vg`zoljx zoì {g{woj

hgìo` lgohoo` gvjhgajmcmij vg`zoljx hj hog~ob-~waob {oljx xg~{gnwx

aolo v~meg{j hj ~waob {oljx xg~{gnwx yodjn aganwox Vo`hwo` V~olxjl Lcj`j{

"VVL* w`xwl ~waob {oljx xg~{gnwx ho` hj{oblo` vgìiwòo``zo hj ~waob {oljx

mcgb hj~glxw~ ~waob {oljx. Hocoa ag`zw{w V@VL ho~j m~io`j{o{j v~meg{j

aowvw` VVL w`xwl ~waob {oljx ! v~meg{j aghj{ agang~jlo` vgcozoò`

lgv~meg{jo``zo {gko~o geglxje "kcj`jkoc geegkxjug`g{{* hocoa boc ag`giollo`

hjoi`m{j{ ho` agang~jlo` xg~ovj ng~ho{o~lo` vg`hgloxo` gujhg`kg!no{gh

aghjkj`g. [gko~o {ghg~boò vg~oxw~o` xg~{gnwx hovox hjcjbox {gnoiojaoò

hocoa Ioano~ 8 ng~jlwx.

?> Vg~oxw~o` Ag`xg~j Lg{gboxo` ^J @mam~ ?;82-AG@LG[-VG^-JR->6?6


9/19

:

Ioano~ 8. ^jìlo{o` Vg~oxw~o` Ag`xg~j Lg{gboxo` ^J @mam~

?;82-AG@LG[-VG^-JR->6?6 xg`xoì [xo`ho~ Vgcozoò` Lghmlxg~o` V@VL#

[VM ho` VVL.

V~m{g{ {gco`dwx`zo {gxgcob ag`zw{w` Vo`hwo` V~olxjl Lcj j{ "VVL* ^waob[oljx ohocob aganwox Kcj`jkoc Voxbyoz{ {gnoioj {ocob {oxw lmavm`g` ho~j

[j{xga Ko{gajr "J@O KNI* zoì {oox j j hjvg~iwòlo` w`xwl Doaj o`

Vgagcjbo~oo` Lg{gboxo` "Doalg{ao{* hj ~waob {oljx ! aolo J@O KNI olo`

cgnjb hj{gavw~òlo` hgìo` agìbjxwì HÎ ^gcoxjug Ygjibx ho` Ko{gajr

J`hgr {g~xo No{g ôxg {gxjov vgìgcmavmllo` dg`j{ vg`zoljx ho`

{gco`dwx`zo hovox agano`hjìlo` "ng`kbao~ljì* km{x geejkjg`kz o`xo~


10/19

?6

~waob {oljx hocoa agang~jlo` cozoò` lg{gboxo` ng~ho{o~lo` lgohoo`

{gngò~`zo hjng~jlo` agcocwj Kcj`jkoc Voxbyoz{.

[j{xga Ko{gajr ohocob {woxw ko~o agìgcmco {wang~ hozo ~waob {oljx

{ggeglxje awìlj` hocoa agang~jlo` cozoò` lg{gboxo` zoì xg~doìlow

lgvoho ao{zo~olox ng~ho{o~lo` vgìgcmavmllo` {vglx~wa hjoi`m{j{

vg`zoljx zoì bmamig` ho` v~m{ghw~ xj holo` zoì hjng~jlo` ! {gko~o

~jìlo{`zo xg~hj~j ho~j ; lmavm`g` wxoao zol`j lmhgejlo{j hjoi`m{j{ "JKH

?6* ho` v~m{ghw~ xj`holo` "JKH : KA*# vganjozoo` "km{xjì* zoì hovox

ng~wvo xmv!hmy` ovv~mokb# okxjujxz no{gh km{xjì ho` oxow lmanjò{j

lghwo`zo# ho` agcocwj Kcj`jkoc Voxbyoz{.?;#?8#?7#?5#?9

J@O!HÎ ohocob uo~jo{j {j{xga ko{gajr ug~{j Lgag`xg~jo` Lg{gboxo` ^J

w`xwl J`hm`g{jo zoì hj{w{w` ng~ho{o~lo` hoxo ho~j ?7 ~waob {oljx ug~xjloc#

agavg~iwòlo` JKH ?6 w`xwl hjoi`m{j{ ho` JKH : KA w`xwl v~m{ghw~

xj`holo` {g~xo njozo ng~ho{o~lo` xo~je zoì ng~colw voho yolxw xg~{gnwx.

Wvozo xg~{gnwx agaoì ngcwa {gavw~ò ho` ngcwa ag`kg~aj`lo` ~gocjxo{

lgohoo` {gcw~wb vgcm{ml xoòb oj~ òaw` {gnoioj xjxjl xmìiol oyoc# boc

xg~{gnwx ag~wvolo` {woxw lgng~bo{jco` hocoa aganwox {woxw {j{xga

vganjozoo` cozoò` lg{gboxo` ~waob {oljx ho` w{obo nojl ag`wdw lgvo{xjo`

ho` hovox hjvg~nojlj {g~xo hjxjìloxlo` lwocjxo{ aowvw` uocjhjxo{ hoxo`zo zoì ~gv~g{g`xoxje w`xwl J`hm`g{jo. [gnoioj {j{xga zoì no~w cobj~ J@O!

HÎ olo` xg~w{ ng~iwcj~ ho` ng~lganoì {g{woj xw`xwxo` vg~lganoìo`

cozoò` lg{gboxo` nojl ò{jmòc aowvw` ~gijmòc.?2 Hgìo` ng~olbj~`zo cj{g`{j

i~mwvg~ J@O!HÎ xg~bjxwì xoìioc ;6 [gvxgang~ >6?6# aolo òao {jxga

Ko{gajr J@O!HÎ ng~wnob ag`dohj J@O!KNI?:.

?; Imchao` C. Km{x!Geegkxjug`g{{ j` o ecox ym~ch Ko` JKH{ bgcv xbg W`jxgh [xoxg{ igx ~bzxba= @Gìc D Agh>667!2?.

?7 Hjo`g ^myco`h H. Aghjkojh Javcjkoxjm`{ em~ xbg bgocxb {oegxz `gx.@ Gìc D Agh >667< ;7;"?8*4?8;:!8?.

?5 I~goccz K. Oexg~ ?> zgo~{ me Ko{gajr j` J~gco`h# o aodm~ ~gujgy cgohjì xm jx{ amhg~ j{oxjm` o`h

grvo`{jm` o{ o kg`x~oc vjcco~ j` bm{vjxoc ew`hjì vmcjkz. J~gco`h Hgvo~xag`x me Bgocxb# >668.?9 Ko{gajr W`jx Hgvo~xag`x me Bgocxb o`h Kbjch~g . Ko{gajr Ago{w~gag x j` J~j{b Bm{vjxoc{. J~gco h

Hgvo~xag`x me Bgocxb# >667.?2 Ej~ao`ho H. Oòcj{j{ Vganozo~o` lgvoho Vgang~j Cozoò` Lg{gboxo` "VVL* agìiwòlo` J@O!KNI

ag`hgloxj bo~ovo` {gawo vjbol {g{woj Kcj`jkoc Voxbyoz{. Hj{oavojlo` voho Ym~l{bmv Javcgag`xo{jJ@O!KNI Vg~kgvoxo` X~o`{em~ao{j hj ^waob [oljx Hog~ob "^[H* hj{gcgìio~olo` mcgb O{m{jo{j

^waob [oljx Hog~ob [gcw~wb J`hm`g{jo "O^[OHO* Doyo No~ox hj Bmxgc O{xm` X~mvjkoò No`hwì# >;

Dw`j >6??.?: [w~ox Gho~o` Hj~glxw~ Dg`hg~oc Njò Vgcozoò` Aghjl Lgag`xg~jo` Lg{gboxo` ^J @mam~ J^.6;.6?-

J-7969?6 Xoìioc ?2 Mlxmng~ >6?6.


11/19

??

V>DL Lgag`xg~jo` Lg{gboxo` ^J xgcob agìoholo` vg~xgawo` hgìo`

{gcw~wb vg~bjavwò` v~meg{j ho` lmcgijwa hj Hg`vo{o~ Nocj voho xoìioc >;@mugang~ >66: ho` agìbo{jclo` lgvwxw{o` {gnoioj ng~jlwx4

?. Lg{gvoloxo` ho` lmajxag` ng~{oao {gcw~wb vg~bjavwò` v~meg{j ho`

Lmcgijwa {gxjov vg~bjavwò` v~meg{j aganwox ?6 vg`zoljx xg~no`zol

[xo`ho~-Vghmao` Vgcozoò` Aghj{ "[-VVA* ho` Kcj jkoc Voxbyoz{

w`xwl agcgìlovj J@O!HÎ hocoa V~mi~oa Doajò` Lg{gboxo`.

>. Vg~xgawo` {gco`dwx`zo xoìioc >> Do`wo~j >6?6 hj{gcgìio~olo` mcgb

Vw{ox Vganjozoo` ho` Doajò` Lg{gboxo` "V>DL* [gl~gxo~jox Dg`hg~oc

Hgvlg{ ^J aganobo{ {gcw~wb [VA ho` KV.

^g`koò vg~xgawo` co`dwxo` xoìioc >> Do`wo~j >6?6 hjw`hw~ ho` xg~gocj{o{j

voho xoìioc 9!: Ov~jc >6?6 hj Noxoa hgìo` vganobo{o` lganocj agìgòj

[xo`ho~ Vgcozoò` Lghmlxg~o` {gxjov vg~bjavwò` v~meg{j. @oaw` {gxgcob

jxw xjhol oho xj`hol co`dwx {gxg~w{`zo.

Xg~cgvo{ ho~j lg`hoco vgìiwòo` Kcj`jkoc Voxbyoz{ {gnoioj vgcgìlov J@O!

KNI< javcgag`xo{j Kcj`jkoc Voxbyoz{ {oìox ng~aoèoox noij v~meg{j hocoa

agang~jlo` vgcozoò`# vg`hjhjlo` aowvw` vg`gcjxjo` hj ~waob {oljx{gnoiojaoò hovox hjcjbox hocoa ioano~ 7 {oavoj 9 ng~jlwx.


12/19

?>

Ioano~ 7. Javcgag`xo{j Kcj`jkoc Voxbyoz{ hocoa njho`i vgcozo`o` hj ~waob

{oljx.


13/19

?;

Ioano~ 5. Javcgag`xo{j Kcj`jkoc Voxbyoz{w`xwl vg`gcjxjo` hj ~waob {oljx.


14/19

?8

Ioano~ 9. Javcgag`xo{j Kcj`jkoc Voxbyoz{ hjlojxo` hg`io` o{g{ag` vg`jcojo`

w`xwl vg{g~xo hjhjl aobo{j{yo ho` vg{g~xo v~mi~oa hmlxg~ {vg{jocj{ hj

~waob {oljx aowvw` ~waob {oljx dgdo~j`i vg`hjhjlo`.


15/19

?7

Lm`{gv. lm`{x~wl{j aowvw` amhgc javcgag`xo{j Kcj`jkoc Voxbyoz{{gko~o xjhol

coì{wì {gnoiojaoò hjwxo~olo` hjoxo{ nobyo4

Kcj jkoc Voxbyoz{ {gnoioj j`{x~wag` vgcozoò` ng~emlw{ lgvoho vo{jg`

"voxjg`x!emkw{gh ko~g*# xg~j`xgi~o{j# ng~lg{jòanwìo` ho~j vo{jg` ao{wl

hj~oyox {oavoj vwcoì {ganwb "km`xj`wmw{ ko~g*# dgco{ olo` hmlxg~-vg~oyox

vgòìiwì doyon vo{jg` "hwxz me ko~g*# wxjcjxo{ vgag~jl{oo` vg`w doì#vgìiwòo` mnox mnoxo` xg~ao{wl o`xjnjmxjlo# v~m{ghw~ xj`holo` mvg~o{j#

o`xj{jvo{j lgawìljò` xg~dohj`zo aghjkoc g~~m~{ "coxg` ho` olxje# `zo~j{

xg~dohj aowvw` lgdohjo` xjhol hjbo~ovlo`-LXH* ho` vg`kgiobo` lgawìljò`

kghg~o "bo~a{* {g~xo jègl{j `m{mlmajoc hocoa ~oìlo lg{gcoaoxo` vo{jg`

"voxjg`x {oegxz*# ag`hgxgl{j hj`j xjxjl xjxjl vmxg`{joc ng~j{jlm {gcoao v~m{g{cozoò` vg~oyoxo` vo{jg` "x~okg~{ agxbmhmcmiz* hocoa ~oìlo aoòdgag`

~j{jlm "~j{l{ aoòigag`x*# ~g`koò vgawcoìo` vo{jg` "voxjg`x hj{kbo~ig* #wvozo vg`jìloxo` awxw cozoò` ng~lg{jòanwìo` "km`xj`wmw{ qwocjxzjav~mugag`x* nojl hgìo` vg`hgloxo` xgb`jl XMK "Xbgm~z me Km`{x~oj`x{*

w`xwl {j{xga aowvw` j`hjujhw v~meg{j# vg`wcw{w~o` lj`g~do "vg~em~ao`kg*

j`hjujhw v~meg{j aowvw` lgcmavml "xgoa!ym~l*.

Ag~wvolo` {woxw ~oìlojo` {j{xga zoì hovox hjvg~iwòlo` {gnoioj

j`{x~wag` w`xwl agag`wbj vg~{zo~oxo` vg jcojo` Ol~ghjxo{j ho~j LmajxgOl~ghjxo{j ^waob [oljx "LO^[* ug~{j no~w aowvw` ho~j Dmj`x Kmaaj{{jm`

J`xg~òxjmòc em~ Bm{vjxoc "DKJ* ug~{j >6?? w`xwl {xo`ho~ {xo`ho~ hocoa

[gkxjm` J. Voxjg`x Kg`xg~gh [xo`ho~h aowvw` hocoa [gkxjm` JJ. Bgocxbko~g

M~io`jtoxjm` Aoòigag`x [xo`ho~h {gnoiojaoò jcw{x~o{j Ioano~ 2 {oavoj

?6 ng~jlwx.


16/19

?5

Ioano~ 2. Kcj`jkoc Voxbyoz{ho` DKJ >6?? Okk~ghjxoxjm` [xo`ho~h{


17/19

?9

Ioano~ :. [j{xgaoxjlo hocoa DKJ >6?? Bm{vjxoc [xo`ho~h{ ho` Vg`jcojo``zo


18/19

?2

Ioano~ ?6. Kcj`jkoc Voxbyoz{ ho` xgb`jl X~okg~ Agxbmhmcmiz zoì hjiwòlo`

mcgb {w~ugzm~ hocoa ~oìlo Ol~ghjxo{j DKJ >6??


19/19

?:

Lg{javwco`4

Ho~j w~ojo` {jìlox hjoxo{ hgìo` bo`zo {gcgano~ Kcj`jkoc Voxbyoz{ !ag~wvolo` {woxw j`{x~wag` zoì lmav~gbg`{je ag~oìlwa {gko~o xg~vohw

njhoì vgcozoò`# vg`hjhjlo` ho` vg`gcjxjo` aowvw ol~ghjxo{j {g~xo njco

hjxj dow ho~j {gij glm`maj lg{gboxo` hovox agcol{oòlo` gej{jg`{j

vganjozoo` hgìo` agaoèooxlo` {gmvxjaoc awìlj` bo~j ~oyox vo{jg`#

agìgcjaj o{j vgag~jl{oo` vg`w`doì-conm~oxm~jwa-xj holo` zoì xjhol

hjvg~cwlo`# agìiwòlo` mnox mnoxoo` "xg~wxoao o`xjnjmxjl* {g{woj gujhg`kg!

no{gh668 w`xwl

njhoì lg{gboxo` xg~ywdwh "{gko~o aok~m!{z{xga*.

Xg~jao lo{jb# {gamio ng~aoèoox.Dolo~xo >? @mugang~ >6??

Hmhz Ej~ao`ho

Lgxwo Lmajxg Aghjl

^[WV Eoxaoyoxj Dolo~xo.

bxxv4--yyy.{k~jnh.kma-Lmajxg'>6Aghjl

Dody Firmanda 2011 - Peran Clinical Pathways dalam Efisiensi, Efektifitas dan Ekuiti

Documents

Transcript of Dody Firmanda 2011 - Peran Clinical Pathways dalam Efisiensi, Efektifitas dan Ekuiti