The Urgency of Patient-Centred Care in the Hospital


Authors : Aris Sunandar; Budi Setiyono; Hardi Warsono; Budiyono

Volume/Issue : Volume 7 - 2022, Issue 11 - November

Google Scholar : https://bit.ly/3IIfn9N

Scribd : https://bit.ly/3U3qhMU

DOI : https://doi.org/10.5281/zenodo.7366142

Health services in hospitals (RS) still continue to be colored by complaints. Hospital services have not referred to the WHO's global strategy on integrated peoplecentered health services (IPCHS). Every community has access to health services by placing patients as the focus of service/Patient Centered Care (PCC). Even though it has been fully accredited and has the WBK/WBBM predicate, the Central Java Provincial Hospital still finds submitted complaints from patients or patients' families. From October to December 2020 there were 46 complaints that could be identified from the Customer Service report. The most complaints were that patients felt they had to comply with hospital directions and regulations, the types of complaints or suggestions from patients were not taken seriously as many as 14 (30.43%); Hospital responses to patient complaints are less responsive and less fast amounting to 12 (26.09%); patients have difficulty changing the type of service, upgrade to room class the procedure is complicated and very bureaucratic as many as 10 (21.74%); health services are highly dependent on the direction of Top Management or senior doctors, other officers are not listened to, let alone 6 patients (13.04); the relationship between the patient and the hospital is only a transactional relationship, there is no emotional connection totaling 4 or (8.70%) complaints. This article discusses the urgency of implementing patient-focused services in hospitals. The discussion of this article is that there has not been a patientfocused service that respects the preferences and needs of patients marked by a partnership relationship that is not optimal, is not sensitive to the patient's cultural values, is still limited to a transactional relationship between patients and service providers; has not prioritized patient autonomy as a patient's right in service as shown by as if the patient is forced to comply with hospital values and regulations but ignores patient values; the patient's requests have not been fulfilled in the flexibility of service as evidenced by the patient still having to undergo services as determined by the hospital, not being free to choose the type of service they want; Collaboration Dynamics has not occurred in patientfocused services as shown by the fact that doctors-focused services are still found, superior impressions of top management and senior doctors' decisions in determining patient health services; and there is no specific policy on PCC implementation in hospitals. The final conclusion is that even though it has been fully accredited by KARS and has WBK/WBBM predicate, complaints about hospital services as part of public services that continue to emerge show the urgency of patient-focused services (PCC) in hospitals. The paradigm of hospital health services with the traditional paternalistic approach where "the best doctor knows best" has to be abandoned, moving to a patientfocused care approach (PCC). Conditions that encourage Collaborative Governance in Hospitals as a solution for good Hospital governance.

Keywords : Patient Centered Care; Services; Collaboration Dynamics; Collaborative Governance

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