Private Hospital In Yogyakarta Research Articles

Spiritual Well-Being of Cancer Patients Undergoing Chemotherapy in Yogyakarta

Background: In order to provide holistic care and advance spiritual well-being, it is essential to identify and meet the patient's spiritual well-being. Purpose: This study aimed to determine the spiritual well-being of cancer patients undergoing chemotherapy in Yogyakarta. Methods: This study used a cross-sectional approach with a sample of 50 cancer patients undergoing chemotherapy at the One Day Care (ODC) oncology clinic, a private hospital in Yogyakarta, which was taken using a purposive sampling technique. The measurement tool used is the Spiritual Well-Being Scale (SWBS) questionnaire which consists of 20 items. Data analysis in this study used descriptive statistics and cross tabulation to determine the comparison between spiritual well-being of cancer patients undergoing chemotherapy based on their demographic characteristics. Results: Spiritual well-being has a higher score in patients who are female (92.53±10.49), have higher education (92.67±10.84), are widowers/widows (97.00 ± 4.24), receive treatment of the partner (93.81 ± 10.30), and had stage III disease (92.88 ± 9.54). Conclusion: An accurate assessment of spirituality in patients can be a clinical guide in establishing nursing diagnoses of spiritual distress or readiness to improve spiritual well-being.

HUBUNGAN TINGKAT PENGETAHUAN DENGAN PERILAKU PERAWAT DALAM PENYUSUNAN DISCHARGE PLANNING DI RUANG RAWAT INAP RUMAH SAKIT SWASTA YOGYAKARTA

Discharge planning is a continuous process to prepare post-hospitalization patients so they can carry out independent care. Nurse knowledge is one of the factors that influences the implementation of discharge planning. The research aims to analyze the relationship between the level of knowledge and the behavior of nurses in preparing discharge planning in inpatient rooms at private hospitals in Yogyakarta. This research uses descriptive analytical correlation with a cross sectional approach. Samples were taken using purposive sampling as many as 33 respondents with data analysis using the Spearman Rank test. The research instrument used questionnaires and observations of patient medical records. The research results showed that the level of nurses' knowledge regarding discharge planning was in the good category (76%). The behavior of nurses in preparing discharge planning was good (73%). Analysis between the level of knowledge and behavior of nurses in preparing discharge planning with a p value of 0.007 and strength of correlation (r) 0.460. There is a relationship between the level of knowledge and the behavior of nurses in preparing discharge planning. It is recommended that nurses increase their knowledge, especially in preparing patient discharge planning, by increasing their knowledge independently via the internet, attending training or seminars related to discharge planning.

Pengaruh Intervensi Self-Management Terhadap Kepuasan Kerja Perawat di Rumah Sakit Tipe C Yogyakarta

Background: Job satisfaction is a manifestation of the success of employees in carrying out their responsibilities at work. Self-management is self-regulation in the use of time, choices, interests, activities, and physical and mental balance. The results of measuring nurse job satisfaction amid the COVID-19 pandemic decreased and affected the quality of hospital services. Objective: This research aims to determine the effect of self-management interventions on nurse job satisfaction at type C private hospital in Yogyakarta. Methods: Pre-experimental research design, one group pre-posttest. The research population is nurses at type C private hospital in Yogyakarta. The sample in this study was 45 respondents using a total population technique as the sample. This study used the Minnesota Satisfaction Questionnaire and the intervention was carried out online meeting. Results: The majority was female with a percentage (86.7%), the ages of nurses were 31-38 years with the most (42.2%), Diploma III education dominated (82.3%). Wilcoxon obtained Asymp.Sig (2-tailed) worth 0.001. The value of 0.001 is less than 0.05, so H0 is rejected and Hα is accepted. Conclusion: There is an effect of self-management interventions on the job satisfaction of nurses at type C private hospital in Yogyakarta.

Predictors of Sleep Quality Among Type 2 Diabetes Mellitus Patients

One of the health problems experienced by patients with type 2 diabetes mellitus is poor sleep quality. Poor sleep quality is an important factor in poor blood sugar regulation. This study aims to determine the predictors of sleep quality in patients with type 2 diabetes mellitus at a private hospital in Yogyakarta. This research was conducted using a cross sectional approach on 150 type 2 diabetes mellitus patients who were recruited at the Endocrine Clinic at a private hospital in Yogyakarta. The questionnaires used in this research were demographic data questionnaires, Perceived Stress Scale (PSS-10), Pittsburgh Sleep Quality Index (PSQI). Data analysis was carried out using Multiple hierarchical linear regression. The research results show that the average stress score of respondents in this study was 16.13 (SD = 4.59), which is in the medium category. Global PSQI showed that respondents experienced poor sleep quality (mean = 5.33, SD = 1.79). The Perceived Stress Scale score contributed 23.6% to the sleep quality score. The higher the respondent's stress level, the lower the respondent's sleep quality. Nurses can develop interventions to improve the sleep quality of type 2 diabetes mellitus patients.

Private Hospital Obstacles are Linked to Law No. 17 Of 2023 Concerning Health. in the Third Part Concerning the Hospital

Public institutions that focus on organizing and providing patient services to the community are hospitals. Private hospitals are health service bodies managed by foundations or certain groups of organizations together with educational institutions. The aim of this research is to find out what kind of constraints or barriers are experienced by private hospitals, especially those which are then linked to Law no. 17 of 2023 concerning health. This research method uses a qualitative phenomenological method aimed at describing or explaining a person's personal experiences, including experiences of relationships with other people, using literature study as a data collection procedure. The results of this research are that private hospitals in Indonesia are still not optimal in their efforts to fulfill the general provisions regarding hospitals that have been stipulated in Law no. 17 of 2023 concerning health. Due to the obstacles faced in its operations, such as the Bunda Lhokseumawe Hospital which is hampered by the lack of specialist doctors at the hospital which results in less than optimal treatment services at the hospital, then the Surya Husadha Nusa Dua Hospital which is located in Bandung, with problems. delays in the distribution of food preferences, as well as three private hospitals in Yogyakarta which were hampered by lack of medicine stock in these hospitals

Pengaruh Edukasi Teknik Relaksasi Napas Dalam Berbasis Audiovisual Terhadap Skala Nyeri Pasien Pasca Bedah Di Ruang Perawatan Bedah Di Salah Satu Rumah Sakit Swasta Di Yogyakarta

Background: surgery can cause acute pain, this is caused because during surgery there is tissue damage that triggers cytokine discharge. Approximately 80% of patients undergoing surgery experience acute postoperative pain. 40% of patients experience moderate and severe pain during the first 24 hours after surgery. Planning related to pain management needs to be well prepared before surgery. One of the efforts that can be done to prevent the impact of postoperative pain is by educating pre-surgery by using pain management videos. By using audio visual media, the patient will more easily understand and perform pain reduction techniques.
 Purpose: to determine the effect of preoperative pain management on the postoperative patient pain scale. The research was conducted at one of the private hospitals in Yogyakarta on February 11-March 07, 2021.
 Method: Research design using pre experiment posttest only design, Population in this study as many as 41 respondents, sample selection is done with purposive sampling technique. The samples in this study were 30 divided into two groups, namely 15 respondents of the intervention group who were given education on deep breath relaxation techniques using video and 15 respondents of the control group.
 Result: data analysis conducted with Mann-Whitney test, obtained the result of p value 0.123 ( p value > 0.05), meaning there is no difference in the pain scale of the intervention group respondents and the control group.
 Conclusion: nurses should motivate and do mentoring when the patient applies the deep breath relaxation techniques that have been taught

Service Performance of Indonesian Private Hospitals: An Empirical Study Using the SERVPERF and IPA Approach

Patient perceptions have become an important component in determining the quality of a hospital’s service. This study attempts to analyze hospital performance from the customer perspective by adopting the SERVPERF method through five variables, namely tangibles, reliability, assurance, responsiveness, and empathy, with the aim of identifying and recommending areas that the hospital needs to focus on. A total of 100 respondents as outpatients were involved in this study. The cross-sectional survey was conducted online using Google Forms during the pandemic in 2020. According to the research findings, the hospital's overall performance is 4.24. Three indicators with low performance but high importance were examined using IPA. A fishbone diagram is used to identify the source of these indicators and to be the reason to propose recommendations. The study is limited to outpatient care departments from a private hospital in Yogyakarta, Indonesia. However, its findings have important implications for hospital managers for measuring their performance from the patients' perspective.

Correlation between burnout and patient safety culture on nurses at private hospital in Yogyakarta, Indonesia

Introduction: The high workload of nurses can cause burnout. Burnout can occur if the number of patients admitted does not match the number of available nurses and facilities, and occurs for a long time. Burnout in nurses causes a lack of attention to the application of patient safety culture. This study aims to find out the correlation between burnout and patient safety culture among nurses at Private Hospital in Yogyakarta. Methods: Research design was descriptive cross-sectional method. There were 58 nurses, acquired by total sampling technique. We used the MBI-questionnaire to measure burnout levels and the HSOPSC questionnaire to measure patient safety culture. Results: The results of this study indicate that the burnout level is low as many as 58 people (100.0%), patient safety culture is fairly good as many as 41 people (70,7%) and burnout has a negative effect on patient safety culture, but has no significant relationship (p 0,200 and r -0,171). Conclusion: The burnout level of nurses is in low category, the patient safety culture of most nurses is fairly good and burnout has a negative effect on patient safety culture, this is because when burnout is felt by an individual, it will affect all individual activities both physically and mentally. Nurses are expected to be able to manage the workload so that they can avoid burnout and cooperate with hospital management to improve patient safety culture.

Kecerdasan Emosi dan Organizational citizenship behavior Pada Perawat Rumah Sakit

Emotional Intelligence andan Organizational citizenship behavior On Hospital Nurses The research aims to find out the relation between emotional intelligence and organizational citizenship behavior. The subjects of this study were nurses at Private Hospital in Yogyakarta. Methods of data collection using quantitative methods. Data collection uses organizational citizenship behavior scale and emotional intelligence scale. The data analysis technique used is Pearson's product moment correlation with the help of the computer program SPSS version 17.00 for Window. Product moment correlation analysis resulted (r) of 0.659 with a significance level of 0.000 with p <0.001 which means that there is a very significant positive relationship between emotional intelligence and organizational citizenship behavior. Based on the results of the study, it can be said that the correlation coefficient between emotional intelligence variables and organizational citizenship behavior indicates that the hypothesis can be accepted, where the higher the emotional intelligence, the higher the organizational citizenship behavior, and the lower the organizational intelligence, the lower the organizational citizenship behavior. Emotional intelligence contributes 32.15% to organizational citizenship behavior.

High Frequency of CYP2A6*4, CYP2A6*7, and CYP2A6*9 Alleles Detected Among Patients with Type 2 Diabetic: Genetic Study in The Private Hospital in Yogyakarta

Smoking is a risk factor for type 2 diabetic (T2DM), since the nicotine in cigarettes can cause insulin resistance and increase lipolysis. Both of these can worsen the condition of patients with T2DM and increase treatment failure. Nicotine is metabolized to cotinine by the CYP2A6 enzyme encoded by the CYP2A6 gene. This gene is highly polymorphic, with several inactive alleles, which are CYP2A6 *4, CYP2A6 *7, and CYP2A6 *9. Someone who has an inactive gene will experience being a slow or poor metabolizer. Therefore, the nicotine metabolism will decrease, nicotine blood levels will increase, causing therapy failure among patients with T2DM. This study aims to determine the distribution of CYP2A6*4, CYP2A6*7, and CYP2A6*9 among patients with T2DM who have been routinely treated using oral antidiabetics. We also investigated whether HbA1c levels is a predictor for the success of the treatment. This observational study was conducted with a cross-sectional design. Polymerase chain reaction was used to analyze the three inactive alleles with specific primers. Based on our study, there is a high frequency of the inactive alleles, i.e., CYP2A6*4, CYP2A6*7, and CYP2A6*9, among the patients with T2DM. The presence of these inactive alleles will worsen and reduce the effectiveness of the therapy. Smoking cessation programs are needed to increase the effectiveness of the anti-diabetic therapy.

Direct Medical Cost Analysis of Dengue Patients: A Retrospective Study

Background: Dengue infection is an arboviral disease that could lead to severe illness. The incidence of severe dengue will impact patients' financial aspects. As an important clinical feature, platelet level on admission day might contribute to the direct medical cost. Objective: This study aimed to examine the direct medical cost among patients with dengue fever (DF) or dengue hemorrhagic fever (DHF) in Yogyakarta, Indonesia. Methods: This study was a retrospective study conducted in two private hospitals in Yogyakarta, Indonesia. Participants included in this study were hospitalized patients diagnosed with DF or DHF. Data were extracted from medical records and finance departments in each hospital. Results: Among 174 dengue patients included in this study, the mean age of DHF patients (18.44 + 14.87) was lower than in DF patients (23.47 + 18.99). Patients with DHF (4.88 days) also showed prolonged hospitalization compared with DF (4.18 days) patients. In terms of medical cost, DHF patients need a higher dengue treatment cost, which is about 329.74 USD compared to 220.68 USD for DF patients in hospital 2. Mainly related to room charges, which increased by 9.48% in hospital 1 and 66.28% in hospital 2 compared with DF patients. Furthermore, DHF patients with thrombocytopenia on the first day of admission present higher medical costs in terms of laboratory fees (36.08%), medicine (18.17%), and total medical costs (9.84%). Conclusion: Severe form of dengue will contribute to economic burden. Therefore, prevention and adequate treatment are essential to reduce the prognosis of severe dengue and higher medical cost.

Correlation of antibiotics prescribing appropriateness based on the pharmaceutical care network europe (PCNE) method and clinical response in Community-Acquired Pneumonia

The use of antibiotics as the main standard of pneumonia treatment is usually prescribed in high quantities. Inappropriate selection of antibiotics can lead to bacterial resistance, treatment failure, and the emergence of DRPs (Drug-Related Problems). This study aims to determine the suitability of antibiotic prescribing using the PCNE method and to determine the correlation between the suitability of antibiotic prescribing and clinical response. This study was analyzed using a retrospective analytic cohort study method with data collection of adult Community-Acquired Pneumonia patients medical record, who were hospitalized in private hospital in Yogyakarta from January to December 2019. In addition, this study also assessed antibiotic prescribing according to the PCNE V8.02 method toward patients’ clinical response (the number of leukocyte, temperature, and respiratory rate) after take the antibiotics. The correlation according to antibiotic prescribing analyzed according to chi-square method. The results showed that a total of 52 antibiotic regimens obtained in the evaluation of antibiotic prescribing according to the PCNE method were 21.5% suitable and 78.8% not suitable. Thus, the results of the correlation test for the accuracy of antibiotic prescribing and clinical response to the number of leukocytes showed a significant relationship (p<0.05). However in this study, none significant correlation was found in antibiotic prescription and clinical response in terms of temperature and respiratory rate (p<0.05).

Growth of exclusively breastfed small for gestational age term infants in the first six months of life: a prospective cohort study

BackgroundCompared to their appropriate-for-gestational-age (AGA) peers, small-for-gestational-age (SGA) infants are prone to growth deficits. As the first 6 months of exclusive breastfeeding is generally recommended, it is essential to understand how this intervention might impact SGA infants’ growth. This study aims to assess growth of exclusively breastfed SGA term infants in the first 6 months of life.MethodsA prospective cohort study was conducted on term infants born in Dr. Sardjito General Hospital and two private hospitals in Yogyakarta, Indonesia. SGA was defined as birth weight less than the 10th percentile according to Fenton criteria. Weight, length, and head circumference (HC) were measured at birth and monthly until 6 months old.ResultsA total of 39 AGA and 17 SGA term infants who were exclusively breastfed in their first 6 months were included and followed. In SGA compared to AGA, birth weight, length, and HC (mean ± SD) were significantly lower (p < 0.001). During the first 6 months, the SGAs grew in weight and length in parallel with the AGAs. At sixth months of age, the weight and length (mean ± SD) of the SGAs were significantly lower compared to the AGAs (p < 0.001). However, HC (mean ± SD) of SGAs grew significantly faster than the AGAs (p < 0.005). At sixth months of age, there were no significant differences in HC between the two groups (p = 0.824).ConclusionsIn the first 6 months, exclusively breastfed SGA term infants, in contrast to weight and length, only show catch up growth in HC, leading to HC comparable to their AGA peers at the age of 6 months.

Chronic Suppurative Otitis Media Characteristic in Secondary Hospital in Yogyakarta

BACKGROUND: Chronic suppurative otitis media (CSOM) is the most common ear infection that causes hearing loss and affects the quality of life worldwide. AIM: The study aimed to describe the risk factor of CSOM patients at a private hospital in Yogyakarta, Indonesia, from March to June 2021. METHODS: This study was an observational analytical study with a case–control design. The respondents were 55 patients with CSOM who met inclusion criteria and 56 respondents as controls. A checklist interview was conducted to determine the present and past history of diseases, and the relationship among potential risk factors was analyzed using bivariate analysis. A bivariate analysis was used to specify the odds ratios, 95% confidence intervals, and the relationship between risk factors and the incidence of CSMO. RESULTS: The characteristic cases were as follows: Majority age over 20 years, 56% male, 47% university degree, 29% history of allergy, 25% history of acute respiratory infection, 56% complain of discharge from the ear, 31% snoring, 67% cigarette consumption, 42% earn 2–5 million rupiahs per month, and 73% of their homes are closed to health-care facilities. Four risk factors for CSOM omit this included: Education, medical history from the ear, snoring, and income per month (p &lt; 0.05). CONCLUSION: According to the results, the majority of CSOM patients to be treated at a private clinic in Yogyakarta were male at productive age, had university education, had no history of allergies and acute respiratory infections, and had a history of secrete from the ear, exposure to cigarettes, and median income per month.

The use of anti-hyperlipidemia in a private hospital in Yogyakarta during 2013-2019

Background: Lipid modifying agents have an important role in the primary and secondary prevention of cardiovascular diseases such as coronary heart disease and stroke. The use of lipid-modifying agents tends to increase along with the increasing prevalence of these diseases. Objectives: To determine the utilization of lipid modifying agents for hospitalized patients in a private hospital in Yogyakarta during the period of 2013 - 2019 in regard to the agents used and their quantity. Methods: The main data for this study were aggregate data on the use of lipid modifying agents for hospitalized patients during 2013-2019 obtained from the hospital pharmacy department. After identification of the names of lipid modifying agents, the quantities of these drugs were then calculated in units of defined daily dose (DDD) and the final quantity was expressed in DDD/100 bed days (BD). The R2 value from linear regression was used to determine the trend of use of individual agents over the period. Results: There were two pharmacological subgroups of lipid modifying agents used during the period of 2013 – 2019 with an average of total quantity of 14.81 DDD/100 BD. Utilization of statins was approximately 90% of the total use, and utilization of fibrates tended to decrease over the period. Individually, simvastatin use decreased significantly over the period (R2 = 0.885), but atorvastatin use continued to increase (R2 = 0.908) with 10-fold increase from 2013 to 2019. Conclusion: The lipid modifying agents used during the period 2013 - 2019 were predominantly statins, and the utilization of atorvastatin increased significantly during this period. Keywords: lipid modifying agents, ATC/DDD, fibrates, statins

Cost consequences analysis of hypertensive outpatients: a study in a private hospital in Yogyakarta special province

Background: Hypertension is a chronic disease that requires long-term treatment and has an impact on the cost of treatment. The costs will be greater given the loss of productivity, family burden, and social life impacted by hypertension based on patient’s perspective. Objective: The purpose of the study was to determine the costs and clinical outcome of antihypertensive therapy from the patient's perspective and to identify the discrepancies between the costs and the INA-CBGs (Indonesia Case Based Groups) tariff. Methods: The research was an observational study with a cross-sectional design. The targeted population was outpatients who had received antihypertensive therapy for at least 1 month at a private hospital in Yogyakarta. The costs included direct medical costs, direct non-medical costs, and indirect costs, while the clinical outcomes were patient’s blood pressure. The descriptive analysis was carried out to describe the characteristics of the research subjects, the clinical outcome, and the cost. Analysis of the discrepancies between the costs and the INA-CBGs tariff used the Mann-Whitney test and One-Sample t-test. Results: The results showed that the average direct medical costs, direct non-medical costs, and indirect costs from the patient’s perspective were IDR359,408.00, IDR24,617.00, and IDR 40,583.00, respectively. There was a significant difference between the real costs and the rate of INA-CBGs based on the results of statistical tests, while the cost discrepancy was IDR5,287,045.00. Conclusion: The direct non-medical costs and indirect costs of hypertensive outpatients were less than the direct medical costs. A significant difference occurred between the real costs and INA CBG’s tariff. Keywords: hypertension, cost consequences, pharmacoeconomics, patient’s perspective

Spiritual Care Need: The Pediatric Nurses’ Perspective

BACKGROUND: Nurses as health professionals have to provide holistic nursing care that is a bio-psycho-socio-cultural and spiritual aspect. If the spiritual aspects are not met, it will impact the patient’s healing process. It requires the role of nurses to meet the spiritual needs of patients. AIM: This study aims to determine a spiritual care need based on pediatric nurses’ perspective. METHODS: This study used a qualitative method of phenomenology. Participants in this study were all seven nurses working in the pediatric inpatient ward of three private hospitals in Yogyakarta. Data were collected through semi-structured interviews. RESULTS: The study showed that the meaning of spiritual care need was the need related to pediatric religion and psychology. Nurses can perform spiritual care needs to patients independently or collaborate with the spiritual counselor. Nurses fulfilled patients’ spiritual care needs to remind daily prayer, pray for patients, and remind them of prayer before taking medicine or other occasions. CONCLUSION: Spiritual care needs can be fulfilled by nurses independently or through collaboration with a spiritual counselor.

Factors Related to Nurse Compliance in The Implementation of Universal Precaution in The Inpatient Room One of Private Hospital in Yogyakarta

Transmission of nosocomial infections from person to person must be prevented by always maintaining hand hygiene after carrying out inspection activities and interaction activities in hospitals, one of them by doing hand hygiene. Awareness of the importance of hand hygiene in health workers is needed in efforts to prevent nosocomial infections. The hand hygiene compliance rate obtained at One of Private Hospital in Yogyakarta is 80%. Awareness of the importance of the implementation of hand hygiene does not yet exist or has not emerged in the nurse itself, while it is very important in addition to protecting himself from the transmission of infection and can reduce the risk and spread of nosocomial infections in the hospital. This study uses an observational analytic method with a cross-sectional design. The sampling technique uses proportional random sampling, with the number of samples studied as many as 89 people. The research data were analyzed using the chi-square test. The p-value of 0.040 (p 0.05) indicates that there is a relationship between knowledge and nurse compliance in the implementation of hand hygiene. A p-value of 1.00 (p 0.05) indicates that there is no relationship between attitude and nurse compliance in the implementation of hand hygiene. P-value of 0.425 (p 0.05) indicates that there is no relationship between motivation and nurse compliance in the implementation of hand hygiene

The evaluation of compounding prescription and its availability of a licensed product for children at a private hospital in Yogyakarta, Indonesia

&#x0D; Introduction: The availability of licensed drug formulas for paediatric patients is still limited, so compounded drugs still exist, especially in the form of divided medicinal powder. &#x0D; Aim: This study aimed to determine the profile of divided medicinal powder prescription and its availability in licensed drug formula for paediatric patients. &#x0D; Methods: This research was a cross-sectional study. Prescriptions containing order to compound divided medicinal powder at a ublic Hospital in Yogyakarta Special Region from January to March 2019, were collected and analysed descriptively.&#x0D; Results: The total collected prescriptions were 152. The total of active substances given to paediatric patients was 38. The most prescribed drug in the hospital was Triamcinolone. There are 34 active substances already available in licensed drug formulas for paediatric patients, so it is better not to be compounded. However, four active substances are not available as licensed product in the drug information handbook in Indonesia, so, it is reasonable to compound to provide a suitable medication (dose and dosage form) for paediatric patients.&#x0D;

EVALUATING THE IMPLEMENTATION OF PEDIATRIC DHF CLINICAL PATHWAY IN TYPE D HOSPITAL IN YOGYAKARTA

AbstractBackground: Dengue haemorrhagic fever (DHF) is an endemic disease that has a high incidence and mortality rate in Indonesia. Implementating clinical pathways (CP) in hospitals can be used as the basis for treating patients with DHF so as to improve service quality and minimize complications. Objective: This study aims to evaluate the implementation of CP DHF in the pediatric unit at Type D Private Hospital in Yogyakarta. Methods: This is a mix method research with case study design. Qualitative data was collected through in-depth interviews and observations of pediatricians n=2), nurses (n=3), directors of medical services (n=1) and medical committees (n=1). Quantitative data was collected through document review and interviews with the Integrated Clinical Pathway Appraisal Tools (ICPAT). Results: Documents is true a CP. The role of the organization has been running well. The process of documenting, developing and implementing CP DHF is not optimal. The maintenance process is bad. Compliance completes of CP DHF is 9%. The majority of lenght of stay are above 3.86 days with treatment costs above the BPJS package. The incidence of complications is low. The obstacles found during the implementation of CP DHF were that the patient did not have access to CP, low adherence to CP and human resource management factors. Conclusion: The development and implementation of CP DHF needs to be improved both in terms of content and quality. Strong policies are needed, good organizational support and the active role of clinicians are the keys to the successful implementation of CP.Keywords: Clinical Pathway, Dengue Haemorragic Fever, Integrated Services