Rumah Sakit Umum Daerah Research Articles

Performance Analysis of Service System in the Pediatric Clinic Department at Rumah Sakit Umum Daerah (RSUD) Sumedang

A service is considered good if it can provide fast service so that customers are not left waiting for too long. If a service has a long queue, then causing customers to wait for a long time, their satisfaction and trust levels may decrease. Rumah Sakit Umum Daerah (RSUD) Sumedang offers various outpatient services, including a pediatric clinic. Almost every day, a significant number of patients come to the pediatric clinic, resulting in considerable waiting time for patients. The service discipline used is First Come First Serve, and the service system falls under the multi-phase category, where each patient has to go through several stages to receive optimal service. This research will focus on the service system in the pediatric clinic at each stage, starting from registration, examination by the doctor, to medication collection at the pharmacy. The research findings indicate that the workload at the pharmacy counter is very high, while it is significantly low at the registration counter, resulting in suboptimal performance of the service system at these two stages. The performance of the service system can be improved by reducing service facilities at the registration counter and adding resources at the pharmacy counter.

Anxiety levels of ICU patients at tertiary referral hospital using Visual Analog Scale for Anxiety (VAS-A)

Patients undergoing treatment in the Intensive Care Unit (ICU) are at risk of experiencing anxiety. If left untreated, anxiety can worsen the patient's condition to the point of prolonging the length of stay in the ICU. To determine the level of anxiety of patients treated in ICU RSUD Dr. Soetomo Surabaya. This research is a descriptive study with a cross-sectional design. The research was conducted at the Rumah Sakit Umum Daerah (RSUD) Dr. Soetomo Surabaya with a data collection period of September - October 2022. The total sample obtained was 45 research subjects. The anxiety level of the study subjects was assessed using the Visual Analog Scale for Anxiety (VAS-A). Author can select Normal style from styles of this template. The results of this study were that all research subjects or as many as 100% of research subjects experienced anxiety. Overall, the research subjects experienced severe anxiety as much as 48.9%, moderate anxiety as much as 37.8%, while mild anxiety as much as 13.3%. The level of anxiety is higher in non-geriatric age (55.9%), female sex (50%), surgical patients (55.6%), research subjects with ventilator (57.1%), and research subjects with the use of invasive devices (53.6%). Most of the research subjects experienced severe anxiety. Analytical tests between anxiety trigger factors and anxiety levels were not carried out.

Proposed Marketing Strategy to Increase a Positive Brand Image of RSUD Subang

Health is a mandatory responsibility of the regional government regarding essential services, as stated in Article 12, Paragraph (1), Letter b of Law Number 23 of 2014 concerning regional government, which has undergone several amendments, most recently by Law Number 11 of 2020, known as the Cipta Kerja Law. According to research conducted by the Badan Pusat Statistik (Central Statistics Agency) in 2022, out of a total of 2,514 public hospitals, 329 of them are situated in West Java, accounting for 13% of the total. This finding reaffirms that West Java continues to have the highest number of public hospitals in Indonesia. One of these hospitals is the Rumah Sakit Umum Daerah (Regional General Hospital) in Subang, owned by the Regional Government of Subang Regency as a Special Organizational Unit, in accordance with Subang Regent Regulation Number 102 of 2021. However, in early March, there was a negative perception among the public about RSUD Subang, potentially stemming from instances of patient rejection leading to death. The objective of this research is to propose a marketing strategy to improve the healthcare industry’s brand perception in Subang. The research will employ a quantitative methodology, utilizing questionnaires distributed to both patients treated at Subang Hospital and residents of Subang to gather precise data. Once the data is collected, it will be processed using SMART PLS (Partial Least Squares) analysis. The research findings indicate that companies can implement marketing activities that positively influence electronic word of mouth, thereby enhancing the brand image. Consequently, this approach can help rectify the negative perception of RSUD Subang prevalent in society. Based on these findings, the author provides several recommendations derived from internal and external analyses, including a SWOT (Strengths, Weaknesses, Opportunities, and Threats) and TOWS (Threats, Opportunities, Weaknesses, and Strengths) analysis for RSUD Subang. The suggestions involve implementing a social media plan, conducting marketing campaigns, and maximizing customer testimonials to foster a positive brand image.

NEUROLOGICAL ADVERSE EVENTS FOLLOWING IMMUNIZATION (AEFI) ON HEALTH WORKFORCE OF A SECONDARY REFERRAL HOSPITAL IN SOUTH SULAWESI WHO RECEIVED THE

Background: The COVID-19 vaccination can relate to the occurrence of neurological adverse events following immunization (AEFI) that could impact work and daily activities. This problem is particularly important in the health workforce. However, little is known about neurological AEFI among the health workforce working in peripheral facilities. Objective: To study the neurological AEFIs and their impact among the health workforce who received the COVID-19 vaccination in a secondary referral hospital in South Sulawesi, the Andi Makassau Hospital (Rumah Sakit Umum Daerah Andi Makassau/RSAM). Methods: The COVID-19 pandemic, we created a questionnaire about neurological AEFIs and their effects which were distributed online using the Google Form application to the health workforce at the RSAM who had received at least one dose of COVID-19 vaccination. Results: We obtained 97 subjects. There were 78.5% neurological AEFIs with the most reported type being muscle pain (16%). Most neurological AEFIs were experienced by women (84.9%), age group 21-35 years (53.8%), and non-doctors/nurses (60.8%). The significant influencing factors in multivariate analysis were age group 36-45 years (p = 0.04), nursing proffesion (p = 0.005), and non- viral-based baccine type (p = < 0.0001). Conclusion: Neurological AEFI is commonly found among the health workforce who received the COVID-19 vaccination. However, it only has a little impact on their work and attitudes towards vaccination. This may be because all subjects experienced mild neurological AEFI.

Gambaran Karekteristik Fraktur Radius Dital di RSUD Abdul Wahab Sjahranie Samarinda Tahun 2017-2019

Distal Radius Fractures are the most common fractures in the world. 17.5% of fractures are categorized as distal radius fractures. Distal radius fractures can occur in both young age and old age. Distal radius fractures mostly occur in young adult age group due to high-energy trauma, and in senior age group due to low-energy trauma and osteoporosis. This research aims to capture the overview of distal radius fracture characteristics at RSUD (Rumah Sakit Umum Daerah – Regional Public Hospital) Abdul Wahab Sjahranie Samarinda. The data in this research are secondary data, gathered from medical records of patients. This research was performed in February 2021. This research is a Descriptive Retrospective study. 146 patients diagnosed with distal radius fractures from January 2017 – December 2019 were selected as samples, using Total Sampling method. The result showed that most cases of distal radius fractures occurred in 10-19 years age group (29 patients, 19.9%), male (87 patients, 59.6%), students (47 patients, 34.2%). Furthermore, the most common type of fractures found was closed fracture type (137 patients, 93.8%), the most common clinical fracture found was unidentified fracture (65 patients, 44.5%), and the most common cause of fractures was from trauma (90 patients, 61.6%).

Penerimaan Pengguna Terhadap Sistem Informasi Manajemen Rekam Medis (SIMRM) Di RSUD Tebet Jakarta Selatan Tahun 2021

Rumah Sakit Umum Daerah Tebet, South Jakarta, has been using a computerized management information system for medical record services called the Hospital Information System (HIS) since 2017. The presence of the Medical Record Management Information System (SIMRM) at the Rumah Sakit Umum Daerah Tebet, has brought many influences to services. Along with the implementation of SIMRM, it is necessary to assess whether the system is running properly and has been accepted by its users, in this case the medical record officer. The research method used The research method that the researcher uses is a quantitative descriptive method using the Technology Acceptance Model (TAM) to assess the perception of technology users as seen from 5 constructs, namely perceived ease of use, perceived usefulness. , perceptions of attitudes toward using, behavioral intention to use and actual usage by distributing questionnaires to 16 respondents consisting of 7 medical record unit officers and 9 registration unit officers. The results showed that the average user acceptance of SIMRM in South Jakarta Hospital as seen from the 5 TAM constructs was 75% received and 25% did not receive which means SIMRM was received by the user. It is recommended for the hospital to conduct socialization and training in accordance with the needs of officers.

PENGEMBANGAN DASHBOARD CERDAS UNTUK MONITORING DATA PASIEN RAWAT RUMAH SAKIT UMUM DAERAH PRAYA KABUPATEN LOMBOK TENGAH

Rumah Sakit Umum Daerah (RSUD) is a hospital owned by the Lombok Tengah Regency Government. RSUD Praya has a main vision as a hospital with excellent service, by prioritizing perfect, effective, efficient and friendly quality services, family-based manner with financing affordable to all levels of society. Efforts that have been made by RSUD Praya are implementing hospital information systems. In 2014 RSUD Praya has used the hospital information system (SIMRS) which was developed independently. However, the SIMRS that was developed has not been deemed effective in supporting business processes at RSUD Praya. In mid-2019 to date, RSUD Praya has carried out a system migration. The system migration from the old SIMRS to SIMRS Khanza presented obstacles in integrating data. One reason is that the two hospital information systems were developed by different developers. Therefore, the data contained in each Database is different. This difference creates a gap when it comes to analyzing patient data simultaneously from 2014 to the present. Gap analysis between the two hospital information systems at RSUD Praya cannot reflect good data management. One of the efforts to overcome the gap analysis is to build a data warehouse. The development of a data warehouse and dashboard is the right effort if you look at the size of the data records stored in the two SIMRS Databases used at RSUD Praya. The test results on the dashboard system that were developed simultaneously were as much as 86% with each measured assessment was a system quality assessment of 86%, an assessment of information quality by 88%, and an assessment of system service quality by 85% of the test results it can be concluded that the system is sufficient. assist in supporting the performance of data processing at RSUD Praya. With the dashboard system developed at RSUD Praya, stakeholders in the hospital be able to get the information and knowledge contained in the transaction data carried out at RSUD Praya easily

The Effectiveness of Supervision on Management of Hazardous and Toxic Waste at RSUD Labuang Baji in Makassar City

This study aims to determine the effectiveness of Supervision the management of hazardous and toxic waste / bahan berbahaya dan beracun (B3) at the RSUD (Rumah Sakit Umum Daerah) Labuang baji in Makassar City, which can be identified through indicators of measuring tools (standards), assessment and repair. This type of research is qualitative research with data collection techniques, namely interviews, observations and documentation. The data validity was checked by triangulation and member check. Data analysis techniques use data condensation, data presentation and conclusion drawing. The results of this study indicate that the supervision carried out by the Makassar City Environmental Agency on B3 waste management at Labuang Baji Hospital is running effectively. This can be seen from the determination of B3 waste management standards that do not cross the limit of B3 waste produced by Labuang Baji Hospital. In addition, the implementation of assessments in the form of direct visits conducted by the Makassar City Environment Office to Labuang Baji Hospital every year and the improvement actions carried out by the Makassar City Environment Office in the form of a direct reprimand to labuang baji hospital.

Employee Performance Optimization Through Transformational Leadership, Procedural Justice, and Training: The Role of Self-Efficacy

This study aims to analyze the effect of transformational leadership (TL), procedural justice (PJ), and training (T) on employee performance (EP) mediated by self-efficacy (SE). The object of this research is Rumah Sakit Umum Daerah (RSUD) M.Th. Djaman, a hospital in Sanggau Regency, while the subjects are the institution's staff. Data collection search uses purposive sampling with a total of 120 samples. Data are obtained through questionnaires distributed directly to respondents using the Google Form application. Data analysis techniques used in this study include standard error of mean (SEM) with AMOS software version 24.00. Methods use to test validity and reliability of data include Confirmatory Factor Analysis (CFA), Construct Reliability (CR) and VE. The results of the analysis show that only training has a significant effect on self-efficacy, and self-efficacy has a significant effect on employee performance. Also, self-efficacy is proven to mediate the role of training on employee performance; the other hypotheses are not significant. Training is the most prominent positive factor affecting self-efficacy and self-efficacy has a significant effect on employee performance at RSUD M.Th. Djaman. The results of this study can be used as a reference by management in determining what policy priorities should take precedence.

PERILAKU MEROKOK PADA PASIEN HIPERTENSI DI RUMAH SAKIT UMUM DAERAH PALEMBANG BARI

Latar Belakang : Hipertensi merupakan awal dari munculnya penyakit – penyakit katastropik. Hampir setiap tahun sebanyak delapan miliyar orang di dunia meninggal karena hipertensi dan hampir 1,5 juta orang setiap tahunnya di kawasan Asia Timur-Selatan meninggal karena hipertensi. Kurang lebih sebanyak sepertiga orang dewasa di Asia Timur Selatan terserang penyakit hipertensi. Salah satu faktor yang beresiko memicu seseorang terserang penyakit hipertensi adalah merokok. Merokok bisa mengakibatkan seseorang menderita hipetensi, nikotin yang terkandung di dalam rokok bisa merangsang pelepasan katekolamin. Katekolamin yang mengalami peningkatan menyebabkan iritabilitas miokardial, peningkatan denyut jantung, lalu mengakibatkan vasokontriksi yang kemudian menyebabkan tekanan darah meningkat. Penelitian ini dilakukan untuk mengetahui seperti apakah gambaran perilaku merokok yang mencakup pengetahuan, sikap dan tindakan pada pasien Hipertensi di Rumah Sakit Umum Daerah Palembang Bari. Metode Penelitian : Desain Penelitian yang digunakan adalah penelitian kuantitatif dengan metode deskriptif analisis yang berfungsi mendeskripsikan atau menggambarkan objek yang diteliti menggunakan data dan sampel yang terkumpul dengan jumlah sampel 45 responden. Hasil Penelitian : Hasil penelitian menyatakan bahwa dari 45 responden yang diteliti diperoleh (13,3%) dengan Pengetahuan Kurang, (37,8%) dengan Pengetahuan Cukup, dan (48,9%) dengan Pengetahuan Baik. Kemudian sebanyak (8,9%) memiliki Sikap Negatif, dan sebanyak (91,1%) memiliki Sikap Positif. Serta sebanyak (31,1%) memiliki Tindakan Kurang, (60,0%) dengan Tindakan Cukup, dan (8,9%) dengan Tindakan Baik. Diskusi : Pengetahuan pasien hipertensi tentang merokok masuk dalam kategori baik, sikap pasien hipertensi tentang merokok masuk kategori positif dan tindakan merokok pasien hipertensi masuk kategori cukup baik.

Relationship of Radiological Abnormalities and the Level of Pain in Patients with Knee Joint Osteoarthritis in Kendari City General Hospital

Background: The aims of this study determine the correlation between radiological abnormalities stagingand pain level with osteoartritic of knee joint of Rumah Sakit Umum Daerah Kota Kendari. Method: Thisresearch is an observasional analytic study with cross-sectional approach. 37 sampels were acquired throughtotal sampling. Data were analyzed using the Spearman correlation test (p value <0,05). Result: Result ofthe univariat analysis show that most patients have moderat radiological abnormality that was 12 (32.43%)and most of patient have severe pain level that was19 (51.35%). Based on bivariat statistical test, a positivecorrelation was obtained between radiological abnormalities staging and pain level with osteoartritic ofknee joint with p=0,000 and r=0,831. Conclusion: There was a significant correlation between radiologicalabnormalities staging and pain level with osteoartritic of knee joint of Rumah Sakit Umum Daerah KotaKendari.

Knowledge Relationships and Social Support with Nursing Behavior in Provision of Drugs Accuracy in Teratai Room Hospital Surgery of Rumah Sakit Umum Daerah Dr. Soetomo Surabaya

The standard-based nursing services is applied by hospitals that refer to patient safety, in which medical error is included in. Today, service quality of patient safety is the most important global issue where there are now many reports of patient demands for medical errors that occurred. This study aims to determine the relationship between knowledge and social support with nurses’ behavior in the accuracy of medicine administration in the Ruang Teratai Surgery Room of Dr. Soetomo Surabaya. The design in this study is descriptive analytic with cross sectional approach. The sample of this study are 10 nurses in the Teratai Room with a purposive sampling method. The independent variables are knowledge and social support, while the dependent variable is nurses’ behavior in the accuracy of medicine delivery. The instruments used are questionnaires and observation sheets. Data analysis used the Spearman rho test with a significance level ofp< 0.05 (5%). The results mentioned that thepvalue was 0.005 (knowledge) and social support (0.024). It is done due to thepvalue <p. In accordance, knowledge and social support by nurses’ behavior are needed in medicine giving. The level of nurse’s knowledge about the drug administration is related to the behavior of nurses’ accuracy of drug giving in Teratai Room.

THE IMPACT OF FACILITIES AND SERVICE QUALITY ON OUTPATIENT SATISFACTION IN THE NERVE POLY, CARDIAC POLY, AND INTERNAL POLY OF RUMAH SAKIT UMUM DAERAH PROF. DR. H. ALOEFI SABOE GORONTALO

<p><em>This research aims to analyze the impact of facilities and service quality on outpatient satisfaction in the Nerve Poly, Cardiac Poly, and Internal Poly of Rumah Sakit Umum Daerah Prof. Dr. H. Aloei Saboe Gorontalo either partially or simultaneously. The research approach is quantitative. The research method is ex post facto. The research design is causality. The data analysis technique used is double regression. The research findings are that: (1) Service quality has a positive and significant impact on outpatient satisfaction in the Nerve Poly, Cardiac Poly, and Internal Poly of Rumah Sakit Umum Daerah (RSUD) Prof. Dr. H. Aloei Saboe Gorontalo (the coefficient of determination is 43.00%); (2) Facilities have a positive and significant impact on outpatient satisfaction in the Nerve Poly, Cardiac Poly, and Internal Poly of Rumah Sakit Umum Daerah (RSUD) Prof. Dr. H. Aloei Saboe Gorontalo (the coefficient of determination is 12.20%); and (3) Facilities and quality service simultaneously have a positive and significant impact on outpatient satisfaction in the Nerve Poly, Cardiac Poly, and Internal Poly of Rumah Sakit Umum Daerah (RSUD) Prof. Dr. H. Aloei Saboe Gorontalo (the coefficient of determination is 55.20%). Meanwhile, the other 44.80% can be explained by other variables; such as patients’ physiological, psychological, and social factors and health workers and hospital administrative staff’s commitments.</em></p>

PROSEDUR AUDIT UMUM ATAS ASET TETAP RUMAH SAKIT UMUM DAERAH I.A MOEIS SAMARINDA

The purpose of this study was to identify the general audit procedures on fixed assets presented by Rumah Sakit Umum Daerah I.A Moeis if it has been performing conformably to Statement of Financial Accounting Standards No. 16. It used audit paper analysis as audit program of fixed assets, internal control questionnaires, top schedule, supporting schedule and adjustment journal. 
 The result of this study showed that the presentment of fixed assets in Rumah Sakit Umum Daerah I.A. Moeis have been performed conformably to Statement of Financial Accounting Standards No. 16. The internal control of fixed assets in Rumah Sakit Umum Daerah I.A. Moeis was good. The accounting policy of fixed assets including recognition, measurement, disclosure, and presentment of fixed assets were appropriate based on Statement of Financial Accounting Standards No. 16. However, it has been found in audit findings that Rumah Sakit Umum Daerah I.A. Moeis has not increase yet the fixed assets such as equipment, machine, and the buildings

IMPLEMENTASI AUDIT MUTU INTERNAL ISO 9001 PADA SISTEM MANAJEMEN RSUD KAYU AGUNG KABUPATEN OKI

Many companies have implemented ISO 9001 but no research has focused on the factors that made up the internal audit quality variables. This research took place at the Rumah Sakit Umum Daerah of Kayu Agung of Ogan Komering Ilir Regency. This research used quantitative descriptive method. The population was stakeholders related to the entity, the sample used cluster sampling and simple random sampling. The data used primary data derived from the dispersed questionnaire. The distribution of questionnaire was conducted in 2018. The technique of data analysis used validity test, profitability test, and normality test. In analyzing the researchers used simple linear regression analysis. The calculation results showed the value of R Square was 0.629. This meant that 62.9% of the Kayu Agung Hospital Management System in Ogan Komering Ilir Regency was influenced by the ISO 9001 Internal Quality Audit.

Pengaruh Karakteristik Dan Persepsi Pasien Rawat Jalan Terhadap Bauran Pemasaran Dengan Keputusan Membeli Obat Di Apotek

Hospital as a capital and labor intensive has to empower efficient use of each revenue unit which support its operation, such as pharmacy, by using effective marketing strategy to attract its consumers. The phenomena at the pharmacy of Rumah Sakit Umum Daerah Deli Serdang (RSUDDS) Lubuk Pakam recently, is that 50% of the medicine which are prescribed by the polyclinic is not sold and prescription coming from outside. It might be influenced by the individual characteristics factor and the perception of patients about the integrated marketing. The objective of this research is to analyse the influence of individual characteristics and the perception of outpatients about the integrated marketing and decision to buy medicine. The samples is 95 patients/family who visit RSUDDS Lubuk Pakam. This research uses explanatory survey method with logistic regression test. The result of this research finds out that there is a significant influence between the income p.value (0,006), staff service (0,015), medicine price (0,024), medicine product (0,026), service process (0,046) with the decision of buying medicine. To increase the medicine purchases, it is suggested that the pharmacy management should by attention on the availability of medicine, the competitive price the skillful staffs and the service.

The analysis of nursing’s work systems in relation to burnout syndrome (A case study: nurses in RSUDZA, BLUD RSIA, and RSUD Meuraxa, Banda Aceh, Indonesia)

A fluctuate working demands of nurses encourage the occurrence of burnout and musculoskeletal problems. This study aims to identify and to analyze the occurrence of burnout syndrome in nursing work systems in hospitals. Variables of this study consist of work factors related to work demands and work stimuli (motivation) which can minimize the burnout’s level, and musculoskeletal problems. The variables of work factors related to work demands and work stimuli are assessed through Work Characteristic Survey, while the variable of musculoskeletal problems is assessed through Nordic Musculoskeletal Symptom survey. This study involved 100 nurses in three public hospitals in Banda Aceh, Indonesia, which were RSUDZA (Rumah Sakit Umum Daerah Zainoel Abidin or Regional Public Hospital of Zainoel Abidin), BLUD-RSIA (Balai Layanan Umum Daerah - Rumah Sakit Ibu dan Anak or Regional Public Health Services - Mother and Child Hospital), and RSUD Meuraxa (Rumah Sakit Umum Daerah Meuraxa or Regional Public Hospital of Meuraxa). Data obtained from the survey was analyzed by using Statistical Package for the Social Science (SPSS) and provided three results which were (1) eight dominant factors of work demands and twelve dominant factors of work stimuli in nursing work systems which need to be managed to minimize the occurrence of burnout syndrome and (2) musculoskeletal problems occurred within twelve months of working period, particularly in wrists/hand, lower back, elbows, ankles/feet, and knees. Moreover, the dominant factors are mapped by using fishbone diagram to provide cause and effect relationships between burnout and the work related factors.

THE EFFECT OF DIACEREIN AND MELOXICAM COMBINATION VERSUS MELOXICAM ALONE ON PHYSICAL FUNCTION IN PATIENTS WITH KNEE OSTEOARTHRITIS

Objective: More than 50% of patients with knee osteoarthritis (OA) had an inadequate pain relief in its management. Combination therapy could be the solution to this problem. The aim of this study was to compare the efficacy of combination therapy of diacerein and meloxicam with meloxicam alone in the patient with knee OA.Methods: A total of 64 knee OA patients were recruited from Rumah Sakit Umum Daerah Dr. Mohammad Soewandhie Surabaya. They were allocated to combination group and single therapy group using randomized controlled trial design. The Western Ontario and McMaster Universities Arthritis Index (WOMAC) physical function questionnaire were assessed in weeks 0–4th. The difference between pre- and post-treatment score and area under the curve (AUC) of WOMAC score were calculated.Results: Combination therapy and single therapy had significant clinical effect with the downregulated score of WOMAC physical function after 4th week (p<0.05). However, there were no differences in AUC of WOMAC physical function score between combination and single therapy.Conclusion: Patient with knee OA could gain beneficial efficacies from combination therapy of diacerein and meloxicam. Studies of longer follow-up time to get the differences in AUC of WOMAC physical function score are needed.

THE EFFECT OF LEADERSHIP, JOB SATISFACTION AND ORGANIZATIONAL COMMITMENT ON EMPLOYEE PERFORMANCE AT RUMAH SAKIT UMUM DAERAH BESUKI SITUBONDO, INDONESIA

This study is to examine the influence of leadership, job satisfaction and organizational commitment on employee performance. Population in this research was the entire employees of Rumah Sakit Umum Daerah (RSUD) Besuki, Situbondo, Indonesia which was about 295 peoples. Then, the researcher applied probability random sampling technique to select 170 respondents as the sampling. The researcher analyzed the data by applying multiple linear regression method. The result shows that leadership and job satisfaction contribute positive and significant effect on employee performance, while organizational commitment has no effect on employee performance.

Developing fraud prevention model in regional public hospital in West Sulawesi Province

PurposeThis paper aims to reveal the empirical facts of pressure, rationalization, effect on opportunity and fraud prevention and accountability to fraud prevention in Rumah Sakit Umum Daerah (RSUD; local public hospitals in English) in West Sulawesi Province.Design/methodology/approachThis research is explanatory in nature, with a time horizon from January to July 2016. The research objects were selected from local public hospitals (RSUD) in West Sulawesi Province. The population in this study is employees working at regional general hospitals in West Sulawesi Province. While sample is determined based on cluster sampling technique, the analysis tool used is structural equation modeling.FindingsThe variables of pressure and rationalization are found to have a positive and significant effect on opportunity, so improvements in the variables pressure and rationalization will create improvements in the variable opportunity. Pressure, rationalization and opportunity variables have a positive and significant effect on fraud prevention, so improvements in pressure, rationalization and opportunity variables will create improvements in variable fraud prevention. Accountability variables have a negative and significant effect on fraud prevention, so a high value of accountability will decrease the value of fraud prevention.Originality/valueOriginality of this paper shows built developing fraud prevention model in regional public hospital in West Sulawesi Province with five variables, namely, pressure, rationalization, opportunity, accountability and fraud prevention.