ACADSTAFF UGM
| Title | : | UPAYA MANAJEMEN RUMAH SAKIT DALAM MENDUKUNG KOLABORASI ANTARA DOKTER UMUM DAN SPESIALIS DI INSTALASI GAWAT DARURAT |
| Author | : |
LUSSY MESSIANA GUSTANTINI (1) Prof. Dr. dr. Mubasysyir Hasan Basri, MA. (2) |
| Date | : | 1 2014 |
| Keyword | : | Collaboration between GP and specialists, hospital management, emergency unit. Collaboration between GP and specialists, hospital management, emergency unit. |
| Abstract | : | Background: General practitioners play a major role in running the service in the emergency department. As members of the team, general practitioners often disagree with specialist doctors. Problems in communication and coordination often have an impact on the poor service. They even have legal consequences for the hospital. Objective: This study identified problems of collaboration between general practitioners and specialists in the management of patients in the emergency unit, factors that impede the collaborative process and evaluated efforts of hospital management in supporting the collaborative process. Methods: This descriptive and exploratory study obtained data from in-depth interviews, official documents and routing, as well as participant observation and field observations. Results: General practitioners and specialists have a poor working relationship that can be coined the legal consequences in the management of patients in the emergency unit. Individual factors such as a lack of confidence in the competence of specialist physicians, social closeness, the arrogance of specialists to general practitioners, incomplete standards of care in the emergency unit, and physician adherence to hospital policies and regulations are all obstacles in implementing cooperation teamwork in the emergency unit. The hospital management, on the other hand, takes a losing position in the presence of doctors. Hospital management failed to prioritize the development and the implementation of hospital bylaws that control poor professional coordination and communication. The hospital management still has problems in contract system with the doctor, the procedures in the recruitment process, debriefing doctor, and the standard of care in the emergency unit. This situation becomes more complicated with the existence of blaming culture, no informal meetings between doctors, tacit practices in the supervision and guidance of the medical staff, as well as management’s lack of assertiveness offenses committed by doctors on hospital policies and regulations. Conclusion: This study shows that general practitioners and medical specialists fail to understand the legal consequences of poor cooperation in emergency services. If a hospital manager develop and enforce the hospital bylaws relevant to situational problems in emergency care, reluctance and barriers collaboration between physicians, personal issues, and professional bias in medical practice would no longer a source of poor team performance. Hospital managers should enforce their hospital bylaws to control personal and professional arrogance. |
| Group of Knowledge | : | Kesehatan Masyarakat |
| Original Language | : | Bahasa Indonesia |
| Level | : | Nasional |
| Status | : |
Published
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