The Workload of Health Workers in The Medical Record Unit During the Covid-19 Pandemic
DOI:
https://doi.org/10.47701/icohetech.v1i1.1075Keywords:
workload, job description, medical record workersAbstract
The medical record unit is the holder of data for all patients so that the performance of medical record workers supports the quality of health services. The problem that occurs in the Community Health centers at Sawit Indonesia, Medical Record Unit is the limited number of workers so that the service to patients tends to belong. The number of patient visits during the Covid-19 pandemic reached 80-100 people/day. The purpose of this study was to analyze the workload of medical record unit workers. The research method used is qualitative with a descriptive research design. Data collection was carried out using observation and interviews. The results showed that: (1) registration workers were carried out by nurses, who served patient registration as well as assisting doctors in providing medication to patients and operating ambulances when needed, as a result, workers experienced work fatigue; (2) analyzing-reporting workers concurrently serve as cashiers, resulting in human errors, inaccurate data and inability to finish on time; and (3) filing workers are carried out by midwives who also provide medical treatment to patients so that the provision of medical record documents is delayed. Workers complain about fatigue, feeling dizzy, drowsy at work, loss of concentration, etc. Researchers suggest that Community Health centers at Sawit district, prepare job descriptions for workers so that the medical record unit can be carried out according to its function.
References
M. Pillai, O. Senthilraj, and S. Swaminathan, “Role of Human Resources Management in Healthcare Organizations: A Review,” Int. J. Heal. Sci. Res., vol. 9, no. 1, p. 228, 2019, [Online]. Available: www.ijhsr.org.
D. Adonu, Y. A. Opuni, and C. B. Dorkenoo, “Implications of COVID-19 on Human Resource Practices: A Case of the Ghanaian Formal Sector,” J. Hum. Resour. Manag., vol. 8, no. 4, pp. 209–214, 2020, doi: 10.11648/j.jhrm.201200804.11.
Y. Gobel, W. Wahidin, and M. Muttaqin, “Health Service Quality In Accident And Emergency Department Regional Public Hospital Makassar City,” J. Adm. Negara, vol. 24, no. 3, pp. 177–188, 2018, doi: 10.33509/jan.v24i3.420.
F. E. S. Arlina Dewi, Aris Suparman Wijaya, “Relationship Quality, Key Performance Indikator (Kpi), And Performance Of Hospital Services (Case Study In Aumakes Hospitals),” JMMR (Jurnal Medicoeticolegal dan Manaj. Rumah Sakit), vol. 2, no. 2, 2013, [Online]. Available: http://mpoc.org.my/malaysian-palm-oil-industry/.
F. Tentama, P. A. Rahmawati, and P. Muhopilah, “The effect and implications of work stress and workload on job satisfaction,” Int. J. Sci. Technol. Res., vol. 8, no. 11, pp. 2498–2502, 2019.
W. P. Boles, Myde PhD; Pelletier, Barbara MS; Lynch, “The Relationship Between Health Risks and Work Productivity,” J. Occup. Environ. Med., vol. 46, no. 7, pp. 737–745, 2004, doi: doi: 10.1097/01.jom.0000131830.45744.97.
H. C. and E. R. B. Debra Lerner, Benjamin C. Amick, III, Jennifer C. Lee, Ted Rooney, William H. Rogers, “Relationship of Employee-Reported Work Limitations to Work Productivity,” Med. Care, vol. 41, no. 5, pp. 649–659, 2003, [Online]. Available: https://www.jstor.org/stable/3768025?seq=1.
C. Puett, J. Coates, H. Alderman, S. Sadruddin, and K. Sadler, “Does greater workload lead to reduced quality of preventive and curative care among community health workers in Bangladesh?,” Food Nutr. Bull., vol. 33, no. 4, pp. 273–287, 2012, doi: 10.1177/156482651203300408.
W. Susihono and I. P. G. Adiatmika, “The effects of ergonomic intervention on the musculoskeletal complaints and fatigue experienced by workers in the traditional metal casting industry,” Heliyon, vol. 7, no. 2, p. e06171, 2021, doi: 10.1016/j.heliyon.2021.e06171.
M. W. E. van der Borg, M. P. Verdonk, M. J. de Jong-Camerik, and M. T. A. Abma, “How to relate to dialysis patients’ fatigue - perspectives of dialysis nurses and renal health professionals: a qualitative study,” Int. J. Nurs. Stud., vol. 117, p. 103884, 2021, doi: 10.1016/j.ijnurstu.2021.103884.
C. Consiglio, “Interpersonal strain at work: A new burnout facet relevant for the health of hospital staff,” Burn. Res., vol. 1, no. 2, pp. 69–75, 2014, doi: 10.1016/j.burn.2014.07.002.
K. Nelson et al., “Authentic leadership and psychological well-being at work of nurses: The mediating role of work climate at the individual level of analysis,” Burn. Res., vol. 1, no. 2, pp. 90–101, 2014, doi: 10.1016/j.burn.2014.08.001.
I. Portoghese, M. Galletta, R. C. Coppola, G. Finco, and M. Campagna, “Burnout and workload among health care workers: The moderating role of job control,” Saf. Health Work, vol. 5, no. 3, pp. 152–157, 2014, doi: 10.1016/j.shaw.2014.05.004.
R. Rosita, “The Realationship of Quality of Health Services and The Level of Patient Satisfaction,” IJMS – Indones. J. Med. Sci., vol. 4, no. 1, pp. 80–87, 2017.
H. Raja, PA, Setya, “Analysis Of Determined Factors Of Tardiness Providing Documents Service In Outpatient Medical Record Unit,” J. Adm. Kesehat. Indones., vol. 2, no. 1, pp. 1–6, 2014.
A. Phillips, K. Stiller, and M. Williams, “Medical Record Documentation: The Quality of Physiotherapy Entries,” Int. J. Allied Heal. Sci. Pract., vol. 4, no. 3, pp. 1–17, 2006, [Online]. Available: http://ijahsp.nova.edu/articles/vol4num3/phillips.pdf?referer=www.clickfind.com.au.
I. Sugiarti, “Legal Protection of Patient Rights to Completeness and Confidentiality in Management of Medical Record Documents,” vol. 26, no. 129, pp. 179–191, 2020, doi: 10.2991/ahsr.k.200523.045.
R. Wong and E. H. Bradley, “Developing patient registration and medical records management system in Ethiopia,” Int. J. Qual. Heal. Care, vol. 21, no. 4, pp. 253–258, 2009, doi: 10.1093/intqhc/mzp026.
S. Sinambela, “The Effect of Workload on Job Stress, Work Motivation, and Employee Performance,” Int. J. Psychosoc. Rehabil., vol. 24, no. 4, pp. 1373–1390, 2020.
A. S. Taqdees Fatima, Shahab Alam Malik, “Hospital healthcare service quality, patient satisfaction and loyalty: An investigation in context of private healthcare systems,” Int. J. Qual. Reliab. Manag., vol. 35, no. 6, pp. 1195–1214, 2018, doi: https://doi.org/10.1108/IJQRM-02-2017-0031.
A. H. Ramli, “Patient Satisfaction, Hospital Image and Patient Loyalty in West Sulawesi Province,” Bus. Entrep. Rev., vol. 17, no. 1, p. 1, 2019, doi: 10.25105/ber.v16i2.5088.
R. L.Dufrene, “An evaluation of a patient satisfaction survey: validity and reliability,” Eval. Program Plann., vol. 23, no. 3, pp. 293–300, 2000, doi: https://doi.org/10.1016/S0149-7189(00)00015-X.
M. Panagioti et al., “Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis,” JAMA Intern. Med., vol. 178, no. 10, pp. 1317–1330, 2018, doi: 10.1001/jamainternmed.2018.3713.
R. Rosita, B. Murti, and S. -, “Path Analysis on the Organizational Factors Affecting Medical Service Quality and Patient Satisfaction at Dr. Moewardi Hospital, Surakarta,” J. Heal. Policy Manag., vol. 01, no. 02, pp. 71–77, 2017, doi: 10.26911/thejhpm.2016.01.02.02.
H. Harjanti, N. Yuliansyah, and K. Widyaningrum, “Daily Work Load Distribution to Increase Time Quality of Inpatients’ Medical Record Document Procurement In X Hospital,” J. Medicoeticolegal dan Manaj. Rumah Sakit, vol. 7, no. 1, pp. 86–92, 2018, doi: 10.18196/jmmr.7160.
D. Adonu, Y. A. Opuni, and C. B. Dorkenoo, “Implications of COVID-19 on Human Resource Practices: A Case of the Ghanaian Formal Sector,” J. Hum. Resour. Manag., vol. 8, no. 4, pp. 209–214, 2020, doi: 10.11648/j.jhrm.201200804.11.
Y. Gobel, W. Wahidin, and M. Muttaqin, “Health Service Quality In Accident And Emergency Department Regional Public Hospital Makassar City,” J. Adm. Negara, vol. 24, no. 3, pp. 177–188, 2018, doi: 10.33509/jan.v24i3.420.
F. E. S. Arlina Dewi, Aris Suparman Wijaya, “Relationship Quality, Key Performance Indikator (Kpi), And Performance Of Hospital Services (Case Study In Aumakes Hospitals),” JMMR (Jurnal Medicoeticolegal dan Manaj. Rumah Sakit), vol. 2, no. 2, 2013, [Online]. Available: http://mpoc.org.my/malaysian-palm-oil-industry/.
F. Tentama, P. A. Rahmawati, and P. Muhopilah, “The effect and implications of work stress and workload on job satisfaction,” Int. J. Sci. Technol. Res., vol. 8, no. 11, pp. 2498–2502, 2019.
W. P. Boles, Myde PhD; Pelletier, Barbara MS; Lynch, “The Relationship Between Health Risks and Work Productivity,” J. Occup. Environ. Med., vol. 46, no. 7, pp. 737–745, 2004, doi: doi: 10.1097/01.jom.0000131830.45744.97.
H. C. and E. R. B. Debra Lerner, Benjamin C. Amick, III, Jennifer C. Lee, Ted Rooney, William H. Rogers, “Relationship of Employee-Reported Work Limitations to Work Productivity,” Med. Care, vol. 41, no. 5, pp. 649–659, 2003, [Online]. Available: https://www.jstor.org/stable/3768025?seq=1.
C. Puett, J. Coates, H. Alderman, S. Sadruddin, and K. Sadler, “Does greater workload lead to reduced quality of preventive and curative care among community health workers in Bangladesh?,” Food Nutr. Bull., vol. 33, no. 4, pp. 273–287, 2012, doi: 10.1177/156482651203300408.
W. Susihono and I. P. G. Adiatmika, “The effects of ergonomic intervention on the musculoskeletal complaints and fatigue experienced by workers in the traditional metal casting industry,” Heliyon, vol. 7, no. 2, p. e06171, 2021, doi: 10.1016/j.heliyon.2021.e06171.
M. W. E. van der Borg, M. P. Verdonk, M. J. de Jong-Camerik, and M. T. A. Abma, “How to relate to dialysis patients’ fatigue - perspectives of dialysis nurses and renal health professionals: a qualitative study,” Int. J. Nurs. Stud., vol. 117, p. 103884, 2021, doi: 10.1016/j.ijnurstu.2021.103884.
C. Consiglio, “Interpersonal strain at work: A new burnout facet relevant for the health of hospital staff,” Burn. Res., vol. 1, no. 2, pp. 69–75, 2014, doi: 10.1016/j.burn.2014.07.002.
K. Nelson et al., “Authentic leadership and psychological well-being at work of nurses: The mediating role of work climate at the individual level of analysis,” Burn. Res., vol. 1, no. 2, pp. 90–101, 2014, doi: 10.1016/j.burn.2014.08.001.
I. Portoghese, M. Galletta, R. C. Coppola, G. Finco, and M. Campagna, “Burnout and workload among health care workers: The moderating role of job control,” Saf. Health Work, vol. 5, no. 3, pp. 152–157, 2014, doi: 10.1016/j.shaw.2014.05.004.
R. Rosita, “The Realationship of Quality of Health Services and The Level of Patient Satisfaction,” IJMS – Indones. J. Med. Sci., vol. 4, no. 1, pp. 80–87, 2017.
H. Raja, PA, Setya, “Analysis Of Determined Factors Of Tardiness Providing Documents Service In Outpatient Medical Record Unit,” J. Adm. Kesehat. Indones., vol. 2, no. 1, pp. 1–6, 2014.
A. Phillips, K. Stiller, and M. Williams, “Medical Record Documentation: The Quality of Physiotherapy Entries,” Int. J. Allied Heal. Sci. Pract., vol. 4, no. 3, pp. 1–17, 2006, [Online]. Available: http://ijahsp.nova.edu/articles/vol4num3/phillips.pdf?referer=www.clickfind.com.au.
I. Sugiarti, “Legal Protection of Patient Rights to Completeness and Confidentiality in Management of Medical Record Documents,” vol. 26, no. 129, pp. 179–191, 2020, doi: 10.2991/ahsr.k.200523.045.
R. Wong and E. H. Bradley, “Developing patient registration and medical records management system in Ethiopia,” Int. J. Qual. Heal. Care, vol. 21, no. 4, pp. 253–258, 2009, doi: 10.1093/intqhc/mzp026.
S. Sinambela, “The Effect of Workload on Job Stress, Work Motivation, and Employee Performance,” Int. J. Psychosoc. Rehabil., vol. 24, no. 4, pp. 1373–1390, 2020.
A. S. Taqdees Fatima, Shahab Alam Malik, “Hospital healthcare service quality, patient satisfaction and loyalty: An investigation in context of private healthcare systems,” Int. J. Qual. Reliab. Manag., vol. 35, no. 6, pp. 1195–1214, 2018, doi: https://doi.org/10.1108/IJQRM-02-2017-0031.
A. H. Ramli, “Patient Satisfaction, Hospital Image and Patient Loyalty in West Sulawesi Province,” Bus. Entrep. Rev., vol. 17, no. 1, p. 1, 2019, doi: 10.25105/ber.v16i2.5088.
R. L.Dufrene, “An evaluation of a patient satisfaction survey: validity and reliability,” Eval. Program Plann., vol. 23, no. 3, pp. 293–300, 2000, doi: https://doi.org/10.1016/S0149-7189(00)00015-X.
M. Panagioti et al., “Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis,” JAMA Intern. Med., vol. 178, no. 10, pp. 1317–1330, 2018, doi: 10.1001/jamainternmed.2018.3713.
R. Rosita, B. Murti, and S. -, “Path Analysis on the Organizational Factors Affecting Medical Service Quality and Patient Satisfaction at Dr. Moewardi Hospital, Surakarta,” J. Heal. Policy Manag., vol. 01, no. 02, pp. 71–77, 2017, doi: 10.26911/thejhpm.2016.01.02.02.
H. Harjanti, N. Yuliansyah, and K. Widyaningrum, “Daily Work Load Distribution to Increase Time Quality of Inpatients’ Medical Record Document Procurement In X Hospital,” J. Medicoeticolegal dan Manaj. Rumah Sakit, vol. 7, no. 1, pp. 86–92, 2018, doi: 10.18196/jmmr.7160.
Downloads
Published
2021-04-06
