ANALISIS PENGARUH VALUE STREAM MAPPING DAN 5S METHODOLOGY TERHADAP WAKTU TUNGGU PASIEN RAWAT JALAN DI RSK BEDAH BIMC NUSA DUA

Authors

  • Irvan Maulana Program Studi Magister Kesehatan Masyarakat, Fakultas Ilmu Kesehatan, Universitas Kadiri
  • Eko Winarti Program Studi Magister Kesehatan Masyarakat, Fakultas Ilmu Kesehatan, Universitas Kadiri
  • Sunardi Sunardi Program Studi Magister Kesehatan Masyarakat, Fakultas Ilmu Kesehatan, Universitas Kadiri
  • Sri Haryuni Program Studi Magister Kesehatan Masyarakat, Fakultas Ilmu Kesehatan, Universitas Kadiri

DOI:

https://doi.org/10.31004/jkt.v6i2.42816

Keywords:

Waktu tunggu rawat jalan, Value Stream Mapping, 5S Methodology

Abstract

Pelayanan kesehatan memiliki peran penting dalam kehidupan masyarakat, dengan waktu tunggu pasien menjadi aspek utama dalam layanan rawat jalan. Waktu tunggu yang lama dapat berdampak negatif pada kualitas pelayanan, kepuasan pasien, dan kepercayaan terhadap sistem kesehatan. Penelitian ini bertujuan untuk mengevaluasi dampak penerapan Value Stream Mapping dan 5S Methodology terhadap waktu tunggu pasien rawat jalan di RSK Bedah BIMC Nusa Dua. Permasalahan pada penelitian ini adalah waktu tunggu yang lama dapat mempengaruhi kualitas pelayanan, kepuasan pasien, serta kepercayaan terhadap sistem kesehatan. Metode pada penelitian ini adalah studi kuantitatif dengan desain quasi-experiment non-equivalent control group, melibatkan 100 pasien yang dibagi menjadi kelompok eksperimen (n=50) dan kelompok kontrol (n=50). Intervensi dilakukan dengan menerapkan Value Stream Mapping untuk memetakan proses layanan dan 5S Methodology untuk meningkatkan organisasi dan efisiensi. Data waktu tunggu pada setiap tahap layanan diukur dengan stopwatch dan lembar observasi. Hasil penelitian menunjukkan bahwa waktu pendaftaran berkurang 39,3% dari rata-rata 17,62 menit menjadi 10,74 menit, dan waktu antrian berkurang 52,3% dari 23,70 menit menjadi 11,32 menit. Analisis statistik dengan uji Independent T-test menunjukkan perbedaan signifikan antara kelompok eksperimen dan kontrol (p < 0,05), dengan rata-rata perbedaan waktu sebesar 4,64 menit. Kesimpulannya pada penelitian ini yaitu penerapan Value Stream Mapping dan 5S Methodology terbukti efektif dalam mengurangi waktu tunggu pasien dan meningkatkan kualitas pelayanan, meskipun tantangan seperti kekurangan staf tetap ada. Penggunaan teknologi, seperti sistem penjadwalan online, juga direkomendasikan untuk mendukung perbaikan berkelanjutan dalam pelayanan kesehatan.

References

Annisa, S. R., Syabil, S., Yusuf, H. A., & Iswanto, A. H. (2023). Penerapan Lean Manajemen Pada Pelayanan Rawat Jalan Pasien BPJS Rumah Sakit. Jurnal Rumpun Ilmu Kesehatan. https://api.semanticscholar.org/CorpusID:265397175

Bani, F. C. D., Rizal, M. A., Faujiyah, F., & Yuniarti, T. (2023). Analisis Proses Operasional Air Freight Pada Perusahaan Freight Forwarder Menggunakan Value Stream Mapping. INVENTORY: Industrial Vocational E-Journal On Agroindustry, 4(1), 1. https://doi.org/10.52759/inventory.v4i1.103

Brindley, C., Lomas, J., & Siciliani, L. (2023). The effect of hospital spending on waiting times. Health Economics, 32(11), 2427–2445. https://doi.org/10.1002/hec.4735

Cantika, C., Catalya, TJ, W., Hery, Tecoalu, & Melitina. (2023). The influence of administrative services, medical services, and drug availability on the level of outpatient satisfaction moderated by waiting time. Journal of Management Science (JMAS), 6(2), 254–262. https://doi.org/10.35335/jmas.v6i2.218

Cao, D. (2016). Outpatient service registration queuing server and outpatient service registration queuing method.

Castro-Velásquez, C., Barrera-Barrera, W., Burga-Durango, D., & Armas-Aguirre, J. (2024). Technological Solution to Optimize Outpatient Waiting Time for Medical Care Between Multiple Private Healthcare Institutions – A Preliminary Research (pp. 182–192). https://doi.org/10.1007/978-3-031-48858-0_15

Drapkina, O. M., Poddubskaya, E. A., Rozanov, V. B., & Gasanova, L. G. (2021). Influence of sex, age and length of service on scientific productivity of medical research institution staff. Cardiovascular Therapy and Prevention, 20(7), 2960. https://doi.org/10.15829/1728-8800-2021-2960

Ellis, M. B. (2020). The impact of gender, age, and engagement on survey response timing: 10 years of data collection from UK hunters. Human Dimensions of Wildlife, 25(1), 92–93. https://doi.org/10.1080/10871209.2019.1683916

Green, E., Bennett, H., Brayne, C., & Matthews, F. E. (2018). Exploring patterns of response across the lifespan: the Cambridge Centre for Ageing and Neuroscience (Cam-CAN) study. BMC Public Health, 18(1), 760. https://doi.org/10.1186/s12889-018-5663-7

Groome, L. J., & Mayeaux, E. J. (2010). Decreasing Extremes in Patient Waiting Time. Quality Management in Health Care, 19(2), 117–128. https://doi.org/10.1097/QMH.0b013e3181dafeac

Hassan, S., Amjad, A., Farooq, M. U., Anwar, S., & Ammarullah, M. I. (2024). Applying lean production system philosophy to reduce patient waiting time in healthcare services: Simulation-based optimization and validations through experiment. AIP Advances, 14(9). https://doi.org/10.1063/5.0210721

Iswanto, A. (2022). Reduksi Waktu Tunggu di Unit Rawat Jalan Rumah Sakit. Jurnal Ilmiah Universitas Batanghari Jambi. https://api.semanticscholar.org/CorpusID:251172086

Kemenkes RI. (2008). Menteri Kesehatan Republik Indonesia Nomor : 129/MENKES/SK/II/2008 Tentang Standar Pelayanan Minimal Rumah Sakit. https://www.regulasip.id/book/9233/read

Lins, R. S., Falavigna, A., Carneiro, M., Dias, V. M. de C. H., Corso, L. L., Weber, F. M., Lain, V. V., & Michelin, L. (2023). Value Stream Mapping applied to information management in infection control. Research, Society and Development, 12(1), e8712139491. https://doi.org/10.33448/rsd-v12i1.39491

Lu, T.-P., Shih, J.-T., Kittipittayakorn, C., & Lian, G.-F. (2013). Improving outpatient service quality in department of orthopedic surgery by using collaborative approaches. Proceedings of the 2013 IEEE 17th International Conference on Computer Supported Cooperative Work in Design (CSCWD), 515–520. https://doi.org/10.1109/CSCWD.2013.6581015

Mishra, V. (2024). Reducing Waiting Times in Diabetes Care: A Value Stream Mapping and OPA-Fuzzy-TOPSIS Analysis. Journal of Creating Value, 10(2), 266–285. https://doi.org/10.1177/23949643241285719

Momen Amalia, & Era Pratiwi. (2022). Faktor-Faktor Yang Mempengaruhi Waktu Tunggu Pelayanan Di Instalasi Rawat Jalan Rsud Luwuk Banggai Pada Masa Pandemi Covid-19 Tahun 2021. Jurnal Ilmiah Kedokteran Dan Kesehatan, 1(1), 76–84. https://doi.org/10.55606/klinik.v1i1.678

Moraes, C. F., Bonato, S. V., Junges, V. de C., Moura, G. L. de, & Wachs, P. (2023). Value stream mapping: an application lean in the process of accountability in a philanthropic hospital. Revista de Administração Da UFSM, 16(2), e1. https://doi.org/10.5902/1983465970957

Nabila, N., & Ayuningtyas, D. (2024). The Effectivity of Outpatient Waiting Time in Hospital through Online or Web-based Reservation (Literature Review). Asian Journal of Engineering, Social and Health, 3(8), 1725–1739. https://doi.org/10.46799/ajesh.v3i8.370

Ngaorungsi, T., & Chutima, P. (2024). Operational Process Improvement for Outpatient Services at a Private Medium-Sized Hospital. Engineering Journal, 28(2), 29–65. https://doi.org/10.4186/ej.2024.28.2.29

Nwagbara, U. I., Hlongwana, K. W., & Chima, S. C. (2024). Mapping evidence on the factors contributing to long waiting times and interventions to reduce waiting times within primary health care facilities in South Africa: A scoping review. PLOS ONE, 19(8), e0299253. https://doi.org/10.1371/journal.pone.0299253

Patel, H. R. H., Luxman, C. N., Bailey, T. S., Brunning, J. D. M., Zemmel, D., Morrell, L. K., Nathan, M. S., & Miller, R. A. (2002). Outpatient clinic: where is the delay? JRSM, 95(12), 604–605. https://doi.org/10.1258/jrsm.95.12.604

Plourde, C. L., Varnado, W. T., Gleaton, B. J., & Das, D. G. (2020). Reducing Infusion Clinic Wait Times Using Quality Improvement. JCO Oncology Practice, 16(8), e807–e813. https://doi.org/10.1200/JOP.19.00643

Sebera, E., Hagenimana, C., Rugengamanzi, F., Nahimana, J., Kamali, F., Nizeyemaliya, L., & Twagirumukiza, E. (2024). Patient Flow Analysis in a Public Hospital: A Case of Outpatient Services at Remera Rukoma District Hospital. Rwanda Public Health Bulletin, 5(3), 20–27. https://doi.org/10.4314/rphb.v5i3.3

Setiawan, I., Tumanggor, O. S. P., & Hardi Purba, H. (2021). Value Stream Mapping: Literature Review and Implications for Service Industry. Jurnal Sistem Teknik Industri, 23(2), 155–166. https://doi.org/10.32734/jsti.v23i2.6038

Sondakh, R. W., Posangi, J., & Fatimawali, F. (2023). Upaya Efisiensi Waktu Tunggu Pasien BPJS Pada Pelayanan Rawat Jalan di Rumah Sakit Mata Provinsi Sulawesi Utara. Jurnal Kesehatan Tambusai. https://api.semanticscholar.org/CorpusID:267274157

Sulisna, A., Fitria, D., Fauzi, M., & Tarigan, A. M. (2023). Hubungan Waktu Tunggu Pelayanan Spesialistik Terhadap Tingkat Kepuasan Pasien Di Rawat Jalan RSUD Kabupaten Aceh Tamiang. IJOH : Indonesian Journal of Public Health. https://api.semanticscholar.org/CorpusID:261266610

Ugenthiri, N. (2017). Waiting times: The outpatient referral process, variation, performance and structural influences.

Weerakoon, W. M. N. B., Vasanthapriyan, S., & Ishanka, U. A. P. (2019). A Queuing Model for Outpatient Department to Reduce Unnecessary Waiting Times. 2019 14th Conference on Industrial and Information Systems (ICIIS), 203–208. https://doi.org/10.1109/ICIIS47346.2019.9063348

Wieko Prayudi, Ganista Alkautsar, Ika Retnani, Titis Ari Respatilatsih, & Indasah. (2024). Optimization of Outpatient Waiting Times to Improve the Achievements of National Quality Indicators at TNI AD 05.08.04 Hospital Lawang. Journal of Community Engagement in Health, 7(2), 207–214. https://doi.org/10.30994/jceh.v7i2.565

Yulianto, W., Zuhriyah, L., & Haripradiantoi, T. (2024). Behavior Mapping Study of The Layout of Drug Service Room in Outpatient Pharmacy of X Hospital. JMMR (Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit), 13(2), 199–210. https://doi.org/10.18196/jmmr.v13i2.145

Yunike, Y., Tyarini, I. A., Evie, S., Hasni, H., Suswinarto, D. Y., & Suprapto, S. (2023). Quality of Health Services to the Level of Patient Satisfaction. Jurnal Ilmiah Kesehatan Sandi Husada, 12(1), 183–189. https://doi.org/10.35816/jiskh.v12i1.990

Zhang, H., Ma, W.-M., Zhu, J.-J., Wang, L., Guo, Z.-J., & Chen, X.-T. (2023). How to adjust the expected waiting time to improve patient’s satisfaction? BMC Health Services Research, 23(1), 455. https://doi.org/10.1186/s12913-023-09385-9

Zulaika, Z., Suhermi, S., & Soejoto, N. N. (2022). Hubungan Lama Waktu Tunggu Pelayanan Dengan Kepuasan Pasien Di Poli Umum Klinik Relof Tahun 2022. Jurnal Ilmiah Kesehatan. https://api.semanticscholar.org/CorpusID:257475867

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Published

2025-06-19

Issue

Vol. 6 No. 2 (2025): JUNI 2025

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Articles

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Copyright (c) 2025 Irvan Maulana, Eko Winarti, Sunardi Sunardi, Sri Haryuni

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