EFEKTIVITAS PELAYANAN SELAMA PENERAPAN CLINICAL PATHWAY SKIZOFRENIA RAWAT INAP DI RSUP DR. SARDJITO YOGYAKARTA

Abstract

Background Clinical pathway is a requirement for quality and
cost control, especially on cases potentially exhausting on
available resources. Schizophrenia is a mental disorder with a
potency to exhaust available resources, therefore requires
evaluation for its service effectiveness.
Method and Aims This study was a quasi experimental
study with qualitative approach. The aims of this study were
to assess the effectiveness of clinical pathway application
and patient service during three months application of clinical
pathway for schizophrenia in the inpatient service in Sardjito
Hospital, Yogyakarta. The data for this study was obtained
from both primary and secondary sources.
Result: Our results showed that the preparation phase for
the clinical pathway was appropriate with guideline provide
for clinical pathway development in Sardjito Hospital.
Nevertheless the application was still ineffective. T he
completeness of the clinical pathway forms was only 33.11%.
This was because the information about the clinical pathway
application was not properly disseminated to the informant.
The design of the forms was difficult to read due to its small
fonts. The planning concepts for the inpatient service for
schizophrenia according to the clinical pathway had not well
applied. The verification and validation of the service provided
by the residents in training by home psychiatrist were not
consisted and were not well documented.
Conclusion: To solve this, dissemination of the clinical pathway
with personal approach is required. The design of the clinical
pathway needs also to be improved. Commitment of each
members of the multidisciplinary team needs to be improved so
that the application of the planning concept and patient service
for schizophrenia can fulfill the clinical pathway and the
minimum service requirement.
Keywords: effectiveness, clinical pathway, schizophrenia