DAFTAR PUSTAKA Abdillah, G. (2015, April). Antara Under Diagnosa, SDM, Rumah Sakit Tipe D, dan BPJS. Warta Kesehatan. Jakarta. Aghdam, B., Reazagoli, V., Asghar, M., & Zahra, K. (2007). Inappropritness Admissions and Inpatients in Imam Khomeini Hospital of Tabriz University of Medical Sciences. Research Journal of Biological Sciences, 2(4), 468– 471. Alcalde, L., Javier, F., Santos Sanz, S., Pérez Rubio, A., Tamames Gómez, S., Cantón Álvarez, M. B., & Castrodeza Sanz, J. (2008). Factors determining inappropriate days of stay in a third-level hospital. Gaceta Sanitaria, 22, 48– 51. Aledo, V. S., Alcaraz, A. C., Pastor, B. F., Egea, A. M., Prats, M. C., & Albasini, J. L. A. (2012). Reduction in inappropriate hospital use based on analysis of the causes. BMC Health Services Research, 12, 361. Aledo, V. S., Alcaraz, A. C., Soto, Á. C., Pastor, B. F., Llopis, J. L., Martín, M. P. F., … Albasini, J. L. A. (2009). Associated Factors and Cost of Inappropriate Hospital Admissions and Stays in a Second-Level Hospital. American Journal of Medical Quality, 24(4), 321–332. doi:10.1177/1062860609337252 Angelillo, I. F., Ricciardi, G., Nante, N., Boccia, A., Bianco, A., La Torre, G., … De Giusti, M. (2000). Appropriateness of hospital utilisation in Italy. Public Health, 114(1), 9–14. doi:http://dx.doi.org/10.1038/sj.ph.1900609 Apolone, G., Fellin, G., Tampieri, A., Bonanoni, E., Crosti, P. F., Lanzi, E., … Trocino, G. (1997). Appropriateness of hospital use : Report from an Italian study. EUROPEAN JOURNAL OF PUBLIC HEALTH, VOL. 7, 34–39. Armstrong, S. H., Peden, N. R., Nimmo, S., & Alcorn, M. (2001). Appropriateness of bed usage for inpatients admitted as emergencies to internal medicine services. Health Bulletin, 59(6), 388–395. Retrieved from http://europepmc.org/abstract/MED/12661389 Attena, F., Agozzino, E., Troisi, M. R., Granito, C., & Del Prete, U. (2001). Appropriateness of admission and hospitalization days in a specialist hospital. Annali Di Igiene : Medicina Preventiva E Di Comunita, 13(2), 121– 127. Retrieved from http://europepmc.org/abstract/MED/11414101 Baré, M. L., Prat, A., Lledo, L., Asenjo, M. A., & Salleras, L. (1995). Appropriateness of admissions and hospitalization days in an acute-care teaching hospital. Revue D’epidemiologie et de Sante Publique, 43(4), 328– 336. Retrieved from http://europepmc.org/abstract/MED/7667539 Barisonzo, R., Wiedermann, W., Unterhuber, M., & Wiedermann, C. J. (2013). Length of stay as risk factor for inappropriate hospital days: interaction with patient age and co-morbidity. Journal of Evaluation in Clinical Practice, 19(1), 80–85. doi:10.1111/j.1365-2753.2011.01775.x
Bartoletti, A., Fabiani, P., Adriani, P., Baccetti, F., Bagnoli, L., Buffini, G., … Santoro, G. M. (2006). Hospital admission of patients referred to the Emergency Department for syncope: A single-hospital prospective study based on the application of the European Society of Cardiology Guidelines on syncope. European Heart Journal, 27(1), 83–88. doi:10.1093/eurheartj/ehi474 Beik, J. I. (2009). Health Insurance Today: A Practical Approach (Second.). Unites States: Saunders Elsevier. Bianco, A., Pileggi, C., & Angelillo, I. F. (2003). Non-urgent visits to a hospital emergency department in Italy. Public Health, 117(4), 250–255. doi:http://dx.doi.org/10.1016/S0033-3506(03)00069-6 Bianco, A., Pileggi, C., Trani, F., & Angelillo, I. (2003). Pediatric Wards of Italy. Pediatrics, 112(1), 124–128. Biró, M. A., Waldenström, U., & Pannifex, J. H. (2000). Team Midwifery Care in a Tertiary Level Obstetric Service: A Randomized Controlled Trial. Birth, 27(3), 168–173. doi:10.1046/j.1523-536x.2000.00168.x BPJS Kesehatan. (2014a). Panduan Praktis Pelayanan Kebidanan dan Neonatal. Jakarta: Badan Penyelenggara Jaminan Sosial Kesehatan. BPJS Kesehatan. (2014b). Panduan Praktis Pelayanan Kesehatan. Jakarta: Badan Penyelenggara Jaminan Sosial Kesehatan. BPJS Kesehatan. (2014c). Panduan Praktis Sistem Rujukan Berjenjang. Jakarta: Badan Penyelenggara Jaminan Sosial Kesehatan. BPJS Kesehatan. (2014d). Peraturan Badan Penyelenggaraan Jaminan Sosial Kesehatan No 1 tahun 2014 tentang Penyelenggaraan Jaminan Kesehatan. Jakarta. Buesching, D. P., Jablonowski, A., Vesta, E., Dilts, W., Runge, C., Lund, J., & Porter, R. (1985). Inappropriate emergency department visits. Annals of Emergency Medicine, 14(7), 672–676. doi:http://dx.doi.org/10.1016/S01960644(85)80886-6 Celik, Y., Celik, S. S., Bulut, H. D., Khan, M., & Kisa, A. (2001). Inappropriate use of hospital beds: a case study of university hospitals in Turkey. World Hospitals and Health Services : The Official Journal of the International Hospital Federation, 37(1), 6–13,33–34. Retrieved from http://europepmc.org/abstract/MED/11372258 Chopard, P., Perneger, T. V., Gaspoz, J. M., Lovis, C., Gousset, D., Rouillard, C., … Junod, A. F. (1998). Predictors of inappropriate hospital days in a department of internal medicine. International Journal of Epidemiology, 27(3), 513–519. doi:10.1093/ije/27.3.513 Cordero, A., Aguila, J., Massalana, A., Escoto, V., Lopes, L., & Susano, R. (2004). Appropriateness admissions to the Department of Internal Medicine of the Hospital de Santa Luzia (Elvas) evaluated by the AEP (Appropriateness Evaluation Protocol). ACTA MÉDICA PORTUGUESA,
17(2), 113–118. Davidson, M., London, M. L., & Ladewig, P. A. W. (2012). Olds MaternalNewborn Nursing & Women’s Health Across the Lifespan (Ninth.). United States of America: Pearson Health Science. Decoster, C., Roos, N. P., Carrière, K. C., & Peterson, S. (1997). Inappropriate hospital use by patients receiving care for medical conditions: targeting utilization review. Canadian Medical Association, 157(7), 889–896. Fekari, J., Ghiasi, A., Ezzati, M., Pakdaman, M., & Khalafi, A. (2011). The Assessing of Inappropriate Admissions and Hospitalization based on Appropriate Evaluation Protocol in Alinasab hospital in Tabriz- 2009. Journal of Hospital, 9(3), 39–44 KW Appropriateness Evaluation Protocol KW In. Retrieved from http://jhosp.tums.ac.ir/browse.php?a_code=A-10-2577&slc_lang=en&sid=1 Foster, P., & Prairie, L. (2009). Utilization Review Essentials. Air Medical Jurnal Associates Elsevier, 28(4), 166. doi:10.1016/j.amj.2009.04.012 Frazer, E. (2009). Utilization Review. Air Medical Journal, 28(4), 166. doi:10.1016/j.amj.2009.04.012 Fried, B. J., Topping, S., Morrissey, J. P., Ellis, A. R., Stroup, S., & Blank, M. (2000). Comparing Provider Perceptions of Access and Utilization Management in Full-Risk and No-Risk Medicaid Programs for Adults with Serious Mental Illness. The Journal of Behavioral Health Services & Research, 27, 30–46. Fuente, D. O. D. La, Peiro, S., Marchan, C., & Portella, E. (1996). Inappropriate hospitalization: Reasons and determinants. European Journal Of Public Health, 6, 126–132. García, L. Z. J., Fernández, D. M., Caparrós, C. G., García, D. F., Escalante, D. M. M., & Coronas, S. J. (2001). Factors associated with inappropriate hospitalization at an internal medicine department. Medicina clinica, 116(17), 652–654. Retrieved from http://europepmc.org/abstract/MED/11412663 Gertman, P. M., & Restuccia, J. D. (1981). The Appropriateness Evaluation Protocol: A Technique for Assessing Unnecessary Days of Hospital Care. Medical Care, Lippincott Williams & Wilkins, 19(8), 855–871. Gray, B. H., & Field, M. J. (1989). Controlling Costs and Changing Patient Care?: The Role of Utilization Management (Third.). Washington, D.C.: Committee on Utilization Management National Academy of Sciences. Ilyas, Y. (2003). Mengenal Asuransi Kesehatan : Review Utilisasi, Manajemen klaim dan Fraud (Kecurangan Asuransi Kesehatan). Jakarta: Fakultas Kesehatan Masyarakat Universitas Indonesia. Jackson, P. (2001). The Impact of Health Insurance Status on Emergency Room Services. Journal of Health & Social Policy, 14(1), 61–74. doi:10.1300/J045v14n01_04
Kaya, S., Erdem, Y., Dogrusoz, S., & Hauci, N. (1998). Reliability of a hospital utilization review method in Turkey. International Journal for Quality in Health Care, 10(I), 53–58. Kementerian Kesehatan Republik Indonesia. (2007a). Keputusan Menteri Kesehatan No 369 tahun 2007 tentang standar Profesi Bidan. Jakarta. Kementerian Kesehatan Republik Indonesia. (2007b). Keputusan Menteri Kesehatan No 666 tahun 2007 tentang Klinik Rawat Inap Pelayanan Medik Dasar. Jakarta. Kementerian Kesehatan Republik Indonesia. (2007c). Keputusan Menteri Kesehatan No 938 tahun 2007 tentang Standar Asuhan Kebidanan. Jakarta. Kementerian Kesehatan Republik Indonesia. (2009). Keputusan Menteri Kesehatan Republik Indonesia Nomor 856 tahun 2009 tentang Standar Instalasi Gawat Darurat (IGD ) Rumah Sakit. Jakarta. Kementerian Kesehatan Republik Indonesia. (2013a). Buku Saku: Pelayanan Kesehatan Ibu di Fasilitas Kesehatan Dasar dan Rujukan, Pedoman bagi Tenaga Kesehatan (pertama.). Jakarta. Kementerian Kesehatan Republik Indonesia. (2013b). Peraturan Menteri Kesehatan No 71 tahun 2013 tentang Pelayanan Kesehatan pada Jaminan Kesehatan Nasional. Jakarta. Kementerian Kesehatan Republik Indonesia. (2014). Peraturan Menteri Kesehatan Republik Indonesia No 27 tahun 2014 tentang Petunjuk Teknis Sistem Indonesian Case Based Groups (INA-CBG’s). Jakarta. Kementerian Kesehatan Republik Indonesia. (2015). Peraturan Menteri Kesehatan Republik Indonesia Nomor 10 tahun 2015 tentang Standar Pelayanan Keperawatan di Rumah Sakit Khusus. Jakarta. Kemper, K. J. (1988). Medically Inappropriate Hospital Use in a Pediatric Population. New England Journal of Medicine, 318(16), 1033–1037. doi:10.1056/NEJM198804213181605 Kongstvedt, P. R. (2009). Managed Care : What it is and how it works (Third.). Massachusetts: Jones and Bartlett Publishers. Konsil Kedokteran Indonesia. (2012). STANDAR KOMPETENSI DOKTER INDONESIA (kedua.). Jakarta Pusat. Kossovsky, M. P., Chopard, P., Bolla, F., Sarasin, F. P., Louis-Simonet, M., Allaz, A.-F., … Gaspoz, J.-M. (2002). Evaluation of quality improvement interventions to reduce inappropriate hospital use. International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care / ISQua, 14(3), 227–32. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12108533 Kusuma, T. W., Affandi, A., Ocviyanti, B., & Prihartono, J. (2009). Risk Management in the Service of Severe Preeclampsia Patients (PEB)/Eclampsia in Emergency Installation in Dr. Cipto Mangunkusumo
Hospital. Maj Obstet Ginekol Indones, 33(3), 135–142. Lang, T., Farmacologiche, R., Negri, M., Nolasco, L., Gonsalves, L., Pearson, M., … Santos-eggimann, B. (1999). A European Version Of The Appropriateness Evaluation Protocol. International Journal of Technology Assessment in Health Care, 1(15), 185–197. Leveno, K. J., Cunningham, F. G., Alexander, J. M., & Bloom, S. L. (2007). Williams Manual of Obstetrics: Pregnancy Complications. (A. Sydor, M. Loeb, & P. J. Boyle, Eds.) (22nd ed.). United States of America: McGrawHill Medical. Lowdermilk, D. L., Perry, S. E., Cashion, K., & Alden, K. R. (2012). Maternity & Women’s Health Care. (R. Carter & L. K. Gower, Eds.) (10th ed.). United States of America: Elsevier. Mannocci, A., Specchia, M. L., Poppa, G., Boccia, G., Cavallo, P., Caro, F. De, … Group, C. (2014). A multicenter study on the appropriateness of hospitalization in obstetric wards : application of Obstetric Appropriateness Evaluation Protocol ( Obstetric AEP ). The Journal Of Maternal-Fetal & Neonatal Medicine UK, 7058, 1–7. doi:10.3109/14767058.2014.960833 McCarthy, M. L., Serpi, T., Kufera, J. A., Demeter, L. A., & Paidas, C. (2002). Factors influencing admission among children with a traumatic brain injury. Academic Emergency Medicine, 9(7), 684–693. doi:10.1197/aemj.9.7.684 Mogensen, C. B., Mette, A., Mortensen, M., & Staehr, P. B. (2011). Acute referral of patients from general practitioners: should the hospital doctor or a nurse receive the call? Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 19(1), 47. doi:10.1186/1757-7241-19-47 Mukti, A. G. (2007). Stategi Terkini Peningkatan Mutu Pelayanan Kesehatan : Konsep dan Implementasi. (M. Nurbeti, Ed.). Yogyakarta: Pusat Pengembangan Sistem Pembiayaan dan Manajemen Asuransi/Jaminan Kesehatan Fakultas Kedokteran Universitas Gadjah Mada. Navarro, G., Asenjo, M. A., Menacho, A., Trilla, A., & Salleras, L. L. (2002). Review of the utilisation of a university hospital in Barcelona ( Spain ): Evolution 1992 – 1996. European Journal of Epidemiology, 17(3), 679–684. Oktay, C., Cete, Y., Eray, O., Pekdemir, M., & Gunerli, A. (2003). Appropriateness of emergency department visits in a Turkish university hospital. Croatian Medical Journal, 44(5), 585–591. Panis, L. J. G. G., Gooskens, M., Verheggen, F. W. S. M., Pop, P., & Prins, M. H. (2003). Predictors of inappropriate hospital stay : a clinical case study. International Journal for Quality in Health Care, 15(1), 57–65. Panis, L. J. G. G., Verheggen, F. W. S. M., & Pop, P. (2002). To stay or not to stay . The assessment of appropriate hospital stay : a Dutch report. International Journal for Quality in Health Care, 14(1), 55–67. Payne, S. M. C. (1987). Identifying and Managing Inappropriate Hospital Utilization: A Policy Synthesis. HSR: Health Services Research, 22, 709–
769. Pemerintah Republik Indonesia. (2004). Undang Undang No 40 tahun 2004 tentang Sistem Jaminan Sosial Nasional. Jakarta. Pemerintah Republik Indonesia. (2013). Peraturan Presiden Republik Indonesia No 111 tahun 2013 tentang Perubahan Peraturan No 12 tahun 2013 tentang Jaminan Kesehatan. Jakarta. Pileggi, C., Bianco, A., Di Stasio, S. M., & Angelillo, I. F. (2004). Inappropriate hospital use by patients needing urgent medical attention in Italy. Public Health, 118(4), 284–291. doi:http://dx.doi.org/10.1016/j.puhe.2003.06.002 Poppa, G., Torre, G. La, Mannocci, A., Specchia, M. L., Vaschetto, C., Bontempi, C., … Boccia, A. (2009). Appropriateness of admission and stay in obstetrics wards : a new tool assessing unnecessary days of hospital care of Public. ITALIAN OF PUBLIC HEALTH, 6(4), 341–351. Pourreza, A., Kavosi, Z., Khabiri, R., & Salimzadeh, H. (2008). Inappropriate Admission and Hospitalization in Teaching Hospitals of Tehran University of Medical Sciences, Iran. Pakistan Journal of Medical Sciences Quarterly, 24(2), 301–305. Prakarsa. (2012). Kesehatan Ibu Anak & Jampersal di Nusa Tenggara Timur. Jakarta dan Kupang. Prawirohardjo, S. (2010). Ilmu Kebidanan. (A. B. Saifddin, T. Rachimhadhi, & G. H. Winknjosastro, Eds.) (4th ed.). Jakarta: PT Bina Pustaka Sarwono Prawirohardjo. Quevedo, J. F. M., Peña, C. G., Hernández, I. C., Cedillo, T. J., Bermúdez, C. E., Cisneros, G. M., & García, S. S. (2009). Direct costs associated with the appropriateness of hospital stay in elderly population. BMC Health Services Research, 9, 151. doi:10.1186/1472-6963-9-151 Restuccia, J. D., Kreger, B. E., Payne, S. M., Gertman, P. M., Dayno, S. J., & Lenhart, G. M. (1986). Factors affecting appropriateness of hospital use in Massachusetts. Health Care Financing Review, 8(1), 47–54. RSUD Liwa. (2014). Profil Rumah Sakit Umum Daerah Liwa Tahun 2013. Lampung Barat. RSUD Liwa. (2015). Profil Rumah Sakit Umum Daerah Liwa Tahun 2014. Lampung Barat. Rubio, A. P., Santos, S., Luquero, F., Tamames, S., Cantón, B., & Castrodeza, J. (2007). Evaluation of the appropriateness of stays in a third level hospital. Anales Del Sistema Sanitario de Navarra Europe PMC, 30(1), 29–36. doi:10.4321/S1137-66272007000100003 Ruger, J. P., Richter, C. J., & Lewis, L. M. (2003). Association between Insurance Status and Admission Rate for Patients Evaluated in the Emergency Department. Academic Emergency Medicine, 10(11), 1285–1288. doi:10.1197/S1069-6563(03)00500-1
Sabarguna, B. S. (2012). Manajemen Medis. Jakarta: Universitas Indonesia (UIPress). Santosa, I. (1999). Ketepatan Admisi Pasien Rawat Inap di Rumah Sakit Umum Daerah Purwodadi Kabupaten Dati II Grobogan. Universitas Gadjah Mada. Selassie, A. W., McCarthy, M. L., & Pickelsimer, E. E. (2003). The Influence of Insurance, Race, and Gender on Emergency Department Disposition. Academic Emergency Medicine, 10(11), 1260–1270. doi:10.1197/S10696563(03)00497-4 Siu, A. L., Manning, W. G., & Benjamin, B. (1990). Patient , Provider and Hospital Characteristics Associated with Inappropriate Hospitalization. American Journal of Public Health, 80(10), 1253–1256. Siu, A. L., Sonnenberg, F. A., Manning, W. G., Goldberg, G. A., Bloomfield, E. S., Newhouse, J. P., & Brook, R. H. (1986). Inappropriate Use of Hospitals in a Randomized Trial of Health Insurance Plans. New England Journal of Medicine, 315(20), 1259–1266. doi:10.1056/NEJM198611133152005 Smith, H. E., Pryce, A., Carlisle, L., Jones, J. M., Scarpello, J., & Pantin, C. (1997). Appropriateness of acute medical admissions and length of stay. Journal of the Royal College of Physicians of London, 31(5), 527–532. Retrieved from http://europepmc.org/abstract/MED/9429190 Soejitno, S., Alkatiri, A. & Ibrahim, E. (2000). Reformasi Perumahsakitan Indonesia. Jakarta: Bagian Penyusunan Laporan dan Program Ditjen Pelayanan Medis Depkes RI – WHO. Sofian, A. (2013a). Rustam Mochtar SINOPSIS OBSTETRI: Obstetri Fisiologi, Obstetri Patologi. (L. Indra, Ed.) (3rd ed.). Jakarta: EGC. Sofian, A. (2013b). Rustam Mochtar SINOPSIS OBSTETRI: Obstetri Operatif, Obstetri Sosial. (W. K. Nirmala, Ed.) (3rd ed.). Jakarta: EGC. Svenson, J. E., & Spurlock, C. W. (2001). Insurance status and admission to hospital for head injuries: Are we part of a two-tiered medical system? The American Journal of Emergency Medicine Elsevier, 19(1), 19–24. doi:10.1053/ajem.2001.18041 Teke, K., Kisa, A., Demir, C., & Ersoy, K. (2004). Appropriateness of admission and length of stay in a Turkish military hospital. Journal of Medical Systems, 28(6), 653–663. doi:10.1023/B:JOMS.0000044967.14313.5f Thabrany, H., Ilyas, Y., Iskandar, K., Nurbaiti, Susmono, H., Roosyana, … Lubis, E. I. (2008). Managed Care Bagian A : Mengintegrasikan Penyelenggaraan dan Pembiayaan Pelayanan Kesehatan (Agustus 20.). Jakarta: Perhimpunan Ahli Manajemen Jaminan dan Asuransi Kesehatan Indonesia. Thabrany, H., Ilyas, Y., Iskandar, K., Nurbaiti, Susmono, H., Roosyana, … Lubis, E. I. (2014). Managed Care Bagian B : Mengintegrasikan Penyelenggaraan dan Pembiayaan Pelayanan Kesehatan. (Nurbaiti, Ed.) (Mei 2014.). Jakarta: Perhimpunan Ahli Manajemen Jaminan dan Asuransi Kesehatan Indonesia.
Thungjaroenkul, P., Cummings, G. G., & Embleton, A. (2007). The Impact of Nurse Staffing on Hospital Costs and Patient Length of Stay: A Systematic Review. NURSING ECONOMIC$, 25(5), 255–265. Utarini, A., Pramono, D., Kumaraningrum, Y., Hendrartini, J., Julia, M., Hasanbasri, M., … Paramastri, I. (2005). Panduan Penyusunan Tesis Program Pascasarjana Program Studi Ilmu Kesehatan Masyarakat. Yogyakarta: Fakultas Kedokteran Universitas Gadjah Mada. Waldenström, U., Brown, S., McLachlan, H., Forster, D., & Brennecke, S. (2000). Does Team Midwife Care Increase Satisfaction with Antenatal, Intrapartum, and Postpartum Care? A Randomized Controlled Trial. Birth, 27(3), 156– 167. doi:10.1046/j.1523-536x.2000.00156.x Wiegers, T. A., & Hukkelhoven, C. W. P. M. (2010). The role of hospital midwives in the Netherlands. Woodhams, V., de Lusignan, S., Mughal, S., Head, G., Debar, S., Desombre, T., … Al Sharifi, H. (2012). Triumph of hope over experience: learning from interventions to reduce avoidable hospital admissions identified through an Academic Health and Social Care Network. BMC Health Services Research, 12(1), 153. doi:10.1186/1472-6963-12-153
