ERACS Method as a Solution to Allow Hospital and Patient Financing

Main Article Content

Tansya Sushan Purnaningrum

Abstract

ERACS (Enhanced Recovery After Caesarian Surgery) is a fast post-SC recovery program, namely a series of treatments starting from preoperative preparation, during surgery, and postoperative care to patient discharge. The ERACS concept is the development of the Enhanced Recovery After Surgery (ERAS) concept, where the ERAS concept was originally used in digestive surgery. The purpose of this study was to find out whether the eracs method could be used as a solution to ease the burden on hospital and patient costs. This research method was carried out using a literature review approach with a library approach. The nature of the research used in this research is a prescriptive design. The results of this study were then analyzed qualitatively. Based on the results of the study it can be concluded that the Enhanced Recovery After Caesarean Surgery (ERACS) method is the newest method performed for cesarean delivery. This method emphasizes reducing the anesthetic dose so that the patient does not need to spend a long time in the hospital. Because, if the patient stays in the hospital for too long, this will have an impact on increasing the cost of hospitalization. This method can reduce the financial burden on both patients and healthcare facilities. This will help a mother to care for her baby much earlier without compromising her safety and satisfaction. Hospitals will have an advantage in terms of decreased beds and thus the number of patients treated will increase and healthcare resources will be increased efficiently used.

Article Details

How to Cite
Purnaningrum, T. S. (2023). ERACS Method as a Solution to Allow Hospital and Patient Financing. The Eastasouth Management and Business, 1(02), 44–54. https://doi.org/10.58812/esmb.v1i02.47
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References

L. J. Mumu, G. D. Kandou, and D. V Doda, “Analisis Faktor-Faktor Yang Berhubungan Dengan Kepuasan Pasien di Poliklinik Penyakit Dalam RSUP Prof . Dr . R . D . Kandou Manado,” J. Univ. Sam Ratulangi Manad., p. 1, 2015, [Online]. Available: https://ejournal.unsrat.ac.id/index.php/jikmu/article/view/7460

R. A. Sirait and S. I. Simatupang, “Relationship Of Health Service Quality With Bpjs Patient Satisfaction In The Outpatient Unit Lubuk Pakam Grandmed Hospital,” J. Kebidanan Kestra, vol. 4, no. 2, pp. 157–162, 2022, doi: 10.35451/jkk.v4i2.1079.

W. Lestari, I. Rizany, and H. Setiawan, “Faktor- Faktor Yang Mempengaruhi Tingkat Kepuasan Pasien Rawat Inap Di Rumah Sakit,” BIMIKI (Berkala Ilm. Mhs. Ilmu Keperawatan Indones., vol. 9, no. 1, pp. 46–53, 2021, doi: 10.53345/bimiki.v9i1.174.

A. Parasuraman, Zeithaml, Valeri, and leonard L. Berry, Delivering Quality Service: Balancing Customer Perception and Expectation New Yorks. 1998.

V. Sower, J. Duffy, W. Kilbourne, G. Kohers, and P. Jones, “The dimensions of service quality for hospitals: development and use of the KQCAH scale,” Heal. Care Manag. Rev. 2001 Spring, vol. 26, no. 2, pp. 47–59, 2001, doi: 10.1097/00004010-200104000-00005. PMID: 11293010.

F. Tjiptono, Pemasaran Jasa – Prinsip, Penerapan, dan Penelitian. Yogyakarta: Penerbit Andi, 2014.

F. F. Lumintang, “Pengaruh Hedonic Motives Terhadap Impulse Buying Melalui Browsing Dan Shopping Lifestyle Pada Online Shop,” J. Bus. Res., vol. 5, no. 11, pp. 35–52, 2013, [Online]. Available: http://dx.doi.org/10.1016/j.jbusres.2011.10.019

T. Alamsyah, “Analisis Faktor-Faktor Yang Mempengaruhi Kepuasan Pasien Di Rumah Sakit Umum Citra Husada Sigli,” Maj. Kesehat. Masy. Aceh, vol. 2, no. 3, pp. 78–88, 2019, doi: 10.32672/makma.v2i3.1548.

S. Sharmila and J. Krishnan, “Has the Servic Quality in Private Corporate Hospitals Meet the Patient Expectations? A Study About Hospital Quality in Chennai,” Asia Pacific J. Mark. Manag., vol. 2, no. 1, pp. 19–35, 2013.

J. Essiam, “Service Quality and Patients Satisfaction with Healthcare Delivery: Empirical Evidence from Patients of the Out Patient Department of a Public University Hospital in Ghana,” Eur. J. Bussiness Manag., vol. 5, no. 28, pp. 52–63, 2013.

M. R. Rahman and S. S. Kutubi, “Assessment of service quality dimensions in healthcare industry A study on patient’s satisfaction with Bangladeshi private Hospitals,” Int. J. Bus. Manag. Invent. ISSN (Online, vol. 2, no. 4, pp. 2319–8028, 2013, [Online]. Available: www.ijbmi.org

N. M. M, I. Aniza, R. Nor Faridah, A, and A. Sulha, “ASSESSING THE SERVICE QUALITY OF PHYSIOTHERAPY SERVICES: A CROSS SECTIONAL STUDY AT TEACHING HOSPITALS IN KLANG VALLEY, MALAYSIA,” Malaysian J. Public Heal. Med., vol. 13, no. 2, pp. 27–37, 2013.

S. Al Khattab and A. ad H. Aborumman, “Health Care And Service Quality.” pp. 247–254, 2011.

Kasdu, “Angka persalinan sectio caesarea dan kejadian cephlopelvic disproportion di indonesia dan provinsi jawa tengah,” 2011. http://www.depkes.go.id/

E. U. Türkyılmaz, N. C. Eryılmaz, and N. A. Güzey, “An evaluation of regional anesthesia complications and patient satisfaction after cesarean section,” J. Surg. Med., vol. 5, no. 8, pp. 813–817, 2021, doi: 10.28982/josam.855202.

N. K. Citrawati, N. L. G. R. Rahayu, and N. A. M. E. Sari, “Hubungan Tingkat Pengetahuan dengan Sikap Ibu Dalam Mobilisasi Dini Pasca Sectio Cesarean,” Heal. Care J. Kesehat., vol. 10, no. 1, pp. 1–7, 2021, doi: 10.36763/healthcare.v10i1.108.

Kemenkes RI, “Hasil Riset Kesehatan Dasar Tahun 2018,” Kementrian Kesehat. RI, vol. 53, no. 9, pp. 1689–1699, 2018.

F. Ratnasari and Warmiyanti, “Pengaruh Sectio Caesarea Metode Eracs Terhadap Percepatan Mobilisasi pada Ibu Bersalin di RS Hermina Daan Mogot Tahun 2022,” J. Ilm. Indones., vol. 2, no. 9, pp. 821–829, 2022, [Online]. Available: http://cerdika.publikasiindonesia.id/index.php/cerdika/index

T. T. Tika, L. Sidharti, and R. Himayani, “Metode ERACS Sebagai Program Perioperatif Pasien Operasi Caesaragus,” J. Med. Hutama, vol. 03, no. 02, pp. 2386–2391, 2022.

X. Meng, K. Chen, C. Yang, H. Li, and X. Wang, “The Clinical Efficacy and Safety of Enhanced Recovery After Surgery for Cesarean Section: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and Observational Studies,” Front. Med., vol. 8, no. August, 2021, doi: 10.3389/fmed.2021.694385.

D. Karki and R. Saha, “Assessment of patient satisfaction after implementing an Enhanced Recovery After Surgery (ERAS) protocol for elective Caesarean sections,” J. Kathmandu Med. Coll., vol. 10, no. 38, pp. 188–193, 2021.

Z. Q. Liu, W. J. Du, and S. L. Yao, “Enhanced recovery after cesarean delivery: a challenge for anesthesiologists,” Chin. Med. J. (Engl)., vol. 133, no. 5, pp. 590–596, 2020, doi: 10.1097/CM9.0000000000000644.

S. Jitowiyono and W. Kristiyanasari, Asuhan Keperawatan Post Operasi Dengan Pendekatan Nanda, NIC, NOC. Yogyakarta: Nuha Medika, 2012.

R. Risanda Alaika Selma, F. A. Fuadah Ashri Nurfurqoni, S. W. Sri Wahyuni, and F. Fauzia, Asuhan Kebidanan Postpartum Pada Ny. W Usia 34 Tahun P3A1 Dengan Nyeri Luka Jahitan Operasi dan Anemia Ringan di RSUD Sekarwangi. Bandung: Politeknik Kesehatan Kemenkes Bandung, 2021.

P. Pravina and K. Tewary, “Comparative study with or without application of enhanced recovery after surgery protocols in patients undergoing elective cesarean section,” Int. J. Reprod. Contraception, Obstet. Gynecol., vol. 10, no. 1, p. 173, 2020, doi: 10.18203/2320-1770.ijrcog20205764.

A. Millizia, A. Rizka, and W. P. Mellaratna, “Patient Satisfaction Level of Enhanced Recovery after C-Section at Abby Maternal and Child Hospital Lhokseumawe,” Eureka Herba Indones., vol. 4, no. 1, pp. 171–175, 2022.

J. Pan et al., “The advantage of implementation of enhanced recovery after surgery (ERAS) in acute pain management during elective cesarean delivery: A prospective randomized controlled trial,” Ther. Clin. Risk Manag., vol. 16, pp. 369–378, 2020, doi: 10.2147/TCRM.S244039.

S. Tshering, N. Dorji, and K. Lhaden, “Implementing enhanced recovery after surgery in obstetrics: A lesson from the nationwide lockdown,” J. SAFOG, vol. 13, no. 1, pp. 58–60, 2021, doi: 10.5005/jp-journals-10006-1860.

I. Nurhayati and M. Nadjib, “ANALYSIS OF LENGTH OF STAY DECREASE OF SC PATIENTS WITH ERACS PROTOCOL,” Journals Ners Community, vol. 13, no. 4, pp. 375–380, 2022.

L. Mullman et al., “Improved Outcomes With an Enhanced Recovery Approach to Cesarean Delivery,” Obstet. Gynecol., vol. 136, no. 4, pp. 685–691, 2020, doi: 10.1097/AOG.0000000000004023.

T. Tamang, T. Wangchuk, C. Zangmo, T. Wangmo, and K. Tshomo, “The successful implementation of the Enhanced Recovery After Surgery (ERAS) program among caesarean deliveries in Bhutan to reduce the postoperative length of hospital stay,” BMC Pregnancy Childbirth, vol. 21, no. 1, pp. 1–7, 2021, doi: 10.1186/s12884-021-04105-9.