The Feasibility Study of Intensive Care Unit (ICU) Development from Human Resource Management and Market Aspect at Nahdlatul Ulama Islamic Hospital Demak

Abstract

In the past four years, bed occupancy ratio (BOR) in Nahdlatul Ulama Islamic hospital (RSI NU)Demak decreased from 71% in 2009 to 49% in 2012. The decrease was because of referral to otherhospitals (76.5% in 2012) due to no intensive care unit (ICU) facility. Currently, the availability of number of beds in the ICU in Demak district was 10; the minimal ideal requirement of ICU bedswas 22. Objective of this study was to conduct feasibility study for the establishment of an intensivecare unit of RSI NU Demak viewed from human resource and market aspects.Qualitative method with in-depth interview data collection technique was used to explain humanresource management aspect and market aspect related to referral. Main informants for humanresource management aspect were a director of the foundation and management of the hospital.Triangulation informants were anesthesiologists and internists. Main informants for market aspectrelated to medical referral were 10 general practitioners who conducted their private practice insurrounding RSI NU Demak. Quantitative method was implemented through in-depth interview to30 patients and/or family member who visited internal disease and surgery polyclinics of RSI NUDemak. Structured questionnaire was used to calculate ATP and WTP. Benchmarking to SunanKalijaga Demak district general hospital (RSUD) and Pelita Anugerah hospital Demak wasconducted. Content analysis was applied in the qualitative data analysis; quantitative data wasanalyzed descriptively.Results of the study showed that viewed from human resource management aspect: health workertype had fulfilled the expectation; however, additional 13 nurses were needed. All health workersdid not have training certificate of life saving for elders and ICU certificate. In the market aspect:the development of ICU of RSI NU Demak obtained medical referral supports from physiciansurrounding RSI NU Demak. ATP1 (the lowest ability to pay the fee) was Rp. 93,225.00, and ATP2(the highest ability to pay the payment) was Rp. 723, 000,00, WTP was Rp. 300,000.00.In conclusion, viewed from human resource management, ICU of RSI NU Demak is not feasible tobe built. Viewed from market aspect, ICU of RSI NU Demak is feasible to be built.