Feasibility of the Study on the Development of the Stroke Center in Mohammad Hoesin Hospital Palembang in 2017
Abstract
Stroke is a disease that causes the most death and disability in adults. Early diagnosis and prompt and appropriate treatment provides excellent results. Besides that, the treatment of stroke patients in the stroke unit’s special room can also provide more significant results than treating them in an ordinary treatment room. This study discusses the factors involved in the development of the stroke center at Mohammad Hoesin Hospital. It is a qualitative research with a descriptive analytic design. Excavation information is carried out by document search, Focus Group Discussion (FGD) and Consensus Decision-making Group (CDMG). FGD implementation has involved all parties/units related to this stroke center program. As for CDMG, it is carried out with all levels of directors and medical committees to decide what decisions must be made so that the stroke center program can be run. The results of the study found several factors that became obstacles in the implementation of the stroke center program, among others, infrastructure, human resources, and policies on stroke service standards. The results of the study suggest making short-, mediumand long-term plans for the establishment of a stroke center at Mohammad Hoesin Hospital that would include infrastructure, human resources, and policies/standards needed for the stroke center to run optimally.
Keywords: central stroke, CDMG
References
[1] World Health Organization. (2018). The Top 10 Causes of Death. Retrieved from http://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-ofdeath (accessed on February 14, 2018).
[2] Ministry of Health Republic of Indonesia. (2014). Basic Health Research 2013. Retrieved from www.depkes.go.id/resources/download/general/ HasilRiskesdas2013.pdf (accessed on October 12, 2016).
[3] Mohammad Hoesin Hospital Palembang. Muhammad Hoesin Hospital’s Stroke Incident Medical Record Data.
[4] Aboderin, I. and Venables, G. (1996). Stroke management in Europe. Pan Europe consensus meeting on stroke management. Journal of Internal Medicine, vol. 240, no. 4, pp. 173–180.
[5] Lindsay, M., Gubitz, G., Bayley, M., et al. (2017). Acute Stroke Unit Care, Canadian stroke best practice recommendations overview and methodology. Retrieved from http://www.strokebestpractices.ca/acute-stroke-management/ acute-stroke-unit-care/ (accessed on January 18, 2017).
[6] Stroke Unit Trialists’ Collaboration. (2007). Organized inpatient (stroke unit) care for stroke. Cochrane Database of Systematic Reviews.
[7] Holt, D. T., Armenakis, A. A., Field, H. S., et al. (2007). Readiness for organizational change of the systematic development of a scale. The Journal of Behavioral Science, vol. 43, no. 2, pp. 232–255.
[8] The European Stroke Organization (ESO) Executive Committee and the ESO Writing Committee. (2008). Guidelines for the Management of Ischemic Stroke and Transient Ischemic Attack. Retrieved from http://www.congrex-switzerland.com/fileadmin/ files/2013/eso stroke/pdf/ESO08_Guidelines_Original_english.pdf (accessed on February 14, 2018).