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

Background Clinical pathway is a requirement for quality andcost control, especially on cases potentially exhausting onavailable resources. Schizophrenia is a mental disorder with apotency to exhaust available resources, therefore requiresevaluation for its service effectiveness.Method and Aims This study was a quasi experimentalstudy with qualitative approach. The aims of this study wereto assess the effectiveness of clinical pathway applicationand patient service during three months application of clinicalpathway for schizophrenia in the inpatient service in SardjitoHospital, Yogyakarta. The data for this study was obtainedfrom both primary and secondary sources.Result: Our results showed that the preparation phase forthe clinical pathway was appropriate with guideline providefor clinical pathway development in Sardjito Hospital.Nevertheless the application was still ineffective. T hecompleteness of the clinical pathway forms was only 33.11%.This was because the information about the clinical pathwayapplication was not properly disseminated to the informant.The design of the forms was difficult to read due to its smallfonts. The planning concepts for the inpatient service forschizophrenia according to the clinical pathway had not wellapplied. The verification and validation of the service providedby the residents in training by home psychiatrist were notconsisted and were not well documented.Conclusion: To solve this, dissemination of the clinical pathwaywith personal approach is required. The design of the clinicalpathway needs also to be improved. Commitment of eachmembers of the multidisciplinary team needs to be improved sothat the application of the planning concept and patient servicefor schizophrenia can fulfill the clinical pathway and theminimum service requirement.Keywords: effectiveness, clinical pathway, schizophreni