THE TRENDS IN BED OCCUPANCY RATE (BOR) AT SITI AISYAH ISLAMIC HOSPITAL MADIUN 2022-2024: A CRITICAL ANALYSIS OF HOSPITAL SERVICE EFFICIENCY
DOI:
https://doi.org/10.30651/gjha.v1i1.26836Kata Kunci:
Bed Occupancy Rate, Barber Johnson Chart, hospital efficiency, health services quality, patient managementAbstrak
Objective: This study aims to analyze the BOR trend at Siti Aisyah Islamic Hospital Madiun from 2022 to 2024, compare it with international benchmarks and theoretical standards such as the Barber Johnson theory, and identify internal factors contributing to suboptimal BOR levels.
Methods: This research employed a descriptive quantitative approach using secondary data from internal hospital reports over a three-year period.
Results: BOR values showed a progressive increase: 65.24% in 2022, 66.33% in 2023, and 69.00% in 2024. However, they remained below the Barber Johnson efficiency standard range of 75–85%. Various influencing factors were identified, including nursing service quality, inadequate promotion strategies, and inefficient bed management.
Conclusion: Although an upward trend is evident, BOR at Siti Aisyah Islamic Hospital remains below the ideal level. Strategic interventions are needed to improve inpatient service efficiency.
Referensi
Aloh, H. E., Aloh, O. G., & Nweke, C. J. 2020. Is bed turnover rate a good metric for hospital scale efficiency? A measure of resource utilization rate for hospitals in Southeast Nigeria. Cost Effectiveness and Resource Allocation, 18(1), 16. https://doi.org/10.1186/s12962-020-00216-w
Bosque-Mercader, L., & Siciliani, L. 2023. The association between bed occupancy rates and hospital quality in the English National Health Service. The European Journal of Health Economics. https://doi.org/10.1007/s10198-022-01464-8
Castagna, F., Xue, X., Saeed, O., Kataria, R., Puius, Y. A., Patel, S. R., Garcia, M. J., Racine, A. D., Sims, D. B., & Jorde, U. P. 2022. Hospital bed occupancy rate is an independent risk factor for COVID-19 inpatient mortality: A pandemic epicentre cohort study. BMJ Open, 12(5), e058171. https://doi.org/10.1136/bmjopen-2021-058171
Ferdinal, D., Defit, S., & Yunus, Y. 2021. Prediksi Bed Occupancy Ratio (BOR) menggunakan metode Monte Carlo. Jurnal Informasi dan Teknologi, 3(1). https://doi.org/10.37034/jidt.v3i1.80
Handayani, W. D., Tan, S., Nasution, S. L., & Girsang, E. 2020. Analysis of service factors that influence the bed occupancy rate in the inpatient room of Royal Prima Medan General Hospital. Jurnal Manajemen dan Pelayanan Kesehatan.
Indarto, I., Abdurrouf, M., & Issrovianingrum, R. 2020. Hubungan mutu pelayanan keperawatan dengan bed occupancy rate (BOR) di Rumah Sakit Islam Banjarnegara. Jurnal Keperawatan.
Iskandar, I., Fitriani, A. D., & Asriwati, A. 2021. Determinants influencing bed occupancy rate (BOR) at Langsa hospital in the Covid-19 pandemic. Journal of Asian Multicultural Research for Medical and Health Science Study, 2(4). https://doi.org/10.47616/jamrmhss.v2i4.183
Jones, R. P. 2023. Addressing the knowledge deficit in hospital bed planning and defining an optimum region for the number of different types of hospital beds in an effective health care system. International Journal of Environmental Research and Public Health, 20(24), 7171. https://doi.org/10.3390/ijerph20247171
Kim, J.-N., & Oh, I.-H. 2024. Optimizing hospital bed capacity and resource allocation using inflow and outflow indices for effective healthcare management. Inquiry: The Journal of Health Care Organization, Provision, and Financing. https://doi.org/10.1177/00469580241304244
Kulsum, U., Gunawan, & Ratri, D. R. 2023. Exploring factors behind low bed occupation rate of hospital: A case study. Jurnal Medicoeticolegal dan
Manajemen Rumah Sakit, 12(1), 99-106.
https://doi.org/10.18196/jmmr.v12i1.34
OECD. 2023. Health at a glance 2023: Hospital beds and occupancy. OECD Publishing. https://www.oecd.org/en/publications/2023/11/health-at-a- glance-2023_e04f8239/full-report/hospital-beds-and- occupancy_10add5df.html
Orlando, J. F., Beard, M., Burke, A. L. J., Guerin, M., & Kumar, S. 2025. ‘I have never been in that kind of all‐consuming pain … I did not know what else to do’: The journey to hospital admission with low back pain from the perspectives of patients. Health Expectations, 28(3). https://doi.org/10.1111/hex.70269
Porada, S., Sygit, K., Hejda, G., & Nagórska, M. 2022. Optimization of the use of hospital beds as an example of improving the functioning of hospitals in Poland on the basis of the Provincial Clinical Hospital No. 1 in Rzeszow. International Journal of Environmental Research and Public Health, 19(7). https://doi.org/10.3390/ijerph19074140
Pratt, A. C., & Wood, R. M. 2021. Addressing overestimation and insensitivity in the 85% target for average bed occupancy. International Journal for Quality in Health Care, 33(3), mzab100. https://doi.org/10.1093/intqhc/mzab100
Purwaningsih, & Yunitasari, E. 2020. Strategi pemasaran peningkatan bed occupancy rate (BOR). Jurnal Ners, 15(1).
Shahu, S., Shinde, V., & Gudhe, V. 2020. Analysis of the bed-occupancy, utilization and turnover rate of Acharya Vinoba Bhave Rural Hospital, India. International Journal of Health Sciences & Research.
Surbakti, A. B., & Telaumbanua, S. Y. 2022. Analisis faktor penyebab rendahnya bed occupancy rate (BOR). Jurnal Manajemen Informasi Kesehatan, 10(2).
Tsai, J. C.-H., Weng, S.-J., Liu, S.-C., Tsai, Y.-T., Gotcher, D. F., Chen, C.-H.,
Chou, C.-A., & Kim, S.-H. 2020. Adjusting daily inpatient bed allocation to smooth emergency department occupancy variation. Healthcare, 8(2), 78. https://doi.org/10.3390/healthcare8020078
Wardani, R., & Arifin, Z. 2024. Optimization of the use of the Barber Johnson chart on the efficiency of bed management in the Kabupaten Kediri Hospital. Journal of Community Engagement in Health, 7(2), 158-169. https://doi.org/10.30994/jceh.v7i2.572
Wulandari, E., & Handayani, T. 2021. Pengaruh sistem rujukan terhadap bed occupancy rate di rumah sakit umum daerah. Jurnal Administrasi Kesehatan Indonesia, 9(2), 55-61.
Unduhan
Diterbitkan
Cara Mengutip
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2025 Offia Melda Permata Hartamto, Sholihul Absor, Heru Suswojo
Artikel ini berlisensi Creative Commons Attribution 4.0 International License.
Global Journal of Health Administration by MARS UM Surabaya is liscence under Lisensi Creative Commons Atribusi 4.0 Internasional.
Authors retain all their rights to the article published by this journal, such as (but not limited to) the copyright and other proprietary rights relating to the article, such as patent rights; the right to use the substance of the article in own future works, including lectures and books; the right to reproduce the article for own purposes, the right to self-archive the article; the right to enter into separate, additional contractual arrangements for the non-exclusive distribution of the article's published version (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
