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Threatened with collapse, what are the obstacles faced by private hospitals? All pages

KOMPAS.com- Covid-19 patient continues to increase and makes hospitals, both private and government, threatened with collapse.

Secretary General of the Association Private Hospital Indonesia (ARSSI), drg. Iing Ichsan Hanafi said the long holidays of Christmas and New Year last, caused a surge in patients who filled a number of hospitals.

“Approximately in the second week of January, the increase in patients requiring isolation care or ICU in hospitals has increased,” said Dr. Iing in a virtual series event. Katadata titled Collapse Endangered Hospital, Then How?, Thursday (11/2/2021).

Drg Iing said the indicator is full hospital with Covid-19 patients namely, it can be seen from the quite a lot of queues in a number of Emergency Departments (IGD).

Also read: Covid-19 Cases Rise and ICU Is Full, What Are the Impacts on Hospitals?

The high hospital occupancy rate, said Dr. Iing, finally led the government to issue a policy so that hospitals could increase their bed capacity to 40 percent, both isolation and ICU beds.

“Not only that private hospital but also the government. It’s just that the addition of beds prepared for Covid patients requires many things, “said Dr. Iing.

Drg Iing further explained that to increase bed capacity, each hospital needs space, zoning arrangements, and the most important is human resources, namely special medical personnel.

Therefore, the effort to increase bed capacity is not fast.

However, Drg Iing said that there is already a commitment from private hospitals to meet the additional capacity, so that’s a figure bed occupation rate (BOR) can be resolved.

Also read: Full Hospitals, Long Holidays Trigger an Increase in Covid-19 Patients

photo" data-photolink="http://www.kompas.com/sains/image/2021/02/11/190200123/terancam-kolaps-apa-saja-kendala-yang-dihadapi-rumah-sakit-swasta-?page=2" style=" max-width: 100% ; width:750px ">BETWEEN PHOTOS / M RISYAL HIDAYAT A number of health workers walked towards the COVID-19 patient care room at the COVID-19 Emergency Hospital (RSD), Wisma Atlet Kemayoran, Jakarta, Tuesday (26/1/2021). The Central COVID-19 Handling Task Force announced as of Tuesday (26/1) at 15.55 WIB, there were an increase in the number of confirmed positive cases of COVID-19 by 13,094 people, bringing the total to 1,012,350 cases in Indonesia. BETWEEN PHOTOS / M Risyal Hidayat / wsj.-

However, Dr. Iing emphasized that hospital services in the midst of the corona virus pandemic did not only serve and treat Covid-19 patients.

“But also patients with other diseases. This means that the hospital also has to divide its zoning. Adding a bed, you have to determine the zoning as well, the flow from the ER to the inpatient until the patient goes home. It must be separated so that the general public feels safe when they have to go to the hospital. , “said Drg Iing.

The capabilities of each hospital are different

The number of hospitals in Indonesia reaches more than 2,900 hospitals, more than 700 of which are Covid-19 referral hospitals.

Also read: Predicted High Spike in Covid-19 Cases, This is a Strategy for Facing Full Hospitals

However, Drg Iing revealed that not all hospitals have the same ability to increase bed capacity for special Covid-19 patients.

This is because each hospital has a different structure and space zoning. It takes time to turn an ordinary bed into a special insulating bed.

“The most difficult thing is adding medical equipment, such as ventilators, or human resources and nurses and most importantly air circulation in the room,” said Dr. Iing.

Also read: The Covid-19 Hospital in Jakarta is Almost Full, Here Are 3 Strategies from Experts

photo" data-photolink="http://www.kompas.com/sains/image/2021/02/11/190200123/terancam-kolaps-apa-saja-kendala-yang-dihadapi-rumah-sakit-swasta-?page=3" style=" max-width: 100% ; width:750px ">Hospital illustration (SHUTTERSTOCK).SHUTTERSTOCK Hospital illustration (SHUTTERSTOCK).-

However, there have been efforts to increase the capacity of a number of hospitals to meet government policies.

Even though the added capacity is only able to meet 30-35 percent.

Drg Iing revealed that out of 130 private hospitals in Jakarta, nearly 60 of them treat Covid-19 patients.

In fact, in January, the BOR at the hospital in Jakarta reached an occupancy rate of up to 85 percent.

“However, yesterday it started to decrease. (BOR) ICU to 70 percent and isolation to 60 percent. This may be the impact of additional beds,” he explained.

Also read: Scientists Create Virus Counter to Reduce Infection in Hospitals

Drg Iing further said that to deal with the high need for beds, the government through the Director General of Medical Services at the Ministry of Health has provided opportunities for all hospitals, both private and government, that are able to serve Covid-19 patients, so are welcome

The standards or criteria for hospitals that can be referred for Covid-19 patients, at least have isolation facilities, pulmonary doctors, internal medicine doctors and anesthetists, as well as sufficient medical personnel.

“Because these doctors will treat patients, that’s what is important. In addition, medical equipment facilities (hospital medical devices) must also meet standards,” added Dr. Iing.

Also read: Jakarta ICU is running low, experts remind hospitals in Indonesia to be vigilant

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