Research Article
Quality of Life Improvement Model Related to Discharges Against Medical Advice (DAMA) Modulated by Mododuluan’s of the Bolaang Mongondow Ethnic Group in North Sulawesi, Indonesia
@INPROCEEDINGS{10.4108/eai.23-10-2019.2293085, author={Wiwit Ciptaningsih Haryanto and Edi Widjajanto and Jack Roebijoso and Harsuko Riniwati}, title={Quality of Life Improvement Model Related to Discharges Against Medical Advice (DAMA) Modulated by Mododuluan’s of the Bolaang Mongondow Ethnic Group in North Sulawesi, Indonesia}, proceedings={Proceedings of the 13th International Interdisciplinary Studies Seminar, IISS 2019, 30-31 October 2019, Malang, Indonesia}, publisher={EAI}, proceedings_a={IISS}, year={2020}, month={3}, keywords={quality of life dama mododuluan health insurance bolaang mongondow}, doi={10.4108/eai.23-10-2019.2293085} }- Wiwit Ciptaningsih Haryanto
Edi Widjajanto
Jack Roebijoso
Harsuko Riniwati
Year: 2020
Quality of Life Improvement Model Related to Discharges Against Medical Advice (DAMA) Modulated by Mododuluan’s of the Bolaang Mongondow Ethnic Group in North Sulawesi, Indonesia
IISS
EAI
DOI: 10.4108/eai.23-10-2019.2293085
Abstract
DAMA (Discharge against Medical Advice) is an indicator of the lack of quality of hospital health services. DAMA among patients in general is caused by reduced faith or hope for recovery. One kind of approach that can raise hope for healing is through a cultural approach. A culture that is known in Bolaang Mongondow (Bolmong) is Mododuluan. Mododuluan is a form of mutual cooperation to help traditionally bequeathed ancestors. The purpose of this study is to obtain a model of improving quality of life in the context of controlling incidences of forced discharges using a cultural approach of the Bolmong community. This research is a quantitative research. The number of respondents was 156 patients. The most influential indicator was BPJS participation. The most influential indicator was social function. Mododuluan culture positively and significantly influenced quality of life, and quality of life and Mododuluan culture positively and significantly influenced DAMA. This study also showed that improvement of quality of life through DAMA was increased through Mododuluan culture, and DAMA through quality of life was decreased where Mododuluan was the strongest moderating variable. Mododuluan was the strongest moderating variable to improve quality of life in order to control the DAMA of patients from the hospital. Based on the results of this study, Mododuluan must be preserved