ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI PENGGUNAAN LAHAN PARKIR DI RSUD PASAR REBO JAKARTA TIMUR

Abstract

Plan-Do-Study-Act (PDSA) is a continuous quality improvement method commonly applied to clinical processes, yet rarely used explicitly for non-clinical facility management such as hospital parking. This study aimed to formulate a PDSA cycle design for optimizing parking land utilization at Pasar Rebo Regional General Hospital, East Jakarta, during a period of capacity constraints caused by Emergency Department (ED) renovation. A mixed methods sequential explanatory design was used: a quantitative baseline was obtained from a survey of 200 visitors, then deepened through in-depth interviews with management, vendor, and specialist physicians and a gap analysis of the baseline, whose results informed the Plan stage design. The PDSA design addressed a primary problem of prolonged parking search time (49.5% of visitors required more than 15 minutes) and low parking turnover (69.5% of vehicles parked longer than 2 hours). The Plan stage set a trial location in one high-density zone for 4–8 weeks; the Do stage involved providing occupancy information boards, organizing drop-off areas, and strengthening ED-route supervision; the Study stage compared pre- and post-intervention indicators; and the Act stage determined adoption, adaptation, or re-evaluation decisions based on target achievement. This PDSA design produced a staged strategy map for the short term (0–6 months), medium term (6 months–2 years), and long term (2–5 years). PDSA is a feasible mechanism for measurably and sustainably restructuring hospital parking management without relying on physical land expansion.