CAUSES OF INCOMPLETE REPORTS OF MEDICAL CERTIFICATES OF CAUSE OF DEATH: A STUDY AT DR. CIPTO MANGUNKUSUMO NATIONAL CENTRAL PUBLIC HOSPITAL

Abstract

The Medical Record and Admission Department of Dr. Cipto Mangunkusumo at National Central Public Hospital had 128 (11.2%) incomplete medical certificate of cause of death (MCCD) of 1,493 sheets from June to August 2021. Because of this issue, the Jakarta Provincial Health Office had a visit to the hospital and caution them. This study analyzed factors causing incomplete MCCD after the first wave of coronavirus disease of 2019 (COVID-19) pandemic at the Dr. Cipto Mangunkusumo National Central Public Hospital. This study used a mixed method by analyzing the causal factors based on the performance factor theory (motivation, opportunity, and ability). Data were collected through observation, in-depth interviews, and documentation. It was revealed that the motivation factor potentially causing incomplete MCCD included the absence of rewards given to officers. For the opportunity factor, results showed that doctor and admin were not familiar with the standard operating procedures (SOP) of filling the MCCD. The ability factor, ie, indiscipline and a lack of knowledge of admin and doctor also caused them to skip completing MCCD. In conclusion, the hospital needs to educate doctors and admins to improve their knowledge on how to complete MCCD. The Jakarta Provincial Health Office has to inform them about the SOP of manual or electronic MCCD.