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Healthcare Quality and Satisfaction

Works Count: 56002

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Description

This cluster of papers explores the barriers to healthcare access, quality of service, and patient satisfaction in various healthcare settings. It covers topics such as nursing performance, community health centers, national health insurance, organizational behavior, and the influence of social and cultural factors on patient experience.

Keywords

Healthcare Access; Quality of Service; Barriers; Patient Satisfaction; Nursing Performance; Community Health Centers; National Health Insurance; Organizational Behavior; Social and Cultural Factors; Patient Experience

Mechanism and Management of Headache

2005-01-01

James W. Lance , Peter J. Goadsby

JOB SATISFACTION, A LITERATURE REVIEW

2011-12-01

Brikend Aziri

Job satisfaction represents one of the most complex areas facing today's managers when it comes to managing their employees. Many studies have demonstrated an unusually large impact on the job … Job satisfaction represents one of the most complex areas facing today's managers when it comes to managing their employees. Many studies have demonstrated an unusually large impact on the job satisfaction on the motivation of workers, while the level of motivation has an impact on productivity, and hence also on performance of business organizations.Unfortunately, in our region, job satisfaction has not still received the proper attention from neither scholars nor managers of various business organizations.

Effectiveness of School-Based Telehealth Care in Urban and Rural Elementary Schools

2003-11-01

Thomas L. Young , Carol L Ireson

Objective. This study evaluated the quality and cost effectiveness of health care provided in urban and rural elementary school-based telehealth centers, using plain old telephone system (POTS) technology. Methods. A … Objective. This study evaluated the quality and cost effectiveness of health care provided in urban and rural elementary school-based telehealth centers, using plain old telephone system (POTS) technology. Methods. A telehealth school-based model was developed that used a full-time school nurse, half-time mental-health consultant, linked pediatric practice, and linked child psychiatrist via POTS with an electronic stethoscope; ears, nose, and throat endoscope; and otoscope. One rural and 1 urban center were evaluated. Providers, nurses, children, and parents completed satisfaction questionnaires. Providers and nurses also evaluated how well telemedicine supported their clinical decision making. Parents were asked how use of the center affected them financially and at work. Results. Of the combined 3461 visits to school nurses at both centers, 4.3% resulted in 150 telehealth consultations referrals; 142 (95%) were completed during the 2-year project. The most common teleconsult diagnoses were otitis media, pharyngitis, dermatitis, and upper respiratory infections. Provider, nurse, child, and parent satisfaction all were high. Providers’ and nurses’ decision confidence scores ranged from a low of 4 to a high of 4.8 on a 5-point scale. Average family savings per encounter were 3.4 hours of work time ($43) and $177 in emergency department or $54 in physician costs. Including travel, savings for families ranged from $101 to $224 per encounter. Thirteen children received telepsychiatric evaluations resulting in diagnoses of depression and attention-deficit/hyperactivity, anxiety, and conduct disorders. Conclusions. Telehealth technology was effective in delivering pediatric acute care to children in these schools. Pediatric providers, nurses, parents, and children reported primary care school-based telehealth as an acceptable alternative to traditional health care delivery systems. The POTS-based technology helps to make this telehealth service a cost-effective alternative for improving access to primary and psychiatric health care for underserved children.

Buku ajar pendidikan dalam keperawatan

2009-01-01

Ns. Roymond H. Simamora

Konsep Pendidikan Keperawatan,Sistem Pendidikan Keperawatan, buku ini mudah di baca dan praktis serta dapat dijadikan panduan bagi mahasiswa perawat. Konsep Pendidikan Keperawatan,Sistem Pendidikan Keperawatan, buku ini mudah di baca dan praktis serta dapat dijadikan panduan bagi mahasiswa perawat.

Qualitative Health Research

2008-01-01

Robert Dingwall

Qualitative health research , Qualitative health research , کتابخانه دیجیتال جندی شاپور اهواز Qualitative health research , Qualitative health research , کتابخانه دیجیتال جندی شاپور اهواز

Kualitas Pelayanan an Kepuasan Pasien Rumah Sakit: Kasus Pada Pasien Rawat Jalan

2017-01-01

Solichah Supartiningsih

The purpose of this study was to determine the effect of service quality dimensions in terms of physical appearance, reliability, responsiveness, assurance, and empathy for hospital patient satisfaction Sarila Husada … The purpose of this study was to determine the effect of service quality dimensions in terms of physical appearance, reliability, responsiveness, assurance, and empathy for hospital patient satisfaction Sarila Husada Sragen. This study uses a test approach the relationship between variables with quantitative approach. Samples are patients who use the services of Sarila Husada Hospital of Sragen. Test the relationship between variables was performed using multiple regression test. This study found that tangbel and assurance effect on customer satisfaction Sarila Husada hospital patients Sragen.

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Pendidikan Keperawatan Jiwa : Teori dan Aplikasi

2015-01-01

Abdul Muhith

Buku berjudul Pendidikan Keperawatan Jiwa : Teori dan Aplikasi ini ditulis sebagai petunjuk kepada perawat tentang tugasnya, bagaimana cara memberikan pelayanan yang profesional kepada para klien sesuai dengan Standar Operasional … Buku berjudul Pendidikan Keperawatan Jiwa : Teori dan Aplikasi ini ditulis sebagai petunjuk kepada perawat tentang tugasnya, bagaimana cara memberikan pelayanan yang profesional kepada para klien sesuai dengan Standar Operasional Prosedure. Sebagai garis terdepan (frontline) dalam memberikan pelayanan kesehatan kepada klien, perawat dituntut untuk mampu memberikan pelayanan asuhan keperawatan secara sistematis, menyeluruh dan komprehensif kepada klien. Hal ini dilakukan dalam rangka transfer learning untuk mengubah perilaku klien dari yang deskriptif ke arah perilaku konstruktif sebagai upaya peningkatan derajat kesehatan yang optimal. Buku ini memuat tentang macam-macam penyakit kejiwaan yang menyerang masyarakat, dimulai dari definisi, teori, sampai gejala-gejalanya. Buku ini juga memuat prosedur perawatan dan petunjuk bagi perawat tentang bagaimana cara penanganan yang tepat bagi sang klien.

Konsep dan Penerapan Metodologi Penelitian Ilmu Keperawatan (87)

2019-10-15

Nursalam Nursalam

Model Bisnis Klinik POLTRADA sebagai Fasilitas Kesehatan Tingkat Pertama (FKTP) Berbasis Blue Ocean Strategy (BOS) Wilayah Tabanan Bali

2025-06-26

Reinaldy Yuda Afriza , Sahat Saragi , Lies Putriana | PENDIPA Journal of Science Education

Klinik Poltrada adalah salah satu Fasilitas Kesehatan Tingkat Pertama yang ada di Bali yang melayani 634 peserta BPJS Kesehatan. Klinik yang berada dibawah Kemenhub ini memiliki peluang untuk mengembangkan layanan … Klinik Poltrada adalah salah satu Fasilitas Kesehatan Tingkat Pertama yang ada di Bali yang melayani 634 peserta BPJS Kesehatan. Klinik yang berada dibawah Kemenhub ini memiliki peluang untuk mengembangkan layanan dan jangkauan bisnisnya seiring dengan perkembangan jumlah industri yang ada di Tabanan. Karena itu perlu dievaluasi kinerjanya untuk merumuskan strategi bisnis yang optimal. Metode analisis menggunakan analisis SWOT dilanjutkan dengan pendekatan Quantitative Strategic Planning Matrix dan Blue Ocean Strategy untuk memperoleh prioritas strategi dan model bisnis yang tepat. Pengumpulan data dilakukan dengan wawancara terhadap 8 informan. Hasil analisis data menunjukkan: Matriks SWOT menghasilkan (x,y = 1,38 ; 2,1 ) dimana titik ini berada pada kuadran I, yang artinya klinik berada dalam situasi yang menguntungkan. Berdasarkan hasil CPM dari 7 faktor kunci, Klinik Poltrada memiliki skor 3.49 yang berada diposisi pertama dibandingkan 3 klinik yang sudah eksisting. Artinya Klinik Poltrada memiliki keunggulan kompetitif yang lebih kuat dalam berbagai faktor kunci keberhasilan industri layanan kesehatan. Hasil pengolahan matriks QSPM menunjukkan bahwa nilai tertinggi terletak pada strategi alternatif 1 yaitu “Memanfaatkan fasilitas mumpuni, SDM yang dimiliki, layanan kesehatan yang lengkap, pelayanan yang cepat-tepat dan layanan 24 jam untuk menarik kerja sama dengan perusahaan dan dinas perhubungan dalam melakukan test MCU dasar (S3, S4, S7, S8, S9, O3)”. Kanvas strategi menunjukan nilai penawaran yang tinggi terhadap masing-masing faktor kompetensi. Berdasarkan strategi blue ocean Klinik Poltrada Bali harus menghapuskan atau eliminate fasilitas ruang rawat inap yang sekarang menjadi ruang observasi untuk menurunkan biaya operasional. Kurangi atau reduce biaya operasional akibat SDM yang berlebih dengan memaksimalkan peran masing-masing profesi. Tingkatkan atau raise digitalisasi yang sudah berjalan, motivasi bekerja dengan insentif berbasis kinerja, dan citra klinik melalui promosi aktif. Ciptakan atau create pelayanan MCU dasar, pelayanan telemedicine dan bekerjasama dengan BPJS, perusahaan termasuk hotel/resort, dinas perhubungan dan fisioterapi. Klinik Poltrada juga disarankan untuk memperkenalkan tagline baru, yakni: “Pemeriksaan akurat, siap 25 jam” yang mengartikan pemeriksaan akurat dengan dukungan teknologi telemedicine, layanan MCU berkualitas, dan kesiapan lebih dari sekedar 24 jam untuk kesehatan yang lebih baik.

Improvement of Daily Activities in Patients Undergoing Cataract Surgery at RSI S. Anggoro, East Lombok

2025-06-25

Raden Gunawan Effendi , Joko Prasetyo | JURNAL KEDOKTERAN

Background: Blindness has a significant impact on the quality of life of patients. This condition can lead to a decline in the ability to perform daily activities. Cataracts are one … Background: Blindness has a significant impact on the quality of life of patients. This condition can lead to a decline in the ability to perform daily activities. Cataracts are one of the main causes of vision impairment that can be treated through a surgical procedure, namely lens extraction. The main goal of this procedure is to re-optimize the patient's vision function. This study aimed to investigate the impact of cataract surgery on improving the ability to perform daily activities in patients with cataracts. Methods: This was an observational analytical study conducted at Rumah Sakit Islam (RSI) S. Anggoro (Islamic Hospital S. Anggoro), East Lombok. The study population included all cataract patients undergoing surgery at the hospital in 2024. The variables studied were the ability to perform daily activities before and after cataract surgery. Data were collected through interviews using the Visual Function Index-14 (VF-14) questionnaire, both before and after surgery. Results: The results show that the mean score of the patient's ability to perform daily activities before surgery is 325.00 and increased significantly to 925.83 after surgery. Based on the results of the statistical test (significance 2-tailed), a p-value of <0.001 is obtained. This suggests that there is a statistically significant difference between the patient's ability before and after surgery. Conclusion: Thus, it can be concluded that cataract surgery has a positive impact on improving patients' ability to perform daily activities.

Hubungan motivasi dan self-efficacy dengan tindakan pencegahan pengendalian infeksi perawat di ruang rawat inap rumah sakit

2025-06-25

Khaerunisa Priwardani , Tatiana Siregar | JURNAL KEPERAWATAN TROPIS PAPUA

Healthcare-Associated Infections (HAIs) are among the major global health problems that significantly impact the quality of hospital services. Nurses play a vital role in implementing infection prevention and control (IPC) … Healthcare-Associated Infections (HAIs) are among the major global health problems that significantly impact the quality of hospital services. Nurses play a vital role in implementing infection prevention and control (IPC) measures. This study aimed to examine the relationship between motivation and self-efficacy with nurses' IPC practices in hospital inpatient settings. A cross-sectional design with a quantitative approach was employed, involving 135 nurses from the inpatient wards of RSUD X Jakarta, who were selected through purposive sampling. Research instruments included a motivation questionnaire based on Herzberg's theory, the General Self-Efficacy Scale (GSES), and the IPC questionnaire developed by the Indonesian Ministry of Health (2017). Unadjusted analysis showed that motivation (p < 0.001; OR = 4.98; 95% CI: 2.37–10.45) and self-efficacy (p < 0.001; OR = 12.25; 95% CI: 5.43–27.62) were significantly associated with nurses' IPC practices in inpatient care. In addition, gender was also associated with IPC actions to a considerable extent (p = 0.028; OR = 0.36; 95% CI: 0.14–0.91). However, in the adjusted analysis using multivariate logistic regression, only self-efficacy (p < 0.001; OR = 9.00; 95% CI: 3.80–21.31) was found to influence the implementation of IPC significantly. Self-efficacy demonstrated a more decisive influence than motivation on nurses' IPC practices. Efforts to enhance self-efficacy should be integrated into hospital training programs and policies to improve the quality of care and patient safety.

HUBUNGAN KUALITAS PELAYANAN KESEHATAN DENGAN TINGKAT KEPUASAN PASIEN BPJS

2025-06-25

Ahmad Safii Hasibuan , Henny Sahriani , Halman Paris | Jurnal Kesehatan Ilmiah Indonesia (Indonesian Health Scientific Journal)

ABSTRAK Kualitas pelayanan yang baik akan meningkatkan kepuasan pada pengguna jasa layanan (pasien) serta mempunyai hubungan yang positif dan signifikan dengan tingkat kepuasan. Kepuasan pasien ini dapat tercipta melalui pelayanan … ABSTRAK Kualitas pelayanan yang baik akan meningkatkan kepuasan pada pengguna jasa layanan (pasien) serta mempunyai hubungan yang positif dan signifikan dengan tingkat kepuasan. Kepuasan pasien ini dapat tercipta melalui pelayanan yang baik oleh para tenaga medis yang ada di Instansi Kesehatan jumlah data pasien yang berobat di Puskesmas Batunadua dengan menggunakan kartu BPJS, dari tahun 2021 berjumlah 9.946 orang,tahun 2022 berjumlah 7.573 orang, tahun 2023 berjumlah 5.334 orang, dan tahun 2024 dari bulan januari-maret 850 orang. karena melihat dari data pasien BPJS beberapa tahun belakangan terjadi penurunan disebabkan adanya keluhan. Jenis dan desain penelitian dengan metode penelitian survey analitik, desain penlitian yang digunakan adalah cross sectional.Populasi penelitian ini adalah seluruh pasien BPJS rawat jalan sebanyak 138 orang, sampel dalam penelitian ini berjumlah 103 orang. Hasil penelitian yang yang telah dilakukan pada 103 responden dilakukan uji analisis data menggunakan ujichi square di daptakan hasil p=0,175 (p-Value > 0,05 sehingga di simpulakan tidak ada hubungan kualitas pelayana dengan tingkat kepuasan pasien BPJS pada unit rawat jalan di puskesmas batunadua. Diharapkan lebih meningkatkan kualitas pelayanan yang dirasa kurang baik dan mempertahankan kualitas yang sudah baik agar kepuasan pasien khususnya untuk pengguna BPJS dapat tercapai secara maksimal karena kelima dimensi tersebut memiliki nilai kepuasan pada pengguna BPJS. Kata Kunci : Kualitas Pelayanan Kesehatan, Kepuasan Pasien ABSTRACT Good service quality will increase the satisfaction of service users (patients) and have a positive and significant relationship with the level of satisfaction. This patient satisfaction can be created through good service by medical personnel in the Health Agency the number of patient data seeking treatment at the Batunadua Health Center using a BPJS card, from 2021 there were 9,946 people, in 2022 there were 7,573 people, in 2023 there were 5,334 people, and in 2024 from January to March 850 people. Because looking at BPJS patient data in recent years there has been a decline due to complaints. The type and design of the research is an analytical survey research method, the research design used is cross-sectional. The population of this study were all outpatient BPJS patients as many as 138 people, the sample in this study amounted to 103 people. The results of the research that has been carried out on 103 respondents carried out data analysis tests using the chi-square test, the results are p = 0.175 (p-Value> 0.05 so that it can be concluded that there is no relationship between service quality and the level of satisfaction of BPJS patients in the outpatient unit at the Public health center Batunadua. It is hoped that the quality of service that is felt to be less good, and pay attention to the quality that is already good so that satisfaction in particular for BPJS users can be achieved maxsimally because. Keyword : Health –service quality, sastisfaction patient

PENGARUH PELATIHAN K3 TERHADAP KECELAKAAN KERJA PERAWAT DI RUMAH SAKIT X

2025-06-25

Rohmatul Afiyah , Nugrahadi Dwi Pasca Budiono | Jurnal Kesehatan Ilmiah Indonesia (Indonesian Health Scientific Journal)

Pelatihan K3 membangun budaya keselamatan yang kuat di perusahaan di mana semua orang berpartisipasi secara aktif dalam menjaga keselamatan dan kesehatan rekan kerja mereka dan diri mereka sendiri. Kecelakaan kerja … Pelatihan K3 membangun budaya keselamatan yang kuat di perusahaan di mana semua orang berpartisipasi secara aktif dalam menjaga keselamatan dan kesehatan rekan kerja mereka dan diri mereka sendiri. Kecelakaan kerja adalah kecelakaan yang terjadi di tempat kerja atau selama perjalanan pulang dari tempat kerja. Penyebab kecelakaan kerja adalah situasi bahaya yang berkaitan dengan cara kerja, mesin, lingkungan kerja, sifat pekerjaan, dan proses produksi. Studi ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Dalam sampel penelitian ini, pengambilan secara acak sederhana digunakan untuk 205 perawat di Rumah Sakit X, yang diperoleh menggunakan rumus Slovin. Salah satu instrumen yang digunakan adalah kuesioner. Hasil penelitian ini, yang menggunakan uji regresi logistik sederhana, menunjukkan bahwa pelatihan kesehatan dan keselamatan (K3) memiliki dampak yang signifikan terhadap kecelakaan kerja. Rumah Sakit X harus menciptakan lingkungan kerja yang lebih aman bagi seluruh tenaga kesehatan dengan terus meningkatkan kualitas dan konsistensi pelatihan K3.

Kunjungan Pasien Sebelum dan Semasa Pandemi di Puskesmas Penajam dan Puskesmas Babulu

2025-06-25

Aulia Nanda Fadia Usman | Jurnal Kesehatan Ilmiah Indonesia (Indonesian Health Scientific Journal)

World Health Organization (WHO) pada awal tahun 2020 mengejutkan dunia dengan laporan mengenai kejadian infeksi berat yang saat ini diketahui penyebabnya adalah corona virus. Infeksi ini pertama kali terjadi di … World Health Organization (WHO) pada awal tahun 2020 mengejutkan dunia dengan laporan mengenai kejadian infeksi berat yang saat ini diketahui penyebabnya adalah corona virus. Infeksi ini pertama kali terjadi di suatu wilayah di Cina. Sejak kasus pertamannya, virus ini menyebar dengan cepat hingga terjadi pandemi di seluruh dunia. Indonesia adalah salah satu negara yang pernah menduduki peringkat tinggi sebagai negara dengan salah satu kasus infeksi paling banyak. Penelitian ini bertujuan untuk mengetahui perbandingan kunjungan pasien sebelum dan semasa pandemi di Puskesmas Penajam dan Puskesmas Babulu, Penajam Paser Utara. Penelitian ini bersifat observasional deskriptif, dengan mengumpulkan data sekunder yaitu data rekam medis bulan maret-desember tahun 2019 dan 2020. Data rekam medis didapatkan dari Puskesmas Penajam dan Puskesmas Babulu, Penajam Paser Utara. Berdasarkan hasil penelitian diketahui terdapat penurunan jumlah kunjungan pasien di kedua puskesmas didominasi oleh kategori jenis kelamin perempuan dan kategori usia 5-11 tahun baik sebelum dan saat pandemi. Perbedaan signifikan yang didapatkan pada kedua waktu dan keadaan yang berbeda tersebut adalah penurunan jumlah dari kunjungan pasien. Penurunan jumlah kunjungan pasien yang signifikan menunjukkan adanya dampak nyata pandemi terhadap akses pelayanan kesehatan dasar di tingkat puskesmas. Kata kunci: Kunjungan pasien, Pandemi, Covid-19

Hubungan Pengetahuan Kader dengan Kinerja Kader dalam Pengisian Kartu Skor Poedji Rohyati Pada Deteksi Dini Kehamilan Risiko Tinggi di Wilayah Kerja Puskesmas Gunungtua

2025-06-25

Sakinah Yusro Pohan , Anni Mardiah Pohan , Arum Surya Utami +1 more | Jurnal Kesehatan Ilmiah Indonesia (Indonesian Health Scientific Journal)

Jumlah kematian ibu yang dihimpun dari pencatatan program kesehatan keluarga di Kementerian Kesehatan meningkat setiap tahun. Salah satu indikator penurunan AKI di puskesmas Gunung tua adalah Deteksi risiko kehamilan oleh … Jumlah kematian ibu yang dihimpun dari pencatatan program kesehatan keluarga di Kementerian Kesehatan meningkat setiap tahun. Salah satu indikator penurunan AKI di puskesmas Gunung tua adalah Deteksi risiko kehamilan oleh masyarakat pada tahun 2023 yang capaiannya 5%. Tujuan penelitian adalah bertujuan untuk mengetahui hubungan pengetahuan kader dengan kinerja kader dalam pengisian Kartu Skor Poedji Rohyati Pada Deteksi Dini Kehamilan Risiko Tinggi di Wilayah Kerja Puskesmas Gunungua. Jenis penelitian adalah kuantitatif dengan desain cross sectional. Populasi seluruh kader posyandu di wilayah kerja Puskesmas Gunungtua dengan sampel berjumlah 52 yang diambil secara purposive sampling. Hasil penelitian menunjukkan ada hubungan pengetahuan kader dengan kinerja kader dalam pengisian Kartu Skor Poedji Rohyati Pada Deteksi Dini Kehamilan Risiko Tinggi (p=0,000). Disarankan kepada Puskesmas agar mensosialisasikan tentang pentingnya pengisian KSPR sebagai alat skrinning deteksi risiko tinggi pada ibu hamil.

KETERAMPILAN KOMUNIKASI EFEKTIF DAN KERJA TIM PERAWAT DENGAN INTER PROFESIONAL

2025-06-25

NUR HUDA | Jurnal Kesehatan Ilmiah Indonesia (Indonesian Health Scientific Journal)

ABSTRAK Komunikasi yang efektif dan kolaborasi antar profesi merupakan komponen penting dalam meningkatkan kualitas pelayanan kesehatan dan keselamatan pasien. Penelitian ini bertujuan untuk menganalisis keterampilan komunikasi efektif dan kerja tim … ABSTRAK Komunikasi yang efektif dan kolaborasi antar profesi merupakan komponen penting dalam meningkatkan kualitas pelayanan kesehatan dan keselamatan pasien. Penelitian ini bertujuan untuk menganalisis keterampilan komunikasi efektif dan kerja tim perawat dengan inter profesional. Melalui studi pustaka dari berbagai sumber Google Cendekia, Scopus dan Pubmed, ditemukan bahwa komunikasi yang buruk menyebapkan sebagian besar kesalahan medis, sementara strategi seperti metode SBAR terbukti meningkatkan efisiensi komunikasi dan kerja sama tim. Pelatihan komunikasi terapeutik, penggunaan teknologi digital, serta dokumentasi terintegrasi (CPPT) menjadi langkah strategis dalam meningkatkan kolaborasi tim kesehatan. Dengan demikian, penguatan keterampilan komunikasi interpersonal dan budaya kolaboratif antar profesi sangat penting untuk menjawab tantangan sistem pelayanan kesehatan yang semakin kompleks.

Pemeriksaan dan Pendidikan kesehatan di Lingkungan Pimpinan Cabang Muhammadiyah Mulyorejo Surabaya

2025-06-24

Firdausi Nuzula , Sayful Rochman , Muhibbul Ariq +2 more | Deleted Journal

Health is a fundamental aspect of human life that determines the quality of life and productivity of society. The level of public knowledge about health is often a key factor … Health is a fundamental aspect of human life that determines the quality of life and productivity of society. The level of public knowledge about health is often a key factor in efforts to prevent and control disease. Health education is a strategic effort to increase public understanding and awareness of the importance of maintaining health, including implementing healthy lifestyles and early detection of various diseases (WHO, 2018). The aim of this service activity is in the form of health checks and counseling around the Mulyorejo Muhammadiyah Branch Leadership (PCM) area to find out about public health and increase public knowledge to avoid non-communicable diseases (PTM). The method used in this activity is to carry out health checks, namely checking blood sugar, cholesterol and also uric acid and counseling each individual after the examination. This educational activity, which is carried out in conjunction with health checks, provides important insight for the community about their current health condition and the preventative steps that need to be taken. It is hoped that the results of this activity can become the basis for developing more comprehensive and sustainable health programs in the future.

Faktor Risiko Mortalitas Pasien Sepsis di Instalasi Gawat Darurat: Tinjauan Sistematis

2025-06-24

Anugerah Hardianti , Ahsan Ahsan , Heri Kristianto | Media Kesehatan Politeknik Kesehatan Makassar

Sepsis merupakan kegawatdaruratan medis dengan angka mortalitas tinggi diseluruh dunia. Identifikasi faktor risiko sepsis sangat penting dilakukan guna mengoptimalkan hasil akhir pasien sepsis di Instalasi Gawat Darurat (IGD). Tinjauan sistematis … Sepsis merupakan kegawatdaruratan medis dengan angka mortalitas tinggi diseluruh dunia. Identifikasi faktor risiko sepsis sangat penting dilakukan guna mengoptimalkan hasil akhir pasien sepsis di Instalasi Gawat Darurat (IGD). Tinjauan sistematis ini bertujuan mengidentifikasi faktor risiko mortalitas pada pasien sepsis di IGD. Strategi pencarian literatur dilakukan melalui database PubMed, ProQuest, dan ScienceDirect dengan menggunakan kombinasi kata kunci “Risk factor”, “Sepsis”, “Mortality”, dan “Emergency Department” dengan bantuan operator Boolean. Tinjauan ini mengacu pada protokol PRISMA dan mencakup artikel berbahasa Inggris yang dipublikasikan antara tahun 2019-2024. Kriteria inklusi meliputi artikel penelitian kuantitatif (Cohort Studies, case control studies, atau cross-sectional), penelitian yang mengevaluasi faktor risiko mortalitas pada pasien sepsis di IGD, sampel penelitian minimal 50 pasien. Sedangkan kriteria eksklusi mencakup studi kualitatif, tinjauan sistematik, naratif review, meta-analisis, artikel tanpa data lengkap, setting place di luar IGD, dan tidak menganalisis faktor risiko mortalitas. Dari 23.917 artikel yang diidentifikasi, sembilan artikel memenuhi kriteria dan diuji kelayakannya menggunakan JBI serta dianalisis secara naratif. Hasil tinjauan 9 studi (7 Cohort Studies, 1 case control studies dan 1 cross-sectional) didapatkan bahwa sebagian besar studi menunjukkan kadar laktat ≥2 mmol/L (67%) dan skor SOFA ≥2 (56%) merupakan prediktor kuat terhadap mortalitas. Faktor lain yang turut berkontribusi meliputi usia lanjut, jenis kelamin, serta komorbiditas. Temuan ini menunjukkan pengukuran biomarker laktat dan SOFA dalam proses triase di IGD berpotensi meningkatkan deteksi dini dan penanganan cepat seperti resusitasi cairan dan pemberian antibiotik dalam waktu satu jam (golden hour) terhadap pasien sepsis dengan risiko tinggi Kata Kunci: Faktor risiko; Instalasi Gawat Darurat; Mortalitas; Sepsis

Efektifitas Penerapan Metode Family Centered Care Terhadap Kepuasan Keluarga Pada Anak Dengan Hospitalisasi

2025-06-24

Muhammad Nuralamsyah , Ike Nurjana Tamrin , Muhammad Asikin +2 more | Media Kesehatan Politeknik Kesehatan Makassar

Pelayanan keperawatan diruang perawatan Anak diukur berdasarkan kepuasan orang tua. Kepuasan orang tua diperoleh karena terpenuhinya kebutuhan anak akan pelayanan keperawatan yang diberikan selama Hospitalisasi. Jika kinerja berada dibawah harapan … Pelayanan keperawatan diruang perawatan Anak diukur berdasarkan kepuasan orang tua. Kepuasan orang tua diperoleh karena terpenuhinya kebutuhan anak akan pelayanan keperawatan yang diberikan selama Hospitalisasi. Jika kinerja berada dibawah harapan maka pelanggan kurang puas, namun jika kinerja melebihi harapan maka pelanggan akan merasakan puas atau senang. Untuk dapat meningkatkan kualitas, salah satu cara yang dapat dilakukan adalah dengan mengukur tingkat kepuasan pasien dan keluarga terhadap penerapan Family Centered Care di rumah sakit. Menjadikan kepuasan pasien dan keluarga sebagai orientasi merupakan salah satu ciri pelayanan kesehatan bermutu. Tujuan dari penelitian ini ialah untuk mengetahui Efektifitas penerapan Family Centered Care terhadap kepuasan keluarga pada anak dengan hospitalisasi di RSU Andi Makkasau Parepare.Survei ini merupakan penelitian kuantitatif yang menggunakan desain analitik dengan pendekatan Cross Sectional. Teknik pengambilan sampel menggunakan Accidental Sampling . Polpulasi Responden yaitu 60 responden Penentuan jumlah sampel yaitu menggunakn rumus slovin dengan sampel 53 Responden . Instrumen yang digunakan yaitu kuesioner family centres care dan kuesioner kepuasan keluaraga dengan menggunakan skala likert.Analisis data menggunakan uji statistik Chi-Square Correlation dan diuji menggunakan Analitik statistik .Hasil penelitian ditemukan bahwa terdapat pengaruh penerapan Family Centered Care terhadap kepuasan keluarga pada anak dengan hospitalisasi di RSU Andi Makkasau Parepare dengan nilai signifikansi p value = 0,000< 0,05.Kesimpulan dari penelitian adalah ada pengaruh signifikan antara Family Centered Care terhadap tingkat kepuasan keluarga pada anak dengan hospitalisasi di RSU Andi Makkasau Parepare. Untuk itu diharapkan perawat dapat mempertahankan penerapan Family Centered Care untuk dapat meningkatkan pelayanan dan kepuasan melalui Asuhan Keperawatan. Kata Kunci : Anak, Hospitalisasi, Family Centered Care, Kepuasan Keluarga

Services for Pregnant Women at Ahmad Berahim General Hospital, Tana Tidung Regency

2025-06-24

Herni Herni , Entang Adhy Muhtar , Tuty Maria Wardiny | Jurnal Ad ministrare

Efforts to improve the quality of public services are essential to ensure the fulfillment of basic rights of the community, including in the health sector, which is one of the … Efforts to improve the quality of public services are essential to ensure the fulfillment of basic rights of the community, including in the health sector, which is one of the key indicators in building superior and competitive human resources. This study aims to analyze the quality of health services for pregnant women at Akhmad Berahim Hospital, Tana Tidung Regency through five dimensions of SERVQUA: tangible, reliability, responsiveness, assurance, and empathy. The research method used is qualitative descriptive with data collection techniques through observation, interviews and documentation. Interviews were conducted with informants who have the power of knowledge regarding the research objectives. Meanwhile, the data analysis techniques used are data reduction, data presentation, and conclusion drawn. The results of the analysis show that the service is quite good, with adequate physical facilities, professional medical personnel, and affordable cost policies. However, several challenges need to be overcome, such as the limited number of medical personnel, especially specialist doctors, and the need to improve facilities, including air conditioning and medical equipment for the diagnosis of complications. The reliability and assurance dimensions show positive achievements through the implementation of good SOPs, service time efficiency, and the competence of medical personnel that create a sense of security for patients. Responsiveness can be seen from clear service information, although it still needs improvement to meet complex patient needs. The empathetic attitude of medical staff and the free milk program help increase patient satisfaction and create positive relationships

Gambaran tingkat kepuasan pasien terhadap pelayanan informasi obat di instalasi farmasi rawat jalan eksekutif rumah sakit X periode Januari – Februari 2024

2025-06-23

Mohammad Rayhan , Milda Rianty Lakoan | Indonesian Journal of Health Science

Kepuasan pasien adalah suatu tingkat perasaan pasien yang timbul sebagai akibat dari kinerja layanan kesehatan yang diperoleh setelah pasien membandingkan dengan apa yang dirasakan Tujuan dari penelitian ini adalah untuk … Kepuasan pasien adalah suatu tingkat perasaan pasien yang timbul sebagai akibat dari kinerja layanan kesehatan yang diperoleh setelah pasien membandingkan dengan apa yang dirasakan Tujuan dari penelitian ini adalah untuk mengetahui gambaran Tingkat Kepuasan Pasien Terhadap Pelayanan Informasi Obat di Instalasi Farmasi Rumah Rawat Jalan Eksekutif Sakit “X” Bulan Januari – Febuari 2024. Berdasarkan 5 dimensi kepuasan yaitu dimensi berwujud (Tangible), dimensi kehandalan (Realibility), dimensi ketanggapan (Responsiveness), dimensi jaminan (Assurance), dan dimensi empati (Empaty). Jenis penelitian ini adalah deskriptif kuantitatif. Sampel dalam penelitian ini adalah pasien yang berobat di Instalasi Farmasi Eksekutif Rumah Sakit “X” yang memenuhi kriteria inklusi terhadap 70 responden. Hasil penelitian kepuasan pasien berdasarkan 5 dimensi yaitu dimensi berwujud (tangible) berada kategori puas (88%), dimensi kehandalan (Realibility) berada kategori puas (79,64%), dimensi daya tanggap (Responsiveness) berada kategori puas (80%), dimensi jaminan (Assurance) berada kategori puas (86,19%), dimensi empati (Empaty) berada kategori puas (83,57%) dengan rata – rata persentase 83,47%.

Klasifikasi Tingkat Kepuasan Pengguna dengan Menggunakan Metode SAW Pada Layanan PTSP

2025-06-23

Wina Yusnaeni , Indarti Indarti , Yoseph Tajul Arifin | Jurnal INSAN Journal of Information System Management Innovation

One Stop Integrated Service (PTSP) is one of the public service innovations that is expected to improve the quality of service to the community. However, various complaints are still found … One Stop Integrated Service (PTSP) is one of the public service innovations that is expected to improve the quality of service to the community. However, various complaints are still found regarding the service. This study aims to classify the level of user satisfaction with PTSP services using the Simple Additive Weighting (SAW) method as a decision support system. Data were collected through a Google Form-based questionnaire distributed to 100 (one hundred) respondents in the DKI Jakarta area. The research stages include determining criteria, data normalization, weighting, calculating the final score, and classifying the level of satisfaction. The results of data processing that are included in the high satisfaction category are 37 (thirty-seven) or 59.68% of respondents, the average satisfaction category is 36 (thirty-six) respondents or 58.06%, and in the low satisfaction category are 27 (twenty-seven) respondents or 43.55%. This study also produces a web-based information system that is able to display graphs and criteria indexes to assist in periodic service evaluation. The developments in this study are expected to be the basis for continuous improvement in the PTSP service system.

DETERMINANTS OF HEALTH SERVICE UTILIZATION IN LOW-INCOME FAMILIES IN THE COASTAL REGION OF MAGINTI ISLAND, WEST MUNA REGENCY: A CROSS-SECTIONAL STUDY

2025-06-23

Laode Saltar , Adi Risaldi , Achmad Kadarman +1 more | INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD)

Background: Accessibility to healthcare services remains a significant challenge among low-income families in coastal regions such as Maginti Island, West Muna Regency. Several socioeconomic and environmental factors are believed to … Background: Accessibility to healthcare services remains a significant challenge among low-income families in coastal regions such as Maginti Island, West Muna Regency. Several socioeconomic and environmental factors are believed to influence the utilization of available health services. This study aimed to identify the factors associated with the utilization of healthcare services among poor families in Maginti Island. Methods: A quantitative, cross-sectional study was conducted from May to July 2024. A total of 57 respondents were selected using simple random sampling. Data were collected using structured questionnaires and analyzed using univariate and bivariate methods (Chi-square test). Results: The study found significant associations between healthcare service utilization and three main factors: knowledge of health, availability of transportation, and household income level (p < 0.05). Families with better knowledge, easier access to transportation, and higher income levels were more likely to use healthcare services. Conclusion: Socioeconomic status, transportation access, and knowledge play crucial roles in determining healthcare utilization among the poor in Maginti Island. Strengthening health education and infrastructure is essential to improving healthcare access in coastal communities.

THE RELATIONSHIP BETWEEN SLEEP QUALITY AND QUALITY OF LIFE IN THE ELDERLY IN ABELI SUBDISTRICT, KENDARI CITY: CROSS SECTIONAL STUDY

2025-06-23

Dedi Krismiadi , Dwi Wulandari Ningtias , Hasniah Dina +3 more | INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD)

Background: Sleep is one of the basic human needs which is a physiological need and gives the body the opportunity to restore and provide energy and relieve tension. Aim: If … Background: Sleep is one of the basic human needs which is a physiological need and gives the body the opportunity to restore and provide energy and relieve tension. Aim: If the need for sleep is not of good quality, this condition will cause fatigue which will hinder the elderly in fulfilling their daily activities and can affect the quality of life of the elderly. Methods: This study is a quantitative study with a cross-sectional approach in the Abeli Subdistrict, Kendari City. A sample of 84 respondents was obtained through Consecutive Sampling. Results: The data was processed using the Fisher exact test, obtained ap value = 0.006 <0.05 which shows a relationship between sleep quality and the quality of life of the elderly in the Abeli sub-district of Kendari City. Conclusion: Therefore, the elderly really need to pay attention to the quality of sleep in order to maintain a good quality of life so that the welfare of the elderly is created.

ANALYSIS OF HUMAN RESOURCE NEEDS IN THE MEDICAL RECORDS UNIT IN RSU MITRA MEDIKA BANDAR KLIPPA USING THE HEALTH WORKLOAD ANALYSIS METHOD

2025-06-23

Anggun Nabila Ode , Dea Hamiche Putri , Dwi Vilasari +4 more | INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD)

Background: This research aims to help RSU Mitra Medika Bandar Klippa better organize and manage its human resources in order to deliver high-quality healthcare services. The aim of this study … Background: This research aims to help RSU Mitra Medika Bandar Klippa better organize and manage its human resources in order to deliver high-quality healthcare services. The aim of this study is to electronically manage and retain patient health data so that the medical staff can promptly and accurately access information, while some healthcare facilities are still having trouble integrating electronic medical records. Methods: The research used descriptive method with a case study approach, which tries to provide a detailed and in-depth description of events that occur in a particular analysis unit. Results: The research used descriptive method with a case study approach, which tries to provide a detailed and in-depth description of events that occur in a particular analysis unit. Conclusion: One of the study's recommendations is for present medical professionals to get education to enhance their skills and increase job prospects based on the needs analysis. Additionally, the RSU Mitra Medika Bandar Kalipa should have seven staff.

Pengaruh Kualitas Audit dan Independensi Komite Audit terhadap Kualitas Pelaporan Keuangan di Sektor Kesehatan

2025-06-23

Andini Andini , Rahman Anshari , Muhammad Iqbal Pribadi | GEMILANG Jurnal Manajemen dan Akuntansi

Purpose. This study aims to determine the influence of audit quality and audit committee independence on the quality of financial reporting in the health sector. Method. This research is a … Purpose. This study aims to determine the influence of audit quality and audit committee independence on the quality of financial reporting in the health sector. Method. This research is a quantitative study with a population in the form of health sector companies listed on the IDX for the period 2014–2023. The sample was selected through the purposive sampling method and obtained 106 companies that met the criteria, namely publishing annual reports and financial statements in rupiah. Data containing indications of negative profit management were excluded from the observation. Data analysis was carried out using multiple linear regression, hypothesis test, classical assumption test, and descriptive statistics. Result. In the test results, it was found that audit quality had a positive effect on the quality of financial reporting, and the independence of the audit committee did not have a significant effect on the quality of financial reporting. Implication. Provide input for companies in improving the quality of financial reporting through improving audit quality. For stakeholders and regulators, this study highlights the limited role of audit committee independence without further strengthening of governance mechanisms.

Asuhan kebidanan komprehensif terhadap Ny S usia 28 tahun G2P1A0 mengalami Kekurangan Energi Kronis (KEK) di Puskesmas Bantarkawung Kabupaten Brebes tahun 2024

2025-06-23

Anggi Nur Hidayah , Himatul Khoeroh , Mupliha Mupliha | Indonesian Journal of Health Science

Latar Belakang: Faktor yang meningkatkan Angka Kematian Ibu (AKI) dapat berupa hipertensi gestasional dan Kekurangan Energi Kronis (KEK). Menurut WHO, di tahun 2023 AKI berjumlah 287.000 kasus, di Indonesia 4.129 … Latar Belakang: Faktor yang meningkatkan Angka Kematian Ibu (AKI) dapat berupa hipertensi gestasional dan Kekurangan Energi Kronis (KEK). Menurut WHO, di tahun 2023 AKI berjumlah 287.000 kasus, di Indonesia 4.129 kasus, di Jawa Tengah 183 kasus, di Brebes 54 kasus, dan di Puskesmas Bantarkawung 2 kasus. Tujuan: Yaitu untuk menelaah teknis Asuhan Kebidanan Komprehensif untuk Ny. S., 28 tahun, dengan Kekurangan Energi Kronis (KEK) di Puskesmas Bantarkawung. Metode Penelitian: Penelitian ini adalah studi kasus deskriptif kualitatif. Data dikumpulkan melalui observasi, wawancara, pemeriksaan fisik serta penunjang, buku KIA, dan rekam medis. Informan pertama adalah Ny. S, dan informan tambahan yaitu suami, keluarga, bidan desa, bidan puskesmas, dan dr.Sp.OG. Hasil: Berdasarkan asuhan kebidanan komprehensif terhadap Ny. S., 28 tahun, penderita kekurangan energi kronik, semasa kehamilannya terdeteksi adanya KEK pada kunjungan awal namun pada kunjungan selanjutnya masalah KEK telah dituntaskan. dikarenakan terdiagnosis hipertensi gestasional maka persalinan dilakukan secara Sectio Caesarea. Kunjungan Neonatus (KN) dilakukan sebanyak 3 kali, tidak ditemukan masalah apapun. Kunjungan Nifas (KF) dilakukan sebanyak 4 kali, tidak ditemukan komplikasi apapun. Ny. S, menggunakan kontrasepsi suntik 3 bulan.

BPJS Patient Satisfaction: A Systematic Literature Review on Service Quality, Price, and Facility in Indonesian Hospitals

2025-06-23

Wildan Guretno Prasetiyo , M. Rahayu | International Journal of Science and Healthcare Research

Background and Aims: Indonesia’s 2024-2029 administration prioritizes healthcare quality improvement through BPJS Health, the national health insurer, as part of its Asta Cita President of Indonesia in human capital development … Background and Aims: Indonesia’s 2024-2029 administration prioritizes healthcare quality improvement through BPJS Health, the national health insurer, as part of its Asta Cita President of Indonesia in human capital development agenda. However, declining public trust stems from: (1) bureaucratic claim processes, (2) unaffordable treatment prices, and (3) substandard facilities. This study aims to exploring how service quality, price, and facility affect BPJS patient satisfaction in Indonesian hospitals. Methods: Using PRISMA 2020, we conducted a qualitative systematic review of Web of Science and Google Scholar articles from 2020-2025 (6 year). Result: Results demonstrate that service quality, price, and facility affect BPJS patient satisfaction in Indonesian hospitals. Conclusion: This study’s non-empirical nature limits causal inferences, warranting future quantitative validation. Improving these three factors can enhance BPJS patient satisfaction, advancing Indonesia’s 2045 Golden goals. Keywords: BPJS, Service Quality, Price, Facility, Hospital, Indonesia

Unit Cost Of Inpatient And Outpatient Services In The JKN Era

2025-06-22

Aslina , Hermiaty Nasruddin , Iin Widya Ningsi | The International Journal of Medical Science and Health Research

Background: Since the implementation of the National Health Insurance (JKN) in 2014, Indonesia's healthcare financing system has undergone significant changes, introducing a capitation scheme for primary care and INA-CBG's for … Background: Since the implementation of the National Health Insurance (JKN) in 2014, Indonesia's healthcare financing system has undergone significant changes, introducing a capitation scheme for primary care and INA-CBG's for referral care. This study reviews literature from 2020 to 2025 concerning the calculation of unit costs for inpatient and outpatient services within the JKN framework. The primary focus is on the alignment between tariffs and the factors influencing cost variations among healthcare facilities. Methods: A narrative literature review was conducted by searching electronic databases using relevant keywords. Qualitative analysis synthesized comparisons between unit costs and JKN tariffs, as well as the determinants of cost variability. The THUMB approach (Time, Human Resources, Material, Budget) is also discussed as a costing method. Results: Inpatient unit costs generally tend to be higher than INA-CBG's tariffs, resulting in a cost gap that requires careful management. Activity-Based Costing (ABC) provides more accurate cost estimations compared to the less precise THUMB method. Demographic factors, operational efficiency, and clinical management contribute to differences in costs across facilities. Optimizing the role of case managers and conducting periodic tariff evaluations are recommended to ensure the sustainability of the system. Conclusion: Effective unit cost management and the application of appropriate costing methods are crucial for achieving efficiency, equity, and quality of care within the JKN era.

QUALITY OF SERVICE OF THE INDONESIA HEALTH CARD (KIS) PROGRAM AT GANDUS PUBLIC HOSPITAL, PALEMBANG CITY

2025-06-22

Sisca Nopralia , Rendy Sueztra Canaldhy | Journal of Social and Economics Research

The purpose of this study is to determine the quality of health services for Indonesian healthy card patients KIS at the Gandus regional general hospital. Increasing knowledge and providing an … The purpose of this study is to determine the quality of health services for Indonesian healthy card patients KIS at the Gandus regional general hospital. Increasing knowledge and providing an overview or contribution of thought to the development of administrative science, The method used in this study is the Qualitative method and the type of research is Descriptive. In this study, the theory used is the theory of Parasuraman et al (2005:78) who said that there are five dimensions of service quality, namely Responsiveness (responsiveness), Reliability (reliability), Assurance (guarantee), Empathy (empathy), and tangible (real). This study is included in the category of field research, using interview data collection methods, observation, and documentation in order to obtain valid data, This method is expected to add a detailed picture of how the research is studied, Data collection techniques such as observation, documentation, questionnaires, decision studies. The informants of this study were the head of outpatient administration, health workers, patient users.

DINAMIKA PERUBAHAN TARIF TINDAKAN SECTIO CAESAREA DAN IMPLIKASINYA TERHADAP PEMBIAYAAN PELAYANAN RUMAH SAKIT DALAM PERSPEKTIF INA-CBGS

2025-06-22

Widy Sugistiya , Sinta Novratilova | Inovasi Pembangunan Jurnal Kelitbangan

Ketidakseimbangan antara tarif pelayanan rumah sakit dan klaim INA-CBG pada tindakan sectio caesarea menjadi isu kritis pasca perubahan kebijakan tarif di RSUD Kota Baubau tahun 2024. Tarif baru yang tidak … Ketidakseimbangan antara tarif pelayanan rumah sakit dan klaim INA-CBG pada tindakan sectio caesarea menjadi isu kritis pasca perubahan kebijakan tarif di RSUD Kota Baubau tahun 2024. Tarif baru yang tidak berbasis analisis biaya riil berisiko menimbulkan defisit finansial, mengancam keberlanjutan operasional rumah sakit. Penelitian ini bertujuan menganalisis perbedaan tarif sebelum dan sesudah perubahan kebijakan serta dampaknya terhadap selisih klaim INA-CBG. Penelitian menggunakan desain pre-post study kuantitatif dengan sampel total 1.130 rekam medis pasien sectio caesarea tahun 2023–2024. Data tarif rumah sakit dan klaim INA-CBG dikumpulkan melalui studi dokumentasi, dianalisis secara statistik dengan uji Wilcoxon Signed Rank Test dan korelasi Spearman. Analisis deskriptif memetakan karakteristik kasus berdasarkan usia, kelas perawatan, dan lama rawat. Hasil menunjukkan kenaikan signifikan rata-rata tarif rumah sakit sebesar 106% (Rp4.842.259 ke Rp9.984.721), sementara tarif INA-CBG hanya naik 1,2%. Selisih klaim bergeser dari surplus Rp429,9 juta (2023) menjadi defisit Rp2,4 miliar (2024), dengan 94,3% kasus rugi. Uji statistik mengonfirmasi perbedaan tarif (Z = -20,341; *p* < 0,001) dan korelasi kuat antara kenaikan tarif-defisit klaim (ρ = 0,681; *p* < 0,001). Simpulan menekankan revisi kebijakan berbasis unit cost riil, kolaborasi multipihak, dan integrasi data biaya operasional untuk menyeimbangkan sistem pembiayaan kesehatan.

TATA LAKSANA PELEPASAN INFORMASI PASIEN BPJS KESEHATAN DI PUSKESMAS PERAWATAN X KOTA KEDIRI

2025-06-21

Indah Susilowati , Devani Titis Oktaviana Kademik | Jurnal Wiyata Penelitian Sains dan Kesehatan

Latar Belakang : Pelepasan informasi medis diberikan kepada pihak yang membutuhkan informasi medis. Pada studi awal, prosedur pelepasan informasi kepada pihak asuransi belum dibuat sehingga tidak ada acuan yang dapat … Latar Belakang : Pelepasan informasi medis diberikan kepada pihak yang membutuhkan informasi medis. Pada studi awal, prosedur pelepasan informasi kepada pihak asuransi belum dibuat sehingga tidak ada acuan yang dapat berdampak pada kebocoran data hingga tuntutan. Tujuan :Tujuan penelitian adalah mengetahui pelaksanaan pelepasan informasi medis di Puskesmas Perawatan X Kota Kediri. Metode : Metode penelitian adalah deskriptif kualitatif dengan pendekatan retrospective. Populasi penelitian ini adalah 3 petugas rekam medis dengan sampel 2 petugas rekam medis sebagai informan, diambil dengan purposive sampling. Instrumen penelitian yaitu lembar wawancara dan checklist. Hasil : Sudah tersedia kebijakan pelepasan informasi yaitu Surat Keputusan Tentang Akses Terhadap Rekam Medis. SOP pelepasan informasi yaitu SOP tentang Pelepasan Informasi Medis, namun SOP pelepasan informasi kepada pihak asuransi belum ada. Pelaksanaan pelepasan informasi ke asuransi BPJS Tahun 2022 didapatkan 8 kasus tidak sesuai karena SOAP belum dimasukkan, pelayanan tidak dicatat, pelayanan sudah ditagihkan sebelumnya, tagihan tidak terbaca, tidak ada laporan operasi. Kesimpulan : peraturan pelepasan informasi diatur dalam kebijakan dan SOP, dan pelaksanaan pelepasan informasi belum sesuai karena ketidaklengkapan persyaratan. Saran : Kebijakan dan SOP Pelepasan Informasi Medis segera disahkan dan petugas menambahkan alur dan prosedur, serta petugas membuat SOP khusus pelepasan informasi kepada pihak asuransi, dan diharapkan petugas asuransi lebih teliti mencocokan dokumen untuk klaim

Pengaruh Gaya Komunikasi dan Pesan Komunikasi Dokter UGD Terhadap Kepuasan Pasien Pada Rumah Sakit Islam Siti Hajar Mataram

2025-06-21

Lalu Anugrah Nugraha , Dasrun Hidayat , Kahar Mulyani | Cerdika Jurnal Ilmiah Indonesia

The research titled "The Influence of Communication Style and Communication Messages of Emergency Room Doctors on Patient Satisfaction at Siti Hajar Islamic Hospital Mataram" is based on numerous complaints regarding … The research titled "The Influence of Communication Style and Communication Messages of Emergency Room Doctors on Patient Satisfaction at Siti Hajar Islamic Hospital Mataram" is based on numerous complaints regarding patient satisfaction with the communication style of doctors in the emergency room (ER). Communication between doctors and patients often triggers dissatisfaction, as expectations do not match the outcome. This study aims to analyze the influence of communication style and communication messages of ER doctors on patient satisfaction. The research method used is quantitative analytical with a cross-sectional approach. The research sample was taken based on accidental sampling. The findings of the study show a significant influence of the communication style of ER doctors on patient satisfaction, the communication messages of ER doctors on patient satisfaction, and collectively, both the communication style and communication messages of ER doctors on patient satisfaction, with a satisfaction percentage of 84.2%. The remaining 15.8% of patient satisfaction is influenced by other factors, such as short waiting times to receive medical services and the smoothness and speed of the medical service process experienced. The implications of this research explain that good communication by ER doctors has a positive impact on patient satisfaction at the hospital.

IDENTIFIKASI Candida sp. PADA SWAB VAGINA WANITA HAMIL TRIMESTER I, II, DAN III DI PRAKTEK MANDIRI BIDAN ROCHYANI DI KOTA DEPOK

2025-06-21

Agnianis Sebri Prihatin | Jurnal Wiyata Penelitian Sains dan Kesehatan

AbstrakLatar belakang: Kandidiasis vulvovaginalis merupakan infeksi yang disebabkan oleh Candida sp, yang menginfeksi vagina. Spesies yang paling umum ditemukan adalah Candida albicans yang merupakan flora normal vagina dan spesies non … AbstrakLatar belakang: Kandidiasis vulvovaginalis merupakan infeksi yang disebabkan oleh Candida sp, yang menginfeksi vagina. Spesies yang paling umum ditemukan adalah Candida albicans yang merupakan flora normal vagina dan spesies non albicans yang dapat muncul sebagai penyebab kandidiasis vulvovaginalis adalah Candida krusei, Candida parapsilopsis, Candida tropicalis, dan Candida glabrata. Wanita hamil memiliki resiko lebih besar mengalami kandidiasis vulvovaginalis dibandingkan wanita tidak hamil karena perubahan fisiologis selama kehamilan dapat menghasilkan beberapa perubahan. Tujuan: Penelitian ini untuk mengetahui keberadaan Candida sp. pada swab vagina wanita hamil trimester I, II, dan III. Metode: Penelitian ini deskriptip kualitatif dengan mengamati hasil kultur swab vagina pada media Hicrome Candida Differential Agar. Responden penelitian ini wanita hamil trimester I, II, dan III sebanyak 21 responden, dengan masing-masing trimester berjumlah 7 orang. Hasil: Didapatkan hasil pada trimester I ditemukan C. albicans, C. glabrata, C. tropicalis, dan C.krusei. Trimester II ditemukan C. albicans, C. glabrata, C. krusei. Trimester III ditemukan C. albicans, C. glabrata, C. tropicalis, C. parapsilopsis, C. krusei. Simpulan: Hasil menunjukan terdapat keberadaan Candida sp. pada swab vagina wanita hamil trimester I, II dan III. AbstractBackground: Vulvovaginal candidiasis is an infection caused by Candida sp, which infects the vagina. The most common species found is Candida albicans which is the normal flora of the vagina and non albicans species that can appear as a cause of vulvovaginal candidiasis are Candida krusei, Candida parapsilopsis, Candida tropicalis, and Candida glabrata. Pregnant women have a greater risk of developing vulvovaginal candidiasis than non-pregnant women because physiological changes during pregnancy can produce several changes in the body. Objective: This study was to determine the presence of Candida sp. in vaginal swabs of pregnant women in the first, second, and third trimester. Methods: This study is qualitative descriptive by observing the results of vaginal swab culture on Hicrome Candida Differential Agar media. Respondents of this study were pregnant women in trimester I, II, and III as many as 21 respondents, with each trimester totaling 7 people. Results: The results obtained in the first trimester found C. albicans, C. glabrata, C. tropicalis, and C. krusei. Trimester II found C. albicans, C. glabrata, C. krusei. Third trimester found C. albicans, C. glabrata, C. tropicalis, C. parapsilopsis, C. krusei. Conclusion: The results showed the presence of Candida sp. in vaginal swabs of pregnant women in the first, second and third trimester.

PRIORITY HEALTH PROBLEM ANALYSIS WITH BPRS AT MAGETAN HEALTH OFFICE IN 20202

2025-06-21

Nurul Alif Khofifah | Jurnal Wiyata Penelitian Sains dan Kesehatan

Background: Health issues significantly impact a country's development, and high disease incidence and inadequate handling contribute to these challenges. Determining health priorities can be achieved through various methods, including the … Background: Health issues significantly impact a country's development, and high disease incidence and inadequate handling contribute to these challenges. Determining health priorities can be achieved through various methods, including the Basic Priority Rating System (BPRS), also known as the Hanlon method. Objective: This research aims to identify health problems and suitable solutions using the BPRS method at the Magetan District Health Office. Method: This descriptive observational study was conducted at the Magetan District Health Office, utilizing the BPRS method to prioritize health issues. Result: Based on Questionnaire responses revealed Dengue Fever (DBD) as the top-priority problem with a total score of 8633.52. Subsequently, a health problem analysis involved discussions and brainstorming sessions with stakeholders responsible for the DBD program and the Head of the Communicable Diseases Section to identify root causes and plan interventions. Conclusion: Addressing DBD mortality rates requires several interventions, such as enhancing the effectiveness of health education methods using appropriate media for the community, providing SIARVI training to DBD program personnel, and raising early detection awareness among villagers through village authorities. These measures can lead to effective health interventions and improved overall health outcomes.

Analysis of SI PENDEKAR Implementation with Technology Acceptance Model at Dr. Soedono General Hospital

2025-06-21

Abdul Rohim , Ansarul Fahrudda , Heru Suswojo +1 more | Health and Technology Journal (HTechJ)

Health information systems are important in providing efficient and effective services in the era of rapid development of information technology today. This study analyzed healthcare workers' acceptance of the benefits … Health information systems are important in providing efficient and effective services in the era of rapid development of information technology today. This study analyzed healthcare workers' acceptance of the benefits of implementing the Integrated Outpatient Revisit Patient Service Information System (SI PENDEKAR) at the outpatient clinic in Dr. Soedono General Hospital. This study used quantitative analysis with a cross-sectional approach. The questionnaire used a Technology Acceptance Model (TAM) instrument to evaluate officer acceptance of SI PENDEKAR innovation. The research subjects included 30 healthcare workers related to the use of innovation on officers’ attitudes towards using (path coefficient = 0.578, p=0.001) and perceived usefulness on behavioral interest in using (path coefficient = 0.651, p =0.001). The healthcare worker’s perception of the benefits of this innovation will increase the attitude of acceptance and attitude of use, which can increase the speed of services in the outpatient clinic.

EXAMINING THE IMPACT OF PEOPLE, PROCESS, AND PHYSICAL EVIDENCE ON OUTPATIENT REVISIT INTENTION IN A PRIVATE HOSPITAL RADIOLOGY DEPARTMENT: THE MEDIATING EFFECT OF WORD-OF-MOUTH MARKETING

2025-06-21

Sumantri Sumantri , Bayu Wahyudi , Kahar Mulyani | Jurnal Ekonomi Kreatif dan Manajemen Bisnis Digital

Patient visits to the Radiology Unit are one of the revenue streams for private hospitals. A decrease in visit volume can raise serious financial concerns, necessitating a clear understanding of … Patient visits to the Radiology Unit are one of the revenue streams for private hospitals. A decrease in visit volume can raise serious financial concerns, necessitating a clear understanding of the influencing factors so that hospital management can respond with efficient and well-directed strategies. This study aims to analyze how the 3P marketing mix antecendents including people, process, and physical evidence affect revisit intention, with word of mouth acting as a mediating variable, in the context of outpatient services in the Radiology Unit of a private hospital. People, process, and physical evidence are marketing mix factors that are unique to the healthcare service sector. This study is a quantitative study where the data collection method uses a questionnaire filled out by respondents in the study population. There are seven hypothesis lines analyzed using PLS-SEM with data collected from outpatients of the Radiology Unit in a class B private hospital in the city of Depok from November 2024 to February 2025 as many as 182 respondents. The results showed that the physical evidence factor had a positive effect on word of mouth and revisit intention, the process factor had a positive effect on word of mouth but not on revisit intention, and the people factor had no positive effect on either. This study is expected to contribute to the hospital in improving outpatient services in the Radiology Unit.

Analysis of Medication Adherence, Social Support, Health Literacy, and Physical Activity on Quality of Life in Post-Kidney Transplant Patients

2025-06-21

Faizal Andri , Oscar Jayanagara | Eduvest - Journal Of Universal Studies

This study analyzes the impact of medication adherence, social support, health literacy, and physical activity on the improvement of quality of life, mediated by patient satisfaction in post-kidney transplant patients … This study analyzes the impact of medication adherence, social support, health literacy, and physical activity on the improvement of quality of life, mediated by patient satisfaction in post-kidney transplant patients at XYZ Hospital Jakarta. The research explores the relationships between these variables, focusing on how patient satisfaction and adherence to treatment impact Health-Related Quality of Life (HRQoL). The study employs a quantitative, analytical survey with a cross-sectional approach, involving 162 patient respondents from a census sample. Data was collected using a Likert scale-based questionnaire, and analyzed using structural equation modeling (SEM) with SmartPLS 4.0. The analysis included tests for validity, reliability, and several statistical assessments, such as collinearity, R-square, effect size, and predictive accuracy. The results indicate that four out of ten initial hypotheses were not significant, specifically regarding medication adherence. These findings highlight the importance of addressing patient compliance through improved social support and monitoring, as these factors significantly influence patient satisfaction and quality of life.

Factors Associated with Nurses' Job Satisfaction in the Implementation of the Team Assignment Method

2025-06-21

Anisa Rahmawati | Genius Journal

Introduction: The implementation of team-based nursing assignments is increasingly recognized as a crucial factor influencing nurses' job satisfaction. However, the effectiveness of this method in enhancing job satisfaction remains insufficiently … Introduction: The implementation of team-based nursing assignments is increasingly recognized as a crucial factor influencing nurses' job satisfaction. However, the effectiveness of this method in enhancing job satisfaction remains insufficiently explored, especially in Indonesian hospital settings. Objective: This study aimed to identify the factors related to nurses' job satisfaction in relation to the application of the team assignment method at Bhayangkara Hospital, Bandar Lampung in 2025. Method: This quantitative research employed a cross-sectional design involving 55 nurses selected using purposive sampling. The population included all inpatient nurses, with sample distribution determined using stratified random sampling. Data were analyzed using statistical tests to examine the association between job satisfaction factors (responsibility, working conditions, coworker relations, and task assignment) and the implementation of the team method. Results: The findings showed significant relationships between the team assignment method and all measured aspects of job satisfaction. Nurses with good responsibility, favorable working conditions, positive coworker relations, and clear task assignments were more likely to report higher job satisfaction. All variables showed statistically significant p-values (p < 0.05), with odds ratios indicating strong associations, particularly between working conditions and satisfaction. Conclusion: The study concludes that the team assignment method has a substantial influence on nurses’ job satisfaction. Effective implementation of this method—through improved supervision, fair task distribution, and supportive working environments—can enhance both nurse well-being and care quality.

Pengaruh Sistem Informasi Akuntansi Manajemen dan Sistem Pengukuran Kinerja terhadap Kinerja Manajerial Rumah Sakit di Kota Padang

2025-06-21

Indah Pumadari , Dian Fitria Handayani | JURNAL EKSPLORASI AKUNTANSI

This research aims to examine the influence of management accounting information systems and performance measurement systems on managerial performance in hospitals. This type of research data uses primary data. Primary … This research aims to examine the influence of management accounting information systems and performance measurement systems on managerial performance in hospitals. This type of research data uses primary data. Primary data was obtained from questionnaires filled out by respondents. The sample used in this research was 136 employees from the planning, procurement, administration, treasurer, PPK, budget, finance and supervision departments of hospitals in Padang City. The statistical data analysis technique used in this research is multiple regression analysis. The results of this research show that the management accounting information system and performance measurement system have a significant positive effect on managerial performance at Padang City Hospital. The implication of this research is that the management accounting information system and performance measurement system will work well if a leader knows and understands the problems that exist in a department in the organization. Therefore, there is a need for leaders who are reliable, expert and have competence in leading a department in the organization in order to create maximum performance.

Status Sosial Ekonomi dan Pengeluaran OOP Kesehatan Penyandang Disabilitas

2025-06-20

| Jurnal Ekonomi Kesehatan Indonesia

In 2020, the number of persons with disabilities in Indonesia reached 22.97 million. One of the main challenges this population faces is the high burden of health expenditures, particularly those … In 2020, the number of persons with disabilities in Indonesia reached 22.97 million. One of the main challenges this population faces is the high burden of health expenditures, particularly those that are urgent and unpredictable. This study aims to analyze the influence of socioeconomic status on out-of-pocket (OOP) health expenditures among households with persons with disabilities in Indonesia. A quantitative approach was employed using secondary data from the 2022 National Socioeconomic Survey (Susenas), utilizing the core module (KOR) and the household expenditure module (KP). Data were analyzed using the two-part regression model to identify the determinants of OOP health spending. The results indicate that total household expenditure, educational attainment, and age of persons with disabilities are positively and significantly associated with higher OOP health expenditures. Conversely, health insurance ownership negatively and significantly affects OOP spending. These findings highlight the importance of social protection policies and expanded access to health insurance in reducing the economic burden on households with disabled members.

Analisis Tingkat Pengetahuan Mahasiswa Kedokteran Universitas Tarumanagara Angkatan 2022 terhadap Bantuan Hidup Dasar (BHD)

2025-06-20

Myiesha Pravina Rifayanto , Mochamat Helmi | Jurnal Ilmiah Kedokteran dan Kesehatan

Basic Life Support (BLS) is a crucial basic skill in the management of medical emergencies, especially in increasing the chances of survival of patients who experience sudden cardiac arrest. BLS … Basic Life Support (BLS) is a crucial basic skill in the management of medical emergencies, especially in increasing the chances of survival of patients who experience sudden cardiac arrest. BLS actions performed fast and precisely have been proven to significantly increase survival rates. Therefore, this skill is important for all levels of society, especially medical students who will be at the forefront of providing first aid in the health sector. This study aims to measure the level of knowledge about BLS in 231 students of the Faculty of Medicine, Tarumanagara University class of 2022 who have not been exposed to official lecture modules related to BLS. The research design used was descriptive with a cross-sectional approach and simple total sampling technique. The results showed that 58% of respondents had a good level of knowledge, 33.3% were moderate, and 8.7% were lacking. The highest understanding was found in basic aspects such as breathing assessment (99.6%) and awareness that BLS can be performed by anyone (97.4%), reflecting good mastery of basic cognitive concepts. However, understanding of technical aspects such as breath support (44.2%) and pulse assessment (39%) was still low. Therefore, it is very important to improve BLS knowledge and skills through formal training in the curriculum and non-formal such as seminars, workshops, and other educational activities to improve student preparedness in providing first aid, as well as supporting the improvement of the quality of health services in the aspect of emergency.

PERBANDINGAN TINGKAT KECEMASAN ANTARA PASIEN PEMBEDAHAN MINOR DAN MAYOR DENGAN MENGGUNAKAN HARS DI IBS RSUD SLEMAN

2025-06-20

Dian Antama Putra , Vita Purnamasari , Elvi Etikasari | Journal of Health and Nursing.

Kecemasan merupakan respons psikologis umum yang dialami pasien sebelum menjalani tindakan pembedahan, baik mayor maupun minor. Tingkat kecemasan yang tinggi dapat berdampak negatif terhadap kondisi fisik dan proses penyembuhan pasien. … Kecemasan merupakan respons psikologis umum yang dialami pasien sebelum menjalani tindakan pembedahan, baik mayor maupun minor. Tingkat kecemasan yang tinggi dapat berdampak negatif terhadap kondisi fisik dan proses penyembuhan pasien. Oleh karena itu, diperlukan metode penilaian yang objektif, salah satunya menggunakan Hamilton Anxiety Rating Scale (HARS). Penelitian ini bertujuan untuk mengetahui dan membandingkan tingkat kecemasan pasien pembedahan mayor dan minor di IBS RSUD Sleman dengan menggunakan instrumen HARS.Penelitian ini menggunakan desain kuantitatif komparatif dengan pendekatan cross-sectional. Sebanyak 50 responden dipilih melalui teknik purposive sampling, terdiri dari 25 pasien pembedahan mayor dan 25 pasien pembedahan minor. Data dikumpulkan menggunakan kuesioner HARS dan dianalisis menggunakan uji statistik Mann-Whitney.Hasil penelitian menunjukkan bahwa pasien pembedahan mayor memiliki tingkat kecemasan yang lebih tinggi secara signifikan dibandingkan pasien pembedahan minor, dengan nilai signifikansi p-value sebesar 0.000.Kesimpulannya, jenis pembedahan berpengaruh terhadap tingkat kecemasan pasien. Pembedahan mayor cenderung menimbulkan kecemasan yang lebih tinggi dibandingkan pembedahan minor.Disarankan kepada tenaga kesehatan, khususnya perawat dan penata anestesi, untuk melakukan pengkajian kecemasan secara sistematis sebelum operasi dan memberikan intervensi psikologis yang sesuai untuk menurunkan tingkat kecemasan pasien.

HUBUNGAN ANTARA RIWAYAT ANTENATAL CARE DAN KUNJUNGAN POSYANDU DENGAN KEJADIAN STUNTING PADA BALITA USIA 24-59 BULAN (Studi di Wilayah Kerja Puskesmas Sumberjambe Kabupaten Jember)

2025-06-20

Yossy Adhis Rakhmadika , S.KM. Farida Wahyu Ningtyias , Sulistiyani Sulistiyani | Jurnal Dunia Gizi

Cost of Illness pada Pasien Hipertensi Rawat Jalan di Puskesmas Gamping 2

2025-06-20

| Jurnal Ekonomi Kesehatan Indonesia

Hypertension is characterized by increased blood pressure due to various risks that do not function normally in stabilizing blood pressure. According to WHO, the number of hypertension patients worldwide in … Hypertension is characterized by increased blood pressure due to various risks that do not function normally in stabilizing blood pressure. According to WHO, the number of hypertension patients worldwide in 2020 reached 972 million (26.4%) and increased in 2021 to 1.2 billion (29.2%). Hypertension treatment must be carried out long, requiring a substantial aggregate treatment cost. Based on BPJS data, in 2014, hypertension accounted for approximately Rp2.8 trillion in healthcare costs, which increased annually until 2016, reaching around Rp4.2 trillion. The purpose of this study is to describe the overall estimated cost of hypertension treatment for outpatients at Puskesmas Gamping 2. This Cost of Illness (COI) study calculates direct and indirect costs from the perspectives of payers and patients. The study was conducted on 65 respondents selected using the convenience sampling technique. The research instruments included the collection of financial administration information and medical records. The study results show that the majority of outpatient hypertension patients at Puskesmas Gamping 2 are female, totaling 41 patients (63%), aged 55-64 years (27 patients, 42%), and working as housewives (27 patients, 42%). The average total cost (COI) of outpatient hypertension treatment at Puskesmas Gamping 2 is Rp1,852,392, with a minimum cost of Rp772,886 and a maximum of Rp3,837,080 per patient per year. These results indicate the need for a more effective and efficient hypertension management strategy, both clinically and economically, to reduce the continuously increasing financial burden on the healthcare system and patients.

Jaminan Kesehatan Nasional pada Ibu Bersalin: Sebuah Studi Cross Sectional di Nusa Tenggara Timur, Indonesia

2025-06-20

| Jurnal Ekonomi Kesehatan Indonesia

Maternal Mortality Rate (MMR) in Indonesia remains high, particularly in East Nusa Tenggara (NTT). This study analyzes the relationship between National Health Insurance (JKN) ownership and mothers choosing childbirth facilities … Maternal Mortality Rate (MMR) in Indonesia remains high, particularly in East Nusa Tenggara (NTT). This study analyzes the relationship between National Health Insurance (JKN) ownership and mothers choosing childbirth facilities in NTT. This study employs a cross-sectional design with a quantitative approach, utilizing secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS), which was conducted from October to November 2024. The study population includes mothers who gave birth in NTT during the 2017 IDHS period, with a sample of 1,236 respondents selected using a stratified two-stage cluster sampling technique. Data analysis was performed using the chi-square test to assess the relationship between JKN ownership as the independent variable and the choice of childbirth facility as the dependent variable. Additionally, covariate variables such as maternal education level, economic status, maternal age, and residential location were analyzed. The results indicate that maternal education level has a significant relationship with the selection of healthcare facilities (p-value < 0.001). However, maternal age (p-value = 0.447), economic status (p-value = 0.199), residential location (p-value = 0.069), and JKN ownership (p-value = 0.110) do not show significant relationships. This study concludes that health education for pregnant women and optimizing the JKN program are necessary to enhance the utilization of healthcare facilities for childbirth and improve healthcare access, particularly in regions such as NTT.

Education on Utilization of Online Queuing Application Based on Khanza Health Information System for Patients and Families

2025-06-20

Siti Masdah , Nita Putriasti Mayarestya , Nuruniyah Nuruniyah +2 more | SPEKTA (Jurnal Pengabdian Kepada Masyarakat Teknologi dan Aplikasi)

Background: RS Bhayangkara Pontianak faces challenges in managing patient queues due to the high volume of visits and low utilization of online queue applications based on the Khanza Health Management … Background: RS Bhayangkara Pontianak faces challenges in managing patient queues due to the high volume of visits and low utilization of online queue applications based on the Khanza Health Management Information System (SIMKES). Contribution: This community service activity aims to improve patients’ and families’ understanding and ability to use online queue applications independently. Method: Through a participatory educational approach, the educational intervention lasted one day and involved 45 participants who had never used the application. Education was provided through short counselling sessions, leaflet distribution, video tutorial screening, and direct simulation of application use. Results: 51.1% of participants were delighted with the educational material, 48.9% with the delivery method, and 60% felt helped by the simulation. Confidence in using the application increased significantly, especially among younger participants. However, older users showed limited progress due to low digital literacy. These results indicate that a participatory educational approach effectively encourages the adoption of digital health tools. Conclusion: The need for ongoing training for patients and staff, the provision of easily accessible self-study materials, and the integration of digital literacy education into routine hospital operations.

Analysis of the Cardiology Outpatient Service System at RSUD Majalaya: Implementation of SIMRS and Online Registration to Improve Service Quality

2025-06-20

Oktaria Sofiyani , Ai Susi Susanti | Asian Journal of Environmental Research.

This study aims to analyze the service system in the Cardiology Clinic of RSUD Majalaya, with a specific focus on the implementation of the Hospital Management Information System (SIMRS) and … This study aims to analyze the service system in the Cardiology Clinic of RSUD Majalaya, with a specific focus on the implementation of the Hospital Management Information System (SIMRS) and online registration services. The background of this research is based on the increasing demand for efficient and high-quality healthcare services, particularly in specialist clinics that experience high patient volumes on a daily basis. Efficient service delivery is essential to ensure patient satisfaction, reduce overcrowding, and optimize clinical workflows. This research employed a qualitative descriptive method, involving direct observation of service processes and in-depth interviews with administrative staff and patients. The findings indicate that the implementation of SIMRS and the online registration system has significantly contributed to the acceleration of administrative processes, reduced patient waiting times, and improved the overall quality of service. Patients who utilized the online registration system reported shorter queues and a more organized experience. However, several challenges remain, particularly regarding limited digital literacy among a segment of the patient population, as well as technical constraints related to internet connectivity and server stability. These issues can hinder the full utilization of digital services. Based on the findings, it is recommended that the hospital invest in continuous infrastructure improvements, provide digital literacy training or assistance for patients, and conduct periodic evaluations of system performance. Such measures are essential to ensure the long-term effectiveness and sustainability of digital healthcare services, thereby enhancing the patient experience and supporting overall healthcare delivery goals.

Pengaruh Implementasi Kebijakan Terhadap Kualitas Pelayanan Izin Praktik Dokter di Kota Bandung

2025-06-20

Indah Puspitasari , Pandji Santosa , Wiwin Winangsih | ATRABIS Jurnal Administrasi Bisnis (e-Journal)

Penelitian ini dilatarbelakangi oleh belum optimalnya kualitas pelayanan dalam proses pemberian izin praktik dokter di Kota Bandung, yang ditandai dengan keluhan keterlambatan, ketidakjelasan prosedur, dan minimnya transparansi informasi. Penelitian ini … Penelitian ini dilatarbelakangi oleh belum optimalnya kualitas pelayanan dalam proses pemberian izin praktik dokter di Kota Bandung, yang ditandai dengan keluhan keterlambatan, ketidakjelasan prosedur, dan minimnya transparansi informasi. Penelitian ini bertujuan untuk menganalisis pengaruh implementasi kebijakan terhadap kualitas pelayanan, khususnya pada pelayanan izin praktik dokter oleh DPMPTSP Kota Bandung. Metode yang digunakan adalah pendekatan kuantitatif dengan teknik survei melalui kuesioner kepada 88 responden. Analisis dilakukan menggunakan regresi linear berganda untuk mengetahui pengaruh variabel komunikasi, sumber daya, disposisi, dan struktur birokrasi terhadap kualitas pelayanan. Hasil penelitian menunjukkan bahwa keempat variabel tersebut berpengaruh positif dan signifikan secara parsial maupun simultan terhadap kualitas pelayanan. Simpulan dari penelitian ini adalah bahwa implementasi kebijakan yang baik meningkatkan mutu pelayanan izin praktik dokter. Implikasinya, perbaikan komunikasi, penyediaan sumber daya, peningkatan responsivitas petugas, dan penyederhanaan struktur birokrasi dapat menjadi langkah strategis dalam meningkatkan kualitas pelayanan publik di bidang perizinan tenaga kesehatan.

COMMUNICATION EFFECTIVENESS AND SERVICE QUALITY ON PATIENT SATISFACTION AND ITS IMPLICATIONS ON PATIENT SATISFACTION

2025-06-20

Endang Maryam Zamilah El Hakim , Sri Rochani Mulyani , Rulia Rulia +1 more | INFOTECH journal

Based on preliminary studies, 8% of respondents stated that communication was poor, 18% stated that service quality was poor, 28% were dissatisfied, and 8% stated that they would’t visit again. … Based on preliminary studies, 8% of respondents stated that communication was poor, 18% stated that service quality was poor, 28% were dissatisfied, and 8% stated that they would’t visit again. The type of research was quantitative research with a descriptive-verificative approach using path analysis. Based on the questionnaire results, communication and service quality were rated as very good, patient satisfaction was rated as very satisfied, and patients stated they would visit the health center again. There was a significant influence between communication and patient satisfaction (p-value 0.006), service quality and patient satisfaction (p-value 0.001), communication and service quality simultaneously on patient satisfaction (p-value 0.001), patient satisfaction on patient visits (p-value 0.001), direct communication on patient visits (p-value 0.042), direct service quality on patient visits (p-value 0.001), indirect communication on patient visits through patient satisfaction (p-value 0.031), and indirect service quality on patient visits through patient satisfaction (p-value 0.005).

Analysis of the implementation of the local government information system in the health sector at the health office of teluk wondama regency, west papua

2025-06-19

Mohammad Amir , Balqis Balqis , Sukri Palutturi +4 more | Management

Planning for programs in the health sector is the main focus in developing better human resources so that the implementation of every planning and budgeting in programs in the health … Planning for programs in the health sector is the main focus in developing better human resources so that the implementation of every planning and budgeting in programs in the health sector can run very effectively and on target, starting from the recording system to reporting in the application of government information systems in the regions. The purpose of this study aims to analyze the implementation of the Regional Government Information System (SIPD) in the health sector at the Teluk Wondama Regency Health Office, West Papua. The results of the input research on Human Resources are still inadequate, the input has not been maximized due to the lack of understanding and training of program managers on the nomenclature of activities in the application, there is a difference between the proposed activity program from the field and the nomenclature of the program in the health sector, the delivery of information through meetings, letters and whatsapp groups, the Procedural Operational Standards for the program proposal process in OPD are not yet available, including the proposal for the Health sector program at the Health Office. The process still needs to develop the system, the appointment of bureaucracy affects the implementation of SIPD and does not have an impact on human resource incentives. The ouput element is still necessary in terms of meeting the needs and specifications of the SIPD design. Feedback related to Communication runs well and coordinates with each other. Conclusion. Improvement efforts are to increase the capacity of human resources both involved in the management and operation process of SIPD and fields and sections that should propose activity programs in the health sector, socialization to program managers if there are changes to the nomenclature of programs in the health sector in the SIPD application, conduct monitoring processes, and evaluate periodically and regularly the implementation of the SIPD application and provide special training for SIPD application users

LITERATURE REVIEW: HUBUNGAN KINERJA PERAWAT DENGAN TINGKAT KEPUASAN PASIEN RAWAT INAP DI RUMAH SAKIT

2025-06-19

Salmaqonita Khusnul Irvani Sari , Sahat Manampin Siahaan | Jurnal Ilmiah Pamenang

Abstrak Kepuasan pasien merupakan salah satu indikator utama dalam menilai mutu pelayanan kesehatan dan mencerminkan efektivitas pelayanan yang diberikan. Sebagai profesi yang paling sering melakukan kontak dengan pasien, kinerja perawat … Abstrak Kepuasan pasien merupakan salah satu indikator utama dalam menilai mutu pelayanan kesehatan dan mencerminkan efektivitas pelayanan yang diberikan. Sebagai profesi yang paling sering melakukan kontak dengan pasien, kinerja perawat memiliki peran penting dalam meningkatkan kepuasan pasien dan mutu pelayanan kesehatan secara keseluruhan. Tujuan dari tinjauan literatur ini adalah untuk mengetahui hubungan antara kinerja perawat dengan kepuasan pasien rawat inap di rumah sakit. Tinjauan literatur menggunakan metode naratif. Artikel penelitian diperoleh dari Google Scholar dan Portal Garuda. Kata kunci yang digunakan dalam pencarian adalah kinerja perawat, kepuasan pasien, dan rawat inap. Terdapat 10.700 artikel yang terkait dengan kata kunci yang telah disebutkan. Setelah dilakukan seleksi artikel bedasarkan waktu, full text dan tema yang dibuat penulis, didapatkan 10 artikel dengan tema dan kriteria yang sesuai. Bedasarkan 10 artikel yang ditemukan, 9 artikel menyatakan bahwa kinerja perawat dalam memberikan pelayanan berpengaruh terhadap tingkat kepuasan pasien di ruang rawat inap dan 1 artikel menyatakan bahwa kepuasan pasien pada ruang rawat inap tidak dipengaruhi oleh kinerja perawat melainkan faktor lain seperti faktor kebersihan dan kenyamanan ruang rawat inap, ketersediaan dan kebersihan alat kesehatan, penampilan petugas kesehatan yang rapi serta pelayanan profesi lain dapat mempengaruhi tingkat kepuasan pasien di rawat inap. Oleh karena itu penting untuk melakukan pengukuran kinerja perawat dan kepuasan pasien secara berkala dan mengevaluasinya. Abstract Patient satisfaction is one of the main indicators in assessing the quality of health services and reflects the effectiveness of the services provided. As a profession that most frequently makes contact with patients, the performance of nurses plays an important role in improving patient satisfaction and the overall quality of health services. The purpose of this literature review is to find out the relationship between nurses’ performance and inpatient satisfaction in hospitals. The literature review uses a narrative method. Research articles were obtained from Google Scholar and the Garuda Portal. The keywords used in the search were nurses’ performance, patient satisfaction, and inpatient care. There were 10,700 articles related to the mentioned keywords. After selecting the articles based on publication time, full text, and the theme made by the author, 10 articles were found that matched the theme and criteria. Based on the 10 articles found, 9 articles stated that nurses’ performance in providing services affects the level of patient satisfaction in inpatient wards, and 1 article stated that patient satisfaction in inpatient wards is not influenced by nurses’ performance but by other factors such as the cleanliness and comfort of the inpatient room, the availability and cleanliness of medical equipment, the neat appearance of health workers, and services from other professional roles which can influence the level of patient satisfaction in inpatient care. Therefore, it is important to regularly measure and evaluate nurse performance and patient satisfaction.

Fishbone Diagram Dan Kerangka Pembuatan Roadmap Proses Digitalisasi Rekam Medis Di Rumah Sakit

2025-06-19

Hendra Rohman , Khoirun Nisa’ Tivani , Indra Narendra | JURNAL ILMU KESEHATAN BHAKTI SETYA MEDIKA

Digitization of medical records in hospitals requires a series of activity implementation planning. Based on the grand design from the Ministry of Health, hospital HR, and SIMRS vendors that have … Digitization of medical records in hospitals requires a series of activity implementation planning. Based on the grand design from the Ministry of Health, hospital HR, and SIMRS vendors that have existed previously, it can be used as a form of roadmap creation stages by making milestones as the basis for implementation. The roadmap creation uses a framework of thinking with a fishbone diagram as a cause and effect diagram, and with the methodology of using the project management life cycle. This study provides an overview of the process of digitizing medical records in supporting the implementation of RME so that RME can be implemented effectively, and considerations in decision making for the implementation of RME. The activities carried out include identification and analysis of the process of digitizing medical records, identification of supporting factors for digitizing medical records, and ending with creating a roadmap for digitizing medical records. The process of digitizing medical records requires 3 officers. Users of medical records who are not yet technologically proficient will be considered in the planning. The SOP must contain several things that need to be considered. The person in charge of the medical transfer section should have planned the budget needs. The budget submission is made at the annual meeting of the annual budget draft. Implementation of the priority scale by grouping active medical records into 3 groups. SIMRS needs to be developed and added features that can accommodate the results of medical record scans and features for scan control or the history scan menu. The medical record digitization roadmap stage 1 is HR planning, planning of infrastructure needs, designing digitalization procedures, and adjusting SIMRS features. Stage 2 is HR procurement, procurement of supporting infrastructure, establishing SOPs, and determining the priority scale of medical records. Stage 3 is a trial implementation of digitalization and evaluation of the trial. Stage 4 is the implementation of active medical record digitization.

A Quantitative Analysis of SIMKES User Satisfaction in Outpatient Units Using the EUCS Approach

2025-06-19

Adnan Syarif Mustaqim , Wahyu Wijaya Widiyanto | International Journal Of Public Health

The implementation of health information systems such as SIMKES (Sistem Informasi Manajemen Kesehatan) plays a crucial role in enhancing administrative efficiency and service delivery in primary healthcare centers. However, user … The implementation of health information systems such as SIMKES (Sistem Informasi Manajemen Kesehatan) plays a crucial role in enhancing administrative efficiency and service delivery in primary healthcare centers. However, user satisfaction remains a key indicator of system effectiveness, especially in outpatient service units. This study aims to evaluate the satisfaction level of health personnel toward the implementation of SIMKES at the outpatient unit of Teguhan Health Center, Ngawi, Indonesia. Employing a descriptive quantitative method, this research involved a census of 17 respondents using a validated questionnaire based on the End-User Computing Satisfaction (EUCS) model, which comprises five dimensions: content, accuracy, format, ease of use, and timeliness. The data were analyzed using frequency distribution and mean scoring to categorize satisfaction levels. Results showed that the overall satisfaction score was 73.58, indicating that users were generally satisfied with the system. All five EUCS dimensions were categorized as satisfactory, with the highest rating in the format dimension and the lowest in timeliness. Despite the overall positive assessment, users reported issues related to system speed, technical bugs, and limited guidance for system navigation. The findings suggest that while SIMKES supports outpatient service delivery effectively, improvements are needed in system responsiveness and user support to enhance satisfaction and usability. This study contributes to the ongoing evaluation and development of health information systems in resource-limited primary care settings.

Analisis kepuasan pasien terhadap kualitas pelayanan

2025-06-19

Afif Wahyudi Hidayat , Julia Julia , Muhammad Rizky Maulana | Journal of Health Research Science

Latar Belakang: Kualitas layanan kesehatan tidak semata-mata bergantung pada mekanisme penyediaannya, melainkan juga sangat dipengaruhi oleh persepsi dan pemahaman pasien sebagai pengguna layanan. Studi ini bertujuan untuk membandingkan kepuasan pasien … Latar Belakang: Kualitas layanan kesehatan tidak semata-mata bergantung pada mekanisme penyediaannya, melainkan juga sangat dipengaruhi oleh persepsi dan pemahaman pasien sebagai pengguna layanan. Studi ini bertujuan untuk membandingkan kepuasan pasien peserta BPJS Kesehatan dengan kualitas layanan rumah sakit yang mereka terima.Metode: Penelitian kuantitatif dengan desain cross-sectional. Populasi pasien BPJS di rumah sakit, dengan sampel 96 responden yang ditentukan melalui rumus Lemeshow dan teknik purposive sampling. Kepuasan pasien dianalisis sebagai variabel dependen, sedangkan dimensi SERVQUAL sebagai variabel independen. Data diperoleh melalui kuesioner dan dianalisis secara univariat dan bivariat.Hasil: Analisis univariat pada 96 responden menunjukkan mayoritas pasien (66,7%) puas dengan layanan rumah sakit, meskipun 33,3% tidak puas. Selanjutnya, analisis bivariat mengungkapkan bahwa kegemaran pasien, bukti nyata, keberlanjutan, kereaktifan, kepastian dan simpati berhubungan dengan tingkat kepuasan pasien nilai p-value < 0,05.Kesimpulan: Tingkat kepuasan pasien BPJS Kesehatan sangat berkorelasi dengan persepsi terhadap mutu layanan rumah sakit.

STRATEGI PENINGKATAN KEPUASAN PASIEN TERHADAP KUALITAS PELAYANAN KEFARMASIAN INSTALASI FARMASI RUMAH SAKIT X DI SURAKARTA

2025-06-18

Kharisma Jayak Pratama , Rosi Nur Indahsari , Rita Oktaviani | Duta Pharma Journal

Instalasi Farmasi Rumah Sakit mempunyai pengaruh besar terhadap rumah sakit dan berbagai organisasi pelayanan kesehatan. Kepuasan pasien merupakan indikator penting bagi kualitas pelayanan, semakin baik kualitas pelayanan yang diberikan maka … Instalasi Farmasi Rumah Sakit mempunyai pengaruh besar terhadap rumah sakit dan berbagai organisasi pelayanan kesehatan. Kepuasan pasien merupakan indikator penting bagi kualitas pelayanan, semakin baik kualitas pelayanan yang diberikan maka akan semakin naik juga citra jasa pelayanan dimata konsumen. Tujuan penelitian ini untuk mengetahui startegi peningkatan kepuasan pasien terhadap kualitas pelayanan di IFRS X di Surakarta. Metode penelitian studi deskriptif, melibatkan 200 responden pasien rawat jalan dan pasien rawat inap dipilih dengan teknik accidental sampling. Data diperoleh melalui pengisian kuesioner, selanjutnya dianalisis secara deskriptif menggunakan metode servqual untuk mengevaluasi kinerja dan harapan pasien. Metode (IPA) digunakan untuk menetapkan prioritas masalah. Hasil nilai IPA pada pasien rawat inap menunjukkan kuadran I menjadi prioritas utama perbaikan meliputi; Petugas farmasi belum sepenuhnya bersikap simpatik, petugas farmasi rawat inap belum merata dalam memberikan informasi tentang efek samping dari obat yang digunakan dan informasi tentang yang harus dihindari selama pengobatan serta pasien menunggu lama petugas farmasi rawat inap dalam melakukan pelayanan, hasil analisis IPA pasien rawat jalan menunjukkan kuadran I menjadi prioritas perbaikan meliputi; prosedur pelayanan jelas dan tidak berbelit-belit, petugas farmasi dapat menangani masalah dan memberikan solusi dengan cepat, dan semua obat yang terdapat dalam resep selalu tersedia di Instalasi Farmasi Rumah Sakit.

Transformasi Digital di Sektor Kesehatan Tinjauan Literatur tentang Penerapan Teknologi Informasi dalam Manajemen Pelayanan

2025-06-18

Pristiya Maulaningrum , Siti Mujanah , Achmad Yanu Alif Fianto | Jurnal Ilmu Manajemen Ekonomi dan Kewirausahaan

Digital transformation in the health sector is a response to the demand for efficient, fast and accurate services. This study aims to systematically review the scientific literature related to the … Digital transformation in the health sector is a response to the demand for efficient, fast and accurate services. This study aims to systematically review the scientific literature related to the application of information technology in health service management in Indonesia. Through a review of ten scientific articles published in 2021-2024, it was found that digital technology has been applied in the form of web-based information systems, mobile applications, telemedicine, as well as information systems for non-communicable diseases and Posyandu for the elderly. These applications have contributed to improving operational efficiency, service accessibility, data-based decision-making, and community participation. However, a number of challenges are still faced, such as limited infrastructure, low digital literacy of health workers, not optimal protection of patient data, and not integrated systems between units. This study concludes that digital transformation demands technological readiness, human resources, and supportive policies. Recommendations are directed at strengthening infrastructure, increasing human resource capacity, drafting adaptive regulations, and developing integrated information systems.

Kepuasan Pelanggan Internal terhadap Kompensasi Finansial

2025-06-18

Fadia Ellisza , Dewi Sawitri | GEMILANG Jurnal Manajemen dan Akuntansi

This study aims to analyze internal customer satisfaction with health insurance claim services as part of indirect financial compensation in a national electricity provider organization. Using a descriptive qualitative approach, … This study aims to analyze internal customer satisfaction with health insurance claim services as part of indirect financial compensation in a national electricity provider organization. Using a descriptive qualitative approach, data were collected through interviews, observations, and document analysis. The findings indicate that the claim process remains manual and faces several administrative challenges, including incomplete physical documentation, lack of transparency, and limited digital infrastructure. SERVQUAL analysis reveals that the five service quality dimensions—tangibles, reliability, responsiveness, assurance, and empathy—have not been optimally fulfilled, resulting in internal customer dissatisfaction. This dissatisfaction affects employee motivation, perceptions of organizational justice, and operational effectiveness. Therefore, service reform through process digitalization, enhanced proactive communication, and the development of a responsive and inclusive support system.