scholarly journals Relationship between the Quality of Informed Consent at Surgical Procedure in Terms of Ethics and Medicolegal with Satisfaction of Patient Health Service in dr. Zainoel Abidin Hospital

2020 ◽  
Vol 8 (1) ◽  
pp. 1-7
Author(s):  
Taufik Suryadi Ismail ◽  
Putra Safana ◽  
Dedy Syahrizal

Objective: To determine the relationship between the quality of informed consent in terms of ethics and medicolegal with patient health service satisfaction at the dr. Zainoel Abidin Hospital (ZAH) Banda Aceh. Method: This study is an observational analytic with a cross-sectional method. Subject selection through a total sampling method. This study involved patients who were treated at dr. Zainoel Abidin Hospital (ZAH) Banda Aceh and a total of patients were 100 (52 men and 48 women) who met the inclusion criteria carried out on 16 December 2019 to 31 December 2019. Results: As many as 90% of respondents rated informed consent made at ZAH as good quality and 85% expressed the satisfaction with health services at ZAH. An ethical and medicolegal review of informed consent emphasizes the basic principles of bioethics. As many as 84% of respondents stated that their autonomy rights had been fulfilled, 92.50% thought that the doctor had done beneficence, nonmaleficence, and justice well in the process of informed consent and 92.33% of respondents rated the three elements of informed consent as being well implemented. Based on the results of the chi-square statistical test showed a significant relationship between the quality of informed consent in terms of ethics and medicolegal with patient health service satisfaction under the value of p = 0.001 (p≤0.05). Conclusion: Good quality of informed consent in terms of ethics and medicolegal has an important role in increasing patient satisfaction with health services at the dr. Zainoel Abidin Hospital of Banda Aceh.

2021 ◽  
Vol 2 (2) ◽  
pp. 58-68
Author(s):  
Dherma Wati Bangun ◽  
Dherma Wati Bangun ◽  
Vivi Eulis Diana

Patients in health services have different behaviors in deciding to take advantage of health services. Patients used various considerations to make decisions based on the health products or services for re-treatment. The study aimed to analyze the factors that influence the patient's decision in using health services for re-treatment. This research was quantitative with cross-sectional design and conducted at Tanjung Pura Regional Hospital. The population was 3.946 people, and the sample were 247 respondents taken by using purposive sampling. Data analysis was univariate and bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level (a= .05). The results showed that the factors that influenced the patient's decision to use health services for re-treatment at the Tanjung Pura Regional Hospital were the service quality of doctors / nurses (p= .000), distance (p=.049), facilities (p=0.000), and service speed (p = .000). The factors that did not influence we age (p=.461). gender (p=.895), education (p=.371), occupation (p=.593). The most dominant factor influencing is facilities with Exp (B)/OR =14.477, meaning that respondents who stated that the hospital facilities were good, had the opportunity to use health services for re-treatment by 14.4 times higher the respondents who stated that the hospital facilities were not good. It is suggested to Tanjung Pura Regional Hospital to propose and allocate a budget for improving hospital facilities that are still lacking and adding new service facilities so that it can increase public confidence for repeat treatment


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Siriwan Choojaturo ◽  
Siriorn Sindhu ◽  
Ketsarin Utriyaprasit ◽  
Chukiat Viwatwongkasem

Abstract Background The main purpose of health service systems is to improve patients’ quality of life (QoL) and to ensure equitable access to health services. However, in reality, nearly half of knee osteoarthritis (OA) patients present to the health system do not have access to health services, and their QoL remains poor. These circumstances raise important questions about what (if any) factors can improve health care accessibility and QoL for knee OA patients. Methods A multicenter, cross-sectional survey was performed with 618 knee OA patients who received care at 16 hospitals in Thailand. Structural equation modeling (SEM) was conducted to investigate the association of health service factors and patient factors with access to health services and QoL. Results The QoL of knee OA patients was very poor (mean score = 33.8). Only 2.1% of the knee OA patients found it easy to obtain medical care when needed. Approximately 39.4% of them were able to access appropriate interventions before being referred for knee replacement. More than 85% of orthopedic health services had implemented chronic disease management (CDM) policy into practice. However, the implementation was basic, with an average score of 5.9. SEM showed that QoL was determined by both health system factors (β = .10, p = .01) and patient factors (β = .29, p = .00 for self-management and β = −.49, p = .00 for disease factors). Access to health services was determined by self-management (β = .10, p = .01), but it was not significantly associated with QoL (β = .00, p = 1.0). Conclusions This study provides compelling information about self-management, access to health services and QoL from the individual and health service system perspectives. Furthermore, it identifies a need to develop health services that are better attuned to the patient’s background, such as socioeconomic status, disease severity, and self-management skills.


2020 ◽  
Vol 1 (2) ◽  
pp. 65-72
Author(s):  
Salestin Rambu Malairu ◽  
Joko Pitoyo

Problems often faced by eldery is decreasing ability is like physical health, or decrease ability to socialize with others. Health Service Centre is one of  activities aimed to elderly to get health services easily.Objective aim to know differences from quality of life of  active elderly with inactive elderly on follow health service centre in Mojolangu Village Of Lowokwaru District, method is design research is used a Cross Sectional design. Sample are 40 elderly, taking sample is using purposive sampling. Samples divided to 2, that is 20 elderly who are active, and 20 elderly who are inactive Data analysis is using Chi Square test. The results showed there are 5 (25%) respondents who are actively follow elderly  Health Service Centre had a good quality of life, while 1 (5%) respondents who are inactively follow elderly Health Service Centre had a good quality of life. Respondents with a good quality of life average attendance participed in elderly  Health Service Centre by 7 times, while inactive elderly as much as 3/4 times. Chi Square test results obtained by the value of p = 0,002, so concluded there is a differences from quality of life of active elderly with inactive elderly on follow health service centre in Mojolangu Village of Lowokwaru. Suggestion from this study are further researchers can use this research and more developed. Keywords: Quality of Life, Elderly, Health Service Centre


2021 ◽  
Vol 7 (1) ◽  
pp. 35-42
Author(s):  
Nurehan Maulana ◽  
Leni Novianti ◽  
Sutriyati Sutriyati

Background: Satisfactory and quality service will form patients/customers loyalty, and satisfaction is very closely related to word of mouth. The next effect will continue on the process of forming an improved image of health care agencies. The standard of patient satisfaction in health services is set nationally by the Ministry of Health at a minimum for patient satisfaction, which is above 95%. The purpose of this study is to find out the relationship between the quality of service in aspects of staff attitude, service facilities, and rates/fees with patient satisfaction in polyclinic acupuncture and herbal LKTM Palembang. Methods: This research is quantitative and uses an analytic survey with a cross sectional design. The sample in this study were all patients of the Palembang Community Traditional Health Workshop (LKTM) in 2020 who visited during the study period, numbering 85 people. Result: Based on the results of the study, 62.4% expressed satisfaction with the services in Polyclinic Acupuncture and Herbs (LKTM). The dimension that needs to be improved is the Assurance dimension in the officer's capability section. Based on the result of Chi-Square statistical test, the level of patients satisfaction to the service attitude of the officer, with a p-value of 0.000. Recommendation: for LKTM Palembang, it is expected to improve the quality of existing health workers and always play an active role in health services, maintain existing facilities, and review the costs set.


2018 ◽  
Author(s):  
Andan Firmansyah

Medical procedures performed by medical personnel at the hospital can bring a variety ofrisk to the patient. Anxiety is the most common response experienced by parents when thereare health problems in children. Largely due to the lack of knowledge or informationobtained related to the action to be performed. Informed consent is consent given medicaltreatment by patients or their families on the basis of the explanation of health workers. Thepurpose of giving informed consent in order to reduce the level of parental anxiety.Thepurpose of this study was to determine the relationship between the provision of informedconsent by the level of anxiety of parents of children who were treated intravenously in theED Hospital District. Polewali. This study used cross sectional design with accidentalsampling technique in 30 respondents. The statistical test used is chi-square with asignificance level of p <0.000.These results indicate that administration of informed consenthave a significant relationship with the level of anxiety of parents of children who weretreated intravenously with the value of significance is p = 0.000 (p = <0.05).The conclusion of this study is that the informed consent provision related to the level ofanxiety of parents of children who were given intravenous therapy in the ED. Suggestionsfrom this study is expected to hospital management can improve the quality of health careand nursing care that all nursing staff provide informed consent in accordance with its role isto protect the rights of patients to a given action in order to minimize anxiety in the elderly.


2018 ◽  
Vol 3 (2) ◽  
pp. 102
Author(s):  
Ali Imran Thamrin ◽  
Andi Alim Bagu ◽  
Yuliana Baharuddin

The quality of  health services is one of main focus for community. Awareness of the quality of health services is increasing with the demand for improving the quality from service providers and  community as a service user. The quality of health services greatly affects patient satisfaction. The design of this study is analytic survey research with cross sectional approach. The purpose of this study  is to know the relation of quality of health service to patient satisfaction at Army Health Center (PUSKESAD) POLKES of Takalar Regency in 2017. The research is conducted at Army Health Center (PUSKESAD) POLKES Takalar District. The sample in this study are patients who treated at the Army Health Center (PUSKESAD) POLKES Takalar District in June of 2017 as many as 94 people using a simple random sampling technique. Data analysis in this research is univariate and bivariate analysis using chi square test. The results showed that there was a significant correlation between health service quality based on indicator physical appearance, reliability, responsiveness, assurance, and empathy with patient satisfaction with each p value = 0,000. It is hoped  that the Army Health Center (PUSKESAD) POLKES can improve the quality of health services and the confidence of patients in utilizing health services more increase.


2018 ◽  
Vol 3 (2) ◽  
pp. 91
Author(s):  
Sarma Eko Natalia Sinaga

Quality of health services for patients is a sense of satisfaction with the health services received. Where  the good quality is associated with recovery from illness, improvement of health status, good health service, physical facility, official friendliness, easy procedure and reasonable cost. The purpose of this study illustrates the effect of quality of outpatient services (age, responsiveness, tangibles) on patient  and  family perception at the RS Lebak Mission. The study design is descriptive with cross-sectional approach, in which a large sample of 110 respondents that are outpatients that have received health services. The independent variables in this study are age, responsiveness, tangibles while the dependent variable is the perception of patient and family. The Data collection is using questioners and the data analysis used univariate analysis and bivariat Chi-Square Test. From the statistical test obtained results that  there is a relationship between responsiveness to the quality of outpatient services (P = 0.000). The relationship between tangibles to the quality of outpatient services (P = 0.000). Hospitals should be able to provide physical facilities, the provision of the best care equipment, maintaining the cleanliness and neatness of the room in hospital. In addition, health workers should have the desire to provide the best assistance to patients.


2014 ◽  
Vol 2 (2) ◽  
pp. 81-87
Author(s):  
Rahmi Agvanesia ◽  
Zulkarnain Agus ◽  
Eni Rahmi

Background: Interpersonal Communication is a communication skill and it is one of the competencies that must be had by dentists, therefore, FKG UNAND has been trying to implement this soft skill by implementing it into curriculum. Patient satisfaction on interpersonal communication is thought to be one of the factors that determines the quality of a health service. The aim of the study is to determine whether there is a relationship between interpersonal communication of co-assistant students with service quality based on patient satisfaction at FKG UNAND clinic. Method: The study was an observational cross-sectional analytic approach. The sampling was simple random and the number of subjects were 90 respondents. The instruments used in this study were questionnaires consisting of 17 questions; they were 12 questions regarding interpersonal communication and 9 questions regarding patient satisfaction on service quality. Results: The result of chi-square test for interpersonal communication of co-assistant students-patient is p = 0.041 [p < 0.05]. This shows that there is a significant relationship between interpersonal communication of co-assistant students with service quality based on of patient satisfaction at FKG UNAND Clinic. Conclusion: There is relationship between interpersonal communication of co-assistant students and service quality based on of patient satisfaction at FKG UNAND Clinic.


2021 ◽  
Vol 4 (2) ◽  
pp. 232-238
Author(s):  
Andi Nailah Amirullah ◽  
Yuliani ◽  
Nurhidayat

Health care facilities are expected to provide satisfactory services in hospitals. Have not being able to provide the maximum service expected by service users is the problem often faced by hospitals. Where the main assessment of the quality of health services is patient satisfaction. Based on a preliminary study at the RS Hikmah Makassar, it was found that more people were dissatisfied with health services. The purpose of this study was to find out the factors related to BPJS service satisfaction in BPJS Health participants at Hospital Hikmah of Makassar. The research design used Cross-Sectional. The population is 426 people. The sample in this study were some participants who used BPJS cards in Hospital Hikmah Of Makassar as many as 81 people, taking samples by purposive sampling technique. This research was conducted in May - June 2019. Data was collected with Questioner and analysed with the Chi-Square test. The results showed that there was a relationship between BPJS administration services, doctors and nurses services, supporting examination services and drug services with the satisfaction of BPJS services for BPJS Health participants in Hospital Hikmah of Makassar. The study suggested to health workers provide patients with a more friendly attitude and attention to patients recipients of health services.


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Morits G. Kosegeran ◽  
Damayanti H. Pangemanan ◽  
Rivelino S. Hamel

Abstrack : Since the development of society's knowledge is increasing rapidly, especially their knowledge of health, cmpetency has become an absolute requirement for nurses in providing health services. The quality of services have to be maintained in order to provide an excellent services. The performances of people in doing their work is always based on what personality they have which might affects the result of each works they do. The aimof this research is to know the relation between types of personality and nurse' performances in the ward of GMIM Bethesda Public Hospital Tomohon. Research methods this research design uses a cross-sectional approach and purposive sampling technique with 62 respondents. Data are collected by questionnaires.The Result isis using chi square in the level of significant 95% results p values = 0.000 < 0.05. Conclusionthis research shows that there is a relation between types of personality and nurse' performances in the ward of GMIM Bethesda Public Hospital Tomohon.Key words: Types Of Personality, Performance, NurseAbstrak : Kinerja perawat menjadi hal yang vital dalam peningkatan kualitas pelayanan yang ada pada sebuah instansi penyedia layanan kesehatan, dilihat dari data yang ambil sebagian pasien mengatakan perawat yang bekerja di RSU GMIM Bethesda Tomohon memiliki pembawaan yang ramah dalam berkomunikasi dan ada juga yang sebaliknya, hal tersebut dikarenakan perbedaan corak kepribadian seseorang yang nampak pada perilaku seorang perawat ketika berinteraksi dengan pasien.Tujuan penelitian ini adalah mengetahui hubungan tipe kepribadian dengan kinerja perawat di ruangan rawat inap RSU GMIM Bethesda Tomohon. Metode penelitian ini adalah cross sectional, teknik sampling dalam penelitian ini adalah total samplingberjumlah 62 responden. Pengumpulan data menggunakan kuesioner untuk mengukur tipe kepribadian dan kinerja perawat. Hasil Uji dengan menggunakan uji Chi Square pada tingkat kemaknaan 95 % diperoleh nilai signifikan p = 0.000 atau lebih kecil dari 0.05 (0.000< 0.05). Kesimpulan ada hubungan tipe kepribadian dengan kinerja perawat di ruangan rawat inap RSU GMIM Bethesda Tomohon.Kata kunci :Tipe Kepribadian, Kinerja, Perawat.


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