scholarly journals Planning Matrix Sebagai Upaya Peningkatan Mutu Pelayanan Rawat Inap di Rumah Sakit Umum Bhakti Rahayu Surabaya

2016 ◽  
Vol 4 (2) ◽  
pp. 163
Author(s):  
Ika Avrianti

Inpatient unit of Bhakti Rahayu Hospital as one potential revenue center for the hospital expected to be able to support an increas the income of the hospital. The issue of this research is the decrease trend of Bed Occupancy rate 48,96% with trend -15,79%.This research aims to  increas the quality of inpatient services care in Bhakti Rahayu Hospital based on planning matrix. This research was in inpatient unit Bhakti Rahayu Hospital with an descriptive design cross sectional study of the 80 patients who are representing inpatient hospitalization were taken by simple random sampling. Data was collected by using questionnaires distributed to patients and analysed by quantitative methods arranged in the planning matrix table. The results showed that inpatient services quality has not met the standards of good service so that the service implementation need improvement and enhancement services primarily on aspects of the physical and human resources. The conclusions showed that to increase the quality of health care based on internal factors was very important. Physical aspects and human resources are the top priority to fix up.Keywords:services quality, planning matrix, inpatient unit

Author(s):  
Putri Suchi Tulhikma Sarewo ◽  
Tasnim Tasnim ◽  
La Ode Kamalia

Background: Data on the achievement of minimum service standards at Bahteramas Hospital shows that several programs have not reached the specified Minimum Service Standards, namely the availability of facilities and operating equipment (34.37), customer satisfaction (74.04%) from the standard ?80%, time provision of medical records (30 minutes) from standard 10 minutes, completeness of informed concent (67.75%) of ?80%. Observing the development of human resources at the Bahteramas Hospital has not been carried out optimally, for example, such as a standardized selection and recruitment process, support for facilities, infrastructure and technology, individual commitment to organization, leadership commitment and employee work relations themselves. The purpose of this research is to analyze factors related to the quality of human resources at the Bahteramas Regional General Hospital, Southeast Sulawesi Province. Methods: Quantitative research using a cross sectional study design.The population in this study amounted to 981 people. The number of samples in this study were 277 people. The sample was determined by simple random sampling technique. The data were obtained using the testchi square. Result: The test results using the chi square statistical test, it is known that the value of the selection variable (22,378> 3,841), the value of the training variable (18,658> 3,841), the value of the individual commitment variable (38,863> 3,841), the value of the reward variable (51,784> 3,841), the value of the skill variable (94,713> 3,841). Conclusion: There is a relationship between selection and the quality of human resources, there is a relationship between training and the quality of human resources, there is a relationship between individual commitment and the quality of human resources, there is a relationship between reward and the quality of human resources, there is a relationship between skills and the quality of human resources.


Author(s):  
Carolle Laure Matene Fongang

Background: Cameroon has been in a polio epidemic since October 2013, so the country has been forced into a response vaccination approach. In rural health districts in this case l OMIE District, the proportion of children unvaccinated during the campaigns varies between 25 and 30%, while the standard would be to have less than 5% of unvaccinated children. The question of the reasons for the non-vaccination of children in Cameroon has therefore arisen. Objectives: The aim was to determine the factors of non-vaccination of children at the National Polio Immunization Days (NIDs) in December 2012, through the quality of the NVD organization, the health skills of human resources and the parents. Methodology: We carried out an analytical cross-sectional study from the 9 to the 20th of December 2012. We interviewed 292 parents and their children, 75 social mobilisers, 79 vaccinators, 41 proximity supervisors and 12 pilot health facilities EPI focal persons. The number of children selected per health area was proportional to it demographic weight. Quarters and blocs were selected by simple random sampling while the children by systemic random sampling. Personnel selected were those that intervene in the chosen localities. Results: The study found that 20.8% of children were unvaccinated. The first reason for non-vaccination was the non-visiting of the household by vaccinators (41.9%). Difficulties in access due to bad roads (40%), lack of vehicles or means of locomotion adapted to the area (35%). Parents were informed in 85.6% of cases. The JNV polio micro plan was available in 25% of health areas and 41.7% of community supervisors conducted household surveys.


2021 ◽  
Vol 4 (2) ◽  
pp. 187-194
Author(s):  
Asmawati Badun

The coverage of sanitation in Indonesia, especially in drinking water, is known to have not been in accordance with the needs of the population. Likewise in Kendari District where drinking water facilities (depots) and the quality of the water produced do not meet health requirements. This study aims to determine the correlation of drinking water depot sanitation hygiene with the presence of Coliform and Eschericia Coli bacteria in Kendari District. The type of study is observational analytic with a cross-sectional study design. The study population, namely all drinking water depots in the working area of ​​the Kendari District, amounted to 14 depots with a simple random sampling of 13 depots. Testing the data using the Fisher's Exact Test. The results of the study on sanitation hygiene of the place obtained p-value=0.014 and phi test=0.822, the results of the test on hygiene and sanitation of equipment obtained p-value=0.014 and phi test=0.822, while the sanitation hygiene of the handlers obtained p-value=0.003 and phi test=1.000. This means that there is a strong relationship between sanitation hygiene of premises, equipment and handlers with the presence of Coliform and Eschericia Coli bacteria in Kendari District. It is hoped that health center will actively conduct counseling in order to increase public insight and knowledge about sanitation hygiene of places, equipment and handlers at drinking water depots.


Author(s):  
Jackline Mosinya Nyaberi ◽  
Otieno G. Ochieng ◽  
Osero O. S. Justus

Background: Low utilization and poor accessibility of hospital based maternal services in low and middle-income countries (LMIC) are evident and financial barriers is a major bottleneck. Globally, an estimated 600,000 maternal deaths occur yearly with over 90% of these deaths occurring in LMICs. In Kenya, maternal mortality is still relatively high with 362 maternal deaths per 100,000 live births. Gaps in the quality of maternal health services exist due to high costs, poor staffing and inaccessibility. However, Utilization of hospital based maternal services enhances skilled delivery and consequently reduces maternal and child mortalities and morbidities. The aim of this study was to establish the trends of utilization of free maternal services (FMS) before and after implementation in counties of Nyanza, Kenya.Methods: The study adopted an analytical cross-sectional study utilizing mixed methods of data collection. Secondary quantitative data on the rate of utilization between June 2011 and May 2015 was compared. Qualitative data was collected from key informants and focused group discussants. Purposive and simple random sampling were used to select target population. Data was analysed using both parametric and non-parametric statistical methods.Results: In maternal services utilization, Kisumu county recorded the highest 98.7%. Overall, in Nyanza, there was tremendous growth on trends of FMS utilization of 53.4% from 36.7% before implementation of FMS with cases of still births, maternal deaths and neonatal deaths.Conclusion: The upsurge of FMS utilization encouraged skilled birth attendance but also caused enormous constrains to health system and reduced the quality of FMS.


2019 ◽  
Vol 2 (2) ◽  
pp. 55
Author(s):  
Oksandi Oksandi ◽  
Nurdin Rahman ◽  
Adhar Arifuddin

Background & Objective: Quality of the food is oriented towards customer satisfaction that having regard among things like food appearance, taste and variety menu. This study aims to identify factors that associated with satisfaction to the food management for convicted criminal in Prison Class IIA Palu . Material and Methods: This type of research is a cross sectional study. Total population in this study is 422 convicted criminals and the number of samples is 81 convicted criminals by using simple random sampling technique. Data were analyzed by descriptive univariate and bivariate analysis, at the level of trust 95% (p <0.05). Results: Respondents assessed the appearance of food that was not good at 24.69%, the taste of food was not good at 14.81%, and the menu variation was not good at 18.51%. This means that the appearance of food, taste of food, and the variety of menus provided include good and satisfaction ratings on the giving of food including satisfaction, namely, 88.88%. Fisher's Exact test results showed that the appearance of food associated with satisfaction the food service (ρ = 0.006), the taste of food associated with satisfaction the food service (ρ = 0.000), and variety od menus associated with satisfaction the food service (ρ = 0.009). Conclusion: The better quality of the food that provided to the convicted criminals, the more satisfied also for the food service


2021 ◽  
Vol 7 (1) ◽  
pp. 30-36
Author(s):  
Shohreh Tofighian1 ◽  
◽  
Ali Khanehkeshi ◽  
Kolsom Akbarnataj Bisheh ◽  
◽  
...  

Background: Multiple Sclerosis (MS) disease is a chronic, debilitating, and often progressive inflammatory disease of the central nervous system that is affected by cognitive and emotional dimensions, and also, this disease affects these dimensions. Objectives: This study was carried out to determine the effect of executive functions on the tolerance and quality of life of MS patients. Materials & Methods: In this cross-sectional study, 290 MS patients were selected as the sample size by simple random sampling method from the statistical population consisted of all 687 patients with MS disease in Gorgan’s MS Association, Gorgan City, Iran, in 2020. To collect data, we used Nejati’s executive functions questionnaire, McGuigan and Hutchinson’s quality of life questionnaire, and Simons and Gaher’s tolerance scale. Path analysis by SPSS V.18 and AMOS V.23 software was used for data processing. Results: According to the results of path analysis, executive functions affect -0.371 and tolerance -0.257 on the quality of life (P=0.01), and in total, that can explain 44% of the variance. Also, tolerance mediates the relationship between executive function and quality of life. Conclusion: Executive function is related to the quality of life of MS patients by the mediating role of tolerance, in the sense that a higher ability to tolerate increases the constructive effect of executive function on improving the quality of life.


Author(s):  
Hairil Akbar

Infants are a nation's investment because they are the next generation for a nation. The quality of a nation can be determined by the quality of its infants at this time. Health problems during infancy can affect growth, especially disorders in the digestive tract such as diarrhea. Diarrhea affects the absorption of nutrients for the growth of children under five and diarrhea is the leading cause of infant mortality globally. The purpose of this study was to determine the factors associated with the incidence of diarrhea in children infants in Public Health Center Juntinyuat. This was an observational analytic study using a cross-sectional study design. The population under study was entire children aged 12-59 months in Public Health Center Juntinyuat with the total population of 1882 infants. The sample consisted of 94 selected children aged 12-59 months using Simple Random Sampling. According to the result of a simple logistic regression test, there was a relationship of nutritional status with p-value 0.002 (p <0,05), the existence of the trash with p-value 0.039 (p <0,05), and the presence of wastewater disposal facilities with p-value 0,008 (p <0,05) to diarrhea occurrence in infants Keywords: Diarrhea, Nutritional Status, The Existence of The Trash, The Presence of wastewater Disposal Facilities


Author(s):  
Prosenjit Naskar ◽  
Sima Roy ◽  
Somnath Naskar ◽  
Indrajit Gupta

Background: Transgender people are stigmatised in our society and are being discriminated in every aspect of life. Many of them experience abuses in various forms since childhood. Accordingly these might have adverse consequences on their life and modify their quality of life (QOL). This aspect needs to be explored. In this context the present study was conducted to assess the QOL among adult transgender people and to find its association with their socio-demographic characteristics in Burdwan municipal area of Burdwan district.Methods: A cross-sectional study was conducted during July-December 2016 among 79 adult transgender people residing in the study area. Sample size was based on 50% having satisfactory QOL with 95% CI, 10% relative error, and 10% non-response rate with finite population correction (total target reference population 96). Subjects were selected by simple random sampling and recruited for interview by time space sampling. Socio-demographic characteristics were assessed by a predesigned schedule and QOL was assessed by using a validated Bengali version of WHO-QOL BREF questionnaires.Results: 56.9% people were found to be have good QOL score as a whole. Maximum and minimum percentages of good QOL score was found in environmental domain (84.7%) and social relationship domain (45.8%). A significant positive correlation was found between education and monthly income with QOL score while negative correlation between age and QOL score. Marital status, current living status and occupation were found to have a statistically significant association with QOL score.Conclusions: The study measured QOL as well as identified some important socio-demographic variables which affected QOL among transgender people. These findings can help the government to plan conceptually to improve QOL in this special transgender group of population by some legislation, social awareness and facilities dedicated towards them.


2018 ◽  
Vol 12 (12) ◽  
pp. 1052-1061
Author(s):  
Palita Charoensook ◽  
Panupong Upala ◽  
Amornrat Anuwatnonthakate ◽  
Thapakorn Ruanjai ◽  
Tawatchai Apidechkul

Introduction: The study aimed to estimate the prevalence of tuberculosis (TB) and to assess the quality of life and depression among the migrant workers in northern Thailand. Methodology: A cross-sectional study was conducted to elicit information among migrant workers in Chiang Rai and Pha Yao provinces, northern Thailand. Several standard forms including GeneXpert were used for data collection. A simple random sampling was used to select the companies and the study sample. Interview was conducted in a confidential room. Chi-square was used to detect the association between variables at the significant level α = 0.05. Results: Totally 467 migrant workers were recruited into the study, 97.9% were Myanmar national, 55.7% were males, and 51.4% were aged > 32 years. Only 2.1% were living in Thailand illegally, 23.8% had no health insurance, and 92.1% had monthly income at < 20,000 baht. Eight cases (1.71%) were at risk of TB disease from the screening, only one case was positive for TB disease from GeneXpert, and no multi-drug resistant detected. 47.5% had a low level of knowledge and 28.7% had a negative attitude on TB prevention and care. 10.7% were in a moderate to severe stage of depression. Six variables were found the significant associated with quality of life; ethnicity, sex, marital status, income, length of working in Thailand, and insurance. Conclusions: Besides active TB surveillance system, inter-country public health policy should be developed to cope with depression problem and improve quality of life among the migrant in Thailand


2020 ◽  
Vol 10 (2) ◽  
pp. 8
Author(s):  
Hairil Akbar ◽  
Heriyana Amir ◽  
Suci Rahayu Ningsih ◽  
Widya Astuti

The number of outpatient visits in the X community health center in 2016 was 32633 patients, and in 2017 the number of visits increased by 38374 patients, while in 2018 the number of visits decreased by 36604 patients. Based on data from outpatient visits at X health center that the number of patient visits decreased, where in 2017 increased and in 2018 decreased the number of patient visits. The purpose of the study was to determine the relationship between the quality of health care services and the interest of outpatient visits to the X community health center. The type of research conducted was observational analytic research using a cross sectional study approach. This research was carried out in the technical service unit of the X community health center in 2019. The population was all patients using outpatient care facilities at Cipancuh Health Center in 2019, with 36604 outpatients. The sample size is 100 people. Sampling is done by simple random sampling. Statistical test results, namely the quality of health services ( value = 0,000) are related to the interest of outpatient visits in the Technical Implementation Unit of the X community Health Center in 2019. It is expected that the staff will further improve the quality of their services in the hope that patients who use outpatient facilities.


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