scholarly journals MENINGKATKAN MUTU PELAYANAN KESEHATAN DENGAN PENERAPAN UPAYA KESELAMATAN PASIEN DI PUSKESMAS

2018 ◽  
Vol 6 (2) ◽  
pp. 149
Author(s):  
Nurul Hidayatul Ulumiyah

Background: Patient safety is an indicator of health service quality that becomes an important issue although data of patient safety incident at primary health care are not always accurate in Indonesia. Public health center is a health service facility that implements patient safety to improve the health service quality as stated in Health Ministry Law Republic of Indonesia Number 36 Year 2009.Aim: The aim of this study was to identify the implementation of patient safety to improve the service quality.Method: Data collection techniques used were observation, interview, and literature study. The research was done at a public health center in Surabaya from January to February 2018.Results: The results showed that the implementation of patient safety at the public health center was adjusted to the accreditation standard of the public health center. However, there are still some obstacles and shortcomings in the fulfillment of patient safety standards, so it is necessary to optimize the implementation of patient safety from all stakeholders.Conclusion: It can be concluded that public health centers should provide safe and qualified services to achieve healthy disctrict. The public health centers also need to improve the patient safety according to Health Ministry Law Republic of Indonesia Number 36 Year 2009.Keywords: health service quality, patient safety, public health center

Author(s):  
Diding Sarifudin ◽  
Suharyo Hadisaputro ◽  
Agus Suwandono

Background: Moreover, the effectiveness of the outputs was measured and the effectiveness model was completely implemented to include the input and process. However, the results obtained from measuring the input and process element were not documented effectively, thereby, leading to the use of a perception proxy which is the measurement power on the effectiveness. This research was, therefore, conducted to produce a model of health service effectiveness in public health centers based on dimensions and measuring indicators.Methods: This research was conducted quantitatively using a cross-sectional approach. The study population includes the employees of public health centers in Cirebon Regency out of which a sample of 212 respondents. The data obtained were subsequently analyzed using SmartPLS.Results: The effectiveness was measured using 5 dimensions including inputs dimension which consists of utilization of budget and human resource (2 indicators), process dimension which consists of improvement efforts (2 indicators) and innovation efforts (4 indicators), and output dimension which consists of employee satisfaction (3 indicators) and program (1 indicator). Most of the respondents, represented by 60.3%, stated that health services at the public health center were effective.Conclusions: The health service effectiveness model in the public health center was formed by five dimensions and twelve measuring indicators.


2021 ◽  
Vol 9 (E) ◽  
pp. 1200-1206
Author(s):  
Muhammad Rizki Ashari ◽  
Irma Apriani ◽  
Firmansyah Firmansyah ◽  
Fitrianty Sutady Lanyumba

BACKGROUNDS: Tuberculosis is an infectious disease caused by Mycobacterium Tuberculosis. The case in Indonesia rank third with the highest number of TB case in the world. There were 511,873 cases of tuberculosis of all types in 2018. Based on data from the Palu Health Office, the TB cases in Palu in 2018 were still high numbered 557 cases. In 2019, Nosarara Public Health Center had the lowest case finding among the 13 health centers in Palu with 17 TB case findings. The absence of a laboratory in Nosarara Public Health Center for examining sputum samples affected the output in program implementation. AIM: The aim of this study is to evaluate the Control of Tuberculosis in the Discovery of Tuberculosis Cases in Nosarara Public Health Center Palu. MATERIALS AND METHODS: This research used qualitative method with a case study approach. The research informants were 6 people selected through purposive sampling technique. RESULTS: The results summarizes the following : the input aspect in terms of human resources in quantity and quality is inadequate because TB program holders have multiple tasks so that they are not maximal in carrying out their duties and have never attended training, sufficient funds, inadequate facilities and infrastructure, and methods according to guidelines. CONCLUSION: The process of planning, organizing, implementing and supervising has not been maximal, meanwile the output of TB case detection (22%) has not yet reached the predetermined target (80%).It is expected that the Public Health Center will add more health personnel, complete facilities and infrastructure in order to maximize program implementation to achieve predetermined targets.


2021 ◽  
Vol 2 (1) ◽  
pp. 12-16
Author(s):  
Eza Yuliarni ◽  
Nurhayati Siregar ◽  
Yofa Sukmawati

Introduction: Indonesia is one of the developing countries with a high under-five mortality rate due to the rough handling of Integrated Management of Childhood Illness (IMCI). Diseases that cause death can generally be treated at the hospital level, but it is still difficult at the public health center level. Public Health Centers have implemented (IMCI). Suppose they meet the criteria for implementing/implementing the IMCI approach at least 60% of the number of visits by sick toddlers. This study aimed to describe the knowledge and motivation of IMCI implementers regarding the implementation of IMCI at Lubuk Buaya Public Health Center, Padang, in 2014. Method: This research is descriptive. This research was conducted at the Lubuk Buaya Health Center Padang in May 2014. The population in this study were all IMCI implementers who were actively working at the Lubuk Buaya Public Health Center, Padang, with 37 people. Sampling with total sampling technique and analyzed univariately. Results: From 37 staff implementing IMCI, it was found that 31 (83.8%) staff had implemented IMCI well, 36 (97.3%) staff had high knowledge, and 23 (62.2%) staff had high motivation. Conclusions: This study shows that the knowledge and motivation of IMCI implementers are good in implementing IMCI. It is hoped that every IMCI implementer will further increase knowledge about IMCI and its performance so that all sick toddlers get the best IMCI services to prevent death in these toddlers.


2017 ◽  
Vol 9 (7) ◽  
pp. 96 ◽  
Author(s):  
Fuad Husain Akbar ◽  
Muhammad Tegar Jaya

INTRODUCTION: The aim of this study was to examine the relationship between services quality on public health center and patient satisfaction in Kutai Kartanegara Regency, Indonesia.METHOD: This research used pilot pathfinder survey, which was done on February 23rd-25th 2017 in Kutai Kartanegara Regency, Indonesia. Two questionnaires were used in the study. During the data collection, there were 192 patients from the health service center, it was consisted two locations representing the urban and rural area in order to describe the quality of health service towards the patients’ satisfaction. In order to investigate the correlation between the quality of health service and patient satisfaction, Pearson correlation test was conducted.RESULT: The highest score regarding of the service quality was on the dimension of the doctors and pharmacy were 99.5%. The lowest level of patients’ satisfaction on assurance and empathy dimension were 10.4%. There was a significance between the service quality of the doctors, nurses, pharmacy, and the administrators towards the patients’ satisfaction. The highest score of the coefficient correlation on the nurse dimension was 0.273, which means that the nurses were giving good services quality and it affects the people’s satisfaction.CONCLUSION: A good service quality believes would affect the people’s satisfaction which generally affects people’s decision to choose health service provider. Health service center is expected to increase their environmental condition, and the professionalism of the nurses and registration officers in terms of their awareness and performance in order to create better services.


2019 ◽  
Vol 6 (5) ◽  
pp. 485
Author(s):  
Andy Hidayat Jatmika ◽  
Royana Afwani ◽  
Nadiyasari Agitha

<p> </p><p>Saat ini sistem pengolahan data pasien layanan KIA di semua puskesmas di kota Mataram masih dikerjakan dengan  cara  konvensional  atau  belum  memanfaatkan teknologi sistem informasi. Permasalahan yang muncul dari pihak puskesmas adalah lambatnya proses pelayanan pasien yaitu dalam hal pendataan pasien dan pencarian data pasien, serta tingginya  tingkat  kesalahan  dalam  pengolahan  data  pasien  misalnya data  pendaftaran,  data  pemeriksaan,  dan data rujukan. Permasalahan dari sisi pasien adalah pasien harus datang ke puskesmas jika ingin mendaftar, pasien harus mendaftar sebagai pasien baru lagi jika ke puskesmas yang berbeda, pasien masih menggunakan buku KIA untuk mendapatkan informasi dan melihat catatan hasil konseling yang memiliki resiko rusak atau hilang, serta pasien kesulitan untuk melakukan monitoring terhadap perawatan kesehatannya. Keberadaan teknologi <em>cloud</em> <em>computing</em> dengan layanan <em>Software as a Service (SaaS)</em> dapat memberikan solusi untuk permasalahan tersebut. <em>SaaS</em> merupakan model bisnis untuk menyampaikan aplikasi dalam bentuk layanan. <em>SaaS</em> untuk sistem PKIA akan sangat berguna bagi puskesmas dalam mengelola data pasien, sedangkan bagi pasien akan mempermudah mendapatkan informasi dan mempercepat proses layanan. Tujuan penelitian ini adalah membuat rancangan <em>SaaS</em>  untuk sistem PKIA dimana nantinya seluruh Puskesmas di Kota Mataram yang telah tergabung dalam <em>community</em> <em>cloud</em> <em>computing</em> memiliki keseragaman sistem dalam mengelola data pasien dan dapat diakses dari puskesmas mana saja. Terdapat dua metode yang digunakan pada penelitian ini yaitu (1) analisis layanan bisnis, (2) analisis kebutuhan sistem, dan (3) analisis <em>service oriented architecture</em>. Data yang digunakan dalam penelitian ini diambil saat dilakukan observasi langsung dan pengumpulan data di puskesmas wilayah Mataram. Hasil akhir penelitian ini berupa (1) <em>prototype</em> model layanan bisnis PKIA puskesmas yang digambarkan dalam bentuk <em>use case diagram</em> sebagai bagian dari<em> </em>layanan <em>SaaS</em> serta (2) <em>prototype</em> <em>web service.</em> Berdasarkan hasil wawancara dengan pihak Puskesmas yang terdiri dari bidan dan petugas, hasil rancangan ini telah sesuai dengan apa yang diharapkan.  Perancangan ini diharapkan dapat dijadikan dasar dalam implementasi perangkat lunak sistem PKIA puskesmas se-Kota Mataram berbasis <em>cloud</em> SaaS.</p><p> </p><p><em><strong>Abstract</strong></em></p><p class="Abstract"><em>Currently, patient data processing system of PKIA services in public health centers in Mataram city is still doing conventional way that is not yet utilize information technology. The problems that arise from public health centers are: a long service process which includes patient data collection and patient data retrieval, and the number of errors in the processing of patient data, such as registration data, examination data, and referral data. Problems from the patient that the patient must come if will do the registration, must register as new patient if to the different public health centers, still use the manual book to get information and see the record of counseling results that have the risk of damaged or lost, and difficulty in monitoring health care. The existence of cloud computing technology with Software as a Service (SaaS) can provide solutions to these problem. SaaS is a business model for delivering applications in the form of services. SaaS for PKIA will be very useful for public health center to manage patient data, patient will be more efficient easier to get service and get information. The purpose of this research is to design the SaaS for PKIA system where the public health center in Mataram City which is incorporated in community cloud  has uniform system in managing data.. This research uses three methods: (1) business service analysis, (2) system requirement analysis, and (3) service oriented architecture analysis. The data used in this research was taken when doing observation and data collection at public health center of Mataram city. The results of this research are (1) prototype of PKIA business service model which is described in the form of use case diagram as part of SaaS service and (2) prototype of  web service. Based on the results of interviews conducted with the Public Health Center, the results of this design were as expected. This design can be used as a basis in the implementation of software on the system of PKIA based on cloud SaaS.</em></p><p><em><strong><br /></strong></em></p>


2020 ◽  
Vol 6 (2) ◽  
pp. 63-69
Author(s):  
Muhammad Ikhsan Akbar ◽  
La Ode Ali Imran Ahmad

Background: The availability of general practitioners in the public health center is still an important spotlight regarding the uneven distribution.Objective: The purpose of this study is to find out the total needs of general practitioners at public health centers, specifically at the Public Health Center of Tampo and Wapunto in Muna District.Methods: This study used a descriptive approach using health workload method analysis. Observation sheets were used for collecting data. Workload burden analysis was used by establishing health facilities and types of health human resources, setting available work time, setting workload components and time norms, calculating workload standards, supporting task standards and supporting task factors, and also calculating the needs of general practitioners.Results: The Public Health Center of Tampo lacked two general practitioners, and the Public Health Center of Wapunto lacked one general practitioner.Conclusion: The Public Health Centers of Tampo and Wapunto in Muna district need additional general practitioners in the efforts of providing optimal service particularly in preventive, promotive, curative and rehabilitative to the community. 


2018 ◽  
Vol 9 (11) ◽  
pp. 21127-21137
Author(s):  
Ni Putu Cempaka Dharmadewi Atmaja ◽  
Ni Made Satya Utami

This study aims to find out the critical factors in delivering the quality of services at the Public Health Center (Puskesmas) in Sukawati District. Determination of critical factors based on Servqual Gap is a comparison between expectations and perceptions of the quality of service perceived by patients/ public health visitors. The research method is using qualitative descriptive analysis. The critical factor is determined by making a Cartesian diagram which is sourced from Serqual GAP. Data was obtained from the distribution of questionnaires to 200 respondents. The results of the data analysis concluded that there were 10 indicators in the Puskesmas Sukawati I that were categorized as critical factors that had to be corrected immediately. While Puskesmas Sukawati II there are 2 indicators that must immediately be improved. The comparative analysis shows that there is a significant difference between patient expectations and perceptions of perceived service quality. This result is certainly a consideration for the management of the Puskesmas to be able to assess the accuracy of the services provided to the community so that it can improve the quality of services in the future.


Author(s):  
Ajeng Dyah Pythaloka ◽  
Darmawansyah . ◽  
Muhammad Asdar

Background: Customer (patient) satisfaction in health services is very important to note because it can describe the quality of services in the health service. This study aims to determine the level of performance assesment of public health centers relating to the quality of public health centers service, management of public health centers and health services based on patient satisfaction in the public health center in Parepare, South Sulawesi.Methods: The research method is quantitative with survey research to determine the level of reseach results on public health centers about patient satisfaction.Results: The results of the study indicate that performance assessment is in the form of the quality of service possessed by the public health center obtained an average performance value of 8.8 with a good performance category. Management of the public health center obtained an average performance value of 8.9 with a good performance category. Health services obtained an average performance value of 90.7% with sufficient performance categories. Customer satisfaction obtained an average value of 71.1% in the good category.Conclusions: Service quality of public health center has a good performance, health center management has good performance, health services have sufficient performance, customer satisfaction has a good category. So that the average performance of the public health center has results comparable to the results of customer satisfaction, which is a good category.


Author(s):  
Siti Nurfadilah H ◽  
◽  
Riris Andono Ahmad ◽  
◽  

ABSTRACT Background: On 24 November 2015, public health center Kokap 2 reported an outbreak of suspected measles in the village of Hargowilis. In Kokap District, outbreaks of suspected measles have never occurred in school-age children in the last three years. This study aims to ascertain the suspected measles outbreaks and identify risk factors, sources, and transmission routes. Subjects and Method: This was a matched case control study conducted from November 2015 to January 2016, in Hargowilis Village, Central java. A Sample of 21 who has the main clinical symptoms suspected of measles such as: fever, rash and followed by one of the symptoms of cough, flu, and red eyes (cases) and classmates who did not have case-like symptoms (control) were selected by snowball sampling. The data were analyzed using McNemar’s test and logistic regression. Results: Five out of ten sera tested were positive for rubella. There were 21 total cases. None of the pregnant women was a rubella case. Most of the patients were male (61.90%) with ages ranging from 5 to 11 years (71.43%) and were served at the public health center (80.95%). The case index is a student who travels in the District of Wates. The highest number of cases was at week 46 of 2015 (9 cases). Bivariate analysis showed that contact history (OR = 0.14; 95% CI 0.03 to 0.39; p = <0.001) and age (OR = 0.06; 95% CI 0.00 to 0.24; p = <0.001) were risk factors for this Rubella outbreak. Conclusion: There has been an outbreak of rubella in the village of Hargowilis, Yogyakarta. Public health centers are recommended to provide information to the public about rubella. Health workers need to take all blood serum cases to confirm outbreak. Public health centers are suggested to strengthen the surveillance system for measles and rubella. Keywords: Rubella, risk factors, Public health center, outbreaks Correspondence: Siti Nurfadilah H. Center for Health Policy and Management (PKM) Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta. Email: [email protected]. Mobile: 085255987009 DOI: https://doi.org/10.26911/the7thicph.01.20


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