scholarly journals Penilaian Kualitas Pelayanan Puskesmas dengan Model Donabedian: Studi Kasus Puskesmas di Kota Depok

2009 ◽  
Vol 4 (1) ◽  
pp. 24
Author(s):  
Dian Ayubi
Keyword(s):  
Patient Satisfaction ◽  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Community Health Center ◽  
Donabedian Model ◽  
Assess Quality ◽  
Process Attribute

Perkembangan stuktur sosio-demografi penduduk dan infrastruktur Kota Depok yang pesat berpengaruh terhadap masalah kesehatan yang semakin kom-pleks. Pada era desentralisasi, Dinas Kesehatan Pemerintah Kota Depok dituntut memberikan pelayanan kesehatan masyarakat yang berkualitas antara lain melalui pelayanan kesehatan tingkat primer di puskesmas. Penelitian ini bertujuan menganalisis mutu pelayanan puskesmas dan hubungan struktur dan pro-ses terhadap hasil pelayanan puskesmas, kepuasan pelanggan. Survey di rumah responden dilakukan pada bulan Maret 2004, dalam wilayah kerja enam puskesmas kecamatan di Kota Depok. Populasi adalah semua penduduk yang bermukim di wilayah kerja Puskesmas Kecamatan se-Kota Depok. Sampel adalah 300 rumah tangga yang tersebar di setiap kelurahan wilayah kerja masing-masing puskesmas kecamatan dengan responden ibu rumah tangga. Analisis dilakukan dengan pendekatan Structure, Process dan Outcome berdasarkan penilaian pasien. Penelitian ini menemukan nilai median atribut mutu struktur, proses dan kepuasan pelanggan adalah 75; 71,4 dan 75,0. Variasi pada dimensi struktur lebih lebar daripada dimensi proses. Secara bersama-sama, ada hubungan statistik yang bermakna antara struktur dan proses terhadap hasil di puskesmas kecamatan di Kota Depok. Aspek atribut struktur pelayananpuskesmas yang dinilai pelanggan perlu perbaikan adalah kelengkapan sarana, sedangkan untuk atribut proses adalah waktu tunggu pendaftaran. Kata kunci: Model donabedian, kepuasan pelangganAbstractRapid growth of sociodemographic and infrastructure in Depok City has influenced the complexity of health problems. In the decentralization era, one of community health center function is to provide quality primary health care. The aim of this study is to assess quality of health services that was provided by sub-district community health center based on Donabedian Model (Stucture Process Outcome). Survey was conducted in six sub-district community health centers. Data were collected using questionnaires. Respondents were interviewed in their home during March 2004. Samples covered 300 households in six areas. Median of stucture, process and outcome atributes of health services is 75, 71.4 and 75.0. Variation of stucture attribute is wider than process attribute. This study found there is a statistically significant correlation between structure and process attributes to outcome (patient satisfaction) of community health center services. In the structure attribute, equipment or facility aspect of community health center is needed to be improved while for process attribute, it isthe aspect of waiting time in admission. Keywords : Donabedian model, patient satisfaction

scholarly journals The Effect of the Quality of Health Services on the Satisfaction of Patients at the East Langsa Community Health Center

2021 ◽  
Vol 2 (1) ◽  
pp. 32-46
Author(s):  
Desy Murdiatama ◽  
Ahmad Rifai ◽  
Indah Anggraeni
Keyword(s):  
Public Health ◽  
Multivariate Analysis ◽  
Patient Satisfaction ◽  
Health Services ◽  
Health Center ◽  
Univariate Analysis ◽  
Community Health Center ◽  
Physical Evidence ◽  
Quality Of Health Services

Service quality and patient satisfaction are the two most important things in Community Health Center (puskesmas) services. This study aims to see the effect of the quality of health services on outpatient satisfaction at Langsa Timur Public Health Center, Langsa City in 2020. This type of research is a quantitative research which is an analytical survey with a cross sectional study approach. The population in this study were 2,116 people. A sample of 95 people using the Slovin formula. The analysis used is univariate analysis, bivariate analysis with chi-square test and multivariate analysis with linear regression test, measuring instruments used questionnaires and data processing using computerized with a significance level of P-Sign <0.05. The results of this study are based on the results of univariate analysis, as many as 64 people were dissatisfied and 31 people were satisfied. The results of multivariate analysis showed that physical evidence and responsiveness had an influence on patient satisfaction and physical evidence was dominant. The conclusion of this study is that there is an effect of physical evidence and responsiveness on outpatient satisfaction at Langsa Timur Public Health Center, Langsa City.

scholarly journals Pengembangan Indeks Mutu Pelayanan Kesehatan Puskesmas

2019 ◽  
Vol 29 (3) ◽  
Author(s):  
Hadjar Siswantoro ◽  
Hadi Siswoyo ◽  
Nurhayati Nurhayati ◽  
Delima Tie ◽  
Annisa Rizky Afrilia ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Structural Equation ◽  
Quality Index ◽  
Multinomial Logistic Regression ◽  
Community Health Center ◽  
Convenience Sampling

Abstract Community health center (Puskesmas) as the front line in health services must improved their quality continuously. Therefore, Puskesmas need strong tools to measure their quality. The tool must be used both by the Puskesmas itself and by the health agency. This study aims to develop a reliable quality measurement tool in the form of Health Service Quality Index (HSQI). This study is a cross-sectional and observational. Data collection was conducted in June–October 2017 in. 200 community centers selected by convenience sampling, by assessing the completeness of regulations and documents; observations, simulations, and interviews. The questionnaire consisted of 344 scoring elements (SE) derived from the results of the content vaidity test and the feasibility of answers to questions 776 of the SE accreditation instruments. Data analysis in this study used Structural Equation Modelling (SEM) and multinomial logistic regression analysis. The results of validity and reliability test for construct variables based on Malcolm Baldrige concept of 344 SE showed 179 valid SE with alpha cronbach > 0.8 and r > 0.75. Next to the 179 SE, an SEM is conducted to obtain the first alternative Health Services Quality Index (HSQI) consisting of 88 SE. For these 88 SE the content validity and suitability of the references tests were conducted to obtain a second alternative of HSQI consisting of 18 SE. Finally, multinomial logistic regression was carried out which resulted in 85.4% conformity for the first alternative (88 SE) and 76.7% for the second alternative (18 SE) on the results of the accreditation assessment (basic, intermediate, primary, and plenary). The HSQI can describe the quality of services with a predictive power of over 76% on the result of Puskesmas accreditation, so that the index can be used by community health center to assess the quality of their services more quickly and more easily. Abstrak Pusat Kesehatan Masyarakat (Puskesmas) sebagai barisan terdepan dalam pelayanan kesehatan harus meningkatkan mutunya terus menerus. Oleh karena itu, puskesmas membutuhkan alat yang kuat untuk mengukur kualitasnya. Alat tersebut harus dapat digunakan baik oleh puskesmas sendiri maupun oleh Dinas Kesehatan. Studi ini bertujuan untuk mengembangkan alat ukur mutu yang reliabel dalam bentuk Indeks Mutu Pelayanan Kesehatan (IMPK). Penelitian ini merupakan penelitian observasional secara potong lintang. Pengumpulan data dilakukan pada bulan Juni–Oktober 2017 pada 200 puskesmas penelitian yang dipilih secara convenience sampling, dengan cara menilai kelengkapan regulasi, kelengkapan dokumen, pengamatan, simulasi, dan wawancara. Kuesioner terdiri atas 344 elemen penilaian (EP) yang berasal dari hasil uji validitas isi dan visibilitas jawaban dari pertanyaan 776 EP instrumen akreditasi. Analisis data penelitian ini menggunakan Structural Equation Modeling (SEM) dan analisis regresi secara multinomial logistik. Hasil dari uji validitas dan reliabilitas terhadap variabel konstruk berdasarkan konsep Malcolm Baldrige terhadap 344 EP, menunjukkan 179 EP yang valid dengan alpha cronbach > 0,8 dan r > 0,75. Selanjutnya terhadap 179 EP ini dilakukan analisis SEM sehingga didapatkan IMPK alternatif pertama terdiri dari 88 EP. Terhadap 88 EP ini dilakukan uji validitas isi dan kesesuaiannya dengan referensi sehingga didapatkan IMPK alternatif kedua terdiri dari 18 EP. Akhirnya, dilakukan analisis regresi multinomial logistik yang menghasilkan kesesuaian 85,4% untuk alternatif pertama (88 EP) dan 76,7% untuk alternatif kedua (18 EP) terhadap hasil penilaian akreditasi (dasar, madya, utama, dan paripurna). IMPK ini dapat menggambarkan mutu layanan dengan kekuatan prediksi di atas 76% terhadap hasil akreditasi puskesmas, sehingga indeks tersebut bisa digunakan oleh puskesmas untuk menilai mutu layanannya dengan lebih cepat dan lebih mudah.

scholarly journals Quality of health services during the pandemic COVID-19 (Descriptive study at the Pontap community health center in Palopo City)

2021 ◽  
Vol 8 (4) ◽  
pp. 1578
Author(s):  
Adam Badwi ◽  
Periyenti Ba'ru
Keyword(s):  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Quantitative Research ◽  
Health Workers ◽  
Community Health Center ◽  
Public Health Services ◽  
Good Communication ◽  
The One

Background: During the COVID-19 pandemic that has hit the world including the Indonesia since March 2020, it may not reduce the quality of public health services at the Community Health Center for visiting people on the one hand, however, on the other hand, it is still necessary to prioritize the safety of patients and health workers. Health services at the Community Health Center during the Covid-19 Pandemic will be very different from the situation before COVID-19.Methods: The research was conducted using quantitative research with a descriptive approach which was carried out at the Pontap Community Health Center, Palopo City for 3 months, namely September to November 2020.The population in this study were all patients who visited the Pontap Community Health Center in Palopo City at the time of the study with a sample of 130 people who were determined using purposive sampling technique.Results: The results of the study showed the reliability of health workers in the good category was 93.8%, the health worker assurance in the good category was 90.0%, tangibles displayed by health workers was more in the good category, namely 88.5%, empathy for health workers was 93.8%, good responsiveness of 90.0%.Conclusions: So it is concluded to provide recommendations, namely for health workers to maintain professionalism at work, especially during the COVID-19 pandemic and increase their attention to patients in terms of building good communication between health workers and the public.

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