scholarly journals Efficiency of emergency service for COVID-19 patients in Indonesia: management system, public policies, and medical action

2022 ◽  
Vol 6 ◽  
Author(s):  
Lestari Makmuriana ◽  
Ade Risna Sari ◽  
Moelisa Nogueyan

Since the implementation of physical distancing and Large-Scale Social Restrictions (PSBB) on March 20, 2020, there was a decrease in patients at Cicendo Eye Hospital as much as 67.9% from March to April 2020. Encouragement to the public to keep their distance, avoid crowds, and the advice to stay at home resulted in a flow the process of health care during the COVID-19 pandemic has changed, such as the implementation of standard precautions for all patients and ensure early identification and source control. The existence of COVID-19 policies in the form of screening, service procedures, and the changing flow of the service process is thought to also affect patient satisfaction and the quality of nursing services. To analyze the quality of nursing services during the COVID-19 pandemic at Cicendo Eye Hospital. Using the Importance Performance Analysis (IPA) method. Data collection is carried out in outpatient and inpatient settings. Cicendo Eye Hospital. Sources of data in the form of primary data through questionnaires Responsiveness, Assurance, Tangible, Empathy and Reliability (RATER) and secondary data in the form of patient satisfaction data and service quality in 2019.

2019 ◽  
Vol 1 (1) ◽  
pp. 85-93
Author(s):  
Tiara Putri Ryandini ◽  
Lukman Hakim

The lack of patient satisfaction is due to the increasing demands of the patient's needs, but this is not accompanied by improvements in nurses' actions. If the customer feels dissatisfied with a service provided, then that service can be ascertained to be ineffective and inefficient. This is especially important for public services. Providing services to the community as done by RSUD Dr. R. Koesma Tuban, needs to get attention, especially in the quality of services to suit the needs and expectations of the community. This study focuses on the quality of nursing services and the level of patient satisfaction in the Asoka Hospital Dr. R. Koesma Tuban. This study aims to determine the relationship between the quality of nursing services with the level of patient satisfaction in the Asoka Hospital Dr. R. Koesma Tuban. This study uses analytic survey research with cross sectional approach, while the data analysis used is the Spearman Rank correlation test. The population used in this study were patients in the Asoka room of RSUD dr. R. Koesma Tuban who fit the inclusion criteria as many as 155, with a large sample of 112 respondents using a simple random sampling technique. The results showed that most patients were quite satisfied with the quite good nursing services. Spearmen Correlation Test Results (rs) obtained, the variable quality of nursing services (p <0.05) has a relationship to the level of patient satisfaction with moderate correlation (r = 0.476) and the direction of the positive correlation which means the better the quality of nursing services, the higher the level of satisfaction patient.Almost half of the nurses at Asoka Room  RSUD dr. R. Koesma Tuba have a good quality nursing service. Almost half of the patient at Asoka Room RSUD dr. R. Koesma Tuban feel satisfy with nurse’s service; there is a correlation between the quality of nurse service and the level of patient satisfaction  at Asoka Room RSUD dr. R. Koesma Tuban.


2015 ◽  
Vol 1 (2) ◽  
pp. 151-164
Author(s):  
Magvira Alia ◽  
Nirwan Nirwan ◽  
Suardi Suardi

The study intends to determine simultaneous and partial influence of service quality (X) consisting of physical evidence (X1), reliability (X2), responsiveness (X3), assurance (X4), and empathy (X5) on patient satisfaction  (Y)  in  the  General  Hospital  of  Banggai  Islands,  where the  study  is  located.  The type  of  research  is  descriptive. Sources  of data  is  primary  data  retrieved  from  questionnaires  and secondary data  obtained  from  documents  of  the  Regional  General  Hospital Banggai  Islands.  The sample consists of 72 respondents. The sampling technique used is purposive sampling. Based on the results, it is shown that the quality of service (X), consisting of physical evidence (X1), reliability (X2), responsiveness (X3), assurance (X4), and empathy (X5) simultaneously have significant influence on patient satisfaction (Y) of 69.60% while the remaining 30.40% is influenced by other causes. Partial test  shows  that  there  are  three  independent  variables:  physical evidence  (X1),  reliability  (X2)  and assurance (X4) that have non-significant influence to the patients’ satisfaction at the General Hospital of Banggai Islands.Tujuan  dari  penelitian  ini  adalah  untuk  mengetahui  pengaruh kualitas  layanan  (X)  yang terdiri  dari  bukti  fisik  (X1),  reliabilitas  (X2),  responsivitas (X3), jaminan (X4),  dan  empati (X5)  secara simultan  dan  parsial  terhadap  kepuasan  pasien.  (Y)  di  Rumah  Sakit  Umum Kepulauan  Banggai.  Lokasi  penelitian  ini  di  Rumah Sakit  Umum  Kepulauan  Banggai.  Jenis penelitian  ini  bersifat deskriptif.  Sumber  data  dalam  penelitian  ini  adalah  data  primer yang diambil  melalui  kuesioner  dan  data  sekunder  diperoleh  dari  Rumah Sakit  Umum  Daerah Banggai. Sampel dalam penelitian ini adalah 72 responden. Teknik sampling yang digunakan adalah  purposive sampling.  Berdasarkan  hasil  penelitian  menunjukkan  bahwa  variabel kualitas pelayanan (X) yang terdiri dari bukti fisik (X1), reliabilitas (X2), responsivitas (X3), jaminan (X4),  dan  empati (X5)  secara  simultan berpengaruh  signifikan  terhadap  kepuasan pasien  (Y)  dengan pengaruh 69,60%  sedangkan  sisanya  30,40%  dapat  dijelaskan  oleh penyebab  lainnya.  Uji  parsial  menunjukkan  bahwa  terdapat  tiga variabel  bebas  yang  tidak signifikan yaitu bukti fisik (X1), reliabilitas (X2) dan jaminan (X4) terhadap kepuasan pasien di Rumah Sakit Umum Kepulauan Banggai.


2021 ◽  
Vol 5 (2) ◽  
pp. 1045-1054
Author(s):  
Esra Marolop Doloksaribu ◽  
Evawani Martalena Silitonga ◽  
Donal Nababan ◽  
Mindo Tua Siagian

Continuous improvement of service quality is one of the important keys in facing the era of globalization which implies that services must be carried out according to standards and meet quality rules that are oriented to the interests of consumers. With these programs and facilities, it is hoped that the community will no longer be reluctant to seek treatment at the Puskesmas. The purpose of this study was to analyze the effect of the quality of health services on the satisfaction of inpatients at the Sei Mencirim Health Center.This research is a survey research, conducted at the Sei Mencirim Health Center. The population was all patients who were hospitalized at the Sei Menistrim Health Center in January-July 2021 totaling 74 people and the entire population was taken as a sample. Primary data obtained from interviews and secondary data in the form of inpatient data. The hypothesis was tested using the Multiple Regression test.Based on Bivariate analysis revealed that there was no effect of physical evidence on patient satisfaction. There is an effect of reliability, responsiveness, assurance and empathy on patient satisfaction.The most dominant variable affecting patient satisfaction is empathy.                Considering that empathy is the dominant variable affecting patient satisfaction, puskesmas need to improve quality individual service and patient family time for consultation is met.Keywords: Service Quality, Patient Satisfaction, Puskesmas Sei Mencirim


2020 ◽  
Vol 2 (2) ◽  
pp. 110-129
Author(s):  
Adam Dwi Juliansyah ◽  
Dyah Ayu Febriani ◽  
Hisyam Yusril Hidayat ◽  
Mohammad Hernanda Trianggoro ◽  
Vanissa Noorizqa Prastowo

The problem in the health sector is one of the complicated problems faced by the government, this is evidenced by the extraordinary events (KLB) in various regions, one of which is the Hepatitis A outbreak in Depok that accumulates 306 cases. The main cause of these outbreaks is the low awareness and mentality of the public regarding the application of healthy and clean lifestyles and the government's preventive ability in terms of policies. Seeing this problem, the City Government of Depok has a strategic plan in the form of the Smart Healthy City (SHC) Depok policy as one of the policy efforts in order to improve the quality of public health through implementing technology and increasing competence in realizing the policy. This paper aims to review how the SHC Depok strategic plan policy can be collaboratively updated to carry out a mental revolution not only at the local government level, but also that policy can be understood by the public. The goal of the mental revolution is not only towards society, but also from the side of the government and various other parties. This paper was compiled from primary data in the form of in-depth interviews with various informants and secondary data from books, journals, and electronic sources. The expected outcome of the SHC Depok policy renewing itself is to improve the quality of services and improve the quality of public health based on preventive and collaborative actions.


2020 ◽  
Vol 8 (1) ◽  
pp. 113
Author(s):  
Edgar Ch. Q. Wuwung ◽  
Lenny Gannika ◽  
Michael Karundeng

Abstract: Background Nursing Services is a holistic service that encompasses Bio, Psycho, Socio and Spirituality which contains Caring attitude. Patient satisfaction can be influenced by several factors one of them is caring attitude of nurses.The Purpose of this study is to identify relationship between Nurse’s Caring and Patient Satisfaction at Hospital GMIM Pancaran Kasih Manado. Method of this study used cross sectional study design. Sample of this study consist of 90 respondents taken by random sampling method and data collection method used nurses caring and patient satisfaction  questionnaire. Chi-square was used to analyze the data. the Results of this study showed  out of 90 respondents, most of them were Satisfied (60%) and said that the Nurse have Caring attitude (58,9%) with p-value 0.04 smaller than 0.05. Conclusion of this study stated there was a relationship between Nurse’s Caring and Patient Satisfaction at Rumah Sakit Umum GMIM Pancaran Kasih Manado. Suggestions from this study are nurses expected should maintain the quality of Nursing Care so that patient satisfaction can be maintained.Keywords: Nurse’s Caring, Patient Satisfaction, Nurse, Nursing Management.Abstrak: Latar Belakang Pelayanan Keperawatan merupakan suatu pelayanan yang holistik yang melingkupi Bio, Psiko, Sosio dan Spiritual yang didalamnya terkandung sikap Caring. Kepuasan  pasien  dapat dipengaruhi oleh beberapa faktor salah satunya adalah sikap caring perawat. Tujuan studi ini untuk mengetahui hubungan antara perilaku Caring Perawat dengan Kepuasan Pasien di Rumah Sakit Umum GMIM Pancaran Kasih Manado. Metode studi ini menggunakan desain penelitian cross-sectional. Sampel studi ini berjumlah 90 responden dengan metode pengambilan sampel random sampling dan untuk mengumpulkan data menggunakan kuesioner perilaku caring perawat dan kepuasan pasien. Uji chi-square untuk melakukan analisa data hubungan kedua variabel  Hasil dari penelitian ini, didapatkan dari 90 Responden yang diteliti sebagian besar Mengatakan puas (60%) dan berpendapat bahwa perawat  memiliki perilaku Caring (58,9%) dengan p-value 0.04 lebih kecil dari 0.05. Kesimpulan dari penelitian ini bahwa terdapat hubungan antara Perilaku Caring Perawat dan Kepuasan Pasien di Rumah Sakit Umum GMIM Pancaran Kasih Manado. Saran dari penelitian ini diharapkan perawat agar mempertahankan kualitas Asuhan Keperawatan agar kepuasan pasien dapat tetap terjaga. Kata Kunci : Perilaku Caring, Kepuasan Pasien, Perawat, Keperawatan Manajemen


2020 ◽  
Vol 3 (2) ◽  
pp. 12-20
Author(s):  
Nana Rochana ◽  
Noeh Nuwa Djogotuga

Introduction: The quality of nursing services in the Emergency Department was greatly affected by the high number of stagnant patients resulting in their satisfaction. However, limited evidence was shown about the satisfaction level of stagnant patients in the Emergency Department in Indonesia. This study aims to know the satisfaction level of stagnant patients on the services in an Kupang Emergency Department. Methods: The total sample in this study was 109 respondents recruited by an accidental sampling method. Data were taken using a questionnaire of Brief Emergency Department Patient Satisfaction Scale (BEPSS); and analyzed using descriptive statistics (frequency and percentage). Results: The results of this study showed that as many as 89% of stagnant patients were satisfied with Emergency Department's  services. The responsiveness dimension had the highest level of stagnant patient satisfaction (99.1%) compared to the tangible dimension (78.9%). The quality of service provided to stagnant patients in the emergency department should be improved especially on the tangible dimension though the majority of patients were happy with the service. Suggestion: This study suggests to the hospital to manage a comfortable ED surrounding to the patients.


2013 ◽  
Vol 2 (1) ◽  
pp. 151
Author(s):  
Marietta Sylvie Bolang ◽  
Jullie J. Sondakh ◽  
Jenny Morasa

This study examined the influence of the auditors’ competency, independency, and experiences towards audit quality of financial auditing of the staff of inspectorate in Tomohon City as part of their supervision function. The finding of this study could be an important input for improving the quality of financial management of the local government since the policy of decentralization has given the local governments authority not only to manage natural resources but also their financial sector. However, as could be seen there are still a lot of problems related to financial management mostly caused by the poor knowledge and skills related to financial auditing of government offici als responsible for this specific task. It is common to find inconsistency in the financial report of internal auditor  ( inspectorate )  and external auditor, Supreme Audit Agency  ( Badan Pemeriksa Keuangan) .There were two variables in this study. Audit quality was the dependent variable  ( Y ) while the independent variables elaborated into three variables, namely: auditor’s competency  ( X1 ) , auditor’s independency  ( X2 )  and auditor’s experiences  ( X3 ) . There were 36 personnel of the Inspectorate’s Office of Tomohon City participated as the sources of this study. Thus, the population of this research is the Tomohon City Regional Inspectorate officers. Data used in this study were primary and secondary data, while questioner and indepth interview as well as document study used as the data collection methods. The first consecutive methods employed to obtain primary data while the last used for obtaining secondary data. Both data analyzed using the multiple linear regression techniques.This study found that the influence of independent variable which were competency, independency and experiences towards dependent variables which was audit quality was significant. The 0.645 value of coeficient determination showed the significant relationship between both variables. This means that the equation model used in this study found the significancy at about 64,5%. The remaining proportion which was 35,5% explained by the other factors which were not part of this model. After examining the hypotheses, it can be concluded that partially competency had positive influence but not too significant to the quality of the inspectorate officer. However, independency and experiences had a positive and significant influence to the auditing quality of the public servant working in the inspectorate’s office.This study recommends to improving the knowledge and skills of the public apparatus by conducting short courses and training in accounting and auditing.Keywords: audit quality, competency, independency and experiences


2020 ◽  
Vol 10 (2) ◽  
pp. 141
Author(s):  
Tenny Apriliani ◽  
Rismutia Hayu Deswati

Impor ikan salmon-trout semakin meningkat seiring bervariasinya menu masakan Jepang di Indonesia pada sejumlah hotel, restoran dan katering. Pengendalian impor terhadap komoditas harus dilakukan sebagai upaya mengurangi defisit neraca perdagangan. Pengendalian impor ikan salmon-trout sangat penting dilakukan karena merupakan produk pesaing ikan lokal dan berpotensi menurunkan permintaan terhadap ikan lokal. Oleh karena itu, penelitian ini bertujuan merumuskan strategi pengendalian impor ikan salmon-trout terutama untuk konsumsi hotel, restoran, katering, pasar modern (Horekapasmod) dan industri pengolahan ikan (re-ekspor). Data primer dan sekunder digunakan dalam penelitian ini. Data primer berasal dari wawancara dan diskusi dengan pemangku kepentingan impor salmon-trout pada bulan bulan Maret hingga September 2019 di DKI Jakarta dan Jawa Timur sebagai pintu masuk impor utama ikan salmon-trout. Data sekunder juga dikumpulkan dari berbagai institusi seperti BPS dan berbagai hasil penelitian beberapa perguruan tinggi. Data yang dikumpulkan kemudian dianalisis dengan menggunakan metode analysis hierarchy process (AHP) untuk merumuskan strategi pengendalian impor salmon-trout. Strategi pengendalian impor salmon-trout berdasarkan hasil analisis disusun berdasarkan prioritas. Prioritas pertama dengan bobot nilai 0,413 adalah sosialisasi dan edukasi kepada masyarakat tentang jenis ikan yang memiliki kandungan gizi sama dengan salmon-trout. Prioritas kedua adalah peningkatan ketersediaan dan perbaikan kualitas ikan lokal yang potensial mensubstitusi salmon-trout dengan bobot 0.363. Prioritas ketiga adalah mengikuti kerjasama perdagangan internasional untuk ekspansi pasar ekspor khususnya untuk fillet salmon-trout dengan bobot sebesar 0,224. Pelaksanaan strategi tersebut diharapkan dapat meningkatkan konsumsi ikan lokal yang asupan gizinya tidak kalah dengan salmon-trout sehingga alokasi impor dalam negeri dapat dikurangi secara bertahap.Title: Salmon-Trout Import Control Strategies for Domestic Market ConsumptionSalmon-trout imports has increased along with the growth of hotels, restaurants and restaurants with Japanese cuisine in Indonesia. Control of imports of commodities must be done as an effort to reduce the trade balance deficit. Import control of salmon-trout is very important because it is a local fish competitor and has the potential to reduce demand for local fish. Therefore, this study aims to formulate a salmon-trout import control strategy especially for hotels, restaurants, catering, retails and processing industry (re-export) consumption. Primary and secondary data were used in this study, primary data derived from interviews and discussions with salmon-trout importer stakeholders in March to September 2019 in DKI Jakarta and East Java as the main entry point for salmon-trout import. Secondary data was also collected and from various institutions such as BPS and various research results from several universities. The data collected then analyzed using the hierarchical process analysis (AHP) method to formulate salmon-trout import control strategies. Salmon-trout import control strategies based on the results of the analysis are arranged according to priority. The first priority with a weight value of 0.413 is socialization and education to the public about the types of fish that have the same nutritional content as Salmon-Trout. The second priority is increasing availability and improving the quality of local fish which has the potential to substitute Salmon-Trout with a weight of 0.363. The third priority is to participate in international trade cooperation for the expansion of export markets specifically for salmon-trout fillets with a weight of 0.224. The implementation of this strategy is expected to increase the consumption of local fish which are nutritionally inferior to salmon-trout so that the allocation of imports is gradually reduced.


2020 ◽  
Vol 1 (4) ◽  
pp. 24-32
Author(s):  
Mhd. Fadli ◽  
Arifah Devi Fitriani ◽  
Asriwati Amirah

The quality of health services is one of the basic needs that everyone needs. The low quality of nursing services is in line with the low level of patient satisfaction so it is necessary to improve the quality of nursing services in order to increase patient satisfaction. This study aims to determine the effect of the quality of nursing services of the level satisfaction of partial and total dependence inpatient midwifery in Sundari General Hospital in 2020. The type of research is a descriptive-analytic survey with cross-sectional research. The population in the study were all partial and total dependence inpatient midwifery RSU Sundari Medan and the sample of 72 people. Methods of data analysis by means of univariate analysis, bivariate analysis, and multivariate analysis with multiple logistic regression tests. The results of the study statistically showed safety, hygiene of body care, comfort, and anxiety affect the level satisfaction of partial and total dependence inpatient midwifery (p <0.05). The results of multiple logistic regression tests found variables that the most influence patient satisfaction is safety and comfort. Safety is the most dominant factor in influencing patient satisfaction. It can be concluded that there is an effect of safety, hygiene of body care, comfort, and anxiety of the level satisfaction of partial and total dependence inpatient midwifery. Suggested by the hospital, it is necessary to increased training in safety during postnatal care through providing actions to patients so that safety measures provide satisfaction. Training needs to be provided to provide relaxation techniques that are appropriate for nursing instructions so feel comfortable.


2020 ◽  
Vol 5 (2) ◽  
pp. 9-12
Author(s):  
Evodius Nasus ◽  
Grace Tedy Tulak

Hospitals as health service providers are expected to always prioritize patient satisfaction through improving the quality of services performed. One indicator to assess the quality of health services is to measure the level of satisfaction of patients who are recipients of health services. This research aims to analyze the effect of the quality of nursing services with patient satisfaction at BLUD Benyamin Guluh Kolaka Hospital. The research method used was an analytic survey with a cross-sectional approach. The population and sample were 75 patients in the internal and surgical rooms which were obtained by the accidental sampling method. The results result showed that significantly the high quality of nursing services can affect patient satisfaction (p=0.000 < p=0.05). The conclusion of this study is that the higher the quality of nursing services, the more positive impact on satisfaction felt by patients otherwise.


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