scholarly journals Persepsi Pasien Penyakit Kronis Terhadap Kualitas Dan Kepuasan Pelayanan Sebelum Dan Sesudah Pemberlakuan BPJS Di Unit Rawat Jalan RSH Blitar

2020 ◽  
Vol 23 (3) ◽  
pp. 198-204
Author(s):  
Nikma Fitriasari ◽  
Fajar Juli Nursanti ◽  
Siswanto Siswanto

All hospitals in Indonesia are required to serve BPJS patients with quality services. Service quality consists of five dimensions:tangibles, reliability, responsiveness, assurance, and empathy. Quality service increases service satisfaction. Conditions at RSH Blitar showed an increase in outpatient visits by 79.4% after the application of BPJS. This case may lead to changes in service quality. This study identifies the differences in patient perceptions of service quality and satisfaction before and after the application of BPJS. This study applies observational analytic research with a cross-sectional approach. Data collection was from Blitar Hospital Outpatient Unit in April-June 2018. The sample was 66 patients. The Wilcoxon Paired Test indicated a significant difference in perception of service quality and satisfaction before and after the issue of BPJS in outpatients BPJS with chronic illness at RSH Blitar. Abstrak Seluruh rumah sakit di Indonesia wajib melayani pasien BPJS dengan pelayanan yang berkualitas. Kualitas pelayanan dapat dilihat dari lima dimensi, yaitu tangibles, reliability, responsiveness, assurance, dan emphaty. Pada dasarnya, pelayanan yang berkualitas meningkatkan kepuasan pelayanan. Kondisi di RSH Blitar menunjukkan peningkatan kunjungan rawat jalan sebesar 79,4% setelah bekerjasama dengan BPJS. Peningkatan kunjungan ini dapat menimbulkan perubahan pada kualitas pelayanan. Studi ini mengkaji lebih lanjut perbedaan persepsi pasien terhadap kualitas pelayanan dan kepuasan sebelum dan sesudah diberlakukan BPJS. Studi ini adalah analitik observasional dengan pendekatan potong lintang. Pengumpulan data dilakukan di Unit Rawat Jalan RSH Blitar pada bulan April-Juni tahun 2018. Jumlah sampel penelitian adalah 66 pasien. Hasil Uji Paired Wilcoxon menunjukkan adanya perbedaan yang signifikan antara persepsi dengan kualitas pelayanan dan kepuasan pelayanan sebelum dan sesudah pemberlakuan BPJS pada pasien rawat jalan BPJS dengan penyakit kronis di RSH Blitar.

2018 ◽  
Vol 1 ◽  
pp. 107
Author(s):  
Adi Heryadi ◽  
Evianawati Evianawati

This study aims to prove whether transformational leadership training is effective for building anti-corruption attitudes of villages in Kebonharjo village, subdistrict Samigaluh Kulonprogo. This research is an experimental research with one group pre and posttest design.Subject design is 17 people from village of 21 candidates registered. Measuring tool used in this research is the scale of anti-corruption perception made by the researcher referring to the 9 anti-corruption values with the value of reliability coefficient of 0.871. The module used as an intervention made by the researcher refers to the transformational leadership dimension (Bass, 1990). The data collected is analyzed by statistical analysis of different test Paired Sample Test. Initial data collection results obtained sign value of 0.770 which means> 0.05 or no significant difference between anti-corruption perception score between before and after training. After a period of less than 1 (one) month then conducted again the measurement of follow-up of the study subjects in the measurement again using the scale of anti-corruption perception. The results of the second data collection were analysed with Paired Samples Test and obtained the value of 0.623 sign meaning p> 0.05 or no significant difference between post test data with follow-up data so that the hypothesis of this study was rejected.


Author(s):  
Sanjeeva Kumar Goud T ◽  
Rahul Kunkulol

The present study was aimed to study the effect of Sublingual Vitamin D3 on Serum Vitamin D level in Vitamin D deficiency patients. This was a cross-sectional and interventional study. All the Vitamin D deficiency patients of age 18-60years and either gender, willing to participate in the study were included. Patients who had greater than 20 ng/ml were excluded from the study. The total number of participants in our study was 200, out of these 111 males and 89 females, the mean age in our study was 51.07 ± 7.39Yrs. All volunteers were given sublingual vitamin D3 (60,000IU) in six doses every fifteen days of follow up for 3 months. The subject’s serum 25(OH)D levels were estimated before and after the treatment of sublingual vitamin D3. There was a statistically significant difference in serum vitamin D3 level before 16.61±6.71 ng/ml and after 35.80±7.80 ng/ml after treatment with Sublingual Vitamin D3. Six doses of 60,000IU of Vitamin D3 sublingual route having improved the role of serum 25(OH)D levels in the treatment of Vitamin D3 deficiency patients.Keywords: Vitamin D3; Sublingual route


2018 ◽  
Vol 14 (12) ◽  
pp. 308
Author(s):  
Yaser Adnan Abo Jeesh ◽  
Magda El-hadi Ahmad Yousif ◽  
Moauya Al-Balal Al-Haboub

Background: Thalassemia is the most common autosomal abnormality in Syria. Its complications have an important effect on education; time off school; sport; difference from friends/ siblings; social interactions; and stigmatization. Knowledge of factors associated with quality of life in thalassemia patients is necessary for forming appropriate clinical programs, social support, and improving treatment outcomes. Purpose: The study was to assess the effects of Patients' and Care-givers' Knowledge, Attitude, & Practice (KAP) with Quality of Life among Thalassemia Major Patients' in Syria. Methods: Cross-sectional descriptive analytical design was conducted at the national thalassemia center in Damascus. WHOQOL-BREF and a questionnaire developed by the researcher were used to measure the participants’ knowledge, attitudes and practices of thalassemia. Results: Total of 238 thalassemia patients participated in the study. A statistical significance was found regarding improvement of skill and knowledge scores among caregivers and thalassemia patients before and after receiving the teaching guide from 12.52±1.77 to 14.07±1.01, t=11.447, p=0.000 and from 34.12±4.50 to 37.43±4.61, t=-8.58, p= .000 respectively. Stigmatization was significantly noticed among families caring for thalassemic patients. There were a significant differences in the mean score regarding nutritional status before and after teaching guide paired t test= 12.11, p= 0.000. A statistical significance was found in females regarding social domain p=0.04. However, mean scores for overall quality of life were better in females rather than males, but these mean scores were statistically insignificant p>0.05. A statistical significant difference in ferritin levels and patient’s age was found. Results also revealed that no statistical significant differences was observed between overall quality of life of the four domains in relation to the two treatment groups (subcutaneous vs oral) and age groups. Conclusion: Thalassemia is a socio-economic problem. The most efficient way to reduce risks of having affected patients is by increasing the knowledge through training of parents regarding the disease. Our findings highlighted that there was lack in patients’ knowledge and skills regarding the disease, but a remarkable improvement in both knowledge and performance was found after patients received the teaching guide, which lead to an increase in overall patient's quality of life.


Author(s):  
Harold Rumopa ◽  
Freddy W. Wagey ◽  
Eddy Suparman

  Objective: Determine differences plasma levels MDA in preeclampsiabefore and 2 hours after delivery.   Methods: This was an analytic cross-sectional study. Subjectconsists of 23 pregnancies with preeclampsia, where 23 bloodsamples taken before delivery and 23 were taken 2 hours afterdelivery. This study was conducted from August 2016 untilDecember 2016 at Department of Obstetrics and GynecologyFaculty of Medicine Universitas Sam Ratulangi / Prof. Dr. R. D.Kandou Hospital Manado and satellite hospital. Samples weretaken from plasma and analysed using HPLC method at Prodiaclinical laboratory.   Results: In patients with severe preeclampsia before deliverywe found average value (1.4796  0.40819 nmol/ml), minimumvalue (1.03 nmol/ml) and maximal value (2.77 nmol/ml)and 2 hours after delivery with average value (1.2470 0.34324 nmol/ml), minimum value (0.91 nmol/ml), and maximumvalue (2.47 nmol/ml). by using Wilcoxon test, we foundthere were significant differences in plasma levels of MDA (p =0.000).   Conclusion: This significant difference suggests that decreasedplasma levels of MDA 2 hours after delivery and gives the sense thatthere is a relationship between oxidative stress of cells with severepreeclampsia before and shortly after delivery, that MDA is an indicatorof oxidative stress.   Keywords: malondialdehyde, oxidative stress, peroxidation lipid,preeclampsia


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Dini Puspita

Abstract: The purpose of this study is to know and analyze the influence of service quality on customer satisfaction at PT Samudra Bintang Angkasa Tour and Travel. The research method used is the analytical survey research method. The approach chosen in this study is the Cross Sectional approach. The population in this study are customers who use the services of PT Samudra Bintang Angkasa Tour and Travel, from August to November 2018. The sample in this study used accidental sampling techniques totaling 60 customers who used the services of PT Samudra Bintang Angkasa Tour and Travel in December 2018. Data collection techniques used questionnaires, documentation, and observation. The results of the study can be concluded that there is a simultaneous significant influence between service quality consisting of Tangible , Reliability , Responsiveness, Assurance and Empathy on Customer satisfaction PT. Samudra Bintang Angkasa Tour and Travel Banjarmasin. There is a partial significant influence between the quality of service consisting of Tangible, Reliability, Responsiveness , and Empathy on Customer satisfaction PT. Samudra Bintang Angkasa Tour and Travel Banjarmasin. Reliability Factoris the most influential factor (predominantly on Customer satisfaction at PT. Samudra Bintang Angkasa Tour and Travel Banjarmasin. Keywords: Service Quality, Satisfaction, Customers Abstrak: Tujuan dari penelitian ini adalah mengetahui dan menganalisis pengaruh kualitas layanan terhadap kepuasan pelanggan pada PT Samudra Bintang Angkasa Tour and Travel. Metode penelitian yang digunakan adalah metode penelitian survey analitik. Pendekatan yang dipilih dalam penelitian ini adalah pendekatan Cross Sectional. Populasi dalam penelitian ini adalah pelanggan yang menggunakan jasa PT Samudra Bintang Angkasa Tour and Travel, dari bulan Agustus sampai dengan November 2018. Sampel dalam penelitian ini menggunakan teknik accidental sampling berjumlah 60 orang pelanggan yang menggunakan jasa PT Samudra Bintang Angkasa Tour and Travel pada bulan Desember tahun 2018. Teknik pengumpulan data menggunakan kuesioner, dokumentasi, dan observasi. Hasil penelitian dapat disimpulkan bahwa ada pengaruh signifikan secara simultan antara kualitas layanan yang terdiri atas Tangible, Reliability, Responsiveness, Assurance dan Empathy terhadap kepuasan Pelanggan PT. Samudra Bintang Angkasa Tour and Travel Banjarmasin. Ada pengaruh signifikan secara parsial antara kualitas layanan yang terdiri atas Tangible, Reliability, Responsiveness, dan Empathy terhadap kepuasan Pelanggan PT. Samudra Bintang Angkasa Tour and Travel Banjarmasin. Faktor Reliability merupakan faktor yang paling berpengaruh (secara dominan terhadap kepuasan Pelanggan PT. Samudra Bintang Angkasa Tour and Travel Banjarmasin. Kata kunci : Kualitas Pelayanan, Kepuasan, Pelanggan


2017 ◽  
Vol 13 (2) ◽  
pp. 183
Author(s):  
Rangsang Bagus Prabowo ◽  
Dewi Indah Noviana Pertiwi ◽  
FX. Hendriyono

Abstract: Human Immunodefficiency Virus (HIV) is a virus that decreases the human immunity system, therefore the infected people become susceptible to any kind of infections. Examination of CD4 lymphocyte count periodically is one of the antiretroviral therapy success indicators. The purpose of this research was to determine the difference of CD4 lymphocyte count before and after antiretroviral therapy at Ulin General Hospital Banjarmasin on 2013-2015. The method of this research was observational analytic with cross-sectional approach. The study population was 55 patients which were selected by inclusion and exclusion criteria. Results portrayed an increase of the CD4 lymphocyte count in 51 patients after being given four kinds of antiretroviral for 6 months with the mean increase in CD4 lymphocyte count was 92,72 cell/µL. Data analysis result with Wilcoxon test portrayed a difference of the CD4 lymphocyte count before and after antiretroviral therapy with p value=0,000. In conclusion, there was a significant difference of the CD4 lymphocyte count before and after antiretroviral therapy. Keywords: Human Immunodeficiency Virus, CD4, lymphocyt, antiretroviral therapy


Author(s):  
Mohammad Reza Sobhan ◽  
Seyed Hossein Saeed Banadaky ◽  
Mohammad Shafiee ◽  
Mohammad Gheisari

Introduction: Limits of movement in knees is one of the most common complications following trauma and surgery. With early diagnosis and appropriate treatment choices, knee replacement and performance improvement are expected in many patients. However, limits of movement in knees is unpleasant and should be corrected as soon as possible. In this study, we decided to evaluate the results of arthroscopic release in motion limits of knees. Methods: This was a descriptive cross-sectional study.14 patients who referred to the Shahid Sadoughi Hospital of Yazd from 2014 to 2016 and diagnosed with knee limitation (flexion or extension restriction of more than 10 degrees) were selected. Patients were undergone arthroscopic release and followed-up for 6 months. Lysholm knee score, degrees of flexion and extension, and patient satisfaction were evaluated. The results were analyzed by SPSS-18 and statistical tests Paired T-test as well as Spearman correlation. Results: The mean age of the patients was 28.92±10.99 years. The most common type of trauma in the patients was femoral distal fracture (46.7%). The frequency of the patients' satisfaction with arthroscopy was as followed: 50% (7 patients), had moderate satisfaction, 28.6% (4 ones), high satisfaction, and 21.4% (3 ones) had low satisfaction.The mean difference in Lysholm Knee Score, improvement in degree of extension, improvement in degree of flexion and pain score before and after arthroscopy were 26.21±14.11,64.78±26.13,3.57±2.92 and 4.13±1.65,respectively.There was a significant difference between the mean values of these factors before and after arthroscopy. Conclusion: According to the results obtained, we can conclude that arthroscopic release is an effective and low-complication method in motion limits of knees.


2020 ◽  
Vol 6 (2) ◽  
pp. 117-124
Author(s):  
Haniyeh Nazem ◽  
◽  
Hadi Raeis Abdollahi ◽  
Abasat Mirzaei ◽  
◽  
...  

Background: Health care services are costly and complex and provide facilities that significantly affect the economy and quality of life of individuals. In this study, we determined the gap between patients’ expectations and perceptions of hospital service quality to provide reference data for creating strategies to improve health care quality. Methods: In this descriptive cross-sectional study, five private hospitals in Tehran were selected. Using a simple random sampling method, 110 patients were recruited and voluntarily responded to the standard service quality (SERVQUAL) model questionnaire. Data were analyzed by the K-S test, t-test, and paired t-test using SPSS V. 23. Results: The results showed that among the quality of health care components, the highest mean was related to the responsiveness (M=3.89) and the least was related to the tangible dimension (M=3.11). The lowest average quality gap (perceived service and expected service) was seen in the responsiveness dimension (2.96 and 3.28) and followed by reliability (2.66 and 3.90), tangible (2.53 and 3.91), empathy (1.36, 3.19), and assurance dimensions (2.39 and 4.75). Conclusion: The findings revealed a significant difference between the patients’ perceived and expected services, which indicates that the quality of services as perceived by patients was lower than their expectations. According to the findings, the assurance dimension had the greatest gap. To reduce or eliminate the existing gap, it is suggested that hospitals consider strategic and operational planning to improve hospitalization experience‏, quality of medical services, and hospital resources.


2018 ◽  
Vol 12 (3) ◽  
pp. 816
Author(s):  
Cátia Cristiane Matte Dezordi ◽  
Eniva Fernandes Miladi Stumm

RESUMOObjetivo: avaliar atitudes de segurança da equipe multiprofissional, que atua em um centro cirúrgico de um hospital geral, sobre o clima de segurança do paciente antes e após a implantação do checklist de cirurgia segura. Método: pesquisa quantitativa, descritiva e transversal, a ser desenvolvida no centro cirúrgico de um hospital porte IV do noroeste do Estado do Rio Grande do Sul. A coleta de dados se dará em dois momentos, antes e após a implantação do checklist de cirurgia segura com as equipes. O instrumento de coleta de dados utilizado será o “Questionário de Atitudes de Segurança versão Centro Cirúrgico”, a ser aplicado antes da ação educacional e sessenta dias após a implantação do checklist de cirurgia segura. Resultados esperados: produção de conhecimento na área de segurança do paciente cirúrgico, com mais pesquisas sobre essa temática, aliadas a diferentes abordagens metodológicas, com vistas à obtenção de mais evidências científicas, além da ampliação da qualidade da assistência ao paciente no perioperatório baseada na implantação da Lista de Verificação de Cirurgia Segura, principalmente na Enfermagem, para garantir uma assistência cirúrgica qualificada e segura. Descritores: Segurança do paciente; Cirurgia; Cultura Organizacional; Lista de Checagem; Enfermagem Perioperatória; Centros Cirúrgicos.ABSTRACTObjective: to evaluate the safety attitudes of the multiprofessional team, which operates in a general hospital surgical center, about the patient's safety climate before and after the implantation of the safe surgery checklist. Method: a quantitative, descriptive and cross-sectional study to be carried out in the surgical center of a hospital of IV in the northwest of the State of Rio Grande do Sul. Data collection will take place in two moments, before and after the implantation of the safe surgery checklist with the teams. The data collection instrument used will be the "Attitude Questionnaire Safety Surgical Center Version", to be applied before the educational action and sixty days after the implantation of the safe surgery checklist. Expected results: knowledge production in the area of surgical patient safety, with more research on this subject, allied to different methodological approaches, with a view to obtaining more scientific evidence, besides the increase of the quality of patient care in the perioperative period based on implantation of the Safe Surgery Checklist, especially in Nursing, to ensure qualified and safe surgical care. Descriptors: Patient Safety; Surgery; Organizational Culture; Checklist; Perioperative Nursing; Surgicenters.RESUMEN Objetivo: evaluar las actitudes de seguridad del equipo multiprofesional, que actúa en un centro quirúrgico de un hospital general sobre el clima de seguridad del paciente, antes y después de la implantación del checklist de cirugía segura. Método: investigación cuantitativa, descriptiva y transversal, a ser desarrollada en el centro quirúrgico de un hospital porte IV del noroeste del Estado de Rio Grande do Sul. La recolección de datos se dará en dos momentos, antes y después de la implantación del checklist de cirugía segura con los equipos. El instrumento de recolección de datos utilizado será el "Cuestionario de Actitudes de Seguridad versión Centro Quirúrgico", a aplicar antes de la acción educativa y sesenta días después de la implantación del checklist de cirugía segura. Resultados esperados: producción de conocimiento en el área de seguridad del paciente quirúrgico, con más investigaciones sobre esta temática, aliadas a diferentes abordajes metodológicos, con vistas a la obtención de más evidencias científicas,  además de la ampliación de la calidad de la asistencia al paciente en el perioperatorio, basada en la implantación de la Lista de Verificación de Cirugía Segura, principalmente en la Enfermería, para garantizar una asistencia quirúrgica calificada y segura. Descriptores: Seguridad del Paciente; Cirugía; Cultura Organizacional; Lista de Verificación; Enfermería Perioperatoria; Centros Quirúrgicos.


2021 ◽  
Vol 8 (1) ◽  
pp. 146-151
Author(s):  
Virania Arvianti ◽  
◽  
Septian Septian ◽  
Aturut Yansen ◽  
◽  
...  

IntroductionAnemia is the most common occurrence in chronic kidney disease undergoing hemodialysis therapy. In the condition of chronic kidney disease, the decline in kidney function can occur slowly and chronically until the kidneys do not function at all. Hemodialysis is one of the therapies used to replaced kidney function. During hemodialysis, a decrease in hemoglobin levels often occurs, this is due to the disruption of the hormon erythropoietin. Objective:determine the differences in hemoglobin levels in patients with chronic kidney disease before and after hemodialysis at Bhayangkara TK. I Raden Said SukantoHospital. Method: The design of this research is cross sectional using secondary data and the sampling technique of this research was random sampling with a total of 133 patients. Result: The normality test was carried out first using the Kolmogorov-Smirnova test which showed the results were not normally distributed with a sig value of 0.001. the next test was the Wilcoxon test with a sig (2-tailed_ value of 0.002 with an average hemoglobin level of 8,81 g/dL before hemodialysis and 9,09 g/dL after hemodialysis. Conclusion:Based on the results of the study means that there is a significant difference in a patient with chronic kidney failure before and after hemodialysis.


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