scholarly journals Kepuasan Pasien Rawat Jalan terhadap Pelayanan Kefarmasian di Rumah Sakit dan Puskesmas di 11 Provinsi di Indonesia

2020 ◽  
pp. 42-49
Author(s):  
Nita Prihartini ◽  
Yuyun Yuniar ◽  
Andi Leny Susyanty ◽  
Raharni Raharni
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Sex Education ◽  
Pharmaceutical Products ◽  
Further Education ◽  
Pharmaceutical Services ◽  
Age Group ◽  
Cross Sectional ◽  
Primary Health

Pharmaceutical services is a direct service and responsible to patients relating to pharmaceutical products aimed to improve the quality of life of patients. Quality of pharmaceutical services can be assessed based on outpatient satisfaction. The aim of the study was to compare the satisfaction of outpatients with pharmaceutical services in hospitals and primary health care. This study used a cross-sectional comparative study design and was conducted in February-November 2017 in 11 provinces, each province consisting of 2 districts/cities selected purposively. Samples were outpatients who got medicines in hospitals or primary health care at least 31 patients in each pharmacy. Satisfaction was assessed by the dimension of responsiveness, reliability, collateral, friendliness, and physical evidence. Data was collected by the questionnaires and analyzed using chi-square test. The results of the study show that outpatient satisfaction with pharmaceutical services in hospital and primary health care was 90,9% and 96.6%, respectively. The largest percentage of outpatients in hospitals and primary health care are in the age group of 40-59 years, female, has further education, and not working/housewives. There were significant differences in the age group, gender, and education of outpatients between hospitals and primary health care. There was no significant relationship between the characteristics (age, sex, education, occupation) of outpatients and satisfaction with pharmaceutical services in hospitals and primary health care

scholarly journals Workforce in the pharmaceutical services of the primary health care of SUS, Brazil

2017 ◽  
Vol 51 (suppl.2) ◽  
Author(s):  
Marselle Nobre Carvalho ◽  
Juliana Álvares ◽  
Karen Sarmento Costa ◽  
Augusto Afonso Guerra Junior ◽  
Francisco de Assis Acurcio ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Pearson Correlation ◽  
Pharmaceutical Services ◽  
Categorical Variables ◽  
Cross Sectional ◽  
Primary Health ◽  
Geographical Regions ◽  
Municipal Management ◽  
Workforce Composition

OBJECTIVE: To characterize the workforce in the pharmaceutical services in the primary care of the Brazilian Unified Health System (SUS). METHODS: This is a cross-sectional and quantitative study, with data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015). For the analysis, we considered the data stratification into geographical regions. We analyzed the data on workers in the municipal pharmaceutical services management and in the medicine dispensing units, according to the country’s regions. For the statistical association analysis, we carried out a Pearson correlation test for the categorical variables. RESULTS: We analyzed 1,175 pharmacies/dispensing units, 507 phone interviews (495 pharmaceutical services coordinators), and 1,139 professionals responsible for medicine delivery. The workforce in pharmaceutical services was mostly constituted by women, aged from 18 to 39 years, with higher education (90.7% in coordination and 45.5% in dispensing units), having permanent employment bonds (public tender), being for more than one year in the position or duty, and with weekly work hours above 30h, working both in municipal management and in medicine dispensing units. We observed regional differences in the workforce composition in dispensing units, with higher percentage of pharmacists in the Southeast and Midwest regions. CONCLUSIONS: The professionalization of municipal management posts in primary health care is an achievement in the organization of the workforce in pharmaceutical services. However, significant deficiencies exist in the workforce composition in medicine dispensing units, which may compromise the medicine use quality and its results in population health

scholarly journals Hubungan capaian program gizi dengan tingkat akreditasi puskesmas di Aceh

2020 ◽  
Vol 5 (2) ◽  
pp. 105
Author(s):  
Junaidar Junaidar ◽  
Melania Hidayat ◽  
Hafnidar A Rani ◽  
Milza Oka Yussar
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Statistical Tests ◽  
P Value ◽  
Cross Sectional ◽  
Under Five ◽  
Nutrition Programs ◽  
Primary Health ◽  
Low Performance

The quality of health services is measured by 3 components, namely input (HR, Infrastructure,) process (reliability), and output (product results). If the program's achievements do not reach the target, the quality of primary health care services can be doubted. The research objective is to determine the achievements of the program with the level of accreditation of health centers. The study uses a descriptive-analytic method with a cross-sectional design, using secondary data essential nutrition programs. The population and sample are all primary health care in Aceh Province that are accredited or not accredited, data collection is carried out in the program and data section of the Aceh Health Office and the statistical tests used are chi-square and odds ratio using STATA 13 software. The results of the study indicate, that malnutrition that receives care with low performance, children under five are weighed with low performance and low LBW cases have a relationship with the level of accreditation (p-value <0,05). In conclusion, several nutrition programs related to primary health care accreditation are malnourished children receiving treatment, LBW, and weighing under five. While the achievements of other nutrition programs do not show a relationship with the accreditation of primary health care. Suggestions, to create excellently and quality service, the health center must be able to improve program achievements according to the Government's target either in accordance with one of the indicators namely the strategic plan and health indicators.

scholarly journals Implementation of pharmaceutical services in Brazilian primary health care: a cross-sectional study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Nathália Cano Pereira ◽  
Vera Lucia Luiza ◽  
Mônica Rodrigues Campos ◽  
Luisa Arueira Chaves
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Care Management ◽  
Implementation Fidelity ◽  
Federal District ◽  
Cross Sectional Study ◽  
Pharmaceutical Services ◽  
Cross Sectional ◽  
Primary Health

Abstract Background In the Brazilian public health system, primary health care (PHC) is provided by the municipalities and is considered the entry level of the Unified Health System (SUS). Governmental pharmaceutical services (PharmSes) are part of the SUS, including PHC, and are the most significant way in which patients access medicine and services. Considering the diversity of the country, the municipalities have the autonomy to decide how PharmSes are implemented. Even though policies and procedures should be implemented as expected by policy makers and experts, municipality characteristics may interfere with implementation fidelity. Therefore, this study evaluated the degree to which the PharmSes in PHC were delivered as intended in Brazilian municipalities. Methods We analysed data from a secondary database originating from a cross-sectional nationwide study carried out by the Ministry of Health and the World Bank from 2013 to 2015. Data on 465 municipalities and the Federal District were collected from 4939 governmental PharmSes. A rating system comprising 43 indicators was developed and applied to the dataset to obtain the implementation degree (ID) of each PharmSe. Additionally, the IDs of the two PharmSes dimensions and the nine components were measured. Results Overall, the ID of the PharmSes in Brazilian PHC was evaluated as critical. The ID was critical in 81% of the municipalities (n = 369), incipient in 14% (n = 65) and unsatisfactory in 4.8% (n = 22). Regarding the PharmSes dimensions, the ‘medicine management’ (MM) ID was considered critical (Mean = 46%), while the ‘care management’ (CM) ID was incipient (Mean = 22%). In terms of the PharmSes components, the highest ID was achieved by ‘forecasting’ (58%). In contrast, ‘continuing education and counselling’ showed the lowest figure (ID = 11%) in the whole sample, followed by ‘information and communication’ and ‘teamwork’. Conclusions The degree to which PharmSes were implemented was critical (ID< 50%). This analysis demonstrated that PharmSes were implemented with low fidelity, which may be related to the low availability of medicine in PHC. Although the care management component requires more attention, considering their incipient ID, all components must be reviewed. Municipalities must increase their investment in PharmSes implementation in order to maximize the benefits of these services and guarantee the essential right of access to medicine.

scholarly journals Analisis Perhitungan Kapitasi pada Fasilitas Kesehatan Tingkat Pertama yang Bekerja Sama dengan BPJS Kesehatan KCU Kota Bogor Tahun 2015

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ayu Novia Kurnia ◽  
Atik Nurwahyuni
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Age Groups ◽  
Individual Risk ◽  
Age Group ◽  
Cross Sectional ◽  
Care Level ◽  
Primary Health ◽  
Primary Health Care Level ◽  
Cross Sectional Design

 Abstrak Berdasarkan PMK No. 69 Tahun 2013, tarif kapitasi ditetapkan sama untuk semua kelompok umur, hanya dibedakan antar FKTP. Tarif kapitasi tersebut tidak disesuaikan dengan risiko individu. Penelitian ini bertujuan untuk menghitung tarif kapitasi berdasarkan risiko umur menggunakan metode penelitian cross sectional. Hasil dari penelitian ini yaitu tarif kapitasi berdasar­kan kelompok umur pada puskesmas, DPP, dan klinik. Hasil tarif kapitasi tersebut menunjukkan bahwa terdapat perbedaan tarif antar kelompok umur dengan kapitasi tertinggi terdapat pada kelompok umur 0-4 dan ≥ 50 tahun dan tarif kapitasi cenderung turun pada kelompok umur produktif. Abstract Based on PMK No. 69 in 2013, capitation is set at the same tariff for all age groups and only distinguished for each primary health care. Capitation is not adjusted by individual risk. This study aimed to calculate the capitation by age, using cross sectional design. The result of this study was capitation by age groups at the primary health care level. It was indicated that there was different capitation between age groups, with higher capitation observed in the age group of 0-4 and ≥50 years old and declining in productive age.

scholarly journals The Implementation of Immunization Cold Chain Management in Surabaya City

2021 ◽  
Vol 9 (1) ◽  
pp. 62
Author(s):  
Alfilia Lusita ◽  
Fariani Syahrul ◽  
Ponconugroho Ponconugroho
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Secondary Data ◽  
Cold Chain ◽  
Success Rates ◽  
Cross Sectional ◽  
Chain Management ◽  
Primary Health ◽  
The City

Background: Immunization success rates can be determined by several factors. The factors that can cause occurrences of immunization preventable disease (PD3I) cases include the quality of the cold chain and invalid doses of immunization medicines. Purpose: The aim of this research was to analyze the implementation of cold chain management in the city of Surabaya. Methods: This research was conducted as a descriptive study with a cross-sectional research design. The population consisted of all primary health care centers in the city of Surabaya, and the data used were secondary data, guided by interviews with informants. Results: The majority of cold chain management personnel were found to have a medical education background of 98.42%, and primary health care workers have received cold chain-related training (100%). All primary health care equipment has a 100% cold chain. The completeness of cold chain reporting was 93.51%, and the accuracy of the cold chain reporting was 71.52%. Regarding the quality of the equipment, some vaccine refrigerators were found 12% of vaccine refrigerators were found not to be in optimal condition, and 14% of temperature monitoring devices was not activated. Conclusion: The implementation of cold chain management in public health center and the availability of equipment in the Surabaya City are going well, although there are still some problems such as undisciplined reporting and inadequate quality of tools for cold chain implementation as well as the discovery of vaccine refrigerators easily leaks, and their temperature can rise easily.

scholarly journals AVALIAÇÃO DA ESTRATÉGIA SAÚDE DA FAMÍLIA EM SÃO SEBASTIÃO – DISTRITO FEDERAL

2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Virgílio Luiz Marques De Macedo ◽  
Luciana Fontes Vieira ◽  
Rinaldo De Souza Neves ◽  
Suderlan Sabino Leandro
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Family Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Distrito Federal ◽  
First Contact

Objetivo: Avaliar a qualidade da assistência prestada por profissionais da Estratégia Saúde da Família em São Sebastião, Distrito Federal, na atenção a pacientes portadores de Hipertensão Arterial Sistêmica e Diabetes Mellitus. Metodologia: Trata-se de um estudo descritivo-exploratório transversal de cunho quantitativo com 107 usuários e 27 profissionais de saúde. Resultados: Foram avaliados como satisfatórios pelos usuários apenas os atributos acesso de primeiro contato – utilização e coordenação – sistema de informação. Para os profissionais, os atributos acesso de primeiro contato – acessibilidade e orientação comunitária foram considerados insatisfatórios, indicando que a qualidade da assistência por meio do acesso e informação é aceitável para os usuários e deficiente para os profissionais. Conclusão: Os dados apresentados evidenciam que a Atenção Primária a Saúde não está exercendo sua função de porta de entrada, de coordenadora e ordenadora da Rede de Atenção à Saúde.Descritores: Avaliação em Saúde; Atenção Primária à Saúde; Estratégia de Saúde da Família; Hipertensão; Diabetes Mellitus.EVALUATION OF THE FAMILY HEALTH STRATEGY IN SÃO SEBASTIÃO - FEDERAL DISTRICTObjective: To evaluate the quality of care provided by the health team of Primary Health Care of São Sebastião, Distrito Federal, in the attention to patients with Systemic Arterial Hypertension and Diabetes Mellitus. Method: This is a descriptive-exploratory cross-sectional quantitative study with 107 patients e 27 health profissionals. Results: Only the attributes of first contact access - utilization and coordination - information system were evaluated as satisfactory by the users. For professionals, the attributes of first contact access - accessibility and community orientation were considered unsatisfactory, indicating that the quality of care through access and information is acceptable for users and disabled for professionals. Conclusion: The data presented shows that Primary Health Care is not performing its function as gateway, as coordinator and ordinator of the Health Care Network.Descriptors: Health Evaluation; Primary Health Care; Hypertension; Diabetes Mellitus.EVALUACIÓN DE LA ESTRATEGIA SALUD DE LA FAMILIA EN SÃO SEBASTIÃO - DISTRITO FEDERALObjetivo: Evaluar la calidad de la asistencia prestada por profesionales de la Estrategia Salud de la Familia en São Sebastião, Distrito Federal, en la atención a pacientes portadores de Hipertensión Arterial Sistémica y Diabetes Mellitus. Método: Se trata de un estudio descriptivo-exploratorio transversal de cuño cuantitativo com 107 clientes e 27 profesionales de salud. Resultados: Se evaluaron como satisfactorios por los usuarios sólo los atributos acceso de primer contacto - utilización y coordinación - sistema de información. Para los profesionales, los atributos acceso de primer contacto - accesibilidad y orientación comunitaria se consideraron insatisfactorios, indicando que la calidad de la asistencia a través del acceso e información es aceptable para los usuarios y deficiente para los profesionales. Conclusión: Los datos presentados evidencian que la Atención Primaria a la Salud no está ejerciendo su función de puerta de entrada, de coordinadora y ordenadora de la Red de Atención a la Salud.Descriptores: Evaluación en Salud; Atención Primaria de Salud; Hipertensión; Diabetes Mellitus.

scholarly journals Analisis Perhitungan Kapitasi pada Fasilitas Kesehatan Tingkat Pertama yang Bekerja Sama dengan BPJS Kesehatan KCU Kota Bogor Tahun 2015

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ayu Novia Kurnia ◽  
Atik Nurwahyuni
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Age Groups ◽  
Individual Risk ◽  
Age Group ◽  
Cross Sectional ◽  
Care Level ◽  
Primary Health ◽  
Primary Health Care Level ◽  
Cross Sectional Design

 Abstrak Berdasarkan PMK No. 69 Tahun 2013, tarif kapitasi ditetapkan sama untuk semua kelompok umur, hanya dibedakan antar FKTP. Tarif kapitasi tersebut tidak disesuaikan dengan risiko individu. Penelitian ini bertujuan untuk menghitung tarif kapitasi berdasarkan risiko umur menggunakan metode penelitian cross sectional. Hasil dari penelitian ini yaitu tarif kapitasi berdasar­kan kelompok umur pada puskesmas, DPP, dan klinik. Hasil tarif kapitasi tersebut menunjukkan bahwa terdapat perbedaan tarif antar kelompok umur dengan kapitasi tertinggi terdapat pada kelompok umur 0-4 dan ≥ 50 tahun dan tarif kapitasi cenderung turun pada kelompok umur produktif. Abstract Based on PMK No. 69 in 2013, capitation is set at the same tariff for all age groups and only distinguished for each primary health care. Capitation is not adjusted by individual risk. This study aimed to calculate the capitation by age, using cross sectional design. The result of this study was capitation by age groups at the primary health care level. It was indicated that there was different capitation between age groups, with higher capitation observed in the age group of 0-4 and ≥50 years old and declining in productive age.

scholarly journals Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain

2021 ◽  
Vol 18 (2) ◽  
pp. 434
Author(s):  
Vicente Gea-Caballero ◽  
José Ramón Martínez-Riera ◽  
Pedro García-Martínez ◽  
Jorge Casaña-Mohedo ◽  
Isabel Antón-Solanas ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Health Outcomes ◽  
Work Environments ◽  
Head Nurse ◽  
Cross Sectional ◽  
Primary Health

Background: Nursing work environments are defined as the characteristics of the workplace that promote or hinder the provision of professional care by nurses. Positive work environments lead to better health outcomes. Our study aims to identify the strengths and weaknesses of primary health care settings in Spain. Methods: Cross-sectional study carried out from 2018 to 2019. We used the Practice Environment Scale of the Nursing Work Index and the TOP10 Questionnaire of Assessment of Environments in Primary Health Care for data collection. The associations between sociodemographic and professional variables were analyzed. Results: In total, 702 primary care nurses participated in the study. Responses were obtained from 14 out of the 17 Spanish Autonomous Communities. Nursing foundation for quality of care, management and leadership of head nurse and nurse–physician relationship were identified as strengths, whereas nurse participation in center affairs and adequate human resources to ensure quality of care were identified as weaknesses of the nursing work environment in primary health care. Older nurses and those educated to doctoral level were the most critical in the nursing work environments. Variables Age, Level of Education and Managerial Role showed a significant relation with global score in the questionnaire. Conclusion: Interventions by nurse managers in primary health care should focus on improving identified weaknesses to improve quality of care and health outcomes.

scholarly journals Patients’ utilisation and perception of the quality of printed health education materials in primary health care: a cross-sectional study

BJGP Open ◽  
2019 ◽  
Vol 3 (4) ◽  
pp. bjgpopen19X101672
Author(s):  
Alhan Haji
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Education ◽  
Healthy Lifestyle ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health

BackgroundPrinted health education (HE) materials are commonly provided in primary health care (PHC). However, little is known about their use by PHC visitors.AimThis study explored patients’ opinions and use of printed HE materials in order to determine an ideal output format for HE.Design & settingThis was a cross-sectional study, which was conducted in three PHC centres at King Abdulaziz Medical City in Riyadh, Saudi Arabia.MethodData were collected through a self-administered questionnaire.ResultsFifty-five point two per cent of participants obtained printed HE materials from PHC waiting areas. The majority read one or more materials and found it helpful and memorable. Seventy-seven point two per cent applied the written message, 24.0% of participants regularly read HE materials, and more than half spent time reading them in the PHC centre’s waiting area. Around half (51.1%) put the material back in its place after reading it. The preferred format was card with text and graphs. The preferred content was healthy lifestyle advice.ConclusionPatients do use printed HE materials in a positive way. More efforts are needed to improve the quality of the materials. Different healthcare providers should contribute more in HE.

scholarly journals Relationship between Training Intensity and Doctor’s Job Satisfaction at Primary Health Care in Indonesian

2020 ◽  
Vol 12 (2) ◽  
pp. 191
Author(s):  
Gita Purnamasari ◽  
Misnaniarti Misnaniarti
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Primary Health Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Primary Health ◽  
Using Data ◽  
The Relationship

A doctor’s job satisfaction is important because it will improve the quality of health services. This study aimed to determine the relationship between intensity training and doctors satisfaction. This research was a cross-sectional study using data from Risnakes 2017. The sample was 5,140 doctors primary health care with civil servant status in Indonesia that was randomly selected. The data were analyzed using the Spearman correlation. This study showed that mean job satisfaction was 70.07 and intensity of the training was 3.98. There is a positive correlation between the training intensityand the doctor's job satisfaction of primary health care in Indonesia (p-value <0.000 and r = 0.063). More doctor's training will improve the ability of doctors to care for the patient's clinical according to the standards of competence.

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