scholarly journals A Study of Quality and Proficiency of the Service Providers in Delivering the Adolescent and Youth Friendly Services under the Rashtriya Kishor Swasthya Karyakram Programme in Madhya Pradesh

2021 ◽  
Vol 07 (03) ◽  
pp. 1-9
Author(s):  
Surya Bali ◽  
Keyword(s):  
Health Services ◽  
Service Providers ◽  
Descriptive Analysis ◽  
Central India ◽  
Primary Objective ◽  
Microsoft Excel ◽  
Adolescent Friendly Health Services ◽  
Adolescent Reproductive Health ◽  
Level Training

Despite existing frameworks for the improvement of adolescent reproductive health, there is a lack in provision of the Adolescent Friendly Health Services (AFHS). The primary objective of this study was to assess the quality and proficiency of service providers to deliver Adolescent Friendly Health Services (AFHS) in central India. Data was gathered by visiting 30 secondary and tertiary level health facilities to assess their infrastructure and preparedness for providing AFHS using a pre-designed questionnaire based on WHO guidelines for assessing quality. Descriptive analysis was done using SPSS v21 and Microsoft Excel. Quality of AFHS services was found to be poor in non- RKSK facilities. However the knowledge level, training status and counseling skills of the service provider was found to be highly substandard in both RKSK and Non-RKSK facilities. The RKSK program has not been properly implemented and has failed to make an impact where it was required.

scholarly journals Health Status and Quality of Health Care Services of Congolese Refugees in Nakivale, Uganda

2016 ◽  
Vol 5 (3) ◽  
pp. 39
Author(s):  
Amegovu K. Andrew
Keyword(s):  
Health Status ◽  
Health Services ◽  
Resource Constraints ◽  
Service Providers ◽  
Geographic Origin ◽  
Health Service Delivery ◽  
Health Facilities ◽  
Cross Sectional ◽  
Adequate Food

Physical and emotional wellness, as well as access to healthcare, are foundations for successful resettlement. Without feeling healthy, it is difficult to work, to go school, or take care of a family. Many factors can affect refugee health, including geographic origin and refugee camp conditions. Refugees may face a wide variety of acute or chronic health issues (Office of Refugee Resettlement, ORR Annual Report to Congress 2014; http://www.acf.hhs.gov). Resettlement of refugees in Uganda is usually supported by concerted efforts of UNHCR, Governments through the Office of the Prime Minister, OPM with support from host communities, local and international Non-Governmental Organizations. Due to resource constraints and local factors, immigrants are often subjected to poor living conditions which coupled with inadequacy inessential medical supplies might significantly affects quality of care and health service delivery and hence, rendering refugees to poor health status. This study was conducted from 2013-2014 to assess the determinants of health status of Congolese refugees living in Nakivale refugee settlement, in Isingiro district- South Western Uganda. A cross-sectional study design was used involving mixed techniques of both qualitative and quantitative KAP survey. The study focussed on Congolese refugee population in Nakivale Refugee settlement. 2401 key informants’ interviews and 8 focus group discussions respectively were conducted targeting service providers and beneficiaries/Congolese refugees in this case. The data was analysed using SPSS ver.20, 2011. Although majority (97%) of respondents sought medical services from established health facilities, findings confirm a high level of ill health prevalence among Congolese refugees in Nakivale camp, however, the difference in health services and perceived health status in camp versus the one in DRcongo is insignificant ( p=0.000) with respondents perceiving their health status as worse than when they were their own Country before the resettlement. Identified key challenges affecting access & uptake of available health services includes: language barrier; inadequate drugs; and the long distances to access health facilities. The health status of refugees could be improved by addressing the challenges related to language, drug supplies in addition to humanising conditions of shelter, providing appropriate waste disposal facilities while proving adequate food rations and clean & safe drinking water.

scholarly journals Time Required by Dental Post Graduates and Graduates for Direct Patient Care in Peripheral Outreach Centre - A Comparative Work Sampling Analysis

2016 ◽  
Vol 04 (03) ◽  
pp. 152-155
Author(s):  
Bhumika Rathore ◽  
Sireesha Sadasivan ◽  
Vinay Bhardwaj
Keyword(s):  
Oral Health ◽  
Health Services ◽  
Patient Care ◽  
Undergraduate Students ◽  
Descriptive Analysis ◽  
Work Force ◽  
Primary Objective ◽  
Direct Patient Care ◽  
Number Of Patients ◽  
Oral Health Services

AbstractBackground: The inequity of oral health services persist due to inadequate dentist to patient ratio in the peripheral areas. The possibility of management of more number of patients lies within an efficient work force, in order to render oral health services in a well-organised manner. Objectives: The research was taken up with the primary objective of determining the most time efficient manpower in a peripheral dental unit. Secondary objective was to determine the time spent in each treatment procedure in proportion to total time involved in direct patient care. Third objective, was to recommend an appropriate range of sample for further similar studies using observatory methodology in peripheral centres. Methodology: Work measurement was done for the postgraduate and the undergraduate students for the treatments performed by them in the unit. Participatory observations were made on randomly selected days, and timings were recorded using standardised stop watch. Descriptive analysis was performed for the data obtained using Statistical Package for Social Science (IBM Corp. Released 2010. IBM SPSS Statistics for Windows, Version 19.0. Armonk, NY: IBM Corp.). Results: Mean timing was found to be highest for all treatment procedures amongst graduates when compared to the postgraduates and maximum proportion of time was spent for extractions amongst all the treatments performed. Conclusion: Availability of speciality services will help the hospitals render more proficient services to the rural masses.

scholarly journals Adolescent Friendly Services: quality assessment with simulated users

2020 ◽  
Vol 54 ◽  
pp. 36
Author(s):  
Rosalila Pastrana-Sámano ◽  
Ileana Beatriz Heredia-Pi ◽  
Marisela Olvera-García ◽  
Midiam Ibáñez-Cuevas ◽  
Filipa De Castro ◽  
...  
Keyword(s):  
Health Services ◽  
Services Quality ◽  
Qualitative Assessment ◽  
Care Process ◽  
Exit Interviews ◽  
Barriers To Access ◽  
Adolescent Friendly Health Services ◽  
Nominal Groups ◽  
Privacy And Confidentiality

OBJECTIVE: To assess the quality of adolescent friendly health services. METHODS: Qualitative assessment using the simulated user technique in first level clinics of Health Services of Morelos, Mexico, during 2018. Ten out of 17 facilities with non-exclusive adolescent friendly services were randomly selected. An additional facility with exclusive adolescent friendly services was included as an intensive subsample. Four adolescents served as simulated users interpreting different cases in the clinics. The total of 43 semi-structured exit interviews were conducted, and two nominal groups were made to assess the perceived quality from the adolescents’ perception of friendliness and experience. Thematic analysis of the data obtained was performed. RESULTS: Staff attitude was highlighted as a key element in the adolescents’ experience. Failures were found, such as the existence of bureaucratic barriers to access, lack of signage in clinics, lack of privacy and confidentiality, failure of physical examination during the appointment and lack of monitoring of the reasons for appointment. The exclusive clinic for adolescents offered more appropriate friendly services compared with nonexclusive clinics. CONCLUSION: Although the service is accessible in most of the clinics visited, it is still far from being friendly according to international recommendations. The exclusive clinic for adolescents stood out for having better structured mechanisms that can be implemented in nonexclusive clinics to improve the care process.

scholarly journals Quality of reporting of outcomes in trials of therapeutic interventions for pressure ulcers in adults: a protocol for a systematic survey

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e024633
Author(s):  
Jessica Steffany Miranda ◽  
Luciana Patricia Fernandes Abbade ◽  
Arthur Pollo Deonizio ◽  
Joelcio Francisco Abbade ◽  
Lawrence Mbuagbaw ◽  
...  
Keyword(s):  
Pressure Ulcers ◽  
Selection Process ◽  
Descriptive Analysis ◽  
Outcome Data ◽  
Primary Objective ◽  
Therapeutic Interventions ◽  
Quality Of Reporting ◽  
Systematic Survey ◽  
Hospital Units

Pressure ulcers (PUs) have a high incidence, especially in hospital units. Randomised clinical trials (RCTs) of therapeutic interventions for PU should include a clear description of the outcomes and results to enhance transparency and replicability.ObjectivesThe primary objective of this study is to assess the completeness of the descriptions of the outcomes of therapeutic interventions in RCTs in adult patients with PU. The secondary objectives are to evaluate the types of reported primary outcomes, measurement methods or tools used to evaluate the outcomes and the results of reported outcomes.MethodsWe will conduct a systematic survey of RCTs published from January 2006 to April 2018. The selection process of the studies will be done in two stages of screening: title and abstract, and full text revision, always by two researchers independently. The completeness of the outcome will be assessed according to five criteria: domain (outcome title), specific measurement or technique/instrument used, specific metric or format of the outcome data that will be used for analysis, method of aggregation (how data from each group will be summarised) and time-points that will be used for analysis. The quality of the results of the outcome will be classified as either complete, incomplete or unreported. We will conduct a descriptive analysis of the number, type and degrees of outcome specification in the included RCTs. The frequency of categories in each domain of the outcomes will also be reported. The median and IQR will be estimated for each element of the specified outcome (out of five).Ethics and disseminationThis will be the first systematic assessment of the outcomes of therapeutic interventions used for pressure ulcers. After completion, this review will be submitted to a peer-reviewed journals.

scholarly journals MUTU PELAYANAN KESEHATAN TERHADAP KEPUASAN PASIEN DI PUSAT KESEHATAN ANGKATAN DARAT (PUSKESAD) POLKES KABUPATEN TAKALAR

2018 ◽  
Vol 3 (2) ◽  
pp. 102
Author(s):  
Ali Imran Thamrin ◽  
Andi Alim Bagu ◽  
Yuliana Baharuddin
Keyword(s):  
Patient Satisfaction ◽  
Health Service ◽  
Health Services ◽  
Health Center ◽  
Service Providers ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Quality Of Health Services

The quality of  health services is one of main focus for community. Awareness of the quality of health services is increasing with the demand for improving the quality from service providers and  community as a service user. The quality of health services greatly affects patient satisfaction. The design of this study is analytic survey research with cross sectional approach. The purpose of this study  is to know the relation of quality of health service to patient satisfaction at Army Health Center (PUSKESAD) POLKES of Takalar Regency in 2017. The research is conducted at Army Health Center (PUSKESAD) POLKES Takalar District. The sample in this study are patients who treated at the Army Health Center (PUSKESAD) POLKES Takalar District in June of 2017 as many as 94 people using a simple random sampling technique. Data analysis in this research is univariate and bivariate analysis using chi square test. The results showed that there was a significant correlation between health service quality based on indicator physical appearance, reliability, responsiveness, assurance, and empathy with patient satisfaction with each p value = 0,000. It is hoped  that the Army Health Center (PUSKESAD) POLKES can improve the quality of health services and the confidence of patients in utilizing health services more increase.

scholarly journals KUALITAS PELAYANAN PASIEN RAWAT JALAN PESERTA BADAN PENYELENGGARA JAMINAN SOSIAL DI PUSKESMAS PITUMPANUA KABUPATEN WAJO

2017 ◽  
Vol 23 (3) ◽  
pp. 137-148
Author(s):  
Bidya Marsi ◽  
Irawaty Amir
Keyword(s):  
Health Services ◽  
Health Center ◽  
Service Time ◽  
Social Insurance ◽  
Service Providers ◽  
Administrative Agency ◽  
Purposive Sampling ◽  
Health Service Providers ◽  
Efficiency And Effectiveness

AbstrakPuskesmas  sebagai  fasilitas  kesehatan  tingkat  pertama  memberikan  pelayanan kesehatan sehingga merupakan ujung tombak bagi pembangunan kesehatan di tingkat kecamatan dan pelayanan kesehatan baik pada masyarakat sehat maupun sakit, baik untuk  pelayanan  rawat  jalan  maupun  rawat  inap.  Untuk  itu  kualitas  pelayanan kesehatan menjadi hal penting dalam organisasi pelayanan kesehatan karena dapat meningkatkan  efisiensi  dan  efektifitas  pelayanan  kesehatan,  meningkatkan penerimaan  masyarakat  terhadap  pelayanan  kesehatan  dan  dapat  melindungi penyelenggara pelayanan kesehatan dari kemungkinan timbulnya gugatan hukum. Untuk  itu  penelitian  ini  bertujuan  untuk  menganalisis  kualitas  pelayanan  pasien pasien  rawat  jalan  Peserta  Badan  Penyelenggara  Jaminan  Sosial  di  Puskesmas Pitumpanua Kabupaten Wajo. Metode yang digunakan adalah kuantitatif deskriptif. Teknik pengumpulan data menggunakan kuesioner, telaah dokumen dan wawancara. Populasi dalam penelitian ini adalah semua Pasien Rawat Jalan Peserta BPJS yang berkunjung pada bulan Maret sampai bulan Mei 2017, dengan jumlah sampel 147 orang  dengan  menggunakan  purposive  sampling  dan  data  dianalisis  dengan menggunakan tabel frekuensi. Hasil penelitian ini menunjukkan bahwa pelayanan pasien Pasien Rawat Jalan Peserta Badan Penyelenggara Jaminan Sosial di Puskesmas Pitumpanua  Kabupaten  Wajo  berada  pada  peringkat  berkualitas,  baik  dilihat  dari dimensi persyaratan, prosedur, waktu pelayanan, kompetensi pelaksana, perilaku pelaksana, maklumat pelayanan, dan penanganan pengaduan, saran dan masukan. Dalam rangka peningkatan kualitas pelayanan maka ada beberapa hal yang disarankan dan masih memerlukan perhatian seperti kenyamanan ruang poliklinik, kecepatan waktu  pelayanan  di  loket  kartu,  penjelasan  mengenai  informasi  fungsi  dan  cara konsumsi obat pada pelayanan di ruang obat, keramahan pelayanan di ruang obat, informasi jenis pelayanan yang tersedia di tiap ruangan rawat jalan, dan menambah ketersediaan kotak saran di ruang rawat jalan. Kata Kunci: Kualitas Pelayanan, Badan Penyelenggara Jaminan Sosial, Puskesmas.Abstract Puskesmas as first-rate health facilities provide health services so that is the spearhead for health development at the sub-district level, health services for both healthy and sick people, both for outpatient and inpatient services. Therefore, the quality of health services is important in the organization of health services because it can improve the efficiency and effectiveness of health services, increase public acceptance of health services and can protect health service providers from possible legal claims. Therefore, this study aims to analyze the quality of patient service of outpatients participating Social Insurance Administrative Agency (BPJS) at Pitumpanua Health Center Wajo Regency. The method used is descriptive quantitative. Data collection techniques used questionnaires, document review and interviews. The populations in this study were all outpatients of BPJS members who visited from March to May 2017, with a sample size of 147 people using purposive sampling and data were analyzed using frequency tables. The results of this study indicate that the service of outpatients participating Social Insurance Administrative Agency at Pitumpanua Health Center of Wajo Regency is  in  the  rank  of  good  quality,  seen  from  the  dimension  of  requirement,  procedure, service  time,  executive  competence,  implementer  behavior,  service  announcement, suggestions and inputs. However, to improve the quality of service then there are some things that are suggested and still require attention such as the convenience of the polyclinic unit, the speed of service time at the counter card, the explanation of the function information and the way of drug consumption on the service in the medicine room, information on the types of services available in each outpatient room, and to increase the availability of suggestion boxes in the outpatient room. Keywords: Service Quality, Social Insurance Administrative Agency, Puskesmas.

scholarly journals Self-Perceived Discrimination in LGBT Population in Oral Health Services. Medellin, Colombia: A Qualitative Approach

2016 ◽  
Vol 8 (12) ◽  
pp. 152
Author(s):  
Santiago Alzate-Urrea ◽  
Andres A. Agudelo-Suarez ◽  
James Y. Monsalve-Orrego ◽  
Flor E. Londono-Candanoza ◽  
Geidy del C. Chinome-Florez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Health Services ◽  
Service Providers ◽  
Health Related Quality ◽  
Social Spaces ◽  
Related Quality ◽  
Health Related ◽  
Oral Health Services

<p><strong>INTRODUCTION: </strong>We aim to understand the perception about discrimination within the LGBT population when accessing oral health services, from their perspective as well as that of the oral health professional.</p><p><strong>METHODS: </strong>A qualitative study from a phenomenological perspective was conducted by means of 37 in-depth interwiews (19 in health service providers and 18 in LGBT members). The script used in the interview included questions related to discrimination in social spaces, quality of life and its relationship with health, access to general and oral health care and proposals and strategies. Verbatim was transcripted and narrative content analysis was carried out for identifying meaning codes and after grouped through emergent categories. Atlas.Ti 6.0 software was used.</p><p><strong>RESULTS: </strong>Five categories within the participants’ discourses were identified: (1) Characteristics of LGBT population: This is a heterogeneous group (physical‚ social and cultural); (2) Quality of life (QOL), health related quality of life (HRQOL) and oral health related quality of life (OHRQOL): QOL is defined as the ability to enjoy opportunities in the human life process under equity conditions; HRQOL is related to an adequate access to health services‚ and OHRQOL as the appropriate state of the structures of the stomatognathic system; (3) Discrimination as a concept and experiences: People conceived discrimination as the act pejorative to someone because of a particular situation. Participants identified some types of discrimination in social spaces; (4) Accessibility to health services: Participants related individual and structural barriers when accessing to public health services; (5) Proposals and strategies: Interviewers suggested some educative strategies and social policies to reduce the endogenous and exogenous discrimination.</p><p><strong>CONCLUSIONS: </strong>The LGBT population is vulnerable to perceive experiences of discrimination and this situation causes a negative impact on their quality of life.</p>

scholarly journals SISTEM PELAYANAN KESEHATAN BERBASIS PROGRAM KARTU INDONESIA SEHAT DI RUMAH SAKIT UMUM DAERAH SAYANG RAKYAT

2021 ◽  
Vol 4 (1) ◽  
pp. 11-16
Author(s):  
Hasriani Hasriani ◽  
Andi Rasjid Pananrangi ◽  
Syamsul Bahri
Keyword(s):  
Quality Of Service ◽  
Health Insurance ◽  
Health Services ◽  
General Hospital ◽  
National Health Insurance ◽  
Service Providers ◽  
Health Providers ◽  
Government Programs ◽  
South Sulawesi

Pelayanan kesehatan yang berkualitas dan proposional menjadi dambaan bagi setiap rakyat Indonesia, oleh karenanya diperlukan komitmen dari pelaksana pemberi layanan khususnya rumah sakit dalam menunjang pelaksanaan program pemerintah melalui kartu Indonesia sehat. Tujuan penelitian ini untuk mengetahui kualitas pelayanan berbasis program Kartu Indonesia Sehat di Rumah Sakit Umum Daerah Sayang Rakyat Makassar dan untuk mengetahui implementasi pelayanan berbasis program Kartu Indonesia Sehat di Rumah Sakit Umum Daerah Sayang Rakyat Makassar. Pendekatan dalam penelitian ini menggunakan deskriptif kualitatif untuk menggambarkan dan menjelaskan fenomena yang terjadi. Hasil penelitian menunjukan bahwa kualitas pelayanan berbasis program Kartu Indonesia Sehat di Rumah Sakit Umum Daerah Sayang Rakyat sudah berjalan dengan baik dan petugas administrasi maupun petugas medis dalam menjalankan tugas sudah cukup baik, sedangkan implementasi pelayanan berbasis program Kartu Indonesia Sehat di Rumah Sakit Umum Daerah Sayang Rakyat Makassar secara umum sudah sesuai dengan Peraturan Daerah Provinsi Sulawesi Selatan tentang penyelenggara kesehatan dan tentang kerja sama penyelenggaraan pelayanan kesehatan gratis, dan Peraturan Presiden Nomor 64 Tahun 2020 tentang Jaminan Kesehatan Nasional. Hal tersebut tercermin dalam pelaksanaan pelayanan yang diberikan oleh RSUD Sayang Rakyat kepada pasien pengguna kartu Indonesia sehat yang tidak membedakan dengan pasien umum. Quality and proportional health services are the dream of every Indonesian people, therefore commitment from service providers, especially hospitals, is needed in supporting the implementation of government programs through the Healthy Indonesia card. The purpose of this study was to determine the quality of service based on the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital in Makassar and to determine the implementation of services based on the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital in Makassar. The approach in this study uses descriptive qualitative to describe and explain the phenomena that occur. The results showed that the quality of service based on the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital was running well and administrative and medical officers in carrying out their duties were quite good, while the implementation of services based on the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital. Makassar is generally in accordance with the South Sulawesi Provincial Regulation concerning health providers and regarding cooperation in providing free health services, and Presidential Regulation Number 64 of 2020 concerning National Health Insurance. This is reflected in the implementation of the services provided by the Sayang Rakyat Hospital to patients who use the healthy Indonesian card which do not distinguish them from general patients.

scholarly journals Analisis Persiapan Pelaksanaan Patient Safety di Ruang Rawat Inap (Studi Kasus di RSUD Kabupaten Bima)

PALAPA ◽  
2018 ◽  
Vol 6 (1) ◽  
pp. 50-68
Author(s):  
Arif Budiwibowo
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Health Services ◽  
Safety Climate ◽  
Health Workers ◽  
Descriptive Analysis ◽  
District General Hospital ◽  
Safety Attitudes ◽  
Quality Of Health Services

The era of globalization brings the very rapid effects in the development of cutting-edge medical technology. These conditions have an impact on medical services is very complex and very potentially cause errors, so that the necessary improvement of the quality of health services. Patient safety is one important component in the quality of health services. Improving patient safety measures needed to prevent and minimize unexpected events (KTD). Nurses are one of the health workers who are at the front of health services have a very important role in improving patient safety. The aim of this research to assess patient safety analysis on the Attitudes of ward nurses in public district general hospital Bima and in particular to know the components of patient safety climate Attitudes include teamwork, job conditions, employment decisions, factors that support and hinder patient safety Attitudes. The study was descriptive qualitative. Subjects were nurses of three subjects and patients with interviews. Data collection techniques in this study are the tape recorder. Qualitative data analysis technique that was using descriptive analysis techniques to describe the data in the field were analyzed and concluded. Attitudes of patient safety component of work climate Attitudes patient safety team showed low, job satisfaction shows high patient safety Attitudes at the components of job satisfaction, working conditions showed low Attitudes patient safety, because of logistical and laboratory support is still lacking. Components of patient safety high Attitudes namely job satisfaction component of patient safety is low Attitudes climate of teamwork and conditions of employment because of logistical and laboratory support is still lacking.

scholarly journals Pengaruh Motivasi Intrinsik, Motivasi Ekstrinsik dan Komitmen Pelayanan Tenaga Kesehatan Terhadap Kualitas Pelayanan BPJS Kesehatan

2020 ◽  
Vol 19 (1) ◽  
pp. 19-26
Author(s):  
Much. Riyadus Solichin ◽  
Kabul Trifiyanto
Keyword(s):  
Health Services ◽  
Intrinsic Motivation ◽  
Extrinsic Motivation ◽  
Service Providers ◽  
Health Workers ◽  
Medical Personnel ◽  
Public Hospitals ◽  
Quality Of Services ◽  
Private Hospitals

The author of this paper aims to increase the delivery of health workers in private hospitals in serving patients using BPJS health. As for the background of this writing because now BPJS patients' views on health services are not good especially in private hospitals, marked by the issue of electronic media issues about public complaints that there are differences in health services provided by public hospitals compared to BPJS patients where parties public hospitals prioritize public patients more than patients participating in the health BPJS. This research is a quantitative study conducted through surveys and questionnaires. In this study involved 90 respondents in 9 private hospitals which are service providers in collaboration with BPJS in Kebumen Regency. For intrinsic motivation variable of 2,292 is greater than t table 1,198 with a significance value of 0.024 <0.05 so it can be concluded that the hypothesis is accepted. the t value for the extrinsic motivation variable is 0.029 smaller than t table 1.198 with a significance value of 0.977> 0.05 so it can be concluded that the hypothesis is rejected. t value for the commitment variable of 2.470 is greater than t table 1.198 with a significance value of 0.015 <0.05 so it can be concluded that the hypothesis is accepted. The results obtained are intrinsic motivation influencing the quality of labor services in private hospitals. So if the motivation of medical personnel services increases, the quality of services provided will increase. Extrinsic motivation does not affect the quality of labor services in private hospitals. So if the extrinsic motivation of medical personnel services increases / decreases, it cannot stimulate the quality of services provided. Commitment affects the quality of labor services in private hospitals. So if the commitment of medical personnel services increases, the quality of services provided increases. Intrinsic motivation, extrinsic motivation and commitment together affect the quality of labor services in private hospitals. So that the motivation of medical personnel services can stimulate the quality of services provided.

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