Patient Characteristics, Financing Type, Accreditation Status, and Quality of Health Services at Community Health Center, Surakarta

Based on the results of a preliminary study conducted on January 15, 2018 regarding the level of patient satisfaction with the quality of care at Sindang Barang Community Health Center in January 2018 out of 10 patients interviewed, 7 patients expressed dissatisfaction with the realible and responsive service quality at Sindang Barang Health Center and 3 other patients stated satisfied with the realible and responsive services available at the Sindang Barang Health Center. Of the 7 patients who expressed dissatisfaction with the Sindang Barang Community Health Center services 6 of them stated that the quality service of Sindang Barang Public Health Center was less than the five service quality (tangible, realible, responsive, assurance, empathetic) and 1 patient said from the five good quality services (tangible, realible) , responsive, assurance, empathy).This research was conducted at the Sindang Barang Health Center in Bogor Regency. The purpose of this study was to determine the relationship between the quality of health services and the level of outpatient satisfaction at the Sindang Barang health center in Bogor regency in 2018. The type of research the researchers conducted was analytic research with a quantitative analysis method with a cross sectional design. The results in this study are known as kendall’s tau results, namely p value = 0,000 which means that the p value ≤ 0.05 Ho is rejected, Ha is accepted so there is a relationship between service quality and outpatient satisfaction in Sindang Barang Health Center in 2018.

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

Journal La Medihealtico ◽

10.37899/journallamedihealtico.v2i1.290 ◽

2021 ◽

Vol 2 (1) ◽

pp. 32-46

Author(s):

Desy Murdiatama ◽

Ahmad Rifai ◽

Indah Anggraeni

Keyword(s):

Public Health ◽

Multivariate Analysis ◽

Patient Satisfaction ◽

Health Services ◽

Health Center ◽

Univariate Analysis ◽

Community Health Center ◽

Physical Evidence ◽

Quality Of Health Services

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

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

Kesmas National Public Health Journal ◽

10.21109/kesmas.v4i1.197 ◽

2009 ◽

Vol 4 (1) ◽

pp. 24

Author(s):

Dian Ayubi

Keyword(s):

Patient Satisfaction ◽

Health Services ◽

Community Health ◽

Health Center ◽

Community Health Centers ◽

Community Health Center ◽

Donabedian Model ◽

Assess Quality ◽

Process Attribute

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

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ANALISIS PENGARUH FAKTOR ORGANISASI DAN FAKTOR INDIVIDU TERHADAP KUALITAS PELAYANAN PUSKESMAS STUDI PADA PUSKESMAS KECAMATAN KEDAWUNG KABUPATEN SRAGEN - PROVINSI JAWA TENGAH

Jurnal Ilmu Kesejahteraan Sosial ◽

10.7454/jurnalkessos.v18i1.101 ◽

2018 ◽

Vol 18 (1) ◽

Author(s):

Karno . ◽

Isbandi Rukminto Adi ◽

Bambang Shergi Laksmono

Keyword(s):

Health Service ◽

Health Services ◽

Community Health ◽

Health Center ◽

Central Government ◽

Health Centre ◽

Individual Factor ◽

Public Health Centre ◽

Quality Of Health Services

<p>The research object is the quality of health service organized by Public Health Centre (PHC) in Kedawung District, Sragen Regency, Central of Java Province. Based on the discussion of the results obtained by the conclusion, that there is a positive and significant influence between Organization Factors and Individual Factor toward Quality of Health Services organized by Kedawung PHC. Thus the hypothesis being tested eight acceptable. Thus it can be stated that the Organization Factors and Individual Factor are factors that determine the quality of health services organized by kedawung Community Health Center in Sragen regency.The research finding is a new model of health service with the title “ Health Service Assurance Model”. The model was developed from a new concept and construction with 13 factors, namely (1) Resources Services, (2) Accountability Services Fund, (3) Organization Skills Service, (4) Demotivator Services, (5) Extroversion Services, (6) Orientation Task Leadership services, (7) Orientation Relationship Leadership services, (8) Orientation Changes Leadership Services, (9) Human Resources Information Services, (10) Information Technology Services, (11) Relations Information Service, (12) Procedures Service, and (13) Technical Services.Research conclusion, the overall hypothesis is accepted and its relations positive and significant. Finally found is Model of Health Services Assurance . Performance of health services PHC Kedawung very good. Suggestions for Central Government, Local Government, and Management Health Center Kedawung that 13 factors can be used as norms, standards, procedures and criteria in the community health services.</p>

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SEJARAH PUSKESMAS ANDOWIA DI KECAMATAN ANDOWIA KABUPATEN KONAWE UTARA (1982-2016)

Jurnal Penelitian Pendidikan Sejarah UHO ◽

10.36709/jpps.v3i4.12857 ◽

2020 ◽

Vol 3 (4) ◽

Author(s):

Nurtina Nurtina ◽

Hayari Hayari

Keyword(s):

Health Services ◽

Health Center ◽

Medical Equipment ◽

Local Community ◽

Community Health Center ◽

Physical Development ◽

Historical Research ◽

Historical Method ◽

Quality Of Health Services

ABSTRAK: Masalah pokok penelitian ini adalah (1) Apa yang melatar belakangi pembangunan Puskesmas Andowia di Kecamatan Andowia Kabupaten Konawe Utara? (2) Bagaimana perkembangan Puskesmas Andowia di Kecamatan Andowia Kabupaten Konawe Utara? Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian sejarah yang bersifat deskriptif kualitatif. Pendekatan yang digunakan dalam penelitian ini adalah pendekatan strukturis. Metode yang digunakan dalam penelitian ini adalah metode sejarah, yang terdiri dari tiga yakni: (1) Heuristik (Pengumpulan Sumber), (2) Verifikasi (Kritik Sumber) dan (3) Historiografi (Penulisan Sejarah). Hasil penelitian ini adalah sebagai berikut: (1) Latar belakang pembangunan Puskesmas Andowia di Kecamatan Andowia Kabupaten Konawe Utara yaitu Pada awalnya sebelum ada Puskesmas Andowia, masyarakat setempat masih mempercayai dukun dapat menyembuhkan penyakit, Jadi pada saat itu masyarahkat setempat ketika mengalami sakit ataupun ada keluarga yang sakit mereka pergi ke dukun untuk berobat. (2) Perkembangan Puskesmas Andowia di Kecamatan Andowia Kabupaten Konawe Utara (1982-1994) yaitu (a) Pada tahun 1982-2016 dimana pada saat itu Puskesmas Andowia belum ada perkembangan secara fisik; (b) Pada tahun 1994-2007 dimana adanya tambahan fasilitas kesehatan dari pemerintah setempat; (c) Pada tahun 2007-2016 adanya lagi penambahan alat-alat peralatan kesehatan seperti suntik, ukur berat badan dan lain-lainnya. (d) Perkembangan kualitas pelayanan kesehatan di Puskesmas Andowia Kecamatan Andowia Kabupaten Konawe Utara penulis memilih 5 dimensi kualitas, yaitu ketampakan fisik (tangibles), keandalan (reliability), daya tanggap (responsiveness), jaminan (assurance) dan empati (empathy). Kata Kunci: Latar belakang, Perkembangan, Puskesmas ABSTRACT: The main problems of this research are (1) What is the background of the development of Andowia Health Center in Andowia Subdistrict, North Konawe Regency? (2) How is the development of Andowia Health Center in Andowia Subdistrict, North Konawe Regency? This type of research used in this study is a descriptive qualitative historical research. The approach used in this research is a structuralist approach. The method used in this study is the historical method according, which consists of three namely: (1) Heuristics (Collection of Sources), (2) Verification (Critical Sources) and (3) Historiography (Writing History). The results of this study are as follows: (1) The background of the development of the Andowia Community Health Center in Andowia Sub-district, North Konawe Regency, that is, before the Andowia Health Center was established, the local community still believed that the dukun could cure the disease. the sick they went to the shaman to seek treatment. (2) the development of Andowia Health Center in Andowia Subdistrict, North Konawe Regency (1982-1994), namely (a) in 1982-2016 where at that time the Andowia Health Center had no physical development; (b) In 1994-2007 where there were additional health facilities from the local government; (c) In 2007-2016 there was additional addition of medical equipment such as injections, weight measurements and others. (d) The development of the quality of health services in Andowia Health Center Andowia Subdistrict, North Konawe District, the authors chose 5 dimensions of quality, namely physical appearance (tangibles), reliability (reliability), responsiveness (responsiveness), assurance (assurance) and empathy (empathy). Keywords: Background, Development, Health Center

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Pengembangan Indeks Mutu Pelayanan Kesehatan Puskesmas

Media Penelitian dan Pengembangan Kesehatan ◽

10.22435/mpk.v29i3.1156 ◽

2019 ◽

Vol 29 (3) ◽

Author(s):

Hadjar Siswantoro ◽

Hadi Siswoyo ◽

Nurhayati Nurhayati ◽

Delima Tie ◽

Annisa Rizky Afrilia ◽

...

Keyword(s):

Logistic Regression ◽

Health Services ◽

Community Health ◽

Health Center ◽

Structural Equation ◽

Quality Index ◽

Multinomial Logistic Regression ◽

Community Health Center ◽

Convenience Sampling

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

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

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20211206 ◽

2021 ◽

Vol 8 (4) ◽

pp. 1578

Author(s):

Adam Badwi ◽

Periyenti Ba'ru

Keyword(s):

Health Services ◽

Community Health ◽

Health Center ◽

Quantitative Research ◽

Health Workers ◽

Community Health Center ◽

Public Health Services ◽

Good Communication ◽

The One

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

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