scholarly journals HUBUNGAN PENERAPAN MANAJEMEN PUSKESMAS DAN KOMITMEN KERJA PETUGAS DENGAN MUTU PELAYANAN PENGOBATAN DI POLI UMUM PUSKESMAS KABUPATEN BANGKALAN (Studi di Puskesmas Se-Kabupaten Bangkalan)

2016 ◽  
Vol 2 (02) ◽  
Author(s):  
Shobirin .
Keyword(s):  
Health Services ◽  
Health Center ◽  
Health Care Quality ◽  
Public Health Problem ◽  
Care Quality ◽  
Health Centers ◽  
P Value ◽  
Analysis Tool ◽  
Application Service

Health care quality problems in health centers is growing into a serious public health problem . The low quality of puskesmas is often a complaint from the public . The demands of today's society will be quality health services is increasing. a strong commitment to be willing to devote all its capabilities for the benefit of health centers in improving the quality of health services. This research is analytic survey research with cross sectional approach with quantitative approach . Data collection at once at a time (point time approach) . The total sample of 105 doctors and nurses at the health center of Bangkalan Public Poli . To test the relationship pattern researchers used an analysis tool of logistic regression chi square test with SPSS version 16 . The results showed that: 1) with a p value of 0.001 No Relationship Management Application Service Quality Medical health center, 2) with p value 0.000 Labour Relations Officers Commitment to Quality Medical Care. Employees who have work commitments to be more responsible in providing the best service qualityKeywords : Application management clinic, working Commitment , Quality of Service

scholarly journals Better Life Index and Health Care Quality Indicators, Two New Instruments to Evaluate the Healthcare System

2018 ◽  
Vol 13 (2) ◽  
pp. 29
Author(s):  
Paolo Pietro Biancone ◽  
Silvana Secinaro ◽  
Valerio Brescia
Keyword(s):  
Health Care Quality ◽  
Well Being ◽  
Care Quality ◽  
P Value ◽  
Local Health ◽  
Better Life Index ◽  
Long Time ◽  
Health Care Quality Indicators ◽  
New Instruments

Local health companies have been trying to report quantitative and qualitative information through social reporting tools for a long time. The OECD has been questioning for quite some time how to evaluate satisfaction and quality by not considering the economic aspect alone in the quest for satisfying the needs of the citizen. The aim of the work is to evaluate how the compound indicator of well-being perceived by the population and the composite indicator of the quality of health services can be used to define health policies considering the incidence of other variables. In the analysis, it is therefore assessed how much the two indicators are related and linked to other variables that need to be considered and how independent indicators are used without further evaluations to target policies. The data are updated to October 18, 2017. All statistical analyses were performed using STATA V.13 (Stata Corp, College Station, Texas, USA, 2013) and p value <0.05 was considered significant for all analyses. The sample is made up of 35 OECD countries.

scholarly journals Analysis of the Quality of Health Center Services Based on Public Service Regulation by the Government

2020 ◽  
Vol 4 (6) ◽  
pp. 192-195
Author(s):  
Ambo Dalle ◽  
Sri Purwantono ◽  
Bahtiar Bahtiar
Keyword(s):  
Health Services ◽  
Health Center ◽  
Public Service ◽  
Health Centers ◽  
Quality Health ◽  
The Government ◽  
Quota Sampling ◽  
Center Service ◽  
Quality Health Services

Health centers are expected to provide quality health services that meet the needs of the customers. Health centers need to improve services in order to be able to compete, develop, and grow. This study describe the satisfaction of the customers for services provided by Kendal Health Center, Ngawi, Indonesia. The population of this study were community who utilized health services at the Kendal Health Center in 2016. The sample were selected using quota sampling. Each unit of service given a quota of 20 respondents, while auxiliary health center were quota of 10 respondents, because the customer visit at a auxiliary health center were lower. The variable was the satisfaction with services provided by health center. Data were collected by filling out questionnaires, then analyzed descriptively using spiderweb diagram. In general, the results of the study indicate that the quality of health center services was in the good category, and all service units had succeeded in exceeding the predetermined targets. Keywords: health center; service quality; public service

scholarly journals Analysis of Outpatient Satisfaction and the Quality of Health Services

2020 ◽  
Vol 2 (1) ◽  
pp. 26-33
Author(s):  
Sumayyah Jamal H. M. Arifin ◽  
Muntasir . ◽  
Erny Erawati Pua Upa
Keyword(s):  
Health Services ◽  
Health Center ◽  
Health Department ◽  
Health Centers ◽  
Outpatient Services ◽  
Exclusion Criteria ◽  
Internal Factors ◽  
Quality Of Health Services ◽  
Descriptive Survey

Quality is an important factor in health services. Bakunase Health Center is one of the primary accredited health centers in Kupang City. Based on data from the Health Department, there has been a decrease in the number of visits over the last three years. This happens due to external factors and internal factors. The external factor is the increasing degree of public health, while the internal factor is the decrease in the patients’ commitment to treatment. The purpose of this study is to describe the level of outpatient satisfaction with the quality of health services at Bakunase Health Center of Kupang City in 2020. This was a descriptive survey with a quantitative approach. The population in this study was all patients who visited and used outpatient services at Bakunase Health Center in Kupang City from January to October 2019. Accidental sampling was used in selecting the samples from each outpatient sub-group in 7 polyclinics at Bakunase Health Center using inclusion and exclusion criteria. The results indicated that the level of conformity between expectations and reality of the services are as follows:  98.78% tangible, 98.66% reliable, 98.33% responsive, 98.79% assurance 98.74% empathy. Based on the Cartesian Importance Performance Analysis (IPA) diagram, quadrant A was filled by one attribute from the responsiveness dimension, quadrant B was filled by most attributes from the reliability dimension, quadrant C was filled by most attributes from the empathy dimension and quadrant D was filled by one attribute from the responsiveness dimension.

scholarly journals Quality and accreditation in health care services

2021 ◽  
Vol 12 (2) ◽  
pp. 539-543
Author(s):  
Christos Iliadis ◽  
Aikaterini Frantzana ◽  
Kiriaki Tachtsoglou ◽  
Maria Lera ◽  
Petros Ouzounakis
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Health Care Quality ◽  
Quality Of Healthcare ◽  
Care Quality ◽  
Healthcare Management ◽  
Policy Makers ◽  
Care Services

Introduction: The quality of health care services is one of the most frequently mentioned terms and concepts regarding principles of health policy and it is currently high on the agenda of National, European and International policy makers. Purpose: The purpose of this descriptive review is to investigate the correlation between quality in health services and the promotion of health care quality provided by health services. Methodology: The study material consisted of recent articles on the subject mainly found in the Medline electronic database and the Hellenic Academic Libraries Association (HEAL-Link). Results: The clinical quality of services is often difficult to be assessed by "clients" even after the service has been provided. This is due to the fact that customers experience illness, pain, uncertainty, fear and perceived lack of control. Thus, clients may be reluctant to "co-produce" because healthcare is a service they need while they may not want it and because the risk to harm their health is prominent. In the field of healthcare management, patients' perception refers to perceived quality, as opposed to the actual or absolute quality that requires critical management. This is why health care managers face constant pressure to provide qualitative health services. Conclusions: Continuous monitoring of health care services for quality assessment is essential, hence, the evaluation of patients' perceptions of quality of healthcare, has received considerable attention in recent years.

scholarly journals Analysis of Lut Tawar Health Center Service Quality on Outpatient Patient Satisfaction in Central Aceh Regency

2021 ◽  
Vol 2 (2) ◽  
pp. 50-58
Author(s):  
Asriwati Amirah ◽  
Mappeaty Nyorong ◽  
Wahyu Fatrah Nananda
Keyword(s):  
Health Services ◽  
Service Quality ◽  
Health Center ◽  
Physical Condition ◽  
Secondary Data ◽  
Primary Data ◽  
P Value ◽  
Cross Sectional ◽  
Quality Of Health Services

The purpose of this study was to find out what aspects were related to the quality of service at the Lut Tawar Health Center to the Satisfaction of Outpatients in Central Aceh Regency. The research design used in this study was Cross Sectional. The population in this study was 7,507 people and the samples taken by accidental sampling were 99 people. Data collection methods are primary data and secondary data. Analysis of the data used is a binary logistic regression test. The results showed that the physical condition had a sig-p value of 0.004 < 0.05, reliability sig-p 0.004 < 0.005, and a sig-p guarantee of 0.030 < 0.05, which means that it has a relationship with the quality of health services, while responsiveness has no relationship to the quality of health services because it has a sig-p value of 0.173 > 0.05 and concern has no relationship to the quality of health services because it has a sig-p value of 0.893 > 0.05. The most dominant aspect related to service quality is the variable of physical condition p = 0.004 <0.05. The conclusion in this study is that there is a relationship between physical condition, reliability, and assurance on the quality of Community Health Center (puskesmas) services, while the responsiveness and caring variables have no relationship to the quality of puskesmas services.

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 A qualitative study of old patients’ experiences of the quality of the health services in hospital and 30 days after hospitalization

2019 ◽  
Author(s):  
Ingvild Lilleheie ◽  
Jonas Debesay ◽  
Asta Bye ◽  
Astrid Bergland
Keyword(s):  
Health Care ◽  
Health Services ◽  
Older People ◽  
Everyday Life ◽  
Health Care Quality ◽  
Care Quality ◽  
World Health ◽  
Old Patients ◽  
The Impact

Abstract Background The number of people aged 80 years and above is projected to triple over the next 30 years. People in this age group normally have at least two chronic conditions (multimorbidity). The impact of multimorbidity is often significantly greater than expected from the sum of the effects of each condition. The World Health Organization has indicated that health care systems must prepare for a change in the focus of clinical care for older people. The WHO defines health care quality as care that is effective, efficient, integrated, patient centered, equitable and safe. The degree to which health care quality can be defined as acceptable is determined by services’ ability to meet the needs of users and adapt to patients’ expectations and perceptions. This study explores experiences of the quality of the health services in hospital and the first 30 days at home after discharge by patients over 80 years of age. Method We took a phenomenological perspective to explore older patients’ subjective experiences and conducted semistructured individual interviews. Eighteen patients (aged from 82 to 100 years) were interviewed twice after discharge from hospital. The interview transcriptions were analyzed thematically. Results The patients found their meetings with the health service to be complex and demanding. They reported attempting to restore a sense of security and meaning in everyday life, balancing their own needs against external requirements. Five overarching themes emerged from the interviews: hospital stay and the person behind the diagnosis, poor communication and coordination, life after discharge, relationship with their next of kin, and organizational and systemic determinants. Conclusion According to the WHO, to deliver quality health care, services must include all six of the dimensions listed above. Our findings show that they do not. Health care focused on measurable values and biomedical inquiries. Few opportunities for participation, scant information and suboptimal care coordination left the patients with a feeling of being in limbo, where they struggled to find balance in their everyday life. Further work must be done to ensure that integrated services are provided without a financial burden, centered on the needs and rights of older people.

scholarly journals Opportunities and Benefits Implementation Business Intelligence Application on Health Center

2015 ◽  
Vol 6 (1) ◽  
pp. 1 ◽  
Author(s):  
Hady Pranoto
Keyword(s):  
Operating System ◽  
Health Services ◽  
Health Center ◽  
Business Intelligence ◽  
Health Centers ◽  
Public And Private ◽  
System A ◽  
Computerized System ◽  
Intelligence Application

The health center has the task of providing health services to the community, to be able to win the competition among the existing health centers; a health center should have a good operating system, a computerized operating system to improve services in the field of administration. However, providing a computerized system is not enough, many other health centers or competitors also use a computerized system. Unfortunately, health centers in Indonesia have not yet implemented business intelligence application. There are many public and private health centers do not apply automated operational system. A study of the literature is conducted to find evidence of the application of BI, and any sector of the BI can be applied. Many sectors in health services where BI can be applied to improve the productivity quality of service and competitiveness in this era of globalization.

scholarly journals Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018

2021 ◽  
Vol 45 (131) ◽  
pp. 1088-1100
Author(s):  
Danielle Chianca de Andrade Moraes ◽  
Juliana da Rocha Cabral ◽  
Regina Célia de Oliveira ◽  
Vanessa Alves de Souza
Keyword(s):  
Health Care ◽  
Medication Adherence ◽  
Health Care Quality ◽  
Statistical Tests ◽  
Quality Standard ◽  
Antiretroviral Drugs ◽  
Care Quality ◽  
P Value ◽  
Cross Sectional

ABSTRACT The aim of this study was to evaluate health care quality and medication adherence in people living with human immunodeficiency virus in specialized care services. This is a cross-sectional, evaluative study, with a quantitative approach, carried out in ten services in Pernambuco. Two instruments were validated and analyzed by statistical tests were used and 306 adults and their service managers participated. The quality standard was equivalent for most indicators. Only in the countryside, the indicators referring to the availability of antiretroviral drugs and care in the absence of medication were associated with low adherence (p-value=0.033 and p-value=0.011), the latter being a predictor for low adherence. Services with insufficient quality standards showed a 19% higher occurrence of low medication adherence. 81% of users had low adherence to antiretroviral drugs. There is a deficiency in adherence to antiretroviral drugs, and those assisted in services in the countryside have more complicating factors related to the quality of health care for satisfactory adherence.

scholarly journals Kualitas Lingkungan Kerja dan Kinerja Bidan Puskesmas dalam Pelayanan Kesehatan Ibu

2014 ◽  
pp. 265 ◽  
Author(s):  
Sri Purnama Rezeki ◽  
Dumilah Ayuningtyas
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Community Health ◽  
Community Health Centers ◽  
Maternal Health Services ◽  
Health Centers ◽  
Quality Of Work Life ◽  
P Value ◽  
Quality Of Work

Peningkatan angka kematian ibu dan kesenjangan cakupan pelayanan kesehatan ibu antar puskesmas, diasumsikan berhubungan dengan kinerja bidan yang dipengaruhi lingkungan tempat bekerja (puskesmas). Penelitian dengan desain potong lintang dengan metode kuantitatif dan kualitatif ini bertujuan mengetahui hubungan antara komponen quality of work life (QWL) dengan kinerja bidan puskesmas pada pelayanan kesehatan ibu. Studi ini dilaksanakan di 11 puskesmas wilayah kerja Kabupaten Bintan pada bulan Februari - Maret 2013. Data dikumpulkan dengan menggunakan kuesioner pada 67 responden dan wawancara pada 10 informan. Berdasarkan hasil penelitian, hanya 35,8% bidan puskesmas mempunyai skor kinerja di atas rata-rata, beberapa puskesmas mempunyai skor komponen QWL di bawah rata-rata. Hubungan yang signifikan ditemukan antara komponen keterlibatan karyawan (nilai p = 0,005) dan rasa bangga terhadap institusi (nilai p = 0,039) dengan kinerja bidan puskesmas dalam pelayanan kesehatan ibu.Increasing maternal mortality ratio and also gaps of the maternal health services scope among community health centers, assumed related to the performance of midwife clinics who is affected by the environment in which working (community health centers). This cross sectional study with quantitative and qualitative approaches aims to determine the relationship between Quality of Work Life (QWL) components with the midwives clinics performance in maternal health services. The study is implemented in 11 community health centers in working area Bintan Regency in February - March 2013. Data are collected by using questionnaires with 67 respondents and interview with 10 informants. Based on the study results, only 35.8% midwives clinics having performance scores above average, some community health center having component QWL scores below average. There is a relationship between employee engagement (p value = 0.005) and sense ofpride to the institution (p value = 0.039) with midwives clinics performance in maternal health services.

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