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

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.

Author(s):  
Gunawan Widjaja

The HR crisis has affected the health system, but there is little research into how this HR disruption affects medical workers. Understanding the impact on the health of medical personnel is essential; the COVID-19 outbreak is still sweeping the world. With the empirical literature, we have succeeded in summarizing the impact of the HR crisis on the health of medical personnel. Exploratory systematic reviews have identified qualitative, theory-based empirical evidence against practitioners. We have searched a database of relevant HR crises and health issues. Then we analyzed it in depth with a phenomenological approach. A total of 40 peer-reviewed publications were reviewed, referring to the HR crisis and its impact on the health of medical personnel. Finally, this study confirms that the human resource crisis is transmitted to medical personnel through several models: (1) a decrease in the quality of health services; (2) the impact of inadequate service measures; and (3) increasing demands for health services from patients; (4) A wave of community protests for treatment; (5) service and budget inefficiency.


2020 ◽  
Vol 6 (2) ◽  
pp. 192-197
Author(s):  
Mualifah Mualifah

Health services are provided through the form of medication and care. Health workers, medical and non-medical, are responsible for providing optimal service. Medical personnel, in this case doctors, have responsibility for the treatment that is being carried out. Treatment actions and determining needs in the treatment process are the authority of the doctor. In accordance with the formulation of the problem and the research objectives, this legal research uses a normative or dogmatic approach to law as its main approach, with the aim of examining its positive law in the sense of collecting, presenting, systematizing, analyzing, interpreting and assessing positive legal norms that protect people's rights. BPJS health participants. Health effort is any activity to maintain and improve health, which aims to create an optimal health plan for the community. The community has the same rights in gaining access to resources in the health sector, for this reason government hospitals and private hospitals are responsible for providing health services to the community. Private hospitals in collaboration with BPJS Kesehatan are required to provide health services to BPJS Kesehatan participant patients without discriminating against BPJS Kesehatan participants who are referred by first level health facilities, namely puskesmas and family doctors according to their interests


2020 ◽  
Vol 31 (4) ◽  
pp. 437-449
Author(s):  
Mina Fanea-Ivanovici ◽  
Marius-Cristian Pană ◽  
Mihail Dumitru Sacală ◽  
Cristina Voicu

The aim of the paper is to provide an analysis of the dynamics of the public and private health sectors in Romania. Using descriptive statistics, it first investigates whether the public health sector follows the reformation trends suggested by official strategies and reports, and to what extent the private health sector is a viable alternative to the public one, by analysing the demand for private inpatient services. We look into the reduction in the occupancy degree in public hospitals as a means to increase the efficiency of public health expenditures, which represents one way to reform the public health sector. We also find that the increase in the occupancy degree in private hospitals is negatively correlated with the quality of services provided by public hospitals, but positively correlated with population wealth. Increase in the occupancy degree in private hospitals is an indicator of poor quality of services in public hospitals. It can also be explained by increasing expectations and requirements of beneficiaries as a reflection of increase in wealth and of their will to preserve their health capital. Using regression models, the paper then proposes the Wealth-Health Index, a composite indicator to explore the connection between wealth and health and the dynamics of the private health sector. Investment in physical infrastructure and the size of medical staff in the private sector is positively correlated with wealth increase.


2020 ◽  
Vol 7 (3) ◽  
pp. 469
Author(s):  
Nicodias Palasara ◽  
Diah Ayu Anggraeni ◽  
M Qomaruddin

Performance appraisal that still uses manual calculations and paper media, will use a lot of paper and archiving stacked files and often there are errors or unclear writing so that they do not get the right assessment results on target. As one of the means of public health service providers are required to improve the quality and professionalism in terms of health services, one of which is in the scope of health workers such as paramedics. Overcoming this, a significant increase in the number of paramedics in hospitals must be in line with good management by human resources officers, in order to improve the quality of health services. Then the implementation of the paramedic performance appraisal website at the hospital is one good solution to make it easier to overcome the problem. In this study created a website to support the paramedic performance evaluation. In making a website using the waterfall method, whose function can accelerate the results and quality of the website. Computerized performance appraisal systems run better and more efficiently than manual systems and can minimize paper usage and data accuracy


2016 ◽  
Vol 6 (1) ◽  
pp. 14-19
Author(s):  
Farhana Begum ◽  
Shahinul Alam

Further utilization of hospital facility is influenced by the provision of hospital care and cost of services. This study was conducted among patients of public and private hospitals of Dhaka city, Bangladesh to explore the relationship of further utilization of hospital care and cost of services incurred during previous visits. A total 199 patients of 2 private and 2 public hospitals were included. Of them, 100 (50.25%) were from public and 99 (49.74 %) from private hospitals. Male: female ratio of the respondents was 111:88. The level of services was scored by patients on a 1-5 Likert scale on the aspects of services of doctors, nurses, other staffs; medicine supply; cleanliness; and investigation facilities. Poor people usually sought the services from public hospitals. About three-quarter of the respondents (76.9 %) mentioned that they would avail the facility of same hospital for their further ailment. Seventeen patients (17%) who were treated in government hospitals will not further utilize the services, and this was significantly higher (p-0.02) in the case of patients from private hospitals (29.3%). Regression analysis explored that quality of services (p=-0.000) and cost of services (p=0.001) influenced the plan of future consumption of hospital facility and quality of services having stronger influences. This study concludes that further utilization of the hospital facility was strongly influenced by the quality of services and next to that is cost of services. So we recommend for best and successive utilization of hospital services to improve facilities and minimization of cost are the essential needs.South East Asia Journal of Public Health Vol.6(1) 2016: 14-19


2016 ◽  
Vol 5 (3) ◽  
pp. 39
Author(s):  
Amegovu K. Andrew

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 &amp; 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 &amp; safe drinking water.


Author(s):  
Beniamino Schiavone ◽  
Andrea Vitale ◽  
Mena Gallo ◽  
Gianlucasalvatore Russo ◽  
Domenico Ponticelli ◽  
...  

Background: Facebook is the most popular social network across the world and also allows users access to health information. Our study presents an overview of the official Facebook profiles of hospitals in Italy (n = 1351) and how much they are used. Methods: All hospitals were surveyed on the number of Facebook posts in May (post-lockdown) and October (second pandemic wave) 2020. The number of followers, the creation date of the official page, and the frequency of publication—that is, the average number of days between two subsequent posts—were determined. Results: In Italy, only 28% (n = 379) of the hospitals had official Facebook pages, of which 20.6% (n = 78) were public hospitals, and 79.4% (n = 301) were private hospitals. Of the hospitals with Facebook pages, 49.1% used them every week, and public hospitals published more often. Conclusions: Despite the differences between regions and types of management, the number of hospitals in Italy that use Facebook as a tool for the public dissemination of health information is still low. Hospitals should adopt an effective communication strategy using social networks to improve the quality of health care.


Author(s):  
Amal Yassin

Abstract The study aimed to know the overall quality of the concept and its importance in providing high-quality health services and the availability of the key factors in the application and services and to take administrative factors, technical and human and financial, which may contribute to the raise if directed properly and have an adult in improving the quality of health services impact. Based on the nature of the study and the objectives it seeks, the analytical descriptive approach was used. It was based on the study of the phenomenon as it exists in reality and it is treated as a precise description and expressed in qualitative and quantitative terms. To analyze the analytical aspects of the research subject and then collect the initial data through the questionnaire as a main tool for research, designed specifically for this purpose, and distributed to government hospitals in Khartoum State, and included the study community department managers and patients in government hospitals in Khartoum state. A random sample was collected (300) department managers and patients from the Khartoum government hospitals. Each individual has the opportunity to be a member of the study sample during the year 2016. The study concluded with a number of results, the most important of which is that the hospital management has the material potential (furniture, equipment, ...) to use the Six Sigma curriculum with an intermediate degree. The hospital management is ready to use the Six Sigma curriculum to a high degree. Six Sigma In the middle level, the hospital management is keen to train the heads of departments to form teams for the process of continuous improvement to a high degree, the hospital administration is continuously improving the purpose of reducing the deviations and errors that occur, the hospital management is ready to provide an information system Its data continuously At, there is the management of the hospital readiness to provide direct contact with an intermediate degree of quality coaches tuning software system. The study presented a number of recommendations, the most important of which is linking the promotion system in the public hospitals in Khartoum state with the quality control program, paying attention to the overall quality and stressing the possibility of using it in hospitals in Khartoum State because of its scientific and practical importance and improving the quality of the services and the operations provided. Keywords: total quality management, health services, competitiveness, sigma six


Author(s):  
Julie Sin

This chapter looks at the topic of health services quality from a commissioning and whole population perspective. Quality is noted to be a multidimensional concept and dimensions of quality are considered. The role of the commissioner in maintaining and improving quality of services is explored, and this is seen within a wider backdrop of a health system with commissioner and provider functions (if there are such distinctions in the system). Commissioners need to know whether they are securing quality care for their population for the money spent. They also need an understanding of how this dovetails with the provider perspective on this topic. Commissioners also need to be able to articulate what they wish to assess in practice under the guise of quality. Finally, at a system level there are also bearings on how to compile and interpret a picture of a population’s health if needed.


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