scholarly journals Dampak Pandemi Coronavirus Disease-19 terhadap Mutu Pelayanan Kemoterapi di Ruang Delima RSUP Prof. Dr. R. D. Kandou Manado

e-CliniC ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 412
Author(s):  
Dian Nurani ◽  
Martha M. Kaseke ◽  
Arthur E. Mongan

Abstract: Covid-19 pandemic has an impact on health services in hospitals, especially in chemotherapy rooms. This study was aimed to analyze the quality of health services dimensions, as follows: reliability, responsiveness, assurance, empathy, and tangible. This was a quantitative study using a cross sectional design. Subjects were adult cancer patients who received chemotherapy services before and during the Covid-19 pandemic in 2020 at Delima chemotherapy room of Prof. Dr. R. D Kandou Hospital Manado and met the inclusion criteria of 30 people, using a five-dimensional health service quality questionnaire. Data analysis was performed univariately and bivariately using the statistical Wilcoxon test p<α (0.05). The results showed that the reliability average before the pandemic was 89.60% and during the pandemic was 88.27% (p=0.008); the responsiveness average before the pandemic was 84.27% and during the pandemic was  83.47% (p=0.000); the assurance average before the pandemic was 95.47% and during the pandemic was 95.73% (p=0.157); the empathy average before the pandemic was 92.53% and during the pandemic was 92.27% (p=0.157); the tangible average before the pandemic was 78.53% and during the pandemic was 84.40% (p=0.000). In conclusion, there were differences in service qualities of reliability, responsiveness, and tangible dimensions but there were no differences in service qualities of assurance and empathy dimensions before and during the Covid-19 pandemic to patients at Delima room of Prof. Dr. R. D. Kandou Hospital Manado.Keywords: Covid-19; chemotherapy; quality of service Abstrak: Pandemi Covid-19 memberi dampak terhadap pelayanan kesehatan di rumah sakit, terutama di ruang kemoterapi. Penelitian ini bertujuan untuk menganalisis mutu pelayanan kesehatan dimensi reliability, responsiveness, assurance, empathy, dan tangible. Jenis penelitian ialah kuantitatif dengan desain potong lintang. Subjek penelitian ialah pasien kanker dewasa yang mendapatkan pelayanan kemoterapi di ruang Delima RSUP Prof. Dr. R. D Kandou Manado sebelum dan pada masa pandemi Covid-19 tahun 2020 yang memenuhi kriteria inklusi sebanyak 30 orang. Penelitian ini menggunakan kusioner lima dimensi mutu pelayanan kesehatan. Analisis data dilakukan secara univariat dan bivariat dengan menggunakan uji statistik Wilcoxon p<α (0,05). Hasil penelitian mendapatkan dimensi mutu sebagai berikut: reliability, rerata sebelum pandemi (89,60%) dan masa pandemi (88,27%) (p=0,008); responsiveness, rerata sebelum pandemi (84,27%) dan masa pandemi (83,47%) (p=0,000); assurance, rerata sebelum pandemi (95,47%) dan masa pandemi (95,73%) (p=0,157); empathy, rerata sebelum pandemi (92,53%) dan masa pandemi (92,27%) (p=0,157); tangible, rerata sebelum pandemi (78,53%) dan masa pandemi (84,40%) (p=0,000). Simpulan penelitian ini ialah terdapat perbedaan mutu pelayanan dalam dimensi reliability, responsiveness, dan tangible namun tidak terdapat perbedaan mutu dalam dimensi assurance dan empathy antara sebelum dan pada masa pandemi Covid-19 terhadap pasien di ruang Delima RSUP Prof. Dr. R. D. Kandou Manado.Kata kunci: Covid-19; kemoterapi; mutu pelayanan kesehatan

2018 ◽  
Vol 46 (4) ◽  
Author(s):  
Made Lely ◽  
Tati Suryati

ABSTRACT  Development in the health field today in addition to aiming for healing and recovery also to improve health and prevent the incidence of a disease in the community. The hospital is a place to provide health services for the community. The quality of health services can be seen from several perspectives: the perspective of the health care provider, the perspectives of the funder, the perspective of the owner of the health care facility and the patient's perspective. While patient satisfaction is the level of satisfaction experienced by patients after using health services. Quality of health services and customer satisfaction are the indicators of hospital service success. The purpose of this study was to know the description of patient satisfaction of referral of outpatient at District Hospital, Regional Hospital and Provincial Hospital. The study was conducted with cross sectional design, using questionnaire instrument. The respondent is an outpatient at the hospital who has finished receiving the service or finished treatment at the hospital, where if the patient age ≤ 15 years or difficult to communicate there must be a companion. Data retrieval is done by direct interviews to the patient or the patient's companion. The result of the research shows the description of satisfaction respondent/outpatient exit interview in the hospital that overall more than 80% of respondents /outpatient satisfied to service given in the hospital. Respondents/outpatients who work more satisfied than those who do not work, and non-PBI participants are more satisfied than the PBI participants. The conclusions of this study, most of the respondents / outpatients in hospitals are satisfied with the services provided by the hospital.   Keywords: outpatient perception, service quality, hospital


2019 ◽  
Vol 6 (2) ◽  
Author(s):  
Effendi Effendi ◽  
M.Z. Babul Gaos

This study aims to find out how the influence of the Health BPJSProgram Implementation on the quality of health services at SitanalaLeprosy Hospital Dr. The city of Tangerang, with the formulation of theproblem: Is there an effect of the implementation of the BPJS healthprogram on the Quality of Health Services at the Leprosy Hospital Dr.Sitanala Tangerang City? The number of samples of 40 techniques usedis Random Sampling from 161 populations, the primary data obtainedfrom respondents through a questionnaire. data analysis techniques withregression analysis and static tests (different tests). The results of thestatistical test showed that there was a significant effect of theImplementation of the Health BPJS Program on the quality of healthservices at the Leprosy Hospital Dr. Sitanala Tangerang


2020 ◽  
Vol 7 (2) ◽  
pp. 195-200
Author(s):  
Prystia Riana Putri ◽  
Megah Andriany ◽  
Artika Nurrahima

Prisoners in the correctional area are faced with unexpected situations and conditions. Prisoners ability to solve problems will affect the level of quality of life (QOL). However, research that focused on QOL levels based on age and education is not yet available, so this research is essential. This study applied a cross-sectional design with systemic random sampling and purposive sampling techniques. QoL measurements were carried out at 120 male prisoners using WHOQOL BREF instruments that have been tested as valid and reliable. The study was conducted in one of the Prisons in Central Java Province in September 2019. Inclusion criteria were no family visits, occupation of prisons for less than 18 months, general crime, and no cognitive impairment. The results showed that male prisoners with late adulthood and high school education had higher QOL mean rates of 88.5 and 87.6. The conclusion is the level of QOL related to age and high education.


2021 ◽  
Vol 2 (2) ◽  
pp. 58-68
Author(s):  
Dherma Wati Bangun ◽  
Dherma Wati Bangun ◽  
Vivi Eulis Diana

Patients in health services have different behaviors in deciding to take advantage of health services. Patients used various considerations to make decisions based on the health products or services for re-treatment. The study aimed to analyze the factors that influence the patient's decision in using health services for re-treatment. This research was quantitative with cross-sectional design and conducted at Tanjung Pura Regional Hospital. The population was 3.946 people, and the sample were 247 respondents taken by using purposive sampling. Data analysis was univariate and bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level (a= .05). The results showed that the factors that influenced the patient's decision to use health services for re-treatment at the Tanjung Pura Regional Hospital were the service quality of doctors / nurses (p= .000), distance (p=.049), facilities (p=0.000), and service speed (p = .000). The factors that did not influence we age (p=.461). gender (p=.895), education (p=.371), occupation (p=.593). The most dominant factor influencing is facilities with Exp (B)/OR =14.477, meaning that respondents who stated that the hospital facilities were good, had the opportunity to use health services for re-treatment by 14.4 times higher the respondents who stated that the hospital facilities were not good. It is suggested to Tanjung Pura Regional Hospital to propose and allocate a budget for improving hospital facilities that are still lacking and adding new service facilities so that it can increase public confidence for repeat treatment


2019 ◽  
Vol 10 (1) ◽  
pp. 163
Author(s):  
Dini Qurrata Ayuni ◽  
Almahdy Almahdy ◽  
Esi Afriyanti

Abstrak Timbang terima adalah komunikasi oral dari informasi tentang pasien yang dilakukan oleh perawat pada pergantian shift jaga. ketidak akuratan informasi dalam melakukan timbang terima dapat menimbulkan dampak yang serius pada pasien, hampir 70% kejadian yang menyebabkan kecacatan atau kematian disebabkan karena buruknya komunikasi. Peneltian bertujuan mengetahui faktor – faktor yang berhubungan dengan pelaksanaan timbang terima pasien. Desain penelitian ini adalah cross sectional. Penelitian dilakukan di RSUD Pariaman Sampel 86 perawat dengan teknik pengambilan sampel Total sampling. Penelitian dilakukan bulan Juni 2016. Peneltian menggunakan kuesioner, analisa data menggunakan univariat, bivariat dan multivariat. Hasil penelitian faktor pengetahuan rendah (57,0%), dengan Sikap perawat pelaksana  baik (61,6%), (59,3 %) mendapat dukungan dari pimpinan. (60,5 %) tidak mendapat dukungan dari teman sejawat. sebagian besar dari perawat (65,3 %) kurang baik dalam pelaksanaan timbang terima pasien. Ada hubungan yang bermakna antara pengetahuan dan dukungan teman sejawat dengan  pelaksanaan timbang terima, tidak ada hubungan yang bermakna antara sikap dan dukungan pimpinan dengan pelaksanaan timbang terima. Pengetahuan lebih dominan berhubungan dengan pelaksanaan timbang terima pasien. Saran untuk pelayanan keperawatan agar melakukan audit keperawatan tentang kualitas pelaksanaan timbang terima dan melakukan supervisi berjenjang pada semua aspek dalam pelaksanaan timbang terima. Kata kunci : Pengetahuan, Sikap, Dukungan Pimpinan,dukungan teman sejawat, pelaksanaan timbang terima ABSTRAKWeighing is oral communication from information about patients performed by nurses at the turn of the shift. inaccurate information in weighing up can have a serious impact on patients, almost 70% of events that cause disability or death are caused by poor communication. The research aims to find out the factors that are related to the implementation of patient weighing. The design of this study was cross sectional. The study was conducted in RSUD Pariaman. Samples were 86 nurses with a total sampling technique. The study was conducted in June 2016. The study used a questionnaire, data analysis using univariate, bivariate and multivariate. The results of the study of knowledge factors were low (57.0%), with the attitude of nurses implementing good (61.6%), (59.3%) receiving support from the leadership. (60.5%) did not receive support from colleagues. most of the nurses (65.3%) were not good at implementing patient weighing. There is a meaningful relationship between knowledge and support of peers with the implementation of the weighing scale, there is no meaningful relationship between the attitude and support of the leadership with the implementation of the weighing scale. Knowledge is more dominant related to the implementation of patient weighing. Suggestions for nursing services in order to conduct a nursing audit about the quality of implementation of weighing scale and conducting tiered supervision on all aspects of the implementation of weighing scale. Keywords: Knowledge, Attitude, Leadership Support, peer support, implementation of weighingDaftar pustaka : 72 (2000 – 2015) 


2020 ◽  
Vol 23 (3) ◽  
Author(s):  
Fuad Husain Akbar ◽  
Rini Pratwi ◽  
Nadiah Hulwah

 Objective: The aim of this study was to determine the difference in quality of life of stunting children in Enrekang District based on their caries status. Material and Methods: This study was an observational analitic study with a cross sectional design, conducted in Buntu Batu, Baraka, and Malua Sub-district of Enrekang District on April 29-May 3, 2019. Height measurements, def-t/DMF-T, pufa/PUFA  assessment of stunting children 6-12 years old, and assessment of quality of life related to oral health of children 8-12 years using the CPQ questionnaire. Data were collected, 123 children suffered from stunting. Results: Based on the Mann Whitney Test, p value  < 0.05 showed that there were differences that statistically significant on def-t and pufa to quality of life of 8-10 years. The p value > 0.05 indicates that there are no significant differences in def-t/DMF-T and pufa/PUFA to quality of life of 11-12 years stunting children. Conclusion: There are differences in caries of primary teeth between stunting children aged 8 -10 years to their quality of life. At the age of 11-12 years there is no difference in caries to quality of life in Enrekang District.KeywordsCaries; Quality of life; Stunting.


2017 ◽  
Vol 5 (2) ◽  
pp. 91
Author(s):  
Sumarni Sumarni

<em>Ministry of Health of the Republic of Indonesia to set out five key issues related to safety in the hospital, the Patient Safety, worker safety, the safety of buildings and equipment in hospitals that could have an impact on Patient Safety and personnel, safety of the environment that have an impact on environmental pollution and safety businesses Hospital related to the survival Hospital. Management of patient safety plays an important role in improving the quality of health services. Patient safety is the efforts of service that prioritizes patient safety. The research was conducted at Ibn Sina Hospital, the type of research is cross sectional study is a draft that examines the dynamics of the correlation between the independent variables (patient safety) and the dependent variable (improving the quality of health services) at the same time. Respondents that all officers in the field of medical care and support services at Ibn Sina Hospital. The sampling technique used is random cluster sampling technique with a population of 402 respondents sampled 304 respondents. Based on interviews with the respondents stated that the higher the safety of the patient, the better the quality of a hospital, when a patient is exposed to the incident then it will switch to other hospitals, patient safety and quality are positively correlated Hospital. The results showed that no respondents (0%) the implementation of Patient Safety classified as very weak. The percentage of respondents to the implementation of Patient Safety is very strong, strong, moderate and weak amounted to 12.25% (30 respondents), 71.57% (224 respondents), 15.69% (39 respondents) and 0.49% (11 respondents ). Based on these results it is known that the majority of respondents ie 71.57% (224 respondents) is the implementation of the Patient Safety category are classified as strong, so it can be concluded that the implementation of Patient Safety at Ibn Sina Hospital relatively strong. Based on the dimensions of most of the dimensions Implementing Patient Safety at Ibn Sina Hospital is high with dimensions on the dimension of cooperation is highest in units amounted to 97.10%.</em>


2016 ◽  
Vol 3 (3) ◽  
pp. 156
Author(s):  
Desti Astuti ◽  
Anafrin Yugistyowati ◽  
Oktaviana Maharani

<p>In 2012 the scope of exclusive breastfeeding in DIY were 48%, while in Bantul district as much as 62.05% in 2013. Breastfed which is first out after delivery called colostrum and very important given to infants, but many of postpartum mothers are less or not knowing about the importance of colostrum. The purpose of study was to know relationship between the knowledge level of postpartum mothers about colostrum and motivation of giving colostrum in Panembahan Senopati Bantul hospital, Yogyakarta. This study was an observational analytic with cross sectional design. Samples were 54 of postpartum mothers days 0 to 4 at Panembahan Senopati Bantul hospital, Yogyakarta which obtained by accidental sampling technique. Instruments used was closed questionnaire. Data analysis used Kendal Tau test. The data were analyzed by statistical correlation kendall tau obtained p-value were 0.000&lt;α (0.05). The value of a correlation coefficient were 0.632. it mean that the connection was strong. In conclusions, there was a relationship between knowledge level of pospartum mothers about colostrum and motivation of giving colostrum in Panembahan Senopati Bantul hospital, Yogyakarta 2015.</p>


2020 ◽  
Vol 3 (4) ◽  
pp. 447
Author(s):  
Sabarudin Sabarudin ◽  
Dian Munasari Solo ◽  
Muhammad Jefriyanto B ◽  
Nurramadhani A Sida ◽  
Wa Ode Asdia

Quality is compliance with predefined standards or following the requirements. Minimum Service Standards health in hospitals is very important to measure the hospital's performance of health services. This study aims to describe the quality of service at the Pharmacy Installation at Santa Anna Hospital, Kendari City during the Covid-19 pandemic based on five indicators of minimum pharmaceutical service standards are waiting time for drug services, the absence of errors in drug administration, writing prescriptions according to the formulary, patient satisfaction and availability of SOP (Standard Operating Procedures). This study is observational research which is descriptive used cross sectional design. The sample was outpatients for 90 samples at Santa Anna Hospital, Kendari City, who fulfill the inclusion criteria. Instruments used questionnaire sheets and observation sheets. The results showed that the indicator of waiting time for concocted drugs and non-concocted drugs was 8 minutes and 4 minutes, respectively. There was no error in administering medications (100%). The suitability of prescription writing to the National Formulary was 99.73%, patient satisfaction to tangible dimensions and reliability dimensions were 82.23% and 84.84%, respectively. The responsiveness dimension was 79.65%, the assurance dimension was 83.54%, and the empathy dimension was 85.48%, and the availability of the standard operating procedure was 63.64%. This study's pharmacy installation at Santa Anna Hospital in Kendari City has not fulfilled the predetermined Minimum Service Standards.


2021 ◽  
Vol 7 (1) ◽  
pp. 35-42
Author(s):  
Nurehan Maulana ◽  
Leni Novianti ◽  
Sutriyati Sutriyati

Background: Satisfactory and quality service will form patients/customers loyalty, and satisfaction is very closely related to word of mouth. The next effect will continue on the process of forming an improved image of health care agencies. The standard of patient satisfaction in health services is set nationally by the Ministry of Health at a minimum for patient satisfaction, which is above 95%. The purpose of this study is to find out the relationship between the quality of service in aspects of staff attitude, service facilities, and rates/fees with patient satisfaction in polyclinic acupuncture and herbal LKTM Palembang. Methods: This research is quantitative and uses an analytic survey with a cross sectional design. The sample in this study were all patients of the Palembang Community Traditional Health Workshop (LKTM) in 2020 who visited during the study period, numbering 85 people. Result: Based on the results of the study, 62.4% expressed satisfaction with the services in Polyclinic Acupuncture and Herbs (LKTM). The dimension that needs to be improved is the Assurance dimension in the officer's capability section. Based on the result of Chi-Square statistical test, the level of patients satisfaction to the service attitude of the officer, with a p-value of 0.000. Recommendation: for LKTM Palembang, it is expected to improve the quality of existing health workers and always play an active role in health services, maintain existing facilities, and review the costs set.


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