scholarly journals Factors Affecting the Decision of Patients to Utilize Health Services for Recycling

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 (2) ◽  
pp. 48-56
Author(s):  
Merna Merna

Abstract: The quality of hospital services is a form of patient assessment so that it becomes a consideration to decide to be admitted to the hospital. The behavior of patients in making decisions to choose health care facilities in hospitals is influenced by several factors. This study was to analyze patients' decisions to be treated. This type of research is an analytical survey with cross sectional design. The study was conducted at the Gayo Lues Hospital. The population of this study was 4,851 people, the samples were 114 people. Data analysis was univariate, bivariate using chi-square and multivariate using multiple logistic regression at 95% confidence level (a=0.05). The results showed that the factors that influenced the patient's decision to be treated at Gayo Lues Hospital in 2018 were support from community leaders (p=0.018), economic situation (p=0.007), personality (p=0.008), perception (p=0.009), and attitude (p=0.001). While the variables that were not influential were family support (p=0.322), culture (p=0.471), social class (p=0.672), work (p=0.537), motivation (p=0.065). The most dominant factor that influences the attitude of the patient's decision to be treated in Gayo Lues District Hospital is the attitude variable with Exp (B) = 5.982 (95% CI = 2.005-17.847) means that respondents who are positive have the opportunity to decide to be treated at Gayo Lues District Hospital 5.9 times higher than respondents who are negative. The patient's decision to be treated at the Gayo District Hospital is influenced by the support of community leaders, economic situation, personality, perception, and attitude.


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.


2021 ◽  
Vol 2 (5) ◽  
pp. 35-43
Author(s):  
Nur Anifah ◽  
Asyiah Simanjorang ◽  
Yuniati Yuniati

The purpose of the study was to determine and analyze the effect of perceptions of responsiveness, reliability, assurance, empathy, tangible and dominant factors on the reuse of health services in the work area of Langsa Health Center. West. The research method uses an analytical survey with a cross sectional approach. The population in the study was 5.5362 people. The sampling technique used the Slovin formula and accidental sampling, so that 99 people were obtained. Data analysis used univariate, bivariate with chi-square test and multivariate with logistic regression test. The results showed that the multivariate sig value of perceived responsiveness (0.000), perceived reliability (0.214), perceived assurance (0.040), perception of empathy (0.017), perception of real evidence (0.195). The conclusion is that there is an influence of perception of responsiveness, assurance, empathy, there is no influence of perception of reliability and direct evidence on the reuse of health services, while the dominant factor of reuse of health services is the perception of responsiveness. For this reason, it is recommended for the Puskesmas to further improve the quality of its services related to communication of doctors' schedules so that they come on schedule, explain the provisions on the use of generic drugs for JKN patients, and doctors use the principles of smile, greet and touch to serve patients.


2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Uliyatul Laili

Analysis of factors Affecting The Participant Pregnant Women Gymnactics in BPS Nina Surabaya. Pregnant women should get treatment during pregnancy. Treatment during pregnancy or antenatal care can be done via examination of pregnancy, pregnancy exercise, nutrition and other compliance requirements. Pregnancy exercise is an exercise undertaken to prepare and train the muscles so that it can be used to function optimally in a normal delivery.This study uses an analytical method with cross sectional design prospective. Sampling using total sampling technique. The independent variable is education, parity and maternal knowledge, while the dependent variable is exclusive breastfeeding. Data were analyzed using chi square test.The results showed a correlation between age and support of husband / family with the participation of pregnant women during pregnancy exercise with a p-value of <0.05, whereas for education and parity are not related to the participation of pregnant women against pregnancy exercise with a value of p>0.05.The conclusions of this study are the factors that influence the participation of pregnant women during pregnancy exercise is aged and the support of husband / family.


2019 ◽  
Vol 1 (3) ◽  
pp. 103-110
Author(s):  
Evalina Joana Doutel ◽  
Intje Picauly ◽  
Johny A. R. Salmun

Toddlers are vulnerable groups that must be considered especially the fulfillment of nutritional intake. Balanced nutrition in infancy plays an important role in increasing human resources in the future, but malnutrition in infancy affects the growth and development of children's brains that are irreversible or unable to recover. The problem of malnutrition is still a major problem in Indonesia despite the many efforts and prevention programs that have been made. This study aims to analyze the determinant of toddler nutrition status in farmer's families in Halilulik Health Center Belu District in 2019. This research used an analytic survey with a cross-sectional design. The sample in this research were 94 toddlers who were in the Halilulik Health Center Community. Data analysis used was univariate analysis, bivariate analysis and multivariate analysis with chi-square and multiple logistic regression tests. The results of this research showed that the variables of mother's knowledge (ρ=0.032), level adequacy of energy (ρ = 0,000), level adequacy of protein (ρ=0,000) and history of infectious disease (ρ=0,002) have correlation with Toddler Nutrition Status, while families food processing habits (ρ=0,739) and families eating restrictions (ρ=0,617) did not have any correlation with Toddler Nutrition Status. The dominant factor that most influences the nutritional status of toddlers is the level adequacy of energy followed by the level adequacy of protein. Nutrition toddlers have less levels of energy and protein intake compared to toddlers with good nutritional status. Consumption of foods that are diverse and varied needs to be considered, especially foods that are sourced with energy, protein, and fat to reduce the problem of malnutrition in infants.


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


2020 ◽  
Vol 1 (2) ◽  
pp. 65-72
Author(s):  
Salestin Rambu Malairu ◽  
Joko Pitoyo

Problems often faced by eldery is decreasing ability is like physical health, or decrease ability to socialize with others. Health Service Centre is one of  activities aimed to elderly to get health services easily.Objective aim to know differences from quality of life of  active elderly with inactive elderly on follow health service centre in Mojolangu Village Of Lowokwaru District, method is design research is used a Cross Sectional design. Sample are 40 elderly, taking sample is using purposive sampling. Samples divided to 2, that is 20 elderly who are active, and 20 elderly who are inactive Data analysis is using Chi Square test. The results showed there are 5 (25%) respondents who are actively follow elderly  Health Service Centre had a good quality of life, while 1 (5%) respondents who are inactively follow elderly Health Service Centre had a good quality of life. Respondents with a good quality of life average attendance participed in elderly  Health Service Centre by 7 times, while inactive elderly as much as 3/4 times. Chi Square test results obtained by the value of p = 0,002, so concluded there is a differences from quality of life of active elderly with inactive elderly on follow health service centre in Mojolangu Village of Lowokwaru. Suggestion from this study are further researchers can use this research and more developed. Keywords: Quality of Life, Elderly, Health Service Centre


2019 ◽  
Vol 4 (2) ◽  
pp. 325
Author(s):  
Aprianus Umbu Zogara

<p><em>Quality of service is an important thing that must be considered by every facility of health services in providing service to patients. Quality of service is closely linked with comprehensive and systematic services to provide excellent service without distinguishing any patients either public or health-care users. The purpose of this study to determine the relationship between the ownership of health insurance with patient satisfaction in Puskesmas Jetis 1 Bantul, Yogyakarta. This research is a quantitative research with cross- sectional design. Samples in this study were patients who came to visit or seek treatment and enrolled in Puskesmas Jetis 1 Bantul as many as 97 people taken by accidental sampling technique. Data were analyzed using chi-square analysis. The results showed most of the respondents who have collateral such as Askes, JKN, Jamkesda, and Jamkesmas (67%) were satisfied with the services provided. The result of chi-square correlation test shows that there is correlation between assurance ownership and patients satisfaction at Puskesmas Jetis 1 Bantul, Yogyakarta which is shown by Sig value. of 0.00 (Sig &lt;0.05). This study can be concluded that there is a significant relationship between guarantee ownership and patient satisfaction with the majority of patients who have more satisfied health insurance.</em></p><p><em><br /></em></p><p><em>Kualitas pelayanan merupakan suatu hal penting yang harus diperhatikan oleh setiap fasilitas pelayanan kesehatan dalam memberikan pelayanan terhadap pasien.Kualitas pelayanan berhubungan erat dengan pelayanan yang komprehensif dan sistematis untuk memberikan pelayan yang prima tanpa membedakan setiap pasien baik umum maupun pengguna jaminan kesehatan. Tujuan penelitian ini untuk mengetahui hubungan antara kepemilikan jaminan kesehatan dengan kepuasan pasien di Puskesmas Jetis 1 Bantul, Yogyakarta. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional. Sampel dalam penelitian ini adalah pasien yang datang berkunjung atau berobat dan terdaftar di Puskesmas Jetis 1 Bantul sebanyak 97 orang yang diambil dengan menggunakan teknik accidental sampling.Data dianalisis menggunakan analisis chi-square. Hasil penelitian menunjukkan sebagian besar responden yang memiliki jaminan seperti Askes, JKN, Jamkesda, dan Jamkesmas (67%) merasa puas dengan pelayanan yang diberikan. Hasil uji korelasi chi-square menunjukkan terdapat hubungan antara kepemilikan jaminan dengan kepuasan pasien di Puskesmas Jetis 1 Bantul, Yogyakarta yang ditunjukkan dengan nilai Sig. sebesar 0,00 (Sig &lt; 0,05). Penelitian ini dapat disimpulkan terdapat hubungan yang signifikan antara kepemilikan jaminan dengan kepuasan pasien dengan mayoritas pasien yang memiliki jaminan kesehatan yang lebih merasa puas.</em></p>


2021 ◽  
Vol 2 (6) ◽  
pp. 57-66
Author(s):  
Mappeaty Nyorong ◽  
Asyiah Simanjorang ◽  
Jauhari Jauhari

This study aims to determine the factors that influence the performance of nurses and to determine the most dominant factors affecting the performance of nurses at the General Hospital Datu Beru Takengon 2021. The research design used a quantitative analytic survey with a cross-sectional design. The population is all nurses in the Inpatient Room at RSU Datu Beru Takengon as many as 200 people. The sampling technique used was random sampling. Data analysis was performed by univariate, bivariate and multivariate analysis with chi_square. The results of the Chi-Square statistical test analysis obtained p-value = 0.003 < 0.05, which means there is a relationship between workload and nurse performance, while the length of service period obtained p-value = 0.652 < 0.05, which means there is no relationship between length of service and nurse performance, the training variable obtained p-value = 0.004 < 0.05 which means there is a relationship between training and nurse performance, the discipline variable obtained p-value = 0.005 < 0.05 which means it means that there is a relationship between discipline and nurse performance and the motivation variable is obtained p-value = 0.002 < 0.05, which means there is a relationship between motivation and nurse performance. The results of the Multivariate test analysis showed that the variables that influenced the performance of nurses were workload, discipline and motivation, while the most dominant variable was the workload variable with p = 0.002 <0.05.


2018 ◽  
Author(s):  
Andan Firmansyah

Medical procedures performed by medical personnel at the hospital can bring a variety ofrisk to the patient. Anxiety is the most common response experienced by parents when thereare health problems in children. Largely due to the lack of knowledge or informationobtained related to the action to be performed. Informed consent is consent given medicaltreatment by patients or their families on the basis of the explanation of health workers. Thepurpose of giving informed consent in order to reduce the level of parental anxiety.Thepurpose of this study was to determine the relationship between the provision of informedconsent by the level of anxiety of parents of children who were treated intravenously in theED Hospital District. Polewali. This study used cross sectional design with accidentalsampling technique in 30 respondents. The statistical test used is chi-square with asignificance level of p &lt;0.000.These results indicate that administration of informed consenthave a significant relationship with the level of anxiety of parents of children who weretreated intravenously with the value of significance is p = 0.000 (p = &lt;0.05).The conclusion of this study is that the informed consent provision related to the level ofanxiety of parents of children who were given intravenous therapy in the ED. Suggestionsfrom this study is expected to hospital management can improve the quality of health careand nursing care that all nursing staff provide informed consent in accordance with its role isto protect the rights of patients to a given action in order to minimize anxiety in the elderly.


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