Factors Affect the Quality of Health Services of National Health Insurance Participants (Studies Public Health Center Benteng in The City Palopo)

2019 ◽  
Vol 10 (8) ◽  
pp. 1292
Author(s):  
Nilawati Uly ◽  
Marissa
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Health Services ◽  
Health Center ◽  
National Health Insurance ◽  
National Health ◽  
Public Health Center ◽  
Quality Of Health Services ◽  
The City

Enhancing the Role of Public Health Center as Gatekeeper on the National Health Insurance

2019 ◽  
Vol 10 (4) ◽  
pp. 353
Author(s):  
Betri Anita ◽  
Henni Febriawati ◽  
Desri Suryani ◽  
Yandrizal ◽  
Bintang Agustina Pratiwi ◽  
...  
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Health Center ◽  
National Health Insurance ◽  
National Health ◽  
Public Health Center

scholarly journals KUALITAS PELAYANAN KESEHATAN DI PUSAT KESEHATAN MASYARAKAT KEMBANG SERI KECAMATAN TALANG EMPAT KABUPATEN BENGKULU TENGAH

2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Yoki Apriyanti ◽  
Evi Lorita ◽  
Yusuarsono Yusuarsono
Keyword(s):  
Public Health ◽  
Qualitative Research ◽  
Health Services ◽  
Health Center ◽  
Medical Equipment ◽  
Good Service ◽  
Data Presentation ◽  
Public Health Center ◽  
Quality Of Health Services

his study aims to find out the quality of health services in Kembang Seri Public Health Center atTalang Empat Sub-District, Central Bengkulu Regency. This research is a qualitative research presented descriptively. The informants in this study amounted to 6 people consisting of key informants and principal informants. The data were collected by interviews, observation and documentation method. The technique data analysis used were data reduction, data presentation, and conclusion. Based on the results show that the quality of Health Services in the Kembang Seri of Talang Empat Sub-District of Central Bengkulu Regency is seen from the theory of service quality 1)The Reliability has done a good service but nurses are still not friendly in patient. 2) Responsiveness of nurses are ready and sufficiently skilled in treating patients but there are also nurses who are still arrogant and play their own cellphones while patients need service.3) Assurance of nurses are less friendly and polite to patients and nurses still distinguish services from rich patients and poor patients in terms of service but nurses are active in communicating with patients. Empathy of nurse is easily contacted in every room that keeps and communicates with the patient ready to be called by the patient’s family if needed. However, in terms of medicines and intravenous needles there is still a lack of availability. 5. Tangibles (Physical Facilities) seen from the building of Kembang Seri Public Health Center is good and medical equipment is sufficient.

scholarly journals Perspektif Pasien Terhadap Kualitas Pelayanan Kesehatan di Rawat Inap Puskesmas Arjasa Menggunakan Hospital Consumer Assessment of Healthcare Providers and Systems

2021 ◽  
Vol 3 (11) ◽  
pp. 838-844
Author(s):  
Nida’us Syahidah ◽  
Endang Sri Redjeki ◽  
Sendhi Tristanti Puspitasari
Keyword(s):  
Public Health ◽  
Health Services ◽  
Service Quality ◽  
Health Center ◽  
Healthcare Providers ◽  
Public Health Center ◽  
Hospital Consumer Assessment ◽  
Quality Of Health Services ◽  
Consumer Assessment

Abstract: Public Health Center (Puskesmas) as a first-level service facility should always prioritize quality in its services. Assessment of service quality from the patients’ perspectives serves as a way to obtain an overview of the quality of health services that will be utilized as a reference in improving the quality of health services. This study aimed to obtain an overview of service quality based on the inpatients’ perspectives at Arjasa Public Health Center using the Hospital Consumer Assessment of Healthcare Providers and Systems. The type of this study was a descriptive survey with a quantitative approach. The research population was all patients who were receiving inpatient services at the Arjasa Public Health Center. The sampling technique used was accidental sampling and was adjusted to the time of the study. Data analysis was performed using univariate analysis, aiming to describe the characteristics of the research variables. Based on the results of the study, the quality of health services according to the inpatients’ perceptions at Arjasa Public Health Center shows that nurse communication was in the very good category, doctor communication was in the very good category, responsive dimension was in the very good category, physical comfort dimension was in the good category, pain control dimension was in the very good category, drug communication dimension was in the good category, and information return dimension was in the good category. Overall, the quality of health services based on the inpatients’ perceptions at Arjasa Public Health Center was good.. Abstrak: Puskesmas sebagai fasilitas pelayanan tingkat pertama harus selalu menerapkan kualitas dalam pelayanannya. Penilaian kualitas pelayanan dari perspektif pasien merupakan salah satu cara untuk mendapatkan gambaran kualitas pelayanan kesehatan yang akan dijadikan acuan dalam meningkatkan kualitas pelayanan kesehatan. Penelitian ini bertujuan untuk mendapatkan gambaran kualitas pelayanan berdasarkan perspektif pasien rawat inap di Puskesmas Arjasa menggunakan Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Jenis penelitian yang dilakukan adalah survei deskriptif dengan pendekatan kuantitatif. Populasi penelitian ini adalah seluruh pasien yang sedang menerima pelayanan rawat inap Puskesmas Arjasa. Teknik pengambilan sampel menggunakan pengambilan sampel yang tidak disengaja, dan disesuaikan dengan waktu penelitian. Analisis data dilakukan dengan analisis univariat yang bertujuan untuk menggambarkan karakteristik variabel penelitian. Berdasarkan hasil penelitian, kualitas pelayanan kesehatan sesuai persepsi rawat inap Puskesmas Arjasa tentang komunikasi perawat sangat baik, terhadap komunikasi dokter dalam kategori sangat baik, pada dimensi responsif memiliki kriteria yang sangat baik, pada dimensi kenyamanan fisik berada dalam kategori baik, dimensi kontrol rasa sakit termasuk dalam kategori sangat baik, dimensi komunikasi obat berada dalam kategori baik, dimensi pengembalian informasi dalam kategori baik. Secara keseluruhan, kualitas pelayanan kesehatan sesuai persepsi rawat inap Puskesmas Arjasa baik.

scholarly journals Performance and Attitude of Dental Poly Officers with Patient Satisfaction on JKN Era in Panembahan Hospital Bantul Yogyakarta

2019 ◽  
Vol 6 (2) ◽  
pp. 141-146
Author(s):  
Naufal Rachmanda ◽  
Edi Sumarwanto ◽  
Ayu Kristin Rakhmawati
Keyword(s):  
Patient Satisfaction ◽  
Health Insurance ◽  
Health Services ◽  
National Health Insurance ◽  
National Health ◽  
P Value ◽  
Cross Sectional ◽  
A Value ◽  
Quality Of Health Services

Panembahan Senopati Hospital is a referral hospital. In the government program in the form of the National Health Insurance (JKN), most people who seek treatment at Panembahan Senopati District Hospital have health insurance. The ineffectiveness of the referral system in Indonesia has an impact on the accumulation of patients in advanced health facilities, resulting in a decline in the quality of health services provided. The main indicator of knowing hospital standards is patient satisfaction with services from the hospital. Various facts show that there are serious problems in the quality of health services in Indonesia. This is due to the absence of the best quality control system that can be applied. To determine the level of satisfaction of National Health Insurance (JKN) patients with the quality of health services provided by dental clinic officers at Panembahan Senopati Hospital. Descriptive analytic observational with a cross sectional study design. The population in this study were patients who received dental and oral health services. Samples were taken using 86 accidental sampling techniques. Data was collected using a questionnaire consisting of 14 structured question items based on the performance and attitude of dental clinicians. Data analysis using the Chi-Square test followed by logistic regression test. From the results of multivariate analysis, the P value of 0.035 performance is significant and has a greater chance of 10,588 times compared to performance that is not appropriate. P value of 0.023 attitude is significant and has a 4.315 times the opportunity compared to attitudes that do not include 3 components. Factors related to satisfaction include intelligence, skills. emotional stability, a person's characteristics include attitudes, personal traits, physical traits, desires and motivation. There is a relationship between the performance and attitude of dental clinicians that performance is a variable X which is more influential with a value of P = 0.035 compared with attitude with a value of P = 0.023 to the variable Y about patient satisfaction of dental dentists.

scholarly journals Relationship between Quality of Health Services and Satisfaction of National Health Insurance Participant in the District Hospital of North Buton in 2018

MEDULA ◽  
2019 ◽  
Vol 6 (3) ◽  
Author(s):  
Asmarani Dian Pratiwi ◽  
Nina Indriyani N ◽  
Erik Astrada ◽  
Rhenislawaty Rhenislawaty
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
National Health Insurance ◽  
National Health ◽  
District Hospital ◽  
P Value ◽  
Cross Sectional ◽  
Spearman Rank ◽  
Quality Of Health Services

ABSTRACTLatar Belakang: Kualitas layanan kesehatan merupakan upaya yang dilakukan oleh petugas kesehatan, dokter, perawat, dan paramedis lainnya dalam hal memenuhi kebutuhan dan keinginan pelanggan dan penyediaan pengiriman untuk mengimbangi harapan pelanggan. Kualitas layanan kesehatan  yang  diberikan  terdiri  dari  aspek  bukti  fisik,  keandalan, daya  tanggap,  jaminan  danempati. Tujuan Penelitian: Tujuan penelitian ini adalah untuk mengetahui hubungan kualitas pelayanan kesehatan dengan kepuasan peserta Asuransi Kesehatan Nasional di RSUD Buton Utara. Metode Penelitian: Penelitian ini menggunakan metode analitik-observasional dengan pendekatan cross sectional. Populasi penelitian ini adalah pasien yang berpartisipasi dalam Asuransi Kesehatan Nasional di Rumah Sakit Kabupaten  Buton Utara  dari Agustus hingga September 2018 dengan populasi 64. Dengan sampel 55 sampel diambil menggunakan metode accidental sampling. Data tentang kualitas layanan dan kepuasan pasien diperoleh melalui kuesioner. Analisis data menggunakan metode uji korelasi Spearman rank dan dianggap signifikan jika p <0,05. Hasil Penelitian: Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan antara kualitas layanan dan kepuasan pasien. Hal ini dapat dilihat dari dimensi reliabilitas, yaitu p -value 0,000 (<0,05), dari dimensi responsi yaitu p-value 0,000 (<0,05), dimensi jaminan adalah p-value 0,000 (<0,05)), dan dari dimensi empati itu adalah nilai p-value 0,000 (<0,05) sedangkan pada dimensi buktifisik yang diperoleh p-value adalah 0,000 (<0,05). Dalam penelitian ini diperoleh responden yang menyatakan puas dengan pelayanan kesehatan dengan persentase 80,0% sedangkan mereka yang menyatakan ketidakpuasannya dengan persentase 20,0%. Simpulan: simpulan dari penelitian ini, terdapat hubungan antara kualitas pelayanan dan kepuasan peserta Asuransi Kesehatan Nasional di RSUD Buton Utara. Kata Kunci: bukti fisik, jaminan, keandalan, kepuasan pasien, pasien JKN

Cases of Dispute and Pending Claims in Hospitals in the Era of National Health Insurance

2022 ◽  
Vol 2 (1) ◽  
pp. 32-38
Author(s):  
Mrs. Yastori
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
National Health Insurance ◽  
National Health ◽  
National Health Insurance System ◽  
Quality Health ◽  
Icd 10 ◽  
Data Collection Technique ◽  
Observation Method

Background: Indonesia began to implement a National Health Insurance System based on the National Social Security System in 2014 with the support of government regulations which states that Indonesia requires every citizen to have access to comprehensive and quality health services so that can continue their life through the National Health Insurance. Pending and dispute claims are problems that often occur in the era of national health insurance that can affect hospital budget allocation and planning policies, increasing the high cost burden for hospitals which will affect the quality of health services provided. The purpose of this study was to determine pending cases and dispute claims in hospitals in the Era of National Health Insurance.Methods: The study used a descriptive method with a qualitative approach. The data collection technique used is the observation method, namely directly to the e-claim file at several hospitals. 15 e-claim files taken in total from April – July 2021.Results: Obtained 13 cases of pending claims and 2 cases of dispute claims. Cases pending claims are caused by not complying with the code with evidence or resources, not in accordance with medical clinical practice guidelines and the rules of the health insurance provider.Conclusions: In coding, it is necessary to match the theory on the ICD-10, update the ICD-10. It is necessary to understand the rules and provisions made by the insurer and the related guidelines and rules. Please be aware of every latest code update.

HUBUNGAN KUALITAS PELAYANAN KESEHATAN TERHADAP TINGKAT KEPUASAN PASIEN PESERTA BPJS MANDIRI DI PUSKESMAS DELITUA KABUPATEN DELI SERDANG TAHUN 2018

2019 ◽  
Vol 1 (2) ◽  
pp. 48-52
Author(s):  
Selamat Ginting ◽  
Adi Arianto
Keyword(s):  
Public Health ◽  
Health Center ◽  
The Body ◽  
P Value ◽  
Factors Affecting ◽  
Public Health Center ◽  
Level Of Satisfaction ◽  
Quality Of Health Services ◽  
The Relationship

Health is a prosperous state of the body, soul, and social which is very possible for every individual to live productively in a social and economic way. Tests of research are to identify the relationship between the quality of health services to the level of satisfaction of BPJS Mandiri in Public Health Center Deli Tua Kab Deli Serdang. The research method uses an analytical survey type with a sample of 95 people. The results of the study are that there is a significant relationship between Tangible, reliability, responsiveness, assurance, empathy for the satisfaction of BPJS Mandiri in Public Health Center Deli Tua Kab Deli Serdang wit p-value(0.00). The conclusion in this study is that the most dominant factors affecting patient satisfaction are direct evidence of this indicated by the highest Exp (B) of 6,374

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