scholarly journals The Effect of National Drug Policy Implementation and Apparatus Work Motivation on Health Service Quality in the Government Hospitals of Gorontalo

2019 ◽  
2021 ◽  
Vol 14 (S1) ◽  
Author(s):  
Fosiul Alam Nizame ◽  
Dewan Muhammad Shoaib ◽  
Emily K. Rousham ◽  
Salma Akter ◽  
Mohammad Aminul Islam ◽  
...  

Abstract Background The National Drug Policy in Bangladesh prohibits the sale and distribution of antibiotics without prescription from a registered physician. Compliance with this policy is poor; prescribing antibiotics by unqualified practitioners is common and over-the-counter dispensing widespread. In Bangladesh, unqualified practitioners such as drug shop operators are a major source of healthcare for the poor and disadvantaged. This paper reports on policy awareness among drug shop operators and their customers and identifies current dispensing practices, barriers and facilitators to policy adherence. Methods We conducted a qualitative study in rural and urban Bangladesh from June 2019 to August 2020. This included co-design workshops (n = 4) and in-depth interviews (n = 24) with drug shop operators and customers/household members, key informant interviews (n = 12) with key personnel involved in aspects of the antibiotic supply chain including pharmaceutical company representatives, and model drug shop operators; and a group discussion with stakeholders representing key actors in informal market systems namely: representatives from the government, private sector, not-for-profit sector and membership organizations. Results Barriers to policy compliance among drug shop operators included limited knowledge of government drug policies, or the government-led Bangladesh Pharmacy Model Initiative (BPMI), a national guideline piloted to regulate drug sales. Drug shop operators had no clear knowledge of different antibiotic generations, how and for what diseases antibiotics work contributing to inappropriate antibiotic dispensing. Nonetheless, drug shop operators wanted the right to prescribe antibiotics based on having completed related training. Drug shop customers cited poor healthcare facilities and inadequate numbers of attending physician as a barrier to obtaining prescriptions and they described difficulties differentiating between qualified and unqualified providers. Conclusion Awareness of the National Drug Policy and the BPMI was limited among urban and rural drug shop operators. Poor antibiotic prescribing practice is additionally hampered by a shortage of qualified physicians; cultural and economic barriers to accessing qualified physicians, and poor implementation of regulations. Increasing qualified physician access and increasing training and certification of drug shop operators could improve the alignment of practices with national policy.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Ni Nengah Dwi Susila Dewi

ABSTRAK Salah satu upaya untuk meningkatkan derajat kesehatan, pemerintah bekerjasama dengan BPJS Kesehatan. Oleh karena itu, mutu pelayanan kesehatan harus ditingkatkan supaya masyarakat mau berkunjung untuk melakukan pemeriksaan. Berdasarkan wawancara di Klinik Bhayangkara Polda Bali dari 7 pasien, 5 orang menyatakan belum puas dengan pelayanan yang diberikan. Tujuan penelitian ini untuk mengetahui hubungan mutu pelayanan kesehatan dengan kepuasan pasien tanggungan BPJS di Klinik Bhayangkara Polda Bali. Jenis penelitian yang digunakan dalam penelitian ini adalah descriptive corelation dengan pendekatan cross sectional. Sampel yang digunakan sebanyak 109 orang dengan metode convenience sampling. Teknik analisa data menggunakan Statistik Rank Spearman. Hasil penelitian menunjukkan nilai p-value=0,000 (p= 0.05) dengan nilai koefisien korelasi (r) = 0,707. Berdasarkan analisis tersebut dapat disimpulkan bahwa terdapat hubungan antara mutu pelayanan kesehatan dengan kepuasan pasien tanggungan BPJS di Klinik Bhayangkara Polda Bali. Mutu pelayanan yang baik dapat meningkatkan kepuasan pasien. Kata Kunci : Mutu Pelayanan Kesehatan, Kepuasan Pasien ABSTRACT One of the effort to improve health status, the government collaborate with BPJS Health. Therefore, the quality of health services must be improved in order to make people want to visit for an inpection. Based on interviews at the Bali Police Bhayangkara Clinic of 7 patients, 5 people said the were not satisfied with the services that provided. The purpose of this study was to determine the correlation between health service quality and patients� satisfaction of BPJS insurance in Bali Police Bhayangkara Clinic. This study used descriptive correlation with cross sectional approach. The sample used was 109 respondents with convenience sampling method. Data analysis techniques used Rank Spearman Statistics. The results showed that p-value = 0,000 (p=0.05) with a correlation coefficient (r) = 0.707. Based on this analysis, it can be concluded that there was a correlation between health service quality and patients� satisfaction of BPJS insurance in Bali Police Bhayangkara Clinic. Good service quality can increase patients� satisfaction. Keywords : Health Service Quality, Patients� Satisfaction


2018 ◽  
Vol 1 (02) ◽  
Author(s):  
Sri Budianti

FAKTOR-FAKTOR YANG MEMPENGARUHI PENINGKATAN DERAJAT KESEHATAN KELUARGA MELALUI POSDAYA DI KOTA BEKASI Abstrak Studi ini untuk mengetahui seberapa jauh implementasi kebijakan, kepemimpinan, implementasi sumber daya manusia (SDM) dan partisipasi masyarakat dalam mempengaruhi kualitas pelayanan kesehatan yang dilaksanakan oleh pos pemberdayaan keluarga (posdaya). Metode yang digunakan adalah analisis statistik deskriptif dan analisis inferensial melalui kuesioner. Survei mencakup 240 responden dari 20 posdaya. Hasil survei menunjukkan bahwa terdapat pengaruh signifikan dari implementasi kebijakan, kepemimpinan, implementasi SDM dan partisipasi masyarakat terhadap kualitas pelayanan kesehatan, baik secara parsial maupun keseluruhan. Partisipasi masyarakat merupakan faktor pendukung utama yang mempengaruhi pelayanan kesehatan diikuti dengan implementasi SDM, implementasi kebijakan dan kepemimpinan sebagai faktor pendukung terakhir. Dalam rangka peningkatan kualitas pelayanan kesehatan secara lebih efektif, perlu peningkatan kapasitas posdaya dan kompetensi serta pengetahuan terutama untuk kader-kader kesehatan dalam program preventif dan promotif bidang kesehatan, antara lain melalui pelatihan dan bimbingan serta dilakukan pengawasan dan evaluasi secara berkala. Kata kunci: pemberdayaan keluarga, kualitas pelayanan kesehatan, partisipasi masyarakat Factors Affecting the Family Health Degree Improvement Through Posdaya in Bekasi Municipality Abstract The survey was conducted to search how far the policy implementation, the leadership, the human resources implementation and community participation influence the quality of health services done by family empowerment program (posdaya). The sample taken from with 240 respondents selected from 20 posdaya. The method used is descriptive statistical analysis and inferential analysis through questionnaires. The survey proved that there is significant influence of the policy implementation, leadership, the human resources implementation, and the community participation against the health service quality either partially or simultaneously. The community participation is a primary supporting factor that influence the quality of health service followed by the implementation of human resources, the policy implementation, and leadership is the last supporting factor. Thus, posdaya, in improving the health service quality to be more effective, should be up graded and raised the competence and knowledge primarily of the health cares in health preventive and promotive program through training, assistance, as well as monitoring, and periodic evaluation. Keywords: family empowerment, quality health service, community participation


Author(s):  
Baby Silvia Putri ◽  
Lindawati Kartika

The study aimed to analyze the perceptions of the doctors of Hermina Hospital Bogor on BPJS health service quality and satisfaction level of the national health insurance program and to analyze the effects of service quality on the doctors’ satisfaction. Questionnaires were utilized to obtain the primary data, while literature reviews were conducted to obtain the secondary data. The data were analyzed by using descriptive analysis and multiple regression analysis. The results of this research, in reference to the descriptive analysis of the perceptions of the doctors in Hermina Hospital Bogor on satisfaction and quality service of the National Health Insurance program, indicated that the program is considered unsuitable in its implementation. The results of multiple regression showed that the variables of BPJS service quality have influences on the satisfaction of the doctors of Hermina Hospital Bogor. Keywords: health service quality, satisfaction, hospital


Author(s):  
Michael Mutingi

As the awareness of the importance of healthcare service quality and pressures from stakeholders continue to grow, healthcare service providers have no option except to develop appropriate service quality evaluation procedures. Patient satisfaction is imperative, and has become a critical issue especially in e-health services. Although healthcare service providers have become aware of the need for improving customer experience through provision of customer-centric services, virtually none of the existing e-health quality evaluation frameworks are grounded on customer-centric metrics. In this chapter, a critical analysis of existing evaluation initiatives is presented from the context of e-health services. Critical areas of e-health service are investigated to determine quality dimensions that influence customer experience. From this analysis, a customer-centric evaluation framework is proposed, comprising four e-health service quality scales. The framework provides a platform for continuous improvement in e-health service.


2020 ◽  
pp. 1803-1812 ◽  
Author(s):  
Reham Zuhier Qasim Almomani ◽  
Ruba Risheed Al-Ghdabi ◽  
Khaled Mohammad Banyhamdan

2020 ◽  
Vol 37 (2) ◽  
pp. 215-225
Author(s):  
Shahidul Islam ◽  
Md Rakibul Hoque ◽  
Md Abdullah Al Jamil

Purpose The purpose of this study is to explain predictors that discriminate users’ preferences for online health services, focusing on a downtown area in a developing country. Design/methodology/approach Drawing on rational choice theory (RCT), the authors test a model that links the frequency of online health service usage to access-activators and access-inhibitors. Multivariate analysis of variance (MANOVA) and the discriminant analysis model were used to analyze data from a sample of 215 internet users. Findings Results confirm the significance of responsiveness, user’s attitude, accessibility and perceived ease of use, indicating their discriminating role in the usage of online health services. Research limitations/implications The study demonstrates the relevance of RCT in measuring perceived online health service quality in an emerging context. Future research should consider the influence of electronic health (eHealth) literacy, norms and trustworthiness to increase the generalizability of the findings. Practical implications The findings of this study can help enhance the eHealth service quality by encouraging service providers to improve the interactivity and ease of use of their platforms, thus delivering value to both consumers and firms and improving the well-being of the society at large. Originality/value Few existing studies draw attention to access-activators and access-inhibitors to predict users’ preferences for online health services. This study shows the applicability of RCT in preparing the instrumental dimensions of online health service quality.


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