Analysis of Factors Influence Doctor's Decision in Choosing Patient's Referral to dr. Soepraoen Army Hospital Malang

The importance of the role of health services causes the quality of health services to be improved because of the needs of the community or individuals for health. Second-level health services can only be given for referral from first-level health services. Third-level health services can only be given for referral from second- or first-level health services, except in emergency situations. Based on this, it can be seen that the first level Health Service Provider (PPK) has a very important role in the health care system in Indonesia. The purpose of this study was to find out the factors underlying the doctors to refer their patients to the dr. Soepraoen Army Hospital Malang. The research design used is quantitative research with a cross sectional approach. The sampling technique used was saturated sampling by taking 100 doctors as the study sample. The data analysis technique of this study uses linear regression by using an α value of 0.05. The results showed that hospital facilities had a significant effect on choosing a referral with a p-value of 0,000 with a t-count of 4,300, the availability of drugs had a significant effect on choosing a referral with a p-value of 0,000 with a t-count of 2,557 , the type of disease has a significant effect on choosing a referral with a p-value of 0,000 with a t-count value of 2,435, and on physician competence has a significant effect on choosing a referral with a p-value of 0,000 and a t-count value of 2,327, and simultaneously for each facility variable, drug availability, type of disease and physician competence can have a significant effect on choosing a referral. and found that the dominant factor influencing the decision to choose referral is the facility factor. The low analysis of factors that influence the doctor's decision in choosing a patient's referral to dr. Soepraoen Army Hospital Malang can be minimized by further increasing the indicator indicators of each variable that is considered still low.

Analysis of the Factors Affecting the Compliance of Internship Dentist in the Implementation of Precaution Standards at Dentis't Hospital IIK Bhakti Wiyata Kediri

Dental health personnel in carrying out daily care can not be separated from contact with saliva and blood which can be an intermediary in the spread of cross infection. Cross infection is common in medical treatment procedures including dental and oral care. Prevention of cross infection needs to be done to avoid transmission of disease from medical procedures to patients and dental health workers. The purpose of this study was to determine the factors that influence the compliance of the dentist Koas to the application of the Precaution Standard at RSGM IIK BW Kediri. The method in this study was observational descriptive with cross-sectional design. The number of samples is 67 Koas dentists using the Slovin formula. The tools and materials used in the research are check list sheets and stationery. The data processing in this study uses the SPSS program by using a binary logistic test. The results of this study indicate that from several factors that influence the compliance of dentist councils in applying the precaution standard at RSGM IIK BW Kediri is a knowledge factor of p = 0.010 (<0.005), supervision is p = 0.003 (<0.005), and the availability of infrastructure is p = 0.006 (<0.005) with supervisory variables which are the variables that have the most individual influence compared to the other variables. Thus in drawing the conclusion that the level of knowledge, supervision and facilities and infrastructure is a factor that influences the compliance of dentists in implementing the implementation of precaution standards that have been set for prevention of cross infection.

The Effect of Application of Work Safety and Health Management System (K3) and Organizational Culture on Employee Work Satisfaction in TK II Hospital, dr. Soepraoen Malang

Occupational safety and health (K3) is an effort to create a safe and comfortable atmosphere to achieve the highest productivity. Factors which influence to achieve the purpose of these efforts, including the company's commitment; leadership policy regarding (K3); policies for the creation of a work environment in order to create K3, delegation of authority, implementation of training and education during the project; prevention of workplace accidents; tracing the main causes of work accidents; measure program performance (K3); and continuous documentation and records of work accidents. The research design used is quantitative research. The sampling technique used proportional sampling with a sample of 100 respondents. Data analysis techniques using multiple linear regression tests. The results show that there was a significant effect and the t test showed 6,665> t table (2,000), meaning that occupational safety and health had a significant effect on job satisfaction and there was a significant effect and the t test showed 6.802> t table (2,000), meaning spatial planning significant effect on employee job satisfaction. Based on the explanation, it can be concluded that the better the K3 management system, organizational culture, K3 management system, the higher the level of Employee Job Satisfaction at the Hospital. II dr. Soepraoen; and the organizational culture (X2) has the highest dominant influence toward employee satisfaction.

Analysis of Employee Satisfaction and Performance Based on the Characteristics of Compensation Systems and Organizational Culture in Hospital dr. Soepraoen Malang

This study aims to determine the effect of Employee Satisfaction and Performance based on the Characteristics of Compensation Systems and Organizational Culture in the Hospital of Dr. Soepraoen Malang. This study uses a quantitative research method research design. Data collected using a questionnaire on 100 permanent employee respondents at Soepraoen Hospital Malang.Independent variables of this study are Job Satisfaction and Employee Performance. The dependent variable of this study is the Compensation System and Organizational Culture. The results of the study show (1) Employee satisfaction has a significant influence on the compensation system; (2) Organizational culture has a significant influence on employee satisfaction; (3) Compensation has a significant influence on employee performance;(4) Organizational culture has a significant influence on employee performance; (5) Compensation has a significant effect on employee performance through employee performance satisfaction at the Hospital. II dr. Soepraoen; (6) Organizational culture has a significant influence on employee performance through employee performance satisfaction at the Tk Hospital. II dr. Soepraoen.

Analysis of the Effect of Service Quality on the Level of Satisfaction, Trust and Interest in Revisiting Outpatients at the Hospital dr. Soepraoen Malang

The hospital as a health service institution is required to provide a complete service and always maintain the quality of its services. Data on the number of visits of patients in the outpatient poly hospital Dr. Soepraoen Malang in the period of 2016-2017 and in 2018 the number of visits has still not increased and there are still complaints from outpatients on the quality of services provided. This shows that the service has not been optimal. The consumer interest in using the services of the same service provider is strongly influenced by the experience of satisfaction with the services provided previously. Patient satisfaction with hospital services will have an impact on repeat visits and trust in the hospital. The purpose of this study was to analyze the effect of service quality on the level of satisfaction, trust and interest in revisiting outpatients in Dr Soepraoen Hospital Malang. The research design used is quantitative by using analytic surveys. The research design uses Cross Sectional with Accidental Sampling method with a sample of 100 respondents. Data collection using closed questionnaires and interviews. The data analysis used is descriptive analysis, and path analysis. The results showed that the Service Quality variable had a significant effect on the Satisfaction variable; Service Quality variables have a significant effect on the Trust variable; Service Quality variables have a significant effect on the Interest of Revisiting and there is also a joint effect of the variable Quality of Service, Satisfaction, Trust has a significant effect on the Interest in Revisiting Outpatient Hospital Dr. Soepraoen Malang with p-value <0.05. Based on the research, it is necessary to do further research qualitatively about unsatisfactory hospital services.

Analysis Factor that Influence the Level of Disability in Leprosy Patients in Kediri Leprosy Hospital

Leprosy if not handled carefully can cause disability, and the situation becomes a barrier for leprosy. The aim of the study was to analyze the regularity of treatment with MDT, self-care factors, paramedic role factors and family role factors that influence the level of disability of leprosy patients in Kediri leprosy hospital. The design was Cross Sectional. The population was leprosy patients. The sample size is 107 respondents using Simple Random sampling technique. Independent variables are family roles, officer roles, treatment, and self-care. the dependent variable is the level of disability. Data was collected using a questionnaire, analyzed using logistic regression tests with α ≤ 0.05. The results showed that Self-care (p = 0.002) is more dominant than the regularity of MDT treatment (p = 0.031) to the level of hand disability. Self-care (p = 0,000) is more dominant than the regularity of MDT treatment (p = 0.006) to the level of leg defects in leprosy patients. The role of the family has more influence on the regularity of MDT treatment, the role of the officer has more influence on self-care, self-care affects hand and foot disability more while the regularity of MDT treatment.

The Role of Nurses and the Quality of Health Services with the Satisfaction of BPJS Patients in Junrejo Puskesmas Batu City

Patient satisfaction is related to service quality. By knowing the level of patient satisfaction, hospital management can improve service quality. Patient satisfaction is considered as one of the most important quality dimensions and is the key to success in health organizations that is also affected by the role of nurses. The purpose of this study was to determine the effect of nurse roles and service quality on BPJS patient satisfaction. The research design used was cross sectional with questionnaire sheet instruments. The population of this study were 230 BPJS patients. 144 samples used random sampling techniques, while to determine the effect between variables used ordinal regression test with a significant level of 0.05. Based on the results of the study it was found that the role of good nurses was 64 (44.4%) respondents and most of the good quality services were 88 (61.1%) and satisfaction in the satisfied category was 124 (86.1%). The results of the data analysis showed that there was an influence of the nurse's role factor on satisfaction. It was known that the Sig (2-tailed) value had 0.00 and the service quality factor had an effect on satisfaction, this was known as Sig (2-tailed) which had a number 0.049. The existence of a good role from nurses will improve service quality and will improve BPJS patient satisfaction.

Analysis of the Achievement of the Minimum Service Standard See from the Quality of Service and Patient Satisfaction in the Installation of Pharmaceutical Pharmaceuticals in RSI Malang "UNISMA"

Facing the era of intense competition that needs to be trained by hospitals is patient satisfaction, patient satisfaction is closely related to quality service quality and service quality is evaluated by achieving minimum service standards that are in accordance with standards. The existence of preliminary data from the RSI about pharmacy service satisfaction figures in terms of facilities 95.2%, waiting time 77.4%, friendliness 95.2%, accuracy 91.9%, where this data still needs more in-depth research to obtain satisfaction figures valid. The purpose of this study was to determine the effect of service quality on patient satisfaction and the achievement of Minimum Service Standards for outpatient pharmacy installation in Malang Hospital "Unisma". This type of research is quantitative with observational analytic using cross sectional. The population in this study were all patients who visited who had received medication services, taking samples by simple random sampling of 136 samples, using questionnaires. Analyze data with path analysis. The results showed that the path coefficient of Service Quality to satisfaction of 0.425 showed a positive effect. The path coefficient of Service Quality towards achievement of MSS of 0.413 shows a positive influence, the path coefficient of Patient Satisfaction with achievement of MSS of 0.166 shows a positive influence. To improve the quality of service, it will be followed by achieving good standards, so patient satisfaction will also increase. From the results of this study it can be concluded that the better the Quality of Service, the better Patient Satisfaction. The better the Quality of Service, the better the Achievement of Minimum Service Standards and the better the Patient Satisfaction, the better the Quality of Service Standards.

Analysis of Leadership Style and Remuneration System According to the Perception of Human Resources (HR) in Radiological Installation in Army Hospitals dr. Soepraoen Malang

Human resources in an institution such as a hospital are an important strategy to create an accelerated improvement in overall health status, integrated, equitable, affordable and acceptable to the entire community. In maintaining the continuity and life of its organization, organizations are required to be able to maintain good relations between the leaders of the organization and human resources as the driving force of an organization. This research was conducted by taking the object of research in the installation of radiology at the Army Hospital Dr. Soepraoen, Malang City. This study aims to determine the perceptions of human resources (HR) from Radiology Installation in Army Hospital Dr. Soepraoen Malang towards leadership style and remuneration system. The method used in this study is qualitative research with a descriptive approach. The sampling technique that will be used in this study is a total sampling of 15 radiology installation employees at the Army Hospital Dr. Soepraoen. The results of the study show that a good perception of Human Resources (HR) related to Leadership Style in the Installation of Army Hospital Radiology dr. Soepraoen Malang and the application of remuneration carried out by Army Hospital Dr. Soepraoen Malang city runs well. Advice from researchers is expected to be able to develop knowledge in the field of administration and quality of hospital services. In addition, this research might be able to help further similar research, especially with regard to the remuneration system and leadership style in hospitals.

Effect Between Quality of Nursing Service on Inpatient’s Loyalty and Satisfaction in dr. Soepraoen Army Hospital Malang

The dimensions of service quality are factors that can affect the competitiveness and success of hospitals. In addition, the increasing competition between hospitals has led to the fact that each hospital can pay more attention to increasing patient satisfaction through the provision of quality services. Nursing services also greatly affect the level of patient loyalty. The purpose in this study was to determine the effect of the quality of nursing services on inpatient’s loyalty and satisfaction in dr. Soepraoen Army Hospital Malang. Design of this study is quantitative with a cross sectional approach. The data analysis technique used is path analysis using the value α of 0.05. The sample in this study were 268 respondents. The results of the data analysis showed that the quality of nursing services had a significant effect on patient satisfaction as indicated by the p-value of 0.000 and the coefficient (beta) of 0.948. Satisfaction has a significant effect as indicated by the p-value of 0.000 and the coefficient (beta) of 0.691. Besides that service quality has a significant influence on patient loyalty as indicated by the p-value of 0.000 and the coefficient (beta) of 0.270, and based on indirect effects obtained by the coefficient (beta) 0.065. The conclusion of the study shows that the quality of nursing services has an influence on patient satisfaction, the quality of Nursing Services has an influence on patient loyalty, and the quality of nursing services has an influence on inpatient loyalty and satisfaction at the dr. Soepraoen Army Hospital Malang.