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Kepuasan pasien merupakan salah satu indikator untuk mengukur keberhasilan layanan rumah sakit yang berguna memberikan feedback bagi pihak manajemen, karena dengan mutu pelayanan yang baik akan memberikan kepuasan. Kepuasan pasien sendiri akan memberikan dampak minat beli ulang pasien dan promosi bagi rumah sakit. Latar belakang penelitian ini adalah kinerja rawat inap RS Haji yang rendah dan menurun dibawah angka ideal dan belum adanya informasi mengenai kepuasan pasien serta hubungannya dengan minat beli ulang. Tujuan penelitian ini adalah untuk mengetahui gambaran kepuasan pasien terhadap pelayanan rawat inap dan minat beli ulang serta hubungan keduanya. Metoda yang digunakan adalah deskriptif analitik, dengan desain cross sectional dengan melakukan wawancara kepada 100 orang pasien rawat inap RS Haji. Analisa data secara kuantitatif menggunakan analisis univariat, bivariat dengan uji Fisher dan korelasi Spearman. Hasil penelitian menunjukkan bahwa pasien mempunyai tingkat kepuasan yang tinggi terhadap kualitas pelayanan ditinjau dari 5 dimensi ServQual dimana nilai persepsi kenyataan sama atau melebihi harapan mereka. Hal ini dapat dilihat dari diagram kartesis dimana 86% atribut dimensi kualitas pelayanan berada pada kuadran dua, tiga dan empat dan rata-rata tingkat kepuasan pasien yaitu sebesar 100%. Jumlah pasien yang puas sebesar 89 % dan yang kurang puas sebesar 11%. Selain itu kepuasan diketahui secara bermakna mempunyai hubungan yang lemah dengan minat beli ulang (r = 0,378 dan p = 0,00). Untuk meningkatkan kepuasan pasien dan minat beli ulang rawat inap maka disarankan untuk melakukan perbaikan dengan melengkapi fasilitas rumah sakit dengan peralatan yang modem, membuat ruang rawat inap yang bersih dan nyaman, memberikan pelatihan kepada seluruh petugas, perawat dan dokter untuk meningkatkan kemampuan mengatasi masalah pasien dan menanamkan pentingnya kepuasan pasien sehingga para dokter dapat dengan mudah dihubungi untuk selalu membantu masalah pasien. Survei kepuasan pasien dilakukan secara rutin sebagai salah satu alat untuk memantau kualitas pelayanan.
Patient satisfaction is one of the indicators for measuring hospital service and giving feedback for management, because of a good service quality will give satisfaction, in the other hand patient satisfaction will give effect for reutilization interest and hospital promotion. Background: hospital effort achievement still low, especially inpatient with low BOR and BTO. Surely it is a challenge for hospital in its effort facing competitions. And there is no information about pasien satisfaction related to reutiliziation interest. Objective of this research is to describe patient satisfaction and inpatient reutilization interest and the relationship between both. Method: descriptive analysis with cross sectional design and interviewing to 100 patients. Research methodology is quantitative analysis with univariate analysis, bivariate (Fisher test and Spearman Correlation). Result: Patient satisfaction is high through five dimension of ServQual. The score for the reality is same or even more than their expectation. In scatter diagram, 86% of service attributes are in second, third and fourth quadrant. The average of customer satisfaction score is 100% with 89% patients were satisfied and 11% were not satisfied. Satisfaction is known significantly related to inpatient reutilization interest with weak correlation. Improving patient satisfaction and reutilization is to increase its quality service. The important is improving inward quality service with adding more modem equipment, make a clean and comfortable inpatient room, giving a training for employees, nurses, and doctors to raise their ability to solve patient problem and the important of patient satisfaction, so that the doctors can be easy to contact for helping the patient problem. Beside that, routine patient satisfaction survey as a tool for observing hospital service quality.
Rumah Sakit Haji Jakarta, is a type ?C? Plus hospital with service performance of medical service production has been increasing from year to year, has proven with ISO 9001-2000 certificate. However, hospitalization unit experienced decrease since 2003. It needs to concern by observing the influencing factors to ?demand? and hospitalization ?use?. Objective of this research is to know general description on the hospitalization unit use especially class I, II and III, and to know characteristic description of the patient and the amount of tariff type related to the patient?s perception to the hospitalization service tariff. This research is descriptive research with survey method and the primary data were derived from interview referring to the questioner by taking purposive sample and held on June 2005. The result of Research shows from the 85 respondents with comparison at 60% from health care class II, while class I and III are respectively amounting to 20% Education of the respondent is sufficiently high more than 85% graduated from Senior High School (SLTA) and university. And type of occupation is mostly entrepreneur and private employee, The low income (however the income is less than one million is about 30%, and one million until up to three million about 50% and only 20% more than three million).is one of the factors influencing patient?s perception to the tariff, and influencing the most capability to pay. In addition, the difference of tariff for class II is nearly three times of tariff class III. While concerning the expensive medical service tariff, medicine, medical support, health equipment, medical treatment and administration are influenced by the level of disease size, and the period of hospitalization other than the technology equipment and imported medicines. This research is hoped in order the management is able to concern on the difference of room tariff and the proportion change of health care class, medicine prescription such as generic, the use of medical technology is only for the required one. It is recommended to conduct further research to know the market segment in order to defend the existing market.
Penelitian ini dilatarbelakangi oleh kondisi perekonomian yang sulit saat ini dimana laju infasi mencapai 8,7% yang mengakibatkan meningkatnya jumlah pengangguran dan menurunnya daya beli masyarakat. Disisi lain pertambahan jumlah penduduk dan pertumbuhan rumah sakit di Indonesia berdasarkan Profil Indonesia Sehat tahun 2003 semakin meningkat, berdasarkan hal ini dapat dikatakan bahwa peluang dan persaingan bisnis perumahsakitan juga akan semakin meningkat. Untuk mendapatkan pelayanan kesehatan dibutuhkan biaya yang tidak sedikit, terlebih pada layanan rawat inap. Sehingga pembiayaan kesehatan menjadi suatu pertimbangan bagi masyarakat dalam pemanfaatan suatu layanan kesehatan. Berdasarkan Gani,2005 sumber pembiayaan kesehatan masih didominasi oleh out of pocket, perusahaan dan asuransi. Maka startegi pemasaran yang dapat diupayakan pada kondisi ini yaitu ditujukan kepada segmen pasar dengan pembiayaan kesehatan yang ditanggung oleh perusahaan atau asuransi. Rumah Sakit Tebet adalah rumah sakit swasta, tipe C} yang terletak dibilangan Jakarta Selatan, jika ditinjau dari segi pemanfaatan layanan rawat inap oleh pengguna jasa rumah sakit yang ditanggung perusahaan pelanggannya berkisar antara 37%-46% dari total pendapatan rawat inap, pencapaian ini masih dibawah harapan pihak manajemen yang sebesar 50%. Sehingga diperlukan suatu telaahan yang lebih lanjut untuk memperoleh gambaran tentang persepsinya pemanfaatan layanan rawat inap yang dikaitkan dengan karakteristik pengguna jasa rumah sakit yang ditanggung oleh perusahaan pelanggannya. Hasil analisis ini diharapkan dapat menjadi masukkan bagi Rumah Sakit Tebet dalam upaya meningkatkan pemanfaatan layanan rawat inapnya. Penelitian ini bertujuan untuk mengetahui keterkaitan dan analisis faktor yang memberikan probabilitas tertinggi antara karakteristik pengguna jasa rumah sakit yang ditanggung oleh perusahaan pelanggan meliputi faktor predisposisi, enabling, need terhadap persepsinya dalam pemanfaatan layanan rawat inap di Rumah Sakit Tebet pada tahun 2006. Metode penelitian yang digunakan adalah penelitian kuantitatif dengan pendekatan cross sectional. Pada hasil penelitian didapatkan 4 variabel yang memiliki keterkaitan antara karakteristik pengguna jasa rumah sakit yang ditanggung oieh perusahaan pelanggan terhadap persepsinya dalam pemanfaatan layanan rawat inap yaitu variabel status pekerjaan, lama kerja (faktor predisposisi) dan variabel penjamin kesehatan, pemberi keputusan (faktor enabling). Variabel yang mempunyai probabilitas tertinggi terhadap persepsi pemanfaatan layanan rawat inap adalah penjamin kesehatan, setelah dikontrol oleh variabel pemberi keputusan, status pekerjaan dan adanya interaksi dengan variabel lama kerja. Dari penelitian tersebut dapat disimpulkan bahwa variabel status pekerjaan, lama kerja (faktor predisposisi) dan variabel penjamin kesehatan, pemberi keputusan (faktor enabling) adalah karakteristik pengguna jasa rumah sakit yang mempunyai hubungan terhadap tingginya persepsi pemanfaatan layanan rawat inap. Variabel Penjamin Kesehatan adalah karakteristik pengguna jasa rumah sakit yang ditanggung oieh perusahaan pelanggan yang mempunyai probabilitas tertinggi terhadap persepsi pemanfaatan layanan rawat inap, setelah mendapat pengaruh dart variabel Iainnya (pemberi keputusan, status pekerjaan dan lama kerja). Upaya peningkatan pemanfaatan layanan rawat inap yang dapat disarankan berdasarkan penelitian ini adalah memberikan layanan yang baik dan kenyamanan kepada para pengguna jasa rumah sakit beserta keluarganya, melakukan penetrasi pasar melalui pendekatan serta meningkatkan program promosi yang ditujukan kepada perusahaan-perusahaan yang bernaung dibawah asuransi, para pensiunan yang dijamin oleh perusahaan serta para pejabat perusahaan dan memperluas pasar dengan cara menambah jaringan kerjasama sebagai provider kesehatan asuransi. Dan saran bagi peneliti lain apabila akan melakukan penelitian yang sama, ada baiknya variabel pen beri keputusan, status pekerjaan dan lama kerja dipertimbangkan sebagai variable confounding.
This research is based on present difficult economic condition, signified by inflation growth of 8.7% that causing an increase of the unemployment level and a decline of people's purchasing power. On the contrary, the growth of population and also the number of hospital in Indonesia are increasing (based on "Profit Indonesia Se/tat Ia/mn 2003"). According to this fact, it could be said that the business opportunity and also the competition between hospitals are increasing. To obtain health services, people need to pay relatively high amount of money, especially for hospitalization services. Therefore health services costs become primary consideration for people in order to utilize such services. Based on Gani (2005), the payment sources for health service are still dominated by "out of pocket" from respective customer's companies and insurances. Thus, proper marketing strategy in this condition should be targeted to certain market segment, that is people in which cost are paid by their respective companies or insurances. Tebet hospital is a private hospital type "C" which is located in South Jakarta. Viewed from the utilization of hospitalization services, the ratios of hospital service user, in which costs are paid by their respective companies, reached between 37-46% from hospitalization total revenue. This accomplishment, however, is still below management expectation which hope that the number should have reached 50%. Therefore, it needs a comprehensive study to get the overall picture on the characteristic of hospital service user (in which costs are paid by the respective customer's companies). The result of this analysis is expected to provide valuable inputs for Tebet hospital in order to improve the hospitalization service utilization. This research aims to identify correlation and analysis on the factors that give highest probability between the characteristic of hospital service user (in which costs are paid by the respective customer's companies) and perception the utilization of hospitalization services in Tebet Hospital in 2006. These factors include predisposition, enabling, and needs. This research use quantitative method using cross sectional approach. From the result of the research, there are 4 variables that have correlation between the characteristic of hospital service user (in which costs are paid by the respective customer's companies) and perception the utilization of hospitalization services. These variables are: employment status, length of work (predisposition factor), and health insurer, decision maker (enabling factor). Variable with the highest probability to perception the utilization of hospitalization service is found in health insurer, after controlled by decision maker variable, length of work, as well as the interaction with length of work variable. From the research, it could be concluded that the factor of employment status, Iength of work (predisposition factor), and health insurer, decision maker (enabling factor) are characteristic of hospital service user influencing the level of perception the utilization of hospitalization services. While health insurer variable is hospital service user insured by customer's companies that have the highest probability to perception the utilization of hospitalization service, after influenced by other variables (decision maker, employment status, and length of work). Based on this research, we suggest to improve hospitalization service utilization by broadening the market by adding cooperation network as provider for insurance health, performing market penetration through approach and by intensifying promotional programs aim for companies under insurance program, retiree with health benefit paid by the companies, and companies' management, and also by providing decent services and comfort to hospital services user and their families. We also suggest that further research should also consider decision maker, length of work, and employment status variable as variable confounding.
