Ditemukan 34657 dokumen yang sesuai dengan query :: Simpan CSV
Sri Paulina Riah Ukurta; Pembimbing: Agustin Kusumayati; Penguji: Adang Bachtiar, Faisal Lukman B., Praptiwi, A. W.
Abstrak:
Meningkatkan mutu layanan pada Instalasi Rawat Inap sangat penting untuk meningkatkan kepuasan pelanggan, meningkatkan daya saing rumah sakit serta meningkatkan pendapatan bagi rumah sakit. Penelitian ini dilakukan sebagai upaya untuk meningkatkan mutu pelayanan rawat inap di RSUD Puruk Cahu Kabupaten Murung Raya Kalimantan Tengah dengan menggunakan metode integrasi Service Quality dan Quality Function Deployment. Dari hasil penelitian diperoleh bahwa dimensi empati adalah dimensi dengan kesenjangan paling besar berdasarkan 26 kebutuhan pelanggan eksternal yaitu 100 orang pasien rawat inap dengan metode Servqual dan terdapat 8 aspek teknis pelayanan melalui kebutuhan pelanggan internal untuk menjawab kebutuhan pasien rawat inap tersebut. Melalui desain House of Quality, maka didapatkan 5 aspek teknis prioritas yang perlu dilakukan oleh RSUD Puruk Cahu untuk meningkatkan mutu pelayanan di instalasi rawat inap yaitu peningkatan kerjasama dan komunikasi perawat, survei kepuasan pelanggan eksternal dan internal secara rutin, program interaksi dan evaluasi evaluasi rutin secara langsung antara manajemen dengan perawat, perbaikan fasilitas, pengadaan penunjang pelayanan dan ketersediaan obat serta pendidikan dan pelatihan rutin dan merata kepada perawat. Kata kunci: Quality Function Deployment; Rawat Inap; Rumah Sakit; Service Quality Improving the quality of services on Inpatient Department is essential to improve customer satisfaction, improve hospital competitiveness and increase hospital revenues. This research is conducted as an effort to improve the quality of inpatient service at RSUD Puruk Cahu of Kabupaten Murung Raya, Central Kalimantan by using integration Service Quality and Quality Function Deployment method. From the research results obtained that the dimension of empathy is the dimension with the largest gap based on 26 needs of external customers that is 100 people inpatient with Servqual method and there are 8 technical aspects of service through internal customer needs to answer the needs of the inpatients. Through the House of Quality design, five priority technical aspects needed to be undertaken by RSUD Puruk Cahu to improve the quality of service in inpatient department dare increased cooperation and nurse communication, routine internal and internal customer satisfaction survey, interaction and evaluation program of routine evaluation directly between management and nurse, facility improvement, procurement service support and availability of drugs and education and training routine and evenly to the nurse. Key words: Hospital; Inpatient Department; Quality Function Deployment; Service Quality
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T-5031
Depok : FKM-UI, 2017
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Chandra Wirawan; Pembimbing: Adang Bachtiar; Penguji: Puput Oktamianti, Robiana Modjo, Hermain, Zelvy Emmelya Sundari
Abstrak:
For hospital patients, quality health services are not only felt by recovering from physical illness but also regarding patient satisfaction with the attitudes, knowledge and skills of health workers in providing services and the availability of adequate facilities and infrastructure. Patients will be satisfied if the service they receive at least equals or exceeds patient expectations. Meanwhile, the patient feels dissatisfied if the service he receives does not match the patient's expectations. Based on the achievement data of quality indicators at Bakti Timah Mentok Hospital in 2022, there are several quality indicators that have not reached the target. In addition, the number of JKN patient visits at the outpatient installation at Bakti Timah Mentok Hospital in 2020-2022 has also decreased. The purpose of this study was to describe patient satisfaction and interest in revisiting JKN patients at the outpatient installation at Bakti Timah Mentok Hospital in 2023. The study design was cross sectional with a sample size of 120 people. Statistical analysis using Chi Square test or Fisher Exact test. Based on statistical tests to see the relationship between the characteristics of the respondents and the interest in repeat visits, it was found that all of the characteristics of the respondents had p value > 0.05, which means that there was no significant relationship between the characteristics of the respondents and the interest in repeat visits. While the results of statistical tests between respondents' satisfaction on the Tangibles dimension and intention to revisit, it is known that p value > 0.05, which means that there is no significant relationship between respondent's satisfaction on the Tangibles dimension and intention to revisit. And the results of statistical tests between respondents' satisfaction on the dimensions of Reliability, Responsiveness, Assurance and Empathy with interest in repeat visits are known to be p value ≤ 0.05, which means that there is a significant relationship between respondents' satisfaction in the dimensions of Reliability, Responsiveness, Assurance and Empathy with interest in repeat visits. The relationship between patient satisfaction as a whole resulted in p value ≤ 0.05, which means that there is a significant relationship between patient satisfaction and interest in repeat visits. The results of the mapping of service elements in the Cartesian diagram show that 5 (five) service elements are in quadrant A, which means they are a top priority for improvement efforts. The five elements of service are the condition of the patient's waiting room, the availability of medical devices, the availability of types of laboratory examinations, the availability of drugs in the hospital pharmacy installation and the presence of doctors according to the service schedule. Therefore, the Bakti Timah Mentok Hospital must pay more attention to service elements that have not provided maximum satisfaction to patients.
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Bagi pasien rumah sakit, pelayanan kesehatan yang berkualitas tidak hanya dirasakan dengan sembuhnya dari penyakit secara fisik namun juga menyangkut kepuasan pasien terhadap sikap, pengetahuan dan keterampilan tenaga kesehatan dalam memberikan pelayanan serta tersedianya sarana dan prasarana yang memadai. Pasien akan puas apabila layanan yang diterimanya setidaknya sama atau melampaui harapan pasien. Sedangkan pasien merasa tidak puas apabila layanan yang diterimanya tidak sesuai dengan harapan pasien. Berdasarkan data capaian indikator mutu di Rumah Sakit Bakti Timah (RSBT) Mentok Tahun 2022, terdapat beberapa indikator mutu yang belum mencapai target. Selain itu angka kunjungan pasien JKN di instalasi rawat jalan RSBT Mentok Tahun 2020-2022 juga mengalami penurunan. Tujuan penelitian ini adalah untuk mengetahui gambaran kepuasan pasien dan gambaran minat kunjungan ulang pada pasien JKN di instalasi rawat jalan RSBT Mentok Tahun 2023. Desain penelitian ini adalah Cross Sectional dengan jumlah sampel sebanyak 120 orang. Analisis statistik menggunakan uji Chi Square atau uji Fisher Exact. Berdasarkan uji statistik untuk melihat hubungan karakteristik responden dengan minat kunjungan ulang didapat hasil seluruh karakteristik responden memiliki p value > 0,05 yang artinya tidak ada hubungan yang signifikan antara karakteristik responden dengan minat kunjungan ulang. Sedangkan hasil uji statistik antara kepuasan responden pada dimensi Tangibles dengan minat kunjungan ulang diketahui p value > 0,05 yang artinya tidak ada hubungan yang signifikan antara kepuasan responden pada dimensi Tangibless dengan minat kunjungan ulang. Dan hasil uji statistik antara kepuasan responden pada dimensi Reliability, Responsiveness, Assurance dan Emphaty dengan minat kunjungan ulang diketahui p value ≤ 0,05 yang artinya ada hubungan yang signifikan antara kepuasan responden pada dimensi Reliability, Responsiveness, Assurance dan Emphaty dengan minat kunjungan ulang. Hubungan kepuasan pasien secara keseluruhan didapat hasil p value ≤ 0,05 yang artinya ada hubungan yang signifikan antara kepuasan pasien dengan minat kunjungan ulang. Hasil pemetaan unsur pelayanan pada diagram Kartesius didapat hasil 5 (lima) unsur pelayanan berada pada kuadran A yang artinya menjadi prioritas utama untuk dilakukan upaya perbaikan. Kelima unsur pelayanan tersebut yaitu kondisi ruang tunggu pasien, ketersediaan alat kesehatan, ketersediaan jenis pemeriksaan di laboratorium, ketersediaan obat di instalasi farmasi rumah sakit dan kehadiran dokter sesuai jadwal pelayanan. Oleh karena itu pihak RSBT Mentok harus lebih memperhatikan unsur-unsur pelayanan yang belum memberikan kepuasan maksimal kepada pasien.
For hospital patients, quality health services are not only felt by recovering from physical illness but also regarding patient satisfaction with the attitudes, knowledge and skills of health workers in providing services and the availability of adequate facilities and infrastructure. Patients will be satisfied if the service they receive at least equals or exceeds patient expectations. Meanwhile, the patient feels dissatisfied if the service he receives does not match the patient's expectations. Based on the achievement data of quality indicators at Bakti Timah Mentok Hospital in 2022, there are several quality indicators that have not reached the target. In addition, the number of JKN patient visits at the outpatient installation at Bakti Timah Mentok Hospital in 2020-2022 has also decreased. The purpose of this study was to describe patient satisfaction and interest in revisiting JKN patients at the outpatient installation at Bakti Timah Mentok Hospital in 2023. The study design was cross sectional with a sample size of 120 people. Statistical analysis using Chi Square test or Fisher Exact test. Based on statistical tests to see the relationship between the characteristics of the respondents and the interest in repeat visits, it was found that all of the characteristics of the respondents had p value > 0.05, which means that there was no significant relationship between the characteristics of the respondents and the interest in repeat visits. While the results of statistical tests between respondents' satisfaction on the Tangibles dimension and intention to revisit, it is known that p value > 0.05, which means that there is no significant relationship between respondent's satisfaction on the Tangibles dimension and intention to revisit. And the results of statistical tests between respondents' satisfaction on the dimensions of Reliability, Responsiveness, Assurance and Empathy with interest in repeat visits are known to be p value ≤ 0.05, which means that there is a significant relationship between respondents' satisfaction in the dimensions of Reliability, Responsiveness, Assurance and Empathy with interest in repeat visits. The relationship between patient satisfaction as a whole resulted in p value ≤ 0.05, which means that there is a significant relationship between patient satisfaction and interest in repeat visits. The results of the mapping of service elements in the Cartesian diagram show that 5 (five) service elements are in quadrant A, which means they are a top priority for improvement efforts. The five elements of service are the condition of the patient's waiting room, the availability of medical devices, the availability of types of laboratory examinations, the availability of drugs in the hospital pharmacy installation and the presence of doctors according to the service schedule. Therefore, the Bakti Timah Mentok Hospital must pay more attention to service elements that have not provided maximum satisfaction to patients.
T-6771
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Dina Indriyanti; Pembimbing: Dian Ayubi; Penguji: Besral, Kusdinar Achmad, Rafni Pamela Sari, Muhtar Lintang
Abstrak:
Pelayanan kesehatan yang bermutu saat ini sudah menjadi tuntutan semua pihak, termasuk masyarakat sebagai pengguna jasa, dengan era globalisasi, bertambahnya golongan masyarakat yang mampu, berpendidikan, dan menguasai informasi, masalah mutu pelayanan menjadi tuntutan mutlak. Adapun faktor yang dominan mempengaruhi mutu pelayanan kesehatan di Puskesmas adalah sumber daya manusia, baik yang terlibat dalam manajemen maupun pelayanan. Keluhan(complain) dari pelanggan merupakan indikator dari kurangnya kualitas pelayanan akibat sistem manajemen yang kurang baik. Penelitian ini bertujuan untuk mengetahui hubungan antara karakteristik pelanggan dan upaya manajemen mutu fokus pada pelanggan dengan tingkat kepuasan pasien rawat inap di Puskesmas DTP Kabupaten Bogor tahun 2014. Metode penelitian adalah kuantitatif bersifat analitik deskriptif dengan desain cross sectional. Dengan populasi adalah seluruh pasien rawat inap dan unsur manajemen di Puskesmas DTP Kabupaten Bogorpada tahun 2014. Sampel pada penelitian ini adalah pasien rawat inap sebanyak 181 orang dan 50 unsur manajemen di Puskesmas DTP dari 10 Puskesmas DTP. Hasil penelitian menunjukan bahwa tidak terdapat hubungan antara karakteristik pasien dengan tingkat kepuasan pelanggan, ada hubungan yangbermakna antara upaya manajemen mutu fokus pada pelanggan dengan tingkatkepuasan pasien rawat inap di Puskesmas DTP Kabupaten Bogor tahun 2014,terdapat perbedaan yang bermakna terhadap skor rerata kepuasan diantara pasiendi Puskesmas yang menerapkan upaya manajemen mutu fokus pada pelanggandan yang tidak menerapkan upaya manajemen mutu fokus pada pelanggan.Penulis menyarankan agar pihak manajemen Puskesmas meningkatkandimensi fokus pada pelanggandan proses terkait pelanggan. Kedua dimensitersebutbelum dilaksanakan secara maksimal dalam penerapanupaya manajemenmutu fokus pada pelanggan. Manajemen Puskesmas untuk memperhatikan dimensi tangible dan responsiveness sebagai dimensi mutu pelayanan dengantingkat kepuasan terendah.Melaksanakan survey kepuasan pelanggan secara berkala dengan tools yang sesuai dengan kekhususan Puskesmas agar mendapatkan gambaran kepuasan pelanggan terkini. Kata Kunci : Mutu Layanan, Manajemen Mutu Fokus pada Pelanggan, KepuasanPelanggan.
Quality health services is now becoming the demands of all parties, including thepublic as service users, with the era of globalization, increasing social groupscapable, educated, and control of information, quality of service issues become anabsolute requirement The dominant factor affecting the quality of health servicesat the health center are human resources, both of which are involved in themanagement and care. Complaints (complaints) from customers is an indicator ofthe lack of quality of service due to poor management system.This study aims to determine the relationship between customer characteristicsand quality management efforts focus on providing customers with the level ofpatient satisfaction in the Puskesmas DTPin Bogor District 2014. Quantitativeresearch method is descriptive analytic cross-sectional design. With a populationis the entire patient care and management elements in the Puskesmas DTPinBogor District 2014. Samples in this study were inpatients as many as 181 peopleand 50 elements in the management of the Puskesmas DTPfrom 10 health centersWith Nursing.The results showed that there is no relationship between the characteristics ofpatients with levels of customer satisfaction, there is a significant associationbetween quality management efforts focus on providing customers with the levelof patient satisfaction in Bogor Regency DTP health centers in 2014, there is asignificant difference in mean scores between patient satisfaction The HealthCenter is implementing a quality management efforts focus on the customer andare not implementing a quality management efforts focuson the customer and notimplementing quality management efforts focus on the customer.The author suggested that health centers improve the management dimensions ofcustomer focus and customer-related processes. Both of these dimensions has notbeen fully implemented in the application of quality management efforts focus onthe customer. Management Health Center to pay attention and responsiveness as atangible dimension of service quality dimensions with the lowest satisfactionlevels. Carry out customer satisfaction surveys on a regular basis with theappropriate tools to get an idea of the specificity of the health center in order torecent customer satisfaction.Keywords: Quality of Service, Quality Management Focus on Customer,Customer Satisfaction.
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Quality health services is now becoming the demands of all parties, including thepublic as service users, with the era of globalization, increasing social groupscapable, educated, and control of information, quality of service issues become anabsolute requirement The dominant factor affecting the quality of health servicesat the health center are human resources, both of which are involved in themanagement and care. Complaints (complaints) from customers is an indicator ofthe lack of quality of service due to poor management system.This study aims to determine the relationship between customer characteristicsand quality management efforts focus on providing customers with the level ofpatient satisfaction in the Puskesmas DTPin Bogor District 2014. Quantitativeresearch method is descriptive analytic cross-sectional design. With a populationis the entire patient care and management elements in the Puskesmas DTPinBogor District 2014. Samples in this study were inpatients as many as 181 peopleand 50 elements in the management of the Puskesmas DTPfrom 10 health centersWith Nursing.The results showed that there is no relationship between the characteristics ofpatients with levels of customer satisfaction, there is a significant associationbetween quality management efforts focus on providing customers with the levelof patient satisfaction in Bogor Regency DTP health centers in 2014, there is asignificant difference in mean scores between patient satisfaction The HealthCenter is implementing a quality management efforts focus on the customer andare not implementing a quality management efforts focuson the customer and notimplementing quality management efforts focus on the customer.The author suggested that health centers improve the management dimensions ofcustomer focus and customer-related processes. Both of these dimensions has notbeen fully implemented in the application of quality management efforts focus onthe customer. Management Health Center to pay attention and responsiveness as atangible dimension of service quality dimensions with the lowest satisfactionlevels. Carry out customer satisfaction surveys on a regular basis with theappropriate tools to get an idea of the specificity of the health center in order torecent customer satisfaction.Keywords: Quality of Service, Quality Management Focus on Customer,Customer Satisfaction.
T-4168
Depok : FKM-UI, 2014
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Annisa Putri S; Pembimbing: Agustin Kusumayati; Penguji: Adang Bachtiar, Sutopo
Abstrak:
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Tesis ini membahas kepuasan pasien berdasarkan mutu pelayanan rawat inap di RSUD H. Abdul Manap Kota Jambi yang diukur melalui 5 dimensi mutu pelayanan kesehatan, terdiri dari tangibles, reliability, responsiveness, assurance, dan emphaty. Tujuan dari penelitian ini adalah untuk mengkaji dan menganalisis kepuasan pasien berdasarkan mutu pelayanan rawat inap di RSUD H. Abdul Manap Kota Jambi tahun 2023. Penelitian ini adalah penelitian dengan metode campuran (mix methode) dengan melakukan pengambilan data kuantitatif terlebih dahulu, kemudian dilanjutkan dengan data kualitatif kepada stakeholder melalui Focus Group Discussion (FGD). Berdasarkan analisis deskriptif statistik diketahui bahwa 36 item sudah mendapatkan nilai kesesuaian diatas 90%, artinya pasien sudah puas dengan dimensi mutu pelayanan rawat inap secara keseluruhan. Ada hubungan antara dimensi mutu pelayanan kesehatan tangibles (p-value 0.002), assurance (p-value 0.040) dan emphaty (p-value 0.014) dengan kepuasan pasien rawat inap di RSUD H. Abdul Manap Kota Jambi. Dari hasil analisis diagram kartesius didapatkan 5 item pada kuadran I yang menjadi prioritas untuk dilakukan perbaikan, 13 item pada kuadran II, 8 item pada Kuadran III dan 12 item pada kuadran IV. Hasil studi kualitatif menunjukkan bahwa manajemen rumah sakit juga telah melakukan inovasi dan improvement secara berkelanjutan dalam pemberian layanan kesehatan kepada pasien. Untuk meningkatkan kualitas layanan, rumah sakit dapat terus melakukan impelentasi manajemen mutu terpadu yang berfokus pada penjenjangan prioritas secara simultan sehingga dapat disusun upaya mempertahankan prestasi dimensi yang sudah baik dan meninjau efektivitas upaya-upaya perbaikan yang dilakukan dapat memenuhi harapan pasien.
This thesis explores patient satisfaction based on the quality of inpatient services at H. Abdul Manap General Hospital Jambi City. The study measures patient satisfaction using the five dimensions of healthcare service quality: tangibles, reliability, responsiveness, assurance, and emphaty. The research aims to assess and analyze patient satisfaction based on the quality of inpatient services at H. Abdul Manap General Hospital, Jambi City in 2023. The study employs a mixed-methods approach, collecting quantitative data followed by qualitative data through Focus Group Discussions (FGD). Descriptive statistical analysis reveals that 36 items have achieved a satisfaction score above 90%, indicating overall patient satisfaction with the dimensions of inpatient service quality. The study further establishes a significant relationship between the tangibles (p-value 0.002), assurance (p-value 0.040), and emphaty (p-value 0.014) dimensions of healthcare service quality and patient satisfaction with inpatient services at H. Abdul Manap General Hospital Jambi City. Cartesian diagram analysis identifies 5 items in quadrant I that require priority improvement, 13 items in quadrant II, 8 items in quadrant III, and 12 items in quadrant IV. The qualitative study findings indicate that the hospital management has implemented continuous innovation and improvement in providing healthcare services to patients. To enhance service quality, the hospital can continue implementing integrated quality management focusing on simultaneous prioritization. This approach will facilitate the development of strategies to maintain the performance of well-rated dimensions and review the effectiveness of improvement efforts to meet patient expectations.
T-7102
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Hastrina Mailani; Pembimbing: Evi Martha; Penguji: Dumilah Ayuningtyas, Wachyu Sulistiadi, Nani Hidayanti Widodo, Kemal Imran
Abstrak:
Prosedur tindakan pencegahan dan pengendalian infeksi mutlak harus diterapkan dirumah sakit termasuk di rawat inap. Kegiatan ini bertujuan untuk meminimalkan danmencegah terjadinya infeksi pada pasien, petugas, pengunjung dan masyarakat sekitarfasilitas pelayanan kesehatan. Selain menurunkan tingkat kesakitan dan kematian karenainfeksi nosokomial, pelaksanaan program pencegahan dan pengendalian infeksi yangbaik akan menurunkan biaya kesehatan karena dapat menurunkan lama rawat yangberdampak pada penurunan biaya yang dikeluarkan. Tujuan penelitian ini adalah untukmengetahui gambaran pelaksanaan pencegahan dan pengendalian infeksi di rawat inapRumah Sakit Pusat Otak Nasional. Jenis penelitian ini bersifat deskriptif denganmenggunakan metode penelitian kualitatif. Wawancara mendalam, diskusi grup terarah,dan observasi lansung dilaksanakan terhadap 13 informan. Hasil penelitian menunjukanbahwa pelaksanaan pencegahan dan pengendalian infeksi di rawat inap Rumah SakitPusat Otak Nasional ditinjau dari struktur, proses dan output belum terlaksana sesuaidengan pedoman pencegahan dan pengendalian infeksi yang telah ditetapkan.Pelaksanaan pencegahan dan pelaksanaan infeksi di rawat inap belum optimal karenapelaksanaan kebersihan tangan, penggunaan alat pelindung diri, pemisahan limbahmedis dan penyuntikan yang aman pada sebagian petugas belum dilakukan sesuaistandar serta monitoring dan evaluasi yang tidak dilakukan secara rutin. Jumlah petugasyang masih kurang, tumpang tindih tugas dan kurangnya pelatihan berpengaruh padapelaksanaan tugas pencegahan dan pengendalian. Saran yang dapat dilakukan adalahanalisis beban kerja, meningkatkan pelatihan pada petugas dan monitoring sertaevaluasi pelaksaanan pencegahan dan pengendalian infeksi dilakukan secara rutin.Kata Kunci : Pencegahan dan Pengendalian Infeksi, infeksi nosokomial
Infection prevention and control procedures must be implemented in hospitals includingthe inpatient care. It is intended to minimize and prevent infection in patients,healthcare workers, visitors, and the community surrounding the healthcare facility.Other than reducing mortality and morbidity rate associated with nosocomialinfections, the right implementation of Infection prevention and control program willalso reduce health costs due to reduced care duration which affects the decrease of thehealth cost expenditure. The purpose of this research is to understand the descriptive ofinfection prevention and control implementation at the inpatient care of the NationalBrain Center Hospital. This study uses a qualitative descriptive research method. In-depth interview, focus group discussion and observation are conducted with 13informants. Results of the study show that based on the structure, process and output,the infection prevention and control implementation at the inpatient care of theNational Brain Center Hospital has been done according to the guidelines of theinfection prevention and control that has been established.. The infection preventionand control implementation at the inpatient care is not yet optimized because of thepractices such as hand hygiene practice, use of personal protective equipment,separation of medical waste and safe injection that have not been done according tostandard and have not been monitored and evaluated routinely. The insufficient numberof healthcare workers, overlapping tasks and lack of training have an effect on theimplementation of Infection prevention and control tasks. Suggestions to be done arerestructuring of the Infection prevention and control organization, analysis ofworkload, the increase of training for healthcare workers and routine monitoring andevaluation of Infection prevention and control implementation.Keywords: Infection Prevention and Control,nosocomial infections.
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Infection prevention and control procedures must be implemented in hospitals includingthe inpatient care. It is intended to minimize and prevent infection in patients,healthcare workers, visitors, and the community surrounding the healthcare facility.Other than reducing mortality and morbidity rate associated with nosocomialinfections, the right implementation of Infection prevention and control program willalso reduce health costs due to reduced care duration which affects the decrease of thehealth cost expenditure. The purpose of this research is to understand the descriptive ofinfection prevention and control implementation at the inpatient care of the NationalBrain Center Hospital. This study uses a qualitative descriptive research method. In-depth interview, focus group discussion and observation are conducted with 13informants. Results of the study show that based on the structure, process and output,the infection prevention and control implementation at the inpatient care of theNational Brain Center Hospital has been done according to the guidelines of theinfection prevention and control that has been established.. The infection preventionand control implementation at the inpatient care is not yet optimized because of thepractices such as hand hygiene practice, use of personal protective equipment,separation of medical waste and safe injection that have not been done according tostandard and have not been monitored and evaluated routinely. The insufficient numberof healthcare workers, overlapping tasks and lack of training have an effect on theimplementation of Infection prevention and control tasks. Suggestions to be done arerestructuring of the Infection prevention and control organization, analysis ofworkload, the increase of training for healthcare workers and routine monitoring andevaluation of Infection prevention and control implementation.Keywords: Infection Prevention and Control,nosocomial infections.
T-5331
Depok : FKM-UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Apriningsih; Pembimbing: Dian Ayubi; Penguji: Iwan Ariawan, Adang Bachtiar, Tatiek Wahyuningtyas
Abstrak:
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Tesis ini membahas hubungan mutu fungsional layanan kesehatan dan minat pasien kembali menggunakan layanan rawat inap RSIA Buah Hati tahun 2009. Penelitian ini menggunakan metode cross sectional dengan pendekatan kuantitatitf Penilaian Mutu fimgsional layanan diukur berdasarkan dimensi servqual yang disesuaikarf dengan keadaan di RSIA Buah Hati. Dari penelitian didapatkan bahwa secara statistik ada hubungan bermakna antara mutu iimgsional layanan rawat inap RSIA Buah hati dengan minat pasien kernbali, dengan dimensi assurance dan responsiveness sebagai variabel dominan dan variabel penganjur sebagai variabcl perancu _ Faktor yang memiliki nilai kepuasan pasien terendah adalah perawat menunnm posisi dan cara menyusukan bayi, perawat memastikan pelaksanaan IMD, petugas mempromosikan asi ekslusiil petugas tidak membuat pasien menunggu terlalu lama, petugas memiliki sikap yang bersahabat dan murah senyurn, petugas memberikan penjelasan yang dibutuhkan pasien, kejelasan informasi pemakaian atau kegunaan obat oleh petugas, dan keluhan pasien diberikan tanggapan, sehingga perlu ditingkatkan ketrampilan petugas untuk menangani masalah yang dihadapi pasien dan berorientasi terhadap pelanggan. Kata Kunci: Mutu iimgsional Layanan Kesehatan, Minat Pasien kembali menggunakan layanan rawat inap
T-3145
Depok : FKM-UI, 2010
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Yuniarsih Handayani; Pembimbing: Dumilah Ayuningtyas; Penguji: Wachyu Sulistiadi, Besral, Amila Megraini, Danar Daya
Abstrak:
ABSTRAK
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Tesis ini membahas hubungan antara dimensi kepuasan pasien dengan minat pemanfaatan ulang pelayanan rawat inap di RS. Hermina Depok tahun 2012. Penelitian ini dilakukan karena peneliti melihat adanya penurunan pemanfaatan rawat inap (penurunan nilai BOR) pada tiga tahun terakhir serta hasil pengukuran kepuasan pelanggan yang tidak mengalami peningkatan pada dua tahun terakhir di RS. Hermina Depok. Penelitian ini merupakan penelitian observasional dengan desain cross sectional. Metode yang digunakan untuk mengukur kepuasan menggunakan Metode Service Quality (Servqual) yang terdiri dari lima dimensi yaitu tangibility, reliability, responsiveness, assurance, dan emphaty. Hasil penelitian menunjukkan bahwa kepuasan pasien tertinggi terdapat pada dimensi assurance dan terendah pada dimensi responsiveness. Hasil uji statistik dimensi kepuasan tangibility, responsiveness, assurance, dan emphaty mempunyai hubungan yang signifikan dengan minat pemanfaatan ulang. Dimensi tangibility adalah dimensi yang paling kuat hubungannya dengan minat pemanfaatan ulang pelayanan rawat inap, dengan mendapat pengaruh dari dimensi assurance. Berdasarkan hasil penelitian, peneliti menyarankan agar RS. Hermina Depok memperbaiki kualitas pelayanan terutama pada dimensi tangibility.
ABSTRACT
This thesis studies the relation between dimensions of patient satisfaction and re-use interest of inpatient room service at RS. Hermina Depok in 2012. This study was held because the visiting of inpatient room service (BOR) had decreased since three years before, and patient satisfaction of RS. Hermina didn’t increase significantly for two years. This study is observational study and use cross sectional design. Method of Service Quality (Servqual) was used to measure patient satisfaction, which content of five dimensions there are tangibility, reliability, responsiveness, assurance, and emphaty. The results of study are, the highest patient satisfaction is dimension of assurance and the lowest patient satisfaction is dimension of responsiveness. The results of statistic test are, dimensions tangibility, responsiveness, assurance, and emphaty have significantly relationship to re-use interest. Dimension of tangibility has the strongest relation to re-use interest of inpatient care service, influenced by dimension of assurance. The researcher suggests RS. Hermina Depok to increase quality of health care service especially for dimension of tangibility.
T-3708
Depok : FKM-UI, 2013
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Verawati Lenny; Pembimbing: Hafizurrachman, Robiana Modjo; Penguji: Mayarni, Tati Nuryati
T-3368
Depok : FKM-UI, 2011
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Felix Kasim; Pembimbing: Suprijanto Rijadi; Penguji: Amila Megraini, Mieke Savitri, Surya Tanurahardja, Ucke S. Sastrawinata
Abstrak:
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Pada era globalisasi saat ini, maka pelayanan Rumah Sakit dituntut untuk ditingkatkan mutu pelayanannya. Dimana salah satu indikator untuk mengukur mutu pelayanan di bidang kesehatan yang diberikan adalah kepuasan pasien sebagai pelanggan.Penelitian ini bertujuan untuk mendapatkan gambaran tingkat kepuasan pasien diruang rawat inap RS Immanuel Bandung terhadap pelaksanaan asuhan keperawatan dan penyediaan fasilitas pelayanan di ruang rawat inap, serta untuk meneliti ada tidaknya hubungan antara asuhan keperawatan dengan kepuasan pasien dan penyediaan fasilitas dengan kepuasan pasien, juga untuk mengetahui variabel bebas manakah yang paling berhubungan atau mempengaruhi kepuasan pasien.Variabel penelitian terdiri dari tahapan asuhan keperawatan, meliputi tahap pengkajian, diagnosa, perencanaan, pelaksanaan dan evaluasi, serta penyediaan fasilitas medis, non medis, obat-obatan dan fasilitas makanan dan minuman. Penelitian ini, bersifat survei dengan rancangan penelitian cross sectional. Data primer didapat melalui pengisian kuesioner oleh pasien. Analisis statistik yang dipakai adalah analisis univariat untuk melihat gambaran deskriptif, analisis bivariat chi-square, untuk melihat ada tidaknya hubungan antara tingkat kepuasan pasien dengan asuhan keperawatan dan penyediaan fasilitas pelayanan, analisis multivariat regresi logistik, untuk mengetahui variabel mana yang paling berpengaruh terhadap kepuasan pasien.Hasil penelitian menunjukkan bahwa secara keseluruhan pasien rawat inap RS Immanuel periode September-November tahun 2001 merasa puas, akan tetapi variabel pengkajian keperawatan, masih perlu diperbaiki dan ditingkatkan pelaksanaannya.Variabel pelaksanaan diagnosa keperawatan, penyediaan fasilitas fisik RR inap dan peneyediaan fasilitas medis, non medis dan obat-obatan adalah variabel yang berhubungan signifikan dengan kepuasan pasien.Variabel diagnosa keperawatan adalah variabel yang paling berhubungan secara signifikan dengan kepuasan pasien.Masih adanya kendala kemampuan komunikatif edukatif teurapeutik pelayanan yang bersifat holistik, meliputi aspek bio psiko spiritual, serta adanya kendala ewuh pakeuweuh, berpengaruh terhadap pelaksanaan dilapangan oleh perawat.Berdasarkan penelitian ini, disarankan peningkatan kemampuan manajemen data lapangan, pendidikan dan latihan, komunikasi interpersonal dan komunikasi teurapeutik, pengayaan SDM dilingkungan RS Immanuel, agar tercapai kesinambungan peningkatan kepuasan pasien.
The Patients Satisfaction Deals with Hospitalization and Service Facility at Bandung Immanuel Hospital In 2001In this globalization the hospitals are demanded to increase their service qualities of health care. The patients? satisfaction is one of the indicator to measure the quality of health service.This research aimed to gain the level of patient satisfaction at Immanuel Hospital Bandung to hospitalization and the provided of rooms, also included the relation between the hospitalization with patients satisfaction ,and facility provided with patients satisfaction, also to know free variable that directly related or impact the patients satisfaction.The research variable consist of hospitalization steps which method observation, diagnosis, planning, execution and evaluation, also with physical facility provided ,medical facility, non medic, drugs and food and drink facility.This research is like a survey, with cross sectional research planning. Primary data was gained through questionnaire filling by patients. This research is used univariat analysis to know the description, chi square bivariat analysis to know the relationship between the patient with hospitalization and service facility provided, regression logistic analysis to know which variable is the most influential to patient satisfaction.This research provided that all the hospitalized patients at Immanuel Hospital Bandung from September - November 2001, felt satisfied, but the hospitalization variable is still needed to be improved and increased.The diagnosis of hospitalization variable, physical facility provided of the rooms and medical facility, provided non medic and drugs were the most related variable that significant patient satisfaction was the diagnosis of hospitalization variable.The problem that influence with the execution by nurses were the ability of therapeutic educative communicative, holistic service, which method biophysical spiritual aspect, and also ewuh pakeuhweuh.Based on this research is advised to increase field to management, interpersonal communication and therapeutic communication ,human resources, provided at Immanuel Hospital, to gain the increase continuity of patient satisfaction.
T-1247
Depok : FKM-UI, 2002
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Nia Yuliatri; Pembimbing: Sutanto Priyo Hastono; Penguji: Agustin Kusumayati, Adang Bachtiar, Luwiharsi, Slamet Effendy
Abstrak:
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Meningkatnya kebutuhan akan pelayanan kesehatan, di tengah-tengah tingginya tarif pelayanan, terbatasnya sumber daya dan munculnya berbagai variasi dalam praktek kedokteran, mengakibatkan peningkaatan kualitas pelayanan menjadi agenda nasional di negara-negara maju. Di Indonesia telah dilakukan berbagai upaya untuk meningkatkan kualitas pelayanan, antara lain dengan pembangunan sarana pelayanan kesehatan baik di tingkat dasar maupun di tingkat rujukan. Pembangunan sarana pelayanan kesehatan rujukan. mengakibatkan pertambahan jumlah rumah sakit yang pesat Di lain pihak, masyarakat sebagai pengguna pelayananan kesehatan menjadi semakin kritis, antara lain karena peningkatan pendidikan dan status ekonomi. Tingkat kepuasan pasien sebagai salah satu outcome pelayanan di samping status kesehatan (indikator klinik), sekarang ini telah secara luas digunakan untuk menilai kualitas pelayanan. Metode pengukuran tingkat kepuasan yang telah secara luas digunakan adalah metode SERVQUAL PZB (Parasumman, Zeithmall, Berry, 1988)_ Untuk menyempurnakan kekurangan metode ini, Andaleeb, melakukan modifikasi untuk melakukan pengukuran tingkat kepuasan. Modifikasi metode SERVQUAL oleh Andaleeb mengukur tingkat kepuasan secara umum dengan 5 dimensi kepuasan, yaitu responsiveness, assurance, communication, discipline dan baksheesh. Selain mengukur tingkat kepuasan pasien, penting juga diketahui faktor--faktor yang berhubungan dengan tingkat kepuasan pasien, yang antara lain terdiri dari karakteristik sosiodemografik, karakteristik kesehatan, karakteristik rawat inap dan karakteristik pelayanan (Thi dick , 2002). Penelitian ini dilakukan untuk mengetahui tingkat kepuasan pasien secara umum di Instalasi Rawat lnap RS Pusat PERTAMINA berikut faktor-faktor yang berhubungan dengan tingkat kepuasan tersebut. Dalam penelitian ini tingkat kepuasan diukur dengan 4 dimensi kepuasan menurut Andaleeb yaitu dimensi responsiveness, assurance, communication, dan discipline. Determinan kepuasan yang diteliti terdiri dari karakteristik sosiodemografik (umur, jenis kelamin, status pernikahan, status pendidikan, status pasien dan pilihan atas rumah sakit), karakteristik kesehatan pasien (persepsi pasien tentang kondisi kesehatannya dan persepsi pasien tentang perubahan kondisi kesehatannya), karakteristik rawat inap (lama perawatan, persepsi pasien tentang lama perawatan, jumlah tempat tidur dalam ruang perawatan, jenis kelas rawat inap) dan karakteristik pelayanan (rasio jumlah pasienlperawat). Penelitian ini merupakan penelitian observasional yang menggunakan analisis kuantitatif dengan desain cross sectional. Sampel adalah 194 pasien rawat inap berusia 20 tahun yang telah dirawat minimal 3 hari, pada hari terakhir masa perawatannya di RS Pusat PERTAMINA selama bulan Mei 2004. Metode yang digunakan untuk mengukur tingkat kepuasan adalah modifikasi SERVQUAL dari Andaleeb. Karakteristik kesehatan pasien diukur dengan SF 36 v2 dari Rubin dan Ware. Dari penelitian ini diperoleh gambaran tingkat kepuasan pasien secara umum di Instalasi Rawat inap RS Pusat PERTAMINA, yaitu pasien puas 48.1%, tidak puas 51.9%; ditemukan hubungan yang bermakna dan berbeda kekuatannya antara tiap dimensi kepuasan dengan tingkat kepuasan secara umum, di mama dimensi assurance sebagai dimensi yang paling dominan berhubungan dengan tingkat kepuasan secara umum. Model regresi akhir dari tingkat kepuasan pasien secara umum dibentuk oleh variabel persepsi pasien tentang perubahan kondisi kesehatannya (karakteristik kesehatan) dan persepsi pasien tentang lama perawatannya (karakteristik rawat inap). Hasil penelitian ini diharapkan dapat dimanfaatkan oleh pihak manajemen RS Pusat PERTAMINA untuk lebih meningkatkan kualitas pelayanannya.
Analysis in Factors Correlate to Inpatient Satisfaction in PERTAMINA Central Hospital, Jakarta, 2004Growing demand for health care, rising costs, constrained resouncigN and evidence of variations in clinical practice have made improving the quality of health care became one of important point in national agenda of many developed countries. Indonesia have tried many efforts to increased the quality of medical services, i.e. by developing many primary and referral health facilities. The impact of this process is the increasing number of hospitals. On the' other hand, the community, as the customer of the heath service, have became more critical, along with improved education and finance of the community. Patient satisfaction level, which has became one of the outcome from health service process, besides the functional status (clinical indicator), nowadays has been widely used to evaluate quality of medical service. SERVQUAL method from PZB (Parasuaaman, Zeithmal, and Berry, 1988) has been widely applied to evaluate quality of medical service. To control many weakness of this method, Andaleeb modified this instrument He measured overall satisfaction based on 5 dimensions of satisfaction, which are responsiveness, assurance, communication, discipline and baksheesh It is also important to notified factors that correlate to patients overall satisfaction, such as sociodemographic, health, stay and service characteristics (Thi et al, 2002). The objective of this research is to know the overall inpatient satisfaction level in PERTAMINA Central Hospital and the correlated factors. In this study, the inpatient satisfaction was measured by 4 satisfaction dimensions of Andaleeb, which are responsiveness, assurance, communication and discipline. Factors correlate to satisfaction are sosiodemographic characteristics (age, sex, marital status, education level, patient status and patient's choice of hospital), health characteristics (patient's self-perceived of their general health status and patient's self perceived of changes in their general health status), stay characteristics ( length of stay, patient's perception of their length of stay, bed and class) and service characteristics (patients/nurse ratio). It is an observational research, using quantitative analysis and cross sectional design. Samples are 194 inpatients, ages? 20 years, which have stayed for at least 3 days in hospital., on their last day in PERTAMINA Central hospital during May 2004. The method has been used to measure the satisfaction is SERVQUAL modification instrument from Andaleeb. Patient's health characteristics were measured with the SF 36 v2 from Rubin and Ware. The results are satisfied patients 48.1%, unsatisfied patients 51.9% with 905 cut of point_ There are correlations with different strength association between each dimension to the overall satisfaction. Assurance was the most dominant dimensions that correlate with overall satisfaction. The last regression model of overall satisfaction was constructed by patient's self perceived of changes in their general health (health characteristics) and patient's perception of their length of stay (stay characteristics). The result of this study was hopefully can be utilized by the hospital management to improve their quality in delivering medical service.
T-1916
Depok : FKM-UI, 2004
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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