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Public Health Nursing is an effort of health that integrates with all health communitycenter, aimed for individuals, families, groups and communitiesto achieve independence in their health endeavors. The purpose of this study toanalyze in depth implementation quality of public health nursing programin Ogan Ilir District. The research method used qualitative approach. The researchinformants were Head of Primary Health Service and Traditional Health ServiceSection, Program Holder of Ogan Ilir District Health Office, Head of Tanjung RajaPublic Health Center, Head of Rantau Alai Public Health Center, Holder HealthPromotion Program, Holder Environmental Health Program, Holder Maternal Childand Family Health Program, Holder of Disease Prevention and Control program,Nutrition program and Family built community health care. Methods of data collectionwere interviews, focus group discussions, observations and document reviews. Theresults consisted of input, process and output components. Input components, includinginsufficient human resources, no public health nursing training, facilities andinfrastructure were incomplete, funding was adequate, overall policy was notproblematic. Components of the process, including the planning had not run wellenough, the organization was good, the implementation of perkesmas were still manyobstacles, and monitoring was not optimal. The component of the output of the publichealth office was the achievement of vulnerable families that developed on below target.So it can be concluded that the implementation of public health nursing in Ogan IlirDistrict has not been good.Keywords: Public health nursing, Public health center, a system approach.
Jumlah penderita TBC paru dari tahun ke tahun di Indonesia terus meningkat. Beberapa keadaan diduga merupakan faktor yang memegang peranan penting dalam meningkatnya infeksi TBC pada saat ini, antara memburuknya kondisi sosial ekonorni, belum optimalnya fasilitas pelayanan kesehatan masyarakat, meningkatnya jumlah penduduk yang tidak mempunyai tempat tinggal, meningkatnya infeksi HIV, daya tahan tubuh yang lemah/menurun, virulensi dan jumlah kuman yang meningkat. (Kardiana, 2007). Penelitian ini bertujuan untuk mengetahui gambaran mutu pelayanan program TB di Puskesmas terhadap tingkat keberhasilan program TB di Kabupaten Ciamis tahun 2007. Desain penelitian adalah kualitatif dengan melakukan wawancara mendalam terhadap petugas yang berkaitan langsung dengan program, diskusi kelompok terarah dengan masyarakat pengguna pelayanan dan telaah dokumen. Hasil penelitian menunjukan pada kelompok Puskesmas yang berhasil dalam peneapaian program penanggulangan TB, pelak.sanaan kegiatan melibatkan seluruh petugas dan sumber daya yang ada di Puskesmas. Sedangkan pada kelompok Puskesmas yang belurn berhasil dalam pencapaian program penangguIangan TB, belum terjalin kerja sama baik lintas program .dan lintas sektor serta belum adanya kepedulian dari seluruh staf Puskesmas terhadap program. Saran yang diajukan dalam penelitian ini adalah adanya kepedulian petugas dan karyawan Puskesmas terhadap program, peran aktif dokter terhadap program, peningkatan frekuensi penyuluhan dan sosialisasi program di lintas sektor, pemberian pelayanan yang bermutu sesuai standar dengan mengutamakan kepuasaxi pasien sebagai pelanggan ekstemal dalam pelayanan kesehatan, adanya pembinaan dan pertemuan rutin dari Dinas Kesehatan pengahargaan terhadap prestasi kerja.
Amount of TBC paru patient from year to year in Indonesia increasing. Some situation anticipated to represent factor playing a part important in the increasing of TBC infection at the moment, for example: deteriorating it condition of social economic, not yet is optimal of service facility of health society, the increasing of amount of resident which don't have residence, the increasing of HIV infection, weak body endurance/ downhill, germ amount and virulence which mounting. (Kardiana, 2007). This research aim to to know picture quality of TB program service in Puskesmas to level efficacy of TB program in Sub-Province Ciamis year 2007. Research Design is qualitative by conducting interview to direct interconnected officer with program, directional group discussion with service consumer society and document study. Research place conducted by in four Self-Supporting Puskesmas Executor (PPM) in TB program with selection of research place in two a success Puskesrnas in attainment of Puskesmas and program which not yet succeeded in attainment of program. Result of research show of a success Puskesmas group in attainment of TB overcome program, activity execution entangle entire resource and officer exist in Puskesmas, existence the same of activity pass by quickly program and pass by quickly good sector. While at Puskesmas group which not yet succeeded in attainment of TB overcome program not yet intertwined the same of activity the goodness pass by quickly program and pass by quickly sector. Recommendation in this research the existence of officer caring and Puskesmas employees to program, active the role of doctor on the program, the improving make-up of counseling frequency pass by quickly sector socialization, giving of certifiable service according to standard by majoring satisfaction of patient as the external client in health service, existence of routine meeting and construction from Public Health Service appreciation and reward to the achievement activity.
ABSTRAK Askesin merupakan salah satu program pemerintah dalam memberikan pelayanan kesehatan gratis bagi penduduk miskin dan tidak mampu di Pusat Kesehatan Masyarakat (Puskesmas) dan jaringannya serta pelayanan kesehatan rujukan di rumah sakit pemerintah kelas III. Dari hasil evaluasi pelaksanaan program askeskin pada tahun 2006 rata-rata jumlah cakupan puskesmas di Kabupaten Serang masih rendah apabila dibandingkan dengan target pencapaian Indikator, diketahui bahwa persentase cakupan jaminan pemeliharaan kesehatan gakin dan masyarakat rentan hanya 8,5% (target 14%) dan visit rate hanya 10,59 (target 15%). Sejak dilaksanakannya program Askeskin belum diketahui tingkat kepuasan pasien askeskin terhadap mutu pelayanan puskesmas. Pengukuran kepuasan pasien merupakan salah satu indikator keberhasilan pelaksanaan program dan merupakan elemen penting dalam menyediakan pelayanan yang lebih efisien dan lebih efektif. Dengan cara ini diharapkan ada upaya konkrit yang dapat disarankan kepada pihak pemberi jasa untuk meningkatkan pelayanan kesehatan kepada masyarakat miskin sehingga dapat memenuhi harapan masyarakat yang berpengaruh pada niat berkunjung kembali ke puskesmas. Tingkat kepuasan pasien diukur dengan menggunakan lima dimensi mutu yang dapat digunakan untuk mengukur kepuasan pelanggan, yaitu tangible, reliability, responsiveness, assurance, dan emphaty (Parasuraman et.al, 1990). Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pasien rawat jalan yang menggunakan Askeskin terhadap mutu pelayanan Puskesmas yang dilaksanakan pada akhir bulan Juni sampai Agustus tahun 2007 di 38 Puskesmas se-Kabupaten Serang dengan jumlah sampel 676 orang dengan menggunakan metode analitik dengan rancangan penelitian cross sectional. Hasil Penelitian didapat tingkat kepuasan berdasarkan lima dimensi mutu bahwa masing-masing dimensi tangible, reliability, responsiveness, assurance dan empahty sudah diatas 50% dan dari kelima dimensi tersebut paling besar pada dimensi assurance. Kepuasan umum pasien sebesar 72,8% dengan niat berkunjung kembali sebesar 83%. Variabel karakteristik pasien yang paling dominan berpengaruh adalah status pendidikan, status pekerjaan dan status perkawinan, sedangkan variabel lainnya sebagai variabel confounding. Hasil Importance Performance Analysis didapat beberapa faktor yang menjadi prioritas utama yang harus diperhatikan dan perbaiki yaitu, waktu tunggu pemeriksaan cepat, petugas terampil dalam bekerja dan petugas mengerti yang dibutuhkan pasien. Dalam rangka memperbaiki mutu pelayanan tersebut disarankan bagi puskesmas agar memberikan pelayanan dengan terampil, membuat alur proses pelayanan, meningkatkan pengetahuan petugas puskesmas dan membuka waktu pelayanan puskesmas pada sore hari, melakukan ‘ghost shopping’ untuk melihat tingkat kepuasan pasien dan memantau kinerja pemberi pelayanan serta membentuk tim pengendali mutu dan diharapkan dinas kesehatan agar senantiasa membuat kebijakan yang mendukung upaya peningkatan mutu pelayanan di puskesmas. Daftar Pustaka: 78 (1980 – 2007).
ABSTRACT Askeskin is one of government programs in providing free health service for poor and not wealthy people in Public Health Center (Puskesmas) and the network and health service reference in government hospital III rd class. From evaluation result of askeskin program implementation in 2006 the average of puskesmas coverage in Serang Regency still low if compared to target of achievement indicator, known that coverage percentage of gakin health maintenance guarantee and susceptible people only 8,5% (target 14%) and visit rate only 10,59 (target 15%). Since Askeskin program conducted the askeskin satisfaction level toward puskesmas service quality was not yet known. Patient satisfaction measurement is one of the success indicators for program implementation and an important element in providing a more efficient and effective service. By this way, expected concrete efforts that could suggested for service giver to improve poor people health service that fulfilled people expectation, which affecting re-visit intention to puskesmas. Patient satisfaction level measured by using five dimensions quality that could be use for measuring client satisfactory, which are tangible, reliability, responsiveness, assurance, and empathy (Parasuraman et.al, 1990). This research aim was identifying outpatient satisfaction level that conducted in the end of June to August year 2007 in 38 Puskesmas of all Serang Regency with samples of 676 people by using analytical method with cross sectional research design. From research result, obtained satisfaction level that based on five dimensions quality, which are tangible, reliability, responsiveness, assurance, and empathy was over 50% and from those five dimensions, the largest was assurance dimension. General patient satisfactions as much as 72.8% with re-visit intention as much as 83%. The most dominant affecting patient characteristic variable are education status, working status and marriage status, while other variables as confounding variables. From result of Importance Performance Analysis obtained several factors that become main priority need to be paid attention and fixed, which are quick waiting duration for examination, skillful officer in working and officer understand patient needs. In order to fix those services quality, suggested for puskesmas to provide service that competent, making service plot processes, improving puskesmas officer knowledge and opening puskesmas service time at afternoon, conducting “ghost shopping” to identify patient satisfaction level and monitoring service giver performance, forming quality control, and expecting health agency always form policy that support service quality improvement efforts in puskesmas. References: 78 (1980 – 2007)
Puskesmas is one of the first-level types of governments health care services in Indonesia. In 2016 and 2019, occurred a decrease in outpatient visits to the puskesmas by 29,4% in Pariaman. Patiens satisfaction or dissatisfaction with a service will affect subsequent patiens behavior such as product repurchase or revisit interest. This research aims to determine differences in service quality satisfaction in the interest of patients to revisit puskesmas in the Pariaman in 2019. This study design is a cross-sectional and the data was collected from 156 people who had visited the last 3 (three) weeks to the puskesmas in Pariaman. Statistical analysis using chi-square. The research results obtained 88.5% of respondents said they would make a revisit; the highest average satisfaction of respondents is in the empathy dimension that is equal to 88.05%, and the lowest in the reliability dimension that is equal to 84.22%; there are differences in the satisfaction dimensions of responsiveness, and assurance on the respondents' interest in visiting the puskesmas; age, gender, education, and accessibility are confounding on responsiveness and assurance dimensions. The work is only confounding on the assurance dimension.puskesmas is expected to prioritize efforts for improving the pharmacy service, nurse services and and to maintain things that are considered good customers