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Gabe Gusmi Aprilla; Pembimbing: Rachmadi Purwana; Penguji: Dumilah Ayuningtyas, Dian Ayubi, Nur Indah, Aliyah Cendanasari
Abstrak:
Pada tahun 2017 dan 2018, Puskesmas Kecamatan Cakung telah melakukan orientasi asuhan mandiri pemanfaatan TOGA dan akupresur kepada 77 orang kader dari 5 kelurahan yaitu Penggilingan, Pulo Gebang, Jatinegara, Ujung Menteng dan Cakung Barat. Dalam kurun waktu 3-6 bulan selesai orientasi, diharapkan kader membentuk kelompok asuhan mandiri. Namun baru terbentuk satu kelompok asuhan mandiri yaitu di RW 01 Kelurahan Penggilingan, sehingga peneliti tertarik untuk menganalisa hubungan faktor demografi dan motivasi terhadap partisipasinya. Penelitian ini menggunakan data primer dengan mengisi kuisioner. Desain penelitian ini menggunakan pendekatan kuantitatif non eksperimen dengan desain cross sectional. Hasil penelitian diperoleh sebagian besar kader asuhan mandiri berstatus ibu rumah tangga, menikah, berusia > 46 tahun, berpendidikan menengah, pendapatan < UMP DKI tahun 2020 dan lama kerja < 5 tahun. Sebagian besar motivasi rendah 39 orang (60%) dan sisanya motivasi tinggi 26 orang (40%) dan partisipasi rendah 33 orang (50,8%) dan sisanya partisipasi tinggi 32 orang (49,2%). Faktor lama kerja kader asuhan mandiri > 5 tahun dapat meningkatkan 4 kali partisipasi, sedangkan penghargaan meningkatkan 0,1 kali.
Kesimpulan: lama kerja > 5 tahun dan penghargaan meningkatkan partisipasi kader asuhan mandiri.
Saran: perlu bantuan bibit tanaman obat tradisional, pelatihan berjenjang dan berkala, pembinaan berkala, studi banding, penilaian kelompok asuhan mandiri dan family gathering untuk meningkatkan motivasi kader asuhan mandiri
In 2017 and 2018, the Cakung Community Health Center has given self care orientation using the herbal garden and acupressure for 77 cadres from 5 subdistrict namely Penggilingan, Pulo Gebang, Jatinegara, Ujung Menteng and West Cakung. Within 3-6 months of orientation, community health worker are expected to form self care groups. However, only one self care group was formed, namely in the Penggilingan sub-district, so the researchers were interested in analyzing the relationship between demographic factors and motivation of self care community health worker and their participation. This study uses primary data by filling out questionnaires. The research design used a non-experimental quantitative approach with a cross sectional design. The results showed that most of them were housewives, married, > 46 years old, middle school education, income < minimum wage DKI and length of work < 5 years. Most of the low motivation 39 people (60%) and the remaining high motivation 26 people (40%) and low participation 33 people (50.8%) and the remaining high participation 32 people (49.2%). The length of work factor > 5 years increased participation 4 times, while the reward motivation increased 0.1 times.
Conclusions : length of work and rewards for increasing participation.
Suggestions : need for seed herbal plant, training, supervision, study tours, competitions the self care group and family gatherings to increase motivation for self care community health worker
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Kesimpulan: lama kerja > 5 tahun dan penghargaan meningkatkan partisipasi kader asuhan mandiri.
Saran: perlu bantuan bibit tanaman obat tradisional, pelatihan berjenjang dan berkala, pembinaan berkala, studi banding, penilaian kelompok asuhan mandiri dan family gathering untuk meningkatkan motivasi kader asuhan mandiri
In 2017 and 2018, the Cakung Community Health Center has given self care orientation using the herbal garden and acupressure for 77 cadres from 5 subdistrict namely Penggilingan, Pulo Gebang, Jatinegara, Ujung Menteng and West Cakung. Within 3-6 months of orientation, community health worker are expected to form self care groups. However, only one self care group was formed, namely in the Penggilingan sub-district, so the researchers were interested in analyzing the relationship between demographic factors and motivation of self care community health worker and their participation. This study uses primary data by filling out questionnaires. The research design used a non-experimental quantitative approach with a cross sectional design. The results showed that most of them were housewives, married, > 46 years old, middle school education, income < minimum wage DKI and length of work < 5 years. Most of the low motivation 39 people (60%) and the remaining high motivation 26 people (40%) and low participation 33 people (50.8%) and the remaining high participation 32 people (49.2%). The length of work factor > 5 years increased participation 4 times, while the reward motivation increased 0.1 times.
Conclusions : length of work and rewards for increasing participation.
Suggestions : need for seed herbal plant, training, supervision, study tours, competitions the self care group and family gatherings to increase motivation for self care community health worker
T-6051
Depok : FKM-UI, 2021
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Mega Arista Sari; Pembimbing: Sutanto Priyo Hastono; Penguji: Wahyu Sulistiadi, Robiana Modjo, Aliyah Cendanasari, Nurwirah Verliyanti
Abstrak:
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Penilaian kinerja merupakan proses kontrol kinerja karyawan yang dievaluasi berdasarkan standar tertentu.Tujuan untuk menganalisa hubungan kepuasan kerja dan sosiodemografi terhadap kepuasan kerja perawat puskesmas. Metode rancangan penelitian yang digunakan adalah analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah 594 perawat di 84 Puskesmas Wilayah Jakarta Timur. Pengambilan data dengan menggunakan kuesioner google form. Analisis hubungan dengan mengunakan uji Chi-square dan α = 0.05. Hasil penelitian ini menunjukkan bahwa perawat dengan kepuasan kerja sebesar 58,2% dan perawat yang memiliki kinerja yang baik sebesar 57,6%. Variabel tingkat pendidikan (ρ=0,029), kepuasan kerja (ρ=0,019), memiliki pengaruh terhadap kinerja perawat.
Performance appraisal is a process of controlling employee performance which is evaluated based on certain standards. The aim is to analyze the relationship between job satisfaction and sociodemography on the job satisfaction of nurses in puskesmas. The research design method used in this research is analytic with a cross sectional approach. The population in this study were 594 nurses in 84 Health Centers in East Jakarta. Collecting data using a google form questionnaire. Analysis of the relationship using the Chi-square test and = 0.05. The results of this study indicate that nurses with job satisfaction are 58.2% and nurses who have good performance are 57.6%. Variabel level of education (ρ = 0.029), job satisfaction (ρ = 0.019), has an influence on the performance of nurses
T-6564
Depok : FKM UI, 2022
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Hairani; Pembimbing: Agustin Kusumayanti; Penguji: Sabarinah Prasetyo, Dumilah Ayuningtyas, Beben Saiful Bahri, Muhammad Zaini Jauhari
Abstrak:
Karyawan adalah salah satu sumberdaya paling penting dalam upaya mencapai
keberhasilan dan tujuan dalam sebuah organisasi. Salah satu faktor penting agar tercapai
hasil kerja yang optimal dari seorang karyawan yaitu dengan terpenuhinya kepuasan
kerja. Sumberdaya manusia yang baik memiliki kualitas yang mampu mempengaruhi
kinerja.Namun sebagus apapun rencana-rencana dan pengawasan dalam sebuah
organisasi, jika sumber daya manusianya kurang berminat dan tidak bahagia dalam
melakukan pekerjaannya maka suatu organisasi tidak akan mencapai hasil seperti yang
seharusnya bisa di capai Tujuan dari penelitian ini adalah untuk mengetahui pengaruh
kepuasan kerja dan karakteristik individu terhadap kinerja karyawan di Puskesmas
Selong. Jenis penelitian ini adalah deskriptif menggunakan pendekatan rancangan studi
cross sectional dengan metode campuran yaitu mengkombinasikan antara metode
kuantitatif dan kualitatif. Tidak ada pengaruh kepuasan kerja secara simultan terhadap
kinerja pada karyawan di puskesmas selong, uji statistic menunjukkan p=1,000>0,05.
Dari lima indicator variabel kepuasan kerja hanya dua indicator yang berpengaruh
terhadap kinerja karyawan yaitu kepuasan terhadap imbalan dengan nilai p=0,018<0,05
dan kepuasan terhadap supervisi atasan dengan nilai p=0,029<0,05. Karakteristik
individu karyawan yang berpengaruh terhadap kinerja adalah karakteristik pendidikan,
hal ini sesuai hasil uji statistic dimana p= 0,047<0,05. Dengan demikian manajemen
Puskesmas Selong perlu memberikan pemahaman kepada karyawan mengenai penentuan
pembayaran imbalan, melakukan pendekatan dan komunikasi yang lebih efektif dalam
upaya perbaikan system pengawasan dan memberikan feedback terhadap hasil kerja
karyawan sehingga karyawan dapat mengetahui kekurangan atau kelebihannya. Dengan
komunikasi yang lebih intens dengan karyawan melalui pertemuan rutin antara pimpinan
dan karyawan akan terjalin komunikasi yang baik sehngga meningkatkan kualitas kerja
karyawan.
Employees are one of the most important resources in achieving success and goals in an organization. One of the important factors in order to achieve optimal work results from an employee is the fulfillment of job satisfaction. Good human resources have qualities that can affect performance. However, no matter how good the plans and supervision are in an organization, if the human resources are less interested and unhappy in doing their work then an organization will not achieve the results it should be able to achieve. The purpose of this study was to determine the effect of job satisfaction and individual characteristics on employee performance at Puskesmas Selong. This type of research is descriptive using a cross-sectional study design approach with mixed methods, namely combining quantitative and qualitative methods. There is no effect of job satisfaction simultaneously on the performance of employees at Puskesmas Selong, it can be seen from the p value = 1,000> 0.05. Of the five indicators of job satisfaction variables, only two indicators have an effect on employee performance, namely satisfaction with rewards with a value of p = 0.018 <0.05, and satisfaction with superior supervision with a value of p = 0.029 <0.05. Individual characteristics of employees that affect performance are educational characteristics, it can be seen from the p value = 0,047<0,05. Thus the management of Puskesmas Selong needs to provide an understanding to employees regarding the determination of payment of compensation, approach and communicate more effectively in efforts to improve the supervision system, and provide feedback on the work of employees so that employees can find out their weaknesses or strengths. With more intense communication with employees through regular meetings between leaders and employees, good communication will be established so as to improve the quality of employee work
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Employees are one of the most important resources in achieving success and goals in an organization. One of the important factors in order to achieve optimal work results from an employee is the fulfillment of job satisfaction. Good human resources have qualities that can affect performance. However, no matter how good the plans and supervision are in an organization, if the human resources are less interested and unhappy in doing their work then an organization will not achieve the results it should be able to achieve. The purpose of this study was to determine the effect of job satisfaction and individual characteristics on employee performance at Puskesmas Selong. This type of research is descriptive using a cross-sectional study design approach with mixed methods, namely combining quantitative and qualitative methods. There is no effect of job satisfaction simultaneously on the performance of employees at Puskesmas Selong, it can be seen from the p value = 1,000> 0.05. Of the five indicators of job satisfaction variables, only two indicators have an effect on employee performance, namely satisfaction with rewards with a value of p = 0.018 <0.05, and satisfaction with superior supervision with a value of p = 0.029 <0.05. Individual characteristics of employees that affect performance are educational characteristics, it can be seen from the p value = 0,047<0,05. Thus the management of Puskesmas Selong needs to provide an understanding to employees regarding the determination of payment of compensation, approach and communicate more effectively in efforts to improve the supervision system, and provide feedback on the work of employees so that employees can find out their weaknesses or strengths. With more intense communication with employees through regular meetings between leaders and employees, good communication will be established so as to improve the quality of employee work
T-6086
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Eti Rohati; Pembimbing: Adang Bachtiar; Penguji: Ede Surya Darmawan, Tenny Swara Rifai, Ina Yuniati
T-3374
Depok : FKM UI, 2011
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Eti Rohati; Pembimbing: Adang Bachtiar; Penguji: Ede Surya Darmawan, Tenny Swara Rifai, Ina Yuniati
T-3341
Depok : FKM-UI, 2011
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Henry Diatmo; Pembimbing: Robiana Modjo; Penguji: Adang Bachtiar, Puput Oktamianti, Emma Rachmawati, Endang Lukitosari
Abstrak:
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Rendahnya angka pasien TBC resistan obat yang memulai pengobatan serta tingginya angka putus pengobatan menjadi tantangan besar untuk meningkatkan kualitas dari pelayanan TBC RO, khususnya di puskesmas sebagai satelit TBC RO. Hal ini mungkin berkaitan dengan tingkat kepuasan pasien TBC resistan obat sebagai konsumen dari layanan kesehatan, yang mengakibatkan keengganan pasien untuk mengakses pengobatan atau tidak melanjutkan pengobatan. Provinsi DKI Jakarta merupakan salah satu provinsi yang berkontribusi paling tinggi dalam penemuan kasus TBC RO, juga paling tinggi dalam angka pasien yang tidak memulai pengobatan dan putus pengobatan TBC RO. Tujuan penelitian adalah untuk menganalisis kepuasan pasien TBC RO terhadap pelayanan di puskesmas yang merupakan satelit pengobatan TBC RO di DKI Jakarta tahun 2020 berdasarkan 5 dimensi Servqual dengan desain metode kombinasi secara cross sectional. Populasi dan sampel penelitian untuk kuantitatif adalah pasien TBC RO yang sedang menjalani pengobatan di puskesmas satelit TBC RO di DKI Jakarta dengan jumlah 70 orang, sedangkan kualitatif adalah pasien suporter yang mendampingi pengobatan pasien sebanyak 6 orang. Hasil analisis diperoleh 50% dari responden tidak puas akan pelayanan puskesmas satelit TBC RO di DKI Jakarta, berdasarkan 5 dimensi servqual diperoleh kesenjangan dimana nilai kenyataan lebih rendah dari harapan antara lain tangible (-0,39), reliable (-0,31), responsiveness (-0,31), assurance (-0,32) dan empathy (-0,23). Jika tidak dilakukan upaya peningkatan kualitas dari puskesmas satelit TBC RO akan menurunkan keteraturan berobat yang mengakibatkan putus pengobatan. Kualitas pelayanan fasyankes satelit TBC RO penting untuk ditingkatkan mempersiapkan ketersediaan fasilitas, sarana, SDM, sistem pelayanan yang berpihak kepada kebutuhan pasien, serta memastikan pelayanan dijalankan sesuai prosedur.
The low number of drug-resistant TB patients starting treatment and the high dropout rates are a major challenge to improve the quality of DR TB services, especially in puskesmas as DR TB satellites. This may be related to the level of satisfaction of drug-resistant tuberculosis patients as consumers of health services, which results in the patient's reluctance to access treatment or discontinue treatment. DKI Jakarta is one of the provinces that has the highest contribution in cases finding of DR TB, also the highest in the number of patients who do not start treatment and drop out of DR TB treatment. The purpose of this study was to analyze the satisfaction of DR TB patients with services at the puskesmas which is the treatment of DR TB in DKI Jakarta in 2020 based on 5 dimensions of Servqual with a cross sectional combination method design. The population and research sample for quantitative are DR TB patients who are undergoing treatment at DR TB satellite health centers in DKI Jakarta with a total of 70 people, while qualitative are 6 patient supporters who accompany the treatment of patients. The results of the analysis obtained 50% of respondents were dissatisfied with the service of DR TB satellite health centers in DKI Jakarta, based on 5 dimensions of servqual obtained a gap where the reality value was lower than expectations, among others tangible (-0.39), reliable (-0.31), responsiveness (-0.31), assurance (-0.32) and empathy (-0.23). If no effort is made to improve the quality of the DR TB satellite health centers will reduce the regularity of treatment which results in treatment interruption. The quality of service of the DR TB satellite health centers is important to be improved in preparing the availability of facilities, human resources, service systems that are in line with the needs of patients, as well as ensuring services are carried out according to procedures.
T-5870
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Manda Hafni Permana; Pembimbing: Syahrizal; Penguji: Dumilah Ayuningtyas, Dian Ayubi, Verry Adrian, Dicky Alsadik
Abstrak:
Provinsi DKI Jakarta memiliki berbagai isu kesehatan, salah satunya yaitu Triple Burden Disease, dimana Penyakit Menular (PM) masih tinggi, kemudian adanya peningkatan Penyakit Tidak Menular (PTM), ditambah dengan adanya Penyakit Infeksi Emerging (PIE)/ Re-Emerging dan/atau New Emerging. Kementerian Kesehatan RI menyatakan bahwa PIE mendapat perhatian khusus karena dampaknya yang cukup serius baik dari sisi kesehatan maupun sosial ekonomi, terlebih di era digital dan globalisasi saat ini. Seiring dengan perkembangan situasi dan kondisi pandemi, maka ditetapkannya Status Tanggap Darurat Bencana Wabah COVID-19 di Provinsi DKI Jakarta Tahun 2020 memerlukan inovasi dalam peningkatan kualitas pelayanan publik dan peningkatan capaian kinerja dari setiap SKPD/UKPD. DKI Jakarta terbukti telah menerima banyak penghargaan salah satunya dinobatkannya sebagai Provinsi Terinovatif pada Tahun 2020, namun inovasi bidang Kesehatan yang masuk dalam Top 99 Inovasi Pelayanan Publik hanya sebesar 2%. Oleh karena itu, diperlukan analisis mendalam terkait implementasi inovasi bidang kesehatan terhadap kualitas layanan di masa pandemi COVID-19. Jenis penelitian ini yaitu mix method dengan menggunakan metode gabungan kuantitatif dan kualitatif secara bersamaan dengan tipe kombinasi Sequential Explenatory. Variabel independent meliputi kepemimpinan, budaya inovasi, pelatihan sumber daya, saluran komunikasi, jaringan dan kemitraan, penghargaan, kompleksitas dan keuntungan relatif, persepsi kegunaan, dan kemudahan penggunaan, serta variabel dependen yang terdiri dari aspek kualitas dengan pendekatan struktur, proses, dan output. Penelitian dilakukan di Puskesmas dalam Naungan Dinas Kesehatan Provinsi DKI Jakarta pada bulan Mei-Juni 2021. Lokasi Penelitian di Puskesmas dalam Wilayah 5 Kota di Provinsi DKI Jakarta. Analisis data yaitu menggunakan analisis univariat, bivariat (Chi Square), dan multivariat dengan regresi logistik. Hasil penelitian didapatkan kualitas layanan kesehatan masa pandemi sudah cukup baik yaitu sebesar 71,8%. Hasil analisis didapatkan adanya hubungan antara faktor implementasi inovasi dan pemanfaatan teknologi informasi bidang kesehatan terhadap kualitas layanan masa pandemi COVID-19 di Puskesmas Provinsi DKI Jakarta Periode Tahun 2020-2021 yaitu pada variabel kepemimpinan, budaya inovasi, jaringan dan kemitraan, serta penghargaan. Adapun variabel yang paling dominan adalah kepemimpinan yang berinteraksi dengan variabel penghargaan yaitu dengan nilai OR=7,64
DKI Jakarta Province has several health challenges, one of which is Triple Burden Disease, in which Communicable Diseases (CD) remind high, then Non Communicable Diseases (NCD) are increasing, besides Emerging Infectious Diseases (EID)/ ReEmerging and/ or New Emerging. According to the Republic of the Indonesia Ministry of Health, PIE got special attention due to its serious impact on health and socioeconomics, particularly in the current digital era and globalization. Along the development of the situation and conditions of the pandemic, the Emergency Response Status for the COVID-19 Outbreak of the DKI Jakarta Province in 2020 requires innovation in improving the quality of public services and health care. DKI Jakarta Province has received many awards, one of which is the most innovative province. However, innovations in the health sector that are include in the top of 99 public service innovations are only 2%. Therefore, an in-depth analysis is needed regarding innovations in the health sector on the quality of services during the COVID-19 Pandemic. This type of research is mix method by using a combination type Sequential Explenatory. The independent variables include leadership, innovation culture, resource training, communication channels, networks and partnerships, rewards, complexity and relative advantage, perceived usefulness, and perceive ease of use, as well as the dependent variable consisting of aspects of quality with a structure, process, and output approach. The research was conducted at Community Health Center and DKI Jakarta Health Office in Mei-June 2021. The research locations in The Community Health Center in 5 Regencies at DKI Jakarta Province. Data analysis used univariate, bivariate (Chi Square) and multivariate with logistic regression. The result showed that the quality of health services during the pandemic was quite good about 71,8%. The results of the analysis found that there was a relationship between the factors of implementating innovation and the utilization of information technology in the health sector on the quality of services during the COVID-19 pandemic at the DKI Jakarta Provincial Health Center for the 2020-2021 Period are leadership, innovation culture, network and partnership, and reward. The most dominant variable is leadership which is interact with reward with OR value 7,64.
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DKI Jakarta Province has several health challenges, one of which is Triple Burden Disease, in which Communicable Diseases (CD) remind high, then Non Communicable Diseases (NCD) are increasing, besides Emerging Infectious Diseases (EID)/ ReEmerging and/ or New Emerging. According to the Republic of the Indonesia Ministry of Health, PIE got special attention due to its serious impact on health and socioeconomics, particularly in the current digital era and globalization. Along the development of the situation and conditions of the pandemic, the Emergency Response Status for the COVID-19 Outbreak of the DKI Jakarta Province in 2020 requires innovation in improving the quality of public services and health care. DKI Jakarta Province has received many awards, one of which is the most innovative province. However, innovations in the health sector that are include in the top of 99 public service innovations are only 2%. Therefore, an in-depth analysis is needed regarding innovations in the health sector on the quality of services during the COVID-19 Pandemic. This type of research is mix method by using a combination type Sequential Explenatory. The independent variables include leadership, innovation culture, resource training, communication channels, networks and partnerships, rewards, complexity and relative advantage, perceived usefulness, and perceive ease of use, as well as the dependent variable consisting of aspects of quality with a structure, process, and output approach. The research was conducted at Community Health Center and DKI Jakarta Health Office in Mei-June 2021. The research locations in The Community Health Center in 5 Regencies at DKI Jakarta Province. Data analysis used univariate, bivariate (Chi Square) and multivariate with logistic regression. The result showed that the quality of health services during the pandemic was quite good about 71,8%. The results of the analysis found that there was a relationship between the factors of implementating innovation and the utilization of information technology in the health sector on the quality of services during the COVID-19 pandemic at the DKI Jakarta Provincial Health Center for the 2020-2021 Period are leadership, innovation culture, network and partnership, and reward. The most dominant variable is leadership which is interact with reward with OR value 7,64.
T-6140
Depok : FKM-UI, 2021
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Itsna Widita; Pembimbing: Sutanto Priyo Hastono; Penguji: Dian Ayubi, Wahyu Sulistiadi, Wayan Sri Agustini, Mochammad Hidayat
Abstrak:
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Komunikasi dokter gigi-pasien merupakan kompetensi yang wajib dimiliki oleh dokter gigi dalam memberikan pelayanan yang berpengaruh terhadap kepuasan pasien. Komunikasi yang tidak optimal dapat menyebabkan pelayanan medik gigi dan mulut yang tidak optimal. Permasalahan sebagaimana yang dijumpai di poli gigi Puskesmas Gandoang yakni besarnya gap antara jumlah diagnosis dan jumlah pelayanan kesehatan gigi yang diberikan, serta penurunan jumlah kunjungan pasien poli gigi, salah satunya dapat disebabkan oleh ketidakoptimalan komunikasi. Penelitian ini bertujuan untuk mengetahui hubungan variabel kualitas komunikasi dokter gigi dan karakteristik pasien terhadap kepuasan pasien poli gigi. Penelitian ini merupakan penelitian cross sectional dengan desain mixed method dengan pendekatan sequential explanatory, diawali dengan penelitian kuantitatif yang kemudian hasilnya diperdalam melalui penelitian kualitatif. Populasi adalah pasien rawat jalan poli gigi, yang sampelnya dihitung berdasar rumus beda dua proporsi, sehingga didapatkan 100 sampel melalui tekhnik Quota sampling, sementara informan penelitian kualitatif terdiri dari 4 informan, meliputi 2 pasien poli gigi, 1 dokter gigi, dan 1 kepala puskesmas Gandoang melalui metode wawancara mendalam. Sebagian besar responden (52%) menyatakan kualitas komunikasi dokter gigi baik, di mana bagi sebagian besar responden aspek introduce (59%) dan shows respect (78%) dinyatakan memenuhi kriteria baik, sementara aspek explanation (53%) dan listen carefully (55%) tidak memenuhi kriteria baik. Untuk kepuasan pasien, sebagian besar responden (54%) menunjukan ketidakpuasan. Di mana dimensi yang dirasa tidak memuaskan bagi sebagian besar responden adalah open-endedness (58%) dan dimensi empati (54%). Hasil analisis multivariate menunjukan variabel yang paling dominan berhubungan dengan kepuasan pasien poli gigi adalah kualitas komunikasi dokter gigi p value=0,001, OR= 4.829 (CI 95 % 1.984-11.752), artinya kualitas komunikasi dokter gigi yang buruk akan memiliki peluang sebesar 4.829 kali menyebabkan ketidakpuasan pasien dibandingkan kualitas komunikasi dokter gigi yang baik
Problems in the dental clinic of Gandoang health center are the large gap between the number of diagnoses and the number of dental health services provided, and also reduction in the number of patient visits in dental clinic, these can be caused by unuptimal communication. This study aims to determine the relationship between dentist communication quality variables and patient characteristics with dental patient satisfaction. Research with a mixed method design with a sequential explanatory approach, begins with quantitative research and then deepened through qualitative research. The population was dental clinic’s outpatients, with a sample size of 100, while the qualitative research informants consisted of 2 patients, 1 dentist, and 1 head of the Gandoang helat center, through in-depth interviews. Most respondents (52%) stated that the quality of dentist communication was good, the aspect of introduce (59%) and shows respect (78%) were good, while the aspects of explanation (53%) and listen carefully (55%) were poor criteria. Most of respondents (54%) showed dissatisfaction. Most respondents were disappointed with open-endedness (58%) and empathy dimensions (54%). Multivariate analysis showed that the most dominant variable related to patient satisfaction with dental dentists was ciommunication quality, p value = 0.001, OR = 4,8 (95% CI 1,984-11,752), that means poor communication quality of dentists would have an opportunity of 4,8 times causing dissatisfaction patients compared to the quality of good dentist communication.
T-5889
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Sayyidatul Munawaroh; Pembimbing: Dumilah Ayuningtyas; Penguji: Puput Oktamianti, Adang Bachtiar, Fajar Arianti, Amila Megraini
Abstrak:
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erjadinya konflik diberbagai negara sehingga sebagian warga negaranya memutuskan untuk meninggalkan negaranya dan mengungsi, pada tahun 2019 sebesar 13.657 pengungsi yang ada Indonesia. Sehingga keadaan mereka tidak beruntung ini dengan berbagai kesulitan namun pengungsi tetap memiliki hak untuk mendapatkan pelayanan kesehatan yang terstandar sebagai bagian dari hak asasi manusia. Penelitian ini menggunakan metode campuran (mix methods) dengan mengambil data metode kuantitatif terlebih dahulu setelah itu memperkuat dengan melakukan metode kualitatif kepada stakeholder yang langsung memberikan pelayanan kesehatan.Hasil analisis univariat, menunjukkan bahwa dimensi pengungsi yang merasa puas 36% dan tidak puas 35%, sedangkan dimensi emphaty sebesar 51% tidak puas dan dimensi assurance 52%. Berbeda dengan hasil kualitatif kepada stakeholder dapat disimpulkan bahwa seluruh dimensi sudah terpenuhi sesuai dengan harapan para pengungsi. Secara stimultan provider dapat meninjau efektif dan efisien pelayanan kesehatan sesuai dengan kebutuhan para pengungsi sehingga mampu melaksanakan pelayanan yang prima.
Conflicts in some countries cause their citizens to leave the country to seek asylum. In 2019, the number of overseas refugees in Indonesia was 13,657 people. In conditions that are full of disadvantages and difficulties, refugees still have the right to fulfil their basic needs, including access to health cares. This study used a mixed method, consisting of quantitative and qualitative methods. The qualitative method was used to confirm the results of quantitative analysis, which was done by interviewing the health service providers. The results of the analysis showed that 36% of refugees were satisfied with health services in the X health center (Puskesmas), while 35% were not satisfied. On the other hand, the percentage of refugees who were not satisfied with health services based on the dimension of empathy and assurance was 51% and 52%, respectively. However, the results of qualitative approach demonstrated otherwise, where the health care providers stated that all dimensions of service quality have met the standard and were in accordance with the expectations of refugees. The Puskesmas are advised to evaluate and improve the effectiveness and efficiency of the health services by considering the needs of refugees.
T-5886
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Siska Maytasari; Pembimbing: Ayu Dewi Sartika; Penguji: Dian Ayubi, Wahyu Sulistiadi, Fera Dewiyani, Dian Elco Nora
Abstrak:
Latar Belakang: Masyarakat yang menerima pelayanan secara langsung merasakan bagaimana tingkat kepuasan pelayanan yang diberikan instansi pemerintah. Tingkat kepuasan masyarakat tersebut diukur dengan menggunakan instrument seperti Indeks Kepuasan Masyarakat (IKM). Hasil pengukuran kepuasan pelanggan yang obyektif dan akurat dapat membantu puskesmas dalam merumuskan bentuk pelayanan yang lebih baik. Rata-rata Indeks Kepuasan Masyarakat di 36 Puskesmas pada Tahun 2019 sebesar 84,28. Target IKM pada Tahun 2019 adalah 82.8 sedangkan Puskesmas X tidak mencapai target dan memiliki skor IKM terendah yaitu sebesar 77.75. Dari hasil IKM di Puskesmas X Tahun 2019 diketahui terdapat 3 unsur pelayanan dengan nilai mutu layanan kurang baik (<3,06) yaitu unsur kecepatan pelayanan dengan nilai 2.89, unsur kejelasan dan kepastian pelayanan dengan nilai 2.95, dan dan unsur kewajaran biaya 2.98. Tujuan: Mengetahui informasi mendalam mengenai kepuasan pasien terhadap kualitas pelayanan rawat jalan di Puskesmas X Tahun 2020. Metode: Penelitian ini bersifat deskriptif dengan menggunakan metode penelitian kualitatif yaitu studi kasus, instrument yang digunakan pedoman wawancara mendalam dan telaah dokumen, informan dalam penelitian ini terdiri dari 1 orang kepala puskesmas, 6 orang petugas puskesmas dan 5 orang pasien. Hasil: Kepuasan pasien terhadap kualitas pelayanan rawat jalan di puskesmas X sudah baik, seluruh informan pasien merasa puas untuk dimensi jaminan, kehandalan, ketanggapan dan empati, namun seluruh informan pasien merasa tidak puas pada dimensi bukti fisik. Kualitas pelayanan pada dimensi bukti fisik cukup baik dalam kelengkapan sarana dan prasarana, namun masih kurang memadai kondisi gedung dan penempatan media informasi kurang optimal karena tidak semua pasien melihat media tersebut. Pada dimensi jaminan pasien merasa aman dan percaya terhadap petugas, kemampuan petugas cukup baik dan sopan santun. Pada dimensi daya tanggap petugas selalu memberitahukan kapan pelayanan akan diberikan, petugas memberikan pelayanan dengan cepat. Pada dimensi kehandalan jadwal pelayanan sesuai dengan waktu yang ditetapkan dan sudah memberikan pelayanan maksimal sesuai SOP, untuk penanganan keluhan pasien disediakan kotak saran, namun ada informan pasien yang tidak tahu adanya kotak saran. Pada dimensi empati, informan merasakan petugas sudah cukup baik dalam berempati dengan memberikan perhatian dan memberikan bantuan kepada pasien. Kesimpulan: Kualitas pelayanan pada dimensi bukti fisik, jaminan, kehandalan, ketanggapan dan empati sudah cukup baik, sehingga pasien merasa puas namun pasien menyatakan kurang puas pada dimensi bukti fisik khususnya terkendala dengan gedung puskesmas yang kecil, sempit dan panas
Background: People who receive services directly feel the level of satisfaction of services provided by government agencies. The level of public satisfaction is measured using instruments such as the Community Satisfaction Index (IKM). The results of measuring customer satisfaction that are objective and accurate can help health community service in formulating a better form of service. The average Community Satisfaction Index at 36 health community service in 2019 was 84.28. The IKM target in 2019 is 82.8, while health community service X does not reach the target and has the lowest IKM score, namely 77.75. From the results of the IKM at health community service X in 2019, it is known that there are 3 elements of service with poor service quality values (<3.06), namely elements of service speed with a value of 2.89, elements of clarity and certainty of service with a value of 2.95, and elements of fairness of costs 2.98. Objective: To find in-depth information about patient satisfaction with the quality of outpatient services at health community service X in 2020. Methods: This research is descriptive using qualitative research methods, namely case studies, the instruments used are in-depth interview guidelines and document review, the informants in this study consisted of 1 head health community service, 6 health community service officers and 5 patients. Results: Patient satisfaction with the quality of outpatient services was good, all patient informants were satisfied with the dimensions of assurance, reliability, responsiveness and empathy, but all patient informants were dissatisfied with the dimensions of physical evidence. The quality of service in the physical evidence dimension is quite good in terms of the completeness of facilities and infrastructure, but the building conditions are still inadequate and the placement of information media is not optimal because not all patients see the media. In the assurance dimension, the patient feels safe and trusts the officer, the ability of the officer is quite good and polite. In the dimension of responsiveness, officers always tell when services will be provided, officers provide services quickly. On the reliability dimension, the service schedule is in accordance with the time set and has provided maximum service according to the SOP, for handling patient complaints a suggestion box is provided, but there are patient informants who do not know there is a suggestion box. In the dimension of empathy, the informant felt that the staff was good enough at empathizing by giving attention and providing assistance to patients. Conclusion: The quality of service in the dimensions of physical evidence, assurance, reliability, responsiveness and empathy is good enough, so that the patient feels satisfied, but the patient states that he is not satisfied with the dimensions of physical evidence, especially constrained by the small, narrow and hot health community service building
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Background: People who receive services directly feel the level of satisfaction of services provided by government agencies. The level of public satisfaction is measured using instruments such as the Community Satisfaction Index (IKM). The results of measuring customer satisfaction that are objective and accurate can help health community service in formulating a better form of service. The average Community Satisfaction Index at 36 health community service in 2019 was 84.28. The IKM target in 2019 is 82.8, while health community service X does not reach the target and has the lowest IKM score, namely 77.75. From the results of the IKM at health community service X in 2019, it is known that there are 3 elements of service with poor service quality values (<3.06), namely elements of service speed with a value of 2.89, elements of clarity and certainty of service with a value of 2.95, and elements of fairness of costs 2.98. Objective: To find in-depth information about patient satisfaction with the quality of outpatient services at health community service X in 2020. Methods: This research is descriptive using qualitative research methods, namely case studies, the instruments used are in-depth interview guidelines and document review, the informants in this study consisted of 1 head health community service, 6 health community service officers and 5 patients. Results: Patient satisfaction with the quality of outpatient services was good, all patient informants were satisfied with the dimensions of assurance, reliability, responsiveness and empathy, but all patient informants were dissatisfied with the dimensions of physical evidence. The quality of service in the physical evidence dimension is quite good in terms of the completeness of facilities and infrastructure, but the building conditions are still inadequate and the placement of information media is not optimal because not all patients see the media. In the assurance dimension, the patient feels safe and trusts the officer, the ability of the officer is quite good and polite. In the dimension of responsiveness, officers always tell when services will be provided, officers provide services quickly. On the reliability dimension, the service schedule is in accordance with the time set and has provided maximum service according to the SOP, for handling patient complaints a suggestion box is provided, but there are patient informants who do not know there is a suggestion box. In the dimension of empathy, the informant felt that the staff was good enough at empathizing by giving attention and providing assistance to patients. Conclusion: The quality of service in the dimensions of physical evidence, assurance, reliability, responsiveness and empathy is good enough, so that the patient feels satisfied, but the patient states that he is not satisfied with the dimensions of physical evidence, especially constrained by the small, narrow and hot health community service building
T-6069
Depok : FKM-UI, 2021
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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