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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.
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
Kualitas layanan internal memiliki peran yang penting dalam peningkatan kualitas layanan yang akan diberikan oleh karyawan. Penelitian ini bertujuan untuk menganalisis pengaruh kualitas layanan internal terhadap kepuasan pasien melalui kepuasan kerja. Studi ini dilakukan di Rumah Sakit Izza Karawang menggunakan pendekatan kuantitatif. Data dikumpulkan melalui survei terhadap 154 karyawan dan 308 pasien. Data dianalisis menggunakan Structural Equation Modeling Partial Least Squares (SEM PLS).
Hasil penelitian menunjukkan bahwa kualitas layanan internal, meliputi desain tempat kerja, desain pekerjaan, penghargaan, pengakuan, serta ketersediaan peralatan kerja, tidak berpengaruh signifikan secara langsung terhadap kepuasan pasien. Kualitas layanan internal berpengaruh signifikan dan positif terhadap kepuasan kerja (t-statistik 8,588, path coef 0,621). Kepuasan kerja memberikan pengaruh signifikan terhadap kepuasan pasien (t-statistik 1,750, path coef 0,284), meskipun kekuatan hubungan tergolong lemah. Analisis mediasi mengindikasikan bahwa kepuasan kerja berperan sebagai variabel intervening, meskipun dengan pengaruh yang lemah.
Temuan ini mengindikasikan bahwa meskipun kualitas layanan internal dan kepuasan kerja berkontribusi pada kepuasan pasien, ada faktor lain yang lebih dominan memengaruhi kepuasan pasien. Oleh karena itu, sebagai strategi jangka panjang, manajemen Rumah Sakit IZZA Karawang disarankan untuk terus meningkatkan kualitas layanan internal dan kepuasan kerja karyawan seraya mengoptimalkan aspek layanan yang langsung berdampak pada kepuasan pasien
Internal service quality plays a critical role in enhancing the quality of services delivered by employees. This study examines the impact of internal service quality on patient satisfaction, mediated by job satisfaction. Conducted at Izza Karawang Hospital, the research employs a quantitative approach with data collected from 154 employees and 308 patients, analyzed using Structural Equation Modeling Partial Least Squares (SEM PLS). The results showed that internal service quality, including workplace design, job design, rewards, recognition, and availability of work equipment, had no significant effect directly on patient satisfaction. Internal service quality has a significant and positive effect on job satisfaction (t-statistic 8.588 > t-table, path coef 0.621). Job satisfaction has a significant effect on patient satisfaction (t-statistic 1.750 > t-table, path coef 0.284), although the strength of the relationship is weak. Mediation analysis indicates that job satisfaction acts as an intervening variable, albeit with a weak effect. The study suggests that while internal service quality and job satisfaction contribute to patient satisfaction, other factors likely have a more significant impact. As a strategic recommendation, IZZA Karawang Hospital management should prioritize continuous improvements in internal service quality and employee job satisfaction while enhancing service elements that directly influence patient experiences
Measuring the level of customer satisfaction is an important element of the level of patient demand. Patient characteristics which are internal factors of the patient consist of age, gender, education level and occupation. The assumption of dissatisfaction often arises in patients who pay for public use or use independent health insurance. The purpose of this study was to determine the relationship and type of payment with patient satisfaction using secondary data, based on the results of the Serang Kota Community Health Center Community Satisfaction Index survey at the end of 2019, quantitative descriptive with a cross sectional design. Univariate results showed that most respondents expressed dissatisfaction (55.6%), aged 17- 45 years (78.1%), female (63.6%), advanced education (62.5%), had a job (58 , 6%), are old patients (77.5%), use health insurance (53.9%) and special service users (61.1%). Based on multivariate analysis, it is known that the most dominant factor related to patient satisfaction is the service unit.
Tesis ini membahas tentang kepuasan pasien terhadap kualitas layanan di Instalasi Gawat Darurat Rumah Sakit PMI Bogor Tahun 2011. Rumah Sakit sebagai institusi pelayanan kesehatan harus terus berupaya untuk meningkatkan kualitas pelayanannya agar dapat memberikan kepuasan kepada pasien. Pelayanan kesehatan dikatakan bermutu apabila dapat memuaskan setiap pemakai jasa pelayanan serta penyelengaraannya sesuai standard an kode etik profesi yang telah ditetapkan. Pengukuran tingkat kepuasan pasien yang dilihat dari 5 dimensi mutu dilakukan untuk mengetahui kualitas layanan di Instalasi Gawat Darurat Rumah Sakit PMI Bogor . Penelitian ini menggunakan metode deskriptif dengan rancangan penelitian cross sectional dengan menggunakan wawancara dan observasi. Data yang terkumpul dianalisis secara univariat, bivariat, dan multivariat, selanjutnya data disajikan dalam bentuk tabel. Hasil penelitian menunjukkan bahwa tingkat kepuasan pasien pada dimensi tangible sebesar 88%, reliability sebesar 81%, responsiveness sebesar 88%, assurance sebesar 95%, emphaty sebesar 85%. Kualitas layanan secara keseluruhan didapatkan 59% mengatakan baik. Faktor-faktor yang berhubungan dengan kualitas layanan dilihat dari lima dimensi mutu adalah : tangible, reliability, responsiveness, emphaty. Faktor yang paling dominan terhadap kualitas layanan adalah tangible. Berdasarkan hasil penelitian disarankan agar Rumah Sakit PMI Bogor dapat memperhatikan kinerja dari petugas IGD agar dapat meningkatkan kualitas pelayanan terhadap pasien, dan selalu memperhatikan lima dimensi mutu dalam pelayanan kepada pasien. Kata Kunci : Kualitas Layanan, Instalasi Gawat Darurat
This thesis discusses the patient's satisfaction on the quality of service in the Emergency Red Hospital PMI Bogor in 2011. Hospital as a health care institution must continually strive to improve the quality of its services in order to give satisfaction to patients. Health services if the quality is said to satisfy every user services and operate according to standards and professional codes of ethics that has been set. Measurement of patient satisfaction rates seen from the five dimensions of quality is performed to determine the quality of service in the Emergency Red Hospital PMI Bogor. This research uses descriptive method with cross-sectional study design using interviews and observation. Data collected were analyzed by univariate, bivariate, and multivariate, then the data presented in tabular form. The results showed that the level of patient satisfaction in the tangible dimension by 88%, 81% reliability, responsiveness by 88%, 95% assurance, emphaty by 85%. Overall quality of service found 59% said good. Factors associated with visits of the five service quality dimensions of quality are: tangible, reliability, responsiveness, emphaty. The most dominant factor on the quality of service is tangible. Based on the results of the study recommended that the Hospital PMI Bogor can observe the performance of the ER staff in order to improve the quality of service to patients, and always pay attention to the five dimensions of quality in services to patients. Keywords: Quality of care, the Emergency Red
