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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

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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

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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

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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

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Kunjungan Puskesmas Sarolangun mengalami penurunan selama 3 tahun terakhir. Survey awal yang dilakukan didapatkan hasil kepuasan pasien terhadap mutu layanan yang diberikan sebesar 40 %. Sementara menurut Petugas Puskesmas Sarolangun mereka mengganggap telah memberikan pelayanan dengan baik dan memuaskan. Untuk itu perlu dilakukan penelitian tentang perbedaan persepsi antara pasien dengan petugas tentang mutu layanan yang diberikan. Hasil penelitian diperoleh persepsi antara pasien dengan petugas dari dimensi tangible hampir sama, kecuali dalam hal prosedur pelayanan , rata-rata persepsi pasien lebih rendah dibandingkan dengan persepsi petugas dan perbedaan ini bermakna secara statistic. Dimensi reliability , persepsi antara pasien dengan petugas hampir sama, kecuali dalam hal penjelasan informasi tentang penyakit pasien dan sistim adminisrasi puskesmas rata-rata persepsi pasien lebih rendah dibandingkan dengan persepsi petugas dan perbedaan ini bermakna secara statistik. Persepsi pasien dan petugas dari dimensi responsibility ada perbedaan yang signifikan secara statistik, terutama pertanyaan mengenai kecepatan petugas menangani keluhan, petugas selalu memberi kemudahan saat melayani dan waktu tunggu yang cepat. Persepsi pasien dengan petugas untuk dimensi assurance terlihat ada perbedaan yang signifikan secara statistik pada pertanyaan mengenai keramahan kesabaran kesopanan dan pemeriksaan sebelum menyerahkan resep. Persepsi Kepuasan pasien dengan petugas dari dimensi empaty tidak bermakna secara statistik kecuali untuk pertanyaan mengenai perhatian petugas secara individua, persepsi pasien lebih rendah dibandingkan persepsi petugas. Dari hasil Fokus Grup Diskusi pada dua kelompok petugas terhadap komponen yang bermakna didapatkan hasil bahwa penyebab yang menjadi latar belakang perbedaan adalah perbedaan faktor individual petugas dan pasien , suasana lingkungan kerja ,beban kerja serta keterbatasan sarana dan kewenangan yang dimiliki. Hasil Penelitian diatas dapat disarankan kepada Puskesmas Sarolangun perlu meningkatkan mutu layanan terutama pada aspek dimensi Responsiveness dan assurance, serta berusaha memecahkan masalah yang menjadi latar belakang penyebab perbedaan seperti hasil Fokus Grup Diskusi.

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 Sarolangun health center visits declined during the last 3 years. Initial survey of patient satisfaction results obtained for the quality of services provided by 40%. Meanwhile, according to officials they consider Sarolangun Health Center has provided good service and satisfying. For that we need to do research on the differences between patients with the officer's perception about the quality of services provided. The results obtained among patients with the officer's perception of the tangible dimension is almost the same, except in the case of service procedures, patient perception of the average lo-wer than the perceptions of officers and this difference was statistically significant. The dimen-sions of reliability, the perception among patients with officers about the same, except in terms of explanation and information about the patient's disease clinic system adminisrasi patient's per ception of the average lower than the perceptions of officers and this difference was statistically significant. Patient's perception of the dimension of responsibility and the officers there was a statistically significant difference, especially questions about the speed of handling complaints officer, the officer always provide convenience when serving and waiting times are fast. Perceptions of patients with officers for assurance dimension appears there was a statistically significant difference on the question of patience, politeness and friendliness checks before handing the recipe. Patient satisfaction with the officer's perception of the dimension empaty not statistically significant except for the question regarding the officer's attention by individual, lower than the patient's perception of officers of perception. From the results of Focus Group Discussions in two groups of workers against the significant components showed that the cause of the difference is the difference in background factors and the patient's individual officers, the atmosphere of work environment, workload and limited means and authority possessed. The results of the above studies can be recommended to the Health Center Sarolangun need to improve the quality of services especially in the dimensions Responsivnes and assurance, as well as trying to solve a problem the background causes of differences such as the Focus Group Discussion.

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Abstrak: Kepuasan pasien merupakan salah satu indicator dalam mengukur mutu pelayanan di rumah sakit dan juga sebagai indikator standard suatu rumah sakit. Salah satu cara atau metode yang dianggap cukup objektif dalam mengukur kepuasan pasien adalah Metode Servqual (Service Quality), ada 5 (lima) dimensi mutu untuk mengukur kepuasan pasien yaitu tangible, reliability, responsiveness, assurance, dan empathy. Tujuan penelitian ini untuk menganalisis faktor faktor yang berhubungan dengan kepuasan pasien di RS PON. Penelitian menggunakan pendekatan kuantitatif desain cross sectional study. Sampel adalah pasien rawat jalan sebanyak 200 orang, pengumpulan data dilakukan melalui kuesioner. Hasil penelitian yaitu nilai rata-rata kepuasan pasien adalah 64%. Hasil penelitian menunjukan adanya hubungan antara variabel umur dengan p value 0,026, variabel jenis kelamin dengan p value 0,001, variabel pendidikan dengan p value 0,001, variabel cara bayar dengan p value 0,036, variabel pelayanan administrasi dengan p value 0,003, variabel pelayanan perawat dengan p value 0,003, variabel pelayanan dokter dengan p value 0,001 dan variabel penunjang dengan p value 0,001 dengan kepuasan pasien. Karakteristik pasien yang merasa puas dengan pelayanan di instalasi rawat jalan RS. PON adalah pasien yang berumur tua, berjenis kelamin perempuan, pendidikan tinggi,cara bayar BPJS, yang mendapatkan pelayanan administrasi baik, yang mendapatkan pelayanan perawat baik, yang mendapatkan pelayanan dokter baik dan pelayanan penunjang baik. Secara keseluruhan kepuasan pasien di instalasi rawat jalan RS. PON masih rendah karena 90%.

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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.

Abstrak: Kuesioner yang sahih merupakan persyaratan untuk menghasilkan data pengukuran yang akurat. Kuesioner yang terdiri dari beberapa pertanyaan yang relevan dengan keadaan yang diukur didapatkan data pengukuran yang valid dan sesuai sasaran. Data yang berasal dari hasil pengukuran digunakan sebagai alat evaluasi untuk melakukanperbaikan dalam menentukan keputusan sesuai dengan masalah yang spesifik dan prioritas. Penelitian ini bertujuan untuk membandingkan validitas pada dua kuesioner kepuasan pasien terhadap pelayanan di instalasi hemodialisis Rumah Sakit Haji Jakarta. Pengukuran kepuasan pasien di instalasi hemodialisis dengan menggunakan Instrumen Evaluasi Persepsi Pasien/Keluarga Terhadap Mutu Asuhan Keperawatan Hemodialisa dan kuesioner kepuasan pasien terhadap pelayanan di instalasi hemodialisis Rumah Sakit Haji Jakarta dengan model servqual. Penelitian menggunakan desain cross sectional dengan analisis data kuantitatif yang meliputi analisis univariat untuk mendapatkan gambaran tingkat kepuasan pasien berdasarkan dua kuesioner kepuasan pasien terhadap pelayanan di instalasi hemodialisis Rumah Sakit Haji Jakarta, dan analisis bivariat untuk mengukur validitas Instrumen Evaluasi Persepsi Pasien/Keluarga Terhadap Mutu Asuhan Keperawatan Hemodialisa yang dibandingkan dengan kuesioner kepuasan pasien terhadap pelayanan di instalasi hemodialisis Rumah Sakit Haji model servqual. Hasil dan pembahasan penelitian menunjukkan bahwa pada uji validitas sewaktu dan prediktif Instrumen Evaluasi Persepsi Pasien/Keluarga Terhadap Mutu Asuhan Keperawatan Hemodialisa menunjukkan nilai sensitivitas 81,3 %, spesifisitas 35,7%, NPP 59,1% dan NPN 62,5%. Hasil penelitian tersebut menyatakan bahwa Instrumen Evaluasi Persepsi Pasien/Keluarga Terhadap Mutu Asuhan Keperawatan Hemodialisa kurang valid dalam mengukur kepuasan pasien setelah dibandingkan dengan instrumen kepuasan pasien terhadap pelayanan di instalasi hemodialisis model servqual. Kata kunci: Validitas, kuesioner, kepuasan pasien, hemodialisis, servqual A valid questionnaire is a requirement to produce accurate measurement data. Questionnaires consisting of several questions relevant to the measured condition obtained valid measurement data and targeted. The data derived from the measurement results are used as an evaluation tool to make improvements in determining decisions according to specific problems and priorities. This study aims to compare the validity of two patient satisfaction questionnaires to services at hemodialysis installation of Haji Jakarta Hospital. Measuring patient satisfaction at hemodialysis installation by using Patient / Family Perception Evaluation Instrument on Hemodialisa Nursing Care Quality and patient satisfaction questionnaire on service at hemodialysis installation of Haji Hospital Jakarta with servqual model. The study used cross sectional design with quantitative data analysis which included univariate analysis to get description of patient satisfaction level based on two patient satisfaction questionnaires to service at hemodialysis installation of Haji Jakarta Hospital, and bivariate analysis to measure validity of Patient / Family Perception Evaluation Instrument on Nursing Care Quality Hemodialysis compared with patient satisfaction questionnaire to service in hemodialysis installation Haji Hospital servqual model. The results and discussion of the research indicate that in the validity test at the time and predictive of Patient / Family Perception Evaluation Instrument on Hemodialisa Nursing Quality showed 81,3% sensitivity value, 35,7% specificity, 59,1% NPP and NPN 62,5%. The results of this study indicate that Patient / Family Perception Evaluation Instrument on Hemodialysis Nursing Quality is less valid in measuring patient satisfaction after compared with patient satisfaction instrument to service in servqual hemodialysis model installation. Keywords: Validity, questionnaires, patient satisfaction, hemodialysis, servqual

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