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ABSTRAK Penelitian ini bertujuau untuk mengetahui gambaran kinerja bidan di desa (bides) dan faktor-falctor yang berhubungan dengan kinerja bidan di desa dalam pelayanan kebidanan program JPKMM di'Kabupaten Aceh Selaian tahun 2007. Penelitian ini dilakukan dengan desain penelitian cross sectional dengan pendekatan kuautitatif dan dianalisa secara univariat, bivariat dan multivariat. Populasi dalam penelitian ini adalah seluruh bides yang bertugas di wilayah Aceh Selatan tahun 2007 berjumlah 117 orang dan yang menjadi sampel adalah bides yang sudah bertugas minimal 1 tahun pada bulan Agustus 2006 berjumlah 104 orang. Hasil penelitian menunjukan sebagian besar kinerja bides dalam pelayanan kebidanan program JPKMM di Kabupaten Aceh Selatan tahun 2007 kurang (56%), Faktor yang dominan berhubungan dengan kinerja adalah pesaing, pembiusan, pengetahuan dan motivasi. Faktor yang tidak berhubungan dengan hides adalah umur, status pernikahan, status kepegawaian, domisili, jumlah desa, sikap, imbalan, kemampuan dan pendidikan. Perlu adanya bememtaan pembinaan kepada bides dan memberikan penghargaan kepada Bidan untuk meningkatkan motivasi bidan di desa dalam melakukan pelayanan kebidanan program JPKMM.
ABSTRACT This Research aimed to find out the picture of village midwife performance and what factors that related to village midwife performance in midwifery service of program JPKMM in Aceh Selatan District, year 2007. This Research was done by a cross sectional method with quantitative approach and imivariate, `bivarite, multivariate analyzed. The Population was all village midwives in Aceh Selatan District in 2007 amormt to l 17 people and that become sampel was village midwife. Researches Result shows a large part of village midwife performances in midwifery service of program JPKMM in Sub-Province of Aceh Selatan year 2007 less (56%), Dominant Factor relaters to village midwife performance aria: competitor, supervision, knowledge and motivation. Factors which unrelated to village midwife performance are : age, marriage status, employe status, domicile, amount village, attitude, reward, ability and education. Must existence of supervision generalization to village midwife and give reward to village midwife to improve village midwife motivation in conducting service of program midwifery JPKMM.
Puskesmas merupakan satuan unit terdepan yang memberikan pelayanan kesehatan kepada seluruh lapisan masyarakat ternasuk masyarakat miskin. Dalam era globalisasi ini setiap organisasi dituntut untuk dapat berkompetisi dan mempunyaj daya saing sehingga organisasi tersebut dapat mempertahankan keberadaannya. Pelayanan yang dihasilkan dari organisasi puskesmas merupakan kerjasama antara pimpinan puskesmas dan staf puskesmas, dari basil kerjasama yang baik akan menghasilkan pelayanan yang bennutu. Peran pimpinan puskesmas terhadap kemajuan organisasi sangat utama dan pimpinan harus mampu rnemberikan kepuasan kerja terhadap staf dalam organisasi, kepuasan kerja staf dalam organisasi akan menciptakan suatu pelayanan yang bermutu kepada masyarakat. Tujuan penelitian ini adalah untuk mendapatkan gambaran dan hubungan antara kepemimpinan kepala puskesmas dan kepuasan kerja staf puskesmas dalam melaksanakan Program Jaringan Pemeliharaan Kesehatan Masyarakat Miskin di Kabupaten Serang Tahun 2007. Penelitian ini menggunakan desain cross sectional dengan pendekatan kuantitatif terhadap 144 staf puskesmas dari 38 puskesman di Kabupaten Serang. Analisis yang digunakan adalah univariat, bivadat dan multivariat dengan uji statistik Chi square dan Regresi logistik ganda. Hasil penelitian menunjukkan bahwa persentase kepuasan kerja (total) staf puskesmas menggunakan cut of point mean sebesar 50,9o/a, kepuasan kerja tertinggi pada dimensl kepuasan kelja 1erhadap gaji (60,5%) dan terendah pada dimensi kepuasan ketja terhadap pembagian jasa medis (35)1%). Mayoritas kepala puskesmas menampilkan gaya kepemimpinan transaksional (55,3%) dikoinbinasikan dengan gaya kepemimpinan transformasional (52.6%). Dari hasil uji bivariat diperoleh ada hubungan bermakna antara gaya kepemimpioan transformasional terhadap kepuasan kerja staf puskesmas (P=0,02). Ada hubungan bermakna antara gaya kepemimpinan transaksional terhadap kepuasan kerja staf puskesmas (P= 0 04) Dimensi kepemimpinan yang mempunyai hubungan bermakna terhadap kepuasan keija staf adalah dimensi attributed charismatik (P= 0,001), dimensi idealized influence (P= 0,024), dirnensi intelectual stimulation (P= 0,025), dimensi individualized consideronce (P= 0,008), dimensi Cl)nfingen reward (P= 0,020), dimensi laissez faire (P= 0,038). Foktor konfonding tidak mempunyai hubungan bermakna terhadap kepuasan kerja staf puskesmas. Hasil uji statistik multivariat didapatkan faktor yang paling dominan mempengaruhi hubungan kepemimpinan kepala puskesmas dan kepuasan kerja staf puskesmas adalah kepemimpinan transfonnasional dengan dinlensinya attributed charismatik. Persepsi gaya kepemimpinan mempunyai pengaruh terhadap kepuasan kerja staf disarankan kepada kepala puskesmas agar meningkalkan gaya kepemimpinan transformasional terutama dimensi attributed charismatik, perlu memperkenalkan gaya ini kepada para calon kepala puskesmas melalui pelatihan kepemimpinan. Para kepala puskesmas agar lebih memperhatikan pembagian jasa medis kepada stafnya dan disesuaikan dengan beban kerja yang diemban para staf, sehingga kepuasan kerja staf dapat meningkat, tetap menjaga dan meningkatkan hubungan antar staf yang sudah baik.
Central public health as a leading unit which give health care services to the whole society including the impecunious. in globalization era, every organization have to be able to compete and also have the competitive ability so that the organizations are able to maintain the existance. The service that produced by central public health organization a cooperation between heed central public health and staff; the result from this cooperation will produce a service quality. The role of the head puskesmas to organization progress is very important which he gave the work satisfaction to staff and mixed the individual target to be improve a part organization target, therefore work satisfaction of staff on organization will improve the service quality to society. The aim of this research are to get picture and the relation between head to puskesmas leadership and work satisfaction of puskesmas staff to execute the JPKMM program in Serang district in 2007. This research uses cross sectional desaign with quantitative approach for 144 puskesmas staf from 38 puskesmas in Serang district. Analysis type that used are univariat, bivariate and multivariate with Chi square and double logistics regresi statistic test. The resu1t of this research indicates that percentage of work satisfaction (totalize} staff puskesmas staf use 50.9% cut off point mean the highest work satisfaction at dimension of work satisfaction to salary (60,5%) and lowest at dimension of work satisfaction to share of medical service fee (35,1%). Majority of head puskesmas presents transactional style leadership (55,3%) combined with transformational style leadership (52,6%). The result from bivariate test obtained that there is significant relationship between transformational style leadership to work satisfaction of puskesmas staff (P= 0,02). Significant relationship also found has a transaktional leadership style to work satisfaction of puskesmas (P= 0,04) Leadership dimension which have significant relationship to work satisfaction of puskesmas staff is attributed charismatik dimension (P= 0,001), idealized influence dimension (P= 0,024), intellectual stimulation dimension (P= 0,025), individualized considerance dimension (P= 0,008), contingen reward dimension (P= 0,020), laissez faire dimension (P= 0,038). Confounding factor has no significant relationship to work satisfaction ] puskesmas of staff. The result from multivariate statistic test obtained that the most dominant factor influence the relation between head puskesmas leadership and work satisfaction of puskesmas staff is transformational leadership with its attributed cbarismatik dimension. Leadership styles Perception have influence to work satisfaction of puskesmas staff, it is suggested to head puskesmas to improve transformational styles leadership especially attributed charismatic dimension, this leadership styles must introduced was to head puskesmas candidate through a leadership training. Heads puskesmas have to concerned more to share of about medical service fee to its staff raised up and also have to maintain and improve the relation among that has been good.
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)
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.