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Kata Kunci : Kualitas Pelayanan, Loyalitas, Rawat Inap
Daftar Pustaka: 48 (1975-2012).
This thesis discusses the trend of decline in the number of patient visits that showindications of low levels of patient loyalty Installation Inpatient RSAB Harapan Kita, wherethe patient may be switched to another hospital or may not return to visit because it was notsatisfied by the services provided. The purpose of this study to determine the relationship ofindependent variables of service quality (tangibles, reliability, responsiveness, assurance andempathy) with the dependent variable in patient loyalty Installation Inpatient RSAB HarapanKita in 2012. This study used a cross-sectional study design, the sample size is 106respondents were new patients or patients longer. To test for univariate analysis of frequencydistribution analysis was used, while to test bivariate analysis using quadratic kai test.The analysis showed no significant relationship between service quality and loyalty ofpatients as p value < α (α = 0.05). Obtained p value for each dimension of service quality,that is tangibles (p value = 0.001), reliability (p value = 0.023), responsiveness (p value =0.006), assurance (p value = 0.002) and empathy (p value = 0.033). So is the relationship ofpatient satisfaction with the loyalty of the patients showed a significant relationship ie, pvalue = 0.001.
Keywords : Quality Service, Loyalty, Inpatient
References : 48 (1975-2012)(xix + 118 pages + 27 tables + 4 figures + 2 graphs + 7 appendices)
Pernbentukan kawasan perdagangan bebas oleh banyak negara, termasuk Indonesia, membuat pexsaingan makin ketat, termasuk induslri rumah sakit. Agar dapat bcrtahan, rumah sakit diharapkan dapat mcningkatkan pendapatan dan menekan biaya. Pendapatan lnstaiasi Farmasi RSAB HK hanya mempunyai ratio pcndapatun sebesar 28 - 29 % giari total pendapatan rumah sakit, sedangkan litcmtur menyatakan sekitar 40-50 %. Dineksi rumah sakit mengharapkan pcndapatan ditingkatkan menjadi 40 %. Dilakukan penelitian kualitatif selama 2 bulan pada bulan April dan Mei 2007 di Rumah Sakit Anak dan Bunda I-Iarapan Kita untuk mengctahui mengapa banyak resep keluar. Jumlah informan sebanyak 21 orang. Kesesuaian infonnasi didapatkan dari informan petugas Instalasi Farmasi dan petugas lain yang mcngetahui/berhubungan dengan aktivitas instalasi. Kecukupan informasi/inf`o|'man clilakukan dengan snow balling efécr. Metode pengumpulan informasi dilakukan dengan wawancara, observasi, dan pemeriksaan data/dokumen. Validitas data dijaga dcngan lriangulasi sumber, metode, dan data/analisis. Hasil penelitian menunjukkan harga obat mahal, obat tidak lengkap, dan waktu tunggu lama berhubungan dengan rendahnyn pcmanfaatan lnstalasi Farmasi RSAB HK. Peneiusuran lebih lanjut, empat faktor diatas disebabkan: Forrnularium yang out of date dan tidak ditaati; Pembayaran vendor dan petty cash yang terlambat, Kurangnya insentif untuk memotivasi pasien rnembeli opal di RS; Pengenaan Pajak Pertambahan Nilai yang kurang tepat; Pengelolaan dan monitoring stok kurang optimum; SIRS yang tidak dapat digunakan memonitor stok; Skedul kerja petugas tanpa pcnjadwalan scsuai beban kcrjajam sibuk. Beberapa hal disarankan untuk mengatasi hal ini berdasarkan kemudahan melakukan, lama waktu pelaksanaan, penggunaan sumbcr daya, dan efektivitas: Koreksi hai-ga jual obat rajal scsuai aturan PPN; Mempcrccpal pembayaran vendor dan penggantian petty cash gudang farmasi; Menerapkan metode stok minimum dan maksimum pada pengelolaan persediaan; Sosialisasi peian lnstalasi Farmasi dalam memmjang aktivitas RS; Perbaikan SIRS schingga mampu mcmonitor stok dan melatih petugas menggunakan dengan benar; Mengatur jadwal masuk petugas sesuai jam sibuk; Membatalkan rencana penambahan depo ranap; Penentuan strategi harga dengan super value strategy (kualitas tinggi dan harga murah) untuk jangka pendek (misalnya 1 tahun) dan dilanjutkan dcngan high value strategy (kuaiilus tinggi dengan harga sedang) atau good value strategy (kualitas sedang harga dengan rendah) ditambah pengenaan margin lebih besar untuk obat pasien ranap kelas yang lebih linggi dan obat slow moving, serta perlakuan pembelian obat pasien rawat inap kelas 3 dan intensif sebagai pasien rawat map.
Free trade zone among countries, including Indonesia, create tight competitions in hospital industry. To survive, hospital has to increase revenues and decrease costs. As a government hospital, the ratio of pharmacy installation revenues compared to total revenues is 28 - 29 %. Some literatures indicate higher number reaching 40-50 % for industry average. The management of the hospital is targeting and demanding increased ratio to 40 %. A qualitative research was conducted in April and May 2007 at the Children and Women Hospital Harapan Kita to detemtine why many prescriptions failed to be used inside and were outside. 21 persons were used as informants. Informations appropriateness was got by using employees of Instalation and other persons who knew lnstalation activity. Snow balling effect in deciding the adequacy of the informants and information was used. Information and data collection was conducted using interviews, observation, and documents/data study. Triangulation of sources, methods and data/analysis were used to maintain the validity of data. The results of the study show that high price ofthe drugs/medicines, unavailability of some arrays of the medicines, and long queues are the prominent causes of internal prescription leakage. Further investigation reveal above problems were caused by: Outdated formularium; Dcllaycd payment lo vendor and reimbursement of the petty cash; Not enough incentives to motivate patient to buy inside; In-appropriate application of value added tax; Not optimized inventory management; Hospital Information system is unable to monitored drugs stocks; Evenly distributed staffs allocation, without considering the needs to assign more people at busy hours. Seven issues are suggested to solve the problems based on feasibility, effcetivity, duration of the afford, and usages of the resources: Price correction due to in-appropriate of value added tax; Expedite faster payment to vendors, and expedite reimbursement petty cash; Apply minimum and maximum stock system to inventory management; Sosialize the iinance role of thc instalation to Hospital activity; Upgrade computer program systems and train staffs in better using it; Reschedule work force so that more staffs are on duty at peak hours; Abort the plan to establish second In-patient depo; Rocalculating thc selling price in terms super value strategy (high quality low price) for I year, then to high value strategy (high quality normal price) for good value strategy (normal quality low price), higher margin for higher class of in-patient and slow moving drug, and sell medicine without VA tax to class 3 and intensive in-patient.
Tujuan: Penelitian ini dilakukan untuk tujuan mengetahui hubungan kualitas pelayanan rawat inap yang diukur berdasarkan dimensi mutu yaitu dimensi tangible, reliability, responsiveness, assurance dan empathy terhadap profitabilitas pelanggan di RSIA Puri Bunda Denpasar.
Metode: Penelitian ini merupakan penelitian kuantitatif menggunakan desain cross sectional dengan sampel 100 responden dari pasien rawat inap selama bulan April-Mei 2018
Hasil: Penelitian ini menemukan bahwa koefisien korelasi masing-masing variabel dimensi terhadap profitabilitas adalah sebesar0,766 untuk tangibles; 0,780 untuk reliability; 0,804 untuk responsiveness; 0,836 untuk assurance dan 0,724 untuk empathy dengan standardized coefisient tertinggi pada dimensi tangibles. Berdasarkan hasil analisis determinasi didapatkan koefisien determinasi 95,6%
Simpulan: Kualitas pelayanan yang diukur berdasarkan dimensi mutu (tangible, reliability, responsiveness, assurance, empathy) memiliki hubungan sangat kuat dan signifikan terhadap profitabilitas dimana dimensi tangible paling dominan berhubungan dengan profitabilitas pelanggan.Sebesar 95,6% dimensi kualitas pelayanan secara simultan berhubungan dengan profitabilitas sedangkan sisanya sebesar4,4% ditentukan oleh variabel lain diluar penelitian ini.
Kata kunci: kualitas pelayanan; dimensi mutu; profitabilitas
Introduction: Each hospital strives to provide quality services based on predefined standards so that patients are expected to be satisfied and become loyal customers for the hospital. For that hospital should design the quality of service consisting of five dimensions of superior quality than other hospitals. In an effort to foster relationships with patients, hospitals are also required to maintain and improve customer profitability, convert unprofitable customers into profitable customers
Aim: This research was conducted for the purpose of knowing the correlation of service quality measured by dimension of quality that is tangible dimension, reliability, responsiveness, assurance and empathy to customer profitability at RSIA Puri Bunda Denpasar
Method: This study is a quantitative research using cross sectional design with 100 responden samples from inpatients during April-May 2018
Result: This research found that the corelation coefficient of each dimension variable to profitability is 0,766 for tangibles; 0.780 for reliability; 0.804 for responsiveness; 0.836 for assurance and 0.724 for empathy with the highest standardized coefficient on tangibles dimension. Based on the results of determination analysis obtained coefficient of determination 95.6%
Conclusion: Quality of service measured on the dimension of quality (tangible, reliability, responsiveness, assurance, empathy) has a very strong and significant relationship to profitability where the tangible dimension is most dominantly related to the profitability of customers. 95.6% dimension of service quality simultaneously related to profitability while the rest of 4.4% is determined by other variables outside this study.
Keywords: Service Quality; dimension of quality; customer profitability
Angka pemanfaatan ulang pasien rawat jalan sejak tiga tahun ke belakang di Rumah Sakit Harapan Bunda Lampung Tengah, memperlihatkan adanya penurunan pemanfaatan layanan ini. Menurunnya angka pemanfaatan ulang pasien rawat jalan ini sangat perlu untuk antisipasi dengan mengetahui faktor-faktor yang mempengaruhi turunnya pelayanan rawat jalan tersebut.
Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi pemanfaatan ulang pasien pada instalasi rawat jalan di Rumah Sakit Harapan Bunda Lampung Tengah. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional (potong lintang). Penelitian ini menggunakan data primer yang diperoleh dari kuesioner yang diisi sendiri oleh responden (self- administered questionnaire yaitu pasien instalasi rawat jalan). Populasi penelitian adalah semua pasien yang berkunjung ulang lebih dari satu kali ke instalasi rawat jalan RS Harapan Bunda Lampung tengah dengan besar sampel sebanyak 106 responden.
Hasil penelitian menunjukkan bahwa sebagian besar pemanfaatan ulang pasien rawat jalan di RS Harapan Bunda Lampung Tengah rendah. Faktor-faktor yang memiliki hubungan bermakna secara statistik dengan pemanfaatan ulang adalah persepsi responden terhadap tarif, fasilitas rumah sakit, pelayanan dokter, pelayanan SDM rumah sakit, waktu tempuh dan sumber pembiayaan.
Pemanfaatan ulang pasien rawat jalan di RS Harapan Bunda Lampung Tengah sangat ditentukan oleh kualitas pelayanan yang diberikan. Peneliti menyarankan pihak manajemen rumah sakit untuk mendorong semua petugas rumah sakit baik medis maupun non medis memberikan pelayanan yang berorientasi kepada pasien. Selain itu, pihak manajemen menerapkan sistem penghargaan dan sanksi disiplin untuk memotivasi petugas rumah sakit melayani dengan lebih optimal.
The number of re-utilization of outpatient since three years ago at Harapan Bunda Hospital Central Lampung, it shows that there is a decrease in the utilization of this service. The decreasing number of outpatient re-utilization was extremely need to be anticipated. It can be analyzed from the influence factors that caused the decrease this outpatient service.
The objective of this research was to investigate the influence factors of patient re-utilization in outpatient installation at Harapan Bunda Hospital, Central Lampung. This research used Quantitative approach with Cross Sectional Design. This research applied the Primer Data that was taken from the self-administered questionnaire. The population of the research was all patient who ever visited the Outpatient Installation at Harapan Bunda Hospital Central Lampung more than one time. There were 106 respondent involved in this research.
The result showed that most of all outpatient re-utilization at Harapan Bunda Hospital Central Lampung is low. The factors that have a statistically significant relationship with re-utilization were respondents? perception toward the cost, hospital facilities, doctor care services, hospital human resources service, travelled distance and financial resources.
The outpatient re-utilization at Harapan Bunda Hospital Central Lampung was depend on the quality service that given to the patient. The researcher suggested to the hospital management staff to encourage to the entire staff in the hospital, both medic and non-medic, to give service that oriented to the patient. In addition, the management introduced a system of reward and punishment discipline to motivate hospital staff to serve optimally.
Penelitian ini membahas hubungan kualitas pelayanan dengan loyalitas pasien. Penelitian ini merupakan penelitian kuantitatif dengan disain studi crosssectinal. Dengan adanya penurunan kunjungan pasien lama antara tahun 2005 – 2009, RS PGI Cikini memiliki tantangan untuk meningkatkan kinerjanya. Analisis data menggunakan analisis univariat , bivariat dan multivariat (regresi logistik). Hubungan signifikan diperlihatkan responsiveness, empathy dan assurance serta waktu tempuh dengan loyalitas pasien. Analisis regresi logistik menunjukan responsiveness dan waktu tempuh memberikan pengaruh yang paling kuat untuk loyalitas pasien. Kata Kunci: kualitas pelayanan, loyalitas pasien
This study explores the relationship of service quality and patient loyalty. This research is a quantitative research study design with cross-sectional. With a decrease in patient visit between the years 2005 – 2009, CCI Cikini Hospital have challenges to improve its performances. Analysis using univariate, bivariate, and multivariate (logistic regression). Significant relationships are shown between responsiveness, empathy and assurance as well as travel time with patient loyalty. Logistic regression analysis showed responsiveness and travel time provides the most powerful influence for patient loyalty. Key words : quality of service, patient loyalty
Tesis ini membahas hubungan kualitas pelayanan di unit rawat jalan kebidanan dengan loyalitas pasien terhadap Rumah Sakit Umum Daerah Kabupaten Karawang tahun 2013.
Tujuan umum penelitian ini adalah mengetahui faktor penentu loyalitas pasien di Unit Rawat Jalan Kebidanan RSUD Karawang. Penelitian ini merupakan penelitian cross section dengan menggunakan metode kuantitatif dengan melakukan survei terhadap para pasien yang datang di Unit Rawat Jalan Kebidanan. Sifat penelitian ini adalah deskriptif dan verifikatif. Dalam penelitian ini, hipotesis yang akan diuji adalah hubungan antara kualitas pelayanan dengan loyalitas pasien terhadap pelayanan di unit rawat jalan kebidanan RSUD Karawang. Penelitian ini dilakukan dengan metode survey explanatory yang terdiri dari variable bebas yang mewakili kualitas pelayanan kesehatan yang terdiri dari lima subvariabel dan variable terikat yang mewakili loyalitas pasien. Survey ini dilakukan terhadap 100 orang responden melalui pengisian kuesioner yang pernyataan-pernyataannya mewakili variabel-variabel tersebut dengan penilaian menggunakan skala likert. Hasil analisis deskriptif variable kualitas pelayanan dan loyalita sdiperoleh skor rata-rata 3,542 -3,741 yang tergolong kategorip uas/loyal. Hasil analisis korelasi dengan menggunakan korelasi Pearson diperoleh antar variabel yang diteliti semuanya berkorelasi positip bermakna(p<0,001). Hasil analisis penelitian dengan metode Regresi Linier Multipel diperoleh hasil variabel X5 (emphaty) merupakan faktor yang paling kuat berhubungan dengan loyalitas pasien dengan koefisien B = 0,426, kemudian menyusul X2 (responsiveness), X1 (tangible),dan X3 (reliability), sedangkan variabel X4 (assurance) secara multivariabel tidak berhubungan bermakna(p=0,121).
This tesis discusses the relationship beetwen service quality in obstetric out patient unit with patient loyalty in Karawang Public Hospital 2013. The main purpose ofthis research is to find out determinant factor of patient loyalty in obstetric out patient unit in Karawang Public Hospital. This study is a cross sectional study using quantitative method by performing survey to patients who came in obstetric out patient unit. This is a descriptive and verificatives tudy. In this research, hypotesis that will be tested is relationship beetwen service quality in obstetric out patient unit with patient loyalty in Karawang Public Hospital. This study performed with survey explanatory method with independent variable that represent healthy service quality consist of five subvariables and dependent variable that represent patient loyalty. This survey performed to 100 respondents who fill the quesioner consists of that variables above withlikert scale. From analysis variable descriptive service quality and loyalty got score rate 3,542 -3,741 that include satisfied/ loyal category. Correlation analysis using Pearson Correlation shows that all variablehas positive correlation (p<0,001). Research analysis with Multiple Linier Regretion method shows that variable X5 (emphaty) has strongest factor relationship with patient loyalty with B coeffisient= 0,426, then X2 factor (responsiveness), X1 factor (tangible), and X3 factor (reliability), where variable X4 (assurance) with multivariable method has no relationship (p=0,121).
Penelitian ini bertujuan untuk mengetahui hubungan antara karakteristik pasien, kualitas layanan, dan hambatan pindah dengan loyalitas pasien. Penelitian ini adalah penelitian kuantitatif dengan desain studi cross-sectional. Responden berjumlah 150 orang dan merupakan pasien yang telah melakukan pengobatan di pelayanan rawat jalan Rumah Sakit Tugu Ibu minimal dua kali. Pengumpulan data dengan menggunakan kuesioner yang dilakukan selama bulan Desember 2011 di Instalasi Rawat Jalan Rumah Sakit Tugu Ibu. Data yang terkumpul dianalisis dengan metode analisis univariate, bevariate (pearson chi-square), dan analisis multivariate (logistic regretion).
Hasil penelitian menunjukkan terdapat hubungan antara karakteristik pasien berdasarkan usia, pendidikan, pekerjaan, sumber biaya pengobatan, jarak tempat tinggal pasien dari Rumah Sakit Tugu Ibu dengan loyalitas pasien, terdapat hubungan antara kualitas layanan dan dimensi kualitas layanan tangibles, reliability, responsiveness, assurance dan emphaty dengan loyalitas pasien, terdapat hubungan antara hambatan pindah dengan loyalitas pasien, dan hambatan pindah adalah variabel yang memiliki keterikatan paling besar dengan loyalitas pasien.
This study aimed to determine the correlation between patient characteristic, service quality, and switching barrier, with patient loyalty. This study was a quantitative study with crosssectional design. Data was acquired from 150 respondents who had been visited this hospital for minimal two times before. The data was collected with questioner during Desember 2011 in the outpatient unit of Tugu Ibu Hospital. Those data analyzed in univariate analysis, bevariate analysis (pearson chi-square), and multivariate analysis (logistic regretion).
The results shown that there was a correlation between patient characteristic based on age, occupation, education, source of treatment cost, and distance between patient residence with the hospital with patient loyalty, there was a correlation between service quality and each dimensions of tangibles, reliability, responsiveness, assurance, and emphaty, with patient loyalty, there was a correlation between switching barrier and patient loyalty, and switching barrier was the variable that had the biggest correlation with patient loyalty.
