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The Laboratory of Clinical Parasitology, FKUI is a special national referral laboratory for parasitic diseases in Indonesia and has been accredited A, it should be able to set a KPI target for the satisfaction of laboratory users every year greater than 82%. This is not in accordance with Permenpan No. 14 of 2017 concerning the Community Satisfaction Survey for service quality regarding service unit performance of at least 88.31%. This study aims to determine the conditions related to the quality of health services in the Clinical Parasitology Laboratory of FKUI based on 5 Servqual dimensions with a qualitative research method design using a case study design. The study was conducted in October and November 2020 at the Clinical Parasitology Laboratory of FKUI with a total of 13 informants, namely the head of the laboratory, laboratory staff and patients who carried out examinations in the laboratory. The results showed that from the dimension of reliability in terms of human resources, it was actually sufficient, but because the Clinical Parasitology Laboratory of FKUI, apart from accepting patients who came, also carried out research and education, causing double jobs for employees and resulting in one of the causes of the long waiting time for laboratory services. The guarantee dimension is that officers are still considered less skilled in performing actions compared to other laboratories. The dimensions of physical evidence in the laboratory still need to be repaired or considered so that customers can feel comfortable. Researchers suggest that monitoring of SOP implementation by the laboratory coordinator can streamline, the existence of a waiting time indicator to improve laboratory services and workload analysis and workforce adjustment according to workload.
Background: As newly growing town develop into industrial town, trade and service, Cilegon city has to have a strategic plan on developing healthy environment according to Cilegon city government’s vision that has been settled that is “Kota Mandiri dan Berwawasan Lingkungan”. Moreover to attain healthy town, every person must be involve and work together also having strong commitment to reach it. Purpose: Formulating strategic planning on development of healthy environmental heading for Cilegon healthy city 2006-2010. Design: This research is operational research with qualitative and quantitative analysis. Data about internal and external factors which effect to Cilegon city government’s effort in developing this healthy environment obtained from first and second level data. First stage consist of internal and external environment analysis on Cilegon city government which transfer on EFE and IFE matrix that conduct by Concensus Decision Making Group. Second stage is matching stage, where after deciding long term target CDMG conducted analysis by SWOT and IE matrix. Third stage is by using QSPM matrix to decided the best strategy. Result: IE matrix analysis showed Cilegon city District Government organization’s position on cell V, Hold and Maintain and after been adjusted with yielded strategy by SWOT matrix therefore the strategy was product development and market penetration. Conclusion and suggest: In order to improve healthy environment then made program that will be continue by following activity: making commitment between related institution; striving for air pollution system information; developing a system to overcome air pollution; conducting training and adding worker amount; arranging public resident and overcoming air pollution; improving healthy environment program; improving corporation between related institution to overcome environmental problems and using available budget for environment activity. Keyword: Strategic Plan, Healthy Environment, Healthy City, Cilegon Healthy City
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.
<abstrak< b="">Perawatan saluran akar gigi (endodontik) merupakan salah satu jenis perawatan dalam bidang kedokteran gigi. Jenis perawatan ini memerlukan beberapa kali kunjungan untuk menuntaskan rasa sakit dan keluhan yang dialami seorang pasien, agar gigi dapat berfungsi kembali. Kemauan pasien untuk menjalani tahapan terapi saluran akar gigi hingga tuntas merupakan hal yang sering menjadi kendala. Tesis ini membahas tentang faktor-faktor yang berhubungan dengan perilaku menuntaskan perawatan akar gigi pada pasien dewasa di Lakesgilut TNI AU, yang meliputi gambaran perilaku menuntaskan, gambaran faktor pemudah, pemampu dan penguat, hubungan ketiga faktor tersebut dengan perilaku menuntaskan serta faktor yang paling dominan berhubungan dengan perilaku menuntaskan perawatan saluran akar gigi.
Penelitian yang digunakan dalam tesis ini adalah penelitian kuantitatif dengan desain deskriptif. Hasil penelitian univariat menunjukkan bahwa sebagian besar pasien menuntaskan perawatan saluran akar gigi, yang kebanyakan terdiri dari pasien wanita, berusia > 48,5 tahun, berpendidikan tinggi, dengan pekerjaan ibu rumah tangga atau tidak bekerja, memiliki pengetahuan tentang gigi yang tinggi serta sikap yang mendukung perawatan. Pada analisis bivariat, hanya faktor sikap yang memiliki hubungan signifikan dengan perilaku menuntaskan perawatan saluran akar gigi, dengan nilai p sebesar 0,039, dengan OR 2,439 (95% CI: 1,114 ? 5,339) atau dengan kata lain pasien bersikap mendukung perawatan saluran akar gigi berpeluang menuntaskan perawatan sebesar 2,4 kali dibanding yang tidak bersikap mendukung.
Pada analisis multivariat, faktor yang berhubungan bermakna dengan perilaku menuntaskan perawatan saluran akar gigi adalah sikap pasien dan jumlah kunjungan yang diperlukan untuk perawatan saluran akar gigi. Sikap pasien memiliki nilai p 0,030 dengan OR = 2,543 dan jumlah kunjungan memiliki nilai p sebesar 0,010 dengan OR = 0,294.
ABSTRACT
Dental root canal treatment (endodontics) is the one of treatment in the field of dentistry. This type of treatment requires multiple visits to complete and complaints of pain experienced by a patient, so that the teeth can function again. Patient's willingness to undergo root canal treatment stages to completion is often a constraint.
This thesis explores the factors associated with behavioral treatment completed dental roots in adult patients in Lakesgilut Air Force, which includes the description of complete behavior, predisposing factors, enabling factors and reinforcing factors, the relationship of these three factors with behavioral and completed the most dominant factor the complete behavior of root canal treated teeth. The research used in this thesis is a descriptive quantitative research design.
The results of univariate showed that most patients complete dental root canal treatment, which consisted mostly of female patients, aged> 48.5 years old, highly educated, with housewives work or do not work, have a high knowledge of dental and supportive attitude treatment.
In the bivariate analysis, only attitudinal factors that have a significant relationship with behavioral completed root canal treatment, with a p value of 0.039, with OR of 2.439 (95% CI: 1.114 to 5.339) or in other words being supportive patient care likely to complete the root canal care by 2.4 times compared to that not being supportive.
In the multivariate analysis, the factors significantly associated with behavioral completed root canal treatment is the attitude of the patient and the number of visits required for dental root canal treatment. Attitude has a p-value of 0.030 patients with OR = 2.543 and the number of visits has a p value of 0.010 with OR = 0,294.</abstrak<>
Pemanfaatan poliklinik gigi Rumah Sakit Umum Daerah Sanggau belum optimal dilihat dari rendahnya jumlah kunjungan pasien yang memanfaatkan poliklinik tersebut. Dari laporan bulanan dan tahunan rumah sakit jumlah kunjungan pasien yang berobat tahun 2005 ada 294 orang (24 orang/bulan) dan tahun 2006 ada 347 orang (29 orang/bulan). Untuk itu perlu dilakukan penilaian terhadap pelayanan poliklinik gigi Rumah Sakit apakah sudah memuaskan dan memenuhi apa yang menjadi harapan pasien. Penelitian ini bertujuan untuk mengetahui gambaran kepuasan pasien dan faktorfaktor yang mempengaruhi mutu pelayanan kesehatan gigi dan mulut di Rumah Sakit Umum Daerah Sanggau, menggunakan metoda penelitian kuantitatif dengan rancangan penelitiannya adalah cross sectional terhadap 119 orang responden. Tingkat kepuasan pasien dari hasil penelitian masih rendah yaitu 37,8%. Hal ini mungkin penyebab pemanfaatan poliklinik di Rumah Sakit Umum Daerah Sanggau masih rendah. Faktor dimensi mutu yang paling berhubungan dengan kepuasan pasien adalah reliability. Umur, pendidikan dan pekerjaan merupakan faktor konfounding terhadap hubungan dimensi mute dengan kepuasan pasien. Dapat disarankan kepada pihak manajemen Rumah Sakit Umum Daerah Sanggau dan instansi terkait untuk lebih membenahi lingkungan poliklinik gigi balk papan petunjuk maupun papan informasi yang berhubungan dengan lokasi dan tempat-tempat pelayanan di rumah sakit, memperhatikan waktu pelayanan di poliklinik gigi, membuat usulan pengadaan obat dan bahan yang diperlukan dalam pelayanan gigi dan mulut sehari-hari, usulan kebutuhan tenaga perawat gigi serta perlu dilakukan benchmarking dengan pelayanan kesehatan lain dalam rangka pembangunan clinical governance.
Dental polyclinic use in Sanggau District Public l-Iospital was still not optimal as seen in low patient visit rate to use the polyclinic. Based on monthly and annual reports, patient visit rate in 2005 were 294 patients (24 patients per month) and in 2006 were 347 patients (29 patients per month). Thus, it is needed to conduct the evaluation of hospital dental polyclinic service, whether it has satisfied and met patient expectation. The aim of this study was to identify patient satisfaction and factors affecting dental and oral health service quality in Sanggau District Public Hospital. Quantitative research method and cross sectional research design were used with 119 participants. The result revealed that patient satisfaction level was low, 37.8%. This is the possible cause of low use of Sanggau District Public Hospital Dental Polyclinic. The most associated quality dimension factor to patient satisfaction were reliability. Age, education and work were confounding factors to the relationship between quality dimension and patient satisfaction. It is recommended to Sanggau District Public Hospital Management and related institution to improve the dental polyclinic environment, including providing guide and information boards of the location and service posts in the hospital, to pay attention to dental polyclinic service time, to make proposals of drug and material procurements needed in daily dental and oral services and dental nurse requirement, and it is needed to perform benchmarking with other health service in order to build a clinical governance.
The result of BPJS customer satisfaction survey in primary clinic in 2014was 80%, which means it achieved Road Map to Jaminan Kesehatan Nasionaltarget. However, there are still many complaints from the BPJS customer asshown in YLKI report and in Kemenpan official website regarding unfulfillmentof their expectation. Therefore, we needs to know the determinants and their levelof expectation.This study aim to determine information about the determinant of memberof BPJS Kesehatan expectation to the service of primary clinic in Depok Cityperiod May 2016. This study is combined qualitative and quantitative study.Design of this study is sequential exploratory, which is started by qualitative studyto explore the phenomena and then followed by quantitave study. Number ofinforman in qualitative study is 12 and number of respondent in quantitative studyis 203.The result of this study is there is no correlation between gender, age, andoccupation with the level of respondent expectation. There is correlation betweenlevel of education, personal needs, word-of-mouth, and past experience with thelevel of respondent expectation. The most dominant factor that influences thelevel of respondent expectation is personal needs, which means the higherrespondent frequency to visit primary clinic to get treatment when sick, the higherlevel of respondent expectation.Keyword: member of BPJS Kesehatan expectation, personal needs, pastexperience, words-of-mouth
Puskesmas Tanjungsari is the only puskesmas in Bogor Regency that has integrated oral and dental health services for pregnant women with antenatal examination for pregnant women (ANC) in accordance with the standards set by Permenkes 89 of 2015. This causes coverage of dental and oral health services for pregnant woman was the highest in Bogor Regency. This type of research is a qualitative study using a case study design. The study was conducted in May-June 2020 at the Tanjungsari Community Health Center and Bogor District Health Office with 5 informants, namely the person in charge of oral and dental services, the head of the puskesmas, the person in charge of dental clinic, the person in charge of MCH, and the MCH midwife.The results showed that from the input side of the Tanjungsari puskesmas had sufficient health workers and medical devices, there was no additional assignment to the person in charge of dental clinic besides their duty as a dentist, but there was a shortage in consumable medical materials and did not yet have an integrated SOP. From the aspect of the process there is support from the head of the puskesmas, has carried out socialization by cross-program and the community. Program implementation inside the building has been integrated with antenatal services and program implementation outside the building through posyandu and mother classes, but there are weaknesses in terms of program supervision and control. Puskesmas Tanjungsari does not know the targets of the dental and oral health service program for pregnant women. The output of the implementation of the program in the early semester of 2020 at the Tanjungsari Community Health Center was 17.4% and the number of LBW infants was 15 people. The results of the study suggest that this program is integrated with the ANC by using an integrated SOP, it is necessary to increase supervision and control, as well as setting and socializing targets, and finding the right methods to be able to disseminate and educate the public without direct face-to-face meetings