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This skripsi analyzes the compulsory health insurance participants patient satisfaction on the quality of outpatient care in the advanced level Cilandak Marine Hospital. In 2013, based on the variables of age, gender, education, membership status and rank/ class. This research is descriptive quantitative research with cross sectional design. The results of this study using the method servqual, by calculating the value of the gap between the perception of the patient with the patient's expectations. This assessment focused on service dimensions of tangibles, reliability, responsiveness, confidence and emphthy. Due to the nature of the subjectivity of the health care of each patient, so that the results of this study provide an analysis of the dimensions of care that should be prioritized its management by the hospital management, hospital performance to realize the expectations of patients and their families as well as to make Cilandak Marine Hospital was able to compete with other hospitals.
Leprosy is still a public health problem in Indonesia Besides the medical problems, leprosy disease also gives many social problems. To overcome all those problems ,World Health Organization ( WHO) declared elimination of leprosy by the year 2000,mea.ns leprosy will not be a public health problem anymore when the prevalence rate is less than l per 10.000 population Decreasing prevalence rate could be achieved by increasing the proportion of leprosy patients who could complete the treatment regularly within adequate period of time. The number of patients finished treatment during adequate period of time or RPT rate of leprosy patients in Aceh Besar district in 1998 was relatively high (PB: 93.'7%; MB: 91.3% ). This figure is higher compare to the national target, which is 90 % for both PB and MB types. Several studies, which one of them conducted in Tangerang (1993) showed that RFT Rate was 78,4%, it was different to compliance rate gathered from recording and reporting'(RFl` Rate was 90%). Prevalence Rate in Aceh Besar District tended to decrease from year to year, but it has not reached the Prevalence Rate targeted by WHO, that are less than 1 per 10.000 people. This was different to new cases tinding that tended to increase. Based on this face this study aims to ?rind out the real pictures of the treatment compliance of leprosy patients in Aceh Besar district, and some factors related to the treatment compliance of leprosy patients such as age, sex, education, job, knowledge, confidence, attitude, distance, availability of drugs/MDT, the role of health providers and the role of the patients family. The study was conducted in Aceh Besar district and designed as cross sectional study using primary data. The number of respondents was 134, which was all the population who full [ill the criteria. The study result shows that the proportion of respondent with compliance of treatment was 74.6% (95%CI1 67.2% - 32.0%)_ Statistically the correlation was significant between the compliance of treatment and the knowledge ( OR: 6.736 ; 95%CI 1 2-540 - 17.855 ), the confidence ( OR: 7.169 ; 95%Ci 1 1.167 - 44.040 ), the attitude ( OR 1 4.481 ; 95%CI 1 1.453 - 13-774 ) , and the role of health providers ( OR 1 3.325 ; 95%CI 1 1.195 - 9.243 ). Out of four factors, knowledge is the most factor related to the compliance oftreatment. It is needed to do persuasive health education such as Imitation by Vicarious Leaming using ex leprosy patient. It is also important to improve the capability of health providers in giving health education through formal health school, and conduct an experimental study to try out some models regarding the persuasive health education. The result of the study could be used to support the intervention which could improve RPT Rate.
Secara Nasional Penyakit TB paru sampai saat ini masih menjadi beban kerja yang berat, karena hampir 70% penderita TB paru adalah penduduk yang berusia produktif terutama mereka yang yang berasal dari ekonomi lemah, RS RK Charitas Kota Palembang merupakan salah satu jalan keluar (outlet) untuk peningkatan cakupan Program Penanggulangan Penyakit TB paru dengan strategi DOTS, sehingga dapat direplikasikan kepada RS swasta lainnya, haI ini terlihat tingginya angka sembuh dari hasil pelaksanaan pengobatan Penyakit TB paru dengan strategi DOTS.Penelitian ini bertujuan untuk memperoleh informasi mendalam tentang proses efektifitas Penanggulangan Penyakit TB paru dengan strategi DOTS di RS RK Charitas Kota Palembang, dengan melihat dari pendekatan sistem, yang terdiri dari komponen masukan (input) terdiri dari tenaga pelaksana yang dilihat dari pengetahun, lama kerja, beban kerja dan sikap, serta dana, obat, sarana dan metoda. Komponen proses dilihat dari perencanaan, pelaksanaan dan monitoring. Penelitian ini dilakukan dengan metoda Kualitatif, di mana pengumpulan data dilakukan dengan melaksanakan wawancara mendalam (WM) dengan Direktur RS, Ketua tim Penanggulangan Penyakit TB paru serta Perawat kesehatan dan tenaga Farmasi yang bertugas di Poliklinik DOTS.Dari hasil penelitian menunjukkan bahwa proses Penanggulangan Penyakit TB paru dengan strategi DOTS di RS RK Charitas Palembang secara keseluruhan telah herhasil dengan baik, sesuai dengan Pedoman Nasional Penanggulangan Penyakit TB paru Departemen Kesehatan RI yaitu angka kesembuhan >85%, Drop out <10% dan angka kambuh 4,5%, Namun walau demikian masih terdapat kendala baik di komponen masukan (Input) maupun di pelaksanaan kegiatan. Untuk mereplikasikan keberhasilan Penanggulangan Penyakit TB paru dengan strategi DOTS ke RS swasta lainnya, maka perlu Political Komitmen dari Pimpinan RS, dan pemberian makanan tambahan, bebas biaya retribusi setiap kunjungan serta PMO dari kalangan keluarga sendiri. Dan pihak penanggung jawab Program Penanggulangan Penyakit TB paru yaitu Dinas Kesehatan Kota Palembang diharapkan untuk memberikan umpan balik dan saran dari hasil kerja RS RK Charitas serta benclunarking RS swasta Iainnya ke RS RK Charitas kota Palembang.
Tuberculosis disease currently is still a major problem, because almost 70% of lung tuberculosis sufferers are people in productive age, especially those from lower income. RK Charitas Hospital of Palembang City as one of outlets for improving the coverage of lung tuberculosis disease overcoming program by DOTS. It seems that this strategy can be applied to the other private hospitals, as it can be seen from the high of recovery rate of result implementation treatment of lung tuberculosis disease by DOTS strategy.The objective of this study is to obtain further information on the process of the effectiveness overcoming of lung tuberculosis disease by DOTS strategy at RK Charitas Hospital of Palembang City. We used system approach that covers of input components that consist of knowledge, working duration, attitude and workload of staff, fund, medicine, means and method. The process component included was planning, implementation and monitoring. This study conducted using qualitative method, where data collected by in-depth interview to the director of the hospital, the chief of the team on lung tuberculosis disease overcoming, nurses, chemistry officer who work at DOTS polyclinic.Based on the result of this study showed that the process of lung tuberculosis disease overcoming by DOTS strategy at RK Charitas hospital of Palembang. It wholly has been success with good result. And it met with the Lung Tuberculosis Disease Overcoming National Guidelines, MOH RI, i.e. recovery rate > 85%, drop-out < 10% and recurrence rate 4,5%, even though is still having obstacle in input component and the implementation activity. To reapply the success of lung tuberculosis disease overcoming by DOTS strategy to other private hospitals, so it needs Political Commitment of the Hospital's leader, and giving additional food, free from retribution each visiting also the PMO from nuclear family. For one who?s responsible to the program on lung tuberculosis overcoming, the Local Health Service of Palembang City, it is hoped to give a feedback and suggestion to the work achievement of RK Charitas Hospital also the benchmark from other private hospitals to RK Charitas Hospital of Palembang City.