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Backgorund: The high of outpatient revisit in hospital from INA CBG Claims with grouping code Q-5-44-0 since 2014 can be a burden on health assurance (JKN) financing. Based on INA CBG system, grouping code: Q- 5-44-0 is set for follow up after treatment visit at secondary health facilities. This condition needs indepth analysis to find factor which is related with outpatient revisit rate. Methodology: This study used a cross-sectional study (quantitative methods) to observe relationship between independent variables of JKN participant (gender, age cluster, participant cluster) and hospital (ownership type, hospital referral class, specialist clinic) with outpatient revisit rate (dependent variable). Sample size were 2.947 participant identities as uniqely code which is presented every participant from nine branch offices of BPJS Kesehatan (Indonesia administration bodies of social health security). Results: the average number of 9.96 visits in 2017 was highest in Class B FKRTL (51.5%) and the highest specialist poly destination was internal medicine poly (27.5%). There is no average difference between the number of outpatient revisit for women and men, there is no difference in the average number of outpatient revisit between government and private ownership, and there is no difference in the number of outpatient revisit between age groups. There is an average difference in the number of outpatient revisit between subsidized participan and Non-subsidized participan, there are differences in the number of outpatient revisit between hospital classes, and there is a significant difference in the number of outpatient revisit between specialists clinic. Hospital class and specialist clinic have a positive influence on the number of return visits while the participation segment has a negative influence on the number of return visits. Non-subsidized participan, hospital class B, neurosurgical poly, gastrology poly, geriatric poly, kidney poly, emergency clinic, eye clinic, poly obgyn, and poly rheumatology had negative effect while subsidized participan, hospital class A, C, and with other specialist clinic had a positive effect on the number of outpatient revisit.
Puskesmas is one of the first-level types of governments health care services in Indonesia. In 2016 and 2019, occurred a decrease in outpatient visits to the puskesmas by 29,4% in Pariaman. Patiens satisfaction or dissatisfaction with a service will affect subsequent patiens behavior such as product repurchase or revisit interest. This research aims to determine differences in service quality satisfaction in the interest of patients to revisit puskesmas in the Pariaman in 2019. This study design is a cross-sectional and the data was collected from 156 people who had visited the last 3 (three) weeks to the puskesmas in Pariaman. Statistical analysis using chi-square. The research results obtained 88.5% of respondents said they would make a revisit; the highest average satisfaction of respondents is in the empathy dimension that is equal to 88.05%, and the lowest in the reliability dimension that is equal to 84.22%; there are differences in the satisfaction dimensions of responsiveness, and assurance on the respondents' interest in visiting the puskesmas; age, gender, education, and accessibility are confounding on responsiveness and assurance dimensions. The work is only confounding on the assurance dimension.puskesmas is expected to prioritize efforts for improving the pharmacy service, nurse services and and to maintain things that are considered good customers
Berdasarkan laporan Poli Anak Manajemen Terpadu Balita Sakit (MTBS) Puskesmas Kecamatan Kelapa Gading terdapat perbedaan mencolok antara jumlah balita yang disarankan kunjungan ulang ke Poli Anak MTBS sebanyak 3.197 jiwa dibanding kunjungan ulang balita sebanyak 660 jiwa. Padahal penerapan MTBS akan efektif jika ibu/keluarga segera membawa balita sakit ke petugas kesehatan yang terlatih serta mendapatkan pengobatan yang tepat. Pesan mengenai kapan ibu perlu mencari pertolongan bila anak sakit merupakan bagian yang penting dalam MTBS. Pada tiap akhir kunjungan, petugas akan menjelaskan kapan harus kunjungan ulang. Penelitian dilakukan untuk mengetahui faktor-faktor yang berhubungan dengan rencana kunjungan ulang pelayanan MTBS di Puskesmas Kecamatan Kelapa Gading Propinsi DKI Jakarta. Disain penelitian ini adalah potong lintang dengan besar sampel 70 orang ibu. Hasil penelitian menunjukkan faktor-faktor yang berhubungan dengan rencana kunjungan ulang pelayanan MTBS adalah perceived need, waktu dan antri menunggu pemeriksaan, dan pengetahuan ibu.Perceived need merupakan faktor yang paling dominan mempengaruhi rencana kunjungan ulang pelayanan MTBS di Puskesmas Kecamatan Kelapa Gading Propinsi DKI Jakarta. Berdasarkan hasil penelitian disarankan petugas kesehatan perlu memperkuat konseling kepada ibu balita melalui kartu nasihat ibu/buku KIA/leaflet/brosur, manajemen waktu dan alur pelayanan MTBS, penambahan sarana (Poli MTBS) dan tenaga terlatih MTBS sehingga pasien tidak menunggu lama sebelum diperiksa, dan perlu penelitian lebih lanjut bersifat kualitatif untuk mengetahui akar masalah mengapa ibu balita tidak melakukan kunjungan ulang. Kata kunci : Pelayanan MTBS, Rencana kunjungan ulang, Puskesmas Kecamatan Kelapa Gading
Based on the Report on Integrated Management of Childhood Illness (IMCI) from Child Clinic Puskesmas Kecamatan Kelapa Gading there is difference between the number of children under five years old, who where recommended to revisit IMCI Child Clinic (3.197 children) compared to those who revisit the clinic (660 children). Whereas the implementation of IMCI will be effective if the mother / family bring the children to the trained health officials and get proper treatment. Messages about when mothers need to seek help for the sick children is tehe most important part in IMCI. At the end of each visit, the officer will explain when they should return for visit. The study was conducted to determine the factors associated with revisit plan for IMCI services in Puskesmas Kecamatan Kelapa Gading DKI Jakarta Province. This study used a cross-sectional design with total responden of 70 mothers. The results showed that factors associated with revisit plan IMCI service are perceived need, waiting time and examination time, and knowledge of mothers. Perceived need is the most dominant factor associated with revisit plan for IMCI services in Puskesmas Kecamatan Kelapa Gading DKI Jakarta Province. This research suggested health officials need to strengthen counseling program improve the mothers through mother's of advice cards / KIA books / leaflets / brochures, time management and workflow IMCI service, to add room facilities and trained health officials to cut patients waiting time, and further qualitative research needs to be conducted to find out the root cause of not revisiting the IMCI Child Clinic. Keywords : IMCI services, revisit plan, Puskesmas Kecamatan Kelapa Gading
Customer satisfaction become a very important aspect so that it must be managed bywell, because it is as promotion media for hospitals (mouth to mouth).Dissatisfaction in the process of hospital services have affect on do not completion ofthe payment by the patient who run away, that it will have impact on patients will notcome back or losing customers. Some problems was still frequently complained bythe patient is the waiting time is too long. The waiting time was analyzed by observeon the patients who was undergoing outpatient services, and then measured theirsatisfaction, and also asked about their intentions to re-visit. It can be concluded thatthe waiting time was still above average standards and there is significant correlationbetween satisfaction and re-visit intentions .Keywords: run away, waiting time, customer satisfaction, re-visit intention
