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For hospital patients, quality health services are not only felt by recovering from physical illness but also regarding patient satisfaction with the attitudes, knowledge and skills of health workers in providing services and the availability of adequate facilities and infrastructure. Patients will be satisfied if the service they receive at least equals or exceeds patient expectations. Meanwhile, the patient feels dissatisfied if the service he receives does not match the patient's expectations. Based on the achievement data of quality indicators at Bakti Timah Mentok Hospital in 2022, there are several quality indicators that have not reached the target. In addition, the number of JKN patient visits at the outpatient installation at Bakti Timah Mentok Hospital in 2020-2022 has also decreased. The purpose of this study was to describe patient satisfaction and interest in revisiting JKN patients at the outpatient installation at Bakti Timah Mentok Hospital in 2023. The study design was cross sectional with a sample size of 120 people. Statistical analysis using Chi Square test or Fisher Exact test. Based on statistical tests to see the relationship between the characteristics of the respondents and the interest in repeat visits, it was found that all of the characteristics of the respondents had p value > 0.05, which means that there was no significant relationship between the characteristics of the respondents and the interest in repeat visits. While the results of statistical tests between respondents' satisfaction on the Tangibles dimension and intention to revisit, it is known that p value > 0.05, which means that there is no significant relationship between respondent's satisfaction on the Tangibles dimension and intention to revisit. And the results of statistical tests between respondents' satisfaction on the dimensions of Reliability, Responsiveness, Assurance and Empathy with interest in repeat visits are known to be p value ≤ 0.05, which means that there is a significant relationship between respondents' satisfaction in the dimensions of Reliability, Responsiveness, Assurance and Empathy with interest in repeat visits. The relationship between patient satisfaction as a whole resulted in p value ≤ 0.05, which means that there is a significant relationship between patient satisfaction and interest in repeat visits. The results of the mapping of service elements in the Cartesian diagram show that 5 (five) service elements are in quadrant A, which means they are a top priority for improvement efforts. The five elements of service are the condition of the patient's waiting room, the availability of medical devices, the availability of types of laboratory examinations, the availability of drugs in the hospital pharmacy installation and the presence of doctors according to the service schedule. Therefore, the Bakti Timah Mentok Hospital must pay more attention to service elements that have not provided maximum satisfaction to patients.
Quality healthcare services are essential for achieving a healthy and prosperous society, with hospitals playing a central role in delivering effective and efficient medical care. According to Law No. 17 of 2023, hospitals are required to continually improve the quality of their services both internally and externally through various indicators. One of the key tools for evaluating quality improvement is the National Health Service Quality Indicators (INM), which assess the performance of healthcare facilities. While INM plays a critical role in enhancing service quality and cost-efficiency, the achievments of INM in Indonesian hospitals faces challenges, particularly related to compliance and uneven infrastructure. This study aims to analyze the achievements of the National Hospital Quality Indicators (INM) in Indonesian hospitals as of June 2024, based on ownership status, hospital class, service type, and regional location. The study uses a cross-sectional design with secondary data analysis sourced from the Ministry of Health of Indonesia’s database. The findings reveal significant differences between government and private hospitals in several indicators, with government hospitals generally performing better. Hospitals in class A and B achieved better quality outcomes compared to those in class C and D, although challenges remain in emergency cesarean section response times and outpatient wait times, particularly in lower-class hospitals. Furthermore, hospitals in the Java and Bali regions demonstrated better quality outcomes compared to those in Eastern Indonesia, with disparities in resources and infrastructure being key influencing factors.
Dalam rangka mendukung Transformasi Layanan Rujukkan, Kementerian Kesehatan melaksanakan Transformasi Akreditasi Rumah Sakit. Hal ini menjadi salah satu upaya Kementerian Kesehatan untuk mewujudkan pelayanan kesehatan yang bermutu. Namun, masih terdapat kendala dalam akreditasi yaitu pada pembinaan survei akreditasi, pre dan pasca survei. Melihat mutu pelayanan Kesehatan di Indonesia yang terus berkembang dan memerlukan peningkatan, maka perlu diketahui upaya apa saja yang dikerahkan oleh pemerintah untuk mewujudkan pelayanan kesehatan yang bermutu. Tujuan dari penelitian ini adalah untuk mengetahui Gambaran Upaya Percepatan Penyelenggaraan Akreditasi di Rumah Sakit di Indonesia oleh Kementerian Kesehatan RI. Metodologi penelitian yang digunakan ialah penelitian kualitatif dengan metode wawancara mendalam. Validasi data dilakukan melalui triangulasi sumber yang mencakup wawancara dengan berbagai informan, serta triangulasi metode dengan telaah dokumen serta observasi. Hasil dari penelitian ini ialah Upaya Percepatan Penyelenggaraan Akreditasi melibatkan Sumber Daya Manusia mulai dari Menteri, Ketua Tim, Staff, yang memiliki kompetensi sarjana kesehatan maupun tidak dengan catatan memiliki pengalaman di fasyankes. Anggaran yang digunakan bersumber dari APBN & APBD. Pedoman utama dalam percepatan ini ialah Standar Akreditasi yang memberikan efektivitas dari segi substansi, tarif, dan metode penyelenggaraan Survei. Pencatatan dan pelaporan terintegrasi melalui Sistem Informasi Akreditasi Rumah Sakit (SINAR). Permasalahan terdapat pada keterbatasan SDM, pengajuan anggaran, serta ruangan untuk konsultasi. Namun capaian Rumah Sakit terakreditasi per Desember 2022 sudah tinggi yaitu 82% dari 100% target Rencana Pembangunan Jangka Menengah (2020-2024).
In order to support Referral Service Transformation, the Ministry of Health implements Hospital Accreditation Transformation. It's become one of the efforts of the Ministry of Health to provide quality health services. However, there are still obstacles in accreditation, namely in the development of accreditation surveys, pre, and post-surveys. Seeing the quality of health services in Indonesia which continues to grow and requires improvement, it is necessary to know what efforts are being made by the government to realize quality health services. The purpose of this study is to find out the description of efforts to accelerate the implementation of accreditation in hospitals in Indonesia by the Indonesian Ministry of Health. The research methodology used is qualitative research using in-depth interviews. Data validation was carried out through source triangulation, which included interviews with various informants and method triangulation by document review and observation. The results of this study are Efforts to Accelerate the Implementation of Accreditation involving Human Resources starting from Ministers, Team Leaders, Staff, who have a competency degree in health or not with a record of having experience in health facilities. The funding is sourced from APBN & APBD. The primary guideline in this acceleration is the Accreditation Standards which provide effectiveness in terms of substance, rates and methods of conducting Surveys. Integrated recording and reporting through the Hospital Accreditation Information System (SINAR). The problem lies in the limited human resources, submission of submissions, and the council for consultation. However, the achievements of accredited hospitals as of December 2022 are already high, namely 82% of the 100% target of the Medium Term Development Plan (2020-2024).
