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p-Index From 2021 - 2026
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All Journal An Idea Health Journal An Idea Nursing Journal Journal of Global Research in Public Health
Elita Novriana Enisa
Universitas Airlangga
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Determinants Of Patient Satisfaction With Hospital-Based Homecare Services Elita Novriana Enisa; Annisa Nurida; Djazuly Chalidyanto; Effita Piscesiana; Hendra Rakhma
An Idea Health Journal Vol 5 No 04 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i04.752

Abstract

Background: Homecare services play an essential role in supporting continuity of care after hospital discharge. Patient satisfaction is widely recognized as a measure of healthcare service quality and effectiveness. Objective: This study aimed to analyze the determinants of patient satisfaction with homecare services at a teaching hospital in Indonesia. Methods: A cross-sectional study was conducted involving 32 patients who received homecare services between July 2025 and March 2026. Data were collected using a structured questionnaire. Patient satisfaction was treated as the dependent variable, while cost, competence, friendliness, responsiveness, and ease of procedures were included as independent variables. Multiple linear regression analysis was applied to identify significant determinants. Results: The model demonstrated strong explanatory power (R² = 0.814; p < 0.001). Competence (β = 0.540; p < 0.001) and friendliness (β = 0.385; p = 0.008) were identified as significant determinants of patient satisfaction. In contrast, cost, responsiveness, and procedural ease were not statistically significant. Conclusion: Patient satisfaction in homecare services is primarily influenced by the competence and interpersonal qualities of healthcare providers.Strengthening human resource capacity is essential to improve service quality.
The Service Quality and Patients’ Willingness to Recommend a Hospital: A Cross-Sectional Analysis of Operational Survey Data Edwin Hafiz; Rachmad Cahyadi; Djazuly Chalidyanto; Elita Novriana Enisa
Journal of Global Research in Public Health Vol. 11 No. 1 (2026): June
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jgrph.v11i1.629

Abstract

Hospital service quality shapes patient experience and recommendations. This study examined the association between perceived service quality and patients' willingness to recommend a hospital. A cross-sectional analysis was conducted using secondary survey data from 306 randomly sampled respondents. Service quality was measured via 11 Likert-type indicators (Cronbach's alpha = 0.813); willingness to recommend was dichotomized (Yes/No). Descriptive statistics and simple binary logistic regression were applied. Most respondents were female (53.59%) and used the BPJS Kesehatan payment pathway (95.10%). The mean service-quality score was 3.80 (SD = 0.29), and 94.12% were willing to recommend the hospital. Logistic regression showed that every 0.1-point increase in the service-quality score was associated with higher odds of willingness to recommend (OR = 1.85; 95% CI = 1.50–2.29; p < 0.001). Perceived service quality significantly predicts recommendation willingness, supporting patient-experience improvement strategies, despite cross-sectional design limitations.
Homecare Utilization Funnel among Discharged Patients at University of Airlangga Hospital Elita Novriana Enisa; Djazuly Chalidyanto; Muhammad Ardian Cahya Laksana; Pipit Festi Wiliyanarti
An Idea Nursing Journal Vol. 5 No. 2 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i2.854

Abstract

Background: Although homecare is increasingly recognized as an extension of hospital services, limited evidence exists on the operational pathway from identifying potential patients to the actual utilization of homecare following discharge. Objective: to audit the promotion and utilization funnel of Universitas Airlangga Hospital homecare services among discharged patients from July 2025 to March 2026. Methods: This retrospective descriptive operational audit examined aggregate secondary data from daily homecare operational reports at Universitas Airlangga Hospital between July 2025 and March 2026. The daily report served as the unit of analysis rather than individual patients. Variables included the number of potential homecare patients, documented offer status, willingness responses, realized visits, service-unit origin, and service-category mentions. Data were analyzed descriptively using frequencies, percentages, and utilization ratios Result: Over 181 reporting days, 1,007 potential homecare patients and 235 realized homecare visits were identified, corresponding to 23.3 visits per 100 potential patients. In 2025, documented offer status was available for 121 of 656 potential patients (18.4%), of whom 97 (80.2%) had been offered homecare services. Among those offered, 2 (2.1%) were willing to order the service, 94 (96.9%) were still considering, and 1 (1.0%) declined at initial contact. Offer-response variables were not available in the 2026 reporting format. Physiotherapy or medical rehabilitation accounted for the largest proportion of service-category mentions (60.6%), followed by physician or specialist visits (16.5%). Conclusion: Homecare services at Universitas Airlangga Hospital exhibited substantial post-discharge demand; however, incomplete documentation limited the ability to observe the utilization funnel. Implementing a standardized homecare dashboard integrated with discharge planning could enhance monitoring, follow-up, and evaluation of homecare service utilization.
Co-Authors Annisa Nurida Cahyadi, Rachmad Djazuly Chalidyanto Edwin Hafiz Effita Piscesiana Hendra Rakhma Laksana, Muhammad Ardian Cahya Wilianarti, Pipit Festi