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Hubungan Kualitas Pelayanan Kesehatan Dengan Kepuasan Pasien Rawat Jalan Di Puskesmas X Kabupaten Grobogan Yuliana; Dwi Nur Siti Marchamah; Rani Tiara Desty
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 2 No. 1 (2024): Januari : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v2i1.2843

Abstract

The aim of this research is to determine the relationship between health service quality and outpatient satisfaction. The research method used is quantitative research with a cross sectional design. Respondents were patients aged 18-50 years who came to Puskesmas X Grobogan Regency in March-April 2023, totaling 500 patients. The sampling technique used non-probability sampling with accidental sampling technique, namely 83 respondents. The results of the validity test using the product moment person test were declared valid with a calculated value > 0.361 and the results of the reliability test with Cronbach's alpha coefficient (C) were declared reliable with a calculated value > 0.600. The normality test using the Kolomogorov-Smirnov test shows that the data is not normally distributed with a significance <0.05, namely 0.000. The results of the study used the chi-square test with a confidence level of 95%, namely that there was a significant relationship between the variables reliability (p value = 0.000), empathy (p value = 0.002), tangibility (p value = 0.002) on outpatient satisfaction. And there is no significant relationship between the variables of fast response (p value = 0.280), guarantee (p value = 0.511) on outpatient satisfaction.
Evaluation Of Registration Staff Readiness In Handling “Si Wongso” System Downtime At Hospital X Alfira Alfira; Dwi Nur Siti Marchamah; Wahyuni Arumsari
VISIKES Vol. 25 No. 2 (2026): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v25i2.18138

Abstract

Downtime of the Hospital Management Information System may disrupt the continuity of healthcare services, particularly in the registration unit, which serves as the initial point of patient access to hospital services. This condition requires registration staff to be adequately prepared so that services can continue when system disruptions occur. This study aimed to evaluate the readiness of registration staff in managing downtime of the “Si Wongso” system at RSD K.R.M.T. Wongsonegoro Semarang based on the aspects of Man, Money, Material, Machine, Method, and Environment. This study employed a descriptive qualitative design. Informants were selected according to predetermined criteria and consisted of registration staff from the outpatient, inpatient, and emergency registration units (TPPRJ, TPPRI, and TPPGD), as well as the Head of the Hospital Management Information System (SIMRS) as a triangulation informant. Data were collected through in-depth interviews, checklist forms, and documentation. The results showed that the Man, Material, Method, and Environment aspects supported service continuity during downtime through staff knowledge and skills, the availability of manual forms, implementation of standard operating procedures, and a supportive working environment. The Money aspect supported equipment maintenance and operational facilities; however, budget planning for downtime mitigation remained general and was not specifically allocated. In the Machine aspect, system and network disruptions were still identified and affected service continuity. Overall, registration staff demonstrated good readiness in managing downtime of the “Si Wongso” system. The hospital is therefore recommended to strengthen downtime mitigation budgeting, conduct regular training and simulation exercises, evaluate standard operating procedures, and improve system and network maintenance to ensure optimal service delivery during system disruptions.
The Relationship Between Patients’ Health Literacy Levels and Understanding of Outpatient Service Procedures at Puskesmas Gunungpati Andini Salma Putri Sutandang; Wahyuni Arumsari; Dwi Nur Siti Marchamah
VISIKES Vol. 25 No. 2 (2026): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v25i2.18140

Abstract

Low health literacy can hinder patients’ ability to understand health information and navigate healthcare services. This study aimed to determine the relationship between patients’ health literacy and their understanding of outpatient service procedures at Gunungpati Public Health Center, as well as the relationships of age, sex, and educational attainment with health literacy and understanding of service procedures. An analytical correlational quantitative study with a cross-sectional design was conducted among 100 adult and older adult patients selected through purposive sampling. Data were collected using structured questionnaires to measure health literacy and understanding of service procedures, then analyzed using univariate and bivariate analyses with the Chi-Square test at α = 0.05. Overall, 52.0% of respondents had good health literacy, while 48.0% had poor health literacy. Regarding understanding of service procedures, 42.0% of respondents demonstrated good understanding, whereas 58.0% demonstrated poor understanding. Age (p = 0.001) and educational attainment (p = 0.001) were significantly associated with health literacy, while sex was not (p = 0.121). Age (p = 0.228), sex (p = 0.960), and educational attainment (p = 0.574) were not significantly associated with understanding of service procedures. Health literacy was also not significantly associated with understanding of service procedures (p = 0.733). These findings indicate that improving patients’ understanding requires attention not only to individual abilities but also to the clarity, accessibility, and consistency of healthcare service information.
Integration of Health Promotion and Adolescent Participation in Policy Based Adolescent Health Management Dwi Nur Siti Marchamah; Restu Ayu Eka Pustika Dewi; U.H.M. Nasmil; Wahyuni Arumsari
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol. 12 No. 2 (2026): JMK Yayasan RS.Dr.Soetomo, Oktober 2026
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v12i2.2719

Abstract

Adolescents at Vocational High School X in Semarang Regency face several health challenges, including limited awareness of healthy lifestyles, mental health concerns, risky behaviors, and low participation in school health programs. These issues highlight the need for active and sustainable health promotion among students. This study aimed to analyze the integration of health promotion programs and adolescent participation in optimizing adolescent health management within a health policy framework. A mixed methods approach with a sequential explanatory design was employed, involving 88 respondents selected through stratified random sampling using the Slovin formula.Quantitative data were analyzed using the Spearman rank correlation test, while qualitative data were obtained from interviews with students, teachers, and health workers. The findings indicated a significant relationship between health promotion programs and adolescent health management, as health promotion was associated with increased knowledge, health awareness, and healthy lifestyle behaviors (r = 0.251, p < 0.05). In addition, adolescent participation in health programs was significantly associated with health management and contributed to improving program effectiveness in accordance with adolescents needs (r = 0.463, p < 0.05). Strong health policy support may further strengthen the integration of health promotion and adolescent participation in improving adolescents quality of life. Therefore, adolescent based health programs should be strengthened, health education should be enhanced, and opportunities for meaningful adolescent participation in public health programs should be expanded.
Management of the Free Health Check-Up Program for Non-Communicable Disease Control at the Genuk Community Health Center Semarang City Solikatul Fitri Yani; Restu Ayu Eka Pustika Dewi; Dw Nur Siti Marchamah
Student Scientific Journal Vol 4 No 4 (2026): October
Publisher : Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/ssj.v4i4.12960

Abstract

Non-communicable diseases (NCDs) are a leading cause of death, necessitating prevention efforts through the CKG program. However, the implementation of the CKG program at the Genuk Community Health Center (Puskesmas) has not been optimal; therefore, it is necessary to evaluate the program's management and the factors influencing community behavior regarding participation in the CKG program. This study aims to analyze the management of the CKG program and the behavioral factors affecting community participation in the program. The study employs a mixed-methods approach with a sequential exploratory design. Qualitative results indicate that the input aspect still faces human resource limitations in out-of-building services and the unavailability of a dedicated budget, while infrastructure, SOPs, and technology have supported program implementation. Process aspects, planning is not optimal and implementation still faces obstacles, although organization and supervision have been running well. The output aspect shows that the program's coverage target has not been achieved, but program integration and adaptation have been running well. Quantitative results indicate that predisposing factors, as well as supporting factors, are in the good category, while reinforcing factors are still less than optimal. It is concluded that the management of the CKG program at the Genuk Community Health Center (Puskesmas) is underway but not yet optimal regarding human resources, funding, planning, implementation, target achievement, and factors reinforcing community behavior. Recommendations include strengthening human resources, allocating a dedicated budget, optimizing planning and implementation, and increasing support from family, friends, and health workers to improve CKG program coverage.
Evaluasi Pelaksanaan Proses Input Data Skrining Peserta Jaminan Kesehatan Nasional (JKN) di Puskesmas Wilayah Gunungpati Fadhila Rahma Ersalina; Wahyuni Arumsari; Dwi Nur Siti Marchamah
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 3 (2026): Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i3.13080

Abstract

The implementation of health history screening for National Health Insurance (JKN) participants at community health centers still faces several challenges, including BPJS Kesehatan Web Screening server disruptions, inconsistencies in participant data, and limited digital literacy among participants, particularly older adults. These conditions may affect the efficiency of the data entry process and the quality of screening data. This study aimed to evaluate the implementation of health history screening data entry for JKN participants based on input, process, and output aspects at UPTD Puskesmas Gunungpati and UPT Puskesmas Sekaran, Semarang City. A qualitative descriptive approach with a case study design was employed. Data were collected through semi-structured in-depth interviews, observations, and document analysis involving eight purposively selected informants. Data were analyzed using the Miles and Huberman interactive model, consisting of data condensation, data display, and conclusion drawing and verification. The findings showed that the input aspects, including the availability and competence of human resources, supporting facilities, and network connectivity, supported screening implementation. The process involved recording, data entry, validation, documentation, and reporting, which were conducted in real time without double entry. The output indicated that the resulting data met the criteria of accuracy, completeness, consistency, and timeliness. This study provides empirical evidence regarding the implementation of screening data entry at primary healthcare facilities. Improvements are needed through strengthened self-screening promotion and participant education, as well as improved system stability.
Hubungan Persepsi Cek Kesehatan Gratis Dengan Sikap Pencegahan Penyakit Tidak Menular Pada Masyarakat Di Puskesmas Genuk Semarang Indah Puji Lestari; Restu Ayu Eka Pustika Dewi; Dwi Nur Siti Marchamah
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 3 (2026): Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i3.13115

Abstract

Non-communicable diseases (NCDs) remain a major public health challenge that requires early detection and sustained prevention efforts, one of which is addressed through the government-run Free Health Check (Cek Kesehatan Gratis/CKG) program. The success of this program largely depends on how the community perceives susceptibility, severity, benefits, barriers, cues to action, and self-efficacy, in line with the components of the Health Belief Model (HBM), which ultimately shapes public attitudes toward NCD prevention. This study aimed to examine the relationship between community perceptions based on HBM components and attitudes toward NCD prevention in the working area of Puskesmas Genuk, Semarang. An analytical quantitative approach with a cross-sectional design was used, involving all eligible CKG participants selected through a total sampling technique, resulting in 150 respondents. Data were collected using a standardized questionnaire that had been tested for validity and reliability, then analyzed using the Chi-Square test at a 5% significance level. The results showed that perceived susceptibility, severity, benefits, cues to action, and self-efficacy were significantly associated with attitudes toward NCD prevention, whereas perceived barriers showed no significant association. Most respondents still exhibited a less-than-optimal attitude toward NCD prevention. These findings underline the importance of strengthening perception-based health education and promotion so that CKG utilization and community attitudes toward NCD prevention can be continuously improved.