Bhisma Murti
Masters Program of Public Health, Sebelas Maret University, Surakarta

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The Influence of Personal Factors of the Patient, Doctor, Payment Method and Type of Class to the Quality and Satisfaction of Inpatient Care Services in Dr. Moewardi Hospital Surakarta Prima Soultoni Akbar; Rita Benya Adriani; Bhisma Murti
Journal of Health Policy and Management Vol. 2 No. 1 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: The quality of hospital care is an important element in the implementation of healthcare service. The quality which is perceived is an assessment and a form of evaluation of healthcare users. Improvement on healthcare service is continually conducted to enhance the quality of service and patients’ satisfaction. The study aimed to explain the influence of patients’ personal factors, doctors, payment methods and types of class toward the quality and satisfaction of inpatient care.Subjects and Methods: This was an analytic observational study with cross-sectional design. This study was conducted at Dr. Moewardi Hospital, Surakarta, from March to April 2017. A total of 144 subjects were selected by stratified random sampling. Exogenous variables in this study were family income, level of education, length of stay, doctor’s salary, the surgeon, type of insurance, and type of class. Endogenous variables were patient’s satisfaction and quality of service. The data were collected by a set of questionnaires and secondary data of doctor’s working period and salary. Data analyzed by path analysis.Results: Patient’s satisfaction were affected by family income (b=-0.08; SE=0.48; p=0.093), level of education (b=-0.44; SE= 0.27; p= 0.102), length of stay (b=0.19; SE=0.99; p=0.059), doctor’s salary (b= 0.02; SE=0.01; p=0.060), doctor's working period (b=0.99; SE=0.44; p=0.024), type of insurance (b= 0.72; SE=0.32; p=0.027), type of class (b= 2.11; SE=0.38; p<0.001), and quality of health services (b=0.16; SE=0.51; p=0.002). Quality of health services were affected by family income (b=-0.15; SE=0.07; p=0.039), length of stay (b=0.37; SE=0.15; p=0.017), doctor's working period (b= 0.13; SE=0.68; p=0.056), insurance types (b= 1.04; SE=0.50; p= 0.036), and type of class (b=2.24; SE=0.59; p<0.001).Conclusion: Patient’s satisfaction are affected by family income, level of education, length of stay, doctor’s salary, doctor's working period, type of insurance, type of class and quality of health services. Quality of health services are affected by family income, length of stay, doctor’s working period, insurance types, and type of class.Keywords: quality of health services, patient’s satisfactionCorrespondence: Prima Soultoni Akbar. Masters Program of Public Health, Sebelas Maret University, Surakarta. Email: primasoultoniakbar@gmail.com. Mobile: +6285258777994.Journal of Health Policy and Management (2017), 2(1): 1-15https://doi.org/10.26911/thejhpm.2017.02.01.01
The Representation of Social, Economic, Psychological, and Reproductive Health Condition of the Commercial Sex Workers Post-closing of the Dolly Complex in Surabaya Danty Indra Puspitaningtyas; Argyo Demartoto; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 2 No. 1 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Dolly was the biggest red light district in Southeast Asia with more than 1000 (a thousand) women working as commercial sex workers. Because the district imposed a very negative effect  to the surrounding inhabitants especially to children, therefore red light district area of  Dolly and Jarak which are located in  residential area had to be closed. The quality of life of the residents especially the commercial sex workers was very much affected after the district was closed.  The study aimed to understand the representation of the social, economic, psychological, and reproductive health condition after the Dolly district in Surabaya was closed.Subject and Method: This was a qualitative descriptive study with phenomenology approach. This study was  conducted in former red light districts of Dolly and Jarak in Surabaya from January 18-February 28, 2017. The informant of this study were commercial sex workers, former commercial sex workers, head of hamlet (RW), former pander of Dolly,  Head of Civil Society Organization, healthcare workers, and Social Office of Surabaya City. The sampling technique used was snowball sampling, with in-depth interviews, observation, documentation study. The data were analyzed by interactive analysis model including data collection, data reduction, display and verification. Results: The commercial sex workers characteristic prior and post closing of the district were around 28-43 years old, with elementary – senior high school educated. Most of the commercial sex workers were from outside the city with 1-5 customers/day. They charged Rp. 100-300 thousand (Dolly’s commercial sex workers) per customer and Rp. 100-200 thousand/customer (Jarak’s commercial sex workers). The representation of quality of life post-closing was poor, altered social condition,  lack of interaction with others, the degradation of economic condition, poor psychological condition due to the economical problem, and reproductive health was less protected  because they did not get  regular examination like before the complex was closed.Conclusion: The representation  of quality of life in terms of the condition of social, economic, psychology, and reproductive health of the commercial sex workers post Dolly and Jarak closing were poor. Therefore, government intervention was very much needed to help improving the quality of life of the commercial sex workers.Keywords: Commercial sex workers, social, economic, psychological, reproductive health.Correspondence: Danty Indra Puspitaningtyas. Masters Program of Public Health, Sebelas Maret University, Surakarta. Email: dantyindra@yahoo.com. Mobile:  +6285732850663Journal of Health Promotion and Behavior (2017), 2(1): 77-87https://doi.org/10.26911/thejhpb.2017.02.01.07