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Factors Influencing Patients' Decisions to use Health Services for Re-Treatment at Griya Medika Dompet Dhuafa Hospital Lampung Afriasih, Ni Made Putri; Nuraini, Nuraini; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 2 (2024): APRIL
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i2.684

Abstract

This study aims to identify factors that influence patients' decisions to reuse health services at the Griya Medika Dompet Dhuafa Lampung Hospital. The research method used was an analytical survey with a cross-sectional design. Data was collected through questionnaires, medical records, and valid references. The research results show that factors such as the quality of doctor/nurse service, facilities, speed of service, and distance have a significant influence on patient decisions. Facilities are the most dominant variable in influencing a patient's decision to return for treatment. Managerial implications and suggestions are presented to improve the quality of care and improve certain aspects that influence patient decisions.
The Effect Implementation of Pharmaceutical Service Standards on Increasing Patient Satisfaction at Puskesmas Sedinginan Kab. Rokan Hilir Hidayati, Nurul; Nuraini, Nuraini; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 2 (2024): APRIL
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i2.686

Abstract

The achievement of pharmaceutical services in Indonesia in 2022 reached 68.87%, exceeding the target of 60%, showing an increase from the previous year which was only 57.10% of the target of 55%. This research aims to see the effect of implementing pharmaceutical service standards on increasing patient satisfaction at the Sejiwan Rokan Hilir Community Health Center in 2023. The research method used was quantitative with a cross-sectional design. The results of the research show that reviewing prescriptions, drug information services, counseling, monitoring drug side effects, monitoring drug therapy, and evaluating drug use influence increasing patient satisfaction at the Sejiwan Rokan Hilir Community Health Center in 2023.
Factors Influencing PUS Women on the Selection of Long-Term Contraceptive Methods (MKJP) at Puskesmas Lamno, Jaya District, Aceh Jaya Regency Amalia, Nonny; Theo, Deli; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 3 (2024): JUNI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i3.687

Abstract

Family Planning (KB) policy aims to control population growth by reducing birth rates. However, many women experience difficulty in choosing the appropriate type of contraception. This study aims to analyze the factors that influence women of childbearing age (WUS) in choosing a long-term contraceptive method (MKJP). The design of this research is an analytical survey with a cross-sectional approach. The sample for this research was 95 WUS mothers who were selected by accidental sampling. Data was collected through primary and secondary data and analyzed using the binary logistic regression test. The research results show that knowledge, attitudes, husband's support, and socio-cultural factors have a significant influence on the selection of MKJP. However, the role of health workers does not have a significant influence. This research concludes that knowledge, attitudes, husband's support, and socio-cultural factors influence the selection of MKJP, while the role of health workers has no influence. It is hoped that these results can serve as a guide for family planning service officers to improve WUS knowledge and attitudes and provide comprehensive contraception.
Factors Influencing Patients' Decisions to Use Health Services for Retreatment at Putri Hijau Medan TK II Hospital in 2023 Prayoga, Muhammad Arif; Theo, Deli; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 3 (2024): JUNI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i3.688

Abstract

Patient behavior as consumers in utilizing health services, including the decision to seek re-treatment, is influenced by several factors such as the quality of doctor/nurse services, distance, facilities, and speed of service. This study aims to analyze the factors that influence patients' decisions to utilize health services for repeat treatment. The research method used was quantitative with a cross-sectional design, carried out at the Putri Hijau Level II Hospital in Medan. A sample of 247 people was selected using the accidental sampling method from a population of 3,946 people. Data analysis used univariate, bivariate chi-square, and multivariate approaches with multiple logistic regression at a 95% confidence level. The research results show that the quality of doctor/nurse services, distance, facilities, and speed of service have a significant influence on the patient's decision to seek treatment again. Meanwhile, factors such as age, gender, education, and employment do not have a significant effect. The most dominant factor is facilities, where respondents who feel that hospital facilities are good have a higher chance of undergoing repeat treatment. This research concludes that factors such as the quality of doctor/nurse services, distance, facilities, and speed of service have a significant influence on patients' decisions in utilizing health services for re-treatment at Putri Hijau Level II Hospital in Medan. It is recommended that the hospital allocate a budget to improve facilities that are still lacking and improve new service facilities to increase public confidence in seeking treatment again.
The Effect of Outpatient Health Services on Patient Satisfaction at Puskesmas Indra Jaya, Indra Jaya District, Aceh Jaya Regency Afriani, Rina; Asriwati, Asriwati; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 3 (2024): JUNI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i3.689

Abstract

The quality of health services is defined as a condition that describes the level of perfection of the appearance of a health service product provided comprehensively. The dissatisfaction felt by patients when receiving services causes the quality of the health center to be poor. This research aims to analyze the influence of outpatient health services on patient satisfaction at the Indra Jaya Health Center, Aceh Jaya Regency. This type of research is an analytical survey with a cross-sectional approach using primary data with questionnaires and secondary data from Community Health Center reports. The population in this study were all outpatients who visited the Indra Jaya Health Center with a sample size of 95 people determined using the accidental sampling method. Analysis was carried out using univariate, bivariate, and multivariate analysis. The results of the logistic regression test show that the variables responsiveness (p=0.025), reliability (p=0.050), guarantee (p=0.150), concern (p=0.042), and physical evidence (p=0.073) influence patient satisfaction. The most influential variable is a concern with an Exp (B) value of 4.781. This research concludes that there is a positive influence between responsiveness and caring on patient satisfaction, while reliability, guarantee, and physical evidence do not have a significant influence. Therefore, efforts are needed to improve the quality of outpatient services by increasing attention to patients and providing good responses in responding to patient complaints.
Factors Affecting the Performance of Inpatient Nurses at RSU Bina Kasih Medan in 2023 Simanjuntak, Monica; Theo, Deli; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 3 (2024): JUNI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i3.695

Abstract

Nurses are a key factor in improving the quality of services in hospitals because they have a vital role in providing care and support to patients. However, the assessment of nurses' performance showed that the results were not optimal, with achievement only reaching 47%. This can hurt the quality of hospital services. This study aims to identify and analyze factors that influence the performance of inpatient nurses at Bina Kasih Hospital, Medan. The research method used is cross-sectional with a quantitative approach. The sample consisted of 74 inpatient nurses selected using total sampling techniques. Data analysis was carried out through univariate, bivariate, and multivariate analysis using logistic regression tests. The results of the analysis show that workload, work stress, work environment, work intensity, and compensation have a significant effect on the performance of inpatient nurses at Bina Kasih Hospital, Medan (p < 0.05). The implication of this research is the importance of hospital management to pay attention to these factors to improve nurse performance and service quality in hospitals.
Analysis of Factors Affecting Parenting on the Incidence of Sibling Rivalry in Children Aged 3-6 Years in Batang Ayumi Julu Village, North Padang Sidempuan Harahap, Annisar; Suroyo, Razia Begum; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 3 (2024): JUNI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i3.696

Abstract

Sibling rivalry is a problem that affects children's development due to the gap between siblings. This research aims to determine the factors that influence parenting patterns on the incidence of sibling rivalry in children aged 3-6 years. The research design uses a quantitative and qualitative approach (mixed method) with a cross-sectional approach. The research population was mothers who had children aged 3-6 years in Ward I, Batang Ayumi Julu District, Padangsidempuan. The research results show that there is an influence of authoritarian, democratic, permissive, and passive parenting on the incidence of sibling rivalry, with passive parenting as the most dominant factor. It is recommended for parents, especially mothers, to involve and interact with siblings in daily life to avoid sibling rivalry.
Factors Affecting the Incidence of Chronic Lack Energy (SEZ) in Pregnant Women at the Tanjung Unggat Health Center, Tanjung Pinang City, Kepri Province in 2023 Nasution, Ramadhani Syafitri; Susanti, Ika; Nasution, Zuraidah
PROMOTOR Vol. 7 No. 3 (2024): JUNI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i3.736

Abstract

Chronic energy deficiency (CED) in pregnant women is a condition of insufficient protein and energy intake which can cause health problems for the mother and fetus. This study aims to determine the factors that influence the occurrence of CED in pregnant women. An analytical survey method with a cross-sectional approach was used by collecting primary data through questionnaires and secondary data from Community Health Center reports. The research was conducted at the Tanjung Unggat Community Health Center, Tanjungpinang City in December 2023 with a sample of 51 pregnant women selected using the Total Sampling method. Data analysis used univariate, bivariate (chi-square test), and multivariate (logistic regression) analysis. The results of the analysis show that maternal age, education, employment, parity, knowledge, Body Mass Index (BMI), and hemoglobin (Hb) levels have a significant relationship with the occurrence of CED. The Hb variable has the greatest influence on KEK with an Exp (B) value of 15,098. This study concludes that there is no effect of age and education on CED, while employment, parity, knowledge, BMI, and Hb are related to the incidence of CED in pregnant women. It is recommended that health workers promote and prevent pregnant women by recommending regular Antenatal Care (ANC) visits to health workers to detect health conditions early.
Analysis of Drug Planning and Procurement in the Pharmaceutical Installation of Muhammadiyah General Hospital North Sumatera Tanjung, Sri Maryani; Harahap, Juliandi; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 4 (2024): AGUSTUS
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i4.954

Abstract

Planning of pharmaceutical preparations, medical devices and BMHP (Medical Consumables) is the initial stage to determine the type and amount of pharmaceutical preparations, medical devices and BMHP that suit needs. Procurement is an activity to realize planned and approved needs, through the purchase, production/manufacture of pharmaceutical preparations, and donations/dropping grants. This type of research uses research Descriptive Qualitative With research methods aim to make a picture or description of a situation objectively. This research was conducted using a semi-structured interview method that was included in the category Indepth Interview Namely free interviews so that the implementation is wider when compared to structured interviews. This research was conducted at RSU Muhammadiyah North Sumatra in December 2023. Based on the results of research on drug planning and procurement at the Muhammadiyah Hospital in North Sumatra using the consumption method carried out based on sales patterns or depleted stocks in pharmaceutical warehouses. The distribution of drugs from pharmaceutical warehouses to pharmaceutical installations is often delayed so that pharmaceutical services to patients are disrupted and cause patients to wait a long time. The obstacles seen in drug procurement are still not optimal, this is because there are empty and slow-moving drugs. The conclusion in this study is the planning and procurement of drug availability at the Muhammadiyah Hospital North Sumatra in improving the pharmaceutical service system to be better, planning is carried out to avoid drug buildup and expiration. ABC method analysis should be applied so that the data is more accurate, not only using the consumption method.
Analysis of Factors Influencing Patients to Choose a Hospital for Inpatient at Al Fuadi Binjai General Hospital Ginting, Inayanti Khairiyah; Nuraini, Nuraini; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 4 (2024): AGUSTUS
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i4.955

Abstract

Inpatient services at Al-Fuadi Binjai Hospital aim to provide the best care for patients, but the services provided sometimes cause complaints and dissatisfaction of patients who choose to be hospitalized at the hospital. The patient's decision to choose to be treated at Al Fuadi Binjai Hospital is based on Kotler's decision-making theory and Andersen's health care search theory. The purpose of this study was to analyze the factors that influence patients to choose a hospital for hospitalization. Types of research This is an analytical survey research by design cross sectional. Research conducted at Al Fuadi Binjai General Hospital. The study population was 319 people, and the sample was obtained 178 people. The data used are primary and secondary data. Data analysis in univariate, bivariate using chi-square and multivariate using multiple logistic regression at a 95% confidence level (a=0.05). The results showed that the influencing factors The decision to choose hospitalization at Al Fuadi Binjai General Hospital was culture (values in the family) (p = 0.037), confidence (0.031), quality of health worker services (0.023), motivation (p = 0.008), facilities (p = 0.002), and speed of service (p = 0.000), while the perception variable had no effect (p = 0.206). The dominant variable influencing patients' decision to choose hospitalization at Al Fuadi Binjai General Hospital is the speed of service. Patients who stated that service at Al Fuadi Binjai General Hospital was fast, were 5.2 times more likely to choose readmission than patients who stated that service at Al Fuadi Binjai General Hospital was slow. Fast service is the main reason patients choose hospitalization because it has an impact on the speed of patient recovery. It was concluded that the patient's decision to choose hospitalization at Al Fuadi Binjai General Hospital was influenced by the culture, beliefs, quality of service of health workers, motivation, facilities and speed of service. It is recommended for patients to provide input through the suggestion box on complaints felt during treatment to improve the quality of service so that patients without hesitation decide to re-hospitalize when patients and families are sick.