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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Journal of Health Policy and Management Journal of Health Promotion and Behavior PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Kesehatan Tambusai Narra J JKMP (Jurnal Kebijakan dan Manajemen Publik) Cerdika: Jurnal Ilmiah Indonesia Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Candi, Cicilya
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Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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PATIENTS SATISFACTION ANALYSIS OF PRIMARY HEALTHCARE SERVICE QUALITY IN BONDOWOSO, INDONESIA Nazhifah, Naurah; Bachtiar, Adang; Oktamianti, Puput; Candi, Cicilya
Jurnal Kesehatan Tambusai Vol. 4 No. 4 (2023): DESEMBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i4.20120

Abstract

Indicators of efficiency and quality in healthcare often include patient satisfaction with the care they received. Health managers and policymakers may benefit greatly from the information gleaned from patient satisfaction surveys when conducting analyses of the existing state, awareness, quality, and quantity of process improvement initiatives and quality improvement. Improving patient satisfaction and providing patient-centered care relies heavily on meeting and even exceeding patients' expectations of the health care they get. There is still limited data about patients’ satisfaction and service quality in Bondowoso’s Primary Health Care. Therefore, this study was made to measure patients' satisfaction toward service quality in Bondowoso‘s Primary Healthcare. This is quantitative cross-sectional primary research. The data was collected using a questionnaire with 22 pairs of questions (organized in two aspects of service importance and performance) in 5 dimensions of tangibility, reliability, responsiveness, assurance and empathy. The importance-performance analysis (IPA) was used to determine the weaknesses of service quality and prioritizing the aspects requiring improvement. Data was collected at Primary Health Care Raider 514 Bondowoso from February to March 2023. Samples were filtered with several inclusion criteria based by age, residence, and their status as a patients in Primary Health Care Raider 514 Bondowoso. From 72 respondents, 54.2% (n=39) was Male, 81.9% (n=59) age were under 46 years old, 37.5% (n=27) had university degree, and 65.3% (n=47) were employed. The result of IPA showed that the Assurance in the QI (concentrate here), and reliability and responsiveness in the Q II (keep up the good work). tangible in the Q III (low priority), empathy was located in the Q IV (possible overkill). According to our findings, assurance was an aspect which was prioritized for improvement. A more comprehensive operational standard could improve assurance. Results are limited only to 1 primary health care site from February to March 2023 and limited to first level health facility patients only.
Analisis Perbaikan Respond Time Door to Needle R-TPA Pada Pasien Code Stroke di IGD RSPON Prof. Dr. Mahar Mardjono Jakarta Trisetiawati, Lami; Modjo, Robiana; Bachtiar, Adang; Candi, Cicilya
Cerdika: Jurnal Ilmiah Indonesia Vol. 5 No. 7 (2025): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v5i7.2651

Abstract

Stroke merupakan penyebab kematian tertinggi di Indonesia, dengan angka kejadian 131,8 per 100.000 penduduk (WHO, 2023). Penanganan stroke iskemik akut yang optimal harus dilakukan dalam waktu ? 4,5 jam sejak onset, dengan pemberian terapi trombolitik (rtPA) idealnya dalam waktu ? 60 menit sejak pasien tiba di instalasi gawat darurat (door-to-needle time/DTN). Namun, di IGD RS Pusat Otak Nasional Prof. Dr. dr. Mahar Mardjono Jakarta, waktu DTN tahun 2021 masih mencapai 91 menit. Tujuan penelitian ini adalah untuk menganalisis dan memperbaiki alur penanganan pasien code stroke guna mempercepat waktu pemberian rtPA. Metode penelitian menggunakan pendekatan kuantitatif deskriptif berbasis Six Sigma melalui tahapan DMAIC (Define, Measure, Analyze, Improve, Control). Data dikumpulkan melalui observasi, wawancara tenaga medis, dan telaah rekam medis tahun 2022. Hasil penelitian menunjukkan bahwa intervensi terhadap sembilan titik proses pada lima fase utama—triase, pendaftaran, pemeriksaan penunjang, konsultasi DPJP, dan keputusan rtPA—berhasil menurunkan waktu DTN menjadi 40 menit pada triwulan IV tahun 2023. Penurunan ini melampaui standar pelayanan yang ditetapkan (<60 menit), menandakan keberhasilan reformasi alur penanganan stroke. Implikasi penelitian menunjukkan bahwa penerapan sistem code stroke terstruktur dan berbasis monitoring waktu efektif dalam meningkatkan kecepatan dan kualitas layanan stroke akut serta menurunkan risiko kecacatan.
Pengaruh Perubahan Strategi Manajemen Terhadap Capaian Bed Occupancy Rate (BOR) dan Pendapatan Rawat Inap di Rumah Sakit LNG Badak Puspitasari, Indah; Candi, Cicilya; Bachtiar, Adang
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v9i12.17510

Abstract

Capaian BOR yang rendah di RS LNG Badak sebuah RS tipe D dengan 51 tempat tidur (11.57%) jauh dibawah nilai ideal menurut Depkes (70-85%) ataupun Barber-Johnson (75-85%), berimbas kepada pendapatan unit rawat inap yang belum memuaskan. Perlu dilakukan perubahan Strategi Manajemen RS melalui Foccused Group Discussion (FGD) dan in-depth interview untuk menggali penyebab rendahnya BOR RS menggunakan diagram fishbone 5M (Man, Machine, Method, Money, Material) dan langkah yang dapat dilakukan untuk mengatasi kondisi tersebut. Mengetahui pengaruh strategi manajemen dengan framework 5M (Man, Machine, Method, Money, Material) terhadap capaian BOR dan pendapatan rawat inap. Analisis dengan menggunakan mix-method kualitatif dan kuantitatif. Kualitatif untuk mengetahui strategi manajemen menggunakan framework 5M yang didapatkan melalui Foccused Group Discussion. Kuantitatif menggunakan cross-sectional menggunakan data sekunder dari laporan bulanan bagian rekam medis dan keuangan RS untuk menganalisis pengaruh strategi manajemen terhadap capaian BOR dan pendapatan rawat inap. Didapatkan kenaikan capaian BOR sebesar 152% dan peningkatan capaian pendapatan rawat inap sebesar 28.5 % setelah dilakukan perubahan strategi pada triwulan pertama. Strategi Manajemen RS dengan framework 5M memberikan peningkatan terhadap capaian BOR dan pendapatan rawat inap di RS LNG Badak
Assessing Readiness to pay for HIV Services in Developing Asian Countries: A Systematic Review of Willingness to Pay Studies Sihotang, Erik Parulian; Pujiyanto; Bachtiar, Adang; Candi, Cicilya
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 01 (2026): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v15i01.4160

Abstract

Developing Asian countries continue to face financial challenges in ensuring equitable access to HIV services. Despite numerous initiatives to expand coverage and improve treatment outcomes, affordability remains a major barrier. This systematic review, conducted using PRISMA methodology, analyzes willingness to pay (WTP) and readiness to pay (RTP) for HIV-related services, based on 14 studies selected from an initial pool of 6,773 articles identified through three major databases (PubMed, Scopus, and ProQuest) covering peer reviewed publications between 2015 and 2025. Focusing on at-risk populations in India, China, Vietnam, Iran, and the Philippines, the review examines services such as HIV self-testing kits, antiretroviral therapy (ART), pre-exposure prophylaxis (PrEP), and viral load monitoring. Findings reveal significant variation in WTP/RTP influenced by education, income, HIV awareness, stigma, and privacy concerns. For instance, 69% of respondents in India were willing to pay for self-testing kits, compared to only 6.8% of MSM in China willing to pay market rates for PrEP. RTP extends beyond financial capacity to include behavioral, social, and cultural readiness, which plays a critical role in service uptake. The review concludes that WTP/RTP alone is insufficient for achieving universal HIV care. It recommends adaptive policies such as hybrid financing models, targeted health education, and government subsidies to ensure sustainable and inclusive HIV service delivery.
Co-Authors Adang Bachtiar Adila Ramadhian, Elsa Aryani, Ari Dwi Christian, Deyo Alfa Dian Kusuma Hasan, Arief Rosyid Hasibuan, Syarif R. INDAH PUSPITASARI Kurtanty, Dien lail, nurul husnul Malahayati Rusli Bintang Nazhifah, Naurah Nikmatul Hidayah Pramesti, Alya Pujiyanto Puput Oktamianti Rahmasari, Almira Fanny Robiana Modjo Sihotang, Erik Parulian Tauhidah, Sarah At Trisetiawati, Lami Widyasanti, Nisrina