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Factors Affecting the Quality of Outpatient Registration Service and Patient Satisfaction at the Community Health Center in Surakarta and Karanganyar, Central Java Fadhilah, Isnaini Qoriatul; Murti, Bhisma; Prasetya, Hanung
Journal of Health Policy and Management Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (603.236 KB)

Abstract

Background: Patient Registration Place is the first service gate at a health service facility. Community health center as primary service providers and as a place for public services must provide satisfaction to customers. This study aims to determine the factors that influence the quality of services where out-patient registration and patient satisfaction in health centers. The purpose of this study is to measure and analyze the factors that influence the quality of outpatient registration services and satisfaction.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted in Surakarta and Karanganyar health centers, Central Java, from September to October 2019. A sample of 200 patients was selected by stratified random sampling. The dependent variable was patient satisfaction. The independent variables were the qualifications of the officer, tenure, employment status, patient education, patient income, type of payment, patient age, and patient quality. The data were collected by questionnaire. The data were analyzed by a multiple logistic regression run on Stata 13.Results: The quality of outpatient registration services improved with civil servant status (OR= 4.03; 95% CI= 1.83 to 8.86; p= 0.001), patient education ≥Senior high school (OR= 0.27; 95% CI= 0.14 to 0.54; p<0.001), and BPJS insurance (OR= 0.52; 95% CI= 0.26 to 1.02; p= 0.058). Patient satisfaction improved with education level of the officer (Diploma III) (OR= 3.99; 95% CI= 1.48 to 10.68; p= 0.006), tenure ≥12 years (OR= 4.52; 95% CI= 1.74 to 11.75; p= 0.004), patient age ≥37 years (OR= 2.96; 95% CI= 1.27 to 6.84; p= 0.011), and good service quality (OR= 3.42; 95% CI= 1.40 to 8.35; p= 0.007). Patient satis-faction decreased with patient education ≥Senior high school (OR= 0.35; 95% CI= 0.14 to 0.84; p= 0.021), income ≥Rp 1,800,000 (OR= 0.39; 95% CI = 0.17 to 0.92; p = 0.031), and BPJS insurance (OR = 0.13; 95% CI = 0.05 to 0.32; p<0.001).Conclusion: The quality of outpatient registration services improves with civil servant status, patient education ≥Senior high school, and BPJS insurance. Patient satisfaction improves with education level of the officer, tenure ≥12 years, patient age ≥37 years, and good service quality. Patient satisfaction decreases with patient education, income, and BPJS insurance.Keywords: quality of patient registration services, patient satisfaction, medical recordsCorrespondence: Isnaini Qoriatul Fadhilah, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: isnainiqoriatul@gmail.com. Mobile: 089681918022Journal of Health Policy and Management (2020), 5(2): 92-102https://doi.org/10.26911/thejhpm.2020.05.02.01
Study of Compliance of Medical Records Officers with Medical Record Security and Confidentiality Regulations Regional General Hospital dr. Gondo Suwarno Semarang Regency Windari, Adhani; Lestari, Sri; Fadhilah, Isnaini Qoriatul
Journal of Health Policy and Management Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.01.04.

Abstract

Background: Regional General Hospital (RSUD) dr. Gondo Suwarno has implemented policies/regulations to maintain the security and confidentiality of medical records as outlined in several Standard Operating Procedures (SPO). Implementation of services often do not comply with these regulations, for several reasons. The purpose of this study is to find out the reasons/causes of these problems by carrying out research on Compliance with Security Regulations and Confidentiality of Hospital Medical Records in Semarang Regency. Subjects and Method: This type of qualitative descriptive research used a case study approach with observation and interview techniques conducted at Semarang District Hospital in January - April 2022. A total of 5 informants were selected in this study. Data were collected using interview guidelines and observation guidelines. Data is presented descriptively. Results: The result is dr. Gondo Suwarno already has an SPO to maintain the security and confidentiality of medical records, the procedures of which are in accordance with applicable health minister regulations. Characteristics of medical record officers 86% have Diploma Three in Medical Records and Health Information (D3 RMIK) education, 57% have worked for 25 years or more, and 71% are 50 years old or more. Officers have not fully complied with regulations to maintain the security and confidentiality of medical records, because they are constrained by policy support facilities that have not been fulfilled. Supporting facilities for medical record security and confidentiality policies are not fully available, such as document carrying bags and medical record storage rooms that do not have doors. Conclusion: SPO for maintaining the security and confidentiality of medical records whose procedures are in accordance with the applicable minister of health regulations, but officers have not fully complied with the regulations for maintaining the security and confidentiality of medical records, due to constraints on supporting policy facilities that have not been fulfilled. Keywords: compliance, regulation, security, confidentiality. Correspondence: Adhani Windari. Poltekkes Kemenkes Semarang. Pedalangan, Banyumanik, Kota Semarang, 50268 Jawa Tengah. Email: adhaniwindari@students.undip.ac.id. Mobile: +62 817-0582-584.
Analysis of Patient Satisfaction With The Use of The Jkn Mobile Application At Godong Community Health Center Fadhilah, Isnaini Qoriatul; Masrochah, Siti; Lestari, Sri; Kusdianto, Eko Teguh
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i0.1957

Abstract

BPJS Health implements a digital transformation in the form of the JKN mobile application. The JKN mobile application is expected to provide easy access and more optimal service for participants. The JKN Mobile Application is expected to simplify the registration process and improve the quality of health services [1]. A preliminary survey at the Godong 1 Health Center registration regarding the use of the Mobile JKN application was carried out in February 2023 on 10 BPJS Health patients, 5 patients said they were satisfied and 5 other patients said they were dissatisfied, 5 patients said they were dissatisfied due to user complaints, including: The application sometimes cannot be used if it is not updated immediately. This study aims to determine patient satisfaction with the quality of online registration for the JKN mobile application based on the dimensions of content, accuracy, format, ease of use, timelines at Godong Community Health Center. The type of research used is quantitative descriptive research. The data collection method uses a questionnaire. The instrument used was a questionnaire. The population and sample in this study were all BPJS Health participants who used the JKN mobile application, namely 226 participants and a sample of 70 respondents. The research results showed that the majority of respondents were satisfied with the quality of registration via the Mobile JKN application. Aspects of ease of use and speed of the registration process receive high ratings from patients [2]. Research shows that from the dimensions of content, 77.1% were satisfied and 18.6% were very satisfied, accuracy was 81.4% satisfied and 14.3% very satisfied, format was 84.3% satisfied and 11.4% very satisfied, ease of use expressed satisfaction 81.4 and very satisfied 14.3%, timelines expressed satisfaction 80% and very satisfied 15.7%.