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Path Analysis of Factors Influencing the Quality of Health Services and Inpatient’s Satisfaction in Hospitals Muhajir, Alfian; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Policy and Management Vol. 9 No. 3 (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.2024.09.03.09

Abstract

Background: Quality of health services is an effort to provide health services to individuals and populations in increasing the likelihood of desired health outcomes. Patient satisfaction is an indicator in assessing the quality of health services. This study aims to analyze the factors that influence the quality of health services and satisfaction of inpatients in hospitals. Subjects and Method: The research, with a cross-sectional study design, was carried out at public and private hospitals in Mataram City from November to December 2023. A total of 207 inpatients were selected using simple random sampling in the study. The dependent variables are health service quality and patient satisfaction. The independent variables are gender, education level, income, BPJS status (payment type), inpatient class, and length of stay. Collecting data on perceptions of health service quality and patient satisfaction using a structured questionnaire prepared based on Parasuraman's Servqual concept (1985). Results: Patient satisfaction is significantly influenced by perceived quality of health services (b = 0.81; 95% CI = 0.76 to 0.86; p < 0.001) and patient education level (b = -0.08; 95% CI = -0.17 to -0.003; p = 0.04 ). Perceived quality of health services is significantly influenced by income factors (b= 0.22; 95% CI= 0.09 to 0.35; p= 0.001) and patient inpatient room class (b= 0.40; 95% CI= 0.28 to 0.52; p <0.001) . Perception of service quality is not significantly influenced by the factors gender, education, BPJS status, and length of stay. Conclusion: Patient satisfaction is significantly influenced by the quality of health services and the patient's level of education. The quality of health services is significantly influenced by income factors and the patient's inpatient room class. Service quality is not significantly influenced by the factors gender, education, BPJS status, and length of stay. Keywords: pathway analysis, inpatients, quality of health services, satisfaction.
Hubungan Karakteristik Ibu, Paritas, dan Dukungan Suami dengan Kepatuhan Kunjungan Penggunaan Akseptor Keluarga Berencana (KB) Suntik di Poli KIA Puskesmas Pejeruk Muhammad Azlin Firdaus; Karmila, Dany; Muhajir, Alfian; Susila Duarsa, Artha Budi
Midwifery Student Journal (MS Jou) Vol. 2 No. 2 (2023): Midwifery Student Journal (MS Jou)
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/msjou.v2i2.11

Abstract

Abstrak Latar Belakang: Masalah yang dihadapi Indonesia saat ini adalah kepadatan penduduk dengan tingkat yang cukup besar. Upaya yang telah dilakukan pemerintah yaitu mencanangkan program Keluarga Berencana (KB), salah satunya yaitu penggunaan akseptor KB suntik. Masalah yang sering terjadi dalam kontrasepsi suntik adalah keterlambatan akseptor KB mendapatkan suntikan. Hal tersebut dapat terjadi karena akseptor KB lupa jadwal suntik dan kepatuhan dalam melakukan suntik ulang. Tujuan dari penelitian ini yaitu untuk mengetahui hubungan antara karakteristik ibu, paritas dan dukungan suami dengan kepatuhan kunjungan akseptor KB suntik di Poli KIA Puskesmas Pejeruk. Metode: Desain penelitian Cross Sectional dengan alat ukur kuesioner dan rekam medis. Sebanyak 41 sampel penelitian dilakukan dengan teknik pengambilan sampel purposive sampling pada seluruh ibu yang menggunakan KB suntik baru di Poli KIA Puskesmas Pejeruk pada bulan Januari tahun 2022 – bulan Januari tahun 2023. Uji analisis bivariat menggunakan uji korelasi Chi Square. Hasil: Hasil penelitian menunjukkan bahwa (61,0%) responden yang patuh dan (39,0%) responden yang tidak patuh. Didapatkan p-value 0,05 (p-value 0,05) untuk usia dengan kepatuhan, p-value 0,524 untuk tingkat pendidikan dengan kepatuhan, p-value 0,823 untuk status kerja dengan kepatuhan, p-value 0,02 untuk paritas dengan kepatuhan, p-value 0,05 untuk dukungan suami dengan kepatuhan. Kesimpulan: Terdapat hubungan yang signifikan antara usia, paritas, dan dukungan suami dengan kepatuhan kunjungan akseptor KB suntik di Poli KIA Puskesmas Pejeruk dan tidak terdapat hubungan yang signifikan antara tingkat pendidikan dan status bekerja dengan kepatuhan kunjungan akseptor KB suntik di Poli KIA Puskesmas Pejeruk.   Kata Kunci: Karakteristik ibu, Paritas, Dukungan suami, Kepatuhan kunjungan   Abstract Background: The problem currently facing Indonesia is population density at a fairly large level. Efforts that have been made by the government are launching a Family Planning (KB) program, one of which is the use of injectable birth control acceptors. A problem that often occurs with injectable contraception is the delay in birth control acceptors getting the injection. This is influenced by family planning acceptors forgetting injection schedules and compliance with repeat injections. This research aims to determine the relationship between maternal characteristics, parity and husband's support with compliance with visits by injectable contraceptive acceptors at the Pejeruk Community Health Center KIA Polyclinic. Method: Cross-sectional research design with questionnaires and medical records as measuring instruments. A total of 41 research samples were carried out using a purposive sample sampling technique on all mothers who used new injectable contraceptives at the Pejeruk Community Health Center KIA Polyclinic from January 2022 - January 2023. The bivariate analysis test used the Chi-Square correlation test. Results: The results showed that (61.0%) of respondents complied and (39.0%) of respondents did not comply. Obtained p-value 0.05 (p-value 0.05) for age with compliance, p-value 0.524 for education level with compliance, p-value 0.823 for work status with compliance, p-value 0.02 for parity with compliance, and p-value 0.05 for husband's support with compliance. Conclusion: There is a significant relationship between age, parity, and husband's support and compliance with visits by injection contraceptive acceptors at the Pejeruk KIA Polyclinic Community Health Center and there is no significant relationship between education level and working status and compliance with visits by injection contraceptive acceptors at the Pejeruk Community Health Center KIA Polyclinic.   Keywords: Mother's characteristics, parity, husband's support, visit compliance
Hubungan Pola Makan dan Tingkat Stres terhadap Hipertensi pada Lansia di Puskesmas Cakranegara Kota Mataram Wirawan, I Gusti Ngurah Oko Surya; Winangun, IGP; Muhajir, Alfian; Dahlia, Yolly
MAHESA : Malahayati Health Student Journal Vol 3, No 9 (2023): Volume 3 Nomor 9 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i9.11022

Abstract

 ABSTRACT Hypertension is one of the most dominant problems in the world, both in developed and developing countries. Factors that cause hypertension are poor lifestyle habits and unhealthy eating patterns. The diet that is commonly consumed by the elderly is often consuming foods that are high in salt, often using flavoring and coconut milk when cooking, often consuming fried foods as a snack and consuming eggs. Hypertension can also be caused by stress factors. One age that is vulnerable to stress is the elderly. This is caused by self-adjustment to the changing conditions experienced when entering old age. Setting a good diet and stress management will play a role in reducing hypertension in the elderly. Keywords: Diet, Stress Level, Hypertension, Elderly.  ABSTRAK Hipertensi merupakan salah satu masalah yang cukup dominan di dunia, baik di negara maju maupaun negara-negara berkembang. Faktor penyebab hipertensi adalah kebiasaan pola hidup yang kurang baik dan pola makan yang kurang sehat. Pola makan yang umum dikonsumsi oleh lansia yaitu sering mengkonsumsi makanan yang tinggi garam, sering menggunakan penyedap rasa dan santan pada saat memasak, sering mengkonsumsi gorengan sebagai cemilan serta mengkonsumnsi telur. Hipertensi juga dapat disebabkan oleh factor stress. Salah satu usia yang rentan mengalami stress adalah lansia. Hal ini disebabkan oleh kondisi penyesuaian diri terhadap perubahan kondisi yang dialami ketika memasuki usia lansia. Pengaturan pola makan yang baik dan manajement stres akan berperan dalam mengurangi hipertensi pada lansia. Kata Kunci: Pola Makan, Tingkat Stress, Hipertensi, Lansia