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All Journal Althea Medical Journal Journal of Medicine and Health
Marlianti Hidayat
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Medicine & Pharmacology Public Health

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Role of Satisfaction with Health Care Services in Increasing Patient Loyalty: an Ambulatory Setting Citra Restia Yusri; Marlianti Hidayat; Henni Djuhaeni
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.242 KB)

Abstract

Background: Health care providers must be able to provide services that can satisfy the patient. This encourages patient loyalty so that competitiveness can be preserved. This study aimed to examine the correlation of patients’ satisfaction to their loyalty towards health care facilities.Methods: An analytic cross-sectional study was conducted on 50 respondents from Anggrek Specialist Polyclinic at Dr. Hasan Sadikin General Hospital Bandung (ambulatory setting) who met the inclusion criteria during the period of September to October 2014. Questionnaires that had been validated and tested for reliability were used. Rank Spearman test was used to analyze the correlation between patient satisfaction and patient loyalty. This study used five dimensions of service quality to measure patient satisfaction, i.e. tangibles, reliability, responsiveness, assurance, and empathy.Results: The study showed that most (84%) patients felt unsatisfied and only 14% was loyal towards the health care services they received. Satisfaction and loyalty showed positive correlation with p=0.001 (p<0.05) and r=0.439, which showed a moderate correlation.  Conclusions: There is significant correlation between patient satisfaction and loyalty in Anggrek Specialist Polyclinic at Dr. Hasan Sadikin Hospital. This study can be an evaluative material for health care providers to encourage improvement of service quality as to increase patient satisfaction and loyalty. 
Blood Pressure Changes on Tooth Extraction Using Local Anesthesia Contains 1:80,000 Epinephrine at Jatinangor Primary Health Care Muhammad A Wijaya; Marlianti Hidayat; Trully D Sitorus
Journal of Medicine and Health Vol 2 No 2 (2018)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v2i2.1011

Abstract

Hypertension is a systemic disorder which included as one of the disease with highest prevalence in the world, particularly in Indonesia. One problem that is commonly faced by hypertension patients is administration of local anesthetic containing epinephrine 1:80.000 that needs to be given before undergoing tooth extraction procedure in primary health care setting. Administration of anesthetics is risky because it can cause sudden blood pressure increase that may cause complications. This study aims to observe the increased of blood pressure after being given local anesthetic containing epinephrine 1:80.000. This is a descriptive quantitative study conducted in April-August 2017 in Puskesmas Jatinangor. Blood pressure data is primary data, acquired from normotension and prehypertension patients aged 18-50 year who undergoes tooth extraction procedure. Blood pressure were measured before and after given local anesthetic. Result showed that there were increase in mean systolic blood pressure as much as 3.43 mmHg. Increase in systolic blood pressure occurs from the effect of epinephrine that causes constriction of the blood vessels. It is concluded that administration of local anesthetic containing epinephrine 1:80.000 before tooth extraction procedure is relatively safe and can be considered to be used in pre-hypertension patients, but not in higher hypertension stages.
Efektivitas Dua Tipe Sikat Gigi terhadap Penurunan Indeks Plak pada Pasien Ortodonti Cekat dengan Teknik Penyikatan Horizontal, Vertikal, dan Roll Marlianti Hidayat; Lia Dahliana
Journal of Medicine and Health Vol 3 No 2 (2021)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v3i2.2411

Abstract

Pasien yang menggunakan alat ortodonti cekat harus dapat menjaga kebersihan rongga mulutnya untuk menghindari timbulnya karies dan gingivitis marginalis. Sikat gigi merupakan salah satu alat untuk membersihkan plak. Penelitian ini bertujuan untuk mengetahui efektivitas dua tipe sikat gigi terhadap penurunan Indeks Plak (IP) dengan teknik penyikatan horizontal, vertikal, dan roll. Penelitian ini merupakan penelitian eksperimental pre dan post test. Sebanyak 65 orang subjek penelitian memenuhi kriteria inklusi. Subjek penelitian dibagi dua kelompok yang dipilih secara acak, kelompok pertama berjumlah 30 orang diberi sikat gigi ortodonti dan kelompok kedua berjumlah 35 orang diberi sikat gigi konvensional. Penilaian IP dilakukan dua kali sebelum dan sesudah sikat gigi. Data dianalisis menggunakan SPSS versi 22 dengan uji Independent T-Test. Rerata penurunan IP dengan sikat gigi khusus ortodontik 0,5110 (±0,39896) sedangkan sikat gigi konvensional mencapai 0,7774 (±0,39391), p=0,09 (p>0,05) menandakan perbedaan penurunan IP pada kedua kelompok tidak signifikan. Simpulan, penggunaan sikat gigi konvensional dengan tipe bulu sikat rata, halus, dan tapered memiliki efektivitas yang sama dengan sikat gigi khusus ortodontik dalam penurunan IP, dengan menggunakan teknik horizontal, vertikal, dan roll. Kata kunci: sikat gigi khusus ortodontik, sikat gigi konvensional, indeks plak.
Co-Authors Citra Restia Yusri Henni Djuhaeni Lia Dahliana Muhammad A Wijaya Trully D Sitorus