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EFFECT OF SERVICE QUALITY ON INPATIENT SATISFACTION AT DR. SAIFUL ANWAR REGIONAL GENERAL HOSPITAL, EAST JAVA PROVINCE Laili, Nurul; Hariyanti, Tita; Setijowati, Nanik
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

This study aimed to analyze the effect of service quality on inpatient satisfaction at Dr. Saiful Anwar Hospital. This study was conducted using a quantitative method, and data were collected through questionnaires from 204 inpatients selected using probability sampling techniques. The results showed that the tangibles, assurance, and empathy dimensions had a positive and significant effect on patient satisfaction, which indicates that improvements in these areas lead to higher satisfaction levels. In contrast, reliability and responsiveness had a positive but not statistically significant effect on patient satisfaction, thus improvements in these areas may lead to increased satisfaction, although the impact is not statistically significant. Among the five dimensions, assurance emerged as the most dominant factor influencing inpatient satisfaction. As the study identified assurance as the dominant factor influencing patient satisfaction, Dr. Saiful Anwar Hospital is expected to improve patient safety assurance. One potential initiative is the implementation of a QR-based medical record system to streamline access to patient information and minimize the risk of human error.
ICU SERVICE FINANCING: WEIGHING REGULATIONS AGAINST PROFESSIONAL JUDGMENT Santoso, Widodo Mardi; Manzilati, Asfi; Ratri, Devita Rahmani; Hariyanti, Tita
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

The Intensive Care Unit (ICU) is one of the most resource-intensive departments in a hospital. Patients admitted to the ICU incur, on average, three times higher costs than those in general wards. However, healthcare professionals, particularly doctors and nurses, often remain unaware of these high costs.   This study employs a qualitative research design using a case study approach. A total of seven participants were selected through purposive sampling. Data were collected through unstructured observations of the ICU environment and unstructured interviews with participants. Thematic analysis was then used to interpret the findings. Four key themes emerged: (1) The ICU as the last hope for survival, (2) Doctors and nurses feeling powerless over treatment costs, (3) The predominant focus of doctors and nurses on medical aspects, and (4) Sentosa Hospital: Between Regulation and Professionalism. The study was conducted at a provincial referral hospital, classified as a type A hospital and a teaching center, where patients present with complex medical conditions. This complexity often leads doctors and nurses to prioritize medical care over financial considerations. In conclusion, ICU doctors and nurses demonstrate limited awareness of the financial burden of patient care. To enhance this awareness, targeted interventions are needed to sensitize all healthcare professionals, particularly doctors and nurses, to the economic aspects of critical care.
CORRELATION OF DISTRIBUTOR EXPECTATIONS WITH PERFORMANCE QUALITY OF THE PHARMACEUTICAL SUPPLY PROCUREMENT SECTION AT DR SAIFUL ANWAR HOSPITAL WITH THE SERVQUAL METHOD AS A STUDY BASIS Prayoga, I Wayan Eka Putra; Puspitasari, Vicky; Mahardika, Yesika Yuristi; Dewanto, Aryo; Hariyanti, Tita
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

The availability of medical devices in hospitals greatly affects the quality of service, safety, and patient satisfaction. Choosing the right supplier is very important to ensure the sustainability of the company and the quality of service. However, distributors also have high expectations for the quality of performance of the hospital drug procurement section related to health supply services, the high-quality performance carried out by the procurement department will increase distributor satisfaction. This study aims to determine the relationship between distributor expectations and the quality of hospital performance, especially in the Pharmaceutical Supply Procurement Section at Dr Saiful Anwar Hospital (RSSA) by using the SERVQUAL Method as the basis for the study.The population in this study is all distributors of pharmaceutical supplies in collaboration with Dr. Saiful Anwar Hospital in 2023 as many as 103 distributors. The research was conducted in September 2023. This study uses an observational analytical design with a cross-sectional design. The variables used were in the form of independent variables, namely the expectations of RSSA pharmaceutical supply distributors, and dependent variables in the form of the quality of performance of the RSSA pharmaceutical supply section, how to collect data using questionnaires distributed through Google Forms. Each dimension measures service expectations and performance totaling 20 questions on a measurement scale of 1 to 4. The data analysis techniques used were descriptive tests and Spearmen correlation tests. The results of the assessment of distributors' expectations on the quality of the performance of the Pharmaceutical Supply Procurement Section were in the high category (71.39±1.14) and the performance quality of the Pharmaceutical Supply Procurement Section was in the good category (69.23±1.14). The relationship between distributor expectations and the performance of the Pharmaceutical Supply Procurement of Dr. Saiful Anwar Hospital in each dimension of service quality also showed a positive correlation. p=<0.001, r=0.689-0.798). Hospital management, especially the pharmaceutical supply team, should maintain the good relationship that has been established so far by improving the performance and quality of services provided to pharmaceutical distributors.
OPTIMIZATION OF OBSTETRICS AND GYNECOLOGY CLINIC SERVICE VISITS WITH A MARKETING PLAN APPROACH AND PUBLICATION ON SOCIAL MEDIA Athallandi, Kemal; Hariyanti, Tita; Mardiana Kusumawati, Anita
Journal of Community Health and Preventive Medicine Vol. 5 No. 1 (2025): JOCHAPM Vol. 5 No. 1 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jochapm.2025.005.01.1

Abstract

Quality antenatal care examinations can detect the risk of pregnancy and childbirth so that they can play an essential role in reducing maternal mortality in Indonesia. However, obstetric and gynecology clinic patient visits are not always high. Even in a private hospital where this study was conducted, the clinic visit rate became one of the outpatient clinics with the lowest number of visits.  The purpose of this study is to find out how to optimize obstetrics and gynecology clinic visits.  This study uses a qualitative method with a case study approach. Data collection was carried out by in-depth interviews, observations, and document studies.  After that, a fishbone analysis is carried out to find out the root of the problem.  Alternative solutions to problems are identified through literature studies and brainstorming. The results of this study show that two themes cause the problem of non-optimal obstetric and gynecology service visits.  The first theme is that there is no marketing plan yet.  The subtheme of this problem is that there has never been an analysis of hospital data for marketing activities, and there has been no marketing planning.  The second is the lack of optimal service publication on social media.  The subtheme of this problem is due to the lack of planning in the publication of social media content, the lack of standard operational procedures related to the publication of content on social media, and the limitations of marketing teams in content creation ideas. The problem of suboptimal obstetric and gynecology service visits at private hospitals can be caused by the lack of marketing planning and suboptimal publication of obstetrics and gynecology clinic services on social media. The hospital marketing team can compile marketing plans and publish hospital service content on social media to increase the number of patient visits.  
NURSES’ FATIGUE IN IN VITRO FERTILIZATION (IVF) SERVICE PROVISION: A CASE STUDY AT A FERTILITY CENTRE IN INDONESIA Hinting, Lia Natalia; Kristianingsih, Rey; Sadewo, Ageng Bagus; Setijowatie, Eva Diah; Dewanto, Aryo; Hariyanti, Tita
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Infertility patients encounter stress stemming from their challenges in conceiving. This makes patients more sensitive when interacting with healthcare providers, especially nurses, during the IVF program. However, professional nursing care puts strain on nurses, leading to fatigue. The causes and coping mechanisms of nurse fatigue are examined in this study. This qualitative exploratory study was conducted at a hospital in Surabaya, Indonesia, known for its excellent IVF treatments. In-depth, semi-structured interviews were conducted with fifteen purposive-sampled nurses. Transcription and theme analysis were performed on the recordings. The findings revealed that all nurses involved in the study experienced burnout with six themes: personal characteristics, adaptability, managing heavy workloads, intention to continue working, and internal and external factors contributing to fatigue. The interconnected themes illustrate the professional nursing culture and offer insights into burnout management. Hospital management must acknowledge and mitigate nurse burnout for their well-being, as this directly influences the quality of care delivered.
PATIENT DISCHARGE PROCESS AT X HOSPITAL : FLOW DIFFERENCES, IMPACTS, AND SOLUTION PLANS Jauhari, Tontowi; Hariyanti, Tita; Suminar Pertiwi, Dian
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Waiting time is one of the factors that affect patient perception of the quality of hospital services, and has an impact on patient satisfaction levels. The process of discharge from hospitalization is one of the factors that can cause low patient satisfaction. The purpose of this paper is to describe various understandings of the discharge process in hospitals X. This study uses qualitative methods. Data collection was carried out through unstructured observations and in-depth interviews with staff regarding the process of discharge of patients from hospitalization. This observation was carried out to observe the process of discharge of patients until the patient received medication using a time-motion study. In-depth interviews were conducted with related units such as inpatient units, inpatient pharmacies, inpatient cashiers, and inpatient registration places. The discharge of insurance patients has a different flow from other payment models. The time to discharge patients with insurance is longer because there is a confirmation process from the inpatient registration unit to the insurance company to get the final guarantee. This process takes an average of about 1 hour and is the longest method of patient discharge. This process involves the inpatient registration unit in charge of contacting the insurance to obtain final financing from the insurance.
FACTORS AFFECTING THE PROFESSIONALISM OF NON-CLINICAL STAFF AT SAIFUL ANWAR GENERAL HOSPITAL, EAST JAVA PROVINCE R. Henggar Sulistiarto; Hariyanti, Tita; Rahmani Ratri, Devita
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

The professionalism of non-healthcare staff plays a vital role in hospital health services. Their professional conduct contributes to the key service quality indicators of tangibles, reliability, responsiveness, assurance, and empathy, thus affecting the overall quality of healthcare services provided to the public. This study aims to analyze the factors influencing the professionalism of non-healthcare personnel at Dr. Saiful Anwar General Hospital (RSSA). Employing an explanatory research design, the study uses quantitative analysis to examine the effects of employment status, remuneration, and promotion opportunities on staff professionalism. Data were collected through a questionnaire distributed to 281 non-healthcare staff at RSSA and were analyzed using logistic regression. The results indicated that employment status did not significantly affect professionalism (t = 2.938, p = 0.087). In contrast, remuneration (t = 7.586, p = 0.006, B = 0.913) and promotion opportunities (t = 8.211, p = 0.004, B = 0.907) both had a significant positive impact. Collectively, these three factors significantly influenced the professionalism of non-healthcare staff (F = 19.007 > 3.08285; p = 0.000 < 0.05). The findings highlighted the importance for healthcare organizations to prioritize fair compensation structures and clear career advancement pathways to enhance employee morale and service quality. Effective management of these factors is expected to foster higher levels of professionalism, which in turn improves healthcare service quality, patient satisfaction, and operational efficiency.
IMPLEMENTATION STRATEGIES OF PATIENT SAFETY CULTURE IN MIDWIFERY CARE: A QUALITATIVE STUDY Masrochanah, Siti; Hariyanti, Tita; Wati, Linda Ratna
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 17 No 2 (2025): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v17i2.2875

Abstract

Keselamatan pasien merupakan elemen penting dalam peningkatan kualitas layanan kesehatan, namun implementasinya masih menghadapi berbagai tantangan, khususnya ruang kebidanan yang beresiko tinggi terhadap insiden ibu dan bayi seperti perdarahan karena kesalahan episiotomi, diperlukan strategi efektif di lingkungan kebidanan. Penelitian ini bertujuan mengeksplorasi strategi implementasi budaya keselamatan pasien di RSUD X pada bulan Desember 2024 hingga Januari 2025. Penelitian ini menggunakan pendekatan kualitatif dengan metode Grounded Theory untuk mengeksplorasi strategi dalam implementasi budaya keselamatan pasien. Data dikumpulkan melalui wawancara mendalam tidak terstruktur yang dipilih secara purposive sampling dengan kriteria inklusi mampu berkomunikasi dengan baik, individu yang kaya informasi dan bersedia diwawancara, mendapatkan 9 orang informan terdiri dari 5 tenaga layanan kesehatan, 1 komite mutu, 2 manajemen, dan 1 pasien kebidanan. Kemudian dianalisis dengan tahapan open coding, axial coding, dan selective coding untuk mengidentifikasi tema. Penelitian ini menghasilkan enam tema yang saling berhubungan dalam klaster strategi untuk membangun budaya keselamatan pasien yaitu: peningkatan pengetahuan dan kapasitas tenaga kesehatan,  dinamika manajemen visioner melalui evaluasi dan reformasi sistem, penguatan profesionalisme dengan peningkatan etos kerja dan tanggung jawab kolektif, penguatan mitigasi risiko, percepatan kolaborasi strategis antara tenaga kesehatan dan manajemen serta pengembangan sistem pelaporan insiden. Implementasi strategi yang terintegrasi dan berbasis bukti sangat penting untuk memperkuat budaya keselamatan pasien. Dengan penerapan strategi yang tepat, RSUD X dapat menciptakan lingkungan kerja yang lebih aman dan meningkatkan mutu layanan kebidanan. Temuan ini juga dapat menjadi acuan bagi rumah sakit lain dengan karakteristik serupa.
CHALLENGES IN THE IMPLEMENTATION OF PATIENT SAFETY CULTURE IN THE MATERNITY WARD OF HOSPITAL X – A QUALITATIVE STUDY Masrochanah, Siti; Hariyanti, Tita; Wati, Linda Ratna
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 3 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i3.3098

Abstract

Keselamatan pasien merupakan komponen kunci dalam menjamin mutu layanan kesehatan, namun penerapannya belum optimal, terutama di ruang kebidanan yang berisiko tinggi terhadap kejadian tidak diinginkan seperti kesalahan prosedur atau keterlambatan penanganan. Di RSUD X, survei budaya keselamatan pasien menunjukkan bahwa dimensi pembelajaran organisasi dan perbaikan berkelanjutan  memiliki skor yang lemah dengan hanya 21,9% respons positif. Penelitian ini bertujuan untuk mengeksplorasi tantangan dalam implementasi budaya keselamatan pasien. Metode penelitian menggunakan pendekatan kualitatif dengan metode constructivist grounded theory, data dikumpulkan melalui wawancara mendalam pada sembilan orang responden dengan komposisi lima staf tenaga pelayanan kesehatan, dua staf manejemen bidang umum dan pelayanan medik, satu ketua komite mutu, dan satu pasien kebidanan yang dipilih secara purposive sampling berdasarkan mampu berkomunikasi dengan baik, individu yang kaya informasi dan bersedia diwawancara. Penelitian dilaksanakan pada bulan Desember 2024 hingga Januari 2025 di RSUD X. Analisis data dilakukan dengan tahapan open coding, axial coding dan selective coding, serta triangulasi data dengan observasi dilapangan. Hasil penelitian mengungkap sejumlah tantangan meliputi dilema antara profesionalisme dan konflik kepentingan manajerial, normalisasi kesalahan, kurangnya komitmen manajemen memperburuk kondisi ini, ditambah dengan diskriminasi terhadap pasien, serta kerja tim yang tidak efektif. Selain itu, minimnya pengawasan, serta keterbatasan sumber daya dan kompetensi tenaga kesehatan menjadi hambatan signifikan. Oleh karena itu, diperlukan strategi seperti pelatihan berkelanjutan, reformasi manajemen, serta penguatan kerja tim lintas profesi untuk meningkatkan budaya keselamatan pasien. Implikasi dari penelitian ini dapat memperkuat praktik keselamatan pasien dalam layanan kebidanan dan mendorong perbaikan sistematik pada mutu pelayanan kesehatan ibu dan anak.
Telaah Faktor Risiko dan Pemeriksaan Osteoartritis terhadap Kualitas Hidup Masyarakat Desa Kendalpayak Malang: Study of Risk Factors and Examination of Osteoarthritis on the Quality of Life of Kendalpayak Village Malang Winarsih, Sri; Achmad, Anisyah; Huwae, Thomas Erwin Christian Junus; Hariyanti, Tita; Septiana, Celsy Citra; Palastri, Aisha Rifda; Purwati, Ajeng Budi; Frista, Ardaleni; Rahmani, Nuraida Fara
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 9 No. 6 (2024): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v9i6.6676

Abstract

Osteoarthritis is a degenerative disease characterized by loss of synovial fluid and articular cartilage in the joints, causing pain and difficulty moving which harms people's quality of life. This community service activity aims to examine the risk factors and results of osteoarthritis examinations on the quality of life of the community. The activity was carried out by collecting data on risk factors and quality of life of the community from 10 elderly integrated health service centers in Kendalpayak. Osteoarthritis examination is carried out based on a clinical examination by a Bone Specialist at Saiful Anwar Hospital. The results obtained were 94 women and 19 men, aged 40-45 years 12 people, 46-60 years 43 people, and 54 people aged >60 years. The Body Mass Index categories of underweight, normal, overweight, and obesity were 4.4%; 45.1%; 30.1%; and 20.4%, respectively. Menopause status ≤10 and >10 years were 22.3% and 29.9%. The data collection on light, moderate, and heavy exercise patterns were 68.2%; 27.4%; 4.4%. The physical activity data collected from light, moderate, and heavy respectively were as follows: 39%; 52.2%; 8.8%. There were 5.3% who had a history of bone trauma. Based on clinical examination, 7.2% were positive for osteoarthritis. Measuring quality of life using the EQ-5D questionnaire in osteoarthritis sufferers shows the severity of the dimensions Mobility (56.1%), Self-Care (24.2%), Usual Activities (41.5%), Pain/Discomfort (92.7%), and Anxiety/Depression (61%). In conclusion, risk factors that influence the quality of life of osteoarthritis sufferers in Kendalpayak Village, Malang include being elderly, female, and menopausal.
Co-Authors . Djumahir Achmad Rudijanto Achmad Yunus Adiwignyo, Dandy Drestanto Agnes Widayu Estiningsih Agni Hadi P, Agni Hadi Ahsan Alberto, Alberto Andriana, Kiki Rizki Fista Anisa Ramadhani Kusumastiti ANISYAH ACHMAD Aryo Dewanto Asfi Manzilati Asiana Oktavia Purwaningsih Athallandi, Kemal Bramantya Surya Pratama, Bramantya Surya Catharina Louise Rhynanti Chriswantara, Riz’q Threevisca David David Dewi Kartikawati Ningsih Dewi Kartikawati Ningsih, Dewi Kartikawati Dewi Lelonowati Dewi Lelonowati Dewi, Sagung Manik Dwi Purnama Dhimas Anggi Septiansyah Dolly Irbantoro Dwi Indriani Lestari Dwi Saputro Edy Supriyanto Endiki Surya Wira Pratama Erich Hudisusanto Erika Widayanti Lestari Eriko Prawestiningtyas Fajar Juli Nursanti Fantri Pamungkas, Fantri Fatchur Rohman Fatchurohmani . Fitri Anita Fitri Anita Frista, Ardaleni Gladys Kurniawan Hamdani, Romi Harien Lestari Harjayanti, Nofita Dwi Harsono Harsono Harsono Mardiwiyoto Harun Al Rasyid Harun Al Rasyid Hasan, Haliza Heni Dwi Windarwati Hinting, Lia Natalia I Gede Sastrawan Iriene Kusuma Wardhani Irsan, Istan Irmansyah Juwitasari Juwitasari Kartikasari, Dhian Komang Ayu Krisna Dewi Kristianingsih, Rey Kuncoro, Wahyudi Kurnia Widyaningrum Kusuma Wardhana, Eka Chandra Kusumastiti, Anisa Ramadhani Laily Yuliatun Lelonowati, Dewi Lidia Emilinda Lilik Zuhriyah Lilis Widianah LPH. Mastuti, Ni Lucia Pujiastuti, Lucia Lukman Hakim Mahardika, Yesika Yuristi Mardiana Kusumawati, Anita Markes, Anabela Masrochanah, Siti Maulana, Ragil Maya Dewi Hanggraningrum Menis Rahmawati Muhammad Barlian Nugroho Mulyatim Koeswo Mustasmara, Rida Nanik Setijowati Nasar Radfan Ni Luh Putu Ninik Pujaning Dyah Nofita Dwi Harjayanti Novia , Kristia Nur &#039;Aini Nursanti, Fajar Juli Nurul Laili Nuthea, Merry Palastri, Aisha Rifda Pradina, Fifin Prahadiani, Saesar Revita Prayoga, I Wayan Eka Putra Purwati, Ajeng Budi Puspitasari, Vicky Qomariyah, Durrotul R. Henggar Sulistiarto Rahmani Ratri, Devita Rahmani, Nuraida Fara Ratri, Devita Rahmani retnaningtyas, sri Retno Lestari Rezkiah, Fahmy riskiyah, Riskiyah - Sabatina, Sindy Sabrina Aulia Rahma Sadewo, Ageng Bagus Salizar Binti Mohamed Ludin Satria Pandu Persada Isma Septiana, Celsy Citra Setijowatie, Eva Diah Siahaan, Sahat Manampin Silvy Rahmah Yanthy Sindy Sabatina Siti Juhariah Siti Umi Ernawati, Siti Umi Soegeng Hery Priyanto Sri Andarini Sri Soenarti Sri Sunarti Sri Winarsih Sugeng Susilo, Sugeng Sujianto Sujianto Sujiono Sujiono Sujiono Sujiono Sujiono, Sujiono Suminar Pertiwi, Dian Tae, Vidria Handayani Thomas Erwin Christian Junus Huwae Tina Handayani Nasution Titin Andri Wihastuti Tjatur Budi Winarko Tontowi Jauhari Tony Suharsono Tri Wahyu Sarwiyata Unix Cahya Husada Vistiandini, Seravina Ayu Wahyu Febrianto Wahyu Purnomo Wardhani, Iriene Kusuma Wati, Linda Ratna Wening Prastowo Widodo Mardi Santoso, Widodo Mardi Wijaya, Yunus Adi Windarwati, Heni Dwi Wiwin Indriani Wulandari, Meidina Yayi S Prabandari Yayi Suryo Prabandari Youandi, Abdi Agus Yulianto, Wahyu Yuni Kartika S, Yuni Kartika Zhafira Anisah Kesuma