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Journal : JOURNAL LA MEDIHEALTICO

Analysis of Waiting Time for Outpatient Services at dr Rasidin Padang Regional Hospital Sari, Fitri Yunita; Rasyid, Rosfita; Firdawati, Firdawati
Journal La Medihealtico Vol. 6 No. 2 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i2.2038

Abstract

Outpatient waiting periods extended beyond regulatory standards create major problems for hospital service quality because they damage patient satisfaction while also decreasing system performance and affecting institutional public perception. The regulatory standards regarding outpatient waiting times of ≤ 60 minutes were not reflected in the initial survey results at RSUD dr. Rasidin Padang since durations exceeded these limits. Research conducted a mixed-methods sequential explanatory design to explore the elements that lengthen outpatient delays at RSUD dr. Rasidin Padang. A total of 107 outpatients participated using proportional accidental sampling to provide quantitative data while qualitative information came from 14 key informants through semi-structured interviews and 8 participants in a Focus Group Discussion. Research data showed that 76.6% of patients waited for above 60 minutes and the entire process took on average 130 minutes. Insufficient human resources dedicated to medical records and registration combined with specialist doctor indiscipline in exam scheduling together with inadequate facilities that included broken fingerprint devices and insufficient operational computers caused this delay in patient examination start times. The qualitative findings show that Standard Operating Procedures (SOPs) remained in place yet inconsistent execution due to fragmented leadership functions degraded efficiency in services. Insured BPJS patients had to bear excessive administrative procedures that generated extended waiting times than what general patients received.
Determinants of Adolescent Female Behavior for Consumption of Fe Tablets on the Working Area of the Nan Balimo Public Health Center Agustina, Sarah; Rasyid, Rosfita; Kasra, Kamal
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2473

Abstract

Anemia remains a significant public health issue among female adolescents, particularly due to iron deficiency. The consumption of iron (Fe) tablets is a primary government-recommended intervention, yet adherence levels remain low. This study aimed to analyze the factors influencing Fe tablet consumption behavior among female adolescents in the working area of Nan Balimo Public Health Center, Solok City. A mixed methods approach with an explanatory sequential design was employed. A total of 293 female adolescents were selected using proportional random sampling and analyzed using chi-square tests and multiple logistic regression. Qualitative data were obtained through in-depth interviews with 11 informants. Multivariate analysis revealed four variables significantly associated with Fe tablet consumption behavior: knowledge, attitude, role of health workers, and media exposure (p ≤ 0.05), with the role of health workers emerging as the dominant factor (p = 0.002; POR = 2.655; 95% CI: 1.429–4.935). The qualitative findings supported these results, highlighting challenges such as irregular tablet distribution, monotonous education, weak monitoring, and suboptimal coordination, all contributing to a stagnation in consumption rates, which declined from 96.6 % to 83.06 % over three consecutive quarters. Enhancing the role of health workers is a strategic key to improving Fe tablet adherence among female adolescents. Therefore, it is essential for health centers and health authorities to strengthen communication skills, counseling, and health worker support capacity, while also ensuring the availability of engaging educational media and intensive monitoring.
Analysis of the Adherence to the Time of Doctor Visits in the Inpatient Installation Adnan, Fitrianti; Lestari, Yuniar; Rasyid, Rosfita
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2702

Abstract

One of the national indicators of hospital quality is compliance with doctor's visit time, the achievement of the National Quality Index (INM) at the inpatient installation of Tk. III dr. Reksodiwiryo Padang Hospital in 2023 is 67%. This value is below the quality indicator standards that have been regulated by the Minister of Health Regulation No. 30 of 2022. This study is aimed at analyzing the adherence to doctor's visit time at the inpatient installation of Tk. III Dr. Reksodiwiryo Padang Hospital. The research used the mixed method method, the first stage was quantitative research with stratified random sampling techniques, then qualitative research was carried out with in-depth interviews with 14 informants, field observation and document review. Compliance with the doctor's visit time at the inpatient installation of Tk. III dr. Reksodiwiryo Padang Hospital based on research was obtained at 40%. The causes of non-compliance with doctor's visit time are the lack of the number of organic/permanent specialist doctors and the absence of an alarm to remind the doctor's visit time, the absence of clear regulations related to decrees, SOPs, and doctor's visit policies, the absence of a clear doctor's visit schedule, in addition to the DPJP's lack of understanding of the Regulation of the Minister of Health on visit time and the lack of optimal follow-up from monitoring and evaluating the compliance of doctor's visit time in inpatient installations.
Co-Authors Abdiana Abdiana Abdiana Abdiana Abdiana, Abdiana Addina Fitri Islami Ade Asyari Ade Wahyulian Wijaksono Adnan, Fitrianti Adnil Edwin Nurdin Adrial Adrial Agung Tri Sasongko Agustina, Sarah Aisah Aisah Aisyah Herviana Rifka Amel Yanis Amirah Zatil Izzah Andani Eka Putra Andi Ridho Azmi andifriada, Andi Friadi Angela, Sonnya Morisa Anggraini, Dessy Anggreiny, Nila Asrawati Nurdin Asterina, Asterina Astiena, Adila Kasni Aswiyanti Asri Basyir, Vaulinne Birman, Yuliza Cimi Ilmiawati, Cimi Daan Khambri Dachriyanus Defrin Defrin Defrin, Defrin Delmi Sulastri Deni Hendra Suryadi Deri Zarwita Desmawati Desmawati Desmawati Desmawati Deswinda Deswinda Dia Rofinda, Zelly Dia Ditha Noviantika Efrida . Eka Nofita Ellyza Nasrul Erda, Roza Fadrian, Fadrian Fannya, Puteri Fathiyyatul Khaira, Fathiyyatul Febrian Febrian Finny Fitri Yani Firdawati Firdawati Firdawati Firdawati Firdawati Firdawati Firdawati Firdawati, Firdawati Fitri Salwa Huriani Fivi Melva Diana, Fivi Melva Gita Sri Ramadhani Hadi Ihsan Hadi Nasbey Hamidatul Yuni Hamidi, Dachriyanus Hanif, Rayhendra Hanum, Fathiya Juwita Hardisman Hasmiwati Hendriani, Berliana Herman, Deddy Huriyah Fauzani Husna Yetti Husna Yetti Husnil Kadri Ida Rahma Burhan Ida Rahmah Burhan Jihan Wafda Ramadhan Julizar Julizar Kamal Kasra Khairy, Faldi Arkan Lamuna Fathila Leza Fidyah Restiana Lili Irawati Lubis, Basyariah Machdawaty Masri Mafaza, Mafaza Mareza Dwithania Masrizal Masrizal Masrul Mayetti Mayetti Menkher Manjas Muhammad Hendri Muhammad Syauqi Nadiah Fadhilah Nelmi Silvia Netti Suharti, Netti Nofendra, Ade Nora Harminarti Novialdi . Nugroho, Faisal Nur Afany Nur Indrawaty Lipoeto Nurhalimah Juneldi Nurhayati Nurhayati Nuzulia Irawati Oktahermoniza Oktahermoniza Putri, Biomechy Oktomalio Putri, Viona Salsabila Randi Septiah Hendri Rashieka, Shaydi Amala Resi Marta Rezka Gustya Sari Ria Anggraini Rigo Junaidi Rika Sarfika Rima Semiarty Rinang Mariko Rini Gusya Liza, Rini Gusya Rismawati Yaswir Rita Hamdani Ritonga, Dewi Rizanda Machmud Rizanda Machmud Rosdiyanto, Rosdiyanto Roslaili Rasyid Rozi Sastra Purna Rusnita, Dewi Russilawati, Russilawati Saptino Miro, Saptino Sari, Fitri Yunita Selfi Renita Rusjdi Suci Lestari Sutas, Bima Ferdana Syamel Muhammad Syofyan Syofyan Tofriza Tofriza Tri Novriansyah, Wahyu Ulfa Hulkarimah Ulya Uti Fasrini Utami, Refi Amalia Utami, Sherly Putri Vaulline Basyir Vini Jamarin Vithiya Chandra Sagaran Wahyu Tri Novriansyah Waldani, Dina Wetra Fauza Wirsma Arif Harahap Yantri Miaputra Yessy Setiawati Yessy Susanty Sabri Yulia, Dwi Yulistini, Yulistini Yuniar Lestari Yuniar Lestari Zelly Dia Rofinda Zulkarnain Agus Zulkarnain Edward Zurayya Fadila