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Perilaku Profesional Tenaga Medis terhadap Tanggung Jawab Etik dan Transaksi Terapeutik dalam Menjalankan Kewenangan Klinis Vini H. R. Gosal; Aaltje E. Manampiring; Caecilia Waha
Medical Scope Journal Vol. 4 No. 1 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v4i1.41689

Abstract: Professional medical personnel must have elements of professionalism, basic principles of medicine and professional ethics in carrying out their profession. Clinical privilege is a doctor's special right obtained through the credential process by the Medical Committee. This study aimed to analyze the medical personnel towards ehical responsibility and therapeutic transactions in doing their clinical privilege. This was a qualitative study using case study method. Subjects were eight people consisting of general practitioners, specialists, the chairman of the Medical Committee, and the sub-committee for credentials of Rumah Sakit Umum Manado Medical Center. Primary data were obtained through in-depth interviews and observation guidelines. Validity of the data was done using the triangulation method. The results showed that the behavior of doctors was in accordance with the element of professionalism, but not all of them applied the professional behavior ethics according to hospital standard operating procedure (SOP). Based on the implementation of therapeutic transactions, not all of them have carried out the doctor's obligation to explain the patient's diagnosis completely and in detail simplly to be understood. The results of implementation of the credential were suitable to the procedure, but for evaluation, it was not optimal due to the re-credential was not carried out. In conclusion, not all medical personnel applied the professional behavior ethics according to hospital (SOP). Monitoring and evaluation through re-credentialing of medical personnel had not been performed at Manado Medical Center.Keywords: professional behavior; ethics; therapeutic transactions; clinical privilegeÂ Abstrak: Tenaga medis yang profesional harus memiliki unsur-unsur profesionalisme, prinsip dasar kedokteran dan etika profesi dalam menjalankan profesinya. Kewenangan klinis merupakan hak khusus dokter yang didapatkan melalui proses kredensial oleh Komite Medik. Penelitian ini bertujuan untuk menganalisis perilaku profesional tenaga medis terhadap tanggung jawab etik dan transaksi terapeutik dalam menjalankan kewenangan klinis. Jenis penelitian ialah kualitatif dengan metode studi kasus. Subjek penelitian berjumlah delapan orang terdiri dari dokter umum, dokter spesialis, ketua Komite Medik dan sub komite kredensial Rumah Sakit Umum Manado Medical Center. Data penelitian diperoleh melalui wawancara mendalam dan pedoman observasi. Validitas data menggunakan metode triangulasi. Hasil penelitian menunjukkan perilaku dokter sesuai dengan unsur profesionalisme, tetapi belum semua menerapkan etika perilaku profesional sesuai standar prosedur operasional (SPO) Rumah Sakit. Dalam pelaksanaan transaksi terapeutik, belum semua dokter melaksanakan kewajibannya yaitu menjelaskan diagnosa pasien secara lengkap dan rinci dengan bahasa yang mudah dipahami. Pelaksanaan kredensial sesuai dengan prosedur, tetapi untuk evaluasi belum optimal karena pelaksanaan re-kredensial tidak dilakukan. Simpulan penelitian ini ialah belum semua dokter menunjukkan sikap dan perilaku sesuai SPO Rumah Sakit dan belum dilakukan monitoring dan evaluasi kembali melalui proses re-kredensial dokter umum dan dokter spesialis di Manado Medical Center.Kata kunci: perilaku professional; etik; transaksi terapeutik; kewenangan klinis

Application of Hospital without Wall Concept at the Dermatovenereology Services of Maria Walanda Maramis Hospital in North Minahasa Lucky V. Waworuntu; Aaltje E. Manampiring; Gustaaf A. E. Ratag
Medical Scope Journal Vol. 3 No. 2 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v3i2.40927

Abstract: Currently, a concept of health services by the hospital, Hospital without Walls, is intro-duced.Â This concept moves health services from the hospital to outside the hospital building.Â This study aimed to determine the application of the concept of a hospital without walls in Dermatovene-reology health services. This was a qualitative research design (grounded research) using informants through in-depth interviews, face-to-face and indirect. This study was carried out at Maria Walanda Maramis General Hospital, North Minahasa. Data were collected manually by making a transcript then were compiled in a matrix form and analyzed using the inductive analysis method. The results showed that the Hospital without Walls could be implemented, however, there were obstacles, internally and externally. The internal obstacles were that the hospital did not have a legal basis, SOP, and supporting facilities such as applications for this activity, payment for services of doctors and paramedics, professional human resources in the field of information technology to manage these activities. The external obstacles were the absence of regulation of BPJS for execution and payment of claims. In conclusion, the hospital without walls concept can be applied to the dermato-venereology health services at Maria Walanda Maramis General Hospital, North Minahasa, North Sulawesi Province.Keywords: Hospital without Walls; dermatovenereology servicesÂ Abstrak: Saat ini berkembang suatu konsep pelayanan kesehatan oleh Rumah Sakit disebut Hospital without Walls yang memindahkan pelayanan dari Rumah Sakit ke luar bangunan Rumah Sakit. Penelitian ini bertujuan untuk mengetahui penerapan konsep Hospital without Walls pada pelayanan kesehatan kulit dan kelamin di Rumah Sakit Umum Maria Walanda Maramis Kabupaten Minahasa Utara. Desain penelitian ialah kualitatif (grounded research) dengan menggunakan informan (10 orang) melalui wawancara mendalam, secara langsung dengan tatap muka dan tidak langsung. Data yang terkumpul, diolah secara manual dengan membuat transkrip kemudian disusun dalam bentuk matriks dan selanjutnya dianalisis menggunakan metode analisis secara induktif. Hasil penelitian mendapatkan bahwa penerapan Hospital without Walls dapat dilaksanakan walaupun ditemukan hambatan secara internal dan eksternal. Hambatan internal ialah Rumah Sakit belum mempunyai dasar hukum, SOP, dan fasilitas penunjang seperti aplikasi untuk kegiatan ini, serta pembayaran jasa untuk dokter dan paramedis, SDM profesional di bidang informasi teknologi untuk mengelola kegiatan ini. Hambatan eksternal yaitu belum adanya regulasi BPJS untuk pelaksanaan dan pembayaran klaim. Simpulan penelitian ini ialah konsep Hospital without Walls dapat diterapkan pada pelayanan kesehatan kulit dan kelamin di Rumah Sakit Umum Maria Walanda Maramis, Kabupaten Minahasa Utara, Provinsi Sulawesi Utara.Kata kunci: Hospital without Walls; pelayanan kesehatan kulit dan kelamin

Analisis Faktor-faktor yang Berhubungan dengan Persepsi Tenaga Kesehatan terhadap Penerapan Budaya Keselamatan Pasien di RSUP Prof. Dr. R. D. Kandou Manado Neni Ekawardani; Aaltje E. Manampiring; Erwin G. Kristanto
Medical Scope Journal Vol. 4 No. 1 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v4i1.44770

Abstract: Patient safety is a joint commitment regarding patient safety from each individual or group to create a safe service environment. This study aimed to determine the factors related to the perception of health workers on the application of patient safety culture at Prof. Dr. R. D. Kandou Hospital, Manado. This was an analytical and descriptive study with a cross sectional design. Sampling used non-probability sampling technique in consecutive sampling. We used a questionnaire that had been tested for validity and reliability. Data were analyzed univariate, bivariate using the Spearman Rank test, and multivariate using the logistic regression test with the SPSS program. There were 324 respondents in this study. The statistical analysis showed that the teamwork in work units and management support for perceptions of patient safety culture implementation had a significant value with a very strong correlation (r=0.803; r=0.897). Commu-nication, collaboration between works units, and the frequency of reporting incidents on the perception of implementing safety culture in patients also has significant value with a strong correlation (r=0.706; r=0.671; r=0.624). Management support was the most dominant variable with odds ratio value of 125.244. In conclusion, there was a strong to very strong positive relationship in the factors of teamwork in work units, communication, cooperation between work units, incident reporting frequency, and management support related to the perception of health workers toward the application of a patient safety culture at Prof. Dr. R. D. Kandou Hospital, Manado. Keywords: perceptions of health workers; patient safety culture; hospital Abstrak: Budaya keselamatan pasien merupakan komitmen bersama terkait keselamatan pasien dari setiap individu atau kelompok untuk menciptakan lingkungan pelayanan yang aman. Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan persepsi tenaga kesehatan terhadap penerapan budaya keselamatan pasien di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian deskriptif analitik dengan desain potong lintang. Penentuan sampel dengan teknik non probability sampling secara consecutive sampling. Kami menggunakan kuesioner yang telah teruji validitas dan reliabilitasnya. Data dianalisis menggunakan program SPSS secara univariat, bivariat menggunakan uji Spearman Rank, dan multivariat menggunakan uji regresi logistik. Hasil penelitian mendapatkan 324 responden. Uji statistik menunjukkan hubungan kerjasama tim di unit kerja dan dukungan manajemen terhadap persepsi penerapan budaya keselamatan pasien yang bermakna dengan nilai korelasi sangat kuat (r=0,803; r=0,897). Hubungan komunikasi, kerjasama tim antar unit, dan frekuensi pelaporan insiden terhadap persepsi penerapan budaya keselamatan pasien yang bermakna dengan nilai korelasi yang kuat (r=0,706; r=0,671; r=0,624). Faktor dukungan manajemen yang paling dominan dengan nilai odds ratio 125,244. Simpulan penelitian ini ialah terdapat hubungan positif kuat hingga sangat kuat pada faktor kerjasama tim di unit kerja, komunikasi, kerjasama antar unit kerja, frekuensi pelaporan insiden, dan dukungan manajemen dengan persepsi tenaga kesehatan terhadap penerapan budaya keselamatan pasien di RSUP Prof. Dr. R. D. Kandou Manado. Kata kunci: persepsi tenaga kesehatan; budaya keselamatan pasien; rumah sakit

Analisis Faktor yang Berhubungan dengan Kepuasan Pasien terhadap Pelayanan di Rumah Sakit Bhayangkara TK III Manado Sri M. Sandag; Aaltje E. Manampiring; Gustaaf A. E. Ratag
Medical Scope Journal Vol. 4 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v4i2.44803

Abstract: Level of patient satisfaction in hospitals must be evaluated periodically, accurately, and continuously since it describes the quality of services provided by the hospital. Patient satisfaction can be achieved if the patient receives services according to what is needed and expected. This study aimed to analyze factors related to patient satisfaction with services at Rumah Sakit (RS) Bhayangkara TK III Manado. This was a quantitative study with a cross sectional design conducted at RS Bhayangkara TK III Manado. The population in this study were 3,055 patients with total samples of 231 patients taken by using simple random sampling. Data were obtained by using questionnaires, and were analyzed univariately, bivariately with the chi-square test, and multivariately with the logistic regression test. Statistical calculation used SPSS program. The results of the chi square test were, as follows: reliability p=0.000; OR=77.407; responsiveness p=0.000; OR=234.3; assurance p=0.000; OR=120.375; empathy p=0.000; OR=194,33; and tangibles p=0.000; OR=238,889. The multivariate analysis using the logistic regression test showed that the highest Exp (B) value of 128.412 was on the empathy aspect. In conclusion, reliability, responsiveness, assurance, empathy, and tangibles are related to patient satisfaction with the services at RS Bhayangkara TK III Manado. The most related factor to patient satisfaction is empathy. Keywords: patient satisfaction; service quality; hospital Abstrak: Pengukuran tingkat kepuasan pasien di rumah sakit wajib dilakukan seara berkala, akurat dan berkesinambungan oleh karena tingkat kepuasan menggambarkan kualitas pelayanan yang diberikan oleh rumah sakit. Kepuasan pasien dapat tercapai apabila pasien menerima pelayanan sesuai dengan yang dibutuhkan dan diharapkan. Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan kepuasan pasien terhadap pelayanan di RS Bhayangkara TK III Manado. Jenis penelitian ialah kuantitatif dengan desain potong lintang. Populasi dalam penelitian ini yaitu 3.055 dengan jumlah sampel 231 pasien yang diambil secara simple random sampling. Data diperoleh dengan menggunakan kuesioner, kemudian dianalisis secara univariat, bivariat dengan menggunakan uji chi- square, dan multivariat menggunakan uji regresi logistik. Perhitungan statistik menggunakan program SPSS. Hasil uji chi-square mendapatkan untuk aspek reliability p=0,000; OR=77,407; responsiveness p=0,000; OR=234,3; assurance p=0,000; OR=120,375; empathy p=0,000; OR=194,33; dan tangibles p=0,000; OR=238,889. Hasil uji regresi logistik mendapatkan nilai Exp (B) tertinggi yaitu 128,412 pada aspek empathy. Simpulan penellitian ini ialah tangibles, responsiveness, reliability, assurance dan empathy berhubungan dengan kepuasan pasien terhadap pelayanan di RS Bhayangkara TK III Manado. Faktor yang paling berhubungan dengan kepuasan pasien yaitu empathy. Kata kunci: kepuasan pasien; mutu pelayanan; rumah sakit

Analisis Faktor-faktor yang Memengaruhi Tingkat Kepuasan Pasien di Instalasi Rawat Inap RSUP Prof. Dr. R. D. Kandou Manado Christania S. V. Lampus; Adrian Umboh; Aaltje E. Manampiring
Medical Scope Journal Vol. 4 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v4i2.44825

Abstract: Improvement of health services is needed to provide patient satisfaction. Good service quality arises from the perception of patients who expect the received services are in accordance with their expectations. This study aimed to determine the factors that influenced the satisfaction level of inpatients at Prof. Dr. R. D. Kandou Hospital, Manado. This was an observational and analytical study with a cross sectional design. The population study were all patients hospitalized at Prof. Dr. R. D. Kandou Hospital, Manado, during the period October 2022 to November 2022 with a total sample of 419 respondents. Data were collected using a questionnaire already tested for its validity and reliability, and then were analyzed using univariate, bivariate and multivariate analysis with the logistic regression test. The results indicated that there were significant effects of the variables, as follows: tangible (p=0.000), reliability (p=0.000), responsiveness (p=0.000), assurance (p=0.000), and empathy (p=0.000) with patient satisfaction. Based on the results of multivariate analysis, it was found that reliability was the most influential variable on patient satisfaction (Exp value(B) = 365.221, p=0.002). In conclusion, tangible, reliability, responsivenesss, assurance, and empathy have significant effects on inpatient satisfaction at Prof. Dr. R. D. Kandou Hospital, Manado. Keywords: patient satisfaction; service quality; tangible; reliability; responsivenesss; assurance; empathy Abstrak: Peningkatan pelayanan kesehatan diperlukan dalam memberikan kepuasan kepada pasien. Kualitas layanan yang baik muncul dari persepsi pasien yang mengharapkan pelayanan yang diterima sesuai dengan harapan. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi tingkat kepuasan pasien rawat inap di RSUP Prof. Dr. R. D. Kandou, Manado. Jenis penelitian ialah observational analitik dengan desain potong lintang. Populasi penelitian ini ialah seluruh pasien yang dirawat inap di RSUP Prof. Dr. R. D. Kandou Manado selama periode Oktober 2022 sampai dengan November 2022, dengan jumlah sampel 419 responden. Teknik pengumpulan data menggunakan kuesioner yang sudah diuji validitas dan reabilitasnya. Analisis statistik menggunakan analisis univariat, bivariat dan multivariat dengan uji regresi logistik. Hasil penelitian menunjukkan terdapat pengaruh bermakna dari variabel tangible (p=0,000), reliability (p=0,000), responsivenesss (p=0,000), assurance (p=0,000) dan empathy (p=0,000) terhadap kepuasan pasien. Berdasarkan hasil analisis multivariat didapatkan bahwa keandalan merupakan variabel paling berpengaruh terhadap kepuasan pasien di Instalasi Rawat Inap RSUP Prof. Dr. R. D. Kandou Manado (nilai Exp(B) = 365.221, p=0,002). Simpulan penelitian ini ialah aspek tangible, reliability, responsivenesss, assurance, dan empathy berpengaruh terhadap kepuasan pasien di Instalasi Rawat Inap RSUP Prof. Dr. R. D. Kandou Manado. Kata kunci: kepuasan pasien; kualitas layanan; tangible; reliability; responsivenesss; assurance; empathy

Analisis Peran Kepolisian Daerah (Polda) Sulut dalam Pengembangan Health Tourism di Wilayah Hukum Sulawesi Utara Faridah Alkatiri; Gustaaf A. E. Ratag; Aaltje E. Manampiring
Medical Scope Journal Vol. 5 No. 1 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i1.45515

Tourist safety and security play an important role in the image of a destination to increase tourist visits. North Sulawesi Province as one of the regions that is currently intensively promoting its regional tourist destinations and cooperation between the local government, tourism office, health facilities, and the Police. This study aimed to analyze the contribution of the North Sulawesi Regional Police to the management of tourist events according to the factors that hindered the North Sulawesi Regional Police, and the efforts and strategies that had been carried out by the North Sulawesi Regional Police in developing health tourism. This was a descriptive and qualitative study. Primary data were obtained through in-depth interviews and using interview guidelines. Data analysis was carried out using the interactive Miles and Hubberman model. The results showed that the role of the police in developing health tourism was carried out quite well, albeit it was not optimal. Obstacles to the police in carrying out their role, namely the absence of a tiered system regarding inter-regional security arrangements and a system for reporting the security of tourists and the absence of coordination between relevant stakeholders, and the regional police in carrying out the main duties of Keskamtibmas. The health tourism program must be known by all parties, a digital system that clearly regulated the security duties of the regional police, and coordination of all relevant stakeholders. In conclusion, North Sulawesi has the potential to advance the tourism industry, especially health tourism, but the contribution of the regional police in the development of health tourism is still not optimal. Keywords: health tourism; tourist safety; Regional Police Abstrak: Keselamatan dan keamanan wisatawan berperan penting dalam membangun citra destinasi untuk meningkatkan kunjungan wisatawan. Provinsi Sulawesi Utara tengah gencar memromosikan destinasi wisata daerahnya dan membangun kerjasama antara pemerintah daerah, Dinas Pariwisata, fasilitas kesehatan, dan Kepolisian Daerah (Polda). Penelitian ini bertujuan untuk menganalisis kontribusi Polda Sulawesi Utara (Sulut) dengan pengelola tempat wisata sesuai faktor-faktor yang menghambat Polda Sulut, dan upaya serta strategi yang telah dilakukan Polda Sulut dalam pengembangan health tourism. Jenis penelitian ialah kualitatif deksriptif. Pengambilan data primer melalui in-depth interview dan pedoman wawancara. Analisis data menggunakan model interaktif Miles dan Hubberman. Hasil penelitian menunjukkan bahwa peran Kepolisian dalam pengembangan health tourism telah dilaksanakan cukup baik namun masih kurang maksimal. Hambatan Kepolisian dalam menjalankan perannya yaitu belum adanya sistem berjenjang mengenai pengaturan pengamanan antar wilayah dan sistem pelaporan pengamanan wisatawan, serta belum adanya koordinasi stakeholder terkait dengan polda dalam menjalankan tugas pokok Keskamtibmas. Program health tourism harus diketahui oleh semua pihak, adanya sistem secara digital yang mengatur secara jelas tugas pengamanan Polda serta adanya koordinasi setiap stakeholder terkait. Simpulan penelitian ini ialah Sulawesi Utara telah memiliki potensi untuk memajukan industri pariwisata khususnya health tourism, namun kontribusi Kepolisian Daerah dalam pengembangan health tourism masih kurang maksimal. Kata kunci: health tourism; pengamanan wisatawan; Kepolisian Daerah

Analisis Hubungan Indikator Mutu Pelayanan Gizi dengan Kepuasan Pasien Rawat Inap di RSUP Prof. Dr. R. D. Kandou, Manado Sumiati Sumiati; Aaltje E. Manampiring; Herlina I. S. Wungouw
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.46149

Abstract: Patient satisfaction is one of the benchmarks in evaluation of the success of a hospital in providing services. Nutrition is one of the determinants in supporting patient health; therefore, nutrition services for patients must be well considered to improve patient satisfaction in receiving all services at the hospital. This study aimed to determine inpatient satisfaction using indicators of the quality of nutrition services at Prof. Dr. R. D. Kandou Hospital, Manado. This was a quantitative study with a cross sectional design. A questionnaire was used as the instrument. Data were analyzed using the SPSS program with univariate, bivariate, and multivariate analyses. The results obtained 43 inpatients as respondents. The chi-square test showed significant p-values for timeliness (p=0.000), diet prescription accuracy (p=0.000), and food waste (p=0.000). Moreover, the multivariate analysis indicated that the highest Exp(B) value was 38,000 for the timeliness of feeding. In conclusion, there are significant relationships between the service indicators namely timeliness of feeding, accuracy of diet prescriptions, and food waste with the satisfaction of inpatients at Prof. Dr. R. D. Kandou Hospital, Manado. Timeliness is the most relevant factor. Keywords: patients’ satisfaction; timeliness; diet prescription accuracy; food waste Abstrak: Kepuasan pasien menjadi salah satu tolok ukur pada penilaian keberhasilan rumah sakit dalam memberikan pelayanan. Gizi menjadi salah satu penentu dalam menunjang kesehatan pasien dan pelayanan gizi pada pasien harus diperhatikan agar pasien tetap merasa puas dalam menerima semua pelayanan di rumah sakit. Penelitian ini bertujuan untuk mengetahui hubungan indikator mutu pelayanan gizi dengan kepuasan pasien rawat inap di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah kuantitatif dengan desain potong lintang menggunakan kuesioner. Sampel penelitian ialah pasien rawat inap di RSUP Prof. Dr. R. D. Kandou. Data perolehan dianalisis menggunakan program SPSS dengan analisis univariat, bivariat dan multivariat. Hasil penelitian mendapatkan 43 pasien rawat inap sebagai responden. Hasil uji chi-square mendapat-kan nilai signifikansi untuk ketepatan waktu p=0,000, ketepatan preskripsi diet p=0,000 dan sisa makanan p=0,000. Hasil analisis multivariat menunjukkan nilai Exp(B) tertinggi sebesar 38,000 pada ketepatan waktu pemberian makanan. Simpulan penelitian ini ialah indikator pelayanan ketepatan waktu pemberian makanan, ketepatan preskripsi diet, dan sisa makanan berhubungan bermakna dengan kepuasan pasien rawat inap di RSUP Prof. Dr. R. D. Kandou, Manado. Ketepatan waktu merupakan faktor yang paling berhubungan dengan kepuasan pasien. Kata kunci: kepuasan pasien; ketepatan waktu; ketepatan preskripsi diet; sisa makanan

Faktor-faktor yang Berhubungan dengan Kepuasan Pasien di Instalasi Rawat Jalan RSUP Prof. Dr. R. D. Kandou, Manado Pontoh J. Ch. Putera; Jimmy Posangi; Aaltje E. Manampiring
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.46227

Abstract: Measuring the level of patient satisfaction in hospitals must be carried out periodically, accurately, and continuously. Patient satisfaction can be achieved if the patient receives services according to what is needed and expected. The level of patient satisfaction describes the quality of services provided by the hospital. This study aimed to analyze factors related to outpatient satisfaction at Prof. Dr. R. D. Kandou Hospital, Manado. This was a quantitative study with a cross sectional approach. This study was conducted at Prof. Dr. R. D. Kandou Hospital with a total sample of 390 patients taken by simple random sampling. Data were obtained from questionnaires and were analyzed univariately, bivariately using the chi-square test, and multivariately using the logistic regression test. Statistical calculation using the SPSS program. The results of the chi-square test showed the p-values of relationships between patient satisfaction and the variable aspects, as follows: tangibles p=0.000; responsiveness p=0.000; reliability p=0.000; assurance p=0.000; and empathy p=0.000. The results of multivariate analysis using the logistic regression test obtained that the highest Exp (B) value of 586.267 on the tangibles aspect. In conclusion, tangibles, responsiveness, reliability, assurance and empathy have significant relationships with patient satisfaction to the services at Prof. Dr. R. D. Kandou Manado. The most related factor with patient satisfaction is tangibles. Keywords: patient satisfaction; service quality; tangibles; responsiveness; reliability; assurance; empathy Abstrak: Pengukuran tingkat kepuasan pasien di rumah sakit wajib dilakukan seara berkala, akurat dan berkesinambungan. Kepuasan pasien dapat tercapai apabila pasien menerima pelayanan sesuai dengan yang dibutuhkan dan diharapkan. Tingkat kepuasan pasien menggambarkan kualitas pelayanan yang diberikan oleh rumah sakit. Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan kepuasan pasien rawat jalan di RSUP Prof. R. D. Kandou Manado. Jenis penelitian ialah kuantitatif dengan desain potong lintang. Penelitian ini dilaksanakan di RSUP Prof. R. D. Kandou Manado dengan jumlah sampel 390 pasien yang diambil secara simple random sampling. Data diperoleh melalui kuesioner, kemudian dianalisis secara univariat, bivariat dengan menggunakan uji chi square, dan multivariat menggnakan uji regresi logistik. Penghitungan statistik menggunakan program SPSS. Hasil uji chi-square terhadap hubungan dengan kepuasan pasien mendapatkan untuk aspek tangibles p=0,000; responsiveness p=0,000; reliability p=0,000; assurance p=0,000; dan empathy p=0,000. Hasil analisis multivariat menggunakan uji regresi logistik mendapatkan nilai Exp (B) tertinggi yaitu 586,267 pada aspek tangibles. Simpulan penelitian ini ialah tangibles, responsiveness, reliability, assurance, dan empathy berhubungan bermakna dengan kepuasan pasien terhadap pelayanan di RSUP Prof. R. D. Kandou Manado. Faktor yang paling berhubungan dengan kepuasan pasien yaitu tangibles. Kata kunci: kepuasan pasien; kualitas layanan; tangibles; responsiveness; reliability; assurance; empathy

Faktor-faktor yang Memengaruhi Stigma Anti Vaksin Covid-19 di Wilayah Kerja UPTD Puskesmas Lirung Beatris Matei; Billy J. Kepel; Dina V. Rombot; Aaltje E. Manampiring
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.46240

Abstract: Covid-19 pandemic has a major impact on health and economy. Every individual is required to carry out the Covid-19 vaccination to prevent transmission of the Covid-19 virus. Various stigmas arise among the public regarding the Covid-19 vaccination. This study aimed to determine the factors that influenced the anti-Covid-19 vaccine stigma in the working area of the Unit Pelaksana Teknis Daerah (UPTD) Lirung Health Center. This was a quantitative study with a cross sectional design conducted from August 2022 to January 2023. Variables in this study were: age, sex, education, economic status, and disease history. The chi-square test showed total sample was 200 patients taken by probability sampling. Data were obtained from the questionnaire and analyzed univariately and bivariately using the chi-square test with the SPSS program. Based on the Chi-square test analysis, the relationships between five variables and the stigma showed p-values of >0.05, namely age (p=0.732), sex (p=0.921), education (p=0.564), economic status (p=0.086), dan disease history (p=0.688). In conclusion, age, sex, education, economic status, and disease history have not significant relationships with the anti-vaccine-Covid-19 stigma at the working area of UPTD Puskesmas Lirung. Keywords: Covid-19; stigma in the community; Covid-19 vaccination Abstrak: Pandemi Covid-19 memberikan dampak besar baik dalam dunia kesehatan maupun perekonomian. Setiap anggota masyarakat diwajibkan untuk menerima vaksinasi Covid-19 untuk mencegah penularan virus Covid-19. Berbagai stigma muncul di kalangan masyarakat tertang vaksin Covid-19. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi stigma anti vaksin Covid-19 di wilayah kerja Unit Pelaksana Teknis Daerah (UPTD) Puskesmas Lirung. Penelitian ini menggunakan metode kuantitatif dengan desain potong lintang, dan dilaksanakan pada bulan Agustus-Januari 2023. Variabel penelitian ialah usia, jenis kelamin, pendidikan, status ekonomi, dan riwayat penyakit. Jumlah sampel 200 pasien yang diambil secara probability sampling. Data penelitian diperoleh melalui kuesioner kemudian dianalisis secara univariat dan bivariat dengan uji chi square menggunakan program SPSS. Hasil analisis uji chi-square terhadap hubungan kelima variabel dengan stigma menunjukkan nilai p>0,05, yaitu usia (p=0,732), jenis kelamin (p=0,921), pendidikan (p=0,564), status ekonomi (p=0,086), dan riwayat penyakit (p=0,688). Simpulan penelitian ini ialah usia, jenis kelamin, pendidikan, status ekonomi, dan riwayat penyakit tidak memengaruhi stigma anti vaksin Covid-19 di wilayah kerja UPTD Puskesmas Lirung. Kata kunci: Covid-19; stigma di masyarakat; vaksinasi Covid-19

Analisis Konsep Hospital Without Walls pada Pelayanan Kelainan Refraksi di UPTD Rumah Sakit Mata Provinsi Sulawesi Utara Gabriella O. Mokolensang; Aaltje E. Manampiring; Jimmy Posangi
Medical Scope Journal Vol. 6 No. 1 (2024): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v6i1.49221

A hospital without walls or known as a hospital without walls is very useful for patients who come to the hospital for treatment with referrals from the public health center as the entry point for referral diagnosis, this is to minimize the risk of infection transmission and other disease problems. The purpose of this study is to analyze the concept of a hospital without walls and the obstacles and challenges in providing refractive errors. The research was conducted at the UPTD Eye Hospital in North Sulawesi Province, from January to December 2022 using in-depth interviews with five research informants, namely the director, head of medical services, ophthalmologist, family doctor and patient. Instruments in the form of in-depth interview guidelines and a list of questions that have been provided. The stages of data processing are narrating, inferring, reducing, recording, sampling, unitizing. Data analysis is content analysis. The validity of the research results using triangulation of data sources and methods. The results of this study were obtained from the summary of the answers of the research informants that the concept of a hospital without walls all understand and know this concept to mitigate the accumulation of services in hospitals, but this concept has not been implemented because there are several factors such as standard operating procedures, human resources and infrastructure which is not yet possible for some FKTPs to be able to complete services at the community health center or family doctor, the obstacle presented by the informant is that there are still many patients who want to carry out direct services to the hospital without going to the health center or family doctor, another obstacle is the lack of tools for examining refractive errors and competence general practitioners to be able to make referrals in the diagnosis of disease. Hospital income will also increase if implementing this concept, if there is collaboration with related stakeholders such as BPJS Health, the Health Service, and other private parties, so that this will also have a good impact on the quality of service when hospital accreditation is carried out. The sophistication of information technology needs to be implemented as much as possible from the hospital so that it is easier so that patients do not pile up during services by registering online. The conclusion of this study is that the concept of a hospital without walls has not been implemented in the Eye Hospital of North Sulawesi Province because it has not followed standard operating procedures, quality competent resources and adequate infrastructure. FKTP Puskesmas in providing refractive error services have not provided complete supporting tools and the skills of FKTP doctors are still lacking, this will have an impact on assessing hospital accreditation in the quality of health services. Keywords: hospitals without walls, eye refractive error, family doctors

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