Lutfan Lazuardi
Sistem Informasi Kesehatan, Fakultas Kedokteran UGM Yogyakarta

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FAKTOR-FAKTOR PELAYANAN KESEHATAN YANG MEMPENGARUHI KEPUASAN PASIEN RAWAT JALAN DI RUMAH SAKIT UMUM DAERAH DR. H. CHASAN BOESOIRIE TERNATE M. Idham Masuku; Lutfan Lazuardi; Mubasysyir Hasanbasri
Journal of Health Service Management Vol 19 No 1 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (491.722 KB) | DOI: 10.22146/jmpk.v19i1.1839

Abstract

Background: Complaint is important response from a patientwho has a unique information and valuable for the organizationto improve quality of service and risk management. Thechallenge for the hospital organization now is how to catch andusing information from the patients productive to improve thequality, safety, and it gives the accessibility to care patientsystem or medication. Hospital DR. H. Chasan BoesoirieTernate in 2014 began to hold a counter services for complaintsand information from the public. Based on the data, throughoutthe year 2014 there were four reports of complaints fromexternal customers and internal one complaints fromcustomers. Objective: Knowing the health service factors that affect thesatisfaction of outpatients in RSUD DR. H. Chasan BoesoirieTernate.Methods: This research qualitative eksploratif by using the draftcase study. Subjects is the patients out as much as 16respondents.Results: Existed dissatisfaction patients such as silent, angerand rage, protest, complaint and compare to the hospital, andchoose treated in a hospital. Factors that cause dissatisfactionwith staff that is communication rude, make it harder forpatients, and not discipline time. On the part of management,the waiting time and schedule information are uncertain. On thepart environment, facilities and infrastructure, as well as medicalequipment is not adequate.Conclusion: There is a dissatisfaction as evidence of dissatisfactionpatients. Many factors that influence so that theredissatisfaction patients to service that it receives. Threecomponents in service system in the hospital staff,management and environmental influenced by and each oneanother. It is advisable to see this as positive inputs in order tocarry out quality improvement. The meeting the needs, andexpectations a desire and it will be making customer satisfactionpatients.
KESENJANGAN DISTRIBUSI TENAGA KESEHATAN DI PUSKESMAS WILAYAH INDONESIA TIMUR (Analisis Data IFLS East 2012) Nurul Hikmah B.; Lutfan Lazuardi; Dwi Handono
Journal of Health Service Management Vol 19 No 3 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (466.851 KB) | DOI: 10.22146/jmpk.v19i3.1853

Abstract

Background: Since 1980s the Ministry of Health has usedseveral approaches to determine staffing needs, usingprojections based on public health status, demographicchanges and health programs that exist. This study describesthe distribution of health personnel gap in eastern Indonesiadue to see the injustice of health workers in eastern Indonesiaso that the government can deal seriously and firmly to theproblems of the distribution of health personnel, particularlyareas that are difficult to reach. Purpose: This study aims to determine the unequal distributionof health personnel in the health centers in Eastern Indonesia. Methods: This study is a quantitative research with quantitativemethods using cross sectional design. Using a large-scalesecondary data from the Indonesia Family Life Survey (IFLS)East. Results: This study indicate that there is a big gap in equity ofhealth workforce in primary health care in eastern Indonesiaexperienced vacancies even some of primary health care bothdoctors, nurses, midwives and midwife. This is evident from thedistribution of health personnel imbalance between primarycare located in areas with high and low number of population;high and low poverty rates; geographic location based on theurban/rural and remoteness even provinces. Conclusion: Primary health care in eastern Indonesia moreexperienced vacancies in particular labor of doctors andmidwives, as well as the low number of community healthworkers to prove that primary health care is oriented onpromotive and preventive neglected. Optimizing the role ofgovernment as a regulator and facilitator to give more focus andhelp the areas that lack health worker especially in the provinceof East Nusa Tenggara, Maluku and West Papua are more likelyto be a shortage of public health vacancy even doctors andmidwives.
AKSESIBILITAS TERHADAP UTILISASI FASILITAS LAYANAN KESEHATAN DASAR DI PROVINSI PAPUA (RISKESDAS 2013) Efraim Mudumi; Mubasysyir Hasanbasri; Lutfan Lazuardi
Journal of Health Service Management Vol 19 No 2 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (510.835 KB) | DOI: 10.22146/jmpk.v19i2.1925

Abstract

Background: Access to basic health services is a human rightin the health sector achieve social justice for all Indonesianpeople. Access to health care facilities in Papua remains a realchallenge for the government, especially if it is associated withthe goal to improve the health status, reduce morbidity andmortality. The difficulty of access to health facilities led todisparities in health status between regions in Indonesia.Objective: Analysis patterns utilization of health facilities andthe factors that access barriers to health centers in the provinceof Papua.Methods: Analysis of secondary data comes from a survey ofbasic health research in 2013 with the kind of cross-sectionalstudies.Results: Of the 4562 respondents as many as 3152 (69,09%)utilize health centers. Probability better utilization of healthcenters on the rich than the poor (OR = 4,17, 95% CI = 3,23-5,38). Participants private health insurance and social securityare more likely to utilize health centers (OR = 5,87, 95% CI =2,82-12,23). Living in the urban area increasing the utilization ofhealth centers compared with rural area (OR = 1,24, 95% CI =0,98-1,56). Probability health centers utilization in swamplandbetter than others (OR = 2,17, 95% CI = 1,36- 3,45). Time travelless than 30 minutes are more likely to utilize health centerscompared with a travel time more than 30 minutes (OR = 1,28,CI = 1,14-2,17). Motor vehicles are more likely to utilize healthcenters (OR = 3,00, CI = 2,36 to 3,81). Transportation costs ofmore than IDR100.000 is more likely to take advantage of healthcenter (OR = 2,59, 95% CI = 1,59-4,2). Conclusion: The availability of health facilities, travel time,transport costs and the availability of transportation still bebarriers of accessibility. Utilization patterns varied types of basichealth facilities, primary health centers are the types of facilitiesthat the most widely used. There is inequity between the poorand rich in the utilization of basic health services.