Harris Rambey
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IMPLEMENTASI STRATEGI PENINGKATAN KEPUASAN PASIEN DI RUMAH SAKIT GRANDMED LUBUK PAKAM Jon Piter Sinaga; Harris Rambey; Sri Melda Bangun; Ika Nur Saputri
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (417.632 KB) | DOI: 10.35451/jpk.v1i1.713

Abstract

The concept of service quality related to patient satisfaction can be determined by five elements, namely responsiveness, assurance, tangible, empathy and reliability. Patient satisfaction is a level of patient feeling that arises as a result of the performance of health services obtained after the patient compares it with what is expected. Fair and equitable services will be able to lead to satisfaction because the community at this time has begun to be critical in assessing services, especially in the health sector. This community service activity is in the form of measuring the quality of health services as an implementation of patient improvement strategies. Measurement of patient satisfaction is done through filling out a questionnaire sheet which is an instrument for measuring inpatient satisfaction, by patients who are going home. Quality services that provide a health service that is truly in accordance with the needs of the patient and refers to the level of service perfection. The more perfect the health services provided, the better the quality of health services.
Evaluation of Food Service Management on the Satisfaction of Diabetes Mellitus Patients Sofiadila, Aulia; Harris Rambey; Aya Sofia Diaz; Desri Meriahta Br. Girsang
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v7i2.2695

Abstract

Background: The prevalence of Diabetes Mellitus in Aceh has increased, reaching 1.68% in 2018 compared to 1.3% in 2013. In Bireuen District, the number of diabetes mellitus patients receiving healthcare services also rose in 2022, with 11,300 patients compared to 11,218 in 2021 (Riskesdas, 2018).Objective: This study aims to evaluate food service in relation to the satisfaction of diabetes mellitus patients. Research method: This research is a descriptive qualitative study. Informants include the head of the nutrition installation, ward nutritionists, food service staff, DM patients, and their families. Data were collected through a combination of in-depth interviews, focus group discussions, and observations. Data analysis was conducted manually using content analysis without software, and data validity was ensured through triangulation. Results: The average food waste of patients remains above 20%. Although the prescribed diet is generally appropriate, changes often occur based on doctors' recommendations. Delays in meal delivery still occur, especially during menu cycles involving chicken and meat. Menu variations follow a 10-day cycle; however, some ingredients are occasionally unavailable due to stock shortages.Conclusion: The satisfaction of DM patients with food service at RSUD dr. Fauziah, Bireuen District, still needs improvement, particularly regarding high food waste, delays in meal delivery, limited availability of ingredients in the menu cycle, and suboptimal communication by food service staff with patients.
The Effectiveness of Providing Counseling in Efforts do Improve Knowledge and Dietary Patterns of Low Purine Diet in Gout Arthritis Patients at Bintang Bayu Health Center Serdang Bedagai Damayanti, Erika; Harris Rambey; Raisha Octavariny
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/fkeqf868

Abstract

Background: Gout arthritis is one of the non-communicable diseases that commonly affects the elderly due to a high-purine diet and lack of nutritional knowledge. This study aims to determine the effectiveness of counseling in increasing knowledge and low-purine dietary patterns in patients with gout arthritis. This study used a mixed-methods approach with a one-group pretest-posttest research design. The sample consisted of 22 elderly patients with gout arthritis at Puskesmas Bintang Bayu. Data were collected through a knowledge questionnaire, 24-hour food recall, and in-depth interviews. The results showed a significant increase in the level of knowledge (p=0.001) and dietary patterns after the counseling intervention. Most respondents showed behavioral changes in consumption that aligned with a low-purine diet and increased diet adherence. Low-purine diet counseling is effective in increasing knowledge and dietary patterns in patients with gout arthritis. Therefore, it is recommended to continue implementing this program.
Analysis of ELSIMIL Service Utilization to Increase Knowledge on Stunting Prevention among Prospective Brides at the Tebing Tinggi Family Planning Extension Center Berutu, Helminawati; Harris Rambey; Raisha Octavariny; Karnirius Harefa; Elvi Era Liesmayani
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/27wen316

Abstract

Poor nutritional status in prospective brides is one of the causes of stunting that needs to be identified early. Therefore, the ELSIMIL application was developed to detect stunting risk factors in prospective brides. This study aims to analyze the utilization of ELSIMIL services to increase knowledge about stunting prevention in prospective brides. This mixed-methods study employed a sequential mixed methods strategy, primarily an explanatory sequential strategy. The study population was 98, and accidental sampling resulted in a sample size of 32. Five informants participated in the study. Data validity was validated through triangulation. Quantitative data collection using questionnaires was analyzed using the chi-square test and logistic regression. Qualitative data collection using in-depth interviews was analyzed and discussed in narrative form. Results showed that of the eight variables, one variable (age) was not significantly related. Through logistic regression testing, the most dominant variable was information, with a p-value of 0.010 and Exp(B) of 28.095. Qualitative results showed that prospective brides and grooms who were introduced to the ELSIMIL app, provided with information on how to use the app, provided educational information within the app, and received ELSIMIL service support increased their knowledge and understanding of stunting prevention. In conclusion, utilizing ELSIMIL services can improve prospective brides and grooms' knowledge of stunting prevention. It is hoped that staff at the Family Planning Extension Center can expand their educational reach through youth social forums to make the delivery process more relaxed and easily understood by young prospective brides and grooms.