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All Journal Indonesian Journal of Global Health research Medika: Jurnal Ilmiah Kesehatan
Ni Luh Ayu Citra Mutiarahati
STIKes Kesdam IX/Udayana
Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Hubungan Dimensi Kualitas Pelayanan Administrasi dengan Kepuasan Pasien di Puskesmas Kediri I Dewa Ayu Putu Nandita Purnama Sari; Ni Luh Ayu Citra Mutiarahati; Ni Putu Eka Febianingsih
Medika: Jurnal Ilmiah Kesehatan Vol. 6 No. 1 (2026): Medika: Jurnal Ilmiah Kesehatan
Publisher : Universitas Nahdlatul Ulama Nusa Tenggara Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69503/medika.v6i1.1471

Abstract

Pelayanan administrasi memegang peran penting dalam sistem kesehatan karena berdampak langsung pada kepuasan pasien. Penelitian ini bertujuan untuk mengevaluasi keterkaitan antara lima aspek kualitas pelayanan administrasi, yaitu bukti fisik (tangible), keandalan (reliability), ketanggapan (responsiveness), jaminan (assurance), dan empati (empathy), dengan kepuasan pasien di Puskesmas Kediri I. Pendekatan yang digunakan bersifat kuantitatif dengan desain penelitian cross-sectional. Sebanyak 115 responden dipilih melalui teknik accidental sampling. Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa semua dimensi kualitas pelayanan administrasi memiliki hubungan yang signifikan dengan tingkat kepuasan pasien (p < 0,05). Temuan observasi mengindikasikan bahwa implementasi kelima dimensi telah berjalan cukup optimal, meskipun masih terdapat aspek yang perlu ditingkatkan, terutama pada dimensi empati. Oleh karena itu, diperlukan strategi perbaikan melalui peningkatan keramahan dan kepedulian petugas, serta pelaksanaan monitoring dan evaluasi berkala untuk memastikan mutu pelayanan tetap terjaga secara konsisten.
Optimizing the National Health Economy: Utilizing Tobacco Excise to Improve Universal Health Coverage Ni Luh Ayu Citra Mutiarahati; Luh Verra Sridyantari
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4960

Abstract

Tobacco Excise Tax (TET) plays a strategic role in increasing state revenue, which can be utilized to strengthen the National Health Insurance (NHI) system. This study aims to analyze the impact of raising tobacco excise taxes on the national health economy and the sustainability of health financing. A Systematic Literature Review (SLR) approach was employed, reviewing 20 journal articles published between 2018 and 2023. These articles were selected through a systematic process based on inclusion criteria such as topic relevance, applied methodology, and geographic focus.The findings reveal that increasing tobacco excise taxes is an effective strategy for enhancing public health and supporting economic development. Revenue from tobacco excise can serve as a sustainable source of funding for health initiatives, including addressing the JKN deficit, which amounted to IDR 31.7 trillion (USD 2.2 billion) as of May 2020. This funding shortfall, exacerbated by the COVID-19 pandemic, underscores the urgent need for alternative solutions. Additional revenue generated through increased tobacco taxes could be allocated to reduce the deficit and expand health service coverage.By raising excise tax rates, the government can simultaneously increase state revenue and encourage healthier behavior by reducing tobacco consumption. Thus, this policy has a dual role in improving public health indicators while strengthening the financial stability of NHI. A synthesis of the 20 reviewed articles indicates that such policies, if implemented consistently, could significantly reduce the JKN deficit and support the long-term sustainability of the national health system.
Co-Authors Dewa Ayu Putu Nandita Purnama Sari Febianingsih, Ni Putu Eka Luh Verra Sridyantari