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User Satisfaction and Challenges in Telemedicine Services during the COVID-19 Pandemic in Indonesia: A Population-Based Analysis Adinda, Havivi Rizky; Syakurah, Rizma Adlia; Pariyana, Pariyana
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.09

Abstract

Background: The COVID-19 pandemic has led to a surge in telemedicine utilization in Indonesia, necessitating increased attention toward user satisfaction and encountering obstacles in telemedicine services. This study aims to analyze the satisfaction and barriers faced by users of telemedicine applications, considering population characteristics during the COVID-19 pandemic in Indonesia. Subjects and Method: Using a descriptive observational design with a cross-sectional approach, the study encompassed the entire population of telemedicine users during the COVID-19 pandemic, with samples adhering to predetermined inclusion and exclusion criteria. Data were collected through Google Forms questionnaires from August 2020 to November 2020. Subsequently, data were subjected to chi-square tests (alternative: Kruskal-Wallis) and logistic regression analyses, with p-value<0.05 and 95% confidence interval. User satisfaction with telemedicine was associated with factors such as domicile, settlement, provider, health insurance, and utilized internet network (p<0.05). Results: User satisfaction with telemedicine was associated with factors such as domicile, settlement, provider, health insurance, and utilized internet network (p<0.05). Conversely, barriers encountered in telemedicine exhibited associations with gender, marital status, age, regional origin, residence, education, occupation, health insurance, income, provider type, internet network, and internet quota (p<0.05). A significant correlation was observed between barriers and user satisfaction with telemedicine (p<0.001). The most influential factor affecting satisfaction was income less than Rp 1,500,000 per month (OR 30.818; 95% CI: 1.751-542.394), while pay ranging from Rp 3,500,000 to 5,500,000 per month exhibited the most substantial impact on barriers (OR 5.266; 95% CI: 2.326-11.920). Conclusion: Most respondents expressed satisfaction and encountered no obstacles when employing telemedicine. Respondents suggested enhancing telemedicine usage by emphasizing the importance of diagnostic accuracy, simplifying processes, maintaining confidentiality, optimizing application features, and improving network speed.
The Influence of Outpatient Service Quality and Patient Characteristics on BPJS Patient Satisfaction at Hospital X Mediated by Doctor-Patient Relationship Adinda, Havivi Rizky; Hendra Achmadi
Kontigensi : Jurnal Ilmiah Manajemen Vol 13 No 1 (2025): Kontigensi: Jurnal Ilmiah Manajemen
Publisher : Program Doktor Ilmu Manajemen, Universitas Pasundan, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56457/jimk.v13i1.659

Abstract

The performance of nurses needs attention from health service providers because it can be related to the quality of health services. This study aims to analyze the effect of outpatient service quality and patient characteristics on patient satisfaction through the mediation of the doctor-patient relationship. Respondents in this study were 294 outpatients using BPJS at Hospital X. The type of research used is descriptive quantitative and was conducted at one point in time (cross sectional). The sampling technique used purposive sampling with predetermined criteria. The questionnaire was distributed online via a Google Form link that was distributed to outpatients participating in BPJS who were treated at Hospital X. This study used a multivariate analysis method with the Partial Least Squares Structural Equation Modeling (PLS-SEM) technique. This study concludes that service quality has a positive and significant effect on the doctor-patient relationship. Patient characteristics do not significantly affect the doctor-patient relationship. The doctor-patient relationship has a positive and significant effect on patient satisfaction. Service quality has a positive and significant effect on patient satisfaction mediated by the doctor-patient relationship. Patient characteristics do not significantly affect patient satisfaction through the mediation of the doctor-patient relationship. Hospitals that focus on improving the quality of their services, especially in outpatient services, will provide a positive experience for BPJS patients during treatment, as well as improve the medical and non-medical abilities of doctors. The relationship between doctors and patients is an important factor in shaping a positive patient experience during the process of providing outpatient health services in hospitals.