Herdhana Suwartono
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The Effect Of Health Care Service Quality On BPJS Outpatient Patient Satisfaction At Undata Regional Public Hospital, Palu City, Central Sulawesi Province Herdhana Suwartono; Syamsuriyati, Syamsuriyati; Anwar Ramli
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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Abstract

Health is a basic need that must be guaranteed by the state as mandated by the 1945 Constitution. The government developed the JKN program through BPJS Kesehatan so that people, including the economically weak, can access health services. RSUD Undata Palu, as a type B referral hospital, faces the challenge of meeting the increasing needs of outpatients. This study aims to analyze the effect of health worker service quality on outpatient BPJS patient satisfaction at RSUD Undata Palu. Using a quantitative approach with a cross-sectional survey design, data was collected from 175 BPJS outpatients using a questionnaire, which was analyzed using validity, reliability, and SEM tests. The results showed that service quality was in the “good” category (mean score 4.22), with the reliability dimension recording the highest score (4.35). The level of patient satisfaction was also rated as “good” (mean score 4.30), with medical services being the best indicator (4.40). SEM analysis showed that service quality had a significant effect on patient satisfaction, with reliability contributing the most (β = 0.35). This study confirms the importance of reliability, responsiveness, and competence of health workers in improving patient satisfaction. RSUD Undata is advised to increase service speed, provide effective communication training, and improve the physical facilities of the hospital. These findings support previous literature and are expected to make theoretical as well as practical contributions to the development of health service quality and the success of the JKN program.
Resilience as a Socially Embedded Process in Cervical Cancer Care: A Qualitative Study Herdhana Suwartono; Juraid Abdul Latief; Achmad Herman; Muhammad Ryman Napirah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10: OCTOBER 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8667

Abstract

Introduction: Cervical cancer continues to pose significant health and psychosocial challenges in low- and middle-income countries. This study aimed to explore how women with cervical cancer and their caregivers construct resilience in the face of illness, focusing on the roles of emotional, informational, and spiritual supports. By examining these dimensions, the study contributes to a deeper understanding of resilience as a socially embedded process shaped by cultural frameworks and clinical interactions. Methodology: A qualitative research design was employed, drawing on in-depth interviews with women diagnosed with cervical cancer and one caregiver at a referral hospital in Indonesia. Informants were selected purposively to capture diverse illness trajectories, and thematic analysis was applied to verbatim transcripts. Analytical rigor was ensured through triangulation, iterative coding, and interpretive synthesis. Results: Findings indicate that resilience is not a fixed personal trait but a negotiated and dynamic process. Emotional reassurance from family and colleagues, clear and compassionate communication by clinicians, and the grounding of experiences in spirituality and religious practices all facilitated adaptation and treatment adherence. At the same time, resilience revealed ambivalence: moralized expectations of being a “good patient” encouraged compliance but risked silencing distress, while some informants engaged in resistance through treatment hesitation or refusal. Interpreting these findings through subjectivation, psychological, and ecological lenses illustrates that resilience is discursively produced, individually enacted, and structurally conditioned. Conclusion: This study concludes that resilience in cervical cancer care is best understood as a culturally embedded and multi-layered phenomenon. Its implications underscore the need for context-sensitive psychosocial oncology practices that integrate family support, culturally grounded spiritual care, and dialogic communication. By situating Indonesian experiences within broader international debates, the research contributes new insights to global psycho-oncology scholarship and highlights avenues for future inquiry, including longitudinal research and the development of culturally validated assessment tools.