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Analisis Pengaruh Kelengkapan Dokumen Rekam Medis, Ketepatan Koding, Dan Sistem Informasi Rumah Sakit Terhadap Jumlah Pending Klaim Bpjs Dimoderasi Oleh Dukungan Manajemen Di Rsu Ananda Srengat Blitar Yovita Nur Latifah; Adya Hermawati; Nasharudin Mas; Aji Suraji; Irfany Rupiwardani
Jesya Vol 9 No 2 (2026): ARTICLES : RESEARCH JUNI 2026
Publisher : LPPM Sekolah Tinggi Ilmu Ekonomi Al-Washliyah Sibolga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36778/jesya.v9i2.2925

Abstract

Penelitian ini bertujuan untuk menganalisis pengaruh kelengkapan dokumen rekam medis, ketepatan koding, dan sistem informasi rumah sakit terhadap jumlah pending klaim BPJS Kesehatan dengan dukungan manajemen sebagai variabel moderasi di RSU Ananda Srengat Blitar. Penelitian ini dilatarbelakangi oleh masih terjadinya pending klaim BPJS Kesehatan, yang pada tahun 2025 mencapai 753 kasus, terdiri atas 350 kasus rawat jalan dan 403 kasus rawat inap. Penelitian menggunakan pendekatan kuantitatif dengan desain cross-sectional. Populasi penelitian berjumlah 103 pegawai yang terlibat dalam proses pengelolaan klaim BPJS Kesehatan, dengan sampel sebanyak 69 responden yang ditentukan menggunakan rumus Slovin dan teknik proportionate stratified random sampling. Data dikumpulkan melalui kuesioner dan dokumentasi, kemudian dianalisis menggunakan metode Partial Least Squares–Structural Equation Modeling (PLS-SEM) dengan SmartPLS. Hasil penelitian menunjukkan bahwa kelengkapan dokumen rekam medis, ketepatan koding, dan sistem informasi rumah sakit masing-masing berpengaruh negatif dan signifikan terhadap jumlah pending klaim BPJS Kesehatan. Secara simultan, ketiga variabel tersebut berpengaruh signifikan terhadap jumlah pending klaim. Dukungan manajemen mampu memoderasi pengaruh kelengkapan dokumen rekam medis dan sistem informasi rumah sakit terhadap jumlah pending klaim, tetapi tidak mampu memoderasi pengaruh ketepatan koding. Temuan penelitian menunjukkan bahwa peningkatan kelengkapan dokumen rekam medis, ketepatan koding, dan optimalisasi sistem informasi rumah sakit merupakan faktor penting dalam menekan pending klaim BPJS Kesehatan. Manajemen rumah sakit perlu memperkuat pengawasan, koordinasi, evaluasi, pengembangan kompetensi sumber daya manusia, serta pemanfaatan sistem informasi secara berkelanjutan guna meningkatkan efektivitas pengelolaan klaim.
ANALYSIS OF THE EFFECTS OF WAITING TIME FOR MEDICATION DISPENSING AND SERVICE QUALITY ON PATIENT LOYALTY WITH PATIENT SATISFACTION AS A MEDIATOR AT THE PHARMACY DEPARTMENT OF SANJIWANI GENERAL HOSPITAL GIANYAR Ni Gusti Ayu Made Sinta Maharani; Rahayu Puji Suci; Eka Wilda Faida; Adya Hermawati; Survival Survival
Journal of World Future Medicine, Health and Nursing Vol. 4 No. 3 (2026)
Publisher : Yayasan Adra Karima Hubbi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70177/health.v4i3.3915

Abstract

The acceleration of globalization compels hospitals to enhance patient loyalty through high-quality services. This study aims to analyze the effect of prescription waiting time and service quality on patient loyalty mediated by patient satisfaction at the Outpatient Pharmacy Department of RSUD Sanjiwani Gianyar. This research design is an explanatory quantitative study rooted in the positivistic paradigm with a developmental research approach. The population comprised all outpatients, averaging 7,836 visits over a six month baseline. A sample of 381 respondents was selected using a non probability purposive sampling technique. Data were collected via structured questionnaires and analyzed using Variance-Based Structural Equation Modeling (SEM) via SmartPLS 4.0. The structural path analysis revealed that waiting time had no significant effect on patient satisfaction or patient loyalty thus, the mediating role of satisfaction on this path was rejected . Conversely, service quality exerted an exceptionally strong, positive, and significant effect on patient satisfaction and directly driven patient loyalty . Furthermore, patient satisfaction significantly and strongly mediated the relationship between service quality and loyalty. Establishing a partial mediation model. The empathy dimension emerged as the primary catalyst that psychologically buffered technical waiting time deficits. Hospital management should heavily focus on emotional care and interpersonal staff interactions to secure sustainable, long-term patient loyalty.
INFLUENCE OF SERVICE QUALITY AND DRUG AVAILABILITY ON PATIENT SATISFACTION THROUGH PATIENT TRUST MEDIATION Winggia Antena; Rahayu Puji Suci; Anif Prasetyorini; Adya Hermawati; Emma Budi Sulistiarini
Journal of World Future Medicine, Health and Nursing Vol. 4 No. 3 (2026)
Publisher : Yayasan Adra Karima Hubbi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70177/health.v4i3.3916

Abstract

Research Objective: This study intends to investigate and explain the impact of service quality and medicine availability on patient satisfaction, both directly and indirectly, using patient trust as a mediating variable at RSUD Natuna’s Pharmacy Installation. Research Type: This study is quantitative explanatory research. Data were collected through questionnaires distributed to 100 outpatient respondents. The data analysis technique used was Structural Equation Modeling (SEM) based on Partial Least Squares (PLS), implemented in SmartPLS. Research Findings: The results indicate that service quality positively impacts patient trust and satisfaction. The availability of drugs has been demonstrated to boost patient trust, although it has no significant direct impact on patient satisfaction. Furthermore, patient trust was found to positively affect satisfaction and to successfully mediate the relationship between service quality and satisfaction. However, trust cannot mediate the relationship between medicine availability and patient satisfaction, as low medicine stock acts as a physical barrier that cannot be compensated for by the emotional factor of trust alone.