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Blego Sedionoto
Universitas Mulawarman
Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Pengaruh Ekspektansi Usaha dan Kualitas Sistem Informasi terhadap Penggunaan Aplikasi Rekam Medis Elektronik Silvani Bachtiar; Rahmat Bakhtiar; Blego Sedionoto
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.48482

Abstract

Latar Belakang: Transformasi dari rekam medis manual ke Rekam Medis Elektronik (RME) menjadi bagian penting dari modernisasi layanan kesehatan berbasis teknologi informasi. Meskipun telah menjadi prioritas Kementerian Kesehatan, implementasi RME di sejumlah daerah, termasuk Kalimantan Timur, belum optimal. RS Siaga Al Munawwarah Samarinda mulai menerapkan RME sejak tahun 2023, namun aspek penerimaan pengguna belum sepenuhnya diperhatikan. Tujuan: untuk menganalisis pengaruh persepsi pengguna terhadap perilaku penggunaan RME berdasarkan model UTAUT 3, dengan fokus pada ekspektansi usaha dan kualitas sistem informasi. Metode: Penelitian menggunakan desain kuantitatif cross sectional dan dianalisis dengan SEM-PLS. Sampel terdiri dari 73 tenaga kesehatan yang dipilih dengan teknik disproportionate random sampling dan data dikumpulkan melalui kuesioner Likert. Hasil: ekspektansi usaha dan kualitas sistem informasi berpengaruh langsung terhadap perilaku pengguna. Ekspektansi usaha juga memengaruhi perilaku pengguna secara tidak langsung melalui niat perilaku. Namun, niat perilaku tidak memediasi pengaruh kualitas sistem informasi secara signifikan. Niat perilaku terbukti berpengaruh langsung terhadap perilaku pengguna. Simpulan: Untuk meningkatkan Perilaku Pengguna melalui Niat Pengguna, Rumah sakit perlu memastikan sistem yang mudah digunakan, berkualitas, dan didukung pelatihan serta komunikasi untuk memperkuat niat pengguna, agar implementasi RME lebih optimal dan berkelanjutan.
Faktor-faktor yang Berhubungan Dengan Kinerja Pegawai Puskesmas dalam Meningkatkan Pelayanan Kesehatan di Puskesmas X Samarinda Nurul Rizkiana Tistania; Iwan Muhamad Ramdan; Blego Sedionoto; Nur Rohmah; Riyan Ningsih; Ratno Adrianto
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51316

Abstract

Kinerja pegawai di Puskesmas X merupakan elemen strategis dalam menjamin mutu layanan kesehatan primer, sehingga perlu ditingkatkan melalui pendekatan sistematis terhadap faktor-faktor internal pegawai. Penelitian ini bertujuan untuk menganalisis faktor-faktor apa saja yang berhubungan dengan kinerja. pegawai dalam meningkatkan pelayanan kesehatan di Puskesmas X Samarinda pada tahun 2025. Penelitian ini merupakan penelitian metode kuantitatif dengan pendekatan cross-sectional dengan teknik pengambilan sample yaitu Total Sampling dan jumlah 54 responden, penelitian dilakukan di Puskesmas X dengan pengumpulan data primer melalui kuesioner. Analisis data menggunakan uji Chi-Square sedangkan analisis multivariat menggunakan Analisis Regresi Logistik Hasil penelitian menunjukkan hubungan signifikan antara tekanan kerja (p=0,016), kepuasan kerja (p = 0,034) , dan loyalitas ( p = 0,007) terhadap kinerja pegawai Puskesmas X. Namun, tidak ditemukan hubungan antara kemampuan (p= (0,651) dan rekan kerja (0,313) dengan kinerja pegawai. Variabel yang paling dominan berpengaruh terhadap kinerja pegawai adalah loyalitas (Exp (B) = 4,714 yang mengindikasikan bahwa pegawai dengan loyalitas yang cukup memiliki peluang 4,7 kali lebih besar untuk menunjukkan kinerja yang baik dibandingkan dengan pegawai yang loyalitas nya kurang mendukung. Disarankan Puskesmas mengadakan pelatihan dan pengembangan kompetensi secara berkala menciptakan lingkungan kerja yang kondusif dengan menanamkan nilai-nilai budaya organisasi yang positif agar tercipta kinerja yang baik.
Analysis of Patient Complaint Handling Management Regarding Health Services in Maintaining Hospital Quality Muftiana Finansi Ekawati; Rahmat Bakhtiar; Blego Sedionoto
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.6326

Abstract

Complaints received by hospitals from patients and their families have the potential to provide (early) warnings that, if followed up, can prevent patient safety incidents. Complaints about services can be used to improve the standard of health facility services. Therefore, organizing complaint forms for hospitals minimizes complaints in the hope of reducing the risk of patient safety hazards and improving the quality of hospital services. This study aims to analyze and explore the management of complaint handling at Balikpapan Baru Hospital. Using a qualitative research method with a phenomenological approach with researchers as instruments. In-depth interviews with 5 informants through purpose sampling techniques. Data sources in the form of patient complaints for the period July-November 2023. Most patient complaints were related to the behavior (communication method) of health workers, patients who submitted complaints were directly directed to fill in and there were obstacles in the form of differences in perception of complaint categories by health workers. Complaint handling management at Balikpapan Baru Hospital is managed by team and involves various units. There were obstacles in the form of different perceptions in filling out the form and different responses regarding complaint handling related to communication between health workers.
The Influence of Hospital Marketing Mix and Consumer Personal Factors on the Selection of Referral Hospitals by Patients Ira Puspa Rachmawati; Rahmat Bakhtiar; Blego Sedionoto; Ratih Wirapuspita Wisnuwardani; Ratno Adrianto; Hilda Hilda
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): 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.v8i3.1049

Abstract

The selection of referral hospitals is not solely determined by the administrative mechanism of the National Health Insurance (JKN) referral system but is also influenced by hospital marketing strategies and patient characteristics. This study aimed to examine the effects of the hospital marketing mix (7Ps) and personal patient factors on referral hospital selection at Segiri Primary Health Center, Samarinda. A quantitative cross-sectional design was employed involving 348 respondents selected through simple random sampling from 1,758 referred patients. Data were collected using a structured questionnaire that had been tested and confirmed to be valid and reliable. Statistical analyses included Chi-square and Fisher’s exact tests for categorical variables, as well as Kruskal-Wallis and Mann-Whitney tests for non-parametric comparisons. The results indicated that most personal characteristics, including age, gender, education, occupation, income, and JKN ownership, were not significantly associated with referral hospital selection (p>0.05), except for domicile (p<0.05). Clinical factors, represented by the destination polyclinic, showed a strong association with hospital choice (p<0.001). Among the marketing mix components, Product (p=0.026), Process (p=0.018), and Physical Evidence (p<0.0001) significantly influenced referral hospital selection, while Price, Place, Promotion, and People showed no significant effects (p>0.05). In conclusion, referral hospital selection was primarily influenced by service needs and the quality of patient experience rather than personal characteristics. Prioritizing improvements in physical facilities and optimizing service processes are essential to enhance the effectiveness of the referral system.
The Effect of Brand Image and Service Quality on Outpatient Loyalty Mediated by Patient Satisfaction Dini Adriyanti; Iwan M. Ramdan; Riyan Ningsih; Ida Ayu Indira Dwika Lestari; Blego Sedionoto
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.2348

Abstract

Patient loyalty is a strategic indicator for hospitals, particularly in mental health services where continuity of care is essential. This study analyzed the effect of brand image and service quality on outpatient loyalty mediated by patient satisfaction at RSJD Atma Husada Mahakam, a type A psychiatric referral hospital in East Kalimantan, Indonesia. An explanatory quantitative survey with a cross-sectional design was conducted among 200 outpatients selected using purposive sampling. Data were collected using a structured Likert-scale questionnaire measuring brand image, service quality, patient satisfaction, and patient loyalty. Data were analyzed using descriptive statistics, Pearson correlation, and partial least squares structural equation modeling (PLS-SEM) with SmartPLS. The measurement model met validity and reliability criteria, with AVE values ranging from 0.546 to 0.649 and composite reliability values ranging from 0.902 to 0.924. The structural model showed that brand image positively affected patient satisfaction (beta = 0.318; t = 3.934; p < 0.001) and loyalty (beta = 0.210; t = 2.920; p = 0.004). Service quality positively affected satisfaction (beta = 0.515; t = 7.648; p < 0.001) and loyalty (beta = 0.273; t = 4.042; p < 0.001). Patient satisfaction also had a positive effect on loyalty (beta = 0.408; t = 4.794; p < 0.001). Indirect effect testing confirmed that satisfaction significantly mediated the influence of brand image (beta = 0.130; t = 2.715; p = 0.003) and service quality (beta = 0.210; t = 4.113; p < 0.001) on loyalty. The findings indicate that strengthening service quality, maintaining a positive hospital image, and systematically managing patient satisfaction are central strategies for building outpatient loyalty in psychiatric hospital services.
Co-Authors Adrianto, Ratno Dini Adriyanti Hilda Hilda Ida Ayu Indira Dwika Lestari Ira Puspa Rachmawati Iwan M. Ramdan Iwan Muhamad Ramdan Muftiana Finansi Ekawati Nur Rohmah Nurul Rizkiana Tistania Rahmat Bakhtiar Ratih Wirapuspita Wisnuwardani Riyan Ningsih Silvani Bachtiar