Sumarni Sumarni
Fakultas Kesehatan Masyarakat, Universitas Mulawarman

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Evaluasi Kualitas Pelayanan dan Kepuasan Pasien di Era JKN: Studi Kasus Menggunakan Indikator HCAHPS Sumarni Sumarni; Wahyu Rizky
Indonesian Journal of Hospital Administration Vol 8 No 2 (2025)
Publisher : Universitas Alma Ata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijhaa.2025.8(2).65-81

Abstract

Pelayanan kesehatan yang prima adalah kebutuhan esensial dan hak fundamental yang menjadi tuntutan publik seiring meningkatnya kesadaran dan taraf hidup. Institusi kesehatan, khususnya rumah sakit, diwajibkan berinovasi dan meningkatkan mutu layanannya untuk mencapai kepuasan pasien yang optimal. Respons terhadap amanat konstitusi, Indonesia mengimplementasikan program Jaminan Kesehatan Nasional (JKN) oleh BPJS Kesehatan, yang mengubah total lanskap pelayanan dan menuntut evaluasi mendalam terhadap kualitas layanan serta dampaknya pada kepuasan pasien. Penelitian ini bertujuan menganalisis dan membandingkan pengaruh kualitas pelayanan terhadap tingkat kepuasan pasien era JKN di unit Instalasi Rawat Inap rumah sakit pemerintah dan swasta. Menggunakan pendekatan kuantitatif, studi observasional analitik cross-sectional ini melibatkan total 131 responden, terdiri dari 78 di rumah sakit pemerintah dan 53 di rumah sakit swasta. Hasil penelitian menunjukkan bahwa seluruh komponen pelaksanaan pelayanan kesehatan, baik di rumah sakit pemerintah maupun swasta, secara umum dinilai dalam kategori baik. Tingkat kepuasan pasien juga sangat positif di kedua jenis rumah sakit. Di rumah sakit swasta, 52.8% responden menyatakan sangat puas dan 47.2% menyatakan puas. Sementara itu, di rumah sakit pemerintah, persentase kepuasan menunjukkan 58.8% responden merasa sangat puas dan 41.2% merasa puas. Temuan ini mengindikasikan bahwa kualitas pelayanan di kedua tipe rumah sakit pada era JKN berpengaruh positif signifikan terhadap kepuasan pasien. Persentase "sangat puas" yang sedikit lebih tinggi di rumah sakit pemerintah menyiratkan pentingnya bagi semua penyedia layanan JKN untuk terus mempertahankan standar tinggi demi menjaga kepercayaan dan kepuasan pasien.
HUBUNGAN MUTU PELAYANAN DENGAN REVISIT INTENTION PASIEN RAWAT JALAN DI RUMAH SAKIT SIAGA AL MUNAWWARAH SAMARINDA Andi Disyanataly; Sumarni Sumarni; Chaerunnisa AR; Ratno Adrianto; Eka Putri Rahayu
Jurnal Manajemen Kesehatan Indonesia Vol 14, No 1 (2026): April 2026
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.14.1.2026.76-86

Abstract

The World Health Organization (WHO) reports that poor-quality healthcare in low- and middle-income countries contributes to approximately 8.4 million deaths annually, highlighting service quality as a critical determinant of patient safety and health system performance. Service quality influences patient satisfaction, trust, and revisit intention, particularly in outpatient care. This study aimed to examine the relationship between service quality dimensions and revisit intention among outpatients at Siaga Al-Munawwarah Hospital, Samarinda. A quantitative cross-sectional design was conducted from January 2025 to February 2026 involving 118 respondents selected using the Lemeshow formula and purposive sampling. Data were collected through a validated and reliable Likert-scale questionnaire measuring tangibles, reliability, responsiveness, assurance, empathy, and revisit intention, and were analyzed using univariate analysis and Fisher’s Exact test at a 95% confidence level (α=0.05). The results showed significant associations between reliability (p=0.004), tangibles (p=0.001), empathy (p=0.023), and responsiveness (p=0.000) with revisit intention, while assurance (p=0.313) was not significantly related. These findings indicate that reliability, physical evidence, empathy, and responsiveness play important roles in increasing outpatient revisit intention, whereas assurance tends to function as a basic expectation rather than a distinguishing factor in patients’ decisions to return. Keywords: Service Quality, Revisit Intention, Hospital Services. 
Dapur Sehat Atas Stunting Fiyeri Suraini; Iqbal Marcello Putra Hardani; Kharisya Nur Ainun Nabilah; Maspah Maspah; Ririn Arianti; Rizqy Khoirun Nisa; Sri Dwijayanti Mutiara Sujaya; Wuri Nur Afifah; Sumarni Sumarni; Siswanto Siswanto
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background : One of the health problems that has become a global issue is stunting. where Stunting is a form of malnutrition that creates a global public health problem and is an important supporting factor in achieving the Human Development Index in a country nation. Stunting (dwarfism) is a condition where a toddler has less length or height compared to age. Stunting is a disorder or failure of linear growth that occurs in children with signs of pathological disorders and chronic conditions. This represents delayed growth due to long-term malnutrition associated with increased morality and mortality, impaired growth, impaired development and cognitive function. Stunting increases the risk of chronic disease in adulthood. Stunting is currently still being faced by developing countries. Approximately 65% of deaths among children under five are due to malnutrition and malnutrition, which represents one third of the disease burden among children and mothers. Indonesia is one of the developing countries that has a high prevalence of stunting, accounting for the top five cases of stunting, out of 88 countries in the world. The 2020 Global Nutrition Report shows an increase in the number of stunted children under five from A149 million to 149.2 million in 2018. Based on global data, the prevalence of stunting in rural areas is greater than in urban areas with a prevalence of 35.6% and 25% respectively. 6%. Based on gender, more boys experience stunting, namely 33.5% compared to girls at 31.2% Objective : This research aims to have an influence on reducing the stunting rate in Karang Jinawi Village by holding DESAS (Healthy Kitchens to Overcome Stunting) activities to increase the knowledge and skills of mothers in making additional food (PMT) pudding from Moringa leaves. Research Methods/ Implementation Methods : Activities are carried out in stages starting from analyzing the situation of the intervention area, designing a Plan of Action (POA), surveying the root causes of problems and solutions to problems in the intervention area, carrying out Focus Discussion Groups (FGD) using the USG (Urgency, Seriousness, and Growth) method as well as interventions and evaluation. Determining the problem in Sepaku Subdistrict, Karang Jinawi Village begins by reviewing secondary and primary data. Secondary data is in the form of Karang Jinawi Village and Subdistrict Profile data for 2024. Results : DESAS (Healthy Kitchens Overcome Stunting) is an activity carried out jointly as an effort to overcome the problem of malnutrition among pregnant women who have the potential to give birth to stunted children in Karang Jinawi Village. Through the delivery Aof material and practice of making additional food (PMT) pudding from Moringa leaves. The DESAS (Healthy Kitchen to Overcome Stunting) program is implemented at the Karang Village Hall Jinawi on Thursday, July 18 2024, 09.30 to 11.30 WITA. Achieving an increase in understanding of the Karang Jinawi community, especially mothers who attended the presentation of the DESAS Conclusion/Lesson Learned : In Karang Jinawi Village, it shows that meeting nutritional needs during pregnancy is very important for maternal health and fetal development. The nutritional needs of pregnant women increase significantly compared to non-pregnant women, because mothers not only have to meet their own nutritional needs, but also to support their growth and development. fetal development. Lack of nutritional intake can cause various health problems, both for mothers and babies, such as low birth weight, growth restrictions, and the risk of congenital defects. The DESAS program plays an important role in increasing nutritional knowledge among pregnant women through education and direct practice. With training on making additional nutritious foods, such as pudding from Moringa leaves, this program not only provides theory but also practical skills that can be applied in everyday life.