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Medical staff services quality to patients satisfaction based on SERVQUAL dimensions Febri Endra Budi Setyawan; Stefanus Supriyanto; Feny Tunjungsari; Wa Ode Nurlaily Hanifaty; Retno Lestari
International Journal of Public Health Science (IJPHS) Vol 8, No 1: March 2019
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (564.287 KB) | DOI: 10.11591/ijphs.v8i1.17066

Abstract

Hospital service quality was a degree of discrepancy between patients’ perceptions and their expectations about hospitals services. Service quality which was provided by medical staff emphasizes the actual hospital service process.  In the hospital, patients’ satisfaction could be widely used to determine hospital service quality. The purpose of this study was to analyze the influence of medical staff services quality on patients satisfaction based on SERVQUAL dimensions. This study used an analytic observational design with cross-sectional approach. There were 314 respondents taken from inpatients hospital admission using simple random sampling. Based on regression analysis results, five dimensions of health services quality affect patients’ level of satisfaction and obtained the equation of Y = 0.026 + 0.226X1 + 0.332X2 + 0.1X3 + 0.075X4 + 0.235X5, this explained  that patients’ satisfaction was affected by all dimensions of health service quality (RATER) simultaneously. However, different values will be obtained if all dimensions were measured separately, range from 10% to 33.2%.  It could be concluded that patients’ satisfaction were influenced by the quality of medical staff services through its five components: reliability, assurance, tangible, empathy and responsiveness.
Effects of self-help groups intervention on coping strategies of parents of children with Autism Spectrum Disorder (ASD) Ridhoyanti Hidayah; Retno Lestari
International Journal of Public Health Science (IJPHS) Vol 8, No 1: March 2019
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (321.021 KB) | DOI: 10.11591/ijphs.v8i1.17026

Abstract

Coping strategies were significant predictors of psychosocial adaptation in parents of children with autism spectrum disorder (ASD). Self-help groups could be effective resources for parents in dealing with problems wile caring for children with ASD. The purpose of this study was to analyze the effects of self-help groups on coping strategies in parents of children with ASD. This study used pre and post quasi-experimental tests without a control group using self-help group interventions. There were thirty-three participants taken from the Malang City Autism Service Center using purposive sampling. Coping strategies based on cognitive and psychomotor abilities were measured using a questionnaire. The results showed paired t-test in all groups, at 5% significance level, statistically significant difference between mean score before and after self-help group interventions. Coping strategies in groups that received two supervised sessions and four times independently reached higher score compared to other groups. It can be concluded that it is important to implement self-help groups for parents who care for children with special needs.
Response time, waiting time and service quality in emergency department Nur Hidayat; Ahsan Ahsan; Masruroh Rahayu; Retno Lestari
International Journal of Public Health Science (IJPHS) Vol 9, No 3: September 2020
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v9i3.20435

Abstract

Response time and waiting time were key performance indicators in the emergency department of a hospital. This study will shed light on important factors contributing to service quality in emergency department of Indonesian public hospital by utilizing a cross-sectional design. About 117 patients were selected by simple random sampling techniques. Data observation sheets and a modified service quality instrument were used to measure health services in this department. Findings revealed that 83.8% patients felt satisfied with the services provided by emergency staff. Based on Kendall’s Tau test, waiting time had a significant relationship with service quality (p<0.05) compared to response time (p>0.05). The results of logistic regression test showed that waiting time had a higher value for Exp(B)= 3.522. In conclusion, waiting time was the most important factor affecting service quality in emergency department of Indonesian public hospital.
Organizational commitment, patient satisfaction and loyalty in the first-level health facilities Febri Endra Budi Setyawan; Stefanus Supriyanto; Ernawaty Ernawaty; Retno Lestari
International Journal of Public Health Science (IJPHS) Vol 11, No 3: September 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i3.21293

Abstract

Patient satisfaction and loyalty are widely cited as markers of healthcare quality. Organizational commitment assists first-level health facilities in achieving the goals by incorporating physicians in the implementation of holistic and comprehensive care. This study aims to analyze a structural model of physician organizational commitment, patient satisfaction, and loyalty in first-level health facilities. This study used an explanatory research design with a total sample of 199 physicians and 980 patients in 30 public and private first-level health facilities within the collaboration of national healthcare and social security, chosen by systematic random sampling. Analysis was performed by using partial least squares–structural equation modeling (PLS-SEM). Physician factors, organizational factors, and non-organizational factors have the strongest influence on physician organizational commitment (80.2%). To sum up, major efforts should be made to improve organizational commitment among physicians in providing holistic and comprehensive care in first-level health facilities to boost patient satisfaction and loyalty.
What is factor contributing to medical student learning anxiety during COVID-19 pandemic? A systematic review Amin Aji Budiman; Retno Lestari; Laily Yuliatun
International Journal of Public Health Science (IJPHS) Vol 10, No 4: December 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i4.21023

Abstract

Changes in education aspects increase the risks for mental and emotional disorders on students during the COVID-19 pandemic. This article aimed to discover the factors are contributing to medical students' learning anxiety during the COVID-19. A systematic review was written based on scientific article identification on three databases of Science Direct, PubMed NCBI, and EBSCO using terms of anxiety, factors, students, and COVID-19. The authors selected and analyzed using PRISMA based on predetermined inclusion and exclusion criteria. The studies obtain from several electronic databases revealed 519 research articles and a total of 20 articles to be analyzed. The internal factor of student anxiety during COVID-19 pandemic is age, gender, and lack of knowledge. The external factor is high academic loads with online learning methods, area restrictions/lockdown, physical activities, and socio-economic status changes. Knowing the factors that affect medical student anxiety during the pandemic could prevent further mental and emotional disorders and achieve optimal health.
Pain and Suffering: The Reality of Being Positive with HIV/AIDS Retno Lestari; Wenny Nugrahati Carsita
International Journal of Public Health Science (IJPHS) Vol 5, No 4: December 2016
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (183.003 KB) | DOI: 10.11591/ijphs.v5i4.4854

Abstract

HIV/AIDS remains a global health problem and affects the overall quality of life. People living with HIV/AIDS are at risk for developing mental health problems, such as depression and anxiety. This condition can fuel additional problems, such as non-compliance in taking HIV medications. This study aimed to explore the meaning in life while living with HIV/AIDS among people in West Java.This study used an interpretive phenomenological approach. Data were collected by in-depth interviews among 7 participants who experienced HIV-positive. The results were analyzed by Van Manen method. Four themes were identified in this study: (1) experiencing mental suffering, (2) be free from mental suffering, (3) trust the HIV/AIDS disease is not contagious and there is a hope to liveand (4) performing activities to improve the quality of life. Participantsfeels that living with HIV/AIDS is not easy. They suffered from fear and anxiety, on the other hand it emerged as a hope and decision to seek support, treatment, and performing activities to improve the quality of life.
Developing Primary Liaison Psychiatric Services for HIV/AIDS Patients in Community Ahsan Ahsan; Retno Lestari
International Journal of Public Health Science (IJPHS) Vol 6, No 3: September 2017
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (210.758 KB) | DOI: 10.11591/ijphs.v6i3.9292

Abstract

In Indonesia, the number of HIV/AIDS patients has grown at significant level. HIV can be a source of major stress which can lead to changes in mental health, such as persistent sadness, feeling empty and anxiety. The ability of liaison officer could help patients reduce their psychiatric problems and at the same time it can greatly affect patients' risks for transmission of HIV to others. This study aimed to analyze the effect of developing primary liaison psychiatric services for HIV/AIDS patients on the abilities of health care workers to provide treatments. This study used a quasi experimental design with one group pretest-posttest which included 64 health care workers aged between 20 and 50 years from the Community-Integrated Health Care in East Java. The inclusion criteria were nurses and physician in Community-Integrated Health Care. The respondents were assessed using the Abilities of Health Care Workers Checklist pre-treatment and post-treatment. The outcomes were analyzed using the Wilcoxon signed rank test. There was a significant increased in the abilities of health care workers to provide psychiatric services after treatment (p<0.05). The liaison psychiatric services were considered to be effective in increasing the abilities of health care workers in improving the treatment of HIV/AIDS.
CHALLENGES OF STAY-AT-HOME POLICY IMPLEMENTATION DURING THE CORONAVIRUS (COVID-19) PANDEMIC IN INDONESIA Febri Endra Budi Setyawan; Retno Lestari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 8 No. 2 (2020): SPECIAL ISSUE
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i2.2020.15-20

Abstract

The coronavirus disease 2019 (COVID-19) has been labelled as a global pandemic disease by the World Health Organization. The number of infections in Indonesia rose significantly to 8211 cases, and 689 coronavirus deaths were reported on April 24th, 2020. We knew that the Indonesian Government has made numerous strategies to control the spread of infection in our community, but implementation plans were limited in addressing the challenges of stay-at-home policy. These challenges may include economic impact due to COVID-19, struggles for work-from-home, and leaders' ability to influence the society.
Hubungan Gaya Koping Remaja dan Keterlibatan Orang Tua dengan Resiliensi pada Remaja Selama Pandemi COVID-19 Resti Ikhda Syamsiah; Retno Lestari; Laily Yuliatun
Jurnal Kesehatan Vokasional Vol 7, No 1 (2022): Februari
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.67065

Abstract

Latar Belakang: Pandemi COVID-19 telah memberikan perubahan kehidupan secara drastis bagi seluruh populasi di dunia, termasuk remaja. Perubahan proses pembelajaran dari luring menjadi daring membuat remaja mengalami kehidupan yang penuh tekanan. Hasil studi pendahuluan menunjukkan tidak adanya keterlibatan orang tua selama pembelajaran daring (85,2%). Penting bagi remaja untuk dapat beradaptasi dengan tantangan pembelajaran selama pandemi agar menjadi individu yang resilien.Tujuan: Mengetahui hubungan gaya koping dan keterlibatan orang tua dengan resiliensi pada remaja selama pandemi COVID-19.Metode: Desain penelitian ini menggunakan pendekatan analitik korelasional dengan responden 111 siswa Sekolah Menengah Atas (SMA). Lokasi penelitian dilaksanakan di SMAN 1 Jatilawang pada bulan Maret 2021. Analisis data  multivariat menggunakan uji regresi linier.Hasil: Hasil penelitian menunjukkan bahwa ada hubungan positif antara gaya koping dengan resiliensi pada remaja dengan p < 0.001 dan ada hubungan negatif antara keterlibatan orang tua dengan resiliensi pada remaja dengan p < 0.001. Gaya koping merupakan variabel yang paling berhubungan dengan resiliensi remaja dengan nilai standardized coefficient beta 0,773.Kesimpulan: Gaya koping dan keterlibatan orang tua berpengaruh terhadap resiliensi remaja. Gaya koping merupakan faktor penentu dalam proses adaptasi positif menghadapi stress dan trauma  (resiliensi) remaja selama proses pembelajaran daring.
Review Sistematik: Model Pemulihan Penderita Gangguan Jiwa Berat Berbasis Komunitas Retno Lestari; Ah Yusuf; Rachmat Hargono; Febri Endra Budi Setyawan
ARTERI : Jurnal Ilmu Kesehatan Vol 1 No 2 (2020): Februari
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (236.965 KB) | DOI: 10.37148/arteri.v1i2.44

Abstract

People with severe mental illness have complex disabilities affecting mental functions, daily activities, and social life, thus they need help from others in carrying out daily functional activities. Optimizing the recovery of severe mental illness requires a holistic approach and integration between mental health services and supportive communities so that sufferers can interact with others, have a positive self-concept, and improve their well-being. This study aims to describe a community-based model of recovery for people with severe mental illness. Several literature studies were obtained from 50 reference sources through Science Direct, Google Scholar, Proquest Health and Medical Complete, Proquest Nursing, and Allied Health Sources from 2009 to 2019. Results explain that the community provides an adequate support system in improving the care of people with severe mental illness. Support systems in the community involve social and physical aspects as well as the economic infrastructure through employment opportunities or financial support and a decent living. The interaction between community members and people with severe mental illness could be a positive thing in strengthening the motivation of people with severe mental illness to recover and be able to do their activities independently. The recovery process of severe mental illness requires strong motivation and commitment from the sufferer, the family, all society members, community mental health service team, and related policymakers. It can be concluded that people with severe mental illness need support from various parties in terms of future life planning, identifying strengths and weaknesses that they have, and recognizing multiple obstacles and support so that they recover and live independently.