Nur Akifa Sartika Putri
Institut Batari Toja Bone

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Health Service Utilization at West Sulawesi Provincial General Hospital Aulia Apriliani; Nur Akifa Sartika Putri
International Journal Of Health Science Vol. 5 No. 3 (2025): November : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i3.6234

Abstract

In 2021, the number of outpatient visits at the West Sulawesi Provincial Hospital decreased by 46% compared to 2019, indicating a significant decline in the utilization of health services. This study aimed to analyze the factors related to the utilization of health facility services among outpatients. This quantitative research employed a cross-sectional design with a total of 100 respondents selected through accidental sampling. Data were collected using a structured questionnaire and analyzed using statistical tests to identify relationships between variables. The findings revealed that health insurance (p < 0.001) and affordability of access (p = 0.008) had a significant relationship with the utilization of health facility services. In contrast, knowledge (p = 0.075) and perception of pain (p = 0.055) were not significantly associated with service utilization. These results suggest that socioeconomic factors, particularly the ownership of health insurance and the accessibility of health services, play a crucial role in determining patients’ healthcare-seeking behavior. Therefore, efforts to improve health service utilization should focus on expanding insurance coverage, reducing access barriers, and ensuring the equitable availability of healthcare facilities in all regions.
Analysis of Healthcare Quality Management Systems in Hospitals: A Literature Review Based on Accreditation Standards and Patient Satisfaction Muh Arfah; Suci Safwa Salsabila; Aulia Apriliani; Nur Akifa Sartika Putri; Andi Sri Adinda
Jurnal Pengelolaan Kesehatan Berkelanjutan berbasis Kearifan Lokal Vol. 1 No. 2 (2026): Jurnal Pengelolaan Kesehatan Berkelanjutan Berbasis Kearifan Lokal
Publisher : Universitas Cahaya Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65943/2eh9ps41

Abstract

Hospital healthcare plays a vital role in ensuring the sustainability and effectiveness of national health systems. The implementation of a Quality Management System (QMS) has become a strategic approach to improving service consistency, patient safety, and organizational performance. Hospital accreditation serves as an external evaluation mechanism that promotes compliance with established standards and continuous quality improvement. This study employed a qualitative descriptive literature review approach to examine the relationship between accreditation standards, QMS implementation, service quality, and patient satisfaction. A total of 48 articles were initially identified from relevant databases. After duplicate removal and title–abstract screening, 27 articles remained. Following full-text assessment based on inclusion and exclusion criteria, 5 articles were finally selected for analysis.The findings indicate that accreditation strengthens structured procedures, documentation systems, patient safety culture, and internal monitoring processes. Accredited hospitals tend to demonstrate better procedural compliance and service delivery. Furthermore, service quality dimensions—reliability, responsiveness, assurance, empathy, and tangibles—are strongly associated with patient satisfaction. The novelty of this study lies in integrating accreditation standards, QMS implementation, service quality, and patient satisfaction into one analytical framework.In conclusion, integrating accreditation standards with continuous quality improvement and patient-centered strategies is essential to achieving sustainable service quality and higher patient satisfaction in hospitals.