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All Journal Community Engagement and Emergence Journal (CEEJ) Jurnal Ners Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) Indonesian Journal of Global Health Research
Taufik Zulfikar
Universitas Sangga Buana YPKP Bandung
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Pengaruh Kualitas Layanan Dan Inovasi Layana Kesehatan Terhadap Kepuasan Pasien Dan Berimplikasi Kepada Loyalitas (Studi Di Puskesmas Bontang Utara 1) I Wayan Santika; Taufik Zulfikar; Ayu Laili Rahmiyati
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.v9i4.50350

Abstract

Persaingan dalam industri pelayanan kesehatan menuntut rumah sakit untuk terus berinovasi dan meningkatkan mutu layanan agar dapat memenuhi kebutuhan serta harapan pasien. Dua faktor utama yang diyakini memengaruhi keberhasilan rumah sakit dalam mempertahankan pasien adalah kualitas layanan dan inovasi layanan kesehatan. Penelitian ini bertujuan untuk menganalisis pengaruh kualitas layanan dan inovasi layanan kesehatan terhadap kepuasan pasien, serta implikasinya terhadap loyalitas pasien. Penelitian menggunakan pendekatan kuantitatif dengan desain explanatory research. Sampel penelitian berjumlah 99 responden pasien rawat jalan yang dipilih dengan teknik accidental sampling. Hasil penelitian menunjukkan bahwa Kualitas Layanan berpengaruh positif namun tidak signifikan terhadap Kepuasan Pasien (p-value = 0,141; t hitung = 1,487), sedangkan Inovasi Layanan Kesehatan berpengaruh positif dan signifikan terhadap Kepuasan Pasien (p-value = 0,029; t hitung = 2,216). Lebih lanjut, Kepuasan Pasien berpengaruh positif dan signifikan terhadap Loyalitas Pasien (p-value = 0,000; t hitung = 3,581). Kualitas Layanan tidak berpengaruh signifikan terhadap loyalitas pasien secara langsung (p-value = 0,093), sedangkan Inovasi Layanan Kesehatan berpengaruh signifikan (p-value = 0,014). Analisis mediasi menunjukkan bahwa kepuasan pasien berperan sebagai variabel intervening yang memperkuat hubungan kualitas layanan dan inovasi dengan loyalitas pasien. Nilai R² sebesar 0,368 untuk kepuasan pasien dan 0,531 untuk loyalitas pasien menunjukkan kontribusi model tergolong moderat hingga kuat. Kesimpulannya, loyalitas pasien dapat ditingkatkan melalui kepuasan yang dibentuk oleh kombinasi kualitas layanan dan inovasi. Rumah sakit perlu memperkuat inovasi berbasis teknologi digital, meningkatkan empati tenaga kesehatan, serta memperbaiki komunikasi interpersonal agar kepuasan dan loyalitas pasien terbangun secara berkelanjutan. Kata kunci: Kualitas Layanan, Inovasi Layanan Kesehatan, Kepuasan Pasien, Loyalitas Pasien
ANALYSIS OF THE IMPLEMENTATION OF LEAN MANAGEMENT METHOD TO IMPROVE PATIENT SATISFACTION (CASE STUDY OF HEART AND BLOOD VESSEL OUTPATIENT PATIENTS PARTICIPANTS OF BPJS KESEHATAN AT SYARIFAH AMBAMI RATO EBU BANGKALAN REGIONAL HOSPITAL) Muhammad Jauhari Wafi; Taufik Zulfikar; Rulia; Rukhiyat Syahidin; Vip Paramarta; Kosasih
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 4 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

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

Abstract

Outpatient cardiovascular services are among the healthcare services with high patient volumes, which may lead to process inefficiencies and decreased patient satisfaction, particularly among BPJS Health Insurance participants. Lean Management is considered a strategic approach to improving service efficiency and patient satisfaction through Waste elimination and continuous improvement. This study aimed to analyze the implementation of Lean Management, identify types of Waste, examine its impact on patient satisfaction, and explore the role of strategic management in supporting the sustainability of Lean Management in the outpatient cardiovascular clinic of RSUD Syarifah Ambami Rato Ebu Bangkalan. This study employed a qualitative design with a case study approach. Informants were selected using purposive sampling and included hospital management, healthcare staff, and patients. Data were collected through in-depth interviews, observations, and document review, and analyzed using thematic analysis. The results showed that Lean Management had been implemented through the application of Just-In-Time principles, 5S culture, Kaizen, and service digitalization. The main types of Waste identified were waiting time, administrative duplication, and service flow Bottlenecks. The implementation of Lean Management had a positive impact on patient satisfaction, particularly in terms of service flow clarity, procedural simplicity, and staff attitudes. However, waiting time and physical facility comfort remained key challenges.
Unit Cost Analysis of Central Sterile Supply Department (CSSD) Services Using the Activity-Based Costing Method Achmad Fauzi; Taufik Zulfikar; Rulia Rulia
Indonesian Journal of Global Health Research Vol. 8 No. 1 (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.v8i1.507

Abstract

The Central Sterile Supply Department (CSSD) is a vital hospital support unit that ensures the availability of sterile medical instruments to support clinical services and prevent nosocomial infections. However, many hospitals in Indonesia, including Dr. Abdul Aziz General Hospital, Singkawang, have not established cost-based tariffs for CSSD services. This study aimed to calculate the unit cost of CSSD services at Dr. Abdul Aziz General Hospital, Singkawang, using the Activity-Based Costing (ABC) method. A descriptive qualitative study was conducted. Data were collected through observation, interviews with CSSD staff and management, and document review of financial and operational reports for the CSSD in 2024, specifically focusing on cost components, resource consumption, and activity volumes. Data Analysis used the Activity-Based Costing (ABC) method to meticulously trace overhead costs to services. This analysis followed six systematic steps: (1) identifying all cost components, (2) defining main CSSD activities, (3) determining appropriate cost drivers for each activity, (4) allocating total costs to each activity center, (5) calculating the unit cost per activity, and finally (6) determining the total cost for each instrument set sterilized. The total CSSD operational cost in 2024 was IDR 2,335,001,386, with a unit cost per sterilization cycle of IDR 2,470,901. Costs per instrument set were: major surgery set IDR 1,235,450; medium surgery set IDR 412,640; minor surgery set IDR 247,090; and single instrument IDR 123,545. Activity costs were dominated by sterilization (30%) and packing (25%). The ABC method produces more accurate cost calculations compared to traditional methods and can be used as a basis for tariff setting, cost control, and hospital financial planning. Future studies are recommended to expand the analysis to other hospital support units to benchmark efficiency and strengthen tariff policies.
Pengaruh Pelatihan dan Infrastruktur Teknologi Guna Menciptakan Optimalisasi Penerapan Sistem Informasi Manajemen Rumah Sakit Berimplikasi Terhadap Kepuasan Pengguna (Studi pada Rumah Sakit X Kabupaten Bogor) Claryan Citra Nova; Taufik Zulfikar; Taufan Nugroho
Community Engagement and Emergence Journal (CEEJ) Vol. 6 No. 5 (2025): Community Engagement & Emergence Journal (CEEJ)
Publisher : Yayasan Riset dan Pengembangan Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37385/ceej.v6i5.9203

Abstract

Sistem Informasi Manajemen Rumah Sakit (SIMRS) berperan penting dalam meningkatkan efisiensi dan kualitas pelayanan kesehatan. Namun, implementasi yang belum optimal, akibat minimnya pelatihan dan infrastruktur teknologi yang belum memadai, kerap menghambat kinerja layanan. Penelitian ini bertujuan menganalisis pengaruh pelatihan dan infrastruktur teknologi terhadap optimalisasi SIMRS serta implikasinya terhadap kepuasan pengguna di Rumah Sakit X, Kabupaten Bogor. Metode yang digunakan adalah pendekatan kuantitatif dengan analisis jalur untuk menguji hubungan langsung dan tidak langsung antar variabel. Hasil penelitian menunjukkan bahwa pelatihan dan infrastruktur teknologi berpengaruh signifikan terhadap optimalisasi SIMRS, yang pada gilirannya meningkatkan kepuasan pengguna. Selain itu, optimalisasi SIMRS terbukti memediasi hubungan antara pelatihan dan infrastruktur teknologi terhadap kepuasan pengguna. Penelitian ini menekankan pentingnya strategi terintegrasi dalam pengembangan SDM dan penguatan infrastruktur guna mendukung keberhasilan implementasi sistem informasi rumah sakit.
Co-Authors Achmad Fauzi Ayu Laili Rahmiyati Claryan Citra Nova I Wayan Santika Kosasih Muhammad Jauhari Wafi Rukhiyat Syahidin Rulia Rulia Rulia Taufan Nugroho Vip Paramarta