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<![CDATA[Analisis Kepuasan Pasien Dilihat dari Minat untuk Dirawat Kembali Terhadap Pelayanan Dokter dan Perawat ]]>
<![CDATA[Lailil Masruron]]>;
<![CDATA[Tjahjono Kuntjoro]]>;
<![CDATA[Martha Irene Kartasurya]]>
<![CDATA[ Jurnal Manajemen Kesehatan Indonesia Vol 7, No 2 (2019): Agustus 2019 ]]>
Publisher : <![CDATA[Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro ]]>
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DOI: 10.14710/jmki.7.2.2019.81-87
<![CDATA[Title :Patient Satisfaction To Doctor’s And Nurse’s Care Associated To The Interest To Be Rehospitalized (A study at RSUD Dolopo, Madiun Regency). AbstractBed Occupancy Rate (BOR) at Dolopo Public Hospital had decreased from 56.16% in 2013 to 35.86% in 2104 and 35.2% in 2015, and the average ALOS (Average Length of Stay) and Turn over Interval (TOI) increased. The preliminary study on patients of Social Security Agency (BPJS Non PBI) showed a dissatisfaction to nurse’s and doctor’s services. The aim of this study was to analyze the associations between patient satisfaction toward doctor’s & nurse’s services to the interest to be rehospitalized.This study was conducted in a cross sectional design. The subjects were 95 patients of BPJS with Non PBI in inpatient room for class I, II, III, which was choosen by using accidental sampling. Data were gathered through interviews using structured questionnaires. Data analysis was conducted by Chi-square tests and logistic regression.Results showed that the patient satisfaction based on aspects of tangibles, reliability, responsiveness, assurance, and empathy were lower than the expectations. Most of the subjects have positive attitudes, negative subjective norms and perceptions of behavior control and had a poor accesibility to the hospital. However 75.8% of the respondents were interested to be rehospitalized at Dolopo Hospital. There were correlations between patient satisfaction (p=0.009), attitude (p=0.000), subjective norm (p=0.002) with the interest to be rehospitalized. There was no correlation between control perception behavior (p=0.103), and access (p = 0.454) with the interest to be rehospitalized. After controlled for the attitude toward doctors’ and nurses’ services, the patients who were satisfied to the doctor’ and nurses’ services had 3.84 times to be interested to be rehospitalized than the patients who were not satifsfied (OR = 3.84 ; CI 95% : 0.98-15.12, p=0.054).Keywords : Patient Satisfaction, Rehospitalized, BPJS. ]]>
<![CDATA[Analisis Mutu Pelayanan Nifas Pertama (Kf1) oleh Bidan di Puskesmas di Kabupaten Pemalang Tahun 2018 ]]>
<![CDATA[Ragil Sri Pamungkas]]>;
<![CDATA[Chriswardani Suryawati]]>;
<![CDATA[Apoina Kartini]]>
<![CDATA[ Jurnal Manajemen Kesehatan Indonesia Vol 7, No 2 (2019): Agustus 2019 ]]>
Publisher : <![CDATA[Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro ]]>
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DOI: 10.14710/jmki.7.2.2019.115-123
<![CDATA[Maternal Mortality Rate (MMR) in Pemalang Regency in 2017 is still high and happens a lot during childbirth time period (72%). One of the efforts for reducing MMR is the quality service of childbirth for the process of mother and baby recovery, early detection of complications, taking care of and referral of complications. The aim of the study is to determine and analyze the quality of the first childbirth service (KF1) and factors related to the service quality of first childbirth (KF1) by midwives at Health Centres in Pemalang Regency.Quantitative research method used cross sectional research type, sample selection by simple random sampling at 100 civil servant of midwives working period of at least three years in 14 health centres in each sub-district in Pemalang Regency. Data collections were done by questionnaires and observations, data analysis with chi-square statistical tests and multivariate with multiple logistic regression.Research results showed that the service quality of the first childbirth (KF1) is lacking (53%), lacking motivation (54%), less reward (65%), less supervision (50%) and workload according to the standard (57%). Variables related to the service quality of the first childbirth (KF1) are motivation (p-value = 0.018) and rewards (p-value = 0.003). While the variables not related to the service quality of the first childbirth (KF1) are supervision (p-value = 0.229) and workload (p-value = 0.774). The factors that influence the service quality of the first childbirth (KF1) are rewards (value p = 0.031 and OR = 3,466).Suggestions for improving the service quality of the first childbirth (KF1) are midwives have to be more optimal in giving childbirth care and health education, head of health centres can divide the tasks equally among all midwives, midwives in working have to create a positive attitude, the head of the health centres praises the success of childbirth care, the head of the health centres can allocate funds for the transportation of home visits, the implementation of supervision is carried out on a scheduled and routine for all midwives.]]>
<![CDATA[Faktor – Faktor yang Berpengaruh Terhadap Praktik Perawat dalam Pelaksanaan Universal Precaution di RSUD Brebes ]]>
<![CDATA[Haris Basuni]]>;
<![CDATA[Chriswardani Suryawati]]>;
<![CDATA[Sri Achadi Nugraheni]]>
<![CDATA[ Jurnal Manajemen Kesehatan Indonesia Vol 7, No 2 (2019): Agustus 2019 ]]>
Publisher : <![CDATA[Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro ]]>
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DOI: 10.14710/jmki.7.2.2019.88-95
<![CDATA[Healthcare Associated Infections/HAIs merupakan persoalan serius di fasilitas kesehatan yang bisa menjadi penyebab kematian pasien dan bertambahnya hari rawat. Universal precaution dirancang di rumah sakit sebagai langkah awal untuk tindakan pencegahan HAIs. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi Praktik Perawat dalam pelaksanaan unversal precaution pencegahan infeksi di RSUD Brebes.Jenis penelitian observasional kuantitatif dengan pendekatan cross sectional. Jumlah sampel 130 perawat, teknik pengambilan sampel dalam penelitian ini menggunakan non probability sampling dengan prosedur convenient/judgement sampling. Pengumpulan data menggunakan kuesioner dan lembar observasi. Analisis data dengan program SPSS menggunakan korelasi rank spearman dan regresi logistik metode enter.Hasil penelitian menunjukkan pengetahuan perawat sebagian besar baik 70,8%, sikap perawat sebagian besar baik 58,5%, praktik perawat sebagian besar baik 50,8%. Uji hubungan rank spearman menunjukkan adanya hubungan antara pengetahuan dan sikap dengan praktik perawat dalam pelaksanaan universal precaution dengan nilai p-value < 0,05. Analisis multivariat regresi logistik menunjukkan pengetahuan dengan nilai rho 5,351 dan sikap dengan nilai rho 6,835 secara bersama-sama berpengaruh terhadap Praktik Perawat dalam pelaksanaan universal precaution. Saran untuk meningkatkan praktik perawat dalam pelaksanaan universal precaution perlu dilakukan usaha untuk meningkatkan pengetahuan dan sikap perawat dengan cara mengadakan pelatihan .]]>
<![CDATA[Pengaruh Booklet Terhadap Pengetahuan dan Sikap Kesehatan Reproduksi Calon Pengantin Terkait Pencegahan Risiko Kehamilan di Kabupaten Pemalang ]]>
<![CDATA[Heni Irawati]]>;
<![CDATA[Apoina Kartini]]>;
<![CDATA[Sri Achadi Nugraheni]]>
<![CDATA[ Jurnal Manajemen Kesehatan Indonesia Vol 7, No 2 (2019): Agustus 2019 ]]>
Publisher : <![CDATA[Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro ]]>
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DOI: 10.14710/jmki.7.2.2019.124-131
<![CDATA[One of the causes of a high maternal mortality rate is the low knowledge of women's reproductive health, especially about the prevention of pregnancy risks. This can be overcome by increasing the knowledge of prospective brides, one of them is by providing health education with booklet media. The purpose of this study was to determine the effect of booklets on the knowledge and attitudes of reproductive health of brides related to the prevention of the pregnancy risks. This type of research is quasi-experimental with a non-equivalent control group design. The study population was the future brides who attended the course of Future Bride and Groom at the Religious Affairs Office in Pemalang Regency. The samples were 50 brides for the intervention group and 50 brides for the control group. The instruments were questionnaires and booklets. An intervention group and a control group were compared based on the result of pre and post intervention. Statistical analysis used t-test and mann whitney test. The results showed that there is a differentiation in reproductive health knowledge after intervention between intervention group and control group (p = 0,000 <0,05) and there is a differentiation in reproductive health attitudes after intervention between intervention group and control group (p = 0,008 <0,05). The knowledge average of future brides increased by 4.28 points and the attitude average increased by 1.84 points after intervention. It can be concluded that the booklet can be used to increase the reproductive health knowledge and attitudes of future brides in prevention of pregnancy risks, especially in the case of anemia causing bleeding, chronic energy deficiency, and puerperal danger signs. It is recommended that the booklet can be developed as a media for reproductive health education in the course of Bride and Groom at the Religious Affairs Office.Key Words: Reproductive health; Knowledge; Attitudes; Booklet; Brides]]>
<![CDATA[Evaluasi Kelayakan Implementasi Sistem Informasi Surveilans Kesehatan Ibu Anak dan Gizi dengan Model Task Technology Fit di Kabupaten Banyumas ]]>
<![CDATA[Sri Bintang Pamungkas]]>;
<![CDATA[Farid Agushybana]]>;
<![CDATA[Kusworo Adi]]>
<![CDATA[ Jurnal Manajemen Kesehatan Indonesia Vol 7, No 2 (2019): Agustus 2019 ]]>
Publisher : <![CDATA[Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro ]]>
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DOI: 10.14710/jmki.7.2.2019.96-101
<![CDATA[Banyumas Regency already has a supportive system in terms of maternal health and child health surveillance but has not been utilized optimally because it has not gone through a competent feasibility study, so the system cannot be applied according due needs. The purpose of this study is noticing at the feasibility study of the child maternal health surveillance system and nutrition in its application at Banyumas regency by using Task Technology Fit (TTF). Research is a quantitative study with a cross sectional approach. Respondents of this study were all coordinate midwives in the puskesmas in Banyumas regency which amounts totaling 39 people, according to the predetermined total sampling criteria. Data collection using a questionnaire method. Data analysis was performed using logistic regression. The results of the feasibility study of the maternal and child health health surveillance system in Banyumas District showed variables related to utilization including data suitability, system reliability, ease of use. The recommendation for the improvement of the feasibility study of maternal and child health health surveillance systems in Banyumas district is the improvement of infrastructure, as well as training and socialization.]]>
<![CDATA[Pengaruh Gaya Kepemimpinan Terhadap Disiplin Dokter dalam Ketepatan Waktu Pelayanan Sesuai Standar Pelayanan Minimal (SPM) Rawat Jalan di Rumah Sakit Umum Daerah K.R.M.T Wongsonegoro Tahun 2018 ]]>
<![CDATA[Roosmalia Isdiani]]>;
<![CDATA[Sudiro Sudiro]]>
<![CDATA[ Jurnal Manajemen Kesehatan Indonesia Vol 7, No 2 (2019): Agustus 2019 ]]>
Publisher : <![CDATA[Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro ]]>
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DOI: 10.14710/jmki.7.2.2019.132-141
<![CDATA[Doctor discipline of on time outpatient service is one of the major complaint from the community as well as hospital management. Doctor presence in outpatient service still have not meet the requirement of minimal standard service which is at 08.00 a.m. Leadership style in hospital management has a great effect on enforcement of doctor discipline on time of outpatient service.Objective of this study is to identify leadership styles applied and which one is the most frequently used by the leader of RSUD K.R.M.T. Wongsonegoro which influenced doctor discipline on time service of outpatient service. This study is a qualitative study. Data collection was conducted using indeepthinterview of 3 (three) specialist doctors assigned as main informan and 3 (three) triangulated respondents, namely: hospital director, chief of medical services and head of outpatient sevices. Result of this study shows there are several leadership style applied: auotocratic, democratic, transactional and tranformasional. The most frequently used leadership style which influenced doctor discipline in time of outpatient service are: 1. Ttransformational in which the leader encourage, inspire and appreciate doctor, so the doctors implement policy from the hospital leader because they were appreciated, 2. Transactional in the form of reward and punishment so the doctors implement policy because they were expect reward if they carry out the task well.]]>
<![CDATA[Faktor - Faktor yang Mempengaruhi Komitmen Dokter di Puskesmas untuk Tidak Merujuk Kasus Non-Spesialistik Pasien BPJS di Kota Semarang ]]>
<![CDATA[Hendro Sucipto]]>;
<![CDATA[Chriswardani Suryawati]]>;
<![CDATA[Sutopo Patria Jati]]>
<![CDATA[ Jurnal Manajemen Kesehatan Indonesia Vol 7, No 2 (2019): Agustus 2019 ]]>
Publisher : <![CDATA[Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro ]]>
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DOI: 10.14710/jmki.7.2.2019.102-108
<![CDATA[Patients who should be able to be treated at the health center (puskesmas) but because of some matters referred to and handled in a hospital, it is a waste of health costs. Hence, BPJS will pay more according to INA CBG's tariff. 3 Advanced Health Facilities, in this case a hospital, is also object to having to deal with non-specialist cases, while the case can actually be completed at the first health facility. Handling non-specialist cases in hospitals leads to health services being less well targeted. The hospital will be very busy handling patients who are not supposed to, while patients who really need treatment in the hospital can be neglected. 2 This study aims to analyze factors which influence the commitment of doctors not to refer to non-specialist cases in health centers in the city of Semarang The study was conducted with a cross sectional quantitative research design. The data were collected by calculating the total results of the questionnaire measurements on each variable with a Likert scale on 73 doctors in 37 health centers spread across the city of Semarang. The study was conducted during March to May 2018. The results showed that the number of non-specialist cases of BPJS Health participant patients was still relatively high. This has to do with the commitment of doctors at the health center not to refer to non-specialist cases. The most influence factor to the commitment of doctors not to refer to non-specialist cases was the doctor's perception of the completeness of facilities and infrastructure and the doctor's perception of his competence]]>
<![CDATA[Analisis Efektivitas Komunikasi Tulis Baca Konfirmasi dalam Sasaran Keselamatan Pasien di Ruang Rawat Inap Rumah Sakit X Jepara ]]>
<![CDATA[Sinta Nurani]]>;
<![CDATA[Sudiro Sudiro]]>
<![CDATA[ Jurnal Manajemen Kesehatan Indonesia Vol 7, No 2 (2019): Agustus 2019 ]]>
Publisher : <![CDATA[Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro ]]>
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DOI: 10.14710/jmki.7.2.2019.142-150
<![CDATA[Communication is one of the root causes of mismanagement of medical actions, lack of division of labor and coordination between professions as one of the cultural barriers to safety enforcement in hospitals. Hospitals must have a list of permitted or prohibited abbreviations which can often lead to fatal communication errors. Doctors in private hospitals in regions such as the "X" Jepara hospital come from government hospitals, especially specialist doctors. The time that doctors give very little to meet patients and talk with nurses about the patient's health status is also a problem for patient care. General Purpose: To analyze the implementation of communication TBK in an effort to prevent events related to patient safety.This study uses data collection methods through indepth interviews (in-depth interviews) with informants who have been selected and determined in relation to the implementation of the communication process of effective inpatient installation of Jepara X Hospital. Data processing is carried out with four main processes of qualitative data analysis, namely comprehending, synthesizing, theorizing and recontextualizing.The results of the study show the implementation of communication TBK in an effort to prevent events related to patient safety Application of effective communication requires a confirmation sheet as proof of recording. But this is not yet available at the X Hospital in Jepara. The modern nurse operation with the TBK technique is to use the TBK technique documentation format for each patient each shift, operand notebook, and patient medical record]]>
<![CDATA[Pengaruh Kepemimpinan Demokratis Kepala Ruang Rawat Inap Terhadap Kepuasan Kerja Perawat di Rumah Sakit Umum Aro Pekalongan ]]>
<![CDATA[Broto Rahardjo]]>;
<![CDATA[Chriswardani Suryawati]]>;
<![CDATA[Farid Agushybana]]>
<![CDATA[ Jurnal Manajemen Kesehatan Indonesia Vol 7, No 2 (2019): Agustus 2019 ]]>
Publisher : <![CDATA[Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro ]]>
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DOI: 10.14710/jmki.7.2.2019.109-114
<![CDATA[Leadership styles that are less suitable can reduce employee motivation, performance and job satisfaction. 4 out of 10 nurses in the inpatient room of Aro Pekalongan General Hospital felt dissatisfied with the leadership of the head of the inpatient room. Therefore a study was conducted to analyze the influence of the democratic leadership style of the inpatient head on the job satisfaction of nurses in Aro Pekalongan General Hospital.The study design was cross sectional with an observational quantitative approach. The research subjects were 32 nurses in the inpatient room of Aro General Hospital who were selected by the total sampling method. Data was collected by questionnaire. Processing and analysis of data using multiple logistic regression analysis.The results showed the variables of democratic leadership style related to nurse job satisfaction in Aro Pekalongan Hospital were delegation of responsibility variables (p = 0.005) and headroom decision-making variables (p = 0.034), while other variables not related to nurse job satisfaction were variable of headroom activity (p = 0.077) and empathy variable (p = 0.075). The variable delegation of tagging answers to the head of the room has a 19 times better effect on influencing nurse job satisfaction compared to the head of the room with poor delegation of responsibilities (p = 0.011 Exp (B) = 19.826). It is recommended for management for periodic monitoring and evaluation, the selection of the head of the room is based on the length of work, competence and experience of advice for the head of the room to improve effective communication and hold regular meetings with nurses in the inpatient room of Aro Pekalongan General Hospital.]]>
<![CDATA[Pengaruh Dimensi Mutu Pelayanan Keperawatan Terhadap Kepuasan Pasien di RS PKU Muhammadiyah Mayong Jepara ]]>
<![CDATA[Titik Sumarni]]>;
<![CDATA[Sudiro Sudiro]]>
<![CDATA[ Jurnal Manajemen Kesehatan Indonesia Vol 7, No 2 (2019): Agustus 2019 ]]>
Publisher : <![CDATA[Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro ]]>
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DOI: 10.14710/jmki.7.2.2019.151-156
<![CDATA[In PKU Muhammadiyah Mayong Jepara Hospital, in 3 years from 2013, 2014, and 2015 the number of patient dissatisfaction with nurse services was 20.5%, 22.6% and 25% respectively. According to Parasuraman et al. 5 dimensions of service quality that affect satisfaction are reliability, assurance, tangible, empathetic and responsiveness. The purpose of this study was to determine the effect of the dimensions of nursing service quality on patient satisfaction in the Inpatient Installation of PKU Muhammadiyah Hospital in Mayong Jepara.This type of research is quantitative, with observational studies and uses a cross sectional approach. Data collection through surveys using a structured guided questionnaire in filling out questionnaires through interviews. The population of objects are 300 patients include 4 rooms. The inclusion criteria were patients who were returning home, the patient had been treated for 3 days, and the patient was 18 years old up to 60 years old. Exclusion criteria were VIP room patients, HCU chambers, isolation rooms, infants and children (less than 18 years), and elderly patients (over 60 years). The number of samples counted 75, the variables measured are 5 dimensions of service quality. Data were processed through univariate procedure with percentage, bivariate with pearson product momment.The results obtained from the responses of respondents in getting the lowest mean value is responsiveness, where all dimensions of service quality are related to patient satisfaction (p value <0.05). The strongest relationship is reliability.Recomendation: the nurse immediately handles the patient and provides quick response during the inpatient ward.]]>
