Provide Quality Health Services Research Articles

Peningkatan Keselamatan di Rumah Sakit melalui APAR dengan Teknologi (Literatur Review)

Improving safety in hospitals is a crucial aspect in efforts to provide quality health services. This article is a literature review that discusses the important role of Light Fire Extinguishers (APAR) supported by technology in increasing the level of safety in hospitals. This review explores a number of studies that reveal the benefits of using fire extinguishers equipped with advanced technology, such as fire sensors, automatic monitoring and rapid notification, in reducing the risk of fire in hospital environments. Apart from that, this article also reviews regulatory aspects, personnel training, and other factors that are key to the successful implementation of APAR technology in the hospital context. The writing method used is descriptive qualitative with a literature review approach where the data comes from various online sources, such as Google Scholar. The results of this literature review provide a better understanding of how the use of APAR integrated with technology can be an effective solution to improve the safety of patients, medical staff and facilities in hospitals.

Effectiveness and Efficiency of Using LINAC Precise and Cobalt-60 Medical Devices at Dr. Mohammad Hoesin Hospital Palembang

Hospitals are social institutions that provide quality health services to every customer. To meet expected service standards, hospitals should have effective procurement of medical equipment. This study aims to evaluate the effectiveness and efficiency of utilities in the use of medical devices in supporting services at RSUP Dr. Mohammad Hoesin Palembang, with descriptive analytical research using quantitative methods with a cross sectional research design. The research results show that there is a significant difference between the Break Event Point (BEP) value before and after purchasing the Cobalt 60 aircraft from the target of 90 patients per day to 87 patients per day, and there is a significant difference between the BEP value before and after purchasing the Precise LINAC aircraft from the target of 70 patients per day to 55 patients per day. Based on the calculation of the effectiveness and efficiency of the utility of using the Cobalt 60 and Linac Precise aircraft, it can be concluded that the utility of using the Cobalt 60 aircraft at RSUP Dr. Mohammad Hoesin Hospital Palembang is considered ineffective (50%) but efficient (70.88%) with a BEP value of 5.5 years; while the utility of using the Linac Precise aircraft at RSUP Dr. Mohammad Hoesin Hospital Palembang is considered effective (113%) and efficient (51.77%) with a BEP value of 4.1 years. The data above shows that hospitals experienced slight losses due to the Covid-19 pandemic because the number of patients using medical equipment did not reach the target, but hospitals were able to manage expenditure well so that there was a decrease in the efficiency ratio every year in the procurement of medical equipment.

Good Governance (Tata Kelola) Dan Kualitas Pelayanan Kesehatan, Pengaruhnya Terhadap Kepuasaan Pasien, Di Rsud. Sogaten, Kota Madiun

Abstract— This research is motivated by limited efforts to build good governance in hospital management, so that it has not been able to produce quality health services that are easy, reasonable, affordable and high quality. With the increasingly complex demands of the community using hospital services in the form of comfort and convenience in health services, good governance is needed in the management of health service programs so that they can be presented in accordance with the hopes and desires of the community as health service patients. The presence of quality health services is very important to increase patient satisfaction, because with patient satisfaction the patient will use health services, but conversely if the patient feels dissatisfied they will switch to another hospital. The research method was carried out using a quantitative approach, and sampling was carried out by purposive sampling of 200 respondents from a total population of 400 respondents taken based on data on the average daily patient visits at RSUD. Sogaten, Madiun City. Data collection was carried out by observation, documentation and questionnaires. Meanwhile, data analysis was carried out through multiple linear regression with data processing through the SPSS program. The research results show that (1) there is an influence of Good Governance (Hospital Management) on Patient Satisfaction in RSUD. Sogaten, Madiun City. (2) there is an influence of the quality of health services on patient satisfaction with health services at RSUD. Sogaten, Madiun City. (3) there is an influence of Good Governance and Quality of Health Services on Patient Satisfaction with Health Services at RSUD. Sogaten, Madiun City. Good governance for public institutions is no exception to RSUD. Sogaten, Madiun, implementing the principles of good governance is not just an obligation but has become a necessity. There are 9 (nine) principles of good governance, namely: Participation, Rule of Law, Transparency, Responsiveness, Consensus Orientation, Effectiveness and Efficiency, Equity, Accountability, and Strategic Vision. The presence of good governance in hospital management will encourage improvements in the quality of health services, because all health personnel resources will be focused on carrying out their duties and obligations well, especially in the context of providing quality health services.

PENGUKURAN KINERJA ASRI MEDICAL CENTER DALAM PERSPEKTIF BALANCED SCORECARD

The company performance is a reflection of an activity results and condition of the company. The results of the activities of the company being analyzed, where the results will show the condition of the company's management during the period of performance analysis done. Asri Medical Center (AMC) is one of Muhammadiyah University of Yogyakarta units in health care, education and research belong to da’wa infrastructures. To realize its goal in providing quality health services for people, AMC has to make a performance appraisal regularly and continuously. The objective of this research is to measure the performance of AMC based on the Balanced Scorecard with reference to the performance standards in the AMC. This research is an eksploratoris case study that measured management performance with the Balanced Scorecard, which is assessing the performance not only from the financial aspect but also from non-financial aspects. The subjects of this research are AMC managers, and the data used is the data of 2010 and 2011. The data used are the primary data i.e field studies in the form of interview and observation and also secondary data in the form of general data and specific data on the AMC which includes financial and non financial data. AMC has been running the Balanced Scorecard stages, that is strategy formulation arranged as a result of the macro, industry environments analysis as well as SWOT analysis and has formulated a vision, mission, purpose, basic beliefs, basic values and strategy. The next phase, AMC has developed a strategic plan that includes strategic goal, target and strategic initiatives. The strategic targets have been formulated considering the financial perspective, customer perspective, business process perspective and learning and growth perspective. AMC has to define planning into work program with key performance indicators that can be measured and in accordance with performance standards for each medical center.

A survey on the effects of patient safety training programs based on SBAR and FMEA techniques on the level of self-efficacy and observance of patient safety culture in Iran hospital, Shiraz in 2022-2023.

Patient safety and medical personnel self-efficacy are among the main factors involved in providing quality health services. Moreover, safety culture in an organization is considered one of the most critical factors regarding patients' safety. Therefore, the present study aimed to determine the effects of patient safety programs based on Situation, Background, Assessment, Recommendation (SBAR) and Failure Model Effects Analysis (FMEA) techniques on self-efficacy and patient safety culture in Iran Hospital of Shiraz in 2022-2023. This two-stage quasi-experimental study was conducted in 2022-2033. Considering inclusion criteria, the present study included 80 nurses working in Iran Hospital. The participants were divided into groups of SBAR (40 participants) and FMEA (40 participants). All the data were collected using a Hospital Survey on Patient Safety Culture questionnaire and Sherer General Self-Efficacy Scale. Then, the collected data were analyzed using SPSS 13, Fisher's exact test, paired t-test, and independent t-test with a significant level of P < 0.05. The mean score of total patient safety culture between the two groups was insignificant before the intervention (P = 0.58). However, it was more significant in the FMEA group than the SBAR group after the intervention (P < 0/05). In addition, the mean self-efficacy score between the two groups was insignificant before the intervention (P = 0.80). However, after the intervention, the mean score of the FMEA group was significantly higher than the SBAR group (P < 0.05). According to the findings of this study, there is a meaningful relationship between patient safety training programs based on SBAR and FMEA techniques on patient safety and self-efficacy of nurses; however, FMEA training has more positive effects on self-efficacy and patient safety compared to other techniques. As a result, these techniques, along with other plans, are recommended to authorities in order to help improve patient safety.

Sistem Informasi Inventaris Barang Berbasis Web Pada Dinas Kesehatan Kabupaten Gresik

The Gresik District Health Service, as one of the public service institutions in the health sector, has a big responsibility in providing quality health services for the community. In carrying out its duties, the Gresik District Health Service certainly cannot be separated from the need for inventory of goods. In reality, many government agencies, including health agencies, still manage inventory manually. Often, this method causes problems such as stock monitoring, asset tracking, and inefficient and inaccurate reporting. As a result, a solution is needed that can increase the efficiency and effectiveness of inventory management. Web-Based Goods Inventory Information System at the Gresik District Health Service with the aim of making it easier to process and report goods inventory data. This research applies a waterfall software development approach, which involves the stages of analysis, design, implementation and testing.

The Relationship Of Motivation For Entering The Faculty Of Medicine And Dentistry On Students' Academic Achievement

Education is essential in modern society, both politically and economically. Medical training plays a critical role in producing qualified doctors. Competent doctors, the result of training provided by quality medical education institutions, provide quality health services to the community. Motivation is significant in determining learning success. This research aims to determine the relationship between motivation for entering medical and dental faculties and student's academic achievement. An online survey was used to collect data for this research. The sample population of the research was medical and dental students from Prima Indonesia University. The strength of the Motivation for Medical Students (SMMS) instrument, translated into Indonesian, was used to collect data for student motivation. 123 out of 493 medical and dental students participated in this research. Survey results show that suitability and interest are why students enter medical and dental faculties. The Spearman's rho correlation test shows no significant relationship between motivation variables and GPA, with Sig. (2-tailed) of 0.303 where p &gt; 0.05. The Mann-Whitney test shows no statistically significant difference between the two genders with Sig. (2-tailed) of 0.558 where p &gt; 0.05. This study shows that although there are various reasons and motivations for entering medical and dental faculties, there is no relationship between the above and academic achievement.

The Effect of Fitness Level, Organizational Support, and Compensation on the Work Productivity of Tangerang City Health Office Employees Mediated by Organizational Motivation

Work productivity is one of the important factors in organizational success. In the health sector, employee work productivity has a very important role in providing quality health services to the community. The purpose of this study was to analyze the effect of body fitness level, organizational support, and compensation on the work productivity of Tangerang City Health Office employees mediated by organizational motivation. This research uses quantitative research methods. Data collection techniques in this study used literature study and questionnaire methods. The data that has been collected is then analyzed using regression analysis. The results showed that the level of body fitness, organizational support, and compensation had a positive effect on the work productivity of employees of the Tangerang City Health Office. Then, organizational motivation is proven to mediate the influence of body fitness level, organizational support, and compensation on the work productivity of Tangerang City Health Office employees.

Model of Health-Promoting Community Health Center in the Islands to Support Healthy Cities in South Sulawesi Province

Purpose: This study aims to find a model of Health-Promoting Puskesmas in the archipelago in supporting healthy cities in South Sulawesi Province.&#x0D; &#x0D; Theoretical Reference: Some healthy setting thinkers believe that the healthy cities approach as a tool in solving regional health problems is seen as a too broad concept. The Healthy Islands Concept (HIC) is one of the initiatives which has elemental settings to promote health in island people and communities. Healthy Island refers to island settings, one of which is the Community Health Center (Puskesmas). Realizing Health-Promoting Hospitals has become a global movement. Otherwise, realizing Health-Promoting Puskesmas which has a different position and roles and responsibilities in improving health has raised difficulties. Moreover, health problems in Puskesmas in urban areas can be different from Puskesmas on the island.&#x0D; &#x0D; Methods: This study uses quantitative analysis. There were 700 respondents selected as sample. They were the community that go to the Puskesmas or those in the working area of the Puskesmas. The research locations are in 3 archipelagic regencies/cities, namely islands in Makassar City, Pangkajene Islands Regency, and Selayar Islands Regency. The data were analyzed quantitatively using Confirmatory Factor Analysis (CFA) and then analyzed using Structural Equation Modeling/SEM.&#x0D; &#x0D; Results and Conclusion: Based on the data collection, it was found that there are 7 dimensions with 28 indicators that can form a model of a health-promoting Puskesmas in the islands. Further, the dimension that has the strongest contribution in establishing the model of a health center in islands is the work group dimension of healthy puskesmas with an average loading factor value for each indicator of &gt; 9 so that it can be illustrated that these indicators are stronger than other indicators existing in other dimensions of the Puskesmas models in the islands. A Puskesmas model that is suitable for archipelagic areas has implications for efforts to prevent and improve health, as well as provide quality health services.&#x0D; &#x0D; Implication of Research: Thus, this Puskesmas model can improve the health status of the island community.&#x0D; &#x0D; Originality: The results of this research are expected to be input for the Ministry of Health, the Health Service, Provincial and district/city Governments, and also for society as a whole in realizing a Health-Promoting Puskesmas.

Patients’ perceptions of quality health services delivery in Tanzania: Engendering gaps for policy action

Background: Patients’ perceptions drive healthcare quality globally. Therefore, understanding their views on professionalism and satisfaction is crucial. A patient-centric approach is essential, offering insights into meeting their needs and expectations. Objective: This study aimed to determine patients’ perception of the quality of health service provision in Tanzanian zonal referral hospitals. Methods: The study employed a cross-sectional design in four zonal referral hospitals in Tanzania. Data were collected using a questionnaire survey from 376 participants conveniently selected from May to June 2023. Data were analyzed using IBM SPSS version 26 for descriptive analysis and one-way ANOVA. Results: The proficiency of care and health workers’ ability to instill trust and confidence in patients and their ability and willingness to provide services accurately and reliably influenced patients’ perceptions. Furthermore, personalized attention, workers’ appearance, physical facilities, and other working materials increased patients’ ratings of the health service delivery. Conclusion: The proficiency of care, promptness, and accuracy of service delivery are essential components in health service provision that can influence patients’ ratings. Therefore, policymakers, government, and other stakeholders should train health workers continuously to improve their competencies while ensuring the entire health system is effectively monitored.

Evaluation of Drug Management and Improvement Strategies Using the Hanlon Method in the Pharmacy Installation of Dr. Moewardi General Hospital, Surakarta, Indonesia

A hospital pharmacy (FRS) is a unit in a hospital that carries out health efforts by providing quality health services. Medication management in FRS is an important management aspect in achieving service quality. Therefore, IFRS must be managed effectively and efficiently. Inefficiency in use can have a negative impact on hospitals both medically and economically. The aim of this study was to evaluate drug management, including selection, procurement, distribution, and use, based on the 2020 National Formulary standards and improvement strategies using the Hanlon method at the pharmacy installation of Dr. Moewardi General Hospital in 2020. This research is a type of descriptive research with retrospective and concurrent data collection. Data was taken from retrospective data in 2020 and data at the time the research was conducted. Research materials include primary data obtained from observation of research data in the form of document selection, procurement, distribution, and use of medicine in the IFRS Dr. Moewardi General Hospital. Secondary data was obtained from interviews with the head of the pharmacy installation at Dr. Moewardi General Hospital Surakarta, the head of planning, and the head of ULP (procurement services unit). The results of the research show that 1) Medication management in the pharmacy installation at Dr. Moewardi General Hospital Surakarta is not yet efficient at this stage of selection. It is known that the availability of existing medicines does not comply with FORNAS standards in 2020. then, in stage procurement, there is 1 out of 5 indicators that meet the standard; in stage distribution, 5 indicators were obtained, or all of them were not standard, and in staged use, it was found that 1 of the 5 indicators met the standard. 2) The improvement strategy uses the Hanlon method in drug management, namely prioritizing problem repairs sequentially, starting from the percentage of conformity with the number of drug items available with FORNAS to the number of drug items per prescription sheet.

Perspectives on the Strategic Health Impact in Romania

The health system and management of medical services is a sector of major importance, considering that it concerns the entire population, emphasis should be placed on the medical act, on the motivation and training of medical personnel to provide quality health services that respond fully meet patient expectations. It should be remembered that it is easier to prevent than to treat, and primary prevention represents the basis of a healthy society and the most effective and inexpensive method to stop the occurrence and evolution of chronic diseases. In this sense, new concepts and methodologies have been developed, both worldwide and in our country, especially recently, that try to meet the needs. It is approached differently and specifically depending on the individual needs, the resources we have at hand, all of which have as the result the improvement of the medical act and the satisfaction of the patient.

Analysis of Hospital and INA-CBG’S Rates of JKN Outpatient in Genteng Regional Public Hospital in 2021

The Government's effort improves the health status of the Indonesian people by establishing a Jaminan Kesehatan Nasional (JKN). JKN’s program was formed by Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS Kesehatan). Payment of health costs by BPJS uses the Indonesian-Case Based Group (INA-CBG's) especially for advanced health care services. INA-CBG's is payment to the main health center for a predetermined service package according to the disease diagnosis category. This makes hospitals strive to continue providing quality health services to JKN patients while still controlling costs. The aim of this research is analyze the difference between the outpatient BPJS patient rates and INA-CBG's rates at the Genteng Regional General Hospital in 2021. The research method is a retrospective observational study with simple random sampling. The total sample was 400 obtained during the period January to December 2021. The results of the research showed that the hospital rates was IDR 105,995,056 and the INA-CBG's rates was IDR 89,484,300. It was known that there were three largest cost components including drugs (drugs and chronic drugs) was IDR 51,878,574 (48.70%); patient care costs was IDR 33,980,600 (24.65%); and consultation fee was IDR. 10,400,000 (9.40%). The three largest components of hospital rates included minor chronic disease procedures and dialysis procedures. The conclusion was hospital rates are greater than INA-CBG's rates.

Service Quality and Patient Trust on Patient Loyalty Mediated by Patient Satisfaction on Inpatients

Background: The competition in the health industry is currently very fierce, coupled with the emergence of Private Hospitals equipped with complete facilities. This makes hospitals must realize the need to provide quality health services to their customers.&#x0D; Aim: The purpose of this study was to investigate the effect of service quality and patient trust on patient loyalty mediated by patient satisfaction in patients who hospitalized at “CDE” Hospital, Bogor, West Java.&#x0D; Method: A Google Forms online survey on inpatients at "CDE" Hospital, Bogor, West Java was used to collect the data of this study. Data analysis was performed using the Partial Least Square Structural Equation Modeling (PLS-SEM) method to measure the relationship between variables with the help of Smart PLS 3.0 software.&#x0D; Findings: The results of the study prove that service quality has not a positive and significant effect on patient loyalty. Other results prove that patient trust has a positive and significant effect on patient loyality, service quality has a positive and significant effect on patient satisfaction, patient trust has a positive and significant effect on patient satisfaction, patient satisfaction has a positive and significant effect on patient loyality, service quality has a positive and significant effect on patient loyality mediated by patient satisfaction, and patient trust has a positive and significant effect on patient loyality mediated by patient satisfaction.

Use of a digital job-aid in improving antenatal clinical protocols and quality of care in rural primary-level health facilities in Burkina Faso: a quasi-experimental evaluation

ObjectiveWe assessed the impact of a digital clinical decision support (CDS) tool in improving health providers adherence to recommended antenatal protocols and service quality in rural primary-level health facilities in...

Measurement of Hospital Performance in the Border Region of Timor Leste through Customer Satisfaction Aspects

Kefamenanu Regional General Hospital is the only government hospital in North Central Timor Regency (TTU) as a provider of health services in Kefamenanu City which is a border area. The current presence of the Leona Private Hospital in the district directly forces the Kefamenanu Hospital to improve services so as not to lose credibility in the community. Kefamenanu General Hospital must strive to provide quality health services for the community by formulating a vision, mission, goals, objectives and indicators of success as outlined in a strategic plan. In this article the discussion focuses on aspects of customer satisfaction. The results of the study show that from the perspective of customer satisfaction, it is in the "Satisfied" interval so that the performance of Kefamenanu Hospital can be said to be "Good".

Relationship Between Nursing Services and Level of Satisfaction of Inpatients

Introduction: One indicator of the success of individual health services at the Public Health Center is patient satisfaction. The provision of quality health services will provide satisfaction for the patient which has an effect on the patient's desire to return to an institution that provides effective health services. Patients will always seek health services in facilities whose health service performance can meet patient expectations. Health services that are not in accordance with patient expectations are expected to be input for health service organizations to try to fulfill them. Objective: To determine the relationship between nursing services and the level of satisfaction of inpatients at the Bongan Health Center, West Kutai Regency. Methods: This study uses an analytical descriptive type of research with a cross sectional approach which was carried out in April 2022. Results and Discussion: Nursing services in the sufficient category (87.5%). The satisfaction level of inpatients is in the satisfied category (45.8%). The relationship between nursing services and the level of satisfaction of inpatients is obtained p-value=0.014. Smaller than 0.05. Conclusion: There is a relationship between nursing services and the level of satisfaction of inpatients at the Bongan Health Center, West Kutai Regency

Pengaruh Kualitas Layanan dan Komitmen Petugas Terhadap Kepercayaan Pasien dan Kepuasan Pasien Rawat Jalan di UPTD Puskesmas Tamiang Layang Kabupaten Barito Timur

Health Centers are required to provide quality health services supported by the commitment of officers so as to provide patient trust and satisfaction. This study aims to determine the effect of service quality and staff commitment on the trust and satisfaction of outpatients at the UPTD Tamiang Layang Health Center. This research is a quantitative study with a population of all outpatients at the Tamiang Layang Health Center UPTD with a sample of 288 people, using a purposive sampling method. Data analysis using Partial Least Square based Structural Equation Model. The results showed that there was an effect of service quality on patient trust, there was an effect of staff commitment on patient trust, there was an effect of service quality on patient satisfaction, there was an effect of staff commitment on patient satisfaction, and there was an effect of patient trust on patient trust.&#x0D; Keywords: Service Quality, Commitment, Trust, Satisfaction

Health Professions Education Strategies for Enhancing Capacity for Task-Shifting and Task-Sharing Implementation in Africa: A Scoping Review.

To compensate for the shortage of health workers and effectively use the available health workforce to provide access to health services at various levels of the health system, several countries are implementing task-shifting and task-sharing (TSTS). This scoping review was conducted to synthesize evidence on health professions education (HPE) strategies applied to enhance capacities for TSTS implementation in Africa. This scoping review was conducted using the enhanced Arksey and O'Malley's framework for scoping reviews. The sources of evidence included CINAHL, PubMed, and Scopus. Thirty-eight studies conducted in 23 countries provided insights on the strategies implemented in various health services contexts including general health, cancer screenings, reproductive, maternal, newborn, child and adolescent health, HIV/AIDS, emergency care, hypertension, tuberculosis, eye care, diabetes, mental health, and medicines. The HPE strategies applied were in-service training, onsite clinical supervision and mentoring, periodic supportive supervision, provision of job aides, and preservice education. Scaling up HPE based on the evidence from this study will contribute immensely to enhancing the capacity of health workers in contexts where TSTS are being implemented or planned to provide quality health services based on the population's health needs.

A Critique on Increasing the Numbers of Medical Sciences Trainees

One of the duties of the government is to train and provide the expert workforce to provide quality health services to society. During the last four decades, the Ministry of Health and Medical Education has prioritized one of the policies to increase the number of medical science students or to improve the quality of education based on the needs of society. Following the approval and initiation of the policy to expand the number of medical sciences students and considering its proponents and opponents, in this article, various aspects of increasing students include the supply of workforce in response to the demands of society and the challenges of ensuring the quality of education has been discussed. Previous studies show this is a multifaceted issue that requires comprehensive mixed-method studies taking into account all the influencing factors such as the high tendency of health workers to immigrate, low retention in less privileged areas, economic problems and other factors. In addition, expanding the numbers requires infrastructure, concise planning to provide high-quality education, and monitoring of the educational system and learners in terms of achieving the desired competencies. In case of not paying attention to ensuring the quality of education in all three dimensions of input, process and output, the increase of numbers will ultimately be counterproductive and will lead to jeopardizing the safety and health of patients.