Hospital Service Quality Research Articles

Studi Kasus Penerapan Latihan Batuk Efektif Terhadap Perubahan Pola Napas Pasien Tuberkulosis Paru

Complaints of shortness of breath are one of the symptoms that arise in patients with Pulmonary Tuberculosis. This condition certainly requires proper nursing handling, namely through airway management nursing actions. The purpose of this study was to identify the application of airway management to changes in breathing patterns in Mr.S with pulmonary tuberculosis. The method used in research is a descriptive method with a case study approach. The respondent in this case study research was Mr.S with a medical diagnosis of pulmonary tuberculosis who was undergoing treatment in the Az-Zahra treatment room of RSU Dewi Sartika Kendari City. This case study was conducted from February 15, 2022 to February 22, 2022. The focus of the study is clients who experience impaired oxygenation needs characterized by shortness of breath and breathing frequency above 20x / minute, the instrument used is the format of assessment to nursing evaluation. The method of data collection starts from interviews and physical examinations. The results of the study found that Mr. S had difficulty removing his phlegm and the frequency of breathing was 28x / minute, the nursing diagnosis at Mr. S was that airway clearance was not effective related to secretions in the airway. The nursing intervention carried out is airway management which is carried out for 4 days according to the planned intervention. At the end of the evaluation, airway clearance was not effective in patients with resolved pulmonary tuberculosis, marked by a change in breathing frequency to 20x / minute. It is hoped that health workers can apply nursing care to pulmonary tuberculosis clients who experience oxygenation problems more optimally in order to improve the quality of hospital services

Scoping Review: The Role of Personal Resilience and Personality Traits of Health Professionals In The Implementation of Interprofessional Collaboration Practice In Hospital

Health workers have a major role in increasing public satisfaction and assessing the quality of hospital health services. To answer and get this, hospitals must pass the accreditation stage through the hospital accreditation committee, namely by having criteria for the National Hospital Accreditation Standard is Interprofessional Collaboration (IPCP) but challenges between fellow professions and from themselves because there is still autonomy from each profession. Autonomy is also a coping method health professionals use to overcome challenges. The purpose is to examine the role of personal resilience and personality traits of health professionals in IPCP implementation in hospitals. A scoping review was conducted according to PRISMA guidelines for a scoping review. The study was performed on six databases (PubMed, Clinical Key, ProQuest, EBSCO, Scopus, and Science Direct) for relevant papers published between 2017 and 2021. Search terms included "Resilience AND Personality, "Health Professionals", "Interprofessional Collaboration Practice", AND "Hospital." Eight articles were included in this review. The study showed that personal resilience and personality traits determined the success of IPCP implementation in the hospital, which was influenced by education, training, management support, and hospital facilities and infrastructure. Conclusion: The role of each health professional's personal resilience and personality traits affects the quality of IPCP implementation in the hospital. Recommendation: IPCP can improve the quality of service in hospitals by facilitating health professional knowledge and skills about interprofessional collaboration, especially in implementing case management in hospitals.

THE IMPACT OF HOTEL SERVICES ON THE DEVELOPMENT OF MEDICAL TOURISM: A FIELD STUDY ON A SAMPLE OF HOSPITALS IN KARBALA

This study aims to determine the impact of hotel services in the hospitals of the holy city of Karbala in the development of medical tourism. The current study relies on the descriptive analytical approach in order to achieve the goal of the study, a number of 400 survey forms were distributed to a random sample of patients in Karbala hospitals, of which only 382 were valid for analysis, at a rate of 95.5%. The data received was analyzed using the Statistical Package for Social Sciences (SPSS), version 26, to arrive at the results of the study. The study concluded that there is a positive statistically significant effect between the quality of hotel services in Karbala city hospitals and the development of medical tourism in Karbala, and the quality of hotel services in hospitals contributes to increasing the number of arrivals to Karbala city. Based on the extracted results, a set of recommendations were developed, most notably, building an information base on Arab patients in particular who were previously dealt with to communicate with them and introduce them to the new services in Iraqi hospitals

Implementasi Metode Runtun Waktu dalam Pemodelan Total Harga Alat Kedokteran dan Kesehatan

Hospital is an institution or health service that provides total individual health care by providing outpatient, inpatient, and emergency services. The health services that will be provided are promotive, preventive, and rehabilitative services. One of the efforts to improve the quality of hospital services is to provide good health services. In terms of supporting the health services provided, a health management is needed. The high price of medical supplies and equipment is due to several other factors causing hospitals to be able to make plans in the procurement of medical equipment and hospital medicine. Therefore, the author uses the Autoregressive Moving Average (ARMA) method in this study to predict the Total Price of Medical and Health Equipment Needed at the Sleman Regional General Hospital in the coming period. Based on the analysis that has been found, one significant and best ARMA model is obtained with the AIC value of 223.92 with equation and the MAPE value of 18.78%, which means the accuracy of the forecasting is 81.22%.

The Influence of Job Satisfaction and Organizational Commitment on Turnover Intentions Hospital Nurses

Nurses are human resources with the most significant number of all human resources in hospitals and a component that influences the quality of hospital services. Health services can be adequately provided if human resources such as nurses are met in quality and quantity. Currently, a private hospital in Bogor district still needs help completing the number of nurses requirement. Highly turnover rate of nurses occurred in the period 2020 to 2022. This study aims to analyze the influence of job satisfaction and organizational commitment on nurses' turnover intentions. Data collection was carried out using a questionnaire and interviews. This study uses the census method, the nurses who will be respondents are all nurses with a minimum working period of six months totaling 119 nurses. The analytical method used in this study is Structural Equation Model (SEM) using the Partial Least Square (PLS) approach. The results of this study indicate that job satisfaction has a positive and nonsignificant influence on turnover intentions; it means that job satisfaction is relatively high but cannot reduce the desire of nurses to leave. At the same time, organizational commitment negatively and significantly influences turnover intentions. Simultaneous test results greatly influence job satisfaction and corporate loyalty on turnover intentions. To keep the work situation conducive, hospital management can maintain and even improve the policies that have been implemented so far, namely policies that are increasingly profitable for nurses, one of which is performance appraisal for nurse members. Keywords: hospital, job satisfaction, nurses, organizational commitment, turnover intentions

Differences In Service Quality Of Government Hospital And Private Hospital In Purbalingga Regency Using HCAHPS Method

The quality of hospital services can be assessed from various perspectives, one of which is the patient's perspective. Good service quality will foster patient confidence in the hospital and will come back and even recommend to others. Good service quality will also create a good degree of public health. To determine the difference in the quality of service of government hospitals and private hospitals in Purbalingga district. This type of research is quantitative, with an observational analytic design and a cross-sectional approach. The number of samples is 100 respondents, consisting of 50 inpatients in government hospitals and 50 inpatients in private hospitals. The research instrument used the HCAHPS (Hospital Consumers Assessment Providers and Systems) questionnaire. The sampling technique used non-probability sampling with purposive sampling and analyzed using the Mann Whitney comparative test. Mann Whitney comparative test of service quality of government hospitals and private hospitals in Purbalinga Regency showed p-value on the doctor's communication component 1.00 (> 0.05), nurse communication 0.325 (> 0.05), hospital environment 0.205 (> 0.05), experience hospitalized 0.204 (>0.05), discharge information 0.155(>0.05), overall hospital 1.00 (>0.05), self-care comprehension after hospitalization 0.977 (>0.05). There is no difference in the service quality of government hospitals and private hospitals in Purbalingga Regency

HUBUNGAN KUALITAS PELAYANAN DENGAN KEPUASAN PASIEN PENGGUNA BADAN PENYELENGGARA JAMINAN SOSIAL KESEHATAN

The quality of hospital services is a benchmark in assessing the success of a government program. The quality of service that provided by hospital may affects patient satisfaction. Patients using BPJS health insurance often feel dissatisfied with the services received. The measurement of patient satisfaction must be carried out by the hospital as an evaluation material for the quality of services provided, so that later it will have an impact on patient loyalty and hospital profitability. This research aims to identify the correlation of hospital quality of service with patients’ satisfaction among those who hold BPJS health insurance at BRSU Tabanan. The method of this research is quantitative with a cross sectional research design. The sample were 30 respondents selected by quota sampling technique. The service quality questionnaire and HCAHPS questionnaire are used in this research. The results showed that the quality of service reaches an average value of 109,80 and the average value of patient satisfaction of user of BPJS health insurance is 41,13. This study analysis showed that there is a significant moderate relationship between hospital quality of service with patients’ satisfaction (p value 0,001) and with positive direction. The value of the determinant coefficient was 34,2%. The direction of a positive relationship means the better the quality of service the higher the satisfaction of patients using BPJS health insurance, and vice versa.

Assesment of User Satisfaction of Accredited Government Hospital Services in Palembang Using the SERVQUAL Approach

The purpose of this study was to analyze the service quality of government hospitals in Palembang based on the user's perspective and the determining factors as well as the influence of service quality on service user satisfaction of government hospitals in Palembang. The population of this study is all patients in three public hospitals in Palembang. The sample was calculated using the Lemeshow formula with total respondents of 100 patients. The data is obtained through questionnaires using SERVQUAL method. The results show that, service quality that measured by dimensions of tangibility, empathy, reliability, responsiveness and assurances is found to be lower than the patients’ expectations. The results also show that service quality has a positive and significant effect on user satisfaction on the government hospitals in Palembang.

Faktor yang Memengaruhi Mutu Pelayanan Medik di RSUD Pidie Jaya

Health services are one's expectations of the quality obtained in accordance with the desired expectations, such as health services, there are services in hospitals that include customers, such as patients for treatment from doctors in hospitals where patients get the best service from the hospital. The aim of the study was to determine the factors that influence the quality of service at the Pidie Jaya Hospital, Pidie Jaya Regency. The research design uses a quantitative method which is carried out by an analytical survey with a Cross Sectional Study approach. The population in this study were all outpatients with a total of 6,685 patients. The sample used random sampling technique as many as 99 patients. Data analysis used univariate, bivariate and multivariate analysis. The results showed that there was an effect of technical competence p = 0.000, efficiency p = 0.000, effectiveness p = 0.000, satisfaction p = 0.000 and patient safety p = 0.000 on the quality of service in Pidie Jaya Hospital, Pidie Jaya Regency. While the most dominant factor is satisfaction p = 0.000 and 95% CI = 5,389-316,539 with OR = 41,154.The conclusion from this study is that there is an influence of technical competency, efficiency, effectiveness, satisfaction, and patient safety on service quality in Pidie Jaya Hospital, Pidie Jaya Regency. It is recommended for the hospital to adopt policies in order to improve the quality of hospital services in order to produce optimal performance such as conducting training for health workers in hospitals based on their competence and conducting supervision and monitoring so that implementation in the field can run optimally.

Early Detection of Health Problems through Artificial Intelligence (Ai) Technology in Hospital Information Management: A Literature Review Study

Early detection of health problems needs to be supported by optimal hospital service quality subsystems through an integrated Hospital Management Information System. Artificial intelligence (AI) as a modern technology has entered the mainstream of clinical medicine. Diagnostics has traditionally been one of the main areas of AI in medicine. AI will broadly transform diagnostic and predictive analysis of medical images in the coming years. Studies in the fields of pathology and dermatology have demonstrated the ability of AI to outperform human diagnostics in accurately detecting and classifying various types of cancer. Artificial intelligence technology in the health aspect is useful in disease diagnosis and can analyze medical images to identify certain diseases so that they are able to distinguish between benign and malignant diseases. AI can also help identify the risk of mental illness and identify the risk of suicide among patients with psychiatric disorders or among certain populations, such as prisoners and soldiers. This helps doctors quickly get disease information and provide a more accurate disease diagnosis, thereby saving time for disease treatment.

Choosing Service Facilities In The Hospital Interior To Increase Patient Satisfaction

Patient satisfaction is the main indicator of the standard of a health facility and is a measure of service quality, satisfaction, internal and external infrastructure conditions, and other supporting facilities. In order to achieve patient satisfaction, it is necessary to increase standards in maintaining the quality of hospital services that refer to the quality of health services and facilities in order to meetpatient satisfaction. Related to this, each hospital as a place of health services mutually improve the quality and service of each other both in aspects of hospital quality, Human Resources and hospital image. The purpose of this article review is to provide information, overview, ideas / ideas about choosing service facilities in the hospital interior to increase patient satisfaction. The study design used is Systematic Literature Review or literature review. Method of searching for articles in research journal databases and searching via the internet. The database searches used were Google Scholar, PubMed, DOAJ, Elsevier, Science Direct, Emeral Insight from 2013 to 2022. It was found that from a total of 65 articles in English and Indonesian after screening it was found that there were 10 articles that were eligible (elegibility) to do analyze and draw conclusions. In order to achieve patient satisfaction, it is necessary to increase standards in maintaining the quality of hospital services that refer to the quality of health services and facilities in order to meet patient or community satisfaction. A good hospital can contribute to the healing process of patients and the productivity of perpetrators, medical service procedures can be carried out effectively and efficiently, easily maintained cleanliness. A beautiful, functional, efficient and clean building gives a positive impression to all hospital users, both in the form of physical responses to certain psychological effects that arise in the mind. Therefore, it is concluded that choosing service facilities in the interior of the Hospital can generate patient loyalty to the hospital and interest in visiting again. Thus, it can be tied to service quality as one of the keys to the success of the hospital to increase patient satisfaction and maintain customer loyalty

Dampak Pandemi COVID-19 Terhadap Kualitas Pelayanan dan Pengelolaan Keuangan di Rumah Sakit

ABSTRACTThe COVID-19 pandemic has an impact on economic growth, the restrictions imposed also have a negative impact on hospital revenues, resulting in hospitals depending on financing and financial support which can also cause hospital services to be less than optimal. In addition, a heavy workload is also the factor that has the most negative impact on the quality of health services. This literature review starts from topic selection, keyword selection, to searching for journal references from several sources, namely Pubmed and Google Schoolar. The keywords used are services quality impact, economy impact, hospital, during the COVID-19 pandemic. Based on the search results, there were 276 articles which were then selected for up to 6 articles that were included in the discussion. The results of this study are the COVID-19 pandemic has an impact on the economy and operations of the country and the health care system as well as the quality of services in hospitals. The decrease in visitors resulted in hospitals cutting revenue from services so that it could disrupt patient care. The pressure that occurred and the isolation because many health workers were exposed to Covid-19 also caused the quality of service at the hospital to deteriorate.Keyword : Services Quality Impact, Economy Impact, Hospital, COVID-19 Pandemic

P144 Epidural analgesia during labour: 2021 Regional Hospital Service Quality Survey

P144 Epidural analgesia during labour: 2021 Regional Hospital Service Quality Survey

Factors Affecting Work Effectiveness of Nurses at Bontang Taman Husada Hospital

Introduction: Medical services are inseparable from the services provided by health workers, especially nurses. The achievement of optimal work effectiveness is an assessment of the effectiveness of nurses' work as an effort to assess nurses' achievements at work. Assessment of work effectiveness in performance indicators is a reliable tool as a control of human resources and productivity, but in fact nurse performance is a problem in all nursing services. The purpose of the study was to analyze the factors that affect the effectiveness of nurses' work at Taman Husada Bontang Hospital.
 Methods: The research design was in the form of observational research using a cross sectional design. The population of all nurses at Taman Husada Bontang Hospital was 212 respondents. The sample in this study was nurses at Taman Husada Bontang Hospital totaling 136 respondents with simple random sampling. Independent variables factor productivity, satisfaction, and competence. Dependent variable of the effectiveness of the nurse's work.
 Results: The results showed that there was a relationship between productivity factors (p = 0.021), satisfaction (p = 0.000), competence (p = 0.000) on the effectiveness of nurses' work. Multivariate analysis shows that the most influential variable on the effectiveness of nurses' work at Taman Husada Bontang Hospital is satisfaction with the significance level of p = 0.000 and B = 0.333.
 Conclusion: Work effectiveness is needed in improving the quality of services in hospitals, so that improving the quality of human resources must be optimized. Work effectiveness is a deliberate ability to do something better to achieve certain goals by emphasizing compliance at work and relating to work results. So that leaders in hospitals must continue to pay attention to the welfare of nurses to improve the effectiveness of their work in providing excellent health services.

Literature Review: The Effectiveness of Electronic Medical Records (RME) On Hospital Service Quality

Health Information System is a systematic way of managing information at all levels of government to provide healthcare services to the community. In providing services to the community, the health information system is a systemic management of information at all levels of government. Every healthcare facility in Indonesia must maintain electronic medical records based on Permenkes No. 24/2022. This shows that the role of Health Information Systems is needed in a health system. However, using electronic medical records (EMR) in Indonesian healthcare facilities must be uniformly and sufficiently implemented, so it cannot provide accurate and timely data. This study aims to assess the implementation of EMR in Indonesian hospitals. This study used the literature review method by reviewing 15 journal articles published between 2016 and 2022, retrieved through Google Scholar. The results showed that several hospitals in Indonesia had implemented EMR; some hospitals have effectively implemented it and benefit from the implementation of EMR, such as improving the efficiency of time and effort in providing health services to patients. Patients also receive better medical care. The study findings aim to encourage all healthcare facilities to optimize the use of EMR to enhance healthcare services.

Analysis of Post-COVID-19 Hospital Service Quality: A Study Based on Patient Perceptions

This study provides a conceptual and empirical investigation of the effect of items on measuring the quality of post-COVID-19 health services based on patient perceptions in the health sector. The proposed measurement item for Consumer Perceived Value Healthcare (CPV Healthcare) against Healthcare Service Quality (HEALTHQUAL) was tested using data collected from a hospital in Medan City from 253 respondents. The data set included 185 patients and 68 respondents from the public from June 2022 to November 2022. This research is associative research using a quantitative method approach. Data analysis used SPSS with ANOVA testing, Simple Regression, Pearson Correlation, and t-test for correlation analysis of dependent variable measurement items (CPV Healthcare = 27 items) on independent variables (HEALTHQUAL = 32 items) in patient care (inpatients, outpatients, and family members of patients in the emergency room) and between patients and groups of the general public. The results showed a strongly significant difference between CPV Healthcare measurement items and patient and community HEALTHQUAL. This study underscores the most significant dimension of CPV Healthcare and validates the relationship between the value of Service Quality in the healthcare sector which is a function of transaction value and self-satisfaction value. Patients like personal care and relief from depressive moods when cared for by professional nurses and doctors in the hospital. This study is limited theoretically to assess the relationship between CPV Healthcare and Healthcare SERVQUAL. Need to be assessed in future studies, such as consumer experience, experience and job satisfaction of hospital staff (nurses & doctors), patient ethnicity, and hospital image, need to be assessed in future work.

The Relationship between BPJS Patient Satisfaction Level and Service Quality in Hospitals

Hospital is a health service institution that provides comprehensive personal health services, including medical services, medical rehabilitation and maintenance services. These services are carried out through the emergency department, outpatient unit and inpatient unit. Specialists and subspecialist doctors in hospitals provide outpatient services. By reviewing published works in 10 journals from 2015 to 2022, we examine the relationship between BPJS patient satisfaction level and service quality with the keywords service satisfaction journal search, BPJS, and Hospitals. The analytical tool used was PICO. The results of the study found that based on satisfaction indicators, there were seven dissatisfied journals (66.7%) on all the hands described (Tangibility, Reliability, Responsiveness, Assurance and Empathy) from 9 journals (90%) dissatisfied with BPJS services in hospitals. Patient satisfaction will impact the quality of service in a hospital.

The Role of Cook-Chill and Cook-Freeze Methods as Indicators of Quality of Nutrition Services in Hospital

An outbreak of COVID-19 cases among food and nutrition department employees at a hospital kitchen occurred because it was difficult to maintain physical spacing between staff. There is a lack of people during self-isolation. However, the kitchen hospital must still operate 24 hours to provide meals. This study aimed to comprehensively evaluate plate waste, and patient satisfaction, associated with cook-serve methods compared to cook-chill and cook-freeze methods. The first stage of this study is to determine nutritionally appropriate, microbiologically safe foods stored after the cook-chill and cook-freeze process and customer preferences through sensory aspects using CATA. The menu that has been chosen is three protein dishes and one vegetable dish. The second stage was an experimental study conducted in a general ward at an Indonesian private hospital. Two hundred ten patients (expected admittance ≥ two days) were served meals from cook-serve, cook-chill, and cook-freeze. Patients' satisfaction and food waste were measured. Intake at mealtimes was assessed through a visible portion size assessment method. Conclusion: The results show no significant difference in satisfaction and food waste in hospitalized patients between cook-serve and cook-c, hill, and cook-freeze methods for protein dishes and a significant difference for vegetable dishes. Cook-chill and cook-freeze potential to be implemented in a hospital kitchen.

Lean Thinking Approach for Sustainable Improvement of Outpatient Pharmaceutical Service Processes at Sawerigading Hospital

Patients who have had an examination at the polyclinic will get medicine at the pharmacy, especially outpatients. The pharmacy installation is the last unit that determines the quality of hospital services, so the quality of pharmacy installation services will affect other related units. This study aims to identify value and waste using Lean Thinking approach in pharmaceutical services, especially during waiting times, the time lag that patients receive when submitting a prescription to receiving the drug that has been prescribed. It has four indicators: waiting time for finished drug service ≤ 30 minutes and concoction drugs ≤ 60 minutes, no drug administration errors 100%, customer satisfaction ≥ 80%, and prescription writing according to the formulary 100%. This research used a qualitative approach using the observational action process research method using the lean thinking method to photograph the process flow of outpatient pharmacy services conducted from mid-November to December 2022 at RSUD Sawerigading City of Palopo. Fifteen people became samples to receive the drug and joined structured in-depth interviews. Data were analyzed using Excel with lean thinking. The study results were categorized as lean and proposed improvements to the management support section. Lean thinking could create effective and efficient pharmaceutical governance to improve service quality.

THE RELATIONSHIP OF MOTIVATION ON THE INTEREST OF THE COMMUNITY VISITING THE DENTIST DURING THE COVID-19 PANDEMIC IN SUNGAI MIAI VILLAGE

THE RELATIONSHIP OF MOTIVATION ON THE INTEREST OF THE COMMUNITY VISITING THE DENTIST DURING THE COVID-19 PANDEMIC IN SUNGAI MIAI VILLAGE