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Mutu Pelayanan Puskesmas Perawatan yang Berstatus Badan Layanan Umum Daerah Putu Ayu Indrayathi; Rina Listyowati; Ni Made Sri Nopiyani; Luh Putu Sinthya Ulandari
Jurnal Kesehatan Masyarakat Nasional Vol 9 No. 2 November 2014
Publisher : Faculty of Public Health Universitas Indonesia

Kebijakan pusat pelayanan kesehatan masyarakat (puskesmas) sebagai Badan Layanan Umum Daerah (BLUD) diimplentasikan untuk meningkatkan kualitas pelayanan kesehatan dasar. Kebijakan BLUD puskesmas telah diterapkan di Kabupaten Gianyar sejak tahun 2010 dan berlaku pada puskesmas perawatan maupun nonperawatan. Pelaksanaan BLUD puskesmas tidak selalu meningkatkan mutu layanan. Penelitian ini bertujuan mengetahui gambaran mutu pelayanan puskesmas perawatan yang berstatus BLUD di Kabupaten Gianyar. Penelitian ini merupakan penelitian potong lintang dengan pendekatan kuantitatif dan kualitatif. Tempat dan waktu penelitian ini dilakukan di Kabupaten Gianyar, Agustus hingga Desember 2013. Data kuantitatif dikumpulkan melalui penyebaran kuesioner kepada 105 pengguna layanan di empat puskesmas yang dipilih dengan cara multistage random sampling. Data kualitatif dikumpulkan melalui wawancara mendalam kepada 13 penyedia pelayanan kesehatan yang dipilih secara purposive sampling. Data kuantitatif dianalisis secara deskriptif dan data kualitatif dianalisis dengan analisis tematik. Dari hasil penelitian, pelayanan di puskesmas perawatan berstatus BLUD di Gianyar dinilai kurang memuaskan karena keterbatasan peralatan medis dan kurangnya tenaga yang kompeten dalam pengelolaan keuangan. Pelatihan pengelolaan keuangan pada staf puskesmas dan perekrutan tenaga berlatar belakang akuntansi penting untuk dilakukan. Quality of Services in Health Care Center with General Services Agency StatusThe policy of primary health care as local public service agencies (BLUD) was established to improve the quality of basic health care services. The public service agencies primary health care policy has been implemented to all primary health care in Gianyar district since 2010. The implementation does not always improving health service quality. This research was aimed to overview the quality of services in primary health care with general services agency status in Gianyar district. This research was a crosssectional study with mixed of quantitative and qualitative approaches.This research was conducted in Gianyar between August and December 2013. The quantitative data was collected through questionaire survey to 105 patients in four primary health care who were chosen with multistage random sampling technique. The qualitative data was collected through in-depth interviews to 13 health care providers in primary health care who were chosen with pusposive sampling. The quantitative data was analysed descriptively and the qualitative data was analysed using thematic analysis. The result of the study was primary health care quality in BLUD puskesmas with inpatient services was perceived as poor due to the limited availability of medical equipment and lack of staff who major in financial management. Training on financial management and recruitment of staff with accounting background should be conducted.

External and Internal Customer Perceptions on Quality of Health Services at the Dental and Oral Hospital of Mahasaraswati University Denpasar Made Leonita Purnama Dewi; Rina Listyowati; Nyoman Mangku Karmaya
WMJ (Warmadewa Medical Journal) Vol 5 No 2 (2020): November 2020
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.5.2.1379.48-59

Oral and dental health problems in Bali are still relatively high at 57.6%. As the only specialized dental hospital in Bali, RSGM needs to always maintain and improve the quality of health services, so as to increase people's desire for dental and oral care. This research was conducted to determine the quality of health services at the RSGM Mahasaraswati University Denpasar from the perspective of external and internal customers based on the five dimensions of Dabholkar, to find out the differences perceptions of external and internal customers based on the five dimensins of Dabholkar and their individual characteristics. This research is a cross sectional analytic. The sample was measured using a questionnaire with sample size of 112 external customers and 129 internal customers. The perception of external and internal customers on the quality of health services at the RSGM Mahasaraswati University Denpasar was mostly good: external customers (50.9%) and internal customers (52.0%). The results of statistical test analysis using chi-square (α=5%; p-value ≤0.05) found that there were differences in perception between external and internal customers in physical aspects (0.04) and policy (0.00); there were differences in perception of the age characteristics (0,00) and the level of education (0,03). External customer perceptions on the physical aspects, reliability, personal interaction, and problem solving were good, but in the policy dimension they had poor perceptions. Internal customers had good perceptions on the aspects of reliability, personal interaction, problem solving and policies, but on the physical aspects they had poor perceptions. Based on the age characteristics, there was a difference in perception; aged <28 years had a good perception, while those aged ≥28 years had less perception. RSGM Mahasaraswati Denpasar University needs to improve the quality of health services, especially in the physical and policy aspects so that can meet customer expectations. Key words: External and internal customer perception, quality of health services.

ANALISIS PELAKSANAAN PROGRAM INDONESIA SEHAT DENGAN PENDEKATAN KELUARGA PADA INDIKATOR HIPERTENSI DI WILAYAH KERJA PUSKESMAS KABUPATEN BADUNG Ida Ayu Putu Anggita Widya Swari; Rina Listyowati
ARCHIVE OF COMMUNITY HEALTH Vol 8 No 2 (2021): Agustus 2021
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2021.v08.i02.p06

ABSTRAK Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) terdiri dari 12 indikator salah satunya adalah indikator penderita hipertensi berobat secara teratur. Kabupaten Badung sudah terindeks pra sehat namun menduduki peringkat kedua terendah capaian indikator hipertensi berobat secara teratur (24,52 %) se Provinsi Bali. Tujuan penelitian untuk mengetahui pelaksanaan (PIS-PK) pada indikator hipertensi di wilayah kerja Puskesmas Kabupaten Badung khususnya dari segi input, proses dan lingkungan. Desain penelitian yang digunakan adalah penelitian deskriptif kualitatif. Penelitian dilaksanakan di Puskesmas Kuta II dan Mengwi III pada bulan Maret – Juli 2020. Jumlah informan 20 orang dipilih dengan purposive sampling. Pengumpulan data dengan wawancara mendalam dan FGD, kemudian dianalisis tematik. Validasi data dengan triangulasi sumber dan peer debriefing. Hasil penelitian yaitu input : SDM yang bertanggung jawab yaitu pemegang program hipertensi; tidak ada dana khusus untuk mendukung PIS-PK pada indikator hipertensi; Sarana prasarana pendukung berupa tensimeter, pinkesga dan alat tulis; metode berupa kunjungan keluarga; sasaran yaitu keluarga. Proses : Perencanaan berupa pembuatan tim dan jadwal tindak lanjut; Implementasi dilakukan dengan kunjungan, posbindu dan program inovasi; Monev melalui rapat minilok, pelaporan via aplikasi KS dan laporan bulanan. Lingkungan internal dan geografi tidak mempengaruhi program. Faktor ekonomi akan mempengaruhi gaya hidup masyarakat. Faktor sosial budaya mempengaruhi pelaksanaan program. Kata Kunci: PIS-PK, Hipertensi, Puskesmas, Badung ABSTRACT The Healthy Indonesia Program with the Family Approach (HIP-FA) consists of 12 indicators, such as an indicator of hypertension sufferers taking medical treatment regularly. Badung regency has indexed pre-healthy. Nevertheless, Badung Regency occupies the fourth position with the highest number of hypertension sufferers and ranks the second lowest achievement indicator of hypertension for regular treatment (24.52%). This study aims to determine the implementation (HIP-FA) of hypertension indicators in Badung District Health Center, especially in terms of inputs, processes and outputs. The research design uses a qualitative descriptive study. The investigation takes place in Kuta II and Mengwi II Health Center from March - July 2020. The number of informants is 20 people that were selected through purposive sampling. The data was collected through in-depth interviews and FGD and analyze by thematic analysis. The data is validated by the triangulation of sources and peer debriefing. The research results which is the inputs: The HR responsible for the PIS-PK hypertension indicator is the holder of the hypertension program at the Public Health Center: There are no special funds to support PIS-PK on the hypertension indicators: Supporting equipment such as tensimeter, pinkesga and stationary: Method of family visit, the target is the family. Process: Planning in the form of team building and follow up schedule: The implementation is carried out by visiting Posbindu and innovation programs: M&E is conducted once and every 3 months through minilok meetings and reporting via the KS application and monthly reports. The internal environment and geography do not affect the program. Economic factors do not affect the implementation of the program but will affect people's lifestyles. Socio-cultural factors influence the implementation of the program. Keywords: HIP-FA, Hypertension, Primary Health Care, Badung

TINGKAT PENGETAHUAN PETUGAS TENTANG STANDAR PELAYANAN MINIMAL DI INSTALASI GAWAT DARURAT DAN PENUNJANG PELAYANAN KEGAWATDARURATAN RUMAH SAKIT UMUM DAERAH KABUPATEN KLUNGKUNG TAHUN 2018 Made Riastuti Sumandari; Rina Listyowati
ARCHIVE OF COMMUNITY HEALTH Vol 6 No 1 (2019): Juni 2019
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

ABSTRAK Rumah Sakit Umum Daerah Kabupaten Klungkung sebagai rumah sakit yang sudah menerapkan Pengelolaan Keuangan Badan Layanan Umum terus meningkatkan dan mengembangkan mutu pelayanan, terutama mutu pelayanan kegawatdaruratan. Tujuan penelitian ini untuk mengetahui gambaran tingkat pengetahuan petugas di Instalasi Gawat Darurat dan Penunjang Pelayanan Kegawatdaruratan Rumah Sakit Umum Daerah Kabupaten Klungkung tentang Standar Pelayanan Minimal. Penelitian ini merupakan penelitian deskriptif kuantitatif, dengan rancangan cross-sectional. Populasi dalam penelitian ini adalah seluruh petugas yang bekerja di Instalasi Gawat Darurat dan penunjang pelayanan kegawatdaruratan. Jumlah sampel pada penelitian ini 94 petugas dengan teknik pengumpulan sampel yaitu total sampling. Teknik pengumpulan data pada penelitian ini yaitu dengan menyebarkan kuesioner dan analisis data yang digunakan yaitu analisis univariat. Hasil penelitian ini adalah mayoritas petugas memiliki pengetahuan baik mengenai SPM yaitu sebesar 86,17% sedangkan 13,83% memiliki pengetahuan kurang baik. Dilihat dari tingkat pengetahuan berdasarkan karakteristik, pengetahuan baik sebagian besar pada umur umur ?30 (88,14%), jenis kelamin perempuan (96,23%), pendidikan DIII (87,93%) dan masa kerja >10 tahun (88,46%). Saran yang bisa diberikan kepada Rumah Sakit Umum Daerah Kabupaten Klungkung, sebaiknya rumah sakit memberikan sosialisasi kepada seluruh petugas mengenai SPM dengan rutin dan terjadwal sehingga petugas mendapatkan informasi mengenai SPM merata. Kata Kunci: Tingkat Pengetahuan, Standar Pelayanan Minimal ABSTRACT Klungkung Regency Regional General Hospital as a hospital that has implemented Financial Management Public Service Agency continues to improve and develop the quality of services, especially the quality of emergency services. The purpose of this study was to determine the level of knowledge of officers in the Emergency Installation and Supporting Emergency Services of the Klungkung Regency General Hospital on Minimum Service Standards. This research is a quantitative descriptive study, with a cross-sectional design. The population in this study were all officers who worked in the Emergency Installation and supporting emergency services. The number of samples in this study were 94 officers with total sample collection techniques. Data collection techniques in this study are by distributing questionnaires and data analysis used is univariate analysis. The results of this study were that the majority of officers had good knowledge of MSS, amounting to 86.17% while 13.83% had poor knowledge. Judging from the level of knowledge based on characteristics, good knowledge is mostly at the age of ?30 (88.14%), female gender (96.23%), DIII education (87.93%) and years of service> 10 years (88, 46%). Suggestions that can be given to the Klungkung Regency Regional General Hospital, the hospital should provide information to all officers on MSS routinely and on a regular basis so that officials get information about SPM evenly. Keywords: Knowledge Level, Minimum Service Standards.

PENGETAHUAN, SIKAP DAN MOTIVASI PERAWAT PELAKSANA TENTANG KESELAMATAN PASIEN TERKAIT KEBERSIHAN TANGAN DI RUANG RAWAT INAP RUMAH SAKIT UMUM DAERAH KABUPATEN BULELENG Luh Ayu Ristayani; Rina Listyowati
ARCHIVE OF COMMUNITY HEALTH Vol 5 No 2 (2018): Desember (2018)
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

ABSTRAK Rumah sakit wajib menerapkan standar keselamatan pasien yaitu pengurangan risiko infeksi terkait pelayanan kesehatan untuk meningkatkan mutu pelayanan. Namun, kejadian infeksi rumah sakit masih banyak ditemukan. Salah satu program mengurangi infeksi yaitu kebersihan tangan. Keberhasilan program disebabkan oleh beberapa faktor sehingga tujuan penelitian ini untuk mengetahui pengetahuan, sikap dan motivasi perawat tentang keselamatan pasien terkait kebersihan tangan. Jenis penelitian yaitu deskriptif kuantitatif cross sectional. Sampel sebanyak 105 perawat di ruang rawat inap RSUD Kabupaten Buleleng dengan teknik proportionated random sampling. Pengumpulan data dengan metode kuesioner dan dianalisis univariat. Hasil penelitian menunjukkan 57,1% responden memiliki pengetahuan baik dan hanya 14,3% yang kurang, 68,6% sikap positif dan 60,0% motivasi tinggi. Pengetahuan baik dan sikap positif cenderung pada umur ? 30 tahun, perempuan, pendidikan S1/Ners, masa kerja >10 tahun dan status kepegawaian tetap. Motivasi tinggi cenderung pada responden umur ? 30 tahun, jenis kelamin laki-laki, pendidikan S1/Ners, masa kerja >10 tahun dan status kepegawaian tetap. Sebagian besar responden sudah memiliki pengetahuan baik, sikap positif dan motivasi tinggi. Diharapkan rumah sakit dapat memberikan motivasi kepada petugas untuk meningkatkan kinerja, pelatihan berkala dan sosialisasi mendalam mengenai keselamatan pasien terutama sasaran pengurangan risiko infeksi pelayanan kesehatan termasuk kebersihan tangan. Kata kunci: Keselamatan pasien, Kebersihan Tangan, Pengetahuan, Sikap, Motivasi ABSTRACT Hospitals must implement patient safety standards, namely reducing the risk of infection related to health services to improve the quality of service. However, the incidence of hospital infections is still commonly found. One program to reduce infection is hand hygiene. The success of the program is caused by several factors so the purpose of this study is to find out nurses' knowledge, attitudes and motivations regarding patient safety related to hand hygiene. This type of research is descriptive cross sectional descriptive. A sample of 105 nurses in the inpatient ward of Buleleng Regency Hospital using proportionated random sampling technique. Data collection by questionnaire method and univariate analysis. The results showed 57.1% of respondents had good knowledge and only 14.3% were lacking, 68.6% positive attitude and 60.0% high motivation. Good knowledge and positive attitudes tend to be ? 30 years old, women, S1 / Nurse education, tenure of> 10 years and permanent employment status. High motivation tends to be respondents aged ? 30 years, male sex, education S1 / Nurse, tenure of> 10 years and permanent employment status. Most respondents already have good knowledge, positive attitude and high motivation. It is expected that the hospital can provide motivation to officers to improve performance, regular training and in-depth socialization on patient safety, especially the target of reducing the risk of health care infections including hand hygiene. Keywords: Patient Safety, Hand Hygiene, Knowledge, Attitude, Motivation

HUBUNGAN KARAKTERISTIK, PENGETAHUAN DAN MOTIVASI PERAWAT DENGAN KEPATUHAN CUCI TANGAN DI RUANG RAWAT INAP RSU SURYA HUSADHA DENPASAR Ni Luh Putu Handayani; I Ketut Suarjana; Rina Listyowati
ARCHIVE OF COMMUNITY HEALTH Vol 6 No 1 (2019): Juni 2019
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

ABSTRAK Kepatuhan mencuci tangan perawat merupakan salah satu faktor yang mempunyai pengaruh besar terhadap pencegahan terjadinya infeksi rumah sakit. Perawat memiliki andil yang sangat besar terhadap terjadinya penyebaran infeksi rumah sakit karena perawat berinteraksi langsung kepada pasien selama 24 jam. Kegagalan dalam melaksanakan cuci tangan sebelum kontak dengan pasien dan selama perawatan pasien, dapat menyebabkan terjadinya infeksi rumah sakit. Dalam penelitian ini bertujuan untuk mengetahui hubungan antara karakteristik, pengetahuan dan motivasi perawat dengan kepatuhan mencuci tangan. Penelitian ini adalah penelitian deskriptif dengan menggunakan desain cross - sectional. Responden yang digunakan sebanyak 97 responden dengan tehnik proportionated stratified random sampling. Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan antara karakteristik (umur) dengan kepatuhan cuci tangan (p=0,007, PR= 3,68), tingkat pendidikan dengan kepatuhan mencuci tangan (p=0,021, PR= 0,33), pengetahuan dengan kepatuhan cuci tangan (p=0,003, PR= 4,16) dan motivasi dengan kepatuhan cuci tangan (p=0,013). Untuk variabel yang tidak berhubungan dengan kepatuhan petugas mencuci tangan yaitu masa kerja dengan kepatuhan cuci tangan (p=0,139, PR= 2,04) dan jenis kelamin dengan kepatuhan perawat mencuci tangan (p=0,069, PR= 0,34). Simpulan yang diperoleh bahwa pengetahuan dan motivasi perawat di RSU Surya Husadha sangat signifikan terhadap kepatuhan perawat melakukan cuci tangan. Saran peneliti agar edukasi, bimbingan dan pengawasan kepada perawat tentang pelaksanaan cuci tangan terus ditingkatkan agar kepatuhan cuci tangan semakin baik sehingga kejadian infeksi rumah sakit dapat dicegah. Kata kunci: Karakteristik, pengetahuan, motivasi, kepatuhan mencuci tangan. ABSTRACT Nurse compliance in nurses washing their hands is one of the factors that has a major influence on the prevention of hospital infections. Nurses have a very large contribution to the spread of hospital infections because nurses interact directly with patients for 24 hours. Failure to carry out hand washing prior to contact with patients and during patient care, can cause hospital infections. In this study aims to determine the relationship between characteristics, knowledge and motivation of nurses with compliance to wash hands. This research is a descriptive study using cross-sectional design. Respondents used were 97 respondents with proportionated stratified random sampling technique. The results showed that there was a significant relationship between characteristics (age) with hand washing compliance (p = 0.007, PR = 3.68), level of education with hand washing compliance (p = 0.021, PR = 0.33), knowledge with compliance hand washing (p = 0.003, PR = 4.16) and motivation with hand washing compliance (p = 0.013). For variables not related to compliance with hand washing officers, namely the length of service with compliance with washing hands (p = 0.139, PR = 2.04) and gender with compliance with nurses washing hands (p = 0.069, PR = 0.34). Conclusions obtained that the knowledge and motivation of nurses at Surya Husadha General Hospital are very significant to the compliance of nurses doing hand washing. Researchers suggest that education, guidance and supervision of nurses on the implementation of hand washing continue to be improved so that compliance with hand washing is better so that the incidence of hospital infections can be prevented. Keywords: Characteristics, knowledge, motivation, hand washing compliance.

ANALISIS TINGKAT KEPUASAN MASYARAKAT TERHADAP MUTU PELAYANAN PUBLIK PADA MASA PANDEMI COVID-19 DI KANTOR BPJS KESEHATAN KABUPATEN BADUNG Ayuning Sekar Putri; Rina Listyowati
ARCHIVE OF COMMUNITY HEALTH Vol 9 No 1 (2022): April 2022
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2022.v09.i01.p08

The social restriction policy due to the COVID-19 pandemic has had an impact on the delay of various public services, one of which is BPJS Health services. In the midst of a pandemic situation, BPJS Kesehatan is required to provide quality services to the community. Therefore, this study aims to determine the level of community satisfaction in terms of five dimensions of service quality, namely Responsiveness, Reliability, Assurance, Empathy, and Tangible. This study uses a quantitative design with a cross-sectional approach. The sample of this study was 100 people who visited the service office, with the sampling technique using the consecutive sampling method. The results of the univariate analysis show the characteristics of the respondents at the BPJS Kesehatan. The majority of respondents are aged between 26 years and 50 years (62.00%), male and female gender are the same (50.00%), bachelor degree (40.00%), working status Private Employee (49.00%), and domiciled from Mengwi District (29.00%). Bivariate analysis using the Chi-square test found that there was a significant relationship between the five dimensions of service quality and community satisfaction (p-value < 0.001). Most respondents are dissatisfied with the services provided at the BPJS Health Office in Badung Regency, so BPJS needs to pay attention to several dimensions that are still not satisfied by respondents, such as the Tangible aspect, so that the quality of service to the community can continue to be improved during the COVID-19 pandemic. Key words: Community Satisfaction, Public Services, COVID-19 Pandemic

PERSEPSI DOKTER UMUM DI FASILITAS KESEHATAN TINGKAT PERTAMA KLINIK KIMIA FARMA 125 DENPASAR TENTANG SISTEM KAPITASI BERBASIS PEMENUHAN KOMITMEN PELAYANAN DI ERA JAMINAN KESEHATAN NASIONAL Coratry Shovariah Premilga; Rina Listyowati; Putu Ayu Indrayathi
ARCHIVE OF COMMUNITY HEALTH Vol 6 No 1 (2019): Juni 2019
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

ABSTRAK Sistem kapitasi berbasis pemenuhan komitmen pelayanan yang diatur dalam peraturan BPJS Kesehatan No 2 tahun 2015 mulai diberlakukan per 1 Januari 2017. Adanya perubahan pola pembayaran kapitasi tentunya akan mendapatkan berbagai macam persepsi dokter umum sebagai PPK di FKTP Klinik Kimia Farma 125 Denpasar. Persepsi ini penting untuk diketahui karena akan mempengaruhi perilaku yang akan diberikan oleh dokter umum terhadap pasien JKN. Penelitian ini bertujuan untuk mengetahui efektivitas penyelenggaraan dari sistem kapitasi JKN berbasis pemenuhan komitmen pelayanan. Desain penelitian ini adalah deskriptif kualitatif, dipilih delapan orang dokter umum di Klinik Kimia Farma 125 Denpasar yang ditentukan sesuai kriteria sebagai informan. Penelitian dilakukan pada bulan Mei hingga Juli 2017 bertempat di Klinik Kimia Farma 125 Denpasar. Metode pengambilan data menggunakan metode wawancara mendalam (indepth interview) yang dilakukan selama 20 hingga 40 menit. Hasil penelitian persepsi dokter umum terhadap sistem kapitasi berbasis pemenuhan komitmen pelayanan dimana sebagian besar dokter umum setuju besaran tarif kapitasi yang diberikan oleh BPJS Kesehatan cukup untuk melaksanakan pelayanan kesehatan, sistem kapitasi dirasa dapat meningkatkan kesejahteraan dokter. Standar pelayanan yang diberikan pada era JKN mengikuti standar yang telah diatur oleh BPJS Kesehatan. Dalam pelaksanaannya upaya komitmen pelayanan dilakukan dengan cara menambahkan poli untuk mengurangi waktu antrian. Indikator komitmen pelayanan yang diatur dapat menjadi motivasi untuk meningkatkan mutu pelayanan. Untuk memaksimalkan pemberlakuan sistem kapitasi berbasis pemenuhan komitmen pelayanan, diperlukan upaya tambahan dalam bentuk program promotif dan preventif. BPJS Kesehatan untuk mengelola layanan dan komunikasi dengan dokter diperlukan sosialisasi yang maksimal terhadap program promotif dan preventif untuk meningkatkan kunjungan sehat. Keywords: Persepsi, Kapitasi, Pemenuhan Komitmen Pelayanan ABSTRACT The capitation system based on fulfilling the service commitments regulated in BPJS Kesehatan No 2 tahun 2015 began to take effect as of January 1, 2017. The change in capitation payment patterns will certainly get a variety of perceptions of general practitioners as PPK at FKTP Kimia Farma 125 Denpasar Clinic. This perception is important to know because it will affect the behavior that will be given by general practitioners towards JKN patients. This study aims to determine the effectiveness of the implementation of the JKN capitation system based on fulfilling service commitments. The design of this study was descriptive qualitative, selected eight general practitioners at the Kimia Farma 125 Denpasar Clinic which were determined according to the criteria as informants. The study was conducted in May to July 2017 at the Kimia Farma 125 Clinic in Denpasar. The data collection method uses the in-depth interview method (indepth interview) which is conducted for 20 to 40 minutes. The results of research on the perception of general practitioners of the capitation system based on the fulfillment of service commitments where most general practitioners agree that the amount of the capitation tariff provided by BPJS Health is sufficient to carry out health services, the capitation system is considered to be able to improve the welfare of doctors. Service standards provided in the JKN era followed the standards set by the Health BPJS. In the implementation of the service commitment efforts carried out by adding poly to reduce queuing time. Indicators of service commitment that are set can be a motivation to improve service quality. To maximize the implementation of a capitation system based on fulfilling service commitments, additional efforts are needed in the form of promotive and preventive programs. BPJS Health to manage services and communication with doctors requires maximum socialization of promotive and preventive programs to increase healthy visits. Keywords: Perception, Capitation, Fulfillment of Service Commitments

HUBUNGAN PERSEPSI BEBAN KERJA DAN DISIPLIN KERJA DENGAN KINERJA PEGAWAI SELAMA MASA PANDEMI COVID-19 DI PUSKESMAS II DENPASAR SELATAN Putu Anindya Eka Putri; Rina Listyowati
ARCHIVE OF COMMUNITY HEALTH Vol 8 No 3 (2021): Desember 2021
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2021.v08.i03.p13

ABSTRAKPuskesmas menjadi garda terdepan selama masa pandemi dalam melaksanakan lacak kasus, pemantauan terhadap OTG serta suspek COVID-19. Dengan penambahan kegiatan tersebut dapat berdampak pada kinerja pegawai selama masa pandemi. Dalam meningkatkan kinerjanya ada beberapa faktor yang perlu diperhatikan yakni pada beban kerja dan disiplin kerja.Tujuan penelitian ini untuk mengetahui hubungan persepsi beban kerja dan disiplin kerja dengan kinerja pegawai di Puskesmas II Denpasar Selatan. Desain penelitian kuantitatif dengan pendekatan cross sectional. Sampel penelitian adalah seluruh pegawai di Puskesmas II Denpasar Selatan yaitu 71 responden, teknik pengambilan sampel menggunakan metode total sampling. Hasil univariat menunjukkan karakteristik pegawai di Puskesmas II Denpasar Selatan mayoritas berusia 26-35 tahun (43,66%), berjenis kelamin perempuan (71,83%), berpendidikan Sarjana (47,89%), status pekerja PNS (54,93%) dengan pengalaman bekerja >10 tahun (56,34%). Hasil bivariat menunjukkan tidak ada hubungan beban kerja dengan kinerja pegawai (p=0,56), ada hubungan disiplin kerja dengan kinerja pegawai (p=0,04). Perbaikan sistem jadwal kerja dan pengelolaan waktu bekerja selama masa pandemi, melakukan monitoring terhadap kedisiplinan pegawai puskesmas dan pemberian reward berupa bonus bagi pegawai yang sudah bekerja sesuai dengan prinsip dari instansi.Kata Kunci : Persepsi Beban Kerja, Disiplin Kerja, Kinerja Pegawai

PERSEPSI PENGGUNA LAYANAN KESEHATAN PRIMER MENGENAI KUALITAS PELAYANAN PADA PUSKESMAS BADAN LAYANAN UMUM DI KABUPATEN GIANYAR Rina Listyowati; Putu Ayu Indrayathi; Ni Made Sri Nopiyani
ARCHIVE OF COMMUNITY HEALTH Vol 3 No 1 (2016): Juni (2016)
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

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One of the reasons for establishing Public Service Agency (BLU) policy at Community Health Care Centers is the number of complaints for poor quality services. This policy was implemented in January 2010 by the Gianyar Government in every Community Health Care Center in Gianyar. This is the realization of the Gianyar Government's attention in improving the quality of the Community Health Care Center Services. This study aims to determine the public perception of the quality of services provided by the Community Health Care Center in Gianyar District. This study was a cross-sectional analytic study and conducted at four Community Health Care Centers with BLUD’s status in Gianyar District with 105 respondents selected by multistage random sampling method. The data collection included survey questionnaires and analyzed descriptively by chi square test. The results showed that overall the respondents had a "good" perception towards the elements of Community Health Care Center services with BLU status in Gianyar District. However, there are three elements that were "perceived as poor" comprising responsiveness (14.3%), accuracy (11.4%) and environmental comfort (12.4%). The results of the chi square test showed that there were significant differences between the age factors with the respondent perceptions of service quality in Community Health Care Center with BLU status (p = 0.004), but gender, education level and occupation did not have a meaningful relationship. This research suggests that the Health Office should increase the intensity of coaching and facilitation of procedures related to the Community Health Care Center so that the expected performance of attendant care becomes more patterned.

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