Contextual Effect of Community Health Center on Patient Satisfaction of Health Care Service in Ngawi, East Java

Kurniawan, Hendra; Tamtomo, Didik Gunawan; Murti, Bhisma

doi:10.26911/thejhpm.2019.04.01.03

Cited by 6 publications

(9 citation statements)

References 12 publications

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“…The results of this study are in line with a study conducted by Kurniawan et al (2019) which stated that variations in the characteristics of each community health center have a contextual effect on variations in patient satisfaction (ICC = 13.03%). The contextual effect (accreditation) of each community health center influencing the quality of health services was also stated by Ghareeb et al (2018).…”

Section: The Effect Of Work Environmentsupporting

confidence: 90%

Contextual Effect of Community Health Center and Sosio-Demography Determinants on the Performance of Community Health Personnel in Karanganyar, Central Java

Mujiran

Rahardjo

Murti

2020

J HEALTH POLICY MANAGE

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Background: Community Health Center is a first-level health service facility that organizes public health efforts and individual health efforts. Good health service is supported by work performance of the health personnel. This study aimed to analyze the contextual effect of community health center and socio determinants on the work performance of health personnel. Subjects and Method: This was a cross sectional study conducted at Karanganyar community health centers, in Karanganyar, Central Java, from October to November 2019. A sample of 210 health workers was selected randomly. The dependent variable was work performance. The independent variables were age, education, tenure, distribution of services, work motivation, job skills, job satisfaction, health center accreditation status, and work environment. Data were collected by questionnaire and analyzed by a multilevel multiple logistic regression run on Stata 13. Results: Good work performance increased with age ≥38 years (b= 1.09; 95% CI= 0.19 to 1.99; p= 0.018), adequate service (b= 0.96; 95% CI= -0.28 to 2.19; p= 0.128), high motivation (b= 0.93; 95% CI= 0.09 to 1.77; p= 0.030), good job skills (b= 0.97; 95% CI= 0.06 to 1.88; p= 0.037), good job satisfaction (b= 0.92; 95% CI= 0.05 to 1.78; p= 0.037), and good working environment (b= 0.95; 95% CI= 0.11 to 1.80; p= 0.026). Good work performance decreased with education ≥Diploma III (b= -0.40; 95% CI= -1.67 to 0.87; p= 0.535) and tenure ≥3 years (b= -0.71; 95% CI= -1.79 to 0.37; p= 0.199). Community health center had strong contextual effect on work performance with ICC= 18.00%. Conclusion:Good work performance increases with age ≥38 years, adequate service, high motivation, good job skills, good job satisfaction, and good working environment. Good work performance decreases with education ≥Diploma III and tenure ≥3 years. Community health center has strong contextual effect on work performance

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Section: The Effect Of Work Environmentsupporting

confidence: 90%

Contextual Effect of Community Health Center and Sosio-Demography Determinants on the Performance of Community Health Personnel in Karanganyar, Central Java

Mujiran

Rahardjo

Murti

2020

J HEALTH POLICY MANAGE

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“…Study of Kurniawan et al (2019) reported that the age of> 35 years old increased the level of satisfaction by 0.99 times compared to patients <35 years old. The enhancement of age can have an effect on health, which was deterioration in the structure and function of organs, so that older people tend to use health services more than young people.…”

Section: Discussion 1 the Effect Of Age On Patients Satisfactionmentioning

confidence: 96%

Accreditation Status and Other Factors Affecting Patient Satisfaction in Hospital

Sulistyo

Tamtomo

Sulaeman

2019

J HEALTH POLICY MANAGE

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Background: Hospital accreditation is a systemic assessment to measure service quality according to standards. Hospital services focus on meeting patient needs and satisfaction. This study aimed to determine the status of accreditation and other factors that influence the satisfaction of hospitalized patients in the hospital. Subjects andMethod: This was a cross sectional study conducted in four hospitals in Sleman, Yogyakarta, from March to April 2019. A sample 200 inpatients were selected for this study by proportional random sampling. The dependent variable was patient satisfaction. The independent variables were accreditation status, service quality, length of care, source of funds, employment, age, and gender. The data were collected by questionnaire and analyzed by path analysis. Results: Patient satisfaction was directly and positively affected by age >18 years old (b = 2.34; 95% CI= 0.33 to 2.50; p= 0.023), gender (b = 1.02; 95% CI = 0.08 to 1.96; p = 0.034), length of care> 3 days (b= 0.99; 95% CI= 0.043 to 1.95; p= 0.041), independent funding sources (b= 1.50; 95% CI= 0.47 to 2.53; p= 0.004), good service quality (b = 3.42; 95% CI = 2.31 to 4.53; p <0.001), and good accreditation status (b = 3.33; 95% CI = 2.12 to 4.54; p<0.001). Satisfaction is directly and negatively influenced by work (b = -1.37; 95% CI = -2.32 to -0.41; p = 0.005). Patient satisfaction was influenced indirectly and positively by accreditation status through good service quality (b = 0.70; 95% CI = -0.04 to 1.96; p = 0.037). Patient satisfaction was influenced indirectly by age> 18 years through service quality (b = 1.50; 95% CI = 0.49 to 2.50; p = 0.036). Conclusions: Patient satisfaction was influenced directly and positively by age> 18 years, male sex, length of care >3 days, independent fund sources, good service quality and good accreditation status. Patient satisfaction is influenced directly and negatively by work. Patient satisfaction was indirectly affected by age >18 years and good accreditation status.

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“…The components of satisfaction in primary care, such premium payment, information services and membership (16) . The element of a CHSs center was focusing on not only the building condition, comfort of the waiting room and other tangible aspects but also responsiveness, hospitality, and characteristics of patients such as education level, membership of national insurance and condition of CHS (17) . In addition, attitude and behavior of healthcare workers play a pivotal role in supporting tangibility and responsiveness, particularly among chronic disease patients (18) .…”

Section: Across the Social Insurance Administrationmentioning

confidence: 99%

“…Communication means both informing customers in a language they can understand and listening to customers. A company may need to adjust its language for varying needs of its customers (16,17) . Those elements should be implemented in the health services sector; however, being perfect is not easy, and all stakeholders should adopt appropriate approaches to get maximum achievement in healthcare services.…”

Section: Across the Social Insurance Administrationmentioning

confidence: 99%

Health Services Quality Between Hypertension and Diabetes Mellitus Patients in Community Health Services in the Sleman District, Yogyakarta, Indonesia

Soleman

Firda

Sulistiyanto³

et al. 2020

MJPHM

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The implementation of the Chronic Disease Management Program or PROLANIS has been adopted in Indonesia by National Social Security Implementation on Health Agency (BPJS-K) since 2015. The program focuses on hypertension (HT) and diabetes mellitus (DM). However, since the first time the program was implemented, there was no comprehensive evaluation of it. The aim of this study was to analyze health service quality among HT and DM patients based on five dimensions of quality in 25 community health services (CHSs) in the Sleman district, Yogyakarta, Indonesia. This is a cross-sectional study with a simple random sampling technique that included 230 respondents from 25 CHSs. The instrument was SERVQUAL that consisted of 35 items of a questionnaire. The data were analyzed by a gap analysis, Customer Satisfaction Index (CSI) and Importance Performance Analysis (IPA); meanwhile, a Man–Whitney test was proposed to determine differences in health services quality in the PROLANIS program. Based on the gap analysis, it was found that whole dimensions were below 0-point; the CSI analysis obtained 74.45 for HT and 75.15 for DM; and the IPA analysis found that the distribution of respondents’ answers in the questionnaire were in quadrants 1 and 2. The Man–Whitney analysis was used to get the assurance aspect correlated with health service quality in DM and HT patients (p = 0.001). Health service quality in the PROLANIS program was based on five dimensions of quality was low, unless assurance dimension. The government should improve health services quality in aspects of tangibility, responsiveness, empathy, and reliability to get satisfaction among HT and DM patients in the PROLANIS program.

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Contextual Effect of Community Health Center on Patient Satisfaction of Health Care Service in Ngawi, East Java

Cited by 6 publications

References 12 publications

Contextual Effect of Community Health Center and Sosio-Demography Determinants on the Performance of Community Health Personnel in Karanganyar, Central Java

Contextual Effect of Community Health Center and Sosio-Demography Determinants on the Performance of Community Health Personnel in Karanganyar, Central Java

Accreditation Status and Other Factors Affecting Patient Satisfaction in Hospital

Health Services Quality Between Hypertension and Diabetes Mellitus Patients in Community Health Services in the Sleman District, Yogyakarta, Indonesia

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