STUDI TENTANG KUALITAS PELAYANAN KESEHATAN DI PUSKESMAS CIAWI KABUPATEN BOGOR

2017 ◽  
Vol 2 (2) ◽  
pp. 101
Author(s):  
Siti Munispa ◽  
Chairul Amri ◽  
Rita Rahmawati
Keyword(s):  
Health Care ◽  
Health Service ◽  
Community Health ◽  
Quality Of Health Care ◽  
Low Cost ◽  
Primary Health Care System ◽  
The Public ◽  
First Choice ◽  
Quality Health

Community Health Centres (Puskesmas) is the primary health care system that serves patients in general and patients with health insurance card (BPJS). Low cost is the reason that community choose Puskesmas as the first choice for medical treatment. However, there are many patients who complain about the lack of quality health services on Puskesmas. Therefore, the purpose of this study was to determine the quality of health service on Puskesmas. This study took place in Puskesmas Ciawi, Bogor Regency, West Java, Indonesia. The research used descriptive method and qualitative approach. Data was collected by bibliography study, observation, and interview. The results showed that the quality of health care on Puskesmas Ciawi still has some drawbacks, namely a less comfortable lounge area, a limited number of toilets, the less friendly clerk. Most community health service users view the service of process than the outcome and image. Therefore, the results of this study recommend that the quality of health care is determined by the ability of management and hospital medical committee including head of  Puskesmas in maintaining the reputation of the institution and the public trust.     Key words: Service Quality, Health Center, Reputation Institute, a medical committee

scholarly journals Death by Market Power: Reform, Competition, and Patient Outcomes in the National Health Service

2013 ◽  
Vol 5 (4) ◽  
pp. 134-166 ◽  
Author(s):  
Martin Gaynor ◽  
Rodrigo Moreno-Serra ◽  
Carol Propper
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
Patient Outcomes ◽  
Quality Of Health Care ◽  
Policy Reform ◽  
Difference In Differences ◽  
Empirical Estimates ◽  
The Impact

The effect of competition on the quality of health care remains a contested issue. Most empirical estimates rely on inference from nonexperimental data. In contrast, this paper exploits a procompetitive policy reform to provide estimates of the impact of competition on hospital outcomes. The English government introduced a policy in 2006 to promote competition between hospitals. Using this policy to implement a difference-in-differences research design, we estimate the impact of the introduction of competition on not only clinical outcomes but also productivity and expenditure. We find that the effect of competition is to save lives without raising costs. (JEL H51, I11, I18, L32, L33)

scholarly journals Health Service Delivery as a Research Agenda

2021 ◽  
Vol 55 (1) ◽  
Author(s):  
Jean Anne B. Toral
Keyword(s):  
Health Care ◽  
Health Service ◽  
Service Delivery ◽  
Health Research ◽  
Research Agenda ◽  
Health Service Delivery ◽  
World Health ◽  
Quality Health ◽  
Or Organization

For any company or organization, its service delivery mirrors its effectiveness in attaining its goals. For a health care institution, this is health service delivery. Why should health service delivery be a priority of any health care institution or organization The World Health Organization (WHO) talks about improving the quality of patient-centered health service as the road to achieving universal health coverage and the Sustained Development Goals (SDGs).1 The US Agency for International Development (USAID) embarked on ASSIST, Applying Science to Strengthen and Improve Systems, a five year project designed to improve health and social services in USAID-assisted countries.2 It is imperative that health service delivery is designed in such a way that it is based on the best scientific evidence for a particular disease, is made easily accessible, and one that follows a structure or system that will support its delivery. The USAID further puts an even broader concept called governance for quality health care and service delivery. These include use of policy and strategies, effective regulation, engaging non-state actors, garnering political will, pursuing reliable data, culture of continuous improvement, promoting knowledge sharing, and linking financing to quality.2 Health service delivery as a research agenda, therefore, is not only confined to looking for treatment interventions based on the best evidence. It should also consider addressing access and availability of the health service, and the institutional architecture to support a quality health service or intervention. Defining of roles and responsibilities of personnel at various levels of care within the organization and the aligning of other resources necessary for delivery are vital parts of it also. In the Philippines, the National Unified Health Research Agenda (NUHRA) came about as it reflects the health needs of the Filipinos. The NUHRA creates a template for health research in these specific areas in a 5-year scope.3 The Philippine General Hospital (PGH) has included health service delivery as one of its top research agenda. In the past 4 years that it has established such, many of the research outputs have addressed specific disease interventions, hospital processes, and personnel welfare and readiness. There are still, however, a lot of gaps and questions that remain to be addressed. The papers on this fourth issue of the PGH for Acta Medica Philippina are diverse in scope but are all products of the authors’ questions that needed addressing in order to improve delivery of care to the PGH patients. May the impact of the results of these research endeavors truly make a difference in the lives of the patients the National University Hospital serves.   Jean Anne B. Toral, MD, MScCoordinator for ResearchPhilippine General Hospital   REFERENCES 1. World Health Statistics 2016 Monitoring Health for the SDGs. ISBN 978 92 4 156526 4.2. Laird K, Tarantino L, Mennen T, Koon A. Governance to Improve the Quality of Health Services: A Research Agenda. January 2018.3. Philippine National Health Research System, National Unified Health Research Agenda [Internet]. [cited 2021 Feb 5]. Available from: www.healthresearch.ph/index.php/nuhra1.

scholarly journals Sosialisasi Manajemen Klinis untuk peningkatan mutu pelayanan kesehatan bagi Profesional Perekam Medis

2021 ◽  
Vol 1 (2) ◽  
pp. 147-158
Author(s):  
Rahmi Septia Sari ◽  
Yanti Desnita Tasri ◽  
Rindy Shakila
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Health Care Facilities ◽  
Care Providers ◽  
Clinical Quality ◽  
Management Concepts ◽  
Quality Health ◽  
Quality Of Health Services

Abstract                Health facilities are very important services for the community. The most important health service is to produce beneficial outcomes for patients, users and society. Achieving this outcome is highly dependent on the quality of health services. Improving the quality of clinical services is one of the efforts to manage the quality of health services. Information about health services from all users of medical services and all individuals is needed as a source of data to answer questions about the quality of health services. So that accurate information is obtained. The purpose of this activity is to provide information and knowledge to medical recorders about the quality of health services related to clinical quality management in improving performance and implementing clinical management concepts. There are several perspectives regarding the quality of health services, including according to consumers of health services as a service that can meet the needs of the community, according to quality health service providers, namely the availability of equipment, work procedures, professional freedom in performing health services, according to funders of health services as a health service. In an effective and efficient manner, according to the owner of health care facilities, quality health services can generate income that is able to cover operational costs, while according to health service administrators, it can provide for the needs of patients and health care providers. The method used is by providing information directly through virtual media to medical recorders. Keywords: Management, Clinical, Quality, Service, Medical Record     Abstrak Fasilitas kesehatan merupakan pelayanan yang sangat penting bagi masyaraka. Pelayanan kesehatan yang paling utama adalah menghasilkan outcome yang menguntungkan bagi pasien, pengguna dan masyarakat. Pencapaian outcome ini sangat tergantung pada mutu pelayanan kesehatan. Peningkatan mutu pelayanan klinis merupakan salah satu upaya manajemen mutu pelayanan kesehatan. Informasi mengenai pelayanan kesehatan dari seluruh pengguna jasa pelayanan medis maupun seluruh individu diperlukan sebagai sumber data untuk menjawab pertanyaan mengenai mutu pelayanan kesehatan. Sehingga diperoleh informasi yang akurat. Tujuan kegiatan adalah untuk memberikan informasi dan pengetahuan kepada para perekam medis tentang mutu pelayanan kesehatan terkait manajemen mutu klinis dalam peningkatan kinerja serta mengimplementasikan konsep manajemen klinis. Terdapat beberapa perspektif mengenai mutu pelayanan kesehatan diantaranya menurut konsumen layanan kesehatan sebagai suatu layanan yang dapat memenuhi kebutuhan masyarakat, menurut provider layanan kesehatan yang bermutu yaitu tersedianya peralatan, prosedur kerja, kebebasan profesi dalam melakukan layanan kesehatan, menurut penyandang dana layanan kesehatan sebagai suatu layanan kesehatan yang efektif dan efisien, menurut pemilik sarana layanan kesehatan bahwa layanan kesehatan yang bermutu dapat menghasilkan pendapatan yang mampu menutupi biaya operasional sedangkan menurut administrator layanan kesehatan dapat menyediakan kebutuhan pasien serta pemberi layanan kesehatan. Adapun metode yang dilakukan adalah dengan cara memberikan informasi langsung melalui media virtual kepada perekam medis. Kata kunci: Manajemen, Klinis, Mutu, Pelayanan, Perekam Medis

scholarly journals The perceptions of professional nurses regarding factors affecting the provision of quality health care services at selected rural public clinics in the Capricorn district, Limpopo Province

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Nick T. Matlala ◽  
Rambelani N. Malema ◽  
Mamare A. Bopape ◽  
Peter M. Mphekgwana
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Quality Of Health Care ◽  
Health Care Services ◽  
Quality Health Care ◽  
Care Services ◽  
Primary Health ◽  
Quality Health ◽  
Professional Nurses

Background: Despite many initiatives made by the National Department of Health through the Minister of Health, the provision of quality health care services remains a serious challenge in South Africa, especially in public rural clinics.Aim: The study aims to determine the perceptions of professional nurses on the factors affecting the provision of quality health care services at selected public primary health care clinics in rural areas of the Capricorn District, Limpopo Province.Setting: The study was conducted at selected public primary health care clinics in rural areas of the Capricorn District, Limpopo Province.Methods: This study utilised a quantitative method, descriptive and a cross-sectional study conducted for three months at the selected public primary health care clinics. A structured self-administered questionnaire was used to collect data from 155 professional nurses who met the selection criteria. Data were analysed using Statistical Package for Social Sciences programme version 26.0.Results: The results of 155 professional nurses were only 116 (74%) and reported that the use of modern technology such as electronic blood pressure, sonar machines and pulse reading computers improves the quality of health care services. Also 129 (84%), 124 (77%) and 118 (76%) reported that they were overwhelmed by the workload, the staff attitude and cleanliness of the clinic, respectively, which all affect the quality of health care services rendered. Moreover, only about 29 (19%) were satisfied with the salary they earned.Conclusion: Despite the effort and interventions put in place by the Department of Health with regard to the Ideal Clinic Realisation and Maintenance in response to the current deficiencies in the quality of primary health care services and to lay a strong foundation for the implementation of National Health Insurance. The quality of health care services is still hindered by several factors such as an overwhelming workload, the attitude of the staff and cleanliness in the work environment, poor infrastructure and the professional nurses perceive the environment as lacking equipment.

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