Kepuasan Peserta JKN terhadap Kualitas Pelayanan Kesehatan Menggunakan Indikator HCAHPS di Instalasi Rawat Inap RS Stella Maris Makassar Indonesia Tahun 2015

https://doi.org/10.22146/jkki.v5i1.36080

A. Indahwaty Sidin(1*), Noer Bahry Noor(2), Nur Adayanti(3)

(1) Bagian Manajemen Rumah Sakit FKM Universitas Hasanuddin
(2) Bagian Manajemen Rumah Sakit FKM Universitas Hasanuddin
(3) Bagian Manajemen Rumah Sakit FKM Universitas Hasanuddin
(*) Corresponding Author

Abstract


Currently, a lot of information dispersed in community in terms of unsatisfaction of social health insurance members regarding health services even though in SHI road map 2012-2019, the target of satisfaction is e” 75%. Stella Maris hospital, as one of older privates hospital having good reputation in Makassar, have provided health services for SHI’s members since 2014. For that reason, this study is conducted to find the description of SHI member’s satisfaction toward quality of health services applied indicators of Survey Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The population number was 482, the sampling method is proportional stratified random sampling and the sample was 120 respondents. The results showed that there are 97,5% of respondents satisfied with doctor communication, 2,5% of respondents were unsatisfied. As for nurse communication dimension, 94,2% of respondents perceived satisfaction and it is only 5,8% of patients are unsatisfied. The result also showed that 96,7% of respondents are satisfied with nurse’s responsiveness and it was only 1,7% of respondents unsatisfied. Furthermore, as for doctors’ responsiveness, satisfied respondents are 98,3% and unsatisfied respondents were 1,7%. As for Communication regarding of pharmacy services, satisfied respondents are 94.2% respectively, while unsatisfied respondents are 5,8% respectively. Moreover, there are 90% of satisfied respondents and 10% of unsatisfied respondents. The other dimensions are food services in hospital. There 91,7% of satisfied respondents. In conclusion, there are an average of 99,2% of satisfied respondents in toward quality health services consisting of 7 dimensions, they are in doctor’s communication, nurse’s communication, doctor’s responsiveness, nurse responsiveness, communication regarding pharmacy services, environment and food services.

 

Latar Belakang: Saat ini banyak informasi di media tentang ketidak puasan peserta JKN. Sedangkan dalam roadmap JKN 2012 telah ditargetkan minimal kepuasan pasien peserta JKN e” 75%. RS Stella maris adalah salah satu RS swasta tertua di Makassar yang memiliki reputasi cukup baik, pada Tahun 2014 juga telah melayani peserta JKN. sehingga penelitian ini bertujuan untuk memperoleh gambaran kepuasan pasien peserta JKN tentang kualitas pelayananan kesehatan di Instalasi Rawat Inap RS Stella Maris Makassar Tahun 2015. Metode: Jumlah populasi dalam penelitian ini sebanyak 482 responden dan penarikan sampel menggunakan proportional stratified random sampling dengan jumlah sampel 120 responden.Penelitian ini menggunakan indikator kualitas pelayanan Survey Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Hasil: Penelitian ini menunjukkan bahwa tingkat kepuasan pasien terhadap kualitas pelayanan berdasarkan dimensi komunikasi dokter, puas (97,5%) dan tidak puas (2,5%). Dimensi komunikasi perawat, puas (94,2%) dan tidak puas (5,8%). Dimensi daya tanggap dokter, puas (98,3%) dan tidak puas (1,7%). Dimensi daya tanggap perawat, puas (96,7%) dan tidak puas (3,3%). Dimensi komunikasi obat, puas (94.2%) dan tidak puas (5,8%). Dimensi lingkungan, puas (90%) dan tidak puas (10%). Dimensi pelayanan makanan, puas (91,7%) dan tidak puas (8,3%). Tingkat kepuasan pasien tentang kualitas pelayanan di Instalasi Rawat Inap RS Stella Maris Makassar, puas (99,2%) dan tidak puas (0,8%). Kesimpulan: Pasien peserta JKN puas terhadap komunikasi dokter, komunikasi perawat, daya tanggap dokter, daya tanggap perawat, komunikasi obat, lingkungan, dan pelayanan makanan.


Keywords


Social health insurance; Patient satisfaction; Health services quality; JKN; Kepuasan pasien; Kualitas pelayanan

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References

Boshoff C, Gray B. The relationships between service quality, customer satisfaction and buying intentions in the private hospital industry. S Afr J Bus Manag. 2004;35(4):27-35.

Undang-Undang No 36 Tentang Kesehatan, 903 (2009).

RI P. Undang-Undang No 12 Tentang Badan Penyelengara Jaminan Sosial (BPJS). 2011.

Mukti AG, Indonesia WMKR. Rencana Kebijakan Implementasi Sistem Jaminan Sosial Nasional. Kemenkes RI: Surabaya.

Kementerian Koordinator Kesejahteraan Rakyat DJSN. Peta Jalan Menuju Jaminan Kesehatan Nasional 2012 - 2019, 2015.

Ware JE, Snyder MK, Wright WR, Davies AR. Defining and measuring patient satisfaction with medical care. Evaluation and program planning. 1983;6(3):247-63.

Zineldin M. The quality of health care and patient satisfaction: an exploratory investigation of the 5Qs model at some Egyptian and Jordanian medical clinics. International Journal of Health Care Quality Assurance. 2006;19(1):60-92.

Linder-Pelz S. Toward a theory of patient satisfaction. Social science & medicine. 1982;16(5):577-82.

Newsome P, Wright GH. Patient Management: A review of patient satisfaction: 1. Concepts of satisfaction. British dental journal. 1999;186(4):161-5.

Badri MA, Attia S, Ustadi AM. Healthcare quality and moderators of patient satisfaction: testing for causality. International Journal of Health Care Quality Assurance. 2009;22(4):382-410.

Goldstein E, Farquhar M, Crofton C, Darby C, Garfinkel S. Measuring hospital care from the patients’ perspective: An overview of the CAHPS® hospital survey development process. Health services research. 2005;40(6p2):1977- 95.

HCAHPS Survey. http://wwwhcahpsonlineorg/ homeaspx [Internet].

Medicare.Gov. https://www.medicare.gov/ hospitalcompare/Data/Overview.html.

Batchelor C, Owens DJ, Read M, Bloor M. Patient satisfaction studies: methodology, management and consumer evaluation. International Journal of Health Care Quality Assurance. 1994;7(7):22-30.

Hawthorne G, Sansoni J, Hayes L, Marosszeky N, Sansoni E. Measuring patient satisfaction with health care treatment using the Short Assessment of Patient Satisfaction measure delivered superior and robust satisfaction estimates. Journal of Clinical Epidemiology. 2014;67(5):527-37.

Prabowo SE. Perbedaan Kepuasan Antara Pasien Umum Dengan Pasien Jaminan Kesehatan Nasional Penerima Bantuan Iuran (Jkn – Pbi) Terhadap Kualitas Pelayanan Rawat Jalan Di Puskesmas Nguter Sukoharjo. Surakarta, Universitas Muhammadiyah 2014.

Aga NA. Perbandingan tingkat kepuasan peserta askes wajib dan sukarela terhadap mutu pelayanan kesehatan tingkat I. Jurnal Manajemen Pelayanan Kesehatan. 2005;8(04).

Tahir SA, Balqis, Darmawansyah. Analisis Kepuasan Pasien Rawat Inap Peserta Jaminan Kesehatan Nasional Di Rumah Sakit Islam Faisal Makassar. Makassar: Universitas Hasanuddin; 2015.

Shadiq H, Balqis,Palutturi Sukri. Kepuasan Pasien Rujukan Dalam Era Jaminan Kesehatan Nasional Di Ruang Rawat Inap Rsud Kota Makassar Universitas Hasanuddin; 2015.

Adayanti N, Sidin AI, Bahry Noor N. Kepuasan Peserta Jkn Tentang Kualitas Pelayanan Kesehatan Di Instalasi Rawat Inap Rs Stella Maris Makassar. 2015.

Wahyuni T, Yanis A, Erly E. Hubungan Komunikasi Dokter–Pasien Terhadap Kepuasan Pasien Berobat Di Poliklinik RSUP DR. M. Djamil Padang. Jurnal Kesehatan Andalas. 2013;2(3):175-7.

Hardi J. Analisis Tingkat Kepuasan Pasien Umum Dan Pasien Jamkesmas Terhadap Mutu Pelayanan Rawat Inap Di Rsud Pasaman Barat Tahun 2010. 2012.

Jha AK, Orav EJ, Zheng J, Epstein AM. Patients’ perception of hospital care in the United States. New England Journal of Medicine. 2008;359(18):1921-31.

Gustafson BM. A customer-friendly revenue cycle improves patient satisfaction, loyalty. Healthcare Financial Management. 2002;56(1):76-8.

Hu H-Y, Cheng C-C, Chiu S-I, Hong F-Y. A study of customer satisfaction, customer loyalty and quality attributes in Taiwan’s medical service industry. African Journal of Business Management. 2011;5(1):187-95.

Kessler DP, Mylod D. Does patient satisfaction affect patient loyalty? International Journal of Health Care Quality Assurance. 2011;24(4):266- 73.

Lei P, Jolibert A. A three-model comparison of the relationship between quality, satisfaction and loyalty: an empirical study of the Chinese healthcare system. BMC Health Services Research. 2012;12:436.

Wu C-C. The impact of hospital brand image on service quality, patient satisfaction and loyalty. African Journal of Business Management. 2011;5(12):4873-82.

Tjiptono FPD, G. Chandra. . Service Quality and Satisfaction. Yogyakarta: C.V Andi Offset; 2005.

Kotler P. Manajemen Pemasaran. Jakarta:: Prenhallindo; 2000.

Indonesia KK. Standar kompetensi dokter Indonesia. Jakarta: Penerbit Konsil Kedokteran Indonesia. 2012.

Willaims S, Weinman J, Dale J. Doctor-patient communication and patient satisfaction: a review. Family Practice. 1998;15(5):480-92.

Korsch BM, Gozzi EK, Francis V. Gaps in doctor-patient communication I. Doctor-patient interaction and patient satisfaction. Pediatrics. 1968;42(5):855-71.

Clever SL, Jin L, Levinson W, Meltzer DO. Does doctor–patient communication affect patient satisfaction with hospital care? Results of an analysis with a novel instrumental variable. Health services research. 2008;43(5p1):1505- 19.

Weech-Maldonado R, Elliott MN, Pradhan R, Schiller C, Hall A, Hays RD. Can hospital cultural competency reduce disparities in patient experiences with care? Medical care. 2012; 50: S48.

McCabe C. Nurse–patient communication: an exploration of patients’ experiences. Journal of clinical nursing. 2004;13(1):41-9.

Uitterhoeve R, Bensing J, Dilven E, Donders R, demulder P, van Achterberg T. Nurse–patient communication in cancer care: does responding to patient’s cues predict patient satisfaction with communication. Psycho-Oncology. 2009; 18(10): 1060-8.

Kutney-Lee A, McHugh MD, Sloane DM, Cimiotti JP, Flynn L, Neff DF, et al. Nursing: a key to patient satisfaction. Health Affairs. 2009; 28(4): w669-w77.

Leiter MP, Harvie P, Frizzell C. The correspon- dence of patient satisfaction and nurse burnout. Social science & medicine. 1998;47(10):1611-7.

Vahey DC, Aiken LH, Sloane DM, Clarke SP, Vargas D. Nurse burnout and patient satisfac- tion. Medical care. 2004;42(2 Suppl):II57.

Al Odhayani A, Khawaja RA. Patient’s Satis- faction: Insight into Access to Service, Interper- sonal Communication and Quality of Care Is- sues. Middle East Journal of Family Medicine. 2014;7(10):24.

Chaerani N. Kepuasan pasien terhadap mutu pelayanan makanan. 2001.

Mustafa E. Tingkat Kepuasan Pasien Rawat Inap Terhadap Pelayanan Makanan Di Rumah Sakit Umum (RSUD) Mamuju Provinsi Sulawesi Barat. MEDIA GIZI MASYARAKAT INDONESIA. 2012;2(1)



DOI: https://doi.org/10.22146/jkki.v5i1.36080

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