KUALITAS LAYANAN TUBERKULOSIS MENURUT SUDUT PANDANG PASIEN DI RUMAH SAKIT PEMERINTAH DAN SWASTA DI JAKARTA UTARA

Abstract

Background: Patient’s perspective on the quality Tuberculosis
(TB) care has received more attentions nowadays. While DOTS
strategy has been expanded in Indonesian public and private
hospitals since 2000, the quality evaluation from the patients’
perspective is lacking.
Objectives: To measure the quality of TB service from the
patient perspective in public and private hospitals in North
Jakarta.
Method: This was a cross-sectional study design in two
hospitals. The sample of patients in public and private hospitals
were 156 and 68 respectively. Data were collected using
Quality of Care as seen through the Eyes of the Patient (QUOTETB)
instrument and analyzed desciptively.
Result:In both hospitals, seven aspects should be improved
(i.e. waiting time, safe drinking water, cost for services,
transport support, food aid,TB-HIV and HIV prevention) .
Patients in the public hospital perceived discrimination of
services. Moreover six aspects of service should be improved
in private hospital (i.e. consistency of service, opening hours,
TB service availability, additional charges, TB-HIV as well as
HIV testing and treatment).
Conclusion: Quality improvements for TB service in hospital
are needed. Hospitals should provide better facilities and
environment, conduct cost analysis, improve TB-HIV service,
adhere to the TB service procedure and improve providerpatient
relationship.
Keywords: tuberculosis, patient perspective, quali ty of
service, QUOTE-TB