Factors that influence the Quality Dimensions of National Health Insurance Participant Satisfaction with Outpatient Services at the Community Health Center
DOI:
https://doi.org/10.61963/jpkt.v2i2.59Keywords:
Patient satisfaction, Dimensions of service quality, Community Health CenterAbstract
Introduction The Teunom Community Health Center experienced a significant decrease in JKN participants at the Teunom Community Health Center by 13,099 people, in 2021 there were 12,904 people, while the number in 2022 was 12,871 people.The research method is a cross sectional study approach. accidental sampling sample. Univariate, bivariate and multivariate quantitative data through logistic regression tests.The results of the research, univariate and bivariate tests of technical competence do not affect patient satisfaction, p-value= 0.140, access to services does not affect patient satisfaction, the value is p-value= 0.647, human relationships affect patient satisfaction p-value= 0.001, comfort affects patient satisfaction p-value= 0.0001, information does not influence patient satisfaction p-value= 0.731 and timeliness influences patient satisfaction p-value= 0.037. Based on multivariate relationships between people OR= 9.459, comfort OR= 10.903 and timeliness OR= 2.875 and the most dominant factor influencing patient satisfaction is the comfort variable with a value of OR = 6.600. In conclusion, the variables of human relations, comfort and timeliness, influence patient satisfaction. The variables technical competence, access to services and information do not influence outpatient satisfaction at the Teunom Community Health Center, Teunom District. factors influence patient satisfaction, human relations, comfort and timeliness. The dominant factor in patient satisfaction is the comfort variable.It is recommended that the Health Service analyze and evaluate the quality of services at the Puskesmas. For Puskesmas to improve the performance of motivation for employees to be friendlier in responding to and responding to patient complaints.
References
Adams, A., & Bond, S. (2000). Hospital nurses' job satisfaction, individual and organizational characteristics. Journal of Advanced Nursing, 32(3), 536-543.
Al-Abri, R., & Al-Balushi, A. (2014). Patient satisfaction survey as a tool towards quality improvement. Oman Medical Journal, 29(1), 3-7.
American Hospital Association. (2023). Patient Satisfaction and Experience. https://www.aha.org/aha-services/patient-satisfaction-and-experience
Anderson, N. R., & West, M. A. (1996). The team climate inventory: Development of the TCI and its applications in teambuilding for innovativeness. European Journal of Work and Organizational Psychology, 5(1), 53-66.
Asefzadeh, S., Asefzadeh, M., & Naghdi, S. (2020). Factors affecting patient satisfaction: An overview of systematic reviews. Journal of Research in Medical and Dental Science, 8(2), 11-20.
Athanassopoulos, A., Gounaris, S., & Stathakopoulos, V. (2001). Behavioural responses to customer satisfaction: an empirical study. European journal of marketing, 35(5/6), 687-707. https://doi.org/10.1108/03090560110388169
Berger, M. L., Sox, H., Willke, R. J., Brixner, D. L., Eichler, H. G., Goettsch, W., ... & Mullins, C. D. (2017). Good practices for real?world data studies of treatment and/or comparative effectiveness: recommendations from the joint ISPOR?ISPE Special Task Force on real?world evidence in health care decision making. Value in Health, 20(8), 1003-1008. https://doi.org/10.1016/j.jval.2017.08.3019
Berwick, D. M. (2002). A user's manual for the IOM's "Quality Chasm" report. Health Affairs, 21(3), 80-90.
Blumenthal, D., & Mort, E. (2001). The Commonwealth Fund, 1998 survey of adults with chronic illnesses. The Commonwealth Fund, 433, 1-12.
Carman, J. M., Shortell, S. M., Foster, R. W., Hughes, E. F., Boerstler, H., O'Brien, J. L., & O'Connor, E. J. (2001). Keys for successful implementation of total quality management in hospitals. Health Care Management Review, 26(3), 25-45.
Centers for Medicare & Medicaid Services. (2023). Consumer Assessment of Healthcare Providers and Systems (CAHPS). https://www.cms.gov/Research-Statistics-Data-and-Systems/Research/CAHPS
Cerchione, R., Centobelli, P., Riccio, E., Abbate, S., & Oropallo, E. (2023). Blockchain’s coming to hospital to digitalize healthcare services: Designing a distributed electronic health record ecosystem. Technovation, 120, 102480. https://doi.org/10.1016/j.technovation.2022.102480
Chen, K. L., Brozen, M., Rollman, J. E., Ward, T., Norris, K. C., Gregory, K. D., & Zimmerman, F. J. (2021). How is the COVID-19 pandemic shaping transportation access to health care?. Transportation Research Interdisciplinary Perspectives, 10, 100338. https://doi.org/10.1016/j.trip.2021.100338
Chew, H. S. J., & Achananuparp, P. (2022). Perceptions and needs of artificial intelligence in health care to increase adoption: scoping review. Journal of medical Internet research, 24(1), e32939. https://doi.org/10.2196/32939
Cleary, P. D., McNeil, B. J., & Patient Satisfaction Research Group. (1988). Patient satisfaction as an indicator of quality care. Inquiry: A Journal of Medical Care Organization, Provision and Financing, 25(1), 25-36.
Donabedian, A. (1988). The quality of care: How can it be assessed? JAMA: The Journal of the American Medical Association, 260(12), 1743-1748. https://doi.org/10.1001/jama.1988.03410120089033
Duggirala, M., Rajendran, C., & Anantharaman, R. N. (2016). The impact of service quality on patient loyalty: A study of private hospitals in India. Health Marketing Quarterly, 33(4), 339-354.
Enescu, D. (2017). A review of thermal comfort models and indicators for indoor environments. Renewable and Sustainable Energy Reviews, 79, 1353-1379. https://doi.org/10.1016/j.rser.2017.05.175
Fitzsimmons, J. A., & Fitzsimmons, M. J. (2013). Service Management: Operations, Strategy, Information Technology (8th ed.). McGraw-Hill.
Garcia, D. M., Ali, F., & Hussein, M. (2016). Patients' satisfaction with healthcare services in Saudi Arabia: A meta-analysis. International Journal of Research in Medical Sciences, 4(11), 4736-4740.
Gerteis, M., Edgman-Levitan, S., Daley, J., & Delbanco, T. L. (1993). Through the patient's eyes: Understanding and promoting patient-centered care. Jossey-Bass.
Hall, J. A., & Dornan, M. C. (1988). Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta-analysis. Social Science & Medicine, 27(9), 1159-1169. https://doi.org/10.1016/0277-9536(88)90064-2
Ladds, E., Rushforth, A., Wieringa, S., Taylor, S., Rayner, C., Husain, L., & Greenhalgh, T. (2020). Persistent symptoms after Covid-19: qualitative study of 114 “long Covid” patients and draft quality principles for services. BMC health services research, 20, 1-13. https://doi.org/10.1186/s12913-020-06001-y
Mann, J. M., Gostin, L., Gruskin, S., Brennan, T., Lazzarini, Z., & Fineberg, H. (2017). Health and human rights. In Health Rights (pp. 113-126). Routledge.
Ocampo, L., Alinsub, J., Casul, R. A., Enquig, G., Luar, M., Panuncillon, N., ... & Ocampo, C. O. (2019). Public service quality evaluation with SERVQUAL and AHP-TOPSIS: A case of Philippine government agencies. Socio-Economic Planning Sciences, 68, 100604. https://doi.org/10.1016/j.seps.2017.12.002
Osei-Frimpong, K., Wilson, A., & Lemke, F. (2018). Patient co-creation activities in healthcare service delivery at the micro level: The influence of online access to healthcare information. Technological Forecasting and Social Change, 126, 14-27. https://doi.org/10.1016/j.techfore.2016.04.009
Parasuraman, A., Berry, L. L., & Zeithaml, V. A. (1991). Refinement and reassessment of the SERVQUAL scale. Journal of Retailing, 67(4), 420-450.
Schubbe, D., Scalia, P., Yen, R. W., Saunders, C. H., Cohen, S., Elwyn, G., ... & Durand, M. A. (2020). Using pictures to convey health information: A systematic review and meta-analysis of the effects on patient and consumer health behaviors and outcomes. Patient education and counseling, 103(10), 1935-1960. https://doi.org/10.1016/j.pec.2020.04.010
Sitzia, J., & Wood, N. (1997). Patient satisfaction: A review of issues and concepts. Social Science & Medicine, 45(12), 1829-1843. https://doi.org/10.1016/S0277-9536(97)00128-7
Sofaer, S., Firminger, K., & Kenney, C. (2005). Patient perceptions of the quality of health services. Annual Review of Public Health, 26, 513-559.
The Commonwealth Fund. (2023). Surveys & Reports. https://www.commonwealthfund.org/surveys
Varela, C., Young, S., Mkandawire, N., Groen, R. S., Banza, L., & Viste, A. (2019). Transportation barriers to access health care for surgical conditions in Malawi a cross sectional nationwide household survey. BMC public health, 19, 1-8. https://doi.org/10.1186/s12889-019-6577-8
Wager, K. A., Lee, F. W., & Glaser, J. P. (2021). Health care information systems: a practical approach for health care management. John Wiley & Sons.
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