The Relationship between Service Quality and Inpatient Satisfaction at Kabanjahe Hospital Kab. Karo in 2019. Thesis, Department of Public Health, Faculty of Public Health, Deli Husada Deli Tua Health Institute. (Supervised by Ns. Megawati Sinambela, S.Kep.,M.Kes) Background: The hospital is a complete and complex health service center. Hospitals are very close to human life so that wherever they are located, hospitals are almost never empty. According to Article 1 of Law Number 14 of 2009, a hospital is a health service institution that provides complete individual health services that provide inpatient, outpatient and emergency services. This study aims to determine that there is a relationship between service quality and inpatient satisfaction. at Kabanjahe Hospital, Kab. Karo of 2019. Methods: This type of research is using a quantitative research design, so the research uses a cross sectional approach, which is a study to study the dynamics of the correlation between the independent variable and the dependent variable by means of an observation approach or data collection at once (point time approach). .. The sampling technique is accidental sampling, which is done by taking cases or respondents who happen to exist or are available in a place according to the research context. Where the sample in this study were 80 people. Data collection techniques using questionnaire sheets and respondent observation sheets. The data analysis technique used Chi-Square. Results: a significant relationship with the dependent variable, namely patient satisfaction, obtained by respondents who answered quite well as many as 54, the highest among all variables with p = 0.000 and , it was stated that there was a significant relationship between the relationship between health service quality and patient satisfaction at Kabanjahe Hospital Kab. Karo of 2019. Conclusion: This study means that there is a significant relationship between the relationship between the quality of health services and patient satisfaction at Kabanjahe Hospital Kab. Karo of 2019.
Overuse of antibiotics has the potentiall for irrational use. This is one of the factorss that cause resistances. WHO in the field of antimicrobial resistance:According to the Global Surveillance Report, Southeast Asia has the highest level of antimicrobial resistance in the world, especially against methicillin-resistant Staphylococcus aureus (Ministry of Health, 2015). Results of the AMRIN (Antimicrobial Resistance in Indonesia) study conducted from 2000 to 2005 showed that approximately 43% of E. coli are resistant to various types of antibiotics, including: ampicillin (34%), co-trimoxazole (29%), chloramphenicol (25%) (Minister of Health of the Republic, 2015). Irrational use is a major factor in high antibiotic resistance rates. Lack off publicc knowledges about antibiotics can affect attitudes and healths behaviorss, including irrationall use of antibiotics. Knowledge plays an important rolee in shaping beliefs and attitudess about certain behaviors, such as behavior when taking antibioticss. Education level is thought to have a significant impact on this behavior (Ivoryanto, 2017). Keywords : antibiotics, resistance, student
Quality health services are health services that can satisfy every user of health services in accordance with the level of satisfaction. Satisfaction will occur if the expectations of the patient can be met by the services provided by the hospital so that it needs to be considered continuously the satisfaction and expectations of the patient. The purpose of this study was to determine the level of satisfaction of outpatients of BPJS Kesehatan participants with pharmaceutical services at the outpatient Pharmacy Installation at RSU Sembiring. The design of this study used descriptive survey research. The population in this study was 1400 patients, and the sample was 93 patients using the Slovin formula. Data collected through primary and secondary data and using univariant and bivariant analysis with the help of the SPSS computer program. The results of the chi square test obtained variables related to the satisfaction of outpatients at the general hospital, namely: Physical evidence (p value = 0.002), Reliability (p value = 0.000, Responsiveness (p value = 0.002), Guarantee (p value = 0.004), and Empathy (p value = 0.000). It is recommended to the Outpatient Pharmacy of Sembiring General Hospital to maintain a good quality of service and continue to improve the quality of service to patients.
HUBUNGAN PENGETAHUAN DAN SIKAP IBU RUMAH TANGGA DENGAN PENGGUNAAN GARAM BERYODIUM AbstractIn Indonesia IDD (Iodine Deficiency Disorder) is one of the serious public health problems because of the impact it has on the survival and quality of human resources. A long-term sustainable effort is by iodizing salt, which is adding iodine to food ingredients. The aim of this program is that 90% or more households consume iodized salt according to the requirements, which is 30-80 parts permillion (ppm). The aim of this research was to determine the relationship between knowledge and attitudes of the housewives with the use of iodized salt in Delitua Timur, Deli Serdang. The sampling technique in this research was non probability sampling using a purposive method of 96 people. The analysis carried out using the chi-square test. The results of the research on 96 respondents for the knowledge variable obtained a p-value of 1,000 where p > 0.05 which means there was not relationship between knowledge and the use of iodized salt. And for attitude variables obtained p-value 0.010 which means there was a relationship between attitudes and use of iodized salt in Delitua Timur, Deli Serdang. The suggested for this research to the society to increase their knowledge and positive attitude to use of iodized salt in an effort to improve health and nutrition.
Tuberkulosis merupakan penyakit menular kronis dimana Mycobacterium tuberculosis sering menginfeksi paru-paru. Di Puskesmas Langga Payung, Kabupaten Labuhan Batu Selatan tahun 2018, ditemukan 266 kasus positif TB Paru. Dari 266 kasus TB ditemukan 231 kasus (86%) kasus baru dan ditemukan 35 kasus (13,1%) MDR-TB. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan perawatan diri pada pasien tuberkulosis. Penelitian ini menggunakan metode cross sectional dengan populasi penderita tuberkulosis yang datang ke Puskesmas Langgapayung. Besar sampel ditentukan dengan rumus Lameshow sebanyak 74 kasus TB baru dengan kriteria inklusi: Usia ≤ 50 tahun, sudah PMO, penderita TB sudah menjalani pengobatan <2 bulan, sistem pembayaran BPJS kesehatan dan kriteria eksklusi: HIV / AIDS, DM, tidak berdaya, dan menolak untuk berpartisipasi. Sampel diambil dengan teknik consecutive sampling. Instrumen penelitian diuji dengan Corbach alfa dan pengolahan data dilakukan dengan metode regresi logistik pada taraf nyata α = 0,05. Hasil analisis diketahui bahwa ada hubungan antara umur (p = 0,04; p <0,05) RP (3,04; CI 95% (1,06-10,75)), pengalaman (p = 0,01; p <0,05) RP (4,84; 95% CI (1,39-16,8)), pengetahuan (p = 0,00; p <0,05) RP (8,12; 95% CI (2, 31-28,5)) dengan perawatan diri pasien tuberkulosis. Tidak ada hubungan antara pendapatan (p> 0,05) dan akses layanan (p> 0,05) dengan perawatan diri pada pasien tuberkulosis. Variabel pengetahuan merupakan variabel dominan yang berhubungan dengan perawatan diri pasien tuberkulosis. Disarankan kepada pimpinan Puskesmas Langgapayung mengembangkan program promosi berbasis pengetahuan dengan memperhatikan budaya lokal dalam membina relasi antara petugas kesehatan, keluarga penderita TB, dan penderita TB.
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