Puskesmas is a health service facility that organizes public health efforts and first-level individual health efforts, with greater emphasis on promotive and preventive efforts, to achieve the highest level of public health in the working area. Puskesmas Accreditation is an acknowledgment given by an independent Accreditation provider established by the Minister after meeting Accreditation standards. The purpose of this study was to determine the relationship between Puskesmas Accreditation Status and Service Quality in Simalungun District. This type of research is analytic to determine the relationship between Puskesmas Accreditation Status and Service Quality in Simalungun District. This study uses a case control study approach (case and control), where independent variables are determined first, then the dependent variable is searched through a questionnaire that has been tested. A sample of 92 people, 46 were sampled for cases (Puskesmas Tiga Dolok) and 46 for controls (puskesmas Huta Bayu) using consecutive sampling techniques. Based on the results of bivariate test studies, that the dimensions of service quality related to the health center accreditation status (p <0.05) are tangibles, reliability, responsiveness, and assurance dimensions. Factors that are not related to the health center accreditation status (p> 0.05) are empathy dimensions. From the multivariate test results, it is known that the most dominant factor on the status of puskesmas accreditation is the quality of service based on the dimensions of responsiveness.
Tuberkulosis merupakan penyakit infeksi paru yang disebabkan oleh infeksi basil Mycobacterium tuberculosis yang masih menjadi masalah kesehatan nasional di Indonesia. Tingginya risiko penularan perlu diketahui anggota keluarga penderita TB aktif melalui pemberdayaan dan sosial budaya keluarga penderita TB agar dapat bersikap positif dan berperilaku aktif dalam upaya pencegahan penularan TB di tingkat keluarga dan masyarakat. Metode eksperimen semu dengan desain (one-group pre-post test design) melibatkan 96 responden yang merupakan anggota keluarga penderita TB aktif di Puskesmas Deli Tua Kecamatan Deli Tua Kabupaten Deli Serdang. Materi intervensi edukatif terdiri dari sub materi: medis, aspek sosial budaya, dan persepsi umum terkait penularan tuberkulosis.
Tuberculosis and smoking is a major problem that have an impact to health problem in the world. Indonesia is one of the country with highest incidence of tuberculosis in the world, and one of the biggest three country that high in smoker consumers. Smoking is not the only one connected with health problem because of uninfected disease, but with higher risk of sickness and death cause of infected diseases, like tuberculosis patients in 2016 is 107 people and smoker with 571 people.Purpose of the reseach is to achieve the connection between smoking habituation with a lot of numbers patients tuberculosis in Health Center Patumbak year of 2017. Usingresearch analitic with case control. Thepopulation in this research come from the patients that seek medication in Health Center Patumbak as much as 89 people. The Purposive of the sampling is used in sampling technique. Gathering the data use interviews with questionnaire. The analysis result showing that majority of smoker 43,8%. The patient with tuberculosis is 80,9%. There’s connection between smoking habituation with tuberculosis.
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.
Work weakness is portion of the common probelms that are regulary experienced within the work constrain, wearness can significantly affect the health of the workforce and can reduce productivity, including the nurse workforce. Fatigue is often caused by inappropriate working hours. Shift workers tend to be more prone to work burnout. Impactof work shift on nurse's work weakness in the unit covid-19 roomRSUD dr. Djasamen Saragih. The study used quantitative research with observational methods on 34 respondents. Univariat analysis showed that the majority of respondents experienced work fatigue, namely 20 people (58.8%) and not tired of work, namely 14 people (41.2%). From the results of the Bivariate analysis between work shifts and work weakness using the Chi-Square test, the p-value is 0.005. With p-value (0.005)<(0.05). This H0 is rejected and H1 is accepted. There’s an effect of work shifts on the work fatigue of nurses in the Covid-19 Inpatient room at dr. Djasamen Saragih in 2021.
Tuberculosis and smoking is a major problem that have an impact to health problem in the world. Indonesia is one of the country with highest incidence of tuberculosis in the world, and one of the biggest three country that high in smoker consumers. Smoking is not the only one connected with health problem because of uninfected disease, but with higher risk of sickness and death cause of infected diseases, like tuberculosis patients in 2016 is 107 people and smoker with 571 people.Purpose of the reseach is to achieve the connection between smoking habituation with a lot of numbers patients tuberculosis in Health Center Patumbak year of 2017. Usingresearch analitic with case control. Thepopulation in this research come from the patients that seek medication in Health Center Patumbak as much as 89 people. The Purposive of the sampling is used in sampling technique. Gathering the data use interviews with questionnaire. The data analysis is tasted in bivariat and chi square with margin of trust 95%, a=5%. The analysis result showing that majority of smoker 43,8%. The patient with tuberculosis is 80,9%. There’s connection between smoking habituation with tuberculosis p(=0,021)<a(=0,05).For public heatlh service to raise the effort of counselling in person or group to stop smoking.
Based on data from the Hospital Accreditation Commission, out of 2,379 private and state hospitals in Indonesia, only 1,032 hospitals (43.4%) are accredited. This can reflect the performance of health workers in hospitals is not optimal, because the performance of health workers is one of the determinants of organizational success in achieving hospital goals. The purpose of this study is to link leadership with the performance of health workers. This type of research is analytic with cross-sectional design. The study was conducted at the Tere Margareth General Hospital in Medan. The study population was 62 people, and all were sampled. Data analysis used univariate analysis, bivariate analysis with chi-square test at a confidence level of 95% ( = 0.05). The results of the study found that 24.2% of respondents stated that leadership was lacking, and also found the performance of health workers 32.3% in the less category. There is a significant relationship between leadership and the performance of health workers at Tere Margareth General Hospital Medan, p = 0.012 <0.05. It was suggested that the Management of the Tere Margareth General Hospital in Medan to improve the leadership style that was lacking so that it could be an example or role model for health workers so that in the end the performance of each individual would increase.
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