Latar Belakang: Pelayanan yang memuaskan dan berkualitas akan membentuk loyalitas pasien/pelanggan, dan kepuasan sangat erat hubungannya dengan ”word of mouth”.Efek selanjutnya akan berlanjut pada proses terbentuknya citra puskesmas yang meningkat. Hal ini dikarenakan kondisi persaingan yang sangat ketat. Maka setiap puskesmas akan berusaha untuk menempatkan dirinya sebaik mungkin dimata pasien/pelanggannya agar dapat dipercaya untuk memenuhi kebutuhannya dalam bidang kesehatan. TPP di Puskesmas Kretek Bantul Yogyakarta masih terdapat komplain pasien terhadap kecepatan pelayanan petugas. Diperlukan pengukutan terhadap tingkap kepuasan berdasarkan guna mengetahui kualitas pelayanan.Tujuan: Mengetahui distribusi kepuasan pasien berdasarkan lima dimensi kualitas jasa pelayanan, yaitu tangibles, reliability, responsiveness, assurance, emphaty; dan mengetahui perbedaan tingkat kepuasan pasien berdasarkan karakteristik.Metode: Jenis penelitian yang digunakan adalah penelitian analitik kuantitatif dengan rancangan Cross sectional dan teknik sampel yang digunakan adalah purposive accidental. Sampel yang diambil sebanyak 100 orang pasien. Teknik pengumpulan data menggunakan kuesioner dan observasi. Teknik analisa data menggunakan statistik inferensial (uji Kruskal-Wallis dan Mann-Whitney).Hasil: Berdasarkan hasil penelitian 84% menyatakan puas terhadap pelayanan di TPP. Dimensi yang perlu ditingkatkan adalah dimensi Assurance pada bagian kemampuan petugas. Berdasarkan hasil uji statistik Kruskal-Wallis dan Mann-Whitney ada perbedaan tingkat kepuasan pasien terhadap pelayanan di tempat pendaftaran pasien rawat jalan berdasarkan karakteristik pendidikan pasien, dengan nilai p (sig) sebesar 0.003.Kesimpulan: Distribusi kepuasan secara menyeluruh mayoritas pada kategori puas. Tidak ada perbedaan kepuasan berdasarkan karakteristik Jenis kelamin, Usia, dan Pekerjaan. Namun ada perbedaan kepuasan yang bermakna pada karakteristik pendidikan.

No abstract

Electronic Medical Record (EMR) is a computerized health information system that contains demographic and medical data, and some of them equipped with decision support system. EMR make health services management better. RS Universitas Gadjah Mada is one of health care providers using EMR. EMR is a mandatory application in RS Universitas Gadjah Mada. EMR development need to fit the needs and expectations of users. MMUST is a model for assessing success implementation IT in mandatory environment. Users are the succes key an information system. By understanding user's perception, it can be known the obstacles to maximize adoption of EMR in improving service quality. The study aims to analyze the successful implementation of EMR based MMUST. The research type is quantitative with cross sectional design. Data from 100 users selected by simple random sampling were analyzed by SEM-PLS analysis technique using SmartPLS 3.2.3 software. The result of this study proved that all MMUST variables have an effect on the success of RME implementation with R 2 of information satisfaction 0.394; performance expectations 0.292; overall satisfaction 0.602; net benefit 0.444; and attitude 0.655. Value of Goodness of Fit (GoF) was 0.5777, so this model was substantially enough to represent the research result. Keywords: electronic medical record, mandatory, model for mandatory use of software technologies AbstrakRekam Medis Elektronik (RME) merupakan sistem informasi kesehatan terkomputerisasi yang berisi data sosial dan data medis pasien, serta dapat dilengkapi dengan sistem pendukung keputusan. RME dapat membantu manajemen pelayanan kesehatan pasien dengan lebih baik. RS Universitas Gadjah Mada mewajibkan penggunaan RME. Saat ini RME dalam tahap pengembangan. Pengguna merupakan aspek penting untuk mewujudkan RME yang ideal. MMUST merupakan model untuk menilai kesuksesan sistem pada lingkungan mandatory. Dengan memahami persepsi pengguna mengenai RME dapat ditemukan rekomendasi yang tepat untuk memaksimalkan adopsi RME untuk meningkatkan kualitas pelayanan pasien. Penelitian ini menganalisis faktor-faktor penentu kesuksesan implementasi RME di RS Universitas Gadjah Mada berdasarkan MMUST. Jenis penelitian adalah penelitian kuantitatif dengan rancangan cross sectional. Data dari 100 pengguna RME yang dipilih secara simple random sampling dianalisis dengan teknik analisis SEM-PLS menggunakan software SmartPLS 3.2.3. Hasi penelitian ini membuktikan seluruh variabel MMUST berpengaruh terhadap kesuksesan implementasi RME dengan nilai R 2 kepuasan informasi 0,394; harapan kinerja 0,292; kepuasan keseluruhan 0,602; manfaat keseluruhan 0,444; dan sikap 0,655. Nilai Goodness of Fit (GoF) sebesar 0.5777, sehingga dapat disimpulkan model penelitian ini secara substansial merepresentasikan hasil penelitian. Kata kunci: rekam medis elektronik, mandatory, model for mandatory use of software technologies

Background:Southeast Asian countries with better-skilled primary care physicians have been shown to have better health outcomes. However, in Indonesia, there has been a large number of inappropriate referrals, leading to suboptimal health outcomes. This study aimed to examine the reasons underlying the unnecessary referrals as related to Indonesian physicians’ standard of abilities.Materials and Methods:This was a multiple-case study that explored physicians’ self-evaluation of their abilities. Self-evaluation questionnaires were constructed from the Indonesian Standards of Physicians Competences of 2006-2012 (ISPC), which is a list of 155 diseases. This study was undertaken in three cities, three towns, and one “border-less developed” area during 2011-2014. The study involved 184 physicians in those seven districts. Data were collected using one-on-one, in-depth interviews, focus group discussions (FGDs), and clinical observations.Results:This study found that primary care physicians in Indonesia felt that they were competent to handle less than one-third of “typical” primary care cases. The reasons were limited understanding of person-centered care principles and limited patient care services to diagnosis and treatment of common biomedical problems. Additionally, physical facilities in primary care settings are lacking.Discussions and Conclusions:Strengthening primary health care in Indonesia requires upscaling doctors’ abilities in managing health problems through more structured graduate education in family medicine, which emphasizes the bio-psycho-socio-cultural background of persons; secondly, standardizing primary care facilities to support physicians’ performance is critical. Finally, a strong national health policy that recognizes the essential role of primary care physicians in health outcomes is an urgent need.

Background:Dengue Haemorrhagic Fever is community health problem in Gunungkidul Regency, Yogyakarta. In the last five years the case and its spread have been increasing. Many efforts have been conducted to overcome case increasing, the most important is community participation in Mosquito nest eradication (PSN). Health education through radio broadcast, leaflet, dan lecture are still failing in changing community behavior to conduct PSN continuously, because the number of larva free is still low and the spread keeps increasing. Previous studies said that Small Group Discussion (SGD) was more effective in changing community behavior. Therefore, further study is needed to be done to find out the effectiveness of small group discussion (SGD) method and lecture method towards community behavior in PSN, that was measured using larva free proportion in household.Objective: The objective of the study is to find out the effect of health education using Small Group Discussion (SGD) method and lecture method towards DHF vector larva free proportion in household.Method: The study was quasi experiment with control time series design. It was conducted in Wonosari district, Karangmojo district, and Playen district in Gunungkidul Regency. The subject of the study was 412 households divided into three groups, i.e. lecture intervension group, SGD intervention group and control group. Data analysis used paired sample t-test and Mann-Whitney test.Result:There was an effect in health education using SGD method towards DHF vector larva free proportion with p-value < α (0.05). There was a difference in DHF vector larva free proportion using lecture method but it was not statistically significant, p-value > α (0.05). There were differences between SGD with lecture method and control group in increasing DHF vector larva free proportion with p-value < α (0.05).Conclusion: There was an effect in health education using SGD method and lecture method towards DHF vector larva free proportion in household. Health education using SGD method is more effective than lecture method to increase DHF vector larva free proportion in household.

BackgroundGeneral practitioners (GPs) in Indonesia are medical doctors without formal graduate professional training. Only recently, graduate general practice (GP) is being introduced to Indonesia. Therefore, it is important to provide a framework to prepare a residency training in general practice part of which is to equip GP graduate doctors to deliver person-centered, comprehensive care in general practice. Experiential learning theory is often used to design workplace-based learning in medical education. The aim of this study was to evaluate a graduate professional training program in general practice based on the ‘experiential learning’ framework.MethodsThis was a pre-posttest study. The participants were 159 GPs who have been practicing for a minimum of 5 years, without formal graduate professional training, from two urban cities of Indonesia (Yogyakarta and Jakarta). A 40-week curriculum called the ‘weekly clinical updates on primary care medicine’ (WCU) was designed, where GPs met with clinical consultants weekly in a class. The participant’s knowledge was assessed with pre-posttests involving 100 written clinical cases in line with each topic in the curriculum. Learning continued with a series of group discussions to gain reflection to reinforce learning.ResultsParticipants’ knowledge regarding clinical problems in general practice was moderately increased (p < 0.05) after the training from a mean score of 50.64–72.77 (Yogyakarta’s doctors) and 39.37–51.81 (Jakarta’s doctors). Participants were able to reflect on the principles of general practice patient-care. Participants reported satisfaction during the course, and expressed a desire for a formal residency training.ConclusionsA graduate educational framework for GP based on the ‘experiential learning’ framework in this study could be used to prepare a graduate GP training; it is effective at increasing the comprehension of general practitioners towards better primary care practice.

BackgroundTo be recognized as a primary care physician (PCP), an Indonesian general practitioner (GP) has to follow a formal postgraduate training in primary care. However, 4 years since the regulation was published, the progress of the training is slow. There is a need to deeply investigate the doctors’ perspectives, particularly to explore factors associated with their willingness to follow this training.AimThis study aims to explore the GPs’ views and perspectives related to the formal postgraduate training in primary care that may influence their enrolment in PCP program.MethodsWe conducted semi-structured interviews with a topic guide. The study took place in Yogyakarta from January to December 2016. The participants were GPs practicing in Yogyakarta primary care clinics who were recruited using purposive-maximum variation sample design. The interviews were audio-recorded and transcribed. The data were analysed using interpretative phenomenological analysis approach.ResultsNineteen GPs participants were involved in this study. Three major themes were identified, namely unfamiliarity, resistance, and positivism. Almost all the GP participants were unfamiliar with the primary care training program. They were also pessimistic if the training could change the health service in the country while it lacked resources and infrastructures. However, exposure to the training brought positive insights that it could improve the doctors’ knowledge and skills in primary care practice.DiscussionThe government intention to establish PCP training is currently on the right tract. However, information dissemination and more supports in primary care are also essential.

In the last 10 years, disasters have caused huge casualties that affected the welfare and safety of people and countries. More than 700 thousand people have lost their lives, more than 1.4 million injured and around 23 million have lost homes due to disaster. The impact of disasters on children is far greater than on adults. For this reason, the development of effective instruments is important to increase public awareness and education, especially user-friendly instruments that can be used to assess children's safety education. Instruments will increase an understanding on disaster risk and encourage all stakeholders to be actively involved in reducing multi-hazard risk, especially starts from the school. The method used in this research was a systematic review. The articles were obtained by searching through electronic databases available at EBSCO, PubMed, Science Direct, SAGE Journal, ProQuest and Emerald Insight, which were published in English, between January 2009 and January 2019. Only two of 114 articles met the inclusion criteria; by the research reviewed, there was no very specific research that used m-health to assess child safety education especially at school. Therefore, in the future, it is necessary to develop further research related this issue.