Parent’s Satisfaction Level with Child Health Services in Puskesmas in BPJS Era

Moch. Afrizal Ansori, Irwanto Irwanto, Samsriyaningsih Handayani

Abstract


In BPJS era, health facilities are demanded to be able to adjust their health care policies according to BPJS standards with a number of limitations. This study aimed to measure the level of parental satisfaction with child health services in Puskesmas in BPJS era. This type of research was observational descriptive using a service quality (servqual) questionnaire. The sample size in this study was 100 respondents. From 100 participants, it was found that 11% were very satisfied, 15% were satisfied and 74% were dissatisfied with children's health service in puskesmas. The overall satisfaction result calculated from the gap between the perception and the expectations of the respondents towards children's services in puskesmas is -0.4635, which means that the service is still unsatisfactory. The results of Importance Performance Analysis (IPA) show that the priority scale of improvement of children's health services in puskesmas from high to low priority are Tangibles and Reliability, Responsiveness, Assurance, and Empathy. This study shows that the level of parental satisfaction with children's health services in puskesmas is still low or unsatisfactory. Puskesmas should focus on improving the quality of BPJS child health services on items that are in the top priority quadrant.


Keywords


Level of satisfaction; Patient satisfaction; BPJS; Pediatric service quality

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References


Abidin. (2016). Pengaruh kualitas pelayanan BPJS Kesehatan terhadap kepuasan pasien di Puskesmas Cempae Kota Parepare. Jurnal MKMI, 12(2), 70–75.

Agosta, L. J. (2009). Patient satisfaction with nurse practitioner-delivered primary healthcare services. Journal of the American Academy of Nurse Practitioners, 21(11), 610–617. doi: 10.1111/j.1745-7599.2009.00449.x

Arbore, A., & Busacca, B. (2011). Rejuvenating importance‐performance analysis. Journal of Service Management, 22(3), 409–429. doi: 10.1108/09564231111136890

Beattie, P., Dowda, M., Turner, C., Michener, L., & Nelson, R. (2005). Longitudinal continuity of care is associated with high patient satisfaction with physical therapy. Physical Therapy, 85(10), 1046–1052. doi: 10.1093/pt j/85.10.1046

Becker, F., & Douglass, S. (2008). The ecology of the patient visit: Physical attractiveness, waiting times, and perceived quality of care. Journal of Ambulatory Care Management, 31(2), 128–141. doi: 10.1097/01.J AC.0000314703.34795.44

BPJS Kesehatan. (2017). Laporan pengelolaan program dan laporan keuangan jaminan sosial kesehatan tahun 2017. Jakarta: BPJS Kesehatan.

Brédart, A., & Bottomley, A. (2002). Treatment satisfaction as an outcome measure in cancer clinical treatment trials. Expert Review of Pharmacoeconomics & Outcomes Research, 2(6), 597–606. doi: 10.1586/14737167.2.6.597

Camacho, F., Anderson, R., Safrit, A., Jones, A. S., & Hoffmann, P. (2006). The relationship between patient’s perceived waiting time and office-based practice satisfaction. North Carolina Medical Journal, 67(6), 409–413. doi: 10.18043/nc m.67.6.409

Cengiz, E. (2010). Measuring customer satisfaction: Must or not? Journal of Naval Science and Engineering, 6(2), 76–88.

Deharja, A., Putri, F., & Ikawangi, L. O. N. (2017). Analisis kepuasan pasien BPJS rawat jalan dengan metode servqual, CSI dan IPA di Klinik Dr. M. Suherman. Jurnal Kesehatan, 5(2), 106–115. doi: 10.25047/j-kes.v5i2.25

Endartiwi, S. S., & Setianingrum, P. D. (2019). Kualitas pelayanan berhubungan dengan kepuasan peserta JKN di fasilitas kesehatan tingkat pertama Provinsi Daerah Istimewa Yogyakarta. Buletin Penelitian Sistem Kesehatan, 22(3), 158–166. doi: 10.22435/hsr .v22i3.897

Garman, A. N., Garcia, J., & Hargreaves, M. (2004). Patient satisfaction as a predictor of return-to-provider behavior: Analysis and assessment of financial implications. Quality Management in Health Care, 13(1), 75–80. doi: 10.1097/00019514-200401000-00007

Hall, J. A., & Dornan, M. C. (1990). Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta-analysis. Social Science & Medicine, 30(7), 811–818. doi: 10.1016/0277-9536(90)90205-7

Hekkert, K. D., Cihangir, S., Kleefstra, S. M., van den Berg, B., & Kool, R. B. (2009). Patient satisfaction revisited: A multilevel approach. Social Science & Medicine, 69(1), 68–75. doi: 10.1016/j.socscimed.2009.04.016

Hush, J. M., Cameron, K., & Mackey, M. (2011). Patient satisfaction with mucsuloskeletal physical therapy care: A systematic review. Journal of the American Physical Therapy Association, 91(1), 25–36. doi: 10.25 22/ptj.20100061

Irawan, D., & Japarianto, E. (2013). Analisa pengaruh kualitas produk terhadap loyalitas melalui kepuasan sebagai variabel intervening pada pelanggan restoran Por Kee Surabaya. Jurnal Manajemen Pemasaran, 1(2), 1–8.

Jackson, J. L., Chamberlin, J., & Kroenke, K. (2001). Predictors of patient satisfaction. Social Science and Medicine, 52(4), 609–620. doi: 10.1016/S02 77-9536(00)00164-7

Johansson, P., Oléni, M., & Fridlund, B. (2002). Patient satisfaction with nursing care in the context of health care: A literature study. Scandinavian Journal of Caring Sciences, 16(4), 337–344. doi: 10.1046/j.1471-6712.2002.00094.x

Librianty, N. (2017). Faktor-faktor yang mempengaruhi kepuasan pasien terhadap pelayanan kesehatan rawat jalan Puskesmas Bandar Petalangan Pelalawan tahun 2017. Prepotif Jurnal Kesehatan Masyarakat, 1(2), 10–17. doi: 10.31004/prepotif.v1i2.178

Listyoningrum, L., Dwimawanti, I. H., & Lestari, H. (2015). Kualitas pelayanan kesehatan di Puskesmas Ngaliyan Kota Semarang. Journal of Public Policy and Management Review, 4(2). doi: 10.14710/jppmr.v4i2.8216

Mancuso, C. A., & Salvati, E. A. (2003). Patients’ satisfaction with the process of total hip arthroplasty. Journal for Healthcare Quality, 25(2), 12–19. doi: 10.1111/j.1945-1474.2003.tb01039.x

Marhenta, Y. B., Satibi, S., & Wiedyaningsih, C. (2018). The effect of BPJS service quality level and patient characteristics to patient satisfaction in primary health facilities. Jurnal Manajemen dan Pelayanan Farmasi (Journal of Management and Pharmacy Practice), 8(1), 18. doi: 10.22146/jmp f.34438

Ng, J. H. Y., & Luk, B. H. K. (2019). Patient satisfaction: Concept analysis in the healthcare context. Patient Education and Counseling, 102(4), 790–796. doi: 10.1016/j.pec.2018.11.013

Republik Indonesia. (2004). Undang-Undang Nomor 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional. Jakarta: Republik Indonesia.

Republik Indonesia. (2011). Undang-Undang Nomor 24 Tahun 2011 tentang Badan Penyelenggara Jaminan Sosial. Jakarta: Republik Indonesia.

Prakash, B. (2010). Patient satisfaction. Journal of Cutaneous and Aesthetic Surgery, 3(3), 151–155. doi: 10.4103/0974-2077.74491

Säilä, T., Matilla, E., Kaila, M., Aalto, P., & Kaunonen, M. (2008). Measuring patient assessments of the quality of outpatient care: A systematic review. Journal of Evaluation in Clinical Practice, 14(1), 148–154. doi: 10.1111/j.1365-2753.2007. 00824.x

Serber, E. R., Cronan, T. A., & Walen, H. R. (2003). Predictors of patient satisfaction and health care costs for patients with fibromyalgia. Psychology & Health, 18(6), 771–787. doi: 10. 1080/0887044031000148237

Shirley, E. D., & Sanders, J. O. (2013). Patient satisfaction: Implications and predictors of success. The Journal of Bone & Joint Surgery, 95(10), e69. doi: 10.2106/JBJ S.L.01048

Sitzia, J., & Wood, N. (1997). Patient satisfaction: A review of issues and concepts. Social Science & Medicine, 45(12), 1829–1843. doi: 10.1016/s027 7-9536(97)00128-7

Siyoto, S., & Ariyanti, M. D. (2016). Analisis loyalitas berdasarkan tingkat kepuasan peserta Badan Penyelenggara Jaminan Sosial non penerima bantuan iuran pada pasien rawat jalan di Puskesmas Ngletih Kota Kediri. The Indonesian Journal of Health Science, 6(2), 205–217. doi: 10.32528/the.v6i2.140

Tehrani, A. B., Feldman, S. R., Camacho, F. T., & Balkrishnan, R. (2011). Patient satisfaction with outpatient medical care in the United States. Health Outcomes Research in Medicine, 2(4), e197–e202. doi: 10.1016/j.ehrm.2011.09.001

Williams, B. (1994). Patient satisfaction: A valid concept? Social Science & Medicine, 38(4), 509–516. doi: 10.1016/0277-9536(94)90247-x

Wong, W. S., & Fielding, R. (2008). The association between patient satisfaction and quality of life in chinese lung and liver cancer patients. Medical Care, 46(3), 293–302. doi: 10.1097/MLR.0b 013e31815b9785

WHO. (2014). Basic documents. Geneva: World Health Organization.




DOI: https://doi.org/10.35308/j-kesmas.v9i2.5731

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