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IJSHR002
IJSHR002
2020. One of the demands of accreditation (Swarjana, 2013). This study was conducted
is increasing patient satisfaction through to determine the effect of age, education,
improving quality services in accordance length of care, facilities, infrastructure,
with standard operating procedures in behavior of health workers on patient
providing health services in Mulia Jaya satisfaction.
Hospital, Puncak Jaya Regency. Therefore, 2.2. Location and Time of Research
Mulia Hospital in Puncak Jaya Regency is The study was conducted at Mulia Hospital
required to be accredited in order to and the time of the study was conducted in
improve adequate facilities and October - November 2018
infrastructure as well as specialist and non- 2.3. Population and Samples
specialist services. The results of 1. Population
preliminary studies at Mulia Hospital in Population is a generalization area
Puncak Jaya Regency, the number of consisting of: objects / subjects that have
inpatient visits in 2016 were 2,323 and in certain qualities and characteristics set by
2017 there were 2,210 people. This visit researchers to be studied and then
data showed a decrease in the number of conclusions drawn (Sugiyono, 2013). The
patient visits but could not indicate patient population in this study were all male care
satisfaction. room patients in October - December 2018
Based on the results of interviews on as many as 109 people.
the initial data collection in July 2018 of the 2. Samples
five patients, three patients complained The sample in this study was the total
about the services provided by health patients with the sampling technique in
workers, due to insecurity and lack of consecutive sampling, ie patients taken
empathy in serving staff, 2 other patients during stays in October - December 2018
thought they were not comfortable with the obtained a sample of 109 people with
conditions and physical facilities, such as criteria, namely families or patients who
building cleanliness and patient comfort. In were treated or accompanied by patients at
addition, one informant said that service, least 1 day.
especially at the counter, was still felt for a
long time due to lack of information which 3. RESULTS
caused the waiting time to be long in patient Bivariate Analysis
registration. a. Influence of Age with Patient
Based on this, patient satisfaction Satisfaction
research as one of the features of hospital Table 1. Effect of Age with patient satisfaction in the Male
Care Room of Mulia Hospital in Puncak Jaya Regency in 2018
success is very important, because it can be No Age Patient satisfaction
used as feedback and input for improving Not satisfaction satisfy Number
n % n % n %
the development of health services. Based 1 < 35 year 20 44,4 25 55,6 45 100
on the description of the problem above, the 2 > 35 year 22 34,4 42 65,6 64 100
Number 42 38,5 67 61,5 109 100
authors are interested in conducting research p-value = 0,388; RP: 1,293; CI95% (0,808 – 2,070)
with the title: "Factors that affect patient
satisfaction in the Male Care Room of Table 1 shows that of 45 people aged <35
Mulia Jaya Hospital, Puncak Jaya years, 20 people (44.4%) were dissatisfied
Regency". and respondents who were satisfied were 25
people (55.6%). Of the 64 respondents aged
2. MATERIALS AND METHODS >35 years, 22 people (34.4%) were
2.1. Type of Research dissatisfied and respondents who were
This study is an analytical study with a satisfied were 42 people (65.6%). The
cross-sectional study approach, namely data results of the chi square test obtained p-
collection is done simultaneously to find out value 0.388> α = 0.05 which stated that
the correlation between the variables studied there was no significant effect between age
and patient satisfaction in the Male Care were 18 people (31.6%) were dissatisfied
Room of Mulia Jaya Hospital, Puncak Jaya and respondents who were satisfied were 39
Regency. Prevalence ratio test results (Rp. people (66.4%). The results of the chi
1,293; CI95% (0,808 - 2,070) are square test obtained p-value 0.172> α = 0.05
interpreted as not meaningful because the which stated that there was no significant
lower values do not reach 1 effect between length of stay on patient
satisfaction in the Male Care Room of
b. Effect of Education with Patient Mulia Jaya Hospital, Puncak Jaya Regency.
Satisfaction The prevalence ratio test results (RP: 1,462;
Table 2. The Influence of Education with patient satisfaction
in the Male Care Room of Mulia Hospital in Puncak Jaya CI95% (0,903 - 2,366) are interpreted as
Regency in 2018 meaningless because the lower values do
No Education Patient satisfaction
Not satisfaction Satisfy Number not include 1.
n % n % n %
1 High 12 40 18 60 30 100
(> SMA) d. Effect of Facilities with Patient
2 Basic 30 38 49 62 79 100 Satisfaction
(< SMA) Table 4. The influence of facilities with patient satisfaction in
Number 42 38,5 67 61,5 109 100 the Male Care Room of Mulia Hospital in Puncak Jaya
p-value = 1,000; RP: 1,053; CI95% (0,626 – 1,774) Regency in 2018
No Facilities Patient satisfaction
Table 2 shows that of the 30 people who Not satisfaction Satisfy Number
n % n % n %
were further educated (<SMA) as many as 1 Less 26 50 26 50 52 100
12 people (40%) were not satisfied and 2 Good 16 28,1 41 71,9 57 100
Number 42 38,5 67 61,5 109 100
respondents who were satisfied were 18 p-value = 0,031; RP: 1,781; CI95% (1,084 – 2,927)
people (60%). Of the 79 respondents with
basic education 30 were (38%) dissatisfied Table 4 shows that of 52 people stated that
and respondents who were satisfied were 49 there were 26 people (50%) were not
people (62%). The chi square test results satisfied and 26 respondents (50%) were
obtained p-value 1,000> α = 0.05 which satisfied. Of the 57 respondents who stated
stated that there was no significant effect that there were 16 good facilities (28.1%)
between education on patient satisfaction in were dissatisfied and 41% of respondents
the Male Care Room of Mulia Jaya were satisfied (71.9%). The results of the
Hospital, Puncak Jaya Regency. The chi-square test obtained p-value 0.031 <α =
prevalence ratio test results (RP: 11,053; 0.05 which stated that there was a
CI95% (0,626 - 1,774) which are interpreted significant influence between the means of
are not meaningful because the lower values patient satisfaction in the Male Care Room
do not include 1. of Mulia Jaya Hospital, Puncak Jaya
c. Effect of Length of Care with Patient Regency. The prevalence ratio test results
Satisfaction (Rp. 1,781; CI95% (1,084 - 2,927)
Table 3. The Influence of Education on Patient Satisfaction in interpreted that the lack of facilities in the
the Male Care Room of Mulia Hospital in Puncak Jaya inpatient services tended to be dissatisfied
Regency in 2018
No Duration Patient satisfaction patients with 1,781 times compared to
Not satisfaction Satisfy Number respondents who stated good facilities.
n % n % n %
1 > 3 days 24 46,2 28 53,8 52 100
2 < 3 days 18 31,6 39 66,4 57 100 e. Influence of Infrastructure with Patient
Number 42 38,5 67 61,5 109 100 Satisfaction
p-value = 0,172; RP: 1,462; CI95% (0,903 – 2,366) Table 5. Influence of Infrastructure with patient satisfaction in
the Male Care Room of Mulia Hospital in Puncak Jaya
Table 3 shows that from 52 people who Regency in 2018
No Infrastructure Patient satisfaction
were treated for> 3 days, 24 people (46.2%) Not satisfaction Satisfy Number
were dissatisfied and respondents who were n % n % n %
1 Less 31 77,5 9 22,5 40 100
satisfied were 28 people (53.8%). Of the 57 2 Good 11 15,9 58 84,1 69 100
respondents whose length of stay <3 days Number 42 38,5 67 61,5 109 100
p-value = 0,000; RP: 4,861; CI95% (2,758 – 8,570)
by what is known by the service that should knowledge they have. Conversely, if
be obtained from hospital services. someone has a low level of education, it will
The results showed that the majority hinder the development of the attitude of the
of respondents who were hospitalized in person towards the acceptance of
Mulia Hospital, Puncak Jaya Regency, were information and newly introduced values
36-45 years old, 24 people (33.8%) or in (Mubarak, 2011).
middle adulthood and only a few >60 years Patients with basic education who
old (3 years old). 4.2%). Patients who were were dissatisfied were caused by a lack of
more satisfied in patients aged 36-45 years understanding of the explanations given so
(62.5%) and the lowest satisfaction in that there could be a less precise
patients aged >60 years as much as 33.3%. interpretation of what was said or what was
4.2 Effect of Education with Patient seen which caused dissatisfaction with the
Satisfaction nurse's service. Higher educated patients
The results of the study showed that tend to have more awareness of health status
most of the patients who were inpatient in and the consequences of using health
the Manokawari General Hospital had a services.
basic education (72.5%). Respondents with 4.3 Effect of Length of Care with Patient
basic education were 40% dissatisfied and Satisfaction
those with basic education stated that they Patients who were long inpatient at
were not as satisfied as 38%. This shows Mulia Hospital in Puncak Jaya Regency
that at the level of education the respondent were 47.7%> 3 days. Respondents who
has the same tendency towards satisfaction were long hospitalized in the Male Nursing
that he receives at Mulia Hospital. Room> 3 days were 46.2% dissatisfied,
The statistical test results mean that while those who were treated for <3 days
there is no effect of education on the were 31.6% dissatisfied. The results of
satisfaction of male inpatients at Mulia statistical tests stated that there was no
Hospital. The results of previous studies by significant effect between length of stay on
Hidayati (2014) revealed the same thing that patient satisfaction in the Male Care Room
educating had no effect on satisfaction due of Mulia Jaya Hospital, Puncak Jaya
to the presence of a stronger factor in patient Regency.
satisfaction. Another study at Dedy Jaya Brebes
This study is in line with what was Hospital showed that of the 60 respondents
done previously by Kurniawan and Intiasari taken from inpatient care, the majority of
(2012), that the highest dissatisfied patients respondents were 43% in the category of
were patients with low education but the failure, ie customers were not satisfied and
proportion was not much different from were not loyal to nursing services,
higher education. The results of Laurina et (Laksono, 2008). The research conducted by
al., 2013) revealed that there was no Anjaryani (2009) in Tugurejo General
influence between the level of education and Hospital, there is a correlation between the
patient satisfaction. characteristics of patients and patient
Education is the process of changing satisfaction with nurse services in terms of
attitudes and behavior of a person or group length of treatment. Other studies at PKU
of people in an effort to mature people Muhammadiyah Hospital in Bantul, in the
through teaching and training efforts inpatient and emergency rooms, showed
(Prayoto, 2014). Education means guidance different results, namely 70% of patients
given by someone to other people in order were satisfied with inpatient care while 80%
to understand something. It cannot be of satisfaction was obtained in emergency
denied that the higher a person's education, services, the results of analysis of patient
the easier it is for them to receive satisfaction showed a factor the highest
information and in the end the more determinants of satisfaction are success,
requirements (Ministry of Health, Republic the behavior of health workers was less as
of Indonesia, 2012). much as 70.8% were dissatisfied and
Respondents about the condition of respondents who stated the behavior of
the infrastructure mostly stated good as health personnel were good as many as
many as 69 people (63.3%). The good 29.4% were dissatisfied. The results of
condition of the prescient stated by the statistical tests stated that there was a
respondent is the fulfillment of nutritional significant influence between the behavior
needs for patients, drug service in the of health workers with patient satisfaction
pharmacy and administrative procedure and from the results of the prevalence ratio
services for patients. While patients who are test interpreted that the behavior of health
not good are the condition of the equipment workers who were less likely to be
used by the staff in the service. dissatisfied respondents was 2.408 times
The condition of the equipment at compared to respondents who stated good
Mulia Hospital is in accordance with facilities.
hospital services in the type D category Respondents about the behavior of
which is certainly not as complete as the good health personnel are doctors / health
higher-level sickness. In addition, from workers responsive to patient complaints,
some observations that beebraap is part of skilled in serving patients, speed of action of
the condition of damaged equipment, or doctors / officers appropriate in handling
limited other equipment that has an impact patients who need help, and providing free
on health services optimally. time to communicate with patients and
RSUD Mulia needs to routinely provide explanations of medication and
observe its services in order to maintain the recommend re-check (re-control) if the
strengths that exist and always improve the complaint continues by providing a
quality of service in variables that are still guarantee of recovery from service. Besides
lacking in assessment or according to the the responses of respondents stated that
patient's assessment not as expected by the doctors / health personnel are patient in
patient, this can be done by paying more handling complaints. Respondents about the
attention to the needs and patient's desire, behavior of health workers is lacking is the
improvement of facilities and infrastructure, speed of action of doctors / officers in
guarantee of security, comfort, and trust and accordance in dealing with patients who
the promised service quickly, accurately and need help and doctors / officers friendly and
surely so that it will increase patient polite in providing health services. Based on
satisfaction. observations of patient dissatisfaction that is
4.6 Effects of Behavior of Health often found in relation to the attitudes and
Workers with Patient Satisfaction behavior of hospital staff due to
The quality of good service is not communication problems, especially
only measured by the luxury of facilities, patients from the local area and the low
the completeness of technology and education of patients, making it difficult for
physical appearance, but the attitude and officers to explain the health problems faced
behavior of employees must reflect by patients. This has an impact on
professionalism and have high commitment. respondents' responses to their lack of
In practice, patient satisfaction surveys are understanding and is impressed that doctors
conducted to improve the hospital or other health workers are not friendly.
environment, patient facilities and facilities
in the context of consumerism. 5. CONCLUSIONS
Effectiveness is measured based on patient Based on the results of the study, it can be
feedback to improve health service concluded as follows
providers' skills and practices that are still 1. There is no significant influence between
controversial. Respondents who stated that age and patient satisfaction in the Male Care
Room of Mulia Jaya Hospital in Puncak Daerah (RSUD) Daya Makassar. STIKES
Jaya Regency (p-value 0.388; (Rp: 1,293; Nani Hasanuddin Makassar.
CI95% (0.808 - 2,070). Alwy SNA (2018). Analisis Kepuasan Pasien
Rawat Inap di Rumah Sakit Pemerintah
2. There is no significant effect between
(RSUD Haji Makassar).
education on patient satisfaction in the Male http://www.unhas.ac.id. diakses 20 Januari
Care Room of Mulia Jaya Hospital in 2019.
Puncak Jaya Regency (p-value 1,000; Rp: Andriani A (2017). Pengaruh Mutu
11,053; CI95% (0,626 - 1,774). Pelayanan Kesehatan Dengan Kepuasan
3. There is no significant effect between Pasien Diruangan Poli Umum Puskesmas
length of stay on patient satisfaction in the Bukittinggi. Journal Endurance 2(1) February
Male Care Room of Mulia Jaya Hospital in 2017 (45-52).
Azwar, A. (2010). Pengantar Administrasi
Puncak Jaya Regency (p-value 0.172; Rp.
Kesehatan. Pustaka Sinar Harapan Jakarta.
1.462; CI95% (0.903 - 2,366). Anjaryani. WD, (2009), Kepuasan Pasien
4. There is a significant influence between Rawat Inap Terhadap Pelayanan Perawat di
the facilities on patient satisfaction in the RSUD Tugu Rejo Semarang.
Male Care Room of Mulia Jaya Hospital in http//eprints.undip.ac.id/23824/1 pdf.
Puncak Jaya Regency (p-value 0.031; Rp: Chairunnisa (2015). Gambaran Kepuasan
1.781; CI95% (1,084 - 2,927). Pasien Rawat Jalan terhadap Pelayanan di
5. There is a significant influence between Rumah Sakit Islam Jakarta Sukapura (RSIJS).
Universitas Muhammadiyah Jakarta. Jurnal
infrastructure on patient satisfaction in the Kedokteran dan Kesehatan, Vol.13, No. 1,
Male Care Room of Mulia Jaya Hospital in Januari 2017.
Puncak Jaya Regency (p-value 0,000; Rp. Bustami (2012). Penjamin Mutu Pelayanan
4,861; CI95% (2,758 - 8,570). Kesehatan & Akseptabilitasnya. Erlangga,
6. There is a significant influence between Jakarta.
the behavior of health workers on patient Cahyadi SR, Mudayana AA (2014). Pengaruh
satisfaction in the Male Care Room in Mulia Mutu Pelayanan dengan Kepuasa Pasien di
Jaya Hospital, Puncak Jaya Regency (p- Rumah sakit PKU Muhammadiyah
Yogyakarta Unit I [Skripsi]. Universitas
value 0.001; Rp. 2.408; CI95% (1,586 - Ahmad Dahlan.
3,657). Data Rekam Medik RSUD Mulia Kabupaten
Puncak Jaya tahun 2017
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