HUBUNGAN ANTARA SISTEM PEMBIAYAAN DENGAN KUALITAS PELAYANAN DI PUSKESMAS SLOGOHIMO WONOGIRI

BUDI , HARNANTO SULISTYO (2010) HUBUNGAN ANTARA SISTEM PEMBIAYAAN DENGAN KUALITAS PELAYANAN DI PUSKESMAS SLOGOHIMO WONOGIRI. Masters thesis, Universitas Sebelas Maret.

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    Abstract

    Harnanto Sulistyo Budi, S520908004. 2010. Correlation between Defrayal System with Service Quality in Puskesmas Slogohimo Wonogiri. Tesis Master Program in Family Medicine, Post Graduate Program, Sebelas Maret University Surakarta. Jamkesmas programs is one government effort to improve the degree of health of poor people by assure assurance all teraphy cost in Puskesmas and state hospital, both for out patient and in-patients. Health services for civil public servant (PNS) was conducted by PT ASKES, which had limited plafond as determined. Media often said that Jamkesmas’ patients got less satisfying health services if compared to patient who pay directly (out of pocket). This study aimed to check relation between defrayal system and service quality in puskesmas. This research type was analytic and descriptive with approach of sectional cross. Purposive random sampling was employed to obtain a 90 sampel of outpatient of Puskesmas Slogohimo. consisting of 30 Jamkesmas’ patients, 30 Askes PNS’s patients and 30 out of pocket patients. Service quality measured in six dimensions were reliability, tangibleness, responsiveness, assurance, empathy, and accessibility. Reliability measuring instrument was checked with total item correlation and alpha cronbach as internal consistency measure. Data was analyzed with SPSS 17 by Anova test and then continued with Post Hoc Tests. The study showed the average value of quality of highest service was direct defrayal system (out of pocket), equal to 104,8 (p<0,001), which is statistically significant. Quality value from Jamkesmas’ patient was 17,0 lower than out of pocket’s patient (p<0,001; CI 95% -14,6 to 19,3). And the quality value from Askes PNS’s patient was 10,0 lower than out of pocket’s patient (p<0,001; CI 95% -7,7 to 12,4). The study conclude that there was relation between defrayal system and service quality in puskesmas, which statistically significant. Patient who were paying directly (out of pocket) experienced highest service quality if compared to the two other payment methods, Jamkesmas or Askes PNS. It was suggested that every Puskesmas have to maintain and improve their health service quality without respect to patient’s defrayal system, these are : 1. Out of pocket 2. Jamkesmas 3. Askes Keyword : defrayal system, quality of service in puskesmas.

    Item Type: Thesis (Masters)
    Subjects: G Geography. Anthropology. Recreation > GE Environmental Sciences
    R Medicine > R Medicine (General)
    R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
    Divisions: Pasca Sarjana > Magister
    Pasca Sarjana > Magister > Magister Kedokteran Keluarga
    Depositing User: Andika Setiawan
    Date Deposited: 15 Jul 2013 17:53
    Last Modified: 15 Jul 2013 17:53
    URI: https://eprints.uns.ac.id/id/eprint/4682

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