Abstrak Jurnal Kedokteran ” Ibnu Nafis “, Volume 1 Nomor 2, Des 2012, ISSN No. 2252-6870

IBNU NAFIS

JURNAL  KEDOKTERAN

VOLUME 1    NOMOR : 2    DES 2012    ISSN NO. 2252-6870

THE INFLUENCE OF SERVICE QUALITY ON THE SATISFACTION OF REGULAR PATIENTS IN THE IN-PATIENT WARDS IN PUTRI HIJAU HOSPITAL KESDAM I/BB MEDAN

Alamsyah Lukito^*, Juanita^** dan Siti Khadijah Nasution^***

^*Staf Pengajar, Fakultas Kedokteran Universitas Islam Sumatera Utara, Jl. Karya Bhakti No. 34 Pangkalan Masyur Medan

^**,***S2 Ilmu Kesehatan Masyarakat Fakultas Kesehatan Masyarakat Universitas Sumatera Utara, Jl. Civitas Akademika Kampus USU Medan

Abstract

The quality of service of a hospital with all of the elements included in its interacting internal and external environments will influence the success of the hospital in reaching the satisfaction of its regular patients. The health service for the regular patients in Putri Hijau Hospital Kesdam I/BB Medan is still facing problems such as less satisfactory medicine service, very limited time of consultation with doctors, uncomfortable in-patient wards, and non-punctual visit of doctor to the in-patient wards, and nurses who are less friendly to patients.

The purpose of this explanatory survey study was to analyze the influence of service quality on the satisfaction of regular patients in the  in-patient wards in Putri Hijau Hospital Kesdam I/BB Medan. The data for this study were obtained from 140 regular patients through questionnaire-based interviews and then were analyzed through multiple linear regression tests.

The result of this study showed that the quality of service measured based on the aspects of tangible, reliability, responsiveness, assurance and empathy had influence on the satisfaction of regular patients in Putri Hijau Hospital Kesdam I/BB Medan. Empathy dimension was the variable that had the biggest influence on the satisfaction of regular patients (β = 1.402).

The Putri Hijau Hospital Kesdam I/BB Medan is suggested to improve their quality of service for the regular patients to pay attention to the dimension of service quality that it can improve the satisfaction of regular patients. The dimension of empathy meeds to be especially paid attention because it is the most dominant aspect influencing the satisfaction of regular patients.

Keywords: Service Quality, Satisfaction, Patient

ROLE OF FERROUS SULPHATE AS PHOSPHATE BINDER IN REGULAR HEMODIALYSIS PATIENTS

Erwinsyah, Zulhelmi Bustami, Abdurrahim Rasyid Lubis, Harun Rasyid Lubis

Nephrology and Hypertension Division, Department of Internal

Medicine, Medical Faculty of North Sumatera University,

Pirngadi/Adam Malik Hospital, Medan

Abstract

Patient suffering from chronic kidney disease (CKD) have a higher risk of death compared to the normal population. Hyperphosphatemia and high calcium/phosphorus  product independently associated to the mortality of ESRD patients on haemodialysis. This condition are also associated increase incidence of hyperthyroidism, cardiovascular organ calcification and etc. Several researchs reported that iron containing drugs, were able to act as phosphate binder, when given orally together with meals. In Indonesia, ferrous sulphate drug was used for the anemia treatment, relative cheap and widely available. We tried clinically to study wheather ferrous suphate tablets can act as phosphate binder.

To determine the role  of oral ferrous sulphate in binding phosphate serum in patients on regular haemodialysis.

The study was conducted from April 2010 until October 2010. Participants were 34, selected on regular HD in haemodialysis unit, General Hospital Pirngadi Medan, aging > 18 years old. The phosphate serum level was examined before and after administration of 300 mg ferrous sulphate tablet or placebo during meals 3 times daily for 2 weeks. There after, active drugs and placebo were cross over and phosphate serum was reexamined after 2 weeks.

Phosphate serum did not decreased both after the administration of active drugs and placebo. After the cross over in both groups phosphate increased, but only in the group having ferrous sulphate previously should significance although had no clinical meaning correlation.

This small study did not should any effect 300 mg ferrous sulphate as phosphate binder.  Further  research are needed to this study, problem recurting more patients, increase in dosase and for longer period of administration.

Keywords :   CKD (Chronic Kidney Disease), Hyperphosphatemia, Ferrosus sulphate, Placebo    

INFLUENCE OF INFRASTRUCTURE FACILITIES AND PERSONAL CONTACT ON THE PATIENTS’ TRUST IN DR. H. YULIDDIN AWAY GENERAL HOSPITAL TAPAKTUAN

Mayasari Rahmadhani^*, Endang Sulistya Rini^**, Heldy BZ^***

^* Fakultas Kedokteran Universitas Islam Sumatera Utara, Jl. Karya Bhakti No 34 Pangkalan Masyur Medan

^**,*** S2 Ilmu Kesehatan Masyarakat Fakultas Kesehatan Masyarakat

Universitas Sumatera Utara, Jl. Civitas Akademika Kampus USU Medan

Abstract

The management of Dr. H. Yuliddin Away General  Hospital Tapaktuan has attemted to improve and develop the health service and function of this hospital but its utilization has not yet reached the standard (BOR = 68.8%) because the community does not trust this hospital allegedly due to the factors of infrastructure facilities and personal contact.

The purpose of this explanatory survey study conducted from February to July 2012 was to analyze the influence of infrastructure facilities and personal contact on the patients’ trust in Dr. H. Yuliddin Away General  Hospital Tapaktuan. The population of this study was all of 3,353 patients utilizing the health service in the VIP, Class I and Class II wards and 98 head of families were selected to be the samples for this study through proportional random sampling technique. The data for this study were obtained through questionnaire-based interviews and analyzed through multiple logistic regression tests at α = 0.05.

The result of this study showed that statistically the variables of facilities and infrastructure and personal contact had influence on the patients’ trust in Dr. H. Yuliddin Away General Hospital Tapaktuan. Facilities and infrastructure were the most dominant factors influencing the patients’ trust in Dr. H. Yuliddin Away General  Hospital Tapaktuan with odds ratio = 15,021.

The management of Dr. H. Yuliddin Away General  Hospital Tapaktuan is suggested to complete the facilities and infrastructure needed in the implementation of health service by adjusting the health facilities to the medical aquipment technology development, and to improve the personal contact between the hospital staff and the patients through the improvement of professionalism and staff’s attitude in communicating and interacting with the patients.

Keywords : Facility and Infrastructure, Personal Contact, Trust

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU DETEKSI DINI KANKER SERVIKS PADA DOSEN POLITEKNIK KESEHATAN JAKARTA

Rosidawati

Politeknik Kesehatan III, Jakarta – Kemenkes Republik Indonesia

Abstract

Cervical cancer is a malignancy growth inside the cervix. In Indonesia, the total number of cervical cancers cases is estimated to be 50 per 100,000 populations. Early detection of cervical cancers cases can be done through Pap smear or IVA methods. If the cases can be detected earlier, it will help the society from suffering and spending highly cost for the treatment. The research question was “how was the behavior of the people suffering from the disease (early detection) for those Lecturers for Politeknik Kesehatan Jakarta (Politekkes) in year 2010. The purpose for this research is to determinant factors which are related to the behavior of early detection of cervical cancers of lecturers from Politekkes Jakarta. The research design used cross sectional. The research sample were all the women lecturers who has been married more than 2 years and nor engage with continuing study of  Politekkes Jakarta with number 150 persons. The data collection technique was done by using the questioners which given directly to the respondents. The data analysis is univariate, Chi-square test, and multivariate (simple logistic regression). The result from this research has found that the respondent of ≥ 35 year old have better (more positive) behavior rather than those of age ≤ 35 years. The research has also founded the lack of knowledge of respondents about early detection for cervix cancers. Meanwhile the family support said to have influenced on the behavior. On the contrary, there were no findings related to education, motivations, and access ability to health services.  Researcher concluded that the dominant variable related to the behavior of early detection of cervical cancers is knowledge. To increase the knowledge about the cancers one needed the health education for early detection, the knowledge about the cancer and also the preventions.

Keyword : behavior, early detection of cancers, IVA method, pap smear

Pengaruh Penggunaan Media Pembelajaran dan Gaya Belajar Terhadap Hasil Belajar Anatomi di Fakultas Kedokteran UISU

Lenni Afriani Batubara^* dan Aswin Soefi Lubis^**

^* STIKes SUMUT Medan

^** Fakultas Kedokteran UISU Medan

Abstract

This research is conducted to investigate: The comparison between Students’ achievement in anatomy class with a higher media technology and that with a picture media, 2) Kynesthetics-styled students’ achievement is higher than visual-styled students, 3) the interaction between media users and their learning styles in affecting the students’ achievement in Anatomy class.

The research was held in Faculty of Medicine UISU Medan duting the 2010/2011 academic year. The population is the second semester students. The number of population is 243. The sampling technique of the research is Cluster Random Sampling by which the 45 IA class students are thought by the selected media and the 45 students of IB class are thought by by picture media. The instrument of the research are the students Anatomy class achievement and thier learning style test. Learning style test is done by using the Bobby De Porter model which classify students into Visual and Kynesthetics Learning style. The reasearch method is quasi experiment with 2×2 factorial design. The Data Analysis technique is two ways ANAVA with 5%  (α = 0,05) level of significance. Data Normality Test by using F-test and Barlett test for homogeneity variances fas well as Scheffe test  had been done previously.

The research finding shows that: (1) The Students’ achievement in anatomy class with a selected media technology is higher than that with a picture media The F_count=9,81> F_table = 3,96  , 2) Kynesthetics-styled students’ achievement is the same with visual-styled students’ achievement , F_count = 0,889 < F_table = 3,96 , 3) There is an interaction between media users and their learning styles in affecting the students’ achievement in Anatomy class, F_count = 49,706 > F_table = 3,96 at  α = 0,05 % level of significance.

Keyword : Media, model : learning style

PENDAHULUAN

Sumber daya manusia merupakan aset penting dalam membangun visi dan misi suatu organisasi maupun pelaksanaannya dalam suatu rumah sakit yang berorientasi pada pelaksanaan organisasi.

Dalam pelaksanaannya Rumah Sakit Umum Mitra Sejati yang telah berdiri sejak tahun 2001 merupakan salah satu Rumah Sakit swasta yang ikut berperan dalam upaya pembangunan kesehatan di kota Medan.

Dalam kegiatan sehari-hari manajemen Rumah Sakit didukung oleh dokter dan dokter spesialis dalam melaksanakan pelayanan medis yang muaranya adalah dapat menghasilkan pelayanan medis yang berkualitas.

Disarankan pada Rumah Sakit Mitra Sejati untuk meningkatkan pelayanan kesehatan guna untuk memberikan kepuasan kepada pasien agar pasien merasa nyaman dan harus memberikan kontribusi aktif kepada masyarakat sekitar.

Kata kunci : Sumber daya manusia, pelayanan, kualitas

KEPEMIMPINAN BIDANG PENDIDIKAN KEDOKTERAN DALAM MENDUKUNG  PELAYANAN KESEHATAN PRIMA

Saiful Batubara

Dosen Fakultas Kedokteran UISU, Medan, Jl. Karya Bhakti No 34 Pangkalan Masyur Medan

Abstract

Medical education and healthcare system are intercorrelated in a complexity of system. Both sectors are not free from the demand of change, either internal or external changes as the adaptation process that involve many people. Leadership is definitely important to support this process. From distinguished study about leadershif in heathcare sector, it is found that leadership skills is not only required for leader bat olso for all employs in this sector in order to produce prime performance of healthcare. Medical education as the first line of education of medical doctor, plays imploten role for prepare employes with leadership competence. A number of recommendations from expert suggest to consider inserting leadership competence to curriculum and to conduct leadership training for leaders in medical education.

Keywords : Leadersip, Pelayanan Kesehatan Prima, Pendidikan dokter