HUBUNGAN KUALITAS PELAYANAN KESEHATAN GIGI DAN MULUT DENGAN TINGKAT KEPUASAN PASIEN DAN DISPARITAS KEPUASAN PASIEN DI PUSKESMAS KABUPATEN PEMALANG

  • Putri Awwalia Abdul Latif Program Pascasarjana Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
  • Hanevi Djasri Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
Keywords: Health Service Quality, Patient Satisfaction, Disparity of Patient Satisfaction, Dental and Oral Health, Public Health Center

Abstract

Background: Patient satisfaction is one of the key components in various healthcare service parameters as patient feedback can be a measure of healthcare service quality. The rates of oral and dental disease cases are considered high globally, followed by an increased prevalence in Indonesia according to the Basic Health Research from 2007 to 2008, as well as a high rate of self-treatment for dental and oral diseases. Public health centers, as government healthcare service units, require the management to improve the service quality to an optimum level, which is measured by examining the level of patient satisfaction.Objectives: This study aimed to measure the correlation between the quality of dental and oral healthcare services and the level of patient satisfaction at public health centers in Pemalang Regency.Methods: This study is an analytical quantitative study with a cross-sectional approach. A theory proposed by the Institute of Medicine (IOM) stating that healthcare services should pursue six primary goals: patient safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity, was used as a modified design to determine patient satisfaction in dental clinics. The sample size was 212 patients, with 106 patients drawn from each of the two Public Health Centers: Mulyoharjo (urban area) and Bantarbolang (rural area) using the consecutive sampling technique. The data were collected through a survey that involved a questionnaire. Univariate, bivariate, and multivariate analyses were used to analyze the data.Results: Patient characteristics (age, education, occupation, income, and access to healthcare facilities) and the quality of dental and oral health services had a significant correlation with the level of patient satisfaction. The most influential predictor was the quality of dental and oral health services, as indicated by the p-value, with moderate correlation strength. There was a disparity in patient satisfaction between Mulyoharjo Public Health Center (urban area) and Bantarbolang Public Health Center (rural area), where the level of patient satisfaction at Bantarbolang Public Health Center was higher than that at Mulyoharjo Public Health Center.Conclusions: In conclusion, there was a correlation between patient characteristics and the quality of dental and oral health services with the level of patient satisfaction. A disparity in patient satisfaction was found at the dental clinics between Mulyoharjo Public Health Center (urban area) and Bantarbolang Public Health Center (rural area).

References

Spanemberg JC, Cardoso JA, Slob EMGB, López-López J. Quality of Life Related to Oral Health and Its Impact in Adults. Journal of Stomatology, Oral and Maxillofacial Surgery. 2019 Jun 1;120(3):234–9.

World Health Organization. Oral Health [Internet]. 2018 [cited 2022 Aug 8]. Available from: ttps://www.who.int/news-room/fact-sheets/detail/oral-health

Global Burden of Disease Study. Institute for Health Metrics and Evaluation. 2019 [cited 2022 Aug 8]. Global Burden of Disease Collaborative Network. Available from: https://vizhub.healthdata.

org/gbd-results

Kementerian Kesehatan RI. Laporan Nasional Riset Kesehatan Dasar (Riskesdas) Tahun 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2018.

Migas K, Marczak M, Kozłowski R, Kot A, Wysocka A, Sierocka A. Impact of the COVID-19 Pandemic on the Dental Preferences of Patients in the Private Sector. International Journal of Environmental Research and Public Health. 2022 Jan;19(4):2183.

Tysiąc-Miśta M, Dziedzic A. The Attitudes and Professional Approaches of Dental Practitioners during the COVID-19 Outbreak in Poland: A Cross-Sectional Survey. International Journal of Environmental Research and Public Health. 2020 Jan;17(13):4703.

Kementerian Kesehatan RI. Laporan Riset Kesehatan Dasar (Riskesdas) Provinsi Jawa Tengah Tahun 2018 [Internet]. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2018.

Available from: http://ejournal2.litbang.kemkes.go.id/index.php/lpb/article/view/3641

Kementerian Kesehatan. Peraturan Menteri Kesehatan Nomor 89 Tahun 2015 Tentang Upaya Kesehatan Gigi dan Mulut [Internet]. 2015 [cited 2022 Oct 17]. Available from: https://peraturanpedia.id/peraturan-menteri-kesehatan-nomor-89-tahun-2015/

Kementerian Kesehatan. Peraturan Menteri Kesehatan Nomor 43 Tahun 2019 tentang Pusat Kesehatan Masyarakat [Internet]. 2019 [cited 2022 Oct 17]. Available from: https://peraturan.bpk.go.id/Home/Details/138635/permenkes-no-43-tahun-2019

OECD, Organization WH, Group WB. Delivering Quality Health

Services: A Global Imperative. OECD Publishing; 2018. 100 p. Manzoor F, Wei L, Hussain A, Asif M, Shah SIA. Patient Satisfaction with Health Care Services: An Application of Physician’s Behavior as a Moderator. International Journal of Environmental Research and Public Health. 2019 Jan;16(18):3318.

Akdere M, Top M, Tekingündüz S. Examining Patient Perceptions of Service Quality in Turkish Hospitals: The SERVPERF Model. Total Quality Management & Business Excellence. 2020 Feb 17;31(3–4):342–52.

Kementerian Kesehatan. Profil Kesehatan Indonesia 2021. Jakarta: Kemenkes RI; 2022.

Badan Pusat Statistik Kabupaten Pemalang. Jumlah Penduduk Kabupaten Pemalang Menurut Desa/Kelurahan dan Kecamatan. 2020;

Weinhold I, Gurtner S. Rural - urban differences in determinants of patient satisfaction with primary care. Social Science & Medicine. 2018 Sep 1;212:76–85.

Martino S, Elliott M, Dembosky J, Hambarsoomian K, Klein D, Gildner J, et al. Rural-urban Disparities in Health Care in Medicare. CMS Office of Minority Health. 2020;219.

Saragih MG, Saragih L, Purba JWP, Panjaitan PD. Metode Penelitian Kuantitatif: Dasar – Dasar Memulai Penelitian. Yayasan

Kita Menulis; 2021. 176 p.

Wang X, Cheng Z. Cross-Sectional Studies: Strengths, Weaknesses, and Recommendations. Chest. 2020 Jul 1;158(1, Supplement):S65–71.

Darma B. Statistika Penelitian Menggunakan SPSS (Uji Validitas, Uji Reliabilitas, Regresi Linier Sederhana, Regresi Linier

Berganda, Uji t, Uji F, R2). GUEPEDIA; 2021. 110 p.

Herlina V. Panduan Praktis Mengolah Data Kuesioner Menggunakan SPSS. Elex Media Komputindo; 2019. 200 p.

Denis DJ. Applied Univariate, Bivariate, and Multivariate Statistics: Understanding Statistics for Social and Natural Scientists,

With Applications in SPSS and R. John Wiley & Sons; 2021. 578 p.

Sugiyono. Metode Penelitian Kuantitatif [Internet]. Bandung; 2018 [cited 2022 Oct 31]. Available from: https://inlislite.uin-suska.ac.id/opac/detail-opac?id=22862

Bleich S. How does satisfaction with the health-care system relate to patient experience? Bull World Health Org. 2009 Apr 1;87(4):271–8.

Larson E, Sharma J, Bohren MA, Tunçalp Ö. When the patient is the expert: measuring patient experience and satisfaction with care. Bull World Health Organ. 2019 Aug 1;97(8):563–9.

Nguyen TLH, Nagase K. The influence of total quality management on customer satisfaction. International Journal of Healthcare Management. 2019 Oct 2;12(4):277–85.

Organization WH, Bank W. Tracking Universal Health Coverage: 2021 Global Monitoring Report [Internet]. World Health Organization and World Bank; 2021 [cited 2023 Jun 22]. Available from: http://hdl.handle.net/10986/36724

Afrashtehfar KI, Assery MKA, Bryant SR. Patient Satisfaction in Medicine and Dentistry. International Journal of Dentistry. 2020 Dec 29;2020:e6621848.

Amorim L de P, Senna MIB, Alencar GP, Rodrigues LG, de Paula JS, Ferreira RC. User satisfaction with public oral health services in the Brazilian Unified Health System. BMC Oral Health. 2019 Jun 25;19(1):126.

Purwaningrum H, Susanto A. Analisis Hubungan Karakteristik Pasien Dengan Tingkat Kepuasaan Pelayanan Kefarmasian Di Klinik Siti Hadjar Kota Tegal. 2021 Dec 15;5:29–34.

Pekkaya M, Pulat İmamoğlu Ö, Koca H. Evaluation of healthcare service quality via Servqual scale: An application on a hospital. International Journal of Healthcare Management. 2019 Oct 2;12(4):340–7.

Ismail A, Gan YN, Ahmad N. Factors associated with patient satisfaction towards pharmacy services among out-patients attending public health clinics: Questionnaire development and its application. PLOS ONE. 2020 Nov 10;15(11):e0241082.

Kataria S, Saini V. The mediating impact of customer satisfaction in relation of brand equity and brand loyalty: An empirical synthesis and re-examination. South Asian Journal of Business Studies. 2019 Jan 1;9(1):62–87.

Tan CNL, Ojo AO, Cheah JH, Ramayah T. Measuring the Influence of Service Quality on Patient Satisfaction in Malaysia. Quality Management Journal. 2019 Jul 3;26(3):129–43.

Laksono Ad, Wulandari Rd, Soedirham O. Urban and Rural Disparities in Hospital Utilization among Indonesian Adults. Iran J Public Health. 2019 Feb;48(2):247–55.

Maślach D, Karczewska B, Szpak A, Charkiewicz A, Krzyżak M. Does place of residence affect patient satisfaction with hospital health care? Ann Agric Environ Med. 2020 Mar 17;27(1):86–90.

Published
2023-08-28
How to Cite
Putri Awwalia Abdul Latif, & Djasri, H. (2023). HUBUNGAN KUALITAS PELAYANAN KESEHATAN GIGI DAN MULUT DENGAN TINGKAT KEPUASAN PASIEN DAN DISPARITAS KEPUASAN PASIEN DI PUSKESMAS KABUPATEN PEMALANG. Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management), 26(2). https://doi.org/10.22146/jmpk.v26i2.8718
Section
Articles