Tingkat Ketanggapan Pelayanan Kesehatan Rawat Inap di Indonesia

  • Lukman Prayitno Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan
  • Primasari Syam Puslitbang Humaniora dan Manajemen Kesehatan - Badan Litbang Kesehatan
  • Hendrianto Trisnowibowo Puslitbang Humaniora dan Manajemen Kesehatan - Badan Litbang Kesehatan
  • Mugeni Sugiharto Puslitbang Humaniora dan Manajemen Kesehatan - Badan Litbang Kesehatan
Keywords: Rawat Inap, Delapan Domain, Aspek Non Medis, Ketanggapan

Abstract

Responsiveness of the health system in in-patient services is closely related to patient's reasonable expectations of non-clinical aspects for inpatient care. A comfortable patient can straight influence level of responsiveness. This study aimed to determine level of in-patient responsiveness and significance of respondent characteristics on eight responsiveness domains. It was a further analysis of the Responsiveness Survey of 2017. A Cross-Sectional design with a quantitative approach and has performed in 34 provinces in Indonesia. Most mean responsiveness scores were in range of good scores. Moreover, Lowest score was quality basic amenities domain, while highest score was confidentiality domain. Level of in-patient responsiveness was good category (8,05). Each characteristic has significantly correlated with one or more responsiveness domains. We can increase in-patient responsiveness value that less than 8,0 through improving three responsiveness domains, i.e., dignity, access to social network, and provider choice.

Abstrak

Ketanggapan rawat inap sistem kesehatan berkaitan dengan harapan logis pasien terhadap aspek non medis. Level Ketanggapan dapat secara langsung mempengaruhi kenyamanan pasien. Penelitian bertujuan mengetahui level Ketanggapan rawat inap dan signifikansi karakteristik responden terhadap 8 domain Ketanggapan. Penelitian ini merupakan analisa lanjut data survei Ketanggapan tahun 2017. Metode penelitian adalah cross-sectional dengan pendekatan kuantitatif. Survei ini dilakukan di 34 provinsi di Indonesia. Semua rerata skor Ketanggapan berada pada rentang skor baik. Nilai skor yang paling rendah adalah domain quality basic amenities. Sedangkan nilai skor yang paling tinggi adalah domain confidentiality. Level Ketanggapan rawat inap adalah 8,05 dan masuk kategori baik. Setiap karakteristik mempunyai hubungan signifikan dengan satu atau lebih domain Ketanggapan. Nilai Ketanggapan rawat inap bisa ditingkatkan dengan memperbaiki 3 domain Responsiveness, yaitu Dignity, Acces to social network, Choice of provider.

References

Adesanya, T., Gbolahan, O., Ghannam, O., Miraldo, M., Patel, B., Verma, R. and Wong, H. (2012), “Exploring the responsiveness of public and private hospitals in Lagos, Nigeria”, Journal of Public Health Research, Vol. 1 No. 2, pp. 2-7, https://doi.org/10.4081/jphr.2012.e2.

Andrade GRB, Vaitsman J, Farias LO. Metodologia de elaboração do Índice de Responsividade do Serviço (IRS). Cad Saude Publica. 2010;16(3):523-34. https://doi.org/10.1590/S0102-311X2010000300010.

Desilva, A. and Valentine, N. (2000), “A framework for measuring responsiveness”, GPE Discussion Paper Series No. 32, World Health Organization, Geneva.

Diógenes TPM, Mendonça KMPP, Guerra RO. Dimensions of satisfaction of older adult Brazilian outpatients with physical therapy. Rev Bras Fisioter. 2009;13(4):301-7. https://doi.org/10.1590/S1413-35552009005000038.

Gromulska L, Supranowicz P, Wysoxki MJ, Responsiveness to the hospital patient needs in Poland. Rocz Panstw Zakl Hig. 2014;65(2):155-64.

Hollanda E, Siqueira SAV, Andrade GRB, Molinaro A, Vaistman J. Satisfação e responsividade em serviços de atenção à saúde da Fundação Oswaldo Cruz. Cienc Saude Coletiva. 2012;17(12):3343-52. https://doi.org/10.1590/S1413-81232012001200019.

Karami-Tanha, F. and Fallah-Abadi, H. (2014), “Health system responsiveness for care of patients with heart failure: evidence form a university hospital”, Archives of Iranian Medicine, Vol. 17 No. 11, pp. 736-740. https://doi.org/0141711/AIM.003.

Lenardt MH, Hammerschmidt KSA, Pívaro ABR, Borghi ACS. Os idosos e os constrangimentos nos eventos da internação cirúrgica. Texto Contexto Enferm. 2007;16(4):737-45. https://doi.org/10.1590/S0104-07072007000400019.

Lima TJV, Arcieri RM, Garbin CAS, Moimaz SAS, Saliba O. Humanização na atenção básica de saúde na percepção de idosos. Saude Soc. 2014:23(1):265-76. https://doi.org/10.1590/S0104-12902014000100021.

Louvison MCP, Lebrão ML, Duarte YAO, Santos JLF, Malik AM, Almeida ES. Desigualdades no uso e acesso aos serviços de saúde entre idosos do município de São Paulo. Rev Saude Publica. 2008;42(4):733-40. https://doi.org/10.1590/S0034-89102008000400021.

Medeiros FA, Araújo-Souza GC, Albuquerque-Batista AA, Clara-Costa IC. Acolhimento em uma Unidade Básica de Saúde: a satisfação do usuário em foco. Rev Salud Publica. 2010;12(3):402-13. https://doi.org/10.1590/S0124-00642010000300006.

Melo, D.D.Silva., René Duarte Martins, R.Duarte., Jesus, R.P.F.Soares., Samico, I.C., Santo, A.C.G.d.E., Assessment of the responsiveness of a public health service from the perspective of older adults, Rev Saude Publica. 2017;51:62. https://doi.org/10.1590/S1518-8787.2017051006854.

Murray, C.J. and Frenk, J. (2000), “A framework for assessing the performance of health systems”, Bulletin of the World Health Organization, Vol. 78 No. 6, pp. 717-731.

Noronha KVMS, Andrade MV. Desigualdades sociais em saúde e na utilização dos serviços de saúde entre os idosos na América Latina. Rev Panam Salud Publica. 2005;17(5-6):410-8. https://doi.org/10.1590/S1020-49892005000500013.

Organisation for Economic Co-operation and Development (OECD), Patient Experience With Ambulatory Care, in: Health at a Glance 2015: OECD Indicators, OECD Publishing, Paris, 2015.

Prudêncio, P.S., Mamede, F.V., Dantas, R.A.S., de Souza, L. and Mamede, M.V. (2013), “Adaptation and validation of the patient expectations and satisfaction with prenatal care instrument among Brazilian pregnant women”, Revista Latino-Americana de Enfermagem, Vol. 21 No. 3, pp. 704-710. https://doi.org/10.1590/S0104-11692013000300008.

Report Riskesdas 2007, Badan Litbang Kesehatan, Kementerian Kesehatan. 2008. Jakarta

Rice N, Robone S, Smith P, Vignettes and health systems responsiveness in cross-country comparative analyses. J R Statist Soc A. 2012; 175(1): 1 – 21. https://doi.org/10.2307/23251241

Röttger, Julia., Busse, Reinhard., How do chronically ill patients rate medical care by their GPs and Specialists? Results of a Germany-wide Survey, Gesundheitswesen 78 (2016) 89–96. https://doi.org/10.1055/s-0041-110669

Sampaio SS, Rodrigues FW. Ética e sigilo profissional. Serv Soc Soc. 2014;117:84-93. https://doi.org/10.1590/S0101-66282014000100006.

Santiago RF, Mendes ACG, Miranda GMD, Duarte PO, Furtado BMASM, Souza WV. Qualidade do atendimento nas Unidades de Saúde da Família no município de Recife: a percepção dos usuários. Cienc Saude Coletiva. 2013;18(1):35-44. https://doi.org/10.1590/S1413-81232013000100005.

Silva SF. Organização de redes regionalizadas e integradas de atenção à saúde: desafios do Sistema Único de Saúde (Brasil). Cienc Saude Coletiva. 2011;16(6):2753-62. https://doi.org/10.1590/S1413-81232011000600014.

Souza EHA, Oliveira PAP, Paegle AC, Goes PSA. Raça e o uso dos serviços de saúde bucal por idosos. Cienc Saude Coletiva. 2012;17(8):2063-70. https://doi.org/10.1590/S1413-81232012000800017.

Taddeo OS, Lopes Gomes KWL, Caprara A, Gomes AMA, Oliveira GC, Moreira TMM. Acesso, prática educativa e empoderamento de pacientes com doenças crônicas. Cienc Saude Coletiva. 2012;17(11):2923-30. https://doi.org/10.1590/S1413-81232012001100009.

Trisnawati K, Sumarni, Fudholi A. Analisis kepuasan pasien rawat jalan PNS pada masa pelaksanaan ASKES dan JKN. Jurnal Manajemen dan Pelayanan Farmasi. 2015; 5(1):33–9.

Valentine, N., Verdes-Tennant, E. and Bonsel, G. (2015), “Health systems responsiveness and reporting behaviour: multilevel analysis of the influence of individual-level factors in 64 countries”, Social Science & Medicine, Vol. 138, August, pp. 152-160. https://doi.org/10.1016/j.socscimed.2015.04.022.

Valentine, Nicole B., Amala de Silva and Christpher J.L. Murray. 2000. Estimating Responsiveness Level and Distribution for 191 Countries: Methods and Results in GPE Discussion Paper Series: No. 22. Geneva: World Health Organization.

Yao, J., Li, D.D., Yang, Y.Q., McGrath, C.P.J. and Mattheos, N. (2016), “What are patients’ expectations of orthodontic treatment: a systematic review”, BMC Oral Health, Vol. 16 No. 19, https://doi.org/10.1186/s12903-016-0182-3

Published
2020-10-09