Do Patients Go Home at Their Own Request? A Study of the Quality of Hospital Services during the Covid-19 Pandemic
Abstract
Covid-19 is categorized as a non-natural disaster. At the Undata Palu Regional General Hospital (RSUD), there are still problems related to PAPS (Going Home On Own Request), so this needs serious attention from the hospital. The purpose of this study was to determine the relationship of service quality from the aspect of physical evidence (tangibles), responsiveness (responsiveness), reliability (reliability), assurance (assurance), and empathy (empathy) with the desire to go home on their request (PAPS) patients during the period the covid-19 pandemic in the inpatient unit of Undata Hospital Palu. This type of research was an analytic survey with a cross-sectional approach. The sample in this study was all inpatients at Undata Hospital Palu, totaling 96 people, with an accidental sampling technique. The data were collected and analyzed using computer-based software in univariate and bivariate ways. The results showed that there was a relationship between service quality from the aspect of physical evidence (tangibles) (p=0.002), responsiveness (p=0.049), reliability (p=0.001), assurance (p=0.005), and empathy (p = 0.018) with the desire to go home on own request (PAPS) of patients during the covid-19 pandemic in the inpatient unit of Undata Hospital Palu. It is hoped that the Undata Palu Regional General Hospital can improve the quality of service and reduce patients who go home at their own request by improving better service standards, which are, of course, following Islamic values to serve others.
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Abdaud, F., Sung, M. H., & Umar, W. (2022). Corruption During Non-Natural Disaster: Is Death Penalty Necessary?. Jurnal Media Hukum, 29(1), 54-64. https://doi.org/10.18196/jmh.v29i1.14247
Al-Neyadi, H. S., Abdallah, S., & Malik, M. (2018). Measuring patient's satisfaction of healthcare services in the UAE hospitals: Using SERVQUAL. International Journal of Healthcare Management, 11(2), 96-105. https://doi.org/10.1080/20479700.2016.1266804
Anggraini, S. (2021). Pasien BPJS Pulang Atas Permintaan Sendiri (PAPS)(Studi Kasus Pada Pasien Rawat Inap di RS Rumkit TK II Putri Hijau KESDAM I/BB Medan Tahun 2019). Excellent Midwifery Journal, 4(1), 73-82. https://doi.org/10.55541/emj.v4i1.158
Anhang Price, R., Elliott, M. N., Zaslavsky, A. M., Hays, R. D., Lehrman, W. G., Rybowski, L., & Cleary, P. D. (2014). Examining the role of patient experience surveys in measuring health care quality. Medical Care Research and Review, 71(5), 522-554. https://doi.org/10.1177/1077558714541480
Asmaningrum, N., Ferguson, C., Ridla, A. Z., & Kurniawati, D. (2022). Indonesian hospital’s preparedness for handling COVID-19 in the early onset of an outbreak: a qualitative study of nurse managers. Australasian Emergency Care, 25(3), 253-258. https://doi.org/10.1016/j.auec.2022.02.002
Beattie, M., Murphy, D. J., Atherton, I., & Lauder, W. (2015). Instruments to measure patient experience of healthcare quality in hospitals: a systematic review. Systematic reviews, 4(1), 1-21. https://doi.org/10.1186/s13643-015-0089-0
Chang, C. S., Chen, S. Y., & Lan, Y. T. (2013). Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters. BMC health services research, 13(1), 1-11. https://doi.org/10.1186/1472-6963-13-22
Dinas Kesehatan Kota Palu. (2021). Laporan Tahunan, Rumah Sakit Umum Daerah Undata Propinsi Sulawesi Tengah tahun 2016. RSUD Undata Palu.
Fatima, T., Malik, S. A., & Shabbir, A. (2018). Hospital healthcare service quality, patient satisfaction and loyalty: An investigation in context of private healthcare systems. International Journal of Quality & Reliability Management, 35(6). https://doi.org/10.1108/IJQRM-02-2017-0031
Harahap, M. W., Sinulingga, D., & Sari, N. M. (2020). Faktor-Faktor Yang Mempengaruhi Keputusan Pulang Atas Permintaan Sendiri Pasien Di Rumah Sakit Kotapinang. Jurnal Kajian Kesehatan Masyarakat, 1(2), 23-31. https://doi.org/10.36656/jk2m.v1i2.271
Hatibie, T. W. (2015). Analisis Kepuasan Pasien di Instalasi Rawat Jalan Bedah RSUP Prof. Dr. RD Kandou Manado. JIKMU, 5(4). https://ejournal.unsrat.ac.id/index.php/jikmu/article/view/7452
Hemsley, B., Werninck, M., & Worrall, L. (2013). “That really shouldn't have happened”: people with aphasia and their spouses narrate adverse events in hospital. Aphasiology, 27(6), 706-722. https://doi.org/10.1080/02687038.2012.748181
Jaya, I., & Syarufudin, I. (2015). Pengaruh kualitas pelayanan terhadap kepuasan pasien rawat inap unit gedung A-RSCM Jakarta. JIMFE (Jurnal Ilmiah Manajemen Fakultas Ekonomi), 1(1), 37-41. https://doi.org/10.34203/jimfe.v1i1.453
Jelita, S. D. (2021). Tingkat Kepuasan Pasien Rawat Jalan Terhadap Pelayanan Petugas Pendaftaran Pasien Di Puskesmas Tanah Merah Dengan Metode 5 Dimensi Servqual (Doctoral dissertation, STIKes Ngudia Husada Madura). http://repository.stikesnhm.ac.id/id/eprint/1043/
Khamis, K., & Njau, B. (2014). Patients’ level of satisfaction on quality of health care at Mwananyamala hospital in Dar es Salaam, Tanzania. BMC health services research, 14(1), 1-8. https://doi.org/10.1186/1472-6963-14-400
Ko, C. H., & Chou, C. M. (2020, April). Apply the SERVQUAL instrument to measure service quality for the adaptation of ICT technologies: A case study of nursing homes in Taiwan. In Healthcare (Vol. 8, No. 2, p. 108). MDPI. https://doi.org/10.3390/healthcare8020108
Kotler, P., (2002). Manajemen Pemasaran Pearson Education Asia Pte. Ltd. dan Pt Prenhallindo, ed., Jakarta: Prentice-Hall Inc.
Lubis, M. F. S., & Simanjorang, A. (2018). Faktor Yang Memengaruhi Kejadian Pulang Atas Permintaan Sendiri (PAPS) Pada Pasien Rawat Inap di RSU Madani Kota Medan. Jurnal Rekam Medic, 1(2), 53-63. https://doi.org/10.33085/jrm.v1i2.3981
Marifah, B., & Riyadi, M. (2022). The Patient was Returned at Demand In The Emerging Disease Case In Treatment Of Covid 19 Isolation In Indonesia. International Journal of Politic, Public Policy and Environmental Issues, 2(01), 48-60. https://doi.org/10.53622/ij3pei.v2i01.110
Miharti, I. (2019). Gambaran Kepuasan Pasien Terhadap Pelayanan Kefarmasian di Apotek Rawat Jalan Rumah Sakit Kolonel Abundjani Bangko. Jurnal Kesehatan dan Sains Terapan, 5(2), 66-71. http://www.ojs.stikesmerangin.ac.id/index.php/jkst/article/view/69
Mindasari. (2005). Hubungan persepsi pasien tentang kualitas pelayanan dengan Pulang Atas Permintaan Sendiri pasien RS Tembakau Deli Medan. Universitas Sumatera Utara
Musa, A. M. (2014). Membumikan Islam Nusantara: Respons Islam terhadap Isu-isu Aktual. Serambi Ilmu Semesta.
Prana, M. M. M. (2013). Kualitas pelayanan kesehatan penerima jamkesmas di RSUD Ibnu Sina Gresik. Jurnal Kebijakan dan Manajemen Publik, 1(01), 173-185.
Sari, I. M., Nasution, S. W., Girsang, E., & Ginting, C. N. (2019). Relationship of Nursing Service Quality to Patient Satisfaction Levels in Balimbingan Hospital 2018. International Journal of Research & Review, 6(8), 77-85. https://www.ijrrjournal.com/IJRR_Vol.6_Issue.8_Aug2019/Abstract_IJRR0015.html
Supriyanto, D. (2023). Quality of Public Services In Service Office Population and Civil Registration. Best Journal of Administration and Management, 1(3), 118-122. https://doi.org/10.56403/bejam.v1i3.68
Vuori, I. M., Lavie, C. J., & Blair, S. N. (2013, December). Physical activity promotion in the health care system. In Mayo Clinic Proceedings (Vol. 88, No. 12, pp. 1446-1461). Elsevier. https://doi.org/10.1016/j.mayocp.2013.08.020
Wati, L., Fadhilah, U., & Hastuti, E. D. (2021). Kejadian Pasien Pulang Atas Permintaan Sendiri (Paps) di RSUD Raja Ahmad Thabib Provinsi Kepulauan Riau. Menara Medika, 4(1). https://doi.org/10.31869/mm.v4i1.2795
Wendimagegn, N. F., & Bezuidenhout, M. C. (2019). Integrating promotive, preventive, and curative health care services at hospitals and health centers in Addis Ababa, Ethiopia. Journal of multidisciplinary healthcare, 243-255. https://doi.org/10.2147/jmdh.s193370
Xie, Z., & Or, C. (2017). Associations between waiting times, service times, and patient satisfaction in an endocrinology outpatient department: a time study and questionnaire survey. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 54, 0046958017739527. https://doi.org/10.1177/0046958017739527
Yuniarti, S. (2015). Hubungan Antara Kualitas Pelayanan Rumah Sakit Dengan Tingkat Kepuasan Pasien BPJS di Ruang Perawatan Rsud Sultan Syarif Mohamad Alkadrie Kota Pontianak Tahun 2015. Proners, 3(1). https://jurnal.untan.ac.id/index.php/jmkeperawatanFK/article/view/11039
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