非COVID-19医保患者对新冠肺炎大流行期间卫生服务变化的满意度及相关因素分析

Istianah Surury, Luthfiah Haifah Ali, Nastiti Dyah Prastiwi
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引用次数: 1

摘要

目前,卫生保健服务遵循印度尼西亚卫生部第一版《COVID-19预防指南》。因此,卫生保健服务应继续在COVID-19患者和普通患者之间平等地提供服务。自新冠肺炎疫情发生以来,该医院未开展非新冠肺炎患者满意度调查。住院服务受COVID-19影响最大,因为为COVID-19分配了大量床位。本研究的目的是确定非COVID-19患者在JKN下对COVID-19大流行期间医疗服务变化的满意度及其相关因素。本研究是观察性和定量的,采用横断面设计研究的原始数据。样本是用总抽样法选出的86人。所得数据采用单变量和双变量分析进行分析。结果显示,服务变更与患者满意度有相关性(p=0.000),年龄(p=0.254)、性别(p=0.183)、受教育程度(p=0.528)、职业(p= 0.135)、JKN会员(p= 1000)、住院病房类别(p=0.168)与患者满意度无相关性。依赖T检验分析得出的值为0.000,说明实际情况与患者期望存在显著差异。等效计算结果为gab=-1.05,平均适宜率为71%。卫生服务的质量没有达到患者的期望,COVID-19大流行期间服务的变化仍然不符合程序。预计该医院将在2019冠状病毒病大流行期间提高服务质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SATISFACTION OF NON-COVID-19 PATIENTS UNDER NATIONAL HEALTH INSURANCE (JKN) IN CHANGES IN HEALTH SERVICES DURING THE COVID-19 PANDEMIC AND ASSOCIATED FACTORS
Currently, health care services follow the first edition of the COVID-19 Prevention Guidelines from the Indonesian Health Ministry. Therefore, health care services should continue to deliver services equally between COVID-19 patients and general patients. Since the onset of the COVID-19 pandemic, a non-COVID-19 patient satisfaction survey has not been conducted at the hospital. Inpatient services are the most affected by COVID-19 because large capacity of bed is allocated for COVID-19. The aims of this study is to determine the level of satisfaction of non-COVID-19 patients under JKN and its associated factors regarding the changes in health care services during the COVID-19 pandemic. This study is observational and quantitative, using primary data with a cross-sectional design study. The sample was 86 people selected using total sampling. The obtained data was analyzed using univariate and bivariate analysis. The result showed there was a relationship between service changes (p=0.000), there was no relationship between age (p=0.254), gender (p=0.183), educational attainment (p=0.528), occupation (p=0,135), JKN membership (p=1,000), inpatient ward class (p=0.168), and satisfication of patients under JKN. Dependent T test analysis obtained a value of 0.000, meaning a significant difference between reality and the patient expectations. The servqual calculation showed the results of gab=-1.05 and an average suitability rate of 71%. The quality of health services is not meeting patient expectations, and changes in services during the COVID-19 pandemic are still not in accordance with the procedures. The hospital is expected to improve the quality of services during the COVID-19 pandemic.
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