THE EFFECT OF SERVICE QUALITY DIMENSIONS ON HEMODIALYSIS PATIENT SATISFACTION IN INDONESIA

Background: Chronic kidney disease is a catastrophic disease ranked second in Indonesia for high health costs. The number of renal units in Indonesia has rapidly increased since the launch of the National Health Insurance program in 2014. Its increase was accompanied by the increased number of patients. Aim: This study analyzed the effect of service quality dimensions on patient satisfaction with hemodialysis care. Methods: This study used a cross-sectional design and a quantitative method. It retrieved data from respondents who had undergone hemodialysis care at hospitals and clinics in Jakarta and surroundings. The PLS-SEM approach was used to analyze the data. Results: Eight service dimensions were proven to influence the overall service quality and directly impact patient satisfaction. The influential dimensions included facilities and organization of the service, care by attending nurses and assistants, attention to psychological and administrative issues, medical attention and care, nutrition attention and care, medication supply and quality, features and administration process, attention and care given by the head nurse. All of these dimensions affected patient satisfaction as a dependent variable. This study has strong predictive accuracy, and thus it can be replicable in future research with different populations. Conclusion: This study demonstrated eight service quality dimensions that affect service quality and directly impact satisfaction of hemodialysis patients both with hospital and clinic services

Effects of sustainable governance to sustainable development

Sustainable development advocates effective and efficient planning of both present and future use of resources. Governance, on the other hand, is based on the joint and coordinated management of multidimensional variables, which is the basis of the sustainability approach. This study aims to determine how much sustainable governance influences the fulfillment of multidimensional sustainable development. Multiple regression analysis was used to determine the variables that reveal the impact of governance on development in terms of sustainability while the gray relational analysis method was used to rank the countries. The results reveal that increases in the number of people using the internet in society, as well as in the levels of developments in e-government and human development, environmental performance, and political reform, all assist countries achieve their SDGs. Furthermore, it was found that governance has a positive and significant impact on SDGs. In addition, an MCDM model consisting of BWM and gray relational analysis was used to evaluate countries based on their performance in sustainable development, the economic, governance and environment. The gray relational analysis results, on the other hand, revealed that developed and wealthy countries ranked first, while underdeveloped countries experiencing instability, such as war and conflict, ranked last. The Nordic countries outperform other countries in terms of governance and sustainability, depending on the strength of their democracy and executive capacity. © 2022 by the authors

Analysis of Economic and Epidemic Performances of Countries During the Covid-19 Pandemic Period

This study aims to analyze the performance of countries in the COVID-19 period. The main motivation of the study is to make a more realistic assessment by taking into account the epidemic information and health system-related features, as well as government precaution (Stringency Index) and economic criteria. In this way, the characteristics of the countries that stand out in the fight against the pandemic were tried to be determined. Within the scope of the study, the CRITIC method, which is widely used and stands out as an objective method, was preferred for weighting the criteria. Country performances were analyzed separately using weighted and unweighted criteria. The Grey Relational Analysis (GRA) method, together with weighted and unweighted criteria, was used to determine country rankings. When the results are examined, it has been observed that the level of economic prosperity and the measures taken against the pandemic has brought countries directly to an advantageous point. Countries with a relatively low level of economic prosperity compared to other countries, unfortunately, ranked lower in the ranking. On the other hand, countries with elderly populations were able to find a place in the lower ranks due to high mortality rates despite their extensive economic opportunities. Although the weighting of the criteria affects the country rankings, there has been no change in the countries in the top two

Calidad de atención percibida y satisfacción del usuario en consulta externa de un hospital de Los Olivos, Lima 2022

La presente investigación tuvo como objetivo determinar la relación entre la calidad de atención percibida y satisfacción del usuario en consulta externa de un hospital de Los Olivos, Lima 2022. Se ha propuesto un estudio de tipo básico con enfoque cuantitativo y diseño observacional, analítico, transversal y prospectivo. La población fueron 153 pacientes; la muestra fue de 110 pacientes. La técnica utilizada es la encuesta y los instrumentos fueron dos cuestionarios con escala tipo Likert. En los hallazgos principales se observa que el 73,6% indicó una calidad de atención percibida buena y referente a sus dimensiones fue principalmente buena en la calidad técnica (79,1%), buena en la calidad interpersonal (72,7%) y buena en la calidad infraestructural (69,1%); en cuanto a la satisfacción del usuario fue buena en el 84,5% y en sus dimensiones fue buena en la satisfacción humana (82,7%), buena en la satisfacción técnico-científico (84,5%) y buena en la satisfacción entorno a la calidad (84,5%). El análisis bivariado mostró un Rho de Spearman de 0,582 (p = 0,000) entre la calidad de atención percibida y la satisfacción del usuario. Se concluye que existe una correlación significativa entre la calidad de atención percibida y la satisfacción del usuario

Calidad de servicio e imagen institucional de un hospital de la región Callao, 2023

El presente estudio de investigación se realizó con el propósito determinar la relación entre la calidad de servicio y la imagen institucional de un hospital regional del Callao, 2023. La metodología utilizada en la realización de la tesis fue un enfoque cuantitativo con un nivel de estudio descriptivo correlacional. El diseño de investigación corresponde al tipo no experimental transversal correlacional. La población quedó constituida por 1492 usuarios del hospital de rehabilitación del Callao, se determinó un tamaño de muestra que estuvo representada por 306 usuarios a quienes se les atribuyó un cuestionario de ambas variables, la prueba de fiabilidad se realizó con 20 encuestados, donde se alcanzó un coeficiente de Alfa de Cronbach de 0.80 de la variable calidad de servicio y 0.863 de la variable imagen institucional, con un nivel aceptable, respectivamente. Los resultados de la investigación, se obtuvieron al aplicar el análisis descriptivo de las variables y el análisis inferencial para conocer el nivel de correlación mediante la prueba de Rho de Spearman, se llegó a la conclusión que existe relación directa y positiva moderada (r=0,517) entre la variable calidad de servicios y la imagen en un hospital regional del Callao, 2023