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    Britain's National Health Service revisited.

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    HUBUNGAN PERSEPSI PESIEN TENTANG MUTU PELAYANAN PUSKESMAS DENGAN DENGAN PERSEPSI BIAYA PELAYANAN RAWAT JALAN DI PUSKESMAS SRONDOL KECAMATAN BANYUMANIK KOTA SEMARANG TAHUN 2003

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    Adanya kenaikan tarif pelayanan pukesmas yang berlaku sejak awal tahun 2001 mengakibatkan penurunan jumlah kunjungan pasien di puskesmas Srondol Kecamatan Banyumanik Kota Semarang.Dari survey awal yang dilakukan peneliti diketahui bahwa lebih dari 50% responden menyatakan pelayanan yang diterima pada saat memanfaatkan pelayanan rawat jalan di Puskesmas Srondol kurang memuaskan. Selama ini kajian pelayanan kesehatan di puskesmas Srondol masih berdasarkan penilaian standar praktek pelayanan yang dilakukan oleh dinas kesehatan setempat. Oleh karena itu perlu diadakan kajian untuk mengetahui hubungan antara persepsi pasien tentang mutu pelayanan puskesmas dengan persepsi pasien tentang biaya pelayanan rawat jalan. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara persepsi pasien tentang mutu pelayanan puskesmas yang meliputi pelayanan dokter,perawat, petugas obat, mutu obat, tempat pengobatan,pelayanan petugas loket dengan persepsi pasien tentang biaya pelayanan rawat jalan.Hasil penelitian ini diharapkan bisa dipakai untuk sebagai masukan pihak puskesmas untuk memperbaiki mutu pelayanan dan peningkatan jumlah kunjungan pasien rawat jalan. Metode penelitian ini adalah survey (Survey Reaserch Metode) dengan metode pendekatan Cross Sectional .Sempel penelitian ini adalah pasien yang memanfaatkan pelayanan rawat jalan di Puskesmas Srondol Dengan beberapa kriteria sampel di ambil 80 responden dengan menggunakan tehnik sampel kebetulan (accidental sampling).Data ini diolah secara univariat dan bivariat yang meliputi tabulasi silang antar variabel dan menggunakan uji statistik Rank Spearman untuk mengetahui hubungan antar variabel.Dengan uji statistik pada taraf kepercayaan 95% membuktikan adanya hubungan antara variabel bebas dan variabel terikat.Ada hubungan persepsi pasien tentang mutu pelayanan puskesmas yang terdiri dari :pelayanan dokter,perawat, petugas obat, mutu obat, tempat pengobatan,pelayanan petugas loket dengan persepsi pasien tentang biaya pelayanan rawat jalan. Saran yang dapat disampaikan pada puskesmas adalah perlu adanya peningkatan mutu pelayanan puskesmas. Peningkatan mutu tersebut terutama pada : kecepatan dan kesiapan dokter dalam melayani pasien,kecepatan dan kesiapan perawat dalam melayani pasien, perhatian dan pengertian petugas obat dalam melayani pasien, sikap ramah tamah,hotmat, beretiket baik, sopan dan fleksibel pada petugas loket. Kata Kunci: Persepsi mutu,Biaya pelayanan,puskesmas CORELATION PATIENT PERCEPTION ABOUT SERVICE QUALITY OF THE PUBLIC HEALTH CENTER AND PERCEPTION ABOUT OUT PATIENT SERVICE RATE IN PUBLIC HEALTH CENTER OF SRONDOL DISTRICT BANYUMANIK SEMARANG 2003 The service rate increase of the public health center prevailed since the begining of 2001 results in the decline of the patient visiting in Srondol District Semarang City.It is known from the early survey commited that more than 50% respondens states that service obtined by out patient in Srondol Public health center is less satified. The study of the public service, so far, in Srondol Public health center is still based on the standard evaluation of the service practice performed by the local health institution.Accordingly, a study is reQuered to establish to know the association between the patient perseptions corcerning to the public health center service quality and the patient perceptions concerning to the out patient service rate. This research is intented to know the correlation between the patient perceptions of the public health center service quality covering the service of doctors, nurses, the druggists,drugstores, locket officiel service, and the patient perception concerning to out patient service rate. It is hope that the result of this result to fungtion as an input to public health center to fix the service quality and maintain the amount of out patient visiting. This research is a survey research methode by using cross sectional approach methode.The research sample is the patient utilizing out patient service in Srondol public health center Supported by several sample criteria taken from 80 respondents using accidental sampling tehnique.This data are set univariatly and bivariatly consisting of cross tabulation between variables and using the statistik rank spearman to know the relationship of the variables. By using statistic investigation to the belief range 95% proves the presence of the free and tied variables.There is a patient perseption connection between the pubic health center service qualities comprising of : the service of doctors, nurses, the druggists,drugstores, locket officiel service, and the patient perception concerning to out patient service rate. The public health center is advisid to increase the service quality of the public health center.The quality increase is focused on : the speed and readines of the doctor in serving patients,the speed and readines of the nursing in serving patient,attention and understanding of the drugists in serving patient,friendly,respecfull,polite,attitude,good etiquete,and flexible to the locket official. Keyword : Quality perception,service rate,Public health cente

    Whose outcomes are they anyway? Report of the pilot evaluation of a joint service\ud

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    Health and social care partnership working is often predicated on the notion that it improves outcomes for service users. Yet there is a lack of evidence linking partnerships to changes in outcomes. Against this background, the Health Services Management Centre at the University of Birmingham designed the Partnership Outcomes Evaluation Toolkit (POET) specifically to evaluate health and social care partnerships in terms of service user outcomes. This paper reports on the field testing of POET with Sandwell Integrated Support Service. This research provided a number of interesting insights into this service, and indicated some dissonance between staff and service user and carer expectations

    A Community-Focused Health & Work Service (HWS)

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    We recommend establishment of a community-focused Health & Work Service (HWS) dedicated to responding rapidly to new health-related work absence among working people due to potentially disabling conditions. The first few days and weeks after onset are an especially critical period during which the likelihood of a good long-term outcome is being influenced, either favorably or unfavorably, by some simple things that either do or do not happen during that interval. It is the optimal window of opportunity to improve outcomes by simultaneously attending to the worker’s basic needs and concerns as well as coordinating the medical, functional restoration, and occupational aspects of the situation in a coordinated fashion

    What is the impact of psychiatric decision units on mental health crisis care pathways? Protocol for an interrupted time series analysis with a synthetic control study

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    Background The UK mental health system is stretched to breaking point. Individuals presenting with mental health problems wait longer at the ED than those presenting with physical concerns and finding a bed when needed is difficult – 91% of psychiatric wards are operating at above the recommended occupancy rate. To address the pressure, a new type of facility – psychiatric decision units (also known as mental health decision units) – have been introduced in some areas. These are short-stay facilities, available upon referral, targeted to help individuals who may be able to avoid an inpatient admission or lengthy ED visit. To advance knowledge about the effectiveness of this service for this purpose, we will examine the effect of the service on the mental health crisis care pathway over a 4-year time period; the 2 years proceeding and following the introduction of the service. We use aggregate service level data of key indicators of the performance of this pathway. Methods Data from four mental health Trusts in England will be analysed using an interrupted time series (ITS) design with the primary outcomes of the rate of (i) ED psychiatric presentations and (ii) voluntary admissions to mental health wards. This will be supplemented with a synthetic control study with the same primary outcomes, in which a comparable control group is generated for each outcome using a donor pool of suitable National Health Service Trusts in England. The methods are well suited to an evaluation of an intervention at a service delivery level targeting population-level health outcome and the randomisation or ‘trialability’ of the intervention is limited. The synthetic control study controls for national trends over time, increasing our confidence in the results. The study has been designed and will be carried out with the involvement of service users and carers. Discussion This will be the first formal evaluation of psychiatric decision units in England. The analysis will provide estimates of the effect of the decision units on a number of important service use indicators, providing much-needed information for those designing service pathways

    The Virtual Health Sciences Library of the Balearic Islands: A regional project for libraries cooperation.

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    Virtual Health Sciences Library of the Balearic Islands (Bibliosalut) is a regional project carried out in collaboration with the Regional Ministry of Health and Consumer Protection and the Health Service of the Balearic Islands (Ib-salut), through the Balearic Islands Biomedical Documentation Service. The Virtual Library Mission is to facilitate the most important scientific information to the public health professionals of the Balearic Islands, by using the new information and communication technologies, in order to contribute to the improvement of medical care quality, teaching, research and health managemen

    Disability and the Muslim Perspective: An Introduction for Rehabilitation and Health Care Providers

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    [Excerpt] This monograph offers an introduction to and overview of a broad spectrum and diversity of Muslims with disabilities and chronic health conditions who come from a variety of backgrounds and circumstances. The perspective provided here also highlights larger issues of human rights. Given the current immigration trends in the United States, it is critical that service providers work across cultures and systems to help Muslims access disability and health care services and resources in their communities. Over the years, service professionals and researchers have come to recognize that individuals with disabilities and health conditions do not always hold the same health beliefs, understandings, objectives, and priorities as the service providers they encounter. The result is an intercultural gap in understanding between clients and providers that may result in a poor treatment or rehabilitative outcome. This monograph will use the terms client, consumer, and patient interchangeably to denote those seeking disability services, medical services, or both. We emphasize that to bridge the gap between Muslim service users and mainstream U.S. service systems, service providers in disability and rehabilitation systems need to increase their sensitivity and ability to accommodate differences between their services and the needs of their clients

    Optimizing the stake holder’s perspective on enhancing the service quality in health care

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    For the success of health care organizations, accurate measurement of health care service quality is as important as understanding the nature of the service delivery system. Without a valid measure, it would be difficult to establish and implement appropriate tactics or strategies for service quality management. Experts have struggled for decades to formulate a concise, meaningful and generally applicable definition of the quality of health care. However, the complexity and variability of many definitions are very confusing even to experts. Patients, service providers and other parties involved in the process of health care service delivery, understand and describe service quality in different ways. Different perspectives on health care quality lead to different expectations and different methods of quality measurement. Patients tend to evaluate health care quality according to the responsiveness to their specific needs. Most patients define quality as efforts of physicians to do everything possible for a patient. Patient’s expectations about the health care system may differ from those of health care professionals and managers. On the other hand, patients cannot evaluate many technical aspects of health care service quality. Physicians can provide a high level technical quality but still be rated low by patients because of the lack of humanity, responsiveness or satisfaction. For physicians and other health care providers measurement of service quality has typically been driven by medical outcomes. However, outcomes indicative of quality may differ for a patient and physician. Health care administrators often use managerial input measures such as the average number of nursing hours required for an outpatient surgery. This research paper aims to explore the ways and means towards optimizing the competing stake holders perspectives on enhancing the service quality in health care.Service quality; Healthcare; Optimization; India;
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