Effects of Patient and Physioterapist Characteristics on Perceived Quality of Physiotherapy Care at Dr. Moewardi Hospital, Surakarta
Abstract
Background: Nowadays patients demand quality and safe hospital care. Quality of care depends on the roles of the government as quality of care regulator, hospital management, health care providers, patients, and the community. The study aimed to examine the effects of patient and physioterapist characteristics on perceived quality of physiotherapy care.
Subjects and Method: This was an observational analytic study with cross-sectional design. The study was conducted at Dr. Moewardi Hospital, Surakarta, Central Java, from June to July, 2017. A total sample of 122 physiotherapy patients were selected for this study using exhaustive sampling. The dependent variable was quality of physiotherapy care. The independent variables were patient’s education and income, duration of treatment, insurance status, years of services, physiotherapist training, and salary. The data were collected using a set of questionnaire and analyzed by multiple linier regression.
Results: The quality of physiotherapist care was affected by patient’s income (b= -0.18; 95% CI= -0.35 to 0.001; p= 0.052), patients education (b= -3.32; 95% CI= -6.59 to 0.04; p= 0.047), duration of treatment (b= -0.07; 95% CI= -0.14 to -0.01; p= 0.020), insurance status (b= 3.41; 95% CI= 0.15 to 6.68; p= 0.041), years of services (b= 0.55; 95% CI= 0.15 to 0.97; p= 0.010), physiotherapist training (b= 0.90; 95% CI= 0.09 to 1.71; p= 0.030), and salary (b= 0.38; 95% CI= -0.12 to 0.77; p= 0.061).
Conclusion: Quality of physiotherapist care is affected by patient’s income, patients education, duration of treatment, insurance status, years of services, physiotherapist training, and salary.
Keywords: quality of care, physiotherapy, insurance status, duration of treatment, years of services
Correspondence: Afif Ghufroni. School of Health Polytechnics, Surakarta, Central Java. Email: apip.physio@gmail.com. Mobile: +6285725000769.
Journal of Health Policy and Management (2017), 2(1): 67-78
https://doi.org/10.26911/thejhpm.2017.02.01.06
References
Agyepong IA, Aryeetey GC, Nonvignon J, Boadi FA, Dzikunu H, Antwi E, Ankrah D (2014). Advancing the application of systems thinking in health: provider payment and service supply behaviour and incentives in the Ghana National Health Insurance Scheme – a systems approach. Health Research Policy and Systems: 12:35.
Almeida RS, Nogueira LA, Bourliataux-Lajoine S. (2013). Analysis of the user satisfaction level in a public physical therapy service. National Center for Biotechnology Information. DOI: 10.1590/S1413-35552013005000097
Bakan I, Buyukbese T, Ersahan B. (2013). The impact of total quality service (TQS) on healthcare and patient satisfaction: An empirical study of Turkish private and public hospitals. The International Journal Of Health Planning And Management Int J Health Plann Mgmt: 29: 292–315. DOI: 10.1002/hpm.2169.
Bakar C, Akgün HS, Al Assaf A (2008): The role of expectations in patients' hospital assessments: A Turkish university hospital example. Int J Health Care Qual Assur. 21: 503-516. Doi: 10.1108/09526860810890477.
Barbara J, Billie F, Pendit B (2006). Buku Ajar Perawatan Perioperatif. Kedokteran EGC. Cetakan I. Jakarta.
Braveman P, Egerter S, Barclay C (2011). Exploring The Social Determinants Of Health. Robert Wood Johnson Foundation Commission To Build A Healthier America. 12: 4.
Chriswardani S (2006). Penyusunan Indikator Kepuasan Pasien Rawat Inap Rumah Sakit di Provinsi Jawa Tengah. Jurnal Managemen Pelayanan Kesehatan.
Dengjuin L, YaHsin L, JarYuan P, IngCheau S, Glen R, MingJen C (2009): Chronic kidney disease screening service quality: questionnaire survey research evidence from Taichung City. BMC Health Serv Res. 9: 239-10. Doi: 1186/1472-6963-9-239.
Eygen LV, Lerberghe V, Blaise P, Woelk G, Criel B (2006). The Challenge of Measuring Quality of Care at Health Centre Level in Africa: the Example of Tsholotsho Health District in Mata-beleland North, Zimbabwe. International Journal of Health Planning and Management: 22: 63–89. DOI: 10.1002/hpm.859.
Fletchera JM, Frisvol DE (2012). Higher Education and Health Investments: Does More Schooling Affect Preventive Health Care Use?. (2): 144–176. doi: 10.1086/645090.
Fraihi KJA, Famco D, Famci F, Latif SA (2016). Evaluation of outpatient service quality in Eastern Saudi Arabia Patient’s expectations and perceptions. Saudi Med J.37(4): 420–428. doi: 10.15537/smj.2016.4.14835.
Gupta D, Lis CG, Rodeghier M. (2012). Can patient experience with service quality predict survival in colorectal cancer?. US National Library of Medicine National Institutes of Health. DOI: 10.1111/j.1945-1474.2012.00217.x
Handayani L dan Sopacua E.(2009). Peran tenaga kesehatan sebagai pelaksana pelayanan kesehatan puskesmas. Buletin Penelitian Sistem Kesehatan – Vol. 13 No. 1 Januari 2010: 12–20
Hasmoko EV (2008). Analisis faktor-faktor yang mempengaruhi Kinerja klinis perawat berdasarkan penerapan Sistem pengembangan manajemen kinerja klinis (spmkk) di ruang rawat inap Rumah sakit panti wilasa citarum semarang. Program Pascasarjana Universitas Diponegoro Semarang.
Imron A (2016). Peningkatan Kapasitas core competency pada prodi fisioterapi dalam inisiasi performance assesment (penilaian kerja) fisioterapi muskuloskeletal. Pusat pendidikan sumberdaya manusia kesehatan kementrian kesehatan republik indonesia. Ikatan Fisioterapi Indonesia. Bali.
Kim CU, Shin JS, Lee J, Lee YJ, Kim M, Choi A, Park KB (2017). Quality of medical service, patient satisfaction and loyalty with a focus on interpersonal based medical service encounters and treatment effectiveness: a cross-sectional multicenter study of complementary and alternative medicine (CAM) hospitals. BMC Complement Altern Med. 17: 174. doi: 10.1186/s12906-017-1691-6.
Mulisa T, Tessema F dan Merga H (2017). Patients’ satisfaction towards radiological service and associated factors in Hawassa University Teaching and referral hospital, Southern Ethiopia. BMC Health Services Research (2017) 17:441 DOI 10.1186/s12913-017-2384-z
Murti B (2013). Desain dan Ukuran Sampel untuk Penelitian Kuantitatif dan Kualitatif di Bidang Kesehatan. Gadjah Mada University Press: Yogyakarta.
Olaleye, Olubukola A. Hamzat, Talhatu K. Oloso, Modinat O (2015). Perceived quality of physiotherapy services among informal caregivers of children with cerebral palsy in Ibadan, Nigeria. Journal of Pediatric Rehabilitation Medicine, 8(3): 227-234, 2015. DOI: 10.3233/PRM-150339.
Permenkes No. 80. (2013). Penyelenggaraan Pekerjaan dan Praktik Fisioterapis. Jakarta.
Revans R (2004). Researh Into Hospital Management and Organization. Health Services Research Study Section of the United States Public HealthService. New York.
Roland M, Dudley A (2015).How Financial and Reputational Incentives Can Be Used to Improve Medical Care. Health Serv Res. 50(2): 2090–2115. doi: 10.1111/1475-6773.12419.
Schembri S (2014). Experiencing health care service quality: through patients’ eyes. National Library of Medicine National Institutes of Health. DOI: 10.1071/AH14079.
Suryati C. (2005). Memahami Kemiskinan Secara Multidimensional. Fakultas Kesehatan Masyarakat dan Magister Ilmu Kesehatan Masyarakat Universitas Diponegoro, Semarang, Jawa Tengah. JMPK, 08(03).
Sutrisna B (1994). Pengantar Metoda Epidemiologi. Jakarta: PT Dian Rakyat.
Undang-Undang Sisdiknas No. 20 Tahun (2013). Sitem Pendidikan Nasional. Jakarta.
Wartawan IW (2012). Analisis Lama Hari Rawat Pasien yang Menjalani Pembedahan di Ruang Rawat Inap Bedah Kelas III RSUP Sanglah Denpasar Tahun 2011. Universitas Indonesia: Jakarta.
Zarei A, Arab M, Froushani A R, Rashidian A, Tabatabaei SMG (2012). Service quality of private hospitals: The Iranian Patients’ perspective. BMC Health Services Research 2012, 12:31http://www. biomedcentral.com/1472-6963/12/31 doi:10.1186/1472-6963-12-31.
