The Asssociations between Accreditation Status, Patient Socio-Economic Factors, Insurance Type, Patient Perceived Quality of Service, and Satisfaction at Community Health Center
Abstract
Background: Being one of the most important elements in healthcare system, Community Health Center has been promoted to improve its quality and capacity of services. Accreditation is a method that can be used to improve and measure the quality of health service. Quality service improvement is expected to enhance patient satisfaction. This study aimed to investigate the asssociations between accreditation status, patient socio-economic factors, insurance type, patient perceived quality of service, and satisfaction at Community Health Center.
Subjects and Method: This was an analytic observational study with cross-sectional design. This study was conducted at Community Health Center in Surakarta, Central Java from June to July 2017. A total of 8 Community Health Centers with different accreditation status (not accredited, lowest, medium, and highest) were selected for this study. A sample of 200 patients were selected from the 8 Comunity Health Centers by proportional random sampling. The independent variables were accreditation status, patient education level, family income, and insurance type. The dependent variables were perceived quality of service and patient satisfaction. The data were collected by a set of pre-tested questionnaires. Accreditation status was identified from the record at District Health Office. Data were analyzed by path analysis.
Results: Patient satisfaction was associated with Commuity Health Center acrreditation status (b=0.39; SE=0.22; p=0.069), perceived quality of service (b=0.05; SE=0.02; p=0.022), patient education level (b=-1.16; SE=0.48; p=0.017), and insurance type (b=0.61; SE=0.31; p=0.044). Perceived quality of health services was associated by accreditation status (b=2.22; SE=0.74; p=0.003), patient education level(b=-4.51; SE=1.68; p=0.007), and insurance type (b=2.79; SE=1.06; p=0.008). Family income did not show statistically significant association with perceived quality of health service (b=-0.17; SE=0.11; p=0.123).
Conclusion: Patient satisfaction is associated with Commuity Health Center acrreditation status, perceived quality of service, patient education level, and insurance type. Perceived quality of health services is associated with accreditation status, patient education level, and insurance type.
Keywords: patient satisfaction, perceived quality of service, accreditation status, Commuity Health Center
Correspondence: Farahdila Mirshanti. Masters Program of Public Health, Sebelas Maret University, Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: fmirshanti@gmail.com. Mobile: +628121534393.
Journal of Health Policy and Management (2017), 1(1): 91-101
https://doi.org/10.26911/thejhpm.2017.02.01.08
References
Bohm, J (2013). Relating Patient Satisfaction to Insurance Coverage: A Comparison of Market Based and Government Sponsored Health Care. Academy of Business Research Journal, Vol.1 2013 SSRN:2519167
Budiman, Suhat, Nyai Herlina (2010). Hubungan Status Demografi Dengan Kepuasanmasyarakat Tentang Pelayanan Jamkesmasdi Wilayah Puskesmas Tanjungsari Kabupaten Bogor. Jurnal Kesehatan Kartika. http://stikesayani.ac.id/publikasi/e-journal/filesx/2010/ 201004/201004-006.pdf. Diakses pada tanggal 4 Januari 2017
Cong NT, Mai NT (2014). Service Quality and Its Impact on Patient Satisfaction: An Investigation in Vietnamese Public Hospital. Journal of Emerging Economies and Islamic Research Vol 2 No. 1
Dotchin JA, Oakland JS (1994). Total quality management in services: Part 2 Service quality. International Journal of Quality & Reliability management: 11 (3): 27-42.
Edvardsen B, Tomasson B, Ovretveit J (1994). Quality of Service: Making it Really Work. McGraw-Hill: New York.
Goetz K, Hess S, Jossen M, Huber F, Rosemann T, Brodowski M, Kunzi B, et al. (2015). Does a Quality Management System Improve Quality in Primary Care Practices in Switzerland? A Longitudinal Study. BMJ Open 2015;5:e007443
Goetz K, Hess S, Jossen M, Huber F, Rosemann T, Brodowski M, Kunzi B, et al. (2015). Does a Quality Management System Improve Quality in Primary Care Practices in Switzerland? A Longitudinal Study. BMJ Open 2015;5:e007443
Hendra M, (2004). Pengembangan Pola Berpikir. Diambil dari http://indonesia.siutao.com. tanggal 5 Mei 2017
Hudon C, Fortin M, Haggerty JL, Lambert M, Poitras ME (2011). Measuring patient’s perception of patient - centered care : a systematic review of tools for family medicine. Annals of Family Medicine. 9 (2) : 155- 164.
International Accreditation Forum (2015). Accreditation: Supporting the Delivery of Health and Social Care. Quebec: The IAF Secretariat
Jenkinson C, Coulter A, Bruster S, Richards N, Chandola T (2003). Patient’s Experience and Satisfaction with Health Care: Results of a Questionnaire Study of Specific Aspects of Care. Quality Safety Health Care, Vol 2003;11:335-339
Kemenkes RI (2014). Peraturan Menteri Kesehatan Republik Indonesia Nomor 75 tahun 2014 tentang Pusat Kesehatan Masyarakat. Jakarta: Kementerian Kesehatan Republik Indonesia
Kemenkes RI (2015). Peraturan Menteri Kesehatan Republik Indonesia Nomor 46 tahun 2015 tentang Akreditasi Puskesmas, Klinik Pratama, Tempat Praktek Mandiri Dokter, dan Tempat Praktik Mandiri Dokter Gigi. Jakarta: Kementerian
Lewis BR, Mitchell VW (1990). Defining and measuring the quality of customer service. Marketing Intelligence & Planning: 8 (6):11-17
Lovelock C, Wright LK (2005). Manajemen Pemasaran Jasa, Kelompok Gramedia, Indeks, Indonesia
Mahendradhata Y, Utarini A, Kuntjoro T (2004). Development of Standards for Accreditation of Primary Care Services in Indonesia. Radcliff e Medical Press. Quality in Primary Care 2004; 12:73-7
Morris C, Bailey K (2014). Measuring Health Care Quality: An Overview of Quality Measures. Washington DC: Familie USA
Naili (2016). Akreditasi Puskesmas, Pentingkah?. Diambil dari http:// www.kompasiana.com/nailinsn/akreditasi-puskemas-pentingkah_ 580a cb16b37e61a2711a26e2 tanggal 5 Mei 2017
Nguyen Thi PL, Briancon S, Empereur F, Guillemin F (2002). Factors Determining Inpatient Satisfaction with Care. Soc Sci Med.. Feb;54(4):493-504
Nicklin W (2015). The Value and Impact of Health Care Accreditation: A Literature Review. Canada: Accreditation Canada
Nouwens E, Lieshout JV, Wensing M (2015). Determinants of Impact of a Practice Accreditation Program in Primary Care: a Qualitative Study. BMC Family Practice 16:78
O’Beirne M, Zwicker K, Sterling PD, Lait J, Robertson HL, Oelke ND (2013). The Status of Accreditaion in Primary Care. Quality in Primary Care2013; 21:23-31
Otani K, Herrmann PA, Kurz RS (2014). Improving patient satisfaction in Hospital Care Settings. Health Serv Manage Res 2011. Nov;24940;163-169
Parasuraman A, Zeithaml VA, Berry LL (1985). A conceptual model of service quality and its implication. Journal of Marketing: 49: 41-50.
Pohan, (2003). Jaminan Mutu Pelayanan Kesehatan. Kesaint Blane : Bekasi
Radja (2015). Asuransi Kesehatan Sosial Dan Biaya Out Of Pocket Di Indonesia Timur. http://etd.repository.ugm. ac.id/ index.php. Diakses pada tanggal 15 Desember 2016.
Rowland F, Syed‐Ikhsan SOS (2004). Knowledge management in a public organization: a study on the relation-ship between organizational elements and the performance of knowledge transfer", Journal of Knowledge Management, Vol. 8 Issue: 2, pp.95-111
Sareen J, Jagdeo A, Cox BJ, Clara I, ten Have M, Belik SL, Stein MB (2007). Perceived barriers to mental health service utilization in the United States, Ontario, and the Netherlands. Psychiatric Services: 58: 357–364.
Shahin (2006). SERVQUAL and Model of Service Quality Gaps: A Framework for Determining and Prioritizing Critical Factors in Delivering Quality. Servicehttps://www.researchgate.net/publication/237703019. Diakses pada tanggal 6 Desember 2016.
Sumarsono S (2009). Ekonomi Sumber Daya Manusia Teori dan Kebijakan Publik. Graha Ilmu: Jogyakarta
Utami IW, Yuliana ME, Hastuti I (2016). Perbandingan Kualitas Pelayanan Puskesmas Pajang Sebelum dan Sesudah Tersertifikasi ISO 9001: 2008. Prosiding Nasional APIKES-AKBID Citra Medika Surakarta: 226-230
Wang P, Lane M, Olfson M, Pincus HA, Wells KB, Kessler RC (2005). Twelve-month use of mental health services in the United States: Results from the national comorbidity survey replication. Archives of General Psy-chiatry: 62: 629–640
Wicaksono TW (2004) Besarkah Manfaat Pendidikan Tinggi terhadap Pem-bangunan Ekonomi?, Harian Kompas 21 Agustus 2004. Diambil dari www.kompas-online.com tanggal 16 Mei 2017
