Journal La Medihealtico

Perception Analysis of Installation Services Quality on Patient Satisfaction at Bhayangkara Hospital Level II Medan

Gisna hartini — 2021-04-27

The purpose of this research is to analyze the influence of patient perception about professionalism, efficiency, patient safety and access of service to patient satisfaction at Inpatient Bhayangkara TK II Hospital Medan. The type of research used in this study is an analytical survey (explanatory research) with Cross-Sectional Study study design. The number of samples in this study were 54 patients who got service at the inpatient installation. Sampling technique by Accidental Sampling. The result of this research shows that the result of bivariate analysis to select multivariate analysis modeling candidate is statistically tested by using chi square test found that from the four variables all entered as multivariate modeling candidate. Then from the result of multivariate statistic test, it was found that p value (Sig) of professional variable (p = 0,024), efficiency (p = 0,025), access (p = 0,022) and patient safety (p = 0,048) which is significant to patient satisfaction at Inpatient Installation of Bhayangkara TK II Hospital Medan. The conclusion of the research shows that there is influence of service quality of inpatient installation which consist of profession, efficiency, access to service and patient safety to patient satisfaction. It is hoped that this research can make an actual input for health workers and the hospital. It is recommended that health workers carry out their duties according to the work SOP. Improve internal communication so that cooperation between health partners can run well in improving service quality and patient satisfaction.

Management of Open Fractures in Low-Income Countries: a Daunting Task

Jean Baptiste Ramampisendrahova — 2021-04-27

Abstract

The management of open fractures was a challenge from antiquity to the present day. The objective of this study is to report the difficulties of the management of open fractures of long bones in low-income countries. This was a retrospective cohort study of the files of patients admitted for open fracture of long bones in the Department of Orthopedic Surgery and Traumatology of the Anosiala University Hospital Center for four years. Forty-two open long bone fractures were collected. The average age of the patients was 36.3 years of which 73.8% were subject of working age in the age group of 20 to 60 years and 73.8% of the cases were following the accident of the road. Most of the wounded had arrived at the hospital by bush taxi. The tibia was the most affected bone (71.4%). Gustilo IIIA type open fractures were the most observed (38.1%). Only 26.3% of patients had received surgical debridement before the sixth hour. 76.2% had no care before arriving at the hospital, 14.3% had emergency care at the basic health center and 9.5% were already being treated by the traditional healer. Definitive treatment of the fracture was dominated by the external fixator (38.1%) and orthopedic treatment (26.2%). In low-income countries, the management of open fractures remains a daunting task. The main factors limiting the management of open fractures were the poverty of the population, the lack of health insurance coverage and the retard in arriving at the hospital.

Keywords: open fractures, management, low-income, country

Analysis of Antenatal Care by Maternal to Health Services Utilization in Working Area of Cot Girek Health Centre

Fauzah Ardah — 2021-04-27

According to Minister of Health Regulation (Permenkes) No. 43 of 2016 every maternal must get antenatal services according to the standard which provided to pregnant women at least 4 times during pregnancy with a schedule of one first trimester, one second trimester and two-third trimesters. The purpose of this study was to determine and analyze the influence of knowledge, attitudes, education, parity, income, support of health workers, a distance of health services and maternal health to the utilization of health services in the working area of the Cot Girek health centre, a population of this study amounted 512 people and 83 respondents were taken as the sample of this study. The research was Quantitative research used Mixed Method. The results showed of knowledge p = 0.000, education p = 0.000, income p = 0.000, support of health workers p = 0.000 shows a relationship to the utilization of health services. While attitudes p = .609, parity p = .823, distance of health services p = .167, maternal health p = .386 showed no relationship to the utilization of health services. The conclusion in this study is the influence of knowledge, education, income and support of health workers on the utilization of health services found, while the attitudes, parity, distance of health services and maternal health have no found about relationship to the utilization of health services. This research can be used as information for health workers to be more active in promoting antenatal care programs.

Community Tradition about Center Rope Care Using Powder and Oil For New-Born Babies

Sulfianti Sulfianti — 2021-04-27

Newborn care is a process of deeds, ways of caring for and nurturing. The most important care of the umbilical cord is to make sure the umbilical cord and the area around it is always clean and dry and avoid infection. Always wash your hands using clean water and soap, before cleaning the umbilical cord. This study aims to analyze in depth the care of the umbilical cord using powder and oil in newborns in the Ajangale Community Health Center, Bone Regency. This type of research used in this research is qualitative research. Qualitative research is a study aimed at describing and analyzing phenomena, events, social activities, attitudes, beliefs, perceptions, thoughts of people individually or in groups. This research was conducted in the work area of Arenaale Public Health Center, Bone District. The number of research subjects was 10 people. The results showed that the people of Ajangale Subdistrict in the care of newborns, especially the tradition of umbilical cord care using powder, were still practiced by several people who were believed to be able to accelerate dryness and detachment of the umbilical cord. There are still people in Ajangale who perform umbilical cord care using powder and oil which are considered to be able to accelerate the dryness of the umbilical cord and quickly release it.