Factors Affecting Inpatient Patient Satisfaction of Social Security Agency of Health (BPJS) Participants at Bangkinang Hospital

Mahmudah, Hetty Ismainar, Budi Hartono, Doni Jepisah
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Abstract

Bangkinang Hospital is the main referral hospital for the people of Kampar, especially Social Security Agency of Health (BPJS) patients. Inpatient satisfaction at Bangkinang Hospital in 2021 is 76%. The standard according to the Ministry of Health is ≥90%. The BOR value has decreased in the last three years, namely 2019 by 57%, 2020 by 52% and 2021 by 43%. One of the causes is the Covid-19 pandemic that has occurred in the last two years. The standard BOR value is 60-85%. The purpose of this study was to look at the factors that influence inpatient satisfaction of Social Security Agency of Health (BPJS)  participants at Bangkinang Hospital. The research was conducted in the inpatient room of Bangkinang Hospital, August 2022 with a total sample of 96. This type of research is an analytic study with a cross-sectional design. The data analysis used was univariate, bivariate and multivariate. Bivariate analysis showed that the variables that influenced patient satisfaction were empathy (p = 0.011), responsiveness (p = 0.009), reliability (p = 0.014) and patient experience (p = 0.007). Variables that have no effect are assurance (p = 0.238) and tangible (p = 0.073). Multivariate analysis obtained two confounding variables, namely assurance and tangible. The variable that has the dominant influence is the patient's experience with a POR value of 7,495. The conclusion of this study is that there are four variables that influence patient satisfaction and two confounding variables. The suggestion of this research is that it is necessary for homes to complete facilities in inpatient rooms, especially call bells, provide training to improve the competence of officers, and ESQ training.
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影响曼谷医院社会保障卫生机构(BPJS)参与者住院患者满意度的因素
曼谷医院是坎帕人民的主要转诊医院,特别是社会保障卫生机构(BPJS)的病人。2021年,曼谷医院的住院病人满意度为76%。卫生部规定的标准为≥90%。近三年来,BOR值下降了57%,2020年下降了52%,2021年下降了43%。其中一个原因是过去两年发生的Covid-19大流行。标准BOR值为60-85%。本研究的目的是探讨影响曼谷医院社会保障卫生机构(BPJS)住院病人满意度的因素。研究于2022年8月在曼谷医院的住院病房进行,样本总数为96人。这种类型的研究是采用横断面设计的分析研究。数据分析采用单因素、双因素和多因素。双因素分析显示,影响患者满意度的变量为共情(p = 0.011)、反应性(p = 0.009)、信度(p = 0.014)和患者体验(p = 0.007)。没有影响的变量是保证(p = 0.238)和有形(p = 0.073)。多变量分析得到两个混杂变量,即保证变量和有形变量。具有主要影响的变量是患者的经验,其POR值为7,495。本研究的结论是,有四个变量影响患者满意度和两个混杂变量。本研究建议住院部有必要完善住院部的设施,特别是呼叫铃,提供培训以提高官员的能力,以及ESQ培训。
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