Indonesia Conference Directory

Corresponding Author
Siska Nia Irasanti

Institutions
(a*)Public Health Department
Faculty of Medicine, Universitas Islam Bandung
(b)Public Health Department
Faculty of Medicine, Universitas Islam Bandung
(c)Paediatric Department
Faculty of Medicine, Universitas Islam Bandung
Al Ihsan Hospital, Jawa Barat

Abstract
Background: The decision to upgrade service level in the era of National Health Insurance (BPJS Kesehatan) is a demand arising for health services. There are several factors that influence the demand for health services. Objectives: The aims of the study are to explore the factors that influence the patients decision of choosing to upgrade their service level in Hospital. Our research also correlate the dimension of quality and patient expectation on health care services based on their determinant in the upgrading of service level selection. Research Methods: This study was an observational study with cross-sectional design of the 172 respondents from Al Ihsan, Unisba main teaching and public hospital in Jawa Barat Province, Indonesia. This research identified a list of 15 items of questionnaires from 5 dimension of patients quality and expectation of health care services (responsiveness component, the assurance component empathy component and component reliability). The research was conducted by interviewing the respondents using a questionnaire at the time of going home from the hospital or during outpatient control. Results: The results revealed seven determinants of hospital service level upgrade. There were - the availability of hospital room with better service level, The complete facilitation of the new hospital room with better services level, the affordable price, additional insurance, quality of health services, comfortable places, and private health room services. There were significant correlation between the quality and the expectation of health services, and it revealed p=0,188 (p value≤0,05) with correlation coefficient 0,101(Strong correlation). The biggest factors of patients upgrade their service levels was because the complete facilitation of the new hospital room with better services level (90,7%), and the followed by comfort, private and affordable prices. The better patients perception of health care quality is shown by factors that are statistically different significantly and they were additional insurance (p=0.000), quality of health services (p=0.007), comfortable places (p=0.040), and private health room services (p=0.049). Conclusions: Hospital complete facilitation make patient want to upgrade their service level in hospital. Rates adjusment and standardization of hospital services, monitoring of class availability in hospital, as well as the National Health Insurance premium adjustment is required in order to implement better social security. Increase of the quality of health services level are required to meet the patient expectation.

Keywords
patients choice, service level upgrading, BPJS Kesehatan

Topic
Hospital and Nursing Management

Link: https://ifory.id/abstract/pWmEZnQVJ276

Corresponding Author
Ami Rachmi, Sp.KFR.

Institutions
a. Department of Physical Medicine and Rehabilitation, Muhammadiyah Hospital, Bandung. Faculty of Medicine Universitas Islam Bandung
b. Department of Physical Medicine and Rehabilitation, Al Ihsan Hospital. Faculty of Medicine, Universitas Islam Bandung

Abstract
Osteoarthritis (OA) is a chronic disease that need a non-pharmacological therapy or rehabilitation program for the management. This study aim to know which specialist that actually refer knee osteoarthritis patient to Physiatrist in Al Ihsan Hospital. From January to June 2019, data were collected from all OA cases. This study uses quantitative research method with observational study design from patient-s medical record. The results shows that 81% patient with knee osteoarthritis referred to Physiatrist from Neurologist in Al Ihsan hospital. Conclusion for this study is there is still a lack of understanding referring system for knee osteoarthritis patient by the primary health care-s physician Further information and standard need to be done to make primary health care-s physician can refer in a right specialists for OA cases.

Keywords
Referring, knee osteoarthritis, physiatrist, primary care physician

Topic
Hospital and Nursing Management

Link: https://ifory.id/abstract/hW3uwcGr9pyC