ANALISIS FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP TINGKAT KEPUASAN PESERTA JPKM DALAM PELAYANAN KESEHATAN YANG DIBERIKAN PPK-I PADA BADAN PENYELENGGARA HATIMAS SETIA SEMARANG TAHUN 2002 (Analysis of the Factors that Influence to the Satisfaction Level of JPKM's Members in Health Services, which is given by PPK-I at the Executive Body of "Hatimas Setia" Semarang)

Abstract

The satisfaction of JPKM's members is very important in Public Health Care Guarantee Program The satisfaction in health services can prevent the happened of membership drop out.This research was to know the factors that influence to the satisfaction level in health services, which was given by PPK-I at the executive body of "Hatimas Setia" Semarang. This was observational research using cross sectional approach. The population was all members of Public Health Care Guarantee who had a family at the executive body of Hatimas Setia Semarang who have ever used the health 'services at PPK-I. The number of population were 586 persons. The number of sample were 83 persons. Independent variables were the characteristics of JPKM's members (sex, age, education, experience, types of package). Dependent variable was the satisfaction level. Statistical analysis used Chi Square test, Kendall's tau test, and Logistic Regression. Based on statistical analysis, it is known that sex (p value = 0.031); age (p value = 0.009); education (p value = 0.022); and experience (p value = 0.090) have significant relationship with the satisfaction level. Sex, age, and experience influence to the satisfaction level. The dominant variable is age. Aspects, which are the higher percentage of not satisfaction of JPKM's members, are the continuity of services (69.9 %), the knowledge and the technical competence (66.3 %), the acceptance of health services (63.9 %), and the availability of services (60.2 %). Suggestion, PPK-I should give information about the diseases to patient of JPKM's members. PPK-I should give services to the patients of JPKM' s members as same as the others patients. The executive body should do socialization to PPK-II officers about the cooperation between the executive body and PPK-II. Finally, there will be available the sustainability of health services. The executive body should do monitoring and evaluating by making form of health services, which is done by PPK-I and filled by JPKM 's members routinely and periodically. Other researchers can do research of the work performance of the executive body in implementation of JPKM program. Kepuasan peserta JPKM memegang peranan penting dalam program Jaminan Pemeliharaan Kesehatan Masyarakat Kepuasan dalam pelayanan kesehatan dapat mencegah terjadinya drop out kepesertaan. Penelitian bertujuan untuk mengetahui faktor-faktor yang berpengaruh terhadap tingkat kepuasan peserta JPKM dalam pelayanan kesehatan yang diberikan PPK-I pada Badan Penyelenggara Hatimas Setia Semarang. Jenis penelitian min adalah observasional dengan pendekatan cross sectional. Populasi penelitian semua peserta JPKM berkeluarga di Bapel Hatimas Setia Semarang yang pernah menggunakan jasa pelayanan kesehatan di PPK-I sebanyak 586 dengan besar sampel 83 orang.Variabel bebas karakteristik peserta JPKIV1 (jenis kelamin, umur, pendidikan, pengalaman, jenis paket). Variabel terikat tingkat kepuasan. Data dianalisis dengan uji statistik Chi Square, Kendall's tau, dan Regresi Logistik. Hasil penelitian menunjukkan ada hubungan yang signifikan antara jenis kelamin responden dengan tingkat kepuasan (p = 0,031), juga variabel umur (0,009), tingkat pendidikan (p=0,022), dan pengalaman (p=0,09). Jenis kelamin, umui, dan pengalaman berpengaruh terhadap tingkat kepuasan, dan yang paling dominan adalah variabel umur Aspek tertinggi dalam ketidakpuasan pasien peserta JPKM adalah kesinambungan pelayanan (69,9 %), kemudian pengetahuan dan kompetensi teknis pengelola PPK-I (66,3 %), penerimaan pelayanan kesehatan (63,9 %), dan ketersediaan pelayanan (60,2 %). Rekomendasi dalam penelitian ini agar PPK-I memberikan informasi mengenai penyakit kepada pasien JPKM, tidak menomorduakan pasien peserta JPKM. Pihak Badan Penyelengga agar melakukan sosialisasi kepada petugas PPK-II mengenai adanya kerj a sama antara Bapel dengan PPK-II sehingga ada kesinambungan pelayanan kesehatan, melakukan monitoring dan evaluasi dengan cara membuat form mengenai pelayanan kesehatan yang dilakukan PPK-I dan diisi oleh peserta JPKM secara rutin dan periodik. Peneliti lain dapat melakukan penelitian mengenai kinerja Badan Penyelenggara dalam menyelenggarakan program JPKM.