The Internal and External Factors Influencing the Doctors compliance in Formula Based Prescription Writing for the Outpatients at Prof. Dr. W. Z. Johannes Public Hospital in Kupang

Abstract

Comliance is an attitude to obey a decided regulation without expecting rewards. Based the obedience to the rules, compliance also means obedience to thwe leaders instruction, timeliness, responsibility, and dedication. Doctors low compliance in writing a prescription based on formula was the main problem which must be defeated by the management of Prof. Dr. W. Z. Johannes Hospital in Kupang. The objective of this research was to find out the internal and external factors which influence the doctors compliance in formula based prescription writing or outpatients at Prof. Dr. W. Z. Johannes Public Hospital. This study was an observational research with cross-sectional approach. The population was all doctors who provided medical services at the Outpatient Unit of Prof. Dr. W. Z. Johannes Public Hospital. Data were analyzed using bivariate (Chi Square Test) and multivariate analysis (Logistic Regression with Enter method). The result of a descriptive analysis showed that the percentage of the subjects who compliance was 38.6%. The percentage of subjects who believed that knowledge is importantwas 68.18%, confidence is important was 47.73%. The percentage of subjects who had good attitudee was 54.55%. The percentage of subjects who believed that they received a good reward system 38.64%, good information system was 79.55%, and good punishment system was 36.36%. The result of the bivariate analysis showed that the variables of confidence (p=0.036), attitude (p=0.045), reward system (p=0.001), and punishment system (p=0.033) had a significant relationship with the compliance in formula based prescription writing. Furthermore, the results of multivariate analysis showed that the variables of confidence (p=0.570; Exp(B)=2.290) and reward system (p=0.000; Exp(B)=352.192) together influenced the compliance of the doctors in formula based prescription writing at Prof. Dr. W. Z. Johannes Public Hospital. Sumber Utama : www.mikm.undip.ac.id