External patient visits and healthcare service delivery at terara public health center: A management perspective analysis
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Mar 13, 2024
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Abstract
The increasing visits of patients from outside the area to Terara Public Health Center constitute a phenomenon of growing significance within the context of healthcare provision in the region. This necessitates an understanding of the impact of these external patient visits on healthcare service delivery at Terara Public Health Center, encompassing aspects such as resource availability, operational efficiency, and service management. Therefore, this research aims to analyze the management perspective regarding the influence of external patient visits on healthcare provision at Terara Public Health Center. This research employs a descriptive method with a qualitative approach. Data collection takes the form of words or images, thus not focusing on numerical data. The intention of this study is to provide an overview, elucidate, and interpret the current situation regarding the impact of external visits on healthcare services at Terara Public Health Center from a service management perspective. This research was conducted at Terara Public Health Center. The findings indicate that the high influx of patients from outside the area to Terara Public Health Center has a significant impact on service management, including increased patient queues, maintenance costs of medical equipment, availability of medications, and the need for more adequate facilities and infrastructure. Management at Terara Public Health Center has taken steps to address these impacts, such as increasing the procurement of medications and enhancing facilities and infrastructure.
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How to Cite
Nurhayati, N., Sastrawan, S., Sismulyanto, S., Saimi, S. and Menap, M. (2024) “External patient visits and healthcare service delivery at terara public health center: A management perspective analysis”, Science Midwifery, 12(1), pp. 69-78. doi: 10.35335/midwifery.v12i1.1426.
References
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Konttila, J., Kähkönen, O., & Tuomikoski, A.-M. (2020). Nurses’ experiences of workplace violence in psychiatric nursing: a qualitative review protocol. JBI Evidence Synthesis, 18(9), 2025–2030. https://doi.org/10.11124/JBISRIR-D-19-00254
Kritsotakis, G., Gkorezis, P., Andreadaki, E., Theodoropoulou, M., Grigoriou, G., Alvizou, A., Kostagiolas, P., & Ratsika, N. (2022). Nursing practice environment and employee silence about patient safety: The mediating role of professional discrimination experienced by nurses. Journal of Advanced Nursing, 78(2), 434–445. https://doi.org/10.1111/jan.14994
Lee, K. M. K., Page, A., Kim, S., Al-Diery, T., Koeper, I., Singh, I., Hawthorne, D., & Johnson, J. (2023). Perceptions and expectations of health professionals regarding hospital pharmacy services and the roles of hospital pharmacists: A qualitative systematic review and meta-synthesis. Exploratory Research in Clinical and Social Pharmacy, 10, 100264. https://doi.org/10.1016/j.rcsop.2023.100264
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Moleong, L. J. (2009). Metodologi Penelitian Kualitatif (26th ed.). Remaja Rosdakarya.
Paramartha, V., Rulia, & Duarsa, H. A. P. (2024). Analysis Of The Influence Of Service Quality On Patient Loyalty At Bunda Liwa Mother And Child Hospital In West Lampung. JHSSB, 3(2). https://doi.org/https://doi.org/10.55047/jhssb.v3i2.945
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Ruliyandari, R., & Hazerika, N. (2023). Determinat factors influenced consumer’s decision: a study in a regional public hospital. International Journal of Public Health Science (IJPHS), 12(3), 1048. https://doi.org/10.11591/ijphs.v12i3.22813
Ruud, T., Hasselberg, N., Siqveland, J., & Holgersen, K. H. (2024). Patient-reported outcome, clinician-reported outcome, and patient satisfaction with treatment by crisis resolution teams: a multicenter pre-post study of outcome and associated factors in Norway. BMC Psychiatry, 24(1), 82. https://doi.org/10.1186/s12888-024-05543-3
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Topmiller, M., McCann, J., Hoang, H., Rankin, J., Grandmont, J., Pelzer, M., & Sripipatana, A. (2023). Health centres and social determinants of health: an analysis of enabling services provision and clinical quality. Family Medicine and Community Health, 11(3), e002227. https://doi.org/10.1136/fmch-2023-002227
van Oort, P., Maaskant, J., Luttik, M. L., & Eskes, A. (2024). Impact of a patient and family participation education program on hospital nurses’ attitudes and competencies: A controlled before-after study. PEC Innovation, 4, 100249. https://doi.org/10.1016/j.pecinn.2023.100249
Yektiningsih, E., Astari, A. M., & Utami, Y. W. (2021). A Correlation between Working Environment and Job Experience Toward Culture Shock among Indonesian Nurses in Japan. Jurnal Ners, 16(1), 17–25. https://doi.org/10.20473/jn.v16i1.23824
Zhou, C., Tan, F., Lai, S., Chen, J., Cai, Q., Yin, X., Guo, S., Wu, S., & Yang, L. (2022). Health Promotion Capacity Among Chinese Healthcare Professionals and Its Influence on Preventive Health Service Practices. Journal of Multidisciplinary Healthcare, Volume 15, 343–352. https://doi.org/10.2147/JMDH.S349449
Zraychikova, E., Gehri, B., Zúñiga, F., Bachnick, S., & Simon, M. (2023). The Interaction Between Leadership, the Patient-to-Nurse Ratio and Nurses’ Work-Life Balance in the Psychiatric Inpatient Setting in Switzerland: A Secondary Data Analysis of Cross-Sectional Data. Administration and Policy in Mental Health and Mental Health Services Research, 50(2), 317–326. https://doi.org/10.1007/s10488-022-01239-6
Albano, D., Follman, S., Patel, Y. D., Gantotti, S., Reilly, P., & Hermes-DeSantis, E. R. (2021). Enhancing Patient Care: Value of Pharmaceutical Medical Information Services. The Journal for Nurse Practitioners, 17(7), 840–845. https://doi.org/10.1016/j.nurpra.2021.01.009
Baek, H., Han, K., Cho, H., & Ju, J. (2023). Nursing teamwork is essential in promoting patient-centered care: a cross-sectional study. BMC Nursing, 22(1), 433. https://doi.org/10.1186/s12912-023-01592-3
Bang, Y. J., Kim, S., Kim, J. K., Kim, H., Kim, S., Chung, C. S., Yoo, S. Y., Jeong, H., Park, B., & Lee, S. H. (2023). Effect of preoperative patient education and simulated mouth breathing training on opioid requirements in the post-anesthesia care unit after nasal surgery: a randomized controlled study. BMC Anesthesiology, 23(1), 348. https://doi.org/10.1186/s12871-023-02310-x
Bassett, M. T., Bijlmakers, L., & Sanders, D. M. (1997). Professionalism, patient satisfaction and quality of health care: Experience during Zimbabwe’s structural adjustment programme. Social Science & Medicine, 45(12), 1845–1852. https://doi.org/10.1016/S0277-9536(97)00122-6
Bo, H.-X., Li, W., Yang, Y., Wang, Y., Zhang, Q., Cheung, T., Wu, X., & Xiang, Y.-T. (2020). Posttraumatic stress symptoms and attitude toward crisis mental health services among clinically stable patients with COVID-19 in China. Psychological Medicine, 1–2. https://doi.org/10.1017/S0033291720000999
Chen, S.-C., Lee, K.-H., Horng, D.-J., & Huang, P.-J. (2021). Integrating the Public Health Services Model into Age-Friendly Pharmacies: A Case Study on the Pharmacies in Taiwan. Healthcare, 9(11), 1589. https://doi.org/10.3390/healthcare9111589
Daus, M., McHugh, M. D., Kutney-Lee, A., & Brooks Carthon, M. J. (2024). Effect of the Nurse Work Environment on Older Hispanic Surgical Patient Readmissions. Nursing Research, 73(1), E1–E10. https://doi.org/10.1097/NNR.0000000000000698
Ensor, T. (2014). Overcoming barriers to health service access: influencing the demand side. Health Policy and Planning, 19(2), 69–79. https://doi.org/10.1093/heapol/czh009
Gagnon, M. D., Waltermaurer, E., Martin, A., Friedenson, C., Gayle, E., & Hauser, D. L. (2017). Patient Beliefs Have a Greater Impact Than Barriers on Medication Adherence in a Community Health Center. The Journal of the American Board of Family Medicine, 30(3), 331–336. https://doi.org/10.3122/jabfm.2017.03.160129
Galletta, M., Piazza, M. F., Meloni, S. L., Chessa, E., Piras, I., Arnetz, J. E., & D’Aloja, E. (2022). Patient Involvement in Shared Decision-Making: Do Patients Rate Physicians and Nurses Differently? International Journal of Environmental Research and Public Health, 19(21), 14229. https://doi.org/10.3390/ijerph192114229
Herwansyah, H., Czabanowska, K., Schröder-Bäck, P., & Kalaitzi, S. (2023). Barriers and facilitators to the provision of maternal health services at community health centers during the COVID-19 pandemic: Experiences of midwives in Indonesia. Midwifery, 123, 103713. https://doi.org/10.1016/j.midw.2023.103713
Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., Zhang, L., Fan, G., Xu, J., Gu, X., Cheng, Z., Yu, T., Xia, J., Wei, Y., Wu, W., Xie, X., Yin, W., Li, H., Liu, M., … Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, 395(10223), 497–506. https://doi.org/10.1016/S0140-6736(20)30183-5
Ibrahim, M. U., Maidin, A., Irwandy, I., Sidin, I., Rivai, F., & Shaleh, K. (2023). The Influence of Job Satisfaction and Organizational Commitment on Nurse Performance with Work Motivation as a Mediating Factor at I Lagaligo East Luwu Hospital In 2022. Pharmacognosy Journal, 15(2), 319–324. https://doi.org/10.5530/pj.2023.15.47
İspir Demir, Ö., Yıldırım, A., Sönmez, B., & Duygulu, S. (2023). Relationship between Structural Empowerment and Nurse and Patient-Reported Outcomes: The Mediating Role of Control over Nursing Practices. Western Journal of Nursing Research, 45(7), 634–645. https://doi.org/10.1177/01939459231169146
Konttila, J., Kähkönen, O., & Tuomikoski, A.-M. (2020). Nurses’ experiences of workplace violence in psychiatric nursing: a qualitative review protocol. JBI Evidence Synthesis, 18(9), 2025–2030. https://doi.org/10.11124/JBISRIR-D-19-00254
Kritsotakis, G., Gkorezis, P., Andreadaki, E., Theodoropoulou, M., Grigoriou, G., Alvizou, A., Kostagiolas, P., & Ratsika, N. (2022). Nursing practice environment and employee silence about patient safety: The mediating role of professional discrimination experienced by nurses. Journal of Advanced Nursing, 78(2), 434–445. https://doi.org/10.1111/jan.14994
Lee, K. M. K., Page, A., Kim, S., Al-Diery, T., Koeper, I., Singh, I., Hawthorne, D., & Johnson, J. (2023). Perceptions and expectations of health professionals regarding hospital pharmacy services and the roles of hospital pharmacists: A qualitative systematic review and meta-synthesis. Exploratory Research in Clinical and Social Pharmacy, 10, 100264. https://doi.org/10.1016/j.rcsop.2023.100264
Lim, R. B. L., Yeat, C. L., Vighneshvaran, R., Kasinathan, N., Ahmad Subki, S. Z., Singh, A. H. S., & Saad, N. D. (2023). Mapping Levels of Palliative Care Service Development in Malaysian Public Hospitals Using the WHO Public Health Model of Palliative Care. Journal of Pain and Symptom Management, 66(3), 221–229. https://doi.org/10.1016/j.jpainsymman.2023.05.017
Moleong, L. J. (2009). Metodologi Penelitian Kualitatif (26th ed.). Remaja Rosdakarya.
Paramartha, V., Rulia, & Duarsa, H. A. P. (2024). Analysis Of The Influence Of Service Quality On Patient Loyalty At Bunda Liwa Mother And Child Hospital In West Lampung. JHSSB, 3(2). https://doi.org/https://doi.org/10.55047/jhssb.v3i2.945
Pérez‐Rugosa, V., de Lorena‐Quintal, P., Domínguez‐Valdés, E., Rodríguez‐Rodríguez, A., Núñez‐Castro, I., Suárez‐Fernández, Y., & Sarabia‐Cobo, C. (2024). Exploring older people’s experiences of the interpersonal care relationship between nurses and patients during hospitalization in the pandemic period: A qualitative study. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16050
Ruliyandari, R., & Hazerika, N. (2023). Determinat factors influenced consumer’s decision: a study in a regional public hospital. International Journal of Public Health Science (IJPHS), 12(3), 1048. https://doi.org/10.11591/ijphs.v12i3.22813
Ruud, T., Hasselberg, N., Siqveland, J., & Holgersen, K. H. (2024). Patient-reported outcome, clinician-reported outcome, and patient satisfaction with treatment by crisis resolution teams: a multicenter pre-post study of outcome and associated factors in Norway. BMC Psychiatry, 24(1), 82. https://doi.org/10.1186/s12888-024-05543-3
Sugiyono. (2020). Metode penelitian kuantitatif kualitatif dan R&D. Alfa Beta.
Topmiller, M., McCann, J., Hoang, H., Rankin, J., Grandmont, J., Pelzer, M., & Sripipatana, A. (2023). Health centres and social determinants of health: an analysis of enabling services provision and clinical quality. Family Medicine and Community Health, 11(3), e002227. https://doi.org/10.1136/fmch-2023-002227
van Oort, P., Maaskant, J., Luttik, M. L., & Eskes, A. (2024). Impact of a patient and family participation education program on hospital nurses’ attitudes and competencies: A controlled before-after study. PEC Innovation, 4, 100249. https://doi.org/10.1016/j.pecinn.2023.100249
Yektiningsih, E., Astari, A. M., & Utami, Y. W. (2021). A Correlation between Working Environment and Job Experience Toward Culture Shock among Indonesian Nurses in Japan. Jurnal Ners, 16(1), 17–25. https://doi.org/10.20473/jn.v16i1.23824
Zhou, C., Tan, F., Lai, S., Chen, J., Cai, Q., Yin, X., Guo, S., Wu, S., & Yang, L. (2022). Health Promotion Capacity Among Chinese Healthcare Professionals and Its Influence on Preventive Health Service Practices. Journal of Multidisciplinary Healthcare, Volume 15, 343–352. https://doi.org/10.2147/JMDH.S349449
Zraychikova, E., Gehri, B., Zúñiga, F., Bachnick, S., & Simon, M. (2023). The Interaction Between Leadership, the Patient-to-Nurse Ratio and Nurses’ Work-Life Balance in the Psychiatric Inpatient Setting in Switzerland: A Secondary Data Analysis of Cross-Sectional Data. Administration and Policy in Mental Health and Mental Health Services Research, 50(2), 317–326. https://doi.org/10.1007/s10488-022-01239-6