KEPUASAN PASIEN JAMINAN PERSALINAN PADA PELAYANAN PERSALINAN OLEH BIDAN DESA DI KABUPATEN PATI

Abstract

Siti Ni’amah 1)  1)  Akademi Kebidanan Bakti Utama Pati E-mail: Sni39amah@yahoo.co.idABSTRAKJaminan Persalinan (Jampersal) bertujuan untuk menurunkan AKI (Angka Kematian Ibu) melalui peningkatan akses pertolongan persalinan oleh tenaga kesehatan, namun AKI di Kabupaten Pati  meningkat setelah ada program Jampersal. Hasil studi pendahuluan menunjukkan ketidakpuasan pasien terhadap pelayanan persalinan jampersal oleh bidan desa. Tujuan penelitian ini adalah menganalisis faktor-faktor yang berhubungan dengan kepuasan pasien jampersal pada pelayanan persalinan oleh Bidan Desa di Kabupaten Pati. Jenis penelitian observasional dengan  pendekatan  cross sectional. Jumlah populasi adalah seluruh  pasien jampersal di Kabupaten Pati. Responden  yang  diteliti 90 ibu bersalin dengan jampersal yang dipilih secara purposive dengan kriteria inklusi. Pengumpulan data dengan observasi dan angket dengan kuesioner terstruktur. Data dianalisis secara kuantitatif menggunakan uji rank spearman dan regresi logistik berganda. Sebagian besar  responden (60%) merasa tidak puas dengan pelayanan persalinan jampersal. Mutu pelayanan dalam dimensi reliability dipersepsikan baik 51,1% responden, mutu pelayanan dalam dimensi responsveness dipersepsikan baik 51,1% responden, mutu pelayanan dalam dimensi assurance dipersepsikan baik 51,1% responden , mutu pelayanan dalam dimensi empathy dipersepsikan baik 67,8% responden, mutu pelayanan dalam dimensi tangibles dipersepsikan baik 65,6% responden. Ada hubungan reliability (p=0,001), responsiveness (p=0,001), assurance (0,011), empathy (0,020), tangibles (p=0,001), terhadap kepuasan pasien.  Faktor yang paling kuat berhubungan dengan kepuasan pasien jampersal adalah reliability selanjutnya berturut-turut tangibles, empathy dan assurance secara bersama-sama berhubungan dengan kepuasan. Kesimpulan : Sebagian besar  responden merasa tidak puas dengan pelayanan persalinan jampersal, faktor yang mempengaruhi kepuasan adalah reliability (kehandalan), responsiveness (cepat tanggap), assurance (jaminan)  , empathy (perhatian), tangibles (bukti langsung) dengan kepuasan pasien jampersal.Kata kunci            :  Kepuasan pasien jampersal, Mutu Pelayanan Persalinan, Bidan Desa PATIENT SATISFACTION DELIVERY GUARANTEE ON MATERNITY SERVICES BY A VILLAGE MIDWIFE IN PATI REGENCY ABSTRACTDelivery Guarantee (Jampersal) aims to reduce maternal mortality (MMR) by increasing access to delivery assistance by health professionals, but MMR in Pati regency increased after Jampersal program. Results of preliminary studies show patient dissatisfaction with service delivery Jampersal the village midwife. The purpose of this study was to analyze factors associated with patient satisfaction Jampersal to service delivery by village midwives in Pati regency. an observational study with cross sectional approach. Total population is all patients Jampersal in Pati regency. Respondents who studied 90 women giving birth with Jampersal selected purposively to the inclusion criteria. The collection of data through observation and questionnaires with a structured questionnaire. Data were analyzed quantitatively using the Spearman rank test and multiple logistic regression. The majority of respondents (60%) were dissatisfied with the service delivery Jampersal. Quality of service in good perceived reliability dimension of 51.1% of respondents, the quality of service in the dimensions of perceived good responsveness 51.1% of respondents, quality assurance services in the dimensions of perceived good 51.1% of respondents, quality of service in good perceived empathy dimension 67.8% respondents, quality of service in both tangibles dimension perceived 65.6% of respondents. There is a connection reliability (p = 0.001), responsiveness (p = 0.001), assurance (0.011), empathy (0,020), tangibles (p = 0.001), to client satisfaction. Factors most strongly correlated with patient satisfaction Jampersal is the next consecutive reliability tangibles, empathy and assurance jointly associated with satisfaction. Conclusion: The majority of respondents were dissatisfied with the service delivery Jampersal, factors affecting satisfaction is reliability (reliability), responsiveness (quick response), assurance (assurance), empathy (attention), tangibles (direct evidence) with Jampersal patient satisfaction.Keywords: Patient satisfaction Jampersal, Quality of Service Delivery, village midwives