HUBUNGAN STATUS AKREDITASI PUSKESMAS DENGAN MUTU PELAYANAN DI KABUPATEN SIMALUNGUN

Abstract

Accreditation of of Public health center an effort to improve the quality of clinical services. One indicator of service quality is patient satisfaction. The accreditation status of health center may be affected by the availability and completeness of health supplies, facilities, and infrastructure that support health services at the Public health center itself. The purpose of this study is to analyze the relationship of Accreditation Status of Public health center with Quality of Service. This research was conducted in two Public health center of Simalungun Regency that is Tiga Dolok Public Health Center with accreditation Madya status and Huta Bayu Public Health Center which not yet accredited in February-April in 2018. This research use case control study approach (case and control), the sample use consecutive sampling technique with 92 respondents. Data were analyzed by using chi-square test and multiple linear regression test at 95% confidence. The results of this research know that from the results of bivariate tests, that the dimensions of service quality that related to the status of health center accreditation (p <0.05) are dimensions of tangibles, reliability, responsiveness, and assurance. Factors that have no relation to the status of health center accreditation (p> 0.05) are emphaty dimensions. From the results of multivariate test, it is known that the most dominant factor on the status of health center accreditation is the quality of service based on responsiveness dimension it Expected for Public health center that have been accredited in order to maintain the quality of service, and to health centers that have not been accredited to further improve the quality of service, so that what is expected by the community can be realized.

Keywords:    Public health center accreditation, service quality