KUALITAS PELAYANAN KESEHATAN TUBERKULOSIS MELALUI QUOTE TB LIGHT SEBAGAI UPAYA “TO END TB”
DOI:
https://doi.org/10.15294/.v0i0.14Kata Kunci:
Tuberkulosis, Kualitas Pelayanan, QUOTE TB Light, Perspektif PasienAbstrak
Kualitas pelayanan TB menjadi komponen utama dalam pencapaian target “End TB” di Indonesia. Keterlibatan pasien dalam menilai kualitas pelayanan salah satu upaya memperbaiki continuum of care. Tujuan penelitian ini untuk menilai kualitas pelayanan pelayanan kesehatan dalam perspektif pasien di Puskesmas Kota Semarang. Penelitian dengan cross sectional deskriptif ini dilakukan di Puskesmas, dengan total responden sebanyak 138 pasien. Kriteria responden yaitu pasien TB yang teregistrasi dan melakukan pengobatan TB di Puskesmas (termasuk pasien resisten obat dan dropout). Pengumpulan data dengan wawancara menggunakan instrumen QUOTE TB Light yang berisi 9 dimensi kualitas pelayanan. Data dianalisis secara deskriptif dengan formula di Ms. Excel yang telah disediakan. Hasil penelitian, ditemukan pada aspek pelayanan sama, durasi waktu diskusi, cara penyelesaian masalah, hubungan TB-HIV, ketersediaan air minum, toilet, dan prioritas pasien, kompetensi professional, serta bantuan untuk pasien yang dinilai pasien perlu adanya perbaikan (QI>1). Maka disimpulkan, masih perlu adanya perbaikan kualitas pelayanan TB di Puskesmas Kota Semarang. Diharapkan para provider dapat menjadikan ini sebagai pertimbangan peningkatan kualitas pelayanan TB, karena sebagai upaya dalam penanggulangan TB untuk mencapai target “End TB”.
Referensi
Aagja, J.P. Aagja, J. P., & Garg, R. (2010). Measuring perceived service quality for public hospitals (PubHosQual) in the Indian context. International Journal of Pharmaceutical and Healthcare Marketing, 4(1), 60–83.
Amir, L. and Putro, S.G. (2012), Tuberkulosis Nosokomial, Jurnal Tuberkulosis Indonesia, 8, 30–35.
Ban, A., Sanou, A., Anh, N.T. Van and Godreuil, S. (2015), Mycobacterium tuberculosis:Ecology and Evolution of a Human Bacterium, Journal of Medical Microbiology, 64, 1261–1269.
Baumgarten, A., Hilgert, J.B., Pinto, I.C., Zacharias, F.C.M. and Bulgarelli, A.F. (2018), Facility infrastructure of primary health services regarding tuberculos is control: A countrywide cross-sectional study, Primary Health Care Research and Development, 20(e67), 1–9.
Bhatnagar, H. (2019). User-experience and patient satisfaction with quality of tuberculosis care in India: a mixed-methods literature review. Journal of clinical tuberculosis and other mycobacterial diseases,17, 100127.
Bustami. (2011), Penjaminan Mutu Pelayanan Kesehatan Dan Akseptabilitasnya, Erlangga, Jakarta.
Castelnuovo, B. (2010). Review of compliance to anti tuberculosis treatment and risk factors for defaulting treatment in Sub Saharan Africa. African health sciences, 10(4), 320-324.
Dangisso, M. H., Datiko, D. G., & Lindtjørn, B. (2015). Accessibility to tuberculosis control services and tuberculosis programme performance in southern Ethiopia. Global health action, 8(1), 29443.
Dodor, E. A., Kelly, S., & Neal, K. (2009). Health professionals as stigmatisers of tuberculosis: insights from community members and patients with TB in an urban district in Ghana. Psychology, health & medicine, 14(3), 301-310.
O’Donnell, O. (2007). Access to health care in developing countries: breaking down demand side barriers. Cadernos de saude publica, 23, 2820-2834.
Laksono, A. D., Astuti, W. D., & Waty, E. (2012). Kajian Standar Pelayanan Minimal Penyakit Tuberkulosis Terkait Indikator Millenium Development Goals. Buletin Penelitian Sistem Kesehatan, 15(3), 21350.
Eticha, B. M., Atomsa, A., Tsehaineh, B., & Berheto, T. M. (2014). Patients’ perspectives of the quality of tuberculosis treatment services in South Ethiopia. American Journal of Nursing, 3(4), 48-55.
Farsida, Mahendradhata, Y., and Probandari (2012). Kualitas Layanan Tuberkulosis Menurut Sudut Pandang Pasien di Rumah Sakit Pemerintah dan Swasta di Jakarta Utara. Jurnal Manajemen Pelayanan Kesehatan, 15(04), 161-165
Fauziyah, N. (2010), Faktor-Faktor Yang Berhubungan Dengan Drop Out Pengobatan Pada Penderita TB Paru Di Balai Pengobatan Penyakit Paru-Paru (BP4) Salatiga, Doctoral dissertation, Universitas Negeri Semarang.
Finlay, A., Lancaster, J., Holtz, T. H., Weyer, K., Miranda, A., & van der Walt, M. (2012). Patient-and provider-level risk factors associated with default from tuberculosis treatment, South Africa, 2002: a case-control study. BMC public health, 12(1), 1-12.
Geist-Martin, P., Sharf, B. F., & Ray, E. B. (2003). Communicating health: Personal, cultural, and political complexities. Wadsworth/ Thomson Learning.
Girma, A., & Deribe, K. (2010). Quality of tuberculosis care in six health facilities of Afar Region, Ethiopia. Ethiopian Medical Journal, 48(3), 195-202.
Hadiyati, I., Sekarwana, N., Sunjaya, D. K., & Setiawati, E. P. (2017). Konsep Kualitas Pelayanan Kesehatan berdasar atas Ekspektasi Peserta Jaminan Kesehatan Nasional. Majalah Kedokteran Bandung, 49(2), 102-109.
Hamann, H. A., Ostroff, J. S., Marks, E. G., Gerber, D. E., Schiller, J. H., & Lee, S. J. C. (2014). Stigma among patients with lung cancer: a patient-reported measurement model. Psycho-Oncology, 23(1), 81-92.
Kemenkes. (2014), Pedoman Nasional Pengendalian Tuberkulosis, Pedoman Nasional Pengendalian Tuberkulosis, Kementerian Kesehatan RI, Jakarta.
Kemenkes RI. (2014), Pedoman Nasional Pengendalian Tuberkulosis, Direktorat Jendral Pengendalian Penyakit dan Penyehatan Lingkungan, Jakarta.
Kemenkes RI. (2019), Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/755/2019 tentang Pedoman Nasional Pelayananan Kedokteran Tatalaksana Tuberkulosis.
Lateef, F. (2011). Patient expectations and the paradigm shift of care in emergency medicine. Journal of emergencies, trauma and shock, 4(2), 163-167.
Long, Q., Smith, H., Zhang, T., Tang, S., & Garner, P. (2011). Patient medical costs for tuberculosis treatment and impact on adherence in China: a systematic review. BMC public health, 11(1), 1-9.
Massaut, S., Broek, J. van den and Kwaak, A. van der. (2009), QUOTE TB Light, TB Care Publicatons, Project Management Unit TB CAP, The Hague.
Matusitz, J., & Spear, J. (2014). Effective doctor–patient communication: an updated examination. Social work in public health, 29(3), 252-266.
McIntyre, D., Thiede, M., Dahlgren, G., & Whitehead, M. (2006). What are the economic consequences for households of illness and of paying for health care in low-and middle-income country contexts? Social science & medicine, 62(4), 858-865.
Menawati, T., & Kurniawan, H. (2015). Pentingnya Komunikasi Dalam Pelayanan Kesehatan Primer. Jurnal Kedokteran Syiah Kuala, 15(2), 120-124.
Mulyadi, M., & Fitrika, Y. (2011). Hubungan tuberkulosis dengan HIV/ AIDS. Idea Nursing Journal, 2(2), 162-166.
Nezenega, Z. S., & Tafere, T. E. (2013). Patient satisfaction on tuberculosis treatment service and adherence to treatment in public health facilities of Sidama zone, South Ethiopia. BMC health services research, 13(1), 1-8.
Nyblade, L., Stangl, A., Weiss, E., & Ashburn, K. (2009). Combating HIV stigma in health care settings: what works?. Journal of the international AIDS Society, 12(1), 1-7.
Nyblade, L., Stockton, M. A., Giger, K., Bond, V., Ekstrand, M. L., Mc Lean, R Mitchell, E.M.H & Wouters, E. (2019). Stigma in health facilities: why it matters and how we can change it. BMC medicine, 17(1), 1-15.
Padma, P., Rajendran, C., & Lokachari, P. S. (2010). Service quality and its impact on customer satisfaction in Indian hospitals: Perspectives of patients and their attendants. Benchmarking: An International Journal. 17(6), 807–841.
Pai, Y. P., & Chary, S. T. (2013). Dimensions of hospital service quality: A critical review: Perspective of patients from global studies. International journal of health care quality assurance. 26(4), 308–339.
Pedrazzoli, D., Siroka, A., Boccia, D., Bonsu, F., Nartey, K., Houben, R., & Borghi, J. (2018). How affordable is TB care? Findings from a nationwide TB patient cost survey in Ghana. Tropical medicine & international health, 23(8), 870-878.
Rahmadiana, M. (2012). Komunikasi kesehatan: Sebuah tinjauan. Jurnal Psikogenesis, 1(1), 88-94.
Ross, C. A., & Goldner, E. M. (2009). Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: a review of the literature. Journal of psychiatric and mental health nursing, 16(6), 558-567.
Ruru, Y., Matasik, M., Oktavian, A., Senyorita, R., Mirino, Y., Tarigan, L. H., van der Werf, M.J. & Alisjahbana, B. (2018). Factors associated with non-adherence during tuberculosis treatment among patients treated with DOTS strategy in Jayapura, Papua Province, Indonesia. Global health action, 11(1), 1510592.
Sariem, C. N., Nanlir, Z. S., Banwat, S. B., & Dapar, M. P. (2015). Factors influencing tuberculosis medication adherence: a cognitive intervention in a resource limited setting. World Journal of Pharmaceutical Sciences, 3(9), 1912–1920
Scholz, S., Ngoli, B. and Flessa, S. (2015), Rapid assessment of infrastructure of primary health care facilities – a relevant instrument for health care systems management, BMC Health Services Research, 15(1), 183.
Siswanto, H. (2015). Analisis Kualitas Pelayanan Kesehatan Dalam Operasioanalisasi Program Mobil Sehat (Studi Pada Unit Pelaksana Teknis Pusat Kesehatan Masyarakat Lamongan Kabupaten Lamongan). Jurnal Administrasi Publik, 3(11), 1821- 1826.
Tadesse, T., Demissie, M., Berhane, Y., Kebede, Y., & Abebe, M. (2013). Long distance travelling and financial burdens discourage tuberculosis DOTs treatment initiation and compliance in Ethiopia: a qualitative study. BMC public health, 13(1), 1-7.
USAID. (2015), “QUOTE TB Light”, TB Care Publicatons, p. 3.
WHO. (2015), The End TB Strategy, World Health Origanization, World Health Organization, Geneva, available at:https://doi.org/10.1017/CBO9781107415324.004.
WHO. (2018), Tuberculosis, Media Centre: Fact Sheets, available at:http://www.who.int/mediacentre/factsheets/fs104/en/ (accessed 11 February 2018).
WHO. (2019), Global Tuberculosis Report 2019, World Health Organization, Geneva, available at: https://apps.who.int/iris/bitstream/handle/10665/329368/9789241565714-eng.pdf.
WHO. (2020a), Tuberculosis Country Profile, Geneva, available at: https://extranet.who.int/sree/Reports?op=Replet&name=%2FWHO_HQ_Reports%2FG2%2FPROD%2FEXT%2FTBCountryProfile &ISO2=ID&LAN=EN&outtype=pdf. WHO. (2020b), “Tuberculosis”, Key Facts.
Wright, K. B., Sparks, L., & O’hair, H. D. (2008). Health communication in the 21st century. John Wiley & Sons.
Xu, L., Gai, R., Wang, X., Liu, Z., Cheng, J., Zhou, C., Liu, J. & Tang, W. (2010). Socio-economic factors affecting the success of tuberculosis treatment in six counties of Shandong Province, China. The International journal of tuberculosis and lung disease, 14(4), 440-446.
Zubaidah, T., Setyaningrum, R., Banjarbaru, P. U., Ani, F. N., & Banjarbaru, P. U. (2019). Faktor yang mempengaruhi penurunan angka kesembuhan TB di Kabupaten Banjar tahun 2013. Jurnal Epidemiologi dan Penyakit Bersumber Binatang, 4(4), 192–199.
Amir, L. and Putro, S.G. (2012), Tuberkulosis Nosokomial, Jurnal Tuberkulosis Indonesia, 8, 30–35.
Ban, A., Sanou, A., Anh, N.T. Van and Godreuil, S. (2015), Mycobacterium tuberculosis:Ecology and Evolution of a Human Bacterium, Journal of Medical Microbiology, 64, 1261–1269.
Baumgarten, A., Hilgert, J.B., Pinto, I.C., Zacharias, F.C.M. and Bulgarelli, A.F. (2018), Facility infrastructure of primary health services regarding tuberculos is control: A countrywide cross-sectional study, Primary Health Care Research and Development, 20(e67), 1–9.
Bhatnagar, H. (2019). User-experience and patient satisfaction with quality of tuberculosis care in India: a mixed-methods literature review. Journal of clinical tuberculosis and other mycobacterial diseases,17, 100127.
Bustami. (2011), Penjaminan Mutu Pelayanan Kesehatan Dan Akseptabilitasnya, Erlangga, Jakarta.
Castelnuovo, B. (2010). Review of compliance to anti tuberculosis treatment and risk factors for defaulting treatment in Sub Saharan Africa. African health sciences, 10(4), 320-324.
Dangisso, M. H., Datiko, D. G., & Lindtjørn, B. (2015). Accessibility to tuberculosis control services and tuberculosis programme performance in southern Ethiopia. Global health action, 8(1), 29443.
Dodor, E. A., Kelly, S., & Neal, K. (2009). Health professionals as stigmatisers of tuberculosis: insights from community members and patients with TB in an urban district in Ghana. Psychology, health & medicine, 14(3), 301-310.
O’Donnell, O. (2007). Access to health care in developing countries: breaking down demand side barriers. Cadernos de saude publica, 23, 2820-2834.
Laksono, A. D., Astuti, W. D., & Waty, E. (2012). Kajian Standar Pelayanan Minimal Penyakit Tuberkulosis Terkait Indikator Millenium Development Goals. Buletin Penelitian Sistem Kesehatan, 15(3), 21350.
Eticha, B. M., Atomsa, A., Tsehaineh, B., & Berheto, T. M. (2014). Patients’ perspectives of the quality of tuberculosis treatment services in South Ethiopia. American Journal of Nursing, 3(4), 48-55.
Farsida, Mahendradhata, Y., and Probandari (2012). Kualitas Layanan Tuberkulosis Menurut Sudut Pandang Pasien di Rumah Sakit Pemerintah dan Swasta di Jakarta Utara. Jurnal Manajemen Pelayanan Kesehatan, 15(04), 161-165
Fauziyah, N. (2010), Faktor-Faktor Yang Berhubungan Dengan Drop Out Pengobatan Pada Penderita TB Paru Di Balai Pengobatan Penyakit Paru-Paru (BP4) Salatiga, Doctoral dissertation, Universitas Negeri Semarang.
Finlay, A., Lancaster, J., Holtz, T. H., Weyer, K., Miranda, A., & van der Walt, M. (2012). Patient-and provider-level risk factors associated with default from tuberculosis treatment, South Africa, 2002: a case-control study. BMC public health, 12(1), 1-12.
Geist-Martin, P., Sharf, B. F., & Ray, E. B. (2003). Communicating health: Personal, cultural, and political complexities. Wadsworth/ Thomson Learning.
Girma, A., & Deribe, K. (2010). Quality of tuberculosis care in six health facilities of Afar Region, Ethiopia. Ethiopian Medical Journal, 48(3), 195-202.
Hadiyati, I., Sekarwana, N., Sunjaya, D. K., & Setiawati, E. P. (2017). Konsep Kualitas Pelayanan Kesehatan berdasar atas Ekspektasi Peserta Jaminan Kesehatan Nasional. Majalah Kedokteran Bandung, 49(2), 102-109.
Hamann, H. A., Ostroff, J. S., Marks, E. G., Gerber, D. E., Schiller, J. H., & Lee, S. J. C. (2014). Stigma among patients with lung cancer: a patient-reported measurement model. Psycho-Oncology, 23(1), 81-92.
Kemenkes. (2014), Pedoman Nasional Pengendalian Tuberkulosis, Pedoman Nasional Pengendalian Tuberkulosis, Kementerian Kesehatan RI, Jakarta.
Kemenkes RI. (2014), Pedoman Nasional Pengendalian Tuberkulosis, Direktorat Jendral Pengendalian Penyakit dan Penyehatan Lingkungan, Jakarta.
Kemenkes RI. (2019), Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/755/2019 tentang Pedoman Nasional Pelayananan Kedokteran Tatalaksana Tuberkulosis.
Lateef, F. (2011). Patient expectations and the paradigm shift of care in emergency medicine. Journal of emergencies, trauma and shock, 4(2), 163-167.
Long, Q., Smith, H., Zhang, T., Tang, S., & Garner, P. (2011). Patient medical costs for tuberculosis treatment and impact on adherence in China: a systematic review. BMC public health, 11(1), 1-9.
Massaut, S., Broek, J. van den and Kwaak, A. van der. (2009), QUOTE TB Light, TB Care Publicatons, Project Management Unit TB CAP, The Hague.
Matusitz, J., & Spear, J. (2014). Effective doctor–patient communication: an updated examination. Social work in public health, 29(3), 252-266.
McIntyre, D., Thiede, M., Dahlgren, G., & Whitehead, M. (2006). What are the economic consequences for households of illness and of paying for health care in low-and middle-income country contexts? Social science & medicine, 62(4), 858-865.
Menawati, T., & Kurniawan, H. (2015). Pentingnya Komunikasi Dalam Pelayanan Kesehatan Primer. Jurnal Kedokteran Syiah Kuala, 15(2), 120-124.
Mulyadi, M., & Fitrika, Y. (2011). Hubungan tuberkulosis dengan HIV/ AIDS. Idea Nursing Journal, 2(2), 162-166.
Nezenega, Z. S., & Tafere, T. E. (2013). Patient satisfaction on tuberculosis treatment service and adherence to treatment in public health facilities of Sidama zone, South Ethiopia. BMC health services research, 13(1), 1-8.
Nyblade, L., Stangl, A., Weiss, E., & Ashburn, K. (2009). Combating HIV stigma in health care settings: what works?. Journal of the international AIDS Society, 12(1), 1-7.
Nyblade, L., Stockton, M. A., Giger, K., Bond, V., Ekstrand, M. L., Mc Lean, R Mitchell, E.M.H & Wouters, E. (2019). Stigma in health facilities: why it matters and how we can change it. BMC medicine, 17(1), 1-15.
Padma, P., Rajendran, C., & Lokachari, P. S. (2010). Service quality and its impact on customer satisfaction in Indian hospitals: Perspectives of patients and their attendants. Benchmarking: An International Journal. 17(6), 807–841.
Pai, Y. P., & Chary, S. T. (2013). Dimensions of hospital service quality: A critical review: Perspective of patients from global studies. International journal of health care quality assurance. 26(4), 308–339.
Pedrazzoli, D., Siroka, A., Boccia, D., Bonsu, F., Nartey, K., Houben, R., & Borghi, J. (2018). How affordable is TB care? Findings from a nationwide TB patient cost survey in Ghana. Tropical medicine & international health, 23(8), 870-878.
Rahmadiana, M. (2012). Komunikasi kesehatan: Sebuah tinjauan. Jurnal Psikogenesis, 1(1), 88-94.
Ross, C. A., & Goldner, E. M. (2009). Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: a review of the literature. Journal of psychiatric and mental health nursing, 16(6), 558-567.
Ruru, Y., Matasik, M., Oktavian, A., Senyorita, R., Mirino, Y., Tarigan, L. H., van der Werf, M.J. & Alisjahbana, B. (2018). Factors associated with non-adherence during tuberculosis treatment among patients treated with DOTS strategy in Jayapura, Papua Province, Indonesia. Global health action, 11(1), 1510592.
Sariem, C. N., Nanlir, Z. S., Banwat, S. B., & Dapar, M. P. (2015). Factors influencing tuberculosis medication adherence: a cognitive intervention in a resource limited setting. World Journal of Pharmaceutical Sciences, 3(9), 1912–1920
Scholz, S., Ngoli, B. and Flessa, S. (2015), Rapid assessment of infrastructure of primary health care facilities – a relevant instrument for health care systems management, BMC Health Services Research, 15(1), 183.
Siswanto, H. (2015). Analisis Kualitas Pelayanan Kesehatan Dalam Operasioanalisasi Program Mobil Sehat (Studi Pada Unit Pelaksana Teknis Pusat Kesehatan Masyarakat Lamongan Kabupaten Lamongan). Jurnal Administrasi Publik, 3(11), 1821- 1826.
Tadesse, T., Demissie, M., Berhane, Y., Kebede, Y., & Abebe, M. (2013). Long distance travelling and financial burdens discourage tuberculosis DOTs treatment initiation and compliance in Ethiopia: a qualitative study. BMC public health, 13(1), 1-7.
USAID. (2015), “QUOTE TB Light”, TB Care Publicatons, p. 3.
WHO. (2015), The End TB Strategy, World Health Origanization, World Health Organization, Geneva, available at:https://doi.org/10.1017/CBO9781107415324.004.
WHO. (2018), Tuberculosis, Media Centre: Fact Sheets, available at:http://www.who.int/mediacentre/factsheets/fs104/en/ (accessed 11 February 2018).
WHO. (2019), Global Tuberculosis Report 2019, World Health Organization, Geneva, available at: https://apps.who.int/iris/bitstream/handle/10665/329368/9789241565714-eng.pdf.
WHO. (2020a), Tuberculosis Country Profile, Geneva, available at: https://extranet.who.int/sree/Reports?op=Replet&name=%2FWHO_HQ_Reports%2FG2%2FPROD%2FEXT%2FTBCountryProfile &ISO2=ID&LAN=EN&outtype=pdf. WHO. (2020b), “Tuberculosis”, Key Facts.
Wright, K. B., Sparks, L., & O’hair, H. D. (2008). Health communication in the 21st century. John Wiley & Sons.
Xu, L., Gai, R., Wang, X., Liu, Z., Cheng, J., Zhou, C., Liu, J. & Tang, W. (2010). Socio-economic factors affecting the success of tuberculosis treatment in six counties of Shandong Province, China. The International journal of tuberculosis and lung disease, 14(4), 440-446.
Zubaidah, T., Setyaningrum, R., Banjarbaru, P. U., Ani, F. N., & Banjarbaru, P. U. (2019). Faktor yang mempengaruhi penurunan angka kesembuhan TB di Kabupaten Banjar tahun 2013. Jurnal Epidemiologi dan Penyakit Bersumber Binatang, 4(4), 192–199.
Unduhan
Diterbitkan
2021-05-05
Cara Mengutip
Rahayu, S. R. (2021). KUALITAS PELAYANAN KESEHATAN TUBERKULOSIS MELALUI QUOTE TB LIGHT SEBAGAI UPAYA “TO END TB”. Bookchapter Inovasi Sains Dan Kesehatan, 3. https://doi.org/10.15294/.v0i0.14
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