Analisis Kualitas Proses Layanan Kesehatan Lingkungan Dengan Pendekatan Quality Improvment Process (QIP)

Abstract

Latar belakang: Layanan kesehatan lingkungan bertujuan untuk meningkatkan kualitas lingkungan supaya tidak berdampak pada penyakit/gangguan kesehatan. Penyelenggaraan layanan tersebut melalui berbagai proses. Proses kualitas layanan kesehatan lingkungan di Puskesmas A masih ditemukan kendala, sehingga memerlukan upaya perbaikan untuk meningkatkan kualitas layanan dengan menggunakan metode Quality Improvement Process (QIP). Penelitian bertujuan untuk menganalisis kualitas proses layanan kesehatan lingkungan dengan pendekatan QIP.

Metode: Jenis penelitian deskriptif dengan pendekatan survei. Penelitian dilakukan di Puskesmas A Kabupaten Banyumas. Teknik pengumpulan data melalui FGD dan studi dokumentasi. Focus Group Discussion (FGD) melibatkan Kepala Puskesmas dan 4 orang pengelola program kesehatan lingkungan untuk mengidentifikasi, menentukan prioritas, menemukan akar masalah dan menyusun upaya perbaikan.

Hasil: Prioritas area permasalahan kualitas proses layanan kesehatan lingkungan di Puskesmas A adalah layanan klinik sanitasi belum menjangkau seluruh pasien yang menderita penyakit berbasis lingkungan. Akar masalah kualitas proses layanan klinik sanitasi adalah belum adanya jadwal pembagian tugas dan pendelegasian, kurangnya koordinasi antara petugas sanitarian dengan layanan pengobatan, belum ada sosialisasi kepada pasien/masyarakat, belum menerapkan layanan jemput bola, belum adanya Standar Operasional Prosedur (SOP), kurang lengkapnya pengisian kuesioner, pengolahan data secara manual, penolakan kunjungan rumah dan tidak adanya target capaian layanan. Untuk menyelesaikan akar masalah kualitas proses layanan klinik sanitasi antara lain: perlu membuat jadwal jaga secara rutin, pendelegasian kepada sanitarian lain jika berhalangan, menerapkan layanan jemput bola, membuat media KIE (poster/x-banner), membuat SOP layanan, melakukan sosialisasi dan entry data yang terintegrasi dengan kegiatan konseling menggunakan Aplikasi Klinik Sanitasi Pintar (AKSI PINTAR).

Simpulan: Permasalahan kualitas proses layanan klinik sanitasi berdampak pada kualitas layanan yang diberikan kepada pasien/masyarakat. Upaya perbaikan kualitas proses layanan perlu dilakukan untuk menyelesaikan permasalaahan berdasarkan akar masalah yang ditemukan.

ABSTRACT

Title: Analysis Quality Process of Environmental Health Service using the Quality Improvement Process (QIP) Approach

Background: Environmental health services aim to improve environmental quality so that it does not have an impact on disease/health problems. The provision of these services goes through various processes. The process of quality of environmental health services at Community Health Center A still finds obstacles, so it requires improvement efforts to improve service quality using the Quality Improvement Process (QIP) method. The research aims to analyze the quality of environmental health service processes using the QIP approach.

Method: This type of research is descriptive with a survey approach. The research was conducted at the A Primary Health Center, Banyumas Regency. Data collection techniques through Focus Group Discussion (FGD) and documentation studies. Focus Group Discussion involves the Head of the Primary Health Center and  4 Sanitarians to identify, determine priorities, find the root of the problem and develop improvement efforts.

Result:  The analysis shows that the priority problem area for the quality of the environmental health service process at the A Primary Health Center is that sanitation clinic services have not reached all patients diagnosed with environmental-based diseases. The root cause of problems with the quality of the sanitation clinic service process at the A Primary Health Center is the absence of a schedule for division of tasks and delegation, lack of coordination between sanitarian officers and officers in treatment services, no outreach to patients/community, no pick-up service implemented, no SOP for clinic services. sanitation, incomplete filling out of questionnaires, manual data processing, refusal of home visits, and lack of service achievement targets. The root cause of the quality of the sanitation clinic service process can be resolved through: the needs to make a routine duty schedule, delegate to other sanitarians if they are unable to do so, implement a pick-up service, create media of education (posters/x-banners), create Standard Operating Procedures for sanitation clinic services, carry out socialization and data entry integrated with counseling activities using the SIPINTAR application.

Conclusion: The problem quality process of sanitation clinic services have an impact on the quality of services provided to patients/community. Efforts to improve the quality of service processes need to be made to resolve problems based on the root causes found.