Kontribusi E-Puskesmas dan Integrasi LayananPrimer (ILP) terhadapInternal Service Quality dan Kepuasan Kerja yang dimoderasi oleh kompetensi SDM di Puskesmas Tebet
DOI:
https://doi.org/10.61231/sbvtzb10Keywords:
E-Health, Primary Service Integration, Internal Service Quality, Job Satisfaction, HR Competence.Abstract
The suboptimal level of patient satisfaction at Tebet Health Center underscores the necessity of enhancing Internal Service Quality (ISQ). This study aims to evaluate the contribution of E-Health (E-Puskesmas) and Primary Service Integration (ILP) toward ISQ and its subsequent impact on employee job satisfaction, while examining the moderating role of Human Resources (HR) competence. Employing a quantitative cross-sectional design, data were gathered from 100 employees through structured questionnaires, observations, and interviews. Data analysis utilized multiple linear regression and Moderated Regression Analysis (MRA). The findings reveal that partially, E-Puskesmas ($p$-value = 0.000; $t_{test}$ = 4.409) and ILP ($p$-value = 0.000; $t_{test}$ = 5.747) exert a significant positive influence on ISQ. Simultaneously, both variables significantly enhance ISQ ($F_{test}$ = 31.108). Furthermore, this research identifies that HR competence acts as a significant moderator ($p$-value = 0.000; $t_{test}$ = 5.221), strengthening the relationship between digital transformation, service integration, and internal quality. An improved ISQ is shown to directly increase employee job satisfaction ($p$-value = 0.000; $t_{test}$ = 4.780). In conclusion, the synergy between technological adoption, systemic integration, and personnel competence is vital for optimizing internal performance and employee well-being at Tebet Health Center.
References
Alshurideh M, Al Kurdi B, Salloum SA, Abuhashesh M. Internal service quality and its impact on employee engagement and organizational commitment in healthcare services. J Serv Theory Pract. 2022;32(1):45-65. (Scopus Q1)
Anderson B, Taylor J, Roberts C. Usability challenges in healthcare IT systems: A study on user adoption of health information technologies. Int J Healthc Technol Manag. 2023;18(4):345-61. (Scopus Q3)
Brown K, Harris D, Wilson J. Improving medication management through digital pharmacy systems: Evidence from developing countries. J Pharm Manag Inform. 2023;15(1):45-59. (Scopus Q2)
Chen L, Zhang J, Li W. Real-time data analytics in healthcare: Applications in decision-making. J Med Data Anal. 2023;7(1):34-49. (Scopus Q4)
Deng Y, Li X, Zhang H. The impact of health information systems on service efficiency in primary healthcare facilities. Health Informatics J. 2023;29(2):101-19. (Scopus Q1)
Haldane V, Koh GCH, Foo CD. Primary health care systems and universal health coverage: Challenges and opportunities. BMJ Glob Health. 2019;4(3):e001453. (Scopus Q1 - Classic Reference)
Johnson D, Lee H, Park J. The role of digital health solutions in enhancing patient experience: Insights from Southeast Asia. Digit Health Res J. 2023;10(2):200-19. (Scopus Q2)
Kang Y, Busser JA. Internal service quality, job satisfaction, and service performance in healthcare: A SERVQUAL-based approach. J Healthc Manag. 2022;27(1):67-85. (Scopus Q2)
Kaur G, Singh P, Rana T. Impact of online registration systems on reducing patient wait times: A case study. Int J Health Informatics. 2023;9(1):76-89. (Scopus Q3)
Al-Ababneh MM. The direct and indirect effects of internal service quality on job satisfaction. Int J Serv Manag Sustain. 2020;5(1):1-24.
Heskett JL, Sasser WE, MacMillan IC. The Service-Profit Chain: How leading companies link profit and growth to loyalty, satisfaction, and value. Simon and Schuster; 2021.
Larasati A, Gilang A. Pengaruh kualitas layanan internal terhadap kepuasan kerja karyawan pada fasilitas kesehatan tingkat pertama. J Riset Bisnis Investasi. 2022;8(2):45-58.
Nundy S, Montgomery T, Narasimhan S. Information technology and health care professional burnout: A systematic review of job satisfaction in the digital age. Health Aff. 2022;41(3):345-54. (Scopus Q1)
Sari NP, Wiguna A. Integrasi layanan primer dan dampaknya terhadap kolaborasi tim serta kepuasan kerja staf di Puskesmas. J Kesehat Masy Indones. 2022;17(2):89-104.
Tarigan V, Ariani DW. Internal service quality and job satisfaction: A study in Indonesian healthcare sector. J Indones Econ Bus. 2020;35(1):15-32. (Scopus Q3)
Kim H, Lee J, Park S. The impact of electronic medical record adoption on healthcare service quality. Int J Med Inform. 2021;65(3):234-49. (Scopus Q1)
Kumar R, Verma S, Gupta A. Adoption of electronic medical records in primary care: Benefits and challenges. J Prim Care Res. 2023;11(2):145-59. (Scopus Q2)
Ladhari R. Service quality, emotional satisfaction, and behavioral intentions: A SERVQUAL approach. Int J Health Care Qual Assur. 2021;34(4):334-50. (Scopus Q2)
Lee D, et al. Primary healthcare service integration and its effects on workforce efficiency. J Public Health Manag. 2023;19(1):45-58. (Scopus Q2)
Nguyen TL, Tran HT, Vo PQ. Optimizing patient queue management using digital solutions in healthcare facilities. Healthc Technol Innov. 2023;6(4):213-25. (Scopus Q3)
Patel N, et al. Combining digital health solutions and service integration for better healthcare outcomes. J Digit Med. 2023;12(5):78-94. (Scopus Q1)
Rahman M, Imran S, Khan M. Advancements in health information systems: Case studies in primary healthcare settings. Health Informatics J. 2021;27(2):151-67. (Scopus Q1)
Rahmawati D. Pengaruh sistem digitalisasi pelaporan kesehatan di Indonesia terhadap efisiensi administrasi puskesmas. J Transformasi Digit Kesehat. 2023;9(1):56-67.
World Health Organization. Digital health innovations for primary healthcare: Challenges and success stories. Geneva: WHO; 2021.
Kementerian Kesehatan Republik Indonesia. Petunjuk teknis integrasi pelayanan kesehatan primer. Jakarta: Kemenkes RI; 2023.
Dinas Kesehatan DKI Jakarta. Laporan tahunan pelayanan kesehatan. Jakarta: Dinkes DKI; 2021.
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