Darma, Azri
Faculty of Dentistry Universitas Padjadjaran, Indonesia

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Relationship between quality and utilisation of oral health service in Community Health Centers of Padang City Darma, Azri; Oenzil, Fadil; Hidayati, Hidayati
Padjadjaran Journal of Dentistry Vol 30, No 2 (2018): July
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

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Abstract

Introduction: Increasing incidence of oral diseases have not been balanced by the utilisation of oral health care units available, especially at the level of basic services such as Community Health Centers (Puskemas).  This study was aimed to determine the relationship between the quality and the utilisation of health services in Community Health Centers of Padang City. Methods: This study was a survey research with cross-sectional design, Samples have been taken using a random  sampling with total samples of 131 respondents, and statistical analysis used was the chi square test. The independent variable was the service  quality in terms of the patients satisfactionory dimensions, while the dependent variable was utilisation of the oral health services with categories of community health centers that were averagely visited < 9 times daily and ≥ 9 times daily. Results: There was a significant  relationship (p-value < 0.05) between several satisfaction dimensions variables (a wide parking area; hygienic park; assessment of dental health that always performed by the dentists; a friendly services by the counter clerks; and the dentists willingness to listen to the patients complaints), and the utilisation of the oral health service in Community Health Centers of Padang City. Conclusion: Most patients are satisfied with the quality of oral health service in Community Health Centers of Padang City. The visitation and utilisation rate of the patients, however, are not affected significantly by most of their satisfactory dimensions, except for five dimensions which were, wide parking area, garbage-free parking area, assessment of dental health that always performed by the dentists, a friendly services by the counter clerks, and the dentists willingness to listen to the patients complaints.
Differences between dental health service quality and utilization of Community Health Centres in the City of Padang based on indicators of utilisation effectiveness Darma, Azri; Hidayati, Hidayati; Oenzil, Fadil
Padjadjaran Journal of Dentistry Vol 30, No 2 (2018): July
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Original Source | Check in Google Scholar

Abstract

Introduction: The high prevalence of oral disease have not been followed by the availability of oral healthcare, especially at the community-based level. This study was aimed to determine the differences between dental health service quality and utilisation of community health centres in the city of Padang based on indicators of utilisation effectiveness. Methods: A cross-sectional survey was conducted towards two Community Health Services (Puskesmas) as the samples selected using random sampling technique. One Community Health Service was representing a rarely visited Community Health Service with ≤ 9 patients visit per day, and another Community Health Service was representing oppositely. As much as 131 respondents were included in this study, selected using the purposive sampling method. Dimensional satisfaction of service quality including tangibility, reliability, responsiveness, assurance, and empathy, were collected by interviewing the respondents based on a self-reported questionnaire. All data were analysed using the chi-square test. Results: The majority of respondents agreed that dimensional satisfaction such as tangibility, reliability, responsiveness, assurance, and empathy at both Community Health Services were at a good level. There was a significant relationship (p < 0.05) between several dimensional satisfaction of service quality variables (the wide and clean parking area; intense involvement of dentists on every oral examination; friendly service by the front-office; and empathetic affection of dentists towards the patient’s complain) and the utilisation of oral health services. Conclusion: No service differences found from relationship analysis between dental health service quality and utilisation of community health centres in the city of Padang based on indicators of utilisation effectiveness.Keywords: Service quality, dimensional satisfaction, oral health service, service utilisation, Community Health Centre.