Update Artikelilmiah: 5479

SRI PRIMAWATI INDRASWARI

NIM

Judul Artikel

Abstrak (Bhs. Indonesia)

Latar belakang: Ketidakpatuhan dokter spesialis  menulis resep obat DPHO bagi pasien askes merupakan satu kendala dalam upaya peningkatan  mutu  pelayanan kesehatan di Rumah Sakit. 
Tujuan: Menganalisis faktor-faktor yang berhubungan dengan ketidakpatuhan dokter spesialis menulis obat DPHO pada pasien askes wajib di pelayanan rawat jalan RSUD Kardinah Kota Tegal, pendekatan Theory of Planned Behaviour.
Metode penelitian: Deskriptif analitik, total populasi dokter spesialis pemberi pelayanan rawat jalan RSUD Kardinah Tegal . Alat uji program Software-warp PLS 2.0
Hasil penelitian: Sikap mendukung penulisan non DPHO (42,31%), tidak mendukung penulisan non DPHO (57,69%);  norma subyektif yang mengalami tekanan sosial menulis non DPHO (73,08%), tidak mengalami tekanan sosial menulis non DPHO (26,92%); persepsi pengendalian perilaku tidak dapat mengendalikan perilaku (11,54%), dapat mengendalikan perilaku (88,46%); berniat menulis non DPHO (11,54%), tidak berniat menulis non DPHO (88,46%); perilaku tidak patuh (34,62%), patuh (65,38%);  terdapat hubungan positif sikap dengan niat, terdapat hubungan negatif  norma subyektif dengan niat, terdapat hubungan positif persepsi pengendalian perilaku dengan niat,  tidak terdapat hubungan secara bersama-sama antara sikap, norma subyektif, persepsi pengendalian perilaku dengan niat, terdapat hubungan positif persepsi pengendalian perilaku dengan ketidakpatuhan, terdapat hubungan positif niat dengan ketidakpatuhan, dan tidak terdapat hubungan bersama-sama sikap, norma subyektif, persepsi pengendalian periaku, niat dan ketidakpatuhan. 
Simpulan : Responden menunjukkan sikap  mendukung penulisan resep DPHO,  norma subyektif baik, bisa mengendalikan perilaku, berniat mematuhi peraturan, ketidakpatuhan muncul karena ketersediaan obat terbatas. 
Saran: Penambahan jenis obat dalam DPHO, dan pengembangan ilmu asuransi kesehatan yang berfokus pelayanan bermutu.

Abtrak (Bhs. Inggris)

Background : Disobedience of specialist doctors in writing prescriptions follow DPHO medicine for the  ASKES patient  is one obstacle in efforts to increase the quality of health services in hospitals. 
Purpose : To analyze the factors associated with disobedience of specialist doctors in writing  DPHO medicine for the ASKES patient in the outpatient unit in RSUD Kardinah Tegal.
Methode : A descriptive analytic research with  total population of the specialist doctors who provide outpatient services in RSUD Kardinah Tegal, analysed using  software-warp PLS 2.0
Result : An attitude that supports non DPHO  (42,31%), do not support non DPHO  (57,69%);  subjected to social pressure (73,08%), not subjected to social pressures (26,92%); cannot control behavior (11,54%), can control behavior  (88,46%); intends to write non DPHO (11,54%),  no intend to write non DPHO (88,46%); the disobedient  (34,62%), obedient (65,38%). There are a positive relationship between attitude and intention,; a negative relationship between subjective norms with  intention; a positive relationship between perceived behavioral control with intention; no relationship between the simultaneously attitudes, subjective norms, perceived behavioral control with intention; a positive relationship between perceived behavioral control and disobedience;  a positive relationship between intention and disobedience; no relationship between the simultaneously subjective norms, attitudes, perceived behavioral control, intention and disobedience.
Conclusion : Respondents support writing DPHO,  a good subjective norm, can control behavior, intend  to adhere to the regulations, the disobedience because of limited DPHO. 
Suggestion :  additional  types of DPHO medicine and development of health insurance focusing on quality service.

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