Puskesmas is a functional health organization as well as a center for community health development. The Klender urban health center currently uses an online registration system and offline registration. This study aims to determine the online and offline outpatient registration system at the Klender Village Community Health Center in 2023. This research is a qualitative research. In this study, researchers directly observed the process of outpatient registration. Retrieval of research data is done by observation and interviews with registration officers. The results of the study found that online registration uses the Jaksehat application, patients do not need to come to the health center to register, patients come to the health center to validate queue numbers to the polyclinic only. Calling patients who register online is prioritized with a system of calling queue numbers 1-5, 11-15 and so on. Offline registration is done by having patients come directly to the puskesmas and queue to register. For calling patients, register offline after patients register online with queue numbers 6-10, 16-15, etc. The problems found in registration were the separate queues for patients who registered online and offline and there was a mismatch in calling patients according to the serial number of the queue. The conclusion in this study is that online registration of outpatients uses the Jaksehat application and offline registration is carried out using the system used by the puskesmas. It is expected that the puskesmas will separate the queues of patients who have registered online with patients who have registered offline.
 
 

Shrinkage is the reduction of medical records on storage shelves by moving inactive medical records to a different room from the active shelf seen from the last patient visit. The purpose of this study was to determine the implementation of shrinkage at the Kembangan Regional General Hospital. This research method uses a qualitative descriptive method by means of interviews and observations in the medical records unit. So it can be concluded from the results of the study that the Kembangan Regional General Hospital already has SOP related to shrinkage which is divided into SOP sorting, media transfer and destruction. In the implementation of shrinkage, officers carry out the process of sorting, transferring and transferring media every day. But officers do not conduct an assessment based on use value. The destruction process is carried out when the number of medical records has reached 2 tons by using a third party to make medical records in the form of pulp. The main obstacles to the implementation of shrinkage are officers who do not have a decree on duties and teams so that officers often delay the implementation of shrinkage, paper quality that makes it difficult for officers to see medical record sheets in the past year and scan machines that heat up quickly due to continuous use. Therefore, the Kembangan Regional General Hospital should complete the SOP related to shrinkage, make a decree of duties and conduct an assessment stage so that the implementation of shrinkage is carried out properly, and add a scan machine so that the implementation of media transfer is not delayed.

kepuasan pasien adalah suatu fase perasaan pasien yang timbul sebagai akibat dari kinerja pelayanan kesehatan yang didapat setelah pasien membandingkan dengan apa yang dirasakan. Pasien akan merasa puas jika kinerja layanan kesehatan yang diperoleh sama atau melebihi harapan. Dampak dari kepuasan pasien yang rendah terhadap pelayanan di pendaftaran rawat jalan yaitu dapat menyebabkan pasien tidak akan kembali berobat ke puskesmas dan menyebabkan pengunjung puskesmas berkurang. Peneliti akan melakukan penelitian dengan pasien dibagian pendaftaran rawat jalan di puskesmas kecamatan kepulauan seribu utara. Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pasien terhadap pelayanan petugas pendaftaran rawat jalan di puskesmas kecamatan kepulauan seribu utara. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan menggunakan model pengambilan sampel accidental sampling, dengan cara menyebarkan angket kepada 97 responden yang diukur pada 5 dimensi mutu pelayanan yaitu bukti fisik (tangibles), kehandalan (reliability), ketanggapan (responsiveness), asuransi (assurance), dan empati (empathy). Dari penelitian tersebut diketahui bahwa persentase kepuasan untuk dimensi bukti fisik (tangibles) 84,5%, kehandalan (reliability) 85,6%, ketanggapan (responsiveness) 78,4%, asuransi (assurance) 74,2%, dan empati (empathy) 80,4%. Dengan demikian diketahui tingkat kepuasan pasien terhadap pelayanan petugas pendaftaran rawat jalan di Puskesmas Kecamatan Kepulauan Seribu Utara sebesar 86,6% dan yang menyatakan tidak puas sebesar 13,4%. Berdasarkan dari hasil tingkat kepuasan yang diperoleh belum mencapai standar pelayanan minimal puskesmas yang telah dititipkan oleh menteri kesehatan yaitu ≥90%. Diharapkan kepada pihak puskesmas untuk meningkatkan kualitas pelayanan khususnya di tempat pendaftaran pasien rawat jalan.

Patient satisfaction is the same as the results of the assessment in the form of emotional responses ranging from feelings of pleasure or satisfaction obtained by patients because of the fulfillment of expectations or desires in using or receiving services. The impact of low patient satisfaction on services at outpatient registration is that it can cause a decrease in the quality of hospital services and result in a decrease in patient visits at the hospital. The purpose of this study was to determine the level of patient satisfaction with the services of outpatient registration officers at Bhakti Kartini Hospital. The method used is descriptive quantitative by distributing questionnaires to 106 respondents measured on 5 dimensions of service quality. From these studies it is known that the percentage of satisfaction to the dimensions of reliability 81.1%, responsiveness 84.9%, assurance 84%, empathy 79.2%, and the physical tangibles 82.1%. Thus, it is known that the level of patient satisfaction with the services of outpatient registration officers at Bhakti Kartini Hospital is 83% and those who are dissatisfied are 17%. Based on the results, the level of satisfaction obtained has not yet reached the minimum hospital service standard that has been set by Kepmenkes 129 in 2008 which is at least 90%.