THE RELATIONSHIP BETWEEN INTERNAL SUPERVISION STRATEGIES AND QUALITY OF HEALTH SERVICES AT PUSKESMAS KOTA KENDARI

Abstract

The problem in this research was the accreditation achievement data of the Puskesmas in Kendari City, namely: 10 middle puskesmas (66%), 2 basic (13%), 2 main (13%) and 1 plenary (6.6%). This data indicates that not all puskesmas have implemented service standards according to PMK 46 of 2015 concerning Puskesmas Accreditation standards, this condition illustrates that technical guidance and supervision carried out at Puskesmas has not been carried out optimally. This study aims to analyze the relationship between internal control strategy and the quality of health services as a managerial function at the Kendari City Health Center. This type of research is a quantitative observation using a Cross Sectional Study design. This research was carried out from February 28 to March 31, 2023. The population for this study was all puskesmas leadership officials, UKP in charge, UKM in charge and quality in charge of 53 people at the Kendari City Health Center. The sampling method uses the Total Sampling technique so that the number of samples is 53 people. Data were processed using the chi-square test, closeness test and phi test. The results showed that the results of the chi-square test on the surveillance time variable obtained the value of X2 count = 13,745, the location of the surveillance obtained the value of X2 count = 8,342, the supervision period obtained the value of X2 count = 16,009, the method of supervision obtained the value of X2 count = 16,009, and structured supervision the value of X2 count = 11,880 is obtained. The conclusion is that there is a relationship between supervision time, supervision location, supervision period, method of supervision and structured supervision with improving the quality of service at the Kendari City Health Center. The most dominant variable associated with improving the quality of service is the variable of supervision time. It is hoped that health workers in Kendari City can increase their motivation to work in order to provide the best health services to the community/patients.