| dc.description.abstract | Healthcare facilities of rural and remote area with high burden patient face high risk problem of quality and safety. This study is a pilot research of quality healthcare in primary services that aims to evaluate the influence of HCT on health services delivery in providers perspective. We performed a time motion survey at a community health center in Gunungkidul, Yogyakarta, Indonesia over 1-day period with all patients (n=70 from 109 patients) consecutively. The deep interview was conducted to collect information about the perception of doctors and nurses about quality of care, barriers and enabling factors to gain quality and safe healthcare services. The average of total time spent of each patient with doctors was 304,4 second, and 152,5 by nurses. We got nearmiss incidents because incorrect identification and illegible writing during the observation. The health workers had a good perception about the importance of adequate time for quality and safety care delivery. Communication openness and accreditation process were enabling factors, but the burden of patients is the most problem since the lack of doctor quantity. Different perception with patients was a challenge while shorter wait times still considered as higher quality of care delivery. The conclusion is lack of human resources still a major problem to achieve quality health services. Further study is needed to keep the appropriateness healthcare worker workload and service flow re-design in primary care. | en_US |
