Optimizing Health Service Efficiency Through Public Satisfaction and Waiting Time Analysis at Public Health Center

Authors

  • Sri Syaida Ariska Jambi University image/svg+xml
  • Maria Inge Jammin
  • Yulinda Fertitura

DOI:

https://doi.org/10.22437/e-sehad.v5i2.41387

Keywords:

Public Satisfaction, Health Center, Registration Counter, Online Services, Service Improvement

Abstract

Background: Public health centers are integral to providing accessible healthcare services, particularly in local communities. Ensuring public satisfaction with these services is critical to building trust and improving service delivery. This study aims to assess public satisfaction with registration counter services at the Public Health Center, identify key challenges, and propose solutions to enhance service quality.

Method: This study aims to utilize a quantitative approach by collecting primary data through structured questionnaires administered to patients visiting the General Clinic and registration counter in December 2024. Secondary data were obtained from previous satisfaction reports and integrated health center records. The data were analyzed using a Likert scale to measure satisfaction levels and identify key problem areas.

Result: The overall public satisfaction index was calculated at 80.46%, categorized as good. However, several challenges were identified, particularly regarding long waiting times at the registration counter and difficulties in using the newly implemented online registration system. The lowest satisfaction scores were recorded for “Access to Online Services” (76.33%) and “Service Time” (76.06%). Contributing factors included limited staff availability during peak hours, insufficient training for both staff and patients on the online system, and inadequate physical infrastructure, such as overcrowded waiting areas and insufficient seating.

Conclusion: Addressing operational inefficiencies and optimizing online registration systems can significantly improve public satisfaction. Recommendations include increasing staff availability, providing training on the online system, and enhancing physical infrastructure. Regular evaluations and continuous improvements are necessary to maintain high-quality service delivery.

References

1. Jalloh A, Nwosu LC, Baysan S. Evaluation of Waiting Time and Associated Factors Influencing Patient Satisfaction Levels in an Outpatient Department: A Case Study of Government Hospital in Sierra Leone. Sehs. 2023;23050015. https://doi.org/10.69598/sehs.17.23050015

2. Ferreira DC, Vieira I, Pedro MI, Caldas P, Varela JA. Patient Satisfaction With Healthcare Services and the Techniques Used for Its Assessment: A Systematic Literature Review and a Bibliometric Analysis. Healthcare. 2023;11(5):639. https://doi.org/10.3390/healthcare11050639

3. Jin H-J, Cheng A-L, Qian J-Y, Lin L-M, Tang H-M. Effect and Satisfaction of Outpatient Services by Precision Valuation Reservation Registration. World J Clin Cases. 2021;9(26):7750–61. https://doi.org/10.12998/wjcc.v9.i26.7750

4. Osarobo EH, Adekunle SA. National Health Insurance Scheme Services and Patient Satisfaction: The Nigerian Experience. Hem. 2022;3(4):46–54. https://doi.org/10.21272/hem.2022.4-05

5. Akande RO, Abodunrin OL, Olarewaju SO, Adeomi AA, Akande JO, Faramade IO. Health Insurance in Private and Public Health Facilities in Southwestern Nigeria: What Determines Clients´ Satisfactionwith Quality of Service? Pan African Medical Journal. 2022;41. https://doi.org/10.11604/pamj.2022.41.268.26875

6. Moteki Y. Factors Determining User Satisfaction With Counter Services of Local Government Offices: On-Site Survey at Higashihiroshima City Hall, Japan. 2022; https://doi.org/10.21203/rs.3.rs-1118972/v3

7. Ahmad ANA, Ahmad MF, Hamid NA, Hamid NAA, Lee TC, Nawanir G, et al. Implementation of Lean Technique Towards Reducing Waiting Time in a Public Healthcare Using Arena Simulation. International Journal of Integrated Engineering. 2021;13(7). https://doi.org/10.30880/ijie.2021.13.07.024

8. Jafari N, Akbari H, Sarbakhsh P, Dorosti A, Khayatzadeh S, Mohammadpoorasl A. Factors Associated to Patients’ Referral to Private Covid-19 Healthcare Centers in Tabriz, Iran. 2022; https://doi.org/10.21203/rs.3.rs-2357138/v1

9. Thuy DHD, Phuong TTT, Khanh NH, Viên NT. Evaluation of Patient Satisfaction and the Service Quality of the Outpatient Care at the Heart Institute of Ho Chi Minh City. Ho Chi Minh City Open University Journal of Science - Economics and Business Administration. 2021;11(1):46–59. https://doi.org/10.46223/hcmcoujs.econ.en.11.1.1307.2021

10. Qomariyah S, Istiatin I, Sudarwati S. Patient Satisfaction at Aisyiyah Rsu Klaten. Jurnal Ilmiah Fokus Ekonomi Manajemen Bisnis & Akuntansi (Emba). 2024;3(2):230–5. https://doi.org/10.34152/emba.v3i2.1129

11. Thakkar JJ, Thanki S, Guru S. A Quantitative Framework for Health‐care Service Quality Assessment in India. Journal of Modelling in Management. 2022;18(4):1064–92. https://doi.org/10.1108/jm2-11-2021-0279

12. Bamise EA, Agbele AT, Adebayo CO. Evaluating Patients’ Level of Satisfaction on the Quality of Health Services in Ekiti State University Teaching Hospital, Ado-Ekiti Nigeria. Asian Journal of Medicine and Health. 2021;79–90. https://doi.org/10.9734/ajmah/2020/v18i1130271

13. Zakkar MA, Meyer SB, Janes CR. Evidence and Politics of Patient Experience in Ontario: The Perspective of Healthcare Providers and Administrators. Int J Health Plann Manage. 2021;36(4):1189–206. https://doi.org/10.1002/hpm.3153

14. Quyen BTT, Hà NT, Minh H V. Outpatient Satisfaction With Primary Health Care Services in Vietnam: Multilevel Analysis Results From the Vietnam Health Facilities Assessment 2015. Health Psychol Open. 2021;8(1). https://doi.org/10.1177/20551029211015117

15. Indama V. Digital Governance: Citizen Perceptions and Expectations of Online Public Services. Isslp. 2022;1(2):12–8. https://doi.org/10.61838/kman.isslp.1.2.3

16. Sangkot HS, Suryandari ESDH, Wijaya A. How Is the Readiness to Carry Out Online Registration in the Malang Primary Health Care? Interest Jurnal Ilmu Kesehatan. 2022;66–75. https://doi.org/10.37341/interest.v0i0.481

17. Abdurahman S, Kabanda S. Factors Influencing the Design and Implementation of Accessible E‐Government Services in South Africa. The Electronic Journal of Information Systems in Developing Countries. 2024;90(4). https://doi.org/10.1002/isd2.12317

18. Batta G, Mundhe DK, Vishnuprasad R, Batta A, Baruah MM. Demographic Determinants of Patient Satisfaction in Medical Outpatient Department of a Tertiary Care Hospital in North India. J Family Med Prim Care. 2025;14(8):3469–73. https://doi.org/10.4103/jfmpc.jfmpc_430_25

19. Zhang H, Ma W, Zhou S, Zhu J, Wang L, Gong K. Effect of Waiting Time on Patient Satisfaction in Outpatient: An Empirical Investigation. Medicine. 2023;102(40):e35184. https://doi.org/10.1097/md.0000000000035184

20. Akinlusi FM, Olayiwola AA, Adeniran A, Rabiu KA, Oshodi YA, Ottun TA. Patients’ Perception of the Quality of Gynecological Services in a Tertiary Public Health Facility in Lagos, Nigeria. J Patient Exp. 2022;9. https://doi.org/10.1177/23743735221077550

21. Bahammam FA. Satisfaction of Clinical Waiting Time in Ear, Nose &Amp; Throat Departments of the Ministry of Health in Jeddah, Saudi Arabia. Health Serv Insights. 2023;16. https://doi.org/10.1177/11786329231183315

22. Beja H, Nakayiwa D, Owachgiu IO, Edek MT, Kobusinge V, Akaki O, et al. Perspectives of Health Workers on the Facilitators and Barriers to Antiretroviral Therapy Adherence Following Intensive Adherence Counseling in Northern Uganda. Frontiers in Health Services. 2025;5. https://doi.org/10.3389/frhs.2025.1387823

23. Sevin AM, Hale KM, Brown N V, McAuley JW. Assessing Interprofessional Education Collaborative Competencies in Service-Learning Course. Am J Pharm Educ. 2016; https://doi.org/10.5688/ajpe80232

24. Sadali MI. Service Area Analysis of Primary Health Facilities in Yogyakarta Urban Area. IOP Conf Ser Earth Environ Sci. 2023; https://doi.org/10.1088/1755-1315/1233/1/012035

25. Aji RS, Efendi F, Kurnia ID, Tonapa SI, Chong MC. Determinants of Maternal Healthcare Service Utilisation Among Indonesian Mothers: A Population-Based Study. F1000Res. 2022; https://doi.org/10.12688/f1000research.73847.2

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Published

2025-06-30