Analisis faktor-faktor yang mempengaruhi perilaku dokter gigi di kota Kupang dalam pencatatan rekam medis gigi

KRISYUDHANTI, Emma, drg. Niken Widyanti S MDSc

2008 | Tesis | S2 Ilmu Kedokteran Gigi

Latar Belakang: Rekam medis telah banyak dimuat dalam berbagai peraturan, namun para dokter gigi belum sepenuhnya menyadari peranan rekam medis ini dalam peningkatan mutu pelayanan kesehatan gigi. Dari seluruh tempat pelayanan kesehatan gigi yang ada di Kota Kupang belum seluruhnya menggunakan rekam medis gigi untuk mencatat kondisi gigi-geligi pasien maupun perawatan yang telah diberikan. Metode Penelitian: Penelitian ini menggunakan rancangan cross sectional dengan responden 30 orang dokter gigi di Kota Kupang. Untuk menilai variabel bebas (pengetahuan dokter gigi tentang rekam medis gigi, sikap dokter gigi tentang rekam medis gigi, sistem pelaksanaan rekam medis gigi, fasilitas unit rekam medis, dukungan teman kerja, sikap sejawat dokter gigi lainnya serta dukungan organisasi profesi) dan variabel terikat (perilaku dokter gigi dalam pencatatan rekam medis gigi dan kelengkapan pencatatan rekam medis gigi) digunakan kuesioner berdasarkan Skala Likert dan daftar tilik. Hasil: Hasil uji regresi berganda menunjukkan bahwa hanya 2 variabel bebas, yaitu pengetahuan dokter gigi tentang rekam medis gigi dan fasilitas unit rekam medis yang berhubungan secara signifikan dengan perilaku dokter gigi dalam pencatatan rekam medis gigi (masing- masing secara berurutan, adalah: ß = 2,059, p = 0,005; ß = 1,002, p = 0,005), dan seluruh variabel bebas ( sikap dokter gigi tentang rekam medis gigi, sistem pelaksanaan rekam medis gigi, fasilitas unit rekam medis, dukungan teman kerja, sikap sejawat dokter gigi lainnya serta dukungan organisasi profesi) kecuali pengetahuan dokter gigi tentang rekam medis gigi (ß = 3,615, p = 0,049), tidak berhubungan secara signifikan dengan kelengkapan pencatatan rekam medis gigi. Variabel pengetahuan dokter gigi tentang rekam medis gigi dan fasilitas unit rekam medis memberikan kontribusi pengaruh sebesar 57,6% (R2 = 0,576) terhadap perilaku dokter gigi dalam pencatatan rekam medis gigi, sedangkan pengetahuan dokter gigi tentang rekam medis gigi memberikan kontribusi pengaruh sebesar 13,1% (R2 = 0,131) terhadap kelengkapan pencatatan rekam medis gigi. Kesimpulan: 1) Semakin baik pengetahuan dokter gigi tentang rekam medis gigi, maka makin baik perilaku mereka dalam pencatatan rekam medis gigi serta kelengkapan pencatatan rekam medis giginya, 2) Semakin baik fasilitas unit rekam medis, maka makin baik perilaku dokter gigi dalam pencatatan rekam medis gigi, tetapi tidak membuat kelengkapan pencatatan rekam medis gigi juga makin baik, 3) Sikap dokter gigi tentang rekam medis gigi, sistem pelaksanaan rekam medis gigi, dukungan teman kerja, sikap sejawat dokter gigi lainnya serta dukungan organisasi profesi tidak memberikan pengaruh yang signifikan terhadap perilaku dokter gigi dalam pencatatan rekam medis gigi maupun terhadap kelengkapan pencatatan rekam medis gigi.

Background: The dental record is the comprehensive, ongoing file of assessment findings, treatment services rendered, dental outcomes, notations and contacts with the patient. Eventhough the government has made many rules of medical record, the dentists are not fully aware of this problem. Dental health providers in Kupang are public health centre, hospital, dental practitioner and dental clinic of Jurusan Kesehatan Gigi Poltekkes Kupang. Some of dental health providers in Kupang have used dental records in their services, but many of them have not yet. The purpose of this study is to find out how is the behaviour of the dentist in recording dental record and the influencing factors. Method: A cross sectional study was carried out on 30 samples that were selected from the dentists in Kupang. Questionnaire based on Likert Scale and checklist were used to assess the independent variables (dentist’s knowledge of dental record, dentist’s attitude toward dental record, the system of dental record keeping, facility of medical record, support from other staffs, another dentist’s attitude and support from professional organization) and dependent variables (dentist’s behaviour in recording dental record and completeness of dental record). Results: The results of multiple regression analysis revealed that dentist’s knowledge of dental record and facility of medical record were correlated significantly with dentist’s behaviour in recording dental record (respectively: ß = 2,059, p = 0,005; ß = 1,002, p = 0,005) but all independent variables (dentist’s attitude toward dental record, the system of dental record keeping, facility of medical record, support from other staff, another dentist’s attitude and support from professional organization) except dentist’s knowledge of dental record (ß = 3,615, p = 0,049) were correlated unsignificantly with completeness of dental record. Dentist’s knowledge of dental record and facility of medical record gave 57,6% contribution to the dentist’s behaviour in recording dental record and dentist’s knowledge of dental record gave 13,1% contribution to the completeness of dental record. Conclusions: 1) The better the dentist’s knowledge of dental record, the better is the dentist’s behaviour in recording dental record and completeness of dental record, 2) The better the facility of medical record, the better is the dentist’s behaviour in recording dental record but not make the completeness of dental record better, 3) The dentist’s attitude toward dental record, the system of dental record keeping, support from other staff, another dentist’s attitude and support from professional organization had no significant correlation to the dentist’s behaviour in recording dental record and completeness of dental record.

Kata Kunci : Rekam medis gigi,Perilaku,Dokter gigi,behaviour, dentist, dental record