Factors Influencing The Implementation Of Health Service Quality Governance In Puskesmas: Systematic Review

Puskesmas is a health service facility that organizes public health efforts and individual health efforts at the first level, by prioritizing promotive and preventive efforts in their working areas. Puskesmas as health service providers for the community must provide excellent service that meets community expectations. Puskesmas need effective quality governance, service performance, service procedures, and resources used to provide primary services as efficiently as possible. Service quality is an important factor that refers to the level of service perfection. Efforts to guarantee the quality of puskesmas are carried out through an accreditation survey which is carried out every 3 years. This study aims to look at the factors that influence the quality of health services at puskesmas from various literatures. To collect and synthesize previous information, this study used a Systematic Literature Review search approach with the PRISMA method, using databases related to medical and academic topics, media publications, Google Scholar. Factors that influence the implementation of health service quality governance at the puskesmas consist of structural factors such as physical facilities, human resources, the leadership role of the head of the puskesmas, access to services, facilities and infrastructure, budget, medical devices, and other facilities, process factors consist of the PDCA method (Planning, Doing, Checking, Actuating), as well as the outcome factors in the form of success on the level of service and degree of public health. The availability of resources, the implementation process carried out by the puskesmas has an impact on the quality of health services provided, as well as having an impact on the output achievements, and the accreditation results of the puskesmas