ASSESSMENT OF HEALTHCARE STAFF SATISFACTION WITH E-PUSKESMAS APPLICATION USING THE PIECES FRAMEWORK
Abstract
The E-Puskesmas application is a multiuser health service platform designed for patient registration and data management in primary healthcare facilities. Implementation challenges, including internet connectivity issues and system integration problems with BPJS Pcare, have been reported across facilities. Puskesmas Lubuk Begalung has adopted E-Puskesmas for daily operations since 2025. This study, conducted from May to July 2024, evaluated healthcare staff satisfaction with E-Puskesmas using the PIECES framework (Performance, Information, Economic, Control, Efficiency, and Service). Data were collected through questionnaires and interviews, and analyzed using Likert scale methodology. Results indicated mixed satisfaction levels: 45.7% reported dissatisfaction with performance (p > 0.05), 25.7% with information quality (p > 0.05), and 45.7% with economic aspects (p < 0.05). Control-related dissatisfaction was 45.7% (p < 0.05). Conversely, 45.7% expressed satisfaction with efficiency (p < 0.05) and 45.7% with service quality (p < 0.05). The PIECES analysis demonstrated that E-Puskesmas provides significant value and plays a crucial role in healthcare delivery, though specific areas require improvement to enhance overall user satisfaction.
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