The Implementation of the Plead Accreditation Policy on Public Satisfaction at the Medan Selayang Community Health Center

Abstrak

This study aims to analyze the influence of the implementation of Paripurna accreditation policies on community satisfaction at Puskesmas Medan Selayang, using four main dimensions based on George C. Edward III’s theory: communication, resources, disposition, and bureaucratic structure. This research employs a quantitative approach with the Structural Equation Modeling Partial Least Square (SEM-PLS) method. The sample consists of community members who accessed services at Puskesmas Medan Selayang and was selected using a purposive sampling technique. Data were analyzed using SmartPLS software to examine the relationships among variables simultaneously. The results show that communication, resources, disposition, and bureaucratic structure all have a positive and significant effect on community satisfaction. Overall, the implementation of the Paripurna accreditation policy has a positive and significant influence on community satisfaction, indicating that the success of accreditation is not only determined by the fulfillment of standard documents but also by the effectiveness of its implementation in practice. These findings emphasize that improving community satisfaction at Puskesmas Medan Selayang is more strongly influenced by the quality of internal communication, resource readiness, the commitment of health personnel, and a well-organized bureaucratic structure. Therefore, efforts to improve the quality of health services require strengthening accreditation implementation continuously to achieve public services that are safe, effective, and responsive to community needs.