FAKTOR-FAKTOR YANG MEMPENGARUHI KEPATUHAN DOKTER GIGI DALAM MENERAPKAN STANDAR PROSEDUR OPERASIONAL PENCABUTAN GIGI PADA SARANA PELAYANAN KESEHATAN GIGI DI KOTA BUKITTINGGI DAN KABUPATEN AGAM

Background: One fundamental requirement in dental services is to ensure that the decision for medical intervention should meet the standard and safety. Availability of standard gives the benefits of minimizing process variation, fulfilling professional requirement, providing the foundation of quality measurement. Non adherence to standard operational procedure of tooth extraction is still commonly found. The aim of the study to identify factors influencing adherence of dentists to the implementation of SOP of tooth extraction in health facilities at Bukittinggi Municipality and District of Agam. Method: The study was a survey that used a cross sectional approach. Respondents consisted of 52 dentists. Research instruments were questionnaire and checklist to assess knowledge, attitude, age and gender of dentists, availability of facilities, implementation system of SOP and organizational support for the adherence of dentists to SOP of tooth extraction. Data analysis used double regression test and product moment correlation. Result: The result of regression analysis showed that all independent variables: knowledge, gender, SOP implementation system, organizational support and attitude, except age and availability of facilities, were significantly associated with adherence of dentists in the implementation of SOP on tooth extraction. All independent variables, except age and availability of facilities, contributed as much as 68.4% (R2=0.684) to adherence of dentists in the implementation of SOP on tooth extraction and attitude of dentists toward SOP of tooth extraction contributed 17.5% (partial eta square=0.175) to their adherence in the implementation of SOP on tooth extraction. Conclusion: 1) Improved knowledge, attitude, implementation on system of SOP, and organizational support meant increased adherence of dentists to implement SOP of tooth extractio