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All Journal Journal Research of Health Administration and Public Health (JRHAPH)
Idarwati Mustafa
Program Studi Administrasi Kesehatan, Fakultas Ilmu Kesehatan, Universitas Puangrimaggalatung, Wajo
Public Health

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Evaluasi Kebijakan Pelayanan Rawat Inap dalam Meningkatkan Mutu Pelayanan di RS Prima Husada Sengkang Khaeriah B; Idarwati Mustafa; Eka Wulansari; Nirmawati Darwis
Journal Research of Health Administration and Public Health (JRHAPH) Vol. 2 No. 1 (2026): Journal Research of Health Administration and Public Health (JRHAPH)
Publisher : Lentera Pena Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/4y25cz60

Abstract

The quality of inpatient services is an important indicator of hospital performance and is strongly influenced by the implementation of service policies. This study aimed to evaluate inpatient service policies in improving service quality at Prima Husada Hospital, Sengkang. A qualitative design with an evaluative approach was employed. Twelve participants were selected using purposive sampling, including hospital management, the head of the service division, inpatient ward heads, staff nurses, and patients or their family members. Data were collected through semi-structured in-depth interviews, observations, and document reviews and were analyzed thematically. Data credibility was ensured through source and method triangulation. The findings identified five main themes: implementation of inpatient service policies, compliance with standard operating procedures, human resources and workload, availability of facilities and infrastructure, and service quality monitoring and evaluation. Policies and standard operating procedures were available and used as service guidelines; however, policy dissemination was not conducted regularly. Staff compliance with standard operating procedures was generally good, although increased patient volume could increase workload and affect service responsiveness. Basic facilities were available, but several facilities required maintenance and improvement. Monitoring was conducted through supervision, meetings, and follow-up on patient complaints. The study concludes that policy implementation has supported service quality improvement; however, stronger policy dissemination, workforce management, facility improvement, and more structured monitoring and evaluation documentation systems are required. Strengthening management commitment and interprofessional coordination is also necessary to ensure consistent, responsive, and patient-centered policy implementation.
Kesenjangan antara Harapan dan Pelayanan Pasien JKN terhadap Aspek Hubungan Antar Manusia di Instalasi Rawat Inap RSUD Haji Makassar Idarwati Mustafa; Andi Mikhrunnisai; Anugerah Yanuar Azis; Khusnul Khatimah
Journal Research of Health Administration and Public Health (JRHAPH) Vol. 1 No. 1 (2025): Journal Research of Health Administration and Public Health (JRHAPH)
Publisher : Lentera Pena Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/qj8whp27

Abstract

Interpersonal relationships in healthcare services, particularly in inpatient settings, are fundamental aspects that significantly influence patients’ perceptions and satisfaction levels. Among participants of the National Health Insurance (JKN) program, discrepancies are often observed between their expectations and the actual services received. These gaps commonly relate to communication, empathy, and the attentiveness of healthcare providers toward patients. This study aims to identify the differences between patient expectations and the services received, specifically regarding interpersonal aspects in the inpatient care unit of RSUD Haji Makassar. This research employed a quantitative design with a cross-sectional approach. A total of 98 respondents patients from class I, II, and III inpatient services were selected using quota sampling from a population of 41,663 patients. Data were collected through a structured questionnaire and analyzed using univariate methods and the Importance Performance Analysis (IPA) approach. The results showed that the average expectation score was 3.16, while the average score of received services was 3.06. The overall conformity level was 96.89%, indicating a noticeable gap that needs improvement. The highest satisfaction was found in the item "reception staff friendliness" (98.39%), while the lowest was "nurses' attention to patients’ physical and emotional conditions" (95.15%). These findings highlight the need to improve the quality of interpersonal communication in healthcare through communication training and continuous service quality evaluation.
Persepsi Pasien Umum terhadap Biaya Perawatan di RS Hikmah Citra Medika Sengkang A Nur Azizah; Idarwati Mustafa; Eka Wulansari; Iswi Ramadhani B
Journal Research of Health Administration and Public Health (JRHAPH) Vol. 1 No. 1 (2025): Journal Research of Health Administration and Public Health (JRHAPH)
Publisher : Lentera Pena Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/3pfd2w88

Abstract

Patient perception of healthcare costs in hospitals is a key factor influencing patient satisfaction. Hospitals that can provide clear cost information and quality medical services are more likely to gain patients' trust, which in turn contributes to higher patient satisfaction with the costs they incur. This study aims to explore the general patient perception of healthcare costs at RS Hikmah Citra Medika Sengkang. The study used a qualitative approach with a phenomenological design. Data were collected through in-depth interviews with 10 inpatients during March-April 2025. Participants were selected through purposive sampling, and data analysis was conducted using the Colaizzi method. The results show that cost transparency, the quality of healthcare services, and comfort during treatment are the main factors influencing patient perceptions of the costs they pay. Patients feel more comfortable when they receive transparent cost information before treatment, which allows them to financially prepare. Additionally, the quality of medical services provided by healthcare professionals and hospital facilities also plays a significant role in shaping positive perceptions of costs. The safety and comfort during treatment, related to the hospital's facilities and atmosphere, also affect patient satisfaction with the costs incurred. This study concludes that cost transparency and high-quality service are crucial for building patient trust and improving satisfaction with the incurred healthcare costs. Hospitals need to continue enhancing information transparency and service quality to maintain positive patient perceptions of healthcare costs.
Analisis Kesenjangan antara Harapan dan Pelayanan yang Diterima Terkait Informasi di Instalasi Rawat Inap RSUD Haji Makassar Idarwati Mustafa; Khaeriah B; Andi Mikhrunnisai
Journal Research of Health Administration and Public Health (JRHAPH) Vol. 1 No. 2 (2025): Journal Research of Health Administration and Public Health (JRHAPH)
Publisher : Lentera Pena Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/bkpcxk08

Abstract

The quality of healthcare in a patient-centered care model heavily depends on patients’ perceptions, with the provision of clear information being a critical component. Gaps between patients’ expectations and the actual information received often lead to dissatisfaction and decreased trust in healthcare providers. This study aimed to analyze the gap between patients’ expectations and the services received regarding information provision in the Inpatient Unit of RSUD Haji Makassar. This observational study employed a cross-sectional design. The study population consisted of all inpatients in 2015, and a total of 98 respondents were selected using quota sampling. Data were analyzed univariately, and the Importance Performance Analysis (IPA) method was applied to map priority areas for service quality improvement based on the comparison between expectations and performance. The average alignment between patients’ expectations and the services received was relatively high, at 93.83%. Nurse communication performance (95.47%–96.43%) was found to be more optimal compared to the information provided by doctors (91.88%–93.35%). Based on the IPA analysis, the aspects prioritized for immediate improvement (Quadrant I) were doctors’ explanations regarding diagnosis results, treatment risks, and medication side effects. The lowest alignment was observed in doctors’ explanations concerning treatment risks (91.91%). The higher alignment in nursing services can be attributed to nurses’ more frequent contact with patients compared to doctors, who face time constraints and irregular visit schedules. To minimize these gaps, hospital management should enhance doctors’ communication competencies through targeted training, implement structured visit schedules, and strengthen interprofessional collaboration. These strategies are crucial to improving patient safety and maintaining high standards of public healthcare service quality.
Persepsi Pasien terhadap Efektivitas Program Jaminan Kesehatan Nasional (JKN) di Rumah Sakit Hikmah Citra Medika Sengkang: Studi Kualitatif A. Nur Azizah; Idarwati Mustafa
Journal Research of Health Administration and Public Health (JRHAPH) Vol. 1 No. 2 (2025): Journal Research of Health Administration and Public Health (JRHAPH)
Publisher : Lentera Pena Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/e10xx345

Abstract

Achieving Universal Health Coverage (UHC) through the Jaminan Kesehatan Nasional (JKN) program is a priority of the Indonesian government to ensure affordable access to healthcare services. Although membership coverage has increased significantly, evaluation based on patients’ real experiences remains crucial to identify implementation barriers in practice. This study aimed to explore patients’ perceptions of the effectiveness of the JKN program at RS Hikmah Citra MedikaSengkang. This study employed a qualitative approach with a phenomenological design. Data were collected through in-depth interviews with 15 BPJS Kesehatan patients who were hospitalized in October 2025 at RS Hikmah Citra Medika. Participants were selected using purposive sampling, and data analysis was conducted using the Paul Colaizzi method. The analysis generated five main themes: (1) improved healthcare accessibility despite waiting time constraints; (2) significant financial protection, although out-of-pocket expenses were still reported for non-medical needs or certain medications; (3) responsive and patient-centered medical service quality; (4) administrative procedures perceived as clear yet complex, particularly in referral pathways; and (5) perceptions of equitable care in medical treatment but differences in supporting facilities. Overall, the JKN program at RS Hikmah Citra Medika was perceived positively in terms of access and financial protection. However, program effectiveness remains limited by administrative barriers, waiting times, and perceived disparities in facility equity. These findings indicate the need for systemic improvements, particularly in simplifying bureaucratic processes and aligning service standards to ensure the realization of social justice principles for all participants.
Co-Authors A Nur Azizah A. Nur Azizah Andi Mikhrunnisai Anugerah Yanuar Azis Eka Wulansari Iswi Ramadhani B Khaeriah B Khusnul Khatimah Nirmawati Darwis