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p-Index From 2021 - 2026
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All Journal Waluya The International Science of Health Journal
Sartini Risky
Master of Public Health Study Program, Faculty of Health Sciences, Mandala Waluya University, Indonesia
Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Other

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The Effects of Performance Expectancy and Effort Expectancy on Behavioral Intention to Use the Mobile NHI Application at Bahteramas Hospital Indonesia Novebriani Novebriani; Sartini Risky; Rahmawati Rahmawati
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/am6e3y95

Abstract

Introduction: Mobile NHI is a digital health service developed to facilitate access to National Health Insurance services in Indonesia. Despite its increasing adoption, continued use of the application may depend on users’ perceptions of its usefulness and ease of use. This study aimed to analyze the effects of performance expectancy and effort expectancy on behavioral intention to use the Mobile NHI (National Health Insurance) application at Bahteramas Hospital, Southeast Sulawesi, Indonesia. Method: A quantitative cross-sectional study was conducted among Mobile NHI users at Bahteramas Hospital. The study population comprised 2,092 users, from whom 180 respondents were selected using accidental sampling. Data were collected using a structured questionnaire based on selected constructs of the Unified Theory of Acceptance and Use of Technology (UTAUT). Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) with SmartPLS. Result: Performance expectancy did not have a statistically significant effect on behavioral intention to use Mobile NHI (t < 1.96; p > 0.05). In contrast, effort expectancy had a statistically significant effect on behavioral intention to use Mobile NHI (t > 1.96; p < 0.05). These findings indicate that perceived ease of use plays a more important role than perceived performance benefits in shaping users’ intention to use Mobile NHI in this setting. Conclusion: Effort expectancy significantly influenced behavioral intention to use Mobile NHI, while performance expectancy did not. Improving usability, user support, digital literacy, and service integration may encourage sustained use.
Implementation of the Employee Performance Target System for Functional Officials: A Qualitative Case Study of Performance Management Processes in the Southeast Sulawesi Provincial Health Office, Indonesia Irmayanti Irmayanti; Sartini Risky; Wa Ode Nova Noviyanti Rachman
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/4fcqga58

Abstract

Introduction: The implementation of the functional official performance assessment system through Employee Work Targets based on the Minister of Administrative and Bureaucratic Reform Regulation Number 1 of 2023 and Number 6 of 2022 faces various complex challenges in its implementation. This study aims to examine the implementation of the Employee Performance Target System for Functional Officials: A Qualitative Case Study of Performance Management Processes in the Southeast Sulawesi Provincial Health Office, Indonesia. Method: The research used a qualitative approach with a descriptive evaluative case study type, involving 8 informants consisting of 4 regular informants (functional officials) and 4 key informants (assessors and personnel managers). Data collection was conducted through in-depth interviews, with data analysis using the NVivo application. Result: The findings identified a gap between the availability of digital performance management infrastructure and organizational capacity to implement the system substantively. Three major process-related issues emerged: implementation of Employee Performance Targets, monitoring, and evaluation. Although the electronic performance system facilitated data entry, performance documentation, and managerial access, challenges remained in regulatory understanding, digital literacy, assessor competence, structured monitoring, feedback mechanisms, coordination, and performance dialogue. The absence of consistent performance dialogue limited the use of performance assessment as a mechanism for employee development. Conclusion: Effective implementation of Employee Performance Targets requires more than digital system availability and regulatory compliance. Strengthening assessor capacity, regulatory socialization, structured monitoring and feedback, and performance dialogue is essential to ensure that performance management contributes to continuous improvement and professional development of functional officials.
Service Quality Assessment Using Total Quality Management Principles: A Qualitative Case Study of Patient Focus and Quality Commitment at Oputa Yi Koo Heart and Vascular Hospital, Indonesia Fitriani Zainuddin; La Ode Saafi; Sartini Risky
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/e791ma79

Abstract

Introduction: Oputa Yi Koo Heart and Vascular Hospital is a newly established specialty hospital that faces challenges in maintaining service quality and patient utilization. Total Quality Management (TQM) provides a framework for evaluating service quality through patient-centered processes and a sustained organizational commitment to quality. This study aimed to describe service quality from the perspectives of patient-focused activities and quality commitment at Oputa Yi Koo Heart and Vascular Hospital, Southeast Sulawesi, Indonesia. Method: This qualitative research, using a case study design, employed purposive sampling techniques with 10 informants. Data collection was conducted through in-depth interviews, with analysis using the NVivo application to identify patterns and relationships between themes. Result: Dimensions demonstrating good implementation include a responsive multi-channel service system, top management commitment with a clear vision, advanced medical technology as a differentiation factor, and a structured training program. However, challenges remain in the service standardization aspect due to limited cooperation with the Social Security Administration, suboptimal coordination between units, a quality culture dependent on top management, and budget constraints that affect the equitable distribution of Human Resource Development programs. Conclusion: Patient focused service processes and organizational commitment to quality have been established, but further strengthening of standardization, inter unit coordination, middle management leadership, and quality governance is needed to support sustainable patient-centered service improvement.
The Influence of National Quality Indicators on Customer Satisfaction at the Southeast Sulawesi Provincial Health Laboratory, Indonesia Jasrawati Jasrawati; Sartini Risky; Rahmawati Rahmawati
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/tf227n03

Abstract

Introduction: National quality indicators are essential for ensuring patient safety and service quality in health laboratories. However, evidence regarding their association with customer satisfaction in provincial health laboratories remains limited. This study aimed to examine the association between national quality indicators and customer satisfaction at a provincial health laboratory in Southeast Sulawesi, Indonesia. Method: A quantitative cross-sectional study was conducted from May 7 to June 16, 2025, involving 95 repeat customers of the Southeast Sulawesi Provincial Health Laboratory. Participants were selected using accidental sampling. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Result: National quality indicators were positively and significantly associated with customer satisfaction (β = 0.497, t = 8.406, p < 0.001). The findings indicate that better implementation of national quality indicators was associated with higher levels of customer satisfaction. Conclusion: The implementation of national quality indicators is significantly associated with customer satisfaction in the provincial health laboratory. Strengthening compliance with hand hygiene, personal protective equipment use, and patient identification procedures may contribute to improving users' perceptions of laboratory service quality and satisfaction.
Customer Needs and Infrastructure Challenges in the Development of Training Services at the Southeast Sulawesi Provincial Health Training Center: A Qualitative Case Study Ahmad Ahyar; Sartini Risky; Sri Anggarini Rasyid
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/ye1qrg16

Abstract

Introduction: Adequate facilities and infrastructure are essential for delivering effective and participant-centered health training services. However, training institutions may face gaps between available facilities and participants' expectations. This study aimed to assess customer needs for facilities and infrastructure to support the development of health training services at the Southeast Sulawesi Provincial Health Training Center, Indonesia. Method: A qualitative case study was conducted from May to July 2025. Eleven participants were purposively selected, comprising three training service staff and eight training participants. Data were collected through in-depth interviews, participant observation, document review, and field documentation. Thematic analysis was conducted through coding, categorization, theme development, and interpretation, supported by NVivo software. Data credibility was enhanced through source and time triangulation. Result: The findings indicate diverse infrastructure needs, particularly regarding air conditioning, lighting, clean water, room and classroom comfort, sanitation, audiovisual equipment, and food provision. Key challenges included inconsistent water supply, limited dormitory capacity, equipment failures, and inadequate maintenance. Conclusion: Facility and infrastructure gaps remain important barriers to participant comfort and the quality of health training services. A systematic customer-needs assessment and preventive maintenance system should be integrated into training-service planning, with priority given to sanitation, accommodation, classroom facilities, audiovisual equipment, and food services.
Co-Authors Ahmad Ahyar Andi Asri Annisa Rodliyah Khotimah Asbath Said Eka Ermawan Erwin Azizi Jayadipraja Fitriani Zainuddin Hariawan Hariawan Imran Hatta Irmayanti Irmayanti Jasrawati Jasrawati La Ode Saafi Muhammad Aris Muhammad Rafi Mustika Mustika Novebriani Novebriani Rahmawati Rahmawati Rati Rati Sanihu Munir Sri Anggarini Rasyid Syamsiah Nur Wa Ode Harsen Wa Ode Nova Noviyanti Rachman