Annisa Risnasari
Master’s Program in Public Health, Universitas Sebelas Maret

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Meta Analysis: Factors Affecting Health Care Service on Outpatient’s Satisfaction in Hospital Desi Noviani; Titis Cipta Purwantanti; Annisa Risnasari; Bhisma Murti; Siti Mar'atul Munawaroh
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.07

Abstract

Background: Patient satisfaction with health services is very important to measure the level of health services offered to patients and the implementation of health services in hospitals. Patient expectations about service quality are also related to service perceptions and when patients have a good impression, patients' clinical experiences and outcomes are more likely to have positive responses. The aim of this study is to analyze the influence of health service factors on the level of satisfaction of outpatients in hospitals based on the results of several previous studies using meta-analysis.Subjects and Method: This research is a systematic review and meta-analysis based on data obtained through various databases including Google Scholar, PubMed, ResearchGate and Science Direct. This study used articles that were published from 2014 to 2022. The article search was carried out by considering the eligibility criteria defined using the PICO model. Population: outpatients. Intervention: comfortable waiting room, short waiting time, drug availability and payment status (free). Comparation: uncomfortable waiting room, long waiting time, no medicine available and payment status (Out of Pocket). Outcome: patient satisfaction. This article was collected within 1 month with the following keywords used: "Waiting Room" AND "Waiting Time" AND "Drug" AND "Payment Status" AND "Outpatient Health Services" OR "Satisfaction" AND "Cross Sectional Study". The articles included in this research are full text articles with a cross-sectional study design. This article was collected using a PRISMA flow diagram and analyzed using the Review Manager 5.3 application.Results: Meta-analysis of 16 articles using a cross-sectional research design from the countries of Ethiopia and Fiji. Total sample 15,453. Patient satisfaction increases with a comfortable waiting room (aOR= 2.54; 95% CI= 2.01 to 3.21; p < 0.001), short waiting time (aOR= 2.97; 95% CI= 1.62 to 5.47; p < 0.001), good availability of medicines. complete (aOR= 2.01; 95% CI= 1.55 to 2.60; p <0.001), and payment status (free) (aOR= 1.99; 95% CI= 1.34 to 2.95; p <0.001).Conclusion: Outpatient satisfaction in hospitals increases with the comfort of the waiting room, short waiting time, availability of medicines, and payment status (free).
Analyzing the Impact of Job Stress, Workload, and Job Satisfaction on Nurse Performance: A Path Analysis Annisa Risnasari; Setyo Sri Rahardjo; Bhisma Murti
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.10

Abstract

Background: Good performance can help hospitals make profits and maintain the sustainability of their business, and vice versa, a decreased performance can certainly be detrimental to hospitals. Nurses are always required to provide good service even under high pressure, with a large number of patient visits and standard procedures that should not be missed. This study aims to analyze the effect of job stress, workload, and job satisfaction on the nurses’ performance in the inpatient ward of dr. Sayidiman Magetan Hospital, East Java, Indonesia. Subjects and Method: It was an observational analytical study with a cross-sectional approach using a path analysis model. The population in this study was all nurses in the inpatient ward of dr. Sayidiman Magetan Hospital, East Java, Indonesia. The sample in this study was nurses at dr. Sayidiman Magetan Hospital, East Java, Indonesia. The ratio between the number of subjects in a study and the number of independent variables in multivariate analysis is recommended to be 15 to 20 subjects per independent variable. Therefore, the total number of study subjects in this study was 200 people. The study used the simple random sampling technique. The variables in this study were dependent variables and independent variables. The dependent variables included performance, while the independent variables included job stress, workload, and job satisfaction. Results: Nurses' performance in hospital inpatient ward improved with better job satisfaction (b= 0.19; CI 95%= 0.05 to 0.32; p = 0.006) and higher job stress (b = 0.13; CI 95%= -0.01 to 0.26; p = 0.066). Nurses’ performance decreased with heavier workload (b= -0.16; CI 95%= -0.29 to -0.03; p = 0.017). This path analysis model had a good model fit, which was indicated by the following model fit indicators: p = 0.294; RMSEA= 0.034; CFI = 0.98; TLI= 0.92; SRMR= 0.029. Conclusion: Nurses' performance in the hospital inpatient ward improves with better job satisfaction and higher job stress. Nurses' performance decreases with heavier workloads. This path analysis model has good model suitability