Annes Rindy Permana
Master’s Program in Public Health, Universitas Sebelas Maret

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Evaluation of Anesthesia Management Care in the Central Surgical Installation Annes Rindy Permana; Argyo Demartoto; Bhisma Murti
Journal of Health Policy and Management Vol. 10 No. 3 (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.2025.10.03.03.a

Abstract

Background: Effective anesthesia management is essential to ensure patient safety, minimize perioperative complications, and promote optimal recovery. Comprehensive planning across the pre-, intra-, and postoperative phases allows anesthesiologists to deliver systematic and high-quality care. Evaluating each component of anesthesia services context, input, process, product, and outcome is crucial for maintaining professional standards and improving patient satisfaction. Therefore, this study aimed to evaluate anesthesia care arrangements (pre-, intra-, and postoperative) at the Central Surgical Installation of dr. Soepraoen Kesdam V/Brawijaya Malang Hospital using the CIPP evaluation model. Subjects and Method: This qualitative evaluative study was conducted from June 1 to July 1, 2024, employing the Context, Input, Process, and Product (CIPP) framework. Five anesthesiologists were selected through probability sampling. Data were collected through in-depth interviews, direct observations, document reviews, and Focus Group Discussions, and analyzed through data reduction, classifica­tion, and interpretation. Results: Evaluation of the context and input components showed that anesthesia services complied with professional standards and ASKAN guidelines, supported by adequate human resources, infrastructure, and standard operating procedures. The process component including assessment, diagnosis, intervention, implementation, evaluation, and documentation was implemented adequately but not fully aligned with the ASKAN guidelines. Product evaluation indicated satisfactory documentation quality with partial conformity to the 2023 ASKAN edition. The outcome showed stable patient hemodynamics and high satisfaction levels. Conclusion: Context and input components were well-implemented, while process and product evaluations were adequate but require improved documentation to align with the latest ASKAN standards.
Meta-Analysis: Exploring the Impact of Marital Status, Work Environment Conditions, Education, Gender, and Age on Job Satisfaction among Healthcare Professionals Alifia Ayu Romadhona; Annes Rindy Permana; Bhisma Murti; Anggun Fitri Handayani
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.2025.10.02.09

Abstract

Background: Health is a very complex field because it focuses on healthcare providers. The quality of healthcare can be determined through the job satisfaction of healthcare workers. Factors that can affect the job satisfaction of healthcare workers can be assessed based on marital status, working conditions, education, gender, and age. The purpose of this study was to estimate the effect of marital status, working conditions, education, gender, and age on job satisfaction among healthcare workers. Subjects and Method: A meta-analysis study was conducted in accordance with the PRISMA flow chart and PICO model. Population: healthcare workers. Intervention: female, >30 years old, bachelor's degree, single, and good working environment. Comparison: male, <30 years old, diploma, married, and poor working environment. Outcome: job satisfaction. Data were obtained from the Google Scholar, PubMed, BMC, ScienceDirect, Elsevier, and Springer Link databases. The keywords used were “gender” AND “age” AND ‘education’ AND “marital status” AND “work environment” AND “job satisfaction” AND “health workers” AND “cross-sectional” AND “aOR”. Data analysis was performed using Review Manager 5.3 software. Results: This meta-analysis included 12 cross-sectional studies from Myanmar and Ethiopia. The sample size was 3,962 health workers. Marital status (aOR= 1.43; 95% CI= 1.03 to 2.00; p= 0.003) and good working conditions (aOR= 1.55; 95%CI= 1.18 to 2.04; p= 0.002) significantly increased job satisfaction among health workers. Bachelor's degree (aOR= 1.51; 95% CI= 0.53 to 4.83; p= 0.400), female gender (aOR= 1.34; 95% CI= 0.87 to 2.05; p= 0.180), and age >30 years (aOR= 1.81; 95% CI= 0.81 to 4.09; p= 0.150) increased job satisfaction among healthcare workers but were not statistically significant. Conclusion: Marital status, work environment conditions, education level, gender, and age affect job satisfaction in health workers.