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All Journal Jurnal Sosialisasi: Jurnal Hasil Pemikiran, Penelitian dan Pengembangan Keilmuan Sosiologi Pendidikan Jurnal Riset Gizi Jurnal Manajemen Kesehatan Indonesia UNEJ e-Proceeding Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Kesehatan Komunitas SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Window of Health : Jurnal Kesehatan Jurnal Epidemiologi Kesehatan Komunitas Jurnal Manajemen Informasi dan Administrasi Kesehatan Faletehan Health Journal Poltekita : Jurnal Ilmu Kesehatan Afiasi : Jurnal Kesehatan Masyarakat Jurnal Ners Indonesian Journal of Global Health research Kampurui Jurnal Kesehatan Masyarakat Yumary: Jurnal Pengabdian kepada Masyarakat Jurnal Kesehatan Masyarakat Mulawarman (JKMM) Jurnal Pengabdian Kepada Masyarakat Mulawarman Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Eduvest - Journal of Universal Studies Jurnal Riset Gizi Journal of Community Empowerment Proceeding Mulawarman International Conference on Tropical Public Health Preventif : Jurnal Kesehatan Masyarakat
Adrianto, Ratno
Department Of Health Administration And Policy, Faculty Of Public Health, Mulawarman University, Samarinda, East Kalimantan, Indonesia
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The Relationship Between Mental Health Disorders and Smoking Behavior in Company X Desy Indah Mardiana; Ratno Adrianto
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : The WHO study indicates that over 1.1 billion people globally consumed tobacco in 2023, with significantly higher rates among men than women. Furthermore, the Basic Health Research (Riskesdas) statistics from the Indonesian Ministry of Health in 2023 revealed that approximately 14 million adults aged 15 years and older, constituting 6% of Indonesia's population, suffer from symptoms of anxiety and depression. Anxiety and depression are closely associated with smoking behavior, as higher levels of depression correlate with increased smoking tendencies, and conversely, lower levels of depression correspond with decreased smoking tendencies. Workplace- related depression stemming from job stress, fatigue due to work, and reduced anxiety from work fatigue that affects sleep and concentration difficulties can lead to continuous consumption of cigarettes. Objective : The purpose of this study is to determine the relationship between mental health disorders and smoking behavior at Company X Research Methods/ Implementation Methods : This study employs a quantitative research approach with a cross-sectional design. Data were gathered using a questionnaire. The population for this study consists of employees at Company X, with a sample size of 90 respondents selected through accidental sampling. The instruments utilized in this research include the PHQ-9 (measuring depression levels) and GAD-7 (assessing anxiety levels). Statistical analysis for this study involves Spearman's rank correlation test. Results : The Spearman rank correlation calculation yielded a significant value (Sig.) = 0.000 (p value ≤ 0.05), indicating highly significant data. Therefore, H1 is accepted, suggesting a relationship between smoking behavior and mental disorders among employees at Company X. Additionally, the Spearman rank analysis revealed a correlation coefficient of 0.804, indicating a positive correlation Conclusion/Lesson Learned: Based on the research findings, there exists a relationship between mental disorders and smoking behavior among employees at Company X. Increased smoking correlates with higher levels of depression and anxiety. Future research could further develop by employing different research designs, varying independent variables, and expanding the sample size, thereby advancing research in the field of mental health.
COMMUNITY SATISFACTION INDEX ON PUBLIC SERVICE PERFORMANCE OF UPTD LABKESDA SAMARINDA Eko Prasetya Budi; Ratno Adrianto; Ike Anggraini
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Public service satisfaction surveys are an essential instrument for evaluating the quality and performance of government institutions in delivering public services. The Regional Health Laboratory Unit (UPTD Labkesda) of Samarinda City periodically conducts Community Satisfaction Surveys (CSS) to assess public perceptions, identify strengths and weaknesses in service delivery, and ensure compliance with the service quality standards established under Ministerial Regulation of PANRB No. 14 of 2017 on Guidelines for Conducting Community Satisfaction Surveys. Objective : The study aims to measure the level of community satisfaction with the services provided by UPTD Labkesda Samarinda during the first semester of 2025 and to identify service elements that require improvement to enhance the overall quality and efficiency of public health laboratory services. Research Methods/ Implementation Methods : A descriptive quantitative approach was employed using a structured survey method. Respondents rated nine service elements using a four-point Likert scale, and the results were processed to obtain the Community Satisfaction Index (CSI) Results : The survey results show that the Community Satisfaction Index reached 87.28, categorized as “Satisfactory.” This indicates that most respondents perceive the services as effective, professional, and aligned with their expectations. Conclusion/Lesson Learned : The findings reveal that UPTD Labkesda Samarinda has successfully maintained a high level of public satisfaction through consistent service quality, competent staff, and adequate facilities. Continuous efforts in staff development, process optimization, and community feedback mechanisms are essential to sustain and further improve service outcomes.
SERVICE QUALITY, PATIENT SATISFACTION, AND LOYALTY IN PRIMARY CARE: POLICY IMPLICATIONS FROM A NARRATIVE REVIEW Panuturi Ratih Elizabeth Thresna Sinaga; Ratno Adrianto
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background: Service quality is a key determinant of patient satisfaction and loyalty. While extensive evidence exists in hospital settings, findings in primary care remain fragmented, particularly in contexts undergoing health financing reforms. 1 Objective: This review aims to synthesize empirical evidence on the relationships between SERVQUAL dimensions, patient satisfaction, and patient loyalty in primary care settings. Methods: A narrative review was conducted on 34 primary empirical studies published between 2020 and 2025. Studies examining SERVQUAL dimensions—tangibles, reliability, responsiveness, assurance, and empathy—in relation to satisfaction and loyalty were included. Data were extracted and synthesized narratively, supported by an evidence frequency mapping. Results: Responsiveness, empathy, and tangibles consistently demonstrated strong associations with patient satisfaction. Satisfaction frequently mediated the relationship between service quality and loyalty, whereas direct effects of service quality on loyalty were inconsistent. Reliability and assurance showed variable effects across contexts. Most studies employed cross-sectional designs and SEM-PLS analytical approaches. Conclusion: Evidence supports a service quality–satisfaction–loyalty pathway in primary care. Contextual and financial factors, such as institutional financing models, may moderate these relationships and warrant further investigation using longitudinal and context-sensitive designs.
AN OVERVIEW OF OUTPATIENT SERVICE QUALITY AT RSIA AISYIYAH SAMARINDA IN 2025 Mudassir Yunus; Nur Rohmah; Rahmat Bahtiar; Ratno Adrianto
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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  Background: Service quality is a crucial factor for patient satisfaction and loyalty in healthcarefacilities. The Government of Indonesia, through the Minister of Health Decree (Kemenkes) RI Number 129/Menkes/SK/II/2008, has set Minimum Service Standards (SPM) for outpatientsatisfaction at ≥90%. A study in 2024 showed a relationship between service quality and patientsatisfaction at RSIA Aisyiyah Samarinda, and an internal survey report for the January-June 2024 periodindicated that outpatient patient satisfaction was still below the 90% threshold. Objective: This study aims to provide an overview of outpatient service quality at RSIA AisyiyahSamarinda in 2025. Methods: This was a descriptive quantitative study usingaccidental sampling technique, with data collected from 110 respondents (n=110). The service qualityvariable was measured using five dimensions (Tangibles, Reliability, Responsiveness, Assurance,Empathy). Results: The results showed that the overall average service quality at RSIA Aisyiyah Samarindareached 90.6%, which falls into the “Very Good” category and meets the minimum standards set bythe Ministry of Health (Kemenkes). The dimensions that exceeded the standard were Assurance (92.5%), Empathy (92.1%), and Reliability (91.0%). However, two dimensions remained below the90% threshold, namely Responsiveness (89.3%) and Tangibles (88.0%). Conclusion: The overview of outpatient service quality at RSIA Aisyiyah Samarindain 2025 was categorized as very good
HUBUNGAN MUTU PELAYANAN DENGAN REVISIT INTENTION PASIEN RAWAT JALAN DI RUMAH SAKIT SIAGA AL MUNAWWARAH SAMARINDA Disyanataly, Andi; Sumarni, Sumarni; AR, Chaerunnisa; Adrianto, Ratno; Rahayu, Eka Putri
Jurnal Manajemen Kesehatan Indonesia Vol 14, No 1 (2026): April 2026
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.14.1.2026.76-86

Abstract

The World Health Organization (WHO) reports that poor-quality healthcare in low- and middle-income countries contributes to approximately 8.4 million deaths annually, highlighting service quality as a critical determinant of patient safety and health system performance. Service quality influences patient satisfaction, trust, and revisit intention, particularly in outpatient care. This study aimed to examine the relationship between service quality dimensions and revisit intention among outpatients at Siaga Al-Munawwarah Hospital, Samarinda. A quantitative cross-sectional design was conducted from January 2025 to February 2026 involving 118 respondents selected using the Lemeshow formula and purposive sampling. Data were collected through a validated and reliable Likert-scale questionnaire measuring tangibles, reliability, responsiveness, assurance, empathy, and revisit intention, and were analyzed using univariate analysis and Fisher’s Exact test at a 95% confidence level (α=0.05). The results showed significant associations between reliability (p=0.004), tangibles (p=0.001), empathy (p=0.023), and responsiveness (p=0.000) with revisit intention, while assurance (p=0.313) was not significantly related. These findings indicate that reliability, physical evidence, empathy, and responsiveness play important roles in increasing outpatient revisit intention, whereas assurance tends to function as a basic expectation rather than a distinguishing factor in patients’ decisions to return. Keywords: Service Quality, Revisit Intention, Hospital Services. 
Analisis Kinerja Puskesmas dalam Pencapaian Standar Pelayanan Minimal dengan Pendekatan Malcolm Baldrige pada Puskesmas Karang Asam Edi Suhartono; Ratno Adrianto; Rahmat Baktiar
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55577

Abstract

Penelitian ini bertujuan untuk menganalisis kinerja Puskesmas dalam pencapaian Standar Pelayanan Minimal (SPM) dengan menggunakan pendekatan Malcolm Baldrige Criteria for Performance Excellence (MBCfPE). Menggunakan desain observasional analitik dengan pendekatan cross-sectional, studi dilakukan terhadap 45 pegawai di UPTD Puskesmas Karang Asam, Kota Samarinda, melalui teknik total sampling. Hasil analisis regresi linier berganda menunjukkan bahwa secara simultan, seluruh kriteria Malcolm Baldrige berpengaruh signifikan terhadap kinerja Puskesmas dalam pencapaian SPM (F = 19,956; p = 0,000) dengan nilai koefisien determinasi (R2) sebesar 0,791. Secara parsial, terdapat tiga dimensi yang berpengaruh positif dan signifikan terhadap kinerja: Pengukuran, Analisis, dan Manajemen Pengetahuan sebagai faktor dominan (B = 0,510; p = 0,000), Fokus pada Tenaga Kerja (B = 0,368; p = 0,000), dan Kepemimpinan (B = 0,236; p = 0,035). Sebaliknya, perencanaan strategis, fokus pelanggan, fokus operasional, dan hasil kerja tidak menunjukkan pengaruh signifikan secara parsial. Kesimpulannya, penguatan manajemen berbasis data dan kapasitas SDM menjadi prioritas strategis untuk mengoptimalkan mutu pelayanan kesehatan primer. Kata Kunci: Kinerja Puskesmas, Standar Pelayanan Minimal, Malcolm Baldrige, Pelayanan Kesehatan Prime.
Analisis Kinerja Puskesmas dalam Pencapaian Standar Pelayanan Minimal Kesehatan dengan Pendekatan Balanced Scorecard Pada Puskesmas Sei Siring Jami’an Jami’an; Ratno Adrianto; Rahmat Bakhtiar; Jaya Mualimin; Ida Ayu Indira Dwika Lestari; Akhmad Azmiardi
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.58041

Abstract

Standar Pelayanan Minimal (SPM) bidang kesehatan merupakan indikator kinerja utama pelayanan dasar yang wajib dicapai oleh Puskesmas. Pengukuran kinerja yang komprehensif diperlukan untuk mengevaluasi pencapaian tersebut, salah satunya melalui pendekatan Balanced Scorecard (BSC). Penelitian ini bertujuan untuk menganalisis pengaruh perspektif keuangan, pelanggan, proses bisnis internal, serta pembelajaran dan pertumbuhan terhadap pencapaian SPM kesehatan di Puskesmas Sei Siring Kota Samarinda. Penelitian menggunakan desain kuantitatif dengan pendekatan cross-sectional dan teknik total sampling terhadap 55 pegawai. Data dikumpulkan menggunakan kuesioner dan dianalisis dengan regresi linear berganda. Hasil penelitian menunjukkan bahwa secara simultan keempat perspektif BSC berpengaruh signifikan terhadap pencapaian SPM (p=0,001) dengan nilai adjusted R² sebesar 0,301, yang berarti model mampu menjelaskan 30,1% variasi kinerja. Namun secara parsial, seluruh variabel tidak berpengaruh signifikan (p>0,05) meskipun memiliki arah hubungan positif. Perspektif pembelajaran dan pertumbuhan menunjukkan kontribusi relatif paling besar serta berhubungan signifikan pada analisis bivariat (OR=4,148; p=0,012). Secara deskriptif, sebagian besar responden menilai pencapaian SPM dalam kategori baik, meskipun masih terdapat kesenjangan pada beberapa indikator layanan. Kesimpulan penelitian ini menunjukkan bahwa Balanced Scorecard dapat digunakan sebagai alat evaluasi kinerja Puskesmas secara komprehensif, dengan penguatan pada aspek pembelajaran dan pertumbuhan sebagai strategi utama peningkatan kinerja pelayanan kesehatan. Kata Kunci: Kinerja Puskesmas, Standar Pelayanan Minimal, Balanced Scorecard, Pelayanan Kesehatan Primer
Hubungan Kepemimpinan Autentik Terhadap Kinerja Melalui Komitmen Afektif Pada Pegawai Rumah Sakit Umum Daerah Ratu Aji Putri Botung Kabupaten Penajam Paser Utara Nurlianti Nurlianti Nurlianti; Ratno Adrianto; Rahmad Bakhtiar
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.58078

Abstract

Kinerja pegawai merupakan faktor utama dalam menentukan efektivitas pelayanan rumah sakit, terutama pada rumah sakit pemerintah daerah yang menghadapi tuntutan mutu pelayanan dan keterbatasan sumber daya. Kinerja pegawai tidak hanya dipengaruhi oleh kemampuan individu, tetapi juga oleh penerapan gaya kepemimpinan dan keterikatan emosional pegawai terhadap organisasi. Kepemimpinan autentik (authentic leadership) merupakan gaya kepemimpinan yang menekankan kesadaran diri (self-awareness), perspektif moral terinternalisasi (internalized moral perspective), pemrosesan informasi yang seimbang (balanced processing), serta transparansi relasional (relational transparency). Penelitian ini bertujuan untuk menganalisis hubungan kepemimpinan autentik terhadap kinerja pegawai serta menguji peran komitmen afektif sebagai variabel mediasi pada pegawai RSUD Ratu Aji Putri Botung Kabupaten Penajam Paser Utara. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Sampel berjumlah 200 pegawai yang dipilih melalui teknik purposive sampling. Pengumpulan data dilakukan menggunakan kuesioner berskala Likert 1–5, dan analisis data dilakukan dengan metode Structural Equation Modeling–Partial Least Squares (SEM-PLS). Hasil penelitian menunjukkan bahwa kepemimpinan autentik berpengaruh positif dan signifikan terhadap komitmen afektif (β=0,532; t=8,340; p=0,000); komitmen afektif berpengaruh positif dan signifikan terhadap kinerja pegawai (β=0,396; t=5,092; p=0,000); kepemimpinan autentik berpengaruh positif namun tidak signifikan secara langsung terhadap kinerja pegawai (β=0,110; t=1,281; p=0,201); dan komitmen afektif terbukti memediasi secara penuh (full mediation) hubungan antara kepemimpinan autentik dan kinerja pegawai (β=0,211; t=3,931; p=0,000). Disimpulkan bahwa penerapan kepemimpinan autentik di RSUD Ratu Aji Putri Botung mampu meningkatkan kinerja pegawai apabila terlebih dahulu mampu membangun komitmen afektif yang kuat. Penelitian ini berkontribusi secara teoritis dalam pengembangan kajian perilaku organisasi sektor kesehatan, serta memberikan implikasi praktis bagi manajemen rumah sakit dalam merancang strategi kepemimpinan yang efektif untuk meningkatkan kinerja pegawai dan kualitas pelayanan kesehatan. Kata Kunci: Kepemimpinan Autentik, Komitmen Afektif, Kinerja Pegawai.
Co-Authors 'Aina 'Uruba, Huurul Agustina Simanangi Pamowa Agustina, Elvi Ahmad Ahsyar Hamri Akhmad Azmiardi Akhmad Azmiardi Alvie Magda Lesiwal Aminah Aminah Annisa Nurrachmawati Annisa Nurracmawati AR, Chaerunnisa AR., Chaerunnisa Ari Utari Ashri Budi Astuti Astuti, Ashri Budi Astuti, Prima Yulia Atik Suhargiati Auralia, Syalmita Auralia, Syalmitha Ayu Indira Dwika Lestari Ayu Sri Mega Astuti Baharudin, Irfansyah Bahtiar, Rahmat Bakhtiar, Rahmat Basri, Samsinar Blego Sedionoto Boli Matius Tandi Payung Cahyana, Yudi Jaya Chaerunnisa AR Chaerunnisa Chaerunnisa Dahlia Dahlia Danu Putra, Muhammad Rangga Dedi Priansyah Desy Indah Mardiana Dewi Endah Ramadhani Dias Pratama Disyanataly, Andi Dwi Listiyani Dzulhannisa Tricindra Edi Suhartono Eka Dewi Sitepu, Abira Ivanca Eka Putri Rahayu Eka Putri Rahayu Eko Prasetya Budi Elvira, Vivi Filia Fajri, Audya Nada Fatimatuzzahra, Siti Ferdhitya Rizky Syauqi Fierda Eka Pratiwi Gloria Priska Britani Sumlang Grace Angelina Hapsari, Palupi Setyo Hasan, Hismawati Hilda Hilda Hutauruk, Hutauruk Huwaidah, Ayu Ida Ayu Indira Dwika Lestari Ida Ayu Indira Dwika Lestari Ike Anggraeni Ike Anggraeni G Anggraeny Ike Anggraeni Gunawan Ike Anggraini Ike Anggraini G Ilfa Pratiwi M Noors Imanuddin, Khairul Irfansyah Baharuddin Pakki Irfansyah Bahruddin Pakki Iriyani K Iriyani Kamaruddin, Iriyani Isnaniah, Enny Ivanca, Abira Iwan M. Ramdan Iwan Muhamad Ramdan Iwan Muhamad Ramdan Jami'an Jami'an Jami’an Jami’an Jaya Mualimin Juliana Hasibuan Jumliana, Jumliana K., Iriyani Kartikasari , Dina Khalisha, Nailah Khalishah az Zahra Kurniawan Khotimah, Vika Khusnul Khusnul, Vika Kurniawan, Khalishah az Zahra La Debi Atthoba Lasari, Aramika Laura, Najoan Brigitta Lenik Gah, Regina Lestari, Ida Ayu Indira Dwika Marinda, Indri Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Maulana, Ady Mochamad Makin, Mochamad Mudassir Yunus Mudassir Yunus Muhammad Khairul Nuryanto Muhammad Rangga Muhammad Sultan Muhammad Sultan, Muhammad Nada, Abira Ivanca Audya Nada, Audya Najoan Brigitta Laura Nauli, Ruth Sekar Noriah, Noriah Norsehan, Norsehan Nur Asiyah Nur Rohmah Nur Rohmah Nur, Syalmitha Auralia Nurlianti Nurlianti Nurlinda, Fitria Nursakti Nursakti Nurul Rizkiana Tistania Panuturi Ratih Elizabeth Thresna Sinaga Paramita, Tri Ratna Pasha, Yuliana Pratama, Dias Rahayu, Eka Putri Rahmad Bakhtiar Rahmat Bahtiar Rahmat Bakhtiar Rahmat Bakhtiar Rahmat Baktiar Rahmi Susanti Ramdam, Iwan Muhammad Ramdan , Iwan M. Rangga, M. Ratih Wirapuspita Wisnuwardani Reny Noviasty Reza Jales Mahesa Adiyatsa Rini Wahidatul Ulpah Risky Amelia Rhamadani Rivana Firnanda Riyan Ningsih Riyan Ningsih Rizqa Mahardhika Ronny Setiawati Rudi Saputra Sadaria Sadaria Sayyid Muhammad Taqie Septiana, Lisa Septimaulida, Firda Setianingtyas, Endah Dwi Setyo Nugroho Sinar Sinar siti nurlela Subirman - Sumarni Sumarni Syarifah Amira Najla Tasha Citra Purnama Ulfah, Meilida W, Ratih Wirapuspita. Wahyudi, Ayu Huwaidah Wahyudianto, Yogik Wardani, Citra Rizki Wijayanti, Dwi Astuti Noor Wirapuspita W, Ratih Wirapuspita Wisnuwardani, Ratih Yadi, Yadi Zheditya Ayu Syawalia Zulhijrian Noor