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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) Jurnal Riset Gizi Journal of Community Empowerment Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Proceeding Mulawarman International Conference on Tropical Public Health Preventif : Jurnal Kesehatan Masyarakat Indonesian Journal of Global Health Research
Adrianto, Ratno
Department Of Health Administration And Policy, Faculty Of Public Health, Mulawarman University, Samarinda, East Kalimantan, Indonesia
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Analysis of Factors that Influence the Quality of Work Life on the Performance of Specialist Doctors Rini Astuti Wardhani; Ratno Adrianto; Iwan Muhammad Ramdan; Irfansyah Baharuddin Pakki; Iriyani Kamaruddin; Riyan Ningsih
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.370

Abstract

Performance (task performance) is the behavior of employees who are directly involved in forming organizational resources into goods or services that produce the organization, with attitudes and behavior that support the managerial, social, and psychological environment of an organization as contextual performance. There has been a decline in performance at the Kundungga Regional Hospital in 2022/2023 with various indicators, all of which impact decreasing public satisfaction with the quality of doctors' performance. This study aims to analyze the factors that influence Quality of Work Life (QWL) on the performance of specialist doctors at Kudungga Regional Hospital, East Kutai Regency. Analytical survey research with a cross-sectional approach was conducted in January 2024 on 37 respondents (total sampling). The measuring instruments used consist of doctor involvement, balanced compensation, job security, work environment safety, pride in the institution, career development, available facilities, problem-solving, communication, patient care, medical knowledge, practice-based learning, skills communication, professionalism, data analysis using the Spearman Rank Test with a confidence level of 95%.  It was concluded that there was a relationship between compensation (p=0.043; R=0.489), patient care (p=0.000; R=0.072), medical knowledge (p=0.000, R=0.301), practice-based learning (p=0.000, R=- 0.053), communication skills (p=0.000, R=0.313) and professionalism (p=0.000, R=0.243) with the performance of specialist doctors at Kundungga Regional Hospital. Hospital Management is advised to pay more attention to balanced compensation factors, and services, increasing the amount of Income Improvement Allowance which is expected to improve the performance of Specialist Doctors at Kudungga Regional Hospital.
Analysis of Job Satisfaction and Organizational Commitment to Positive Work Behavior of Employes Yumardi; Ratno Adrianto; Irfansyah Baharuddin Pakki
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.385

Abstract

The main problems faced by hospitals in Indonesia from an internal perspective are the lack of human resource commitment, inconsistent organizational systems and leadership, differing perceptions regarding service quality, limited funds, and a lack of work culture. The purpose of this study is to identify the relationship between job satisfaction dimensions and organizational commitment dimensions and positive work behavior of employes at Kudungga Sangatta Regional General Hospital. The type of research used an observational cross-sectional quantitative research method, conducted over 3 months. The total sample size was 158 employes. The population in this study consisted of all employes in the support services department across 12 (twelve) installations or units at Kudungga Sangatta Hospital. Data collection techniques and research instruments are interviews and questionnaires. Data analysis is done using statistical tests, namely: Chi-Square test with a significance level of α= 0.05, and multiple logistic regression test. The conclusion from the 7 dimensions of independent variables that are related to positive work behavior of employes is job characteristics (p=0.000), rewards (p=0.000), work environment (p=0.000), and relationships with management (p=0.010), while those that are not related to positive work behavior of employes are affective commitment (p=0.518), continuance commitment (p=1.000), normative commitment (p=0.861), and the most dominant influence on positive work behavior of employes at Kudungga Sangatta Regional General Hospital is the rewards dimension with an Odd Ratio value of 7.338. It is recommended that efforts to improve the quality of hospital services by increasing employe job satisfaction include proportional recognition and attention, managing job characteristics to align with employe competencies and capacities, and creating a good work environment that can motivate employes and increase the intensity of management communication by involving employes in formal activities or joint events outside of office hours.
Quality Control and Cost Control Analysis of Pulmonary Tuberculosis Clinical Pathway Salyanti Puji Negeri; Ratno Adrianto; Irfansyah Baharuddin Pakki
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.422

Abstract

Tuberculosis is one of the global health issues discussed at the G20 meeting in 2020 in Indonesia, where the number of pulmonary tuberculosis patients in Indonesia continues to increase, where the treatment of pulmonary tuberculosis patients in hospitals requires clinical pathways to provide effective and efficient services to pulmonary tuberculosis patients in the treatment room. The study was conducted quantitatively with a cross sectional research design conducted on 127 medical record files of pulmonary tuberculosis patients in the inpatient treatment room at RSUD IA Moeis Samarinda in 2024 using purposive sampling. Electronic instruments of patient medical records were used to obtain data on compliance with specialist visits, laboratory examinations, thoracic X-ray examinations, administration of Anti-Tuberculosis Drugs, Length of stay, Cost of Drugs and Consumables (BHP), and Cost of Services to assess the effect of Quality Control and Cost Control of Clinical pathway for pulmonary tuberculosis patients hospitalized at RSUD IA Moeis Samarinda. Multivariate analysis using Kruskal Walls test. The results showed that variables that had an influence on the clinical pathway included compliance with specialist visits, where an increase in compliance with specialist visits was also obtained in the group without clinical pathway on average 57.04%, and the group with clinical pathway amounted to 64.07%. Antituberculosis drug administration also increased, in the group without clinical pathway by 22.6% and in the group with clinical pathway by 44.2%. Other variables that also affect the clinical pathway are Length of stay, Cost of Drugs and BHP, and Cost of Services. While 2 other variables, laboratory examination and radiology examination, did not affect the clinical pathway. The conclusion of this study is that clinical pathway is significantly related to visit compliance, OAT administration, Length of Stay, BHP Costs and Service Costs.
Analysis of the Relationship Between Service Quality and Patient Satisfaction Levels Rinda Purnama; Ratno Adrianto; Irfansyah Baharuddin Pakki
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.452

Abstract

Patient satisfaction is an important element in evaluating service quality by measuring the patient's response after obtaining health services by comparing it with what he expects. This study aims to determine the variables related to the quality of health services to outpatient satisfaction at the Tepian Baru Health Center, East Kutai Regency. This type of research uses a quantitative research method with a Cross Sectional Study approach. The sample size used in this study was calculated using the Lemeshow formula of 357 respondents. the data collection technique used a questionnaire developed from the dimensions of each variable in the study. The instrument was tested for validity and reliability before use. The validity test showed that all question items had a correlation coefficient greater than the r-table valu (0.361), indicating that the items were valid. Data analysis was carried out in three stages: univariate analysis to describe each variable, bivariate analysis using the Chi-Square test to determine the relationship between service quality dimensions and patient satisfaction, and multivariate analysis using multiple logistic regression to identify the most dominant variable. The results of the study showed that there was a positive and significant influence of the variables of Access/affordability, Efficiency, Human Relations, Comfort and Punctuality variables on the level of patient satisfaction at the Tepian Baru Health Center, East Kutai Regency. In this study, a multivariate test was also carried out with the multiple logistic regression method to see which variable had the most influence on the level of patient satisfaction, the results were obtained that the most dominant variable related to the level of patient satisfaction at the Tepian Baru Health Center was the Comfort variable with an Odd Ratio (OR) value of 52.367, meaning that the respondents gave their opinion on the importance of the role of comfort having a chance of 52 times related to the level of patient satisfaction at the Puskesmas New Edge.
The Influence of Hospital Marketing Mix and Consumer Personal Factors on the Selection of Referral Hospitals by Patients Ira Puspa Rachmawati; Rahmat Bakhtiar; Blego Sedionoto; Ratih Wirapuspita Wisnuwardani; Ratno Adrianto; Hilda Hilda
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1049

Abstract

The selection of referral hospitals is not solely determined by the administrative mechanism of the National Health Insurance (JKN) referral system but is also influenced by hospital marketing strategies and patient characteristics. This study aimed to examine the effects of the hospital marketing mix (7Ps) and personal patient factors on referral hospital selection at Segiri Primary Health Center, Samarinda. A quantitative cross-sectional design was employed involving 348 respondents selected through simple random sampling from 1,758 referred patients. Data were collected using a structured questionnaire that had been tested and confirmed to be valid and reliable. Statistical analyses included Chi-square and Fisher’s exact tests for categorical variables, as well as Kruskal-Wallis and Mann-Whitney tests for non-parametric comparisons. The results indicated that most personal characteristics, including age, gender, education, occupation, income, and JKN ownership, were not significantly associated with referral hospital selection (p>0.05), except for domicile (p<0.05). Clinical factors, represented by the destination polyclinic, showed a strong association with hospital choice (p<0.001). Among the marketing mix components, Product (p=0.026), Process (p=0.018), and Physical Evidence (p<0.0001) significantly influenced referral hospital selection, while Price, Place, Promotion, and People showed no significant effects (p>0.05). In conclusion, referral hospital selection was primarily influenced by service needs and the quality of patient experience rather than personal characteristics. Prioritizing improvements in physical facilities and optimizing service processes are essential to enhance the effectiveness of the referral system.
Analysis of the Asociation Between Service Quality, Hospital Image and Inpatient Loyalty Netie Rahmayani; Ratno Adrianto; Annisa Nurrachmawati
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1066

Abstract

Competition among hospitals required improvements in service quality and the strengthening of hospital image to retain patients. Good service quality and a positive hospital image influenced patients’ trust and their decision to return for treatment. Patient loyalty became an important indicator of service success, making it necessary to analyze the factors that affected.  it. This study aims to analyze the association of service quality, hospital image with the loyalty of inpatients at I.A Moeis Samarinda Public Hospital. The study population was all inpatients in the treatment room with an average number of visits per month of 835 patients. With stratified sampling technique, a sample of 156 respondents was obtained. Questionnaire instruments were used to collect data on respondent. he results of the validity test showed that all Corrected Item Total Correlation values exceeded 0.1562, while the reliability test yielded a Cronbach’s alpha coefficient of 0.980, indicating that the questionnaire was valid and reliable. Data analysis using regression logistic biner. The results of the three independent variables test simultaneously show that the technical quality variable is positively and significantly associated with loyalty (p value = 0.016), and hospital image is positively and significantly associated with loyalty (p value = 0.000). The most dominant variable associated is hospital image with OR = 9.589 (95% CI OR = 3.064-30.006), which means that a good hospital image has a 9.5 times chance of creating patient loyalty. The conclusion of this study is the technical quality and the hospital image are positively and significantly associated with loyalty and the hospital image is the most dominant variable associated with the loyalty of inpatients.
Pengaruh Kualitas Layanan Pendekatan Healthqual Terhadap Niat Kunjungan Ulang Pasien Melalui Kepuasan Pasien Sebagai Variabel Mediasi di BLUD Labkesda Kota Samarinda Eko Prasetya Budi; Ratno Adrianto; Ike Anggraeni; Ida Ayu Indira Dwika Lestari; Iriyani Iriyani; Rahmat Bakhtiar
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60090

Abstract

Pelayanan laboratorium kesehatan yang berkualitas menjadi faktor penting dalam meningkatkan kepuasan pasien dan mempertahankan keberlanjutan penggunaan layanan, khususnya pada institusi pemerintah yang menerapkan sistem Badan Layanan Umum Daerah (BLUD). Penelitian ini bertujuan untuk menganalisis pengaruh kualitas pelayanan berdasarkan metode HEALTHQUAL terhadap niat kunjungan ulang melalui kepuasan pasien pada BLUD Laboratorium Kesehatan Daerah Kota Samarinda. Penelitian menggunakan desain observasional kuantitatif dengan pendekatan cross-sectional. Sampel penelitian terdiri dari 372 pasien mandiri yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner berbasis skala Likert yang mengukur kualitas pelayanan, kepuasan pasien, dan niat kunjungan ulang. Analisis data dilakukan menggunakan Structural Equation Modeling Partial Least Square (SEM-PLS). Hasil penelitian menunjukkan bahwa kualitas pelayanan berpengaruh positif terhadap kepuasan pasien dengan nilai koefisien 0,796 dan kepuasan pasien berpengaruh positif terhadap niat kunjungan ulang dengan nilai koefisien 0,740. Kepuasan pasien juga terbukti memediasi hubungan kualitas pelayanan terhadap niat kunjungan ulang dengan nilai koefisien 0,589. Hasil ini menunjukkan bahwa pengalaman pelayanan yang baik akan meningkatkan kepuasan pasien sehingga mendorong keinginan menggunakan kembali layanan. Penelitian ini menyimpulkan bahwa peningkatan kualitas pelayanan berdasarkan dimensi HEALTHQUAL merupakan strategi penting untuk meningkatkan kepuasan dan mempertahankan kunjungan pasien pada layanan laboratorium kesehatan
Faktor yang Berhubungan dengan Perilaku Berisiko HIV Pada Anak Buah Kapal Kargo Internasional di Muara Mahakam Muhammad Noor; Irfansyah Baharuddin Pakki; Yadi Yadi; Akhmad Azmiardi; Ratno Adrianto; Muhammad Sultan
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60169

Abstract

Anak Buah Kapal (ABK) kargo internasional merupakan kelompok pekerja dengan mobilitas tinggi yang rentan terhadap perilaku berisiko HIV. Penelitian mengenai determinan perilaku berisiko HIV pada ABK masih terbatas dan umumnya hanya menilai faktor perilaku secara parsial. Penelitian ini bertujuan menganalisis hubungan faktor individu, lingkungan, dan pelayanan kesehatan dengan perilaku berisiko HIV pada ABK kargo internasional di Muara Mahakam serta mengidentifikasi faktor yang paling dominan. Penelitian kuantitatif analitik dengan desain cross-sectional ini dilakukan pada 193 ABK kargo internasional di wilayah kerja Balai Kekarantinaan Kesehatan Kelas I Samarinda tahun 2025. Sampel diperoleh menggunakan teknik teknik purposive sampling. Data dikumpulkan melalui kuesioner terstruktur berbasis Health Belief Model (HBM) yang telah diuji validitas dan reliabilitas. Analisis data meliputi analisis univariat, uji Chi-square, dan regresi logistik berganda dengan metode Backward Likelihood Ratio pada tingkat signifikansi 5%. Analisis bivariat menunjukkan bahwa lama bekerja, lama berlayar, hubungan seksual dengan pasangan tidak tetap, jumlah pasangan seksual, riwayat pemeriksaan HIV, pengetahuan, persepsi hambatan, dan akses pelayanan kesehatan berhubungan dengan perilaku berisiko HIV (p<0,05). Analisis multivariat menunjukkan bahwa lama bekerja (Exp(B)=0,014; p=0,003), hubungan seksual dengan pasangan tidak tetap (Exp(B)=0,003; p<0,001), jumlah pasangan seksual (Exp(B)=0,032; p=0,005), dan persepsi hambatan (Exp(B)=9,004; p=0,004) berasosiasi secara independen dengan perilaku berisiko HIV. Model regresi memiliki kesesuaian yang baik berdasarkan uji Hosmer–Lemeshow (p=0,479) dengan nilai Nagelkerke R Square sebesar 0,888. Perilaku berisiko HIV pada ABK kargo internasional di Muara Mahakam berasosiasi dengan lama bekerja, hubungan seksual dengan pasangan tidak tetap, jumlah pasangan seksual, dan persepsi hambatan. Program pencegahan HIV perlu difokuskan pada pengurangan hambatan akses layanan kesehatan, penguatan edukasi berbasis Health Belief Model, serta penyediaan layanan konseling, tes HIV sukarela, dan kondom di lingkungan pelabuhan.
Co-Authors 'Aina 'Uruba, Huurul Agustina Simanangi Pamowa Agustina, Elvi Ahmad Ahsyar Hamri Akhmad Azmiardi Akhmad Azmiardi Alvie Magda Lesiwal Alwan Zakki Nozomi 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 Blego Sedionoto Boli Matius Tandi Payung Chaerunnisa AR Chaerunnisa Chaerunnisa Dahlia Dahlia Danu Putra, Muhammad Rangga Dedi Priansyah Desy Indah Mardiana Dewi Endah Ramadhani Dias Pratama Dwi Astuti Noor Wijayanti Dwi Listiyani Dzulhannisa Tricindra Edi Suhartono Eka Dewi Sitepu, Abira Ivanca Eka Putri Rahayu Eka Putri Rahayu Eko Prasetya Budi Eko Prasetya Budi Elvira, Vivi Filia Endah Dwi Setianingtyas Fajri, Audya Nada Fatimatuzzahra, Siti Ferdhitya Rizky Syauqi Fierda Eka Pratiwi Gloria Priska Britani Sumlang Grace Angelina Hasan, Hismawati Hilda Hilda Hilda Hilda Hutauruk, Hutauruk Huwaidah, Ayu Ida Ayu Indira Dwika Lestari Ida Ayu Indira Dwika Lestari Ike Anggraeni Ike Anggraeni Gunawan Ike Anggraini Ike Anggraini G Ilfa Pratiwi M Noors Imanuddin, Khairul Ira Puspa Rachmawati Irfansyah Baharuddin Pakki Irfansyah Bahruddin Pakki Iriani Iriani Iriyani Iriyani Iriyani K Iryani Kamaruddin Isnaniah, Enny Ivanca, Abira Iwan M. Ramdan Iwan Muhamad Ramdan Iwan Muhamad Ramdan Iwan Muhammad Ramdam Iwan Muhammad Ramdan Jami&#039;an Jami&#039;an Jami’an Jami’an Jaya Mualimin Julia Arlianti Devani Juliana Hasibuan Jumliana, Jumliana Kania Imanuella Rante 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 Lisa Septiana Marinda, Indri Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Maulana, Ady Mochamad Makin Mudassir Yunus Mudassir Yunus Muhammad Khairul Nuryanto Muhammad Noor Muhammad Rangga Muhammad Sultan Muhammad Sultan, Muhammad Nada, Abira Ivanca Audya Nada, Audya Nadya Zahira Shafa Najoan Brigitta Laura Nauli, Ruth Sekar Netie Rahmayani Noriah, Noriah Norsehan Norsehan Nunuk Kusuma Wardani Nur Asiyah Nur Rohmah Nur Rohmah Nur, Syalmitha Auralia Nurkholis Nurkholis Nurlianti Nurlianti Nurlinda, Fitria Nursakti Nursakti Nurul Rizkiana Tistania Palupi Setyo Hapsari Panuturi Ratih Elizabeth Thresna Sinaga Paramita, Tri Ratna Pasha, Yuliana Pratama, Dias Rahayu, Eka Putri Rahmad Bakhtiar Rahmat Bahtiar Rahmat Bahtiar Rahmat Bakhtiar Rahmat Bakhtiar Rahmat Baktiar Rahmi Susanti Ramdan , Iwan M. Rangga, M. Ratih Wirapuspita Wisnuwardani Ratih Wirapuspita Wisnuwardani Reny Noviasty Reza Jales Mahesa Adiyatsa Rinda Purnama Rini Astuti Wardhani Rini Wahidatul Ulpah Risky Amelia Rhamadani Rivana Firnanda Riyan Ningsih Riyan Ningsih Rizqa Mahardhika Ronny Setiawati Rudi Saputra Sadaria Sadaria Salyanti Puji Negeri Samsinar Basri Sayyid Muhammad Taqie Septimaulida, Firda Setyo Nugroho Sinar Sinar siti nurlela Subirman - Sumarni Sumarni Syarifah Amira Najla Tasha Citra Purnama Ulfah, Meilida W, Ratih Wirapuspita. Wahyudi, Ayu Huwaidah Wardani, Citra Rizki Wirapuspita Wisnuwardani, Ratih Yadi Yasir Yudi Jaya Cahyana Yumardi Zheditya Ayu Syawalia Zulhijrian Noor