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Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7
Universitas Mulawarman
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Analysis of Factors Affecting Job Satisfaction and Performance of Specialist Doctors Samsinar Basri; Ratno Adrianto; Irfansyah Baharuddin Pakki
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6935

Abstract

There are many patient complaints regarding the performance of specialists at Kudungga Hospital. This is shown in accordance with the results of patient satisfaction surveys conducted in 2020 and 2021. From the satisfaction survey, it was concluded that the patient's complaint was the behavior of doctors who often arrived late so that the polyclinic schedule was not on time. The purpose of this study is to analyze factors related to job satisfaction and performance of specialist doctors at Kudungga Regional Hospital, East Kutai Regency.The type of research used is observational with a cross sectional design, namely a study that explores information about the phenomenon of work dissatisfaction of Specialist Doctors at Kudungga Sangatta Hospital and then analyzes the dynamics of the correlation between phenomena, between the independent variable and the dependent variable can be how far the influence between the independent variable on the dependent variable. The population and sample in this study were 30 specialist doctors who actively worked at the Kudungga Sangatta Regional General Hospital. Data collection was carried out by distributing questionnaires and collecting secondary data in the form of OPPE specialist doctors and And data analysis was carried out using univariate and bivariate analysis using the Spearman Rank test. There is a relationship between work environment conditions and promotion opportunities with job satisfaction of Specialist Doctors. Based on the results of data analysis and discussion, it can be concluded that factors related to specialist doctor job satisfaction consist of work environment conditions and promotion opportunities. The variable most closely related to specialist doctor job satisfaction is work environment conditions, which has an R value of 0.689 (a strong correlation).
Analysis of Factors Affecting Antiretroviral Adherence in HIV/AIDS Patients Mochamad Makin; Irfansyah Baharuddin Pakki; Akhmad Azmiardi; Ratno Adrianto; Yadi Yadi; Ida Ayu Indira Dwika Lestari
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6944

Abstract

Human Immunodeficiency Virus (HIV) remains a major global public health issue, with antiretroviral (ARV) therapy playing a critical role in its management. Adherence to ARV therapy is essential to suppress viral load, prevent drug resistance, and improve the quality of life of people living with HIV/AIDS (PLWHA). However, cases of non-adherence persist. At RSUD A. Wahab Sjahranie, a referral hospital in East Kalimantan, 16% of patients have been found to be non-adherent to their ARV medication. Ensuring adherence is vital to avoid complications and prevent HIV transmission. This study aims to identify and analyze the factors influencing ARV adherence among HIV/AIDS patients at the Anyelir Outpatient Clinic, RSUD A.W. Sjahranie, Samarinda. This study employed a quantitative analytical approach with a cross-sectional design. It involved 106 HIV/AIDS patients who were actively receiving antiretroviral therapy (ART). The independent variables included knowledge, self-efficacy, duration of therapy, side effects, family support, social support, and healthcare staff attitude. Data were collected using a structured questionnaire administered directly to respondents and supported by secondary data from medical records. A total sampling technique was applied, and data were analyzed using chi-square tests and logistic regression at a 95% significance level. A total of 85.8% of respondents were classified as adherent to ARV treatment. Bivariate analysis showed that knowledge (p = 0.019), family support (p = 0.018), social support (p = 0.011), healthcare staff attitude (p = 0.006), and self-efficacy (p = 0.002) were significantly associated with ARV adherence. Multivariate analysis identified family support (OR = 4.275), healthcare staff attitude (OR = 6.834), and self-efficacy (OR = 20.241) as the most influential factors. Knowledge, side effects, family support, social support, healthcare staff attitude, and self-efficacy are significant determinants of ARV adherence among PLWHA. Among these, self-efficacy emerged as the most dominant factor.
Analysis of Risk Factors for the Incidence of Coronary Heart Disease Audatur Rahmiyah; Irfansyah Baharuddin Pakki; Iwan Muhamad Ramdan
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.v7i6.163

Abstract

Coronary Heart Disease (CHD) is a significant public health problem with high morbidity and mortality. Although CHD cases continue to increase in Indonesia, including in East Kalimantan, there have not been many studies that have identified specific risk factors at Kudungga Sangatta Hospital, East Kutai Regency. This study aims to analyze the risk factors for CHD incidence at Kudungga Sangatta Hospital. This study uses an analytical observational design with a case-control approach. The sample consisted of 60 cases of CHD and 60 non-CHD controls taken from outpatients at the cardiac polyclinic of Kudungga Sangatta Hospital using purposive sampling techniques. Data was collected through questionnaires and medical records. Independent variables include hypertension, family history, and hypercholesterolemia, while dependent variables are CHD incidence. The data collection techniques included a preparation stage (obtaining research permits and conducting a preliminary study), followed by an implementation stage (collecting respondent data, sorting samples according to criteria into two groups, filling out questionnaires, and collecting research instruments). Data analysis was done quantitatively using a case control design with the chi-square test to see the relationship between variables. This study found a significant association with the incidence of dengue in the following variables: hypertension (p < 0.000) OR 10,394, family history (p < 0.000) OR 7.538, and hypercholesterolemia (p < 0.000) OR 10.846. It can be concluded that hypertension is the most dominant risk factor affecting the incidence of coronary heart disease at Kudungga Sangatta Hospital (Exp (β) = 11,311).
Analysis of Factors Related to the Implementation of Regional Regulation Number 08 of 2017 Concerning Non-Smoking Areas Nurkholis Nurkholis; 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.v7i6.313

Abstract

Smoking is a detrimental habit that contributes significantly to public health problems. To address this issue, the East Kutai Regency Government issued Regional Regulation Number 08 of 2017 concerning No-Smoking Areas. One of the designated KTR pillars is SMAN 2 North Sangatta, which plays a strategic role in reducing the high prevalence of smoking among adolescents. This study aims to analyze the influence of communication, resources, bureaucratic structure, and attitudes on the implementation of the KTR regulation. The research applied an analytical survey with a cross-sectional design involving 422 respondents from the academic community of SMAN 2 North Sangatta, selected through consecutive sampling. Data were collected through questionnaires and analyzed using chi-square and logistic regression tests. The findings revealed a significant relationship between communication and the implementation of the Smoke-Free Area regulation (p<0.001), as well as between resources and implementation (p<0.001). Conversely, bureaucratic structure showed no significant relationship (p=0.779)while attitudes demonstrated a positive influence. Logistic regression analysis confirmed that communication and resources were the most influential factors in ensuring effective implementation (p= 0.000<0.05). In conclusion, strengthening communication and optimizing resource allocation are essential to improving compliance with KTR policies in schools.
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 Quality of Work Life (QWL) on Employee Performance Through Organizational Citizenship Behavior (OCB) in the Emergency Department Nafira Junaedi; Rahmat Bahtiar; Riyan Ningsih; Indah Puspitasari; Irfansyah Baharuddin Pakki; Akhmad Azmiardi
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.v7i6.961

Abstract

Achieving good employee performance requires a positive and conducive Quality of Work Life (QWL), which in turn enhances employees Organizational Citizenship Behavior (OCB) at Hospital X in Samarinda. Therefore, employees with high QWL and OCB are needed to improve hospital services. The purpose of this study is to determine and analyze the influence of Quality of Work Life on employee performance through Organizational Citizenship Behavior (OCB) as an intervening variable.This research is a quantitative study using an observational approach with a cross-sectional design. Primary data were collected through questionnaires distributed to 138 employees in the Emergency Department of Hospital X in Samarinda. Data were analyzed using SmartPLS 4.0 software.The results showed that the p-value of the Quality of Work Life variable was 0.00 < 0.05, indicating that QWL has a direct and positive effect on employee performance with a coefficient of 0.409 (40.9%). The p-value for QWL was 0.000 < 0.05, meaning QWL has a direct and positive effect on Organizational Citizenship Behavior with a coefficient of 0.611 (61.1%). The p-value for OCB was 0.000 < 0.05, indicating that OCB has a direct and positive effect on employee performance with a coefficient of 0.421 (42.1%). The p-value for QWL was 0.000 < 0.05, showing that QWL has an indirect and positive effect on employee performance through OCB with a coefficient of 0.257 (25.7%).It is recommended that the management of Hospital X in Samarinda improve employee performance by enhancing the Quality of Work Life first or through the development of Organizational Citizenship Behavior.
Analysis of Risk Factors for Hypertension among the Productive Age Population Husna Husna; Irfansyah Baharuddin Pakki; Ratih Wirapuspita
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.v8i3.1024

Abstract

Hypertension is a growing public health issue, particularly affecting individuals in productive age groups. The high incidence of hypertension in the North Sangatta Health Centre area highlights the need to identify contributing risk factors. This study aims to analyse determinants associated with hypertension among productive-age residents within the working area of the North Sangatta Health Centre. The method used in this study was an analytical observational approach with a case–control design. Data were collected using demographic questionnaires and blood pressure observation sheets. The research instruments were not subjected to validity and reliability testing because a digital sphygmomanometer that had been calibrated by the hospital and was used in accordance with standard operating procedures was utilized. The variables examined included demographic factors (age, sex, education, occupation), smoking habits, and medical history (familial hypertension and diabetes). The sampling technique used was non-random sampling, specifically purposive sampling, with a total of 136 respondents (68 cases and 68 controls). Data were analyzed using chi-square tests and logistic regression tests. Result: The findings indicated significant associations between hypertension and age (P < 0.000), diabetes (P < 0.001), and family history of hypertension (P = 0.009). No significant associations were found for gender (P = 0.859), occupation (P = 0.360), education (P = 0.069), or smoking habits (P = 0.170). Conclusion: It is concluded that age and specific medical and occupational factors play important roles in hypertension incidence in this population.
Co-Authors Adrianto, Ratno Agustina Simanangi Pamowa Akhmad Azmiardi Akhmad Azmiardi Alwan Zakki Nozomi Andriana Ratna Ningrum Anita Sari Asrianti, Tanti Astuti Astuti Audatur Rahmiyah Ayudhia Rachmawati Chaerunnisa AR Desy Hajizah Dian Ayu Fitriani Dian Margi Utami Dwi Astuti Noor Wijayanti Endah Dwi Setianingtyas Gloria Priska Britani Sumlang Heny Surya Widiyaningsih Heny Surya Widiyaningsih Hesty Erika Silitonga Hilda Hilda Hilda Hilda Husna Husna Ida Ayu Indira Dwika Lestari Ike Anggraeni Indah Puspitasari Indah Ribka Baware Intan Kurnia Ira Puspa Rachmawati Iriani Iriani Iriyani K Iryani Kamaruddin Ismail AB Iwan Muhamad Ramdan Iwan Muhammad Ramdam Iwan Muhammad Ramdan Lestiani Aulia Hasmy Lisa Septiana Miako Pasinggi Mochamad Makin Muh Amri Arfandi Muh. Amri Arfandi Muhammad Imam Utama Muhammad Noor Muhammad Sultan Nafira Junaedi Namira Dwi Faza Nindy Nurhalizah Noor Hariyani Norsehan Norsehan Nunuk Kusuma Wardani Nunuk Sudarmiyati Nur Rohmah Nurkholis Nurkholis Nurlianti Nurlianti Nursakti Nursakti Palupi Setyo Hapsari Rahmad Bakhtiar Rahmat Bahtiar Rahmat Bakhtiar Ratih Wirapuspita Wisnuwardani Ratno Andrianto Rikha Nur Risdayanti Rilla Nadhirah Rina Tri Agustini Rinda Purnama Rini Astuti Wardhani Rinna Rahmatika Purwanti Risva Riyan Ningsih Saefurrohim, Muhamad Zakki Salyanti Puji Negeri Samsinar Basri Siswanto Siswanto Siswanto ST Sufiati Sumarni Sumarni Verry Asfirizal Yadi Yadi Yadi Yasir Yudi Jaya Cahyana Yulvia Septi Annnisa Yumardi Zulhijrian Noor