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Journal : Academic Hospital Journal

Analysis of Remuneration System Satisfaction and Its Affecting Factors (Case Study on Specialist-Physician at Government Hospital in Jakarta) Pratiwi, Citra Sari; Meliala, Andreasta
Academic Hospital Journal Vol 5, No 1 (2023)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v5i1.67946

Abstract

Background: Remuneration is an important strategy to improve the competence of hospital services. Remuneration aims to motivate employees which can be achieved if the remuneration system is implemented fairly, but the gap between the ratio of the number of doctors and the average points to rates causes’ physician dissatisfaction toward the remuneration system.  Analyze satisfaction level and measure remuneration satisfaction factors on Pediatricians and Obstetrics and Gynecologists at ABC Hospital Jakarta.  Methods:This study used quantitative methods with multiple linear regression analysis measured by the Equity Scale and Remuneration Satisfaction Scale. Interviews were used to obtain comprehensive analysis results from respondents who were in the lower and upper limits of the questionnaire results. The interview also involved the management of ABC Hospital Jakarta.Results:Total 44 respondents consisting of 30 Pediatricians and 14 Obstetricians and Gynecologists, showed dissatisfaction with the remuneration system (45,46%), neutral (31,53%), and satisfied (23%). There was a relationship between perceptions of external fairness (P= 0,003) and procedural fairness (P= 0,002) with remuneration satisfaction. There was no relationship between perceptions of internal justice (P= 0,929) and perceptions of individual justice (P= 0,130) with remuneration satisfaction. These results were explored using interviews and the causes of doctor dissatisfaction due to the gap in the achievement of the Individual Performance Index, lots of doctor examinations that were not listed in the rates, and remuneration points did not consider the complexity of each job. Meanwhile, the dissatisfaction felt by the management was due to the lack of measurement of quality indicators in the remuneration system.Conclusion: External and procedural justices are factors that affect the satisfaction of remuneration felt by specialist-physician. The remuneration obtained at ABC Hospital Jakarta is lower than other Government Hospitals of the same type. In addition, there are binding rules, doctors' lack of understanding of the remuneration system, and lack of socialization. The management needs to formulate a more detailed remuneration system based on applicable regulations by adjusting the hospital situation.
Co-Authors Abdul Azis Aditya Lia Ramadona Agustino, Rizki Anang Anang Andi Sulaimana Anggita Ratna Damayanti Anggoro Budi Hartopo Anggrahini, Dyah Wulan Arifandi Arifandi Armanda Prima Astri Ferdiana Bhintani Embriana Darwito, Darwito Dina Anjayani Dira Mediani Djayanti Sari Dwi Handono Dwi Handono Sulistyo Dwi Handono Sulistyo Dyah Anggraini Fajarwati, Prahesti Faridha Hanum Firman Firman Firman Firman Firman Fitri Haryanti Fitrina Rachmadanty Siregar Gunadi Gunadi Gustina Fajarwati Sihombing Hapsari, Wulandari Indri Henny Marchelina Hidayah, Widy Hilda Mutia Hanum Husna Yulianingsih Ika Widyastuti Arumsari Irene Waine Iwan Dwiprahasto Julita Hendrartini Kartini Hasballah Katherina Adisaputro Khonsa, Oni Khorida, Arifatul Krautmann, Michael Laksono Trisnantoro Laksono Trisnantoro Likke Prawidya Putri Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Lucia Kris Dinarti Lutfan Lazuardi Magnanni, Robert Mariane Erika Pay Mochamat Helmi Mubasysyir Hasanbasri Muhammad Reyhan Hadwiono Mustofa, Tika Rahhmatillah Nilasari Nisa, Iztihadun Nurfadillah, Siti Nurjannah Nurjannah Olivia Frans, Sandra Pratiwi, Citra Sari Prima, Armanda Purwoadi Sujatno Qaimamunazzala, Hayu Rarasati, Srimurni Ratmasari, Dewi Ratna Budi Setiani Resti Dewi Rina K. Kusumaratna Rina Kusumaratna Rizaldy T. Pinzon Rizaldy Taslim Pinzon Rizaldy Taslim Pinzon Ruth Reza Hanggraini Sarto Setyowati Siti Ayu Putriasih Sito Meiyanto Sudirman Sugianto Adisaputro Suryanti Klase Sutena, Marthinus Teny Tjitra Sari, Teny Tjitra Tjahjono Kuntjoro Tri Juli Wati Trismayanti, Ni Made Rika Valentina Dwi Yuli Siswianti Vena Jaladara Vera Otifa Visnu, Jodi Widyawati Wiradhika, Abdul Majid Halim Wiranto Yasmine, Rosanna Yohan Wenas Gunawan Yohana Puji Dyah Utami Yulita Hendrartini Yulita Hendrartini