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All Journal JURNAL HUKUM Majalah Ilmiah Fisioterapi Indonesia WMJ (Warmadewa Medical Journal) Journal of Agromedicine and Medical Sciences Herb-Medicine Journal WAJAH HUKUM Jurnal Keperawatan Suaka Insan JURNAL ILMIAH KESEHATAN SANDI HUSADA Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) PREPOTIF : Jurnal Kesehatan Masyarakat Media Keadilan: Jurnal Ilmu Hukum LEGAL BRIEF Jurnal Health Sains Journal La Bisecoman Journal of Transcendental Law Sehat Rakyat: Jurnal Kesehatan Masyarakat Jurnal Ilmu Hukum, Humaniora dan Politik (JIHHP) Journal of Law, Poliitic and Humanities Proceeding ISETH (International Summit on Science, Technology, and Humanity) Indonesian Health Issue Prosiding University Research Colloquium Jurnal Pengabdian Masyarakat Medika Ranah Research : Journal of Multidisciplinary Research and Development Hasil Karya Aisyiyah Untuk Indonesia Warta LPM Majapahit Journal of Islamic Finance dan Management Majapahit Journal of Islamic Finance dan Management Jurnal Ekonomi Kesehatan Indonesia Jurnal Ilmiah Kesehatan Sandi Husada Cermin Dunia Kedokteran
Siti Soekiswati
Universitas Muhammadiyah Surakarta
Religion Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Transportation Veterinary Other

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The Role of Job Satisfaction in Mediating the Effects of the Work Environment, Salary, and Job Promotion on Employee Performance at RSU X Purwaningrum, Chornellia Martha; Imronudin; Soekiswati, Siti
Majapahit Journal of Islamic Finance and Management Vol. 6 No. 1 (2026): Islamic Finance and Management
Publisher : Universitas KH. Abdul Chalim Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31538/mjifm.v6i1.800

Abstract

Human resources are a key factor in the success of healthcare organizations, particularly hospitals, which are required to provide quality services on an ongoing basis. This study aims to analyze the influence of work environment, salary, and job promotion on employee performance through job satisfaction as an intervening variable at RSU X. This study uses a quantitative approach with a survey method. Data were collected through questionnaires distributed to RSU X employees and analyzed using Structural Equation Modeling with a Partial Least Squares approach (SEM-PLS) through SmartPLS 4.0 software. Model evaluation included testing the validity and reliability of constructs, testing the structural model, and testing direct and indirect hypotheses. The results showed that the work environment, salary, and job promotion had a positive and significant effect on employee job satisfaction. Job satisfaction was also proven to have a positive and significant effect on employee performance. In addition, job satisfaction was able to significantly mediate the effect of the work environment, salary, and job promotion on employee performance. The coefficient of determination (R²) value shows that the research model has strong explanatory power, and the predictive relevance (Q²) value indicates that the model has excellent predictive capability. These findings confirm that improving employee performance in hospitals can be achieved more effectively through efforts to improve the work environment, fair salary management, and a transparent promotion system that takes employee job satisfaction into account.
Analisis Efektivitas Pengelolaan Limbah Padat Medis Dan Faktor Pendukungnya Di Rumah Sakit Tipe B Dan C Milik Pemerintah Dan Swasta Pradetyawan, Pradetyawan; Soekiswati, Siti; Romadhon, Yusuf Alam; Ichsan, Burhanudin
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 10, No 1 (2026): Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/marsi.v10i1.8178

Abstract

Latar Belakang: Rumah sakit merupakan penghasil limbah medis terbesar yang berisiko tinggi terhadap kesehatan dan lingkungan jika tidak dikelola dengan tepat. Meskipun regulasi nasional telah menetapkan standar ketat, efektivitas pelaksanaannya masih bervariasi antara rumah sakit pemerintah dan swasta karena perbedaan kebijakan, sumber daya, dan tantangan operasional. Penelitian ini bertujuan menganalisis sistem, membandingkan efektivitas, serta mengidentifikasi faktor pendukung dan penghambat pengelolaan limbah padat medis di rumah sakit. Metode Penelitian: Penelitian kuantitatif dengan pendekatan analitik. Pengumpulan data dilakukan melalui observasi, kuesioner, dan telaah dokumen terkait pengelolaan limbah padat medis. Analisis data dilakukan secara deskriptif dan inferensial untuk menilai tingkat efektivitas pengelolaan limbah serta hubungan antarvariabel yang diteliti. Hasil Penelitian: Berdasarkan hasil analisis statistic menunjukkan pengetahuan responden tergolong baik dengan (median 7,75/9). Kepatuhan terhadap regulasi cenderung tinggi (median 32/35) dan efektivitas pengelolaan sangat baik (median 25/25). Terdapat korelasi positif bermakna antara pengetahuan dan kepatuhan dengan efektivitas pengelolaan limbah pada seluruh responden (p
Protection Policy for Breastfeeding Mothers: An Insight from Midwife Ethical Code and Breastfeeding Rights Arief Budiono; Dewi Iriani; Aminuddin Mustaffa; Siti Soekiswati; Abdullah Al Mamun
Jurnal Hukum Vol 42, No 1 (2026): Jurnal Hukum
Publisher : Unissula

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26532/jh.v42i1.46505

Abstract

Midwives are legally required to support postpartum women in exercising their right to breastfeed. In practice, many midwives provide formula milk, ignoring the mother's right to breastfeed and potentially harming both mother and baby. The purpose of this paper is to investigate the legal and ethical considerations surrounding midwives and mothers in relation to breastfeeding rights, emphasizing the need for transparency between midwives and mothers. This research uses empirical methods and a qualitative approach. The findings in this paper indicate that mothers are willing to provide informed consent, including information about any conditions that prevent breastfeeding immediately after delivery. Health Law Number 17 of 2023 mandates exclusive breastfeeding and imposes strict sanctions for those who prohibit breastfeeding without medical reasons. Despite this regulation, some midwives still provide formula milk with the verbal consent of postpartum mothers for medical reasons without adequate medical examination.
Opportunities for Hospital-Based Telemedicine Development: A Systematic Review Jayantika Sakina Ifnadera; Siti Soekiswati; Yusuf Alam Romadhon
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2025: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Purpose: This study aims to examine the adoption, hospital integration, and revenue implications of telemedicine, with specific emphasis on Indonesia where hospital-based telemedicine services remain less developed than commercial platforms. The review focuses on identifying key drivers of user acceptance, organizational readiness, and financial outcomes to support strategic telemedicine development in hospitals.Methodology: A systematic review was conducted using a comprehensive search of open-access empirical studies published from 2020 to 2025. Twenty-six eligible articles were identified and analyzed. Data were synthesized thematically across three domains: factors influencing user adoption, hospital-level implementation processes, and the economic impact of telemedicine services. The review integrates both global and Indonesian evidence to provide a comparative perspective.Results: Findings show that perceived usefulness, trust, and digital readiness consistently shape patient and provider adoption of telemedicine. Successful hospital integration is supported by adequate infrastructure, clear governance, and alignment with clinical workflows. Several studies report cost-effectiveness and increased service utilization, indicating potential for enhanced hospital revenue, although economic evidence from Indonesian hospitals is still emerging.Applications/Originality/Value: This review offers practical insights for policymakers and hospital administrators planning long-term institutionalization of telemedicine. It is original in combining global and Indonesian contexts while emphasizing the financial sustainability of hospital-based telemedicine services.
Analisis Determinan Sosiodemografi dan Perilaku Terkait Kejadian Servisitis dalam Kehamilan: Tinjauan Sistematik Kencana, Nabila Safhira Titan; Prakoeswa, Flora Ramona Sigit; Pramuningtyas, Ratih; Soekiswati, Siti; Dzikri, Dykall Naf’an
Cermin Dunia Kedokteran Vol 53 No 04 (2026): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i04.1901

Abstract

Introduction: Cervicitis is an inflammation of the cervix that can lead to serious complications during pregnancy. The objective of this article is to identify risk factors associated with the incidence of cervicitis in pregnant women. Methods: Literature review with narrative analysis. Article searches were conducted on the ScienceDirect, Sage, Google Scholar, and Garuda databases using predetermined keywords. A total of 2,009 articles were obtained from the 4 databases. After the screening process based on the inclusion and exclusion criteria, 15 articles were obtained for analysis. Results: Analysis of 15 articles showed that the incidence of cervicitis in pregnant women is influenced by several risk factors, including: (1) Demographic characteristics such as age and ethnicity; (2) Behavior and lifestyle including sexual intercourse and smoking patterns; (3) Obstetric and gynecological health history; (4) Socio-economic factors; (5) Living environment; and (6) Personal hygiene. The most consistently reported factors were poor personal hygiene, low socioeconomic status, and risky sexual behavior. Conclusion: Cervicitis in pregnant women is associated with complex and multidimensional risk factors. Identification of these factors is important for developing prevention and early detection strategies, thereby reducing the incidence of cervicitis and preventing serious pregnancy complications.
EDUKASI TERPADU PERSONAL HIGIENE UNTUK MENINGKATKAN DERAJAT KESEHATAN MURID SEKOLAH DASAR MUHAMMADIYAH SAMBON KECAMATAN BANYUDONO, BOYOLALI Aisyah, Riandini; Soekiswati, Siti; Fithriyah, Sa'idatul; Alfajri, Asri; Nursanto, Dodik; Tolibin, Restu Triwulandani; Nugrahani, Nur Ariska; Khofifah, Ardiva Fatimatul; Samantha, Aurora Revi; Nafisa, Balqis Dhiya; Maharani, Devina Maydiona; Pranata, Fawwaz Mahardika; Balqis, Faza Ovita; Bimantoro, Handika Muhammad; Kosala, Rengganis Sungsang; Balqis, Revalina Azlia Bilbina; Zakiyatusholihat, Salma; Astutik, Sri Dewi; Kusmawan, Jauza'naia
Jurnal Pengabdian Masyarakat Medika Vol 6. No. 1, Maret 2026
Publisher : Universitas Muhamamdiyah Surakarta

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Abstract

ABSTRAK Rendahnya kebersihan diri dan keterbatasan fasilitas sanitasi di Sekolah Dasar (SD) meningkatkan risiko penyakit menular, termasuk infeksi cacing. Di SD Muhammadiyah Sambon, Boyolali, siswa masih kurang memahami thaharah, penyakit menular, dan infeksi kecacingan. Fasilitas kebersihan di sekolah juga belum sepenuhnya mendukung praktik hidup bersih. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan siswa tentang thaharah sebagai dasar kebersihan diri, mencegah penyakit menular dan infeksi cacing, serta membantu mengoptimalkan fasilitas kebersihan di sekolah. Metode yang digunakan meliputi pre-test, penyampaian materi interaktif dengan media visual, diskusi, simulasi perilaku, dan post-test untuk mengevaluasi perubahan pengetahuan. Kegiatan dilaksanakan pada bulan Januari 2026 dengan peserta kegiatan adalah siswa-siswi kelas V SD Muhammadiyah Sambon, Boyolali. Penelitian ini menunjukkan adanya peningkatan signifikan pengetahuan siswa, terutama pada materi infeksi kecacingan. Penyediaan fasilitas kebersihan turut mempermudah praktik langsung di sekolah. Hal ini, menegaskan pentingnya edukasi thaharah dan optimalisasi fasilitas sanitasi untuk mendukung perilaku hidup bersih dan sehat. ABSTRACT Low personal hygiene and limited sanitation facilities in elementary schools increase the risk of communicable diseases, including helminth infections. Students’ understanding of thaharah, communicable diseases, and helminth infections Muhammadiyah Sambon Elementary School, Boyolali, remains limited. School hygiene facilities also do not yet fully support clean and healthy practices. This community service program aimed to improve students’ knowledge of thaharah as a foundation for personal hygiene, prevent communicable diseases and helminth infections, and optimize school hygiene facilities. The methods included a pre-test, interactive learning using visual media, discussions, behavioral simulations, and a post-test to evaluate changes in knowledge. The activity was conducted on January 2026, with level 5 Muhammadiyah Sambon, Boyolali elementary school students participating. The results demonstrated a significant increase in students’ knowledge, particularly regarding helminth infections. The provision of hygiene facilities also facilitated direct practice at school. These findings highlight the importance of thaharah education and the optimization of sanitation facilities in promoting clean and healthy behaviors.
Clinical Pathway Sebagai Solusi Keberlanjutan JKN di Indonesia: Systematic Review Septiana, Septiana; Soekiswati, Siti; Ichsan, Burhannudin
Jurnal Ekonomi Kesehatan Indonesia Vol. 10, No. 2
Publisher : UI Scholars Hub

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Abstract

The National Health Insurance (JKN) program is threatened with a deficit and potential default in 2026 due to inefficiency and the risk of fraud in healthcare facilities. In the context of JKN, which uses a package system (INA-CBG), Clinical Pathway (CP) is a strategic instrument within the JKN system that has dual benefits for both Payers (BPJS Kesehatan) and Providers (Hospitals). For BPJS Kesehatan, CP primarily functions to ensure service quality and prevent undertreatment fraud, the practice of reducing services to benefit hospitals. This prevention ultimately achieves cost efficiency in the JKN program by avoiding payment of complication claims and readmissions arising from substandard services. On the hospital side, CP helps control real cost effectiveness (cost) to maintain efficiency. High CP compliance can reduce inefficiencies (e.g., resource overutilization), thereby reducing the gap in hospital losses under the INA-CBG package system. This indirectly reduces the incentive for hospitals to commit fraud. This study aims to synthesize comprehensive evidence regarding the impact of CP compliance on cost efficiency (Hospital Cost) from a provider perspective and its impact on the sustainability of JKN. The method used was a Systematic Review based on the PRISMA framework, analyzing 28 articles from hospitals in Indonesia (2016-2025) that discussed the impact of CP on costs and/or Length of Stay (LOS) as well as the quality of clinical services. During the snowballing and abstract screening stages, we also found that compliance was an important variable measured by the studies we reviewed. The results show that the level of CP compliance in Indonesia remains low; 80% of hospitals have compliance below 50%, which triggers service variations and the risk of fraud. CP compliance is consistently positively correlated with reduced Hospital Costs (thus increasing internal hospital efficiency) and accelerated LOS. In addition to cost efficiency, CP has also been shown to improve the quality of clinical services by reducing complications (SSI: Surgical Site Infection) and reducing the risk of readmissions. In conclusion, CP is an essential dual solution; improving CP compliance is a fundamental key to balancing hospital cost efficiency without sacrificing quality, while simultaneously safeguarding the financial sustainability of the JKN Program from the burden of unnecessary complication claims.
The Influence of E-Service Quality on Patient Satisfaction and Loyalty in Hospitals: A Systematic Literature Review Using the PRISMA Framework in 2020-2025 Leny Widio Wati; Anton Agus Setyawan; Siti Soekiswati
Indonesian Health Issue Vol. 5 No. 1 (2026): FEBRUARY
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v5i1.137

Abstract

Background: The advancement of digital technology in the healthcare sector has driven hospitals to improve the quality of electronic services (e-service quality) in meeting patients’ expectations for convenience, speed, and service effectiveness. Objective: This study aims to analyze the influence of e-service quality on patient satisfaction and loyalty in hospitals. Methods: This research employed a Systematic Literature Review guided by the PRISMA framework and conducted in October 2025. Articles were collected from the ScienceDirect, PubMed, ProQuest, and Google Scholar databases, yielding a total of 14,273 articles, which were screened and filtered into eight relevant studies that met the inclusion criteria. Results: E-service quality has a significant effect on patient satisfaction through four factors: integrated digital services, emotional and trust dimensions, technical quality and user experience, and ease of use. Furthermore, patient loyalty is formed through two mechanisms improvement of electronic service quality and technological integration that encourages revisit intention. Conclusion: E-service quality plays an important role in enhancing patient satisfaction and loyalty in hospitals.
Association of Insight, Age, and Education Level with Relapse Rates in Schizophrenia Patients Rahmad Dhani Rujito; Erna Herawati; Sahilah Ermawati; Siti Soekiswati
WMJ (Warmadewa Medical Journal) Vol 11 No 1 (2026): May 2026
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.11.1.14516.22-29

Abstract

Abstract Schizophrenia is a chronic mental disorder with a high tendency for relapse, which worsens the patient's prognosis and increases the burden of care. Clinical factors such as insight, as well as demographic factors including age and education level, are thought to play a crucial role in influencing treatment adherence and relapse risk. This study aims to analyze the association between insight, age, and education level with relapse rates in schizophrenia patients at RSJD dr. Arif Zainudin Surakarta. This was an analytic observational study with a cross-sectional design. Subjects were selected using purposive sampling, totaling 96 patients. Data were analyzed using Chi-Square test, Fisher’s Exact test, and Logistic Regression. The results showed a significant association between insight (p=0.045) and education level (p=0.046) with relapse rates. Meanwhile, age (p=0.588) was found to have no significant association with relapse incidence. It is concluded that insight and education level are associated with relapse rates, although no single factor emerged as a dominant independent predictor in the multivariate model. Improving patient insight through psychoeducation is recommended to prevent relapse.
Pendampingan Remaja untuk Berhenti Merokok dengan Pendekatan Transtheoretical Model (Stages of Change) di Posyandu Remaja Desa Mliwis Boyolali Tanjung Anitasari Indah Kusumaningrum; Ayu Khoirotul Umaroh; Dian Purworini; Siti Soekiswati; Arif Pristianto; Zulia Setiyaningrum; Nanda Hani Nur Pertiwi; Sabrina Cantika Putri Sandrana; Novyanti Setiyo Rini; Muhammad Irfan Zahran; Faturohit Rois Imron Santoso; Zavier Ferodova Al Fitroh; Pradhana Satria Pinandhita
Warta LPM WARTA LPM, Vol. 27, No. 2, Juli 2024
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/warta.v27i2.4445

Abstract

The partner for community service activities was the youth posyandu in Tambakboyo Hamlet, Mliwis. Adolescent boys at Mitra Posyandu have a smoking habit. There were 25% of teenage boys who have tried to stop smoking but failed. The problems faced by posyandu partners are the difficulty of generating teenagers' intention to stop smoking, teenagers also don't know how to stop smoking, and there are still many teenagers who relapse or smoke again even though they are already at the action stage. The aim of this program was to provide smoking cessation education and health messages with the stages of change in smoking behavior in each adolescent using a transtheoretical model approach and monitoring and strengthening smoking cessation by adolescent cadres. The methods used were socializing activities to youth posyandu, providing media on how to stop smoking, providing education regarding efforts to stop smoking, training youth cadres, designing applications for monitoring efforts to stop smoking, and assisting teenagers to stop smoking. The results of this service were that there was an increase in adolescent knowledge by 0.17% after being given smoking cessation education, the formation of peer counselors consisting of adolescent cadres, the existence of health media in the form of pocket books and booklets, and the creation of the Smoke Stop Step (3S) application to monitor efforts of quit smoking. After using the application and providing health messages according to the smoking cessation stages, there were 3 teenagers who started to intend to stop smoking and 1 teenager entered the preparatory stage (preparing to stop smoking).
Co-Authors Abdullah Al Mamun Absori Absori Agung Cuby Hantoro Alfajri, Asri Aminuddin Mustaffa Anton Agus Setyawan Arief Budiman Arief Budiono Arif Pristianto Astutik, Sri Dewi Ayu Khoirotul Umaroh Azahra Khansa Muza Balqis, Faza Ovita Balqis, Revalina Azlia Bilbina Baskoro, Wisnu Basuki, Muhammad Nur Aji Bimantoro, Handika Muhammad Burhannudin Ichsan Cahyaningrum, Rina Asih Budi Daru Kumoro Cipto Jati Dewi Iriani Dian Purworini Dilla, Natasya Salsa Dodik Nursanto Dwi Rosela Komala Sari Dzikri, Dykall Naf’an Erna Herawati Fajri, Ainun Nuril Faturohit Rois Imron Santoso Fauziah, Nida Faradisa Fithriyah, Sa'idatul Flora Ramona Sigit Prakoeswa Galang Liwandika Hantoro, Agung Cuby Ichsan, Burhannuddin Ichsan, Burhanudin Ida Wulandari Iin Novita Nurhidayati Mahmuda Imron Marsyadi, Muhammad Afi Imronudin Jayantika Sakina Ifnadera Kencana, Nabila Safhira Titan Khofifah, Ardiva Fatimatul Kosala, Rengganis Sungsang Kusmawan, Jauza'naia Leny Widio Wati Lestari, Nining Liwandika, Galang Maharani, Devina Maydiona Mahensa, Noval Gentha Maslahah, Syah Fillia Nurul Maulana Adjie Nugroho Muhammad Irfan Zahran Muhammad Nur Aji Basuki Muhammad Shoim Dasuki Muzakar Isa Nafisa, Balqis Dhiya Nanda Hani Nur Pertiwi Nida Faradisa Fauziyah Nining Lestari Novyanti Setiyo Rini Nur Ariska Nugrahani Pradetyawan, Pradetyawan Pradhana Satria Pinandhita Pranata, Fawwaz Mahardika Purwaningrum, Chornellia Martha Rafika Surya Putra Pratama Rahmad Dhani Rujito Ratih Pramuningtyas Retno Sintowati Riandini Aisyah Rizka Sabrina Cantika Putri Sandrana Sahilah Ermawati Samantha, Aurora Revi Sany Ayu Kurniawati SEPTIANA SEPTIANA Silvia Rahma Maulida Sulistyani Sulistyani Sulistyani Sulistyani Syah Fillia Nurul Maslahah Tanjung Anitasari Indah Kusumaningrum Tolibin, Restu Triwulandani Tri Agustina Umi Budi Rahayu Utami, Shindy Yudha Wardah Yuspin Wirayudha, Yan Yuni Prastyo Kurniati Yurita, Irma Yusuf Alam Romadhon Zakiyatusholihat, Salma Zavier Ferodova Al Fitroh Zemba Riski Maranti Zulia Setiyaningrum