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All Journal Mutiara Medika: Jurnal Kedokteran dan Kesehatan JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
Thipwong, Phanee
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Health Professions Medicine & Pharmacology Public Health

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The Impact of Healthcare Worker Safety Culture on Outpatient Patient Satisfaction in Public Hospitals Rahman, Ferry Fadzlul; Darsono, Susilo Nur Aji Cokro; Oktaviani, Lisa Wahidatul; Thipwong, Phanee
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 24, No 1 (2024): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v24i1.19571

Abstract

Patient satisfaction and the safety culture of health workers are two important aspects that are interrelated in providing health services. Patient satisfaction measures the extent to which patients are satisfied with the services they receive from health service providers. This study analyzes the impact of safety culture and factors related to outpatient patient satisfaction. Observational research was employed with stratified random sampling, and primary data was collected from a public hospital in Samarinda City. The study included patients who had received outpatient care within the last 3 days, aged 17 years and older, and willing to complete the questionnaire. Inpatients were excluded from the sample criteria. The bivariate test was performed for chi-square, then binary logistic for multivariate. Statistical test results of the variables clarity of information, communication of health workers, physical quality, empathy, and safety culture associated with outpatient satisfaction, multivariate regression showed safety culture (OR 13.44; p 0.006) had a large influence, followed by communication (OR 12.460; p 0.023) and empathy (OR 9.947; p 0.025) on outpatient satisfaction. This research is expected to be a source of information, input, and material for preparing plans and as a basis for the initial stages of periodic evaluation of the quality of health services for patients.
Institutional pressure, organizational engagement, and sustainability behavior in public hospitals Rahman, Ferry Fadzlul; Thipwong, Phanee; Sulistiawan, Jovi
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 17, No 2, (2026)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol17.Iss2.art8

Abstract

Background: Sustainability has become a key priority in healthcare due to environmental impacts and increasing regulatory and stakeholder expectations. Public hospitals face institutional pressure to implement sustainability practices, yet the mechanisms translating these pressures into employee sustainability behavior remain unclear. Understanding organizational and individual processes is essential to improve sustainability implementation. Objectives: This study aims to examine the influence of institutional and stakeholder pressure on sustainability behavior and to evaluate the mediating roles of organizational engagement and individual mechanisms in a public hospital.Methods: A quantitative cross-sectional study was conducted among 163 employees at RSUD Inche Abdoel Moeis Samarinda, Indonesia, using stratified random sampling. Data were collected through structured questionnaires and analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM) with bootstrapping to test direct and mediation effects.Results: Institutional and stakeholder pressure significantly influences sustainability behavior (β = 0.238, p < 0.001) and organizational engagement (β = 0.612, p < 0.001). Organizational engagement significantly increases personal involvement (β = 0.684, p < 0.001) and employee awareness (β = 0.641, p < 0.001), while coping capacity positively affects sustainability behavior (β = 0.291, p < 0.001). Organizational engagement (β = 0.178, p < 0.001) and individual mechanisms (β = 0.221, p < 0.001) significantly mediates the relationship. The model explaines 71.7% of the variance in sustainability behavior.Conclusion: Sustainability behavior in public hospitals is run by institutional pressure and strengthened by organizational engagement and employee readiness. Effective sustainability implementation requires translating external pressure into internal organizational commitment and employee-level capability. These findings suggest that hospital managers and policymakers should strengthen organizational engagement, employee awareness, and capacity-building initiatives to foster sustainable practices in daily hospital operations.
Co-Authors Darsono, Susilo Nur Aji Cokro Fadzlul Rahman, Ferry Jovi Sulistiawan, Jovi Oktaviani, Lisa Wahidatul