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All Journal Indonesian Journal of Global Health research MAHESA : Malahayati Health Student Journal AJAD : Jurnal Pengabdian kepada Masyarakat Jurnal Cakrawala Ilmiah Journal of Innovation Research and Knowledge Health and Technology Journal (HTECHJ) Indonesian Nursing Journal Innovative Approaches in Health Science Journal Malahayati International Journal of Nursing and Health Science
Yuly Peristiowati
Universitas STRADA Indonesia
Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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EPIDEMIOLOGI MANAJERIAL DAN DETERMINAN SOSIAL PADA SISTEM BPJS: TINJAUAN LITERATUR MODEL EVALUASI KINERJA RS DAERAH BERBASIS TEORI RBV DI TENGAH DINAMIKA KEBIJAKAN DAN KLAIM BPJS PADA RSUD PROVINSI NTB Ng Phi Shi; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
Publisher : Bajang Institute

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Background: The implementation of the National Health Insurance (JKN) by BPJS Kesehatan requires RSUD Provinsi NTB to balance social functions with financial sustainability. Dynamics in claim policies and social determinant pressures often hinder optimal performance. Objective: This study aims to analyze the integration of managerial epidemiology and social determinants into regional hospital performance evaluation models using the Resource-Based View (RBV) theoretical framework. Method: This study employs a Systematic Literature Review (SLR) method. The literature search was conducted via Scopus and Google Scholar databases covering the period 2014-2024. Inclusion criteria focused on articles discussing public hospital management, RBV theory in healthcare, and BPJS policies in Indonesia. Results: Findings indicate that hospital performance amidst BPJS dynamics is significantly determined by internal capabilities (strategic assets) such as claim management information systems and medical coder competencies, aligned with RBV theory. Managerial epidemiology plays a crucial role as a resource allocation predictive tool, while social determinants act as external variables influencing claim risk profiles. Integrating these aspects into performance evaluation is proven to enhance hospital operational resilience. Conclusion: An effective performance evaluation model for regional hospitals must shift from mere financial indicators toward a strategic approach based on internal resource strengths and a deep understanding of local population epidemiological conditions.
DETERMINASI SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI MANAJERIAL: TINJAUAN LITERATUR DAMPAK KEPEMIMPINAN TRANSFORMASIONAL DAN MOTIVASI TERHADAP KINERJA MELALUI MEDIASI KEPUASAN KERJA PERAWAT DI RSUD PROVINSI NTB Nursini Juiban Hadi; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
Publisher : Bajang Institute

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Background: Nurse performance at RSUD Provinsi NTB is a fundamental pillar of public healthcare quality. However, this performance is influenced by complex factors involving social determinants of the work environment and leadership patterns. Objective: This study aims to analyze the influence of transformational leadership and motivation on nurse performance through the mediation of job satisfaction within a managerial epidemiology perspective. Methods: This study employed a Systematic Literature Review (SLR) method. The literature search was conducted via Scopus and Google Scholar databases covering the period 2014-2024. Article selection followed strict inclusion and exclusion criteria, resulting in 10 relevant real-world articles. Results: Findings indicate that transformational leadership and motivation have a significant positive impact on performance. Job satisfaction was identified as a crucial mediating variable; without adequate job satisfaction, the impetus from leadership and motivation fails to achieve optimal performance outcomes. Managerially, the work environment acts as a primary determinant that must be managed to prevent an "epidemic" of productivity decline. Conclusion: Strengthening transformational leadership at the ward head level and enhancing intrinsic motivation are highly recommended to improve nurse performance at RSUD Provinsi NTB by fostering stable job satisfaction
DETERMINASI SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI MANAJERIAL: TINJAUAN LITERATUR DAMPAK KOMUNIKASI INTERNAL DAN PARTISIPASI TERHADAP KEPUASAN KERJA PERAWAT MELALUI MEDIASI MOTIVASI KERJA DI RSUD PROVINSI NTB Sadikin Apriadi; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
Publisher : Bajang Institute

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Background: Nurse job satisfaction is a crucial indicator of healthcare service effectiveness at RSUD Provinsi NTB. However, managerial dysfunction often acts as a systemic barrier that diminishes medical staff performance. Objective: This study aims to analyze the social determinants of the work environment through the impact of internal communication and participation on nurse job satisfaction, with work motivation as a mediating variable within a managerial epidemiology framework. Method: This study employs a Systematic Literature Review (SLR) method. Literature searches were conducted via Scopus and Google Scholar databases spanning 2016-2026. Selected articles were analyzed using qualitative synthesis techniques to identify relationship patterns between variables. Results: Findings indicate that transparent internal communication and active participation in decision-making significantly enhance job satisfaction. Work motivation is proven to be a key mediator that strengthens the positive influence of the social environment on nurses' psychological well-being. From a managerial epidemiology perspective, communication failure is identified as a “risk determinant” that can trigger a collective decline in service quality. Conclusion: The integration of effective communication and broad participatory spaces is essential for RSUD Provinsi NTB management to create a healthy and motivating work environment
EPIDEMIOLOGI DAN DETERMINAN SOSIAL STUNTING DI PROVINSI KEPULAUAN: TINJAUAN LITERATUR FAKTOR RISIKO DAN EFEKTIVITAS INTERVENSI MULTISEKTORAL PADA BALITA DI NUSA TENGGARA BARAT Sunanto Sunanto; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
Publisher : Bajang Institute

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Background: Stunting is a manifestation of chronic malnutrition that impacts the quality of human resources, especially in regions with island geographical characteristics such as West Nusa Tenggara (NTB). Although interventions have been implemented, stunting prevalence in this region still requires in-depth analysis regarding social determinants and the effectiveness of cross-sectoral coordination. Objective: This study aims to map the epidemiological profile, identify dominant social determinants, and evaluate the effectiveness of multisectoral interventions in NTB Province through a literature review. Methods: This research employed the Systematic Literature Review (SLR) method. Article searches were conducted on Scopus and Google Scholar databases within the 2014-2024 timeframe. Article selection followed strict inclusion and exclusion criteria, resulting in 10 primary articles analyzed qualitatively. Results: Findings indicate that social determinants such as access to sanitation (WASH), maternal education level, and family economic status are the primary risk factors in NTB. The island region's characteristics cause significant disparities in food access and health services. Specific interventions (medical) proved effective when supported by sensitive interventions (non-medical) through multisectoral collaboration and local volunteer empowerment. Conclusion: Stunting management in NTB requires a region-based approach that is adaptive to the geographical constraints of the islands. Policy synchronization between central and local governments, along with the strengthening of basic infrastructure, is key to accelerating stunting reduction.
DETERMINASI SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI MANAJERIAL: TINJAUAN LITERATUR DAMPAK PELATIHAN DAN PENGEMBANGAN KARIR TERHADAP MOTIVASI KERJA MELALUI MEDIASI KEPUASAN KERJA DI RSUD PROVINSI NTB Susi Wirawati Triyono; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
Publisher : Bajang Institute

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Background: Employee work motivation in the health sector, particularly at RSUD NTB Province, is a crucial determinant in ensuring service quality and patient safety. However, fluctuations in motivation are often managerial challenges influenced by human resource development policies. Objective: This study aims to analyze and synthesize literature regarding the influence of training and career development on work motivation and to examine the mediating role of job satisfaction in this relationship through a managerial epidemiology perspective. Methods: This study uses the Systematic Literature Review (SLR) method. The literature search was conducted through Google Scholar and Scopus databases with a publication timeframe of 2014-2024. Inclusion criteria focused on original research discussing the variables of training, career, satisfaction, and motivation in health organizations or public services. Results: The review results show that training and career development have a significant positive impact on work motivation. The main findings confirm that job satisfaction functions as an essential mediator; meaning that training programs and career path clarity will only optimally increase motivation if they can meet expectations and provide psychological satisfaction for employees. Conclusion: Epidemiologically, job satisfaction acts as an intermediate factor that determines organizational health. The management of RSUD NTB Province is advised to integrate competency development programs with transparent career systems to mitigate the risk of declining work motivation.
DETERMINASI SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI MANAJERIAL: TINJAUAN LITERATUR DAMPAK PENGEMBANGAN KARIR DAN WORK-LIFE BALANCE TERHADAP KINERJA KARYAWAN MELALUI MEDIASI KEPUASAN KERJA DI RSUD PROVINSI NTB Wahyu Nur Chalamsah Setiawan; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
Publisher : Bajang Institute

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Background: Employee performance in the healthcare sector results from complex interactions between organizational and individual factors. RSUD Provinsi NTB, as a public service center, faces challenges in maintaining productivity amidst high workloads. A managerial epidemiology approach and the social determinants of the work environment are crucial for systematically analyzing performance issues. Objective: This study aims to analyze the impact of career development and work-life balance on employee performance, with job satisfaction as a mediating variable, through a comprehensive literature review. Methods: This study employs a Systematic Literature Review (SLR) method. The literature search was conducted across Scopus, Google Scholar, and ScienceDirect databases covering the period 2016-2026. Inclusion criteria focused on original research articles discussing the relationships between variables within healthcare service organizations. Results: Findings indicate that career development and work-life balance significantly influence performance by enhancing job satisfaction. Job satisfaction is proven to be a key mediator; stagnant career policies and poor work-life balance are identified as organizational “risk factors” that diminish work output. Conclusion: The integration of transparent career policies and work-life balance support is essential for optimizing performance at RSUD Provinsi NTB. A managerial epidemiology approach provides a preventive framework for management in human resource administration.
Co-Authors Agustin Widyowati Anna Indriani Baiq Nirmalasari Baiq Reni Pratiwi Chusnul Justanti Darma Karno Darmawati Abdul Rachman Desak Gede Sri Baktiasih Elya Endriani I Putu Artawan Prayoga Laily Indrayanti Yusuf Lalu Herman Mahaputra Marintas Marintas Mayang Notika Ratu Muh. Emilia Sa'di Rasyid Muhammad Munip Mutiara Khasanah Ng Phi Shi Novita Ana Anggraini Nurdina Nurdina Nursini Juiban Hadi Nurwijayanti Nurwijayanti Prima Dewi Dewi Rahmania Ambarika Rustam Ali Sadikin Apriadi Sentot Imam Suprapto Sri Utami Ningsih Sunanto Sunanto Susi Wirawati Triyono Tartilah Nur Amani Wahyu Nur Chalamsah Setiawan Yenny Puspitasari