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All Journal Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Bhisma Murti
Master’s Program in Public Health, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Determinants of Work Performance among Employee in Dr. Soediran Mangun Sumarso Hospital, Wonogiri, Central Java Attila Yulaicha Advendila Siregar; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.04

Abstract

Background: Good performance is the dream of every hospital which aims to achieve the predeter¬mined vision, mission and goals. Achieving the vision, mission and goals requires human resources who are capable of handling these matters. This study aimed to determine and analyze the deter¬mi¬nants of the performance of health and non-health workers.Subjects and Method: Cross-sectional study was conducted at Dr. Soediran Mangun Suwarso Hospital, Wonogiri, Central Java, from November to December. 200 hospital workers were selected using stratified random sampling. The dependent variable was work performance. The independent variables were work motivation, job satisfaction, job training, work environment, and job suitability. Data was collected using a questionnaire and analyzed using a path analysis model.Results: Performance of hospital employers was directly and positively influenced by job satisfaction (b= 0.15; 95% CI= 0.01 to 0.28; p = 0.033), work motivation (b= 0.17; 95% CI = 0.04 to 0.31; p= 0.009), and training (b= 0.16; 95% CI= 0.03 to 0.29; p= 0.017). Satisfaction increased motivation (b= 0.83; CI 95%= 0.54 to 1.12; p <0.001). Job satisfaction was influenced by the work environment (b= 0.13; CI 95%= 0.02 to 0.23; p= 0.016) and job suitability (b = 0.41; 95% CI= 0.30 to 0.51; p <0.001).Conclusion: Performance of hospital employers is directly and positively influenced by job satisfaction, work motivation, and training. Satisfaction increases motivation. Job satisfaction is influenced by the work environment and job suitability.
Meta Analysis: Factors Affecting Health Care Service on Outpatient’s Satisfaction in Hospital Desi Noviani; Titis Cipta Purwantanti; Annisa Risnasari; Bhisma Murti; Siti Mar&#039;atul Munawaroh
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.07

Abstract

Background: Patient satisfaction with health services is very important to measure the level of health services offered to patients and the implementation of health services in hospitals. Patient expectations about service quality are also related to service perceptions and when patients have a good impression, patients' clinical experiences and outcomes are more likely to have positive responses. The aim of this study is to analyze the influence of health service factors on the level of satisfaction of outpatients in hospitals based on the results of several previous studies using meta-analysis.Subjects and Method: This research is a systematic review and meta-analysis based on data obtained through various databases including Google Scholar, PubMed, ResearchGate and Science Direct. This study used articles that were published from 2014 to 2022. The article search was carried out by considering the eligibility criteria defined using the PICO model. Population: outpatients. Intervention: comfortable waiting room, short waiting time, drug availability and payment status (free). Comparation: uncomfortable waiting room, long waiting time, no medicine available and payment status (Out of Pocket). Outcome: patient satisfaction. This article was collected within 1 month with the following keywords used: "Waiting Room" AND "Waiting Time" AND "Drug" AND "Payment Status" AND "Outpatient Health Services" OR "Satisfaction" AND "Cross Sectional Study". The articles included in this research are full text articles with a cross-sectional study design. This article was collected using a PRISMA flow diagram and analyzed using the Review Manager 5.3 application.Results: Meta-analysis of 16 articles using a cross-sectional research design from the countries of Ethiopia and Fiji. Total sample 15,453. Patient satisfaction increases with a comfortable waiting room (aOR= 2.54; 95% CI= 2.01 to 3.21; p < 0.001), short waiting time (aOR= 2.97; 95% CI= 1.62 to 5.47; p < 0.001), good availability of medicines. complete (aOR= 2.01; 95% CI= 1.55 to 2.60; p <0.001), and payment status (free) (aOR= 1.99; 95% CI= 1.34 to 2.95; p <0.001).Conclusion: Outpatient satisfaction in hospitals increases with the comfort of the waiting room, short waiting time, availability of medicines, and payment status (free).
Meta-Analysis: The Impact of Product, Price, Place, and Promotion on Patient Satisfaction Salsabilla Luthfiana Ayu Hafida; Rela Hastuti; Bhisma Murti; Anggun Fitri Handayani
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.10

Abstract

Background: A component of effective health care is measuring patient satisfaction. Satisfaction helps in the evaluation of health services from the patient's perspective. In order to compete globally, hospitals need to consider marketing strategies that emphasize understanding customer needs, wants and demands. One of the most common and widely applied marketing concepts in this context is the marketing mix, which includes four main elements, namely product, place, promotion and price. This research aims to estimate the magnitude of the influence of the marketing mix (4P) which includes product, price, place and promotion on patient satisfaction. Subjects and Method: Meta-analysis studies with PICO research questions. Population = general patients. Intervention = high product quality, high promotion, long distance and high price. Comparison = low product quality, lack of promotion, close distance to facilities, and low price. Out­come= Patient satisfaction. Data obtained from Google Scholar, Pubmed, Scopus and ScienceDirect, with the keywords "Product for patient satisfaction" OR "Promotion for patient satisfaction" OR "Price for patient satisfaction" OR "Place for patient satisfaction" AND "Marketing patient satisfaction" OR "Marketing mix patient satisfaction” AND aOR. The effect size used was the Adjusted Odds Ratio (aOR) from multivariate analysis. Data analysis using the Review Manager 5.3 application. Results: This meta-analysis was carried out on 20 primary studies with a cross-sectional design, originating from Turkey, Israel, Saudi Arabia, Ethiopia and Ghana. The sample size was 14,388 people. The meta-analysis results show that patient satisfaction increases with high product quality and is statistically significant (aOR= 2.23; CI 95%= 1.54 to 3.23; p<0.001) and good promotion, although not statistically significant (aOR= 1.42; CI 95 %= 0.75 to 2.71; p= 0.280). Patient satisfaction decreases with distance to a health facility (aOR= 0.55; 95% CI= 0.35 to 0.86; p= 0.009) and high price (aOR= 0.56; 95% CI= 0.38 to 0.81; p= 0.002). Conclusion: Patient satisfaction increases with high product quality and good promotions. Patient satisfaction decreases with distance to the facility and high prices.
Meta-Analysis: Effects of Computer Skill and Management Support on Readiness to Use Electronic Medical Record in Health Workers Tria Fora Delfita; Bhisma Murti; Noor Alis Setiyadi; Didik Gunawan Tamtomo; Revi Gama Hatta Novika
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.11

Abstract

Background: Electronic Medical Record (EMR) is an information technology that has proven its benefits in improving service quality. This study aims to analyze the effect of computer skills and management support on health workers' willingness to use EMR. Subjects and Method: This research is a systematic review and meta-analysis study using the PRISMA diagram and PICO model. Population: health workers, Intervention: computer skills and management support, Comparison: low computer skills and no management support, Outcome: willingness to use EMR. The articles used came from Google Scholar, Pubmed, and Elsevier which were published from 2013 - 2023. The keywords used in the search were (computer skills OR Management support) AND (“willingness to use” OR “willingness to utilize” OR “readiness to implement”) AND (EMR OR electronic medical record) AND “odds ratio” AND “cross-sectional study” AND (“health personnel” OR “health workers” OR “health professionals”). The inclusion criteria for this study were full paper articles with cross-sectional studies. The analysis used was multivariate with adjusted Odds Ratio. Eligible articles were analyzed using the Revman 5.3 application. Results: Meta-analysis was conducted on 11 articles with a cross-sectional research design. Health workers who have high computer skills were 2.62 times more likely to use EMR than health workers who have low computer skills (aOR= 2.62; 95% CI= 1.92 to 3.57; p= 0.050). Health workers who received Management support were 1.87 times more likely to use EMR than health workers who did not have Management support (aOR= 1.87; 95% CI= 1.40 to 2.51; p= 0.030). Conclusion: Computer skills and management support influence the willingness to use EMR among health workers.
Determinants of Health Worker Performance in Health Care Facilities: Meta-Analysis Mashaf Fahrur Murdo Furqon; Didik Gunawan Tamtomo; Bhisma Murti; Argyo Demartoto; Hanung Prasetya
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.02

Abstract

Background: Performance is the result of a certain process carried out by all components of the organization on certain resources used. In addition, performance affects organizational goals. This study aims to analyze the influence of training, education level, and gender on performance in health workers. Subject and Method: This study is a systematic study and meta-analysis, with the following PICO : Population = Health workers, Intervention = Training, Higher education level, Female, Comparison = No training, Low education level, Male, Outcome = Performance. The articles used in this study were obtained from several databases, including Google Scholar, PubMed, and ScienceDirect which were published from 2014 to 2024. These articles were collected over a period of 4 weeks. The keywords used by the researcher in searching the database include Community Health Workers OR CHW AND Job Performance OR Work Performance AND Training AND Education Level AND Gender OR Sex. The articles included in this study are full-text articles with a cross sectional study design. Articles are collected using PRISMA flow diagrams. Articles are analyzed using the Review Manager 5.3 application. Results: A total of 14 articles were reviewed in this meta-analysis study from Malaysia, China, India, Ethiopia, Uganda, Cameroon and Ghana. Studies show that healthcare workers with training (aOR=2.94; CI 95%= 1.33 to 6.46; p= 0.007), higher education level (aOR=2.16; CI 95%= 1.62 to 2.88; p<0.001) had a significant influence on performance. Meanwhile, women (aOR=0.92; CI 95%= 0.57 to 1.49; p=0.75) had an insignificant effect on performance.Conclusion: Training and higher education levels can significantly improve performance in health workers, and statistically insignificant performance differences between men and women, women have the possibility of performing well.
Path Analysis: Characteristics of Health Service Providers on the Quality of Dental and Oral Health Services Rosalia Indri Dewanti; Didik Gunawan Tamtomo; Bhisma Murti; Setyo Sri Rahardjo; Argyo Demartoto
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.12

Abstract

Background: Dental and oral health play a crucial role in improving people’s quality of life. Optimal efforts from dental and oral health workers are essential to achieve better health outcomes. This study aimed to analyze the influence of service provider determinants on the quality of dental and oral health services in hospitals. Subjects and Method: A cross-sectional study was conducted in Semarang City from March to April 2024. A total of 200 patients aged 20–59 years were selected using systematic random sampling. The dependent variable was the quality of dental and oral health services, while the independent variables were motivation, performance, and payment method. Data were analyzed using path analysis. Results: Motivation positively affected the performance of health workers (b=0.99; 95% CI=0.98–1.00; p<0.001). Performance had a significant positive effect on service quality (b=0.44; 95% CI=0.06–0.83; p=0.023). Motivation also directly influenced service quality (b=0.47; 95% CI=0.08–0.85; p=0.017). However, the difference in payment method between patients paying directly and those using BPJS did not significantly affect service quality (b=0.03; 95% CI=–0.03 to 0.09; p=0.415). Conclusion: The quality of dental and oral health services at Diponegoro National Hospital Semarang is significantly influenced by the motivation and performance of health workers, with performance mediating the effect of motivation. Payment method does not significantly influence perceived service quality.
Factors Influencing the Health Workers Performance in Community Health Center in Metro, Lampung Alifia Nadhimah Putri; Didik Gunawan Tamtomo; Bhisma Murti; Sumardiyono Sumardiyono; Argyo Demartoto
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.03

Abstract

Background: Performance is the result of a person's ability to complete tasks and responsibilities competitively. There are many factors that affect a person's performance, each of which affects their own performance. This study aims to analyze the variables that affect the performance of health center employees. Subjects and Method: This study is an observational analytical study with a cross-sectional design. This research was conducted on 11 health centers in Metro City, Lampung in March-April 2024. A sample of 200 health center employees was selected by simple random sampling. The dependent variable in this study is the performance of health center employees. The independent variables in the study were age, training, incentives, motivation, leadership perceptions, and the strata of the health center. Data collection was carried out using a questionnaire and analyzed by multiple linear regression. Results: Employee performance in service at the health center was influenced by age (b= -0.01; CI 95%= -0.01 to -0.02; p= 0.008), training (b=1.08; CI 95%= 1.03 to 1.13; p< 0.001), incentives (b= 1.02; CI 95%= 0.98 to 1.05; p< 0.001), motivation (b= 1.16; CI 95%= 1.08 to 1.22; p<0.001), leadership perception (b= 0.98; CI 95%= 0.93 to 1.03; p<0.001), and the strata of the health center (b= 0.33; CI 95%= 0.10 to 0.54; p=0.003). Conclusion: The performance of health center employees is positively influenced by age, training, incentives, motivation, leadership perception, and strata of the health center.
The Influence of Social Capital, Commitment, Justice, Employee Status, Age, Gender, and Community Health Center Strata on Performance at the Metro, Lampung, Indonesia Alwan Dhafi Umar; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.04

Abstract

Background: The performance of health workers is one of the biggest reasons for the good health services. Various factors affect employee performance such as commitment, employee status, justice and social capital. This study aims to see the influence of social capital along with other accompanying factors such as justice, organizational commitment, employee status, and strata of the Health Center on the performance of Health Center employees. Subjects and Method: This study is an observational analytical study with a cross-sectional design. This research was conducted on 11 health centers in Metro City, Lampung, Indonesia in April - May 2024. A sample of 200 health center employees was selected by simple random sampling. The dependent variable in this study is the performance of health center employees. The independent variables in the study were social capital, fairness, organizational commitment, employee status, health center strata, age, and gender. Data collection was carried out using a questionnaire and analyzed by multiple linear regression. Results: Social capital (b= 0.07; CI 95%= 0.06 to 0.14; p= 0.048), justice (b= 0.13; CI 95%= 0.06 to 0.20; p= <0.001), organizational commitment (b= 0.10; CI 95%= 0.02 to 0.17; p= 0.012), and the strata of the Health Center (b= 1.01; CI 95%= 0.62 to 1.41; p= <0.001) has an influence on improving performance and is statistically significant. Officer status (b= -0.28; CI 95%= -0.56 to -0.01; p= 0.038) had a degrading effect and was statistically significant. Age (b= -0.13; CI 95%= -0.39 to 0.11; p= 0.284) and gender (b= 0.06; CI 95%= -0.35 to 0.11; p= 0.750) has no significant effect on performance. Conclusion: The performance of health center employees is influenced by social capital, justice, organizational commitment, strata, and employee status. Age and gender are not factors that affect performance.
Associations between Reliability, Assurance, Physical Evidence, Responsiveness, Empathy, Gender, and Income with Inpatient Satisfaction in Yos Sudarso Hospital, Padang, Indonesia Virdaria Andriani; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.05.a

Abstract

Background: Patient satisfaction refers to the patient's perception and assessment of the quality of health services he receives. There are many factors that affect patient satisfaction. This study aims to analyze variables that affect patient satisfaction. Subjects and Method: This study is an observational analytical study with a cross-sectional design. This research was conducted on Yos Sudarso Hospital, Padang City, in March-May 2024. A sample of 200 patients was selected by simple random sampling. The dependent variable in this study is patient satisfaction. The independent variables in the study were  reliability, guarantee, physical evidence, responsiveness, empathy, gender, and income. Data collection was carried out using a questionnaire and analyzed by path analysis. Results: Patient satisfaction in the health center was influenced by reliability ((b= 0.51; 95% CI= 0.39 to 0.62; p<0.001)), assurance (b= 0.62; 95% CI= 0.52 to 0.72; p<0.001), physical evidence (b= 0.52; 95% CI= 0.41 to 0.64; p<0.001), responsiveness (b= 0.69; 95% CI= 0.60 to 0.78; p<0.001), empathy (b= 0.69; 95% CI= 0.60 to 0.78; p<0.001),  gender (b = 0.15; 95% CI = <0.01 to 0.30; p = 0.047), and income (b = -0.31; 95% CI = -0.45 to -0.17; p<0.001). Conclusion: Patient satisfaction is positively influenced by reliability, assurance, physical evidence, responsiveness, empathy, gender, and income.
Factors Related with Work Stress in Informal Industrial Workers in Surakarta Fauziah Shinta Anindita; Bhisma Murti; Noor Alis Setiyadi
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.07.b

Abstract

Background: The risk of Occupational Diseases that often occurs in the informal industry is work stress. Work stress is not only caused by internal factors, but also caused by social factors from workers. This study aims to analyze and estimate the influence of social capital and other factors on work stress in informal industrial workers in the city of Surakarta. Subjects and Method: This study uses a cross-sectional study conducted on informal industry workers in Surakarta, Central Java, Indonesia, in April-May 2024. The number of study subjects was 210 people selected with a simple random sampling. The dependent variable was work stress. The independent variables were social capital, income, target achievement and capital borrowing status. Independent variable study data was taken using a questionnaire measuring tool, and for work stress using the Work Stress Questionnaire (WSQ). Data analysis in the form of multiple linear regression using Stata 13. Results: There was an effect of social capital (b= -1.38; 95% CI= -1.86 to -0.89; p<0.001), income (b= -0.56; 95% CI= -0.89 to -0.22; p=0.001), target achievement (b= -19.73; 95% CI= -23.59 to -15.89; p= 0.012) and capital borrowing status (b= 4.24; 95% CI = 0.95 to 7.52; p= 0.012) on work stress. Conclusion: Work stress is significantly affected by social capital, income, target achievement and borrowing status.
Co-Authors A&#039;maliatul Khoiriyah Achmad Arman Subijanto Aem Ismail Ahmad Daffa’ Aushof Ajeng Christiana Putri Pratiwi Alfiana Nur Rohmani Alifia Ayu Romadhona Alifia Nadhimah Putri Alifia Nadhimah Putri Alwan Dhafi Umar Amalia Choirunnisa Andri Setiawan Anggie Rahmatul Azizah Anggun Fitri Handayani Anggun Fitri Handayani Anik Lestari Anik Lestari Anis Lupita Ningrum Annes Rindy Permana Annisa Risnasari Arddha Maha Pawitra Dwi Puspita Dewi Argyo Demartoto Argyo Demartoto Argyo Demartoto Attila Yulaicha Advendila Siregar Aulia Putri Nugraheni Ayu Novita Wulandari Ayu Saidah Ayun Widya Rizki Betriza Deviana Tristian Dhina Nur Irfani Diani Fadmi Putri Didik Gunawan Tamtomo Didik Gunawan Tamtomo Dinda Nabila Silva Diba Edi Pramono Elsa Tursina Emirza Nur Wicaksono Emirza Nur Wicaksono Erindra Budi Cahyanto Erindra Budi Cahyanto Ervia Fahma Dhony Eti Poncorini Pamungkasari Fauziah Shinta Anindita Fauziah Shinta Anindita Fenita Indriani Fenita Indriani Gadis Nur Anggreani Gilang Pamungkas Ardi Putra Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Hanung Prasetya Ica Yuniar Sari Ika Sumiyarsi Sukamto Ika Yuli Ayuningrum Indri Nur Utami Isna Andriani Jihan Nabilla Joko Budiyono Karismatika Surya Gumilar Katmini Katmini Khairina Nur Hidayati Khuzaimah Triverta La Karman Gojali Lestari Indah Maoli Zartika Mashaf Fahrur Murdo Furqon Mentary Febryant Putry Muhammad Fahrezi Al Ghifari Muhammad Raihan Alfani Nadia Fitriana Fariati Natalia Prisca Ibrahim Natalino de Jesus Varela Nathanael Aditya Santoso Nindita Arum Veibiani Noor Alis Setiyadi Noor Alis Setiyadi Noviani, Desi Nugrahaeni, Meita Tyas Nurcahyo Aji Legowo Okid Parama Astirin Okid Parama Astirin Putri Fortuna Salsabila Qumara Wilda Khulwani Rachmawaddah Yolanda Ratih Puspita Febrinasari Ratih Puspita Febrinasari Regita Azzahra Prasetyowati Rela Hastuti Revi Gama Hatta Novika Revi Gama Hatta Novika Revi Gama Hatta Novika Revi Gama Hatta Novika Revi Gama Hatta Novika Revi Gamma Hatta Novika Rifda Muthia Sabrina Rizka Ayu Setyani Rizky Nur Aprilianti Amalia Rosalia Indri Dewanti Rumpiati Rumpiati Salsabilla Luthfiana Ayu Hafida Septa Santiya Arini Setyo Sri Rahardjo Setyo Sri Rahardjo Setyo Sri Rahardjo Shafa Latifah Siti Mar&#039;atul Munawaroh Siti Mar’atul Munawaroh Sukandriani Utami Sumardiyono Tania Febiola Titis Cipta Purwantanti Tria Fora Delfita Viola Widyanita Mahardhika Virdaria Andriani Wardhatul Livia Yulia Himawati Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Yuly Peristiowati