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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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The Influences of Leadership, Job Satisfaction, and Work Environment on the Performance of Health Workers Qumara Wilda Khulwani; 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.2025.10.02.08

Abstract

Background: Creating good and quality health services is inseparable from the performance of health workers which can affect the level of patient satisfaction. This study aims to determine the influence of perceived leadership, job satisfaction, and work environment on the performance of health workers at dr. Soediran Mangun Sumarso Hospital. Subjects and Method: The study was conducted with a cross-sectional study design. The approach used was an analytical observational model with a sample size of 200 health workers. This study was conducted at dr. Soediran Mangun Sumarso Hospital, Wonogiri Regency in November-December 2023. A sample of 200 health workers was selected using stratified random sampling. The dependent variable in this study was the performance of health workers. Meanwhile, the independent variables in this study were perceived leadership, job satisfaction, work environment, age, and length of working. Data collection was carried out using questionnaires, and the data were analyzed using a double linear regression analysis model. Results: Each 1 unit increase in the leadership score would be followed by an increase in performance score (b= 0.33; CI 95%= 0.21 to 0.45; p<0.001), job satisfaction (b= 0.14; CI 95%= 0.06 to 0.21; p<0.001), work environment (b= 0.26; CI 95%= 0.06 to 0.46; p=0.010), age ≥37 years (b= 0.19; CI 95%= -0.90 to 1.29; p=0.728), length of working ≥10 years (b= 0.94; CI 95%= -0.16 to 2.04; p=0.093). Conclusion: There is an influence of leadership, job satisfaction, work environment, age, and length of working on the performance of health workers at Dr. Soediran Mangun Sumarso  Hospital, Wonogiri.
Analyzing the Impact of Job Stress, Workload, and Job Satisfaction on Nurse Performance: A Path Analysis Annisa Risnasari; Setyo Sri Rahardjo; 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.2025.10.02.10

Abstract

Background: Good performance can help hospitals make profits and maintain the sustainability of their business, and vice versa, a decreased performance can certainly be detrimental to hospitals. Nurses are always required to provide good service even under high pressure, with a large number of patient visits and standard procedures that should not be missed. This study aims to analyze the effect of job stress, workload, and job satisfaction on the nurses’ performance in the inpatient ward of dr. Sayidiman Magetan Hospital, East Java, Indonesia. Subjects and Method: It was an observational analytical study with a cross-sectional approach using a path analysis model. The population in this study was all nurses in the inpatient ward of dr. Sayidiman Magetan Hospital, East Java, Indonesia. The sample in this study was nurses at dr. Sayidiman Magetan Hospital, East Java, Indonesia. The ratio between the number of subjects in a study and the number of independent variables in multivariate analysis is recommended to be 15 to 20 subjects per independent variable. Therefore, the total number of study subjects in this study was 200 people. The study used the simple random sampling technique. The variables in this study were dependent variables and independent variables. The dependent variables included performance, while the independent variables included job stress, workload, and job satisfaction. Results: Nurses' performance in hospital inpatient ward improved with better job satisfaction (b= 0.19; CI 95%= 0.05 to 0.32; p = 0.006) and higher job stress (b = 0.13; CI 95%= -0.01 to 0.26; p = 0.066). Nurses’ performance decreased with heavier workload (b= -0.16; CI 95%= -0.29 to -0.03; p = 0.017). This path analysis model had a good model fit, which was indicated by the following model fit indicators: p = 0.294; RMSEA= 0.034; CFI = 0.98; TLI= 0.92; SRMR= 0.029. Conclusion: Nurses' performance in the hospital inpatient ward improves with better job satisfaction and higher job stress. Nurses' performance decreases with heavier workloads. This path analysis model has good model suitability
Effect of Marketing Mix (Product, Place, Promotion, and Price) on Outpatient Patient Satisfaction at Nur Hidayah Hospital, Bantul Salsabilla Luthfiana Ayu Hafida; Didik Gunawan Tamtomo; Hanung Prasetya; Bhisma Murti; Sumardiyono
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.2025.10.02.11

Abstract

Background: Patient satisfaction is an indicator of how well a patient is treated in medical practice, from the point of view of service quality and from how happy the patient is with the services provided. One of the marketing strategies that can be used is  the 4P marketing mix that includes a combination of variables or core activities in the marketing system, such as products, distribution, promotions, and prices. This study aimed to analyze the effect of 4P marketing mix strategy on patient satisfaction. Subjects and Method: A cross-sectional study was conducted at Nur Hidayah Hospital, Bantul, Yogyakarta, Indonesia. A sample of 203 patients selected using a simple random sampling. The dependent variable was patient satisfaction. The independent variables were product, place, promotion, and price. Data collection was carried out using a questionnaire and analyzed by path analysis using the STATA 13 application. Results: Marketing mix strategy directly increased patient satisfaction (b= 0.92; 95% CI= 0.87 to 0.98; p<0.001). Product (b= 0.63; 95% CI= 0.54 to 0.72; p <0.001), place (b = 0.52; 95% CI = 0.41 to 0.63; p<0.001), promotion (b = 0.65; 95% CI = 0.55 to 0.74; p<0.001), and price (b= 0.76; 95% CI= 0.68 to 0.83; p<0.001) showed positive and significant loadings, indicating that all four components are strong constructs representing the marketing mix strategy. Conclusion: Marketing mix strategy directly increases patient satisfaction.
Impact of Safety Climate on Workers' Safety Practices in the Textile Industry Ica Yuniar Sari; Sumardiyono; 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.2025.10.02.06

Abstract

Background: The textile industry has high risks related to occupational safety and health (OSH), so work accidents often occur. The number of accidents in Indonesia is increasing from year to year. One of the methods to overcome this problem is the implementation of the Occupational Safety and Health Management System. In addition, the safety climate and safety behavior are important indicators in reducing work accidents. This study aims to analyze the influence of the safety climate on safety behavior in the textile industry. Subjects and Method: This was a cross-sectional study conducted in 2 textile companies located in Surakarta and Semarang, in June-August 2024. A sample of 200 workers was selected using simple random sampling. The dependent variable was safety behavior. The independent variables were safety climate, working period and education level. Data collection was carried out using questionnaires and data was analyzed using path analysis. Results: Safety behavior was positively influenced by condusive climate (OR= 5.04; 95% CI= 1.68 to 15.13; p= 0.004), implementing occupational health and safety management system (OR= 55.48; 95% CI= 18.26 to 168.53; p < 0.001), high education (OR= 2.18; 95% CI= 0.99 to 4.81; p= 0.052), and long tenure (OR= 2.78; 95% CI= 0.97 to 7.97; p= 0.056). Conclusion: Safety behavior is positively influenced by condusive climate, implementing occupational health and safety management system, high education, and long tenure.
Key Factors Affecting Job Satisfaction of Inpatient Nurses at Sukoharjo Regional Hospital Regita Azzahra Prasetyowati; Argyo Demartoto; Bhisma Murti
Journal of Health Policy and Management Vol. 10 No. 3 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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

Abstract

Background: Quality health services are the result of cooperation between patients and health care providers in a supportive environment. Nurses as professionals are responsible for providing high-quality nursing care for better patient outcomes. The Human Resources (HR) department plays a crucial role in managing the workforce and ensuring that hospitals have qualified and competent staff of healthcare professionals. The purpose of this study is to find out the factors that affect nurses' job satisfaction. Subjects and Method: The cross-sectional study was conducted at the Sukoharjo Regency Hospital from June to July 2024. A total sample of 200 inpatient nurses was selected by simple random sampling. The dependent variable is job satisfaction. The independent variables were salary perception, work environment, autonomy, supervision, relationships between colleagues, work rewards, and work attitudes. Data collection was carried out by questionnaire. Data were analyzed using path analysis. Results: The results of the pathway analysis that has been carried out in this study stated that the job satisfaction of inpatient nurses at Sukoharjo Hospital was directly influenced by supervision (b=0.14; CI 95%= 0.01 to 0.26; p= 0.040), salary perception (b= 0.23; CI 95%= 0.10 to 0.36; p <0.001), autonomy (b = 0.18; CI 95%= 0.06 to 0.31; p= 0.005), work environment (b= 0.18; CI 95%= 0.05 to 0.31; p= 0.006). Job satisfaction through salary perception is indirectly influenced by income and work rewards in the work environment. Conclusion: The job satisfaction of inpatient nurses at Sukoharjo Hospital is directly influenced by supervision, salary perception, autonomy, and work environment. Job satisfaction through salary perception is indirectly influenced by income, work rewards in the work environment.
The Influence of Servqual Indicators in Measuring Health Service Quality and Patient Satisfaction Septa Santiya Arini; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 10 No. 3 (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.2025.10.03.04

Abstract

Background: Health services are organized efforts by individuals or institutions to prevent and treat diseases, restore health, and improve community well-being. Both government and private healthcare institutions play a crucial role in ensuring accessible and high-quality services. The quality of health services is a key determinant of patient satisfaction. This study aimed to assess the SERVQUAL indicators in measuring the quality of health services and patient satisfaction at Diponegoro National Hospital. Subjects and Method: A cross-sectional study was conducted at Diponegoro National Hospital, Semarang, in July 2024. A total of 200 patients were recruited using accidental sampling. The dependent variables were service quality and patient satisfaction, while the independent variables included age, education, gender, and financing method. Data were collected using structured questionnaires and analyzed through path analysis. Results: The concept of service quality was represented by SERVQUAL indicators: reliability (b= 0.61; 95% CI= 0.46–0.76; p<0.001), assurance (b= 0.50; 95% CI= 0.35–0.64; p<0.001), tangibles (b= 0.67; 95% CI= 0.56–0.78; p<0.001), and responsiveness (b= 0.66; 95% CI= 0.46–0.76; p<0.001). Patient satisfaction showed a positive structural relationship with service quality (b= 0.31; 95% CI= 0.07–0.55; p= 0.012). The financing method also affected satisfaction, with insured (BPJS) patients reporting higher satisfaction than general patients (b= 0.15; 95% CI= 0.02–0.27; p= 0.015). Conclusion: Health service quality is defined by multiple SERVQUAL indicators, including reliability, assurance, tangibles, empathy, and responsiveness. Patient satisfaction is positively associated with service quality and influenced by the financing method, indicating the importance of equitable and high-quality healthcare delivery
Evaluation of Anesthesia Management Care in the Central Surgical Installation Annes Rindy Permana; Argyo Demartoto; Bhisma Murti
Journal of Health Policy and Management Vol. 10 No. 3 (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.2025.10.03.03.a

Abstract

Background: Effective anesthesia management is essential to ensure patient safety, minimize perioperative complications, and promote optimal recovery. Comprehensive planning across the pre-, intra-, and postoperative phases allows anesthesiologists to deliver systematic and high-quality care. Evaluating each component of anesthesia services context, input, process, product, and outcome is crucial for maintaining professional standards and improving patient satisfaction. Therefore, this study aimed to evaluate anesthesia care arrangements (pre-, intra-, and postoperative) at the Central Surgical Installation of dr. Soepraoen Kesdam V/Brawijaya Malang Hospital using the CIPP evaluation model. Subjects and Method: This qualitative evaluative study was conducted from June 1 to July 1, 2024, employing the Context, Input, Process, and Product (CIPP) framework. Five anesthesiologists were selected through probability sampling. Data were collected through in-depth interviews, direct observations, document reviews, and Focus Group Discussions, and analyzed through data reduction, classifica­tion, and interpretation. Results: Evaluation of the context and input components showed that anesthesia services complied with professional standards and ASKAN guidelines, supported by adequate human resources, infrastructure, and standard operating procedures. The process component including assessment, diagnosis, intervention, implementation, evaluation, and documentation was implemented adequately but not fully aligned with the ASKAN guidelines. Product evaluation indicated satisfactory documentation quality with partial conformity to the 2023 ASKAN edition. The outcome showed stable patient hemodynamics and high satisfaction levels. Conclusion: Context and input components were well-implemented, while process and product evaluations were adequate but require improved documentation to align with the latest ASKAN standards.
The Relationship Between Motivation, Length of Service, Work Environment, Job Satisfaction, and the Performance of Healthcare Workers at National Hospital of Diponegoro, Semarang, Indonesia Natalia Prisca Ibrahim; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 10 No. 3 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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

Abstract

Background: Performance is the result of work achieved by a person in carrying out his duties which is based on skills, experience, seriousness, and time aimed at the progress of an organization or company. This study aims to analyze the relationship between motivation, length of work, work environment, job satisfaction, and the performance of health workers at Semarang Hospital. Subjects and Method: This study uses an observational analytical design with  a cross-sectional  approach conducted at the Semarang Hospital from June to July 2024. The sample consisted of 200 health workers who were selected by a simple random sampling method. The independent variables in this study were motivation, length of work, work environment, and job satisfaction. The dependent variable is the performance of the health workers of Semarang Hospital. Data collection was carried out by questionnaire. The data was analyzed using  the structural equation model (SEM) analysis model. Results: The performance of health workers increased with a good work environment (b=0.38; 95% CI=0.19 to 0.56), but decreased with longer working A good work environment was influenced by strong work motivation (b=0.13; 95% CI=0.01 to 0.23), and high job satisfaction (b=0.45; 95% CI=0.30 to 0.59). Work motivation was positively influenced by job satisfaction (b=0.37; 95% CI=0.17 to 0.53). Length of work was positively influenced by job satisfaction (b=0.48; 95% CI=0.30 to 0.59). This Path Analysis shows good goodness of fit: Chi Square p= 0.268 ( >0.050), RMSEA= 0.04 (<0.08), CFI= 0.99 (>0.90), TLI= 0.096 (>0.90), and SRMR= 0.03 (<0.05). Conclusion: Performance is directly affected by the work environment, and the length of work, and is indirectly affected by job satisfaction and work motivation.
Determinants of Inpatient Satisfaction at Dr. M. Yunus Regional General Hospital, Bengkulu, Indonesia Rachmawaddah Yolanda; Didik Gunawan Tamtomo; Bhisma Murti; Eti Poncorini Pamungkasari
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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

Abstract

Background: A hospital is a healthcare facility that provides medical services and care to patients that serve for the treatment and treatment of various diseases or health conditions supported by the services provided in the hospital. This study aims to analyze the factors that affect inpatient satisfaction so that it is known which factors are most influential and health service improvements can be more measurable.Subjects and Method: This study uses a cross-sectional study conducted at the dr M. Yunus Bengkulu Regional General Hospital, Indonesia, from January to February 2024. The sample consisted of 165 inpatient respondents who were selected by stratified random sampling technique. The independent variables in this study were age, gender, education level, ward type, class of care, financing method, tangibles, assurance, responsiveness, realibility and empathy. The dependent variable is inpatient satisfaction. Data collection was carried out by questionnaire. The data will be tested for validation and reliability so that Cronbach's alpha score is obtained in Stata 13.0 Software. The average SERVQUAL score will be assessed as the difference between the expected score and the actual score.Results: The patient satisfaction score obtained based on the gap in the SERVQUAL score between expectations and reality were reliability factors (-2.81), assurance (-4.72), tangibles (-4.68), empathy (-4.76), and responsiveness (-4.53). The results of the analysis of the influence of patient satisfaction on patient loyalty obtained a percentage value of 80.6% with the number of loyal patients as many as 133 out of 165 patients.Conclusion: The services provided by the Regional General Hospital dr M Yunus Bengkulu have not been able to meet the expectations of patients. Empathy is the least satisfying thing for the patient among others. Meanwhile, reliability is the thing that can satisfy patients the most.
The Impact of Motivation, Stress, and Fatigue on the Performance of Primary Health Care Employees in Surakarta Gilang Pamungkas Ardi Putra; Hanung Prasetya; Bhisma Murti; Sumardiyono
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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

Abstract

Background: The performance of health personel is one of the biggest reasons for the good and bad health services. There are various factors that can affect employee performance such as motivation, stress, and work fatigue. This study aims to see if there is an effect of motivation, stress, and fatigue on the performance of Puskesmas employees. Subjects and Method: This study is a quantitative study using a cross-sectional design. This study was conducted on 17 health centers in the city of Surakarta, Central Java, Indonesia starting from August to September 2024.  With a sample of 202 health center employees who were randomly selected or using a simple random sampling.   The dependent variable in this study is the performance of health center employees. The independent variables in this study were motivation, stress, and fatigue.   Data collection was carried out using a questionnaire and analyzed with path analysis. Results: Motivation has an influence on improving performance and is statistically significant. Motivation (b= 1.14; CI 95% = 1.06 to 1.06; p<0.001), stress (b= 0.83; CI 95% = 0.70 to 0.95; p<0.001), has a statistically significant effect on performance degradation, and fatigue (b=0.06; CI 95% = 0.02 to 0.12; p=0.041), had a degrading effect and was statistically significant. Conclusion: The performance of health center employees is influenced by motivation, stress, and fatigue.
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