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Journal of Health Policy and Management
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490281     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Health Policy and Management (JHPM) is an electronic, open-access, double-blind and peer-reviewed international multidisciplinary and integrative journal, focusing on health policy, health system, and healthcare management. It began its publication on October 21, 2015. The journal is published twice yearly. It aims to improve the design and implementation of health policies, health systems, and healthcare management, primarily in low- and middle-income countries. JHPM analyzes policy initiatives and healthcare systems and provides evidence-based research to guide policymaking and management decision-making.
Arjuna Subject : -
Articles 6 Documents
 1 
Search results for , issue " Vol 1, No 2 (2016)" : 6 Documents clear
Evaluation on the Implementation of Regional Mapping Referal System in the National Health Insurance Primary Care Services in Boyolali, Central Java Widyaningrum, Linda; Tamtomo, Didik; Suryono, Arief
Journal of Health Policy and Management Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan finance preventive, promo­tive, curative, rehabilitative services. The referal system is needed to enhance services and to assure patient safety. The purpose of this study is to evaluate the implementation of regional mapping referal system of the national health insurance, at the primary care level.Subjects and Method: This was a qualitative study with fenomenology approach. This study was conducted at Wonosegoro I and Karanggede Community Health Centers, type C Boyolali Pandanarang district hospital, type D Boyolali Simo hospital, and Boyolali District Health Office. Data were collected by in-depth interview, direct observation, and document review.Results: Regional mapping referal system in Boyolali district was implemented under the head of the District Health Office regulation no 440/4214/15 /2014. The number of personal in charge of referal system in Wonosegoro I and Karanggede Community Health Centers, which provided inpatient care was lacking. The infrastructure and equipment were insufficient to address common diseases that consist of 155 diagnoses. The information and communication system has not connected to the referal system facilities. Telephone was used to check about the hospital bed of availability. Therefore, patient information could not be sent to the hospital beforehand.Conclusion: The current infrastructure and equipment at Community Health Centers in Boyolali, Central Java are insufficient to support the regional mapping referal system.Keywords: mapping, referal system, BPJS Kesehatan, primary care.Correspondence: Linda Widyaningrum. School of Medical Records, APIKES Citra Medika, Surakarta, Central Java. Email: linda.ningrum@ymail.comJournal of Health Policy and Management 1(2): 95-101https://doi.org/10.26911/thejhpm.2016.01.02.04
Comparison Between Hospital Inpatient Cost and INA-CBGs Tariff of Inpatient Care in the National Health Insurance Scheme in Solo, Boyolali and Karanganyar Districts, Central Java Rahayuningrum, Indriyati Oktaviano; Tamtomo, Didik; Suryono, Arief
Journal of Health Policy and Management Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hospital has an important referral system role in the implementation on the National Health Insurance (NHI) Scheme. BPJS Kesehatan (NHI Implementing Agency) pays hospitals by Indonesian Case Based Groups (INA-CBGs) method. This payment method may potentially cause loss or profit to the hospital, when there is discrepancy between hospital inpatient cost and INA-CBGs tariff of inpatient care. This study aimed at investigating the discrepancy between hospital inpatient cost and INA-CBGs tarif of inpatient care and the determinants of hospital inpatient cost.Subjectsand Method: This was an analytic and observational study cross sectional approach. This study was conducted in 2 publichospitals and 2 private hospitals, from October to December 2016.  A total sample of 100 inpatients was selected at random for this study. The dependent variables were hospital inpatient cost and INA-CBGs tariff. The independent variables included hospital type, inpatients class, disease severity, use of ICU, and length of stay. The data were analyzed by a multiple linear regression model.Results:Averagehospital inpatient cost (mean= Rp. 2,280,000; SD=1,690,000) was lower than average INA-CBGs (mean=Rp. 3,060,000). There were negative relationships between hospital type, inpatient class, disease severity, and hospital inpatient cost. Private hospital inpatient cost(b=-5.66;95% CI= -1.20 to 0.06; p= 0.078) was lower than public hospital inpatient cost. Class 2 inpatient care (b= -0.34; 95% CI=-1.09 to 0.41, p =0.371), class 3 inpatient care (b =-0.50; 95% CI =-1.23 to 0.23, p=0.177), had lower hospital inpatient cost than class 1 inpatient care.Severe disease (b=-0.12; 95% CI= -1.95 to 1.71; p= 0.894) had lower hospital inpatient cost than mild disease, although it was not statistically significant. There were positive relationships between use of ICU, disease severity, length of stay, and hospital inpatient cost. Using ICU (b= 1.58; 95% CI= 0.76 to 2.4; p= <0.001) had higher hospital inpatient cost than not using ICU. Moderate disease severity (b= 0.55; 95% CI = -0.20 to 1.30; p= 0.150) had higher hospital inpatient cost than mild disease. Longer stay (b= 0.27; 95% CI= 0.08 to 0.45; p= 0.005) had higher hospital inpatient cost than shorter stay. Conclusion:Average hospital inpatient cost was lower than average INA-CBGs tariff. Hospital type, use of ICU, and length of stay, are important determinants of hospital inpatient cost.Keywords: hospital inpatient cost, INA-CBGs tariff, determinantCorrespondence: Indriyati Oktaviano Rahayuningrum. Faculty of Medicine, Muhammadiyah University Surakarta. Email: indriyatioktaviano@yahoo.comJournal of Health Policy and Management 1(2): 102-112https://doi.org/10.26911/thejhpm.2016.01.02.05
Factors Affecting the Quality of Diagnosis Coding and Medical Record at Dr. Moewardi Hospital, Surakarta Maryati, Warsi; Murti, Bhisma; Indarto, Dono
Journal of Health Policy and Management Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diagnosis coding is atool for identifying and grouping diseases, disorders, symp­toms, and other disease-related outcomes, such as poisoning, adverse effect of drugs and chemicals, injury. Diagnosis code can be used in policy making and costing medical care. Doctors, nurses, coding personnel, and medical record quality, may affect the quality of diagnosis coding. This study aimed to investigate factors that affects the quality of diagnosis coding at Dr. Moewardi Hospital, Surakarta.Subjects and Method: This was an analytic observational using cross sectional design. This study was conducted at Dr. Moewardi Hospital, Surakarta, Indonesia. A total of 250 inpatient medical record document at Dr. Moewardi Hospital were selected for the study bystratified random sampling.The data was analyzed by structural equation modeling (SEM).Results:Sub-specialistic doctor (b = 1.13; 95%CI = 0.06 to 0.33; p = 0.039),civil servant doctor(b = 0.84; 95%CI = 0.06 to 1.62; p =0.034),nurse working ≥ 5 years (b = 1.77; 95% CI = 1.13 to 2.42; p<0.001), significantly increased the quality of medical record. Coding personnel aged ≥40 years (b= 1.70; 95%CI = 0.64 to 2.77; p = 0.002), coding personnelworking ≥5 years (b = 1.70; 95%CI= 0.98 to 2.42; p 0.001), and coding personnel has ≥ 5 times training(b = 2.62; 95% CI = 1.40 to 3.83; p <0.001), significantly increased the quality of diagnosis coding.Conclusion: Sub-specialistic doctor, civil servant doctor, nurse working ≥5 years, significantly increased the quality of medical record. Coding personnel aged ≥40 years, coding personnel working ≥5 years, and coding personnel has ≥ 5 times training, significantly increased the quality of diagnosis coding.Keywords: Quality of diagnosis coding, quality of medical record, doctor, nurse, coding personnel.Correspondence: Warsi Maryati. School of Medical Records and Health, APIKES Citra Medika, Surakarta. Email: warsi_maryati@yahoo.comJournal of Health Policy and Management (2016), 1(2): 61-70https://doi.org/10.26911/thejhpm.2016.01.02.01 
Context, Input, Process, Product Analysis in the Implementation of Iron Supplementation Program in Banyumas, Central Java -, Purwati; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Iron supplementation program has been implemented in Banyumas, District, Central Java, but the prevalence of anemia in pregnant women remains as high as 55.37%. The Banyumas District Health Office has launched an ad hoc (temporary) iron supplementation program, namely Hemafort, in order to reduce anemia prevalence. This study aimed to investigate the factors that determine the effectiveness of the iron supplementation program for pregnant women in Banyumas, Central Java.Subjects and Method: This was a qualitative study with case study approach, and CIPP (context, input, process, product) framework. This study was conducted Wangon II and South Purwokerto Health Centers from October to November 2016. Informants were selected by purposive sampling including midwives, nutritional program managers, pharmacists, head of nutrition section, and pregnant women. The data were collected by in-depth interview, observation, and archival review. The data were analyzed by a multiple case study. The data were validated by data source triangulation.Results: The iron tablets coverage for pregnant women reached 94.88% and 89.26% in 2014 and 2015, respectively, in Banyumas. The minimal target of iron coverage for pregnant women was 90%. There was no local government policy or standard operating procedure (SOP) that regulated the efforts to tackle anemia problems in pregnant women. The number of health personnel in charge of nutrition and their competence were sufficient. But reliable budget to tackle anemia problem did not exist. Spending district budget was an exit strategy to take when there was deficiency in central budget allocation. The number of iron supplementation tablets was not guaranteed.Conclusion: The effectiveness of iron supplementation program for pregnant women depends on the existence of relevant policy, SOP, allocation of sufficient and reliable budget, as well as adequate supply of iron tablets.Keywords: iron supplementation tablets, pregnant women, local government, budgetCorrespondence: Purwati. Faculty of Health Sciences, Muhammadiyah University at Purwokerto, Central Java. Email: watix_1006@yahoo.com. Mobile: +6285735145236.Journal of Health Policy and Management (2016), 1(2): 113-120https://doi.org/10.26911/thejhpm.2016.01.02.06
Path Analysis on the Organizational Factors Affecting Medical Service Quality and Patient Satisfaction at Dr. Moewardi Hospital, Surakarta Rosita, Riska; Murti, Bhisma; -, Sumanto
Journal of Health Policy and Management Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

 Background: Health service quality and patients satifaction are two important determinants for a hospital competitiveness. Patients always expect that the hospital provide good quality and satisfying service. This study aimed to determine the organizational factors that affect medical service quality and patient satisfaction at Dr. Moewardi Hospital, Surakarta.Subjects and Method: This was an analytical observational study using cross sectional design. This study was conducted at Dr. Moewardi Hospital, Surakarta, Indonesia, in November-December 2016. A total of 120 patients at Dr. Moewardi Hospital, were selected by stratified random sampling. The independent variables were personnel welfare, availability of facilities, and regulation of health care. The dependent variables were the quality of inpatient medical service and patient satisfaction. The data were collected by a questionnaire and analyzed by path analysis.Results: Personnel welfare (b=-0.13; p = 0.595) was not associated with the quality of medical service and patient satisfaction. Availability of facilities (b= size was 2.82; p = <0.001) had positive effect on the quality of medical care and patient satisfaction. Path analysis showed goodness of fit of the model, with CMIN = 4.35, p= 0.113, NFI = 0.99, CFI = 0.99, and RMSEA = 0.09.Conclusion: Personnel welfare and availability of facilities have positive effects on the quality of inpatient medical service and patient satisfaction.Keywords: Personnel welfare, availability of facility, quality of inpatient medical service, patient satisfaction, hospital.Correspondence: Riska Rosita. School of Medical Record, APIKES Citra Medika, Surakarta. Email: ross_rzkrosita@yahoo.comJournal of Health Policy and Management (2016), 1(2): 71-77https://doi.org/10.26911/thejhpm.2016.01.02.02
Relationship Between Motivation, Competence, Workload, and Nurse Performance, at Dr. Soediran Mangun Sumarso Hospital, Wonogiri, Indonesia Sutarto, Agus; Joebagio, Hermanu; -, Pawito
Journal of Health Policy and Management Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Health worker performance is one of the key elements that determine the quality of hospital service. Health worker performance therefore is the target forimprovement. This study aimed to analyze the relationship between motivation, competence, workload of nurses, and nurse performance.Subjects and Method: This was an analytical observational study with cross sectional design. This study was conducted at Dr. Soediran Mangun Sumarso Hospital, Wonogiri, Indonesia. A total of 50 nurses was sampled for this study.The independent variables consisted of motivation, competence, and workload. The dependent variable was performance of nurse. The data were collected by a questionnaire and analyzed by multiple linear regression model.Results: This study did not find relationship between motivation and performance of nurse (b = 0.02; 95% CI=-0.19 to 0.24; p= 0.823). Similarly there was no relationship workload and perfor­mance of nurse (b=0.05; 95% CI= -0.15 to 0.26; p = 0.607). There was a positive and statististically significant relationship between competence and performance of nurse (b = 1.10; 95% CI= 1.75 to 0.46; p= 0.001).Conclusion: There is a positive and statistically significant relationship between competence and performance of nurse.Keywords: motivation, competence, workload, performance, nurseCorrespondence: Agus Sutarto. dr. Soediran Mangun Sumarso Hospital, Wonogiri, East Java. Email: agus_skh70@yahoo.co.idJournal of Health Policy and Management (2016), 1(2): 78-94https://doi.org/10.26911/thejhpm.2016.01.02.03

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