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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.
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Articles 8 Documents
 1 
Search results for , issue " Vol 3, No 1 (2018)" : 8 Documents clear
Factors Affecting the Quality of Microscopic Tuberculosis Examination in Madiun, East Java: A Multilevel Analysis Hartini, Sri; Sulaeman, Endang Sutisna; Murti, Bhisma
Journal of Health Policy and Management Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tuberculosis (TB) remains major cause of morbidity and mortality due to any one of infectious agent worldwide. In low income countries, Ziehl-Neelsen sputum smear microscopy is the only cost-effective tool for diagnosis and monitoring of patients on treatment. Refresher training for laboratory professionals involved in Acid Fast Bacilli (AFB) microscopy at peripheral health facilities is important. This study aimed to assess factors affecting the quality of microscopic tuberculosis examination in Madiun, East Java, using a multilevel analysis model.Subjects and Method: A cross-sectional study conducted at 23 puskesmas (community health centers) in Madiun, East Java, from March to April 2018. A sample of 230 preparations was selected by simple random sampling. The dependent variable was quality of microscopic TB examination. The independent variables were tenure, refresher training, and accreditation status of puskesmas. The data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Quality of microscopic TB examination was positively associated with tenure ?3 years (b= 2.77; 95% CI= 0.81 to 4.73; p= 0.006) and accredited community health center (b= 3.06; 95% CI= 0.81 to 4.62; p<0.001). The association between refresher training and quality of microscopic TB examination was not statistically significant (b= -0.51; 95% CI= -2.33 to 1.32; p= 0.580). Puskesmas had a contextual effect on quality of microscopic TB examination with ICC= 22.01%.Conclusion: Quality of microscopic TB examination is positively associated with tenure and accredited puskesmas. Refresher training for laboratory technicians was not effective in improving the quality of microscopic TB examination Puskesmas has a considerable contextual effect on quality of microscopic TB examination.Keywords: microscopic TB examination, quality, tenure, community health center, accreditation, multilevel analysisCorrespondence:Sri Hartini, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: hartinis191@gmail.comJournal of Health Policy and Management (2018), 3(1): 34-40https://doi.org/10.26911/thejhpm.2018.03.01.05
Factors Associated with the Completeness of Inpatient Medical Record Filling in Dr. R Sosodoro Djatikoesoemo, Bojonegoro, East Java Pratama, Tegar Wahyu Yudha; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Medical records are central to all patient healthcare activities. Fundamentally, they form part of a doctors ethical and statutory duty in providing good patient care.Good quality medical records, including completeness of record filling, are essential to proper ongoing care of the patient and are paramount for effective communication between healthcare professionals and their patients. However, studies in Indonesia examining factors associated with the completeness of inpatient medical record filling is scanty. The purpose of this study was to examine factors associated with the completeness of inpatient medical record filling in a district hospital.Subjects and Method: This was a quantitative study using a cross-sectional design, conducted atDr. R. SosodoroDjatikoesomoBojonegoro hospital, East Java, in April 2018. A total of 213 nurses working at the inpatient service ward was selected for this study by proportional random sampling, composing of 115 nurses with graduate degree and 35 nurses with diploma degree. The dependent variable was completeness of inpatient medical record filling. The independent variables were education level, employment status, tenure, responsibility, and organization support. The data were collected by questionnaire and document review. The data were analyzed by a multiple logistic regression.Results: Completeness of inpatient medical record fillingwas positively associated with higher education (OR= 2.94; CI 95%= 1.08 to 8.00; p=0.034), civil servant status of employment (OR= 4.01; CI 95%= 1.71 to 9.40; p=0.001), ?3 year tenure (OR= 8.84; CI 95%= 2.78 to 28.16; p<0.001), higher knowledge (OR= 5.37; CI 95%= 1.40 to 20.55; p=0.014), stronger responsibility (OR= 3.13; CI 95%= 1.35 to 7.28; p=0.008), and stronger organizational support (OR= 4.08; CI 95%= 1.72 to 9.67; p=0.001).Conclusion: Completeness of inpatient medical record fillingis positively associated with higher education, civil servant status of employment, ?3 year tenure, higher knowledge, stronger responsibility, and stronger organizational support.Keywords: completeness, inpatient, medical record, fillingCorrespondence:Tegar Wahyu Yudha Pratama. School of Medical Records and Health, STIKES Muhammadiyah, Bojonegoro. Email: tegar.wahyu404@gmail.com. Mobile: +6285746085030.Journal of Health Policy and Management (2018), 3(1): 1-10https://doi.org/10.26911/thejhpm.2018.03.01.01
Predictors of Work Performance among Nurses at PKU Muhammadiyah Hospital, Yogyakarta Rusmitasari, Heni; Sulaeman, Endang Sutisna; Murti, Bhisma
Journal of Health Policy and Management Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Anursehas an important role as a caregiver for patients and helps to manage physical needs, prevent illness, and treathealthconditions.This study aimed to determine predictors of work performance among nurses at PKU Muhammadiyah Hospital, Yogyakarta.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at PKU Muhammadiyah Hospital, Yogyakarta, from April to June 2018. A sample of 203 nurses was selected for this study by simple random sampling. The dependent variable was work performance. The independent variables were motivation, skill, tenure, and motivation. The data were collected by questionnaire and analyzed by path analysis.Results: Work performance was directly improved with better skill (b=1.74; 95%CI= 1.07 to 2.41; p<0.001), longer tenure (b=0.71; 95%CI= 0.07 to 1.35; p= 0.003), and stronger motivation (b=-0.62; 95%CI= -0.07 to 1.31; p= 0.079). Work performance was indirectly affected by satisfaction. Conclusion: Work performance is directly improved with skill, tenure, motivation, and is indirectly affected by satisfaction.Keywords: work performance, tenure, motivation, skill, satisfactionCorrespondence:Heni Rusmitasari. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: heni.rusmitasari@gmail.comJournal of Health Policy and Management (2018), 3(1): 41-46https://doi.org/10.26911/thejhpm.2018.03.01.06
Determinants of Midwife Performance on Antenatal Care in Surakarta and Karanganyar, Central Java Gusti, Titis Eka; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: A high maternal mortality rate is one of the major health problems in developing countries. Midwives have an important role to reduce maternal mortality rate by looking after a pregnant women and her baby throughout a phase of antenatal care, during labor and birth, and for up to 28 days after the baby has been born. The WHO Expert Committee on Midwifery stated that the competence of the midwife must extend beyond the provision of service at the time of delivery to total antenatal and postnatal care. This study aimed to examine the determinants of midwife performance on antenatal care in Surakarta and Karanganyar, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 25 community health centers in Surakarta and Karanganyar, Central Java, from April to May 2018. A total sample of 200 midwives was selected by simple random sampling. The dependent variable was midwife performance. The independent variables at level 1 of multilevel modeling (MLM) were age, tenure, motivation, knowledge, training, facility, and leadership. Community health center (Puskesmas) was taken as level 2 in the MLM. The data were collected by questionnaire and analyzed by MLM.Results: Longer tenure (b= 1.57; 95% CI= 0.11 to 3.02; p=0.035), provision of training (b=1.92; 95% CI= 0.45 to 3.40; p=0.011), high motivation (b=1.48; 95% CI =-0.13 to 3.09; p=0.072), better knowledge (b=1.61; 95% CI= 0.03 to 3.19; p=0.046), facility (b=1.44; 95% CI= 0.14 to 2.73; p=0.030), strong leadership (b=1.66; 95% CI= 0.18 to 3.13; p=0.028), and age ?27 years (b=2.08; 95% CI= 0.04 to 4.12; p=0.046) were positively associated with better performance of midwives. A large portion of variation in midwives performance was determined at Puskesmas level with ICC= 45.78%.Conclusion: Longer tenure, provision of training, high motivation, better knowledge, facility, strong leadership, and age ?27 years are positively associated with better performance of midwives. Community health center has an important contextual effect on midwife performance.Keywords: midwife, performance, age, tenure, motivation, training, leadership, community health centerCorrespondence:Titis Eka Gusti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: titisekagusti@gmail.comJournal of Health Policy and Management (2018), 3(1): 11-19https://doi.org/10.26911/thejhpm.2018.03.01.02
Informed Consent Reformulation by Health Personnel in Health Services Sari, Dian Lukita; Suryono, Arief; Isharyanto, Isharyanto
Journal of Health Policy and Management Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Informed consent is an approval given after receiving information. The arrangement of informed consent is more emphasized on the medical act, namely the Minister of Health Regulation no. 290 of 2008 on Approval of Medical Measures, whereas in addition to doctors / dentists including health personnel must also obtain the consent of the patient. Article 68 paragraph (6) of Law no. 36 of 2014 on Health Manpower explaines that the procedures for approval of the Health Manpower Act are regulated by Ministerial Regulation, but until now none of it existed. Therefore, it is necessary to reformulate informed consent to provide legal certainty for all health personnel.Subjects and Methods: Normative type study with statute approach that is legislation and conceptual approach, technique of collecting law material with literature study. Technical analysis of legal materials was done by formulating legal principles, formulating legal understanding and formation of legal standards.Results: Urgency of reformed informed consent in health service action for health personnel viewed from the perspective of legislation that is Law no. 36 Year 2009 on Health, Law no. 44 Year 200 on Hospital, Law no. 36 of 2014 on Health Manpower and Regulation of the Minister of Health RI No. 69 of 2014 on Hospital Obligations and Patient Obligations explained that informed consent is provided by health personnel. Urgency due to social interests in the matter of public security as well as social interests concerning the lives of individuals. Urgency of legal certainty that the law can be implemented properly if there is adequate regulation and equal treatment before the law. Ideal informed consent reform as the implementation of Article 68 paragraph (6) of the Law on Health Manpower needs to re-regulate Regulation of the Minister of Health Number 290 Year 2008 regarding Approval of Medical Measures. Reformulation of preliminary consideration and consideration considering the adjusted development of science as well as legal subjects informed consent uniformed into health personnel.Conclusions: The urgency of reformulating informed consent is because in the therapeutic agreement, it is the fulfillment of the principle of consensualism in the agreement; for the social interest in public security matters and concerning the lives of individuals and need the latest regulation for legal certainty for all health personnel. Ideal informed consent reform is the needs to reorganize the Approval of Health Personnel Act by substituting Regulation of the Minister of Health No. 290 Year 2008 on Approval of Medical Measures, by changing the subjects for "Health Personnel".Keywords: informed consent, health service, health personnel.Correspondence:Dian Lukita Sari. Masters Program in Law, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java Email: dtiar02@gmail.com. Mobile: +6285648127557Journal of Health Policy and Management (2018), 3(1): 47-55https://doi.org/10.26911/thejhpm.2018.03.01.07
Factors Affecting Work Performance among Nurses in Delivering Health Service for the National Health Insurance Patients at Dr. Moewardi Hospital, Surakarta Doloh, Nureesa; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The performances of the doctors and the nurses are especially important in accomplishing health care in a continuous and effective way. It is important to examine all organizational, individual, social factors that especially affect the performances of the doctors and nurses holistically. The purpose of this study was to assess factors affecting work performance among nurses in delivering health service for the national health insurance patientsat Dr. Moewardi Hospital, Surakarta.Subjects and Method: A cross-sectional study was carried out in Dr. Moewardi Hospital, Surakarta, Central Java. A sample of 150 nurseswho provided health services to the National Health Insurance patientswas selectedfor this study by proportional random sampling. The dependent variable was work performance. The independent variables were work satisfaction, work motivation, and supervision. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: Work performance was affected by work satisfaction (b=0.88; 95%CI=0.05 to 1.71; p=0.037), work motivation (b=0.81; 95%CI=-0.06 to 1.68; p=0.070), and supervision (b=0.97; 95%CI=0.18 to 1.76; p=0.016). Work performance was also indirectly affected by motivation. Conclusion: Work performance is affected by work satisfaction, work motivation, and supervision. Work performance is also indirectly affected by motivation.Keywords: work performance, motivation, supervision, satisfaction, nursesCorrespondence: Nureesa Doloh. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 336 A, Surakarta 57126, Central Java.Email: nursenuris2015@gmail.com.Mobile:+62895414785888.Journal of Health Policy and Management (2018), 3(1): 20-25https://doi.org/10.26911/thejhpm.2018.03.01.03
Does Accreditation Status Affect Job Performance of the Electronic Medical Record Clerks at Community Health Center? Seha, Harinto Nur; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Primary care doctors and other staff working in primary care require comprehensive and accurate data on patients at the point-of-care if they are to provide high quality health services to their patients. Electronic patient records are an effective method of achieving this objective, by dispensing with the need to use difficult to access, and often illegible, paper-based records. This study aimed to analyze the effect of accreditation status on job performance of the electronic medical record clerks at community health center.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study conducted for 25 puskesmas (community health centers), in Yogyakarta, from March to June 2018. A sample of 200 patient medical records was selected by simple random sampling. The dependent variables were completeness and accuracy of medical record. The independent variables were tenure and multi task as level 1 in the multilevel model (MLM). Accreditation status of puskesmas was taken as level 2 in the MLM. The data were collected by questionnaire and analyzed by MLM.Result: Longer tenure (b= 1.03; 95% CI= 0.30 to 1.77; p= 0.006) and single task occupation (b= 4.21; 95% CI= 6.23 to 2.20; p<0.001) were positively associated with completeness of electronic medical record. Likewise, longer tenure (b= 0.54; 95% CI= 0.079 to 1.01; p= 0.022) and single task occupation (b= 2.14; 95% CI= 3.42 to 0.87; p= 0.001) were positively associated with accuracy of medical record medical record. Accreditation status of puskesmas showed negligible contextual effect on completeness (ICC= 0.36%) and accuracy (ICC= 1.17%) of the electronic medical record.Conclusion: Longer tenure and single task occupation are positively associated with completeness and accuracy of medical record. Accreditation status of puskesmas shows negligible contextual effect on completeness and accuracy of the electronic medical record.Keywords: completeness, accuracy, tenure, occupation, accreditation status, community health center, electronic medical recordCorrespondence:Harinto Nur Seha. Medical Record and Health Information, School of Health Polytechnics Permata Indonesia, Yogyakarta. Email: harinto_ns@permataindonesia.ac.id. Mobile: +62 85749724513.Journal of Health Policy and Management (2018), 3(1): 56-62https://doi.org/10.26911/thejhpm.2018.03.01.08
Determinants of Midwife Performance in Lactation Management in Surakarta and Karanganyar, Central Java Wahidah, Nurul; Sulaeman, Endang Sutisna; Budihastuti, Uki Retno Setia
Journal of Health Policy and Management Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Exclusive breastfeeding has been recommended by World Health Organization for reduction of infant illness and death. Midwives have an important role in lactation management, which includes: (1) Teaching all lactating mothers on how to successfully breastfeed and sustain it up to 2 years or more; (2) Coming in contact with mothers and infants to promote, protect, and support breastfeeding. However, exclusive breastfeeding coverage was still low at 80% nationally, 76.7% in Surakarta, and 61.1% in Karanganyar in 2016, suggesting low midwife performance in lactation management. This study aimed to determine factors associated with midwife performance in lactating management in Surakarta and Karanganyar, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted in community health center in Surakarta and Karanganyar, Central Java, from April to June 2018. A sample of 200 midwives was selected by simple random sampling. The dependent variable was performance in lactation management. The independent variables were skill, motivation, experience, health facility, and work load. The data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Midwife performance in lactation management increased with better skill (b= 2.06; 95% CI= 0.48 to 3.65; p= 0.011), strong motivation (b= 1.15; 95% CI= -0.09 to 2.41; p= 0.070), work experience (b= 2.06, 95% CI= 0.69 to 3.44, p= 0.003), and available facility (b= 2.29, 95% CI= 0.89 to 3.68, p= 0.001). Performance decreased with higher workload (b= -1.47; 95% CI= -2.76 to -0.18, p=0.025). Community health center had a contextual effect on midwives performance with ICC= 34.8%.Conclusion: Midwife performance in lactation management increases with better skill, strong motivation, work experience, and available facility. Performance decreases with higher workload. Community health center has a contextual effect on midwives performance.Keywords: performance, lactation management, determinant, midwifeCorresp ondence:Nurul Wahidah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: wahidahnurul246@gmail.com.Journal of Health Policy and Management (2018), 3(1): 26-33https://doi.org/10.26911/thejhpm.2018.03.01.04

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