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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 7 Documents
 1 
Search results for , issue "Vol 5, No 2 (2020)" : 7 Documents clear
KNOWLEDGE, ATTITUDE, AND IMPLEMENTATION OF COLD CHAIN MANAGEMENT IN BOALEMO DISTRICT, GORONTALO, INDONESIA Pangalo, Paulus; Sapiun, Zulfiayu; Ischak, Wenny Inno; Goi, Misrawatie; Hartati, Hartati
Journal of Health Policy and Management Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Children's health is a priority in health development with the goal of reducing child mortality. So far, high immunization coverage does not guarantee the emergence of diseases that can be prevented by immunization (PD3I). Cold Chain Management is a system used to store vaccines in good condition which refers to the vaccine supply chain for the immunization procurement chain. The purpose of this study was to examine the relation­ship of knowledge, attitude, and implementation of cold chain management.Subjects and Method: This was a cross sec­tional study conducted at 11 health centers in Boa­­lemo District, Gorontalo, Indonesia, in Sep­tem­ber 2018. A sample of 34 health officers was selected purposively. The dependent variable was cold chain management. The independent variables were knowledge and attitude. The data were collected by questionnaire and observation sheets. The data were analyzed by Chi square.Results: High knowledge increased positive atti­tude toward implementation of cold chain mana­ge­ment (OR= 5.87; p= 0.061). High knowledge (OR= 2.17; p= 0.448) and positive attitude (OR= 2.69; p= 0.405) increased implementation of cold chain management, but they were statistically non-significant.Conclusion: High knowledge and positive atti­tude increase implementation of cold chain managementKeywords: cold chain management, vaccine, knowledge, attitudeCorrespondence: Zulfiayu Sapiun. Department of Pharmacy, Health Polytechnics, Ministry of Health Gorontalo.Jl. Taman Pendidikan 36, Gorontalo 96123, Indonesia. Email: zulfiayu@poltekkesorontalo.ac.id. Mobile: 081244521639Journal of Health Policy and Management (2020), 05(02): 139-145https://doi.org/10.26911/thejhpm.2020.05.02.06
TELEMEDICINE, COST EFFECTIVENESS, AND PATIENTS SATISFACTION: A SYSTEMATIC REVIEW Atmojo, Joko Tri; Sudaryanto, Wahyu Tri; Widiyanto, Aris; Ernawati, Ernawati; Arradini, Dewi
Journal of Health Policy and Management Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Telemedicine has been practiced since 1960. The objective of telemedicine was to establish feasible interactive telecommunication for medical diagnosis and treatment of patients at remote sites. Nowadays, with healthcare costs on the rise, telemedicine is increasing­ly being seen as a strategy for healthcare organizations to make cost-saving. This study aimed to explore the opportunity of telemedicine utilization in cost savings to patients and the health care system.Subjects and Method: A systematic review was conducted by searching the published articles from Pubmed, MEDLINE, EMBASE, CINAHL, and Science Direct databases. Keywords for this study were ?telemedicine? AND ?patient saticfaction?, ?telemedicine? AND ?cost-utility and cost-effective­ness?, ?tele­medicine? AND ?systematic review?, and ?telemedicine? AND ?meta analysis?. The data were analyzed by PRISMA flow diagram.Results: 8 articles were selected for this study. These studies reported that telemedicine utiliza­tion in dermatology, radiology, pediatrics, and intensive care unit (ICU) rooms reduced health cost by 56% and patients travel cost to health care by 94%. Telemedicine advantages for patients were reduced transportation time or cost, eliminated time off of work, on-demand option, and reduced time in the waiting room, so that it can increase patient?s satisfaction. A study reported that telemedicine utilization at the pediatrics department increased hospital?s revenue by USD 101,744 per year.Conclusion: Telemedicine is an alternative health care to generate cost savings for patient and hospital and it can increase patient?s satisfaction.Keywords: Telemedicine, cost effectiveness, patient satisfactionCorrespondence: Joko Tri Atmojo. School of Health Sciences Mamba'ul 'Ulum, Surakarta, Jl. Ring Road Utara, Tawangsari, Mojosongo, Jebres, Surakarta, Central Java. Email: jokotriatmojo1@gmail.com. Mobile: 08139331900Journal of Health Policy and Management (2020), 5(2): 103-107https://doi.org/10.26911/thejhpm.2020.05.02.02
Motivation, Supervision, and Adherence to Medical Waste Policy in South Labuhanbatu, North Sumatera An, Syahrul; Marsaulina, Irnawati; Aulia, Destanul
Journal of Health Policy and Management Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Medical waste is unwanted bio­lo­gical products that are highly infectious in na­ture. It is broadly classified as infectious waste and bio­hazardous waste, and can easily spread any disease virally and can even pose a danger to life. Me­dical waste is found in hospitals, labo­ratories, re­search centres, tattoo parlours, and others. It has to be disposed properly otherwise it poses a health and environmental danger. This study aimed to examine the effects of motivation and supervision on adherence to medical waste policy in South Labuhanbatu, North Sumatera.Subjects and Method: This was a cross-sec­ti­onal study carried out in South Labuhanbatu, Nor­th Sumatera. A sample of 34 health care wor­kers were selected for this study, consisting of health center doctors, private doctors, and health clinic owner. The dependent variable was adhe­ren­ce to medical waste policy. The independent vari­ables were motivation and supervision. The data were collected by questionnaire and analyz­ed by multiple logistic regression.Results: Adherence to medical waste policy was affect­ed by strong motivation (OR= 6.31; 95%CI= 2.74 to 9.33; p= 0.048) and regular supervision (OR= 5.56; 95%CI= 3.42 to 8.09; p= 0.039).Conclusion: Adherence to medical waste policy is affected by motivation and supervision.Keywords: waste policy, adherence, motivation, supervision.Correspondence: Syahrul An. Masters Program in Public Health, Universitas Sumatera Utara, Medan, North Sumatera. Email: 44nregar@gmail.com. Mobile: 082366502449.Journal of Health Policy and Management (2020), 05(02): 146-151ttps://doi.org/10.26911/thejhpm.2020.05.02.07
PATH ANALYSIS ON THE EQUITY OF HEMODIALYSIS UTILIZATION IN THE NATIONAL HEALTH INSURANCE PROGRAM IN JEMBER, EAST JAVA Salamah, Siti Nafi'atus; Tamtomo, Didik Gunawan; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Since 2014, Indonesia has implemented a National Health Insurance to cover pu­blic health costs. The existence of health insurance managed by the government is expected to help all levels of society to obtain health services. This is very helpful for the community, especially for pa­tients with chronic diseases who need continuous treatment. This study aims to analyze the fair­ness and determinants of the use of hemodialysis patients with chronic kidney failure in National He­alth Insurance participants in Jember Regency.Subject and Method: This was observational analytic study with cross sectional approach, conducted at Dr. Soebandi Hospital and Kaliwates General Hospital, Jember, East Java. A total Study subjects of 200 patients with chronic kidney failure undergoing hemodialysis with JKN membership we­re selected for this study by purposive sampling. The dependent variable was the use of hemo­dia­lysis. The independent variables were JKN membership status, length of time since diagnosis, di­sease severity, age, education, family income, access to health facilities and residence. Data col­lec­tion used questionnaires and medical record documents and then analyzed using path analysis.Results: The possibility of using hemodialysis was increased by the Non PBI status (b= 0.81;  95% CI= 0.16 to 1.47; p= 0.015), high disease severity (b=2.48;  95% CI=0.36 to 4.59; p= 0.022), age ? 50 years old (b=0.65;  95% CI = 0.33 to 1.26; p= 0.039), family income ? MW (b= 0.59;  95% CI= -0.07 to 1.24; p= 0.080)  and good access to health facility (b= 0.92;  95% CI= -0.19 to 1.66; p= 0.013). The possibility of using hemodialysis was indirectly affected by the length of time since diag­nosis, education and residence.Conclusions: The possibility of using hemodialysis was increased by Non PBI status, disease se­ve­rity, age, family income, and access to health facilities. The possibility of using hemodialysis was in­directly affected by the length of time since diagnosis, education, and residence.Keywords: National Health Insurance, justice, hemodialysis, path analysisCorrespondence: Siti Nafi?atus Salamah. Public Health Sciences Study Program, Universitas Sebelas Maret. Jl. Ir. Su­ta­mi 36 A, Surakarta 57126, Central Java. Email: sitinafiatus27@gmail.com. Mobile: 081289434401Journal of Health Policy and Management (2020), 5(2): 108-120https://doi.org/10.26911/thejhpm.2020.05.02.03
Variables at the Community Health Center Have the Ecological Effect on the Performance of Health Workers: A Multilevel Evidence from Klaten, Central Java Handayani, Nia; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Policy and Management Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background:Performance is a work achieve­ment that can be achieved from a job. Em­ployee performance in an organization leads to the ability of employees to complete all tasks that have become their responsibility. Various pro­blems in the workplace can often cause work stress, if it lasts long can cause various disturb­ances. Success in achieving goals is supported by the role of a leader with the lead­ership style used. This study aimed to examine the effects of work stress and leadership style on the performance of public health workers.Subjects and Method:This was a cross sec­tional study conducted at the Klaten District Health Center, Central Java, from November to December, 2019. A sample of 200 health work­ers was selected by stratified random sampling. The dependent variable was work performance. The independent variables were work stress, leader­ship style, education, tenure, and type of work. The data were collected by questionnaire and analyzed by a multilevel logistic regression run on Stata 13.Results: Performance of health workers decre­ased with heavy work stress (b= -1.65; 95% CI= -2.58 to -0.72; p= 0.001). Perform­ance of health workers increased with demo­cratic leadership style (b= 1.40; 95% CI= 0.44 to 2.36; p = 0.004), high education level (b= 1.58; 95% CI= 0.65 to 2.52; p= 0.001), tenure ≥6 years (b= 1.72; 95% CI= 0.73 to 2.70; p= 0.001), and type of work without any additions (b= 2.05; 95% CI= 1.07 to 3.03; p<0.001). Community health center had ecological effect on performance of health workers with ICC= 12.74%.Conclusion: Performance of health workers decreases with heavy work stress. Performance of health workers increases with democratic leader­ship style, high education level, tenure ≥6 years, and type of work without any addi­tions. Commu­nity health center has ecological effect on per­formance of health workers.Keywords:work performance, work stress, leadership style, community health centerCorrespondence: Nia Handayani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Suta­mi 36A, Surakarta 57126, Central Java. Email: nia­handayani19­@gmail.­com. Mobile: +628213­3055176.Journal of Health Policy and Management (2020), 5(2): 152-161https://doi.org/10.26911/thejhpm.2020.05.02.08
THE RELATIONS OF STRUCTURATION IN THE BPJS HEALTH PROGRAM AND THE CHANGING OF HEALTH BEHAVIOR Soemanto, RB; Gutama, TA
Journal of Health Policy and Management Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The BPJS Health Program supports the improvement of public health.This study aimed to understand the relations of structuration of the BPJS Health Program and changing of health behavior in Surakarta IndonesiaSubjects and Method: A qualitative study was carried out byphenomenological ap­p­roach.The BPJS participants'program wereprimary informants. The key informants were doctors, nurses, midwives, and other services officers of the community health center (Puskesmas), hospital, andHealth BPJSoffice. The supported informants consisting of the Health Office ser­vices, the Population, and Civil Registration Offices, the Communication and Infor­mation Services, the Social Services of the Local Government of Surakarta Municipality.Depth interviews and the focus group discussion (FGD) technique were applied to gather data. Data analysis technique using interpretative phenomenology, and theory of struc­tu­ra­tion from Anthony Giddens for explaining the data.Results: Interactionalpractices in the health service processes produce attitudes, awareness of health services provided.It improves the healthy behavior of the BPJS participants. Rules and regulations of the health center and referenced hospitals accepted and followed by the participant. Doctors and other health care providers work professionally to accommodate patients? needs. The participants reproduce duality structure and roles in the health services delivery processes. The participants as agentsdevelop structuration; whereagents respond to agency of structure of the health services, and vice versa. Patients and health services providershave mutually reinforced roles and benefits. In the course of space and time, the actions of the participants are recurring.Conclusion: Collaboration was developed between the BPJS Office with Puskesmas and hospi­tals. It brings closer to social relations between pa­tients and health care providers. It was cons­truc­ted due to understanding and obe­di­ence of the participants to the rules, in the forms of procedural rules and doc­tors? medicalization.Keywords: Relations, Structuration, BPJS Health Program, Health Behavior, ChangeCorrespondence: RB. Soemanto. Department of Sociology, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: Soemanto_rb@yahoo.com, rbsoemanto@gmail.com.Journal of Health Policy and Management (2020), 5(2): 121-126https://doi.org/10.26911/thejhpm.2020.05.02.04
PATH ANALYSIS ON FACTORS AFFECTING THE DECISION TO CHOOSE SCHOOL OF ACUPUNCTURE Sholihah, Imrok Atus; Prasetya, Hanung; Widyaningsih, Vitri
Journal of Health Policy and Management Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Many universities offer various in­­teresting educational programs. This makes prospective students faced with the situation to choose the programs appropriately according to their interests and talents. Prospective students have different considerations and reasons in choosing and deciding on acupuncture education as a place to continue their education. The pur­pose of this study was to analyze the factors that influence student decision making in choosing acupuncture education in Indonesia.Subjects and Method: This was a case control study conducted at Health Polytechnic Ministry of Health Surakarta, Health Polytechnic Soe­pra­oen Malang, and Acupuncture Academy Sura­baya, in November 2019. A sample of 300 college students was selected by stratified random sam­pling. The dependent variable was decision to choose school of acupuncture. The independent variables were aspiration, attitude, career gui­dan­ce, academic program, tuition fees, college repu­tation, pro­motion, facilities, financial assistance, location, and parental support. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: College students who chose school of acupuncture was directly increased by good school reputation (b= 2.37; 95% CI= 0.77 to 3.97; p= 0.004), good career guidance (b= 2.96; 95% CI= 1.35 to 4.58; p<0.001), good education pro­grams (b= 2.46; 95% CI= 0.94 to 3.97; p= 0.001), strong parental support (b= 3.29; 95% CI= 1.75 to 4.83; p<0.001), good financial assistance (b= 3.12; 95% CI= 1.49 to 4.75; p<0.001), good promotion (b= 1.80; 95% CI= 0.34 to 3.26; p= 0.016), low tuition fees (b= 2.48; CI 95%= 0.99 to 3.97; p= 0.001), and supportive location (b= 2.26; 95% CI= 0.85 to 3.66; p= 0.002). College stu­dents who chose school of acupuncture was indirectly affected by aspiration, attitude, and facilities.Conclusion: College students who chose school of acupuncture is directly increased by good school reputation, good career guidance, good education programs, strong parental support, good financial assistance, good promotion, low tuition fees, and supportive location. College students who chose school of acupuncture is indirectly affected by aspiration, attitude, and facilities.Keywords: decision making, acupuncture edu­cation, path analysisCorrespondence: Imrok Atus Sholihah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: imrokatussholihah6@gmail.com. Mobile: +6281225210252.Journal of Health Policy and Management (2020), 5(2): 127-138https://doi.org/10.26911/thejhpm.2020.05.02.05

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