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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 12 Documents
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Search results for , issue "Vol. 10 No. 1 (2025)" : 12 Documents clear
Unit Cost Analysis In Heart Failure Inpatients Using The Time Driven Activity Based Costing Method At Type D Hospital In Sragen Nadhiasari, Aulia; Pribadi, Firman; Nazaruddin, Ietje
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.01

Abstract

Background: Heart failure is one of the most common non-communicable diseases in adults. The number of cases of patients admitted to hospitals due to heart failure is quite large, resulting in a high frequency of hospitalizations and high patient treatment costs. Cost calculation is very important for health care providers in order to conduct financial evaluations. One way to calculate costs in hospitals is to use unit cost analysis. The purpose of the study was to determine the unit cost of treatment for heart failure patients in inpatient settings, especially in Type D hospitals in Sragen. Subjects and Method: This study is a qualitative type study using a case study approach to unit cost to calculate the inpatient treatment rate of patients with chronic heart failure using the Time Driven Activity Based Costing method. Furthermore, the difference with the INA CBGs rate is seen. There are two sources of data in this study, namely primary data from interview results from sources directly in the field and secondary data from financial report data and clinical pathway data for inpatient services for patients with chronic heart failure in hospitals. Results: The unit cost of treatment of heart failure patients in the inpatient installation using the Time Driven Activity Based Costing method at type D hospitals in Sragen amounted to Rp 2,186,089. The difference in heart failure treatment costs in the type D hospital inpatient installation in Sragen using the Time Driven Activity Based Costing method with the patient treatment rate based on INA-CBG'S is Rp 250,211 (10%). Conclusion: The unit cost of treatment of heart failure patients in the inpatient installation using the Time Driven Activity Based Costing method is Rp 2,186,089
Meta-Analysis: Effects of Gender, Waiting Time, Visits, and Insurance on Outpatient Satisfaction with Health Services Prasetyowati, Regita Azzahra; Ibrahim, Natalia Prisca; Arini, Septa Santiya; Murti, Bhisma; Munawaroh, Siti Mar'atul
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.02

Abstract

Background: Patient satisfaction is the result of the service process felt by the patient, overall satisfaction arises from the patient's evaluation of the experience or as an interaction, including the availability of health services provided by officers (health workers), so that patient satisfaction can be used to assess the quality of services received by the patient. This study aims to estimate the magnitude of the influence of gender, waiting time, visits, and insurance on health service satisfaction. Subjects and Method: Systematic review and meta-analysis using PRISMA flow charts and PICO models. Population: outpatients. Intervention: Female, long waiting time, already visited, using insurance. Comparison: Male, short waiting time, first time visit, and not using insurance. Outcome: Outpatient satisfaction with health services. The online databases used were Google Scholar, Biomedcentral, Taylor & Francis and Plos with the keywords gender, waiting time, visits, insurance, outpatient satisfaction, cross-sectional and aOR. Inclusion criteria were full text articles with cross-sectional use of multivariate analysis that included aOR and were published from 2014-2024. Data analysis using the RevMan 5.3 application. Result: Twelve primary studies were used to analyze gender and patient satisfaction with health services. Women had satisfaction with health services 1.19 times compared to men (aOR= 1.19; 95% CI=1.11 to 1.28; p<0.001). Ten primary studies were used to analyze insurance and patient satisfaction with health services. Patients who have insurance are 1.23 times more satisfied with health services than those who do not have insurance (aOR= 1.23; 95% CI=1.09 to 1.40; p<0.001). Seven primary studies were used to analyze waiting times and patient satisfaction with health services. Patients who experienced short waiting times were 0.30 times more satisfied with health services compared to those with long waiting times (aOR=0.30; 95% CI=0.21 to 0.44; p<0.001). Seven primary studies were used to analyze visit frequency and patient satisfaction with health services. Patients who have visited are 2.96 times more satisfied with health services than patients who are visiting for the first time (aOR=2.96; 95% CI=2.60 to 3.37; p<0.001). Conclusion: Female gender, short waiting times, repeat visits and insurance in increasing outpatient satisfaction with health services.
Analysis of Managerial Leadership on Improving the Quality of Hospital Services Through Patient Safety Culture at dr. Darsono Hospital, Pacitan, East Java Trisnawati, Dwi Ayu; Wardani, Ratna; Farida, Siti
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.05

Abstract

Background: Patient safety is an important issue because of the large number of medical error cases that occur in various parts of the world. Patient safety culture is the first step in developing safety because it contains values, attitudes, competencies, and behavioral patterns that determine patient safety programs. The aim of this research is to analyze the influence of managerial leadership on improving the quality of hospital services through a patient safety culture.Subjects and Method: This was a quantitative study with an explanatory approach. The population used was health workers at Dr. Darsono Hospital, as many as 240 people. Based on the proportionate stratified sampling technique, a sample of 148 people was obtained. This research consists of independent variables and dependent variables. Independent variable is managerial leadership and the dependent variables are patient safety culture and hospital service quality. The data was then analyzed using SEM PLS.Results: The results of the analysis show that managerial leadership has a significant effect on patient safety culture and improving service quality (p<0.001), patient safety culture has a significant effect on improving service quality (p<0.001), and patient safety culture can mediate the relationship between managerial leadership and service quality (p<0.001). The values of the patient safety culture determination coefficient of 64.9% and the service quality variable of 80.9% showed both variables influenced this study; the remaining 35.1% and 19.1% were explained by other variables outside the study model.Conclusion: Patient safety culture at Dr. Darsono Hospital is in the sufficient category; a managerial leadership role is needed to improve the implementation of patient safety culture so that the quality of hospital services can increase optimally.
Multilevel Analysis of Nurse’s Performance Predictors at Dr. Moewardi Hospital, Surakarta Mardiah, Adriana; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.03

Abstract

Background: Nurse Performance plays a role as a determinant of patient satisfaction when providing nursing care. Nursing services in hospitals are one of the determining factors for good or bad service, quality and image of a hospital. Factors that influence nurse performance are gender, working time arrangements, education, work experience and job satisfaction. The aim of this study was to analyze the performance of inpatient and outpatient ward nurses at Dr. Moewardi Hospital. Subject and Method: This research uses an observational analytic design with a cross-sectional approach. This research is intended to find the relationship between the independent variables, namely gender, working time arrangements, education, work experience and job satisfaction, with the dependent variable, namely the performance of nurses in the inpatient and outpatient wards at Dr. Moewardi. This research was conducted in October-November 2023. A sample of 200 posyandu cadres was selected using random sampling. Data collection was carried out using questionnaires/interviews and data was analyzed using a multiple linear regression analysis model with a multilevel approach. Results: Gender has an influence and is significant between gender and nurse performance (b = -1.79; 95% CI = -3.13 to -0.45; p = 0.009). Working time arrangements have an influence on nurse performance, and this influence is statistically significant (b = 1.96: 95% CI = 0.39 to 3.54; p = 0.014). Job satisfaction has a positive and significant influence on nurse performance (b = 0.32 CI 95% = 0.10 to 0.4). The results of education and work experience did not show a statistically significant difference in nursing performance between nurses with DIII education and the nursing profession (b = 0.32; 95% CI = -0.86 to 1.51) and work experience of more than 12 years and less than 12 years (b = 0.71; 95% CI = -0.75 to 2.17). The results of this multilevel analysis also found that there was a contextual influence of the ward on nurse performance (ICC= 15.09%). Conclusion: Nurse performance is directly influenced by gender, working time arrangements and job satisfaction. Variations at level 2 wards have a contextual influence on nurse performance.
Adapting to Transformations in Hospital Structure: A Case Study at Manguharjo Lung Specialist Hospital, Madiun Pratiwi, Ajeng Christiana Putri; Demartoto, Argyo; Murti, Bhisma
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.06

Abstract

Background: Manguharjo Lung Specialist Hospital is a type C hospital in Madiun. Along with global health trends, health needs are increasing and varying. So the Management of Manguharjo Lung Hospital innovated to improve more diverse services by changing the form to a general hospital with a Man, Money, Method, Material, Market approach. The aim of this study was to examine the preparation of a non-pulmonary disease treatment program at the Manguharjo Lung Specialist Hospital, East Java, Indonesia.Subjects and Method: This qualitative study uses a case study approach, involving 4 hospital staff, 3 patients, 3 East Java Health Office officials, and 3 local community leaders. Data sources include interviews and a review of the hospital's strategic development plans and supporting documents.Results: Five themes emerged: (1) Opportunities for conversion, supported by strategic location, adequate resources, and community demand for non-pulmonary services; (2) Supporting factors, including skilled human resources and the potential for increased hospital income; (3) Public perception, where the hospital is still viewed primarily as a lung service facility, deterring broader usage; (4) Obstacles, particularly lack of approval from the East Java Health Office; (5) Efforts, such as opening non-lung services and preparing human resources and facilities.Conclusion: Manguharjo Lung Specialist Hospital has significant potential to transition into a general hospital due to strong supporting factors like skilled personnel. However, challenges like public perception and institutional approval must be addressed.
Determinants of Work Performance among Employee in Dr. Soediran Mangun Sumarso Hospital, Wonogiri, Central Java Siregar, Attila Yulaicha Advendila; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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 Noviani, Desi; Purwantanti, Titis Cipta; Risnasari, Annisa; Murti, Bhisma; Munawaroh, Siti Mar'atul
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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: Factors Reducing Health Workers' Willingness to Leave Work Hidayat, Fany Nurul Fawzi; Raharjo, Setyo Sri; Ichsan, Burhannudin
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.09

Abstract

Background: Employees are the most important human resource in a company because they have a direct influence on institutional operations in achieving organizational goals. The main problem in health service management is a shortage of health workers due to turnover or intention to leave work. This research aims to analyze the factors that reduce the desire to leave among health personnel. Subjects and Method: This research uses a meta-analysis based on PICO as follows; population: health workers; intervention: satisfied autonomy, good working environment, length of service > 5 years, low workload; comparison: autonomy not satisfied, poor working environment, length of service < 5 years, high workload; outcome: intention to leave work. Data was obtained from the PubMed, Google Scholar, Science Direct databases published from 2013-2022. The keywords in the article search are "Autonomy", "Work Environment", "Work Experience", "Workload", "Intention to Out", "Turnover Intention". "Cross Sectional". Article selection used PRISMA Flowchart and results were analyzed using Review Manager 5.4 software. Results: This study was conducted on 14 articles from Ethiopia, Ghana, California, Peru with a sample size of 9,555 professional health workers. Meta-analysis results concluded that satisfied work autonomy (aOR=0.22; CI 95%=0.06 to 0.85; p=0.030), low workload (aOR=0.60; CI 95%=0.46 to 0.78; p<0.001), had the desire out of work low. The meta-analysis results of the work environment were good (aOR=0.51; CI 95%=0.23 to 1.14; p=0.100), work experience >5 years (aOR=0.51; CI 95%=0.23 to 1.14; p=0.100) was not significantly influenced. Conclusion: Satisfied job autonomy and low workload reduce the intention to leave work among health workers. Health workers' desire to leave work is not significantly influenced by work experience or work environment.
Multilevel Analysis: Factors Related to Work Performance in Health Workers at Community Health Centers Widiantoro, Reza; Tamtomo, Didik Gunawan; Rahardjo, Setyo Sri
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.08

Abstract

Background: Patient satisfaction is a very valuable asset because if patients are satisfied they will continue to use the services of their choice. The level of patient satisfaction arises as a result of the performance of health services obtained after the patient compares it with the quality of health services. The aim of this research is to analyze the performance of health workers at community health centers. Subjects and Method: Cross-sectional research was conducted at community health centers in Karanganyar, Central Java, from November to December 2023. A total of 210 health workers were selected using stratified random sampling. The dependent variable was work performance. The independent variables were age, length of work, employment status, income and work environment. Data were collected using questionnaires and analyzed using multiple multilevel linear regression. Results: Age decreased the performance but was not statistically significant (b= -0.33; CI 95%= -1.63 to 0.97; p = 0.623). Length of work (b= -1.19; CI 95%= -2.30 to -0.08; p= 0.035) and income (b= -1.43; CI 95%= -2.78 to -0.07; p = 0.039) significantly degraded the performance. Employment status decreased performance but it was statistically close to significant (b= -1.44; CI 95%= -3.04 to 0.16; p = 0.078). A comfortable work environment significantly increased performance (b= 0.16; 95% CI= 0.02 to 0.30; p = 0.029). There was a contextual influence of community health center factors on work performance (ICC= 9.62%). Conclusion: Age decreases performance but is not statistically significant. Length of work and income significantly decrease performance. Employment status decreases performance but is statistically close to significant. A comfortable work environment significantly improves performance. There is a contextual effect of community health center factors on work performance.
Meta-Analysis: The Impact of Product, Price, Place, and Promotion on Patient Satisfaction Hafida, Salsabilla Luthfiana Ayu; Hastuti, Rela; Murti, Bhisma; Handayani, Anggun Fitri
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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.

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