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Journal of Health Policy and Management

thejhpm
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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 10 Documents

Search results for , issue "vol. 10 no. 3 (2025)" : 10 Documents clear

Assessing Inequality in Health Service Accessibility Based on Hospital Distribution in Indonesia Juliatul Mahqfiroh; Kosasih
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.2025.10.03.01

Background: The distribution of health facilities is an essential indicator to improve public health services in Indonesia. However, the country’s archipelagic geography and uneven population density create challenges in ensuring equal access. This study aimed to analyze hospital distribution in Indonesia based on provinces and main islands to evaluate inequality in health service accessibility. Subjects and Method: A comparative descriptive study was conducted using secondary data. Hospital data were obtained from the Hospital Information System (SIRS) of the Ministry of Health (2024), and population data were retrieved from the Central Statistics Agency (BPS) report (2023). A total of 3,209 hospitals were identified across 38 provinces and grouped into seven island clusters: Java, Sumatra, Sulawesi, Kalimantan, Papua, Maluku, and Bali–Nusa Tenggara. The population-to-hospital ratio was calculated, and hospital distribution was further analyzed by province, island, and hospital class. Results: Java accounted for the largest number of hospitals (1,622) due to its high population and better infrastructure. In contrast, Eastern regions such as Papua (73) and Maluku (53) showed limited availability. Inequalities were also found in hospital classes, where advanced hospitals (Class A and B) were concentrated in Java, while peripheral regions were dominated by Class C and D facilities. This disparity forces residents in remote areas to travel long distances for adequate care. Conclusion: Unequal hospital distribution highlights the urgent need for equitable health infrastructure development and strategic resource allocation policies to ensure fair access to health services across Indonesia.

Policy Response to Substance Abuse in Selected Higher and Tertiary Education Institutions: A Comparative Review Daphne Lweendo Mweene; Ganizani Mwale; Nicholas Mwanza; Mukonkola Machula Mwale; Musenge Makashi
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.2025.10.03.02

Background: Substance abuse in Higher and Tertiary Education Institutions (HTEIs) poses a serious threat to students’ academic achievement, mental well-being, and campus safety. Although various interventions have been introduced, the effectiveness of existing policies remains inconsistent. This study compared global literature on school-related substance abuse policies with policy responses in selected Copperbelt HTEIs in Zambia to inform the development of contextually appropriate strategies for substance abuse reduction. Subjects and Method: The study applied the Protocol, Search, Appraisal, Synthesis, and Reporting (PSALAR) framework, guided by the Population, Interest, and Context (PICo) approach. Two colleges and one university in Zambia’s Copperbelt Province were purposively selected, and an exhaustive online search was conducted to identify institutional policies addressing substance abuse. Peer-reviewed English articles (2013–2023) focusing on punitive and remedial school-based policies were reviewed. Inclusion criteria for HTEIs were adapted to align with the PSALAR framework. Results: Three major themes emerged: (1) policy deficiencies and implementation gaps, (2) punitive versus remedial interventions, and (3) limited monitoring and evaluation mechanisms. The dominant issue was finding an effective balance between punitive and supportive policy approaches. The integration of substance abuse education within institutional frameworks was weak, and evidence on the relative effectiveness of punitive versus remedial measures remained inconclusive. Conclusion: Substance abuse policies in Zambian HTEIs predominantly emphasize punitive responses, with insufficient attention to remedial or preventive efforts. Strengthening evidence-based, context-specific, and student-centered policies is essential to reduce substance abuse and advance Zambia’s progress toward Sustainable Development Goal 3.5 by 2030.

The Association between Self-Efficacy and Work Performance in Employee Febi Dyah Ayu Seruni; Bhisma Murti; Hanung Prasetya
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/

Background: Labor is an important asset in achieving organizational goals. The results of the work carried out by the workforce according to their authority and responsibility are influenced by their self-efficacy as part of the workforce's self-concept. This study aims to examine the relationship between self-efficacy and workforce performance. Subjects and Method: This research is a systematic review and meta-analysis, with PICO as follows: Population = workforce, Intervention = high self-efficacy, Comparison = low self-efficacy and Outcome = workforce performance. The articles used in this study were obtained from several databases including Google Scholar, Science Direct, Springer Link, and Research Gate. The keywords used are: "Self efficacy" AND "performance" OR "work performance" OR "job performance". Inclusion criteria were full-text articles, cross-sectional study design, multiple linear regression analysis models with standardized coefficient / beta. Articles are collected using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application. Results: Based on the results of a meta-analysis of 8 primary studies on the relationship between self-efficacy and workforce performance from Pakistan, Indonesia, Sri Lanka, Turkey and Nigeria, it can be concluded that self-efficacy is related to workforce performance. Workers with high self-efficacy have the possibility to perform 1.47 times higher than workers with low self-efficacy, and the results are statistically significant (aOR= 1.47; 95% CI = 1.38 to 1.58; p < 0.001). Conclusion: Self-efficacy is related to workforce performance.

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/

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

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

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 The Relationships between Reliability, Tangible Evidence, Responsiveness, Empathy, and Gender with Outpatient Satisfaction at Mitra Delima General Hospital, Malang, East Java, Indonesia Rela Hastuti; Didik Gunawan Tamtomo; Argyo Demartoto
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/

Background: Patient satisfaction is a patient's feeling received from the health service performance felt by patients in their services and compared with what is expected. This study aims to analyze the variables that influence patient satisfaction. Subjects and Method: This study is an observational analytical study with a cross-sectional design. This study was conducted at Mitra Delima General Hospital, Malang, in August-September 2024. A sample of 200 patients was selected using simple random sampling. The dependent variable in this study was patient satisfaction. The independent variables in the study were reliability, assurance, tangible evidence, responsiveness, empathy, and gender. Data collection was carried out using a questionnaire and analyzed using path analysis. Results: Patient satisfaction in hospitals is influenced by reliability (b= 0.60; 95% CI= 0.47 to 0.73; p<0.001), tangible evidence (b= 0.43; 95% CI= 0.29 to 0.58; p<0.001), responsiveness (b= 0.33; 95% CI= 0.15 to 0.52; p<0.001), empathy (b= 0.72; 95% CI= 0.56 to 0.88; p<0.001), and gender (b = 0.14; 95% CI= 0.01 to 0.27; p =0.025). Conclusion: Patient satisfaction is positively influenced by reliability, tangibles, responsiveness, empathy, and gender.

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/

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.

Factors Affecting Job Satisfaction and Performance of Health Workers at Community Health Endang Nifatna Sari; Bhisma Murti; Argyo Demartoto; Sumardiyono; Revi Gama Hatta Novika
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.2025.10.03.05

Background: Motivation, leadership, career development, and rewards or incentives are important determinants of job satisfaction and performance among healthcare workers at Community Health Centers (CHCs). This study aimed to analyze and estimate the association between motivation, leadership, career development, rewards/incentives, job satisfaction, and the performance of healthcare workers. Subjects and Method: This was a cross-sectional study involving 200 healthcare workers from CHCs in Kerinci Regency, Jambi Province, conducted from October to November 2024. Samples were selected using accidental sampling. The dependent variable was health worker performance, the mediating variable was job satisfaction, and the independent variables were motivation, leadership, career development, and rewards/incentives. Data were collected using structured questionnaires and analyzed using path analysis. Results: Healthcare workers with high motivation were more likely to perform well than those with low motivation (b=0.31; CI 95%=0.18 to 0.45; p<0.001). Healthcare workers with high job satisfaction were more likely to perform well than those with low job satisfaction (b=0.43; CI 95%=0.30 to 0.46; p<0.001). Healthcare workers with high job satisfaction were more likely to be well motivated than those with low job satisfaction (b=0.21; CI 95%=0.13 to 0.29; p<0.001). Health workers who had a positive perception of leadership were more likely to be satisfied with their work than with a negative perception (b=0.74; CI 95%=0.68 to 0.80; p<0.001). Conclusion: The performance of healthcare workers in CHCs was directly affected by motivation and job satisfaction. Higher motivation and job satisfaction were associated with improved health worker performance.

Association Between Pharmacy Staff Communication Interaction Quality and Outpatient Satisfaction at ‘Aisyiyah Bojonegoro Hospital Sudalhar; Andini Dwi Aningtyas; Afriza Umami; Pramono Apriawan Wijayanto; Septin Maisharah Karyono
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.2025.10.03.12

Background: The quality of communication interaction between pharmacy staff and patients is a critical component of healthcare service delivery. Effective communication enhances patient understanding, comfort, and trust, which ultimately influence patient satisfaction. A preliminary assessment at ‘Aisyiyah Bojonegoro Hospital indicated varying levels of patient satisfaction with pharmaceutical services, suggesting potential gaps in communication quality and service performance. Subjects and Method: This study aimed to analyze the association between the quality of communication interaction among pharmacy staff and outpatient satisfaction at ‘Aisyiyah Bojonegoro Hospital. An analytical quantitative study with a cross-sectional design was conducted. A total of 377 outpatients were selected as the sample. Data were collected using structured questionnaires and analyzed using Spearman rho correlation and multiple logistic regression. Results: Bivariate analysis showed a significant relationship between communication interaction quality and patient satisfaction (p < 0.001; r = 0.514), indicating a moderate to strong positive correlation. Multivariate analysis demonstrated that communication quality remained a significant predictor of patient satisfaction (OR = 0.61; 95% CI = 0.39–0.96; p = 0.033), while other variables such as age, education level, gender, and marital status were not statistically significant. Conclusion: There is a significant association between the quality of communication interaction of pharmacy staff and outpatient satisfaction. Communication quality is a key determinant of patient satisfaction. Therefore, improving interpersonal communication skills through training and continuous evaluation is essential to enhance service quality.

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Editorial Address Master's Program in Public Health, Universitas Sebelas Maret, Jl. Ir Sutami 36A, Surakarta 57126, Central Java, Indonesia.

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Contact Name
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Contact Email
jpolicymanage@gmail.com;

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Journal Mail Official
jpolicymanage@gmail.com

Editorial Address
Master's Program in Public Health, Universitas Sebelas Maret, Jl. Ir Sutami 36A, Surakarta 57126, Central Java, Indonesia.

Location
Kota surakarta,

Jawa tengah

INDONESIA