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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
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Search results for , issue "vol. 2 no. 1 (2017)" : 8 Documents clear
Effect of Socio-Demographic Factor and Democratic Leadership on Village Midwife Performance in IUD Contraceptive Service in Jombang District, East Java Ratna Dewi Permatasari; Uki Retno Budihastuti; Didik Tamtomo
Journal of Health Policy and Management Vol. 2 No. 1 (2017)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The threat of population explosion in Indonesia is real. Long-term contraception program is an alternative strategy for controlling population growth rate. The slowering achieve­ment of IUD contraceptive target for the last two years has become a central concern at the District Health Office Jombang, East Java. Sub-optimal quality of IUD contraceptive service, high drop-out rate, high unmet-need, and unsystematic family planning reporting and recording, are assumed to be the causes of the under-achievement. This study aimed to examine the effect of socio-demographic factor and democratic leadership on village midwife performance in IUD contraceptive service in Jombang District, East Java.Subjects and Method: This was an analytic observational study with cross-sectional design. It was conducted in 12 community health centers in Jombang District, East Java, from March to May 2017. A sample of 120 women of reproductive age was selected for this study by simple random sampling. The dependent variable was village midwife performance. The inde­pen­dent variables were knowledge, self-efficacy, compensation, democratic leadership, and work motivation. The data were collected by a pre-tested questionnaire, and were analyzed by path analysis model.Results: Midwife performance was positively affected by higher education (b=5.19; SE=0.53; p<0.001), stronger work motivation (b=0.48; SE=0.07; p<0.001), better knowledge (b=0.21; SE=0.08; p=0.006), stronger self-efficacy (b=0.18; SE=0.08; p=0.023), and democratic leadership (b=0.14; SE=0.05; p=0.008). Self-efficacy was affected by education (b=1.16; SE=0.62; p=0.063), knowledge (b=0.35; SE=0.08; p<0.001), democratic leadership (b=0.23; SE=0.04; p<0.001). Work motivation was affected by compensation (b=0.65; SE=0.16; p<0.001), democratic leadership (b=0.31; SE=0.07; p<0.001), knowledge (b=0.29; SE=0.09; p<0.001), and self-efficacy (b=0.17; SE=0.09; p=0.058).Conclusion: Midwife performance was positively affected by education, work motivation, education, self efficacy, and democratic leadership.Keywords: midwife performance, socio-demographic factor, democratic leadership, IUD contra-ceptive, family planning.Correspondence: Ratna Dewi Permatasari. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: wahib.rifai81@gmail.com. Mobile: +6281334059159.Journal of Health Policy and Management (2017), 2(1): 16-27https://doi.org/10.26911/thejhpm.2017.02.01.02 
Patient Characteristics, Financing Type, Accreditation Status, and Quality of Health Services at Community Health Center, Surakarta Yeni Tri Utami; Didik Tamtomo; Endang Sutisna Sulaeman
Journal of Health Policy and Management Vol. 2 No. 1 (2017)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: An indicator of quality health service is the extent of patient expectation fulfilment. Perceived quality of health services may be influenced by various factors such as patient socio-demographic factors, financing type, and accreditation status. As statistics have shown, the number of patient visits at Surakarta Community Health Center has been decresing for the last few years. This study aimed to determine the associations between patient characteristics, financing type, accreditation status, and the quality of  health services at community health center.Subjects and Method: This was a quantitative study with cross-sectional design. It was conducted at Community Health Center, Surakarta, Central Java, from May to July 2017. A sample of 120 patients were selected for this study from 2 Community Health Centers selected at random from all 17 Community Health Centers existing in Surakarta. The independent variables were patient characteristics, financing type, and accreditation status of the Community Health Centers selected. The dependent variable was quality of health service. The data were collected using a set of questionnaire and  analyzed using multiple logistic regression.Results: Quality of service was negatively associated with patient education (OR = 0.27 ; 95% CI = 0.08 to 0.90; p = 0.033), being employed (OR = 0.15 ; 95% CI= 0.04 to 0.48; p = 0.002), higher patient income (OR = 0.28 ; 95% CI= 0.08 to 0.94; p = 0.039), being insured (OR = 3.06 ; 95% CI= 0.81 to 11.52; p = 0.099), and higher accreditation status of Community Health Care (OR = 2.96 ; 95% CI= 1.03-8.50; p = 0.044).Conclusion: Quality of service at Community Health Care is negatively associated with patient education, being employed, higher patient income, being insured, and higher accreditation status.Keywords: patient characteristic, financing type, accreditation status, quality of servicesCorrespondence: Yeni Tri Utami. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: yenie_03@yahoo.co.id. Mobile: +6285642339053.Journal of Health Policy and Management (2017), 2(1): 79-90https://doi.org/10.26911/thejhpm.2017.02.01.07 
Social Economic Equity in the Utilization of Hemodialysis among Patients with Chronic Renal Failure under National Health Insurance Plan at Dr. Moewardi Hospital, Surakarta Kukuh Ardian; Endang Sutisna Sulaeman; Arief Suryono
Journal of Health Policy and Management Vol. 2 No. 1 (2017)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The health care reform promulgated by World Health Organization (WHO), namely Universal Health Coverage (UHC), aims to ensure that every citizen has access to affordable and equitable health care they need with good quality. The Indonesian National Health Insurance Plan has been implemented since January 1, 2014. However, anecdotal evidence indicates that there are some inequity concerns on the use of expensive medical care, such as renal hemodialysis.  This study aimed to examine social economic equity in the utilization of hemodialysis among patients with chronic renal failure under the National Health Insurance (NHI, JKN) plan.Subjects and Method: This study was analytic observational using cross-sectional design. This study was conducted at Dr. Moewardi Hospital, Surakarta, from  March to April 2017. A sample of 120 patients with chronic renal failure was selected for this study by simple random sampling.  The dependent variable was frequency of hemodialysis use. The independent variables were educational status, location of residence, family income, employment status (formal vs. informal), and membership status (beneficiary vs. non-beneficiary of government subsidy). The data were collected by questionnaire and were analyzed by path analysis.Results: Higher frequency of hemodialysis use was directly associated with higher family income (b=5.04; SE=2.36; p=0.033), distance < 20 km (b=-1.10; SE=2.15; p=0.610), working in informal sector (b=3.84; SE=3.05; p=0.305), beneficiary of government subsidy (b=-3.68; SE=2.81; p=0.190), longer duration of hemodialysis (b=0.39; SE=0.08; p<0.001), severe condition of illness (b=46.11; SE=2.42; p<0.001), and living in urban area (b=3.34; SE=0.31; p= 0.147).Conclusion: Higher frequency of hemodialysis use is directly affected by higher family income, distance < 20 km, working in informal sector, beneficiary of government subsidy, longer duration of hemodialysis, severe condition of illness, and living in urban area.Keywords: National Health Insurance, membership, hemodialysis, inequityCorrespondence: Kukuh Ardian. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: kukuh.ardph@gmail.com. Mobile: 082298148101.Journal of Health Policy and Management (2017), 1(1):28-41https://doi.org/10.26911/thejhpm.2017.02.01.03 
The Asssociations between Accreditation Status, Patient Socio-Economic Factors, Insurance Type, Patient Perceived Quality of Service, and Satisfaction at Community Health Center Farahdila Mirshanti; Didik Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 2 No. 1 (2017)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Being one of the most important elements in healthcare system, Community Health Center has been promoted to improve its quality and capacity of services. Accreditation is a method that can be used to improve and measure the quality of health service. Quality service improvement is expected to enhance patient satisfaction. This study aimed to investigate the asssociations between accreditation status, patient socio-economic factors, insurance type, patient perceived quality of service, and satisfaction at Community Health Center.Subjects and Method: This was an analytic observational study with cross-sectional design. This study was conducted at Community Health Center in  Surakarta, Central Java from June to July 2017. A total of 8 Community Health Centers with different accreditation status (not accredited, lowest, medium, and highest) were selected for this study. A sample of  200 patients were selected from the 8 Comunity Health Centers by proportional random sampling. The independent variables were accreditation status, patient education level, family income, and insurance type. The dependent variables were perceived quality of service and patient satisfaction. The data were collected by a set of pre-tested questionnaires.  Accreditation status was identified from the record at District Health Office. Data were analyzed by path analysis.Results: Patient satisfaction was associated with Commuity Health Center acrreditation status (b=0.39; SE=0.22; p=0.069), perceived quality of service (b=0.05; SE=0.02; p=0.022), patient education level (b=-1.16; SE=0.48; p=0.017), and insurance type (b=0.61; SE=0.31; p=0.044). Perceived quality of health services was associated by accreditation status (b=2.22; SE=0.74; p=0.003), patient education level(b=-4.51; SE=1.68; p=0.007), and insurance type  (b=2.79; SE=1.06; p=0.008). Family income did not show statistically significant association with perceived quality of health service (b=-0.17; SE=0.11; p=0.123).Conclusion: Patient satisfaction is associated with Commuity Health Center acrreditation status, perceived quality of service, patient education level, and insurance type. Perceived quality of health services is associated with accreditation status, patient education level, and insurance type.Keywords: patient satisfaction, perceived quality of service, accreditation status, Commuity Health CenterCorrespondence: Farahdila Mirshanti. Masters Program of Public Health, Sebelas Maret University, Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: fmirshanti@gmail.com. Mobile: +628121534393.Journal of Health Policy and Management (2017), 1(1): 91-101https://doi.org/10.26911/thejhpm.2017.02.01.08
Effect of Doctor’s Personality, Job Characteristic, Payment Method, Facility, on Performance and Quality of Doctor Service Heni Hastuti; Didik Tamtomo; Endang Sutisna Sulaeman
Journal of Health Policy and Management Vol. 2 No. 1 (2017)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Doctors generally do not work permanently at hospitals. Doctors are expected to deliver quality medical service at the hospitals. However, hospitals often find it difficult to exercise efective managerial control over the quality of medical services. This study aimed to investigate the effect of doctor’s personality, job characteristic, payment method, facility, on performance and quality of doctor service.Subjects and Method: This was an analytic observational study using cross-sectional design. The study was carried out at Dr. Moewardi  Hospital and PKU Muhammadiyah Hospital, Surakarta, from March to May 2017. A sample 182 study subjects consisting of 26 doctors, 26 nurses, and 130 patients, were selected for this study by simple random sampling. The dependent variable was quality of doctor service. The independent variables were doctor’s personality (extrovert vs. introvert), doctor’s carefulness, proactive attitude, self-efficacy, autonomy, performance feedback, supervisor support, payment method, work site (private vs. public), and performance. Questionnaire was used to collect data. Path analysis was employed to analyze the data.Results: Good quality of doctor service was directly affected by good performance (b=0.64, SE=0.11, p<0.001), private work site (b= 2.85, SE=0.66, p<0.001), and strong self-efficacy (b=0.21, SE=0.07, p=0.006). Good work performance  was affected by extrovert personality (b=0.08, SE= 0.06, p=0.186), careful attitude (b=0.30; SE=0.09; p=0.001), proactive personality (b=−0.17; SE=0.05; p=0.001), strong self-efficacy (b=0.27; SE=0.07; p<0.001), autonomy (b=0.16; SE=0.06; p=0.015), performance feedback (b=0.43; SE=0.13, p<0.001), supervisor support  (b=0.14, SE=0.06, p=0.018), payment method (INA CBGs) (b= −2.29; SE= 0.66; p<0.001), and private work site (b= -0.26, SE= 0.68, p=0.696).Conclusion: Good quality of doctor service is directly affected by good performance, private work site, and strong self-efficacy.Keywords: quality, doctor’s service, performance, path analysisCorrespondence: Heni Hastuti. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: henihastuti.1988@gmail.com Mobile: +6281904534310.The Journal of Health Policy and Management (2017), 2(1): 42-55https://doi.org/10.26911/thejhpm.2017.02.01.04
Qualitative Study on The Implementation of Public Health Nursing: Objective, Resources, and Work Procedure on Home Care Patients in Surakarta Ratih Novitasari; Rita Benya Adriani; Eti Poncorini Pamungkasari
Journal of Health Policy and Management Vol. 2 No. 1 (2017)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Dynamic changes of disease development call for improvement in health care. In light of this context, public health nursing with home care has an increasing role in the management of diseases. Comprehensive public health nursing requires partnership between healthcare providers, patients, and their environment. In Indonesia the focus of nursing remains on hospital care, while rarely on home care that fulfils the need of the community. This study aimed to examine the implementation of public health nursing, encompassing its objective, resources, and work procedure, on home care patients.  Subjects and Method: This was a qualitative study with case study approach. This study was carried out at PKU Muhammadiyah Hospital, Surakarta, from February to March 2017. The key informants of this study included nurses, home care coordinator, doctors, dieticians, and physiotherapists. Methods of data collection included interview, observation, and archival review. Data were analyzed in stages normally employed in case study.Results: The objectives of home care have generally been understood by most health providers. On the other hand the objectives of home care have not well-understood by the families of the patients, leading to inconsistency with the objective. There is a need to increase resources necessary for the nurses, particularly improvement in competency, as well as case selection, review, planning, coordinating, and evaluation. Likewise, collaboration between health care provider, patients, and their families, need to be improved in order to maximize home care.Conclusion: There is a need to strenghten commitment of all parties involved in home care. The objectives of home care need to be understood by all parties. Hospitals are expected to have stronger responsibility with both work procedure in order to deliver optimal health care. By doing so, the public health nursing with home care will be able to fulfil the need of the community.Keywords: home care, objective, resources, work procedureCorrespondence: Ratih Novitasari, Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: ratih.noph@yahoo.com Mobile: +6285649524070Journal of Health Policy and Management (2017), 2(1): 56-66https://doi.org/10.26911/thejhpm.2017.02.01.05
The Influence of Personal Factors of the Patient, Doctor, Payment Method and Type of Class to the Quality and Satisfaction of Inpatient Care Services in Dr. Moewardi Hospital Surakarta Prima Soultoni Akbar; Rita Benya Adriani; Bhisma Murti
Journal of Health Policy and Management Vol. 2 No. 1 (2017)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The quality of hospital care is an important element in the implementation of healthcare service. The quality which is perceived is an assessment and a form of evaluation of healthcare users. Improvement on healthcare service is continually conducted to enhance the quality of service and patients’ satisfaction. The study aimed to explain the influence of patients’ personal factors, doctors, payment methods and types of class toward the quality and satisfaction of inpatient care.Subjects and Methods: This was an analytic observational study with cross-sectional design. This study was conducted at Dr. Moewardi Hospital, Surakarta, from March to April 2017. A total of 144 subjects were selected by stratified random sampling. Exogenous variables in this study were family income, level of education, length of stay, doctor’s salary, the surgeon, type of insurance, and type of class. Endogenous variables were patient’s satisfaction and quality of service. The data were collected by a set of questionnaires and secondary data of doctor’s working period and salary. Data analyzed by path analysis.Results: Patient’s satisfaction were affected by family income (b=-0.08; SE=0.48; p=0.093), level of education (b=-0.44; SE= 0.27; p= 0.102), length of stay (b=0.19; SE=0.99; p=0.059), doctor’s salary (b= 0.02; SE=0.01; p=0.060), doctor's working period (b=0.99; SE=0.44; p=0.024), type of insurance (b= 0.72; SE=0.32; p=0.027), type of class (b= 2.11; SE=0.38; p<0.001), and quality of health services (b=0.16; SE=0.51; p=0.002). Quality of health services were affected by family income (b=-0.15; SE=0.07; p=0.039), length of stay (b=0.37; SE=0.15; p=0.017), doctor's working period (b= 0.13; SE=0.68; p=0.056), insurance types (b= 1.04; SE=0.50; p= 0.036), and type of class (b=2.24; SE=0.59; p<0.001).Conclusion: Patient’s satisfaction are affected by family income, level of education, length of stay, doctor’s salary, doctor's working period, type of insurance, type of class and quality of health services. Quality of health services are affected by family income, length of stay, doctor’s working period, insurance types, and type of class.Keywords: quality of health services, patient’s satisfactionCorrespondence: Prima Soultoni Akbar. Masters Program of Public Health, Sebelas Maret University, Surakarta. Email: primasoultoniakbar@gmail.com. Mobile: +6285258777994.Journal of Health Policy and Management (2017), 2(1): 1-15https://doi.org/10.26911/thejhpm.2017.02.01.01
Effects of Patient and Physioterapist Characteristics on Perceived Quality of Physiotherapy Care at Dr. Moewardi Hospital, Surakarta Afif Ghufroni; Rita Benya Adriani; Didik Tamtomo
Journal of Health Policy and Management Vol. 2 No. 1 (2017)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Nowadays patients demand quality and safe hospital care. Quality of care depends on the roles of the government as quality of care regulator, hospital management, health care providers, patients, and the community.  The study aimed to examine the effects of patient and physioterapist characteristics on perceived quality of physiotherapy care.Subjects and Method: This was an observational analytic study with cross-sectional design. The study was conducted at Dr. Moewardi Hospital, Surakarta, Central Java, from June to July, 2017. A total sample of 122 physiotherapy patients were selected for this study using exhaustive sampling. The dependent variable was quality of physiotherapy care. The independent variables were patient’s education and income, duration of treatment, insurance status, years of services, physiotherapist training, and salary. The data were collected using a set of questionnaire and analyzed by multiple linier regression.Results: The quality of physiotherapist care was affected by patient’s income (b= -0.18; 95% CI= -0.35 to 0.001; p= 0.052), patients education (b= -3.32; 95% CI= -6.59 to 0.04; p= 0.047), duration of treatment (b= -0.07; 95% CI= -0.14 to -0.01; p= 0.020), insurance status (b= 3.41; 95% CI= 0.15 to 6.68; p= 0.041), years of services (b= 0.55; 95% CI= 0.15 to 0.97; p= 0.010), physiotherapist training (b= 0.90; 95% CI= 0.09 to 1.71; p= 0.030), and salary (b= 0.38; 95% CI= -0.12 to 0.77; p= 0.061).Conclusion: Quality of physiotherapist care is affected by patient’s income, patients education, duration of treatment, insurance status, years of services, physiotherapist training, and salary.Keywords: quality of care, physiotherapy, insurance status, duration of treatment, years of servicesCorrespondence: Afif Ghufroni. School of Health Polytechnics, Surakarta, Central Java. Email: apip.physio@gmail.com. Mobile: +6285725000769.Journal of Health Policy and Management (2017), 2(1): 67-78https://doi.org/10.26911/thejhpm.2017.02.01.06

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