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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. 4 no. 1 (2019)" : 8 Documents clear
Contextual Factor Affecting Health Quality among Female Prisoners in Semarang Alvy Nur Hidayati; Hermanu Joebagyo; Bhisma Murti
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Health law number 36 of 2009 article 4 states that everyone has the right to be healthy. The right applies to all people, including the prisoners even though they have broken the law. This study aimed to describe the quality of health of female prisoners in obtaining health services during detention in Semarang's female prison.Subjects and Method: This was a qualitative study with a single fixed case study research strategy. The study was conducted in November 2018. The key informants were 4 female prisoners, 1 health policlinic doctor, and 1 head of a correctional institution.Results: There was a polyclinic unit that provided health services. Prisoners were not sure that health services are often given drugs that do not provide benefits optimally. Health personnel are always prepared to provide health services outside of working hours even though the number of health personnel is limited. Referral is done by conducting a basic examination to obtain an initial diagnosis to determine the next action, referral is done with the permission of members of the correctional observer team (TPP) and the head of the prison then referral can be done at facilities that have collaborated and have MOUs with prison so that prisoners do not pay for treatment. The availability of food and beverages consumed is provided in sufficient quantities. The availability of sports facilities to support health, as well as maintaining personal hygiene of prisoners is carried out by bathing, washing clothes, cleaning beds, and disposing of sanitary napkins in the places provided.Conclusion: The lack of health personnel causes sub-optimal health services. The lack of effectiveness of the drugs causes convictions of prisoners with health services provided in prisons.Keywords: quality of health, female prisonersCorrespondence: Alvy Nur Hidayati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta, Central Java. Email: alvynurhidayati@gmail.com. Mobile: 081328353336Journal of Health Policy and Management (2019), 4(1): 1-12https://doi.org/10.26911/thejhpm.2019.04.01.01
Criminal Legal Accountability on Medical Privacy Violations Ridwan Ridwan; Isharyanto Isharyanto; Hari Purwadi
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The secret of medicine or medical secrets is the right of the patient, this secret is a moral obligation based on the norms of decency originating from Hippocratic oaths, maintaining the secret of medicine is the duty of doctors to carry out their duties and practices. This provision is regulated in Article 48 of Law Number 29 of 2004 concerning Medical Practice, if this secret is leaked it can be held liable for violators. The purpose of this study was to solve legal issues and at the same time provide a prescription regarding the need for legal sources in the form of primary legal materials and secondary legal materials.Subjects and Method: This was a systematic review with normative juridical methods to solve legal issues.Results: Legal liability for medical secrets in health service facilities can be applied to the Criminal Code (KUHP). Disputes that occur regarding doctors or health personnel are resolved through professional organizations. Doctors through the Indonesian Doctors Discipline Honorary Council (MKDKI) but MKDKI did not have the authority to examine Criminal cases. Violations of medical secrets or job secrets, legal liability is not regulated or not based on legislation in force in the health sector, but the legal liability of violations of medical secrets comes from the general Criminal Code (KUHP).Conclusion: The secret of medicine is the autonomy right of patients. Maintaining the secret of medicine is the duty of doctors to health service facilities, the secret of medicine is not absolute and can be opened in certain circumstances, but this secret can be opened in accordance with the provisions of legislation. If the secret is leaked, violators can be asked for legal responsibility, especially Article 322 of the Criminal Code.Keywords: Medical Secrets, Criminal Legal Accountability, Health Services.Correspondence: Ridwan. Masters Program in Law, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Central Java 57126. Email: ridwanozil16@yahoo.com. Mobile: +6281237553434Journal of Health Policy and Management (2019), 4(1): 67-75https://doi.org/10.26911/thejhpm.2019.04.01.08
Association between Doctor’s Motivation, Age, and Leadership on Patient’s Satisfaction: A Path Analysis Evidence Lukman Aryoseto; Didik Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Quality health care needs are increasing. The service quality of one public health center and another does not have the same standard yet. One of the factors that influence the assessment of service quality is patient satisfaction. Several factors can influence patient satisfaction, especially from the doctor's side. This study aims to determine the effect of physician motivation, the age of the doctor, and the head of the health center on physician job satisfaction and patient satisfaction.Method: This was an analytic observational study with a cross-sectional design. The study was conducted at community health centers in Karanganyar and Surakarta, Central Java, in August 2018. A total of 25 doctors and 225 patients were selected using proportional random sampling. The dependent variable in this study is patient satisfaction. The independent variables in this study were the doctor's motivation, doctor's work satisfaction, doctor’s age, and the head of the health center. Data were obtained using questionnaires and analyzed using path analysis.Results: Patient satisfaction was directly increased by by the doctor's work satisfaction (b = 0.10; SE= 0.02; p<0.001) but decreased by doctor’s age (b= -0.82; SE= 0.02; p<0.001). Patient satisfaction was indirectly affected by doctors' motivation and head of community health center.Conclusions: Patient satisfaction is directly increased by the doctor's work satisfaction but decreases by doctor’s age. Patient satisfaction is indirectly affected by doctors' motivation and head of community health center.Keywords: patient satisfaction, doctor’s motivation, leadership, community health centerCorrespondence: Lukman Aryoseto. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: lukmanaryoseto@gmail.com.Journal of Health Policy and Management 4(1): 31-38https://doi.org/10.26911/thejhpm.2019.04.01.04
Path Analysis on the Deterninants of Health Cadres Ability in Early Detection and Management of Pregnancy Risk Factors in Sleman, Yogyakarta, Indonesia Istri Yuliani; Bhisma Murti; Endang Sutisna Sulaeman; Tedjo Danudjo Oepomo
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Every pregnant woman has the potential to experience risk, so it is necessary to get serious attention and special treatment by health workers, family, and community. One role of the community is as the health cadres. This study aimed to examine the determinants of health cadre ability in early detection and management of pregnancy risk factors.Subjects and Method: The research used quantitative method and cross-sectional approach. There were 269 health cadres participating as research samples. The sampling technique used is multistage cluster random sampling. Data were collected using a questionnaire with a Likert scale. Data analysis is done using path analysis.Results: Cadre’s ability in early detection of pregnancy risk factors was affected by attitude (b= 0.38; SE=0.10; p<0.001), experience (b=0.38; SE=0.10; p<0.001), motivation (b=0.63; SE=0.14; p<0.001), compensation (b=0.68; SE=0.19; p<0.001), workload (b=0.64; SE=0.23; p= 0.005), education and training (b=0.68; SE=0.19; p=0.001), supervision (b=0.99; SE=0.17; p<0.001), perceived seriousness (b=0.73; SE=0.16; p<0.001), and perceived benefit (b=0.84; SE=0.18; p<0.001). Cadre’s ability in the management of pregnancy risk factors was affected by attitude (b= 0.54; SE= 0.12; p<0.001), experience (b= 0.18; SE= 0.10; p= 0.079), motivation (b=0.36; SE=0.15; p=0.014), compensation (b=0.64; SE=0.20; p=0.001), supervision (b = 0.36; (b= 0.49; SE = 0.18; p= 0.008), and early detection of pregnancy risk factors (b= 0.29; SE= 0.05; p<0.001).Conclusion: Cadre’s ability in early detection of pregnancy risk factors is affected by attitude, experience, motivation, compensation, workload, education and training, supervision, perceived seriousness, and perceived benefit. Cadre’s ability in the management of pregnancy risk factors is affected by attitude, experience, motivation, compensation, supervision, and early detection of pregnancy risk factorsKeywords: health cadres, early detection, management, pregnancy risk factors, path analysisCorrespondence: Istri Yuliani. Doctoral Program in Community Development/Empowerment, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: istriyuliani1@­gmail.­com. Mobile: 08122796697Journal of Health Policy and Management (2019), 4(1): 47-58https://doi.org/10.26911/thejhpm.2019.04.01.06
Social Capital Role on Pregnant Woman Health in Klaten, Central Java Sri Panuntun; Ravik Karsidi; Bhisma Murti; Muhammad Akhyar
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Maternal class, partnership with traditional birth attendant (TBA), and maternity waiting home are health community empowerment programs in North Klaten Subdistrict, Central Java, seem to be partial, even though they involve the same parties and the same goal to improve the health of pregnant women. The purpose of this study was to explore social capital role on pregnant woman health in Klaten, Central Java.Subjects and Method: This was a qualitative study with a case study design in North Klaten Sub-district, Klaten, Central Java. The data were collected by in-depth interview, observation, and document review.Results: This study shows that in order for a pregnancy health program to run effectively it requires the integration of information on the health of pregnant women and the development of pregnancy can reduce the risk of late three, namely late decision making, late bringing to health facilities, and late getting health services that can affect maternal mortality. As an effort to provide the best service to pregnant women in maternal class, partnership with TBA, and maternity waiting home programs requires a network of cooperation (interconnection) between all parties involved through social capital in accordance with the agreement supported by the village government. Conclusion: Maternal class, partnership with TBA, and maternity waiting home programs must run simultaneously to improve the health of pregnant women. social capital model is a model of collaboration between all parties involved in KBD, KIH and RTK through interconnection based on telephone and/or internet networks, so that information is exchanged about health conditions and the development of pregnancy.Keywords:  social capital, pregnant women, health, maternal classCorrespondence: Sri Panuntun. Doctoral Program in Health Promotion/Community Development, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: ichaku06@yahoo.com.Journal of Health Policy and Management (2019): 4(1): 59-66https://doi.org/10.26911/thejhpm.2019.04.01.07
Contextual Effect of Community Health Center on Patient Satisfaction of Health Care Service in Ngawi, East Java Hendra Dwi Kurniawan; Didik Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Perceived patient satisfaction is an important component of health care quality. This study aimed to determine the effect of age, education, income, health financing, quality of health care service, and the contextual effect of community health center on patient satisfaction. Subjects and Method: This was a cross-sectional study conducted in 25 community health centers in Ngawi, East Java, from October to November 2018. A sample of 200 patients was selected by stratified random sampling. The dependent variable was patient satisfaction. The independent variables were age, education, income, health insurance, and quality of health care service. The data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Age ≥35 years (b = 0.99; 95% CI= 0.17 to 1.81; p<0.019) and good quality of health care service (b= 1.68; 95% CI= 0.78 to 2.59; p<0.001) increased patient satisfaction. Education ≥senior high school (b= -1.59; 95% CI= -2.49 to -0.68; p<0.001), income ≥Rp 1,569,832 (b= -1.32; 95% CI= -2.25 to -038; p<0.006), and membership of national health insurance (b= -1.55; 95% CI= -2.47 to-0.63; p< 0.001) decreased patient satisfaction. Community health center had contextual effect on patient satisfaction with ICC= 13.03%.Conclusion: Age ≥35 years and a good quality of health care service increase patient satisfaction. Education ≥senior high school, high income, and membership in national health insurance decrease patient satisfaction. The community health center has a contextual effect on patient satisfaction.Keywords: patient satisfaction, community health center, multilevel analysisCorrespondence: Hendra Dwi Kurniawan. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: hendradeeka@gmail.comJournal of Health Policy and Management (2019), 4(1): 23-30https://doi.org/10.26911/thejhpm.2019.04.01.03
Multilevel Analysis on the Effect of Marketing Mix Strategy toward Patient Satisfaction in Magelang, Central Java Lu’luatul Fuad; Didik Tamtomo; Endang Sutisna Sulaeman
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Hospital marketing is becoming increasingly competitive all over the world. The marketing mix strategy is considered one of the core concepts of marketing theory. This study aimed to examine the effect of marketing mix strategy toward patient satisfaction in Magelang, Central Java.Subjects and Method: A cross sectional study was conducted at Magelang Hospital, Central Java, in December 2018. A sample of 200 patients was selected by simple random sampling.  The dependent variable was patient satisfaction. The independent variables were product, price, place, promotion, process, people, physical appearance, and ward. The data were collected by question­naire and analyzed by multilevel multiple logistic regression.Results: Patient satisfaction increased with good product (b= 3.42; 95% CI= 0.76 to 2.81; p<0.001), low price (b= 1.92; 95% CI= -0.05 to 1.70; p= 0.054), right place (b= 2.41; 95% CI= 0.19 to 1.92; p= 0.016), attractive promotion (b= 2.92; 95% CI= 0.43 to 2.19; p= 0.004), people (b= 1.91; 95% CI= -0.24 to 1.75; p= 0.057), good physical appearance (b= 2.42; 95% CI= 0.20 to 1.97; p= 0.015), and sound process (b= 2.07; 95% CI= 0.45 to 1.72; p= 0.039). Ward had a considerable contextual effect on patient satisfaction with ICC= 14.65%.Conclusion: Patient satisfaction increases with good product, low price, right place, attractive promotion, people, good physical appearance, and sound process. Ward has a considerable contex­tual effect on patient satisfaction.Keywords: marketing mix, patient satisfaction, hospital, multilevel analysisCorrespondence: Lu’luatul Fuad. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: afuadlulu@gmail.com. Mobile: +6285643702066.Journal of Health Policy and Management (2019), 4(1): 39-46https://doi.org/10.26911/thejhpm.2019.04.01.05
Linear Regression Analysis on Factors Affecting Health Surveillance Personnel Performance in Early Detection of Preeclampsia in Semarang, Central Java Zella Cahyandaru; Didik Tamtomo; RB Soemanto
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Preeclampsia is a major cause of maternal death both globally and regionally. It can be prevented either through continuous surveillance and early detection activities. City Health Office in Semarang recruited health surveillance officers as an effort to reduce maternal mortality especially due to preeclampsia. The purpose of this study was to analyze factors associated with health surveillance personnel performance in the early detection of preeclampsia.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in 26 community health centers in Semarang, from October to December 2018. A sample 148 health surveillance personnels was selected by exhaustive sampling. The dependent variable was health surveillance personnels performance. The independent variables were age, work motivation, work stress, job satisfaction, leadership style, and supervision. The data were collected by questionnaire and analyzed by a multiple linear regression.Results: Health surveillance personnel’s performance in early detection of preeclampsia was positively associated with strong work motivation (b= 0.12; 95% CI= 0.07 to 0.16; p<0.001), low work stress (b= 0.08; 95% CI= -0.01 to 0.15; p= 0.058), work satisfaction (b= 0.10; 95% CI= 0.05 to 0.15; p<0.001), leadership style (b= 0.23; 95% CI= 0.10 to 0.37; p= 0.001), and good supervision (b= 0.31; 95% CI= 0.18 to 0.45; p<0.001). Health surveillance personnel’s performance was negatively associated with older age (b= -0.08; 95% CI= -0.16 to 0.01; p= 0.050).Conclusions: Health surveillance personnel performance in early detection of preeclampsia is positively associated with strong work motivation, low work stress, work satisfaction, leadership style, and good supervision. Performance is negatively associated with older age.Keywords: early detection, preeclampsia, performance, health surveillance personnelCorrespondence: Zella Cahyandaru. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: zellacahyandaru@gmail.com. Mobile: +6287832622469.Journal of Health Policy and Management (2019), 4(1): 13-22https://doi.org/10.26911/thejhpm.2019.04.01.02

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