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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
 1 
Search results for , issue "Vol. 6 No. 1 (2021)" : 8 Documents clear
A Comprehensive School-Based Nutrition Intervention to Improve the Implementation of Healthy School Canteen Policy: A Systematic Review Tauhidah, Sarah At; Candi, Cicilya; Bachtiar, Adang
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: School-based nutrition intervent­ion is recommended as one of the public health strategies in supporting the development of healthy diet behaviour for school-age children. It is in line with Global Action Plan 2013-2020 of World Health Organization (WHO) in preventing and controlling double burden of disease as a consequence of non-communicable disease in the future. This study aims to identify the kind of comprehensive school-based nutrition inter­vention and analyze effectiveness of every study in improving policy implementation of healthy school canteen.Subjects and Method: This systematic review study was conducted from two electronic data­bases, namely Scopus and ProQuest with keywords of "school nutritional policy", "compre­hensive intervention", and "healthy canteen" to search relevant publication in English and have open access published from 2015 to 2020.Results: From total 1.367 of publications, 9 arti­cles meet inclusion criteria. Based on evaluation of those studies with comprehensive or multi-component intervention to healthy school canteen policy, the common elements show that regular monitoring and feedback with executive and community support can show improvement of school adherence to policy implementation.Conclusion: This study found that a compre­hensive school-based nutrition intervention was effective in improving the implementation of healthy school canteen policy.Keywords: nutrition intervention, healthy canteen, policy implementationCorrespondence: Sarah At Tauhidah. Health Policy and Adminis­tration Department, Faculty of Public Health, Universitas Indonesia. F Building 1st Floor, Kampus Baru UI Depok 16424, Indonesia. Email: Sarah.at@ui.ac.id.Journal of Health Policy and Management (2021), 06(01): 57-66https://doi.org/10.26911/thejhpm.2021.06.01.06 
Path Analysis on Factors Affecting the Use of Hemodialysis in Patients Chronic Renal Disease at Dr. Soehadi Prijonegoro Hospital Sragen, Central Java Andriani, Anisa; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Patient adherence can be influ­enced by several factors that can affect com­pli­ance with hemodialysis treatment. Adherence is highly treated while undergoing hemodialysis in order to achieve success in hemodialysis (HD) treatment. Adherence is one of the beha­viors of a person in achieving successful HD treatment. The success of a treatment can be influenced by several fac­tors, one of which is the use of HD. This study aimed to determine the effect of compliance with hemodialysis.Subjects and Method: The was an obser­vational analytic study with a cross-sectional design. The study was conducted in January 2020. The sample used was 120 chronic kid­ney failure patients undergoing hemodialysis at Dr. Soehadi Prijonegoro Sragen Hospital. The de­pendent variable was compliance with hemo­dialysis. The independent variables are: know­ledge, length of care, family income. Data were collected by means of a question­naire. Data analysis was performed using path analysis with Stata 13.Results: The use of HD in patients with chro­nic renal failure had a positive associa­tion with high HD knowledge (b= 1.22; 95% CI= 2.21 to -3.98; p= 0.027), length of stay (b= 2.09; 95% CI= 4.29 to 3.05; p<0.001), and has no positive relationship with family income (b = 0.40; 95% CI = 0.80 to 1.41; p = 0.426). The use of HD in patients with chro­nic renal failure is influenced indirectly by family income and length of treatment.Conclusion: The use of HD in chronic renal failure patients has a direct relationship with knowledge of HD and length of treatment, and has no direct relationship with family income. The use of HD in patients with chro­nic renal failure is influenced indirectly by family income and length of treatment.Keywords: hemodialysis, chronic renal failureCorrespondence: Anisa Andriani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Su­tami 36A, Surakarta 57126, Central Java. Email: andrianianisa390@gmail,com. Mo­bile: +6282220826660.Journal of Health Policy and Management (2021), 06(01): 13-20https://doi.org/10.26911/thejhpm.2021.06.01.02 
The Effectiveness of Learning Methods by Measuring Accuracy and Rationality in Prescription Writing by Medical Students Widiyanto, Bagas; Riza, Muhamad
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Writing prescriptions accurately and rationally is a competency that must be achieved by medical students during medical education. This capability includes detailed knowledge of the components of the recipe and details of the components of the drug. This study aims to determine the description of the prescription writing practicum learning method carried out in the Pharmacology section of Faculty of Medicine in Unissula.Subjects and Method: This research is a descriptive study by looking at the prettest and posttest values. It was conducted in March 2020. The subjects of this study were 159 students who were registered participants of the psychiatry module in semester 6 in the undergraduate medical education study program at Faculty of Medicine in Unissula. 159 students were randomly divided into 20 SGD (Small Group Discussion), batch 1 SGD 1-10 and SGD 11-20 in batch 2. Each batch carried out practicum for 100 minutes. The activity begins with a pretest / giving case scenarios, then the discussion and discussion session ends with a posttest. The data in this study are numerical data and analyzed descriptively.Results: The results of the study indicated that the improvement across categories and those assessed was both the detailed component of the recipe and the detail component of the drug. The detail component of the prescription had the highest score increase in the patient name category by 27% higher posttest than pretest. In the detail component of the prescription, there was the highest increase in the category of Sedian Medicine (BSO) by 20.7% and that was a higher posttest value when compared to the pretest value.Conclusion: Clinical-based special learning methods with small class discussions are needed in an effort to improve the ability to write prescriptions appropriately and rationally by adjusting the level of education years.Keywords: prescription, rational, medical studentCorrespondence: Bagas Widiyanto. Department of Pharmacolo­gy, Faculty of Medicine, Universitas Islam Sul­tan Agung. Jl. Raya Kaligawe KM. 4, Semarang 1054, Ccentral Java, Indonesia. Email: bagas­widiyanto@unissula.ac.idJournal of Health Policy and Management (2021), 06(01): 74-80https://doi.org/10.26911/thejhpm.2021.06.01.08
Path Analysis on Factors Affecting Job Performance of Midwives at Community Health Centers in Mojokerto, East Java Amalia, Veterina Rizki; Prasetya, Hanung; Murti, Bhisma
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Midwives play an important role in reducing maternal and neonatal mor­bidity and mortality. The performance of mid­wives is an important indicator to improve the quality of maternal and child health services. The purpose of this study was to analyze the factors that affect the performance of midwives.Subjects and Method: This cross-sectional study was conducted at a community health cen­ter in Mojokerto, East Java, from February to April 2020. A sample of 200 midwives was selec­ted by random sampling. The dependent va­riable was the performance of the midwife. The independent variables were age, income, workload, work motivation, perceived financial compensation, education, employment status, social support, and marital status. The perfor­man­ce of midwives was measured by the 6-DSNP. Other data were collected using a ques­tion­naire. Data were analyzed by path analysis using the Stata 13 application.Results:The performance of midwives increa­s­ed with age ≥ 42 years (b= 3.19; 95% CI= 1.62 to 4.75; p <0.001), family income ≥ 7 million (b= 3.03; 95% CI= 1.50 to 4.56; p <0.001 ), light workload (b= 2.66; 95% CI= 1.19 to 4.13; p <0.001), strong work motivation (b = 3.32; 95% CI= 1.60 to 5.04; p <0.001), sufficient per­ceived financial compensation (b = 3.96; 95% CI= 1.68 to 4.99; p <0.001). The performance of mid­wi­ves was indirectly affected by edu­ca­tion, em­ploy­­ment status, social support and marital sta­tus.Conclusion: Age, family income, workload, work motivation, and perceived financial com­pen­sation affect the performance of midwives.Keywords: performance, midwives, path analy­sisCorrespondence: Veterina Rizki Amalia. Masters Program in Public Health, Universitas Sebelas Maret.Jl. Ir. Su­tami 36A, Surakarta 57126, Central Java. Email: veterinarizki1@gmail.com. Mobile: +6281359016501.Journal of Health Policy and Management (2021), 06(01): 21-34https://doi.org/10.26911/thejhpm.2021.06.01.03 
Factors Correlated with Willingness and Compliance to Pay National Health Insurance Premium in Jember Regency Nurlia, Nazilla Ade; Murti, Bhisma; Tamtomo, Didik Gunawan
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Fulfillment of premium collec­ti­vity is related to willingness and compliance to pay BPJS Kesehatan premiums. Increasing parti­cipation in the informal sector is not in line with compliance in paying BPJS Health premiums. This study aims to analyze the influ­ence of factors of willingness and com­pliance to pay premiums for BPJS Kesehatan independent participants in Jember Regency.Subjects and Method: This was a cross sectional study conducted in 31 sub-districts in Jember Regency, East Java, in July-September 2020. Sampling of 200 BPJS Kesehatan Man­diri participants was conducted using random sampling. The dependent variable is willingness to pay and compliance to pay the BPJS Health premium. The independent variables include education, income, willingness to pay, imitation of the referral group and number of family members. Data were collected using a question­naire. Data were analyzed using multiple linear regression, multiple logistic regression and path analysis with Stata 16.Results: Factors that affect the willingness to pay are education (b= 45531.18; 95% CI= 35335.1 to 55727.26; p <0.001) and (b= 2.13 units; 95% CI= 1.41 to 2.86; p <0.001), income (b= 17469; 95% CI= 7171.90 to 27766.09; p <0.001), and (b= 1.19; 95% CI= 0.46 to 1.92; p <0.001). Compliance to pay is influenced by the willingness to pay factor (b= 4.19; 95% CI = 2.19 to 8.04; p <0.001) and (b= 0.64; 95% CI= 0.02 to 1.27; p= 0.044) with an average willing­ness to pay Rp 44,792, imitation of the refe­rence group (b= 2.59; 95% CI = 1.39 to 4.85; p= 0.003) and (b = 0.95; 95% CI = 0.33 to 1.58; p= 0.003) and the number of family members (b= 1.90; 95% CI= 1.02 to 3.56; p= 0.044).Conclusion: Willingness to pay premiums is directly affected by education and income. Compliance with premium payments is directly affected by willingness to pay, imitation of the referral group, and the number of family members.Keywords: willingness to pay, paying compliance, social cognitive theoryCorrespondence: Nazilla Ade Nurlia.Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: nazillaade29@gmail.com. Mobile: +6281230004195.Journal of Health Policy and Management (2021), 06(01): 35-47https://doi.org/10.26911/thejhpm.2021.06.01.04 
Effectiveness of Telemedicine on Patient Satisfaction: Meta Analysis Umiati, Sri; Murti, Bhisma; Adriani, Rita Benya
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Patient satisfaction is one indi­cator in the success of a treatment in the health sector. There are several ways to make this happen, including by simplifying the process of consultation, treatment and medication. Effec­tiveness in health services is very import­ant. Telemedicine is a way offered to increase effec­tiveness in health services.Subjects and Method: Meta analysis was performed with PICO as follows: The popula­tion in this study were patients. Health service intervention is in the form of telemedicine. Comparison in the form of Non Telemedicine/ visit services. Outcome in the form of patient satisfaction. The meta-analysis study was applied to this study with electronic data sources: Clinical Key, Google Scholar, MED­LINE/PubMed, Science Direct, Scopus. The article used is a full-text article with a rando­mized control trial (RCT) study design. There were 8 articles used in this study with a sample size of 2123 people who were divided into two groups (1113 people in the telemedicine group and 1010 people in the control/ non teleme­dicine group). Articles were analyzed using the Review Manager 5.3 application. The results of this study aim to determine the Standardized Mean Difference (SMD) and the heterogeneity of the research sample.Results: There is high heterogeneity between one experiment and another (I2= 81%; P <0.0001) so that the Random Effect Model (REM) is used. The application of Telemedicine was able to increase patient satisfaction with Standardized Mean Different (SMD) of 0.41 compared to the control/ non-telemedicine group (SMD 0.41; 95% CI= 0.19 to -0.62; p= 0.0002).Conclusion: Providing telemedicine services was able to increase patient satisfaction with Standardized Mean Different (SMD) of 0.41 compared to non-telemedicine.Keywords: Telemedicine, patient satisfactionCorrespondence: Sri Umiati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta 57126, Ccentral Java. Email: umi­2374@gmail.com. Mobile: +6287834961974.Journal of Health Policy and Management (2021), 06(01): 48-56https://doi.org/10.26911/thejhpm.2021.06.01.05 
Determinants of Job Performance among Medical Rehabilitation Health Personnel at Dr. Moewardi Hospital, Surakarta, Central Java: A Path Analysis Evidence Sisybania, Sisybania; Wijaya, Mahendra; Murti, Bhisma
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The quality of a health institution is determined by human resources (HR) and the quality of staff services. The quality of health human resources is measured by employee performance and productivity especially services that are directly related to patients, such as the Department of Medical Rehabilitation. This study aimed to analyze the psychosocial economic determinants of the performance of medical rehabilitation health personnel.Subjects and Method: This study used a cross-sectional method. This study was conducted from May 2020 to June 2020. The sample was selected by exhaustive sampling by 200 medical rehabilitation health personnel at Dr. Moewardi, Surakarta. The dependent variable was performance. The independent variables were motivation, skill, work atmosphere, facilities and infrastructure, work experience, training, education, leadership style, incentive, reinforcement, vicarious learning, and observational learning. The data were collected using questionnaires and analyzed using path analysis with STATA version 13.Results: Medical rehabilitation health personnel had a likelihood of performing well with participative leaders (b=2.24; 95%CI=0.09 to 1.44; p=0.025), sufficient incentives (b=3.19; 95%CI=0.42 to 1.76; p<0.001), high motivation (b=3.38; 95%CI=0.51 to 1.93; p<0.001), by attenting training and education for medical rehabilitation (b=1.86; 95%CI=-0.03 to 1.27; p=0.064), good reinforcement (b=1.72; 95%CI=- 0.09 to 1.42; p=0.086), training and education through incentives (b=1.86; 95%CI=- 0.02 to 1.11; p=0.062), conducive work atmosphere through motivation (b=2.49; 95%CI=0.16 to 1.42; p=0.013).Conclusion: The performance of medical rehabilitation health personnel is affected by leadership style, incentives, motivation, training and education, work atmosphere, and reinforcement.Keywords: social cognitive, performance, path analysisCorrespondence: Sisybania, Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami No.36 A, Surakarta, Indonesia. Email: sisybania@gmail.com. Mobile: +6289676804589Journal of Health Policy and Management (2021), 01(01): 01-12https://doi.org/10.26911/thejhpm.2021.06.01.01. 
The Effect of Health Insurance Membership on Self-Medicine: An Analysis using Indonesian Family Life Survey 5 Syuadzah, Rahmi; Nugroho, Hari Wahyu; Tampy, Safitri Tia; Kartikawati, Dwiana
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The prevalence of selfmedication in Indonesia is still quite large. The result of a survey conducted by the National SocioEconomic Survey (Susenas) showed that the percentage of the population who had selfmedicated health complaints was 61.05%. The negative impact of selfmedication is the side effects of drugs, the resistance to antibiotics, and the wrong choice of drugs. This study aimed to analyze the correlation between insurance ownership and selfmedication using IFLS data analysis.Subjects and Method: This was a crosssectional study. This study involved 31,411 sample obtained from IFLS 5 data. The dependent variable was selfmedication. The independent variables were age, sex, residence, marital status, and insurance ownership. The data were analyzed by multiple logistic regression. Results: The individuals who had insurance increased the initiative to seek selfmedication (OR=1.08; 95%CI=1.04 to 1.13; p<0.001). Male (OR=0.92; 95%CI=0.88 to 0.96; p<0.001), who lived in the city (OR=0.94; 95%CI=0.90 to 0.99; p=0.009), in the working reproductive age (1564 years) (OR=0.80; 95%CI=0.73 to 0.89; p<0.001), and married (OR = 0.82; 95% CI = 0.78 to 0.86; p <0.001) had a tendency not to take selfmedication.Conclusion: Based on the result of the study, the subjects of the study who have insurance have a greater risk of selfmedication.Keywords: Selfmedication, insuranceCorrespondence: Rahmi Syuadzah. Pediatric Research Center (PRC) Department of Child Health, Dr. Moewardi Hospital, Surakarta. Jl. Kolonel Sutarto, Jebres, Surakarta, Central Java 57126. Rahmi_syuadzah@yahoo.com.Journal of Health Policy and Management (2021), 06(01): 67-73https://doi.org/10.26911/thejhpm.2021.06.01.07

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