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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. 6 No. 3 (2021)" : 8 Documents clear
Contextual Effect of Health Centers and Quality Dimensions of Antenatal Services on Patient Satisfaction in Klaten, Central Java Rahmawati, Leny; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.632 KB) | DOI: 10.26911/thejhpm.2021.06.03.06

Abstract

Background: Puskesmas plays an important role in reducing maternal and neonatal morbidity and mortality. Contextual health centers and dimensions of service quality can improve maternal and child health services. This study aimed to analyze the factors that influence patient satisfactionSubjects and Method: A cross sectional study was conducted in Klaten Regency, Central Java. A sample of 200 pregnant women at the community health centers was selected by simple random sampling. The dependent variable was patient satisfaction. The independent variables were reliability, tangible, empathy, responsiveness, and assurance. The data were analyzed by multiple multilevel linear regression using the Stata 14 application.Results: Patient satisfaction was influenced by reliability (b=0.30; 95% CI= -0.48 to -0.13; p= 0.001), tangible (b= 0.28; 95% CI= 0.14 to 0.42; p<0.001), responsiveness (b= 0.17; 95% CI= 0.07 to 0.27; p= 0.001), and assurance (b= 0.16; 95% CI= 0.04 to 0.28; p= 0.007), while empathy has no effect on patient satisfaction (b= -0.02; 95% CI= -0.28 to 0.23; p= 0.837). Health center had strong contextual effect on patient satisfaction with ICC= 36.4%.Conclusion: Patient satisfaction is influenced by reliability, tangible (physical evidence), responsiveness, and assurance, while empathy has no effect on patient satisfaction.Keywords: satisfaction, puskesmas, multilevel linear regressionKorespondensi:  Leny Rahmawati. Program Magister Kesehatan Masyarakat, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: lovejesus251200@gmail.com. Ponsel: +6288981023493.
Implementation of Hospital Occupational Health and Safety Regulations to Minimize Occupational Accidents at the Sultan Agung Islamic Hospital, Semarang Mayangkara, Radit H.; Subiyanto, Achmad Arman; Tamtomo, Didik Gunawan
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.98 KB)

Abstract

Background: Sultan Agung Islamic Hospital Semarang, which is one of the providers in the health sector, has complex and continuous activities which in turn have the potential to cause various impacts and risks, such as work accidents, nosocomial infections, and occupa­tional diseases. Therefore, more detailed obser­vations are needed on the enforcement of occupational health and safety regulations to minimize these impacts. This study aims to determine the application of occupational health and safety hospital regulations to mini­mize work accidents at Sultan Agung Hospital, Semarang.Subjects and Method: This study was con­ducted using a qualitative approach. The key informants in this study were the Director of the Sultan Agung Islamic Hospital totaling 1 person and the supporting informants were the field staff of the Sultan Agung Hospital totaling 17 people. Data collection techniques were carried out by direct observation, question­naires and focus group discussions. The data analysis technique used in this study is Narrative Analysis.Results: This study was conducted using a qualitative approach with data collection techniques by direct observation, question­naires and focus group discussions.Conclusion: Regulations are still drawn up sectorally by various agencies that regulate occupational health and safety in hospital so that efforts to minimize the number of work accidents are quite difficult. Keywords: occupational health and safety, Sultan Agung Islamic Hospital, work accidentsCorrespondence: Radit Hartantyo Mayangkara. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: raditmayangkara@gmail.com. Mobile: (+62)8122938885.Journal of Health Policy and Management (2021), 06(03): 160-167https://doi.org/10.26911/thejhpm.2021.06.03.01
Determinants of Resistance to Changes in Hospital Program Implementation Rusmawati, Aprin; Wardani, Ratna; Fajriah, Asruria Sani
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.003 KB)

Abstract

Background: Organizational change is the embodiment of changing organizational environ­ments, structures, cultures, technologies, or people. Changes are planned to make the organization more effective and efficient, but there is still resistance from members of the organization. Negative reactions arise because changes provide pressure, stress, and uncertainty for employees. The goal in the study was to analyze employees' perceptions of commitment, readiness, and resistance during times of change to the implementation of the "MARMER" program.Subjects and Method: The study was conducted at Dr. Iskak Tulungagung Hospital. The selected hospital organization is a hospital that has a program preventing antimicrobial resistance through restriction efficiency (MARMER) for the control of antibiotic resistance. Research design uses quantitative research methods. The population in this study is all health workers at Dr. Iskak Tulungagung Hospital. Data collection through questionnaires. Multivariate data analysis using SEM with SmartPLS.Results: Commitment to change has a significant direct influence on the readiness for change (t-values= 9.95 > 1.96; Standard Coefficiency= 0.53). Commitment to change does not significantly affect change resistance (t-values = 1.22< 1.96; Standard Coefficiency= 0.13). Readiness for change has a negative effect on change resistance (t-values= -5.30 >1.96; Standard Coefficiency= -0.60). Commitment to change negatively and significantly affects resistance to change through readiness to change (t-values = -4.24 > 1.96; Standard Coefficiency= -0.36).Conclusion: Commitment directly affects the readiness of change. Commitment and readiness affect the resistance of change. Commitment has a significant effect on resistance through readiness for change.Keywords: MARMER, antibiotik, commitment, readiness, resistanceCorrespondence: Asruria Sani Fajriah, IIK Strada Indonesia, Jl. Manila 37, Sumberece, Kediri, East Java, Indonesia. Email: sanifajriah@gmail.comJournal of Health Policy and Management (2021), 06(03): 222-232https://doi.org/10.26911/thejhpm.2021.06.03.07
Employee Motivation and Perceptions toward the Importance of Hospital Accreditation on Service Commitment at Pelita Insani Martapura Hospital Karyono, Septin Maisharah; Peristiowati, Yuly; Suhita, Byba Melda
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.736 KB)

Abstract

Background: Hospital accreditation is a form of appreciation for hospital organizations that have met the service standards set by the government. Perceptions and motivations about the importance of accreditation for hos­pital institutions and employees are needed to foster a sense of service commitment in employees for the realization of a quality service system. The purpose of this study was to determine the relationship between perceptions of the importance of Hospital Accreditation with participation, commitment, job satisfact­ion, and employee performance.Subjects and Method: A cross sectional study was conducted at Pelita Insani Martapura Hospital, South Kalimantan, Indonesia. The research population is hospital employees. The sample is 153 hospital employees selected by proportional random sampling. The dependent variable is work commitment. The independent variables are perceptions of the importance of accreditation and motivation. Data were collected using observation sheets and ques­tionnaires and analyzed by multiple linear regression.Results: High perception about the import­ance of accreditation (b= 0.06; 95% CI= 0.02 to 0.13; <0.001) and strong motivation (b= 0.31; 95% CI= 0.31 to 0.71; p= 0.006) increased employee commitment.Conclusion: High perception of the import­ance of accreditation and strong motivation to increase employee work commitment.Keywords: commitment, perception, motiva­tion, accreditationCorrespondence: Septin Maisharah Karyono. Strada Indonesian Health Sciences Institute, Kediri, Indonesia.Journal of Health Policy and Management https://doi.org/­10.­26911/thejhpm.2021.06.03.05.
Are the Leadership Style and Motivation Influence the Work Performance of Health Center Personnel? Indriastuti, Latty; Sulaeman, Endang Sutisna; Pamungkasari, Eti Poncorini
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.364 KB)

Abstract

Background: The performance of an orga­nization is largely determined by the human resources in it. If the human resources are highly motivated, creative and innovative and are led by leaders who are responsible and have good leadership skills, their performance will be good. This study aims to analyze the influ­ence of the leadership style of the head of the puskesmas and the work motivation of the em­ployees on the performance of the employees of the Puskesmas Ciamis District.Subjects and Method: This study was con­ducted using a cross sectional research design. The study was conducted in Ciamis Regency in November – December 2020. Sampling was carried out using random sampling with a total of 200 puskesmas employees in Ciamis Regen­cy. The dependent variable is employee per­form­ance. The independent variables include leadership style, work motivation, job satisfac­tion, education, treatment status, employee status, length of work. Data were collected by questionnaire and analyzed using a multi­level multiple logistic regression.Results: Good leadership style (b=3.58; 95% CI= 1.11 to 3.80; p= 0.000), high work moti­va­tion (b=3.12; 95% CI= 0.83 to 3.65; p= 0.002), have job satisfaction (b= 2.89; 95% CI= 0.67 to 3.53; p= 0.004), higher education (b= 2.89; 95% CI= 0.60 to 3.13; p= 0.004), inpatient care status (b= 2.66; 95% CI= 0.47 to 3.12; p= 0.008), health personnel status (b=3.68; 95% CI= 1.46 to 4.80; p= 0.000), and length of ser­vice 3 years (b=2.07; 95% CI= 0.78 to 2.76; p= 0.038) increase the possibility of the perform­ance of puskesmas employees. Variations at the puskesmas level show that there is a contextual effect on employee performance (ICC= 11.75%).  Conclusion: There is a positive and statis­tically significant effect on leadership style, work motivation, job satisfaction, educa­tion, treatment status, employee status, length of work on the performance of puskesmas employees. Variations at the puskesmas level show that there is a contextual effect on employee performance.Keywords: employee performance, leadership style, health center, Correspondence: Latty Indriastuti.Masters Program in Public Health, Universitas Sebelas Maret, Surakarta, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: lattyindria.drg@gmail.com. Mobile: +628999976544.Journal of Health Policy and Management (2021), 06(03): 168-181https://doi.org/10.26911/thejhpm.2021.06.03.02  
Relationship between Quality of Health Services and Patient Satisfaction in Oral and Dental Patients Safitri, Lina Eta; Azka, Arlina; Manggandhi, Yuyun; Dewi, Novita Herlita; Hidayah, Fristyaningrum; Prianggi, Herawati; Suparno, Amalia Ulfah; Panji Widyatmaja, I Gusti Bagus; Marwanto, Dwi; Efffendi, Farried
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.522 KB)

Abstract

Background: Oral and dental disease is a health burden in several countries because it affects general health and the quality of life of the people. The factors associated with the use of dental and oral health services are price and quality of service. The combination of the five dimensions of health care quality can significantly influence patient satisfaction. This study aims to determine the relationship between the quality of health services and patient satisfaction in dental and oral patients.Subjects and Method: This meta-analysis was conducted by collecting and reviewing key studies from PubMed, Google Scholar, Springer Link, ScienceDirect, Scopus, and ResearchGate. The formulation of the problem using the PICO model: Population is dental and oral patients, Intervention: good service quality, Comparison: poor service quality, Result: patient satisfaction. The inclusion criteria used a cross-sectional study design, published in English or Indonesian. , are available in the full text, and report adjusted odds ratios on study results. Articles were collected using PRISMA diagrams and data were analyzed using the Review Manager 5.3 software application.Results: The estimated OR collected from all studies were (OR = 3.47; 95% CI = 1.01 to 11.97; p = 0.05) with a heterogeneity of 89%.Conclusion: Based on the literature review, it can be concluded that there is a relationship between the quality of health services and patient satisfaction in dental and oral patients.Keywords: quality of health services, patient satisfaction, dental and oral patients.Correspondence:Lina Eta Safitri.Program Study of Public Health, STIKES Griya Husada Sumbawa. Jl. Kebayan, Uma Sima. Sumbawa. Email: safitrieltalina96@gmail.com   Journal of Health Policy and Management (2021), 06(03): 233-241https://doi.org/10.26911/thejhpm.2021.06.03.08
Health Service Quality Management at dr. Siswanto Air Force Hospital, Colomadu, Karanganyar, Central Java Marwanto, Dwi; Murti, Bhisma; Tamtomo, Didik Gunawan
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.404 KB)

Abstract

Background: Patient satisfaction is an important indicator of health care success. Patients assess the quality of service received based on their satisfaction with the services provided. The purpose of this study was to describe the quality management of health services at dr. Siswanto Air Force Hospital (RSAU) Colomadu, Karanganyar.Subject and Method: This study is a qualita­tive study with a descriptive approach. The study was conducted from March to May 2021. The data for this study were taken from two sources, namely internal hospitals as health service providers and the community as users of health services. Informants in this study were the director of the dr. Siswanto Air Force Hospital, staff of dr. Siswanto Air Force Hos­pital, and 7 patients who used health services at dr. Siswanto Air Force Hospital. Data was collected by means of in-depth inter­views, observations, documents and focused group discussions. The data analysis techniques carried out were data reduction, data display and conclusion and also verification.Results: The quality of health services from the side of health service users (patients) showed that dr. Siswanto Air Force Hospital has good quality health services based on the following aspects: (1) reliability: patient regis­tration services, admi­nistrative management, provision of treatment rooms that are fast and easily accessible to patients, (2) assurance: health personnel have a polite, friendly, and res­pectful attitude towards patients, (3) tangible: the hospital room is comfortable, the staff is neat and clean, and medical equipment is complete, clean, and ready to use, (4) empathy: the officer gives special attention to patients and patient complaints, and there is no diffe­rence in atti­tude and treatment in general patient care and insurance, and (5) responsi­veness: there is good communication from hospital staff to patients and quick action if the patient needs immediate help.Conclusion: The quality of health service management at dr. Siswanto air force hospital fulfills the criteriaof reliability, assurance, tangible, empathy and responsiveness.Keywords: Management of health services, quality of health servicesCorrespondence: Dwi Marwanto. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: dwiantox74@gmail.com. Mobile: 082138064130.Journal of Health Policy and Management (2021), 06(03): 182-189 https://doi.org/10.26911/thejhpm.2021.06.03.03
Management Analysis of the Implementation of Covid-19 Vaccination in Reducing Positivity Rate in Regency Health Office of Boyolali, Central Java Aviandari, Tifa; Pamungkasari, Eti Poncorini; Murti, Bhisma
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.65 KB)

Abstract

Background: The results of a vaccine accept­ance survey conducted by the Ministry of Health together with the Indonesian Technical Advisory Group on Immunization (ITAGI) with the support of UNICEF and WHO in September 2020 showed that most people (74%) were aware of the government's plan to carry out COVID-19 vaccination. The government targets 181,500,000 Indonesians to receive the vaccine to achieve herd immunity. Through this vacci­nation effort, it is hoped that it will reduce the COVID-19 positivity rate. The positivity rate is the ratio between the number of positive cases of Covid-19 and the number of tests carried out. The purpose of this study was to qualitatively examine the management analysis of the imple­mentation of Covid-19 vaccination in reducing positivity rate in Boyolali Regency Health Office.Subjects and Method: This was a type of descriptive research using a qualitative approach. Determination of informants is done by purposive sampling. Data was collected through indepth interviews, document review and observation. The data is processed through the stages of data reduction, data presentation and conclusion drawing and triangulation of sources and methods.Results:  The implementation of vaccination in the coverage area of the Boyolali Health Service was able to reduce the positivity rate in Boyolali. The COVID-19 vaccination procedure is carried out based on the requirements for the vaccine recipient community. According to the coordinator of the vaccination implementation at one of the hospitals in Boyolali (informant 1), they screened the patient's condition before starting the vaccination. In addition to screen­ing medical history, vaccine participants must be confirmed to be in a negative condition or not suffering from COVID-19 disease. Data from the Boyolali Health Office shows that since the vaccine began (mid-February), the number of COVID-19 sufferers has decreased.Conclusion: The management of the Covid-19 vaccination implementation in the Boyolali Health Service coverage area was able to reduce the positivity rate in Boyolali Regency. After giving the vaccine, the number of positive Covid-19 patients is in the range of 10 to 20 cases per day.Keywords: vaccination, Covid-19, positivity rateCorrespondence: Tifa Aviandari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: aviandaritifa@gmail.com. Mobile: 089­682108211Journal of Health Policy and Management (2021), 06(03): 190-202https://doi.org/10.26911/thejhpm.2021.06.03.04

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