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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. 7 No. 1 (2022)" : 8 Documents clear
Hospital Financial Strategy in Response to COVID-19: A Systematic Review Yulius, Suci Kirana; Soewondo, Prastuti; Carolinsia, Brenda
Journal of Health Policy and Management Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The COVID-19 pandemic had resulted in an unprecedented strain on healthcare syste­ms. Hospitals are faced with the unexpected influx of patients, increasing need for protection equ­ip­ment and infection control procedures, increased workload and operational hours, and the depleting revenues due to closure of elective services. This study aims to further analyze the financial str­a­tegies used by hospitals to ensure its operations and to overcome financial challenges presented by the COVID-19 pandemic.Subjects and Method: A systematic review has been identified using four databases: MEDLINE (Pub­Med), Google Scholar, SCOPUS, and MedSci. This search in literature was published articles from January 2020 to June 2021 using PRISMA guidelines. The keywords used “COVID-19” OR “SAR­S-CoV-2” AND (ii) "hospital" OR "hospital cost" OR "cost" AND (iii) "strategy" OR "financial stra­tegy" OR "economic" OR "economic analysis".Results: 6 studies were included in our final analysis. We found that effective financial strategies to co­ver for reduced revenues and increasing cost of care include: (1) Ensuring incentives from external ag­e­ncies, including the government; (2) Creating new budgets or modifying existing budgets to cover for COVID-19-related cost of care; and (3) Use of contactless health system such as telehealth. Speci­fically for modifying existing budgets, studies have found that implementing proper health protocol and infection control measures is the most effective, as it has been reported to yield a return of invest­ments.Conclusion: Government funds and relief aids remain the most important source of financial suppo­rt for hospitals in caring for COVID-19 patients. Without sufficient financial support, hospitals have to get creative in adding additional service fees or finding innovative solutions such as telehealth to cover the dwindling revenues from their closed service units.Keywords: COVID-19, hospital cost, financial strategiesCorrespondence: Suci Kirana Yulius. Hospital Administration Studies Program, Faculty of Public Health, Universitas Indonesia. Universitas Indonesia Pondok Cina, Beji, Depok City, West Java. Mobile: 081273874947­­.­ E­mail: suci.kirana@ui.ac.id.Journal of Health Policy and Management (2002), 07(01): 81-93https://doi.org/10.26911/thejhpm.2022.07.01.08
Meta-Analysis: Association between Empowerment of Home-Based Rehabilitation Intervention on the Escalation of Functional Ability in Post Stroke Patients Syawaludin, Muhammad Husein; Sumardiyono, Sumardiyono; Murti, Bhisma
Journal of Health Policy and Management Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stroke is a disease that is the third leading cause of death in the world after heart and cancer. Stroke is also a disease that causes serious and permanent disability in the first order in the world. The rehabilitation program or recovery of stroke patients will greatly affect the improvement of functional abilities and independence of post-stroke patients, one of the keys to functional improvement is the intensity of therapy and family involvement in supporting the rehabilitation process. This study aims to analyze the relationship between empowering home-based recovery interventions to improve the functional ability of post-stroke patients, with a meta-analysis of primary studies conducted by previous authors.Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, Population: stroke patients. Intervention: home-based recovery. Comparison: not home based recovery. Outcomes: functional ability. The articles used in this study were obtained from several databases, namely PubMed, Springer Link, Cochrane Database, Hindawi, Elsevier, JBBA, LWW, Google Scholar. Search keywords “home-based” AND “intervention” OR “rehabilitation” OR “exer­cise” OR “therapy” OR “care” AND “stroke” AND “functional ability” OR “functional capacity” AND “Randomized Controlled Trial “ OR “ RCT". The articles included are full-text English and Indo­nesian languages with a study design of a Randomized Controlled Trial from 2000 to 2021 and reporting on the Mean and SD in multivariate analysis. The selection of articles is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 9 randomized controlled trials from Iran, Turkey, Australia, Taiwan, China, Thailand and the Netherlands were selected for a systematic review and meta-analysis. The data collected showed that the home-based recovery intervention improved functional ability in post-stroke patients compared to usual care (SMD = 2.70; 95% CI = 1.53 to 3.87; p<0.001). There is a publication bias that indicates an overestimation). Conclusion: Home-based recovery interventions improve functional ability in post-stroke patients.Keywords: Home-based recovery, functional ability, stroke patients, meta-analysisCorrespondence: Muhammad Husein Syawaludin. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: fahusein26@gmail.com. Mobile: +6285­728989309.Journal of Health Policy and Management (2022), 07(01): 46-57https://doi.org/10.26911/thejhpm.2022.07.01.05
Meta Analysis of the Influence of COVID-19 Patient Services on the Level of Anxiety and Depression in Nurses in Hospital Sudarmono, Andang; Murti, Bhisma; Prasetya, Hanung
Journal of Health Policy and Management Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The COVID-19 pandemic has spread around the world and is impacting the mental health of everyone, including healthcare workers. Health workers are at the forefront of treating patients infected with COVID-19. are at high risk of experiencing mental health problems during the COVID-19 pandemic. The purpose of this study was to estimate the magnitude of the effect of COVID-19 patient care on the level of anxiety and depression in nurses in hospitals, with a meta-analysis of primary studies conducted by previous authors.Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: nurses. Intervention: serving COVID-19 patients. Comparison: does not serve COVID-19 patients. Outcome: anxiety and depression. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles “Anxiety” AND “Depression” AND “Nurses” OR “Healthcare worker” AND “COVID-19”. The included article is a full-text English language with a cross-sectional study design from 2020 to 2021 and reports the adjusted Odds Ratio (aOR) in a multivariate analysis. The selection of articles is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results:  A total of 12 cross-sectional studies from America, Asia, and Europe were selected for systematic review and meta-analysis. The data collected showed nurses who served COVID-19 patients had a risk of experiencing anxiety as much as 1.75 times compared to nurses who did not serve COVID-19 patients and this result was statistically significant (aOR= 1.75; 95% CI= 1.29 to 2.37; p<0.001 ). A meta-analysis of 12 studies from America, Asia and Europe showed that nurses caring for COVID-19 patients had a 1.1 times risk of developing depression compared to nurses who did not serve COVID-19 patients, but this result was not statistically significant (aOR= 1.10; 95% CI= 0.53 to 2.30; p= 0.80).Conclusion: The effect of caring for COVID-19 patients increases the risk of anxiety and depression in nurses in hospitals.Keywords: Anxiety, Depression, Nurses, COVID-19Correspondence: Andang Sudarmono. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: andan_cf@yahoo.co.id. Mobile: 08156701457.Journal of Health Policy and Management (2022), 07(01): 1-13https://doi.org/10.26911/thejhpm.2022.07.01.01
The Application of Communication Privacy Management Theory to Health Information on COVID-19 Through Social Media among Young Women Diponegoro, Muhammad Agung; Utari, Prahastiwi; Rahmanto, Andre Noevi
Journal of Health Policy and Management Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Social media is open to inappropriate access, misuse, and disclosure of health data. The increasing public anxiety about the COVID-19 outbreak was triggered by the spread of hoax news. This research applies the framework of Communication Privacy Management Theory (CPM) for analyzing the disclosure of health information about COVID-19 through social media. This study aimed to explore health information on COVID-19 through social media in young women.Subjects and Method: This was a qualitative study with a phenomenological approach. The study was conducted in Surakarta, Central Java, from March - August 2021. Study participantss involving 10 women aged 23-24 year as participants. The study dimen­sions consist of privacy ownership within the boundaries of privacy, privacy control through privacy rules, and turbulence of health informa­tion privacy regarding COVID-19. The data were collected by literature review and in-depth interview. Results:  Privacy ownership is privacy right and can be disclosed by the authorized only. COVID-19 patients’ status should be disclosed for tracing and finding convalescence plasma donor. Disclosure is useful to increase knowledge, correct information, influence people, and appeal preventive and curative attempts. Disclosure is useful to increase knowledge, correct information, influence people, and appeal preventive and curative attempts. Disclosure should consider different genders, situations, expectations, cultures, situational and condition demand, and ethics. Criteria of privacy border relate to urgency and need. Permeability always changes, and situation can lead to private border removal. Posting privacy information needs to crosscheck truth, consider privacy right, and privacy setting. Privacy control is required to avoid abuse. Privacy turbulence results from private rule infringement, private and public information bias, hoax, private information leakage, gossip, etc. Socialization, system improvement and supervision, and sanction imposition are needed.Conclusion: CPM theory can be used to explore private information on COVID-19.Keywords: communication privacy management, disclosure, social media, phenomenologyCorrespondence: Muhammad Agung Diponegoro. Masters Program in Communication Sciences, Faculty of Social and Political Sciences, Universitas Sebelas Maret Email: abdiaghoenk@gmail.com. Mobile: +6221­4281288.Journal of Health Policy and Management (2022), 07(01): 14-23https://doi.org/10.26911/thejhpm.2022.07.01.02
Meta-Analysis: Effects of Unsafe Action and Work Experience on Occupational Exposure to Needlestick Injury among Health Workers in the Hospital Andriani, Nurul Dwi; Sumardiyono, Sumardiyono; Murti, Bhisma
Journal of Health Policy and Management Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Needlestick injury is a dangerous work accident that causes blood contact with pa-tients and is at risk of being infected with blood borne diseases such as hepatitis B virus (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV). The purpose of this study was to analyze the influence of unsafe behavior factors on the incidence of accidents due to needlestick injury to health workers in hospitals. Subjects and Method: This research was conducted using a systematic review and meta-analysis study design using PICO, population: health workers, intervention: unsafe action and lack of work experience. Comparison: safe action and good work experience, Outcome: Needlestick Injury (NSI) incident. The articles used in this study came from 4 databases, namely Pubmed, ScienceDirect, ProQuest and Google scholar. The keywords of the article are ("Needle Stick Injury" or "Sharp Injury") AND aOR. The articles included in this study are full paper articles, observational study designs, 2011-2021 and the size of the relationship between Adj Odds Ratio Results: A total of 19 observational studies (case-control and cross-sectional) with 28,487 health workers from the African Continent (Egypt and Ethiopia), the Asian Continent (Thailand, Taiwan, Malaysia and Indonesia) and the European Continent (Bosnia and Herzegovina) were analyzed. From data processing, it was found that unsafe action increased the incidence of Needlestick Injury (NSI) in health workers in hospitals by 2.79 times higher than health workers who behaved safely (safe action) and statistically significant (aOR= 2.79; 95% CI= 2.18 to 3.67; p<0.001). Work Experience increases the incidence of Needlestick Injury (NSI) in health workers in hospitals by 1.97 times higher than health workers who have good work experience and is statistically significant (aOR= 1.97; 95% CI= 1.16 to 3.34; p = 0.010) . Conclusion: The influence of human factors, especially unsafe action, in increasing the incidence of needlestick injuries in health workers.Keywords: needlestick injury, sharp injury, unsafe actionCorrespondence:Nurul Dwi Andriani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: nurul.d.andriani@gmail.com. Mobile: +6282137279586.Journal of Health Policy and Management, 07(01): 58-71https://doi.org/10.26911/thejhpm.2022.07.01.06.
Meta-Analysis: Intervention Using Midfulness Training to Reduce Burnout in Medical Doctors Ratri, Maika; Murti, Bhisma; Tamtomo, Didik Gunawan
Journal of Health Policy and Management Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Burnout is one of the mental health problems caused by a high workload that causes excessive stress characterized by symptoms such as anxiety and even depression, because of the seriousness of this burnout problem, the WHO classifies burnout as a disease. Burnout is a very serious problem in many countries, so efforts are needed to prevent and/or reduce the negative consequences and impacts of burnout syndrome. One of the interventions that can be done to achieve this is using the mindfulness method. This study aims to examine the effectiveness of mindfulness in reducing burnout levels in doctors.Subjects and Method: This meta-analysis study was conducted using PICO as follows: The population is doctors (general and specialist) who work in hospitals. Intervention is mindfulness. Comparison in the form of mindfulness therapy. The outcome is a low level of burnout. Sources of meta-analysis studies were accessed using: Clinical Key, Google Scholar, MEDLINE/PubMed, Science Direct. The articles used in this study are full-text articles with a Randomized Controlled Trial (RCT) study design. This meta-analysis used 10 articles with a total sample of 539 doctors who were divided into two groups (mindfulness group and no mindfulness group). Analysis of the data using the application Review Manager 5.4.1. The purpose of this study was to determine the Standardized Mean difference (SMD) and heterogeneity in the study sample.Results: The results showed that this study was homogeneous (I2=47%; P<0.001) so the Fixed Effect Model (FEM) was used. Mindfulness intervention was effective in reducing burnout levels in doctors 0.20 units lower than without using mindfulness and the results were statistically significant (SMD -0.20; 95% CI -0.37 to -0.03; p=0.020).Conclusion: Mindfulness is effective in reducing burnout levels in doctors 0.20 units lower than without using mindfulness and the results are statistically significant. Keywords: mindfulness, burnout, doctor.Correspondence: Maika Ratri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: ratrim.mr@gmail.com.Mobile: +6285702081870.Journal of Health Policy and Management (2022), 07(01): 24-33https://doi.org/10.26911/thejhpm.2022.07.01.03
Association between Heat Stress, Work Fatigue, and Elevated Blood Pressure among Construction Workers in Yogyakarta Kusuma, Nisa Nur; Sumardiyono, Sumardiyono; Murti, Bhisma
Journal of Health Policy and Management Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Excessive heat stress will cause fatigue and drowsiness, reduce stability and increase the number of work errors. The purpose of this study was to analyze the relationship between heat stress and work fatigue and increased blood pressure in construction workers at PT PP Urban Development Project at the University of Nahdlatul Ulama Yogyakarta. Subjects and Method: Research with a cross sectional design was conducted at PT PP Urban Development Project, Nahdlatul Ulama University, Yogyakarta, from March to April 2022. A sample of 107 workers was selected by purposive sampling. The dependent variable is work fatigue and an in-crease in blood pressure. The independent variable is heat stress. Heat stress was measured by Heat Stress Monitor, work fatigue by reaction timer and increase in blood pressure was measured by digit-al sphygmomanometer. Test analysis using chi-square and the value of Odds Ratio (OR). Results: Construction workers who experience high heat stress have a risk for an increase in blood pressure of 3.10 times compared to normal heat stress and are statistically significant (OR= 3.10; 95% CI= 1.01 to 9.24; p= 0.020), and have a risk of work fatigue 2.73 times compared to normal heat stress and statistically significant (OR= 2.73; 95% CI= 0.97 to 7.52; p= 0.020). Conclusion: There is a relationship between high heat stress and work fatigue and an increase in blood pressure.Keywords: heat stress, fatigue, blood pressure Correspondence:Nisa Nur Kusuma. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A,Surakarta 57126, Central Java, Indonesia. Email: nisankusuma22@gmail.com. Mobile: +6282225229919 J Health Policy Manage. 07(01): 72-80. https://doi.org/10.26911/thejhpm.2022.07.01.07
Implementation of Context Input Process Product Model on Healthy Indonesia Program Policy with a Family Approach Ninawati, Ninawati; Sulaeman, Endang Sutisna; Tamtomo, Didik
Journal of Health Policy and Management Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The Healthy Indonesia Program with a Family Approach started in 2017, has now reached the first visit coverage rate of 26.80% as of October 3, 2018, with a Healthy Family Index (IKS) value of 0.165. This figure is still far below the expected target, namely in 2019 it is expected that the visit coverage rate has reached >90% so that in 2019 an intervention plan at the com­mu­nity health center (puskesmas) level can be carried out in accordance with the roadmap of the Ministry of Health. This study aimed to investigate the implementation of the context input process product (CIPP) model in the healthy Indonesia program policy with a family approach.Subjects and Method: This research is a qualitative descriptive study using a sample of policy makers and implementers of the Healthy Indonesia program with a Family Approach (PIS – PK), namely: Head of Public Health Center, Head of Health Service Division of Karanganyar District Health Office, Person in Charge of Healthy Indonesia Program, implementer of PIS – PK visits, and the surrounding community. The research was conducted in August 2021. Data were collected by means of document review, in-depth interviews, focus group discussions (FGD), and partici­patory observations. Data is presented in analytical descriptive form.Results: Data were collected from 16 research respondents. In the input aspect, the implemen­tation of PIS PK is supported by sufficient human resources, although there are still gaps in the fulfillment of types of positions. Financial support, infrastructure, methods, implementation time and cross-sectoral support look very good and in accordance with the mandate of the Minister of Health 39 of 2019 concerning PIS PK. There are still problems in the application of healthy families, making the PIS PK output results not in accordance with manual calculations, so that family interventions both individually and in groups cannot be carried out optimally. Not all puskesmas have also implemented total coverage in the implementation of PIS PK, nor have all puskesmas used IKS value data as one of the inputs in planning puskesmas in the form of RUK and RPK.Conclusion: The Healthy Indonesia Program (PIS PK) in Karanganyar Regency can be imple­mented well in terms of context, input and process, but it is still not optimal in the aspect of output because of obstacles in the application of healthy families and the output of PIS PK has not been fully used as a basis for planning at the puskesmas level.Keywords: : context, input, process, product, Healthy Indonesia ProgramCorrespondence: Ninawati. Masters Program in Public Health, Universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java. Email: dimniasna@yahoo.com. Mobile: 08112632356.Journal of Health Policy and Management (2022), 07(01): 34-45https://doi.org/10.26911/thejhpm.2022.07.01.04. 

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