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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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Search results for , issue "Vol. 7 No. 3 (2022)" : 8 Documents clear
Meta Analysis: The Relationship between Nursing Management on Patients Statisfaction Anggraeni, Titik; Sunarno, Rita Dewi
Journal of Health Policy and Management Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Maintaining hospital quality is the most important thing to consider in hospital service indicators. Patient satisfaction is one of the important factors in maintaining hospital quality. This study aimed to analyzed the relationship between nursing management in patients statisfaction.Subjects and Method: This study is a meta-analysis with PICO, population: inpatients. Intervention: nursing management. Comparison: not using nursing management. Outcome: patients statisfaction. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Nursing Management” OR “Nursing Care” AND “Patient Statisfaction” OR “Statisfaction” AND “Multivariate”. Articles included are full-text English from 2004 to 2021. Articles were selected using a PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 7 cross-sectional study articles from Asia (Indonesia, Iran), Europe (Germany), Africa (Ethiophia), and North America (United States) were reviewed in the meta-analysis. Based on the results of the analysis, it was found that the application of nursing management in hospitals has the possibility to increase patient satisfaction 3.72 times compared to not implementing comprehensive nursing management (aOR= 3.72; 95% CI= 2.40 to 5.78; p<0.001) and the results were statistically significant.Conclusion: Nursing management affect the possibility of patients statisfaction.Keywords: nursing management, patient statisfaction, inpatientsCorrespondence: Titik Anggraeni. School of Health Sciences Estu Utomo. Jl.Tentara Pelajar Km 7, mudal, Boyolali, Central Java, Indonesia. Email: titik.anggraeni146@gmail.com. Mobile: +62 85867292673.Journal of Health Policy and Management (2022), 07(03): 193-200https://doi.org/10.26911/thejhpm.2022.07.03.03
Utilization of Telestroke during Pandemic COVID-19: A Scoping Review Khairari, Nandang DD
Journal of Health Policy and Management Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Telehealth in the setting of patient with stroke or widely known as a telestroke has been researched and practiced in various ways in past decades, but recently with the appearance of pandemic Covid-19 the utilization of telestroke needs to synthesis of the existing literature. This has been reported that there are changes in the utilization of of technology-based health services, includes in the use of telestroke. This study aims to review the utilization of telestroke during this recent pandemic Covid-19. Subjects and Method: This study used scoping review as a method to answer the research question. The study was permormed by searching PubMed, Science Direct, BMJ, and Wiley Online Library databases from 2020 to June 2022. The studies that investigating the uses of telestroke during the period of pandemic Covid-19 were included to this scoping review. The PEOS framework and PRISMA flowchart has been utilized as a method to identifying and selecting the studies, as well as inclusion and exclusion criteria. Results: There were 8 studies that relevant to inclusion criteria and reviewed in this study. The majority of telestroke studies were observational study using retrospective method. Five studies stated that the decreased number of utilization of telestroke during pandemic. Demographic characteristics of the study shown the mean age were >60 years old (87.5%), female patients were more than male (62.5%), primary diagnosed with ischemic stroke (87.5%), severity from mild to severe (62.5%), stroke patients were received thrombolysis (75%), and two studies stated shorter duration for patient to receive treatment.Conclusion: Telestroke has been proven as an effective way in caring patient with stroke. Significant decreased number of telestroke admission was shown from most of the studies due to the Covid-19 while the explanation for this phenomena is still unclear.Keywords: Telestroke, Covid-19, Scoping Review.Correspondence: Nandang DD Khairari. Bachelor in Nursing Program of Hamzar Institute of Health Science. Jalan TGH. Zainuddin Arsyad, No : 100, Wanasaba District, East Lombok Region, West Nusa Tenggara. Dhe2304@gmail.com. Mobile. 0877-6505-6560.Journal of Health Policy and Management (2022), 07(03): 235-242 https://doi.org/10.26911/thejhpm.2022.07.03.08
Association between Nursing Spiritual Managament on Quality of Life: Meta-Analysis Sarwoko, Sarwoko; Winarto, Eko; Sulistyowati, Nining
Journal of Health Policy and Management Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Religion and spirituality play a role in coping with illness for many patients. This study examined religiousness and spiritual support in patients of diverse racial or ethnic backgrounds and associations with quality of life (QOL), treatment preferences, and advance care planning. This study aimed to analyze the association between nursing spiritual managament on quality of life based on previous studies.Subjects and Method: This study is a meta-analysis with PICO, population: inpatient. Intervention: nursing spiritual management. Comparison: without nursing spiritual management. Outcome: quality of life. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Nursing” OR “Nursing Management“ AND “Nursing Spiritual Management” AND “Quality of Life” OR “QoL” AND “Multivariate”. Articles included are full-text English from 2007 to 2022. Articles were selected using a PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 8 cross-sectional study articles from Asia (Indonesia), Europe (Germany), South America (Brazil and Peru), and North America (Boston and US) were reviewed in the meta-analysis. Based on the results of the analysis, it was found that implementing of nursing spiritual management increase quality of life among patients 2.79 times compared to nurse does not implementing spiritual management (aOR= 2.79; 95% CI= 2.43 to 3.35; p< 0.001) and the result is statistically significant.Conclusion: Good hospital management increase nurse work motivation.Keywords: nursing management, spiritual points, quality of life, QoL.Correspondence:Sarwoko. Universitas Karya Husada Semarang. Jl. Kompol R. Soekanto 46, Semarang, Central Java. Email: sikoeub@gmail.com. Mobile: +62 81326925555.Journal of Health Policy and Management (2022), 07(03): 201-209https://doi.org/10.26911/thejhpm.2022.07.03.04
Unit Cost Analysis of National Health Insurance in Inpatients during COVID-19 Pandemic at Pelengkap Medical Center Hospital, Jombang, East Java Prameswari, Galuh Ayu Dyah; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Policy and Management Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In the era of Universal Health Coverage (UHC) as it is now, it is no longer a strange thing. The Indonesian government is preparing for the fulfillment of Universal Health Coverage (UHC) through the National Health Insurance program. The challenge that occurs is that hospitals that work together with BPJS Health are required to be able to carry out quality and cost control. The purpose of this study was to analyze the factors that influence the gap between the BPJS Health Inpatient unit cost rates and the INA CBGs package rates at complementary medical center hospitals in the pandemic era.Subjects and Method: The study was conducted with an analytical observational study design using a crosssectional approach carried out at the Complementary Medical Center Hospital in February March 2022. In a one year period, 204 billing for inpatients using BPJS Kesehatan were selected using a random sampling method. The dependent variable is the difference between the INA CBG package rates and the unit cost. The independent variables were readmission patients, surgery, extra doctors, intensive care, and special drugs. Data were collected by taking billing unit cost of patients at the hospital and analyzed using logistic regression. Results: The results showed that readmission, surgery, and intensive action had an effect on reducing the difference between INA CBG payments and unit cost and was statistically significant. INA CBG payments for patients with readmission were on average Rp 1,142,409 lower than the unit cost (b= 1,142,409; 95% CI= 1,864,753 to 420,066; p= 0.002), while the average surgical procedure was Rp 343,067 lower than the unit cost (b=343,067; 95% CI= 727,550 to 41,414; p = 0.80) and the average intensive action was Rp 1,226,861 lower than the unit cost and the effect was statistically significant (b= 1,226,861; 95% CI= 1,904,739 up to 538,984; p<0.001). Meanwhile, special drugs and extra doctors did not have a statistically significant effect, special drugs (b= 450,282; 95% CI= 1,662,453 to 761,889; p= 0.645) and extra doctors (b=159,838; 95% CI= 537,507 to 253,507; p = 0.447).Conclusion: Patient readmission and surgical procedures affect the difference in INACBGs package rates and unit costs. Keywords: inpatient unit cost, health bpjs.Correspondence: Galuh Ayu Dyah Prameswari. Masters Program in Public Healrh, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: galuh.mahesa@gmail.com. Mobile: 0895358233743.Journal of Health Policy and Management (2022), 07(03): 210-217 https://doi.org/10.26911/thejhpm.2022.07.03.05
The Affecting of Demographic Factors on Utilization of Postpartum Health Service Kusmirawati, Kusmirawati; Alfiasari, Fadila; Maulinda, Amanda Via; Gaurinindi, Melinda Febianca; Noer, Afifah; Fadhila, Shofia Nur; Annisaa, Salwa; Hapsari, Putri; Ramadhan, Septyandi; Adiansa, Rendi
Journal of Health Policy and Management Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Based on research states that the prevalence rate of complete postpartum visits (KF) in Indonesia is 37%, where this figure has increased from 2013 of 32.1%. The problem with the achievement of postpartum visits in Indonesia is that the underdeveloped areas mentioned in Presidential Decree Number 63 of 2020, namely North Sumatra, Central Sulawesi, Maluku, Papua and West Papua, occupy the bottom 6 provinces in the complete postnatal visit. The province of West Papua is the region with the lowest KF coverage rate in Indonesia. Subjects and Method: Metaanalysis conducted using the PRISMA systematic guidelines. Population= puerperium mother, Intervention= Urban, Comparison= Rural, Outcome= Utility of postnatal health service. The process of searching for articles was carried out between 2005 and 2021 using a database search engine consisting of; PubMed, Science Direct, Springer Link, and Google Scholar. Based on the database search, there were ten articles that met the criteria with a crosssectional design and observational studies and research that discussed demographic factors (urban & rural) on health care facilities. Results: The results of the analysis had high heterogeneity between studies I2= 94%, so that the Random Effect Model was used. Postnatal mothers living in urban areas increased by 1.48 times in utilizing postnatal care health services compared to postnatal mothers living in rural areas. however it was not statistically significant (SMD= 1.48; 95% CI= 0.90 to 2.44; p= 0.012). Conclusion: Postpartum women who live in urban areas use postpartum health services more than postpartum women who live in rural areas. Keywords: postpartum, postnatal visit, demographic factorsCorrespondence: Kusmirawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: rendiadiansa@student.uns.ac.id Mobile Number: 08816008735.Journal of Health Policy and Management (2022), 07(03): 176-184https://doi.org/10.26911/thejhpm.2022.07.03.01
Modified-TAM Analysis of the Implementation of the e-Hospital System on Polyclinic Service Pratama, Devina Gracia; Prasetyo Agung, Ignatius Wiseto; Purwadhi, Purwadhi
Journal of Health Policy and Management Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Technology in the field of health services allows an individual to get a productive life and a longer life expectancy. The purpose of this study was to provide describe of obstacles in the implementation of the e-Hospital system, especially EMR services at the Dermatology & Venereology (DV) Polyclinic "X" Hospital from the perspective of service providers.Subjects and Method: This qualitative descriptive research was done with natural observation and using electronic questionnaire based on Modified-TAM Analyses. It was conducted since February-June 2022. The study participants were determined based on the Non-Random Purposive Sampling technique which included all of DV Polyclinic staff at “X” Hospital (3 doctors, 2 nurses, and 2 administrative staff).Results According to the results, it was found that the implementation of the e-Hospital system at the DV Polyclinic was still not running optimally. The most commonly encountered barrier factors based on the Perceived Usefulness (PU), Perceived Ease of Use (PEOU), and Behavioural Intetion (BEI) components was the perception that “e-Hospital cannot replace the conventional system” (50%); and for the PTH & SI components was “the hospitals are not ready to run e-Hospital system” (60%).Conclusion: The hospital management needed to re-evaluate which constraint factors cause these perspectives, which could be an obstacle in implementing the e-Hospital system. In addition, it was necessary to re-emphasize the e-Hospital system and its benefits through periodically training, affirm the vision and mission related to the system, and do periodic feedback evaluations from service providers so that the hospital management could comprehend which obstacles were found and were able to make changes and increase the motivation of service providers to use the e-Hospital system.Keywords: e-Hospital System, Polyclinic Services, Service Provider, TAMCorrespondence: Devina Gracia Pratama. Master of Management Postgraduate Program, Adhirajasa Reswara Sanjaya University. Terusan Sekolah st. No.1-2, Cicaheum, Kec. Kiaracondong, Kota Bandung 40282, West Java. Email: devinagracia07@gmail.com. Mobile: +6281220811014.Journal of Health Policy and Management (2022), 07(03): 218-226https://doi.org/10.26911/thejhpm.2022.07.03.06
Meta Analysis: The Relationship between Hospital Management on Work Motivation among Nurse Sunaryanti, Sri Sayekti Heni; Sunarno, Rita Dewi
Journal of Health Policy and Management Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In terms of improving employee performance, hospitals must have efforts that aim to motivate employees to be disciplined and have a work spirit in doing their jobs, while the efforts that can be made are to implement good hospital management. Motivation will be formed if the management applied by the agency is good, so that self-improvement and service quality will run by itself. This study aimed to analyze the relationship between hospital management on work motivation among nurse.Subjects and Method: This study is a meta-analysis with PICO, population: nurse. Intervention: good hospital managemenet. Comparison: poor hospital management. Outcome: nurse work motivation. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Hospital Management” OR “Hospital Care” AND “Nurse Motivation” OR “Work Motivation” or “Work Ambition” AND “Multivariate”. Articles included are full-text English from 2014 to 2019. Articles were selected using a PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 8 cross-sectional study articles from Asia (Indonesia, Malaysia, and Japan), Europe (Switzerland), Africa (Ghana), and North America (United States) were reviewed in the meta-analysis. Based on the results of the analysis, it was found that good hospital management can increase work motivation of nurses 1.91 times compared to poor hospital management (aOR= 1.91; 95% CI= 1.16 to 3.15; p= 0.01) and the results were statistically significant.Conclusion: Good hospital management increase nurse work motivation.Keywords: hospital management, work motivation, ambition, nurse.Correspondence:Sri Sayekti Heni Sunaryanti. Universitas Karya Husada Semarang. Jl. Kompol R. Soekanto 46, Semarang, Central Java. Email: ss.heni.s29@gmail.com. Mobile: +62 85216077830.Journal of Health Policy and Management (2022), 07(03): 185-192https://doi.org/10.26911/thejhpm.2022.07.03.02 
Hospital Administration as Factors Associated with Patient Satisfaction: A Meta-Analysis Maesaroh, Siti; Fauziah, Ani Nur; Putri, Imram Radne Rimba; Ulhaq, Muhammad Zia; Rokhmatun, Puji Nur; Zamani, Ahmad; Atmojo, Joko Tri; Sunaryanti, Sri Sayekti Heni; Widiyanto, Aris
Journal of Health Policy and Management Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Maintaining hospital quality is the most important thing to consider in hospital service indicators. Patient satisfaction is one of the important factors in maintaining hospital quality. This study aimed to analyzed the associated between hospital administration with patient satisfaction.Subjects and Method: This study is a meta-analysis with PICO, population: patients. Intervention: good hospital administration. Comparison: poor hospital administration. Outcome: patients’ satisfaction. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Hospital Administration” OR “Good Administration” OR “Hospital Services” AND “Patient Satisfaction” OR “Satisfaction” AND “Multivariate”. Articles included are full-text English from 2009 to 2021. Articles were selected using a PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 7 cross-sectional study articles from Asia (China), Europe (Germany), and Africa (Ethiophia) were reviewed in the meta-analysis. Based on the results of the analysis, it was found that good hospital administration has the possibility to increase patient satisfaction 3.58 times compared with poor hospital administration (aOR= 3.58; 95% CI= 2.36 to 5.42; p<0.001) and the results were statistically significant.Conclusion: Hospital administration associated with patients statisfaction.Keywords: hospital, hospital administration, patient statisfaction, inpatients.Correspondence: Siti Maesaroh. School of Health Sciences Mamba’ul Ulum Surakarta. Jl. Ringroad Utara, Mojosongo, Jebres, Surakarta, Central Java, Indonesia. Email: maesarohsiti70@gmail.com. Mobile: +62 813-9386-7942.Journal of Health Policy and Management (2022), 07(03): 227-334https://doi.org/10.26911/thejhpm.2022.07.03.07

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