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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. 8 No. 1 (2023)" : 8 Documents clear
Evaluation of Clinical Pathway Implementation in Pneumonia Cases in the Internal Medicine Inpatient Unit at Risa Sentra Sentra Medika Hospital, Mataram with the Integrated Care Pathway Appraisal Tool (ICPAT) Method Nurdin, Findy Wijaya; Purwadhi, Purwadhi; Agung, Ign Wiseto
Journal of Health Policy and Management Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In the health insurance system, there are 2 main pillars, namely service quality and financing control. The quality of health services can be identified by measuring the suitability of the service with the agreed clinical pathway. Data from SEAMIC Health Statistics 2011 shows that pneumonia is the 6th cause of death in Indonesia, therefore a good quality clinical pathway is needed. Integrated Care Pathway Appraisal Tool (ICPAT) is one of the instruments that has been validated and can be used to evaluate the content and quality of ICP.Subjects and Method: Study design using qualitative methods and with a case study research design. Population: quantitative data population from all medical records, qualitative data population the researchers involved all officers involved in implementing the clinical pathways. Instrument: List of questions to evaluate the implementation of the use of clinical pathways and ICPAT. Validity: with triangulation techniques. Outcome: compliance assess-ment and recommendations for improvement to maintain quality. Results: Input Aspect, In Dimension 1 What are the Correct Clinical Pathways? it the percentage content was 50%, and the quality was 50%. Dimension 6 (Organizational Role?) in the CP content value is 100% and the quality is 58%. Process aspect, Dimension 2 (Clinical Pathway Documentation Process) CP documentation process in terms of content is 30.43% and quality is 25%. Dimension 3 (Clinical Pathway Development Process) the content is 61.54% and the quality is 41.18%. Dimension 4 (Clinical Pathway Implementation Process) the percentage of content is 60% and the quality is 100%. Dimension 5 (Maintenance Process of clinical pathways) the percentage of the content is 25% and the quality is 38.46%. Aspects of Output Those who comply with using the clinical pathway are 0 (0%), meaning that no one is compliant in using the clinical pathway.Conclusion: CP Pneumonia at Risa Sentra Medika Hospital complies with the ICPAT assessment standards but the quality and content only meet less than 50% based on the aspects assessedKeywords: clinical pathway, pneumonia cases, ICPAT assessment.Correspondence: Findy Wijaya Nurdin. Universitas Adhirajasa Reswara Sanjaya. Ransiki Kota, Kabupaten Manokwari Selatan. Email: Findwijaya@gmail.com. Mobile : +62 81242866438.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.01.04
The Relationship between Hospital Administration and Quality of Services: Meta-Analysis Rokhmatun, Puji Nur; Maesaroh, Siti; Putri, Imram Radne Rimba; Salmah, Susi; Kurnianingsih, Siti Apriani; Fauziah, Ani Nur; Zamani, Ahmad; Atmojo, Joko Tri; Widiyanto, Aris
Journal of Health Policy and Management Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Quality of service (QoS) is important because enterprises need to provide stable services for employees and customers to use. Maintaining hospital administration is the most important thing to consider in hospital service indicators. This study aimed to analyzed the strength of the relationship between hospital administration with quality of services.Subjects and Method: This study is a meta-analysis with PICO, population: patients. Intervention: good hospital administration. Comparison: poor hospital administration. Outcome: quality of services. 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 “Quality of Services” OR “Services” 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 8 cross-sectional study articles from Asia, Europe, Africa, and North America were reviewed in the meta-analysis. Based on the results of the analysis, hospital management or good hospital administration has the possibility to increase the quality of service in hospital by 2.61 times compared to poor hospital administration (aOR= 2.61; 95% CI= 1.44 to 4.72; p= 0.002) and the results were statistically significant. Conclusion: Hospital administration are increase the quality of services.Keywords: hospital, hospital administration, quality of services.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: +62 813-9386-7942Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.01.05
Analysis of Service Quality Policy on Patients Satisfaction at Benjeng Health Centers during COVID-19 Pandemic Soni, Soni; Katmini, Katmini
Journal of Health Policy and Management Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Patient's assessment of the services of health workers is based on the patient's experience. The purpose of this study is to analyzeinfluence tangible, reliability, responsiveness, assuranceand empathy for the level of satisfaction of visitors to the Benjeng Health Center during the Covid 19 Pandemic.Subjects and Method: This was a cross sectional study with the focus of the research being directed at analyzing influence tangible, reliability, responsiveness, assuranceand empathy for the level of satisfaction of visitors to the Benjeng Health Center during the Covid 19 Pandemic. The total population is 2,000 respondents and a sample of 333 respondents taken using the simple random sampling. The data were described into number and percentage.Results: The findings showed that most of the respondents had a good tangible category as many as 171 respondents (51%). Most of the respondents have a good category of reliability as many as 178 respondents (53%). Most of the respondents have good category responsiviness as many as 165 respondents (50%). Most of the respondents have good assurance category as many as 184 respondents (55%). Most of the respondents have empathy in the good category as many as 174 respondents (52%). Most of the respondents have a satisfied category of satisfaction as many as 237 respondents (71%).influence tangible, reliability, responsiveness, assuranceand empathy for the satisfaction level of visitors to the Benjeng Health Center during the Covid 19 Pandemic with a magnitude of 79.1%.Conclusion: It is expected that respondents can provide constructive input and criticism so that the services provided can be in accordance with what is expected.Keywords: Quality of health service, satisfactionCorrespondence: Soni. Masters Program in Public Health, Strada Indonesian Institute of Health Sciences. Jl. Manila 37, Kediri, East Java 64133, Indonesia. Email: sonihamzah1@gmail.com. Mobile: +628121704715.Journal of Health Policy and Management (2023),08(01): 1-12 https://doi.org/10.26911/thejhpm.2023.08.01.01
Analysis of Human Resources Development Factors on Nurse Performance at Patient Ward, Dr. Abdoer Rahem Hospital, Situbondo, East Java Setyanto, Agung; Suprapto, Sentot Imam; Dewi, Prima
Journal of Health Policy and Management Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hospitals are required to be able to provide optimal health services for the community by improving the performance of hospital employees, one of whom is a nurse. Important Human Resource development factors are education, training, work periods, transfers and promotions. These factors are expected to improve the performance of nurses in providing nursing services.The aims of this study was to describe the influence of Human Resource Development on the Nurse Performance.Subjects and Method: This was an analytic observational study carried out at dr. Abdoer Rahem Hospital, Situbondo, East Java, from 12 to 28 May 2022. A sample of 112 nurses was selected by simple random sampling. The dependent variable was nursing performance. The independent variable are education, tenure, training, transfer, and promotion. The data were analyzed by a multiple linear regression.Results: Education (b= 2.23; 95% CI= 0.26 to 6.14; p<0.001), tenure (b= 0.19; 95% CI= 0.32 to 3.70; p<0.001), had trained (b= 0.08; 95% CI= 0.15 to 2.06; p= 0.042), transfer (b= 0.37; 95% CI= 0.16 to 2.36; p= 0.020), and promotion (b= 0.36; 95% CI= 0.15 to 2.22; p= 0.029) were significantly associated with nurse performance.Conclusion: There is a very significant influence between of education, work periods, training, mutation and promotion on the performance of nurses at dr. Abdoer Rahem Hospital Situbondo.Keywords: human resources development, nurse performanceCorrespondence: Agung Setyanto. Masters Program in Public Health, Strada Indonesian Institute of Health Sciences. Krajan Sumberejo, Banyuputih, Situbondo, East Java 68374, Indonesia. Email: agungwidiyana86@gmail.com. Mobile: +6281252468273.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.01.05
Organizational Effect on the Implementation of “SIMRS” (Hospital Management Information Systems) in Hospital: A Systematic Review Windari, Adhani; Kismartini, Kismartini; Luqman, Yanuar; Wijanarko, Bagoes
Journal of Health Policy and Management Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Utilization of information and communication technology has penetrated the field of health services. The form of health service innovation by utilizing information technology is the Hospital Management Information System (SIMRS). SIMRS is needed by Hospitals to ensure fast, accurate and reliable information needs in decision making, as well as the need for systematic data processing for strategic decision making. This study aimed to systematically review the influence of the organization on the implementation of “SIMRS”.Subjects and Method: A systematic review were conducted by searching articles from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Organization” OR “group” AND “Hospital Management Information Systems” OR “SIMRS” or “Management” AND “Hospital” or “Healthcare”. Articles included are full-text English from 2014 to 2019. Articles were selected using a PRISMA flow diagram method.Results: Organizational factors which include organizational structure and organizational environment are the main determining factors in the implementation of information systems. The successful implementation of SIMRS from the aspect of organizational structure, namely the role of leaders in providing support, motivation to users, a supportive work culture and work environment, a clear division of tasks and authority, regular monitoring and evaluation activities, fulfillment of infrastructure needs that support the implementation of SIMRS, availability of budget allocations for training and competency development for system users. While the organizational environment aspect, namely the role of Hospital management, has established policies as guidelines for the implementation of SIMRS.Conclusion: Organizational factors from the aspect of organizational structure and organi-zational environment can increase the success of the implementation of "SIMRS" in Hospitals.Keywords: SIMRS, organizational structure, organizational environment.Correspondence: Adhani Windari. Doctoral Program in Public Administration Science, Universitas Diponegoro. Jl. Pleburan, South Semarang, 50241 Central Java. Email: adhaniwindari@student.-undip.ac.id. Mobile: +62 8170582584.Journal of Health Policy and Management (2023), 08(01): 13-22https://doi.org/10.26911/thejhpm.2023.08.01.02
Analysis of Perception, Attitude, and Quality of Service on Patient Satisfaction at the Registration Place of the Kesambenkulon Health Center, Kediri Kumalasari, Menik Tri; Katmini, Katmini
Journal of Health Policy and Management Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Understanding the patient's needs and wants is an important thing that affects patient satisfaction. The purpose of this study is to analyzethe influence of perceptions, attitudes and quality of service on patient satisfaction at the registration of the Kesambenkulon Health Center. Subjects and Method: A cross sectional study conducted at Kesambenkulon Health Center, from August 19 to September 4, 2022. A sample of 105 respondents was taken by a simple random sampling. The dependent variable was patient satisfaction. The independent variables are perceptions, attitudes and service quality. Data were analyzed using a multiple linear regression.Results: Perception (b= 0.23; 95% CI= 6.12 to 8.13; p<0.001), attitude (b= 0.43; 95% CI= 5.65 to 7.84; p= 0.002), quality service (b= 0.15; 95% CI= 4.84 to 7.59; p= 0.002) were significantly associated with patient satisfaction at the Kesambenkulon health center registration (adj. R2= 81.2%). Conclusion: The researcher believes that understanding the patient's needs and desires is an important thing that affects patient satisfaction. Satisfied patients are very valuable assets because if patients are satisfied they will continue to use the services of their choice.Keywords: satisfaction, service quality, perception & attitudeCorrespondence: Menik Tri Kumalasari. Masters Program in Public Health, Strada Indonesian Institute of Health Sciences. Jl. Manila 37, Sumberece. Pesantren, Kediri, East Java 64133, Indonesia. Email: meniktrikumalasari@gmail.com. Mobile: +6281235500034.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.01.07 
Effects of Credentials, Competence, Career Levels and Professionalism on the Satisfaction among Nurses in Psychiatric Hospital, Surakarta Central Java, Indonesia Suminanto, Suminanto; Istiatin, Istiatin; Sudarwati, Sudarwati
Journal of Health Policy and Management Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Job satisfaction among nurses may be influenced by competency, education, income level, or the work environment, such as the type of facility, management, professional or career deve-lopment, and access to resources. The purpose of this study was to analyze the effect of credentials, competence, career levels, and professionalism on the satisfaction among nurses in mental hospital.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in Surakarta, Central Java, from September to October 2022. A sample of 215 nurses from 22 Surakarta Mental Hospital was selected for this study. The dependent variable was satisfaction of nurses. The independent variables were credential, competence, career levels, and profesionalism. The data were collected by questionnaire and analyzed by a multivariate linear regression.Results: Education master or doctor (b= 0.05; 95% CI= 0.03 to 0.15; p= 0.02), income (b= 1.47; 95% CI= 0.10 to 0.78; p= 0.04), competence (b= 1.20; 95% CI= 0.07 to 0.32; p= 0.002), career levels (b= 1.08; 95% CI= 0.05 to 0.35; p= 0.007), professionalism (b= 0.22; 95% CI= 0.06 to 0.10; p= 0.005) increased satisfaction and it was statistically significant. Credentials (b= 1.11; 95% CI= 0.006 to 0.67; p= 0.08), increased satisfaction, but it was statistically non-significant.Conclusion: Job satisfaction among nurses increases with high career levels, good competence, good professionalism, good credential, education ≥Diploma III, and high income.Keywords: career levels, competence, credential, job satisfaction, professionalism, nurse.Correspondence:Suminanto. Masters Program of Management, Universitas Islam Batik Surakarta, Indonesia. Jl. Agus Salim 10, Sondakan, Laweyan, Surakarta, Central Java 57147. Email: mr.nannto@gmail.com. Mobile: +62 812-2606-925.Journal of Health Policy and Management (2023), 08(01): 23-29https://doi.org/10.26911/thejhpm.2023.08.01.03 
Analysis of Completeness Filling in the Informed Consent Formulir at Bhakti Husada General Hospital, Krikilan, Banyuwangi, East Java Putra, Muhammad Dudayev Caesar; Murti, Bhisma; Prasetya, Hanung
Journal of Health Policy and Management Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The quality and success of medical record unit services can be seen from the management of the units that have been carried out by professional staff. The minimum service standard for the medical record unit for completing informed consent is 100%. Completeness of filling out informed consent at the Bhakti Husada Krikilan Banyuwangi General Hospital from April to June is still not in accordance with the SPM, namely 79.33%. The aim of this research is to analyze the completeness of filling out informed consent at Bhakti Husada Krikilan Banyuwangi General Hospital.Subjects and Method: This research is a qualitative research with a case study approach conducted at Bhakti Husada Krikilan General Hospital, Banyuwangi, East Java. The sampling technique used was purposive sampling. Data collection techniques using interviews, observation, documentation and questionnaires. Test the validity of the data using triangulation.Results: The percentage of completeness of filling out the informed consent sheet at the Bhakti Husada Hospital from May to July 2022 is 15.28%. The lowest percentage lies in the content and authentication section. Management elements that affect the incomplete filling of informed consent include man factors (knowledge and years of service), machine (availability of office stationery, monitoring and evaluation), method (standard operating procedures) and money (rewards and salaries). In addition, it was also found that busy work schedules and emergency cases could affect the incomplete filling of informed consent.Conclusion: The percentage of completeness of filling out informed consent at Bhakti Husada Krikilan Hospital is low. Elements of management that influence are man factors (knowledge and years of service), machine (availability of office stationery, monitoring and evaluation), method (standard operating procedures) and money (rewards and salaries).Keywords: Medical Records, Completeness of Informed Consent, Quality of Medical Record UnitsCorrespondence: Muhammad Dudayev Caesar Putra. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: muhammadnewduda-yev@gmail.com. Mobile: 085706450991.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.01.08

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