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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 12 Documents
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Search results for , issue "Vol. 9 No. 2 (2024)" : 12 Documents clear
Does Mindfulness and Psychological Capital affect Work Engagement of Healthcare Workers? A study case in DKI Jakarta Puspita, Putu Ayu; Syaebani, Muhammad Irfan
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.02

Abstract

Background: This study presents the condition of work engagement among health workers in DKI Jakarta in doing their jobs. Complaints are addressed to health workers for the lack of services provided at healthcare facilities in DKI Jakarta. This study will discuss several variables that affect the work engagement of health workers. This study will discuss several variables that affect the work engagement of health workers. This paper uses empirical methods to see the influence of mindfulness to health worker’s engagement using psychological capital as a mediator for health workers. Subjects and method: Health workers in DKI Jakarta participated in the study (N=280). The data were analyzed using structural equation modelling. Results: The results show that mindfulness is fully mediated by psychological capital. The findings can be used to increase their work engagement by exploring more deeply the use of psychological capital, and mindfulness and ultimately increasing the engagement of health workers themselves and the services provided. Conclusion: This study found a connection between mindfulness and work engagement through psychological capital and not directly from mindfulness to work engagement. This means that psychological capital is important in building a good engagement. Positive psychological capital can lead health workers to contribute more and be more engaged in their work. Keyword: mindfulness, psychological capital, work engagement, health workers
Analysis of Formation and Implementation of Health Promotion Programs at Dr. Moewardi Hospital Surakarta Kusumawardani, Dyah Ayu; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.04

Abstract

Background: Health promotion needs to be given in hospitals even though the hospital is engaged in curative and rehabilitative fields. The area of preventive and curative that differentiates is the target. The preventive sector targets healthy people, while the curative sector targets patients and their families and health care workers. Health promotion in hospitals also seeks to prevent the patient's family from getting the same disease as what happened to the patient. The purpose of this study is to analyze the formation and implementation of health promotion programs at Dr. Moewardi Regional Public Hospital Surakarta. Subjects and Method: Qualitative study using in-depth interviews. Interviews were conducted at the regional general hospital Dr. Moewardi, Surakarta, Indonesia in January to March 2023. Interviews were conducted with 2 main informants who were PKRS committee secretaries who were the Head of Public Relations and Marketing Head, 6 regular informants, and 4 additional informants who were randomly selected and were the targets of PKRS activities. The variables in this study are input, process, and output. The data is processed through the stages of data reduction, data presentation, and drawing conclusions and source triangulation. Results: Hospital Health Promotion activities already have job descriptions and are carried out according to SOPs. The process in this study before the activity started was always planned, when the activity started, the team was involved but there was no supervision by the Hospital Health Promotion Committee and evaluations were always held. The output of this study is that the Hospital Health Promotion activities carried out are in accordance with the letter of assignment formed and are in accordance with the SOP and this is a reference for Hospital Health Promotion activities in the future.. Conclusion: The findings from this study are that Hospital Health Promotion at Dr. Moewardi Regional Public Hospital has been going well and is routinely carried out, but the human resources involved for Hospital Health Promotion activities are still lacking even though everything is in accordance with the operational plan formed. Keywords: analysis, health promotion, system theory Correspondence: Dyah Ayu Kusumawardani. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email:dyahayuksma96@gmail.com. Mobile: +6281466847498
Meta Analysis: Effect of Waiting Time and Outpatient’s Satisfaction in Hospitals Safitri, Feby; Murti, Bhisma; Ichsan, Burhannudin
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.05

Abstract

Background: Service waiting time is one of the problems that causes patient complaints in several hospitals. The length of patient waiting time reflects how the hospital manages service components that are tailored to the patient's situation and expectations, as well as analyzing the effect of waiting time on the level of outpatient patient satisfaction at the hospital. The purpose of this study was to determine the effect of waiting time on the satisfaction level of outpatients at the hospital. Subjects and Method: A systematic review and meta-analysis was performed using the PRISMA guidelines and the PICO model including Population = Outpatients; Intervention = short waiting time < 2 hours; Comparison = long waiting time > 2 hours; Outcome = satisfaction. Articles are collected from databases such as PubMed, Science Direct, and Google Schoolar. The keywords used in the database search were "waiting time and satisfaction" OR "satisfaction" AND "outpatient" AND "hospital' AND "cross-sectional study". A total of 9 articles met the inclusion criteria, namely primary full text paper, cross-sectional study design, with a relationship size adjusted Odds Ratio (aOR), outpatient study subjects, interventions in the form of short waiting times < 2 hours and outcomes in the form of outpatient satisfaction for meta-analyses were then assessed using RevMan 5.3. Results: The meta-analysis which is dominated by Ethiopia shows that there is an effect of waiting time on patient satisfaction. Patients who receive services with short waiting times <2 hours have the possibility to be satisfied 6.86 times compared to long waiting times > 2 hours (aOR= 6.86; 95% CI= 1.31 to 3.26; p= 0.002) Heterogeneity (I2 = 83%) -> using random effects with statistically significant results. Conclusion: Patients who wait for a short time have the possibility to be satisfied 6.86 times compared to long waiting times. Keywords: waiting time, satisfaction, outpatien, hospital. Correspondence: Feby Safitri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: safitri.feby@gmail.com. Mobile: +6282143749717.
Patient Safety Culture in Hospitals based on Agency For Health Care Research And Quality (AHRQ) Wahyuningsih, Christiana Sri; Asih, Esthi Budhi; Masitoh, Rohayati; Rahmawati, Kiki
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.06

Abstract

Background: The first step towards patient safety is to build a good patient safety culture. Patient safety culture measurements can be used as evaluations to improve quality and patient safety. This study aims to determine an overview of patient safety culture in hospitals. Study Method: It was a descriptive observational study with a cross-sectional study conducted in July 2022 - September 2022. This study was conducted at Panembahan Senopati Hospital with a total population of 974 hospital employees and selected 383 study samples by using simple random sampling. The dependent variable in the study was patient safety culture. The independent variables in this study were information disclosure, feedback and communication about patient safety incidents, management support for patient safety, non-punitive response to errors, organizational learning and continuous improvement, staffing, staff expectations of supervisor/management attitudes and actions in encouraging patient safety, cooperation within the unit, frequency of incident reporting, overall perception on safety, handoff and transition, and cross units cooperation. The data collection technique used was the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire developed by the Agency for Health Care Research Quality (AHRQ) consisting of 12 dimensions of patient safety culture. The study data were analyzed using descriptive analysis technique. Result: The positive value of patient safety culture fell into the medium category (72.12%). The dimensions of patient safety culture with strong categories (>75%) were cooperation within the unit, expectations and actions of managers in promoting patient safety, organizational learning, management support for patient safety, and cross units cooperation. The dimensions of patient safety culture in the medium category (50% - 75%) were employee perceptions of patient safety, feedback and communication on errors, open communication, frequency of incident reporting, handoffs and transitions, and non-punitive responses to errors. The dimension of patient safety culture with weak category (< 50%) was staffing. Conclusion: The strength areas of patient safety culture are organizational aspects, aspects of management support for patient safety, aspects of cross units cooperation, aspects of cooperation within units, and expectations and actions of managers in promoting patient safety. While the areas that still require development are staffing aspects, open communication aspects, and incident reporting frequency, thus their improvement must be prioritized. Keywords: AHRQ, patient safety, safety culture Correspondence: Christiana Sri Wahyuningsih. Panembahan Senopati General Hospital Bantul, Jl. Dr. Wahidin Sudiro Husodo, Trirenggo, Bantul, Bantul, Yogyakarta. Email: anachristi19@gmail.com. Mobile: +6281287783924
APPLICATION OF LEAN MANAGEMENT METHODS TO THE WAITING TIME EFFICIENCY OF OUTPATIENT SERVICES AT JEMBER HOSPITAL CLINIC Hanesya, Nabella Arina Muna Hanesya; Bumi , Candra; Prihatini, Dewi
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.07

Abstract

Background: Services to patients in hospitals often experience problems of dissatisfaction due to waiting time. There were complaints submitted by outpatients regarding the long waiting time for polyclinic services. This study aims to analyze the application of the lean method in the problem of waiting time efficiency at Jember Klinik Hospital. Subjects and Method: This research design is qualitative. The research location is Jember Clinic Hospital. Data collection techniques using in-depth interviews, observation and documentation. Research informants are leaders, medical staff in the registration and service department. This research does not use variables but focuses on place, actor, activity, value stream mapping (VSM). Methods of data analysis using interpretive thematic analysis. Results: 1) the outpatient service process at the Jember Klinik Hospital is carried out starting from the registration counter until the patient enters the examination room. Lead time at the outpatient registration area (6 patients) was 261 minutes, lead time at the filing room (6 patients) was 125 minutes, lead time at the polyclinic (6 patients) was 663 minutes; 2) Flowchart of outpatient services (outpatient waiting time) starting from the patient registering at the Outpatient Registration Center (TPPRJ) until the patient is examined by a specialist starting with the registrar calling the patient, the registration officer validating the completeness of the requirements, input SIMRS data and v -claims, search and distribution of BRM to polyclinics, and examination by DPJP and 3) VSM starts from TPPRJ to polyclinic. The process required for the registration process is 43.50 minutes. Conclusion: The application of the lean method in the problem of waiting time efficiency at the Jember Klinik Hospital is still not optimal with the mapping of waste at the Jember Klinik Hospital explained Lead time, Flowchart of outpatient services and VSM starting from TPPRJ to the polyclinic. Keywords: efficiency, lean management, service, waiting time Correspondence: Nabella Arina Muna Hanesya. Masters Program in Public Health, Universitas Jember. Jalan Kalimantan Kampus Bumi Tegal No.I / 93, Krajan Timur, Boto, Kec. Sumbersari, Kabupaten Jember, Jawa Timur 6812. Email: nabellaarina@gmail.com. Moblie: +628139277772
Meta-Analysis: Effect of Training and Needle Recapping on Needle Stick Injury in Health Workers Andriyani, Shofia; Demartoto, Argyo; Murti, Bhisma
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.01

Abstract

Background: Health Personnel are at risk of contracting diseases from blood/body fluids (bloodborne pathogens) in various ways, one of which is through needle stick injuries or what is known as needle stick injury. Recapping of needles and lack of training are factors in unsafe actions that can risk work accidents. This study aims to analyze the effect of training and recapping of needles on the incidence of needle stick injuries in Health personnal using meta analysis. Subjects and Methode: This study is a systematic review and meta-analysis study using the PRISMA diagram. Article searches were carried out based on eligibility criteria using the PICO Model. Population: Health personnal, Intervention: training and not recapping of needles, Comparison: no training and recapping of needles, Outcome: Occurrence of needle stick injury work accidents. The articles used came from Google Scholar, PubMed, Science Direct and ProQuest published from 2013 – 2023. The keywords used in the search were “Training OR Safety Training OR Infection Prevention Training AND Recapping of Needle AND Needle Stick Injury OR Needle Stick Injuries OR Needle Stick and Sharp Injury OR Percutaneous injuries AND Healthcare Workers OR Health Professionals”. The inclusion criteria for this study were full paper articles with cross-sectional studies. The analysis used was multivariate with adjusted Odds Ratio. Eligible articles were analyzed using the Revman 5.3 application. Results: Meta-analysis was carried out on 13 articles originating from the African and Asian continents with a cross-sectional study design. The results of the analysis show that Health personnal who receive training have a risk of experiencing NSI 0.56 times compared to those without training. Although this relationship was not statistically significant (aOR = 0.56; Cl 95% = 0.26 to 1.17; p = 0.120). Recapping of needles has an effect on increasing the incidence of needle stick injuries in health personnel by 2.04 compared to not recapping of needles and this result is statistically significant (aOR=2.04; 95% CI = 1.50 to 2.78; p<0.001) Conclusion: Training and recapping of needles influence the incidence of needle stick injuries in health worker.
META ANALYSIS: EFFECTIVENESS OF ELECTRONIC MEDICAL RECORD (EMR) ON THE QUALITY OF HEALTH SERVICES Kurniawan, Hendra Dwi; Widiyanto, Aris; Putri , Santy Irene; Prisusanti, Retno Dewi
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.03

Abstract

Background : Progress technology information make all affected areas _ experience change . One of impact progress technology and information in the area health that is exists record medical electronic . There is a record medical electronic is designed to improve communication between providers within and between organizations by automating the collection, use, and storage of patient information. Additionally, record medical electronics can facilitate guideline compliance and decision support in service health . There is a record medical electronic expected can increase quality service health care in the facility service health . Subjects and Methods : This research is a meta-analysis and systematic review study , with PICO Population = Hospitals that use an EMR system . Intervention = _ Electronic Medical Records ( EMR ) . Comparison = Without Electronic Medical Record ( EMR ) . Outcome = Quality of health services. The articles used in this research were obtained from several databases including PubMed, ScienceDirect, and Google Scholar. Keywords to find articles are: “EMR” OR “ effectiveness of EMR use” OR “ quality of health care” OR “ effectiveness of EMR” Results : A total of 10 articles reviewed in this meta-analysis study came from America, Arabia, London and Taipei. Studies show that EMR use improves the quality of health care ( aOR = 0.87 (95% CI, 0.79 - 0.95). Conclusion : Service health services that use Electronic Medical Records ( EMR ) are 0.87 times more effective in improving health services compared to with service health who do not use an Electrocik Medical Record ( EMR ) .   Keywords : EMR, Quality of health services, Electronic Medical Records
User Satisfaction and Challenges in Telemedicine Services during the COVID-19 Pandemic in Indonesia: A Population-Based Analysis Adinda, Havivi Rizky; Syakurah, Rizma Adlia; Pariyana, Pariyana
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.09

Abstract

Background: The COVID-19 pandemic has led to a surge in telemedicine utilization in Indonesia, necessitating increased attention toward user satisfaction and encountering obstacles in telemedicine services. This study aims to analyze the satisfaction and barriers faced by users of telemedicine applications, considering population characteristics during the COVID-19 pandemic in Indonesia. Subjects and Method: Using a descriptive observational design with a cross-sectional approach, the study encompassed the entire population of telemedicine users during the COVID-19 pandemic, with samples adhering to predetermined inclusion and exclusion criteria. Data were collected through Google Forms questionnaires from August 2020 to November 2020. Subsequently, data were subjected to chi-square tests (alternative: Kruskal-Wallis) and logistic regression analyses, with p-value<0.05 and 95% confidence interval. User satisfaction with telemedicine was associated with factors such as domicile, settlement, provider, health insurance, and utilized internet network (p<0.05). Results: User satisfaction with telemedicine was associated with factors such as domicile, settlement, provider, health insurance, and utilized internet network (p<0.05). Conversely, barriers encountered in telemedicine exhibited associations with gender, marital status, age, regional origin, residence, education, occupation, health insurance, income, provider type, internet network, and internet quota (p<0.05). A significant correlation was observed between barriers and user satisfaction with telemedicine (p<0.001). The most influential factor affecting satisfaction was income less than Rp 1,500,000 per month (OR 30.818; 95% CI: 1.751-542.394), while pay ranging from Rp 3,500,000 to 5,500,000 per month exhibited the most substantial impact on barriers (OR 5.266; 95% CI: 2.326-11.920). Conclusion: Most respondents expressed satisfaction and encountered no obstacles when employing telemedicine. Respondents suggested enhancing telemedicine usage by emphasizing the importance of diagnostic accuracy, simplifying processes, maintaining confidentiality, optimizing application features, and improving network speed.
Meta Analysis: Patient’s Satisfaction with the Outpatient’s Telemedicine Service Putri, Farahdilla Aribowo; Tamtomo, Didik; Prasetya, Hanung
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.08

Abstract

Background: Telemedicine is a combination of information and communication technology with medical science to provide health services that are not limited to space and can be done remotely (PB IDI, 2020). Patient satisfaction is referred to as the most integral element in the successful implementation of telemedicine (Ploog et al, 2022). This study aims to compare the satisfaction level of outpatients between telemedicine visits and regular face-to-face visits using meta-analysis. Subjects and Method: This study used a systematic review and meta-analysis based on pico as follows, population: outpatient polyclinic, intervention: telemedicine services, comparison: standard care, outcome: patient satisfaction. Data were obtained from the PubMed, Google Scholar, Springerlink, National Center for Biotechnology Information, MEDLINE, Cochrane Library, and Science Direct databases published from 2020 – 2022. The keywords used in the article search were “telemedicine”, “telehealth”, “ virtual care”, “online follow up care”, “telemedicine vs in office” “telemedicine vs conventional”, “patient satisfaction”, “patient experience”, and “randomized clinical trial.” The inclusion criteria were in the form of a full paper article using a randomized clinical trial design, the subjects were outpatients, new patients and follow-up patients, had a control group that assessed standard services, the study outcomes used the mean SD. Article selection used the PRISMA flowchart and the results were analyzed using Review Manager 5.3 software. Results: A meta-analysis of 10 articles from Hong Kong, Turkey, Germany, Austria, the Netherlands, Ireland and the United States with a sample size of 1412 outpatient polyclinics showed that outpatient polypatients who received telemedicine services had an average satisfaction level of 0.38 points. higher than standard service (SMD= 0.38; 95% CI= -0.01 to 0.77; p= 0.060). The meta-analysis of this study showed significant heterogeneity of effect estimates between studies (I² = 69%; p<0.001), so the analysis used was the Random Effect Model (REM). Conclusion: Patients who received telemedicine services experienced an average satisfaction level of 0.38 higher than patients who received standard services (SMD= 0.38; 95% CI= -0.01 to 0.77; p= 0.060). Keywords: Telemedicine, Patient satisfaction, Meta-analysis Correspondence: Farahdilla Aribowo Putri. Masters Program in Public Health, Sekolah Pascasarjana, Universitas Sebelas Maret. Jl Ir Sutami No. 36A Jebres Surakarta. Email: farahdilla.a.putri@gmail.com. Handphone: +6281333287647.
Meta-Analysis: Effects of Knowledge and Training on the Readiness of Electronic Medical Record Use in Health Workers Ma'ruf, Agus Syukron; Prasetya, Hanung; Murti, Bhisma
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.12

Abstract

Background: Globally, more than half of RME projects face the potential problem that only 35% of lower-middle-income countries and 15% of low-income countries have implemented national electronic health record systems. This study aims to analyze previous primary studies in assessing the influence of electronic medical record training and level of knowledge on health workers' readiness to use electronic medical records. Subjects and Method: This research is a systematic review and meta-analysis using the PRISMA flow diagram and PICO model. Population: health workers. Intervention: RME training and level of knowledge. Comparison: no RME training and poor knowledge level. Outcome: readiness to use RME in health workers. The databases used were Google Scholar, Pubmed, ScienceDirect, Taylor & Francis, Springer Link, Plos One, and BioMed Central, with the keywords (“Willingness” OR “Readiness” OR “Utilization” AND “Electronic Medical Records” OR “EMR” AND “Training” OR “EMR Training” AND “Knowledge” AND 46 “Health Professionals” AND “Cross Sectional” AND “Adjusted Odds Ratio” OR “AOR”). There were 9 cross-sectional studies published in 2015-2023 that met the inclusion criteria. Data analysis using RevMan 5.4. Results: Meta-analysis of 9 articles with a cross-sectional study design obtained from Ethiopia with a sample size of 3,996 health workers. The meta-analysis results show that health workers who received EMR training were 2.62 times more prepared to use electronic medical records compared to health workers who did not receive EMR training, and these results were statistically significant (aOR= 2.62; 95% CI= 2.01 to 3.42; p = 0.001), Health workers who have good knowledge can increase readiness to use electronic medical records by 1.83 times compared to health workers who have poor knowledge, and these results are statistically significant (aOR= 1.83; 95% CI= 1.50 to 2.24; p= 0.001). Conclusion: Health workers who receive RME training and have a good level of knowledge can increase their readiness to use RME. Keywords: RME training, level of knowledge, RME readiness, health personnel Correspondence: Agus Syukron Ma’ruf. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: syukron.agsyma2901@itsk-soepraoen.ac.id. Mobile: +6281333387010.

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