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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 253 Documents
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The Effectiveness of Learning Methods by Measuring Accuracy and Rationality in Prescription Writing by Medical Students Bagas Widiyanto; Muhamad Riza
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Writing prescriptions accurately and rationally is a competency that must be achieved by medical students during medical education. This capability includes detailed knowledge of the components of the recipe and details of the components of the drug. This study aims to determine the description of the prescription writing practicum learning method carried out in the Pharmacology section of Faculty of Medicine in Unissula.Subjects and Method: This research is a descriptive study by looking at the prettest and posttest values. It was conducted in March 2020. The subjects of this study were 159 students who were registered participants of the psychiatry module in semester 6 in the undergraduate medical education study program at Faculty of Medicine in Unissula. 159 students were randomly divided into 20 SGD (Small Group Discussion), batch 1 SGD 1-10 and SGD 11-20 in batch 2. Each batch carried out practicum for 100 minutes. The activity begins with a pretest / giving case scenarios, then the discussion and discussion session ends with a posttest. The data in this study are numerical data and analyzed descriptively.Results: The results of the study indicated that the improvement across categories and those assessed was both the detailed component of the recipe and the detail component of the drug. The detail component of the prescription had the highest score increase in the patient name category by 27% higher posttest than pretest. In the detail component of the prescription, there was the highest increase in the category of Sedian Medicine (BSO) by 20.7% and that was a higher posttest value when compared to the pretest value.Conclusion: Clinical-based special learning methods with small class discussions are needed in an effort to improve the ability to write prescriptions appropriately and rationally by adjusting the level of education years.Keywords: prescription, rational, medical studentCorrespondence: Bagas Widiyanto. Department of Pharmacolo­gy, Faculty of Medicine, Universitas Islam Sul­tan Agung. Jl. Raya Kaligawe KM. 4, Semarang 1054, Ccentral Java, Indonesia. Email: bagas­widiyanto@unissula.ac.idJournal of Health Policy and Management (2021), 06(01): 74-80https://doi.org/10.26911/thejhpm.2021.06.01.08
Contextual Effect of the Integrated Non-Communicable Disease Health Post on the Performance of Community Health Workers: A Multilevel Analysis Evidence from Karanganyar, Central Java Eka Siti Chasanah; Endang Sutisna Sulaeman; Setyo Sri Rahardjo
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Epidemiological transition is causing a shift from Communicable to Non­Communicable Diseases (NCD). NCD is a serious threat because it impacts decreasing productivity and increasing economic and social burdens for the community. The control of NCD risk factors in Indonesia is carried out by empowering the community through the Inte­grated Non­­-­­Com­municable Diseases Health Post (Posbindu NCD). One of the important factors determining the success of imple­menting Posbindu is the role of cadres. This study aims to analyze the factors that affect the performance of Posbindu cadres.Subjects and Method: This was an analytic obser­vational study with a cross-sectional design. The study was conducted in 25 posbindus in Karanganyar, Central Java, from February to April 2020. A sample of 200 cadres from 25 cadres was selected by stratified random sam­pling. The dependent variable was the perform­ance of the Pos­­bindu cadres. The independent variables were training, ability, length of em­ployment, motivation, the leader­­ship of the Posbindu chair­man, social network support and appreciation. Data were analyzed using multilevel logistic regression with Stata 13.Results: Job performance increa­sed with trai­ning (b= 1.75; 95% CI= 0.28 to 3.22; p= 0.019), good ability (b= 2.50; 95% CI= 0.95 to 4.04; p= 0.002)­, tenure ≥1 year (b= 1.99; 95% CI= 0.05 to 3.92; p= 0.044), strong moti­vation (b= 2.57; 95% CI= 1.25 to 3.89; p <0.001), good leadership of Posbindu chairman (b= 1.73; 95% CI= 0.44 to 3.03; p= 0.009), and strong social network support (b= 1.24; 95% CI= 0.14 to 2.34; p= 0.028). Incentive increased job performance, but it was statistically non-signi­ficant (b= 1.19; 95% CI= -0.35 to 2.73; p= 0.132). Posbindu had a strong contextual effect on job performance with an ICC of 62.73%.Conclusion: Job performance in­­creases with training, good abilities, tenure ≥1 year, strong moti­vation, good leadership of Posbindu chair­man, strong social network support, and appro­priate incentives. Posbindu has a strong con­textual effect on job perform­ance.Keywords: performance, cadre, non-communi­cable diseaseCorrespondence: Eka Siti Chasanah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ekas­c12@gmail.com. Mobile: +62­81329017587.Journal of Health Policy and Management (2020), 05(03): 204-214https://doi.org/10.26911/thejhpm.2020.05.03.06 
Path Analysis on Factors Affecting Job Performance of Midwives at Community Health Centers in Mojokerto, East Java Veterina Rizki Amalia; Hanung Prasetya; Bhisma Murti
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Midwives play an important role in reducing maternal and neonatal mor­bidity and mortality. The performance of mid­wives is an important indicator to improve the quality of maternal and child health services. The purpose of this study was to analyze the factors that affect the performance of midwives.Subjects and Method: This cross-sectional study was conducted at a community health cen­ter in Mojokerto, East Java, from February to April 2020. A sample of 200 midwives was selec­ted by random sampling. The dependent va­riable was the performance of the midwife. The independent variables were age, income, workload, work motivation, perceived financial compensation, education, employment status, social support, and marital status. The perfor­man­ce of midwives was measured by the 6-DSNP. Other data were collected using a ques­tion­naire. Data were analyzed by path analysis using the Stata 13 application.Results:The performance of midwives increa­s­ed with age ≥ 42 years (b= 3.19; 95% CI= 1.62 to 4.75; p <0.001), family income ≥ 7 million (b= 3.03; 95% CI= 1.50 to 4.56; p <0.001 ), light workload (b= 2.66; 95% CI= 1.19 to 4.13; p <0.001), strong work motivation (b = 3.32; 95% CI= 1.60 to 5.04; p <0.001), sufficient per­ceived financial compensation (b = 3.96; 95% CI= 1.68 to 4.99; p <0.001). The performance of mid­wi­ves was indirectly affected by edu­ca­tion, em­ploy­­ment status, social support and marital sta­tus.Conclusion: Age, family income, workload, work motivation, and perceived financial com­pen­sation affect the performance of midwives.Keywords: performance, midwives, path analy­sisCorrespondence: Veterina Rizki Amalia. Masters Program in Public Health, Universitas Sebelas Maret.Jl. Ir. Su­tami 36A, Surakarta 57126, Central Java. Email: veterinarizki1@gmail.com. Mobile: +6281359016501.Journal of Health Policy and Management (2021), 06(01): 21-34https://doi.org/10.26911/thejhpm.2021.06.01.03 
Analysis of Patient Safety Management in the In-Patient Room at Deli Hospital, Medan, North Sumatera Tona Bontor Melkisedek Sinaga; Zulfendri Zulfendri; Juanita Juanita
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Patient safety management means to reduce unnecessary risks and adverse events to the minimum possible level while providing health care. The application of pati­ent safety management had not been maximal in some hospitals. It can cause health problems for patients and health workers. This study aimed to analyze the patient safety manage­ment in the in-patient room at Deli Hospital, Medan, North Sumatera.Subjects and Method: This was a qualitative study conducted in February to July 2018. The three informants were consisted of the head of quality improvement and patient safety, the patient safety team, and the nursing committee at Deli Hospital, Medan, North Sumatera. The data were collected by in-depth interview and observation. The data were analyzed using data reduction, data presentation, and conclusion.Results: The role of hospital organization in implementing management patient safety in the in-patient care had not been maximized. The efforts of increasing the commit-ment of health workers, working environment condi­tion, facility, implementation of standard ope­rating procedure (SOP), and implementing Situation, Background, Assessment, and Re­commendation (SBAR), and implementing sanction, had not been maximize. Communi­ca­tion was not effective. The ability of health workers to perform patient safety had not been maximal as seen from the understanding of a poor safety system. Adverse event report was still of manual type. Number of fall accidents in 2018 was 2 cases.Conclusion: Patient safety management in the in-patient care has not been maximized. Patient safety management can be improved by implementing SOP, SBAR, and its sanctions. Keywords: management of patient safety, quality of service.Journal of Health Policy and Management (2020), 05(03): 180-188https://doi.org/10.26911/thejhpm.2020.05.03.03 
Associations of Perception towards Doctors, Nurses, and Facilities with Perceived Quality and Patient Satisfaction on Inpatient Care at Nabire Hospital Papua Agustina Utii; Bhisma Murti; Yulia Lanti Retno Dewi
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The government's efforts to maintain and improve the highest health status with all resources in the health sector, including personnel, funds, facilities, phar­macy, medical devices, and technology, pro­vide quality health care. Community satis­faction as the service receiver is a comparison between the ser­vices received and the services expected. This study aimed to examine associations of perception towards doctors, nurses, and facilities with perceived quality and patient satisfaction on inpatient care at Nabire Hospital Papua.Subjects and Method: A cross-sectional study was con­ducted at Nabire Hospital, Papua, Indonesia, from March to May 2020. A sample of 207 inpatients was selected by stra­ti­fied random sampling based on the ty­pe of inpatient class I, II, and III.Results: Inpatient satisfaction was affected by age <50 years (b= -0.36; 95% CI= -1.63 to 0.91; p=0.579), type of non-BPJS insurance (b= 0.19; 95% CI= -0.80 to 1.19 p= 0.697), length of stay <7 days (b= -2.39; 95%CI= -3.86 to -0.92; p <0.001), patients’ perception towards adequate inpa­tient facilities (b=3.11; 95%CI=2.13 to 4.07; p <0.001), good quality of inpatient care (b= 2.74; 95% CI= 1.74 to 3.72; p <0.001). The good qua­lity of inpatient care was affected by male sex (b= 0.91; 95% CI= 0.10 to 1.72; p= 0.028), age <50 years (b= -0.24; 95% CI= -1.26 to 0.78; p= 0.644), type of BPJS insurance (b= 0.41; 95% CI= -1.22 to 0.39; p= 0.318), percep­tion towards adequate facilities (b= 1.85; 95% CI= 1.04 to 2.65; p<0.001), good perception to­wards nurses (b= 2.18; 95%CI= 1.04 to 3.33; p <0.001), and good perception towards doc­tors (b= 1.68; 95% CI= 0.89 to 2.47; p <0.001). The good perception towards doc­tors was affected by the education of patients ≥Senior High School (b= 1.16; 95% CI= 0.31 to 1.83; p= 0.005).Conclusion: Inpatient satisfaction is affected by age <50 years, type of non-BPJS insurance, length of stay <7 days, perception towards ade­quate facilities, and good quality of inpatient care.Keywords: Quality, satisfaction, inpatient, path analysisCorrespondence: Agustina Utii. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: agustinautii1@gmail.com. Mobile: 0812­40­­051451.Journal of Health Policy and Management (2020), 05(03): 215-223https://doi.org/10.26911/thejhpm.2020.05.03.07 
Factors Correlated with Willingness and Compliance to Pay National Health Insurance Premium in Jember Regency Nazilla Ade Nurlia; Bhisma Murti; Didik Gunawan Tamtomo
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Fulfillment of premium collec­ti­vity is related to willingness and compliance to pay BPJS Kesehatan premiums. Increasing parti­cipation in the informal sector is not in line with compliance in paying BPJS Health premiums. This study aims to analyze the influ­ence of factors of willingness and com­pliance to pay premiums for BPJS Kesehatan independent participants in Jember Regency.Subjects and Method: This was a cross sectional study conducted in 31 sub-districts in Jember Regency, East Java, in July-September 2020. Sampling of 200 BPJS Kesehatan Man­diri participants was conducted using random sampling. The dependent variable is willingness to pay and compliance to pay the BPJS Health premium. The independent variables include education, income, willingness to pay, imitation of the referral group and number of family members. Data were collected using a question­naire. Data were analyzed using multiple linear regression, multiple logistic regression and path analysis with Stata 16.Results: Factors that affect the willingness to pay are education (b= 45531.18; 95% CI= 35335.1 to 55727.26; p <0.001) and (b= 2.13 units; 95% CI= 1.41 to 2.86; p <0.001), income (b= 17469; 95% CI= 7171.90 to 27766.09; p <0.001), and (b= 1.19; 95% CI= 0.46 to 1.92; p <0.001). Compliance to pay is influenced by the willingness to pay factor (b= 4.19; 95% CI = 2.19 to 8.04; p <0.001) and (b= 0.64; 95% CI= 0.02 to 1.27; p= 0.044) with an average willing­ness to pay Rp 44,792, imitation of the refe­rence group (b= 2.59; 95% CI = 1.39 to 4.85; p= 0.003) and (b = 0.95; 95% CI = 0.33 to 1.58; p= 0.003) and the number of family members (b= 1.90; 95% CI= 1.02 to 3.56; p= 0.044).Conclusion: Willingness to pay premiums is directly affected by education and income. Compliance with premium payments is directly affected by willingness to pay, imitation of the referral group, and the number of family members.Keywords: willingness to pay, paying compliance, social cognitive theoryCorrespondence: Nazilla Ade Nurlia.Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: nazillaade29@gmail.com. Mobile: +6281230004195.Journal of Health Policy and Management (2021), 06(01): 35-47https://doi.org/10.26911/thejhpm.2021.06.01.04 
Management of Dual Health Asset Applications Developed by The Ministry of Internal Affairs and Ministry of Health in Hospitals in Boyolali, Central Java, Indonesia Yunita Rusdiyanti; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The management of health assets in Hospitals is a complex matter. State-onwed Hospitals use two applications from the Ministry of Internal Affairs developed by the Development Audit Agencynamely Regional Management Information System of Regional Assets (Simda BMD) and the Ministry of Health namely Application of Infrastructure and Medi­cal Devices (ASPAK). This study aims to deter­mine the management of health assets based on the applications of the Ministry of Internal Affairs and the Ministry of Health in three Regional Public Hospitals in Boyolali Regency.Subjects and Method: This was a descrip­tive-qualitative study using a study case ap­pro­ach. This study was carried out in three Regio­nal Public Hospitals in Boyolali Regency. The main informants were goods treasurer, ware­house section, staff in charge of planning and reporting section, staff in charge of ASPAK,  head of medical support, and head of adminis­trative subdivision. The data were collected using in-depth interviews, non-participative observation, and document observation. The data were analyzed using three  main steps namely data reduction, data display, and conclusion drawing.Results: The staff in charge of asset manage­ment in RSUD Boyolali had a sufficient profi­ciency in the asset concept and management by using the two applications. However, not all steps were conducted on time andfollowing the guidance.Conclusion: The training is required to improve the capability of the staff in charge of asset management. A system is also required  to link the  two applications to provide more effi­cient input system and create inter operability.Keywords: asset managementCorrespondence: Yunita Rusdiyanti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: y_rusdiyanti@yahoo.com. Mobile: 081-22981365.Journal of Health Policy and Management (2020), 05(03): 189-196https://doi.org/10.26911/thejhpm.2020.05.03.04. 
The Effect of Family Development Session through Family Hope Program on Visit to Integrated Healthcare Center and Child Nutritional Status: A Multilevel Evidence Nisaus Zakiyah; Endang Sutisna Sulaeman; Eti Poncorini Pamungkasari
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The Family Development Session through the Family Hope Program (FHP) uses the nutritional status of toddlers as an indicator of the quality of life that reflects the welfare of the community. This study aimed to analyze the effect of the Family Development Session (FDS) through the Family Hope Program on the child nutritional status.Subjects and Method: This was an analytic observational study with a retrospective cohort design. This study was conducted in Ponorogo, East Java, from December to February 2020. A sample of 200 children was selected by simple random sampling. The dependent variable was child nutritional status. The independent variables were FDS (FHP), maternal education, family income, social support, maternal know­ledge, self-efficacy, complementary food, inte­grated community health center. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regression.Results: Child nutritional status was positively associated with FDS (b= 1.24; 95% CI= 0.26 to 2.22; p= 0.014), high maternal education (b= 1.18; 95% CI= 0.16 to 2.19; p= 0.023), family income (b= 1.11; 95% CI= 0.11 to 2.11; p= 0.030), social support (b= 1.57; 95% CI= 0.46 to 2.67; p= 0.006), maternal knowledge (b= 1.24; 95% CI= 0.26 to 2.23; p=0.013), self effi­cacy (b= 1.38; 95% CI= 0.32 to 2.44; p= 0.011), complementary feeding (b= 1.35; 95% CI= 0.33 to 2.37; p= 0.010), and regular visit to inte­grated community health center (b=1.42; 95% CI= 0.28 to 2.56; p=0.015). Integrated health center had strong contextual effects on the child nutritional status with intra-class corre­lation (ICC) = 33.97%.Conclusion: Child nutritional status is posi­tively associated with FDS, high maternal education, family income, social support, maternal knowledge, self effi­cacy, comple­men­tary feeding, and regular visit to inte­grated community health center. Integrated health center has strong contextual effects on the child nutritional status.Keywords: child nutritional status, integrated healthcare centerCorrespondence: Nisaus Zakiyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email:nizakiyaah@gmail.com. Mobile: +628­5235948995.Journal of Health Policy and Management (2020), 05(03): 224-234https://doi.org/10.26911/thejhpm.2020.05.03.08 
Effectiveness of Telemedicine on Patient Satisfaction: Meta Analysis Sri Umiati; Bhisma Murti; Rita Benya Adriani
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Patient satisfaction is one indi­cator in the success of a treatment in the health sector. There are several ways to make this happen, including by simplifying the process of consultation, treatment and medication. Effec­tiveness in health services is very import­ant. Telemedicine is a way offered to increase effec­tiveness in health services.Subjects and Method: Meta analysis was performed with PICO as follows: The popula­tion in this study were patients. Health service intervention is in the form of telemedicine. Comparison in the form of Non Telemedicine/ visit services. Outcome in the form of patient satisfaction. The meta-analysis study was applied to this study with electronic data sources: Clinical Key, Google Scholar, MED­LINE/PubMed, Science Direct, Scopus. The article used is a full-text article with a rando­mized control trial (RCT) study design. There were 8 articles used in this study with a sample size of 2123 people who were divided into two groups (1113 people in the telemedicine group and 1010 people in the control/ non teleme­dicine group). Articles were analyzed using the Review Manager 5.3 application. The results of this study aim to determine the Standardized Mean Difference (SMD) and the heterogeneity of the research sample.Results: There is high heterogeneity between one experiment and another (I2= 81%; P <0.0001) so that the Random Effect Model (REM) is used. The application of Telemedicine was able to increase patient satisfaction with Standardized Mean Different (SMD) of 0.41 compared to the control/ non-telemedicine group (SMD 0.41; 95% CI= 0.19 to -0.62; p= 0.0002).Conclusion: Providing telemedicine services was able to increase patient satisfaction with Standardized Mean Different (SMD) of 0.41 compared to non-telemedicine.Keywords: Telemedicine, patient satisfactionCorrespondence: Sri Umiati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta 57126, Ccentral Java. Email: umi­2374@gmail.com. Mobile: +6287834961974.Journal of Health Policy and Management (2021), 06(01): 48-56https://doi.org/10.26911/thejhpm.2021.06.01.05 
Nurse Professionalism in Law Perspective: Risk Management of Occupational Health and Safety in the Hospital Dewi Arradini
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Law number 38/2014 on nursing requires nurses to provide professional services. Unprofessional nurse increases health and safety risk of themselves. This study aimed to describe nursing professionalism in occu­pational health and safety risk management at PKU Muhammadiyah Hospital, Karanganyar, Central Java.Subjects and Method: This was a descriptive qualitative. The study was conducted at PKU Muhammadiyah hospital, Karanganyar, Central Java, from December 2018 to February 2019. There were 6 key informants selected for this study, including (1) Infection prevention and control committee, (2) Head of hospital health promotion, (3) Head division of access to hos­pitals and continuity of service, (4) Head of patient and family rights, (5) Head division of nursing, and (6) Head division of occupational health and safety. A sample of 50 nurses from 7 wards was selected to measure their attitude toward risk management of occupational health and safety. The study sample was selected randomly. Patients were included to describe the quality of health service from their pers­pec­tive. The data were collected by structured interview and analyzed by triangu­la­tion.Results: Nursing professionalism in occu­pational health and safety risk management at PKU Muhammadiyah Hospital was good. In order to maintain and improve nursing pro­fess­ionalism, internal hospital training and regular coordination meeting were conducted, invol­ving ward nurses and heads, and nursing com­mittee. Occupational health and safety risks were minimal. Near-miss and accident cases were recorded and followed up for future pre­ventive purpose.Conclusion: Nursing professionalism in occu­pational health and safety risk management at PKU Muhammadiyah Hospital is good. Some preventive measures had been taken to mini­mize occupational health and safety risk.Keywords: nursing, professionalism, risk managementCorrespondence: Dewi Arradini. School of Health Sciences Mitra Husada. Jl. Achamad Yani 167, Papahan, Tasik­madu, Karanganyar, Surakarta, Central Java. Email: dewiarra29@gmail.com. Mobile: 089­9­4194149.Journal of Health Policy and Management (2020), 05(03): 174-179https://doi.org/10.26911/thejhpm.2020.05.03.02  

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