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Journal of Health Policy and Management

thejhpm
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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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Meta Analysis of the Influence of COVID-19 Patient Services on the Level of Anxiety and Depression in Nurses in Hospital Andang Sudarmono; Bhisma Murti; Hanung Prasetya
Journal of Health Policy and Management Vol. 7 No. 1 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background: The COVID-19 pandemic has spread around the world and is impacting the mental health of everyone, including healthcare workers. Health workers are at the forefront of treating patients infected with COVID-19. are at high risk of experiencing mental health problems during the COVID-19 pandemic. The purpose of this study was to estimate the magnitude of the effect of COVID-19 patient care on the level of anxiety and depression in nurses in hospitals, with a meta-analysis of primary studies conducted by previous authors.Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: nurses. Intervention: serving COVID-19 patients. Comparison: does not serve COVID-19 patients. Outcome: anxiety and depression. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles “Anxiety” AND “Depression” AND “Nurses” OR “Healthcare worker” AND “COVID-19”. The included article is a full-text English language with a cross-sectional study design from 2020 to 2021 and reports the adjusted Odds Ratio (aOR) in a multivariate analysis. The selection of articles is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 12 cross-sectional studies from America, Asia, and Europe were selected for systematic review and meta-analysis. The data collected showed nurses who served COVID-19 patients had a risk of experiencing anxiety as much as 1.75 times compared to nurses who did not serve COVID-19 patients and this result was statistically significant (aOR= 1.75; 95% CI= 1.29 to 2.37; p<0.001 ). A meta-analysis of 12 studies from America, Asia and Europe showed that nurses caring for COVID-19 patients had a 1.1 times risk of developing depression compared to nurses who did not serve COVID-19 patients, but this result was not statistically significant (aOR= 1.10; 95% CI= 0.53 to 2.30; p= 0.80).Conclusion: The effect of caring for COVID-19 patients increases the risk of anxiety and depression in nurses in hospitals.Keywords: Anxiety, Depression, Nurses, COVID-19Correspondence: Andang Sudarmono. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: andan_cf@yahoo.co.id. Mobile: 08156701457.Journal of Health Policy and Management (2022), 07(01): 1-13https://doi.org/10.26911/thejhpm.2022.07.01.01

Association between Nursing Spiritual Managament on Quality of Life: Meta-Analysis Sarwoko Sarwoko; Eko Winarto; Nining Sulistyowati
Journal of Health Policy and Management Vol. 7 No. 3 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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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

Meta-Analysis the Effect of Pharmaceutical Care on Blood Glucose Level in Type 2 Diabetes Mellitus Patients Muthia Syafira; Setyo Sri Rahardjo; Bhisma Murti
Journal of Health Policy and Management Vol. 7 No. 2 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background: Pharmaceutical care is a patientoriented program carried out by pharmacists. In the management of type 2 diabetes mellitus (T2DM) several parameters have been determined as targets for the success of pharmaceutical care such as HbA1c and the level of patient compliance. This paper aims to evaluate the role of pharmaceutical care in improving clinical outcomes and compliance of patients with T2DM.Subjects and Method: This study was conducted using a Systematic Review and Metaanalysis study design using PICO, population: Diabetes mellitus type 2 patients, Intervention: Obtaining pharmaceutical care. Comparison: Did not receive pharmaceutical care, Outcome: Hba1c. The articles used in this study came from 4 databases, namely Pubmed, ScienceDirect, ProQuest and Google scholar. Article keywords are Diabetes Mellitus, Type 2 OR T2DM OR Type 2 diabetes AND Pharmaceutical care OR Clinical pharmacy OR Community pharmacy OR Pharmacist* OR Pharmaceutical services OR Education OR Intervention OR Medication Management AND Knowledge OR adherence OR HbA1c OR glycemic control” Included articles in this study is a full paper article, RCT study design for 20112021.Results: A total of 12 RCT studies with 1,746 T2DM patients in Asia (Jordan, Hong Kong, Northern Cyprus, Thailand, China, Malaysia and Indonesia), Americas (Brazil) and Europe (France and England). From the data processing, it was found that the provision of pharmaceutical care reduced HbA1c levels by 0.81 in patients with type 2 diabetes mellitus compared to those without pharmaceutical care. (SMD= 0.81; 95% CI= 1.11 to 0.52 p<0.0001).Conclusion: The provision of pharmaceutical care can improve clinical outcomes in the form of decreasing HbA1c values.Keywords: Pharmaceutical Care, Type 2 Diabetes Mellitus, HbA1c, Glycemic Control.Correspondence: Muthia Syafira. Masters Program in Public Health Sciences, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email mutsyaf@student.ac.id. Mobile: +6285920660180.Journal of Health Policy and Management, (2022), 07(02): 112-124https://doi.org/10.26911/thejhpm.2022.07.02.03

Employee Motivation and Perceptions toward the Importance of Hospital Accreditation on Service Commitment at Pelita Insani Martapura Hospital Septin Maisharah Karyono; Yuly Peristiowati; Byba Melda Suhita
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background: Hospital accreditation is a form of appreciation for hospital organizations that have met the service standards set by the government. Perceptions and motivations about the importance of accreditation for hospital institutions and employees are needed to foster a sense of service commitment in employees for the realization of a quality service system. The purpose of this study was to determine the relationship between perceptions of the importance of Hospital Accreditation with participation, commitment, job satisfaction, and employee performance.Subjects and Method: A cross sectional study was conducted at Pelita Insani Martapura Hospital, South Kalimantan, Indonesia. The research population is hospital employees. The sample is 153 hospital employees selected by proportional random sampling. The dependent variable is work commitment. The independent variables are perceptions of the importance of accreditation and motivation. Data were collected using observation sheets and questionnaires and analyzed by multiple linear regression.Results: High perception about the importance of accreditation (b= 0.06; 95% CI= 0.02 to 0.13; <0.001) and strong motivation (b= 0.31; 95% CI= 0.31 to 0.71; p= 0.006) increased employee commitment.Conclusion: High perception of the importance of accreditation and strong motivation to increase employee work commitment.Keywords: commitment, perception, motivation, accreditationCorrespondence: Septin Maisharah Karyono. Strada Indonesian Health Sciences Institute, Kediri, Indonesia.Journal of Health Policy and Management https://doi.org/10.26911/thejhpm.2021.06.03.05.

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 : Master's Program in Public Health, Universitas Sebelas Maret

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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

Are the Leadership Style and Motivation Influence the Work Performance of Health Center Personnel? Latty Indriastuti; Endang Sutisna Sulaeman; Eti Poncorini Pamungkasari
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background: The performance of an organization is largely determined by the human resources in it. If the human resources are highly motivated, creative and innovative and are led by leaders who are responsible and have good leadership skills, their performance will be good. This study aims to analyze the influence of the leadership style of the head of the puskesmas and the work motivation of the employees on the performance of the employees of the Puskesmas Ciamis District.Subjects and Method: This study was conducted using a cross sectional research design. The study was conducted in Ciamis Regency in November – December 2020. Sampling was carried out using random sampling with a total of 200 puskesmas employees in Ciamis Regency. The dependent variable is employee performance. The independent variables include leadership style, work motivation, job satisfaction, education, treatment status, employee status, length of work. Data were collected by questionnaire and analyzed using a multilevel multiple logistic regression.Results: Good leadership style (b=3.58; 95% CI= 1.11 to 3.80; p= 0.000), high work motivation (b=3.12; 95% CI= 0.83 to 3.65; p= 0.002), have job satisfaction (b= 2.89; 95% CI= 0.67 to 3.53; p= 0.004), higher education (b= 2.89; 95% CI= 0.60 to 3.13; p= 0.004), inpatient care status (b= 2.66; 95% CI= 0.47 to 3.12; p= 0.008), health personnel status (b=3.68; 95% CI= 1.46 to 4.80; p= 0.000), and length of service 3 years (b=2.07; 95% CI= 0.78 to 2.76; p= 0.038) increase the possibility of the performance of puskesmas employees. Variations at the puskesmas level show that there is a contextual effect on employee performance (ICC= 11.75%). Conclusion: There is a positive and statistically significant effect on leadership style, work motivation, job satisfaction, education, treatment status, employee status, length of work on the performance of puskesmas employees. Variations at the puskesmas level show that there is a contextual effect on employee performance.Keywords: employee performance, leadership style, health center, Correspondence: Latty Indriastuti.Masters Program in Public Health, Universitas Sebelas Maret, Surakarta, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: lattyindria.drg@gmail.com. Mobile: +628999976544.Journal of Health Policy and Management (2021), 06(03): 168-181https://doi.org/10.26911/thejhpm.2021.06.03.02

Analysis of Information Management System Utilization at Pelengkap Medical Center Hospital, Jombang, East Java Rendi Adiansa; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 7 No. 2 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background: Hospital Management Information System (SIMRS) is an information technology system that integrates the entire flow of hospital services in the form of a network of coordination, reporting, and administrative procedures to obtain precise and accurate information. The successful implementation of SIMRS depends on the use of the system by staff working in health care facilities. The model used in analyzing the use of SIMRS is the Technology Acceptance Model (TAM). The purpose of this study was to determine the effect of the TAM construct variable on the use of SIMRS.Subjects and Method: This was an analytical observational study with a cross-sectional design. The study was conducted in Pelengkap Medical Center Hospital, Jombang, East Java, in April 2022. A sample of 73 staff was selected by random sampling. The sampled staff are active users of SIMRS for at least 1 year. The dependent variable was the use of SIMRS. The independent variables observed were profession and training education. The data were collected by questionnaire and analzed by path analysis.Results: MIS utilization was directly affected by positive attitude (b= 3.12; 95% CI= 1.67 to 4.58; p<0.001) and perceived ease of use (b= 2.07; 95% CI= 0.63 to 3.50; p= 0.005). It was indirectly affected by education/ trining, profession, and perceived benefit.Conclusion: MIS utilization is directly affected by positive attitude and perceived ease of use. It is indirectly affected by education/ trining, profession, and perceived benefit.Keywords: SIMRS, Technology Acceptance ModelCorrespondence:Rendi Adiansa. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: adiansarendi@gmail.com. Mobile : 08816008735Journal of Health Policy and Management, (2022), 07(02): 166-175https://doi.org/10.26911/thejhpm.2022.07.02.08

Relationship between Quality of Health Services and Patient Satisfaction in Oral and Dental Patients Lina Eta Safitri; Arlina Azka; Yuyun Manggandhi; Novita Herlita Dewi; Fristyaningrum Hidayah; Herawati Prianggi; Amalia Ulfah Suparno; I Gusti Bagus Panji Widyatmaja; Dwi Marwanto; Farried Efffendi
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background: Oral and dental disease is a health burden in several countries because it affects general health and the quality of life of the people. The factors associated with the use of dental and oral health services are price and quality of service. The combination of the five dimensions of health care quality can significantly influence patient satisfaction. This study aims to determine the relationship between the quality of health services and patient satisfaction in dental and oral patients.Subjects and Method: This meta-analysis was conducted by collecting and reviewing key studies from PubMed, Google Scholar, Springer Link, ScienceDirect, Scopus, and ResearchGate. The formulation of the problem using the PICO model: Population is dental and oral patients, Intervention: good service quality, Comparison: poor service quality, Result: patient satisfaction. The inclusion criteria used a cross-sectional study design, published in English or Indonesian. , are available in the full text, and report adjusted odds ratios on study results. Articles were collected using PRISMA diagrams and data were analyzed using the Review Manager 5.3 software application.Results: The estimated OR collected from all studies were (OR = 3.47; 95% CI = 1.01 to 11.97; p = 0.05) with a heterogeneity of 89%.Conclusion: Based on the literature review, it can be concluded that there is a relationship between the quality of health services and patient satisfaction in dental and oral patients.Keywords: quality of health services, patient satisfaction, dental and oral patients.Correspondence:Lina Eta Safitri.Program Study of Public Health, STIKES Griya Husada Sumbawa. Jl. Kebayan, Uma Sima. Sumbawa. Email: safitrieltalina96@gmail.com Journal of Health Policy and Management (2021), 06(03): 233-241https://doi.org/10.26911/thejhpm.2021.06.03.08

Analysis of Human Resources Development Factors on Nurse Performance at Patient Ward, Dr. Abdoer Rahem Hospital, Situbondo, East Java Agung Setyanto; Sentot Imam Suprapto; Prima Dewi
Journal of Health Policy and Management Vol. 8 No. 1 (2023)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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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

The Application of Communication Privacy Management Theory to Health Information on COVID-19 Through Social Media among Young Women Muhammad Agung Diponegoro; Prahastiwi Utari; Andre Noevi Rahmanto
Journal of Health Policy and Management Vol. 7 No. 1 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background: Social media is open to inappropriate access, misuse, and disclosure of health data. The increasing public anxiety about the COVID-19 outbreak was triggered by the spread of hoax news. This research applies the framework of Communication Privacy Management Theory (CPM) for analyzing the disclosure of health information about COVID-19 through social media. This study aimed to explore health information on COVID-19 through social media in young women.Subjects and Method: This was a qualitative study with a phenomenological approach. The study was conducted in Surakarta, Central Java, from March - August 2021. Study participantss involving 10 women aged 23-24 year as participants. The study dimensions consist of privacy ownership within the boundaries of privacy, privacy control through privacy rules, and turbulence of health information privacy regarding COVID-19. The data were collected by literature review and in-depth interview. Results: Privacy ownership is privacy right and can be disclosed by the authorized only. COVID-19 patients’ status should be disclosed for tracing and finding convalescence plasma donor. Disclosure is useful to increase knowledge, correct information, influence people, and appeal preventive and curative attempts. Disclosure is useful to increase knowledge, correct information, influence people, and appeal preventive and curative attempts. Disclosure should consider different genders, situations, expectations, cultures, situational and condition demand, and ethics. Criteria of privacy border relate to urgency and need. Permeability always changes, and situation can lead to private border removal. Posting privacy information needs to crosscheck truth, consider privacy right, and privacy setting. Privacy control is required to avoid abuse. Privacy turbulence results from private rule infringement, private and public information bias, hoax, private information leakage, gossip, etc. Socialization, system improvement and supervision, and sanction imposition are needed.Conclusion: CPM theory can be used to explore private information on COVID-19.Keywords: communication privacy management, disclosure, social media, phenomenologyCorrespondence: Muhammad Agung Diponegoro. Masters Program in Communication Sciences, Faculty of Social and Political Sciences, Universitas Sebelas Maret Email: abdiaghoenk@gmail.com. Mobile: +62214281288.Journal of Health Policy and Management (2022), 07(01): 14-23https://doi.org/10.26911/thejhpm.2022.07.01.02

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