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Journal of Health Policy and Management
Published by Universitas Sebelas Maret
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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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Policy Implementation of Mayor Regulation Number 21 of 2020 concerning the Implementation of an Integrated Public Safety Service Center in Padang, West Sumatera, Indonesia Viola Fathia Irwan; 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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Abstract

Background: Public service is an important element in improving the quality of life in the community. The government plays an important role in providing public services, especially in the emergency department. This study aims to analyze the implementation of the Padang mayor's regulation number 21 of 2020 regarding the implementation of an integrated safety service center in the city of Padang.Subjects and Method: This was a descriptive qualitative study. The study was conducted in Padang, West Sumatera, Indonesia, from April 18 to May 31, 2022. The primary data were obtained directly through interviews with selected informants. Results: The Policy Implications of the Padang Mayor's Regulation Number 21 of 2020 concerning the Implementation of an Integrated Safety Service Center (Public Safety Center) in the City of Padang is based on the Regulation of the Minister of Health of the Republic of Indonesia Number 19 of 2016 concerning the Integrated Emergency Management System. In its implementation, the Padang City Health Office still relies on health workers at the Puskesmas because PSC 119 does not yet have its own special team or officers. The Padang City Health Office has not officially disseminated to the public and has not officially collaborated with external parties.Conclusion: The policy of Padang Mayor Regulation Number 21 of 2020 as a whole is the authority and responsibility of the Padang City Health Office. The Padang City Health Office has not officially disseminated to the public and has not officially collaborated with external parties. In its implementation, the Padang City Health Office still relies on health workers at the Puskesmas because PSC 119 does not yet have its own special team or officers.Keywords: Policy Implementation, PSC 119, Integrated Service Center.Correspondence: Viola Fathia Irwan. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: violairwan@gmail.com. Mobile: +6281270403409.Journal of Health Policy and Management, (2022), 07(02): 139-148https://doi.org/10.26911/thejhpm.2022.07.02.05.
Association between Heat Stress, Work Fatigue, and Elevated Blood Pressure among Construction Workers in Yogyakarta Nisa Nur Kusuma; Sumardiyono Sumardiyono; Bhisma Murti
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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Abstract

Background: Excessive heat stress will cause fatigue and drowsiness, reduce stability and increase the number of work errors. The purpose of this study was to analyze the relationship between heat stress and work fatigue and increased blood pressure in construction workers at PT PP Urban Development Project at the University of Nahdlatul Ulama Yogyakarta. Subjects and Method: Research with a cross sectional design was conducted at PT PP Urban Development Project, Nahdlatul Ulama University, Yogyakarta, from March to April 2022. A sample of 107 workers was selected by purposive sampling. The dependent variable is work fatigue and an in-crease in blood pressure. The independent variable is heat stress. Heat stress was measured by Heat Stress Monitor, work fatigue by reaction timer and increase in blood pressure was measured by digit-al sphygmomanometer. Test analysis using chi-square and the value of Odds Ratio (OR). Results: Construction workers who experience high heat stress have a risk for an increase in blood pressure of 3.10 times compared to normal heat stress and are statistically significant (OR= 3.10; 95% CI= 1.01 to 9.24; p= 0.020), and have a risk of work fatigue 2.73 times compared to normal heat stress and statistically significant (OR= 2.73; 95% CI= 0.97 to 7.52; p= 0.020). Conclusion: There is a relationship between high heat stress and work fatigue and an increase in blood pressure.Keywords: heat stress, fatigue, blood pressure Correspondence:Nisa Nur Kusuma. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A,Surakarta 57126, Central Java, Indonesia. Email: nisankusuma22@gmail.com. Mobile: +6282225229919 J Health Policy Manage. 07(01): 72-80. https://doi.org/10.26911/thejhpm.2022.07.01.07
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 : Master's Program in Public Health, Universitas Sebelas Maret

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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 
Management Analysis of the Implementation of Covid-19 Vaccination in Reducing Positivity Rate in Regency Health Office of Boyolali, Central Java Tifa Aviandari; Eti Poncorini Pamungkasari; Bhisma Murti
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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Abstract

Background: The results of a vaccine accept­ance survey conducted by the Ministry of Health together with the Indonesian Technical Advisory Group on Immunization (ITAGI) with the support of UNICEF and WHO in September 2020 showed that most people (74%) were aware of the government's plan to carry out COVID-19 vaccination. The government targets 181,500,000 Indonesians to receive the vaccine to achieve herd immunity. Through this vacci­nation effort, it is hoped that it will reduce the COVID-19 positivity rate. The positivity rate is the ratio between the number of positive cases of Covid-19 and the number of tests carried out. The purpose of this study was to qualitatively examine the management analysis of the imple­mentation of Covid-19 vaccination in reducing positivity rate in Boyolali Regency Health Office.Subjects and Method: This was a type of descriptive research using a qualitative approach. Determination of informants is done by purposive sampling. Data was collected through indepth interviews, document review and observation. The data is processed through the stages of data reduction, data presentation and conclusion drawing and triangulation of sources and methods.Results:  The implementation of vaccination in the coverage area of the Boyolali Health Service was able to reduce the positivity rate in Boyolali. The COVID-19 vaccination procedure is carried out based on the requirements for the vaccine recipient community. According to the coordinator of the vaccination implementation at one of the hospitals in Boyolali (informant 1), they screened the patient's condition before starting the vaccination. In addition to screen­ing medical history, vaccine participants must be confirmed to be in a negative condition or not suffering from COVID-19 disease. Data from the Boyolali Health Office shows that since the vaccine began (mid-February), the number of COVID-19 sufferers has decreased.Conclusion: The management of the Covid-19 vaccination implementation in the Boyolali Health Service coverage area was able to reduce the positivity rate in Boyolali Regency. After giving the vaccine, the number of positive Covid-19 patients is in the range of 10 to 20 cases per day.Keywords: vaccination, Covid-19, positivity rateCorrespondence: Tifa Aviandari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: aviandaritifa@gmail.com. Mobile: 089­682108211Journal of Health Policy and Management (2021), 06(03): 190-202https://doi.org/10.26911/thejhpm.2021.06.03.04
Meta Analysis: The Relationship between Hospital Management on Work Motivation among Nurse Sri Sayekti Heni Sunaryanti; Rita Dewi Sunarno
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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Abstract

Background: In terms of improving employee performance, hospitals must have efforts that aim to motivate employees to be disciplined and have a work spirit in doing their jobs, while the efforts that can be made are to implement good hospital management. Motivation will be formed if the management applied by the agency is good, so that self-improvement and service quality will run by itself. This study aimed to analyze the relationship between hospital management on work motivation among nurse.Subjects and Method: This study is a meta-analysis with PICO, population: nurse. Intervention: good hospital managemenet. Comparison: poor hospital management. Outcome: nurse work motivation. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Hospital Management” OR “Hospital Care” AND “Nurse Motivation” OR “Work Motivation” or “Work Ambition” AND “Multivariate”. Articles included are full-text English from 2014 to 2019. Articles were selected using a PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 8 cross-sectional study articles from Asia (Indonesia, Malaysia, and Japan), Europe (Switzerland), Africa (Ghana), and North America (United States) were reviewed in the meta-analysis. Based on the results of the analysis, it was found that good hospital management can increase work motivation of nurses 1.91 times compared to poor hospital management (aOR= 1.91; 95% CI= 1.16 to 3.15; p= 0.01) and the results were statistically significant.Conclusion: Good hospital management increase nurse work motivation.Keywords: hospital management, work motivation, ambition, nurse.Correspondence:Sri Sayekti Heni Sunaryanti. Universitas Karya Husada Semarang. Jl. Kompol R. Soekanto 46, Semarang, Central Java. Email: ss.heni.s29@gmail.com. Mobile: +62 85216077830.Journal of Health Policy and Management (2022), 07(03): 185-192https://doi.org/10.26911/thejhpm.2022.07.03.02 
Meta Analysis the Effectiveness of Internet-Based Self- Management for Asthma Control Monitoring Bhre diansyah dinda khalifatulloh; 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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Abstract

Background: The high incidence and mortality of asthma is caused by a lack of asthma control and the independence of patients and families in doing good self-management. So far, self-management has been carried out in various ways, one of which is using internet-based self-management. The aim of this study was to estimate the effectiveness of Internet-based self-management on asthma control by meta-analysis.Subjects and Method: This research is a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2011-2022 using databases from PubMed, Google Scholar, ProQuest, Science Direct and Scopus. The PICO formula used is P= patients with asthma. I= using internet-based self-management. C= without using internet-based self-management. O= asthma control. Article searches were performed using the keywords “mhealth” OR “mobile health” OR “telemedicine” AND “self management” AND “asthma control” OR “asthma treatment” AND “asthma control”. The inclusion criteria were full paper articles with randomized controlled trial study design, articles using English, the intervention provided was the application of internet-based self-management, and the outcome was asthma control. Based on the database, there were 9 articles that met the inclusion criteria. The analysis was carried out using Revman 5.3 software.Results: A total of 9 articles spread across 4 continents, namely Asia, Europe, Australia, and America. The articles reviewed in the meta-analysis showed that the use of Internet-based self-management in asthmatics was effective in changing asthma control by 1.25 times compared with no Internet-based self-management, and was statistically significant (OR= 1.25; 95% CI= 1.09 to 1.44; p= 0.002).Conclusion: Internet-based self-management is effective in improving asthma control compared to no Internet-based self-management.Keywords: asthma control, internet-based self-management, asthma patientsCorrespondence: Bhre Diansyah Dinda Khalifatulloh. Masters Program in Public Health, universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: bhrediansyah98@gmail.com. Mobile: +6287708465646Journal of Health Policy and Management (2002), 07(02): 94-102https://doi.org/10.26911/thejhpm.2022.07.02.01
Analysis of Completeness Filling in the Informed Consent Formulir at Bhakti Husada General Hospital, Krikilan, Banyuwangi, East Java Muhammad Dudayev Caesar Putra; Bhisma Murti; Hanung Prasetya
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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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
Implementation of Context Input Process Product Model on Healthy Indonesia Program Policy with a Family Approach Ninawati Ninawati; Endang Sutisna Sulaeman; Didik Tamtomo
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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Abstract

Background: The Healthy Indonesia Program with a Family Approach started in 2017, has now reached the first visit coverage rate of 26.80% as of October 3, 2018, with a Healthy Family Index (IKS) value of 0.165. This figure is still far below the expected target, namely in 2019 it is expected that the visit coverage rate has reached >90% so that in 2019 an intervention plan at the com­mu­nity health center (puskesmas) level can be carried out in accordance with the roadmap of the Ministry of Health. This study aimed to investigate the implementation of the context input process product (CIPP) model in the healthy Indonesia program policy with a family approach.Subjects and Method: This research is a qualitative descriptive study using a sample of policy makers and implementers of the Healthy Indonesia program with a Family Approach (PIS – PK), namely: Head of Public Health Center, Head of Health Service Division of Karanganyar District Health Office, Person in Charge of Healthy Indonesia Program, implementer of PIS – PK visits, and the surrounding community. The research was conducted in August 2021. Data were collected by means of document review, in-depth interviews, focus group discussions (FGD), and partici­patory observations. Data is presented in analytical descriptive form.Results: Data were collected from 16 research respondents. In the input aspect, the implemen­tation of PIS PK is supported by sufficient human resources, although there are still gaps in the fulfillment of types of positions. Financial support, infrastructure, methods, implementation time and cross-sectoral support look very good and in accordance with the mandate of the Minister of Health 39 of 2019 concerning PIS PK. There are still problems in the application of healthy families, making the PIS PK output results not in accordance with manual calculations, so that family interventions both individually and in groups cannot be carried out optimally. Not all puskesmas have also implemented total coverage in the implementation of PIS PK, nor have all puskesmas used IKS value data as one of the inputs in planning puskesmas in the form of RUK and RPK.Conclusion: The Healthy Indonesia Program (PIS PK) in Karanganyar Regency can be imple­mented well in terms of context, input and process, but it is still not optimal in the aspect of output because of obstacles in the application of healthy families and the output of PIS PK has not been fully used as a basis for planning at the puskesmas level.Keywords: : context, input, process, product, Healthy Indonesia ProgramCorrespondence: Ninawati. Masters Program in Public Health, Universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java. Email: dimniasna@yahoo.com. Mobile: 08112632356.Journal of Health Policy and Management (2022), 07(01): 34-45https://doi.org/10.26911/thejhpm.2022.07.01.04. 
Hospital Administration as Factors Associated with Patient Satisfaction: A Meta-Analysis Siti Maesaroh; Ani Nur Fauziah; Imram Radne Rimba Putri; Muhammad Zia Ulhaq; Puji Nur Rokhmatun; Ahmad Zamani; Joko Tri Atmojo; Sri Sayekti Heni Sunaryanti; Aris Widiyanto
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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Abstract

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

Background: Based on the strategic plan of the Ministry of Health of the Republic of Indonesia for 20202024, all hospitals can gradually implement electronic medical records. However, there are still many obstacles experienced by hospitals in implementing Electronic Medical Record (EMR), readiness assessments can be used to determine readiness, indications and requirements in facilitating the implementation of EMR so as to avoid various obstacles during the implementation process.Subjects and Method: This was a qualitative descriptive study with a case study design. The study was conducted at Bethesda Lempuyangwangi Hospital, Yogyakarta, from May to June 2022. The data collected was the readiness to implement EMR in terms of organizational alignment and management capacity, by conducting indepth interviews with 7 people. The study subjects were determined by purposive sampling who were considered to have the capacity to make decisions related to EMR.Results: Bethesda Lempuyangwangi Hospital in implementing EMR from organizational alignment is said to be ready, the board of directors has known and understood that the implementation of RME has many benefits, the organization has been planned and the unit leadership understands the implementation risk in case of failure, to anticipate this, a longterm vision has been prepared. Readiness to implement EMR from management capacity can be improved because the IT committee has not yet been formed consisting of stakeholder representatives and hospitals, organization is still within the scope of the hospital, where ICT has been included in the organization's strategic plan. The roles and responsibilities for EMR implementation are defined with clear accountability to vendors and have been documented, the board of directors has considered planning the EMR implementation budget, funding for ongoing clinical IT adoption and the required standards are included in future planning and will be part of the IT budget.Conclusion: Bethesda Lempuyangwangi Hospital is ready to implement electronic medical records that will be applied to inpatient units, this can be seen from the alignment of the organization and management capacity where the culture, organization, leadership, strategy, information management, clinical staff, accountability and budget finance have been planned and have started held.Keywords: Readiness, Electronic Medical RecordCorrespondence: I Gusti Agung Ngurah Putra Pradnyantara. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: gustipradnyantara1997@gmail.com. Mobile: +62 82146804776.Journal of Health Policy and Management, (2022), 07(02): 149-157https://doi.org/10.26911/thejhpm.2022.07.02.06

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