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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.
Arjuna Subject : -
Articles 215 Documents
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Implementation of Hospital Internal Audit Policy Sudalhar, Sudalhar; Handoko, Rudy; Maduwinarti, Ayun
Journal of Health Policy and Management Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.08.03.06

Abstract

Background: Out of 7 people in the Internal Audit Unit (SPI) in a hospital, only 1 person is not concurrently serving as the Head of SPI. SPI is the main requirement in carrying out duties and can be a problem in the implementation of hospital internal audit policies by SPI and if this is left unchecked, the public services provided by the hospital can be of less quality. the purpose of this study is to know and analyze the implementation of internal audit policies, factors that support and hinder the implementation of internal audit, find models for implementing internal audit policies in Hospital A. Subjects and Method: qualitative research design. The research was conducted at Aisyiyah Bojonegoro Hospital. The target population consists of 1 director, 6 department heads and 4 SPI auditors. The technique and size of sampling is done by means of the population being the sample. the dependent and independent variables of interest are the implementation of the Hospital Internal Audit policy. Variable measurement methods or instruments by means of interviews and data analysis methods using data triangulation. Results: The implementation of internal audit policy from the communication aspect has been carried out well, the Resource aspect has not been implemented properly, the Disposition aspect has not been implemented properly, the Organizational Structure aspect is carried out properly. The appointment of SPI personnel needs to take into account the competence of the auditor or provide auditor competency training, exemption from concurrent duties and full-time positions, structuring systematic career paths and providing special incentives, maintaining consistency of communication and conducting audits in all work units Conclusion: This research can produce implications for model development in the implementation of hospital internal audit policies in accordance with Edward III's theory and then developed with the involvement of the Hospital Internal Auditors Association. Through this it is expected that the implementation of internal audit policies is more comprehensive in implementing aspects of organizational structure, resources, disposition and communication. Keywords: implementation, policy, internal audit, hospital Correspondence: Sudalhar. University of 17 August 1945 Surabaya, Semolowaru Street Number 45, Menur Pumpungan, Sukolilo District, Surabaya, East Java 60118. Email: dalharaljafar@gmail.com. Mobile: 08125928651
Meta Analysis: Effects of Supervision Support, Feedback, and Training on Utilization of Routine Health Information System in Health Workers Lestari, Dinta; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.08.03.04

Abstract

Background: Routine health information is an important pillar in health planning, decision making, and improving health programs, as well as providing effective and efficient health services. This study aims to estimate the magnitude of the influence of supervision support, feedback, and training on the use of routine health information systems (SIKR), through a meta-analysis of primary studies conducted by previous researchers. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: health workers. Intervention: there is supervision support, there is feedback, and there is training. Comparison: no supervision support, no feedback, and no training. Outcome: Utilization of SIKR. The online databases used are Google Scholar, PubMed, and ProQuest with the keywords (Routine Health Information Utilization” OR “Management Health Information System”) AND (“Supportive Supervision” OR “Regular Supervision”) AND (Feedback OR “Regular Feedback ”) AND Training OR “HMIS Training” AND “Health Worker” OR “Health Professionals” AND “Cross sectional” AND aOR. There were 14 cross-sectional studies published in 2013-2023 that met the inclusion criteria. Analysis was performed with RevMan 5.3. Results: A meta-analysis was carried out on 14 articles with a cross-sectional study design from Ethiopia on health workers with a sample size of 6,088. The results of the meta-analysis showed that health workers who received supervised support 1.77 times to utilize SIKR compared to those who did not receive supervised support (aOR= 1.77; 95% CI= 1.21 to 2.59; p=0.003), health workers who received feedback 2.15 times to using CIC compared to those who did not receive feedback (aOR= 2.15; 95% CI= 1.29 to 3.58; p=0.003), and health workers who received training 2.65 times to use CIC compared to those who did not receive training (aOR= 2.65; CI 95 %= 1.70 to 4.13; p<0.001). Conclusion: There is support for supervision, feedback/feedback, training/training can increase the utilization of routine health information systems.   Keywords: Supervision support, feedback, training, use of SIKR. Correspondence: Dinta Lestari, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Sura­karta 57126, Jawa Tengah, Indonesia. Email: dintalestari99@gmail.com. Mobile: 082183568772
Meta-Analysis: Effects of Workload and Work Environment on Work Satisfaction in Health Personnel Wulansari, Galuh; Murti, Bhisma; Tamtomo, Didik
Journal of Health Policy and Management Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.08.03.03

Abstract

Background: Job satisfaction is one of the important points to motivate and improve work efficiency, high job satisfaction can improve the performance of health workers and patient satisfaction. However, low job satisfaction results in fatigue and a tendency to increase the turnover of health workers which will exacerbate the condition of health facilities. The research objective was to analyze the effect of workload and work environment on job satisfaction in health workers. Subjects and Method: This study is a meta-analysis with PICO. Population: health workers. Intervention: high workload and safe work environment. Comparison: low workload and unsafe work environment. Outcome: job satisfaction. The articles used in this study were obtained from three databases namely Google Scholar, Science Direct and Pubmed. The keywords used to search for articles are “Workload” OR “Job Overload” AND “Safe Work Environment” AND “Job Satisfaction” AND “Health Workers” AND “Multivariate”. The articles used were full text in English from 2012 to 2022. Articles were selected using the PRISMA flowchart and analyzed using the RevMan 5.3 application. Results: A total of 17 cross-sectional study articles from Ethiopia, Switzerland, Israel, Belgium, China, Canada and Denmark. Based on the analysis, health workers with high workloads reduced job satisfaction 0.47 times compared to health workers with low workloads and this was statistically significant (aOR=0.47; 95% CI=0.24 to 0.92; p=0.030). Health workers with a safe work environment increased job satisfaction 2.75 times compared to health workers with an unsafe work environment and this was statistically significant (aOR=2.75; 95% CI=1.59 to 4.78; p=0.003). Conclusion: High workload reduces job satisfaction in health personnel and a safe work environment increases job satisfaction in health personnel.   Keywords: workload, work environment, job satisfaction Correspondence: Galuh Wulansari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: Galuhwulan61@gmail.com. Mobile: 085601548168.
Meta Analysis of Factors Associated with Job Satisfaction in Health Workers Hapsari, Fara Rizky Punjung; Murti, Bhisma; Tamtomo, Didik
Journal of Health Policy and Management Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.08.03.05

Abstract

Background: Job satisfaction is a perception that is reflected in attitude and focused on behavior towards a job, and is a form of human interaction with the work environment.  High job satisfaction is a sign that an agency has done good management. The more satisfied the health workers in an institution, the more maximum their level of performance and productivity so that the goals of the institution can be achieved. The study aims to analyze the factors that affect job satisfaction in health workers based on the results of previous similar studies. Subjects and Method: It was a systematic review and meta-analysis study with the PICO as follows: P = health workers, I = high salary, the availability of supervision C = low salary, no supervision O = job satisfaction. The data collection was conducted through the databases, namely: Google Scholar and PubMed. The inclusion criteria used were full English papers with Cross Sectional designs in 2012-2022. The keywords used were “job satisfaction" AND "Associated factors” AND "Health Worker".  The articles were analyzed using the Review Manager 5.3 application. Results: The meta-analysis was conducted on 8 primary studies from several countries such as Ethiopia, China, and Nepal. The results of the study showed that there was an effect of high salary on job satisfaction.  Based on the analysis, high-paid health workers were 1.88 times more likely to be satisfied than low-paid health workers and it was statistically significant (aOR = 1.88; CI 95% = 1.08 to 3.2; p = 0.020). Furthermore, a meta-analysis was conducted on 7 primary studies from northern and eastern parts of Ethiopia. The results of the study showed that there was an effect of supervision on job satisfaction. Healthcare workers who received supervision were 2.93 times more likely to be satisfied than those who were unsupervised and it was statistically significant (aOR = 2.93; CI 95% = 1.51 to 5.66; p= 0.003). Conclusion: The provision of high salaries and supervision increases the job satisfaction of health workers.   Keywords: job satisfaction, related factors, health workers. Correspondence: Fara Rizky Punjung Hapsari. Masters Program in Public Health, Universitas Sebelas Maret. Jl Ir Sutami no 36 A, Surakarta, Central Java 57126, Indonesia. Email: fararizky92@gmail.com. Mobile Phone: 081230388935.
Effect of Project Based Learning Method on Knowledge and Learning Activity in Graduate School Students Manggandhi, Yuyun; Pamungkasari, Eti Poncorini; Raharjo, Setyo Sri
Journal of Health Policy and Management Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.08.03.07

Abstract

Background: The Project Based Learning (PjBL) model is a learning model that can make students have expertise and can understand the learning process. This study aims to look at the application of Project Based Learning (PjBL) to increase student activity, to see the character values and results of student academic achievement in the KKPMT practice subject to achieve competence. Subjects and Method: RCT research was conducted at STIKes Mitra Husada Karanganyar. The sample consisted of 90 students, 48 students as the control class and 42 students as the experimental class. Student activity is assessed with an observation sheet. Student character is assessed by means of a questionnaire. The results of learning achievement using the posttest and pretest instruments. The mean knowledge scores in both groups were compared by independent t-test. Results: The knowledge score after the intervention in the project-based learning group (Mean= 71.81; SD= 8.35) was higher than that of the control group (Mean= 67.73; SD= 8.64), and was statistically significant (p= 0.026). Project-based learning is effective in increasing students' knowledge of ICD. The activity score after the intervention in the project-based learning group (Mean= 68.83; SD= 12.87) was the same as the control group (Mean= 68.27; SD= 11.53), but statistically not significant (p= 0.827). Conclusion: This study concluded that project-based learning was effective in increasing students' knowledge of ICD but project-based learning was not effective in increasing student activity in discussing ICD subjects.   Keywords: Project Based Learning, student character, student activity, learning outcomes.   Correspondence: Yuyun Manggandhi. Masters’ Program in Public Health, Universitas Sebelas maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: Manggandhi88@gmail.com. Mobile: 0821 3384 6808.
Meta-Analysis: The Effects of Workload and Social Support on Burnout in Health Workers Hanifah; Sumardiyono; Murti, Bhisma
Journal of Health Policy and Management Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.08.03.08

Abstract

Background: Burnout is a psychological syndrome of exhaustion, cynicism and ineffectiveness at work. Some factors causing burnout are workload and family support. The existence of a high workload can increase the incidence of burnout and high social support can prevent burnout in health workers. This study aims to estimate the effect of workload and social support on burnout in health workers. Subjects and Method: A systematic review and meta-analysis was carried out using the PRISMA guidelines and the PICO model covering Population = health workers; Intervention = high workload and high social support; Comparison = low workload and low social support; Outcome = burnout. Articles were collected from databases such as PubMed, Science Direct, and Google Schoolar. The key­words used in the database search were workload AND "social support" AND burnout OR fatigue AND "health workers" AND "cross sectional".A total of 12 articles met the inclusion criteria for the meta-analysis and were assessed using RevMan 5.3. Results: Meta-analysis from France, Afghanistan, Canada, Uganda, Ghana, Ethiopia, Malawi, Brazil, Malaysia and China showed that high workloads can increase burnout in health workers (aOR= 2.37; 95% CI= 1.10 to 5.10; p = 0.003), high social support can reduce the risk of burnout in health workers (aOR= 0.54; 95% CI= 0.42 to 0.71; p= 0.001), and these results were statistically significant. Conclusion: High workload can increase burnout among health workers and high social support can reduce the risk of burnout in health workers. Keywords: workload, social support, burnout, health workers Correspondence: Hanifah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: hanifah1611@gmail.com. Mobile: 081226829788.
Factors Associated with Doctor Satisfaction at Pondok Kopi Jakarta Islamic Hospital in 2021 Yanti, Fitri; Rachmawati, Emma; Saputra, Hermawan
Journal of Health Policy and Management Vol. 9 No. 1 (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.2024.09.01.03

Abstract

Background: Until now, doctor satisfaction has never been thoroughly measured at RSIJ Pondok Kopi. Based on the report of the Pondok Kopi RSIJ Medical Committee, there has been an increase in the number of doctor resignations from 2019 to 2021. This study aims to analyze factors related to doctor satisfaction at Pondok Kopi RSIJ.Subjects and Methods: in this study, the Mix Method with a Cross Sectional design, where data collection was carried out using questionnaires and in-depth interviews as the instruments. The sample used in this study were 74 respondents who were doctors at RSIJ Pondok Kopi.Results: This study showed that out of 74 respondents there were 38 doctors (51.4%) who were satisfied, and 36 doctors (48.6%) who were dissatisfied. Bivariate results show that all variables have a relationship with doctor satisfaction. The results of the multivariate analysis also found that the dominant variable was the doctor's level of commitment with Odds Ratio = 18.730 (CI = 2.525-138.914), which means that doctors who have a bad commitment have a risk of 18.730 times the chance of assessing dissatisfaction.Conclusion: Researchers recommend further intervention and control of hospital management to fulfill doctors' rights and obligations, so as to increase doctor satisfaction. Keywords: Job Satisfaction, Health Service Compensation, Work Environment
Meta Analysis Effects of Completeness of Laboratory Tests and Medicine Supplies on Patient’s Satisfaction Level in Hospital Ningtyas, Ayunda Prisilia Kusuma; Tamtomo, Didik; Prasetya, Hanung
Journal of Health Policy and Management Vol. 9 No. 1 (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.2024.09.01.07

Abstract

Background: Satisfaction is a feeling that arises when someone gets a service, this feeling can be in the form of pleasure or disappointment. Service satisfaction at the hospital is very dependent on the patient, if the patient receives poor service then the patient tends to be dissatisfied with the service he gets, so that it can affect the quality of the hospital. This study aimed to analyze the effects of the completeness of laboratory tests and drugs availability on the patient satisfaction in hospital. Subjects and Method: This was a systematic review and meta-analysis with PICO model. Popu­la­tion: patients visiting the hospital. Intervention: completeness of laboratory tests and drug availability. Comparison: incomplete labo­ra­tory tests and no drugs available. Outcome: patient satisfaction. Data collection from databases Google Scholar, PubMed, Science Direct, and Spinger Link. The in­clusion criteria used were full papers, cross sectional study, using English language, and published during 2012 and 2022. The keywords used are “Patient Satisfaction level” OR “Patient Satisfaction” AND “Hospital service” AND “Cross sectional”. Articles were analyzed using RevMan 5.3. Results: Meta-analysis included 14 cross-sectional studies. The completeness of the laboratory test (aOR= 2.19; 95% CI= 1.49 to 3.21; p= 0.001) and drug availability (aOR=2.41; 95% CI=1.15 to 5.03; p= 0.002) increased patient satisfaction. Conclusion: Completeness of laboratory tests and drug availability increase patient satisfaction. Keywords: completeness of laboratory tests, drug availability. Correspondence: Ayunda Prisilia Kusuma Ningtyas. Master’s Program in Public Health, Universitas Sebelas Maret.Jl Ir Sutami no 36 A, Surakarta 57126, Central Java, Indonesia. Email : ayunda.prisilia@gmail.com. Mobile: +6281328520526
Effectiveness of Telemedicine to Improve Drug Taking Adherence in Tuberculosis Patients: Meta-Analysis Rahayuningsih, Lilik Anggar Sri; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol. 9 No. 1 (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.2024.09.01.02

Abstract

Background: Tuberculosis is a disease caused by a bacterium called Mycobacterium tuberculosis which usually attacks the lungs, but TB bacteria can attack any part of the body such as the kidneys, spine and brain. TB treatment must be carried out regularly so that it can be declared cured so it is necessary to monitor the patient's medication intake, namely by using telemedicine. This study aims to analyze the effectiveness of the use of telemedicine in tuberculosis patients to increase treatment adherence. Subjects and Method: Meta-analysis was carried out using PICO as follows: The population in this study was tuberculosis patients. Intervention in the form of the use of telemedicine. Comparison is not using telemedicine. The outcome is an increase in medication adherence. A meta-analytic study was applied to this study with electronic data sources: Google Scholar, MEDLINE/PubMed, Science Direct and web of science. The article used is a full-text article with a Randomized Control Trial (RCT) study design. There are 6 articles used in this study which were analyzed using the Review Manager 5.3 application. Results: A total of 6 articles with Randomized Control Trial (RCT) studies from Malaysia, Peru, Cameroon, China and Ethiopia showed that the use of telemedicine is effective for increasing treatment adherence in tuberculosis patients, and the effect is statistically significant (aOR = 1.98; 95% CI = 1.53 to 2.55; p<0.001).Conclusion: The use of telemedicine is effective in increasing medication adherence in tuberculosis patients. Keywords: telemedicine, tuberculosis, medication adherence Correspondence: Lilik Anggar Sri Rahayuningsih. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A, Surakarta 57126, Central Java, Indonesia. Email: lilikanggar@gmail.com Mobile: +6285647587323
Analysis of Loyalty and Quality of Service Against Patient Satisfaction of Social Security Agency of Health and General Patients in Neurology Polyclinic UOBK of Doctor Mohamad Saleh Regional Public Hospital, Probolinggo, East Java Musdalifah, Illailatul; Indasah; Ellina, Agusta Dian
Journal of Health Policy and Management Vol. 9 No. 1 (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.2024.09.01.01

Abstract

Background: Satisfaction of patients or insurance participants is one of the factors that can be used as a reference in determining the success of a service program. This means that the good quality of a service is not based on the service provider's perception, but based on the consumer's perception because it is the consumer who enjoys the services provided by the company. The study aimed to analyze the effect of loyalty and service quality on SCA patient satisfaction and general patients at the Neurology Polyclinic UOBK Dr. Mohamad Saleh Hospital, Probolinggo City. Subjects and Method: An observational study with a cross-sectional approach were conducted at Neurology Polyclinic UOBK Dr. Mohamad Saleh Hospital, Probolinggo, East Javaon August 2022. A total of 100 patients were selected for this study. The dependent variable was satisfaction. The independent variable were loyalty and service quality. The data were collected using a set of questionnaires and analyzed using linier regression. Results: Patient satisfaction increased with good loyalty (b= 2.26; p= 0.002), and good service quality (b= 2.03; p= 0.006). Conclussion: Patient satisfaction increased with good loyalty (b= 2.26; p= 0.002), and good service quality. Keywords: satisfaction, service quality, loyalty. Correspondence: Illailatul Musdalifah. Strada Institute of Health Sciences, Kediri, Indonesia. Jl. Manila No.37, Tosaren, Pesantren, Kediri, 64123 East Java. Email: yolacipit29@gmail.com. Mobile: 082332627340.

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