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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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Implementation of Patient Dissatisfaction among Outpatient at Muslimat General Hospital, Ponorogo, East Java Siti Sulasiyah; Katmini; Prima Dewi Kusumawati
Journal of Health Policy and Management Vol. 9 No. 1 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.01.09

Abstract

Background: Patient satisfaction is the result of the patient's assessment of health services by comparing what is expected in accordance with the reality of health services received in a hospital health setting. This study aimed to determine the dissatisfaction of outpatients at Muslimat General Hospital, Ponorogo, East Java. Subjects and Method: This was a qualitative study, with in-depth interviews with informants. Discussions and interviews were conducted in the community within Muslimat General Hospital, Ponorogo, East Java, Indonesia. A total of 10 outpatient patient were included in this study. The outpatient patient was interviewed in August to September 2022. The transcribed data were analyzed using content analysis. Results: The distribution of informants based on Responsiveness obtained data from Responsive Officers in handling patient complaints in the area as many as 10 informants (100%) were satisfied while the waiting time was not too long as many as 7 informants (70%) were satisfied while those who felt dissatisfied were 3 informants (30%) informants based on Assurance data obtained. Officers provided information about the patient's disease and experts at work as many as 10 informants (100%) were satisfied. The distribution of informants based on Empathy obtained data. Officers always maintain good communication with patients and officers are able to provide comfort to patients as many as 10 informants (100%) are satisfied. The distribution of informants based on Tangibles obtained data The place was clean and comfortable as many as 7 informants (70%) who were satisfied while those who felt dissatisfied were 3 informants (30%) while the Completeness of the tools used for examination were 8 informants (80%) who were satisfied while who were dissatisfied as many as 2 informants (20%). Conclussion: Outpatients are satisfied with the service, the waiting time is not too long, and feel that the staff always maintains good communication with patients. Keywords: reliability, responsiveness, assurance, empathy, tangibles. Correspondence: Katmini. Strada Institute of Health Sciences, Kediri, Indonesia. Jl. In Panjaitan, Siman, East Java. Email: katminitini@gmail.com. Mobile: +62 823-3466-2921.
Does Mindfulness and Psychological Capital affect Work Engagement of Healthcare Workers? A study case in DKI Jakarta Putu Ayu Puspita; Muhammad Irfan Syaebani
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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

Abstract

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

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

Abstract

Background: Health promotion needs to be given in hospitals even though the hospital is engaged in curative and rehabilitative fields. The area of preventive and curative that differentiates is the target. The preventive sector targets healthy people, while the curative sector targets patients and their families and health care workers. Health promotion in hospitals also seeks to prevent the patient's family from getting the same disease as what happened to the patient. The purpose of this study is to analyze the formation and implementation of health promotion programs at Dr. Moewardi Regional Public Hospital Surakarta. Subjects and Method: Qualitative study using in-depth interviews. Interviews were conducted at the regional general hospital Dr. Moewardi, Surakarta, Indonesia in January to March 2023. Interviews were conducted with 2 main informants who were PKRS committee secretaries who were the Head of Public Relations and Marketing Head, 6 regular informants, and 4 additional informants who were randomly selected and were the targets of PKRS activities. The variables in this study are input, process, and output. The data is processed through the stages of data reduction, data presentation, and drawing conclusions and source triangulation. Results: Hospital Health Promotion activities already have job descriptions and are carried out according to SOPs. The process in this study before the activity started was always planned, when the activity started, the team was involved but there was no supervision by the Hospital Health Promotion Committee and evaluations were always held. The output of this study is that the Hospital Health Promotion activities carried out are in accordance with the letter of assignment formed and are in accordance with the SOP and this is a reference for Hospital Health Promotion activities in the future.. Conclusion: The findings from this study are that Hospital Health Promotion at Dr. Moewardi Regional Public Hospital has been going well and is routinely carried out, but the human resources involved for Hospital Health Promotion activities are still lacking even though everything is in accordance with the operational plan formed. Keywords: analysis, health promotion, system theory Correspondence: Dyah Ayu Kusumawardani. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email:dyahayuksma96@gmail.com. Mobile: +6281466847498
Meta-Analysis the Effects of Working Duration and Working Condition on Satisfaction in Health Workers in Hospital Aditya Kurniawan; Didik Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 9 No. 1 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.01.08

Abstract

Background: Job satisfaction of health workers in hospitals is one of the important points for motivation and increasing work effectiveness, 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 personnel which will exacerbate the condition of health facilities, especially in hospitals. The aim of the research is to conduct a meta-analysis of previous studies that have been conducted on the effect of working time and working conditions on the job satisfaction of health personnel in hospitals. Subjects and Method: This study is a meta-analysis with PICO. Population: health personnel. Intervention: long working time and good working conditions. Comparison: Working time is short and working conditions are bad. Outcome: job satisfaction. The articles used in this study were obtained from four databases, namely PubMed, Google Scholar, Science Direct, SpringerLink, BMJ, Garuda, SINTA, and the National Library of Indonesia. Keywords used to search for articles “Working Hours” OR “Working Hours Long” AND “Working Conditions” OR “Working Conditions Good” AND “Job Satisfaction” AND “Health Workers” AND “Multivariate”. The articles used were those which are full text in English from 2014 to 2023. Articles were selected using the PRISMA flowchart and analyzed using the application (RevMan) 5.3. Results: A total of 17 cross-sectional study articles from Belgium, Canada, China Denmark, Ethiopia, Israel and Switzerland. Based on the analysis, health personnel with long working hours reduced job satisfaction 0.47 times compared to health workers with low working hours and this was statistically significant (aOR=0.47; 95% CI=0.12 to 0.92; p=0.030). Health workers with safe working conditions increased job satisfaction 2.75 times compared to health workers with unsafe working conditions and this was statistically significant (aOR=2.75; 95% CI=1.59 to 4.78; p=0.003). Conclusion: Long working hours reduce the job satisfaction of health personnel and good working conditions increase the job satisfaction of health personnel. Keywords: Working Time, Working Conditions, Job Satisfaction, Health Personnels Correspondence: Aditya Kurniawan. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A, Surakarta 57126, Central Java, Indonesia. Email: akur88@gmail.com Mobile: +6285642088532
A Meta Analysis: Effectiveness of Telemedicine to Improve Self-Care in Patients with Hearth Failure Audria Ersananda; Hanung Prasetya; Burhannudin Ichsan
Journal of Health Policy and Management Vol. 9 No. 1 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.01.11

Abstract

Background: Modern and sophisticated self-care education programs such as web-based methods and wireless networks can make changes in patient behavior to improve self-care management. Telemedicine is a potential alternative to continue providing patient health services by minimizing the risk of exposure and physical contact. This study aims to investigate relevant primary studies in order to assess the effectiveness of telemedicine to improve self-care in heart failure patients. Subjects and Method: This study used a systematic review and meta-analysis with PICO namely, P: Patients with heart failure, I; using telemedicine, C: not using telemedicine, O: increasing self care for heart failure patients. By searching for articles in 3 databases namely PubMed, Google Scholar, Cochrane which were published from 2013 to 2023, entering the following keywords (“Heart Failure” OR “congestive heart failure”) AND (Telemedicine OR “electronic health record” OR mHealth OR “ mobile health” OR “mobile app” OR “telehealth” OR “healthcare system information”) AND “self care” AND “randomized controlled trials”. Articles were selected using PRISMA flow and data analysis using the Review Manager 5.3 application. Results: Meta-analysis was carried out on 9 primary studies using RCT study designs from several countries such as Canada, the United States, Colombia, Australia, Hong Kong, Finland with a total sample size of 1.018. The processed meta-analysis data found that telemedicine is effective for improving self-care in heart failure patients, and is statistically close to significant. Heart failure patients who received telemedicine-based education had an average self-care value of 0.33 SMD units higher than those who did not receive the intervention (SMD= 0.33; 95% CI= 0.15 to 0.52; p= 0.004). Conclusion: Telemedicine is effective for improving self care in heart failure patients. Keywords: Heart Failure, Self Care, Telemedicine. Correspondence: Audria Ersananda, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: audriaersa@gmail.com. Mobile: 082233999407.
Factors Associated with Readiness to Adopt Electronic Health Record in Professional Health Workers: A Meta-Analysis Purwa Adrianta Wibawa; Didik Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 9 No. 1 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.01.10

Abstract

Background: The application of an electronic health record at a health service center is something that needs to be prepared so that such a system can be successful. This study aims to determine the factors that influence the readiness of EHR adoption among health professionals. Subject and Method: This systematic review and meta-analysis was carried out using the PRISMA guidelines and the PICO model: Population: professional health workers, intervention: computer literate, computer access, high perceived benefit, high self-efficacy, EHR training, technical assistance, comparison: no computer literacy, no computer access, no perceived benefit, low self-efficacy, no EHR training, no technical assistance, outcome: readiness to adopt EHR. Articles are collected from databases like Pubmed, Google Scholar, Science Direct. The keywords used are "electronic health record" OR “EHR” OR “electronic medical record” OR “EMR” OR “electronic patient record” OR “EPR” AND “adoption” OR “readiness” AND “EHR implementation” AND “healthcare professionals “AND “Multivariate analysis”. A total of 13 articles met the inclusion criteria, namely full text articles with a cross-sectional study design, with a relationship size adjusted odds ratio (aOR). Data were analyzed using RevMan 5.3. Result: Meta-analyses from Myanmar, Saudi Arabia, Ghana, Ethiopia, the Netherlands, and the United States showed that computer literacy (aOR= 1.67; CI 95%= 1.29 to 2.16; p< 0.001), computer access (aOR= 1.93; CI 95%= 1.41 to 2.64; p< 0.001), perceived benefit (aOR= 3.21; CI 95%= 2.27 to 4.56; p< 0.001), self-efficacy (aOR= 1.94; CI 95%= 1.37 to 2.75; p< 0.001), HER training (aOR= 2.20; CI 95%= 1.58 to 3.06; p< 0.001), and technical assistance (aOR= 2.34; CI 95%= 1.26 to 4.35; p= 0.007) influenced in the readiness of EHR adoption in health professionals and it was statistically significant. Conclusion: Good computer literacy, computer access, high perceived benefits, high self-efficacy, EHR training, and technical support increased the readiness for EHR adoption among professional health workers. Keywords: electronic health record, EHR, medical records, health services, professional health workers. Correspondence: Purwa Adrianta Wibawa. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: purwaadrianta@gmail.com. Mobile: +62 821-3269-7209.
Meta Analysis: Effect of Waiting Time and Outpatient’s Satisfaction in Hospitals Feby Safitri; Bhisma Murti; Burhannudin Ichsan
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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

Abstract

Background: Service waiting time is one of the problems that causes patient complaints in several hospitals. The length of patient waiting time reflects how the hospital manages service components that are tailored to the patient's situation and expectations, as well as analyzing the effect of waiting time on the level of outpatient patient satisfaction at the hospital. The purpose of this study was to determine the effect of waiting time on the satisfaction level of outpatients at the hospital. Subjects and Method: A systematic review and meta-analysis was performed using the PRISMA guidelines and the PICO model including Population = Outpatients; Intervention = short waiting time < 2 hours; Comparison = long waiting time > 2 hours; Outcome = satisfaction. Articles are collected from databases such as PubMed, Science Direct, and Google Schoolar. The keywords used in the database search were "waiting time and satisfaction" OR "satisfaction" AND "outpatient" AND "hospital' AND "cross-sectional study". A total of 9 articles met the inclusion criteria, namely primary full text paper, cross-sectional study design, with a relationship size adjusted Odds Ratio (aOR), outpatient study subjects, interventions in the form of short waiting times < 2 hours and outcomes in the form of outpatient satisfaction for meta-analyses were then assessed using RevMan 5.3. Results: The meta-analysis which is dominated by Ethiopia shows that there is an effect of waiting time on patient satisfaction. Patients who receive services with short waiting times <2 hours have the possibility to be satisfied 6.86 times compared to long waiting times > 2 hours (aOR= 6.86; 95% CI= 1.31 to 3.26; p= 0.002) Heterogeneity (I2 = 83%) -> using random effects with statistically significant results. Conclusion: Patients who wait for a short time have the possibility to be satisfied 6.86 times compared to long waiting times. Keywords: waiting time, satisfaction, outpatien, hospital. Correspondence: Feby Safitri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: safitri.feby@gmail.com. Mobile: +6282143749717.
Analysis of Factors Associated with Work Performance of Inpatient Nurse in Dr. Wahidin Sudirohusodo Hospital, Makassar, Indonesia Andreza; Didik Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 9 No. 1 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.01.06

Abstract

Background: Hospital is a health service institution that provides complete individual health services. The success of a hospital is determined by the performance of its employees. To improve the quality of health services, nurses who are reliable and have good performance are needed. Good nurse performance is expected to have a positive impact on organizational performance, in this case, the hospital itself. This study aims to identify and analyze the factors that influence nurse performance. Subjects and Methodes: The study design used descriptive analytic using a cross sectional approach. Study location at Dr. Wahidin Sudirohusodo Central General Hospital Makassar in March 2023. Subjects were 272 nurses in the Inpatient Room. Quantitative data analysis, namely univariate, bivariate and path analysis. Results: Motivation affects nurse performance (b = 0.63; 95% CI = 0.55 to 0.72; p < 0.001). Job satisfaction affects nurse performance (b = 0.20; 95% CI = 0.30 to 0.30; p < 0.001). Discipline affects nurse performance (b = 0.11; 95% CI = 0.01 to 0.23; p = 0.049). Motivation has an effect on discipline (b = 0.46; 95% CI = 0.39 to 0.53; p < 0.001). Job satisfaction affects discipline (b = 0.30; 95% CI = 0.21 to 0.39; p < 0.001). Leadership effect on discipline (b = 0.27; 95% CI = 0.21 to 0.35; p < 0.001). Motivation has an effect on job satisfaction (b = 0.31; 95% CI = 0.24 to 0.38; p < 0.001). Stress has an effect on job satisfaction (b = 0.06; 95% CI = 0.01 to 0.12; p = 0.036). Leadership influences job satisfaction (b = 0.21; 95% CI = 0.15 to 0.29; p < 0.001). Work environment influences job satisfaction (b = 0.52; 95% CI = 0.45 to 0.59; p < 0.001). Conclusion: Nurse performance is influenced by motivation, work discipline, work stress, job satisfaction, leadership, and work environment. Keywords: Motivation, discipline, work stress, job satisfaction, leadership, work environment, nurse performance Correspondence: Andreza. Master’s Program in Public Health, Graduate School, Universitas Sebelas Maret. Jl Ir. Sutami 36 A Kentingan Surakarta, Jawa Tengah, Indonesia. Email : Andrezafauzialghifary@gmail.com. Mobile: 085299015320.
Study of Compliance of Medical Records Officers with Medical Record Security and Confidentiality Regulations Regional General Hospital dr. Gondo Suwarno Semarang Regency Adhani Windari; Sri Lestari; Isnaini Qoriatul Fadhilah
Journal of Health Policy and Management Vol. 9 No. 1 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.01.04.

Abstract

Background: Regional General Hospital (RSUD) dr. Gondo Suwarno has implemented policies/regulations to maintain the security and confidentiality of medical records as outlined in several Standard Operating Procedures (SPO). Implementation of services often do not comply with these regulations, for several reasons. The purpose of this study is to find out the reasons/causes of these problems by carrying out research on Compliance with Security Regulations and Confidentiality of Hospital Medical Records in Semarang Regency. Subjects and Method: This type of qualitative descriptive research used a case study approach with observation and interview techniques conducted at Semarang District Hospital in January - April 2022. A total of 5 informants were selected in this study. Data were collected using interview guidelines and observation guidelines. Data is presented descriptively. Results: The result is dr. Gondo Suwarno already has an SPO to maintain the security and confidentiality of medical records, the procedures of which are in accordance with applicable health minister regulations. Characteristics of medical record officers 86% have Diploma Three in Medical Records and Health Information (D3 RMIK) education, 57% have worked for 25 years or more, and 71% are 50 years old or more. Officers have not fully complied with regulations to maintain the security and confidentiality of medical records, because they are constrained by policy support facilities that have not been fulfilled. Supporting facilities for medical record security and confidentiality policies are not fully available, such as document carrying bags and medical record storage rooms that do not have doors. Conclusion: SPO for maintaining the security and confidentiality of medical records whose procedures are in accordance with the applicable minister of health regulations, but officers have not fully complied with the regulations for maintaining the security and confidentiality of medical records, due to constraints on supporting policy facilities that have not been fulfilled. Keywords: compliance, regulation, security, confidentiality. Correspondence: Adhani Windari. Poltekkes Kemenkes Semarang. Pedalangan, Banyumanik, Kota Semarang, 50268 Jawa Tengah. Email: adhaniwindari@students.undip.ac.id. Mobile: +62 817-0582-584.
Patient Safety Culture in Hospitals based on Agency For Health Care Research And Quality (AHRQ) Christiana Sri Wahyuningsih; Esthi Budhi Asih; Rohayati Masitoh; Kiki Rahmawati
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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

Abstract

Background: The first step towards patient safety is to build a good patient safety culture. Patient safety culture measurements can be used as evaluations to improve quality and patient safety. This study aims to determine an overview of patient safety culture in hospitals. Study Method: It was a descriptive observational study with a cross-sectional study conducted in July 2022 - September 2022. This study was conducted at Panembahan Senopati Hospital with a total population of 974 hospital employees and selected 383 study samples by using simple random sampling. The dependent variable in the study was patient safety culture. The independent variables in this study were information disclosure, feedback and communication about patient safety incidents, management support for patient safety, non-punitive response to errors, organizational learning and continuous improvement, staffing, staff expectations of supervisor/management attitudes and actions in encouraging patient safety, cooperation within the unit, frequency of incident reporting, overall perception on safety, handoff and transition, and cross units cooperation. The data collection technique used was the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire developed by the Agency for Health Care Research Quality (AHRQ) consisting of 12 dimensions of patient safety culture. The study data were analyzed using descriptive analysis technique. Result: The positive value of patient safety culture fell into the medium category (72.12%). The dimensions of patient safety culture with strong categories (>75%) were cooperation within the unit, expectations and actions of managers in promoting patient safety, organizational learning, management support for patient safety, and cross units cooperation. The dimensions of patient safety culture in the medium category (50% - 75%) were employee perceptions of patient safety, feedback and communication on errors, open communication, frequency of incident reporting, handoffs and transitions, and non-punitive responses to errors. The dimension of patient safety culture with weak category (< 50%) was staffing. Conclusion: The strength areas of patient safety culture are organizational aspects, aspects of management support for patient safety, aspects of cross units cooperation, aspects of cooperation within units, and expectations and actions of managers in promoting patient safety. While the areas that still require development are staffing aspects, open communication aspects, and incident reporting frequency, thus their improvement must be prioritized. Keywords: AHRQ, patient safety, safety culture Correspondence: Christiana Sri Wahyuningsih. Panembahan Senopati General Hospital Bantul, Jl. Dr. Wahidin Sudiro Husodo, Trirenggo, Bantul, Bantul, Yogyakarta. Email: anachristi19@gmail.com. Mobile: +6281287783924

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