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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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APPLICATION OF LEAN MANAGEMENT METHODS TO THE WAITING TIME EFFICIENCY OF OUTPATIENT SERVICES AT JEMBER HOSPITAL CLINIC Hanesya, Nabella Arina Muna Hanesya; Bumi , Candra; Prihatini, Dewi
Journal of Health Policy and Management Vol. 9 No. 2 (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.2024.09.02.07

Abstract

Background: Services to patients in hospitals often experience problems of dissatisfaction due to waiting time. There were complaints submitted by outpatients regarding the long waiting time for polyclinic services. This study aims to analyze the application of the lean method in the problem of waiting time efficiency at Jember Klinik Hospital. Subjects and Method: This research design is qualitative. The research location is Jember Clinic Hospital. Data collection techniques using in-depth interviews, observation and documentation. Research informants are leaders, medical staff in the registration and service department. This research does not use variables but focuses on place, actor, activity, value stream mapping (VSM). Methods of data analysis using interpretive thematic analysis. Results: 1) the outpatient service process at the Jember Klinik Hospital is carried out starting from the registration counter until the patient enters the examination room. Lead time at the outpatient registration area (6 patients) was 261 minutes, lead time at the filing room (6 patients) was 125 minutes, lead time at the polyclinic (6 patients) was 663 minutes; 2) Flowchart of outpatient services (outpatient waiting time) starting from the patient registering at the Outpatient Registration Center (TPPRJ) until the patient is examined by a specialist starting with the registrar calling the patient, the registration officer validating the completeness of the requirements, input SIMRS data and v -claims, search and distribution of BRM to polyclinics, and examination by DPJP and 3) VSM starts from TPPRJ to polyclinic. The process required for the registration process is 43.50 minutes. Conclusion: The application of the lean method in the problem of waiting time efficiency at the Jember Klinik Hospital is still not optimal with the mapping of waste at the Jember Klinik Hospital explained Lead time, Flowchart of outpatient services and VSM starting from TPPRJ to the polyclinic. Keywords: efficiency, lean management, service, waiting time Correspondence: Nabella Arina Muna Hanesya. Masters Program in Public Health, Universitas Jember. Jalan Kalimantan Kampus Bumi Tegal No.I / 93, Krajan Timur, Boto, Kec. Sumbersari, Kabupaten Jember, Jawa Timur 6812. Email: nabellaarina@gmail.com. Moblie: +628139277772
Effects of Training and Supervision on Work Performance among Health Workers in Hospital: Meta-Analysis Luturmas, Antina; Pamungkasari, Eti Poncorini; 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.2024.09.01.05

Abstract

Background: Performance in an organization is carried out by all existing human resources, both leaders and workers. There are several factors that can affect human resources in carrying out their performance, both factors that come from within human resources and those that come from outside themselves. The purpose of this study was to analyze the effect of training and supervision on the performance of health workers in hospitals, using a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This article was prepared using a systematic review and meta-analytic study. This research was conducted using the PICO model. The meta-analytic study was carried out by searching for articles from databases in electronic form using Google scholar, PubMed, Science direct, and Springerlink. An article search was conducted from 1 to 18 February 2023. The keywords used were “Performance” AND “Training” AND “supervision” AND “health workers” AND “Multivariate” AND “Cross-Sectional”. The inclusion criteria for this study were complete articles using cross-sectional research, published years from 2013-2023. Analysis of the articles in this study used RevMan 5.3 software. Results: A total of 10 cross-sectional studies from Africa and Asia were selected for systematic review and meta-analysis. The results of the meta-analysis show that training can improve performance and supervision can improve performance. Health workers who received training had a large influence on improving performance by 1.68 compared to those who did not receive training (aOR= 1.68; 95% CI= 1.37 to 2.05; p= 0.001). Supervised health workers had an influence on improving performance 2.38 times compared to unsupervised health workers (aOR= 2.38; 95% CI= 1.57 to 3.61; p= 0.009). Conclusion: Training can improve performance and supervision can improve health worker performance. Keywords: Performance, training, supervision, health workers Correspondence: Antina Luturmas, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: antinaluturmas@g­mail.com­­. Mobile: +6282387204089
Meta-Analysis: Effect of Training and Needle Recapping on Needle Stick Injury in Health Workers Andriyani, Shofia; Demartoto, Argyo; Murti, Bhisma
Journal of Health Policy and Management Vol. 9 No. 2 (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.2024.09.02.01

Abstract

Background: Health Personnel are at risk of contracting diseases from blood/body fluids (bloodborne pathogens) in various ways, one of which is through needle stick injuries or what is known as needle stick injury. Recapping of needles and lack of training are factors in unsafe actions that can risk work accidents. This study aims to analyze the effect of training and recapping of needles on the incidence of needle stick injuries in Health personnal using meta analysis. Subjects and Methode: This study is a systematic review and meta-analysis study using the PRISMA diagram. Article searches were carried out based on eligibility criteria using the PICO Model. Population: Health personnal, Intervention: training and not recapping of needles, Comparison: no training and recapping of needles, Outcome: Occurrence of needle stick injury work accidents. The articles used came from Google Scholar, PubMed, Science Direct and ProQuest published from 2013 – 2023. The keywords used in the search were “Training OR Safety Training OR Infection Prevention Training AND Recapping of Needle AND Needle Stick Injury OR Needle Stick Injuries OR Needle Stick and Sharp Injury OR Percutaneous injuries AND Healthcare Workers OR Health Professionals”. The inclusion criteria for this study were full paper articles with cross-sectional studies. The analysis used was multivariate with adjusted Odds Ratio. Eligible articles were analyzed using the Revman 5.3 application. Results: Meta-analysis was carried out on 13 articles originating from the African and Asian continents with a cross-sectional study design. The results of the analysis show that Health personnal who receive training have a risk of experiencing NSI 0.56 times compared to those without training. Although this relationship was not statistically significant (aOR = 0.56; Cl 95% = 0.26 to 1.17; p = 0.120). Recapping of needles has an effect on increasing the incidence of needle stick injuries in health personnel by 2.04 compared to not recapping of needles and this result is statistically significant (aOR=2.04; 95% CI = 1.50 to 2.78; p<0.001) Conclusion: Training and recapping of needles influence the incidence of needle stick injuries in health worker.
System Readines for the Implementation of Maternal and Child Health Services during COVID-19 Pandemic in Comoro Community Health Center, Dili Timot-Leste Lopes, Agusta Amaral
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.2024.09.01.12

Abstract

Abstract Background: Maternal and child health is an important element in improving the welfare of mothers, infants and children to achieve Timor-Leste's public health goals. Mother and child services can use the Six Building Blocks service system from the World Health Organization. This study aimed to look at the readiness of the Maternal and Child Health (MCH) service delivery system during the COVID-19 period at the Comoro Health Center. Methods: A cross-sectional study was conducted at the Comoro Community Health Center, Dili City in November 2021. A total of 94 health workers including doctors, midwives and nurses working in the Maternal and Child Health (MCH) sector, pharmacy technicians working in pharmacy units, laboratory technicians working in laboratory units were selected for this study. The dependent variable was progress in achieving maternal and child health service indicators. The independent variables were provision of health services, availability of health workers, health information system (technology), availability of essential medicines and health products, finance, and leadership/leadership. The data were collected by using questionnaire. The data were analyze using Chi-Square. Result: Maternal and child health service readiness were associated with health service delivery (OR= 2.97; 95% CI= 1.23-7.16; p=0.014), availability of health workers (OR= 3.44; 95% CI= 1.28-9.25; p=0.012), availability of essential medicine (OR= 1.40; 95% CI= 0.55-3.58; p=0.048). Maternal and child health service readiness were associated with availability of information communication & technologies (OR=2.32; 95% CI= 0.91-5.90; p=0.073), availability of finance (OR= 2.62; 95% CI= 1.06-6.47; p=0.034), and leadership (OR= 1.43 95% CI= 0.60-3.40; p=0.419), but they were not statistically not significant. Conclusion: Maternal and child health service readiness are associated with health service delivery, availability of health workers, availability of essential medicine, availability of information communication & technologies, availability of finance and leadership. Keywords: maternal and child health, health system and covid-19.
META ANALYSIS: EFFECTIVENESS OF ELECTRONIC MEDICAL RECORD (EMR) ON THE QUALITY OF HEALTH SERVICES Kurniawan, Hendra Dwi; Widiyanto, Aris; Putri , Santy Irene; Prisusanti, Retno Dewi
Journal of Health Policy and Management Vol. 9 No. 2 (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.2024.09.02.03

Abstract

Background : Progress technology information make all affected areas _ experience change . One of impact progress technology and information in the area health that is exists record medical electronic . There is a record medical electronic is designed to improve communication between providers within and between organizations by automating the collection, use, and storage of patient information. Additionally, record medical electronics can facilitate guideline compliance and decision support in service health . There is a record medical electronic expected can increase quality service health care in the facility service health . Subjects and Methods : This research is a meta-analysis and systematic review study , with PICO Population = Hospitals that use an EMR system . Intervention = _ Electronic Medical Records ( EMR ) . Comparison = Without Electronic Medical Record ( EMR ) . Outcome = Quality of health services. The articles used in this research were obtained from several databases including PubMed, ScienceDirect, and Google Scholar. Keywords to find articles are: “EMR” OR “ effectiveness of EMR use” OR “ quality of health care” OR “ effectiveness of EMR” Results : A total of 10 articles reviewed in this meta-analysis study came from America, Arabia, London and Taipei. Studies show that EMR use improves the quality of health care ( aOR = 0.87 (95% CI, 0.79 - 0.95). Conclusion : Service health services that use Electronic Medical Records ( EMR ) are 0.87 times more effective in improving health services compared to with service health who do not use an Electrocik Medical Record ( EMR ) .   Keywords : EMR, Quality of health services, Electronic Medical Records
Implementation of Indirect Contact Services for National Health Insurance Participants: A Case Study of Jambi City's Primary Healthcare Facilities Mauliana, Resty; Misnaniarti, Misnaniarti; Syakurah, Rizma Adlia
Journal of Health Policy and Management Vol. 9 No. 3 (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.2024.09.03.02

Abstract

Background: In response to the COVID-19 pandemic, BPJS Kesehatan has introduced an indirect contact program, but many districts and cities, including Jambi City in Jambi Province, have not achieved the target contact rate. This study aims to analyze the implementation of indirect contact services for JKN participants in Jambi City's primary healthcare facilities (PHC). Subjects and Method: This descriptive qualitative research was conducted at BPJS Kesehatan and PHC Jambi City from March to April 2022. Data were collected through in-depth interviews, observation, and document review. Informants were selected using a consecutive sampling technique based on the type of PHC, including community health centres (Puskesmas), private clinics, and individual practitioners (DPPs), representing the lowest and highest achievement levels. Thematic analysis techniques were used to analyze the data. Results: The findings revealed that the implementation of indirect contact services for JKN participants in Jambi City's PHC was influenced by various factors. These factors included challenges in increasing contact rates, dissatisfaction among JKN participants, and economic constraints faced by the participants. Contributing factors to these challenges was the absence of input guidelines, standard operating procedures (SOPs), dedicated personnel, allocated funds, and specialized equipment for indirect contact. Routine socialization efforts were also lacking. Furthermore, the understanding of officers regarding the objectives, targets, and implementation of indirect contact, as well as their competence, played significant roles in the implementation. Conclusion: Implementing indirect contact services has not been optimal, necessitating increased support from BPJS Health Jambi Branch for improving indirect contact services
Unraveling the Success Factors and Challenges in Implementing the COVID-19 Vaccination Program: A Case Study of the Community Health Center in Palembang Dewi, Aminah Aulia; Syakurah, Rizma Adlia
Journal of Health Policy and Management Vol. 9 No. 3 (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.2024.09.03.05

Abstract

Background: The escalating number of COVID-19-positive cases and mortality within the community has prompted the government to prioritize vaccination efforts. However, the vaccination target has not yet reached optimal, particularly in Palembang. This study aims to evaluate the implementation of the COVID-19 vaccination program at the Community Health Center in Palembang through a descriptive qualitative approach. Subjects and Method: The data were obtained through in-depth interviews, observations, and document reviews conducted at the Community Health Center between November 25, 2021, and December 30, 2021. A total of ten informants were selected using consecutive sampling. Results: The findings of this study indicate consistency in various aspects of the input component, including the vaccine team, funding sources, types of vaccines, storage facilities, other support systems, and planning methods. However, due to a lack of data integration among the data management entities, the Community Health Center and Health Office face challenges in accurately determining vaccine targets. The vaccination coverage in Palembang stood at 87.08% for the first dose and 68.52% for the second dose. Unfortunately, delays in achieving vaccine coverage, particularly among specific groups such as older people, have hindered the development of expected herd immunity. There have been no reports of severe adverse events following immunization (AEFIs) within the community. Conclusion: The COVID-19 vaccination program in Palembang was implemented well. However, data management entities must prioritize data integration to fulfill vaccination targets.
User Satisfaction and Challenges in Telemedicine Services during the COVID-19 Pandemic in Indonesia: A Population-Based Analysis Adinda, Havivi Rizky; Syakurah, Rizma Adlia; Pariyana, Pariyana
Journal of Health Policy and Management Vol. 9 No. 2 (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.2024.09.02.09

Abstract

Background: The COVID-19 pandemic has led to a surge in telemedicine utilization in Indonesia, necessitating increased attention toward user satisfaction and encountering obstacles in telemedicine services. This study aims to analyze the satisfaction and barriers faced by users of telemedicine applications, considering population characteristics during the COVID-19 pandemic in Indonesia. Subjects and Method: Using a descriptive observational design with a cross-sectional approach, the study encompassed the entire population of telemedicine users during the COVID-19 pandemic, with samples adhering to predetermined inclusion and exclusion criteria. Data were collected through Google Forms questionnaires from August 2020 to November 2020. Subsequently, data were subjected to chi-square tests (alternative: Kruskal-Wallis) and logistic regression analyses, with p-value<0.05 and 95% confidence interval. User satisfaction with telemedicine was associated with factors such as domicile, settlement, provider, health insurance, and utilized internet network (p<0.05). Results: User satisfaction with telemedicine was associated with factors such as domicile, settlement, provider, health insurance, and utilized internet network (p<0.05). Conversely, barriers encountered in telemedicine exhibited associations with gender, marital status, age, regional origin, residence, education, occupation, health insurance, income, provider type, internet network, and internet quota (p<0.05). A significant correlation was observed between barriers and user satisfaction with telemedicine (p<0.001). The most influential factor affecting satisfaction was income less than Rp 1,500,000 per month (OR 30.818; 95% CI: 1.751-542.394), while pay ranging from Rp 3,500,000 to 5,500,000 per month exhibited the most substantial impact on barriers (OR 5.266; 95% CI: 2.326-11.920). Conclusion: Most respondents expressed satisfaction and encountered no obstacles when employing telemedicine. Respondents suggested enhancing telemedicine usage by emphasizing the importance of diagnostic accuracy, simplifying processes, maintaining confidentiality, optimizing application features, and improving network speed.
ANALYSIS OF OCCUPATIONAL HEALTH AND SAFETY RISK USING HIRADC METHOD IN MEDICAL RECORD INSTALLATION AT NGANJUK HOSPITAL Maulana Muhammad Sirojuddin Abbas; Dian Herawati
Journal of Health Policy and Management Vol. 9 No. 3 (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.2024.09.03.01

Abstract

ABSTRAK Background : Hospitals are required to organize occupational health and safety (K3RS) in all parts of the installation in the hospital, one of which is the medical record installation. The medical record installation has a storage room, namely a filing room which is an important part of storing medical records and has the potential to have various potential hazards. The management of Nganjuk Hospital for this period has not carried out a risk assessment on the medical record installation section. Subject dan Methods: This research is a qualitative descriptive study with a case study design. The sampling technique used was purposive sampling technique. The subjects used in this study were 2 medical record officers, the Head of the Medical Record Installation, and the Head of the K3 Section of Nganjuk Hospital. Results: Based on the HIRADC matrix, the Nganjuk Hospital medical record installation in the Filing section identified a potential hazard in the Moderate-High risk category, including; dusty filing shelves and medical records, poor environmental conditions (temperature, lighting, humidity), distance and height between shelves is not ergonomic, there are sharp objects (remaining staples) in the medical records, carrying and delivering too many medical records to each poly aim. Conclusion : The potential for danger in the filing room is found to be quite a risk to interfere with the work of the filing officer. This requires risk control, including; carry out elimination, substitution, technical control, administrative control and use of PPE
Meta Analysis: Patient’s Satisfaction with the Outpatient’s Telemedicine Service Putri, Farahdilla Aribowo; Tamtomo, Didik; Prasetya, Hanung
Journal of Health Policy and Management Vol. 9 No. 2 (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.2024.09.02.08

Abstract

Background: Telemedicine is a combination of information and communication technology with medical science to provide health services that are not limited to space and can be done remotely (PB IDI, 2020). Patient satisfaction is referred to as the most integral element in the successful implementation of telemedicine (Ploog et al, 2022). This study aims to compare the satisfaction level of outpatients between telemedicine visits and regular face-to-face visits using meta-analysis. Subjects and Method: This study used a systematic review and meta-analysis based on pico as follows, population: outpatient polyclinic, intervention: telemedicine services, comparison: standard care, outcome: patient satisfaction. Data were obtained from the PubMed, Google Scholar, Springerlink, National Center for Biotechnology Information, MEDLINE, Cochrane Library, and Science Direct databases published from 2020 – 2022. The keywords used in the article search were “telemedicine”, “telehealth”, “ virtual care”, “online follow up care”, “telemedicine vs in office” “telemedicine vs conventional”, “patient satisfaction”, “patient experience”, and “randomized clinical trial.” The inclusion criteria were in the form of a full paper article using a randomized clinical trial design, the subjects were outpatients, new patients and follow-up patients, had a control group that assessed standard services, the study outcomes used the mean SD. Article selection used the PRISMA flowchart and the results were analyzed using Review Manager 5.3 software. Results: A meta-analysis of 10 articles from Hong Kong, Turkey, Germany, Austria, the Netherlands, Ireland and the United States with a sample size of 1412 outpatient polyclinics showed that outpatient polypatients who received telemedicine services had an average satisfaction level of 0.38 points. higher than standard service (SMD= 0.38; 95% CI= -0.01 to 0.77; p= 0.060). The meta-analysis of this study showed significant heterogeneity of effect estimates between studies (I² = 69%; p<0.001), so the analysis used was the Random Effect Model (REM). Conclusion: Patients who received telemedicine services experienced an average satisfaction level of 0.38 higher than patients who received standard services (SMD= 0.38; 95% CI= -0.01 to 0.77; p= 0.060). Keywords: Telemedicine, Patient satisfaction, Meta-analysis Correspondence: Farahdilla Aribowo Putri. Masters Program in Public Health, Sekolah Pascasarjana, Universitas Sebelas Maret. Jl Ir Sutami No. 36A Jebres Surakarta. Email: farahdilla.a.putri@gmail.com. Handphone: +6281333287647.

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