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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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Meta-Analysis: Effects of Knowledge and Training on the Readiness of Electronic Medical Record Use in Health Workers Ma'ruf, Agus Syukron; Prasetya, Hanung; 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.2024.09.02.12

Abstract

Background: Globally, more than half of RME projects face the potential problem that only 35% of lower-middle-income countries and 15% of low-income countries have implemented national electronic health record systems. This study aims to analyze previous primary studies in assessing the influence of electronic medical record training and level of knowledge on health workers' readiness to use electronic medical records. Subjects and Method: This research is a systematic review and meta-analysis using the PRISMA flow diagram and PICO model. Population: health workers. Intervention: RME training and level of knowledge. Comparison: no RME training and poor knowledge level. Outcome: readiness to use RME in health workers. The databases used were Google Scholar, Pubmed, ScienceDirect, Taylor & Francis, Springer Link, Plos One, and BioMed Central, with the keywords (“Willingness” OR “Readiness” OR “Utilization” AND “Electronic Medical Records” OR “EMR” AND “Training” OR “EMR Training” AND “Knowledge” AND 46 “Health Professionals” AND “Cross Sectional” AND “Adjusted Odds Ratio” OR “AOR”). There were 9 cross-sectional studies published in 2015-2023 that met the inclusion criteria. Data analysis using RevMan 5.4. Results: Meta-analysis of 9 articles with a cross-sectional study design obtained from Ethiopia with a sample size of 3,996 health workers. The meta-analysis results show that health workers who received EMR training were 2.62 times more prepared to use electronic medical records compared to health workers who did not receive EMR training, and these results were statistically significant (aOR= 2.62; 95% CI= 2.01 to 3.42; p = 0.001), Health workers who have good knowledge can increase readiness to use electronic medical records by 1.83 times compared to health workers who have poor knowledge, and these results are statistically significant (aOR= 1.83; 95% CI= 1.50 to 2.24; p= 0.001). Conclusion: Health workers who receive RME training and have a good level of knowledge can increase their readiness to use RME. Keywords: RME training, level of knowledge, RME readiness, health personnel Correspondence: Agus Syukron Ma’ruf. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: syukron.agsyma2901@itsk-soepraoen.ac.id. Mobile: +6281333387010.
Analysis of Cancer Control Policies in Surakarta Prasetya, Hanung; Setyawan, Dodiet Aditya; Sudiro, Sudiro; Utomo, Budi; Mirshanti, Farahdila; Azmiardi, Akhmad
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.2024.09.02.10

Abstract

Background:Cancer is the main cause of death throughout the world. Cervical cancer causes 7.5% of women's deaths, 85% of which occur in developing countries. According to the latest data fromGlobocan for 2020, there were 141.1 new cancer cases per 100,000 people in Indonesia, and there were 85.1 cancer deaths per 100,000 people. Cancer is the largest cause of death from non-communicable diseases, second only to cardiovascular disease (heart and blood vessels). Subjects and Methods:This research uses a qualitative descriptive method. Analysis is carried out using data that comes from various sources, not just one source, through interviews and documentation. The location chosen was Surakarta City. This research is public policy research. Policy research is research relating to the formulation and formulation of policies, policy implementation, policy performance and the policy environment. Results:In general, there are policies that regulate the control of cancer. In general, everyone has implemented cancer control through promotive, preventive and curative efforts. There needs to be support from multi-sectors in controlling cancer. Conclusion:There is a need for policy outreach and the role of multisectors/multiactors in cancer control policies in Surakarta, assistance to the community and the role of universities in controlling cancer, the importance of creating an institution that specifically handles cancer control and the importance of advocacy and education about cancer control to the community and psychoeducation for families who have a family member with cancer. Keywords:Policy Analysis, Control, Cancer
Is Longer Working Time Associated with Depression and Mental Well-being in Resident and Young Doctors? Sari, Ayu Nanda; Prasetya, Hanung; 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.2024.09.02.11

Abstract

Background: Long working hours are known to have a negative impact on health. This study aims to explore the association between long working hours on depression and mental well-being with a nationally representative sample. Subjects and Method: A cross-sectional study was conducted on 176 resident doctors and young doctors in Indonesia via Google Forms from November 2022 to July 2023. Depression and mental well-being were evaluated using the Patient Health Questionnaire-9 (PHQ-9) and the World Health Organization's five-item Well-Being Index (WHO-5). The correlation between working hours (< 12 hours and ≥ 12 hours on weekdays) and depression was analyzed using multiple linear regression, while the interrelation between working hours and mental well-being applied multiple logistic regression. Results: A total of 53 (30.11%) resident doctors and junior doctors worked ≥ 12 hours on weekdays. Multiple linear regression analysis revealed that individuals with work duration ≥ 12 hours had a probability of experiencing depression 1.93 units higher than those who worked < 12 hours (b= 1.93; 95% CI= 0.35 to 3.51; p= 0.017). The multiple logistic regression model shows that individuals with work periods of ≥ 12 hours are 2.69 times more at risk of having poor mental well-being than those who work < 12 hours (OR= 2.69; 95% CI= 1.26 to 5.74; p= 0.010). Conclusion: Working too long is significantly associated with the development of depressive symptoms and poor mental well-being. Management of working hours for resident doctors and young doctors is essential for maintaining physical and psychological health in order to improve the quality of care. Keywords: long working hours, depression, mental well-being
Determinants of Dental and Oral Health Care Service: A Meta-Analysis Putri, Azilla Edsa; Murti, Bhisma; Pamungkasari, Eti Poncorini
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.2024.09.03.04

Abstract

Background: The limited utilization of dental and oral health services leads to poor dental and oral health status of both individuals and community. Regular visits to dentists can improve oral health status through early detection of dental and oral diseases. The study aims to systematically examine the factors that influence the utilization of dental and oral health services. Subject and Method: It was a systematic review and meta-analysis study using PRISMA and PICO diagrams. P= general population. I = women, higher education, high income, poor self-perception, and having health insurance. C= male, low education, low income, good self-perception, and no health insurance. O= utilization of dental and oral health services. Data collection was conducted using the PubMed and ScienceDirect databases. The inclusion criteria used were full, English, cross-sectional design articles in 2012-2023. The keywords used are "(Determinant OR Factor associated)" AND "Dental healthcare utilization". Data analysis was performed using the RevMan 5.3 application. Result: There were14 primary articles as meta-analysis sources from Saudi Arabia, Indonesia, Iran, Korea, Thailand, Bosnia and Herzegovina, Sweden, the United States, Canada, and Brazil. Female (aOR= 1.13; CI 95%= 1.02-1.25; p= 0.020), higher education (aOR= 1.90; CI 95%= 1.40- 2.56; p<0.001), high income (aOR= 1.91; CI 95%= 1.55-2.35; p<0.001), and having health insurance (aOR= 1.68; CI 95%= 1.30-2.19; P<0.001) increased the utilization of dental and oral health services. Self-perception did not affect the utilization of dental and oral health services (aOR= 1.04; CI 95%= 0.81-1.33; p= 0.76). Conclusion: Female gender, education level, income level, and ownership of health insurance influence the utilization of dental and oral health services. Keywords: dental healthcare utilization, factor associated
Effects of Age, Safety Environment, and Fair Salary on Work Satisfaction Hanisah, Hanisah; Wijayanti, Dwi Nina; Utary, Dewi; Murti, Bhisma; Handayani, Anggun Fitri
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.2024.09.03.07

Abstract

ABSTRACT Background: Job satisfaction generally describes how satisfied a person is in carrying out their work. Job satisfaction can also be influenced by various factors such as competitive salaries, adequate staff numbers, a pleasant work environment, opportunities for growth and professionalism, reasonable workload, recognition by superiors, positive relationships with colleagues, autonomy at work, security. work, career advancement and fair rewards. This study aims to estimate the effect of age, a safe work environment and fair payment on the job satisfaction of health workers. Subjects and Method: A systematic review and meta-analysis was conducted using PRISMA guidelines and the PICO model. The articles used range from 2014 to 2023. Population = Health workers. Intervention=age range >30 years, safe work environment, fair pay. Comparison= age range <30 years, unsafe work environment, fair pay. Outcome = job satisfaction. Articles were collected from databases such as Google Scholar, PubMed, and Science Direct. The literature search used the keywords "Safety Environment or Conducive Environment" AND "Fair Salary" AND "Health Provider" AND "Job Satisfaction" AND "Cross Sectional". A total of 9 articles met the inclusion criteria for meta-analysis, and were further assessed using RevMan 5.3. Results: Meta-analysis with a cross-sectional study design of 9 primary study articles from Ethiopia and Myanmar showed that age over 30 years did not affect job satisfaction among health workers (aOR=1.00; 95% CI= 0.94 to 1.07; p= 0.940). A safe work environment (aOR= 1.23; 95% CI= 0.92 to 1.65; p= 0.160) can increase health workers' job satisfaction, but this increase is not statistically significant. Fair pay (aOR= 2.38; 95% CI= 1.78 to 3.19; p<0.001); can increase job satisfaction of health workers and these results are statistically significant. Conclusion: Age over 30 years does not affect job satisfaction among health workers. A safe work environment can increase health workers' job satisfaction, but this increase is not statistically significant. Fair pay can increase health workers' job satisfaction and this result is statistically significant. Keywords: safety environment, fair salary, health provider, job satisfaction
Path Analysis of Factors Influencing the Quality of Health Services and Inpatient’s Satisfaction in Hospitals Muhajir, Alfian; Tamtomo, Didik Gunawan; Murti, Bhisma
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.2024.09.03.09

Abstract

Background: Quality of health services is an effort to provide health services to individuals and populations in increasing the likelihood of desired health outcomes. Patient satisfaction is an indicator in assessing the quality of health services. This study aims to analyze the factors that influence the quality of health services and satisfaction of inpatients in hospitals. Subjects and Method: The research, with a cross-sectional study design, was carried out at public and private hospitals in Mataram City from November to December 2023. A total of 207 inpatients were selected using simple random sampling in the study. The dependent variables are health service quality and patient satisfaction. The independent variables are gender, education level, income, BPJS status (payment type), inpatient class, and length of stay. Collecting data on perceptions of health service quality and patient satisfaction using a structured questionnaire prepared based on Parasuraman's Servqual concept (1985). Results: Patient satisfaction is significantly influenced by perceived quality of health services (b = 0.81; 95% CI = 0.76 to 0.86; p < 0.001) and patient education level (b = -0.08; 95% CI = -0.17 to -0.003; p = 0.04 ). Perceived quality of health services is significantly influenced by income factors (b= 0.22; 95% CI= 0.09 to 0.35; p= 0.001) and patient inpatient room class (b= 0.40; 95% CI= 0.28 to 0.52; p <0.001) . Perception of service quality is not significantly influenced by the factors gender, education, BPJS status, and length of stay. Conclusion: Patient satisfaction is significantly influenced by the quality of health services and the patient's level of education. The quality of health services is significantly influenced by income factors and the patient's inpatient room class. Service quality is not significantly influenced by the factors gender, education, BPJS status, and length of stay. Keywords: pathway analysis, inpatients, quality of health services, satisfaction.
Analysis of Willingness to Pay Contributions for Independent National Health Insurance Participation in Informal Sector Business Actors in the Mandalika Tourism Area, Lombok, Nusa Tenggara Barat, Indonesia Utary, Dewi; Tamtomo, Didik Gunawan; Murti, Bhisma
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.2023.09.03.08

Abstract

Background: Health insurance implemented in Indonesia is managed by the Social Security Administering Body (BPJS). In its administration, BPJS Health works based on the principle of non-profit social protection. Willingness to Pay (WTP) has been carried out in Nigeria which uses a community-based health insurance system. This study aims to analyze the willingness to pay (Willingness to Pay) contributions in independent national health insurance membership among informal sector business actors in the Mandalika tourist area of Lombok. Subjects dan Method: This type of study is observational analytic using a cross-sectional study design. The target population in this study is all informal sector business actors in the Mandalika Lombok tourist area. The sampling technique in this study is random sampling, namely a random sampling method that involves dividing the population into groups called strata, based on certain relevant characteristics.n. Results: This study explains that informal sector workers with income ≥ IDR 2,000,000/month are on average willing to pay insurance premiums of IDR 64,573/month (Mean= 64,573; SD= 41,292). Workers with income < IDR 2,000,000/month are on average willing to pay insurance premiums of IDR 24,880/month (Mean= 24,880; SD= 14,206). Overall, workers in the informal sector are on average willing to pay insurance premiums of IDR 48,100/month (Mean= 48,100; SD= 38,229). Willingness to pay insurance premiums is significantly influenced by income. Every increase in income of IDR 1,000,000 will be followed by a higher willingness to pay for health insurance of IDR 21,745 (b= 0.02; 95% CI= 0.01 to 0.03; p <0.001). Willingness to pay premiums was not significantly influenced by gender (b= 346.13; 95% CI= -15241.31 to 15933.56; p = 0.965) or age (b= -7110.17; 95% CI= -22958.38 to 8738.04; p = 0.375). Conclusion: The results of this study conclude that the willingness to pay insurance premiums is significantly influenced by income. The higher the income, the higher the willingness to pay premiums, and this effect is statistically significant. Keywords: Willingness to pay, Income, Informal workers
Meta-Analysis: Effect of Tuberculosis Infection Control Training on Work Performance among Health Staff in Health Facilities Rahmawati, Rahmawati; Rahardjo, Setyo Sri; Murti, Bhisma
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.2024.09.03.03

Abstract

Background: Tuberculosis is a public health problem both in Indonesia and internationally. Tuberculosis is an infectious disease that can affect anyone and is one of the 10 leading causes of death worldwide. TB ranks second with the highest cases in Indonesia after India. Tuberculosis Infection Control (TBIC) is a form of TB prevention which is the core of safe and high-quality health services. TBIC is often neglected in patient management practice. This study aims to analyze and estimate the effect of tuberculosis infection control training on improving the performance of staff in health facilities. Subjects and Method: The meta-analysis was carried out using the PICO format including: (1) Population: Health personil; (2) Intervention: TBIC Training; (3) Comparison: No TBIC training; and (4) Outcome: Performance. Article searches were carried out using several databases such as Google Scholar, PubMed, and Elsevier. Search for articles from 20 October 2022 to 21 January 2023. Keywords used: “Tuberculosis infection control training” OR “Performance” AND “Health personel” AND “Health facility” AND “Multivariate” AND “Cross-sectional”. The inclusion criteria for the included articles were full text articles, relationship measures using multivariate analysis (aOR), English articles with a cross-sectional design, and article publications in 2012-2022. Articles are collected using PRISMA flow diagram guidelines. Data were analyzed using the Review Manager 5.3 application. Results: A total of 13 cross-sectional studies, from the continents of Asia and Africa. Nine articles from East Africa (Ethiopia), 2 articles from West Africa (Nigeria), 1 article from Central Africa (Cameroon), and 1 article from South Asia (Nepal). The results showed that health personil who received TBIC training had a 2.35 times better chance of performance compared to health personil without training, and this result was statistically significant (aOR= 2.35; 95% CI= 1.96 to 2.81; p <0.001). Conclusion: Tuberculosis infection control training can improve the performance of workers in health facilities. Key words: Health personil, tuberculosis infection control training, and health facilities
Unit Cost Analysis In Heart Failure Inpatients Using The Time Driven Activity Based Costing Method At Type D Hospital In Sragen Nadhiasari, Aulia; Pribadi, Firman; Nazaruddin, Ietje
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.01

Abstract

Background: Heart failure is one of the most common non-communicable diseases in adults. The number of cases of patients admitted to hospitals due to heart failure is quite large, resulting in a high frequency of hospitalizations and high patient treatment costs. Cost calculation is very important for health care providers in order to conduct financial evaluations. One way to calculate costs in hospitals is to use unit cost analysis. The purpose of the study was to determine the unit cost of treatment for heart failure patients in inpatient settings, especially in Type D hospitals in Sragen. Subjects and Method: This study is a qualitative type study using a case study approach to unit cost to calculate the inpatient treatment rate of patients with chronic heart failure using the Time Driven Activity Based Costing method. Furthermore, the difference with the INA CBGs rate is seen. There are two sources of data in this study, namely primary data from interview results from sources directly in the field and secondary data from financial report data and clinical pathway data for inpatient services for patients with chronic heart failure in hospitals. Results: The unit cost of treatment of heart failure patients in the inpatient installation using the Time Driven Activity Based Costing method at type D hospitals in Sragen amounted to Rp 2,186,089. The difference in heart failure treatment costs in the type D hospital inpatient installation in Sragen using the Time Driven Activity Based Costing method with the patient treatment rate based on INA-CBG'S is Rp 250,211 (10%). Conclusion: The unit cost of treatment of heart failure patients in the inpatient installation using the Time Driven Activity Based Costing method is Rp 2,186,089
Meta-Analysis: Effectiveness of mHealth Utilization on Antenatal Care Nuryuliana, Nuryuliana; Demartoto, Argyo; Adriani, Rita Benya
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.2024.09.03.10

Abstract

Background: An antenatal visit is the presence of pregnant women at health facilities to check their pregnancy and get information about their pregnancy. The use of mobile health interventions (mHealth) such as SMS, voice messages, videos, and interactive mobile phones can provide behavioral support and health education needs of pregnant women. This study aims to determine the effectiveness of the use of mHealth on the improvement of antenatal visits. Subject and Method: Systematic reviews and meta-analyses were conducted using PRISMA guidelines and PICO models which included Population = pregnant women; Intervention= mHealth, Comparison= does not use mHealth; Outcome= antenatal visit. Articles are collected through databases such as Google Scholar, PubMed, BMJ, Plos One, Plos Digital Health, JMIR, JPHIA, HSPRJ, JIO, Journal of Midwifery and Traditional Health. Keywords used: mHealth or Telemedicine or Phone or Mobile Phones or Mobile Telephone or Short Message Service or Whatsapp Group, Antenatal Visite or Antenatal Care or Pregnancy or Pregnant or Prenatal or Mother Health. A total of 13 articles that met the inclusion criteria were meta-analyzed and assessed using RevMan 5.3. Results: Meta-analyses from Tanzania, Kenya, India, Brazil, Peru, Bangladesh, Nigeria, Uganda, and Indonesia showed that pregnant women who used mHealth services were 2.94 times more likely to have antenatal visits compared to not using mHealth and the effect was statistically significant (OR= 2.94; CI95%= 2.19 to 3.94; p <0.001). Conclusion: The use of mHealth may increase antenatal visits.

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