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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 253 Documents
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Analysis of Contribution Payment Compliance and Inpatient Service Fines Among Independent BPJS Health Insurance Participants at Dr. Mohamad Saleh Regional Hospital, Probolinggo, East Java, Indonesia Umi Kusuma Wardani; Sri Hernawati; Iwan Dewanto
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.12

Abstract

Background: The National Health Insurance Program (JKN) through BPJS Kesehatan is an initiative to equalize the quality of health services for all levels of society. Contributions are an essential factor in the success of a national social security system. The importance of paying BPJS contributions regularly is so that participants get adequate health service guarantees. The study aims to analyze the compliance of BPJS Mandiri participant contribution payments who are subject to inpatient service fines at Dr. Mohamad Saleh Probolinggo Regional Hospital. Subjects and Method: An observational study with a cross-sectional approach was conducted in the inpatient unit of Dr. Mohamad Saleh Hospital, Probolinggo, in May and June 2023. A total of 100 patients were selected for this study. The dependent variable was compliance. The independent variables were knowledge, income, number of family members, perception of illness, access to health services. Data were collected using a questionnaire and analyzed using factor analysis, t-test, f-test and multiple linear regression. Results: The regression coefficient of knowledge variable is 0.018, income is 0.823, number of family members is 0.375, perception of illness is -0.021, access to health services is -0.128. Compliance of contribution payments is influenced by income variable with sig 0.002, number of family members with sig (0.000) and access to health services with sig (0.007). Conclusion: Compliance in payment of BPJS Mandiri participants who are subject to inpatient service fines is influenced by income, number of family members, access to health services. The most dominant factor is income.
The Relationship between The Use of Mobile JKN Application and Health Services at Majene Regency Hospital Armanto Makmun; Atria Putri Zulfa; Zulfikri Khalil Novriansyah; Faisal Sommeng; Dahlia
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.01

Abstract

Background: This study is motivated by the digital transformation of BPJS Kesehatan services through the Mobile JKN application to improve the accessibility and efficiency of health services. The purpose of this study is to determine the relationship between the use of the Mobile JKN application and health services at the Majene Regency Hospital. Subjects and Method: This study is a cross sectional study design using a quantitative approach and data collection through a questionnaire conducted at the Majene Regency Hospital, in August-September 2024. The total sample is 100 respondents with a sampling technique, namely purposive sampling. The study subjects were patients who used the JKN mobile application. The independent variable is health services. The intermediate variable is the Mobile JKN application. The dependent variable is satisfaction. The data was analyzed using the Wilcoxon test to see the difference in the level of satisfaction and service quality before and after the use of the Mobile JKN application. Results: The results of the study showed that 91.6% of respondents used the Mobile JKN application, with a significant increase in satisfaction with health services, from an average score of 3,010 to 3,972 after using the application. The use of applications also has an impact on time efficiency and ease of access to health services. The average score of health services (Queue) was higher after the use of the Mobile JKN Application (Mean=4,209; SD=0.645) compared to before (Mean=3.484; SD=0.688), and this result is statistically significant (p=0.000). The health service satisfaction score was higher after using the JKN mobile application (Mean=3,972; SD=0.524) compared to before (Mean=3.010 ; SD=0.522), and this result was statistically significant (p=0.000). Conclusion: There is a positive relationship between the use of the Mobile JKN application and the improvement of the quality and satisfaction of health services at the Majene Regency Hospital.
Assessing Inequality in Health Service Accessibility Based on Hospital Distribution in Indonesia Juliatul Mahqfiroh; Kosasih
Journal of Health Policy and Management Vol. 10 No. 3 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.03.01

Abstract

Background: The distribution of health facilities is an essential indicator to improve public health services in Indonesia. However, the country’s archipelagic geography and uneven population density create challenges in ensuring equal access. This study aimed to analyze hospital distribution in Indonesia based on provinces and main islands to evaluate inequality in health service accessibility. Subjects and Method: A comparative descriptive study was conducted using secondary data. Hospital data were obtained from the Hospital Information System (SIRS) of the Ministry of Health (2024), and population data were retrieved from the Central Statistics Agency (BPS) report (2023). A total of 3,209 hospitals were identified across 38 provinces and grouped into seven island clusters: Java, Sumatra, Sulawesi, Kalimantan, Papua, Maluku, and Bali–Nusa Tenggara. The population-to-hospital ratio was calculated, and hospital distribution was further analyzed by province, island, and hospital class. Results: Java accounted for the largest number of hospitals (1,622) due to its high population and better infrastructure. In contrast, Eastern regions such as Papua (73) and Maluku (53) showed limited availability. Inequalities were also found in hospital classes, where advanced hospitals (Class A and B) were concentrated in Java, while peripheral regions were dominated by Class C and D facilities. This disparity forces residents in remote areas to travel long distances for adequate care. Conclusion: Unequal hospital distribution highlights the urgent need for equitable health infrastructure development and strategic resource allocation policies to ensure fair access to health services across Indonesia.
The Influence of Social Capital, Commitment, Justice, Employee Status, Age, Gender, and Community Health Center Strata on Performance at the Metro, Lampung, Indonesia Alwan Dhafi Umar; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.04

Abstract

Background: The performance of health workers is one of the biggest reasons for the good health services. Various factors affect employee performance such as commitment, employee status, justice and social capital. This study aims to see the influence of social capital along with other accompanying factors such as justice, organizational commitment, employee status, and strata of the Health Center on the performance of Health Center employees. Subjects and Method: This study is an observational analytical study with a cross-sectional design. This research was conducted on 11 health centers in Metro City, Lampung, Indonesia in April - May 2024. A sample of 200 health center employees was selected by simple random sampling. The dependent variable in this study is the performance of health center employees. The independent variables in the study were social capital, fairness, organizational commitment, employee status, health center strata, age, and gender. Data collection was carried out using a questionnaire and analyzed by multiple linear regression. Results: Social capital (b= 0.07; CI 95%= 0.06 to 0.14; p= 0.048), justice (b= 0.13; CI 95%= 0.06 to 0.20; p= <0.001), organizational commitment (b= 0.10; CI 95%= 0.02 to 0.17; p= 0.012), and the strata of the Health Center (b= 1.01; CI 95%= 0.62 to 1.41; p= <0.001) has an influence on improving performance and is statistically significant. Officer status (b= -0.28; CI 95%= -0.56 to -0.01; p= 0.038) had a degrading effect and was statistically significant. Age (b= -0.13; CI 95%= -0.39 to 0.11; p= 0.284) and gender (b= 0.06; CI 95%= -0.35 to 0.11; p= 0.750) has no significant effect on performance. Conclusion: The performance of health center employees is influenced by social capital, justice, organizational commitment, strata, and employee status. Age and gender are not factors that affect performance.
Policy Response to Substance Abuse in Selected Higher and Tertiary Education Institutions: A Comparative Review Daphne Lweendo Mweene; Ganizani Mwale; Nicholas Mwanza; Mukonkola Machula Mwale; Musenge Makashi
Journal of Health Policy and Management Vol. 10 No. 3 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.03.02

Abstract

Background: Substance abuse in Higher and Tertiary Education Institutions (HTEIs) poses a serious threat to students’ academic achievement, mental well-being, and campus safety. Although various interventions have been introduced, the effectiveness of existing policies remains inconsistent. This study compared global literature on school-related substance abuse policies with policy responses in selected Copperbelt HTEIs in Zambia to inform the development of contextually appropriate strategies for substance abuse reduction. Subjects and Method: The study applied the Protocol, Search, Appraisal, Synthesis, and Reporting (PSALAR) framework, guided by the Population, Interest, and Context (PICo) approach. Two colleges and one university in Zambia’s Copperbelt Province were purposively selected, and an exhaustive online search was conducted to identify institutional policies addressing substance abuse. Peer-reviewed English articles (2013–2023) focusing on punitive and remedial school-based policies were reviewed. Inclusion criteria for HTEIs were adapted to align with the PSALAR framework. Results: Three major themes emerged: (1) policy deficiencies and implementation gaps, (2) punitive versus remedial interventions, and (3) limited monitoring and evaluation mechanisms. The dominant issue was finding an effective balance between punitive and supportive policy approaches. The integration of substance abuse education within institutional frameworks was weak, and evidence on the relative effectiveness of punitive versus remedial measures remained inconclusive. Conclusion: Substance abuse policies in Zambian HTEIs predominantly emphasize punitive responses, with insufficient attention to remedial or preventive efforts. Strengthening evidence-based, context-specific, and student-centered policies is essential to reduce substance abuse and advance Zambia’s progress toward Sustainable Development Goal 3.5 by 2030.
The Association between Self-Efficacy and Work Performance in Employee Febi Dyah Ayu Seruni; Bhisma Murti; Hanung Prasetya
Journal of Health Policy and Management Vol. 10 No. 3 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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

Abstract

Background: Labor is an important asset in achieving organizational goals. The results of the work carried out by the workforce according to their authority and responsibility are influenced by their self-efficacy as part of the workforce's self-concept. This study aims to examine the relationship between self-efficacy and workforce performance. Subjects and Method: This research is a systematic review and meta-analysis, with PICO as follows: Population = workforce, Intervention = high self-efficacy, Comparison = low self-efficacy and Outcome = workforce performance. The articles used in this study were obtained from several databases including Google Scholar, Science Direct, Springer Link, and Research Gate. The keywords used are: "Self efficacy" AND "performance" OR "work performance" OR "job performance". Inclusion criteria were full-text articles, cross-sectional study design, multiple linear regression analysis models with standardized coefficient / beta. Articles are collected using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application. Results: Based on the results of a meta-analysis of 8 primary studies on the relationship between self-efficacy and workforce performance from Pakistan, Indonesia, Sri Lanka, Turkey and Nigeria, it can be concluded that self-efficacy is related to workforce performance. Workers with high self-efficacy have the possibility to perform 1.47 times higher than workers with low self-efficacy, and the results are statistically significant (aOR= 1.47; 95% CI = 1.38 to 1.58; p < 0.001). Conclusion: Self-efficacy is related to workforce performance.
Determinants of Health Worker Performance in Health Care Facilities: Meta-Analysis Mashaf Fahrur Murdo Furqon; Didik Gunawan Tamtomo; Bhisma Murti; Argyo Demartoto; Hanung Prasetya
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.02

Abstract

Background: Performance is the result of a certain process carried out by all components of the organization on certain resources used. In addition, performance affects organizational goals. This study aims to analyze the influence of training, education level, and gender on performance in health workers. Subject and Method: This study is a systematic study and meta-analysis, with the following PICO : Population = Health workers, Intervention = Training, Higher education level, Female, Comparison = No training, Low education level, Male, Outcome = Performance. The articles used in this study were obtained from several databases, including Google Scholar, PubMed, and ScienceDirect which were published from 2014 to 2024. These articles were collected over a period of 4 weeks. The keywords used by the researcher in searching the database include Community Health Workers OR CHW AND Job Performance OR Work Performance AND Training AND Education Level AND Gender OR Sex. The articles included in this study are full-text articles with a cross sectional study design. Articles are collected using PRISMA flow diagrams. Articles are analyzed using the Review Manager 5.3 application. Results: A total of 14 articles were reviewed in this meta-analysis study from Malaysia, China, India, Ethiopia, Uganda, Cameroon and Ghana. Studies show that healthcare workers with training (aOR=2.94; CI 95%= 1.33 to 6.46; p= 0.007), higher education level (aOR=2.16; CI 95%= 1.62 to 2.88; p<0.001) had a significant influence on performance. Meanwhile, women (aOR=0.92; CI 95%= 0.57 to 1.49; p=0.75) had an insignificant effect on performance.Conclusion: Training and higher education levels can significantly improve performance in health workers, and statistically insignificant performance differences between men and women, women have the possibility of performing well.
Path Analysis: Characteristics of Health Service Providers on the Quality of Dental and Oral Health Services Rosalia Indri Dewanti; Didik Gunawan Tamtomo; Bhisma Murti; Setyo Sri Rahardjo; Argyo Demartoto
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.12

Abstract

Background: Dental and oral health play a crucial role in improving people’s quality of life. Optimal efforts from dental and oral health workers are essential to achieve better health outcomes. This study aimed to analyze the influence of service provider determinants on the quality of dental and oral health services in hospitals. Subjects and Method: A cross-sectional study was conducted in Semarang City from March to April 2024. A total of 200 patients aged 20–59 years were selected using systematic random sampling. The dependent variable was the quality of dental and oral health services, while the independent variables were motivation, performance, and payment method. Data were analyzed using path analysis. Results: Motivation positively affected the performance of health workers (b=0.99; 95% CI=0.98–1.00; p<0.001). Performance had a significant positive effect on service quality (b=0.44; 95% CI=0.06–0.83; p=0.023). Motivation also directly influenced service quality (b=0.47; 95% CI=0.08–0.85; p=0.017). However, the difference in payment method between patients paying directly and those using BPJS did not significantly affect service quality (b=0.03; 95% CI=–0.03 to 0.09; p=0.415). Conclusion: The quality of dental and oral health services at Diponegoro National Hospital Semarang is significantly influenced by the motivation and performance of health workers, with performance mediating the effect of motivation. Payment method does not significantly influence perceived service quality.
Factors Influencing the Health Workers Performance in Community Health Center in Metro, Lampung Alifia Nadhimah Putri; Didik Gunawan Tamtomo; Bhisma Murti; Sumardiyono Sumardiyono; Argyo Demartoto
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.03

Abstract

Background: Performance is the result of a person's ability to complete tasks and responsibilities competitively. There are many factors that affect a person's performance, each of which affects their own performance. This study aims to analyze the variables that affect the performance of health center employees. Subjects and Method: This study is an observational analytical study with a cross-sectional design. This research was conducted on 11 health centers in Metro City, Lampung in March-April 2024. A sample of 200 health center employees was selected by simple random sampling. The dependent variable in this study is the performance of health center employees. The independent variables in the study were age, training, incentives, motivation, leadership perceptions, and the strata of the health center. Data collection was carried out using a questionnaire and analyzed by multiple linear regression. Results: Employee performance in service at the health center was influenced by age (b= -0.01; CI 95%= -0.01 to -0.02; p= 0.008), training (b=1.08; CI 95%= 1.03 to 1.13; p< 0.001), incentives (b= 1.02; CI 95%= 0.98 to 1.05; p< 0.001), motivation (b= 1.16; CI 95%= 1.08 to 1.22; p<0.001), leadership perception (b= 0.98; CI 95%= 0.93 to 1.03; p<0.001), and the strata of the health center (b= 0.33; CI 95%= 0.10 to 0.54; p=0.003). Conclusion: The performance of health center employees is positively influenced by age, training, incentives, motivation, leadership perception, and strata of the health center.
Associations between Reliability, Assurance, Physical Evidence, Responsiveness, Empathy, Gender, and Income with Inpatient Satisfaction in Yos Sudarso Hospital, Padang, Indonesia Virdaria Andriani; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 10 No. 2 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.02.05.a

Abstract

Background: Patient satisfaction refers to the patient's perception and assessment of the quality of health services he receives. There are many factors that affect patient satisfaction. This study aims to analyze variables that affect patient satisfaction. Subjects and Method: This study is an observational analytical study with a cross-sectional design. This research was conducted on Yos Sudarso Hospital, Padang City, in March-May 2024. A sample of 200 patients was selected by simple random sampling. The dependent variable in this study is patient satisfaction. The independent variables in the study were  reliability, guarantee, physical evidence, responsiveness, empathy, gender, and income. Data collection was carried out using a questionnaire and analyzed by path analysis. Results: Patient satisfaction in the health center was influenced by reliability ((b= 0.51; 95% CI= 0.39 to 0.62; p<0.001)), assurance (b= 0.62; 95% CI= 0.52 to 0.72; p<0.001), physical evidence (b= 0.52; 95% CI= 0.41 to 0.64; p<0.001), responsiveness (b= 0.69; 95% CI= 0.60 to 0.78; p<0.001), empathy (b= 0.69; 95% CI= 0.60 to 0.78; p<0.001),  gender (b = 0.15; 95% CI = <0.01 to 0.30; p = 0.047), and income (b = -0.31; 95% CI = -0.45 to -0.17; p<0.001). Conclusion: Patient satisfaction is positively influenced by reliability, assurance, physical evidence, responsiveness, empathy, gender, and income.

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