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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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Determinants of Inpatient Satisfaction at Dr. M. Yunus Regional General Hospital, Bengkulu, Indonesia Rachmawaddah Yolanda; Didik Gunawan Tamtomo; Bhisma Murti; Eti Poncorini Pamungkasari
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
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: A hospital is a healthcare facility that provides medical services and care to patients that serve for the treatment and treatment of various diseases or health conditions supported by the services provided in the hospital. This study aims to analyze the factors that affect inpatient satisfaction so that it is known which factors are most influential and health service improvements can be more measurable.Subjects and Method: This study uses a cross-sectional study conducted at the dr M. Yunus Bengkulu Regional General Hospital, Indonesia, from January to February 2024. The sample consisted of 165 inpatient respondents who were selected by stratified random sampling technique. The independent variables in this study were age, gender, education level, ward type, class of care, financing method, tangibles, assurance, responsiveness, realibility and empathy. The dependent variable is inpatient satisfaction. Data collection was carried out by questionnaire. The data will be tested for validation and reliability so that Cronbach's alpha score is obtained in Stata 13.0 Software. The average SERVQUAL score will be assessed as the difference between the expected score and the actual score.Results: The patient satisfaction score obtained based on the gap in the SERVQUAL score between expectations and reality were reliability factors (-2.81), assurance (-4.72), tangibles (-4.68), empathy (-4.76), and responsiveness (-4.53). The results of the analysis of the influence of patient satisfaction on patient loyalty obtained a percentage value of 80.6% with the number of loyal patients as many as 133 out of 165 patients.Conclusion: The services provided by the Regional General Hospital dr M Yunus Bengkulu have not been able to meet the expectations of patients. Empathy is the least satisfying thing for the patient among others. Meanwhile, reliability is the thing that can satisfy patients the most.
The Impact of Motivation, Stress, and Fatigue on the Performance of Primary Health Care Employees in Surakarta Gilang Pamungkas Ardi Putra; Hanung Prasetya; Bhisma Murti; Sumardiyono
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
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: The performance of health personel is one of the biggest reasons for the good and bad health services. There are various factors that can affect employee performance such as motivation, stress, and work fatigue. This study aims to see if there is an effect of motivation, stress, and fatigue on the performance of Puskesmas employees. Subjects and Method: This study is a quantitative study using a cross-sectional design. This study was conducted on 17 health centers in the city of Surakarta, Central Java, Indonesia starting from August to September 2024.  With a sample of 202 health center employees who were randomly selected or using a simple random sampling.   The dependent variable in this study is the performance of health center employees. The independent variables in this study were motivation, stress, and fatigue.   Data collection was carried out using a questionnaire and analyzed with path analysis. Results: Motivation has an influence on improving performance and is statistically significant. Motivation (b= 1.14; CI 95% = 1.06 to 1.06; p<0.001), stress (b= 0.83; CI 95% = 0.70 to 0.95; p<0.001), has a statistically significant effect on performance degradation, and fatigue (b=0.06; CI 95% = 0.02 to 0.12; p=0.041), had a degrading effect and was statistically significant. Conclusion: The performance of health center employees is influenced by motivation, stress, and fatigue.
Indonesian Medical Students' Perceptions of Computer Based Test (CBT) Questions on Public Health Competency Test: An Evaluation Study Burhannudin Ichsan; Anika Candrasari; Flora Ramona Sigit Prakoeswa; Ratih Pramuningtyas; Noval Gentha Mahesa; Schedar Shafrizal Amar
Journal of Health Policy and Management Vol. 11 No. 2 (2026)
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: The Indonesian Medical Competency Standards (SKDI) are the educational standards for doctors in Indonesia. To prove that students have met the competency requirements, a competency test is necessary. Research results show that CBT of Public Health questions fall into the moderate-difficult category. This means that institutions must have a specific strategy to guide students. Subjects and Method: This qualitative study conducted in-depth interviews with Indonesian medical students who had passed or failed the Indonesian Medical Competency Test. The interviews were conducted online using Zoom. Informants were selected from various regions in Indonesia. Results: The study identified five themes. The five themes are: 1) varying perceptions of the difficulty level of public health questions, 2) lack of focus, 3) question patterns and reference books, 4) sources and methods of learning for the public health question, and 5) examinees' expectations. Conclusion: Students' perceptions of the difficulty level vary. This is also related to the students' own preparedness. Students have specific expectations regarding certain questions, such as those related to Indonesian national health insurance (BPJS), epidemiology, and others
Meta-Analysis: Exploring the Impact of Marital Status, Work Environment Conditions, Education, Gender, and Age on Job Satisfaction among Healthcare Professionals Alifia Ayu Romadhona; Annes Rindy Permana; Bhisma Murti; Anggun Fitri Handayani
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.2025.10.02.09

Abstract

Background: Health is a very complex field because it focuses on healthcare providers. The quality of healthcare can be determined through the job satisfaction of healthcare workers. Factors that can affect the job satisfaction of healthcare workers can be assessed based on marital status, working conditions, education, gender, and age. The purpose of this study was to estimate the effect of marital status, working conditions, education, gender, and age on job satisfaction among healthcare workers. Subjects and Method: A meta-analysis study was conducted in accordance with the PRISMA flow chart and PICO model. Population: healthcare workers. Intervention: female, >30 years old, bachelor's degree, single, and good working environment. Comparison: male, <30 years old, diploma, married, and poor working environment. Outcome: job satisfaction. Data were obtained from the Google Scholar, PubMed, BMC, ScienceDirect, Elsevier, and Springer Link databases. The keywords used were “gender” AND “age” AND ‘education’ AND “marital status” AND “work environment” AND “job satisfaction” AND “health workers” AND “cross-sectional” AND “aOR”. Data analysis was performed using Review Manager 5.3 software. Results: This meta-analysis included 12 cross-sectional studies from Myanmar and Ethiopia. The sample size was 3,962 health workers. Marital status (aOR= 1.43; 95% CI= 1.03 to 2.00; p= 0.003) and good working conditions (aOR= 1.55; 95%CI= 1.18 to 2.04; p= 0.002) significantly increased job satisfaction among health workers. Bachelor's degree (aOR= 1.51; 95% CI= 0.53 to 4.83; p= 0.400), female gender (aOR= 1.34; 95% CI= 0.87 to 2.05; p= 0.180), and age >30 years (aOR= 1.81; 95% CI= 0.81 to 4.09; p= 0.150) increased job satisfaction among healthcare workers but were not statistically significant. Conclusion: Marital status, work environment conditions, education level, gender, and age affect job satisfaction in health workers.
Factors Affecting Job Satisfaction and Performance of Health Workers at Community Health Endang Nifatna Sari; Bhisma Murti; Argyo Demartoto; Sumardiyono; Revi Gama Hatta Novika
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.2025.10.03.05

Abstract

Background: Motivation, leadership, career development, and rewards or incentives are important determinants of job satisfaction and performance among healthcare workers at Community Health Centers (CHCs). This study aimed to analyze and estimate the association between motivation, leadership, career development, rewards/incentives, job satisfaction, and the performance of healthcare workers. Subjects and Method: This was a cross-sectional study involving 200 healthcare workers from CHCs in Kerinci Regency, Jambi Province, conducted from October to November 2024. Samples were selected using accidental sampling. The dependent variable was health worker performance, the mediating variable was job satisfaction, and the independent variables were motivation, leadership, career development, and rewards/incentives. Data were collected using structured questionnaires and analyzed using path analysis. Results: Healthcare workers with high motivation were more likely to perform well than those with low motivation (b=0.31; CI 95%=0.18 to 0.45; p<0.001). Healthcare workers with high job satisfaction were more likely to perform well than those with low job satisfaction (b=0.43; CI 95%=0.30 to 0.46; p<0.001). Healthcare workers with high job satisfaction were more likely to be well motivated than those with low job satisfaction (b=0.21; CI 95%=0.13 to 0.29; p<0.001). Health workers who had a positive perception of leadership were more likely to be satisfied with their work than with a negative perception (b=0.74; CI 95%=0.68 to 0.80; p<0.001). Conclusion: The performance of healthcare workers in CHCs was directly affected by motivation and job satisfaction. Higher motivation and job satisfaction were associated with improved health worker performance.
The Impact of Social Capital, Work Motivation, and Job Satisfaction on Health Workers’ Performance in Community Health Centers Muhammad Raihan Alfani; Sumardiyono; Bhisma Murti; Setyo Sri Rahardjo
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2026.11.01.01

Abstract

Background: Social capital, which includes relationships between individuals, social networks, as well as trust in organizations, is believed to affect the effectiveness of collaboration and communication, which in turn impacts performance. Work motivation plays an important role in encouraging individuals to achieve organizational goals. In addition, job satisfaction, which is influenced by certain factors, contributes to the improvement of individual performance in the workplace. This study aims to analyze the influence of social capital, work motivation and job satisfaction on the performance of health workers in health centers. Subject and Method: This study is a cross-sectional  study conducted on health workers at the Subang Regency health center in November-January 2025. The research sample of 203 health workers was selected using random sampling. The dependent variable is performance. Independent variables are social capital, work motivation and job satisfaction. Data collection using questionnaires. The data were analyzed using Multiple Linear Regression on Stata 13. Results: Social capital (b= 0.08; CI 95%= 0.02 to 0.14; p= 0.006), job satisfaction (b= 0.60; CI 95%= 0.36 to 0.84; p = 0.000), work motivation (b = 0.21; CI95%= 0.04 to 0.37; p= 0.013) has the influence to improve performance and is statistically significant. Age (b= 0.00; CI95%= -0.02 to 0.04; p= 0.613) there was an increase but statistically insignificant, of sex (b= -0.23; CI95%= -0.76 to 0.29; p= 0.385) followed by a statistically insignificant decrease. Length of work 11-19 (b= 0.01; CI95%= -0.57 to 0.61; p= 0.950) followed by an increase but statistically insignificant. Working time >20 years (b= -0.23; CI95%= -1.03 to 0.57; p= 0.572) followed by a statistically insignificant decrease, strata of puskesmas (b = 0.36; CI95%= -0.17 to 0.89; p= 0.184) there is an increase but statistically insignificant. Conclusion: The performance of health center health workers is influenced by social capital, work motivation and job satisfaction. Age, gender, length of work, strata of the health center are not factors that affect performance.
Building Patient’s Loyalty: The Role of Trust, Expectations, and Satisfaction Among Outpatient Commitment Anis Sonia Probowati; Endang Sutisna Sulaeman; Bhisma Murti; Sumardiyono; Revi Gama Hatta Novika
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
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: Quality health services are the result of cooperation between patients and health service providers in a healthy environment. Hospitals as institutions engaged in service quality are a benchmark for assessing patient loyalty. One of the benchmarks is the quality of service received by patients from a hospital; therefore, it is the obligation of the hospital to maintain a good relationship with patients to create a maximum loyalty value. Based on Law Number 17 of 2023 concerning health, it is stated that local governments and communities are responsible for the implementation of health efforts. The implementation of health services is carried out responsibly, safely, quality, and equitably. The study aims to discover factors that affect the loyalty of outpatients at Klaten Islamic Hospital. Subjects and Method: It was a cross-sectional study conducted at Klaten Islamic Hospital from December 2024 to January 2025. The sample consisted of 200 outpatients selected using the simple random sampling method. The independent variables were hospital image, trust, expectation, past experience, and satisfaction. Meanwhile, the dependent variable was outpatient loyalty. Data collection was carried out using a questionnaire. Data analysis was conducted using path analysis. Results: The results of the path analysis that had been carried out in this study stated that the loyalty of outpatients at Klaten Islamic Hospital was directly influenced by trust (b=-0.02; 95% CI= -0.30 to 0.24; p= 0.831), satisfaction (b=0.44; 95% CI= 0.19 to 0.69; p<0.001), age (b= 0.13; 95% CI= 0.01 to 0.24; p= 0.024), hospital image (b= 0.20; 95% CI= 0.08 to 0.32; p=0.001), Education (b= -0.11; 95%CI= -0.22 to 0.00; p=0.054), gender (b= - 0.00; 95%CI= -0.11 to 0.11; p=0.958). Patient loyalty through patient trust was indirectly influenced by past experience, patient satisfaction, expectations, and polyclinic. Conclusion: The loyalty of outpatients at Klaten Islamic Hospital is directly influenced by trust, satisfaction, age, hospital image, education, and gender. Patient loyalty through patient trust is indirectly influenced by past experience, patient satisfaction, expectations, and polyclinic.
Determinants of Patient Safety Practice Behavior Among Nurses at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia Fitri Dwi Nurhayati; Endang Sutisna Sulaeman; Bhisma Murti; Sumardiyono; Revi Gama Hatta Novika
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
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: Patient safety is an event where the hospital builds patient care to be safer, including risk assessment, identifying, and managing matters related to patient risk, reporting and analyzing incidents, learning from incidents and their follow-up, as well as providing solutions to reduce the occurrence of risks and to avoid injuries caused by mistakes that occur due to doing an action or taking an action that should not have been taken. The purpose of this study is to identify the behavioral determinants of patient safety practices among nurses at Dr. Moewardi Hospital, Indonesia. Subjects and Method: This study was a cross-sectional study conducted at Dr. Moewardi Hospital in January 2025. The sample consisted of 200 inpatient nurses selected by a simple random sampling method. The independent variables in this study were work attitude, work stress, communication, teamwork, and work environment. The dependent variable was the patient safety practice behavior. Data collection was conducted using a questionnaire. Data analysis was conducted using path analysis. Results: The behavior of patient safety practice in inpatient nurses was directly influenced by positive work attitudes (b=0.22; 95% CI= 0.08 to 0.36; p= 0.002), low work stress (b= 0.16; 95% CI= 0.02 to 0.30; p= 0.022), and effective communication (b= 0.24; 95% CI= 0.11 to 0.36; p<0.001). The patient safety practice behavior among nurses through work attitudes was indirectly influenced by work stress and teamwork. The patient safety practice behavior among nurses through work stress is indirectly influenced by teamwork and the work environment. The patient safety practice behavior among nurses through communication was indirectly influenced by teamwork. Conclusion: The patient safety practice behavior among inpatient nurses is directly influenced by positive work attitudes, low work stress, and effective communication. The patient safety practice behavior among nurses through work attitudes is indirectly influenced by work stress and teamwork.
Effect of Social Capital on Job Satisfaction and Performance of Healthcare Workers at Hermina Sukabumi General Hospital Fitri Rahma Almira; Nur Hafidha Hikmayani; Bhisma Murti; Argyo Demartoto; Sumardiyono
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
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: Social capital can serve as an important strategy for improving job satisfaction and performance. Satisfied employees will display a good personality in the work environment and improve performance positively in the health sector. This study aims to analyze the effect of social capital on job satisfaction and performance. Subject and Method: This study was conducted using a quantitative method with a cross-sectional approach and using a path analysis model. This study was conducted at Hermina General Hospital Sukabumi, West Java in December 2024. The sample of this study was 200 health workers. The exogenous variables were social capital, education, working period, age and gender. Endogenous variables were job satisfaction and performance. Results: Pathway analysis showed that the performance of health workers at Hermina Sukabumi Hospital was directly influenced by job satisfaction (b=0.33; 95% CI=0.22 to 0.45; p<0.001), age ≥ 29 years (b=0.17; 95% CI=0.03 to 0.31; p=0.016), education ≥bachelor’s degree (b=-0.14; 95% CI=-0.26 to -0.01; p=0.027), working period ≥4 years (b=-0.37; 95% CI=-0.50 to -0.24; p<0.001),  gender (female) (b=-0.19; 95% CI=-0.32 to 0.06; p=0.003). Job satisfaction was indirectly influenced by 4 years of ≥ working period (b=0.08; 95% CI=-0.01 to 0.16; p=0.077), gender (female) (b=-0.08; 95% CI=-0.17 to 0.01; p=0.075) and social capital (b=0.81; 95% CI=0.77 to 0.85; p<0.001). Social capital had an indirect effect through job satisfaction with the total effect size (b=0.26). The effect of the total working period of ≥4 years on performance (b=-0.34). Total effect of gender (female) on performance (b=-0.21). Conclusion: Strong social capital can increase job satisfaction, and satisfied employees will have higher performance and increased productivity.
THE EFFECT OF WORK-LIFE BALANCE ON WORK STRESS, SLEEP DISORDERS AND EMPLOYEE PERFORMANCE Rifdah Hardaning Tyas; Bhisma Murti; Sumardiyono; Revi Gama Hatta Novika; Okid Parama Astirin
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
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: Work-life balance is a crucial factor influencing employee psychological well-being and performance. An imbalance between work and personal life can increase job stress, trigger sleep disturbances, and decrease productivity. This study aims to analyze the effect of work-life balance on job stress, sleep disturbances, and employee performance.                                                                Subjects and Methods: This cross-sectional study was conducted at the Mineral and Coal Testing Center in Bandung from March to April 2025. A total of 207 patients were selected using exhaustive sampling. The dependent variable was work-life balance. The independent variables were work stress, sleep disturbance, and employee performance. Data were analyzed using path analysis. Results: The results of this study show that Work-life balance negatively affected job stress (b = -1.04; 95% CI = -1.18 to -0.91; p < 0.001) and sleep disturbance (b = -1.45; 95% CI = -1.65 to -1.23; p < 0.001), and positively affected performance (b = 0.42; 95% CI = 0.31 to 0.53; p < 0.001). Job stress positively affected sleep disturbance (b = 0.57; 95% CI = 0.49 to 0.65; p < 0.001). Conclusion: Work-life balance has a direct impact on performance and an indirect impact through reduced work-life stress and sleep disturbances. Interventions to improve work-life balance should be a company priority. to support employee productivity and well-being.

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