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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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The Impact of Waiting Time and Education Level on Outpatient Satisfaction: Meta-Analysis Stefani Clara Alverina; Noor Alis Setiyadi; 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: Patient satisfaction is a primary focus in the delivery of health care services. Assess­ment of patient satisfaction has been widely conducted worldwide and serves as an important tool for identifying service gaps and developing effective strategies to improve quality within the health care industry. Various factors influence patient satisfaction, including waiting time and educational level. This study aimed to analyze the effects of waiting time and educational level on outpatient satisfaction. Subjects and Method: This study employed a systematic review and meta-analysis using the PICO framework. The population consisted of outpatient clinic patients. The interventions were long waiting times and higher educational levels. The comparisons were short waiting time and lower educational level. The outcome was patient satisfaction. Data were obtained from Google Scholar, ScienceDirect, Elsevier, SpringerLink, Wiley, Scopus, and PubMed databases, covering publications from 2018 to 2023. The keywords used were “patient satisfaction” AND “waiting time” AND “short waiting time” AND “long waiting time” AND “educational level” AND “outpatient department”. A total of 13 articles met the inclusion criteria, which were full-text articles using a cross-sectional design, outpatient subjects, and reporting outcomes in the form of odds ratios. Article selection followed the PRISMA flowchart, and data analysis was performed using Review Manager version 5.4. Results: The 13 included studies involved a total of 25,017 participants from Ethiopia, Fiji, Pakistan, South Africa, and Serbia. The pooled analysis showed that patients experiencing long waiting times had 0.18 times lower satisfaction compared to those with short waiting times (aOR = 0.18; 95% CI= 0.06 to 0.49; p <0.001). In addition, patients with higher educational levels had 1.02 times higher satisfaction compared to those with lower educational levels, although this association was not statistically significant (aOR = 1.02; 95% CI= 0.34 to 3.02; p = 0.980). Conclusion: Shorter waiting times are associated with higher patient satisfaction in outpatient clinics. Higher educational level shows a positive but non-significant association with patient satisfaction.
Evaluation of Smoke-Free Area Policy Implementation in Sragen Regency: A Qualitative Study of Governance, Enforcement, and Health Communication Meidyan Thomas Setiawan; Eti Poncorini Pamungkasari; Revi Gama Hatta Novika; Argyo Demartoto; Ratih Puspita Febrinasari
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: Sragen Regency has adopted a smoke-free area policy; however, its implementation continues to face challenges related to governance, enforcement, health communication, and compliance. This study aimed to evaluate the implementation of the smoke-free area policy in Sragen Regency, with a focus on governance, enforcement, and health communication Subjects and Method: This qualitative study used an embedded case study design and was conducted from February to June 2026 within the Sragen Regency Government setting, including the Integrated Government Office Complex and selected subdistrict offices. Informants were purposively selected based on their involvement in smoke-free policy implementation, with recruitment continuing until data saturation was reached. In-depth interviews were conducted with 19 informants, comprising seven key informants, eight primary informants, and four supporting informants. Two focus group discussions (FGDs) involved 19 participants. Data were collected through in-depth interviews, FGDs, field observations, and document review. Policy implementation was evaluated using the Context, Input, Process, and Product (CIPP) framework. Data were analyzed using the interactive model of Miles, Huberman, and Saldaña. Trustworthiness was strengthened through source and method triangulation. Results: Smoke-free policy implementation was supported by local regulations, acceptance among government employees, no-smoking signs, and monitoring activities. Enforcement largely relied on persuasive approaches, including interpersonal communication, social monitoring, direct verbal reminders, and leadership by example, rather than formal sanctions. Organizational culture, social norms, leadership involvement, designated smoking areas, the physical environment, and informal communication influenced compliance. The implementation of the smoke-free policy improved workplace comfort; however, compliance remained uneven. Conclusion: Smoke-free policy implementation was influenced by governance arrangements, predominantly persuasive enforcement, and health communication that largely occurred through interpersonal interactions. Stronger implementation management, supervision, monitoring and evaluation, and more systematic health communication are needed to improve the consistency of smoke-free policy implementation.
Determinants of Patient’s Satisfaction and Loyalty at Surakarta Central General Hospital, Central Java, Indonesia Bakti Utami Utami; Bhisma Murti; Tonang Dwi Ardyanto; Argyo Demartoto; Ratih Puspita Febrinasari
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: Hospitals are required to continuously improve service quality and ensure patient safety. Surakarta Central General Hospital, as the only type C vertical hospital owned by the Ministry of Health in Surakarta, faces competition from other type C hospitals operated by local governments and private sectors. This study aimed to identify factors influencing patient satisfaction and loyalty among users of healthcare services at Surakarta Central General Hospital. Subjects and Methods: This was a quantitative cross-sectional study conducted at the Surakarta Central General Hospital, Central Java, Indonesia, from April to May 2025. A total of 270 respondents, including both inpatients and outpatients, were selected using simple random sampling. The dependent variables were service quality, patient satisfaction, and patient loyalty. The independent variables included hospital image, type of health financing, type of disease, and type of care. Results: Patient loyalty was positively and significantly influenced by satisfaction (b = 0.33; 95% CI = 0.26–0.41; p < 0.001) and hospital image (b = 0.41; 95% CI = 0.29–0.53; p < 0.001). Patient satisfaction was positively and significantly affected by service quality (b = 0.19; 95% CI = 0.13–0.24; p < 0.001), hospital image (b = 0.25; 95% CI = 0.08–0.43; p = 0.005), and type of financing (b = 0.51; 95% CI = 0.11–0.92; p = 0.013). Service quality was positively and significantly influenced by hospital image (b = 1.13; 95% CI = 0.77–1.48; p < 0.001) and type of financing (b = 0.91; 95% CI = 0.05–1.78; p = 0.039). The path analysis model demonstrated good model fit, as indicated by the following indices: p = 0.702; RMSEA = 0.00; CFI = 1.00; TLI = 1.05; SRMR = 0.00; and CD = 0.33. Conclusion: Patient loyalty is directly and significantly influenced by satisfaction and hospital image. Patient satisfaction is directly and significantly influenced by service quality, hospital image, and type of financing. Service quality is directly and significantly influenced by hospital image and type of financing. Overall, the path analysis model demonstrated a good fit.  

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