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Journal of Community Health and Preventive Medicine (JOCHAPM)
Published by Universitas Brawijaya
ISSN : -     EISSN : 27758915     DOI : https://doi.org/10.21776/10.21776/ub.jochapm.2023.
Core Subject : Health, Social,
Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health
JOCHAPM is a peer-reviewed and open-access journal officially published twice a year in English by the Faculty of Medicine, Universitas Brawijaya. JOCHAPM focuses on community health, epidemiology, environmental health, and preventive health. However, the focus of the study can develop following the improvement of the journal.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 84 Documents
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ICU SERVICE FINANCING: WEIGHING REGULATIONS AGAINST PROFESSIONAL JUDGMENT Santoso, Widodo Mardi; Manzilati, Asfi; Ratri, Devita Rahmani; Hariyanti, Tita
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

The Intensive Care Unit (ICU) is one of the most resource-intensive departments in a hospital. Patients admitted to the ICU incur, on average, three times higher costs than those in general wards. However, healthcare professionals, particularly doctors and nurses, often remain unaware of these high costs.   This study employs a qualitative research design using a case study approach. A total of seven participants were selected through purposive sampling. Data were collected through unstructured observations of the ICU environment and unstructured interviews with participants. Thematic analysis was then used to interpret the findings. Four key themes emerged: (1) The ICU as the last hope for survival, (2) Doctors and nurses feeling powerless over treatment costs, (3) The predominant focus of doctors and nurses on medical aspects, and (4) Sentosa Hospital: Between Regulation and Professionalism. The study was conducted at a provincial referral hospital, classified as a type A hospital and a teaching center, where patients present with complex medical conditions. This complexity often leads doctors and nurses to prioritize medical care over financial considerations. In conclusion, ICU doctors and nurses demonstrate limited awareness of the financial burden of patient care. To enhance this awareness, targeted interventions are needed to sensitize all healthcare professionals, particularly doctors and nurses, to the economic aspects of critical care.
THE INFLUENCE OF JOB SATISFACTION ON SPECIALIST PHYSICIANS’ PERFORMANCE MEDIATED BY PUNCTUALITY IN OUTPATIENT SERVICES(AN EMPIRICAL STUDY AT DR. SAIFUL ANWAR REGIONAL GENERAL HOSPITAL, EAST JAVA PROVINCE) Budianto, Mochamad Bachtiar; Rudijanto, Achmad; Wardhani, Viera
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Job satisfaction plays a vital role in enhancing productivity, particularly in hospitals that function as integral components of the healthcare system and provide various services, with outpatient care often serving as the primary access point to referral hospitals. Optimal human resources and service quality can only be attained when employees experience job satisfaction, which in turn promotes greater productivity, creativity, discipline, enthusiasm, and commitment. High job satisfaction encourages a positive attitude toward work, whereas dissatisfaction tends to lead to a negative impact on performance. This study aims to examine the effect of job satisfaction on the performance of specialist physicians, with punctuality as a mediating variable in the outpatient department of Dr. Saiful Anwar Regional General Hospital, East Java Province. This research employed an analytical observational design with data collected cross-sectionally. The study population comprised 100 specialist physicians working in the outpatient installation, selected using purposive sampling. Data were gathered through questionnaires and electronic attendance records, and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Results indicate that punctuality mediates the relationship between job satisfaction and performance (t = 3.812; p = 0.001 < 0.05). Strategies such as remuneration improvements, reward and punishment systems, standard operating procedures (SOPs), and enhancement of facilities and infrastructure are expected to improve both satisfaction and performance among specialist physicians in outpatient services.
ANALYSIS OF PATIENT IDENTIFICATION COMPLIANCE BY NURSE IN GENERAL WARD OF ISLAMIC HOSPITAL MALANG Zamanti, Arfiyani; Wardani, Diadjeng Setya; Duhitatrissari, Fifin Pradina
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Patient safety is a system created by hospital to ensure safer healthcare. One of the aspects of patient safety is patient identification. Patient misidentification at the beginning of the service will lead to further errors in later processes. Misidentification will cause harm to patients and bring lawsuit against the hospital. The study aimed to identify factors influencing compliance with patient identification and explore 2 aspects of patient identification, ID wristband check and the use of at least 2 patient’s identifiers. The quantitative descriptive study was conducted in Unisma Islamic Hospital Malang using questionnaires and observations to collect data. Respondents for the questionnaires were 40 nurses of 4 inpatient wards, Jasmine, Tulip, Teratai, and Dahlia. There were 20 participants of the observations. The result of the questionnaires shows that the score of attitude was 94.4% (good), the sore of team work was 63.3% (quite good), the score of work environment reached 95.6% (supporive),and the score of knowledge was 81,6% (good). However, the result of the observations reveals that compliance with patient identification was 81%, which is 19 % below the standard 100%. This is caused by lack of nurses’ understanding regarding accurate patient identification procedure, insufficient supervision, and weak patient safety culture. To improve patient identification compliance, active participation of the management, the patients and their family is required.
THE DIFFERENCES IN COMPLETENESS AND TIMELINESS OF ELECTRONIC MEDICAL RECORD DOCUMENTATION IN NURSING WARDS: PERSPECTIVES FROM SURGICAL AND NON-SURGICAL DOCTORS Asmiragani, Syaifullah; Sri Andarini; Viera Wardhani
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

The 2023 Quality Committee Report of Hospital X revealed lower levels of completeness and timeliness in the surgical ward, especially in the initial assessment, initial medical plan, and patient progress notes. Regarding this, the present study aims to analyze problematic Electronic Medical Records (EMR) components and the factors causing incompleteness and delay in data entry in surgeons and non-surgeons. This cross-sectional study was conducted by using 362 inpatient EMRs to analyze four key components, namely initial assessment, initial medical plan, Integrated Patient Progress Note (IPPN), and medical resume. Besides, 293 doctors completed questionnaires assessing their understanding of EMR-related regulations and their data entry timing for the four components. Completeness and timeliness analysis was performed using Chi-Square, while understanding of regulations and entry time was analyzed using Mann-Whitney. The findings indicated that non-surgeons showed higher completeness and timeliness in the initial assessment, medical resume, and CPPT (p<0.05), while surgeons excelled in the initial diagnostic plan in the initial medical plan (p<0.05). There was no difference in understanding of regulations, but non-surgeons took longer to enter data on assessment and initial medical plan (p<0.05). Finally, contributing factors include EMR technology, physician workflow, and physician interaction time with the EMR.
FACTORS CONTRIBUTING TO THE SUBOPTIMAL USE OF INSTAGRAM AT HOSPITAL X MALANG Almira, Anissa Putri; Suryanto; Rozany, Farida
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Digital marketing leverages digital channels to reach consumers in a targeted, cost-effective, and personalized manner. Social media platforms, particularly Instagram, offer hospitals opportunities to interact directly with patients, disseminate information, and build stronger relationships. This study aims to identify the underlying factors contributing to the ineffective use of Instagram as a digital marketing tool at Hospital X and to support efforts to optimize its marketing strategy. A qualitative approach was employed, with data collected through interviews and focus group discussions (FGDs). Interviews were conducted with patients, the Head of Public Relations, and the Hospital Health Promotion Unit (PKRS), while FGDs involved the hospital director, division heads, and department heads. Data were thematically analyzed and subjected to root cause analysis to identify key issues. Three primary factors were identified as barriers to effective digital marketing implementation: (1) lack of specialized digital marketing training, (2) insufficient human resources preventing the formation of a dedicated team, and (3) limited awareness across departments to contribute regular content. These challenges collectively hinder the hospital’s ability to optimize its use of Instagram. These findings highlight the need for the hospital to strengthen its digital marketing strategy by addressing the three key root causes identified in this study.
ANALYSIS OF THE DECLINE IN OUTPATIENT VISITS TO THE OB-GYN CLINIC AT PANTI WALUYA HOSPITAL MALANG Lionardy, Chandra; Setya Wardani, Diadjeng; setiawati, Lisa
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Maternal and newborn health is a key indicator of societal well-being. Mothers’ awareness of the importance of antenatal care at obstetrics and gynecology (ob-gyn) services plays a crucial role in ensuring maternal health during pregnancy, childbirth, and the postpartum period. Such awareness indirectly contributes to increased patient visits. This study aims to analyze the causes of the low number of outpatient visits to the ob-gyn clinic, which may serve as a basis for future hospital strategies. A qualitative case study approach was employed, utilizing unstructured interviews and brainstorming sessions for data collection. Root cause analysis was conducted using a fishbone (Ishikawa) diagram, followed by literature review and further discussions to develop potential solutions. The findings reveal that the decline in outpatient visits to the ob-gyn clinic at a private hospital is attributed to the absence of a structured marketing plan and the suboptimal promotion of ob-gyn priority services on social media. The hospital’s strategies to increase clinic visits include regularly promoting hospital facilities, ensuring accessible information about available services, highlighting ob-gyn priority services, and establishing partnerships with primary healthcare facilities. Promoting ob-gyn priority services through social media and within the hospital environment is expected to increase patient visits, ultimately contributing to the hospital’s revenue growth.
FACTORS INFLUENCING NON-BPJS PATIENTS CHOICE OF HOSPITALS FOR OUTPATIENT SERVICES Rini, Kartika; Setijowati, Nanik; Aminingrum, Rahmawati
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Non-BPJS patients have greater autonomy in selecting healthcare providers, making them a vital segment in ensuring the sustainability and growth of hospital businesses. These patients tend to consider various factors when choosing healthcare services, including accessibility, service quality, hospital reputation, medical technology, and overall patient experience. This study aims to identify the key factors influencing the decision of non-BPJS patients to return to a private hospital for further treatment. By highlighting the importance of this patient segment, the study emphasizes how hospitals can better understand and respond to patient preferences in order to enhance competitiveness. A qualitative research design was employed, with data collected through in-depth interviews involving 10 outpatients from specialist clinics at a private hospital in Malang City. The data were analyzed using thematic analysis, whereby the interview findings were categorized according to emerging themes aligned with the research objectives. The study reveals that, based on patient experiences, several key factors influence the decision of non-BPJS patients to return for services at private hospitals. Among the primary considerations for revisiting outpatient specialist clinics in Malang City are the friendliness of specialist doctors, the availability of medication delivery services, the hospital’s proximity, and affordable medical fees. Conversely, several issues were identified that could negatively impact patient satisfaction if not addressed. These include the lack of clear registration instructions, particularly for new patients; unfriendly behavior from some staff members; cramped facilities; limited patient waiting areas; and prolonged waiting times.
PATIENT PREFERENCES IN UTILIZING DIGITAL MARKETING FOR HOSPITAL SELECTION: STUDY AT A PRIVATE HOSPITAL MY IN EAST JAVA Wulandari, Retno; Holipah, Holipah; Ghofir, Abdul
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Hospital marketing through social media is proven to influence patients' interest in visiting the hospital. This study aims to assess patients' preferences in the use of digital marketing and their decision to visit Private Hospital MY. This study used a descriptive method. Data were collected using a questionnaire with a 5-level Likert scale measurement on 27 outpatients and inpatients during August 2024. The questionnaire contains patient perspectives on the role of digital media in helping to choose a hospital to get health services. Data were analyzed using descriptive statistics. The results showed that all respondents agreed that information through digital advertising played an important role in choosing a hospital. Most respondents (67%) had seen digital advertisements for Private Hospital MY. However, only a few respondents (7%) stated that they visited Private Hospital MY because they saw the advertisement. Most of them visited Private Hospital MY because of family recommendations and hospital facilities. The results of this study can be used as a basis for hospital management to develop hospital marketing initiatives by optimizing digital marketing in increasing the number of patient visits to Private Hospital MY.
MATERNAL PATIENT EXPERIENCE AND INTENTION TO REVISIT: A STUDY IN A PRIVATE HOSPITAL IN MALANG CITY Oktaviana, Ratih; Setijowati, Nanik; Aminingrum, Rahmawati
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Maternal health care is an important component of the national health system since it directly affects maternal and child health. The quality of maternal care is evaluated not only based on clinical outcomes, but also on the patient's experience with the preceding treatment. This experience encompasses emotional factors, interactions with health care providers, hospital facilities, and service accessibility. Patients who have pleasant pregnancy, delivery, and postpartum experiences are more likely to revisit and use the same health services in the future. This study employs a qualitative methodology with a phenomenological approach. Data was collected through in-depth interviews with seven outpatients chosen based on particular criteria at the gynecological clinic at X Hospital in Malang City. The data were evaluated using thematic analysis, which involved categorizing interview results based on themes that arose in line with the research objectives. The findings of this study indicate that pregnant patients desire to revisit to Hospital X for a variety of reasons, including the availability of qualified specialist doctors, comprehensive facilities and infrastructure, good and courteous staff service, and the hospital's Islamic brand image. The majority of the informants expressed great happiness and satisfaction with their interactions at this facility. However, there were also less pleasant encounters, such as long and inconvenient lines and doctors who arrived late. Exploring the experiences of these maternal patients is one of the initiatives to find measures to boost patients' intent to visit this hospital again.
BARRIERS TO DRUG PLANNING IN THE PHARMACY UNIT OF HOSPITAL X IN MALANG, EAST JAVA, INDONESIA: MANAGERIAL AND OPERATIONAL PERSPECTIVES Zuhroh, Fifi Kurnaini; Ahsan, Ahsan; Khulud, Khoiron
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Drug planning, a key responsibility of the hospital’s pharmacy unit, plays a crucial role in ensuring that drug management is safe, effective, and efficient. Inadequate drug planning can lead to stockouts and dead stock which negatively affect the quality of patient care and resource utilization. The purpose of this study was to identify the obstacles hindering the optimal implementation of the drug planning process in the pharmacy. This study employed a qualitative approach in the form of a case study. Data collection was carried out from September to October 2024 through in-depth interviews with informants and direct observation through document review. Informants were selected using purposive sampling and included the Assistant Manager of Medical Support, the Head of the Pharmacy Unit, and the Person in Charge of the Pharmacy Warehouse. The data analysis was conducted using triangulation to check the validity of the data. The results of the study revealed that there were five main problems that caused obstacles in planning so pharmaceutical management was not optimal. These obstacles are the imbalance between the workload and the number of officers, lack of officer skills, the absence of a drug planning team, inappropriate drug planning calculation and methods, and inadequate hospital information system (HIS) related to drug planning. In conclusion, although the management of drug planning and procurement in the pharmacy unit of Hospital X, Malang City, East Java, Indonesia, has been carried out, its implementation remains suboptimal because of various managerial and operational barriers.

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