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JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Published by Universitas Muhammadiyah Yogyakarta
ISSN : 20882831     EISSN : 25416715     DOI : https://doi.org/10.18196/jmmr
Core Subject : Economy, Health,
Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) focuses on the research and research review related to hospital management that is relevant to the development of the theory and practice of hospital management in Indonesia and Southeast Asia. Focus on hospital management (but not limited) to hospital services such as primary health care, laboratory, pharmacy, and radiology. JMMR covered various research approaches, namely: quantitative, qualitative, and mixed-method. JMMR focuses on various themes, topics, and aspects of accounting and investment, including (but not limited) to the following topics: Hospital Management, Hospital Accounting, Health Services Management, Health Insurance, Health Policy, Community Health Center, Medicine, Nursing, Pharmacy, Information Technology Health Services, Health Law and Ethics.
Arjuna Subject : Umum - Umum
Articles 342 Documents
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The Quality of Insurance and Non-Insurance Patient Services and Their Effect on Loyalty Mediated by Patient Satisfaction
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 3 (2025): December 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i3.658

Abstract

The world is currently navigating challenges in reaching UHC by 2030. In Indonesia, the Health Services Coverage Index (SCI) recovered significantly however, its downturn in 2021 highlighted a prominent challenge. Eka Hospital, as a reputable referral hospital, has developed its services through innovations and technology; however, little has been discussed regarding the differences in service quality between insured and uninsured patients. This research aims to investigate the variance in service quality between insurance and non-insurance services, as well as its impact on customer satisfaction and loyalty. You'll also discover which service attributes need to be upgraded to meet the needs of patients. Research employed a cross-sectional study design. Regarding its design, this research utilized SERVQUAL, IPA, and Partial Least Squares Multigroup Analysis (PLS-MA) to test the hypothesis. The population consisted of outpatients of Eka Hospital in 2024. At least 110 samples are known, according to the consecutive sampling method/service and the 10-times rule SEM analysis. After excluding non-eligible participants, 415 participants were deemed valid. Results indicated no difference in services between insured and non-insured patients, indicating equivalent service. Some elements that require improvement include better medical equipment, trust in doctors' diagnoses, fair medical fees when treating patients, convenience in the procedure process, procedural effectiveness, and the enhancement or even remission of symptoms after treatment. Quality of service is closely linked to patient satisfaction, which in turn promotes patient loyalty. Hospitals should consider both the technical and emotional aspects of care to create a satisfying experience, which is crucial for UHC success in Indonesia.
Toxic Workplace Environment, Not Job Stress, as a Predictor of Diminished Nurse Performance in Indonesia
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 3 (2025): December 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i3.661

Abstract

Nurse performance is critical for ensuring hospital services are good.” This study examines the influence of a hazardous work environment and job stress on nurses' work at Cideres Regional Hospital in Majalengka. A cross-sectional approach was employed, and data were collected from 107 inpatient nurses using structured questionnaires with validated instruments. We performed a multiple linear regression analysis to determine the extent to which each of these variables contributed to the prediction. The formulated model is Y = 54.783 − 0.310X₁ − 0.016X₂, where Y represents nursing performance, X₁ represents a toxic working environment, and X₂ represents job stress. The results revealed that working environment toxicity had a strong negative influence on nursing performance (β = –0.310, p < 0.05), indicating that stress does not significantly predict performance. The studies highlighted the value of organizational interventions that address toxic behaviors and promote respectful communication and psychological safety. Investing more effort in enhancing connections between people and leadership practices may have a greater impact on nursing performance than techniques that focus solely on reducing stress. The results indicated that reducing toxicity in the workplace is crucial for enhancing nurse performance and the quality of hospital care.
Performance Analysis of Inpatient Unit at Universitas Indonesia Hospital Using the Malcolm Baldrige Framework in 2024 Ambarwati, Maulaya Istafa Tiwikrama; Basabih, Masyitoh; Sultoni, Siti
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 15 No. 1 (2026): April 2026
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v15i1.530

Abstract

The increasing number of hospitals each year has intensified competition. Hospitals must continuously improve their performance to survive and remain competitive. Inpatient performance assessment can help achieve more optimal results, as it represents the largest contributor to hospital revenue. This study aims to obtain results from an inpatient performance analysis using the Baldrige Excellence Framework at the Universitas Indonesia Hospital in 2024. This study used a cross-sectional design with a quantitative approach to obtain perceptions of performance assessment from the employee's perspective. The research sample was recruited using convenience sampling, comprising 58 respondents. This research reveals that the highest percentage index is the measurement, analysis, and knowledge management category (78,1%), while the lowest is the workforce category (70,8%). Bivariate analysis results uncover that the strategy category (r = 0.437) has a moderate correlation with result, while the other five categories have strong correlations: leadership (r = 0.572), customers (r = 0.640), measurement, analysis, and knowledge management (r = 0.716), workforce (r = 0.683), and operations (r = 0.630). Result category is influenced by suboptimal workforce management, including recruitment systems, allocation, planning, engagement, incentives, rewards, and efforts to prevent workforce reductions driven by high turnover. Management needs to place greater focus on the workforce by aligning with the characteristics of Generation Z, which currently dominates the workforce, to achieve better performance.
Minimum Maximum Stock Level (MMSL) Analysis for Pareto A Cardiovascular Medicines: Evidence from a Community Pharmacy in Bandung, Indonesia Ramadhan, Iqbal Sujida; Kautsar, Angga Prawira
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 15 No. 1 (2026): April 2026
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v15i1.659

Abstract

The availability of cardiovascular medications is a crucial component of pharmaceutical services in community pharmacies, as it directly affects the continuity of patient therapy. Various studies have discussed drug inventory control, but research evaluating the performance of high-value (Pareto A) cardiovascular drug inventory management using a stockout-episode-based approach in community pharmacies remains limited, particularly in the context of implementing the Minimum Maximum Stock Level (MMSL) method. This study aims to analyze the impact of implementing MMSL on the performance of pareto A cardiovascular drug inventory management in community pharmacy in Bandung, Indonesia. This study uses a quasi-experimental nonequivalent control-group design to compare stockout indicators before and after the implementation of MMSL. The research subjects were selected purposively. The analysis of stockout episodes was conducted using Poisson Regression. In contrast, the duration of stockouts and the value of stockout losses per episode were analyzed using the Mann-Whitney U test. The results showed that implementing MMSL led to a non-significant decrease in stockout episodes (from 1.50 to 1.33 per month; p = 0.782; IRR = 1.125). The duration of stockouts showed a non-significant increase (from 3.0 days to 4.0 days, p = 0.284, r = 0.21). However, the value of stockout losses per episode increased significantly (from IDR 314,223 to IDR 744,746, p = 0.048, r = 0.39). The conclusion of this study indicates that MMSL plays a role in preventing stockouts, but risk management for high-value items still requires additional strategies in pharmaceutical inventory management.
Decision Criteria in Hospital Information System Sourcing Policies and Their Impact on Stakeholders’ Satisfaction Jimmy, Jimmy; Phi Shi, Ng
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 15 No. 1 (2026): April 2026
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v15i1.683

Abstract

This study investigated the decision criteria guiding hospitals in formulating policies on insourcing or outsourcing their Hospital Information Systems (HIS). It examined how these decisions affect stakeholders' satisfaction, using perceived system usability as a proxy. This study adopted a sequential mixed-methods design involving qualitative site visits to six hospitals, followed by a quantitative survey of 80 HIS stakeholders. Findings from site visits indicated that performance, reliability, and quality were common decision criteria across sourcing strategies. Hospitals that insourced their HIS emphasized security, access, and control over source code and data, whereas those that outsourced prioritized maintainability, adherence to standards, and implementation time efficiency. Interestingly, regardless of sourcing strategy, cost was consistently ranked among the least important decision criteria, suggesting that HIS stakeholders prioritize system performance over budgetary considerations. Regarding the impact of sourcing decisions, insourced HIS achieved significantly higher usability scores than outsourced HIS, indicating greater stakeholder satisfaction. Overall, this study presented an integrated view of the criteria driving HIS sourcing policies and their implications for HIS stakeholder satisfaction.
The Moderating Effect of Transformational Leadership Style on Patient Safety Culture at Bhayangkara Hospital, Indonesia Syah, Irwan; Jak, Yanuar; Sulistyowati, Yeny; Syafira Putri, Alsa; Rahmi, Dian
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 15 No. 1 (2026): April 2026
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v15i1.690

Abstract

Patient safety remains an important issue in health services and a global concern; it is crucial to ensure its implementation. This study aims to analyze the moderating effect of the transformational leadership style on workload, motivation, knowledge, and attitudes towards patient safety culture at Bhayangkara Polri Hospital. The research team used quantitative methods with an explanatory research approach. The sampling technique used was Slovin sampling, involving 117 nurse participants. The analysis technique uses partial least squares. Transformational leadership style variables cannot moderate workload, motivation, attitude, and knowledge of patient safety culture. The novelty of this research is that the researcher found that, in a specific context, Bhayangkara Depok Hospital still uses a command leadership style because its work culture is still influenced by that of the Indonesian National Police Institution (Polri). Hospital management regulations are still controlled by a higher-level organizational unit, in this case, the u.o Polri. The implementation of a highly complex patient safety culture is often influenced by numerous factors (exogenous variables). These include unique system characteristics, organizational business processes, and the individual behavior of Polri members assigned to Bhayangkara Brimob Depok Hospital.
The Role of Leadership, Organizational Culture, Knowledge, Attitude, and Skills in Developing Performance in Hospitals Gifari, Zikry Mohammad; Andarusito, Nurcahyo; Rosa, Tina
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 15 No. 1 (2026): April 2026
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v15i1.693

Abstract

Standard operating procedures and clinical protocols do not solely determine hospital performance; it is also significantly influenced by internal organizational factors, such as leadership style and organizational culture, as well as individual factors, including knowledge, attitudes, and skills. A mixed-methods approach was employed, combining quantitative surveys with Structural Equation Modeling (SEM-PLS) and qualitative semi-structured interviews. A total of 191 nurses were selected by simple random sampling, and three key informants (a senior nurse, a junior nurse, and a nurse manager) were interviewed. Quantitative data were analyzed for validity, reliability, path coefficients, and effect sizes. Qualitative data were analyzed using thematic coding and triangulated with observation. All five variables—leadership, organizational culture, knowledge, attitudes, and skills—significantly influenced performance (p < 0.05). Leadership and skills had the largest effect sizes (f² = 0.655 and 0.798, respectively). Organizational culture, knowledge, and attitudes had smaller yet meaningful effects. The qualitative findings supported those of the quantitative data, indicating that leadership and a collaborative organizational culture enhanced motivation and coordination, thereby improving performance. These findings support integrating Human Relations Theory, Maslow’s Hierarchy of Needs, Theory X and Y, and Dual Process Theory to understand performance development in hospitals. The interplay between structural and personal factors shapes hospital performance.
Assessing Cultural Competence in Healthcare Settings at a Faith-Based Maternal and Child Hospital in Indonesia: A Cross-Sectional Study Rahman, Ferry Fadzlul
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 15 No. 1 (2026): April 2026
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v15i1.701

Abstract

This study aimed to analyze the relationships among cultural awareness, cultural knowledge, cultural skills, cultural interaction, and cultural motivation with work culture competence among healthcare workers at Aisyiyah Mother and Child Hospital, Samarinda. This study employed a cross-sectional design involving 44 healthcare workers as respondents. The sampling technique used was stratified random sampling. Data were collected through questionnaires and analyzed using Spearman’s rank test and multiple logistic regression. The findings revealed that all independent variables were significantly related to work culture competence (p-values < 0.05). The R-square value of 42% indicated the contribution of these variables in explaining cultural competence. The regression analysis identified cultural interaction as the variable with the strongest association with cultural competence (aOR = 11.376), followed by cultural knowledge and cultural awareness. This result indicates that several interrelated cultural factors contribute to the development of healthcare workers’ cultural competence. Efforts to enhance cultural competence through continuous training and mentorship should be implemented to improve the quality of healthcare services in hospitals that are grounded in Islamic values.
Machine Learning-Based Allergen Risk Detection in Food Recipes Using K-Means Clustering and Support Vector Machine Zakaria, Adil; Wibawa, Aji Prasetya; Musyaffa', Ahmad 'Ammar; Alamsyah, David Satria; Yulianto, Aldy Rahmat; Utama, Agung Bella Putra
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 15 No. 1 (2026): April 2026
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v15i1.705

Abstract

Errors in identifying food allergens in hospital menus may pose serious risks to patient safety. This study proposes a machine learning approach for automated allergen risk classification using food recipe data. A dataset of 9,986 Indonesian recipes was collected from an online recipe platform via web scraping and mapped to 14 major allergen attributes in accordance with international food safety standards. To represent ingredient variability, a rule-based data augmentation strategy was applied, generating recipe variations from optional ingredients, yielding 15,031 additional records after filtering out unrealistic combinations. Because ground-truth clinical labels were unavailable, K-Means clustering was used to generate pseudo-labels that capture similarity patterns in allergen composition. These cluster assignments were then used as target classes for classification using Support Vector Machine (SVM) with Linear, Polynomial, Radial Basis Function (RBF), and Sigmoid kernels. Model performance was evaluated using 10-fold cross-validation with accuracy, precision, recall, and F1-score metrics, and additional hyperparameter tuning was performed to optimize model parameters. The results show that Linear, Polynomial, and RBF kernels consistently achieve high performance (0.99–1.00), whereas the Sigmoid kernel yields lower, less stable performance. However, these findings should be interpreted cautiously, as the dataset originates from a recipe platform and the labeling structure is derived from clustering rather than direct clinical annotation.
Patient Access and User Experience in EHR/EMR Research: A Bibliometric Analysis (2018–2023) Yuniarto, Mohammad Isa; Hidayah, Nur; Rosa, Elsye Maria; Reiniatie, Archie
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 15 No. 1 (2026): April 2026
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v15i1.716

Abstract

Patient access and user experience are increasingly central to the adoption and evaluation of electronic health records (EHR/EMR). This study maps global research trends on patient access and user experience in EHR/EMR research using a Scopus-based bibliometric approach. A total of 236 Scopus-indexed articles published between 2018 and 2023 were analyzed with VOSviewer to describe publication trends, leading countries and affiliations, authorship patterns, and keyword co-occurrence structures. The results showed sustained research activity across the period, with the highest publication output in 2018 and major contributions from the United States, Sweden, and the United Kingdom. Keyword co-occurrence indicates dominant themes related to patient portals, technology, and survey-based evaluations, reflecting an emphasis on access mechanisms, usability, and user perceptions. Network mapping further identifies clustered topics around portal-enabled access, technology integration, and experience assessment through surveys and interviews. Overall, the findings characterize the field's thematic structure and provide a basis for interpreting how patient access and user experience have been studied in EHR/EMR research.

Page 34 of 35 | Total Record : 342

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