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Academia Open
Published by Universitas Muhammadiyah Sidoarjo
ISSN : -     EISSN : 27147444     DOI : 10.21070/acopen.11.2026.12985
Core Subject : Health,
Medicine & Pharmacology Public Health
Academia Open is published by Universitas Muhammadiyah Sidoarjo published 2 (two) issues per year (June and December). This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge. This journal aims is to provide a place for academics and practitioners to publish original research and review articles. The articles basically contains any topics research or review. Academia Open is available in online version. Language used in this journal is Indonesia or English.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 2,489 Documents
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Global Research Trends in Diagnosis-Related Groups (DRG) and Health Payment Reform: A Bibliometric Analysis (2016–2025) Ida Ayu Agung Dewi Sawitri; Qurratul Aini
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.13586

Abstract

General Background: Healthcare systems globally are undergoing fiscal transformation through Diagnosis-Related Groups (DRG) as a prospective payment model to address rising costs and efficiency demands. Specific Background: Between 2016 and 2025, DRG-related research expanded alongside shifts from fee-for-service systems toward case-mix–based financing and value-based healthcare approaches. Knowledge Gap: Despite numerous empirical studies, there is limited macro-level intellectual mapping of global research trends, collaboration patterns, and thematic evolution in DRG and health payment reform literature. Aims: This study aims to map global scientific publications, identify key contributors, and analyze thematic structures and research trends using bibliometric methods. Results: Based on 143 Scopus-indexed articles analyzed באמצעות VOSviewer, publication output increased significantly, peaking in 2025, with the United States and China as dominant contributors. Four major thematic clusters were identified: hospital operational efficiency, macro-level financing policy, organizational adaptation, and healthcare quality and outcomes. The findings also reveal a post-pandemic shift toward integrating cost control with clinical quality and outcome-based evaluation. Novelty: This study provides a comprehensive bibliometric visualization of DRG research evolution, highlighting interdisciplinary linkages and emerging research directions. Implications: The results offer strategic insights for policymakers, healthcare administrators, and researchers to support transparent, efficient, and quality-oriented prospective payment systems and guide future research development. Highlights: Publication growth accelerated sharply, reaching the highest volume in 2025. Four thematic clusters define the intellectual structure of the field. Research focus shifts toward integrating cost management with clinical quality outcomes. Keywords: Bibliometric, Case-Mix, Diagnosis-Related Groups, Health Payment Reform, Hospital Efficiency
Empon Empon Herbal Intake and Increased Breast Milk Production: Konsumsi Jamu Empon-Empon dan Peningkatan Produksi ASI Postpartum Sari, Pramudya Novita; Astuti, Dwi; Indrianingrum, Irawati
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.13598

Abstract

General Background: Breast milk production during the postpartum period is a critical factor in successful breastfeeding, yet many mothers experience challenges in achieving adequate lactation. Specific Background: Traditional herbal practices such as empon-empon consumption are widely used in Indonesian communities as part of postpartum care, believed to support lactation through bioactive compounds. Knowledge Gap: Previous studies have primarily examined general herbal benefits, with limited contextual evidence on the relationship between empon-empon consumption and breast milk production within independent midwifery practices. Aims: This study aims to analyze changes in breast milk production before and after consuming empon-empon herbal drink among postpartum mothers at PMB Dwi Ningrum, Demak. Results: Using a quasi-experimental one-group pretest–posttest design involving 79 respondents, findings showed an increase in the proportion of mothers with smooth breast milk production from 24.1% before intervention to 60.8% after consumption, with statistically significant differences based on the Wilcoxon test. Novelty: This study provides empirical, context-specific evidence integrating local cultural practices and lactation outcomes within community-based midwifery services. Implications: The findings suggest that empon-empon herbal consumption can be considered as a complementary approach to support lactation, while emphasizing the importance of comprehensive breastfeeding management, including maternal nutrition, psychological condition, and family support. Highlights • Breast milk flow increased substantially after herbal consumption period• Significant statistical difference observed between pretest and posttest conditions• Community-based traditional practices documented within midwifery service context Keywords Postpartum Period; Empon-Empon Herbal Drink; Breast Milk Production; Postpartum Mothers; Pretest Posttest Design
Lagrange Multiplier Optimization for Frozen Whole Chicken Under Storage Limits : Poultry Slaughterhouse Case Study: Optimisasi Multiplier Lagrange untuk Ayam Utuh Beku dalam Batasan Penyimpanan: Studi Kasus Rumah Potong Unggas Tyara Ariella Farhana; Sumiati Sumiati
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.13693

Abstract

General Background: Poultry slaughterhouses manage inventory of fresh and frozen chicken products to maintain supply continuity and cost efficiency. Specific Background: A poultry slaughterhouse in Sidoarjo experiences overstock in frozen whole chicken products across multiple size categories, exceeding warehouse capacity and increasing inventory costs. Knowledge Gap: Existing company practices do not adequately align production quantities with storage constraints and demand patterns, leading to inefficiencies in multi-item inventory management. Aims: This study aims to determine optimal production quantities of whole frozen chicken using Economic Production Quantity and Lagrange Multiplier methods to minimize total inventory cost under warehouse capacity constraints. Results: The proposed approach reduces total inventory cost from Rp28,644,888,779 to Rp20,019,529,574, achieving cost savings of Rp8,625,359,205 (30.11%) while ensuring required storage volume (120.73 m³) remains within capacity limits (181.8 m³). Forecast-based production planning for 2026 further yields a total cost of Rp16,091,881,801 with feasible storage requirements. Novelty: This study applies a combined EPQ and Lagrange Multiplier approach to a multi-item poultry inventory problem with explicit storage constraints. Implications: The findings provide a practical framework for optimizing production planning and inventory control in poultry processing industries to achieve cost minimization and capacity feasibility. Highlights: Overstock conditions exceed storage limits but are resolved through constrained optimization modeling. Cost reduction reaches 30.11% with adjusted production quantities across three product categories. Forecast-based planning yields feasible storage usage and lower total expenditure for the following year. Keywords: Inventory, Lagrange Multiplier, Optimization, Production
Service Quality and Public Satisfaction at Labuhanbatu Civil Registry: Kualitas Pelayanan dan Kepuasan Masyarakat di Disdukcapil Labuhanbatu Aulia, Dini; Nasution, Novrihan Leily; Gulo, Nur’ainun
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.13917

Abstract

General Background: Public administrative services play a crucial role in fulfilling citizens’ rights related to population documents and require quality-oriented delivery to achieve public satisfaction. Specific Background: The Population and Civil Registration Office of Labuhanbatu Regency provides various administrative services but faces challenges such as service queues, processing time, and adaptation to digital services. Knowledge Gap: Previous studies tend to examine public service quality and satisfaction in general terms, with limited focus on the interaction between service quality dimensions and evolving community needs, particularly in the context of digital transformation at the regional level. Aims: This study aims to analyze the relationship between service quality and public satisfaction in population administration services. Results: Using a quantitative approach with 60 respondents and simple linear regression, the findings show a regression equation of Y = 26.704 + 0.345X, with t-value 3.119 > 1.984 and significance 0.003 < 0.05, indicating a significant relationship. The coefficient of determination (R² = 0.144) reveals that service quality contributes 14.4% to public satisfaction, while other factors account for 85.6%. Novelty: This study integrates service quality analysis with digital service context and identifies specific service experience factors affecting satisfaction at the local administrative level. Implications: The findings suggest the need for comprehensive service improvement, including responsiveness, service speed, accessibility, and digital service development to support effective public service policies. Highlights• Service assessment classified as good based on respondent evaluation• Statistical testing confirms significant relationship between variables• Contribution value indicates presence of additional determining factors KeywordsService Quality; Public Satisfaction; Public Service; Population Administration; Civil Registration
The Effect Of Islamic Values, Entrepreneurial Mindset, And Self-Efficacy On Students’ Interest In Entrepreneurship: Pengaruh Nilai Islami ,Mindeset Kewirausahaan, Dan Efikasi Diri terhadap Minat Berwirausaha Mahasiswa Pasaribu, Sri Pujiyama; Nawawi, Zuhrinal M; Atika, Atika
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.13993

Abstract

General Background: Indonesia faces a 4.91% unemployment rate in 2024, with university graduates contributing significantly due to limited entrepreneurial skills. Specific Background: At FEBI UINSU, only 30% of students show interest in entrepreneurship despite the integration of Islamic values in the curriculum. Knowledge Gap: Previous studies predominantly examine two variables, leaving limited understanding of the combined relationship among Islamic values, entrepreneurial mindset, and self-efficacy. Aims: This study analyzes the partial and simultaneous relationships of Islamic values, entrepreneurial mindset, and self-efficacy with entrepreneurial interest among FEBI UINSU students. Results: The findings show that 85% of entrepreneurial interest is explained by the three variables. Islamic values and entrepreneurial mindset demonstrate negative and non-significant relationships, while self-efficacy shows a positive and significant relationship. Simultaneous testing confirms that all variables collectively relate significantly to entrepreneurial interest (F count 178.388 > F table 3.095; sig 0.001). Novelty: This study introduces an integrated three-variable model combining spiritual, cognitive, and psychological dimensions within Islamic entrepreneurship. Implications: The results provide theoretical enrichment for Islamic entrepreneurship literature and offer data-driven recommendations for curriculum development in FEBI UINSU. Highlights• Self-belief demonstrates the strongest statistical association with student business intention• Ethical-religious and cognitive factors show non-significant statistical relationships individually• Combined model explains 85% variance of entrepreneurial intention KeywordsIslamic Values; Entrepreneurial Mindset; Self Efficacy; Entrepreneurial Interest; Islamic Entrepreneurship
Knowledge and Attitude Relationship in Adolescent HIV AIDS Prevention: Hubungan Pengetahuan dan Sikap Pencegahan HIV AIDS pada Remaja Utami, Arum Surya; Lestari, Susi; Astutik, Eftyaningrum Dwi Wahyu; Handayani, Endah Purwanti; Lestari, Tiyan Febriyani; Utami, Fetty Satu Ryan; Dinge, Fenny
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.12907

Abstract

General Background: Adolescents represent a high-risk group for HIV/AIDS due to increased social interaction and limited access to accurate reproductive health information. Specific Background: In religious-based schools, discussions related to HIV/AIDS are often considered taboo, potentially restricting knowledge acquisition and shaping preventive attitudes. Knowledge Gap: Previous studies primarily focused on public or urban schools, with limited investigation of socio-cultural dynamics in Islamic-based educational settings. Aims: This study aims to determine the relationship between knowledge and attitudes toward HIV/AIDS prevention among adolescents at SMA IT Cendekia. Results: Using a cross-sectional design with 57 students, the findings revealed that 66.7% of respondents had good knowledge and 70.2% demonstrated positive attitudes. Statistical analysis showed a significant relationship between knowledge and attitudes (p = 0.008), indicating that higher knowledge levels are associated with more positive preventive attitudes. Novelty: This study situates the knowledge–attitude relationship within the context of an Islamic-based school, highlighting the role of socio-cultural and religious values in shaping adolescents’ perspectives. Implications: The findings emphasize the importance of providing accurate, comprehensive, and culturally sensitive HIV/AIDS education to support positive attitudes and strengthen prevention strategies among adolescents. Highlights • Majority of respondents demonstrated adequate understanding and favorable prevention perspectives• Statistical testing confirms association between cognitive level and preventive orientation• Religious-based school context reveals socio-cultural constraints in information access Keywords HIV/AIDS Prevention; Adolescent Knowledge; Preventive Attitudes; Cross Sectional Study; Religious Based School
Criminal Accountability for Perpetrators of Distributing Child Pornography Content on Social Media Maliha, Rohatul; Hidayati, Rahmatul; Parmono, Budi
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.13145

Abstract

General Background: The rapid development of information and communication technology has facilitated the spread of criminal activities in digital environments, including the distribution of child pornography on social media platforms. Specific Background: Children, as rights-bearing legal subjects requiring special protection, are increasingly exposed to sexual exploitation within open and anonymous online spaces, raising significant legal concerns in Indonesia. Knowledge Gap: Although multiple legal instruments regulate this crime, there remains limited clarity regarding the practical implementation and coordination of these regulations in addressing accountability. Aims: This study aims to analyze the existing legal frameworks and examine the forms of criminal accountability for perpetrators distributing child pornography content on social media. Results: Using a normative juridical method with statutory and conceptual approaches, the findings indicate that Indonesia’s legal provisions are normatively comprehensive and have been strengthened through various laws and regulations; however, enforcement faces persistent challenges, including difficulties in digital evidence collection, perpetrator tracking, and inter-agency coordination. Novelty: The study provides an integrated examination of multiple legal instruments alongside practical enforcement barriers in the digital context. Implications: Strengthening law enforcement capacity and improving regulatory synergy are necessary to ensure effective and just child protection in digital spaces. Highlights: Legal provisions addressing the issue are comprehensive and increasingly reinforced. Practical challenges arise in evidence handling, perpetrator identification, and institutional coordination. Strengthened enforcement capacity and regulatory alignment are required for improved child protection. Keywords: Criminal Accountability, Child Pornography, Social Media.
Consumer Purchase Decisions of Halal-Certified Food Product: A Systematic Literature Review Agnesia, Ovilly; Faridah, Anni
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.13167

Abstract

General Background: Consumer decision-making in the food sector increasingly reflects ethical, cultural, and religious considerations beyond functional attributes. Specific Background: Halal-certified food products represent a growing global market segment, where certification signals compliance with Islamic principles, food safety, and product quality. Knowledge Gap: Existing studies remain fragmented, often focusing on isolated determinants and relying heavily on purchase intention rather than actual buying behavior, with limited attention to contextual and technological influences. Aims: This study aims to systematically review empirical research on consumer purchase decisions of halal-certified food products to identify key determinants, conceptual approaches, and research gaps. Results: The findings reveal that purchase decisions are shaped by interconnected factors including halal certification, trust and certification credibility, religiosity, product attributes such as taste and quality, health considerations, and socio-economic influences, with evidence indicating that product attributes can outweigh halal status in certain contexts. Consumer perceptions are multidimensional, encompassing religious compliance, trust, ethical values, and perceived quality, and are primarily measured using survey-based methods, with emerging approaches such as discrete choice experiments and willingness-to-pay analysis providing deeper insights. Novelty: This review synthesizes diverse empirical evidence into an integrated framework that categorizes determinants and highlights the multidimensional nature of consumer evaluations. Implications: The study underscores the need for behavior-focused, context-sensitive, and integrative research approaches to better capture real-world consumer decisions in halal food markets. Highlights• Identifies seven interconnected categories shaping purchasing choices in halal food markets• Reveals sensory attributes and perceived quality may surpass certification cues in specific contexts• Highlights methodological limitations and need for behavior-oriented research approaches KeywordsHalal Certified Food; Consumer Behavior; Purchase Decision; Halal Certification; Systematic Literature Review
SEM PLS Evidence on Workload, Workforce Adequacy, Job Satisfaction, and Performance: Bukti SEM PLS tentang Beban Kerja, Kecukupan Tenaga Kerja, Kepuasan Kerja, dan Kinerja Karyawan Octaviani, Elistia; Waluyo, Minto
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.13439

Abstract

General Background: Employee performance is a critical factor in sustaining production continuity and competitiveness in small-scale manufacturing industries. Specific Background: In a paving manufacturing company applying a make-to-stock system, production targets are frequently achieved through overtime, indicating underlying performance challenges related to workload and workforce conditions. Knowledge Gap: Limited empirical evidence explains how workload, workforce adequacy, work environment, and motivation interact with job satisfaction and performance within small manufacturing contexts using SEM-PLS analysis. Aims: This study examines the relationships among workload, work environment, work motivation, and workforce adequacy on job satisfaction and employee performance, including the mediating role of job satisfaction. Results: The findings reveal that workload significantly affects job satisfaction, while workforce adequacy and job satisfaction significantly contribute to employee performance; conversely, work environment and work motivation show no significant relationships. Job satisfaction mediates the linkage between workload and employee performance. Novelty: This study provides SEM-PLS empirical evidence highlighting job satisfaction as a mediating construct in small-scale manufacturing settings, particularly within paving production systems. Implications: The results suggest that managing workload balance and ensuring sufficient workforce allocation are essential strategies for improving employee performance and supporting sustainable production outcomes in similar industrial contexts. Highlights: Excess task demands correlate with changes in employee satisfaction levels. Adequate staffing contributes directly to improved work outcomes. Satisfaction serves as an intermediary linking task demands to output quality. Keywords: Workload, Workforce Adequacy, Job Satisfaction, Employee Performance, SEM-PLS
The Study Health and Economic Determinants Shape Human Development Index: Determinan Kesehatan dan Ekonomi Membentuk Indeks Pembangunan Manusia Nugroho, Wahyu Adi; Saptutyningsih, Endah; Ma’ruf , Ahmad
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.13458

Abstract

General Background Human development represents a multidimensional paradigm integrating health, education, and living standards as core indicators of societal progress. Specific Background This study examines variations in the Human Development Index (HDI) using panel data across multiple administrative units over the 2019–2023 period, focusing on stunting prevalence, under-five mortality, health facility availability, and regional economic output. Knowledge Gap Prior studies largely emphasize macroeconomic or fiscal variables, with limited integration of chronic health indicators and primary healthcare infrastructure within a unified panel framework. Aims This research aims to identify key determinants shaping HDI through a comprehensive panel regression approach. Results The findings reveal that under-five mortality and the number of inpatient health centers exhibit significant negative relationships with HDI, while regional economic output shows a positive and significant association. Stunting does not demonstrate statistical significance within the observed period. Novelty The study introduces an integrated model combining chronic health indicators and economic variables, highlighting disparities between infrastructure quantity and service quality in shaping development outcomes. Implications The results indicate that improving human development requires reducing child mortality, strengthening the quality and distribution of primary healthcare services, and sustaining inclusive economic growth strategies. Highlights• Under-five mortality consistently reduces human development outcomes• Economic output expansion aligns with higher composite welfare indicators• Health facility expansion without quality alignment yields adverse patterns KeywordsHuman; Development; Mortality; Stunting; Economy

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