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INDONESIA
Jurnal Administrasi Kesehatan Indonesia
Published by Universitas Airlangga
ISSN : 23033592     EISSN : 25409301     DOI : -
Core Subject : Health,
Health Professions
Jurnal Administrasi Kesehatan Indonesia (JAKI) is a scientific journal that contains editorials, research articles, and literature reviews related to the scope of the management, organization and leadership in health institutions. This journal is supported by practitioners and scientists from various institutions which involve expertises in health management and health organization. JAKI (p-ISSN 2303-3592, e-ISSN 2540-9301) has mission in developing knowledge in health administration through publication. Based on this mission, this journal aims at facilitating numerous experts in the field of Health Administration to share their ideas and scientific studies in order to improve the quality of healthcare services.
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Articles 11 Documents
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Search results for , issue "Vol. 13 No. 2 (2025): December" : 11 Documents clear
THE APPLICATION OF STANDARDIZED HEALTH SERVICE FEES IN THE HEALTH INSURANCE SCHEME Endartiwi, Sri Sularsih; Ispandiyah, Woro
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.152-161

Abstract

Background: The implementation of the Indonesian Minister of Health Regulations No. 3 of 2023 on the standard health service tariff in the national health insurance program, as a replacement for the previous policy, has created confusion among field implementers. The capitation rate is considered sufficient but is sometimes insufficient to cover Public Health Care (PHC) operational costs. Aims: This study aims to analyze standard health service tariffs in the implementation of the health insurance program at PHCs.  Methods: The authors used descriptive qualitative methods with a case study as the research design. The unit of analysis was the health service tariff standards at the PHCs. Data collection techniques involved snowball discussions followed by FGDs. Research subjects were selected using a purposive sampling technique. The FGDs consisted of 3 participants from BPJS Kesehatan, 4 from the public health centers, 2 people from private clinics, and 3 individual practitioner doctors. Data were analyzed using Open Code software. In addition, a policy analysis of PHC tariff standards was also conducted.  Results:  PHCs have implemented the Minister of Health Regulations No. 3 of 2023 since February 2023. In the implementation of health service tariff standards at the PHCs, no significant obstacles were encountered, as they adjusted to the applicable policies. Although the tariff standards follow Minister of Health Regulations No.3 of 2023 and include an increase in the capitation value compared to the previous policy, the amount is perceived as inadequate and still below the reasonable cost required for service delivery. Private clinics and individual practitioners must still cover operational expenses using capitation funds supplemented by income from non-insured patients to meet operational costs related to human resources, equipment, and supporting facilities. Conclusion: PHCs have implemented the standard health service tariff in accordance with the existing policy. However, the increase in capitation fees has not fully covered the costs at PHCs. Keywords: health service; PHC; tariff standard
RECORDING GLOBAL VOICES: SYSTEMATIC LITERATURE REVIEW IN PATIENT SAFETY CULTURE SURVEYS Jak, Yanuar; Anugrahsari, Santi
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.232-241

Abstract

Background: Measurement of patient safety culture is often conducted using various questionnaire methods and multiple respondents. Patient safety culture cannot be ignored; therefore, understanding these results is crucial for further study. Aim: To investigate the results of measuring patient safety culture in hospitals across various countries. Method: This study is a systematic literature review of articles published between 2013 and 2023. The selection process followed the PRISMA, which included identification, screening, eligibility, and inclusion. Selected articles were evaluated for quality, and the data were then analyzed thematically to identify instruments, approaches, and challenges in measuring patient safety culture. Results: The systematic review identified 45 relevant studies. The HSOPSC instrument was the most widely used, followed by the SAQ and the PSFHI, with varying local adaptations. The analysis revealed challenges with instrument reliability, differences in cultural contexts, and resource limitations. These findings promoted standardization and local adaptation in measuring patient safety culture. Conclusion: After 24 years of global recognition of patient safety, this study confirms that measuring patient safety culture is a strategic pillar in hospital quality improvement. This finding has academic and practical values, supporting cultural improvement strategies and evidence-based patient safety policies. Keywords: Doctor, Hospital Community, Hospital, Nurse, Patient Safety Culture
THE COST OF TREATMENT FOR PEDIATRIC TUBERCULOSIS PATIENTS: A CROSS-SECTIONAL STUDY Lestyoningrum, Sinta Dewi; Noveyani, Adistha Eka; Putro, Wahyu Gito; Faisal, Debri Riski; Purwatiningsih, Yuni; Mikrajab, Muhammad Agus; Nugraheni, Wahyu Pudji
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.142-151

Abstract

Background: Tuberculosis (TB) is a leading global communicable disease. Pediatric tuberculosis, in particular, is prevalent among the population aged 0-14 years and necessitates a treatment duration of at least six months. Aims: This study aims to assess the total treatment cost of pediatric tuberculosis patients and determine the factors associated with the total cost. Methods: A cross-sectional design was employed to collect the retrospective data at a public hospital and PHC in the province-level Special Region of Yogyakarta, Indonesia. Treatment costs are categorized into the following: laboratory costs, professional costs, drug costs, medical and non-medical support costs, and miscellaneous costs. The collected data underwent both descriptive and statistical analysis using regression methods, namely logistic and probit regressions. Results: The analysis revealed that most patients were between 0 and 2 years old and most of them are school-age, with an average treatment cost of USD 62.80 per patient. The study identified laboratory costs (RR 0.198; 95% CI 0.083-0.314), professional costs (RR 9.402; 95% CI 4.108-14.698), drug costs (RR 5.269; 95% CI 2.326-8.212), and medical support costs (RR 0.223;95% CI 0.064-0.382) as the primary contributors to the total cost. Conclusion: The point of this study is that effective treatment is possible with proper financial support. To achieve a successful outcome in treating pediatric tuberculosis, it is imperative to establish an advocacy and collaboration effort to enhance the primary health services. This cooperative effort should prioritize convenient access to treatment and enhancing active case finding. Keywords: cost of illness, cost of treatment, pediatric tuberculosis
INTERPROFESSIONAL COLLABORATION FOR PATIENT SATISFACTION IN INDONESIA Al-Ghani, Muhammad Kemal Pasha; Sundari, Sri
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.172-181

Abstract

Background: One of the ways to improve healthcare quality in hospitals is patient-centered care (PCC). In improving patient-centered care, health workers can optimize interprofessional collaboration (IPC), but it remains challenging to understand how they communicate and coordinate, and thus, the impact of IPC on patient satisfaction remains unclear.    Aims: It aimed to investigate the impact of IPC implementation on patient satisfaction within the PCC in a teaching hospital. Methods: A mixed-methods design was employed in this study, comprising 140 samples, consisting of 70 healthcare providers (IPC measured by AITCS-II) and 70 patients (satisfaction assessed using a modified SERVQUAL) for the quantitative component.   Chi-square and multivariate logistic regression were used to analyze the data. The respondents, three healthcare professionals and three patients, were then interviewed to share their experiences with IPC and patients’ satisfaction. The data were then analyzed by using grounded theory (open, axial, and selective coding). Results: Interprofessional collaboration was reported to improve patient satisfaction (p = 0.016). The indicators that significantly increased the patients' satisfaction are partnership, cooperation, and coordination, with adjusted odds ratios (aORs) of 2.05, 1.80, and 1.72, respectively. These results, then, are in line with the qualitative findings, which reported that the barriers to implementing IPC include communication, teamwork, and hierarchy. Conclusion: It can be concluded that IPC can affect patient satisfaction in PCC implementation Keywords: Health Services Administration, Interprofessional Relations, Patient-Centered Care, Patient Satisfaction, Teaching Hospitals
ASSESSING THE DISTRIBUTION OF SELF-PAYING INNOVATIVE ONCOLOGY MEDICINES AMONG CANCER PATIENTS Dzulkipli, Mohd Redhuan; Shafie, Asrul Akmal; Maon, Siti Noorsuriani; Ramli, Azuana; Mohammad Yahaya, Abdul Haniff; Ho, See Wan; Muhsin, Nor Ilham Ainaa; Ahmat, Azmi Nor Mohd Farez
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.162-171

Abstract

Background: Innovative oncology medicines offer advanced cancer treatment but often come with high costs, limiting access through public healthcare funding. Aims: This study examines the distribution of self-paying innovative cancer drugs among patients in Malaysian public hospitals. Methods: Using oncology pharmacy records from 2017 to 2020, 157 patient samples were collected, constrained by COVID-19 restrictions. Results: The average patient age was 57 years (SD= 11.47), with a predominance of females (73.9%) and Chinese ethnicity (48%). Breast cancer was the most common diagnosis (47%), followed by lung (17%) and colon cancer (10%). Frequently prescribed drugs included Trastuzumab, Palbociclib, Osimertinib, Cetuximab, and Bevacizumab, most of which are listed in the Ministry of Health’s Formulary of Listed Anticancer Drugs (FLAD). Patients paid an average annual cost of MYR 16,233.90 (SD= 20,424.67) for FLAD medicines and MYR 11,239.75 (SD= 122,793.50) for non-FLAD medicines. Conclusion: The study highlights that out-of-pocket payments are the primary funding source for these treatments, posing significant financial burdens and potential long-term economic strain on cancer patients in Malaysia. Keywords: FLAD, Funding Mechanism, Innovative Oncology Medicine
WHEN DONORS SET THE DIRECTION: LIMITS OF PROJECT-BASED HEALTH INTERVENTIONS IN LMICS – LESSONS FROM INDONESIA Putri, Nuzulul Kusuma
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.128-132

Abstract

Health development in many low- and middle-income countries (LMICs) tends to be driven by donor-driven pilot projects frequently framed as innovative and scalable solutions. However, these programs typically disappear once external funding ends, resulting in the failure to achieve sustainability and long-term impact. This commentary explores the limitations of project-based development in LMICs, highlighting how shifts in the global aid architecture create complex pressures on recipient countries. Indonesia serves as a case study to illustrate how the proliferation of non-governmental organizations (NGOs) and competition for donor funding have led to fragmented implementation, donor-dependent strategies, and low levels of community ownership. Keywords: Donor-driven development, health program sovereignty, Indonesia, NGOs
HETEROGENEITY OF JKN-PBI’S IMPACT ON HOUSEHOLD OUT-OF-POCKET HEALTH EXPENDITURES IN INDONESIA Indriani, Ria; Wahyuni, Ribut Nurul Tri
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.182-194

Abstract

Background: The National Health Insurance-Contribution Assistance Recipients (JKN-PBI) participants in Indonesia tended to increase. However, out-of-pocket (OOP) health expenditures among participants did not significantly decrease. This phenomenon may have occurred because the impact of this program on OOP health expenditures varied by household group. Aims: This study investigated the heterogeneity impact of the JKN-PBI program across per capita expenditure quartiles and residential regions in 2024. Methods: The study used data from BPS-Statistics Indonesia. Because the determination of JKN-PBI program recipients was endogenous, this study used the Inverse Propensity Score Weighting (IPW) model. Tobit regression was also applied to accommodate the OOP health expenditure reported as a zero value. Results: Participation in JKN-PBI significantly reduced OOP health expenditures. More nominal reductions occurred in higher quartiles, whereas proportional reductions occurred in lower quartiles.  This outcome indicated that households in the lower quartiles obtained greater health service advantages relative to households in the higher quartiles.  The reduction in OOP health expenditure share was also greater in rural areas. Conclusion: The government must prioritize this program in rural regions and low-income households. In addition, the government needs to identify healthcare service needs by regions and income groups so that the use of the JKN-PBI card is more optimal. Keywords: National Health Insurance Program, Out-of-Pocket Expenditure, Heterogeneous Impact, Inverse Propensity Score Weighting, Tobit Regression
APPLYING AN IMPLEMENTATION RESEARCH LENS TO INDONESIA’S FREE NUTRITIOUS MEAL PROGRAM Nurmansyah, Mochamad Iqbal; Fitriani, Anna
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.133-141

Abstract

The Makan Bergizi Gratis (MBG, or free nutritious meal) program was designed by the Indonesian government to enhance community nutrition, particularly for students. Ensuring the effective implementation of programs is essential to achieving various objectives. In general, implementation research serves as a method to identify implementation determinants, formulate strategies, and assess outcomes within the specific context of the MBG program. Therefore, this research aims to investigate the potential use of implementation research methodology for improving the MBG program. Research in the area may rely on the application of frameworks, theories, and models within implementation science. The methodology covered three areas: 1) delineation of the implementation process; 2) identification of factors affecting implementation, and 3) assessment of implementation outcomes. The research can concentrate on the phases of formulating implementation strategies and converting research into practice during the identification of the implementation process. Further opportunities for inquiry include investigating the factors influencing implementation, the effectiveness-implementation hybrid design, outcomes of implementation, economic evaluation, and the phases of scaling up the strategies within the MBG program. The active role of end-users can help ensure that the results are relevant and applicable in practice, thereby increasing the possibility of adoption. Keywords: Free nutritious meals, implementation science, perspectives, school-based program
PRIVATE HEALTH INSURANCE OWNERSHIP IN A SOCIAL HEALTH INSURANCE DOMINATED SYSTEM Putri, Dinda Bella; Idris, Haerawati; Alyousef, Mohammed
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.219-231

Abstract

Background: Private health insurance coverage in Indonesia remains very limited, which may increase financial vulnerability despite the dominance of social health insurance.  Aims: This study examines factors associated with private health insurance ownership among the Indonesian population. Methods: A cross-sectional study was conducted using data from the 2023 National Socio-Economic Survey (SUSENAS), including 179,339 respondents aged 15–64 years. Multiple logistic regression was applied to estimate adjusted prevalence ratios (PRs) and 95% confidence intervals, controlling for demographic, socioeconomic, and health-related factors Results: The prevalence of private health insurance ownership was 0.5%. Higher education, married status, rich economic status, exposure to internet media, and absence of health complaints were significantly associated with a higher likelihood of ownership. In contrast, respondents aged 25–34 years, those living in households with fewer than five members, and employed individuals were significantly less likely to own private health insurance. Rich economic status was the strongest predictor of private health insurance ownership (adjusted PR = 3.353; 95% CI: 1.997–5.627).  Conclusion: Private health insurance ownership in Indonesia is strongly shaped by socioeconomic characteristics and information exposure. These findings provide empirical evidence to support further investigation into the role of private health insurance as a complementary mechanism within Indonesia’s social health insurance-dominated system. Keywords: Indonesia, ownership, private health insurance, socioeconomic factors
SOSIODEMOGRAPHIC DETERMINANTS OF HEALTH FACILITY UTILIZATION IN INDONESIA: Determinan Sosiodemografi Utilisasi Pelayanan Kesehatan di Indonesia Rahayu, Eka Putri; Ariyanti, Rea; Rahayu, Agustin Putri
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.195-205

Abstract

Background: Health service facility utilization is crucial for determining healthcare service success and accessibility. Sociodemographic factors significantly influence utilization patterns. Aims: This research aims to examine the relationship between sociodemographic factors and health facility utilization patterns among the Indonesian population Methods: Secondary data from the 2023 Indonesian Health Survey (Health Development Policy Agency, Ministry of Health) were analyzed using a quantitative cross-sectional approach. Chi-square tests and binary logistic regression were employed for bivariate and multivariate analyses Results: Non-JKN health insurance was the dominant factor with PR = 2.4 (95%CI PR: 2.335-2.645), followed by never in union with PR= 1.328 (95%CI PR:1.269-1.390). Married with PR= 1.3 (95%CI PR: 1.224-1.381), unemployed with PR= 1.262 (95%CI PR: 1.226-1.300), children with PR= 1.181 (95%CI PR: 1.110-1.257), men with PR =1.030 (95% CI PR: 1.005-1.005). Factors reducing utilization likelihood included are rural residence with PR= 0.378 (95%CI PR: 0.368-0.388), secondary education with PR= 0.390 (95%CI PR: 0.376-0.404), adult with PR= 0.650 (95%CI PR: 0.603-0.701), primary education with PR= 0.703 (95%CI PR: 0.684-0.722), non formal occupation with PR= 0.955 (95%CI PR: 0.922-0.989). Conclusion: The binary logistics regression shows that health insurance ownership is the most dominant predictor, with individuals holding non-JKN health insurance being 2.4 times more likely to utilize healthcare services compared to those with JKN insurance. Therefore, geographical disparities and educational levels are critical obstacles that require intervention in efforts to improve access to health services. Keywords: Determinants, Health Facility, Sociodemographic, Utilization, SKI 2023

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