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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.
Arjuna Subject : -
Articles 308 Documents
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UNMET NEED FOR HEALTHCARE AMONG PEOPLE WITH HYPERTENSION IN INDONESIA Asmaripa Ainy; Amrina Rosyada; Haerawati Idris; Asri Maharani
Indonesian Journal of Health Administration Vol. 10 No. 2 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i2.2022.177-187

Abstract

Background: Hypertension is a worldwide public health problem, mainly due to its high frequency and risks leading to cardiovascular diseases. The prevalence of hypertension in the Indonesian population aged > 18 years in 2018 was 34.11%. The unmet need for healthcare has generally been explored in most empirical studies concerning people with hypertension. Aims: This study investigated the determinants of unmet needs for healthcare among people with hypertension. Methods: The design of this study was cross-sectional on data from the Indonesian Family Life Survey wave 5 (IFLS-5). The survey sample was 6,302 adults aged > 40 years stratified by rural/urban residence status. A three-level multilevel analysis was performed to estimate the individual, household, and community-level determinants of unmet needs for hypertension care. Results: As many as 78.4% of the respondents with hypertension reported unmet needs for healthcare. Age, female, single, income, having insurance, urban residence, and the number of health-integrated posts for the elderly (Posyandu Lansia) were significantly associated with umeet needs for healthcare utilization among people with hypertension, while education and employment status showed no association with these variables. Conclusion: Improvement in access to healthcare and reduction in health inequality is required to address this problem.
TELEMEDICINE USE IN HEALTH FACILITY DURING COVID-19 PANDEMIC: LITERATURE REVIEW Widya Hapsari Murima; Ahmad Rido'i Yuda Prayogi; Aisyah Putri Rahvy; Nuranisah Djunaedi; Inge Dhamanti
Indonesian Journal of Health Administration Vol. 10 No. 2 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i2.2022.251-260

Abstract

Background: The policy of imposing restrictions on community activities during the Covid-19 pandemic is a challenge to the accessibility of health services. Therefore, we need the best solution for safe access to health services. Aims: This study aims to analyze telemedicine use in health facilities during the Covid-19 pandemic by looking at comparisons and similarities in use and reviewing the inhibiting and supporting factors for the success of telemedicine. Methods: The research method is a literature review that was obtained through the Scopus database and published in 2020-2021 in English. Cleaning of articles was carried out with the inclusion and exclusion criteria so that seven articles were reviewed. Results: The lack of multidisciplinary use, healthcare practitioners' inability to connect with patients, under-integrated systems, and lack of technological knowledge and capacity all hinder telemedicine adoption. Positive patient feedback, a well-supported telemedicine service system, and partnerships with specialists all help make telemedicine more effective. Conclusion: During a pandemic, the use of telemedicine in healthcare settings is extremely beneficial for healthcare providers and patients during healthcare consultations, and there are supporting aspects such as WHO recognition and simplicity of operation. However, obstacles remain, such as a lack of specialized knowledge and multidisciplinary technology.
A LITERATURE REVIEW OF TELEMEDICINE IN INDONESIA: PAST, PRESENT, AND FUTURE PROSPECTIVE Jeremiah Hilkiah Wijaya; Gilbert Sterling Octavius; Lie Rebecca Yen Hwei
Indonesian Journal of Health Administration Vol. 10 No. 2 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i2.2022.261-272

Abstract

Background: Indonesia has a great potential in the development of digital health technologies. However, several challenges might also arise in hand with the development of telemedicine. Aims: We aimed to conduct a literature review of the use of telemedicine in Indonesia in order to know how the start is, the development, and future considerations of its usage. Methods: From the digital databases of PubMed, Google Scholar, and Neliti (Indonesia's Research Repository), each author completed literature searches of telemedicine in Indonesia from 1985 to 2021. Results: A total of 8 studies were included in current literature review. In 1985-1987, Indonesia undertook the first satellite-based telemedicine. During the early twenty-first century, rapid improvements in information technology have expanded to other industries, including health care through telemedicine. Covid-19 dilemma compels physicians to adopt. Through telemedicine, many is experienced the benefit during the pandemic. However, in developing telemedicine system for the future, the use of telemedicine has several challenges, namely related to human resources, infrastructure and ethical regulations. Conclusion: When telehealth is successfully implemented in Indonesia, it will benefit both the developer and the consumer. Despite the benefits, the challenge of implementing and developing a comprehensive eHealth environment in Indonesia might be seen as tremendous, given that the country is currently developing its infrastructure.
PERCEPTIONS, ATTITUDES, AND PRACTICES OF MIDWIVES TOWARDS THE USE OF TELEHEALTH Avina Oktaviani Algifnita; Budi Prasetyo; Ivon Diah Wittiarika
Indonesian Journal of Health Administration Vol. 10 No. 2 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i2.2022.155-164

Abstract

  Background: The COVID-19 pandemic has led to the closure of health facilities and a decrease in the usage of contraceptives. Therefore, the government and professional organizations initiated telehealth services to improve the quality of health services and minimize the risk of COVID-19 transmission. Aims: This study explored the perceptions, attitudes, and usage of telehealth by independent midwives during the COVID-19 pandemic in Surabaya. Methods: This qualitative phenomenology study was conducted from March to April 2021, and it involved independent midwives in Surabaya. The purposive sampling technique was used to select informants, and it obtained seven informants that met the inclusion criteria. Primary data were retrieved through semi-structured in-depth interviews. Results: This is due to the influence of their age, knowledge, the intensity of previous telehealth use, gaps in technology use, availability of facilities and infrastructure, self-motivation, social support, and efforts to find solutions through telehealth. Conclusion: Five out of the seven midwives decided to continue using telehealth in their services after the pandemic because of its benefits and impacts. Midwives, professional organizations, and policymakers need to consider the use of telehealth to improve the future services  
THE INFLUENCE OF TEAM COHESION AND TRUST ON TEAM EFFECTIVENESS IN PREVENTING TUBERCULOSIS Sinta Dewi Lestyoningrum; Yuni Purwatiningsih; Debri Rizki Faisal
Indonesian Journal of Health Administration Vol. 10 No. 2 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i2.2022.188-196

Abstract

Background: The transmission of tuberculosis (TB) is hard to stop. Surabaya city has the highest TB cases in East Java and only achieved <90% of the target in 2017-2018. The formation of preventing TB team in every primary health care (PHC) is expected to work effectively in preventing TB cases in society. Aims: This study aimed to analyze the impact of cohesion and trust within a team on team effectiveness in preventing TB cases in Surabaya. Methods: This study was an observational study with a cross-sectional design conducted in 43 primary healthcare centers (PHC), and it involved 319 respondents selected by proportional stratified random sampling. The data were collected through questionnaires and tested descriptively and through multivariable linear regression to confirm the most significant models of independent variables and dependent variables. Results: The result showed that task cohesion of the cohesion variable (RR= 0.374; p= 0.014) and cooperative behaviors of the trust variable (RR= 0.558; p= 0.000) had a significant influence on team effectiveness. The others dimension of team cohesion and trust had no significant impact on team effectiveness   Conclusion: Team effectiveness is dependent on team cohesion and trust that the teamwork process component. The Surabaya City Health Office needs to collaborate with the PHC management to evaluate the teamwork of the preventing TB team through in-depth interviews or other methods to get the problem in the team.
IDENTIFYING HEALTHCARE WORKERS’ INTENTION TOWARD TELEHEALTH IN INDONESIA DUE TO COVID-19 PANDEMIC Muhammad Rafi Fathurahman; Mursyid Hasan Basri; Prawira Fajarindra Belgiawan
Indonesian Journal of Health Administration Vol. 10 No. 2 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i2.2022.165-176

Abstract

Background: Healthcare sectors adopted various steps during the Covid-19 pandemic to prevent virus transmission, including limiting patient numbers. Telehealth can be an alternative solution since healthcare institutions can provide services without direct contact. Aims: This research aims to analyze healthcare workers’ intentions in Indonesia toward telehealth using the unified theory of acceptance and use of technology (UTAUT) framework with additional variables. Methods: A literature review was undertaken to develop a framework tested using Partial Least Square-Structural Equation Modeling (PLS-SEM). This study was conducted with Indonesian healthcare institutions in Bandung and Surakarta. Participants consisted of doctors and nurses. Results: Of 200 participants, this finding showed effort expectancy, social influence, facilitating conditions, self-efficacy, and technology anxiety influenced the intention to adopt telehealth (p-Value ≤ 0.05). However, performance expectancy and perceived security and data have no significant influence (p-Value > 0.05). This study discovered that performance expectancy is influenced by effort expectancy (β = 0.727), while effort expectancy is influenced by self-efficacy (β = 0.642). Conclusion: Indonesian healthcare institutions must be concerned with factors affecting telehealth implementation, especially with data security, which has proven insignificant. Further research is required to optimize the application.
LESSON LEARNED FROM THE UNITED STATES: IMPROVING HEALTH COVERAGE IN A PRIMARY CARE Komang Triyani Kartinawati; Luh Gede Pradnyawati; Doug Campos-Outcalt; Gail P Barker
Indonesian Journal of Health Administration Vol. 10 No. 2 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i2.2022.286-292

Abstract

The universal health coverage in Indonesia is organized by Badan Penyelenggara Jaminan Kesehatan (BPJS) which gives a health protection to population as in medical insurances. This health coverage is essential to protect and maintain the quality of health in Indonesian population. However, there were some burden for universal health coverage, including the accessible to National Health Insurance (JKN). Therefore, we may learn on improving health coverage from the United States which is well known for the Medicare and Medicaid, —the center of the US medical insurances. There are at least three main lessons to learn from the medical insurance in the US, such as enrollment for medical insurance, sliding fee discount program, and cost analysis for fee-for-service in a health care. Despite the difference of health system and population between the United States and Indonesia, these lessons could be tailored for reducing burden to the universal health coverage in Indonesia.
EXPLORATION OF DISTRICT-LEVEL INNOVATIONS TO ADDRESS MATERNAL AND NEONATAL MORTALITY IN INDONESIA Halimah Halimah; Edward Sutanto; Suparmi Suparmi; Ario Baskoro; Nirwan Maulana; Nadhila Adani; Wahyu Puji Nugraheni; Djunaedi Djunaedi; Farida Aryani; Melyana Lumbantoruan; Trihono Trihono
Indonesian Journal of Health Administration Vol. 10 No. 2 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i2.2022.206-218

Abstract

Background: The Indonesian maternal and neonatal mortality rates remain some of the highest in Southeast Asia. Aims: This study aims to assess and compare district-level innovations that address maternal and neonatal mortality. Methods: This was a qualitative study conducted via four focus group discussions in eight selected districts in November 2021. Data obtained were analyzed using the WHO health system building blocks framework. Results: The study found high variation in districts’ innovations ranging from expansion of service for maternity waiting homes to periodical obstetrician visits at Puskesmas. A majority of districts use a local approach as the basis for innovation. Some innovations are modifications of the national program or initiated purely by District Health Offices, Puskesmas, and the community. Many interventions are based on multisectoral commitment, community participation, and targeting to strengthen health service delivery. Leadership and health financing also have an influence on the implementation of these innovations. Conclusion: The multitude of innovations reflects a high variation in barriers to reducing maternal and neonatal mortality that need to be addressed at the district level. A routine forum to share districts’ best practices is warranted. Additionally, family-based surveillance for neonatal danger signs, monitoring for pregnant women and neonates via WhatsApp, and zoning systems for referrals to healthcare facilities in larger districts are innovations identified in this study that have potential to be replicated in other districts or expanded nationally.
FROM HOSPITAL READINESS TO PATIENT SAFETY: BUILDING LEADERSHIP CAPACITY FOR PATIENT SAFETY IN INDONESIA Cyrus Y Engineer; Inge Dhamanti
Indonesian Journal of Health Administration Vol. 10 No. 2 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i2.2022.280-285

Abstract

The COVID-19 pandemic has had an influence on patient safety and quality of care. A research undertaken in numerous countries found a deterioration in the quality of care during the pandemic. Leaders can improve patient safety in any circumstances, pandemic or not, by building a safety culture, reacting to patient and staff concerns, supporting safety activities, and tracking progress. Good leadership is essential to the success of patient safety programs and improving patient safety. Leaders must first establish strategic priorities and plans for culture and infrastructure that will aid in increasing patient safety. They must also actively inquire about patient safety situations and regularly examine patient safety data. Leaders must also collect data in order to foster a culture of patient safety. It is also critical to ensure that adequate infrastructure is available to support safety activities. Leaders have an important role in establishing the optimal methods for enhancing patient safety. Measures and improvement actions are rarely carried out in many nations; thus, leaders must ensure and encourage quality and safety development. Leadership commitment is the foundation for both pandemic and non-pandemic safety and quality improvement. Patient safety recommendations frameworks can help leaders improve patient safety in their organizations.
THE ROLE OF HEALTH WORKERS AND SUPPORT SYSTEM COUNSELORS FOR WOMEN WITH PRIMARY INFERTILITY Dewi Puspitaningrum; Mohammad Zen Rahfiludin; Zahroh Shaluhiyah; Sri Winarni
Indonesian Journal of Health Administration Vol. 10 No. 2 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i2.2022.241-250

Abstract

Background: Primary infertility is a problem, one of which is psychological in infertile women. Based on the Indonesian In Vitro Fertilization Association (Perfitri), the total cycle of IVF programs in Indonesia in 2021 reached 10,000, the most significant number in handling fertility problems. Problems appear because there are no psychological services. Aims: To explore the role of health workers and counselors in the support system at the central hospital in Semarang for women with primary infertility Methods: This is descriptive research with qualitative exploratory design at the Central Hospital in Semarang City with five health workers and two counselors. The researcher used semi-structured, one-on-one interviews for one week. The data was then analyzed using inductive thematic analysis Results: The results found that the support system for women with primary infertility, from the opinion of health workers, will focus on clinical care and counseling according to the diagnosis from the counselors that women with primary infertility need psychological support to assist the success of clinical care Conclusion: Health workers and counselors need an integrated support system service for women with primary infertility.

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