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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 304 Documents
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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): Article in Press
Publisher : Universitas Airlangga

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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): Article in Press
Publisher : Universitas Airlangga

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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): Article in Press
Publisher : Universitas Airlangga

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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): Article in Press
Publisher : Universitas Airlangga

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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

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