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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 323 Documents
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INTERPROFESSIONAL COLLABORATION FOR PATIENT SATISFACTION IN INDONESIA Muhammad Kemal Pasha Al-Ghani; Sri Sundari
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 Mohd Redhuan Dzulkipli; Asrul Akmal Shafie; Siti Noorsuriani Maon; Azuana Ramli; Abdul Haniff Mohammad Yahaya; See Wan Ho; Nor Ilham Ainaa Muhsin; Azmi Nor Mohd Farez Ahmat
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 Nuzulul Kusuma 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.v13i2.2025.128-132

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 Ria Indriani; Ribut Nurul Tri Wahyuni
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 Mochamad Iqbal Nurmansyah; Anna Fitriani
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 Dinda Bella Putri; Haerawati Idris; Mohammed Alyousef
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 Eka Putri Rahayu; Rea Ariyanti; Agustin Putri Rahayu
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
EVALUATING THE EFFECTIVENESS OF SOCIAL PROTECTION IN REDUCING STUNTING IN INDONESIA Mario Damanik; Rika Reviza Rachmawati; Lyli Mufidah; Farmawaty Malik; Esta Lestari
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.v13i2.2025.206-218

Abstract

Background: Social protection programs constitute sensitive interventions addressing the underlying causes of stunting. However, empirical evidence regarding the extent to which social protections contribute to reducing stunting remains inconclusive. Aims: This study examines the correlation between social protection programs and the incidence of stunting in Indonesia, utilizing data from the 2022 Survey of the Nutritional Status of Indonesian (SSGI) with a sample size of 323,887 children aged 3 to 60 months. Methods: The study employed binary logistic regression, with childhood stunting incidence as the dependent variable. This method enables the estimation of the probability of stunting based on variations in program exposure. The key programs of interest are Program Keluarga Harapan (PKH), Bantuan Langsung Tunai (BLT), Bantuan Pangan Non-Tunai (BPNT), and Wilayah Prioritas Stunting (DPS), incorporating other control variables related to child, household, and household infrastructure characteristics. Results: BLT is positively associated with stunting, while PKH, BPNT, and DPS show no significant effects. Conversely, access to clean water, sanitation, and clean cooking energy reduces stunting, underscoring the role of health-related infrastructure and the limited contribution of social protection programs to child nutrition. Conclusion: In a policy perspective, the findings underscore the need for greater harmonization between social assistance programs and broader improvements in health, nutrition, environmental conditions, targeted education, health behaviour towards improved nutritional intake, and healthy practices. A novel contribution of this study is offering one of the largest nationally representative analyses linking multiple social protection programs (PKH, BPNT, BLT, and DPS) to stunting outcomes using SSGI 2022 data at the individual level.  Keywords: Stunting, Family Hope Program (PKH), Direct Cash Transfer (BLT), Non-Cash Food Assistance (BPNT), Stunting Priority Areas (DPS).
FACTORS INFLUENCING THE ADHERENCE OF JKN MEMBER TO PROLANIS IN INDONESIA Raehan Satya Deanasa; Fachmi Idris; Muhammad Aziz
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.112-123

Abstract

Background: Adherence to the medication of Jaminan Kesehatan Nasional (JKN) patients in Indonesia was revealed to be suboptimal (<50%) compared to other developed countries. The government initiative to address this issue is through the Chronic Disease Management Program (PROLANIS), with the main focus on hypertension and type 2 Diabetes Aims: This systematic review aimed to determine the factors influencing the adherence of JKN members in PROLANIS. Methods: Relevant studies were searched from PubMed, Science Direct, Epistemonikos, Proquest, Cochrane, Google Scholar, and Garuda. All accessible studies in the last 10 years and written in English or Indonesian are included. Applying PRISMA 2020 guidelines, 13 peer-reviewed papers satisfied the inclusion and exclusion criteria. The risk of bias was determined with JBI critical appraisal tools. Results: Most of the study scored more than 76.9%. The prevalence of adherence ranged from 19.2 to 75.5%. Socioeconomic f and patient factors of the disease were revealed to influence medication adherence among the reviewed studies consistently. Conclusion: Decision-makers and health providers should consider all these factors when developing health policies or interventions to promote PROLANIS patient adherence. A further study assessing adherence with a standardized assessment to understand all necessary influencing factors comprehensively needs to be conducted Keywords: Adherence, chronic disease, JKN, medication, PROLANIS
THE CORRELATION NURSE CHARACTERISTICS AND MISSED NURSING CARE IN THE INPATIENT ROOM Niken Sari Nuraini; Retno Purwandari; Dodi Wijaya
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.5-13

Abstract

Background: Nurses must provide nursing care without missing anything. Missed nursing care is caused by several factors, including internal and external factors. The internal factors are the characteristics of nurses. Aims: This study aimed to analyze the correlation between nurse characteristics and missed nursing care (MNC) incidents in the inpatient room. Methods: This research used quantitative methods and an analytical observational design with a cross-sectional approach. The study involved 125 nurses in the inpatient room, selected by proportionate random sampling. Data were gathered using nurse characteristics and a modified MISSCARE survey questionnaire. Data were analyzed using three statistical tests: Kendall's tau b, Spearman, and Chi-square. Results: The results showed that most respondents had a high incidence of missed nursing care (52%). The study results show no relationship between age, length of work, education level, employment status, marital status, and missed nursing care (p-values = 0.437, 0.578, 0.574, 0.261, and 0.340).  Conclusion: There were other factors that allowed missed nursing care to occur, such as nurses' perceptions, nurses’ awareness, and external factors. External factors such as hospital characteristics, nurse staffing, workload, and hospital management. To improve the quality of services by avoiding missed nursing care, attention must be paid to external factors. Keywords: missed nursing care, nurse, nurse’s characteristics

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