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INDONESIA
Jurnal Administrasi Kesehatan Indonesia
Published by Universitas Airlangga
ISSN : 23033592     EISSN : 25409301     DOI : -
Core Subject : Health,
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
EFFECT OF TIERED REFERRALS IMPLEMENTATION ON LEVEL OF MATERNAL RISK Suryani Yuliyanti; Radite Sekar Hapsari; Ratnawati
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.v14i1.2026.49-60

Abstract

Background: Effective and efficient medical referrals, particularly in terms of accurate diagnosis, play a crucial role in reducing the risk of maternal mortality. However, certain healthcare services have not implemented adequate referral practices. Aims: This study aims to analyze the effect of tiered referral system policies on the risk of pregnancy and labor among inpatient mothers admitted to the emergency unit of Islamic Sultan Agung Hospital Semarang. Methods: This cross-sectional study assessed the medical records of 819 women who were admitted to the hospital through the emergency unit and had a history of antenatal care visits at the obstetric clinic at Islamic Sultan Agung Hospital Semarang. The research instrument was the Poedji Rochjati Scorecard and medical record data. Data were analyzed using the Mann-Whitney test. Results: 479 (58,5%) patients came before the tiered referral policies, and those who came after were 340 (41.5%). The Poedji Rochjati average score before the tiered referral policy (7.6) and after the tiered referral policy (6.5). Mann-Whitney analysis showed differences in maternal risk scores before and after implementing tiered referrals (p=0.001).  Conclusion: It is necessary to review the tiered referral and hospital-type policy. Hence, the tiered referrals policy can be applied to support effective and efficient referral services. Keywords: tiered referrals, Poedji Rochjati score, labor mother
FROM POLICY TO PRACTICE: STRENGTHENING HEALTH SYSTEMS THROUGH EVIDENCE, EQUITY, AND INNOVATION Haerawati Idris
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.v14i1.2026.1-4

Abstract

Health systems worldwide are confronting increasingly complex challenges driven by demographic and epidemiological shifts transitions, technological advance, emerging health threats. Achieving Universal Health Coverage (UHC) and the Sustainable Development Goals (SDGs) therefore requires health systems that are not only accessible but also resilient, evidence-informed, and people-centered. This editorial synthesizes the contributions of the studies published in this issue through four interconnected dimensions of health system strengthening: governance and policy, service delivery and quality, the health workforce, and equity and innovation. The articles demonstrate that effective governance depends on translating evidence into coherent policies and successful implementation across different levels of the health system. High-quality service delivery requires organizational readiness, patient-centered care, and continuous quality improvement, while a resilient health workforce relies on supportive leadership, workforce well-being, and enabling work environments. The studies further highlight the importance of addressing social and geographic inequities and ensuring that technological innovations are implemented equitably to improve health outcomes across diverse populations. Together, these contributions reinforce the need for integrated, multisectoral, and evidence-informed strategies that connect governance, service delivery, workforce development, and equitable innovation. Strengthening these interconnected components is essential for building resilient health systems capable of responding to current challenges. Keyword: health systems, Universal Health Coverage, health policy.
HEALTH SYSTEM CHALLENGES IN INDONESIA: EVIDENCE ACROSS FINANCING, ACCESS, AND IMPLEMENTATION Nur Atika
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.v13i2.2025.125-127

Abstract

Over the past decade, Indonesia has undergone a major transformation in its health system through the implementation of the National Health Insurance program (Jaminan Kesehatan Nasional or JKN). The program represents one of the largest social health insurance schemes worldwide and reflects the country’s commitment to achieving Universal Health Coverage (UHC). Despite significant progress in expanding coverage, a persistent challenge remains in ensuring equitable access to services, financial protection, and effective implementation of health and social policy. The studies published in this issue provide valuable insight into several interconnected dimensions of Indonesia’s health system, which are health financing, health insurance, service utilization, implementation challenges, and treatment costs. Together, these articles highlight the importance of systemic, data-driven, and equitable reforms in our health system to improve health outcomes. Keywords: Health system, health financing, access, implementation.