Journal of Health Policy and Management (JHPM)
Not a member yet
212 research outputs found
Sort by
Implementation of Indirect Contact Services for National Health Insurance Participants: A Case Study of Jambi City's Primary Healthcare Facilities
No full textBackground: In response to the COVID-19 pandemic, BPJS Kesehatan has introduced an indirect contact program, but many districts and cities, including Jambi City in Jambi Province, have not achieved the target contact rate. This study aims to analyze the implementation of indirect contact services for JKN participants in Jambi City's primary healthcare facilities (PHC).
Subjects and Method: This descriptive qualitative research was conducted at BPJS Kesehatan and PHC Jambi City from March to April 2022. Data were collected through in-depth interviews, observation, and document review. Informants were selected using a consecutive sampling technique based on the type of PHC, including community health centres (Puskesmas), private clinics, and individual practitioners (DPPs), representing the lowest and highest achievement levels. Thematic analysis techniques were used to analyze the data.
Results: The findings revealed that the implementation of indirect contact services for JKN participants in Jambi City's PHC was influenced by various factors. These factors included challenges in increasing contact rates, dissatisfaction among JKN participants, and economic constraints faced by the participants. Contributing factors to these challenges was the absence of input guidelines, standard operating procedures (SOPs), dedicated personnel, allocated funds, and specialized equipment for indirect contact. Routine socialization efforts were also lacking. Furthermore, the understanding of officers regarding the objectives, targets, and implementation of indirect contact, as well as their competence, played significant roles in the implementation.
Conclusion: Implementing indirect contact services has not been optimal, necessitating increased support from BPJS Health Jambi Branch for improving indirect contact service
Analysis of Willingness to Pay Contributions for Independent National Health Insurance Participation in Informal Sector Business Actors in the Mandalika Tourism Area, Lombok, Nusa Tenggara Barat, Indonesia
Full text linkBackground: Health insurance implemented in Indonesia is managed by the Social Security Administering Body (BPJS). In its administration, BPJS Health works based on the principle of non-profit social protection. Willingness to Pay (WTP) has been carried out in Nigeria which uses a community-based health insurance system. This study aims to analyze the willingness to pay (Willingness to Pay) contributions in independent national health insurance membership among informal sector business actors in the Mandalika tourist area of Lombok.
Subjects dan Method: This type of study is observational analytic using a cross-sectional study design. The target population in this study is all informal sector business actors in the Mandalika Lombok tourist area. The sampling technique in this study is random sampling, namely a random sampling method that involves dividing the population into groups called strata, based on certain relevant characteristics.n.
Results: This study explains that informal sector workers with income ≥ IDR 2,000,000/month are on average willing to pay insurance premiums of IDR 64,573/month (Mean= 64,573; SD= 41,292). Workers with income < IDR 2,000,000/month are on average willing to pay insurance premiums of IDR 24,880/month (Mean= 24,880; SD= 14,206). Overall, workers in the informal sector are on average willing to pay insurance premiums of IDR 48,100/month (Mean= 48,100; SD= 38,229). Willingness to pay insurance premiums is significantly influenced by income. Every increase in income of IDR 1,000,000 will be followed by a higher willingness to pay for health insurance of IDR 21,745 (b= 0.02; 95% CI= 0.01 to 0.03; p <0.001). Willingness to pay premiums was not significantly influenced by gender (b= 346.13; 95% CI= -15241.31 to 15933.56; p = 0.965) or age (b= -7110.17; 95% CI= -22958.38 to 8738.04; p = 0.375).
Conclusion: The results of this study conclude that the willingness to pay insurance premiums is significantly influenced by income. The higher the income, the higher the willingness to pay premiums, and this effect is statistically significant.
Keywords: Willingness to pay, Income, Informal worker
APPLICATION OF LEAN MANAGEMENT METHODS TO THE WAITING TIME EFFICIENCY OF OUTPATIENT SERVICES AT JEMBER HOSPITAL CLINIC
No full textBackground: Services to patients in hospitals often experience problems of dissatisfaction due to waiting time. There were complaints submitted by outpatients regarding the long waiting time for polyclinic services. This study aims to analyze the application of the lean method in the problem of waiting time efficiency at Jember Klinik Hospital.
Subjects and Method: This research design is qualitative. The research location is Jember Clinic Hospital. Data collection techniques using in-depth interviews, observation and documentation. Research informants are leaders, medical staff in the registration and service department. This research does not use variables but focuses on place, actor, activity, value stream mapping (VSM). Methods of data analysis using interpretive thematic analysis.
Results: 1) the outpatient service process at the Jember Klinik Hospital is carried out starting from the registration counter until the patient enters the examination room. Lead time at the outpatient registration area (6 patients) was 261 minutes, lead time at the filing room (6 patients) was 125 minutes, lead time at the polyclinic (6 patients) was 663 minutes; 2) Flowchart of outpatient services (outpatient waiting time) starting from the patient registering at the Outpatient Registration Center (TPPRJ) until the patient is examined by a specialist starting with the registrar calling the patient, the registration officer validating the completeness of the requirements, input SIMRS data and v -claims, search and distribution of BRM to polyclinics, and examination by DPJP and 3) VSM starts from TPPRJ to polyclinic. The process required for the registration process is 43.50 minutes.
Conclusion: The application of the lean method in the problem of waiting time efficiency at the Jember Klinik Hospital is still not optimal with the mapping of waste at the Jember Klinik Hospital explained Lead time, Flowchart of outpatient services and VSM starting from TPPRJ to the polyclinic.
Keywords: efficiency, lean management, service, waiting time
Correspondence:
Nabella Arina Muna Hanesya. Masters Program in Public Health, Universitas Jember. Jalan Kalimantan Kampus Bumi Tegal No.I / 93, Krajan Timur, Boto, Kec. Sumbersari, Kabupaten Jember, Jawa Timur 6812. Email: [email protected]. Moblie: +62813927777
Meta Analysis: Effect of Waiting Time and Outpatient’s Satisfaction in Hospitals
No full textBackground: Service waiting time is one of the problems that causes patient complaints in several hospitals. The length of patient waiting time reflects how the hospital manages service components that are tailored to the patient's situation and expectations, as well as analyzing the effect of waiting time on the level of outpatient patient satisfaction at the hospital. The purpose of this study was to determine the effect of waiting time on the satisfaction level of outpatients at the hospital.
Subjects and Method: A systematic review and meta-analysis was performed using the PRISMA guidelines and the PICO model including Population = Outpatients; Intervention = short waiting time < 2 hours; Comparison = long waiting time > 2 hours; Outcome = satisfaction. Articles are collected from databases such as PubMed, Science Direct, and Google Schoolar. The keywords used in the database search were "waiting time and satisfaction" OR "satisfaction" AND "outpatient" AND "hospital' AND "cross-sectional study". A total of 9 articles met the inclusion criteria, namely primary full text paper, cross-sectional study design, with a relationship size adjusted Odds Ratio (aOR), outpatient study subjects, interventions in the form of short waiting times < 2 hours and outcomes in the form of outpatient satisfaction for meta-analyses were then assessed using RevMan 5.3.
Results: The meta-analysis which is dominated by Ethiopia shows that there is an effect of waiting time on patient satisfaction. Patients who receive services with short waiting times <2 hours have the possibility to be satisfied 6.86 times compared to long waiting times > 2 hours (aOR= 6.86; 95% CI= 1.31 to 3.26; p= 0.002) Heterogeneity (I2 = 83%) -> using random effects with statistically significant results.
Conclusion: Patients who wait for a short time have the possibility to be satisfied 6.86 times compared to long waiting times.
Keywords: waiting time, satisfaction, outpatien, hospital.
Correspondence:
Feby Safitri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: [email protected]. Mobile: +6282143749717
Implementation of Patient Dissatisfaction among Outpatient at Muslimat General Hospital, Ponorogo, East Java
No full textBackground: Patient satisfaction is the result of the patient's assessment of health services by comparing what is expected in accordance with the reality of health services received in a hospital health setting. This study aimed to determine the dissatisfaction of outpatients at Muslimat General Hospital, Ponorogo, East Java.
Subjects and Method: This was a qualitative study, with in-depth interviews with informants. Discussions and interviews were conducted in the community within Muslimat General Hospital, Ponorogo, East Java, Indonesia. A total of 10 outpatient patient were included in this study. The outpatient patient was interviewed in August to September 2022. The transcribed data were analyzed using content analysis.
Results: The distribution of informants based on Responsiveness obtained data from Responsive Officers in handling patient complaints in the area as many as 10 informants (100%) were satisfied while the waiting time was not too long as many as 7 informants (70%) were satisfied while those who felt dissatisfied were 3 informants (30%) informants based on Assurance data obtained. Officers provided information about the patient's disease and experts at work as many as 10 informants (100%) were satisfied. The distribution of informants based on Empathy obtained data. Officers always maintain good communication with patients and officers are able to provide comfort to patients as many as 10 informants (100%) are satisfied. The distribution of informants based on Tangibles obtained data The place was clean and comfortable as many as 7 informants (70%) who were satisfied while those who felt dissatisfied were 3 informants (30%) while the Completeness of the tools used for examination were 8 informants (80%) who were satisfied while who were dissatisfied as many as 2 informants (20%).
Conclussion: Outpatients are satisfied with the service, the waiting time is not too long, and feel that the staff always maintains good communication with patients.
Keywords: reliability, responsiveness, assurance, empathy, tangibles.
Correspondence:
Katmini. Strada Institute of Health Sciences, Kediri, Indonesia. Jl. In Panjaitan, Siman, East Java. Email: [email protected]. Mobile: +62 823-3466-2921
Analysis of Factors Associated with Work Performance of Inpatient Nurse in Dr. Wahidin Sudirohusodo Hospital, Makassar, Indonesia
No full textBackground: Hospital is a health service institution that provides complete individual health services. The success of a hospital is determined by the performance of its employees. To improve the quality of health services, nurses who are reliable and have good performance are needed. Good nurse performance is expected to have a positive impact on organizational performance, in this case, the hospital itself. This study aims to identify and analyze the factors that influence nurse performance.
Subjects and Methodes: The study design used descriptive analytic using a cross sectional approach. Study location at Dr. Wahidin Sudirohusodo Central General Hospital Makassar in March 2023. Subjects were 272 nurses in the Inpatient Room. Quantitative data analysis, namely univariate, bivariate and path analysis.
Results: Motivation affects nurse performance (b = 0.63; 95% CI = 0.55 to 0.72; p < 0.001). Job satisfaction affects nurse performance (b = 0.20; 95% CI = 0.30 to 0.30; p < 0.001). Discipline affects nurse performance (b = 0.11; 95% CI = 0.01 to 0.23; p = 0.049). Motivation has an effect on discipline (b = 0.46; 95% CI = 0.39 to 0.53; p < 0.001). Job satisfaction affects discipline (b = 0.30; 95% CI = 0.21 to 0.39; p < 0.001). Leadership effect on discipline (b = 0.27; 95% CI = 0.21 to 0.35; p < 0.001). Motivation has an effect on job satisfaction (b = 0.31; 95% CI = 0.24 to 0.38; p < 0.001). Stress has an effect on job satisfaction (b = 0.06; 95% CI = 0.01 to 0.12; p = 0.036). Leadership influences job satisfaction (b = 0.21; 95% CI = 0.15 to 0.29; p < 0.001). Work environment influences job satisfaction (b = 0.52; 95% CI = 0.45 to 0.59; p < 0.001).
Conclusion: Nurse performance is influenced by motivation, work discipline, work stress, job satisfaction, leadership, and work environment.
Keywords: Motivation, discipline, work stress, job satisfaction, leadership, work environment, nurse performance
Correspondence: Andreza. Master’s Program in Public Health, Graduate School, Universitas Sebelas Maret. Jl Ir. Sutami 36 A Kentingan Surakarta, Jawa Tengah, Indonesia. Email : [email protected]. Mobile: 085299015320
Meta-Analysis: Effects of Knowledge and Training on the Readiness of Electronic Medical Record Use in Health Workers
Full text linkBackground: Globally, more than half of RME projects face the potential problem that only 35% of lower-middle-income countries and 15% of low-income countries have implemented national electronic health record systems. This study aims to analyze previous primary studies in assessing the influence of electronic medical record training and level of knowledge on health workers' readiness to use electronic medical records.
Subjects and Method: This research is a systematic review and meta-analysis using the PRISMA flow diagram and PICO model. Population: health workers. Intervention: RME training and level of knowledge. Comparison: no RME training and poor knowledge level. Outcome: readiness to use RME in health workers. The databases used were Google Scholar, Pubmed, ScienceDirect, Taylor & Francis, Springer Link, Plos One, and BioMed Central, with the keywords (“Willingness” OR “Readiness” OR “Utilization” AND “Electronic Medical Records” OR “EMR” AND “Training” OR “EMR Training” AND “Knowledge” AND 46 “Health Professionals” AND “Cross Sectional” AND “Adjusted Odds Ratio” OR “AOR”). There were 9 cross-sectional studies published in 2015-2023 that met the inclusion criteria. Data analysis using RevMan 5.4.
Results: Meta-analysis of 9 articles with a cross-sectional study design obtained from Ethiopia with a sample size of 3,996 health workers. The meta-analysis results show that health workers who received EMR training were 2.62 times more prepared to use electronic medical records compared to health workers who did not receive EMR training, and these results were statistically significant (aOR= 2.62; 95% CI= 2.01 to 3.42; p = 0.001), Health workers who have good knowledge can increase readiness to use electronic medical records by 1.83 times compared to health workers who have poor knowledge, and these results are statistically significant (aOR= 1.83; 95% CI= 1.50 to 2.24; p= 0.001).
Conclusion: Health workers who receive RME training and have a good level of knowledge can increase their readiness to use RME.
Keywords: RME training, level of knowledge, RME readiness, health personnel
Correspondence: Agus Syukron Ma’ruf. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6281333387010
Does Mindfulness and Psychological Capital affect Work Engagement of Healthcare Workers? A study case in DKI Jakarta
Full text linkBackground: This study presents the condition of work engagement among health workers in DKI Jakarta in doing their jobs. Complaints are addressed to health workers for the lack of services provided at healthcare facilities in DKI Jakarta. This study will discuss several variables that affect the work engagement of health workers. This study will discuss several variables that affect the work engagement of health workers. This paper uses empirical methods to see the influence of mindfulness to health worker’s engagement using psychological capital as a mediator for health workers.
Subjects and method: Health workers in DKI Jakarta participated in the study (N=280). The data were analyzed using structural equation modelling.
Results: The results show that mindfulness is fully mediated by psychological capital. The findings can be used to increase their work engagement by exploring more deeply the use of psychological capital, and mindfulness and ultimately increasing the engagement of health workers themselves and the services provided.
Conclusion: This study found a connection between mindfulness and work engagement through psychological capital and not directly from mindfulness to work engagement. This means that psychological capital is important in building a good engagement. Positive psychological capital can lead health workers to contribute more and be more engaged in their work.
Keyword:
mindfulness, psychological capital, work engagement, health worker
Analysis of Cancer Control Policies in Surakarta
No full textBackground:Cancer is the main cause of death throughout the world. Cervical cancer causes 7.5% of women's deaths, 85% of which occur in developing countries. According to the latest data fromGlobocan for 2020, there were 141.1 new cancer cases per 100,000 people in Indonesia, and there were 85.1 cancer deaths per 100,000 people. Cancer is the largest cause of death from non-communicable diseases, second only to cardiovascular disease (heart and blood vessels).
Subjects and Methods:This research uses a qualitative descriptive method. Analysis is carried out using data that comes from various sources, not just one source, through interviews and documentation. The location chosen was Surakarta City. This research is public policy research. Policy research is research relating to the formulation and formulation of policies, policy implementation, policy performance and the policy environment.
Results:In general, there are policies that regulate the control of cancer. In general, everyone has implemented cancer control through promotive, preventive and curative efforts. There needs to be support from multi-sectors in controlling cancer.
Conclusion:There is a need for policy outreach and the role of multisectors/multiactors in cancer control policies in Surakarta, assistance to the community and the role of universities in controlling cancer, the importance of creating an institution that specifically handles cancer control and the importance of advocacy and education about cancer control to the community and psychoeducation for families who have a family member with cancer.
Keywords:Policy Analysis, Control, Cance
Factors Associated with Doctor Satisfaction at Pondok Kopi Jakarta Islamic Hospital in 2021
Full text linkBackground: Until now, doctor satisfaction has never been thoroughly measured at RSIJ Pondok Kopi. Based on the report of the Pondok Kopi RSIJ Medical Committee, there has been an increase in the number of doctor resignations from 2019 to 2021. This study aims to analyze factors related to doctor satisfaction at Pondok Kopi RSIJ.Subjects and Methods: in this study, the Mix Method with a Cross Sectional design, where data collection was carried out using questionnaires and in-depth interviews as the instruments. The sample used in this study were 74 respondents who were doctors at RSIJ Pondok Kopi.Results: This study showed that out of 74 respondents there were 38 doctors (51.4%) who were satisfied, and 36 doctors (48.6%) who were dissatisfied. Bivariate results show that all variables have a relationship with doctor satisfaction. The results of the multivariate analysis also found that the dominant variable was the doctor's level of commitment with Odds Ratio = 18.730 (CI = 2.525-138.914), which means that doctors who have a bad commitment have a risk of 18.730 times the chance of assessing dissatisfaction.Conclusion: Researchers recommend further intervention and control of hospital management to fulfill doctors' rights and obligations, so as to increase doctor satisfaction. Keywords: Job Satisfaction, Health Service Compensation, Work Environmen