Journal of Health Policy and Management (JHPM)
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    212 research outputs found

    Meta Analysis of Factors Associated with Job Satisfaction in Health Workers

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    Background: Job satisfaction is a perception that is reflected in attitude and focused on behavior towards a job, and is a form of human interaction with the work environment.  High job satisfaction is a sign that an agency has done good management. The more satisfied the health workers in an institution, the more maximum their level of performance and productivity so that the goals of the institution can be achieved. The study aims to analyze the factors that affect job satisfaction in health workers based on the results of previous similar studies. Subjects and Method: It was a systematic review and meta-analysis study with the PICO as follows: P = health workers, I = high salary, the availability of supervision C = low salary, no supervision O = job satisfaction. The data collection was conducted through the databases, namely: Google Scholar and PubMed. The inclusion criteria used were full English papers with Cross Sectional designs in 2012-2022. The keywords used were “job satisfaction" AND "Associated factors” AND "Health Worker".  The articles were analyzed using the Review Manager 5.3 application. Results: The meta-analysis was conducted on 8 primary studies from several countries such as Ethiopia, China, and Nepal. The results of the study showed that there was an effect of high salary on job satisfaction.  Based on the analysis, high-paid health workers were 1.88 times more likely to be satisfied than low-paid health workers and it was statistically significant (aOR = 1.88; CI 95% = 1.08 to 3.2; p = 0.020). Furthermore, a meta-analysis was conducted on 7 primary studies from northern and eastern parts of Ethiopia. The results of the study showed that there was an effect of supervision on job satisfaction. Healthcare workers who received supervision were 2.93 times more likely to be satisfied than those who were unsupervised and it was statistically significant (aOR = 2.93; CI 95% = 1.51 to 5.66; p= 0.003). Conclusion: The provision of high salaries and supervision increases the job satisfaction of health workers.   Keywords: job satisfaction, related factors, health workers. Correspondence: Fara Rizky Punjung Hapsari. Masters Program in Public Health, Universitas Sebelas Maret. Jl Ir Sutami no 36 A, Surakarta, Central Java 57126, Indonesia. Email: [email protected]. Mobile Phone: 081230388935

    The Relationship between Hospital Administration and Quality of Services: Meta-Analysis

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    Background: Quality of service (QoS) is important because enterprises need to provide stable services for employees and customers to use. Maintaining hospital administration is the most important thing to consider in hospital service indicators. This study aimed to analyzed the strength of the relationship between hospital administration with quality of services.Subjects and Method: This study is a meta-analysis with PICO, population: patients. Intervention: good hospital administration. Comparison: poor hospital administration. Outcome: quality of services. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Hospital Administration” OR “Good Administration” OR “Hospital Services” AND “Quality of Services” OR “Services” AND “Multivariate”. Articles included are full-text English from 2009 to 2021. Articles were selected using a PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 8 cross-sectional study articles from Asia, Europe, Africa, and North America were reviewed in the meta-analysis. Based on the results of the analysis, hospital management or good hospital administration has the possibility to increase the quality of service in hospital by 2.61 times compared to poor hospital administration (aOR= 2.61; 95% CI= 1.44 to 4.72; p= 0.002) and the results were statistically significant. Conclusion: Hospital administration are increase the quality of services.Keywords: hospital, hospital administration, quality of services.Correspondence: Siti Maesaroh. School of Health Sciences Mamba’ul Ulum Surakarta. Jl. Ringroad Utara, Mojosongo, Jebres, Surakarta, Central Java, Indonesia. Email: [email protected]. Mobile: +62 813-9386-7942Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.01.0

    Analysis of Perception, Attitude, and Quality of Service on Patient Satisfaction at the Registration Place of the Kesambenkulon Health Center, Kediri

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    Background: Understanding the patient's needs and wants is an important thing that affects patient satisfaction. The purpose of this study is to analyzethe influence of perceptions, attitudes and quality of service on patient satisfaction at the registration of the Kesambenkulon Health Center. Subjects and Method: A cross sectional study conducted at Kesambenkulon Health Center, from August 19 to September 4, 2022. A sample of 105 respondents was taken by a simple random sampling. The dependent variable was patient satisfaction. The independent variables are perceptions, attitudes and service quality. Data were analyzed using a multiple linear regression.Results: Perception (b= 0.23; 95% CI= 6.12 to 8.13; p<0.001), attitude (b= 0.43; 95% CI= 5.65 to 7.84; p= 0.002), quality service (b= 0.15; 95% CI= 4.84 to 7.59; p= 0.002) were significantly associated with patient satisfaction at the Kesambenkulon health center registration (adj. R2= 81.2%). Conclusion: The researcher believes that understanding the patient's needs and desires is an important thing that affects patient satisfaction. Satisfied patients are very valuable assets because if patients are satisfied they will continue to use the services of their choice.Keywords: satisfaction, service quality, perception & attitudeCorrespondence: Menik Tri Kumalasari. Masters Program in Public Health, Strada Indonesian Institute of Health Sciences. Jl. Manila 37, Sumberece. Pesantren, Kediri, East Java 64133, Indonesia. Email: [email protected]. Mobile: +6281235500034.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.01.07

    Effect of Project Based Learning Method on Knowledge and Learning Activity in Graduate School Students

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    Background: The Project Based Learning (PjBL) model is a learning model that can make students have expertise and can understand the learning process. This study aims to look at the application of Project Based Learning (PjBL) to increase student activity, to see the character values and results of student academic achievement in the KKPMT practice subject to achieve competence. Subjects and Method: RCT research was conducted at STIKes Mitra Husada Karanganyar. The sample consisted of 90 students, 48 students as the control class and 42 students as the experimental class. Student activity is assessed with an observation sheet. Student character is assessed by means of a questionnaire. The results of learning achievement using the posttest and pretest instruments. The mean knowledge scores in both groups were compared by independent t-test. Results: The knowledge score after the intervention in the project-based learning group (Mean= 71.81; SD= 8.35) was higher than that of the control group (Mean= 67.73; SD= 8.64), and was statistically significant (p= 0.026). Project-based learning is effective in increasing students' knowledge of ICD. The activity score after the intervention in the project-based learning group (Mean= 68.83; SD= 12.87) was the same as the control group (Mean= 68.27; SD= 11.53), but statistically not significant (p= 0.827). Conclusion: This study concluded that project-based learning was effective in increasing students' knowledge of ICD but project-based learning was not effective in increasing student activity in discussing ICD subjects.   Keywords: Project Based Learning, student character, student activity, learning outcomes.   Correspondence: Yuyun Manggandhi. Masters’ Program in Public Health, Universitas Sebelas maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: [email protected]. Mobile: 0821 3384 6808

    Implementation of Hospital Internal Audit Policy

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    Background: Out of 7 people in the Internal Audit Unit (SPI) in a hospital, only 1 person is not concurrently serving as the Head of SPI. SPI is the main requirement in carrying out duties and can be a problem in the implementation of hospital internal audit policies by SPI and if this is left unchecked, the public services provided by the hospital can be of less quality. the purpose of this study is to know and analyze the implementation of internal audit policies, factors that support and hinder the implementation of internal audit, find models for implementing internal audit policies in Hospital A. Subjects and Method: qualitative research design. The research was conducted at Aisyiyah Bojonegoro Hospital. The target population consists of 1 director, 6 department heads and 4 SPI auditors. The technique and size of sampling is done by means of the population being the sample. the dependent and independent variables of interest are the implementation of the Hospital Internal Audit policy. Variable measurement methods or instruments by means of interviews and data analysis methods using data triangulation. Results: The implementation of internal audit policy from the communication aspect has been carried out well, the Resource aspect has not been implemented properly, the Disposition aspect has not been implemented properly, the Organizational Structure aspect is carried out properly. The appointment of SPI personnel needs to take into account the competence of the auditor or provide auditor competency training, exemption from concurrent duties and full-time positions, structuring systematic career paths and providing special incentives, maintaining consistency of communication and conducting audits in all work units Conclusion: This research can produce implications for model development in the implementation of hospital internal audit policies in accordance with Edward III's theory and then developed with the involvement of the Hospital Internal Auditors Association. Through this it is expected that the implementation of internal audit policies is more comprehensive in implementing aspects of organizational structure, resources, disposition and communication. Keywords: implementation, policy, internal audit, hospital Correspondence: Sudalhar. University of 17 August 1945 Surabaya, Semolowaru Street Number 45, Menur Pumpungan, Sukolilo District, Surabaya, East Java 60118. Email: [email protected]. Mobile: 0812592865

    Meta Analysis: Effects of Supervision Support, Feedback, and Training on Utilization of Routine Health Information System in Health Workers

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    Background: Routine health information is an important pillar in health planning, decision making, and improving health programs, as well as providing effective and efficient health services. This study aims to estimate the magnitude of the influence of supervision support, feedback, and training on the use of routine health information systems (SIKR), through a meta-analysis of primary studies conducted by previous researchers. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: health workers. Intervention: there is supervision support, there is feedback, and there is training. Comparison: no supervision support, no feedback, and no training. Outcome: Utilization of SIKR. The online databases used are Google Scholar, PubMed, and ProQuest with the keywords (Routine Health Information Utilization” OR “Management Health Information System”) AND (“Supportive Supervision” OR “Regular Supervision”) AND (Feedback OR “Regular Feedback ”) AND Training OR “HMIS Training” AND “Health Worker” OR “Health Professionals” AND “Cross sectional” AND aOR. There were 14 cross-sectional studies published in 2013-2023 that met the inclusion criteria. Analysis was performed with RevMan 5.3. Results: A meta-analysis was carried out on 14 articles with a cross-sectional study design from Ethiopia on health workers with a sample size of 6,088. The results of the meta-analysis showed that health workers who received supervised support 1.77 times to utilize SIKR compared to those who did not receive supervised support (aOR= 1.77; 95% CI= 1.21 to 2.59; p=0.003), health workers who received feedback 2.15 times to using CIC compared to those who did not receive feedback (aOR= 2.15; 95% CI= 1.29 to 3.58; p=0.003), and health workers who received training 2.65 times to use CIC compared to those who did not receive training (aOR= 2.65; CI 95 %= 1.70 to 4.13; p<0.001). Conclusion: There is support for supervision, feedback/feedback, training/training can increase the utilization of routine health information systems.   Keywords: Supervision support, feedback, training, use of SIKR. Correspondence: Dinta Lestari, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Sura­karta 57126, Jawa Tengah, Indonesia. Email: [email protected]. Mobile: 08218356877

    Health Services for Health Social Security Administrative Body Participants at the Hingk Health Center, West Papua Province, Indonesia

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    Background: To improve services for members of the Social Security Administrative Body at the Hingk Community Health Center in West Papua Province, it is highly hoped that the leadership of the Community Health Center can improve services for participants of the Health Social Security Administering Body. This study aims to obtain information about the services of members of the Health Social Security Administration at the Hingk Community Health Center, West Papua Province, Indonesia.Subjects and Method: This study uses a qualitative descriptive approach. In this study, the authors used two key informants and main informant to dig for indepth information related to health services in terms of waiting time, health service facilities and payment mechanisms for members of the Social Security Administering Body in the working area of the Hingk Health Center. The instrument used by researchers in collecting data is the researchers themselves. The types of data and data sources that the researchers will collect in this study consist of primary data and secondary data. Data collection techniques were carried out through observation, in-depth interviews and documentation. While the stages of qualitative data analysis were carried out by researchers with three stages of the process, namely data reduction, data categorization, and data interpretation.Results: The results of the study illustrate that the level of service for members of the Social Security Administering Body at the Hingk Community Health Center in West Papua Province, waiting time, and facilities are still relatively low for services for participants of the Health Social Security Administering Body. This was revealed during in-depth interviews that most of the patients of the Health Social Security Administering Body waited a long time to be examined, and patients were dissatisfied with the facilities provided by health workers.Conclusion: The long waiting time for patient examinations would cause complaints from patients and the lack of availability of facilities provided by the Public Health Center would cause patients to feel less satisfied with the services provided.Keywords: waiting time, service facilities, financing mechanismsCorrespondence:Nur Annisa. Faculty of Public Health, University of Pejuang Republic Indonesia. Jl. Raya Baruga, Antang Village, Manggala District, Makassar City, South Sulawesi 90234. Email: [email protected]. Mobile: +6282149539044.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.02.0

    Meta-Analysis of the Effectiveness of Teledentistry on Patients Satisfaction

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    Background: Preventive strategies of caries prevention, such as topical fluoridation or drinking water, have been effective in inhibiting the development of carious lesions. Teledentistry is an alternative service that combines dentistry with long-distance telecommunication technology for consultation and treatment planning that can be used for dental and oral health education to increase public awareness. The purpose of this study was to analyze the effectiveness of teledentistry on patient satisfaction. Subjects and Method: This study was a meta-analysis with the following PICO, population: patients. Intervention: teledentistry. Comparison: conventional (outpatient). Outcome: patients satisfaction. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “teledentistry” OR “oral hygiene” AND “multimedia” OR “smartphone app” OR “online social media” AND “patient satisfaction”. The articles included are full text English with a randomized control trial study design from 2013 to 2023. The selection of articles was carried out using the PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 9 case studies from the continents of Europe (Netherlands, Germany, Italy), North America (Pennsylvania), and Asia (India, Saudi Arabia, Iran) were selected for systematic review and meta-analysis. The results showed that 1.05 units of teledentistry increased patient satisfaction compared to not being given teledentistry. Statistical results (SMD = 1.05; 95% CI= 0.64 to 1.46; p < 0.001). Conclusion: Teledentistry increased patient satisfaction   Keywords: teledentistry, oral hygiene, online social media, patients satisfaction Correspondence: Wimmy Safaati Utsani. Masters of Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +62857­2533355

    Analysis of Service Quality Policy on Patients Satisfaction at Benjeng Health Centers during COVID-19 Pandemic

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    Background: Patient's assessment of the services of health workers is based on the patient's experience. The purpose of this study is to analyzeinfluence tangible, reliability, responsiveness, assuranceand empathy for the level of satisfaction of visitors to the Benjeng Health Center during the Covid 19 Pandemic.Subjects and Method: This was a cross sectional study with the focus of the research being directed at analyzing influence tangible, reliability, responsiveness, assuranceand empathy for the level of satisfaction of visitors to the Benjeng Health Center during the Covid 19 Pandemic. The total population is 2,000 respondents and a sample of 333 respondents taken using the simple random sampling. The data were described into number and percentage.Results: The findings showed that most of the respondents had a good tangible category as many as 171 respondents (51%). Most of the respondents have a good category of reliability as many as 178 respondents (53%). Most of the respondents have good category responsiviness as many as 165 respondents (50%). Most of the respondents have good assurance category as many as 184 respondents (55%). Most of the respondents have empathy in the good category as many as 174 respondents (52%). Most of the respondents have a satisfied category of satisfaction as many as 237 respondents (71%).influence tangible, reliability, responsiveness, assuranceand empathy for the satisfaction level of visitors to the Benjeng Health Center during the Covid 19 Pandemic with a magnitude of 79.1%.Conclusion: It is expected that respondents can provide constructive input and criticism so that the services provided can be in accordance with what is expected.Keywords: Quality of health service, satisfactionCorrespondence: Soni. Masters Program in Public Health, Strada Indonesian Institute of Health Sciences. Jl. Manila 37, Kediri, East Java 64133, Indonesia. Email: [email protected]. Mobile: +628121704715.Journal of Health Policy and Management (2023),08(01): 1-12 https://doi.org/10.26911/thejhpm.2023.08.01.0

    Effect of Quality of Health Care on Outpatients’ Satisfaction (A Study from Laboratory of Ba’a General Hospital, Rote Ndao, East Nusa Tenggara, Indonesia, Year 2022)

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    Background: Quality of service is one of the elements that can affect patient satisfaction in the laboratory. Ba'a Rote District hospital, is the only hospital in Rote Ndao District which has a laboratory unit to support efforts to diagnose disease and restore health. Measurement of patient satisfaction can be used as a tool for evaluating the quality of health services. This study aims to determine the effect of the quality of health services on the level of satisfaction of outpatients in the Ba'a Rote Hospital laboratory in 2022.Subjects and Method: A cross-sectional study was conducted at the Rote Ndao Hospital Laboratory, East Nusa Tenggara, Indonesia, from February to September 2022. A total of 85 subjects were selected for this study. The dependent variable is satisfaction. The independent variable is the tangible dimension, the empathy dimension, the reliability dimension, responsiveness and assurance. The data were collected using a questionnaire, and analyzed using a logistic regression test.Results: Reliability dimension (aOR= 5.30; 95% CI= 1.90 to 13.30; p= 0.001), responsiveness dimension (aOR= 6.49; 95% CI=2.37 to 17.77; p<0.001), assurance dimension (aOR= 33.58; 95% CI = 8.70 to 129.57; p< 0.001), empathy dimension (aOR= 12.53; 95% CI=4.37 to 35.94; p<0.001), and tangibles dimension (aOR= 9.25; 95% CI=3.31 to 25.84; p<0.001) significantly influence patient satisfaction.Conclusion: The tangible dimension, the empathy dimension, the reliability dimension, the responsiveness dimension, the assurance dimension influence patient satisfaction. Keywords: service quality, patient satisfaction, hospital, laboratoryCorrespondence:Melinda Tamonob. Masters Program in Public Health, Faculty of Public Health, Universitas Nusa Cendana. Jl. Lasiana, Klp. Lima, Kupang, East Nusa Tenggara, Indonesia. Email: [email protected]. Mobile: +62 822-5136-3311.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.02.0

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