Journal of Health Policy and Management (JHPM)
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Organizational Effect on the Implementation of “SIMRS” (Hospital Management Information Systems) in Hospital: A Systematic Review
Full text linkBackground: Utilization of information and communication technology has penetrated the field of health services. The form of health service innovation by utilizing information technology is the Hospital Management Information System (SIMRS). SIMRS is needed by Hospitals to ensure fast, accurate and reliable information needs in decision making, as well as the need for systematic data processing for strategic decision making. This study aimed to systematically review the influence of the organization on the implementation of “SIMRS”.Subjects and Method: A systematic review were conducted by searching articles from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Organization” OR “group” AND “Hospital Management Information Systems” OR “SIMRS” or “Management” AND “Hospital” or “Healthcare”. Articles included are full-text English from 2014 to 2019. Articles were selected using a PRISMA flow diagram method.Results: Organizational factors which include organizational structure and organizational environment are the main determining factors in the implementation of information systems. The successful implementation of SIMRS from the aspect of organizational structure, namely the role of leaders in providing support, motivation to users, a supportive work culture and work environment, a clear division of tasks and authority, regular monitoring and evaluation activities, fulfillment of infrastructure needs that support the implementation of SIMRS, availability of budget allocations for training and competency development for system users. While the organizational environment aspect, namely the role of Hospital management, has established policies as guidelines for the implementation of SIMRS.Conclusion: Organizational factors from the aspect of organizational structure and organi-zational environment can increase the success of the implementation of "SIMRS" in Hospitals.Keywords: SIMRS, organizational structure, organizational environment.Correspondence: Adhani Windari. Doctoral Program in Public Administration Science, Universitas Diponegoro. Jl. Pleburan, South Semarang, 50241 Central Java. Email: [email protected]. Mobile: +62 8170582584.Journal of Health Policy and Management (2023), 08(01): 13-22https://doi.org/10.26911/thejhpm.2023.08.01.0
Analysis of Human Resources Development Factors on Nurse Performance at Patient Ward, Dr. Abdoer Rahem Hospital, Situbondo, East Java
Full text linkBackground: Hospitals are required to be able to provide optimal health services for the community by improving the performance of hospital employees, one of whom is a nurse. Important Human Resource development factors are education, training, work periods, transfers and promotions. These factors are expected to improve the performance of nurses in providing nursing services.The aims of this study was to describe the influence of Human Resource Development on the Nurse Performance.Subjects and Method: This was an analytic observational study carried out at dr. Abdoer Rahem Hospital, Situbondo, East Java, from 12 to 28 May 2022. A sample of 112 nurses was selected by simple random sampling. The dependent variable was nursing performance. The independent variable are education, tenure, training, transfer, and promotion. The data were analyzed by a multiple linear regression.Results: Education (b= 2.23; 95% CI= 0.26 to 6.14; p<0.001), tenure (b= 0.19; 95% CI= 0.32 to 3.70; p<0.001), had trained (b= 0.08; 95% CI= 0.15 to 2.06; p= 0.042), transfer (b= 0.37; 95% CI= 0.16 to 2.36; p= 0.020), and promotion (b= 0.36; 95% CI= 0.15 to 2.22; p= 0.029) were significantly associated with nurse performance.Conclusion: There is a very significant influence between of education, work periods, training, mutation and promotion on the performance of nurses at dr. Abdoer Rahem Hospital Situbondo.Keywords: human resources development, nurse performanceCorrespondence: Agung Setyanto. Masters Program in Public Health, Strada Indonesian Institute of Health Sciences. Krajan Sumberejo, Banyuputih, Situbondo, East Java 68374, Indonesia. Email: [email protected]. Mobile: +6281252468273.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.01.0
Evaluation of Clinical Pathway Implementation in Pneumonia Cases in the Internal Medicine Inpatient Unit at Risa Sentra Sentra Medika Hospital, Mataram with the Integrated Care Pathway Appraisal Tool (ICPAT) Method
Full text linkBackground: In the health insurance system, there are 2 main pillars, namely service quality and financing control. The quality of health services can be identified by measuring the suitability of the service with the agreed clinical pathway. Data from SEAMIC Health Statistics 2011 shows that pneumonia is the 6th cause of death in Indonesia, therefore a good quality clinical pathway is needed. Integrated Care Pathway Appraisal Tool (ICPAT) is one of the instruments that has been validated and can be used to evaluate the content and quality of ICP.Subjects and Method: Study design using qualitative methods and with a case study research design. Population: quantitative data population from all medical records, qualitative data population the researchers involved all officers involved in implementing the clinical pathways. Instrument: List of questions to evaluate the implementation of the use of clinical pathways and ICPAT. Validity: with triangulation techniques. Outcome: compliance assess-ment and recommendations for improvement to maintain quality. Results: Input Aspect, In Dimension 1 What are the Correct Clinical Pathways? it the percentage content was 50%, and the quality was 50%. Dimension 6 (Organizational Role?) in the CP content value is 100% and the quality is 58%. Process aspect, Dimension 2 (Clinical Pathway Documentation Process) CP documentation process in terms of content is 30.43% and quality is 25%. Dimension 3 (Clinical Pathway Development Process) the content is 61.54% and the quality is 41.18%. Dimension 4 (Clinical Pathway Implementation Process) the percentage of content is 60% and the quality is 100%. Dimension 5 (Maintenance Process of clinical pathways) the percentage of the content is 25% and the quality is 38.46%. Aspects of Output Those who comply with using the clinical pathway are 0 (0%), meaning that no one is compliant in using the clinical pathway.Conclusion: CP Pneumonia at Risa Sentra Medika Hospital complies with the ICPAT assessment standards but the quality and content only meet less than 50% based on the aspects assessedKeywords: clinical pathway, pneumonia cases, ICPAT assessment.Correspondence: Findy Wijaya Nurdin. Universitas Adhirajasa Reswara Sanjaya. Ransiki Kota, Kabupaten Manokwari Selatan. Email: [email protected]. Mobile : +62 81242866438.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.01.0
Meta-Analysis: The Effects of Workload and Social Support on Burnout in Health Workers
Full text linkBackground: Burnout is a psychological syndrome of exhaustion, cynicism and ineffectiveness at work. Some factors causing burnout are workload and family support. The existence of a high workload can increase the incidence of burnout and high social support can prevent burnout in health workers. This study aims to estimate the effect of workload and social support on burnout in health workers.
Subjects and Method: A systematic review and meta-analysis was carried out using the PRISMA guidelines and the PICO model covering Population = health workers; Intervention = high workload and high social support; Comparison = low workload and low social support; Outcome = burnout. Articles were collected from databases such as PubMed, Science Direct, and Google Schoolar. The keywords used in the database search were workload AND "social support" AND burnout OR fatigue AND "health workers" AND "cross sectional".A total of 12 articles met the inclusion criteria for the meta-analysis and were assessed using RevMan 5.3.
Results: Meta-analysis from France, Afghanistan, Canada, Uganda, Ghana, Ethiopia, Malawi, Brazil, Malaysia and China showed that high workloads can increase burnout in health workers (aOR= 2.37; 95% CI= 1.10 to 5.10; p = 0.003), high social support can reduce the risk of burnout in health workers (aOR= 0.54; 95% CI= 0.42 to 0.71; p= 0.001), and these results were statistically significant.
Conclusion: High workload can increase burnout among health workers and high social support can reduce the risk of burnout in health workers.
Keywords: workload, social support, burnout, health workers
Correspondence:
Hanifah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: [email protected]. Mobile: 081226829788
Factors Related to the Implementation of X-Ray Radiation Safety Management in the Radiology Unit in East Kalimantan, Indonesia
Full text linkBackground: The hospital is a complex public health service and a research center for medicine. The wider the function of a hospital, the more complex the equipment and facilities available. One of the specialist supporting medical services in hospitals is radiology using X-ray machines. The use of diagnostic radiology X-rays in Indonesia continues to grow. The aim of the study was to determine the factors that influence the implementation of X-ray radiation safety management in the Radiology Work Unit of the Province of East Kalimantan.
Subjects and Method: An observational study with a cross-sectional design was conducted in Radiology Working Unit, East Kalimantan Province in October 2022. A total of 173 respondents were selected using proportional random sampling. The dependent variable is the implementation of X-ray radiation safety management. The independent variables are man, money, method, material and machine. The data were collected using a questionnaire, and analyzed using a linear regression test.
Results: Man (b= 0.49; p<0.001), money (b= 0.20; p= 0.007), method (b= 0.47; p<0.001), material (b= 0.23; p= 0.002), and machine (b= 0.11; p= 0.050) have effects on the implementation of X-ray radiation safety management in radiology work units.
Conclusion: Man, money, method, material, and machine significantly influence the implementation of X-ray radiation safety management in radiology work units.
Keywords: management, X-ray radiation safety.
Correspondence:
Sri Warsuni Almas. Masters Program of Public Health, Strada Institute of Health Sciences, Indonesia. Jl. Manila No.37, Tosaren, Kec. Pesantren, Kota Kediri, Jawa Timur 64123. Email: sriwarsuni99@gmail.com. Mobile: +62 822-5455-3137
Effects of Credentials, Competence, Career Levels and Professionalism on the Satisfaction among Nurses in Psychiatric Hospital, Surakarta Central Java, Indonesia
Full text linkBackground: Job satisfaction among nurses may be influenced by competency, education, income level, or the work environment, such as the type of facility, management, professional or career deve-lopment, and access to resources. The purpose of this study was to analyze the effect of credentials, competence, career levels, and professionalism on the satisfaction among nurses in mental hospital.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in Surakarta, Central Java, from September to October 2022. A sample of 215 nurses from 22 Surakarta Mental Hospital was selected for this study. The dependent variable was satisfaction of nurses. The independent variables were credential, competence, career levels, and profesionalism. The data were collected by questionnaire and analyzed by a multivariate linear regression.Results: Education master or doctor (b= 0.05; 95% CI= 0.03 to 0.15; p= 0.02), income (b= 1.47; 95% CI= 0.10 to 0.78; p= 0.04), competence (b= 1.20; 95% CI= 0.07 to 0.32; p= 0.002), career levels (b= 1.08; 95% CI= 0.05 to 0.35; p= 0.007), professionalism (b= 0.22; 95% CI= 0.06 to 0.10; p= 0.005) increased satisfaction and it was statistically significant. Credentials (b= 1.11; 95% CI= 0.006 to 0.67; p= 0.08), increased satisfaction, but it was statistically non-significant.Conclusion: Job satisfaction among nurses increases with high career levels, good competence, good professionalism, good credential, education ≥Diploma III, and high income.Keywords: career levels, competence, credential, job satisfaction, professionalism, nurse.Correspondence:Suminanto. Masters Program of Management, Universitas Islam Batik Surakarta, Indonesia. Jl. Agus Salim 10, Sondakan, Laweyan, Surakarta, Central Java 57147. Email: [email protected]. Mobile: +62 812-2606-925.Journal of Health Policy and Management (2023), 08(01): 23-29https://doi.org/10.26911/thejhpm.2023.08.01.03
Meta Analysis the Effect of Electronic Health-based Self Management in Controlling Blood Pressure in Hipertensive Patients
Full text linkBackground Consistent application of self-management is important in efforts to improve the quality of life and health status of hypertensive patients. Electronic health is here to facilitate self-management of hypertensive patients and provide health information to health workers in real time and promote lifestyle modifications. The purpose of this study was to analyze the influence of electronic health-based self-management on blood pressure control in hypertensive patients.Subjects and Method: : This study is a meta-analysis using PICO namely Population: Hypertensive patients; Intervention: Self-management based on electronic health; Comparison: No self-management based on electronic health; Outcome: Systolic and diastolic blood pressure. This study uses articles from several databases, i.e Pubmed, Google Scholar, Science Direct and the Cochrane Library using the following keywords “Hypertension” OR “Hypertensive” OR “Blood Pressure” OR “High Blood Pressure” AND “Self Management” OR “Self Care” OR “Self Monitoring” AND “Electronic Health” OR “eHealth” OR “Telemedicine” OR “Telehealth” OR “mHealth” OR “Mobile Health” OR “Mobile Application” OR “Message Text” OR “Phone Calls”. Articles included in the research are articles that use English with an RCT study design whose publication is within the period of 2012-2022. The steps in the systematic review are carried out based on the PRISMA flow diagram guidelines. Quantitative analysis was carried out using Review Manager (Revman) 5.3.Results: There were 9 articles from South Africa, America, South Korea, Spanish, England, Scotland, and Honduras, with a sample size of 3,071 hypertensive patients concluded that electronic health-based self-management could reduce systolic blood pressure by 0.38 units and was statistically significant (SMD= -0.38; 95% CI = -0.55 to -0.20; p<0.001 ). The meta-analysis synthesized 9 studies with a total sample size = 2.095 hypertensive patients concluded that electronic health-based self-management could reduce diastolic blood pressure by 0.21 units and was statistically significant (SMD= -0.21; 95% CI = -0.29 to -0.12; p< 0.001).Conclusion: Electronic health-based self-management can reduce systolic and diastolic blood pressure control in hypertensive patients.Keywords: Self management, electronic health, blood pressure, hypertensionCorrespondence:Aulia Siti Nur Rahmah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 08156865373.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.02.0
Evaluation of Regional Public Services Agency Implementation at Community Health Center in Mojokerto, East Java
Full text linkBackground: The phenomenon of the limitations of the community health center in managing budget expenditures can be seen when the beginning of the year cannot be realized. The limitations on spending on goods and services are also faced by community health centers every year. Changing the status of the community health center to regional public service agency (RPSA) allows the community health center to improve the quality of public health services. This study aimed to explore the evaluation of RPSA at community health center. Subject and Method: This was a qualitative study, with interviews with key informants. Discussions and interviews were conducted at community health center in the working area of Mojokerto district health office, Mojokerto, East Java, Indonesia from August to September, 2022. Participants: interview involved 27 informants, and 1 triangulated informant. The transcribed data were analyzed using content analysis.Results: A total of 27 Community Health Centers were ready to implement the Community Health Center RPSA because they have met the technical and administrative requirements for implementing Community Health Centers as RPSA. Government support is still lacking, seen from the absence of regional regulations after the establishment of the BLUDs that help the flexibility of the community health center. The support from the Mojokerto District Health Office is still considered low because 27 community health center stated that they had never been visited by the Health Office during their monitoring activities at the community health center.Conclusion: A total of 27 Community Health Centers are ready to implement the Community Health Center RPSA. Keywords: community health center, regional public services agecy, RPSA, Mojokerto.Correspondence:Herin Setyorini. Graduate School, STRADA Indonesia Institute of Health Sciences. Jl. Manila No.37, Tosaren, Pesantren, Kediri, 64123, East Java, Indonesia. Email: [email protected]. Mobile: +62 821-3248-2108.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.02.0
Meta Analysis the Effectiveness of Mobile-Based Stress Management Application on Stress and Depression among Workers
Full text linkBackground: The application of stress management at this time really needs a smartphone application to prevent the occurrence of severe mental disorders, reduce stress levels and use this application more effectively. The purpose of this study is to conduct a meta-analysis with the aim of studying and estimating the effectiveness of mobile-based stress management applications on stress and depression in workers.Subjects and Method: This study is a meta-analysis using PICO, Population: Workers, Intervention: Using a mobile-based stress management application, Comparison: Not using a mobile-based stress management application, Output: Stress and Depression. The process of searching for articles between 2012-2022 uses 5 databases: PubMed, Google Scholar, ProQuest, Science Direct and Scopus. The keywords used are “stress” OR “depression” AND “apps” OR “digital health” OR “mobile health” OR “message text” OR “phone calls” OR “website” OR “email” AND “employee” OR “ worker”. Inclusion criteria: article must be a full paper with Randomized Controlled Trial (RCT), article using English, population namely workers, mobile-based stress management application intervention, reported results are stress, depression, include research results number of respondents, average -mean score and standard deviation (SD). Articles that met the requirements were analyzed using the RevMan 5.3 application. Results: There were 14 articles with a Randomized Controlled Trial (RCT) research design originating from Germany, Spain, Switzerland, England, America, Thailand, Taiwan, Korea, Vietnam which were carried out by meta-analysis. The size of the stress sample is 4,865 workers. The meta-analysis shows that workers who use the mobile-based stress management application have 1.08 units lower stress than do not use the mobile-based stress management application, and it is statistically significant (SMD = -1.08; 95% CI = -1.70 to -0.45; p= 0.007). The sample size for depression is 3,983 workers. Workers using the mobile-based stress management application had depression 0.47 units lower than those not using the mobile-based stress management application, and it was statistically significant (SMD = -0.47; 95% CI = -0.85 to -0.10; p = 0.01).Conclusion: Mobile-based stress management application use reduces stress and depresssion in workers.Keywords: stress, depression, stress-based mobile application, worker, employee, meta analysisCorrespondence:Niken Yuliani Untari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6281215810608Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.02.0
Analysis of Factors Influencing The Implementation of Public Safety Center Services Using Technology Acceptance Model and Unified Theory of Acceptance and Use of Technology Methods Among Pediatric Patients at Dr. Iskak Hospital, Tulungagung, East Java
No full textBackground: A pediatric emergency is a clinical situation with life-threatening risks without prompt and adequate management. The Public Safety Center (PSC) is the spearhead of the service to get a quick response and function as a service provider for emergency patients and to coordinate with the intended health facility. The purpose of this study was to analyze the factors that influence the implementation of the use of PSC services using the TAM and UTAUT methods in pediatric patients at RSUD dr. Iskak Tulungagung.
Subjects and Method: Observational research was conducted at RSUD Dr. Iskak, Tulungagung, East Java from August to October 2022. A total of 130 children were selected for this study. The dependent variable is the implementation of the public safety center (PSC). The independent variables are the Technology Acceptance Model (TAM) and the Unified Theory of Acceptance and Use of Technology (UTAUT). Data were collected using a questionnaire, and analyzed using path analysis.
Results: Perceived benefits (p < 0.001), perceived convenience (p < 0.001) have a significant effect on PSC implementation. Work expectations (p= 0.068), business expectations (p= 0.436), and facilitating conditions (p= 0.106) are related to PSC implementation but not statistically significant.
Conclusion: Perceived benefits, perceived convenience significantly influence the implementation of PSC.
Keywords: child, emergency, PSC, TAM, UTAUT.
Correspondence:
Zuhrotul Aini. Master’s Program of Public Health, Strada Institute of Health Sciences, Indonesia. Jl. Manila No.37, Tosaren, Kec. Pesantren, Kota Kediri, Jawa Timur 64123. Email: [email protected]. Mobile: +62 812-3336-2126