Journal of Health Policy and Management (JHPM)
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Hospital Administration as Factors Associated with Patient Satisfaction: A Meta-Analysis
Full text linkBackground: Maintaining hospital quality is the most important thing to consider in hospital service indicators. Patient satisfaction is one of the important factors in maintaining hospital quality. This study aimed to analyzed the associated between hospital administration with patient satisfaction.Subjects and Method: This study is a meta-analysis with PICO, population: patients. Intervention: good hospital administration. Comparison: poor hospital administration. 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 “Hospital Administration” OR “Good Administration” OR “Hospital Services” AND “Patient Satisfaction” OR “Satisfaction” 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 7 cross-sectional study articles from Asia (China), Europe (Germany), and Africa (Ethiophia) were reviewed in the meta-analysis. Based on the results of the analysis, it was found that good hospital administration has the possibility to increase patient satisfaction 3.58 times compared with poor hospital administration (aOR= 3.58; 95% CI= 2.36 to 5.42; p<0.001) and the results were statistically significant.Conclusion: Hospital administration associated with patients statisfaction.Keywords: hospital, hospital administration, patient statisfaction, inpatients.Correspondence: Siti Maesaroh. School of Health Sciences Mamba’ul Ulum Surakarta. Jl. Ringroad Utara, Mojosongo, Jebres, Surakarta, Central Java, Indonesia. Email: [email protected]. Mobile: +62 813-9386-7942.Journal of Health Policy and Management (2022), 07(03): 227-334https://doi.org/10.26911/thejhpm.2022.07.03.0
Meta Analysis: The Relationship between Nursing Management on Patients Statisfaction
Full text linkBackground: Maintaining hospital quality is the most important thing to consider in hospital service indicators. Patient satisfaction is one of the important factors in maintaining hospital quality. This study aimed to analyzed the relationship between nursing management in patients statisfaction.Subjects and Method: This study is a meta-analysis with PICO, population: inpatients. Intervention: nursing management. Comparison: not using nursing management. Outcome: patients statisfaction. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Nursing Management” OR “Nursing Care” AND “Patient Statisfaction” OR “Statisfaction” AND “Multivariate”. Articles included are full-text English from 2004 to 2021. Articles were selected using a PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 7 cross-sectional study articles from Asia (Indonesia, Iran), Europe (Germany), Africa (Ethiophia), and North America (United States) were reviewed in the meta-analysis. Based on the results of the analysis, it was found that the application of nursing management in hospitals has the possibility to increase patient satisfaction 3.72 times compared to not implementing comprehensive nursing management (aOR= 3.72; 95% CI= 2.40 to 5.78; p<0.001) and the results were statistically significant.Conclusion: Nursing management affect the possibility of patients statisfaction.Keywords: nursing management, patient statisfaction, inpatientsCorrespondence: Titik Anggraeni. School of Health Sciences Estu Utomo. Jl.Tentara Pelajar Km 7, mudal, Boyolali, Central Java, Indonesia. Email: [email protected]. Mobile: +62 85867292673.Journal of Health Policy and Management (2022), 07(03): 193-200https://doi.org/10.26911/thejhpm.2022.07.03.0
Meta Analysis: The Relationship between Hospital Management on Work Motivation among Nurse
Full text linkBackground: In terms of improving employee performance, hospitals must have efforts that aim to motivate employees to be disciplined and have a work spirit in doing their jobs, while the efforts that can be made are to implement good hospital management. Motivation will be formed if the management applied by the agency is good, so that self-improvement and service quality will run by itself. This study aimed to analyze the relationship between hospital management on work motivation among nurse.Subjects and Method: This study is a meta-analysis with PICO, population: nurse. Intervention: good hospital managemenet. Comparison: poor hospital management. Outcome: nurse work motivation. 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 Management” OR “Hospital Care” AND “Nurse Motivation” OR “Work Motivation” or “Work Ambition” AND “Multivariate”. Articles included are full-text English from 2014 to 2019. 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 (Indonesia, Malaysia, and Japan), Europe (Switzerland), Africa (Ghana), and North America (United States) were reviewed in the meta-analysis. Based on the results of the analysis, it was found that good hospital management can increase work motivation of nurses 1.91 times compared to poor hospital management (aOR= 1.91; 95% CI= 1.16 to 3.15; p= 0.01) and the results were statistically significant.Conclusion: Good hospital management increase nurse work motivation.Keywords: hospital management, work motivation, ambition, nurse.Correspondence:Sri Sayekti Heni Sunaryanti. Universitas Karya Husada Semarang. Jl. Kompol R. Soekanto 46, Semarang, Central Java. Email: [email protected]. Mobile: +62 85216077830.Journal of Health Policy and Management (2022), 07(03): 185-192https://doi.org/10.26911/thejhpm.2022.07.03.02
Association between Nursing Spiritual Managament on Quality of Life: Meta-Analysis
Full text linkBackground: Religion and spirituality play a role in coping with illness for many patients. This study examined religiousness and spiritual support in patients of diverse racial or ethnic backgrounds and associations with quality of life (QOL), treatment preferences, and advance care planning. This study aimed to analyze the association between nursing spiritual managament on quality of life based on previous studies.Subjects and Method: This study is a meta-analysis with PICO, population: inpatient. Intervention: nursing spiritual management. Comparison: without nursing spiritual management. Outcome: quality of life. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Nursing” OR “Nursing Management“ AND “Nursing Spiritual Management” AND “Quality of Life” OR “QoL” AND “Multivariate”. Articles included are full-text English from 2007 to 2022. 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 (Indonesia), Europe (Germany), South America (Brazil and Peru), and North America (Boston and US) were reviewed in the meta-analysis. Based on the results of the analysis, it was found that implementing of nursing spiritual management increase quality of life among patients 2.79 times compared to nurse does not implementing spiritual management (aOR= 2.79; 95% CI= 2.43 to 3.35; p< 0.001) and the result is statistically significant.Conclusion: Good hospital management increase nurse work motivation.Keywords: nursing management, spiritual points, quality of life, QoL.Correspondence:Sarwoko. Universitas Karya Husada Semarang. Jl. Kompol R. Soekanto 46, Semarang, Central Java. Email: [email protected]. Mobile: +62 81326925555.Journal of Health Policy and Management (2022), 07(03): 201-209https://doi.org/10.26911/thejhpm.2022.07.03.0
Management Analysis of the Implementation of Covid-19 Vaccination in Reducing Positivity Rate in Regency Health Office of Boyolali, Central Java
Full text linkBackground: The results of a vaccine acceptance survey conducted by the Ministry of Health together with the Indonesian Technical Advisory Group on Immunization (ITAGI) with the support of UNICEF and WHO in September 2020 showed that most people (74%) were aware of the government's plan to carry out COVID-19 vaccination. The government targets 181,500,000 Indonesians to receive the vaccine to achieve herd immunity. Through this vaccination effort, it is hoped that it will reduce the COVID-19 positivity rate. The positivity rate is the ratio between the number of positive cases of Covid-19 and the number of tests carried out. The purpose of this study was to qualitatively examine the management analysis of the implementation of Covid-19 vaccination in reducing positivity rate in Boyolali Regency Health Office.Subjects and Method: This was a type of descriptive research using a qualitative approach. Determination of informants is done by purposive sampling. Data was collected through indepth interviews, document review and observation. The data is processed through the stages of data reduction, data presentation and conclusion drawing and triangulation of sources and methods.Results: The implementation of vaccination in the coverage area of the Boyolali Health Service was able to reduce the positivity rate in Boyolali. The COVID-19 vaccination procedure is carried out based on the requirements for the vaccine recipient community. According to the coordinator of the vaccination implementation at one of the hospitals in Boyolali (informant 1), they screened the patient's condition before starting the vaccination. In addition to screening medical history, vaccine participants must be confirmed to be in a negative condition or not suffering from COVID-19 disease. Data from the Boyolali Health Office shows that since the vaccine began (mid-February), the number of COVID-19 sufferers has decreased.Conclusion: The management of the Covid-19 vaccination implementation in the Boyolali Health Service coverage area was able to reduce the positivity rate in Boyolali Regency. After giving the vaccine, the number of positive Covid-19 patients is in the range of 10 to 20 cases per day.Keywords: vaccination, Covid-19, positivity rateCorrespondence: Tifa Aviandari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 089682108211Journal of Health Policy and Management (2021), 06(03): 190-202https://doi.org/10.26911/thejhpm.2021.06.03.0
The Effect of Hand Puppet Game and Cold Compress on the Reduction of Pain and Anxiety Levels in Preschool Age Children Undergoing Infusion in the Pediatric Care Room at Sumbawa Hospital
Full text linkBackground: The infusion procedure was the most traumatic experience and can cause anxiety and pain for more than 50% of pediatric patients during hospitalization. This study was to determine the effect of hand puppet game and cold compress on pain and anxiety of preschool age children undergoing infusion.Subjects and Method: This study used a quasi-experimental research design with the type of non-equivalent control group posttest-only design. It was conducted in the Pediatric Care Room at Sumbawa Hospital in July-September 2020. The total number of respondents who were hospitalized in the Pediatric Care Room at Sumbawa Hospital selected by consecutive sampling. They were divided into two, 38 people in each intervention and control group. The intervention group was given cold compress on the infusion area and the hand puppet game, while the control group was given treatment according to hospital standards. The dependent variables of the study were pain level and anxiety level, while the independent variables included hand puppet game and ice pack (cold compress). In addition, the instruments used were pain and anxiety instruments. Data analysis was performed using the Mann-Whitney test.Results: Based on the results of the Mann-Whitney test, there was a change of pain levels (p<0.001) and anxiety levels (p<0.001) after receiving hand puppet game and cold compress during infusion compared to children with normal treatment.Conclusion: Hand puppet game and cold compress administration can be applied to reduce pain and anxiety levels in preschool age children during the infusion procedure.Keywords: children, distraction, anxiety, pain, infusionCorrespondence: Alfia Safitri. Faculty of Health, Universitas Samawa, Jl. Lintas Sumbawa Bima Km 03 Sumbawa Besar. Email: fiasafitri90@gmail.com. Mobile: 082341612302.Journal of Health Policy and Management (2021), 06(02): 148-153https://doi.org/10.26911/thejhpm.2021.06.02.0
Meta Analysis on the Effect of the Quality of Health Services with the Level of Patient Satisfaction
Full text linkBackground: patient-oriented health services are the primary strategy for health service organizations. A good service is determined by the fact that the services provided can meet the patient's needs. Patient satisfaction is an integral part of the quality assurance of health service. This study aims to analyze the quality of tangible health services with patient satisfaction in receiving health services.Subjects and Method: Meta-analysis was performed by searching journals from direct databases such as Google Scholar, Science Direct, and PubMed using the keywords service quality, patient satisfaction, and heat service. The inclusion criteria in this study were full text from 2010-2021, with a cross-sectional study. The data analysis was carried out by RevMan 5.3.Results: Nine articles have been analyzed, showing that the quality of service had direct evidence of an effect on patient satisfaction in accessing health services (aOR= 4.17; 95% CI= 1.78 to 9.78; p <0.001).Conclusion: The quality of direct evidence (tangible) affects patient satisfaction in accessing health services.Keywords: tangible, service, patient satisfaction.Correspondence: Siti Mar'atul Munawaroh. Ahmad Dahlan University. Jl. Prof. Dr. Soepomo, Janturan, Umbulharjo, Yogyakarta. Email: sitimaratul08@gmail.com. Mobile +6282133295468.Journal of Health Policy and Management (2021), 06(02): 107-115https://doi.org/10.26911/thejhpm.2021.06.02.0
Determinants of Job Performance among Medical Rehabilitation Health Personnel at Dr. Moewardi Hospital, Surakarta, Central Java: A Path Analysis Evidence
Full text linkBackground: The quality of a health institution is determined by human resources (HR) and the quality of staff services. The quality of health human resources is measured by employee performance and productivity especially services that are directly related to patients, such as the Department of Medical Rehabilitation. This study aimed to analyze the psychosocial economic determinants of the performance of medical rehabilitation health personnel.Subjects and Method: This study used a cross-sectional method. This study was conducted from May 2020 to June 2020. The sample was selected by exhaustive sampling by 200 medical rehabilitation health personnel at Dr. Moewardi, Surakarta. The dependent variable was performance. The independent variables were motivation, skill, work atmosphere, facilities and infrastructure, work experience, training, education, leadership style, incentive, reinforcement, vicarious learning, and observational learning. The data were collected using questionnaires and analyzed using path analysis with STATA version 13.Results: Medical rehabilitation health personnel had a likelihood of performing well with participative leaders (b=2.24; 95%CI=0.09 to 1.44; p=0.025), sufficient incentives (b=3.19; 95%CI=0.42 to 1.76; p<0.001), high motivation (b=3.38; 95%CI=0.51 to 1.93; p<0.001), by attenting training and education for medical rehabilitation (b=1.86; 95%CI=-0.03 to 1.27; p=0.064), good reinforcement (b=1.72; 95%CI=- 0.09 to 1.42; p=0.086), training and education through incentives (b=1.86; 95%CI=- 0.02 to 1.11; p=0.062), conducive work atmosphere through motivation (b=2.49; 95%CI=0.16 to 1.42; p=0.013).Conclusion: The performance of medical rehabilitation health personnel is affected by leadership style, incentives, motivation, training and education, work atmosphere, and reinforcement.Keywords: social cognitive, performance, path analysisCorrespondence: Sisybania, Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami No.36 A, Surakarta, Indonesia. Email: [email protected]. Mobile: +6289676804589Journal of Health Policy and Management (2021), 01(01): 01-12https://doi.org/10.26911/thejhpm.2021.06.01.01.
Determinants of Resistance to Changes in Hospital Program Implementation
Full text linkBackground: Organizational change is the embodiment of changing organizational environments, structures, cultures, technologies, or people. Changes are planned to make the organization more effective and efficient, but there is still resistance from members of the organization. Negative reactions arise because changes provide pressure, stress, and uncertainty for employees. The goal in the study was to analyze employees' perceptions of commitment, readiness, and resistance during times of change to the implementation of the "MARMER" program.Subjects and Method: The study was conducted at Dr. Iskak Tulungagung Hospital. The selected hospital organization is a hospital that has a program preventing antimicrobial resistance through restriction efficiency (MARMER) for the control of antibiotic resistance. Research design uses quantitative research methods. The population in this study is all health workers at Dr. Iskak Tulungagung Hospital. Data collection through questionnaires. Multivariate data analysis using SEM with SmartPLS.Results: Commitment to change has a significant direct influence on the readiness for change (t-values= 9.95 > 1.96; Standard Coefficiency= 0.53). Commitment to change does not significantly affect change resistance (t-values = 1.22< 1.96; Standard Coefficiency= 0.13). Readiness for change has a negative effect on change resistance (t-values= -5.30 >1.96; Standard Coefficiency= -0.60). Commitment to change negatively and significantly affects resistance to change through readiness to change (t-values = -4.24 > 1.96; Standard Coefficiency= -0.36).Conclusion: Commitment directly affects the readiness of change. Commitment and readiness affect the resistance of change. Commitment has a significant effect on resistance through readiness for change.Keywords: MARMER, antibiotik, commitment, readiness, resistanceCorrespondence: Asruria Sani Fajriah, IIK Strada Indonesia, Jl. Manila 37, Sumberece, Kediri, East Java, Indonesia. Email: [email protected] of Health Policy and Management (2021), 06(03): 222-232https://doi.org/10.26911/thejhpm.2021.06.03.0
Determinants of Health Care Renunciation among Women in Ivory Coast: Case of the District of Abobo Anonkoi-3
Full text linkBackground: Health care renunciation aims to identify unmet care needs that a health condition would have justified. This behavior appears to be more common in women than in men. The objective of this work was to analyze the determinants of the health care renunciation among women in the city of Abidjan.Subjects and Method: We carried out a cross-sectional study from March to May 2019 in Anonkoi-3, a peri-urban district of the municipality of Abobo, in the north of the city of Abidjan. Questionnaires served to collect informations. Bivariate analyzes and a multiple logistic regression were used to measure the association between the different types of renunciation and the characteristics of women. Dependant variable was healthcare renunciation. Independent variables were socio-demographic, economic, health status characteristics and reasons for renouncing to health care.Results: The population sample consisted of 423 women (with mean age= 32; SD= 12 years). The renunciation on consultations with the general practitioner concerned, 72.34% of women. Regarding consultation with the specialist, the ophthalmologist (25.05%), the dentist (21.99%), and the gynecologist (14.89%) were those mostly renounced by the women. After consultation, 31.2% of them renounced to pursuing other treatment. They most often renounced to buying drugs from conventional medicine (19.62%) and preferred to use street drugs and traditional drugs (87.71%). All things being equal, women aged 28 to 38 (OR= 2.45; 95% CI= 1.31 to 4.68; p= 0.013), artisans and traders (OR= 3.22; 95% CI= 1.48 to 7.38; p= 0.004) and those in trade learning (OR= 2.42; 95% CI= 1.12 to 5.49; p= 0.028) significantly renouncing more on health care.Conclusion: In addition to financial reasons, the renunciation on health care can be explained by individual and social behaviors specific to individuals.Keywords: women, healthcare renunciation, precariousness, social inequalities, ivory coastCorrespondence: Jérôme Kouame, Faculty of Pharmaceutical and Biological Sciences, Department of Public Health, Hydrology and Toxicology, University Félix Houphouët Boigny, BPV 34 Abidjan 01, Ivory Coast. Email: jerome.kouamejj@gmail.com. Mobile: 0022565237900.Journal of Health Policy and Management (2021), 06(02): 116-129https://doi.org/10.26911/thejhpm.2021.06.02.0