Indonesian Journal of Health Administration
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IDENTIFYING HEALTHCARE WORKERS' INTENTION TOWARD TELEHEALTH IN INDONESIA DUE TO COVID-19 PANDEMIC
Full text linkBackground: Healthcare sectors adopted various steps during the Covid-19 pandemic to prevent virus transmission, including limiting patient numbers. Telehealth can be an alternative solution since healthcare institutions can provide services without direct contact.
Aims: This research aims to analyze healthcare workers' intentions in Indonesia toward telehealth using the unified theory of acceptance and use of technology (UTAUT) framework with additional variables.
Methods: A literature review was undertaken to develop a framework tested using Partial Least Square-Structural Equation Modeling (PLS-SEM). This study was conducted with Indonesian healthcare institutions in Bandung and Surakarta. Participants consisted of doctors and nurses.
Results: Of 200 participants, this finding showed effort expectancy, social influence, facilitating conditions, self-efficacy, and technology anxiety influenced the intention to adopt telehealth (p-Value ≤ 0.05). However, performance expectancy and perceived security and data have no significant influence (p-Value > 0.05). This study discovered that performance expectancy is influenced by effort expectancy (β = 0.727), while effort expectancy is influenced by self-efficacy (β = 0.642).
Conclusion: Indonesian healthcare institutions must be concerned with factors affecting telehealth implementation, especially with data security, which has proven insignificant. Further research is required to optimize the application
HEALTH EXPENDITURE ANALYSIS IN PATIENTS WITH PREGNANCY-LABOR COMPLICATIONS IN SURABAYA
Full text linkBackground: Healthcare spending has serious social and economic consequences for familie, such as financial constraints and psychological distress. Expenditure caused by obstetrics complications has an impact on total household spending. One person's health expenditure can influence their family members' welfare.
Aims: This study analyzed health expenditure of patients experiencing preeclampsia, eclampsia, and postpartum hemorrhages.
Methods: This study utilized a descriptive observational research design with a cross-sectional approach. The research sample consisted of 135 women who gave birth in November to December 2018. Multistage random sampling was used since the respondents were selected from regions of Surabaya.
Results: Respondents of pregnancy and delivery complication with catastrophic health expenditure was eclampsia suffered by 40 respondents, 71 respondents with medium income financing Rp3,800,000.00, 64 respondents with medium household expenditure (monthly income of Rp2,001,000.00 - Rp3,000,000.00). As many as 62 respondents had social security agency for health without contribution beneficiaries, 62 respondents had one employed family member, and 66 respondents had 5-7 family members.
Conclusions: The majority of respondents in Surabaya in 2019 experienced a 10% increase of total household expenditure while undergoing treatment. The government continues to increase subsidies for health service facilities that mostly serve the indigen population
A QUALITATIVE STUDY: HOSPITAL PATIENT COMPLAINT MANAGEMENT
Full text linkBackground: Complaint management is vital for hospitals as patient complaints can be used to advance the quality of health services provided.
Aims: This study analyzed patient complaint management at an X government hospital in Yogyakarta.
Methods: The research used a descriptive-qualitative method and phenomenology, which was carried out through in-depth interviews, observation, and document review. It involved the head of the legal and public relations department, the head of the public relations sub-division, two staff of the legal and public relations department, two officers to outpatient and inpatient units, and two patients. This study used purposive sampling to select the samples. Data analysis referred to was from the concept of Miles and Huberman, which consists of data reduction, display, and verification. The accuracy of all data was checked using a triangulation method.
Results: The hospital followed the patient complaint management procedures. Providing complaint reporting platforms is required to lodge patient complaints to the hospital. Moreover, the suggestion box should be managed properly, and thus the complaints on the box can be managed promptly.
Conclusion: Overall, patient complaint management at the hospital has been carried out well and followed the standard operating procedures (SOP)
THE EFFECT OF SERVICE QUALITY DIMENSIONS ON HEMODIALYSIS PATIENT SATISFACTION IN INDONESIA
Full text linkBackground: Chronic kidney disease is a catastrophic disease ranked second in Indonesia for high health costs. The number of renal units in Indonesia has rapidly increased since the launch of the National Health Insurance program in 2014. Its increase was accompanied by the increased number of patients.
Aim: This study analyzed the effect of service quality dimensions on patient satisfaction with hemodialysis care.
Methods: This study used a cross-sectional design and a quantitative method. It retrieved data from respondents who had undergone hemodialysis care at hospitals and clinics in Jakarta and surroundings. The PLS-SEM approach was used to analyze the data.
Results: Eight service dimensions were proven to influence the overall service quality and directly impact patient satisfaction. The influential dimensions included facilities and organization of the service, care by attending nurses and assistants, attention to psychological and administrative issues, medical attention and care, nutrition attention and care, medication supply and quality, features and administration process, attention and care given by the head nurse. All of these dimensions affected patient satisfaction as a dependent variable. This study has strong predictive accuracy, and thus it can be replicable in future research with different populations.
Conclusion: This study demonstrated eight service quality dimensions that affect service quality and directly impact satisfaction of hemodialysis patients both with hospital and clinic services
Front Matter
No full textThe front matter contains a front cover, list of editorial teams, peer reviewers and table of contents for volume 10 issue 1 (2022
FROM HOSPITAL READINESS TO PATIENT SAFETY: BUILDING LEADERSHIP CAPACITY FOR PATIENT SAFETY IN INDONESIA
Full text linkThe COVID-19 pandemic has had an influence on patient safety and quality of care. A research undertaken in numerous countries found a deterioration in the quality of care during the pandemic. Leaders can improve patient safety in any circumstances, pandemic or not, by building a safety culture, reacting to patient and staff concerns, supporting safety activities, and tracking progress. Good leadership is essential to the success of patient safety programs and improving patient safety. Leaders must first establish strategic priorities and plans for culture and infrastructure that will aid in increasing patient safety. They must also actively inquire about patient safety situations and regularly examine patient safety data. Leaders must also collect data in order to foster a culture of patient safety. It is also critical to ensure that adequate infrastructure is available to support safety activities. Leaders have an important role in establishing the optimal methods for enhancing patient safety. Measures and improvement actions are rarely carried out in many nations; thus, leaders must ensure and encourage quality and safety development. Leadership commitment is the foundation for both pandemic and non-pandemic safety and quality improvement. Patient safety recommendations frameworks can help leaders improve patient safety in their organizations
FROM COVID-19 TO PATIENT SAFETY: PRACTICE IN INDONESIA
Full text linkThe December 2022 edition of the Indonesian health administration journal has been published. This time raised several topics about health system. Generally, the manuscripts submitted raise topics related to the issue of Covid-19. Other topics include access to health services, management programs, health insurance, and patient safety. Another topic of this edition also raises the issue of access to health services. Ainy (2022) The issue of Covid-19 is still a concern for researchers at this time. Covid-19 inspection services are still a necessity at this time. However, not all districts can prepare for this need. Imaniar (2022) reports that the availability of RT-PCR in Covid-19 tests is still limited at the district level. Since Covid-19, the use of online-based systems has increased. Murima reported (2022) that the use of telemedicine in health facilities during a pandemic greatly helped health service providers, but there were obstacles such as not being multidisciplinary and lack of knowledge in using technology
IMPLEMENTATION OF STUNTING PROGRAM IN INDONESIA: A NARRATIVE REVIEW
Full text linkBackground: Stunting is one of the nutritional problems in the world, especially in Indonesia.
Aims: This study aimed to describe the implementation of stunting programs in Indonesia, Related to specific and sensitive nutrition interventions in particular.
Methods: This narrative review was conducted with a meta-synthetic approach. The literature search was done on Google Scholar, PubMed, Garuda Portal, and DOAJ. The critical appraisal checklist from the Joanna Briggs Institute (JBI) was used to assess the research quality.
Results: Thirteen research articles were analyzed, and some intervention programs most commonly carried out were the provision of iron supplement tablets for pregnant women, supplementary feeding for underweight toddlers, complementary foods for breastfeeding, vitamin A provision, provision of facilities, access to drinking water, and proper sanitation.
Conclusion: The stunting program has not been implemented optimally either inside or outside the health sector. Sufficient numbers of human resources, especially nutritionists, are required to realize stunting programs
HEALTH INSTITUTIONAL SUPPORT FOR HEALTH WORKERS AS ROLE MODELS FOR A HEALTHY LIFE
Full text linkBackground: Health workers are considered to be credible people in health in the health field; they are often deemed as role models in healthy behavior. Primary healthcare centers (PHCs) and professional health organizations (PHOs) have to support health workers (HWs) in order that they perform their duty according to codes of work ethics.
Aims: This study aimed to investigate the support from PHCs and PHOs for HWs as health role models in the community.
Methods: This study is an exploratory qualitative study conducted in 2017. It involved three heads of PHCs, six clinical practitioners, three PHOs, and three community members from Pontianak.
Results: The health workers had responsibility, awareness, and commitment towards health workers themselves, the community, and colleagues, and thus they became health role models. Although the community never reprimanded HWs directly, they continued having a healthy lifestyle since they had acquired health education that impacts their behavior. Health institutions provided rules for mandatory daily physical activities and healthy diet; also, they established no-smoking areas, but many constraints were found during the execution.
Conclusion: The code of work ethics should be used as standards to support health workers' role
PATTERNS OF MEDICINE USE FOR COVID-19 PATIENTS AT UNDATA HOSPITAL PALU
Full text linkBackground: Covid-19 cases had drastically increased. Little therapy has been formulated to respond to the situation. Covid-19 symptoms in Indonesia are divided into four classes: asymptomatic, mild, moderate, and severe.
Aims: This study aims to illustrate the pattern of drug use in Covid-19 patients at Undata Palu Hospital.
Methods: This study is a type of cross-sectional descriptive study using a cross-sectional design and collecting data retrospectively from medical records at Undata Hospital Palu in 2020.
Results: In 2020, 186 patients were confirmed positive for Covid-19. There were 95 female patients (51.9%) and 50 patients at the age of 46-55 years (27.3%). The severe symptoms happened to 109 patients (59.6%). The most common clinical manifestation was cough in 127 patients (23.3%). The most common comorbidity was pneumonia (30.8%). The most widely used primary therapy was the antibiotic azithromycin applied to 155 patients (30.0%), and the most widely used supportive therapy was vitamin C among 141 patients (20.1%). Oseltamivir antiviral therapy was administered to 132 patients (25.6%) and remdesivir to 34 patients (6.6%).
Conclusion: Covid-19 patients were mostly treated with antibiotic therapy (41.5%), antiviral therapy (32.2%), antimalarial therapy (15.7%), and corticosteroid therapy (10.7%). As many as 132 patients took oseltamivir, and 34 patients took remdesivir. However, for now, oseltamivir is no longer used