Journal of Health Policy and Management
type: channel
description: e-ISSN: 2549-0281 Publisher: Masters Program in Public Health, Universitas Sebelas Maret, Indonesia Editor in Chief: Dr. Rossi Sanusi, Universitas Gadjah Mada, Indonesia Aim and Scope The Journal of Health Policy and Management (JHPM) is a peer-reviewed, open-access international journal that publishes original research articles, systematic reviews, and meta-analyses on a four-monthly basis. Since its establishment on October 21, 2015, JHPM has served as a critical platform for disseminating high-quality, policy-relevant research that informs and influences health care systems and public health governance worldwide. JHPM provides a forum for researchers, policy-makers, health care managers, public health professionals, and academics to engage with evidence-based insights into the formulation, implementation, and evaluation of health policy and management practices. The journal embraces multidisciplinary and integrative approaches to better understand complex health challenges and generate innovative, actionable solutions. The scope of JHPM spans a wide array of topics, including but not limited to: Health policy development and analysis Health systems management and governance Health economics and financing Epidemiological research with policy implications Public and social policy in health Strategic health planning and administration Equity and access in health care delivery Ethical and philosophical dimensions of health policy Global health policy and comparative health systems JHPM welcomes rigorous research from scholars and practitioners across the globe, with a strong emphasis on contributions from low- and middle-income countries (LMICs). We especially encourage submissions that address urgent health system issues, propose innovative models of care, or evaluate health policy impacts in diverse settings. By promoting dialogue across disciplines and geographies, the Journal of Health Policy and Management aims to foster practical knowledge, inform policy decisi…
publisher: Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
language: en
publication name: Journal of Health Policy and Management
issn: 2549-0281
items: Factors Affecting Job Satisfaction and Performance of Health Workers at Community Health
items: Evaluation of Anesthesia Management Care in the Central Surgical Installation
items: The Influence of Servqual Indicators in Measuring Health Service Quality and Patient Satisfaction
items: Impact of Safety Climate on Workers' Safety Practices in the Textile Industry
items: Factors Related with Work Stress in Informal Industrial Workers in Surakarta
items: Associations between Reliability, Assurance, Physical Evidence, Responsiveness, Empathy, Gender, and Income with Inpatient Satisfaction in Yos Sudarso Hospital, Padang, Indonesia
items: The Influence of Social Capital, Commitment, Justice, Employee Status, Age, Gender, and Community Health Center Strata on Performance at the Metro, Lampung, Indonesia
items: The Relationship between The Use of Mobile JKN Application and Health Services at Majene Regency Hospital
items: Analysis of BPJS Mandiri Participant Contribution Payment Compliance Inpatient Service Fines at Dr Mohamad Saleh Probolinggo Regional Hospital
items: Policy Response to Substance Abuse in Selected Higher and Tertiary Education Institutions: A Comparative Review
items: Factors Influencing the Health Workers Performance in Community Health Center in Metro, Lampung
items: Determinants of Health Worker Performance in Health Care Facilities: Meta-Analysis
items: Meta-Analysis: Effects of Computer Skill and Management Support on Readiness to Use Electronic Medical Record in Health Workers
items: Meta-Analysis: The Impact of Product, Price, Place, and Promotion on Patient Satisfaction
items: Meta Analysis: Factors Affecting Health Care Service on Outpatient’s Satisfaction in Hospital
items: Unit Cost Analysis In Heart Failure Inpatients Using The Time Driven Activity Based Costing Method At Type D Hospital In Sragen
items: Determinants of Work Performance among Employee in Dr. Soediran Mangun Sumarso Hospital, Wonogiri, Central Java
items: Multilevel Analysis: Factors Related to Work Performance in Health Workers at Community Health Centers
items: Meta-Analysis: Effects of Gender, Waiting Time, Visits, and Insurance on Outpatient Satisfaction with Health Services
items: Meta-Analysis: Factors Reducing Health Workers' Willingness to Leave Work

Factors Affecting Job Satisfaction and Performance of Health Workers at Community Health
type: item
description: Background: Motivation, leadership, career development, and rewards or incentives are important determinants of job satisfaction and performance among healthcare workers at Community Health Centers (CHCs). This study aimed to analyze and estimate the association between motivation, leadership, career development, rewards/incentives, job satisfaction, and the performance of healthcare workers. Subjects and Method: This was a cross-sectional study involving 200 healthcare workers from CHCs in Kerinci Regency, Jambi Province, conducted from October to November 2024. Samples were selected using accidental sampling. The dependent variable was health worker performance, the mediating variable was job satisfaction, and the independent variables were motivation, leadership, career development, and rewards/incentives. Data were collected using structured questionnaires and analyzed using path analysis. Results: Healthcare workers with high motivation were more likely to perform well than those with low motivation (b=0.31; CI 95%=0.18 to 0.45; p<0.001). Healthcare workers with high job satisfaction were more likely to perform well than those with low job satisfaction (b=0.43; CI 95%=0.30 to 0.46; p<0.001). Healthcare workers with high job satisfaction were more likely to be well motivated than those with low job satisfaction (b=0.21; CI 95%=0.13 to 0.29; p<0.001). Health workers who had a positive perception of leadership were more likely to be satisfied with their work than with a negative perception (b=0.74; CI 95%=0.68 to 0.80; p<0.001). Conclusion: The performance of healthcare workers in CHCs was directly affected by motivation and job satisfaction. Higher motivation and job satisfaction were associated with improved health worker performance.
subject: Articles
  topic: section
subject: performance
  topic: keywords
subject: job satisfaction
  topic: keywords
subject: motivation
  topic: keywords
subject: leadership
  topic: keywords
subject: health workers
  topic: keywords
creator: Endang Nifatna Sari
creator: Bhisma Murti
creator: Argyo Demartoto
creator: Sumardiyono
creator: Revi Gama Hatta Novika
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-09-16
publication date: 2025-09-16
starting page: 320
ending page: 332
doi: 10.26911/thejhpm.2025.10.03.05

Evaluation of Anesthesia Management Care in the Central Surgical Installation
type: item
description: Background: Effective anesthesia management is essential to ensure patient safety, minimize perioperative complications, and promote optimal recovery. Comprehensive planning across the pre-, intra-, and postoperative phases allows anesthesiologists to deliver systematic and high-quality care. Evaluating each component of anesthesia services context, input, process, product, and outcome is crucial for maintaining professional standards and improving patient satisfaction. Therefore, this study aimed to evaluate anesthesia care arrangements (pre-, intra-, and postoperative) at the Central Surgical Installation of dr. Soepraoen Kesdam V/Brawijaya Malang Hospital using the CIPP evaluation model. Subjects and Method: This qualitative evaluative study was conducted from June 1 to July 1, 2024, employing the Context, Input, Process, and Product (CIPP) framework. Five anesthesiologists were selected through probability sampling. Data were collected through in-depth interviews, direct observations, document reviews, and Focus Group Discussions, and analyzed through data reduction, classifica­tion, and interpretation. Results: Evaluation of the context and input components showed that anesthesia services complied with professional standards and ASKAN guidelines, supported by adequate human resources, infrastructure, and standard operating procedures. The process component including assessment, diagnosis, intervention, implementation, evaluation, and documentation was implemented adequately but not fully aligned with the ASKAN guidelines. Product evaluation indicated satisfactory documentation quality with partial conformity to the 2023 ASKAN edition. The outcome showed stable patient hemodynamics and high satisfaction levels. Conclusion: Context and input components were well-implemented, while process and product evaluations were adequate but require improved documentation to align with the latest ASKAN standards.
subject: Articles
  topic: section
subject: anesthesia care
  topic: keywords
subject: patient safety
  topic: keywords
subject: perioperative management
  topic: keywords
creator: Annes Rindy Permana
creator: Argyo Demartoto
creator: Bhisma Murti
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-09-16
publication date: 2025-09-16
starting page: 297
ending page: 309
doi: 10.26911/thejhpm.2025.10.03.03.a

The Influence of Servqual Indicators in Measuring Health Service Quality and Patient Satisfaction
type: item
description: Background: Health services are organized efforts by individuals or institutions to prevent and treat diseases, restore health, and improve community well-being. Both government and private healthcare institutions play a crucial role in ensuring accessible and high-quality services. The quality of health services is a key determinant of patient satisfaction. This study aimed to assess the SERVQUAL indicators in measuring the quality of health services and patient satisfaction at Diponegoro National Hospital. Subjects and Method: A cross-sectional study was conducted at Diponegoro National Hospital, Semarang, in July 2024. A total of 200 patients were recruited using accidental sampling. The dependent variables were service quality and patient satisfaction, while the independent variables included age, education, gender, and financing method. Data were collected using structured questionnaires and analyzed through path analysis. Results: The concept of service quality was represented by SERVQUAL indicators: reliability (b= 0.61; 95% CI= 0.46–0.76; p<0.001), assurance (b= 0.50; 95% CI= 0.35–0.64; p<0.001), tangibles (b= 0.67; 95% CI= 0.56–0.78; p<0.001), and responsiveness (b= 0.66; 95% CI= 0.46–0.76; p<0.001). Patient satisfaction showed a positive structural relationship with service quality (b= 0.31; 95% CI= 0.07–0.55; p= 0.012). The financing method also affected satisfaction, with insured (BPJS) patients reporting higher satisfaction than general patients (b= 0.15; 95% CI= 0.02–0.27; p= 0.015). Conclusion: Health service quality is defined by multiple SERVQUAL indicators, including reliability, assurance, tangibles, empathy, and responsiveness. Patient satisfaction is positively associated with service quality and influenced by the financing method, indicating the importance of equitable and high-quality healthcare delivery
subject: Articles
  topic: section
subject: quality of health care
  topic: keywords
subject: health services
  topic: keywords
subject: patient satisfaction
  topic: keywords
subject: insurance
  topic: keywords
subject: path analysis
  topic: keywords
creator: Septa Santiya Arini
creator: Didik Gunawan Tamtomo
creator: Bhisma Murti
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-09-16
publication date: 2025-09-16
starting page: 310
ending page: 319
doi: 10.26911/thejhpm.2025.10.03.04

Impact of Safety Climate on Workers' Safety Practices in the Textile Industry
type: item
description: Background: The textile industry has high risks related to occupational safety and health (OSH), so work accidents often occur. The number of accidents in Indonesia is increasing from year to year. One of the methods to overcome this problem is the implementation of the Occupational Safety and Health Management System. In addition, the safety climate and safety behavior are important indicators in reducing work accidents. This study aims to analyze the influence of the safety climate on safety behavior in the textile industry. Subjects and Method: This was a cross-sectional study conducted in 2 textile companies located in Surakarta and Semarang, in June-August 2024. A sample of 200 workers was selected using simple random sampling. The dependent variable was safety behavior. The independent variables were safety climate, working period and education level. Data collection was carried out using questionnaires and data was analyzed using path analysis. Results: Safety behavior was positively influenced by condusive climate (OR= 5.04; 95% CI= 1.68 to 15.13; p= 0.004), implementing occupational health and safety management system (OR= 55.48; 95% CI= 18.26 to 168.53; p < 0.001), high education (OR= 2.18; 95% CI= 0.99 to 4.81; p= 0.052), and long tenure (OR= 2.78; 95% CI= 0.97 to 7.97; p= 0.056). Conclusion: Safety behavior is positively influenced by condusive climate, implementing occupational health and safety management system, high education, and long tenure.
subject: Articles
  topic: section
subject: safety climate
  topic: keywords
subject: safety behavior
  topic: keywords
subject: textile workers
  topic: keywords
creator: Ica Yuniar Sari
creator: Sumardiyono
creator: Bhisma Murti
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-05-16
publication date: 2025-05-16
starting page: 210
ending page: 216
doi: 10.26911/thejhpm.2025.10.02.06

Factors Related with Work Stress in Informal Industrial Workers in Surakarta
type: item
description: Background: The risk of Occupational Diseases that often occurs in the informal industry is work stress. Work stress is not only caused by internal factors, but also caused by social factors from workers. This study aims to analyze and estimate the influence of social capital and other factors on work stress in informal industrial workers in the city of Surakarta. Subjects and Method: This study uses a cross-sectional study conducted on informal industry workers in Surakarta, Central Java, Indonesia, in April-May 2024. The number of study subjects was 210 people selected with a simple random sampling. The dependent variable was work stress. The independent variables were social capital, income, target achievement and capital borrowing status. Independent variable study data was taken using a questionnaire measuring tool, and for work stress using the Work Stress Questionnaire (WSQ). Data analysis in the form of multiple linear regression using Stata 13. Results: There was an effect of social capital (b= -1.38; 95% CI= -1.86 to -0.89; p<0.001), income (b= -0.56; 95% CI= -0.89 to -0.22; p=0.001), target achievement (b= -19.73; 95% CI= -23.59 to -15.89; p= 0.012) and capital borrowing status (b= 4.24; 95% CI = 0.95 to 7.52; p= 0.012) on work stress. Conclusion: Work stress is significantly affected by social capital, income, target achievement and borrowing status.
subject: Articles
  topic: section
subject: social capital
  topic: keywords
subject: work stress
  topic: keywords
subject: workers
  topic: keywords
creator: Fauziah Shinta Anindita
creator: Bhisma Murti
creator: Noor Alis Setiyadi
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-05-16
publication date: 2025-05-16
starting page: 217
ending page: 223
doi: 10.26911/thejhpm.2025.10.02.07.b

Associations between Reliability, Assurance, Physical Evidence, Responsiveness, Empathy, Gender, and Income with Inpatient Satisfaction in Yos Sudarso Hospital, Padang, Indonesia
type: item
description: Background: Patient satisfaction refers to the patient's perception and assessment of the quality of health services he receives. There are many factors that affect patient satisfaction. This study aims to analyze variables that affect patient satisfaction. Subjects and Method: This study is an observational analytical study with a cross-sectional design. This research was conducted on Yos Sudarso Hospital, Padang City, in March-May 2024. A sample of 200 patients was selected by simple random sampling. The dependent variable in this study is patient satisfaction. The independent variables in the study were reliability, guarantee, physical evidence, responsiveness, empathy, gender, and income. Data collection was carried out using a questionnaire and analyzed by path analysis. Results: Patient satisfaction in the health center was influenced by reliability ((b= 0.51; 95% CI= 0.39 to 0.62; p<0.001)), assurance (b= 0.62; 95% CI= 0.52 to 0.72; p<0.001), physical evidence (b= 0.52; 95% CI= 0.41 to 0.64; p<0.001), responsiveness (b= 0.69; 95% CI= 0.60 to 0.78; p<0.001), empathy (b= 0.69; 95% CI= 0.60 to 0.78; p<0.001), gender (b = 0.15; 95% CI = <0.01 to 0.30; p = 0.047), and income (b = -0.31; 95% CI = -0.45 to -0.17; p<0.001). Conclusion: Patient satisfaction is positively influenced by reliability, assurance, physical evidence, responsiveness, empathy, gender, and income.
subject: Articles
  topic: section
subject: reliability
  topic: keywords
subject: physical evidence
  topic: keywords
subject: responsiveness
  topic: keywords
subject: empathy
  topic: keywords
subject: patient satisfaction
  topic: keywords
creator: Virdaria Andriani
creator: Didik Gunawan Tamtomo
creator: Bhisma Murti
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-05-16
publication date: 2025-05-16
starting page: 201
ending page: 209
doi: 10.26911/thejhpm.2025.10.02.05.a

The Influence of Social Capital, Commitment, Justice, Employee Status, Age, Gender, and Community Health Center Strata on Performance at the Metro, Lampung, Indonesia
type: item
description: Background: The performance of health workers is one of the biggest reasons for the good health services. Various factors affect employee performance such as commitment, employee status, justice and social capital. This study aims to see the influence of social capital along with other accompanying factors such as justice, organizational commitment, employee status, and strata of the Health Center on the performance of Health Center employees. Subjects and Method: This study is an observational analytical study with a cross-sectional design. This research was conducted on 11 health centers in Metro City, Lampung, Indonesia in April - May 2024. A sample of 200 health center employees was selected by simple random sampling. The dependent variable in this study is the performance of health center employees. The independent variables in the study were social capital, fairness, organizational commitment, employee status, health center strata, age, and gender. Data collection was carried out using a questionnaire and analyzed by multiple linear regression. Results: Social capital (b= 0.07; CI 95%= 0.06 to 0.14; p= 0.048), justice (b= 0.13; CI 95%= 0.06 to 0.20; p= <0.001), organizational commitment (b= 0.10; CI 95%= 0.02 to 0.17; p= 0.012), and the strata of the Health Center (b= 1.01; CI 95%= 0.62 to 1.41; p= <0.001) has an influence on improving performance and is statistically significant. Officer status (b= -0.28; CI 95%= -0.56 to -0.01; p= 0.038) had a degrading effect and was statistically significant. Age (b= -0.13; CI 95%= -0.39 to 0.11; p= 0.284) and gender (b= 0.06; CI 95%= -0.35 to 0.11; p= 0.750) has no significant effect on performance. Conclusion: The performance of health center employees is influenced by social capital, justice, organizational commitment, strata, and employee status. Age and gender are not factors that affect performance.
subject: Articles
  topic: section
subject: social capital
  topic: keywords
subject: organizational commitment
  topic: keywords
subject: health center
  topic: keywords
creator: Alwan Dhafi Umar
creator: Didik Gunawan Tamtomo
creator: Bhisma Murti
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-05-16
publication date: 2025-05-16
starting page: 192
ending page: 200
doi: 10.26911/thejhpm.2025.10.02.04

The Relationship between The Use of Mobile JKN Application and Health Services at Majene Regency Hospital
type: item
description: Background: This study is motivated by the digital transformation of BPJS Kesehatan services through the Mobile JKN application to improve the accessibility and efficiency of health services. The purpose of this study is to determine the relationship between the use of the Mobile JKN application and health services at the Majene Regency Hospital. Subjects and Method: This study is a cross sectional study design using a quantitative approach and data collection through a questionnaire conducted at the Majene Regency Hospital, in August-September 2024. The total sample is 100 respondents with a sampling technique, namely purposive sampling. The study subjects were patients who used the JKN mobile application. The independent variable is health services. The intermediate variable is the Mobile JKN application. The dependent variable is satisfaction. The data was analyzed using the Wilcoxon test to see the difference in the level of satisfaction and service quality before and after the use of the Mobile JKN application. Results: The results of the study showed that 91.6% of respondents used the Mobile JKN application, with a significant increase in satisfaction with health services, from an average score of 3,010 to 3,972 after using the application. The use of applications also has an impact on time efficiency and ease of access to health services. The average score of health services (Queue) was higher after the use of the Mobile JKN Application (Mean=4,209; SD=0.645) compared to before (Mean=3.484; SD=0.688), and this result is statistically significant (p=0.000). The health service satisfaction score was higher after using the JKN mobile application (Mean=3,972; SD=0.524) compared to before (Mean=3.010 ; SD=0.522), and this result was statistically significant (p=0.000). Conclusion: There is a positive relationship between the use of the Mobile JKN application and the improvement of the quality and satisfaction of health services at the Majene Regency Hospital.
subject: Articles
  topic: section
subject: digital transformation
  topic: keywords
subject: health services
  topic: keywords
subject: insurance
  topic: keywords
subject: patient satisfaction
  topic: keywords
creator: Armanto Makmun
creator: Atria Putri Zulfa
creator: Zulfikri Khalil Novriansyah
creator: Faisal Sommeng
creator: Dahlia
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-05-16
publication date: 2025-05-16
starting page: 164
ending page: 170
doi: 10.26911/thejhpm.2025.10.02.01

Analysis of BPJS Mandiri Participant Contribution Payment Compliance Inpatient Service Fines at Dr Mohamad Saleh Probolinggo Regional Hospital
type: item
description: Background: The National Health Insurance Program (JKN) through BPJS Kesehatan is an initiative to equalize the quality of health services for all levels of society. Contributions are an essential factor in the success of a national social security system. The importance of paying BPJS contributions regularly is so that participants get adequate health service guarantees. The study aims to analyze the compliance of BPJS Mandiri participant contribution payments who are subject to inpatient service fines at Dr. Mohamad Saleh Probolinggo Regional Hospital. Subjects and Method: An observational study with a cross-sectional approach was conducted in the inpatient unit of Dr. Mohamad Saleh Hospital, Probolinggo, in May and June 2023. A total of 100 patients were selected for this study. The dependent variable was compliance. The independent variables were knowledge, income, number of family members, perception of illness, access to health services. Data were collected using a questionnaire and analyzed using factor analysis, t-test, f-test and multiple linear regression. Results: The regression coefficient of knowledge variable is 0.018, income is 0.823, number of family members is 0.375, perception of illness is -0.021, access to health services is -0.128. Compliance of contribution payments is influenced by income variable with sig 0.002, number of family members with sig (0.000) and access to health services with sig (0.007). Conclusion: Compliance in payment of BPJS Mandiri participants who are subject to inpatient service fines is influenced by income, number of family members, access to health services. The most dominant factor is income.
subject: Articles
  topic: section
subject: JKN
  topic: keywords
subject: compliance
  topic: keywords
subject: contribution
  topic: keywords
subject: service fines
  topic: keywords
creator: Umi Kusuma Wardani
creator: Sri Hernawati
creator: Iwan Dewanto
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-01-16
publication date: 2025-01-16
starting page: 149
ending page: 163
doi: 10.26911/thejhpm.2025.10.01.12

Policy Response to Substance Abuse in Selected Higher and Tertiary Education Institutions: A Comparative Review
type: item
description: Background: Substance abuse in Higher and Tertiary Education Institutions (HTEIs) poses a serious threat to students’ academic achievement, mental well-being, and campus safety. Although various interventions have been introduced, the effectiveness of existing policies remains inconsistent. This study compared global literature on school-related substance abuse policies with policy responses in selected Copperbelt HTEIs in Zambia to inform the development of contextually appropriate strategies for substance abuse reduction. Subjects and Method: The study applied the Protocol, Search, Appraisal, Synthesis, and Reporting (PSALAR) framework, guided by the Population, Interest, and Context (PICo) approach. Two colleges and one university in Zambia’s Copperbelt Province were purposively selected, and an exhaustive online search was conducted to identify institutional policies addressing substance abuse. Peer-reviewed English articles (2013–2023) focusing on punitive and remedial school-based policies were reviewed. Inclusion criteria for HTEIs were adapted to align with the PSALAR framework. Results: Three major themes emerged: (1) policy deficiencies and implementation gaps, (2) punitive versus remedial interventions, and (3) limited monitoring and evaluation mechanisms. The dominant issue was finding an effective balance between punitive and supportive policy approaches. The integration of substance abuse education within institutional frameworks was weak, and evidence on the relative effectiveness of punitive versus remedial measures remained inconclusive. Conclusion: Substance abuse policies in Zambian HTEIs predominantly emphasize punitive responses, with insufficient attention to remedial or preventive efforts. Strengthening evidence-based, context-specific, and student-centered policies is essential to reduce substance abuse and advance Zambia’s progress toward Sustainable Development Goal 3.5 by 2030.
subject: Articles
  topic: section
subject: public policy
  topic: keywords
subject: substance abuse
  topic: keywords
subject: higher education
  topic: keywords
creator: Daphne Lweendo Mweene
creator: Ganizani Mwale
creator: Nicholas Mwanza
creator: Mukonkola Machula Mwale
creator: Musenge Makashi
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-09-16
publication date: 2025-09-16
starting page: 284
ending page: 296
doi: 10.26911/thejhpm.2025.10.03.02

Factors Influencing the Health Workers Performance in Community Health Center in Metro, Lampung
type: item
description: Background: Performance is the result of a person's ability to complete tasks and responsibilities competitively. There are many factors that affect a person's performance, each of which affects their own performance. This study aims to analyze the variables that affect the performance of health center employees. Subjects and Method: This study is an observational analytical study with a cross-sectional design. This research was conducted on 11 health centers in Metro City, Lampung in March-April 2024. A sample of 200 health center employees was selected by simple random sampling. The dependent variable in this study is the performance of health center employees. The independent variables in the study were age, training, incentives, motivation, leadership perceptions, and the strata of the health center. Data collection was carried out using a questionnaire and analyzed by multiple linear regression. Results: Employee performance in service at the health center was influenced by age (b= -0.01; CI 95%= -0.01 to -0.02; p= 0.008), training (b=1.08; CI 95%= 1.03 to 1.13; p< 0.001), incentives (b= 1.02; CI 95%= 0.98 to 1.05; p< 0.001), motivation (b= 1.16; CI 95%= 1.08 to 1.22; p<0.001), leadership perception (b= 0.98; CI 95%= 0.93 to 1.03; p<0.001), and the strata of the health center (b= 0.33; CI 95%= 0.10 to 0.54; p=0.003). Conclusion: The performance of health center employees is positively influenced by age, training, incentives, motivation, leadership perception, and strata of the health center.
subject: Articles
  topic: section
subject: training
  topic: keywords
subject: incentives
  topic: keywords
subject: motivation
  topic: keywords
subject: leadership
  topic: keywords
subject: employee performance
  topic: keywords
creator: Alifia Nadhimah Putri
creator: Didik Gunawan Tamtomo
creator: Bhisma Murti
creator: Sumardiyono Sumardiyono
creator: Argyo Demartoto
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-05-16
publication date: 2025-05-16
starting page: 185
ending page: 191
doi: 10.26911/thejhpm.2025.10.02.03

Determinants of Health Worker Performance in Health Care Facilities: Meta-Analysis
type: item
description: Background: Performance is the result of a certain process carried out by all components of the organization on certain resources used. In addition, performance affects organizational goals. This study aims to analyze the influence of training, education level, and gender on performance in health workers. Subject and Method: This study is a systematic study and meta-analysis, with the following PICO : Population = Health workers, Intervention = Training, Higher education level, Female, Comparison = No training, Low education level, Male, Outcome = Performance. The articles used in this study were obtained from several databases, including Google Scholar, PubMed, and ScienceDirect which were published from 2014 to 2024. These articles were collected over a period of 4 weeks. The keywords used by the researcher in searching the database include Community Health Workers OR CHW AND Job Performance OR Work Performance AND Training AND Education Level AND Gender OR Sex. The articles included in this study are full-text articles with a cross sectional study design. Articles are collected using PRISMA flow diagrams. Articles are analyzed using the Review Manager 5.3 application. Results: A total of 14 articles were reviewed in this meta-analysis study from Malaysia, China, India, Ethiopia, Uganda, Cameroon and Ghana. Studies show that healthcare workers with training (aOR=2.94; CI 95%= 1.33 to 6.46; p= 0.007), higher education level (aOR=2.16; CI 95%= 1.62 to 2.88; p<0.001) had a significant influence on performance. Meanwhile, women (aOR=0.92; CI 95%= 0.57 to 1.49; p=0.75) had an insignificant effect on performance. Conclusion: Training and higher education levels can significantly improve performance in health workers, and statistically insignificant performance differences between men and women, women have the possibility of performing well.
subject: Articles
  topic: section
subject: performance
  topic: keywords
subject: training
  topic: keywords
subject: education level
  topic: keywords
subject: gender
  topic: keywords
subject: health worker
  topic: keywords
creator: Mashaf Fahrur Murdo Furqon
creator: Didik Gunawan Tamtomo
creator: Bhisma Murti
creator: Argyo Demartoto
creator: Hanung Prasetya
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-05-16
publication date: 2025-05-16
starting page: 171
ending page: 184
doi: 10.26911/thejhpm.2025.10.02.02

Meta-Analysis: Effects of Computer Skill and Management Support on Readiness to Use Electronic Medical Record in Health Workers
type: item
description: Background: Electronic Medical Record (EMR) is an information technology that has proven its benefits in improving service quality. This study aims to analyze the effect of computer skills and management support on health workers' willingness to use EMR. Subjects and Method: This research is a systematic review and meta-analysis study using the PRISMA diagram and PICO model. Population: health workers, Intervention: computer skills and management support, Comparison: low computer skills and no management support, Outcome: willingness to use EMR. The articles used came from Google Scholar, Pubmed, and Elsevier which were published from 2013 - 2023. The keywords used in the search were (computer skills OR Management support) AND (“willingness to use” OR “willingness to utilize” OR “readiness to implement”) AND (EMR OR electronic medical record) AND “odds ratio” AND “cross-sectional study” AND (“health personnel” OR “health workers” OR “health professionals”). The inclusion criteria for this study were full paper articles with cross-sectional studies. The analysis used was multivariate with adjusted Odds Ratio. Eligible articles were analyzed using the Revman 5.3 application. Results: Meta-analysis was conducted on 11 articles with a cross-sectional research design. Health workers who have high computer skills were 2.62 times more likely to use EMR than health workers who have low computer skills (aOR= 2.62; 95% CI= 1.92 to 3.57; p= 0.050). Health workers who received Management support were 1.87 times more likely to use EMR than health workers who did not have Management support (aOR= 1.87; 95% CI= 1.40 to 2.51; p= 0.030). Conclusion: Computer skills and management support influence the willingness to use EMR among health workers.
subject: Articles
  topic: section
subject: computer skills
  topic: keywords
subject: electronic medical records
  topic: keywords
subject: health workers
  topic: keywords
subject: management support
  topic: keywords
creator: Tria Fora Delfita
creator: Bhisma Murti
creator: Noor Alis Setiyadi
creator: Didik Gunawan Tamtomo
creator: Revi Gama Hatta Novika
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-06-11
publication date: 2025-06-11
starting page: 137
ending page: 148
doi: 10.26911/thejhpm.2025.10.01.11

Meta-Analysis: The Impact of Product, Price, Place, and Promotion on Patient Satisfaction
type: item
description: Background: A component of effective health care is measuring patient satisfaction. Satisfaction helps in the evaluation of health services from the patient's perspective. In order to compete globally, hospitals need to consider marketing strategies that emphasize understanding customer needs, wants and demands. One of the most common and widely applied marketing concepts in this context is the marketing mix, which includes four main elements, namely product, place, promotion and price. This research aims to estimate the magnitude of the influence of the marketing mix (4P) which includes product, price, place and promotion on patient satisfaction. Subjects and Method: Meta-analysis studies with PICO research questions. Population = general patients. Intervention = high product quality, high promotion, long distance and high price. Comparison = low product quality, lack of promotion, close distance to facilities, and low price. Out­come= Patient satisfaction. Data obtained from Google Scholar, Pubmed, Scopus and ScienceDirect, with the keywords "Product for patient satisfaction" OR "Promotion for patient satisfaction" OR "Price for patient satisfaction" OR "Place for patient satisfaction" AND "Marketing patient satisfaction" OR "Marketing mix patient satisfaction” AND aOR. The effect size used was the Adjusted Odds Ratio (aOR) from multivariate analysis. Data analysis using the Review Manager 5.3 application. Results: This meta-analysis was carried out on 20 primary studies with a cross-sectional design, originating from Turkey, Israel, Saudi Arabia, Ethiopia and Ghana. The sample size was 14,388 people. The meta-analysis results show that patient satisfaction increases with high product quality and is statistically significant (aOR= 2.23; CI 95%= 1.54 to 3.23; p<0.001) and good promotion, although not statistically significant (aOR= 1.42; CI 95 %= 0.75 to 2.71; p= 0.280). Patient satisfaction decreases with distance to a health facility (aOR= 0.55; 95% CI= 0.35 to 0…
subject: Articles
  topic: section
subject: marketing mix 4p
  topic: keywords
subject: product
  topic: keywords
subject: place
  topic: keywords
subject: promotion
  topic: keywords
subject: price
  topic: keywords
subject: patient satisfaction
  topic: keywords
creator: Salsabilla Luthfiana Ayu Hafida
creator: Rela Hastuti
creator: Bhisma Murti
creator: Anggun Fitri Handayani
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-01-16
publication date: 2025-01-16
starting page: 119
ending page: 136
doi: 10.26911/thejhpm.2025.10.01.10

Meta Analysis: Factors Affecting Health Care Service on Outpatient’s Satisfaction in Hospital
type: item
description: Background: Patient satisfaction with health services is very important to measure the level of health services offered to patients and the implementation of health services in hospitals. Patient expectations about service quality are also related to service perceptions and when patients have a good impression, patients' clinical experiences and outcomes are more likely to have positive responses. The aim of this study is to analyze the influence of health service factors on the level of satisfaction of outpatients in hospitals based on the results of several previous studies using meta-analysis. Subjects and Method: This research is a systematic review and meta-analysis based on data obtained through various databases including Google Scholar, PubMed, ResearchGate and Science Direct. This study used articles that were published from 2014 to 2022. The article search was carried out by considering the eligibility criteria defined using the PICO model. Population: outpatients. Intervention: comfortable waiting room, short waiting time, drug availability and payment status (free). Comparation: uncomfortable waiting room, long waiting time, no medicine available and payment status (Out of Pocket). Outcome: patient satisfaction. This article was collected within 1 month with the following keywords used: "Waiting Room" AND "Waiting Time" AND "Drug" AND "Payment Status" AND "Outpatient Health Services" OR "Satisfaction" AND "Cross Sectional Study". The articles included in this research are full text articles with a cross-sectional study design. This article was collected using a PRISMA flow diagram and analyzed using the Review Manager 5.3 application. Results: Meta-analysis of 16 articles using a cross-sectional research design from the countries of Ethiopia and Fiji. Total sample 15,453. Patient satisfaction increases with a comfortable waiting room (aOR= 2.54; 95% CI= 2.01 to 3.21; p < 0.001), short waiting time (aOR= 2.97; 95% CI= 1.62 to 5.47; p < 0.001), good availa…
subject: Articles
  topic: section
subject: patient satisfaction
  topic: keywords
subject: waiting room
  topic: keywords
subject: waiting time
  topic: keywords
subject: payment status
  topic: keywords
creator: Desi Noviani
creator: Titis Cipta Purwantanti
creator: Annisa Risnasari
creator: Bhisma Murti
creator: Siti Mar'atul Munawaroh
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-01-16
publication date: 2025-01-16
starting page: 75
ending page: 94
doi: 10.26911/thejhpm.2025.10.01.07

Unit Cost Analysis In Heart Failure Inpatients Using The Time Driven Activity Based Costing Method At Type D Hospital In Sragen
type: item
description: Background: Heart failure is one of the most common non-communicable diseases in adults. The number of cases of patients admitted to hospitals due to heart failure is quite large, resulting in a high frequency of hospitalizations and high patient treatment costs. Cost calculation is very important for health care providers in order to conduct financial evaluations. One way to calculate costs in hospitals is to use unit cost analysis. The purpose of the study was to determine the unit cost of treatment for heart failure patients in inpatient settings, especially in Type D hospitals in Sragen. Subjects and Method: This study is a qualitative type study using a case study approach to unit cost to calculate the inpatient treatment rate of patients with chronic heart failure using the Time Driven Activity Based Costing method. Furthermore, the difference with the INA CBGs rate is seen. There are two sources of data in this study, namely primary data from interview results from sources directly in the field and secondary data from financial report data and clinical pathway data for inpatient services for patients with chronic heart failure in hospitals. Results: The unit cost of treatment of heart failure patients in the inpatient installation using the Time Driven Activity Based Costing method at type D hospitals in Sragen amounted to Rp 2,186,089. The difference in heart failure treatment costs in the type D hospital inpatient installation in Sragen using the Time Driven Activity Based Costing method with the patient treatment rate based on INA-CBG'S is Rp 250,211 (10%). Conclusion: The unit cost of treatment of heart failure patients in the inpatient installation using the Time Driven Activity Based Costing method is Rp 2,186,089
subject: Articles
  topic: section
subject: chronic heart failure
  topic: keywords
subject: unit cost
  topic: keywords
subject: time driven activity based costing
  topic: keywords
creator: Aulia Nadhiasari
creator: Firman Pribadi
creator: Ietje Nazaruddin
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-01-16
publication date: 2025-01-16
starting page: 1
ending page: 15
doi: 10.26911/thejhpm.2025.10.01.01

Determinants of Work Performance among Employee in Dr. Soediran Mangun Sumarso Hospital, Wonogiri, Central Java
type: item
description: Background: Good performance is the dream of every hospital which aims to achieve the predeter¬mined vision, mission and goals. Achieving the vision, mission and goals requires human resources who are capable of handling these matters. This study aimed to determine and analyze the deter¬mi¬nants of the performance of health and non-health workers. Subjects and Method: Cross-sectional study was conducted at Dr. Soediran Mangun Suwarso Hospital, Wonogiri, Central Java, from November to December. 200 hospital workers were selected using stratified random sampling. The dependent variable was work performance. The independent variables were work motivation, job satisfaction, job training, work environment, and job suitability. Data was collected using a questionnaire and analyzed using a path analysis model. Results: Performance of hospital employers was directly and positively influenced by job satisfaction (b= 0.15; 95% CI= 0.01 to 0.28; p = 0.033), work motivation (b= 0.17; 95% CI = 0.04 to 0.31; p= 0.009), and training (b= 0.16; 95% CI= 0.03 to 0.29; p= 0.017). Satisfaction increased motivation (b= 0.83; CI 95%= 0.54 to 1.12; p <0.001). Job satisfaction was influenced by the work environment (b= 0.13; CI 95%= 0.02 to 0.23; p= 0.016) and job suitability (b = 0.41; 95% CI= 0.30 to 0.51; p <0.001). Conclusion: Performance of hospital employers is directly and positively influenced by job satisfaction, work motivation, and training. Satisfaction increases motivation. Job satisfaction is influenced by the work environment and job suitability.
subject: Articles
  topic: section
subject: employee
  topic: keywords
subject: work performance
  topic: keywords
subject: motivation
  topic: keywords
subject: satisfaction
  topic: keywords
subject: training
  topic: keywords
subject: work environment
  topic: keywords
creator: Attila Yulaicha Advendila Siregar
creator: Didik Gunawan Tamtomo
creator: Bhisma Murti
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-01-16
publication date: 2025-01-16
starting page: 41
ending page: 49
doi: 10.26911/thejhpm.2025.10.01.04

Multilevel Analysis: Factors Related to Work Performance in Health Workers at Community Health Centers
type: item
description: Background: Patient satisfaction is a very valuable asset because if patients are satisfied they will continue to use the services of their choice. The level of patient satisfaction arises as a result of the performance of health services obtained after the patient compares it with the quality of health services. The aim of this research is to analyze the performance of health workers at community health centers. Subjects and Method: Cross-sectional research was conducted at community health centers in Karanganyar, Central Java, from November to December 2023. A total of 210 health workers were selected using stratified random sampling. The dependent variable was work performance. The independent variables were age, length of work, employment status, income and work environment. Data were collected using questionnaires and analyzed using multiple multilevel linear regression. Results: Age decreased the performance but was not statistically significant (b= -0.33; CI 95%= -1.63 to 0.97; p = 0.623). Length of work (b= -1.19; CI 95%= -2.30 to -0.08; p= 0.035) and income (b= -1.43; CI 95%= -2.78 to -0.07; p = 0.039) significantly degraded the performance. Employment status decreased performance but it was statistically close to significant (b= -1.44; CI 95%= -3.04 to 0.16; p = 0.078). A comfortable work environment significantly increased performance (b= 0.16; 95% CI= 0.02 to 0.30; p = 0.029). There was a contextual influence of community health center factors on work performance (ICC= 9.62%). Conclusion: Age decreases performance but is not statistically significant. Length of work and income significantly decrease performance. Employment status decreases performance but is statistically close to significant. A comfortable work environment significantly improves performance. There is a contextual effect of community health center factors on work performance.
subject: Articles
  topic: section
subject: health centers
  topic: keywords
subject: multilevel analysis
  topic: keywords
subject: performance of health workers
  topic: keywords
creator: Reza Widiantoro
creator: Didik Gunawan Tamtomo
creator: Setyo Sri Rahardjo
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-01-16
publication date: 2025-01-16
starting page: 95
ending page: 105
doi: 10.26911/thejhpm.2025.10.01.08

Meta-Analysis: Effects of Gender, Waiting Time, Visits, and Insurance on Outpatient Satisfaction with Health Services
type: item
description: Background: Patient satisfaction is the result of the service process felt by the patient, overall satisfaction arises from the patient's evaluation of the experience or as an interaction, including the availability of health services provided by officers (health workers), so that patient satisfaction can be used to assess the quality of services received by the patient. This study aims to estimate the magnitude of the influence of gender, waiting time, visits, and insurance on health service satisfaction. Subjects and Method: Systematic review and meta-analysis using PRISMA flow charts and PICO models. Population: outpatients. Intervention: Female, long waiting time, already visited, using insurance. Comparison: Male, short waiting time, first time visit, and not using insurance. Outcome: Outpatient satisfaction with health services. The online databases used were Google Scholar, Biomedcentral, Taylor & Francis and Plos with the keywords gender, waiting time, visits, insurance, outpatient satisfaction, cross-sectional and aOR. Inclusion criteria were full text articles with cross-sectional use of multivariate analysis that included aOR and were published from 2014-2024. Data analysis using the RevMan 5.3 application. Result: Twelve primary studies were used to analyze gender and patient satisfaction with health services. Women had satisfaction with health services 1.19 times compared to men (aOR= 1.19; 95% CI=1.11 to 1.28; p<0.001). Ten primary studies were used to analyze insurance and patient satisfaction with health services. Patients who have insurance are 1.23 times more satisfied with health services than those who do not have insurance (aOR= 1.23; 95% CI=1.09 to 1.40; p<0.001). Seven primary studies were used to analyze waiting times and patient satisfaction with health services. Patients who experienced short waiting times were 0.30 times more satisfied with health services compared to those with long waiting times (aOR=0.30; 95% CI=0.21 to 0.44; p<0.001). …
subject: Articles
  topic: section
subject: gender
  topic: keywords
subject: waiting time
  topic: keywords
subject: visits
  topic: keywords
subject: insurance
  topic: keywords
subject: outpatient satisfaction
  topic: keywords
creator: Regita Azzahra Prasetyowati
creator: Natalia Prisca Ibrahim
creator: Septa Santiya Arini
creator: Bhisma Murti
creator: Siti Mar'atul Munawaroh
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-01-16
publication date: 2025-01-16
starting page: 16
ending page: 32
doi: 10.26911/thejhpm.2025.10.01.02

Meta-Analysis: Factors Reducing Health Workers' Willingness to Leave Work
type: item
description: Background: Employees are the most important human resource in a company because they have a direct influence on institutional operations in achieving organizational goals. The main problem in health service management is a shortage of health workers due to turnover or intention to leave work. This research aims to analyze the factors that reduce the desire to leave among health personnel. Subjects and Method: This research uses a meta-analysis based on PICO as follows; population: health workers; intervention: satisfied autonomy, good working environment, length of service > 5 years, low workload; comparison: autonomy not satisfied, poor working environment, length of service < 5 years, high workload; outcome: intention to leave work. Data was obtained from the PubMed, Google Scholar, Science Direct databases published from 2013-2022. The keywords in the article search are "Autonomy", "Work Environment", "Work Experience", "Workload", "Intention to Out", "Turnover Intention". "Cross Sectional". Article selection used PRISMA Flowchart and results were analyzed using Review Manager 5.4 software. Results: This study was conducted on 14 articles from Ethiopia, Ghana, California, Peru with a sample size of 9,555 professional health workers. Meta-analysis results concluded that satisfied work autonomy (aOR=0.22; CI 95%=0.06 to 0.85; p=0.030), low workload (aOR=0.60; CI 95%=0.46 to 0.78; p<0.001), had the desire out of work low. The meta-analysis results of the work environment were good (aOR=0.51; CI 95%=0.23 to 1.14; p=0.100), work experience >5 years (aOR=0.51; CI 95%=0.23 to 1.14; p=0.100) was not significantly influenced. Conclusion: Satisfied job autonomy and low workload reduce the intention to leave work among health workers. Health workers' desire to leave work is not significantly influenced by work experience or work environment.
subject: Articles
  topic: section
subject: intention to leave work
  topic: keywords
subject: job autonomy
  topic: keywords
subject: work experience
  topic: keywords
subject: work load
  topic: keywords
subject: work environment
  topic: keywords
creator: Fany Nurul Fawzi Hidayat
creator: Setyo Sri Raharjo
creator: Burhannudin Ichsan
rights: Copyright (c) 2025 Journal of Health Policy and Management
date: 2025-01-16
publication date: 2025-01-16
starting page: 106
ending page: 118
doi: 10.26911/thejhpm.2025.10.01.09