Subjects -> HEALTH AND SAFETY (Total: 1508 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (86 journals)
    - HEALTH AND SAFETY (704 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (385 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (106 journals)
    - PHYSICAL FITNESS AND HYGIENE (123 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (704 journals)            First | 1 2 3 4     

Showing 201 - 203 of 203 Journals sorted alphabetically
Health Information Management Journal     Hybrid Journal   (Followers: 23)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 48)
Health Policy and Technology     Hybrid Journal   (Followers: 5)
Health Professional Student Journal     Open Access   (Followers: 4)
Health Promotion International     Hybrid Journal   (Followers: 27)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8)
Health Promotion Practice     Hybrid Journal   (Followers: 17)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 56)
Health Psychology Bulletin     Open Access   (Followers: 1)
Health Psychology Research     Open Access   (Followers: 21)
Health Psychology Review     Hybrid Journal   (Followers: 43)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 15)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access   (Followers: 1)
Health Sciences and Disease     Open Access   (Followers: 2)
Health Security     Hybrid Journal   (Followers: 1)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 5)
Health Systems & Reform     Hybrid Journal  
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 13)
Health, Risk & Society     Hybrid Journal   (Followers: 15)
Health, Safety and Environment     Open Access   (Followers: 33)
Healthcare     Open Access   (Followers: 3)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 9)
Healthcare Technology Letters     Open Access  
Healthy Aging Research     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
Histoire, médecine et santé     Open Access  
HIV & AIDS Review     Full-text available via subscription   (Followers: 13)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 6)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 3)
Horizonte Medico     Open Access  
Horizonte Sanitario     Open Access   (Followers: 1)
Hospitals & Health Networks     Free   (Followers: 5)
HRB Open Research     Open Access  
Hua Hin Sook Jai Klai Kangwon Journal     Open Access  
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 4)
IISE Transactions on Occupational Ergonomics and Human Factors     Hybrid Journal  
IJS Global Health     Open Access  
Implementation Science     Open Access   (Followers: 19)
Implementation Science Communications     Open Access   (Followers: 1)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences and Biomedical Research KLEU     Open Access   (Followers: 3)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Indonesian Journal of Public Health     Open Access   (Followers: 1)
Infodir : Revista de Información científica para la Dirección en Salud     Open Access  
Inmanencia. Revista del Hospital Interzonal General de Agudos (HIGA) Eva Perón     Open Access   (Followers: 2)
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 2)
interactive Journal of Medical Research     Open Access  
International Archives of Health Sciences     Open Access  
International Health     Hybrid Journal   (Followers: 7)
International Journal for Equity in Health     Open Access   (Followers: 7)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 39)
International Journal of Allied Health Sciences     Open Access  
International Journal of Applied Behavioral Sciences     Open Access   (Followers: 1)
International Journal of Behavioural and Healthcare Research     Hybrid Journal   (Followers: 8)
International Journal of Child Development and Mental Health     Open Access   (Followers: 2)
International Journal of Circumpolar Health     Open Access   (Followers: 1)
International Journal of Community Medicine and Public Health     Open Access   (Followers: 7)
International Journal of E-Health and Medical Communications     Full-text available via subscription   (Followers: 2)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 24)
International Journal of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8)
International Journal of Food Safety, Nutrition and Public Health     Hybrid Journal   (Followers: 22)
International Journal of Growth and Development     Open Access   (Followers: 1)
International Journal of Health & Allied Sciences     Open Access   (Followers: 3)
International Journal of Health Economics and Management     Hybrid Journal   (Followers: 12)
International Journal of Health Education     Open Access   (Followers: 1)
International Journal of Health Geographics     Open Access   (Followers: 7)
International Journal of Health Policy and Management     Open Access   (Followers: 9)
International Journal of Health Professions     Open Access   (Followers: 3)
International Journal of Health Promotion and Education     Hybrid Journal   (Followers: 13)
International Journal of Health Research     Open Access   (Followers: 4)
International Journal of Health Sciences     Open Access  
International Journal of Health Sciences Education     Open Access   (Followers: 2)
International Journal of Health Services     Full-text available via subscription   (Followers: 12)
International Journal of Health Studies     Open Access   (Followers: 4)
International Journal of Health System and Disaster Management     Open Access   (Followers: 3)
International Journal of Healthcare Delivery Reform Initiatives     Full-text available via subscription   (Followers: 1)
International Journal of Healthcare Information Systems and Informatics     Hybrid Journal   (Followers: 8)
International Journal of Healthcare Management     Hybrid Journal   (Followers: 15)
International Journal of Healthcare Policy     Hybrid Journal   (Followers: 1)
International Journal of Hygiene and Environmental Health     Hybrid Journal   (Followers: 7)
International Journal of Indigenous Health     Open Access   (Followers: 2)
International Journal of Integrated Care     Open Access   (Followers: 10)
International Journal of Integrated Health Sciences     Open Access   (Followers: 1)
International Journal of Kinesiology in Higher Education     Hybrid Journal  
International Journal of MCH and AIDS     Open Access   (Followers: 3)
International Journal of Mens Social and Community Health     Open Access  
International Journal of Mental Health     Full-text available via subscription   (Followers: 20)
International Journal of Obesity Supplements     Full-text available via subscription   (Followers: 8)
International Journal of Prevention and Treatment     Open Access   (Followers: 1)
International Journal of Public Health Research and Management     Hybrid Journal   (Followers: 4)
International Journal of Public Health Science     Open Access   (Followers: 9)
International Journal of Scientific Reports     Open Access   (Followers: 4)
International Journal of Sexual Health     Hybrid Journal   (Followers: 5)
International Journal of Social Welfare     Hybrid Journal   (Followers: 17)
International Journal of Spa and Wellness     Hybrid Journal  
International Journal of Telerehabilitation     Open Access   (Followers: 2)
International Journal of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
International Perspectives on Child and Adolescent Mental Health     Full-text available via subscription   (Followers: 8)
International Research in Children's Literature     Hybrid Journal   (Followers: 4)
Internationale Revue Fur Soziale Sicherheit     Hybrid Journal   (Followers: 1)
InterScientia     Open Access  
Investigaciones Andina     Open Access  
Iproceedings     Open Access  
Iranian Journal of Public Health     Open Access  
ISABB Journal of Health and Environmental Sciences     Open Access  
Israel Journal of Health Policy Research     Open Access  
Italian Journal of Public Health     Open Access   (Followers: 1)
İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access  
JBI Database of Systematic Reviews and Implementation Reports     Hybrid Journal   (Followers: 3)
Jeugd en Co     Hybrid Journal   (Followers: 1)
JGZ Tijdschrift voor jeugdgezondheidszorg     Hybrid Journal   (Followers: 2)
JMIR Human Factors     Open Access   (Followers: 1)
JMIR Public Health and Surveillance     Open Access  
JMIR Serious Games     Open Access   (Followers: 8)
Jornal Brasileiro de TeleSSaúde     Open Access  
Journal Health NPEPS     Open Access   (Followers: 1)
Journal of Advances in Environmental Health Research     Open Access   (Followers: 2)
Journal Of Allied Health     Full-text available via subscription   (Followers: 6)
Journal of Behavior, Health & Social Issues     Open Access   (Followers: 7)
Journal of Behavioral Addictions     Open Access   (Followers: 5)
Journal of Behavioral Health Services & Research     Hybrid Journal   (Followers: 15)
Journal of Biology, Agriculture and Healthcare     Open Access   (Followers: 11)
Journal of BP Koirala Institute of Health Sciences     Open Access  
Journal of Charoenkrung Pracharak Hospital     Open Access  
Journal of Chemical Health Risks     Open Access   (Followers: 3)
Journal of Child Sexual Abuse     Hybrid Journal   (Followers: 54)
Journal of Communication in Healthcare     Hybrid Journal   (Followers: 3)
Journal of Community Health     Hybrid Journal   (Followers: 10)
Journal of Community Medicine and Primary Health Care     Open Access   (Followers: 5)
Journal of Consumer Health on the Internet     Hybrid Journal   (Followers: 6)
Journal of Creativity in Mental Health     Hybrid Journal   (Followers: 12)
Journal of Developing Areas     Full-text available via subscription   (Followers: 5)
Journal of Development Effectiveness     Hybrid Journal   (Followers: 7)
Journal of Dr. NTR University of Health Sciences     Open Access  
Journal of Earth, Environment and Health Sciences     Open Access   (Followers: 2)
Journal of Eating Disorders     Open Access   (Followers: 9)
Journal of Education and Community Health     Open Access   (Followers: 1)
Journal of Education and Health Promotion     Open Access   (Followers: 6)
Journal of Environment Pollution and Human Health     Open Access   (Followers: 4)
Journal of Environmental Health     Full-text available via subscription   (Followers: 3)
Journal of Epidemiology & Community Health     Hybrid Journal   (Followers: 78)
Journal of Epidemiology and Public Health     Open Access   (Followers: 1)
Journal of Ergonomics     Open Access   (Followers: 8)
Journal of Evidence-Based Healthcare     Open Access   (Followers: 1)
Journal of Exercise Science & Fitness     Open Access   (Followers: 29)
Journal of Family & Consumer Sciences     Full-text available via subscription   (Followers: 1)
Journal of Family Medicine and Primary Care     Open Access   (Followers: 11)
Journal of Family Social Work     Hybrid Journal   (Followers: 16)
Journal of Family Strengths     Open Access   (Followers: 3)
Journal of Fasting and Health     Open Access   (Followers: 1)
Journal of Global Health     Open Access   (Followers: 1)
Journal of Health & Biomedical Law     Full-text available via subscription   (Followers: 4)
Journal of Health and Pollution     Open Access   (Followers: 2)
Journal of Health and Social Behavior     Hybrid Journal   (Followers: 22)
Journal of Health Care Chaplaincy     Hybrid Journal   (Followers: 4)
Journal of Health Design     Open Access   (Followers: 1)
Journal of Health Disparities Research and Practice     Open Access   (Followers: 1)
Journal of Health Economics and Outcomes Research     Open Access   (Followers: 1)
Journal of Health Education     Open Access  
Journal of Health Policy and Management     Open Access   (Followers: 1)
Journal of Health Promotion     Open Access  
Journal of Health Promotion and Behavior     Open Access  
Journal of Health Psychology     Hybrid Journal   (Followers: 61)
Journal of Health Research and Reviews     Open Access  
Journal of Health Science     Open Access   (Followers: 3)
Journal of Health Science and Alternative Medicine     Open Access  
Journal of Health Science and Community Public Health     Open Access  
Journal of Health Science and Medical Research     Open Access  
Journal of Health Science and Prevention     Open Access   (Followers: 1)
Journal of Health Science Research     Open Access  
Journal of Health Science Research     Open Access  
Journal of Health Sciences     Open Access   (Followers: 1)
Journal of health sciences     Open Access  
Journal of Health Sciences and Medicine     Open Access  
Journal of Health Sciences and Surveillance System     Open Access  
Journal of Health Sciences Scholarship     Open Access  
Journal of Health Service Psychology     Full-text available via subscription   (Followers: 2)
Journal of Health Services and Education     Open Access  
Journal of Health Specialties     Open Access  
Journal of Health Studies     Open Access  
Journal of Health, Population and Nutrition     Open Access   (Followers: 9)
Journal of Healthcare Informatics Research     Hybrid Journal   (Followers: 1)
Journal of Healthcare Risk Management     Hybrid Journal   (Followers: 8)
Journal of HIV and Human Reproduction     Open Access   (Followers: 4)
Journal of Human Health     Open Access   (Followers: 1)
Journal of Human Trafficking     Open Access   (Followers: 27)
Journal of Ideas in Health     Open Access  
Journal of Immigrant and Minority Health     Hybrid Journal   (Followers: 12)
Journal of Industrial Safety Engineering     Full-text available via subscription   (Followers: 7)
Journal of Infection and Public Health     Full-text available via subscription   (Followers: 4)

  First | 1 2 3 4     

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Journal Cover
Journal of Health Policy and Management
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Online) 2549-0281
Published by Universitas Sebelas Maret Homepage  [32 journals]
  • Motivation, Competence, Workload, and Their Association with Nurse
           Performance in Dr. Arif Zaenudin Hospital, Surakarta

    • Authors: Tia Martha Pundati, Didik Tamtomo, Endang Sutisna Sulaeman
      Pages: 63 - 70
      Abstract: Background: Nurses performance remains long standing determinates of quality service rendered for patients admitted to hospitals. Improvements in quality health service can be achieved by improving nurse performance. This study aimed to analyze the relationship of competence, motivation, and workload on the nurse performance in Surakarta.Subjects and Method: This was a cross sectional study conducted at Dr. Arif Zaenudin Mental Hospital, Surakarta, Central Java, from November 24 to December 24, 2017. A sample of 200 study subjects was selected by total sampling. The dependent variable is the nurse's performance, while the independent variables are competence, motivation, workload, employment status, education and the distance between the nurse's residence and the hospital. The dependent and independent variables were measured using a questionnaire. The data analysis was done using path analysis with the STATA 13 program.Results: The performance is influenced by competence (b= 1.08; 95% CI= 0.32 to 1.74; p= 0.005), motivation (b= 0.91; 95% CI= 0.15 to 1.68; p= 0.019), workload (b= 2.65; 95% CI= 1.91 to 3.40, p<0.001), there are 2 variables that have an indirect relationship with the nurse's performance, namely education (b= 0.67; 95% CI= -1.24 to -0.11; p = 0.019) and the distance of residence (b= -0.61; 95% CI= -1.20 to -0.20; p= 0.043).Conclusion: There is a direct relationship between competence, motivation, workload and work period with nurse performance. There is an indirect relationship between education and home distance with performance.Keywords: pathway analysis, competence, motivation, workload, performanceCorrespondence: Tia Martha Pundati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: tiamarthapundati@gmail.comJournal of Health Policy and Management (2018), 3(2): 63-70
      https://doi.org/10.26911/thejhpm.2018.03.02.01
      PubDate: 2019-09-19
      Issue No: Vol. 3, No. 2 (2019)
       
  • Factors Associated with Health Personnel Performance in Tuberculosis
           Control Using “ACHIEVE” Model

    • Authors: Reni Dwi Pangestuti, Sri Hernawati, Farida Wahyu Ningtyias
      Pages: 71 - 75
      Abstract: Background: Tuberculosis (TB) remains a major public health problem in the world that causes morbidity and mortality. The role of health personnel is important in the implementation of lung TB control program. Health personnel performance that is not optimal can cause the TB case to remain high. Little is known about the factors affecting the performance of health personnel in Indonesia. This study aimed to examinethe determinants of health personnel performance in TB control using “ACHIEVE” model.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted in community health center in Jember, East Java. A sample of 45 health personnel of TB program implementation was selected for this study by simple random sampling. The dependent variable was health personnel performance, which included TB case finding, observation, and monitoring of TB patients. The independent variables were ability, clarity, help, incentive, evaluation, validity, and environment (ACHIEVE). The data were collected by questionnaire and analyzed by logistic regression in SPSS 16.Results: Of all health personnel under study, 43 (93.4%) had good ability, 75.6% received positive organizational support, and 84.5% received appropriate evaluation. Health personnel performance was determined by ability (OR= 2.98; p= 0.002), clarity (OR= 1.18; p= 0.013), help (OR= 2.98; p= 0.002), incentive (OR= 0.98; p= 0.054), evaluation (OR= 1.18; p= 0.013), and environment (OR= 0.80; p= 0.047).Conclusion: Health personnel performanceis determined by ACHIEVE model, except validity which was not examine in this study.Keywords: tuberculosis program, health personnel, performance, ACHIEVE modelCorrespondence: Reni Dwi Pangestuti. Masters Program in Public Health, Universitas Jember, Jl. Kalimantan I No.93, Krajan Timur, Sumbersari, Jember 68121, East Java. Email: renidwi730@gmail.com.Journal of Health Policy and Management (2018), 3(2): 71-75
      https://doi.org/10.26911/thejhpm.2018.03.02.02
      PubDate: 2019-09-20
      Issue No: Vol. 3, No. 2 (2019)
       
  • Factors Associated with the Completeness of Inpatient Medical Record
           Filling in Dr. R Sosodoro Djatikoesoemo, Bojonegoro, East Java

    • Authors: Tegar Wahyu Yudha Pratama, Didik Tamtomo, Endang Sutisna Sulaeman
      Pages: 1 - 10
      Abstract: Background: Medical records are central to all patient healthcare activities. Fundamentally, they form part of a doctor’s ethical and statutory duty in providing good patient care.Good quality medical records, including completeness of record filling, are essential to proper ongoing care of the patient and are paramount for effective communication between healthcare professionals and their patients. However, studies in Indonesia examining factors associated with the completeness of inpatient medical record filling is scanty. The purpose of this study was to examine factors associated with the completeness of inpatient medical record filling in a district hospital.Subjects and Method: This was a quantitative study using a cross-sectional design, conducted atDr. R. SosodoroDjatikoesomoBojonegoro hospital, East Java, in April 2018. A total of 213 nurses working at the inpatient service ward was selected for this study by proportional random sampling, composing of 115 nurses with graduate degree and 35 nurses with diploma degree. The dependent variable was completeness of inpatient medical record filling. The independent variables were education level, employment status, tenure, responsibility, and organization support. The data were collected by questionnaire and document review. The data were analyzed by a multiple logistic regression.Results: Completeness of inpatient medical record fillingwas positively associated with higher education (OR= 2.94; CI 95%= 1.08 to 8.00; p=0.034), civil servant status of employment (OR= 4.01; CI 95%= 1.71 to 9.40; p=0.001), ≥3 year tenure (OR= 8.84; CI 95%= 2.78 to 28.16; p<0.001), higher knowledge (OR= 5.37; CI 95%= 1.40 to 20.55; p=0.014), stronger responsibility (OR= 3.13; CI 95%= 1.35 to 7.28; p=0.008), and stronger organizational support (OR= 4.08; CI 95%= 1.72 to 9.67; p=0.001).Conclusion: Completeness of inpatient medical record fillingis positively associated with higher education, civil servant status of employment, ≥3 year tenure, higher knowledge, stronger responsibility, and stronger organizational support.Keywords: completeness, inpatient, medical record, fillingCorrespondence: Tegar Wahyu Yudha Pratama. School of Medical Records and Health, STIKES Muhammadiyah, Bojonegoro. Email: tegar.wahyu404@gmail.com. Mobile: +6285746085030.Journal of Health Policy and Management (2018), 3(1): 1-10
      https://doi.org/10.26911/thejhpm.2018.03.01.01
      PubDate: 2018-07-10
      Issue No: Vol. 3, No. 2 (2018)
       
  • Determinants of Midwife Performance on Antenatal Care in Surakarta and
           Karanganyar, Central Java

    • Authors: Titis Eka Gusti, Didik Tamtomo, Bhisma Murti
      Pages: 11 - 19
      Abstract: Background: A high maternal mortality rate is one of the major health problems in developing countries. Midwives have an important role to reduce maternal mortality rate by looking after a pregnant women and her baby throughout a phase of antenatal care, during labor and birth, and for up to 28 days after the baby has been born. The WHO Expert Committee on Midwifery stated that the competence of the midwife must extend beyond the provision of service at the time of delivery to total antenatal and postnatal care. This study aimed to examine the determinants of midwife performance on antenatal care in Surakarta and Karanganyar, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 25 community health centers in Surakarta and Karanganyar, Central Java, from April to May 2018. A total sample of 200 midwives was selected by simple random sampling. The dependent variable was midwife performance. The independent variables at level 1 of multilevel modeling (MLM) were age, tenure, motivation, knowledge, training, facility, and leadership. Community health center (Puskesmas) was taken as level 2 in the MLM. The data were collected by questionnaire and analyzed by MLM.Results: Longer tenure (b= 1.57; 95% CI= 0.11 to 3.02; p=0.035), provision of training (b=1.92; 95% CI= 0.45 to 3.40; p=0.011), high motivation (b=1.48; 95% CI =-0.13 to 3.09; p=0.072), better knowledge (b=1.61; 95% CI= 0.03 to 3.19; p=0.046), facility (b=1.44; 95% CI= 0.14 to 2.73; p=0.030), strong leadership (b=1.66; 95% CI= 0.18 to 3.13; p=0.028), and age ≥27 years (b=2.08; 95% CI= 0.04 to 4.12; p=0.046) were positively associated with better performance of midwives. A large portion of variation in midwives performance was determined at Puskesmas level with ICC= 45.78%.Conclusion: Longer tenure, provision of training, high motivation, better knowledge, facility, strong leadership, and age ≥27 years are positively associated with better performance of midwives. Community health center has an important contextual effect on midwife performance.Keywords: midwife, performance, age, tenure, motivation, training, leadership, community health centerCorrespondence: Titis Eka Gusti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: titisekagusti@gmail.comJournal of Health Policy and Management (2018), 3(1): 11-19
      https://doi.org/10.26911/thejhpm.2018.03.01.02
      PubDate: 2018-07-23
      Issue No: Vol. 3, No. 2 (2018)
       
  • Factors Affecting Work Performance among Nurses in Delivering Health
           Service for the National Health Insurance Patients at Dr. Moewardi
           Hospital, Surakarta

    • Authors: Nureesa Doloh, Didik Tamtomo, Endang Sutisna Sulaeman
      Pages: 20 - 25
      Abstract: Background: The performances of the doctors and the nurses are especially important in accomplishing health care in a continuous and effective way. It is important to examine all organizational, individual, social factors that especially affect the performances of the doctors and nurses holistically. The purpose of this study was to assess factors affecting work performance among nurses in delivering health service for the national health insurance patientsat Dr. Moewardi Hospital, Surakarta.Subjects and Method: A cross-sectional study was carried out in Dr. Moewardi Hospital, Surakarta, Central Java. A sample of 150 nurseswho provided health services to the National Health Insurance patientswas selectedfor this study by proportional random sampling. The dependent variable was work performance. The independent variables were work satisfaction, work motivation, and supervision. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: Work performance was affected by work satisfaction(b=0.88; 95%CI=0.05 to 1.71; p=0.037), work motivation (b=0.81; 95%CI=-0.06 to 1.68; p=0.070), and supervision (b=0.97; 95%CI=0.18 to 1.76; p=0.016). Work performance was also indirectly affected by motivation.Conclusion:Work performance is affected by work satisfaction, work motivation, and supervision. Work performance is also indirectly affected by motivation.Keywords: work performance, motivation, supervision, satisfaction, nursesCorrespondence: Nureesa Doloh. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java.Email: nursenuris2015@gmail.com.Mobile:+62895414785888.Journal of Health Policy and Management (2018), 3(1): 28-33
      https://doi.org/10.26911/thejhpm.2018.03.01.04
      PubDate: 2018-08-01
      Issue No: Vol. 3, No. 2 (2018)
       
  • Determinants of Midwife Performance in Lactation Management in Surakarta
           and Karanganyar, Central Java

    • Authors: Nurul Wahidah, Endang Sutisna Sulaeman, Uki Retno Setia Budihastuti
      Pages: 26 - 33
      Abstract: Background: Exclusive breastfeeding has been recommended by World Health Organization for reduction of infant illness and death. Midwives have an important role in lactation management, which includes: (1) Teaching all lactating mothers on how to successfully breastfeed and sustain it up to 2 years or more; (2) Coming in contact with mothers and infants to promote, protect, and support breastfeeding. However, exclusive breastfeeding coverage was still low at 80% nationally, 76.7% in Surakarta, and 61.1% in Karanganyar in 2016, suggesting low midwife performance in lactation management. This study aimed to determine factors associated with midwife performance in lactating management in Surakarta and Karanganyar, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted in community health center in Surakarta and Karanganyar, Central Java, from April to June 2018. A sample of 200 midwives was selected by simple random sampling. The dependent variable was performance in lactation management. The independent variables were skill, motivation, experience, health facility, and work load. The data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Midwife performance in lactation management increased with better skill (b= 2.06; 95% CI= 0.48 to 3.65; p= 0.011), strong motivation (b= 1.15; 95% CI= -0.09 to 2.41; p= 0.070), work experience (b= 2.06, 95% CI= 0.69 to 3.44, p= 0.003), and available facility (b= 2.29, 95% CI= 0.89 to 3.68, p= 0.001). Performance decreased with higher workload (b= -1.47; 95% CI= -2.76 to -0.18, p=0.025). Community health center had a contextual effect on midwives performance with ICC= 34.8%.Conclusion: Midwife performance in lactation management increases with better skill, strong motivation, work experience, and available facility. Performance decreases with higher workload. Community health center has a contextual effect on midwives performance.Keywords: performance, lactation management, determinant, midwifeCorresp ondence:Nurul Wahidah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: wahidahnurul246@gmail.com.Journal of Health Policy and Management (2018), 3(1): 26-33
      https://doi.org/10.26911/thejhpm.2018.03.01.04
      PubDate: 2018-08-03
      Issue No: Vol. 3, No. 2 (2018)
       
  • Factors Affecting the Quality of Microscopic Tuberculosis Examination in
           Madiun, East Java: A Multilevel Analysis

    • Authors: Sri Hartini, Endang Sutisna Sulaeman, Bhisma Murti
      Pages: 34 - 40
      Abstract: Background: Tuberculosis (TB) remains major cause of morbidity and mortality due to any one of infectious agent worldwide. In low income countries, Ziehl-Neelsen sputum smear microscopy is the only cost-effective tool for diagnosis and monitoring of patients on treatment. Refresher training for laboratory professionals involved in Acid Fast Bacilli (AFB) microscopy at peripheral health facilities is important. This study aimed to assess factors affecting the quality of microscopic tuberculosis examination in Madiun, East Java, using a multilevel analysis model.Subjects and Method: A cross-sectional study conducted at 23 puskesmas (community health centers) in Madiun, East Java, from March to April 2018. A sample of 230 preparations was selected by simple random sampling. The dependent variable was quality of microscopic TB examination. The independent variables were tenure, refresher training, and accreditation status of puskesmas. The data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Quality of microscopic TB examination was positively associated with tenure ≥3 years (b= 2.77; 95% CI= 0.81 to 4.73; p= 0.006) and accredited community health center (b= 3.06; 95% CI= 0.81 to 4.62; p<0.001). The association between refresher training and quality of microscopic TB examination was not statistically significant (b= -0.51; 95% CI= -2.33 to 1.32; p= 0.580). Puskesmas had a contextual effect on quality of microscopic TB examination with ICC= 22.01%.Conclusion: Quality of microscopic TB examination is positively associated with tenure and accredited puskesmas. Refresher training for laboratory technicians was not effective in improving the quality of microscopic TB examination Puskesmas has a considerable contextual effect on quality of microscopic TB examination.Keywords: microscopic TB examination, quality, tenure, community health center, accreditation, multilevel analysisCorrespondence: Sri Hartini, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: hartinis191@gmail.comJournal of Health Policy and Management (2018), 3(1): 34-40
      https://doi.org/10.26911/thejhpm.2018.03.01.05
      PubDate: 2018-08-03
      Issue No: Vol. 3, No. 2 (2018)
       
  • Predictors of Work Performance among Nurses at PKU Muhammadiyah Hospital,
           Yogyakarta

    • Authors: Heni Rusmitasari, Endang Sutisna Sulaeman, Bhisma Murti
      Pages: 41 - 46
      Abstract: Background: A nurse has an important role as a caregiver for patients and helps to manage physical needs, prevent illness, and treat health conditions.This study aimed to determine predictors of work performance among nurses at PKU Muhammadiyah Hospital, Yogyakarta.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at PKU Muhammadiyah Hospital, Yogyakarta, from April to June 2018. A sample of 203 nurses was selected for this study by simple random sampling. The dependent variable was work performance. The independent variables were motivation, skill, tenure, and motivation. The data were collected by questionnaire and analyzed by path analysis.Results: Work performance was directly improved with better skill (b=1.74; 95%CI= 1.07 to 2.41; p<0.001), longer tenure (b=0.71; 95%CI= 0.07 to 1.35; p= 0.003), and stronger motivation (b=-0.62; 95%CI= -0.07 to 1.31; p= 0.079). Work performance was indirectly affected by satisfaction. Conclusion: Work performance is directly improved with skill, tenure, motivation, and is indirectly affected by satisfaction.Keywords: work performance, tenure, motivation, skill, satisfactionCorrespondence: Heni Rusmitasari. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: heni.rusmitasari@gmail.comJournal of Health Policy and Management (2018), 3(1): 41-46
      https://doi.org/10.26911/thejhpm.2018.03.01.06
      PubDate: 2018-08-04
      Issue No: Vol. 3, No. 2 (2018)
       
  • Informed Consent Reformulation by Health Personnel in Health Services

    • Authors: Dian Lukita Sari, Arief Suryono, Isharyanto Isharyanto
      Pages: 47 - 55
      Abstract: Background: Informed consent is an approval given after receiving information. The arrangement of informed consent is more emphasized on the medical act, namely the Minister of Health Regulation no. 290 of 2008 on Approval of Medical Measures, whereas in addition to doctors / dentists including health personnel must also obtain the consent of the patient. Article 68 paragraph (6) of Law no. 36 of 2014 on Health Manpower explaines that the procedures for approval of the Health Manpower Act are regulated by Ministerial Regulation, but until now none of it existed. Therefore, it is necessary to reformulate informed consent to provide legal certainty for all health personnel.Subjects and Methods: Normative type study with statute approach that is legislation and conceptual approach, technique of collecting law material with literature study. Technical analysis of legal materials was done by formulating legal principles, formulating legal understanding and formation of legal standards.Results: Urgency of reformed informed consent in health service action for health personnel viewed from the perspective of legislation that is Law no. 36 Year 2009 on Health, Law no. 44 Year 200 on Hospital, Law no. 36 of 2014 on Health Manpower and Regulation of the Minister of Health RI No. 69 of 2014 on Hospital Obligations and Patient Obligations explained that informed consent is provided by health personnel. Urgency due to social interests in the matter of public security as well as social interests concerning the lives of individuals. Urgency of legal certainty that the law can be implemented properly if there is adequate regulation and equal treatment before the law. Ideal informed consent reform as the implementation of Article 68 paragraph (6) of the Law on Health Manpower needs to re-regulate Regulation of the Minister of Health Number 290 Year 2008 regarding Approval of Medical Measures. Reformulation of preliminary consideration and consideration considering the adjusted development of science as well as legal subjects informed consent uniformed into health personnel.Conclusions: The urgency of reformulating informed consent is because in the therapeutic agreement, it is the fulfillment of the principle of consensualism in the agreement; for the social interest in public security matters and concerning the lives of individuals and need the latest regulation for legal certainty for all health personnel. Ideal informed consent reform is the needs to reorganize the Approval of Health Personnel Act by substituting Regulation of the Minister of Health No. 290 Year 2008 on Approval of Medical Measures, by changing the subjects for "Health Personnel".Keywords: informed consent, health service, health personnel.Correspondence: Dian Lukita Sari. Masters Program in Law, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java Email: dtiar02@gmail.com. Mobile: +6285648127557Journal of Health Policy and Management (2018), 3(1): 47-55
      https://doi.org/10.26911/thejhpm.2018.03.01.07
      PubDate: 2018-08-03
      Issue No: Vol. 3, No. 2 (2018)
       
  • Does Accreditation Status Affect Job Performance of the Electronic Medical
           Record Clerks at Community Health Center'

    • Authors: Harinto Nur Seha, Didik Tamtomo, Endang Sutisna Sulaeman
      Pages: 56 - 62
      Abstract: Background: Primary care doctors and other staff working in primary care require comprehensive and accurate data on patients at the point-of-care if they are to provide high quality health services to their patients. Electronic patient records are an effective method of achieving this objective, by dispensing with the need to use difficult to access, and often illegible, paper-based records. This study aimed to analyze the effect of accreditation status on job performance of the electronic medical record clerks at community health center.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study conducted for 25 puskesmas (community health centers), in Yogyakarta, from March to June 2018. A sample of 200 patient medical records was selected by simple random sampling. The dependent variables were completeness and accuracy of medical record. The independent variables were tenure and multi task as level 1 in the multilevel model (MLM). Accreditation status of puskesmas was taken as level 2 in the MLM. The data were collected by questionnaire and analyzed by MLM.Result: Longer tenure (b= 1.03; 95% CI= 0.30 to 1.77; p= 0.006) and single task occupation (b= 4.21; 95% CI= 6.23 to 2.20; p<0.001) were positively associated with completeness of electronic medical record. Likewise, longer tenure (b= 0.54; 95% CI= 0.079 to 1.01; p= 0.022) and single task occupation (b= 2.14; 95% CI= 3.42 to 0.87; p= 0.001) were positively associated with accuracy of medical record medical record. Accreditation status of puskesmas showed negligible contextual effect on completeness (ICC= 0.36%) and accuracy (ICC= 1.17%) of the electronic medical record.Conclusion: Longer tenure and single task occupation are positively associated with completeness and accuracy of medical record. Accreditation status of puskesmas shows negligible contextual effect on completeness and accuracy of the electronic medical record.Keywords: completeness, accuracy, tenure, occupation, accreditation status, community health center, electronic medical recordCorrespondence: Harinto Nur Seha. Medical Record and Health Information, School of Health Polytechnics Permata Indonesia, Yogyakarta. Email: harinto_ns@permataindonesia.ac.id. Mobile: +62 85749724513.Journal of Health Policy and Management (2018), 3(1): 56-62
      https://doi.org/10.26911/thejhpm.2018.03.01.08
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
       
  • The Determinants of Health Consultation Utilization among HIV Patients at
           Budi Kemuliaan Hospital, Batam, Indonesia

    • Authors: Dawiyah Siregar, Juanita Juanita, R. Kintoko Rochadi
      Pages: 76 - 80
      Abstract: Background: HIV and AIDS is a global public health problem. Until the end of 2016, there were more than 36.7 million people living with HIV. HIV & AIDS counseling is a confidential communication between clients and counselors aimed at increasing the ability to deal with stress and make decisions regarding HIV & AIDS. The purpose of this study was to determine the effect of the ability to pay and the environmental factor on consultation health service utilization at Budi Kemuliaan hospital, Batam.Subjects and Method: This was a cross-sectional study was conducted at Budi Kemuliaan Hospital, Batam, from May 8 to June 18, 2018. A sample of 76 HIV patients was selected by systematic random sampling. The dependent variable was the use of consulting service. The independent variables were risk of illness and environment. The data were collected using questionnaires and analyzed by a multiple logistic regression.Results: The use of consultation health service was influenced by the risk of illness (OR = 6.82; p = 0.011) and supportive environment (OR= 4.59; p= 0.028).Conclusions: The use of consultation services is influenced by risk factors for illness and the environment.Keywords: consultation service, the risk of illness, environment, HIV/AIDS patientCorrespondence: Dawiyah Siregar. Department of Administration and Health Policy. Universitas Sumatera Utara, Jl. Universitas No.32, Padang Bulan, Medan Baru, Medan, North Sumatera 20222. Email: dawiyahsrg@gmail.com. Mobile: +6281267500608Journal of Health Policy and Management (2018), 3(2): 76-80
      https://doi.org/10.26911/thejhpm.2018.03.02.03 
      PubDate: 2018-09-24
      Issue No: Vol. 3, No. 2 (2018)
       
  • Factors Influencing the Difference between Indonesian Case-Based Group
           Reimbursement and Medical Cost for Patients with Chronic Renal Disease
           Cases in Kasih Ibu Hospital, Surakarta

    • Authors: Mardhatillah -, Didik Gunawan Tamtomo, Bhisma Murti
      Pages: 117 - 127
      Abstract: Backgorund: JKN program has stipulated the INA CBGs reimbursement for the payment of treatment in referral health facilities, including for chronic renal disease which is a disease burden. This study aimed to analyze factors influencing the difference between Indonesian case-based group reimbursement and medical cost for patients with chronic renal disease cases in Kasih Ibu Hospital, Surakarta.Subjects and Method: The study design was an analytic observational with cross sectional design. The study was conducted in Kasih Ibu Hospital Surakarta in August-October, 2017. With a total of 231 subjects sample which was selected by using proportional random sampling. The dependent variable was the difference between Indonesian case-based group reimbursement and medical cost. The independent variables were length of stay, type of class, medical treatment/ surgery, ICU treatment, and medication use. The data were analyzed using multiple linear regression.Result: INA CBGs reimbursement (mean= Rp 6,120,000; SD= Rp 2,330,000) paid by BPJS Kesehatan was lower than actual hospital’s medical care cost (mean= Rp 7,070,000; SD= Rp 4,650,000). Factors profitable for hospitals were medical treatments/ surgery (b= 0.032; p= 0.552). Factors that inflicted financial loss were class 1 care (b= -0.104; p= 0.094), class 2 care (b= -0.033; p= 0.590) compared to class 3 care, length of stay (b= -0.541; p<0.001), medication use in accordance with national formulation (b= -0.183; p= 0.008) and the use of ICU (b= -0.045; p= 0.543). Patients who upgraded the class type (mean= Rp 5,526,074; SD= Rp 1,449,621) was higher than hospital’s medical cost for class 2 (mean= Rp 3,933,767; SD= Rp 1,887,900).Conclusion: Mean of INA CBGs reimbursement on inpatient care of chronic renal disease is lower than the mean of hospital’s medical care cost. Length of stay and doctors’ compliance in using national medication formulation are important determinants to increase medical care cost. Hospital obtains profit from patients who upgrade type of class.Key words: care cost, INA CBGs reimbursement, chronic renal diseaseCorrespondence: Mardhatillah. Kasih Ibu Hospital, Surakarta, Central Java. Email: mardhatillah.bws@gmail.com. Mobile: 089510610891.Journal of Health Policy and Management (2017), 2(2): 117-127
      https://doi.org/10.26911/thejhpm.2017.02.02.03
      PubDate: 2018-01-03
      Issue No: Vol. 3, No. 2 (2018)
       
  • The Role of Community Health Workers in Maternal and Child Health
           Surveillance to Optimize Maternal and Child Health in Pasuruan District,
           East Java

    • Authors: Ninil Dwi Pangestu, Hermanu Joebagio, Setyo Sri Rahardjo
      Pages: 128 - 136
      Abstract: Background: Maternal mortality ratio, infant mortality rate, and underfive mortality rate are still high in Indonesia. Pasuruan is one of the districts in East Java with the highest infant mortality rate. One of the public health interventions that has been undertaken to address this issue is maternal and child health surveillance program with community health workers being the leading implementers. This study aimed to describe the role of community health workers in maternal and child health surveillance to optimize maternal and child health care services in Pasuruan District, East Java.Subjects and Method: This was a qualitative study using case study approach. It was conducted in Pasuruan, East Java. Key informants were selected by criterion sampling. The data were collected by in-depth interview, focus group discussion, observation, and document review. Data validity was checked by triangulation.Results: Community based maternal and child health surveillance program has been implemented for 4 years. However, only some of all community health workes have been trained in this program. The tasks of these community health workers included advocacy and monitoring of maternal and child health in the areas of posyandu. The implementation of these surveillance program had some obstacles, including low insentive of community health worker, inactive community health worker, lack of awareness among community members on maternal and child health issues, and medical factors of pregnant mothers that caused mortality.Conclusion: Community health workers help improve the quality of maternal and child health care by surveillance program, although their performances have yet to be enhanced.Keyword: maternal mortality rate, infant mortality rate, community health workersCorrespondence: Ninil Dwi Pangestu. Masters Program in Public Health, Sebelas Maret University,  Jl. Ir. Sutami No. 36A Surakarta 57126, Jawa Tengah. E-mail: pangestu.ninil@gmail.com. Mobile +62856553737.Journal of Health Policy and Management (2017), 2(2): 128-136
      https://doi.org/10.26911/thejhpm.2017.02.02.04
      PubDate: 2018-01-12
      Issue No: Vol. 3, No. 2 (2018)
       
  • Path Analysis on the Effects of Motivation and Other Factors on Midwives
           Performance of Preeclampsia Management in Malang, East Java

    • Authors: Nicky Danur Jayanti, Didik Gunawan Tamtomo, Endang Sutisna Sulaeman
      Pages: 137 - 146
      Abstract: Background: The incidences of preeclampsia and eclampsia remain high worldwide. Preeclampsia and eclampsia remain a major cause (31.04%) of maternal mortality in East Java. It is essential to early detect preeclampsia in order to prevent mortality. Good performance of midwives in the management of preeclampsia may reduce maternal mortality attributable to eclampsia. It is hypothesized that motivation, leadership style, working atmosphere, insentive, skill, and training, all have impact on midwives performance. This study aimed to analyze the effects of motivation and other factors on midwives performance in preeclampsia management in Malang, East Java, using path analysis model.Subjects and Method: This was an analytic observational study with cross sectional design. The study was conducted in Community Helath Centers, Malang, East Java in September 2017. A total sample of 161 midwives were selected using total sampling technique. The endogenous variables were motivation and midwives performance. The exogenous variables were insentive, working atmosphere, leadership style, skill and training. The data were collected using a set of questionnaire and analyzed by path analysis.Results: Midwife performance were positively affected by working atmosphere (b= 0.11; SE=0.04; p= 0.004), leadership style (b= 0.06; SE= 0.02; p= 0.004), skill (b= 0.24; SE= 0.03, p<0.001), and motivation (b= 0.68; SE= 0.03; p<0.001). Motivation was positively afected by insentive (b= 0.25; SE= 0.09, p= 0.006), training (b= 0.89; SE= 0.28; p= 0.001), skill (b= 0.39; SE= 0.06; p<0.001), leadership style (b= 0.08; SE= 0.05; p= 0.110), and working atmosphere (b= 0.35; SE= 0.09; p<0.001).Conclusion: Midwives performance are positively affected by working condition, leadership, skill, and motivation.Keyword: preeclampsia, path analysis, motivation, midwives performanceCorrespondence: Nicky Danur Jayanti. Masters Program in Public Heath, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: nicky_daanty@yahoo.co.idJournal of Health Policy and Management (2017), 2(2): 137-146
      https://doi.org/10.26911/thejhpm.2017.02.02.05
      PubDate: 2018-01-12
      Issue No: Vol. 3, No. 2 (2018)
       
  • Analysis of Patient Safety Management in Committee for Quality Improvement
           and Patient Safety at Sumbawa Hospital, West Nusa Tenggara

    • Authors: Evie Sulahyuningsih, Didik Gunawan Tamtomo, Hermanu Joebagio
      Pages: 147 - 156
      Abstract: Background: Patient safety is a crucial issue and a focus of policy standard in internationally accredited organizations. The specific committee responsible for quality improvement in patient safety is the committee for quality improvement and patient safety (PMKP). Incidence of malpractice often occurs but are not reported. It indicates that the committee has not worked according to required accreditation standard. This study aimed to analyze patient safety management with the committee for quality improvement and patient safety at Sumbawa Hospital, West Nusa Tenggara. Subjects and Method: This was a qualitative study with phenomenology approach. Nine study participants were selected purposively, consisting of 3 committee members (chairperson, secretary, and patient safety sub-committee), 3 chiefs of ward (pediatrics, internal medicine, and surgery), and 4 nurses or midwives (pediatrics, surgery, ICU/ICCU, and obstetrics).Results: The committee for quality improvement and patient safety has been established at Sumbawa Hospital, West Nusa Tenggara to meet the requirement of hospital accreditation standard. It aimed to improve the quality of services and to assure patient safety. However, its work has not meet the required standard. The lack of knowledge among involving parties, including hospital management, PMKP member, medical professionals was identified as one important obstacle for the implementation of patient safety management. This has led to the incidence of malpractice at the hospital, sub-standard quality of services and patient safety.Conclusion: PMKP has been established at Sumbawa Hospital, West Nusa Tenggara. However, their work have not meet the required standard. The lack of knowledge among involving parties, including hospital management, PMKP, and health professional, has led to the incidence of malpractice at the hospital, sub-standard quality of services and patient safety.Keyword: quality improvement, patient safety management, committeeCorrespondence: Evie Sulahyuningsih. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Mobile: 08786410495.Journal of Health Policy and Management (2017), 2(2): 147-156
      https://doi.org/10.26911/thejhpm.2017.02.02.06 
      PubDate: 2018-01-13
      Issue No: Vol. 3, No. 2 (2018)
       
  • Evaluation of Community Health Center Management Information System
           (SIMPUS), Primary Care (P Care), and Bridging Data System in Sukoharjo
           District

    • Authors: Agung Kurniawan, Didik Tamtomo, Bhisma Murti
      Pages: 157 - 164
      Abstract: Background: Community health center (puskesmas) management information system or often referred to as SIMPUS is a local health system aimed at providing health information at primary health care level. P Care (Primary Care) application is an information system that is designed to serve BPJS patients. The bridging system links SIMPUS with P care application. These three systems have been used in all puskesmas in Sukoharjo district since 2017. This study aimed to evaluate the implementation of community health center management information system (Simpus), Primary Care (P Care), and bridging data system, in Sukoharjo District, Central Java.  Subjects and Method: This was a qualitative study. The study was conducted in Sukoharjo, Kartasura, Bendosari, Mojolaban community health centers, in Sukoharjo District, Central Java, from October to December, 2017. Four community health centers were selected randomly from 13 community health centers in Sukoharjo. The dependent variables were information service, performance, efficiency, and security. The independent variable was health information system (SIMPUS, P care, and bridging system). The data were collected by in-depth interview, direct observation, and document review. Data credibility was checked by triangulation method.Results: Three health information systems (SIMPUS, P care, and bridging system) have been implemented in Sukoharjo District. However, their performance is yet to be improved. Loading time was lengthy and error often occured. Patients often complained of the lengthy service. Some items in the information system form were left blank. Data entry occasionally was inconsistent with examination outcome. Security system of the health information existed, but sometimes unauthorized individuals can access and use that information. There was a lack of human resources and hardware. The health information system had not met the information need.Conclusion: Three health information systems (SIMPUS, P care, and bridging system) have been implemented in Sukoharjo District. However, their performance is yet to be improved. Some obstacles have yet to be resolved.Keyword: evaluation, SIMPUS, P care application, bridging systemCorrespondence: Agung Kurniawan. Masters Program of Public Health,  Jl. Ir. Sutami No. 36A Surakarta 57126, Jawa Tengah. E-mail: agungkurniawan991@gmail.com. Mobile +6285257292206.Journal of Health Policy and Management (2017), 2(2): 157-164
      https://doi.org/10.26911/thejhpm.2017.02.02.07  
      PubDate: 2018-01-24
      Issue No: Vol. 3, No. 2 (2018)
       
  • Factors Affecting Quality of Health Service and Patient Satisfaction in
           Community Health Centers in North Lampung, Sumatera

    • Authors: Mulia Yuli Widayati, Didik Tamtomo, Rita Benya Adriani
      Pages: 165 - 175
      Abstract: Background: Quality of health service and patient satisfaction are an important element in providing a health service. Assessing and evaluating a health service based on user perceptions are important for continuous improvement of health services. This study aimed to examine the factors affecting the quality of health service and patient satisfaction in community health centers in North Lampung, Sumatera, Indonesia.Subjects and Method: This was an analytic observational study with a cross-sectional design. This study was conducted in 25 community health centers in North Lampung, Sumatera, in January 2017. A total sample of 200 out-patients was selected for this study by simple random sampling and stratified random sampling for community health center. The dependent variables were quality of service and patient satisfaction. The independent variables were education, income, a frequency of visit, and accreditation status of community health center. The contextual effect was measured by accreditation status of community health center. The data were collected by questionnaire and analyzed by linear regression multilevel model.Results: Factors affecting quality of health service were income (b= -1.09, 95% CI= -5.71 to 3.52, p = 0.641), education (b = -11.48, 95% CI= -16.07 to -6.88, p< 0.001), and frequency of visits (b=6.88, 95% CI= 2.53 to 11.23, p=0.002). Intraclass correlation= 6%. Factors affecting patient satisfaction were income (b= -1.07, 95% CI= -1.58 to -0.56, p<0.001), education (b= -0.77, 95% CI= -1.31 to -0.23, p=0.005), frequency of visits (b= 0.88, 95% CI= 0.39 to 1.38, p<0.001), and quality of service (b=0.04, 95% CI= 0.02 to 0.06, p<0.001). Intraclass corelation= 13.79% indicating considerable contextual effect of accreditation status of community health center.Conclusion: Quality of service is affected by income, education, and frequency of visits in community health center. Patient satisfaction is affected by income, education, a frequency of visits, and quality of service. Accreditation status of community health center has a considerable contextual effect on patient satisfaction.Keywords: quality of service, patient satisfaction, accreditation status, community health center, multilevel analysisCorrespondence: Mulia Yuli Widayati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A Surakarta. Email: muliayuli@yahoo.co.idJournal of Health Policy and Management (2017), 2(2): 165-175
      https://doi.org/10.26911/thejhpm.2017.02.02.08 
      PubDate: 2018-03-07
      Issue No: Vol. 3, No. 2 (2018)
       
  • Patient Characteristics, Financing Type, Accreditation Status, and Quality
           of Health Services at Community Health Center, Surakarta

    • Authors: Yeni Tri Utami, Didik Tamtomo, Endang Sutisna Sulaeman
      Pages: 79 - 90
      Abstract: Background: An indicator of quality health service is the extent of patient expectation fulfilment. Perceived quality of health services may be influenced by various factors such as patient socio-demographic factors, financing type, and accreditation status. As statistics have shown, the number of patient visits at Surakarta Community Health Center has been decresing for the last few years. This study aimed to determine the associations between patient characteristics, financing type, accreditation status, and the quality of  health services at community health center.Subjects and Method: This was a quantitative study with cross-sectional design. It was conducted at Community Health Center, Surakarta, Central Java, from May to July 2017. A sample of 120 patients were selected for this study from 2 Community Health Centers selected at random from all 17 Community Health Centers existing in Surakarta. The independent variables were patient characteristics, financing type, and accreditation status of the Community Health Centers selected. The dependent variable was quality of health service. The data were collected using a set of questionnaire and  analyzed using multiple logistic regression.Results: Quality of service was negatively associated with patient education (OR = 0.27 ; 95% CI = 0.08 to 0.90; p = 0.033), being employed (OR = 0.15 ; 95% CI= 0.04 to 0.48; p = 0.002), higher patient income (OR = 0.28 ; 95% CI= 0.08 to 0.94; p = 0.039), being insured (OR = 3.06 ; 95% CI= 0.81 to 11.52; p = 0.099), and higher accreditation status of Community Health Care (OR = 2.96 ; 95% CI= 1.03-8.50; p = 0.044).Conclusion: Quality of service at Community Health Care is negatively associated with patient education, being employed, higher patient income, being insured, and higher accreditation status.Keywords: patient characteristic, financing type, accreditation status, quality of servicesCorrespondence: Yeni Tri Utami. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: yenie_03@yahoo.co.id. Mobile: +6285642339053.Journal of Health Policy and Management (2017), 2(1): 79-90
      https://doi.org/10.26911/thejhpm.2017.02.01.07 
      PubDate: 2017-08-07
      Issue No: Vol. 3, No. 2 (2017)
       
  • Implementation of the Referral System Policy in the National Health
           Insurance Scheme at Community Health Centers, Ngawi District, East Java

    • Authors: Maria Yeny Eskawati, Bhisma Murti, Didik Tamtomo
      Pages: 102 - 111
      Abstract: Background: It has been reported that there are some obstacles in the implementation of the National Health Insurance, one of which is its referral system. Community Health Center is expected to serve as a gatekeeper, such that most of the health problems can be tackled at the Community Health Center. However, anecdotal evidences had shown that the referral system did not run as expected. This study aimed to examine the implementation of the referral system in the National Health Insurance scheme with special attention on  the policy context and resources availability at Community Health Centers in Ngawi, East Java.Subjects and Method: This was a qualitative study conducted in Ngawi, East Java. The institutions under study included 3 Community Health Centers of different strata Geminggar Community Health Center (highest  strata), Ngawi Community Health Center (medium strata), Kasreman Community Health center (lowest strata). The other institution under study was Ngawi District Health Office. The informants for this study included 24 patients of various categories at Community Health Center: subsidy recipients, class I, class II, and class III. The other informants included 1 staff from District Health Office and 6 staff from Community Health Center. The data were collected by in-depth interview, observation, and document review. The data were analyzed by data reduction, presentation, and verification.Results: The policy on the referral system of the National Health Insurance (NHI) was good but its implementation was poor. Outpatient referral was still high because of community ignorance regarding referral system. It was often the case the referral was based on patient request.  The referral system problem also stemmed from the shortage of medical doctors and health equipment at the Community Health Center. Nevertheless, the availability of medicine and funding at Community Health Center were sufficient. The sources of funding included General Allocation Fund (DAU), Special Allocation Fund (DAK), Special Allocation Fund for Operational Affairs (BOK), and capitation. Community Health Center only managed capitation and BOK.Conclusion: There is a need for socialization to the community regarding the current referral system of the National Health Insurance either through the media or the BPJS representative at the Community Health Center. In addition, there is a need for recruitment of doctors with a clear salary regulation, and health equipment upgrade at Community Health Center. Keywords: Referral system, resources, National Health InsuranceCorrespondence: Maria Yeny Eskawati. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Mobile: 082230898979.Journal of Health Policy and Management (2017), 2(2): 102-111
      https://doi.org/10.26911/thejhpm.2017.02.02.01
      PubDate: 2017-09-13
      Issue No: Vol. 3, No. 2 (2017)
       
  • The Effect of Maternal Education Level, Family Income, and Maternal
           Working Time to Basic Vaccine Service on 0-24 Infants in Kupang Regency,
           East Nusa Tenggara

    • Authors: Frans Salesman
      Pages: 112 - 116
      Abstract: Background: Vaccine stimulates immune system form to the infants to prevent the disease and death. However, the coverage of complete basic vaccine (IDL) has not reached the target yet in Kupang regency, Nusa Tenggara Timur. The study aims to analyze the factors that effect a completeness status of the effect basic vaccine for infants aged 0-24 months at the Oemasi regency, Kupang, East Nusa Tenggara.Subject and Method: The study was observational study using cross-sectional approach. The study was conducted at Oemasi community health center, Kupang regency, Nusa Tenggara Timur. The total of the population were 527 infants aged between 0-24 months. The sample were 60 infants by using quota sampling technique. The independent variable were maternal age, education, and working time, family income, and number of family members. The dependent variable was complete basic vaccine status. The data were collected using questionnaire and analyzed by multiple logistic regression.Result: The maternal education level increased the infants’ possibility to get complete basic vaccine and stasticially significant (OR= 11.47; CI 95%= 1.28  up to 102.63; p= 0.029). Parents’ income increased infants’ possibility to get complete basic vaccine, however it was not statistically signicant. Family member ≥5 people and mother’s working time ≥7 hours/day decreased infants’ possibility to get complete basic vaccine, however it was not statistically significant. Mother’s age did not influence the infants getting complete basic vaccine. Conclusion: mother’s education is a factor which has the strongest effect to increase infants’ possibility to get complete basic vaccine. Keyword: complete basic vaccine, mothers’ education level, family income, family members                                                                                             Correspondence: Frans Salesman. School of Health Polytechnics Citra Husada Mandiri, Kupang, East Nusa Tenggara. Email: franssalesman@gmail.com.Journal of Health Policy and Management (2017), 2(2): 112-116
      https://doi.org/10.26911/thejhpm.2017.02.02.02
      PubDate: 2017-11-20
      Issue No: Vol. 3, No. 2 (2017)
       
 
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