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Jurnal Administrasi Kesehatan Indonesia

JAKI
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Published by Universitas Airlangga

ISSN : 23033592 EISSN : 25409301 DOI : -

Core Subject : Health,

Health Professions

Jurnal Administrasi Kesehatan Indonesia (JAKI) is a scientific journal that contains editorials, research articles, and literature reviews related to the scope of the management, organization and leadership in health institutions. This journal is supported by practitioners and scientists from various institutions which involve expertises in health management and health organization. JAKI (p-ISSN 2303-3592, e-ISSN 2540-9301) has mission in developing knowledge in health administration through publication. Based on this mission, this journal aims at facilitating numerous experts in the field of Health Administration to share their ideas and scientific studies in order to improve the quality of healthcare services.

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Articles 15 Documents

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Search results for , issue "Vol. 7 No. 1 (2019)" : 15 Documents clear

OPPORTUNITY LOSS ANALYSIS OF DISCHARGE AGAINST MEDICAL ADVICE (DAMA) AT INPATIENT UNIT OF TYPE A HOSPITAL IN SURABAYA Nabilah Bilqis; Seta Prakoso
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 1 (2019)
Publisher : Universitas Airlangga

Background: Patients who Discharge Against Medical Advice (DAMA) will experience the opportunity loss. DAMA will result in opportunity loss for patients to get treatment and cure their illness. For hospitals, DAMA patients will cause the opportunity loss for hospitals to provide services to patients.Aim: The purpose of this research was to analyze the opportunity loss as the result of DAMA patient. Methods: The method used in this research was a descriptive research. The samples were chosen from the total sample of inpatient population who did DAMA as many as 77 medical records. The inclusive samples were doctors who were responsible for other doctors and dentists as well as inpatient medical records. Meanwhile, the exclusive samples were doctors who are not responsible for other doctors and dentists as well as inpatient medical records. Data analysis used Microsoft Excel to see the total and percentage of DAMA patients.Results: The number of DAMA patients was 77 patients. The highest number of DAMA patients was those in grade 3 as many as 25%. It happened because the grade 3 was cheaper than others. As many as 65% of DAMA patients paid hospital fees using general payments. Patients felt free to discharge themselves from the hospitals because they funded on their own. The majority of DAMA patients were type 2 DM patients amounted to 12% because they assumed they could carry out self-care at home.Conclusions: DAMA patients caused opportunity loss and no Social Security Agency for Health (BPJS Kesehatan) guarantees. Therefore, the hospital has to form a policy to prevent patients from DAMA, notify and ask patients’ reasons of doing DAMA, so the hospital can use these as information for hospital service evaluation. Keywords: Opportunity loss, DAMA, Hospital.

EXPECTATION BASED REWARD SYSTEM FOR REDUCING EMPLOYEES’ TARDINESS Antonius Edwin Sutikno
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 1 (2019)
Publisher : Universitas Airlangga

Background: Motivating employees can improve their morale and job satisfaction. Work motivation has a positive effect on work discipline and employee’s performance. Organizations provide reward to their employee to motivate improvement in performance. On the other hand, lack of motivation will result in tardiness. A monthly report of one clinic in Surabaya, for example, shows alarming level of personnel’s tardiness from July to October 2014, with the mean score of 88.85 minutes compared to the standard tolerance of tardiness 15 minutes per day.Aims: This study aims at formulating appropriate recommendations of reward system to reduce employee’s tardiness at one clinic in Surabaya.Methods: This is a quantitative analytical study with a cross-sectional design and observation method. The research samples are 17 employees of the clinic chosen using purposive samplingResults: Results show that 82.35% of employees chose additional incentives as a reward if they do come on time. The majority of employees chose a range of Rp. 51,000 to Rp. 70,000 as the typical amount of incentive. Not all employees agreed to the implementation of punishment system. The reward system is applied when the employees have good attendance record in one month.Conclusions: Extra incentive provides good motivation for employees to deliver proper healthcare in time. The application of reward system from November 2014 to January 2015 gave a positive result in terms of decreasing the number employees who come late to work. Healthcare providers should evaluate employees’ performance and implement reward system to increase the quality of human resource.Keywords: Tardiness, Punishment, Reward.

INSPECTING PRIMARY HEALTHCARE CENTERS IN REMOTE AREAS: FACILITIES, ACTIVITIES, AND FINANCES Prastuti Soewondo; Meliyanni Johar; Retno Pujisubekti; Halimah Halimah; Dwi Oktiana Irawati
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 1 (2019)
Publisher : Universitas Airlangga

Background: Progress towards health-for-all must be supported by quality health facilities that are available to everyone. However, health care facilities in remote and underdeveloped areas, borderland, and outlying islands or Daerah Terpencil, Tertinggal, Perbatasan dan Kepulauan (DTPK) are facing some constraints to have access to health coverage.Aim: This study aimed to provide a comprehensive picture of the readiness of primary healthcare centers or puskesmas as the main provider of primary health services located in remote areas.Methods: Observations were taken from 18 primary healthcare centers in locations that had been identified by the government as remote and underdeveloped areas, borderland, and outlying islands in 3 provinces: Bengkulu, Nusa Tenggara Timur (East Nusa Tenggara), and South Sulawesi.Results: The findings reveal that many facilities in primary healthcare centers are still insufficient. In particular, roads to primary healthcare centers are in poor physical conditions, operational hours are too short, and doctors and lab technicians are unavailable. The good news is that primary healthcare centers have managed to run many indoor and outdoor activities, such as health education classes and detection of priority diseases in the community. Regarding primary healthcare centers’ finances, they largely depend on public funding to support their increasing expenses to provide health services, pay worker salaries, and run indoor and outdoor activities.Conclusions: Overall, some constraints faced by the primary healthcare centers in DTPK include difficult access to facilities and temporary health personnel. All of this information provides valuable inputs to policymakers in building a health infrastructure and human resources for health in DTPK. Keywords: Remote area, Human resources for health, Primary healthcare center.

Front Matter VOL 7 NO 1 Front Matter
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 1 (2019)
Publisher : Universitas Airlangga

THE EQUITY OF ANTENATAL CARE STANDARD IN DIFFERENT AGES Efvina Goemawati; Titis Widya Kristy
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 1 (2019)
Publisher : Universitas Airlangga

Background: Antenatal care standard ensures the health of pregnant woman with early detection of risk factors, prevention and treatment provided by competent health practitioners. Health equality does not always mean improving the same service for everyone, but the services are provided according to everyone's needs.Aim: This research was to examine the antenatal standards based on patients’ needs in the Public Health Centre of Medokan Ayu.Methods: This research was observational by using cross-sectional design. The population in this study was 518 pregnant women who gave birth from June 2011 to May 2012 in the Primary Healthcare Center of Medokan Ayu. There were 88 mothers as samples obtained by a cluster random sampling.Results: This study determines the need for antenatal care standards can be fulfilled more for the age of <20 years and >30 years to avoid the high risk of maternal death and needs and equity based on the standards. There were no differences in the acceptance standard of antenatal care (5T and 7T) based on the age group between <20 years, 20-30 years, and> 30 years.Conclusions: Reproductive women need to recognize the importance of antenatal care. The availability and quality of antenatal care need to be further maintained by the healthcare providers, and they need to be more aware to the importance of antenatal care. Women in later reproductive period need to be aware of the prevailing risks in circumstances. Keywords: Equity, Antenatal care standard, Age.

SOCIAL HEALTH INSURANCE LITERACY: LESSON LEARNED FROM SOCIAL INSURANCE FOR MATERNITY CARE BY NATIONAL HEALTH INSURANCE PROGRAMME Choirun Nisa'; Intan Nina Sari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 1 (2019)
Publisher : Universitas Airlangga

Background: Health insurance is a right for all Indonesian citizens. To provide this, the Indonesian government must provide health services that are equitable, fair, and affordable for all levels of society. Before National Health Insurance (JKN) was established, the government launched Social Insurance for Maternity Care or Jaminan Persalinan (Jampersal) as a special health facility for pre-pregnant to post-partum mothers. The JKN program will run well if it is accompanied with good health service literacy of the community.Aims: This study aims to analyze the relationship of social health insurance literacy with the utilization of Jampersal and predict the response towards JKN utilization based on Jampersal mothers. These responses can be used as an input for JKN improvement.Methods: This research is a descriptive study that focuses on the experience of the subjects. The study does so by analyzing Jampersal users’ response and utilizing it for the improvement of JKN. The respondents of this study are Jampersal and non-Jampersal mothers consisting of 75 pregnant and post-partum mothers.Results: The results show that the number of Jampersal users (47%) were less than non Jampersal (53%) with a ratio of 2:3. In addition, literacy about Jampersal of Jampersal mothers' was higher (28 out of 30 people - 93.33%) compared to non Jampersal mothers (29 out of 45 people - 64.44%).Conclusions: This study concludes that there is a lack of promotion of government programs, especially social health insurance. What needs to be done to improve participation and use of social health insurance is to encourage primary healthcare centers to promote the programs. Intervention policy, especially by educating the communities, is necessary for the improvement of JKN literacy. Keywords: Literacy, Participation, Social health insurance.

Back Matter VOL 7 NO 1 Back Matter
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 1 (2019)
Publisher : Universitas Airlangga

THE RELATIONSHIP OF STAFF JOB SATISFACTION AND INTENTION TO LEAVE AT A HOSPITAL Nimas Ayu Mashuri; Diajeng Puspa Arum Maharani
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 1 (2019)
Publisher : Universitas Airlangga

Background: Job dissatisfaction arises as a result of a mismatch between expectation and reality in the employment conditions of employees in an organization. Job dissatisfaction can lead to the intention of to leave. Employees with Intention to leave have the opportunity to do turnover of their organization.Aims: The purpose of this study is to determine the relationship between job satisfaction variable and intention to leave variable.Methods: This study used quantitative method with cross-sectional design. The samples were 52 staffs of the Surabaya Orthopaedic and Traumatology Hospital who were still actively working until June 2012. Job satisfaction variable was measured using a questionnaire research instrument called Job Satisfaction Survey (JSS) by Spector while the intention to leave variable was measured using a questionnaire research instrument that is made by researchers.Results: The results of this study indicate that the level of staff work satisfaction of Surabaya Orthopaedic and Traumatology Hospital is relatively high while the intention to leave is moderate. The results of the Spearman Correlation show a number of -0.314 which shows a correlation that is not unidirectional and significant between the two variables. This means that job satisfaction and intention to leave have a negative relationship so that the higher the job satisfaction is, the lower the intention to leave is.Conclusion: It can be concluded from the study that job satisfaction has a significant relationship and is not in line with the intention to leave of the staffs. Therefore, it is important for the Surabaya Orthopaedic and Traumatology Hospital to improve their staff job satisfaction thus the staff loyalty can be formed. Keywords: Job satisfaction, Intention to leave, Hospital staff.

IMPROVING THE PERFORMANCE OF PRIMARY HEALTHCARE CENTERS IN SURABAYA: A COMPARISON OF LEADERSHIP STYLE AND VERTICAL DYAD LINKAGE Danoe Soesanto
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 1 (2019)
Publisher : Universitas Airlangga

Background: Leadership style and Vertical Dyad Linkage have a significant influence on organization’s performance, especially public health service providers. Leadership style is one factor that will influence the performance and management of primary healthcare center (PHC).Aim: This study aims to investigate the influence of leadership style and leader-member exchange to the performance of PHC.Methods: The research is an observational study with a cross-sectional design. There were 27 PHCs involved in the study. Each PHC was represented by 11 respondents including the directors, five health program coordinators, and their five members. Data were collected with questionnaires and then analyzed using Multinomial Logistic Regression (α=0.05).Results: The results of the research show that (37.05%) of PHCs use supportive leadership style, and (33.33%) of them use participative leadership style. Most of the Vertical Dyad Linkage of PHC were imbalanced social overinvestment (40.7%), and the work performance showed enough performance (59.3%). Path-Goal leadership had the most influence on the performance of PHC.Conclusions: Excellent performance of PHC is related to achievement-oriented leadership style. Work performance of PHC can be improved by improving real neutral leader-member exchange. Furthermore, identifying employees’ maturity can be chosen as the leadership style. Employees’ self-esteem can be developed to improve the work performance of PHC. Keywords: Leadership style, Vertical Dyad Linkage, Performance of primary healthcare centre.

IMPLEMENTATION OF THEORY OF CONSTRAINT ON WAITING TIME OF PRESCRIPTION SERVICE Alissa Sita Pertiwi; Thinni Nurul Rochmah
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 1 (2019)
Publisher : Universitas Airlangga

Background: Medical services provided within the Indonesian National Health Insurance programme or Jaminan Kesehatan Nasional (JKN) have been continuously improving for the past several years. One of them is pharmaceutical service in the Pharmacy Store for JKN patients at one hospital with the highest number of visitors in Surabaya. However, one preliminary study points out that patient waiting time for prescription services in the Pharmacy Store for JKN patients is longer than the national standard.Aim: This study aims to investigate the causes for such delay in prescription services as one of pharmaceutical services in the Pharmacy Store for JKN patients at one hospital in Surabaya.Methods: This is an observational descriptive research with a reference to the Theory of Constraints. The research was conducted from August 2017 to February 2018. The data were obtained from observations, interviews with one pharmacist and four pharmacy technicians, and waiting time for prescription service. Results: The study finds that the longer waiting time is caused by inefficient division of jobs and workers and the lack of worker’s discipline to work on time. The behaviors and habits of pharmacist and pharmacy technicians in drug preparation greatly affect patient waiting time, since the services still highly depend on manual human labor.Conclusions: Patient experience in prescription drug services is significantly influenced by the time spent waiting for the service provider. This study provides useful insights about constraint identification in pharmaceutical services, especially waiting time.Keywords: Pharmaceutical service, Theory of Constraints, Patient waiting time.

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