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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 18 Documents

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Search results for , issue "Vol. 7 No. 2 (2019)" : 18 Documents clear

BOARDING TIME AND PATIENT SATISFACTION AT THE EMERGENCY DEPARTMENT Uswatun Hasanah; Nurul Jannatul Firdausi
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 2 (2019): SUPPLEMENT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v7i2.2019.7-10

Background: Delays of inpatient transfer from the Emergency Department (ED) will affect delayed care, overcrowd at ED, and patient’s disappointment. Such patient transfer delay from the Emergency Departement (ED) also occurs at Haji General Hospital, Surabaya.Aims: This study analyzed the relationship between inpatient boarding time from Emergency Departement (ED) and patient satisfaction at Haji General Hospital, Surabaya.Methods: This was an observational research using a cross-sectional approach. The population was 980 ED patients who decided to be hospitalized. Out of 980 ED patients, the study only involved 83 respondents selected by simple random sampling. The instruments used were observational sheet and questionnaires to collect data which were then analyzed with a chi-square test.Results: Average boarding time was 142 minutes 25 seconds (minimum = 60 minutes; maximum = 290 minutes). Almost all respondents (81.3%) were satisfied about fast boarding time. Inpatient boarding time at the Emergency Departement (ED) was significantly related to patient satisfaction (p = 0.058 <α = 0.1). The faster inpatients move to ED, the more satisfied they are.Conclusion: The average patient boarding time from the Emergency Departement (ED) to Inpatient Unit was slow. Respondents were satisfied with the quality of services even though patient boarding time was slow. The hospital should pay more attention to evaluate the minimal standard of boarding time, ensure the availability of beds, and improve the quality of facilities and services to enhance patient satisfaction. Keywords: Boarding time, Emergency Department, Inpatient, Satisfaction.

THE CORRELATION BETWEEN PATIENT SATISFACTION AND PEOPLE EQUITY AMONG PARAMEDIC STAFFS IN INPATIENT ROOMS Sendhi Tristanti Puspitasari
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 2 (2019): SUPPLEMENT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v7i2.2019.1-6

Background: One of the elements controlling the quality of hospital health services is patient and employee satisfaction. The mean value of patient satisfaction with all parameters of inpatient rooms at the Islamic Hospital in Surabaya from January to August 2016 was 61.3% which is less than the standard of ≥ 90%. Whereas, people equity is a concept of human resource management that signs organizational performance.Aims: This study examined the correlation between patient satisfaction and people equity among paramedic staffs especially in inpatient rooms of the Islamic Hospital in Surabaya.Methods: This study focused on measuring people equity, patient satisfaction, and the correlation between people satisfaction and people equity. The questionnaire used in this study adopted RATER dimensions (Reliability, Assurance, Tangible, Empathy, and Responsiveness).Results: The study found that three inpatient rooms (Muzdalifah, Arofah, and Shofa) did not meet three elements of people equity (Alignment, Capabilities, and Engagement). Patient satisfaction with the inpatient rooms was good, except for the tangible dimension especially room cleanliness which is still relatively low. People equity among the paramedic staff has strong relevance and is directly proportional to patient satisfaction with the inpatient rooms of the Islamic Hospital in Surabaya.Conclusion: Internalizing an organizational culture that considers patient satisfaction and patient equity among paramedic staffs is essential to harmonize the goals, vision, and mission between the hospital and its staffs. This study recommends that there should be a more serious evaluation of the cleanliness of all service units at the Islamic Hospital in Surabaya.Keywords: Patient satisfaction, People equity, Human Resource Management, Service performance.

THE RELATIONSHIP BETWEEN DISCIPLINE AND EMOTIONAL INTELLIGENCE TOWARDS EMPLOYEE PERFORMANCE Dian Rosa Linda; Puji Astuti; Satriya Wijaya
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 2 (2019): SUPPLEMENT
Publisher : Universitas Airlangga

Background: One of problems in an organization or company is poor performance of employees. For instance, they do not complete tasks or finish their job responsibilities on time. The preliminary data taken from one of companies in Surabaya showed that 184 employees did not come to work without any explanations, and 288 employees worked late.Aim: This study analyzed the relationships between discipline and emotional intelligence towards employee performance at the company.Method: The design of this research was analytical using a cross sectional approach. The population of this study was employees at Production and Maintenance Section of one company in Surabaya comprising of 155 people. Out of 155 employees, 89 respondents were taken as samples using a stratified random sampling technique. Then, the data were collected through a questionnaire and analyzed using Spearman’s rank correlation test with a significance level of α 0.05.Results: This study showed that most of the respondents were very highly disciplined (94.4%) and had a highly emotional intelligence (74.2%). Lastly, most of them perform satisfyingly (50.6%). The results of the analysis test with Spearman’s rank correlation yielded p-value of 0.002 <α 0.05. It means there was a correlation between discipline attitude and employee performance. The p-value 0.001 which was less than α-value of 0.05 showed that there was a correlation between emotional intelligence and employee performance.Conclusion: Discipline and emotional intelligence are prominent to determine employee performance at PT X. In order to improve the discipline and intelligence in the performance of the employees, the company should provide rewards based on employee’s achievements in the workplace. Key words: Emotional intelligence, Employee performance, Discipline.

REDESIGNING THE ROLES OF TUBERCULOSIS TREATMENT SUPPORTER IN INDONESIA Khoiriningtyas Ayu Puspita; Zeni Yanti; Nuzulul Kusuma Putri; Stefanus Supriyanto; Nurul Atiqah
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 2 (2019)
Publisher : Universitas Airlangga

Background: Indonesia is the third-highest rank country for tuberculosis. Many studies already compared the effectiveness of the Directly Observed Treatment-Short (DOTS) course with self-administered therapy (SAT) in tuberculosis treatment and pointed out that DOTS did not improve the succession rate (SR) significantly. The participation of a tuberculosis treatment supporter that has an important rule in the DOTS strategy to improve the patients’ adherence in taking treatment should be reviewed.Aims: The study aims to analyze the determination of environmental factors in the effectiveness of tuberculosis treatment which can lead to the program improvement issue.Method: This research was a cross-sectional study conducted by involving 55 of 121 tuberculosis patients. The sampling frame was tuberculosis patients who were reported under the first and third quarters in Primary Healthcare Center of Tanah Kalikedinding as it had failed to reach the succession rate during 2012-2015.Results: These findings indicated that the social environment of tuberculosis patients significantly contributed to their adherence to taking medicine. It showed that tuberculosis treatment supporters had an essential role in maintaining the patients’ adherence. Tuberculosis treatment supporters who lived in one roof with the patient tended to get 2.265 times risk to be contagious. This study also pointed out that the physical environment had the highest determination in the success rate of treatment.Conclusion: Modifying the physical environment of tuberculosis patients can be the greater alternative program to fight tuberculosis rather than the tuberculosis treatment supporters. Tuberculosis treatment supporters must be provided with universal protection due to their high-risk position to be contagious.Keywords: treatment adherence, DOTS, patient environment, treatment effectiveness.

DETERMINANTS OF MOTHERS’ PARTICIPATION IN ANTENATAL CLASSES Sutopo Patriajati; Ayun Sriatmi
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 2 (2019)
Publisher : Universitas Airlangga

Background: As a form of health promotion, Antenatal Education (AE) class is expected to improve the knowledge, attitudes, and practices of mothers facing their pregnancy. Access to antenatal classes for mothers has not been optimal because of the low level of participation. Not all mothers are willing to join antenatal classes for various reasons.Aim: This study aimed at analyzing the determinant factors that influence the mother’s participation in antenatal classes.Method: This study was a quantitative study with a cross-sectional approach. The population was all pregnant women in Semarang City with 140 pregnant mothers as samples from 3 Primary Healthcare Centers including Rowosari, Purwoyoso, and Gayamsari which were selected by using a purposive sampling technique. Data were collected through an interview using a structured questionnaire.Results: The findings showed that only 54.3% of mothers attended the antenatal classes. Knowledge, support from health personnel, facilities, and infrastructure, as well as a history of illness and pregnancy, affect mothers’ participation in antenatal classes where the support of health workers had the most dominant influence (OR 5.394). The overall influence was 39.2%.Conclusion: The low mothers’ participation in antenatal classes was influenced by the lack of knowledge and support, inadequate facilities as well as the low health status of mothers. Further socialization and engagement across related sectors with strong networking are needed to solve this problem.Keywords: antenatal education, participation, primary healthcare center.

RESOURCES REQUIRED IN CLINICAL PATHWAY FOR TYPHOID FEVER TREATMENT AT KALIWATES GENERAL HOSPITAL IN 2017 Pratiti Swesti Komala Dewi; Christyana Sandra; Eri Witcahyo
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 2 (2019)
Publisher : Universitas Airlangga

Background: A clinical pathway is a concept of an integrated service which describes the stages of healthcare services from the admission until the return of patients based on the medical service standards and evidence-based nursing care with measurable results. Kaliwates General Hospital is an accredited hospital with a clinical pathway. Typhoid case was the highest disease in 2017 at Kaliwates General Hospital.Aims: This study aims to describe the resources at Kaliwates General Hospital in the implementation of clinical pathways, especially typhoid fever treatment.Method: This study was a descriptive and qualitative study. Nine respondents were selected using purposive sampling, including one internist and the quality team at Kaliwates General Hospital. The variables studied include human resource factors, budget factors, method factors, and time factors.Results: The results suggested that the human resources at Kaliwates General Hospital had high commitment, motivation, and moderate knowledge in the implementation of clinical pathways. All equipment and documents were considered adequate. The communication among the implementers was good, but compliance and training for staffs were considered less prominent. The task division of each staff was fairly distributed even though the pharmacy unit perceived that the division was quite unfair.Conclusion: The implementation of the clinical pathway for typhoid fever treatment at Kaliwates General Hospital runs quite well. The hospital must identify and plan staff training regularly, prepare the job description appropriately, and perform performance appraisal based on the job description that has been developed.Keywords: clinical pathway, typhoid fever, resource.

COMPENSATION AND SOCIAL WORKING ENVIRONMENT INFLUENCING UNMET NEEDS OF FAMILY PLANNING Deby Indah Permatasari; Anneke Meyvia Silvi
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 2 (2019)
Publisher : Universitas Airlangga

Background: The incidence of unmet needs of family planning is one of the performance indicators of Family Planning Outreach Workers. There were 30 sub-districts in Surabaya, but only two sub-districts reached the number of unmet need incidences at 7.3% as required by the government standard in 2016.Aims: The study aimed to analyze the correlation and effect of performance factors, especially salary system and social working environment towards the number of unmet need incidences in Surabaya.Method: This study employed descriptive quantitative research with a cross-sectional design. The data were obtained from questionnaires, filled out by 30 teams of Family Planning Outreach in Surabaya as respondents selected by using a total sampling method. The data were analyzed with descriptive statistical tests of cross-tabulation between salary system, workplace, and incidence of unmet need.Results: A better condition of salary system did not determine the standard number of unmet need incidences. Two districts that perceives fair social working environment have the number of unmet need incidences that follows the standard of ≤7.3%. Whereas only 10 districts have perceived a good social working system which result in the unachieved standard number of unmet need incidences at >7.3%.Conclusion: There is no significant correlation or influence between salary or compensation system with the number of unmet need incidences. However, there are not significant correlation and influence between the social working environment and the number of unmet need incidences. Therefore, improvements in the social working environment should be made to achieve the goal of family planning program.Keywords: family planning outreach workers, salary system, social working environment, unmet need.

ANALYSIS OF SERVICE QUALITY BASED ON PATIENT’S ASSESSMENT AND EXPECTATION IN MOTHER AND CHILD HOSPITAL OF SURABAYA Andini Yulina Pramono
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 2 (2019)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v7i2.2019.199-206

Background: Service quality at Kendangsari Merr Mother and Child Hospital is expected to compete with other private hospitals, especially maternity hospitals. Nevertheless, several months after its opening, the hospital received a few complaints from its patients.Aims: This study analyzed patient satisfaction to increase the service quality at Kendangsari Merr Mother and Child Hospital using RATER parameters.Methods: This study was an observational study that used a cross-sectional design. It was conducted at Kendangsari Merr Mother and Child Hospital from 27 to 31 October 2014. The respondents were taken from a total population of all inpatients and outpatients during the survey. The instrument used was a questionnaire using service quality indicators, such as Reliability, Assurance, Tangible, Empathy and Responsiveness (RATER) parameters.Results: The respondents’ assessment of the service quality at Kendangsari Merr Mother and Child Hospital was good with an average score of 81%. In terms of assurance, tangible, and empathy factors, most of the patients assessed that they received better services than what they expected.Conclusion: Some other poor aspects of the service quality should be improved. They include the punctuality of doctor practice, doctors’ skills, public facilities, politeness and awareness of staff pharmacists in treating patients’ drugs as prescribed. Keywords: assessment, expectation, patient satisfaction, service quality.

THE CORRELATION BETWEEN DEMAND FACTORS AND HEALTH CARE SERVICE UTILIZATION BY CONTRIBUTION BENEFICIARY PATIENTS Leli Rachmawati; Isma Faridatus Sholihah
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 2 (2019)
Publisher : Universitas Airlangga

Background: National Health Insurance is the government's effort to increase public access to health care services. As the implementer of the National Health Insurance, the Outpatient Unit of Haji General Hospital, Surabaya has undergone the decrease of contribution beneficiaries’ visits from 2010-2013. This condition indicates a decrease in health care utilization by the low-income community.Aim: This study aims to identify the correlation between health care demands and health care utilization by the contribution beneficiary patients.Method: The study was an observational analytic using a cross-sectional design. A systematic random sampling technique was used to determine the sample of the study. The respondents were 74 contribution beneficiary patients who possessed a district government free care scheme and had ever utilized the health care services at the Outpatient Unit of Haji General Hospital, Surabaya, and at least 13 years old. The data were collected through questionnaires and analyzed with Spearman and Chi-Square tests (α =0.05).Results: Health status, insurance needs, additional costs, gender, ethnicity, education, and income did not have a significant correlation with the health care service utilization by the contribution beneficiary patients at the Outpatient Unit of Haji General Hospital. It was identified that the older the people are, the higher the frequency of health care utilization is. Besides, service time was proven to be the determinants of health care utilization (p = 0.006).Conclusion: The most influential factors in utilizing the health care services by contribution beneficiary patients are service time and age. Based on those factors, the Haji General Hospital requires to improve its services and service timeliness for the elderly contribution beneficiary patients.Keywords: demand, contribution beneficiary patients, utilization.

DO TYPES OF ORGANIZATIONAL CULTURE CORRELATE WITH THE JOB SATISFACTION?: A STUDY ON EMPLOYEES’ PERCEPTION Diajeng Puspa Arum Maharani; Firda Nadia Roshandi
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 2 (2019)
Publisher : Universitas Airlangga

Background: The Orthopaedic and Traumatology Hospital had an increase in employee turnover of 1.39% from January to June 2012. It occurred due to high resignation and employee unsatisfaction. Thus, an organizational culture that consists of clan, hierarchy, market, and adhocracy becomes one of the determinant factors for employee turnover.Aims: This study aims to analyze the correlation between organizational culture and the employees’ job satisfaction.Method: This study used descriptive quantitative with a cross-sectional design, and the data were analyzed with a correlation test. There were 52 employees as the data of this study. The instruments utilized were OCAI and JSS questionnaires.Results: Market-type organization correlated significantly with job satisfaction. Organizational culture type, such as clan-type organization, adhocracy-type organization, and the hierarchy-type organization did not correlate significantly with job satisfaction. The majority of employees perceived that the Orthopedic and Traumatology Hospital adopts a hierarchy-type organization orienting to regulation and leadership. On the other hand, they expected the hospital to apply clan-type organizations that concerned about teamwork and ownership.Conclusion: There is a correlation between the market-type organization and job satisfaction. Meanwhile, there is no correlation between the clan-type organization, adhocracy-type organization, hierarchy-type organization, and job satisfaction. The hospital should increase internal strength, such as teamwork, training, facilities, and policies that support work procedures and staff.Keywords: market, adhocracy, clan, hierarchy, employees’ job satisfaction.

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