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INDONESIA
Jurnal Administrasi Kesehatan Indonesia
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.
Arjuna Subject : -
Articles 240 Documents
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ECONOMIC EVALUATION FOR HEALTH ADVOCACY AND INFORMED POLICY Maznah Dahlui; Thinni Nurul Rochmah; Ernawaty Ernawaty; Djazuly Chalidyanto
Indonesian Journal of Health Administration Vol. 9 No. 2 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i2.2021.202-209

Abstract

Background: Healthcare resources are limited therefore, adequate, appropriate and timely allocation of resources are important. Decision to invest on health care program can be made from the analysis of the information obtained on the cost and consequences of the various alternative health programs, often known as economic evaluation of health interventions.Aims: This write-up emphasizes on the importance of evidence driven policy of health intervention whereby economic evaluation should be performed to indicate whether investment on health intervention would benefit the country.Methods: Literature review on economic evaluation studies conducted by the first author during her 14 years tenure as academician had been performed. Various studies which applied the cost-effectiveness analysis tools to economically evaluate health interventions and programs in Malaysia and other countries are shared.Results: The economic evaluation studies cut across different programs such as disease prevention and treatment, public health monitoring and control, and implications of health issues to the healthcare system. Many of the findings have been used for advocacy to shape the delivery of more effective health intervention programs in the country.Conclusion: The country will benefit from economic evaluation studies which could provide evidence to assist in policy making on health programs for the country.Keywords: economic evaluation, health programs, policy making
THE PERFORMANCE DIFFERENCES BETWEEN HIGH AND LOW SALES TURNOVER COMMUNITY PHARMACIES Ni Putu Udayana Antari; Ni Putu Dewi Agustini; Ni Made Dharma Shantini Suena
Indonesian Journal of Health Administration Vol. 9 No. 2 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i2.2021.135-149

Abstract

Background: Pharmacy managers will make various efforts to increase their income. In spite of this, pharmacies that have the same facilities can generate greatly varied incomes.Aims: The purpose of this study was to determine the difference between high sales turnover pharmacies and low sales turnover pharmacies as observed through employee motivation, organizational culture, and patient satisfaction.Methods: This study used an analytical design with a questionnaire and checklist. Consumers were selected using the purposive sampling system to assess patient satisfaction. All employees were sampled to assess work motivation and organizational culture. Data analysis was performed using descriptive, bivariate, and multivariate testing.Results: Direct observation of pharmaceutical services from the two outlets shows that there were differences in the time it takes for pharmacist to retrieve the drug, the time for providing drug information, collecting information from patients, and the type of drug information provided, as well as employee motivation, organizational culture, and patient satisfaction.Conclusion: Services at pharmacies with high sales turnover are different from pharmacies with low sales turnover. Empathy has the greatest effect on sales turnover, followed by reliability, responsiveness, assurance, and tangible dimensions. Outlets that have high sales turnover have better organizational culture and higher employee motivation when compared to outlets that have low sales turnover. Keywords: motivation, organizational culture, patient satisfaction, sales turnover
HEALTH EXPENDITURE ANALYSIS IN PATIENTS WITH PREGNANCY-LABOR COMPLICATIONS IN SURABAYA Ernawaty Ernawaty; Dewi Sri
Indonesian Journal of Health Administration Vol. 10 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i1.2022.3-13

Abstract

Background: Healthcare spending has serious social and economic consequences for familie, such as financial constraints and psychological distress. Expenditure caused by obstetrics complications has an impact on total household spending. One person’s health expenditure can influence their family members’ welfare. Aims: This study analyzed health expenditure of patients experiencing preeclampsia, eclampsia, and postpartum hemorrhages. Methods: This study utilized a descriptive observational research design with a cross-sectional approach. The research sample consisted of 135 women who gave birth in November to December 2018. Multistage random sampling was used since the respondents were selected from regions of Surabaya. Results: Respondents of pregnancy and delivery complication with catastrophic health expenditure was eclampsia suffered by 40 respondents, 71 respondents with medium income financing Rp3,800,000.00, 64 respondents with medium household expenditure (monthly income of Rp2,001,000.00 - Rp3,000,000.00). As many as 62 respondents had social security agency for health without contribution beneficiaries, 62 respondents had one employed family member, and 66 respondents had 5-7 family members. Conclusions: The majority of respondents in Surabaya in 2019 experienced a 10% increase of total household expenditure while undergoing treatment. The government continues to increase subsidies for health service facilities that mostly serve the indigen population.
A QUALITATIVE STUDY: HOSPITAL PATIENT COMPLAINT MANAGEMENT Siti Kurnia Widi Hastuti; Nikita Cahyani Baginda; Selly Apri anda
Indonesian Journal of Health Administration Vol. 10 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i1.2022.31-40

Abstract

Background: Complaint management is vital for hospitals as patient complaints can be used to advance the quality of health services provided. Aims: This study analyzed patient complaint management at an X government hospital in Yogyakarta. Methods: The research used a descriptive-qualitative method and phenomenology, which was carried out through in-depth interviews, observation, and document review. It involved the head of the legal and public relations department, the head of the public relations sub-division, two staff of the legal and public relations department,      two officers to outpatient and inpatient units, and two patients. This study used purposive sampling to select the samples. Data analysis referred to was from the concept of Miles and Huberman, which consists of data reduction, display, and verification. The accuracy of all data was checked using a triangulation method. Results: The hospital followed the patient complaint management procedures. Providing complaint reporting platforms is required to lodge patient complaints to the hospital. Moreover, the suggestion box should be managed properly, and thus the complaints on the box can be managed promptly. Conclusion: Overall, patient complaint management at the hospital has been carried out well and followed the standard operating procedures (SOP).
REDUCING INFANT AND UNDER-5 MORTALITY RATE THROUGH GOVERNMENT HEALTH EXPENDITURE: A SYSTEMATIC REVIEW Alissa Sita Pertiwi; Amal Chalik Sjaaf
Indonesian Journal of Health Administration Vol. 10 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i1.2022.122-132

Abstract

Background: Although it has been globally reported that IMR and U5MR continue to decline every year, the rate disparities between urban and rural areas are still evident in various countries. The government is presumed to carry out efforts to reduce this disparity, such as by allocating the government’s health expenditure. Aims: This study systematically identifies the effectiveness, best practices, and positive impacts of government health expenditure allocation for IMR and U5MR, specifically in rural areas. Methods: This systematic review study was conducted using the PICOS method to analyse data that were obtained from 3 online databases. Results: The government health expenditure could reduce the gap in mortality rate indicators between urban and rural areas. Programs specifically proposed for rural communities can help decrease the gap between urban-rural IMR and U5MR. The effectiveness of government health expenditure to reduce mortality rates was strongly influenced by various factors, including supporting policies, field implementation in regions, and the collaboration between the central and local governments. Conclusion: The local government plays a definitely crucial role in the implementation of the health program to ensure that the central government executes the program effectively in order to reduce IMR and U5MR in rural areas.
PARENTS’ SATISFACTION WITH MEASLES RUBELLA IMMUNIZATION SERVICES FOR SCHOOLERS DURING THE COVID-19 PANDEMIC Lolita Indah Pradini; Ayun Sriatmi; Eka Yunila Fatmasari
Indonesian Journal of Health Administration Vol. 10 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i1.2022.41-49

Abstract

Background: Measles Rubella (MR) immunization coverage for schoolers in Semarang City decreased to 92.7% in 2020 due to the COVID-19 pandemic. However, in practice, many parents still complain about MR immunization services for schoolers. Aims: This study aimed to determine parental satisfaction with MR immunization services during the COVID-19 pandemic. Methods: This quantitative study used a cross-sectional approach. Purposive and proportional sampling was used to select 102 samples. Data collection was done through questionnaire, and data were analyzed using the chi-square test and importance-performance analysis test. Results: The lowest suitability dimension level was tangibility (81.52%), followed by responsiveness (86.6%). The reliability dimension had the highest average conformity level (92.87%). The priority items for improvement were related to health workers’ compliance with the use of complete personal protective equipment (PPE), spacious immunization service rooms, registration officers’ responsiveness in giving directions, punctual immunizations distribution, polite and friendly registration services officers, as well as health workers’ initiative to remind parents about health protocols. Bivariate analysis showed there was no relationship between respondents’ characteristics and their satisfaction level. Conclusion: Parental satisfaction with MR immunization services for schoolers did not match their expectations; therefore, it is necessary to improve future immunization services.
DETERMINANTS OF THE NATIONAL HEALTH INSURANCE UPTAKE IN INDONESIA Abdu Nafan Aisul Muhlis
Indonesian Journal of Health Administration Vol. 10 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i1.2022.111-121

Abstract

Background: Indonesia introduced a national health insurance program, the so-called Jaminan Kesehatan National (JKN), in 2014 to enhance health access for its citizens. However, unattained universal health coverage (UHC) such as participation target becomes a concern. Aims: This study aimed to examine the factors influencing JKN participation and propose a possible policy improvement to enhance UHC implementation Methods: A systematic review was performed based on PRISMA guidelines, and literature was collected from PubMed, Scopus, Web of Science, Cochrane Library, and Google Search. Results: 21 articles in English and Indonesian language are included in the study after being reviewed using the PRISMA flowchart and quality assessment. The main factors that emerged from the found literature affecting the low enrolment of the NHIS include socio-demographic factors: younger people, low education level, rural location, unstable incomes, and larger family members. Also, health-related, and other factors: lack of health insurance literacy, insufficient healthcare accessibility and services availability, inadequate healthcare service quality, complicated administrative procedure, negative stigma, membership data inaccuracy, and low health status. Conclusion: Twelve factors have been identified as the most influential determinants for the national health insurance program. Some proposed policies derived from the current results might contribute to the attainment of UHC.
THE EFFECT OF SERVICE QUALITY DIMENSIONS ON HEMODIALYSIS PATIENT SATISFACTION IN INDONESIA Lia Kurnia Hartanti; Ferdi Antonio
Indonesian Journal of Health Administration Vol. 10 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i1.2022.50-59

Abstract

Background: Chronic kidney disease is a catastrophic disease ranked second in Indonesia for high health costs. The number of renal units in Indonesia has rapidly increased since the launch of the National Health Insurance program in 2014. Its increase was accompanied by the increased number of patients. Aim: This study analyzed the effect of service quality dimensions on patient satisfaction with hemodialysis care. Methods: This study used a cross-sectional design and a quantitative method. It retrieved data from respondents who had undergone hemodialysis care at hospitals and clinics in Jakarta and surroundings. The PLS-SEM approach was used to analyze the data. Results: Eight service dimensions were proven to influence the overall service quality and directly impact patient satisfaction. The influential dimensions included facilities and organization of the service, care by attending nurses and assistants, attention to psychological and administrative issues, medical attention and care, nutrition attention and care, medication supply and quality, features and administration process, attention and care given by the head nurse. All of these dimensions affected patient satisfaction as a dependent variable. This study has strong predictive accuracy, and thus it can be replicable in future research with different populations. Conclusion: This study demonstrated eight service quality dimensions that affect service quality and directly impact satisfaction of hemodialysis patients both with hospital and clinic services.
SRI LANKA OXYGEN READINESS AND STRATEGIES ADAPTED FOR COVID-19 PATIENTS’ MANAGEMENT Dilip Hukkaduwa Liyanage; Maddage Don Athula Krishanth; Peththahandi Nadhee Wickramaratne; Adimalee Kankanamalage Sunil Bernard De Alwis; Pannapitiyage Wijeyala Chandrasiri Pannapitiya; Udawatta Arachchige Anura Sampath Perera; Iranga Sachinthika Yaddehige
Indonesian Journal of Health Administration Vol. 10 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i1.2022.133-142

Abstract

Background: Shortly after the Covid-19 oxygen crisis in India, the Sri Lanka Ministry of Health started investigating and analyzing gaps in oxygen production, supplies and demands. Aims: This study aimed to evaluate the preparedness in Covid-19 cases management and recommend strategies to prevent oxygen crisis in healthcare facilities. Methods: This study used information on oxygen source redundancy and delivery methods to assess whether a healthcare facility is prepared to provide the necessary oxygen demand for patients in need and to estimate the number of patients that can be treated with the currently available oxygen supplies. The predicted oxygen supplies and demands were assessed with a panel of experts using qualitative and quantitative methods. Data were collected using the Health Information Update System. Results: Sri Lanka had 39,529 designated hospital beds including Intensive Care Unit and High Dependency Unit beds for Covid-19 patients. Even though an average number of patients were reaching 30,000, the actual oxygen demands were around 1,200 which were easily manageable with the current capacity of 80 tons per day. Conclusions: Sri Lanka has made progress to increase access to oxygen by using novel methods to procure and increase oxygen availability, storing, and carrying capacity.
IMPLEMENTATION OF STUNTING PROGRAM IN INDONESIA: A NARRATIVE REVIEW Siti Zaleha; Haerawati Idris
Indonesian Journal of Health Administration Vol. 10 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i1.2022.143-151

Abstract

Background: Stunting is one of the nutritional problems in the world, especially in Indonesia. Aims: This study aimed to describe the implementation of stunting programs in Indonesia, Related to specific and sensitive nutrition interventions in particular. Methods: This narrative review was conducted with a meta-synthetic approach. The literature search was done on Google Scholar, PubMed, Garuda Portal, and DOAJ. The critical appraisal checklist from the Joanna Briggs Institute (JBI) was used to assess the research quality. Results: Thirteen research articles were analyzed, and some intervention programs most commonly carried out were the provision of iron supplement tablets for pregnant women, supplementary feeding for underweight toddlers, complementary foods for breastfeeding, vitamin A provision, provision of facilities, access to drinking water, and proper sanitation. Conclusion: The stunting program has not been implemented optimally either inside or outside the health sector. Sufficient numbers of human resources, especially nutritionists, are required to realize stunting programs.

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