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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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THE INFLUENCE OF INTERNAL FACTORS ON JOB SATISFACTION IN HEALTHCARE SETTINGS Moh Yusuf; Ratna Dwi Wulandari
Indonesian Journal of Health Administration Vol. 11 No. 1 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijha.v11i1.2023.167-182

Abstract

Background: Job dissatisfaction in healthcare facilities can increase medical errors. In order to reduce the medical errors, hospitals must focus on employee job satisfaction. In this case, both stress and burnout can lower job satisfaction. Aims: This research was conducted to analyze the internal factors that affect the level of job satisfaction of employees in health facilities. Methods: The method applied is the PRISMA framework, which consists of five stages, namely eligibility criteria, information sources, study selection, data collection process, and data items. Results: Systematic review was done on 34 quantitative studies about the factors that influence job satisfaction. Based on the review, the internal factors known are demographic and personal factors. In this case, demographic factors mostly do not affect employee job satisfaction, one of which is salary. Meanwhile, the most researched personal factor and the biggest influence is burnout. Conclusion: Based on the systematic review, it is known that the internal factors affecting employees’ job satisfaction include demographic and personal factors. The demographic factor that has a significant effect is salary, while the most researched individual factor is burnout. Working in the health sector requires caution so as not to cause medical errors. Health workers who experience burnout are at risk of causing medical errors. For that we need a strategy to overcome burnout so as to increase job satisfaction. Keywords: burnout, healthcare, internal factor, job satisfaction, PRISMA
STAKEHOLDERS' ROLE IN THE IMPLEMENTATION OF STUNTING MANAGEMENT POLICIES IN GARUT REGENCY Mara Ipa; Yuneu Yuliasih; Endang Puji Astuti; Agung Dwi Laksono; Wawan Ridwan
Indonesian Journal of Health Administration Vol. 11 No. 1 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijha.v11i1.2023.26-35

Abstract

Background: Convergence is a comprehensive integrated and coordinated activity to accelerate stunting reduction. Aims: This exploratory qualitative study analyzed the roles of stakeholders in stunting management. Methods: This study was conducted in Garut District from April to July 2021. Key informants including policymakers across programs were selected from the district, sub-district, and village levels. All of them were interviewed, and the interview data were processed with content analysis techniques and presented descriptively. Results: Stakeholders had roles in the implementation of stunting handling programs as seen in the four quadrants indicated by vertical (interest) and horizontal (influence) lines. The Head of the District and the Deputy of the Head District had the most contribution and influence on the program's success. District-level government institutions (i.e., the DHO, Regional Planning and Development Agency, DPMD, PPKBP3A and PUPR) in Quadrant II are critical. Others can be found in Quadrant III for provincial and district institutions (medium category). The sub-district, community leaders, and cadres (Quadrant IV) all significantly contributed to the program’s success. Conclusion: Policymaker participation is acknowledged as a major concern in developing health policies. It is important to clearly outline the roles of stakeholders to promote their involvement actively, especially of local stakeholders that need to be advocacy-oriented in stunting management. Keywords: Policy, Stakeholder, Stunting
POLICIES TO REDUCE HOME DELIVERY IN INDONESIA: WHO SHOULD BE THE TARGET? Ratna Dwi Wulandari; Agung Dwi Laksono; Ratu Matahari; Nikmatur Rohmah
Indonesian Journal of Health Administration Vol. 11 No. 1 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijha.v11i1.2023.81-92

Abstract

Introduction: Home delivery increases the chance of maternal death. Aims: The study examines suitable targets for developing policies to reduce home births. Methods: This cross-sectional study analyzed 15,357 mothers through stratification and multistage random sampling, including 13 independent variables: age, education, employment, marital, parity, insurance, knowledge of pregnancy danger signs, antenatal care (ANC), residence, the autonomy of health and family finance, household head sex, and wealth. We examined the data using binary logistic regression. Results: About 23.8% of mothers deliver at home. Older age, higher education, primiparous, insured, knowing the pregnancy danger signs, living in an urban area, and doing ANC ≥4 times were protective factors to not home delivery. Being employed, married, having a male household head, and being poor were risk factors for home delivery. Mothers without health autonomy are less likely to deliver at home than those with health autonomy. Mothers with family finance autonomy are 1.239 times more likely than those without to give home birth. Conclusion: The target to reduce home deliveries: young, low education, employed, married or divorced/widowed, having many children, uninsured, do not know pregnancy danger signs, doing ANC <4 times, living in a rural area, have no health autonomy, have no family finance autonomy, having a male household head, and poor. Keywords: big data, home delivery, maternal health, maternity care, population health, public health.
SOCIAL EXCLUSION IN INDONESIA MILITARY HOSPITAL Haifa Pasca Nadira Suar
Indonesian Journal of Health Administration Vol. 11 No. 1 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijha.v11i1.2023.107-119

Abstract

Background: In the era of the COVID-19 pandemic, one of the social protections in Indonesia that still requires special attention is the protection of public health. Aims: This study aims to analyze the principles of social protection in the Social Security Agency for Health (BPJS Kesehatan) and the implementation of inclusive health services in Indonesia Military Hospital. Methods: This study used a qualitative approach by conducting in-depth interviews and made direct observations for one month by observing the processes and phenomena that occurred at the dr. Esnawan Antariksa Air Force Hospital as a case study. Results: The root cause of social exclusion in health services in military institutions was an aspect of the inherent hierarchy that caused exclusion in the income dimension triggered by socioeconomic level, status, and background of patients so that patients did not get the same rights in obtaining health services. Conclusion: Implementing social protection through BPJS Kesehatan in military-based hospitals caused patients with specific groups to experience layered exclusion. Patients who wanted to receive healthcare at military hospitals had differences in the stages of receiving them. However, the quality of medical services doctors and other health workers provided were not discriminatory. Keywords: BPJS kesehatan, health services, military hospital, social exclusion, social protection
ENGAGING PATIENTS FOR PATIENT SAFETY: A QUALITATIVE STUDY ON HEALTHCARE RECIPIENTS’ PERSPECTIVES Ekorini Listiowati; Amal Chalik Sjaaf; Anhari Achadi; Adang Bachtiar; Merita Arini
Indonesian Journal of Health Administration Vol. 11 No. 1 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijha.v11i1.2023.67-80

Abstract

Background: Patient safety (PS) is a global priority for achieving quality healthcare. Although patient engagement (PE) is a crucial risk-reduction strategy, research on this subject in Indonesia is scarce. Aim: This study aims to explore healthcare recipients’ (HCRs’) perspectives and their potential role in PS. Methods: Exploratory qualitative research was conducted with in-depth interviews (IDIs). This study purposively selected fourteen patients and fifteen caretakers in chronic wards. Content analysis was subjected to the IDIs data that has been transcribed verbatim. Results: HCRs showed inadequate knowledge, perception, and willingness to engage in patient safety. Four themes were identified from data analysis: (1) complexity barriers to PE Implementation; (2) enabling factors for PE; (3) HCRs' expectations; and (4) existing and potential HCRs' roles in PS. HCRs' roles were still limited to communication, positive attitude and behavior, aided healthcare process, and error prevention. Conclusion: The limited roles of HCRs resulted from their unreadiness to participate more in PS. For patients to be engaged in safety measures, it was essential to improve the ability of patients and caregivers and eliminate obstacles encountered by healthcare professionals and the broader health system. Keywords: patient engagement, patient safety, quality healthcare
ENVISIONING HEALTHCARE SERVICE QUALITY, SAFETY AND EQUITY: FROM PUBLIC HEALTH CENTRE TO MILITARY HOSPITAL Abdu Nafan Aisul Muhlis
Indonesian Journal of Health Administration Vol. 11 No. 1 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijha.v11i1.2023.1-3

Abstract

The Indonesian Journal of Health Administration Volume 11 No.1 (2023) has been published. This edition covers a wide range of main topics, including enhancing healthcare management, expediting Covid-19 vaccination efforts, and improving public health programs within the community. Healthcare sustainability is expected to help accomplish the Sustainable Development Goals (SDG) by 2030. Gupta et al. discuss environmental sustainability in healthcare using elicitation techniques and found that the hospital in India tends to utilize natural resource optimally to minimize the usage of electricity and water, install a waste treatment plant, and be accredited by a quality assurance body to assure them prioritize the sustainability in healthcare services. Regarding healthcare service equity, Suar analyzed the implementation of social inclusion in military hospitals in Indonesia. This study revealed that patients from particular groups received exclusive care compared to other National Health Insurance or Jaminan Kesehatan Nasional (JKN) program members. However, it contrasts with the Indonesian government's commitment to offer its citizens equitable and inclusive healthcare.
REDUCING HOSPITAL OUTPATIENT WAITING TIME USING LEAN SIX SIGMA: A SYSTEMATIC REVIEW Elina Waiman; Anhari Achadi; Renita Agustina
Indonesian Journal of Health Administration Vol. 11 No. 1 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijha.v11i1.2023.154-166

Abstract

Background: Lean Six Sigma (LSS) is a beneficial data-driven tool for quality improvement. Literature regarding the use of LSS to reduce hospital outpatient waiting time is scarce despite numerous problems encountered in many countries. Aims: This systematic review aims to evaluate the causes of long outpatient waiting time, demonstrate the effectiveness of LSS and the improvement strategies applied to reduce outpatient waiting time. Methods: Literature search was performed on eight databases: Proquest, Wiley, Science Direct, Taylor and Francis, Oxford Journal, Sage Publication, Scopus, and Pubmed. Inclusion criteria were peer-reviewed English articles published from January 1, 2003, to May 25, 2021, and studies conducted in hospital settings. Results: Nine relevant articles were included. Inefficient clinic processes, inappropriate scheduling, human resources problems, workplace factors, patient communication problems, and patient characteristics are root causes found for long outpatient waiting time. All studies revealed a reduction in outpatient waiting time (5.2% to 97%) after implementation of LSS. Process redesign, improvement in appointment scheduling, patient communication, and improvement in workplace design, were strategies used to reduce outpatient waiting time. These strategies increase the number of patients seen and hospital gross revenue, as well as patient satisfaction. Conclusion: LSS is beneficial to reduce outpatient waiting time. Process redesign provide advantageous results. Keywords: hospital, lean six sigma, outpatient waiting time, process redesign
ANALYSIS OF HIV AND SYPHILIS TRANSMISSION PREVENTION PROGRAMS FOR ADOLESCENTS Yusuf Hanafi Lubis; Susilawati Susilawati
Indonesian Journal of Health Administration Vol. 11 No. 1 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijha.v11i1.2023.120-130

Abstract

Background: Adolescents tend to want to try things they have never experienced, and the main contributing factor is curiosity and imitating what adults do, including sexuality. Aims: This study aimed to analyze the transmission prevention program of HIV and Syphilis for adolescents in North Sumatra. Methods: This study used an analytic survey approach with a cross-sectional design by taking 729 people as a sample, selected using quota sampling, from the total adolescent population (19.4% of the population of North Sumatra). Questionnaires produced using an online platform and adapted from The Prospero Network. The results were then transferred into a statistics-based application for descriptive data analysis, bivariate, and multi-level tests. Results: The study showed that >50% of the respondents took a quick, free laboratory test for HIV and syphilis and a reactive confirmation test through a health facility in both cases. Moreover, the results of multi-level statistical tests show models 1 and 2, namely the availability of syphilis screening referrals, have a 1-17 times higher risk of implementing HIV and syphilis programs in adolescents. Conclusion: Everything is interrelated with the implementation of HIV and Syphilis transmission prevention programs in adolescents. However, there is still a significant chance that it will not work. Therefore, the government and the community must work together to implement this program properly and consistently. Keywords: Adolescents, Health Program, HIV, Syphilis
DEVELOPMENT OF SUSTAINABLE HEALTHCARE MODEL FOR THE HOSPITALS IN NORTHERN INDIA Hima Gupta; Shweta Garg; Utkarsh Gupta
Indonesian Journal of Health Administration Vol. 11 No. 1 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijha.v11i1.2023.131-144

Abstract

Background: Healthcare organizations incorporate products and services at economical prices to deliver healthcare services of good quality. All the operations performed in the organizations aimed to achieve a higher level of environmental sustainability governed by the Sustainable Developmental Goals of 2030. Aims: This study aims to develop a sustainable healthcare model using Analytical Hierarchy Process (AHP). Methods: First and foremost, the authors have identified the factors associated with the sustainable healthcare system through a literature review. Based on these factors, a questionnaire was developed and administered to 25 healthcare organizations from December 2020 to March 2021. An Analytical Hierarchy Process is utilized to rank the factors, and a conceptual model is developed. The Felix Hospitals substantiate this model. The authors have also applied sensitivity analysis to validate the results achieved via AHP. Results: The AHP model demonstrates the focus is on the environment first, followed by the economic and social dimensions sustainably. The validated model was also substantiated by the hospital (Felix) results and sensitivity analysis. Conclusion: It can be concluded that hospital sustainability highly depends on the environment in the first stage and economic and social sustainability in the second and third stages. The same result was achieved through AHP.  Keywords: analytical hierarchy process, hospital, sustainable healthcare.
THE EFFECT OF PARTICIPATION IN JKN ON UNMET NEEDS FOR HEALTHCARE SERVICES Farikh Alfa Firori; I Dewa Gede Karma Wisana
Indonesian Journal of Health Administration Vol. 11 No. 2 (2023): Article in Press
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: The National Health Insurance or Jaminan Kesehatan Nasional (JKN) program is one of the steps taken by the Indonesian government in developing Universal Health Coverage (UHC). However, increased participation in the National Health Insurance is not followed by an increase in met needs for healthcare services. Aims: This study aimed to examine the effect of participation in the National Health Insurance on unmet needs for healthcare services in poor and non-poor population groups. Methods: This study used data from the 2018 National Socio-Economic Survey/ Survei Sosial Ekonomi Nasional (SUSENAS) and Village Potential Survey/ Survei Potensi Desa (PODES). Data were processed using binary logistic model analysis to identify the effect of participation in the National Health Insurance on the unmet needs for healthcare services. Results: Participation in the National Health Insurance, including beneficiary program for poor groups could reduce the risks of unmet needs for healthcare services by 7.7%, while non-beneficiary program could reduce the risks of unmet needs for health services for non-poor groups by 10.4%. Conclusion: Both beneficiaries and non-beneficiaries affect the unmet needs for health services for both poor and non-poor groups. However, the non-beneficiary program is more elastic than beneficiary program to fulfill needs for both sample groups. Keywords: Healthcare services, national health insurance, logit, unmet need

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