Analysis of Loyalty and Quality of Service Against Patient Satisfaction of Social Security Agency of Health and General Patients in Neurology Polyclinic UOBK of Doctor Mohamad Saleh Regional Public Hospital, Probolinggo, East Java

Background: Satisfaction of patients or insurance participants is one of the factors that can be used as a reference in determining the success of a service program. This means that the good quality of a service is not based on the service provider's perception, but based on the consumer's perception because it is the consumer who enjoys the services provided by the company. The study aimed to analyze the effect of loyalty and service quality on SCA patient satisfaction and general patients at the Neurology Polyclinic UOBK Dr. Mohamad Saleh Hospital, Probolinggo City. Subjects and Method: An observational study with a cross-sectional approach were conducted at Neurology Polyclinic UOBK Dr. Mohamad Saleh Hospital, Probolinggo, East Javaon August 2022. A total of 100 patients were selected for this study. The dependent variable was satisfaction. The independent variable were loyalty and service quality. The data were collected using a set of questionnaires and analyzed using linier regression.    Results: Patient satisfaction increased with good loyalty (b= 2.26; p= 0.002), and good service quality (b= 2.03; p= 0.006). Conclussion: Patient satisfaction increased with good loyalty (b= 2.26; p= 0.002), and good service quality.   Keywords: satisfaction, service quality, loyalty.   Correspondence: Illailatul Musdalifah. Strada Institute of Health Sciences, Kediri, Indonesia. Jl. Manila No.37, Tosaren, Pesantren, Kediri, 64123 East Java. Email: [email protected]. Mobile: 082332627340

Effects of Training and Supervision on Work Performance among Health Workers in Hospital: Meta-Analysis

Background: Performance in an organization is carried out by all existing human resources, both leaders and workers. There are several factors that can affect human resources in carrying out their performance, both factors that come from within human resources and those that come from outside themselves. The purpose of this study was to analyze the effect of training and supervision on the performance of health workers in hospitals, using a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This article was prepared using a systematic review and meta-analytic study. This research was conducted using the PICO model. The meta-analytic study was carried out by searching for articles from databases in electronic form using Google scholar, PubMed, Science direct, and Springerlink. An article search was conducted from 1 to 18 February 2023. The keywords used were “Performance” AND “Training” AND “supervision” AND “health workers” AND “Multivariate” AND “Cross-Sectional”. The inclusion criteria for this study were complete articles using cross-sectional research, published years from 2013-2023. Analysis of the articles in this study used RevMan 5.3 software. Results: A total of 10 cross-sectional studies from Africa and Asia were selected for systematic review and meta-analysis. The results of the meta-analysis show that training can improve performance and supervision can improve performance. Health workers who received training had a large influence on improving performance by 1.68 compared to those who did not receive training (aOR= 1.68; 95% CI= 1.37 to 2.05; p= 0.001). Supervised health workers had an influence on improving performance 2.38 times compared to unsupervised health workers (aOR= 2.38; 95% CI= 1.57 to 3.61; p= 0.009). Conclusion: Training can improve performance and supervision can improve health worker performance.   Keywords: Performance, training, supervision, health workers   Correspondence: Antina Luturmas, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: antinaluturmas@g­mail.com­­. Mobile: +628238720408

Factors Associated with Doctor Satisfaction at Pondok Kopi Jakarta Islamic Hospital in 2021

Background: Until now, doctor satisfaction has never been thoroughly measured at RSIJ Pondok Kopi. Based on the report of the Pondok Kopi RSIJ Medical Committee, there has been an increase in the number of doctor resignations from 2019 to 2021. This study aims to analyze factors related to doctor satisfaction at Pondok Kopi RSIJ.Subjects and Methods: in this study, the Mix Method with a Cross Sectional design, where data collection was carried out using questionnaires and in-depth interviews as the instruments. The sample used in this study were 74 respondents who were doctors at RSIJ Pondok Kopi.Results: This study showed that out of 74 respondents there were 38 doctors (51.4%) who were satisfied, and 36 doctors (48.6%) who were dissatisfied. Bivariate results show that all variables have a relationship with doctor satisfaction. The results of the multivariate analysis also found that the dominant variable was the doctor's level of commitment with Odds Ratio = 18.730 (CI = 2.525-138.914), which means that doctors who have a bad commitment have a risk of 18.730 times the chance of assessing dissatisfaction.Conclusion: Researchers recommend further intervention and control of hospital management to fulfill doctors' rights and obligations, so as to increase doctor satisfaction. Keywords: Job Satisfaction, Health Service Compensation, Work Environmen

Analysis of Factors Associated with Work Performance of Inpatient Nurse in Dr. Wahidin Sudirohusodo Hospital, Makassar, Indonesia

Background: Hospital is a health service institution that provides complete individual health services. The success of a hospital is determined by the performance of its employees. To improve the quality of health services, nurses who are reliable and have good performance are needed. Good nurse performance is expected to have a positive impact on organizational performance, in this case, the hospital itself. This study aims to identify and analyze the factors that influence nurse performance. Subjects and Methodes: The study design used descriptive analytic using a cross sectional approach. Study location at Dr. Wahidin Sudirohusodo Central General Hospital Makassar in March 2023. Subjects were 272 nurses in the Inpatient Room. Quantitative data analysis, namely univariate, bivariate and path analysis. Results: Motivation affects nurse performance (b = 0.63; 95% CI = 0.55 to 0.72; p < 0.001). Job satisfaction affects nurse performance (b = 0.20; 95% CI = 0.30 to 0.30; p < 0.001). Discipline affects nurse performance (b = 0.11; 95% CI = 0.01 to 0.23; p = 0.049). Motivation has an effect on discipline (b = 0.46; 95% CI = 0.39 to 0.53; p < 0.001). Job satisfaction affects discipline (b = 0.30; 95% CI = 0.21 to 0.39; p < 0.001). Leadership effect on discipline (b = 0.27; 95% CI = 0.21 to 0.35; p < 0.001). Motivation has an effect on job satisfaction (b = 0.31; 95% CI = 0.24 to 0.38; p < 0.001). Stress has an effect on job satisfaction (b = 0.06; 95% CI = 0.01 to 0.12; p = 0.036). Leadership influences job satisfaction (b = 0.21; 95% CI = 0.15 to 0.29; p < 0.001). Work environment influences job satisfaction (b = 0.52; 95% CI = 0.45 to 0.59; p < 0.001). Conclusion: Nurse performance is influenced by motivation, work discipline, work stress, job satisfaction, leadership, and work environment.   Keywords: Motivation, discipline, work stress, job satisfaction, leadership, work environment, nurse performance   Correspondence: Andreza. Master’s Program in Public Health, Graduate School, Universitas Sebelas Maret. Jl Ir. Sutami 36 A Kentingan Surakarta, Jawa Tengah, Indonesia. Email : [email protected]. Mobile: 085299015320

Meta-Analysis the Effects of Working Duration and Working Condition on Satisfaction in Health Workers in Hospital

Background: Job satisfaction of health workers in hospitals is one of the important points for motivation and increasing work effectiveness, high job satisfaction can improve the performance of health workers and patient satisfaction. However, low job satisfaction results in fatigue and a tendency to increase the turnover of health personnel which will exacerbate the condition of health facilities, especially in hospitals. The aim of the research is to conduct a meta-analysis of previous studies that have been conducted on the effect of working time and working conditions on the job satisfaction of health personnel in hospitals. Subjects and Method: This study is a meta-analysis with PICO. Population: health personnel. Intervention: long working time and good working conditions. Comparison: Working time is short and working conditions are bad. Outcome: job satisfaction. The articles used in this study were obtained from four databases, namely PubMed, Google Scholar, Science Direct, SpringerLink, BMJ, Garuda, SINTA, and the National Library of Indonesia. Keywords used to search for articles “Working Hours” OR “Working Hours Long” AND “Working Conditions” OR “Working Conditions Good” AND “Job Satisfaction” AND “Health Workers” AND “Multivariate”. The articles used were those which are full text in English from 2014 to 2023. Articles were selected using the PRISMA flowchart and analyzed using the application (RevMan) 5.3. Results: A total of 17 cross-sectional study articles from Belgium, Canada, China Denmark, Ethiopia, Israel and Switzerland. Based on the analysis, health personnel with long working hours reduced job satisfaction 0.47 times compared to health workers with low working hours and this was statistically significant (aOR=0.47; 95% CI=0.12 to 0.92; p=0.030). Health workers with safe working conditions increased job satisfaction 2.75 times compared to health workers with unsafe working conditions and this was statistically significant (aOR=2.75; 95% CI=1.59 to 4.78; p=0.003). Conclusion: Long working hours reduce the job satisfaction of health personnel and good working conditions increase the job satisfaction of health personnel.   Keywords: Working Time, Working Conditions, Job Satisfaction, Health Personnels   Correspondence: Aditya Kurniawan. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected] Mobile: +628564208853

Study of Compliance of Medical Records Officers with Medical Record Security and Confidentiality Regulations Regional General Hospital dr. Gondo Suwarno Semarang Regency

Background: Regional General Hospital (RSUD) dr. Gondo Suwarno has implemented policies/regulations to maintain the security and confidentiality of medical records as outlined in several Standard Operating Procedures (SPO). Implementation of services often do not comply with these regulations, for several reasons. The purpose of this study is to find out the reasons/causes of these problems by carrying out research on Compliance with Security Regulations and Confidentiality of Hospital Medical Records in Semarang Regency. Subjects and Method: This type of qualitative descriptive research used a case study approach with observation and interview techniques conducted at Semarang District Hospital in January - April 2022. A total of 5 informants were selected in this study. Data were collected using interview guidelines and observation guidelines. Data is presented descriptively. Results: The result is dr. Gondo Suwarno already has an SPO to maintain the security and confidentiality of medical records, the procedures of which are in accordance with applicable health minister regulations. Characteristics of medical record officers 86% have Diploma Three in Medical Records and Health Information (D3 RMIK) education, 57% have worked for 25 years or more, and 71% are 50 years old or more. Officers have not fully complied with regulations to maintain the security and confidentiality of medical records, because they are constrained by policy support facilities that have not been fulfilled. Supporting facilities for medical record security and confidentiality policies are not fully available, such as document carrying bags and medical record storage rooms that do not have doors. Conclusion: SPO for maintaining the security and confidentiality of medical records whose procedures are in accordance with the applicable minister of health regulations, but officers have not fully complied with the regulations for maintaining the security and confidentiality of medical records, due to constraints on supporting policy facilities that have not been fulfilled.   Keywords: compliance, regulation, security, confidentiality.  Correspondence: Adhani Windari. Poltekkes Kemenkes Semarang. Pedalangan, Banyumanik, Kota Semarang, 50268 Jawa Tengah. Email: [email protected]. Mobile: +62 817-0582-584

Implementation of Patient Dissatisfaction among Outpatient at Muslimat General Hospital, Ponorogo, East Java

Background: Patient satisfaction is the result of the patient's assessment of health services by comparing what is expected in accordance with the reality of health services received in a hospital health setting. This study aimed to determine the dissatisfaction of outpatients at Muslimat General Hospital, Ponorogo, East Java. Subjects and Method: This was a qualitative study, with in-depth interviews with informants. Discussions and interviews were conducted in the community within Muslimat General Hospital, Ponorogo, East Java, Indonesia. A total of 10 outpatient patient were included in this study. The outpatient patient was interviewed in August to September 2022. The transcribed data were analyzed using content analysis.    Results: The distribution of informants based on Responsiveness obtained data from Responsive Officers in handling patient complaints in the area as many as 10 informants (100%) were satisfied while the waiting time was not too long as many as 7 informants (70%) were satisfied while those who felt dissatisfied were 3 informants (30%) informants based on Assurance data obtained. Officers provided information about the patient's disease and experts at work as many as 10 informants (100%) were satisfied. The distribution of informants based on Empathy obtained data. Officers always maintain good communication with patients and officers are able to provide comfort to patients as many as 10 informants (100%) are satisfied. The distribution of informants based on Tangibles obtained data The place was clean and comfortable as many as 7 informants (70%) who were satisfied while those who felt dissatisfied were 3 informants (30%) while the Completeness of the tools used for examination were 8 informants (80%) who were satisfied while who were dissatisfied as many as 2 informants (20%). Conclussion: Outpatients are satisfied with the service, the waiting time is not too long, and feel that the staff always maintains good communication with patients.   Keywords: reliability, responsiveness, assurance, empathy, tangibles.   Correspondence: Katmini. Strada Institute of Health Sciences, Kediri, Indonesia. Jl. In Panjaitan, Siman, East Java. Email: [email protected]. Mobile: +62 823-3466-2921

Meta Analysis Effects of Completeness of Laboratory Tests and Medicine Supplies on Patient’s Satisfaction Level in Hospital

Background: Satisfaction is a feeling that arises when someone gets a service, this feeling can be in the form of pleasure or disappointment. Service satisfaction at the hospital is very dependent on the patient, if the patient receives poor service then the patient tends to be dissatisfied with the service he gets, so that it can affect the quality of the hospital. This study aimed to analyze the effects of the completeness of laboratory tests and drugs availability on the patient satisfaction in hospital. Subjects and Method: This was a systematic review and meta-analysis with PICO model. Popu­la­tion: patients visiting the hospital. Intervention: completeness of laboratory tests and drug availability. Comparison: incomplete labo­ra­tory tests and no drugs available. Outcome: patient satisfaction. Data collection from databases Google Scholar, PubMed, Science Direct, and Spinger Link. The in­clusion criteria used were full papers, cross sectional study, using English language, and published during 2012 and 2022. The keywords used are “Patient Satisfaction level” OR “Patient Satisfaction” AND “Hospital service” AND “Cross sectional”. Articles were analyzed using RevMan 5.3. Results: Meta-analysis included 14 cross-sectional studies. The completeness of the laboratory test (aOR= 2.19; 95% CI= 1.49 to 3.21; p= 0.001) and drug availability (aOR=2.41; 95% CI=1.15 to 5.03; p= 0.002) increased patient satisfaction. Conclusion: Completeness of laboratory tests and drug availability increase patient satisfaction. Keywords: completeness of laboratory tests, drug availability. Correspondence: Ayunda Prisilia Kusuma Ningtyas. Master’s Program in Public Health, Universitas Sebelas Maret.Jl Ir Sutami no 36 A, Surakarta 57126, Central Java, Indonesia. Email : [email protected]. Mobile: +628132852052

Factors Associated with Readiness to Adopt Electronic Health Record in Professional Health Workers: A Meta-Analysis

Background: The application of an electronic health record at a health service center is something that needs to be prepared so that such a system can be successful. This study aims to determine the factors that influence the readiness of EHR adoption among health professionals. Subject and Method: This systematic review and meta-analysis was carried out using the PRISMA guidelines and the PICO model: Population: professional health workers, intervention: computer literate, computer access, high perceived benefit, high self-efficacy, EHR training, technical assistance, comparison: no computer literacy, no computer access, no perceived benefit, low self-efficacy, no EHR training, no technical assistance, outcome: readiness to adopt EHR. Articles are collected from databases like Pubmed, Google Scholar, Science Direct. The keywords used are "electronic health record" OR “EHR” OR “electronic medical record” OR “EMR” OR “electronic patient record” OR “EPR” AND “adoption” OR “readiness” AND “EHR implementation” AND “healthcare professionals “AND “Multivariate analysis”. A total of 13 articles met the inclusion criteria, namely full text articles with a cross-sectional study design, with a relationship size adjusted odds ratio (aOR). Data were analyzed using RevMan 5.3. Result: Meta-analyses from Myanmar, Saudi Arabia, Ghana, Ethiopia, the Netherlands, and the United States showed that computer literacy (aOR= 1.67; CI 95%= 1.29 to 2.16; p< 0.001), computer access (aOR= 1.93; CI 95%= 1.41 to 2.64; p< 0.001), perceived benefit (aOR= 3.21; CI 95%= 2.27 to 4.56; p< 0.001), self-efficacy (aOR= 1.94; CI 95%= 1.37 to 2.75; p< 0.001), HER training (aOR= 2.20; CI 95%= 1.58 to 3.06; p< 0.001), and technical assistance   (aOR= 2.34; CI 95%= 1.26 to 4.35; p= 0.007) influenced in the readiness of EHR adoption in health professionals and it was statistically significant. Conclusion: Good computer literacy, computer access, high perceived benefits, high self-efficacy, EHR training, and technical support increased the readiness for EHR adoption among professional health workers.   Keywords: electronic health record, EHR, medical records, health services, professional health workers.   Correspondence: Purwa Adrianta Wibawa. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: [email protected]. Mobile: +62 821-3269-7209

The Relationship between Hospital Administration and Quality of Services: Meta-Analysis

Background: Quality of service (QoS) is important because enterprises need to provide stable services for employees and customers to use. Maintaining hospital administration is the most important thing to consider in hospital service indicators. This study aimed to analyzed the strength of the relationship between hospital administration with quality of services.Subjects and Method: This study is a meta-analysis with PICO, population: patients. Intervention: good hospital administration. Comparison: poor hospital administration. Outcome: quality of services. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Hospital Administration” OR “Good Administration” OR “Hospital Services” AND “Quality of Services” OR “Services” AND “Multivariate”. Articles included are full-text English from 2009 to 2021. Articles were selected using a PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 8 cross-sectional study articles from Asia, Europe, Africa, and North America were reviewed in the meta-analysis. Based on the results of the analysis, hospital management or good hospital administration has the possibility to increase the quality of service in hospital by 2.61 times compared to poor hospital administration (aOR= 2.61; 95% CI= 1.44 to 4.72; p= 0.002) and the results were statistically significant. Conclusion: Hospital administration are increase the quality of services.Keywords: hospital, hospital administration, quality of services.Correspondence: Siti Maesaroh. School of Health Sciences Mamba’ul Ulum Surakarta. Jl. Ringroad Utara, Mojosongo, Jebres, Surakarta, Central Java, Indonesia. Email: [email protected]. Mobile: +62 813-9386-7942Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.01.0