Association Between Leadership, Motivation, Compensation and Employees Satisfaction in Primary Health Centres Denpasar

Background and purpose: Employees satisfaction can improve the work performance of employees that can create a positive situation in the organizational environment. Previous studies have shown that leadership, motivation and compensation related to employee satisfaction but has not been able to explain the association of leadership, motivation and compensation together with employee satisfaction. This study aims to determine the relationship of leadership, motivation, compensation and employees satisfaction in primary health centers, Denpasar.Methods: This study was cross-sectional survey among all employees consist of 39 employees in Puskesmas II Denpasar Selatan and 36 employees in Puskesmas III Denpasar Utara. Data were collected using a questionnaire and analyzed using logistic regression to examine the association between leadership, motivation, compensation and employees satisfaction in primary health centers, Denpasar.Results: Most employees perceived lack in leadership of the head of primary health centers (52.00%), had a high motivation to work (56.00%), received adequate compensation (60.00%) and satisfied with their work (52.00%). Multivariate analysis showed that two variables had significant association, that were leadership with OR=7.28 (95%CI: =2.17-24.46) and motivation with OR=4.31 (95%CI: 1.29-14.39).Conclusion: Factors associated to the employees satisfaction in primary health centers were leadership and motivation. Aspects of leader behavior to motivate employees and extrinsic motivation primarily on working conditions need to be improved to create employees satisfaction

The Analysis of Performance Based on Balanced Scorecard at Karangasem Hospital

Background and purpose: Karangasem Hospital has adopted balanced scorecard method in preparation of the strategic plan. The performance evaluation has been done based on accountability report only with the three other perspectives have never been analysed before. This study was conducted to assess those four perspectives.Methods: Cross-sectional survey was carried out among 110 inpatients and 95 employees which were selected conveniently. The data were collected by interviews using questionnaire. The data were analyzed with kartesius graph to get each item of patients and employees satisfaction that need to be priority. Secondary data analysis conducted to know the tendency of those four perspectives.Results: Based on the assessment of the four perspectives showed that the overall score is 44.7 %. It is defined as sufficient category. This also can be observed that each perspective of finance, customers and internal business process included in sufficient category. Their scores are 16.65%, 12.5% and 15.62%. Meanwhile, for the learning and growth perspective showed as weak category (0). Kartesius graph analysis showed that two items of patient's satisfaction have to do with procedure and quick service need to be concerned. However, the employees' satisfaction showed that there are five sub items which need to be concerned. They are quick response, management support and working environment.Conclusion: The performance of Karangasem Hospital based on scorecard is in the sufficient category and patients/employee's satisfaction still need to be concerned on certain items

Relationship Between Implementation of Public Health Center Management, Work Commitment and Quality of Medical Services in Public Health Centres, Karangasem, Bali

Background and purpose: Quality of health services in the public health center in Karangasem remain a public health concern. Preliminary findings indicated there was a problem regarding implementation of health center management and working commitment of staff. This study aimed to determine the association between quality of medical services, the implementation of health centre management and working commitment of staff.Methods: Study was cross-sectional among 61 doctors and nurses at 12 public health centres who were selected purposively. Data were collected from February to March 2015 using questionnaires. Data analysis using logistic regression to examine the relationship between the quality of medical services with the implementation of health center management and working commitment of staff.Results: Findings indicated that the quality of medical services, the implementation of health centre management and working commitment of staff were relatively low. The quality of medical services provided was found associated with working commitment of staff (AOR=11.3; 95%C: 1.75-73.06) and not associated with implementation of health center management (AOR=0.9; 95%CI: 0.18-5.24).Conclusion: The quality of medical services provided was found associated with working commitment of staff and not associated with implementation of health center management

Perceptions of Community Health Care Center Workers on National Health Insurance (JKN) Healthcare Services Payment System in Karangasem Regency

Background and purpose: National Health Insurance (JKN) healthcare services payment system is a financialcompensation given to employees of health centers through an allocation system implemented by the Ministry ofHealth Regulation (Permenkes No. 28 of 2014). This study aims to explore health care workers perception of the JKNhealth care services payment system.Methods: In-depth interviews conducted among 12 participants selected purposively namely heads of health centers(doctors and public health graduated), medical personnel, paramedics, other health professionals, non-healthpersonnel (both civil servants and non-civil servants). Data were analyzed using thematic analysis approach presentednarratively.Results: Participants intimated that the amount of points based on the variable of kind of personnel and/or positionswere not proportional/not in accordance with the actual condition of the health center. The use of attendance ratesmade for an unconducive atmosphere as it was evident that this variable was not applied to all employees but only tothe central health centers. The differentiation of employment status with the same workload, and the uneven amountof points and grouping of years of service rather than workload was viewed as unfair and bias by respondents thereforethey believed this needs further assessment.Conclusion: The allocation of the JKN health care services payment system was perceived as prejudicial by theemployees of the health centers in Karangasem Regency. The amount of points distributed were not proportional tothe type of personnel and/or position, and the use of the level of attendance, differentiation of employment status,grouping of years of service not based on workloads were all issues raised by respondents