Multilevel Analysis of Community Health Center, Performance of Health Personnel: Evidence from Ngawi, East Java
Abstract
Background: Quality health services are one of the priorities and development goals in the health sector. Community Health Center as the first-line public services in the health sector are expected to provide quality services for the community. The quality of health services in community health center can be seen from the performance of the health personnel. This study aims to determine the factors that determine the performance of health personnel in health centers.
Subjects and Method: This study used an observational analytic method with a cross sectional approach. The study was conducted in 24 community health center in Ngawi, East Java on June-July 2019. The total sample of 216 health personnel of the community health center was selected based on proportional random sampling. The dependent variable of this study was the performance of health personnel. The independent variables in this study were accreditation status, education, income, work length, motivation, satisfaction, and workload. The data collections used questionnaires and were analyzed using multilevel linear regression test with Stata 13.
Results: The performance of health personnel significantly improved with good accreditation status (b = 2.87; 95% CI= 0.03 to 5.71; p= 0.048), high education (b= 0.63; 95% CI = 0.13 to 1.13; p= 0.013), and high workload (b= 0.86; 95% CI= 0.34 to 1.39; p= 0.001). There was a contextual effect of the performance health personnel (ICC= 53.69%).
Conclusion: Good accreditation status, higher education and high work responsibilities increase the performance of the health personnel. There was a contextual effect of health centers on the health personnel.
Keywords: performance of health personnel, community health center, multilevel linear regression
Correspondence:
Rahayu Zulaikah, Ngawi Health Office, Jl. S. Parman 25 A, Ngawi, East Java. Email: dokterrahayu@yahoo.co.id. Mobile phone: 081946059306
Journal of Health Policy and Management (2020), 5(1): 13-22
https://doi.org/10.26911/thejhpm.2020.05.01.02
References
Badan Perencanaan Pembangunan Nasional Republik Indonesia (2014). Rencana Pembangunan Jangka Menengah Nasional 2015-2019. Jakarta: Kementerian Perencanaan Pembangunan Nasional Badan Perencanaan Pembangunan Nasional. Retrieved from http://www.bpkp.go.id/sesma/konten/2254/buku-i-ii-dan-iii-rpjmn-2015-2019.bpkp
Ensha IS (2018). Pengaruh implementasi kebijakan akreditasi puskesmas terhadap manajemen pelayanan kesehatan masyarakat dalam mewujudkan produktivitas kerja, Jurnal Publik, 12: 12-23. Retrieved from https://journal.uniga.ac.id/index.php/JPB/article/view/283
Ghareeb A, Said H, Zoghbi ME (2018). Examining the impact of accreditation on aprimary healthcare organization in Qatar. BMC Medical Education. 18: 216.https://doi.org/10.1186/s12909-018-1321-0
Gibson JL, Ivancevich JM, Donnelly JH. (2012). Organisasi, perilaku, struktur, dan proses. Jakarta: Binaputra Aksara
Gondokusumo S, Sutanto EM (2015). Motivasi, kepuasan kerja dan komitmen organisasional pegawai. Jurnal manajemen dan kewirausahaan, 17(2):186-196. https://doi.org/10.9744/jmk.17.2.196206.
Gusti TE, Tamtomo D, Murti B (2019). Determinants of midwife performance on antenatal care in Surakarta and Karanganyar , Central Java. Journal of Health Policy and Manage. 3(1): 11–19. https://doi.org/10.26911/thejhpm.2018.03.01.02.
Hawari SIS, Banat NAE (2017). Impact of motivation on job performance of nursing staff in private hospitals in Jordan. Int. Journal of Academic Research in Accounting Finance Management Sciences.7(2): 54-63. doi: 10.6007/IJARAFMS/v7i2/2824
Irwadi, Zulfendri, Aulia D (2018). The associations of ward head direction and incentive with nurse performance at arun LNG hospital, Lhokseumawe, Aceh. J Health Policy Manage 3(2): 114-117. https://doi.org/10.26911/thejhpm.2018.03.02.08.
Jayaweera T (2015). Impact of work environmental factors on job performance, mediating role of work motivation: A Study of hotel sectors in England. International Journal of Business and Management, 10(3): 271-278. doi: 10.5539/ijbm.v10n3p271
Listyanti KL, Dewi SK (2019). Pengaruh motivasi berprestasi serta pendidikan dan pelatihan terhadap prestasi kerja. Jurnal Manajemen Udayana. 8 (8): 5285-5303. https://doi.org/10.24843/EJMUNUD.2019.v08.i08.p23
Kemenkes RI (2014). Peraturan menteri kesehatan Republik Indonesia Nomor 75 tahun 2014 tentang pusat kesehatan masyarakat. Jakarta: Kementerian Kesehatan Republik Indonesia. Retrieved from https://www.academia.edu/25399774/BUKU_SAKU_PERMENKES_NO._75_TAHUN_2014_TENTANG_PUSKESMAS?auto=download
Kementerian Kesehatan RI (2018). Profil kementerian kesehatan tahun 2018. Jakarta: Kemenkes RI. Retrieved from: https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Data-dan-Informasi_Profil-Kesehatan-Indonesia-2017.pdf
Kementerian Kesehatan RI (2015), Peraturan menteri kesehatan no 46 tahun 2015. Akreditasi puskesmas, klinik pratama, tempat praktik mandiri dokter dan tempat praktik mandiri dokter gigi. Jakarta.
Marfu’ah S, Tamtomo D, Suryono A (2016). Effect of psychological factors and workload on midwife performance in the integrated antenatal care in Pati, Central Java. J Matern Child Health, 1(3): 138-145. https://doi.org/10.26911/thejmch.2016.01.03.01.
Mathis RL, Jackson JH (2009). Manajemen Sumber Daya Manusia, Edisi 10, Jakarta: Salemba Empat
Mirshanti F, Tamtomo D, Murti B (2017). The asssociations between accreditation status, patient socio-economic factors, insurance type, patient perceived quality of service, and satisfaction at community health center. J Health Policy Manage, 2(1): 91-101.
Molyadi, Trisnantoro L (2017). Implementation of public health center accreditation policy in Kubu Raya district. Jurnal Kebijakan Kesehatan Indonesia: Jurnal Kebijakan Kesehatan Indonesia 7: 18-23. Retrieved from https://journal.ugm.ac.id/jkki/article/view/25486/21518
Moorhead, Griffin (2013). Perilaku organisasi manajemen sumber daya manusia dan organisasi, Jakarta: Salemba Empat.
Murti B (2016). Prinsip dan metode riset epidemiologi, Edisi Keempat. Surakarta: Bintang Fajar Offset
O’Beirne M, Zwicker K, Sterling PD, Lait J, Robertson HL, Oelke ND (2013). The status of accreditaion in primary care. Quality in primary care, 2(1):23-31. Retrieved from http://primarycare.imedpub.com/the-status-of-accreditation-in-primary-care.php?aid=214
Pundati TM, Tamtomo D, Sulaeman ES (2018). Motivation, workload and their association with nurse performance in dr. Arif Zainudin hospital Surakarta. J Health Policy Manage. 3:6370https://doi.org/10.26911/thejhpm.2018.03.02.01
Rusmitasari H, Sulaeman ES, Murti B (2018). Predictors of work performance among nurses at PKU muhammadiyah hospital, Yogyakarta, J Health Policy Manage. 3(1): 41-46. https://doi.org/10.26911/thejhpm.2018.03.01.06
Seha HN, Tamtomo D, Sulaeman ES (2018). Does accreditation status effect job performance of electronic medical record clerks at community health center, J Health Policy Manage 3:56-62. https://doi.org/10.26911/thejhpm.2018.03.01.08
Simanjuntak S, Yustina I, Zulfendri (2019). The Association between motivation and sanction on hand hygiene compliance among nurses at Dr. Pirngadi Hospital, Medan, North Sumatera, J Health Policy Manage. 4(2):91-95 https://doi.org/10.26911/thejhpm.2019.04.02.03
Sutarto, Joebagjo H, Pawito (2016). Relationship between motivation, competence, workload and nurse performance at Dr Soediran Mangun Sumarso hospital, Wonogiri. J Health Policy Manage 1(2): 78-94. https://doi.org/10.26911/thejhpm.2016.01.02.03
Uha IN (2013). Budaya organisasi kepemimpinan dan kinerja. Kencana. Jakarta
Utami YT, Tamtomo D, Sulaeman ES (2018). Patient characteristic, financing type, accreditation status, and quality of health service at community health center, Surakarta, J Health Policy Manage. 2(1): 79-90. https://doi.org/10.26911/thejhpm.2017.02.01.07
Kurniawan HK, Tamtomo D, Murti B (2019). Contextual effect of community health center on patient satisfaction of health care service in Ngawi, East Java. J Health Policy Manage, 4(1): 23-30. https://doi.org/10.26911/thejhpm.2019.04.01.03.
Utami RT, Ibrahim R (2015). Hubungan sikap profesional dengan kinerja perawat di RS PKU Muhammadiyah Yogyakarta.http://digilib.unisayogya.ac.id/id/eprint/152
Wahyuningsih RT (2015). Pengaruh kemampuan kerja, kompensasi dan motivasi terhadap kinerja perawat di instalasi rawat inap rumah sakit daerah Balung Kabupaten Jember Retrieved from http://repository.unej.ac.id/handle/123456789/663322015-12-04
Zahara Y, Sitorus R, Sabri L (2011). Faktor-faktor motivasi kerja: supervisi, penghasilan dan hubungan interpersonal memengaruhi kinerja perawat pelaksana. Jurnal Keperawatan Indonesia. 14(2):73-82 doi:10.7454/jki.v14i2.312.
