The Effect of National Drug Policy Implementation and Apparatus Work Motivation on Health Service Quality in the Government Hospitals of Gorontalo

Muhammad Kasim ,Arifin Tahir ,Lintje Boekoesoe ,Rama Hiola

doi:10.7176/ppar/9-6-07

Abstract

The research intends to investigate and analyze the effects of national drug policy implementation and apparatus work motivation on health service in the government hospitals of Gorontalo.Method used in the quantitative research was exploratory survey. Meanwhile, data collection was conducted by using questionnaires and interviews to confirm the data. Furthermore, data were analyzed by using the PLS (Partial Least Square) approach by the Smart PLS 3.1 application. Research population consisted of 383 implementers of National Drug Policy in the government hospitals of Gorontalo; while the sample consisted of 93 respondents. The findings clarified that: (1) Implementation of National Drug Policy positively and significantly affected health service quality with the effect coefficient of 0.309. The figure confirmed that although it was significant, the effect was inadequate to improve health service quality in the government hospitals of Gorontalo, hence needed other implementation variables, (2) Implementation of National Drug Policy positively and significantly affected apparatus work motivation with the effect coefficient of 0.706, conveying that the implementation strongly affected apparatus work motivation in the government hospitals of Gorontalo, (3) Apparatus work motivation positively and significantly affected health service quality with the effect coefficient of 0.523, declaring that the motivation strongly affected health service quality in the government hospitals of Gorontalo, (4) Implementation of National Drug Policy mediated by apparatus work motivation positively and significantly affected health service quality with the effect coefficient of 0.615, defining the implementation should be mediated by apparatus work motivation to affect health service quality in the government hospitals of Gorontalo, and (5) Public policy integration and apparatus work motivation and commitment created a prototype of new public policy implementation model as the HSQ-MK model. Keywords: Policy, Motivation, Commitment, and Quality DOI : 10.7176/PPAR/9-6-07 Publication date :June 30 th 2019

Highlights

Health service quality is greatly influenced by the drug service quality, as drugs are one of the components that cannot be substituted in health services
In accordance with the p-value < 0.05, H0 was rejected; while H1 was accepted, or there was a significant effect at the significance level of 5% of KONAS implementation on health service quality in the government hospitals of Gorontalo
It conveyed that the construct of apparatus work motivation variable formed by five dimensions had the same effect coefficients that were 76.5%, 71.1%, 71.2%, 77.6%, and 79.0% for the physiological, safety, love, esteem, and self-actualization needs respectively

Summary

Introduction

Health service quality is greatly influenced by the drug service quality, as drugs are one of the components that cannot be substituted in health services. Especially the essential ones, are one of the human rights that have to be fulfilled by the government. Drug provision, especially the essential ones has to be realized by both the government and health service institutions either by the government or private companies. Government shall ensure drugs to be available in a complete type and adequate number according to the needs. It shall be safe, effective, qualified, affordable, and accessible. Government shall stipulate national drug regulations and policies, because drugs are different from other trading commodities because of imbalanced or asymmetrical information among parties related to the quality, use safety, usability, price, and specific use accuracy. Drugs have social functions related to human health and spirits

Methods

Results

Conclusion