Health Care In Indonesia Research Articles

A Predictive Score for Bullying-Related Burnout in Healthcare Professionals: Implications for Organizational Interventions in Indonesia

Introduction: Workplace bullying is a pervasive issue with detrimental effects on the mental health and well-being of healthcare professionals. This study aimed to develop and validate a predictive score for bullying-related burnout among healthcare professionals in Indonesia and explore its implications for organizational interventions. Methods: A cross-sectional study was conducted involving 785 healthcare professionals from various hospitals in Indonesia. Data were collected using self-reported questionnaires, including the Indonesian versions of the Negative Acts Questionnaire-Revised (NAQ-R), the Copenhagen Burnout Inventory (CBI), and the Workplace Bullying Scale (WBS). Sociodemographic and work-related factors were also assessed. Multiple linear regression analysis was used to develop the predictive score, and its performance was evaluated using receiver operating characteristic (ROC) curve analysis. Results: The prevalence of workplace bullying was 32.1%, with verbal bullying being the most common type. Burnout was significantly associated with bullying experiences (p<0.001). The final predictive score included age, gender, profession, years of experience, work hours per week, perceived social support, and exposure to different types of bullying. The score demonstrated good predictive accuracy (AUC=0.88, 95% CI: 0.84-0.90) for identifying individuals at high risk of burnout. Conclusion: This study provides a validated predictive score for bullying-related burnout in Indonesian healthcare professionals. The score can be used to identify high-risk individuals and guide targeted organizational interventions to prevent and mitigate the negative consequences of workplace bullying.

Digital Health Technology on Patient Recovery and Nurse Performance in Indonesia

This study investigates the impact of digital health technology, nurse competence, patient safety protocols, and organizational support on patient recovery and nurse performance within the Indonesian healthcare sector. Utilizing a quantitative approach, data were collected from 120 healthcare professionals through structured questionnaires and analyzed using Structural Equation Modeling-Partial Least Squares (SEM-PLS 3). The findings reveal that digital health technology, nurse competence, and patient safety protocols positively influence patient recovery, while organizational support and digital health technology significantly enhance nurse performance. Organizational support and patient safety protocols emerged as the strongest predictors of nurse performance and patient recovery, respectively. These results suggest that a comprehensive approach integrating technological, safety, and support factors can substantially improve healthcare outcomes. This study offers practical recommendations for healthcare administrators and policymakers to enhance healthcare quality through strategic investments in digital tools, training, safety protocols, and supportive work environments.

An Analysis Study on the Effect of the Use of Electronic Medical Records on the Effectiveness and Efficiency of Services at Public Health Centers (Puskesmas) in Indonesia: A Systematic Review

Background: EMR utilize electronic systems to store, manage, and share patient health information more efficiently and accurately. Given the importance of using EMR in improving the quality and efficiency of health services in Indonesia, this study aims to systematically review the existing evidence related to the effectiveness of EMR implementation on the effectiveness and efficiency of services at Puskesmas in Indonesia. This study follows the PRISMA 2020 standard, examining English literature from 2014 to 2024. The study excluded editorials, reviews from the same journal, and submissions without DOI. PubMed, SagePub, SpringerLink, and Google Scholar are used as literary sources. Results: Initially getting 360 articles from online databases (PubMed, SagePub, SpringerLink, and Google Scholar), eight relevant papers were selected after three rounds of screening for full-text analysis. Conclusion: Overall, the use of Electronic Medical Records at primary healthcare in Indonesia provides many advantages in terms of the effectiveness and efficiency of health services, especially in accelerating queue waiting time, registration, service in the police, and drug taking. However, to achieve optimal implementation, efforts to improve technology infrastructure, training for health workers, and good network management are needed to overcome technical obstacles and ensure smooth service flow at the primary healthcare.

Footcare Intervention Delivered by Community Health Workers: A Modified Delphi Study.

Studies have shown that community health workers (CHWs) can effectively deliver footcare interventions (FCIs) as part of diabetes self-management education programmes in high-resource countries. However, more evidence is needed on implementing FCI in low-resource countries and more detailed information about the core components of FCI provided by CHWs. This study aims to refine the core components of the footcare intervention to be delivered by CHWs (FIne-CHWs) for T2DM patients and to analyse Delphi panel members' opinions and perceptions regarding the core components of FIne-CHWs. Triangulation data from previous steps of data collection (scoping and mapping review combined with interview data) identified 42 statements representing the core components of FIne-CHWs. After two rounds of a Delphi exercise involving 22 panel members, experts in diabetes from all over Indonesia, a consensus agreement was reached on 41 out of 42 statements of the core components of FIne-CHWs. Free-text responses to the Delphi survey were analysed using thematic analysis. One overarching theme emerged: CHWs "are only volunteers." This then was discussed in three themes, namely CHWs deliver footcare education for all people with diabetes, remuneration and incentives, and flexibility of community FCI. This study determined the core components of FIne-CHWs and also identified that the position of CHWs within the Indonesian healthcare system could impact the implementation of the FIne-CHWs programme.

Analysis of Determining Inpatient Room Rates Using the Activity-Based Costing Method in a Healthcare Setting

Background: Hospitalization rate determination is crucial for healthcare cost management, yet traditional methods often lead to cost distortions. Specific Background: Muhammadiyah Tuban Hospital has historically utilized conventional costing methods, which have resulted in higher than necessary charges for hospital services. Knowledge Gap: There is limited research comparing traditional costing methods with more accurate and modern approaches like Activity Based Costing (ABC) in the Indonesian healthcare context. Aim: This study aims to compare hospitalization rates at Muhammadiyah Tuban Hospital using traditional methods and the ABC method, to highlight discrepancies and propose a more accurate costing framework. Results: The ABC method yielded significantly lower hospitalization rates across various classes (VIP, Class 1, Class 2, and Class 3) compared to traditional methods. For instance, the ABC rate for the VIP class was IDR 270,619, compared to IDR 495,000 set by traditional methods. Novelty: This study introduces the application of ABC in an Indonesian hospital setting, providing a clear contrast in cost-efficiency against traditional costing. Implications: The findings suggest that adopting the ABC method can lead to more precise and lower hospitalization rates, potentially reducing healthcare costs for patients and improving financial management within hospitals.Highlights: Cost Accuracy: ABC method offers more precise hospitalization rates than traditional methods. Economic Impact: Adoption of ABC can lower patient costs and improve hospital financial management. Innovation: Introduces a modern costing method to Indonesian healthcare, suggesting a shift from outdated practices. Keywords: Activity Based Costing, Hospitalization Rates, Cost Management, Healthcare Economics

Pengembangan Aplikasi Mobile untuk Pasien Telkomedika dengan Tipe Kepribadian Influence Menggunakan Metode Design Thinking

The digitalization of healthcare services has transformed the Indonesian healthcare business, making health services more accessible. Digitalization improves medical services and outcomes. However, the academic community frequently encounters challenges when using Telkomedika services or getting information fast. As a result, further efforts are needed to ensure that the platform provides a seamless and efficient user experience. One area that can be improved is the user interface. A more engaging design can help users navigate the site more easily. This incorporates a cleaner, clearer layout and a responsive design, allowing consumers to use all Telkomedika functions with ease. This study used a design thinking technique to develop the user interface and experience for the Telkomedika application, taking into account the Influence personality type. According to the DISC model, this type identifies people who are outgoing, extroverted, and prefer broad social circles. According to the findings, this technique efficiently meets patients' demands and preferences, resulting in increased comfort and pleasure.

Voluntary Care for Older People: A symbolic Health Efficacy of Community-based Health Meetings

Community healthcare in Indonesia relies on volunteer workers who engage their clients outside fixed health facilities with limited resources and formal training. These volunteers are called cadres who learn their tasks to improve community wellbeing through ongoing engagement and without prior skills. They are drawn from the community to serve the community. This paper is based on field research carried out with cadres through interviews and visits to integrated health meetings (Posyandu) held by primary healthcare centres for older adults in villages. The paper first discusses the recruitment requirements and the incentives for being a healthcare volunteer. It suggests that both recruitment and incentives are rooted in community values of helping and doing good for the community. Volunteer cadres must have a direct normative and semiotic connection with clients, as they must be members of the community who speak the same language and understand local norms. In line with this community-centred approach, the paper then focuses on the health efficacy of Posyandu as a recurring structured symbolic event held in the village. The argument is made that a more qualitative approach should be taken to understanding the efficacy of these meetings, drawing on research methods from the anthropology of ritual (symbolic and therapeutic) healing.

Resilience and Adaptation: Investment Metrics of Indonesian Healthcare Companies Before and During the COVID-19 Pandemic

The impact of dividend policy and stock valuation (price earning proportion and price to book value) on the prices of healthcare industry stocks listed on the Indonesia Stock Trade somewhere in the range of 2016 and 2021 is examined in this study. The research data used in this quantitative analysis are secondary data. This study included eighteen healthcare sector companies in its sample. Purposive sampling is the methodology used in this study, and SPSS 24 is the analysis tool. We explained the relationship between stock prices, dividend policy, and stock valuation. We order the variables into pre-pandemic and during-pandemic categories subsequent to testing them for like clockwork. That's what the experimental results demonstrate, for all periods, the earning-per-share notation has a significant impact on stock prices. Stock valuation, on the other hand, has a significant impact on stock prices, as does the final dividend policy with dividend payout proportion and dividend per share. Meanwhile, results from the pre-pandemic time frame indicate that EPS and DPR didn't significantly influence results; results from the pandemic time frame indicate that stock valuation didn't significantly influence stock price. This research provides fresh insights into what the recovery of economic exposure means for corporate conduct in Indonesia, where persistent financial and economic pressures from stock market unpredictability give substantial sources of uncertainty.

Enhancing Performance and Work Ethics of Low-Educated Employees

This research examines strategies to enhance the performance and work ethics of employees with limited educational backgrounds by implementing business ethics and organizational development practices, with a focus on PT Medi Modular Luar Biasa (PT MMLB), an Indonesian healthcare infrastructure company. The research addresses the challenges faced by companies in managing low-educated employees, including cognitive limitations, communication barriers, and difficulties adapting to organisational changes, which often lead to suboptimal performance and ethical lapses. Through qualitative interviews with employees and management, the study reveals significant differences in how employees with varying educational backgrounds understand and implement corporate values such as integrity, and professionalism. The research highlights the need for ethical leadership and structured organisational support to address these challenges. The findings suggest that enhancing the ethical climate and providing tailored training are crucial for improving both performance and work ethics among low-educated employees. The study proposes interventions such as clarifying role expectations, reinforcing ethical guidelines, and fostering a supportive work environment to drive continuous improvement and employee well-being. The research contributes practical recommendations for businesses facing similar challenges, emphasising the importance of ethical leadership in shaping positive employee behaviour and organisational outcomes.

Teachers’ mental health and well-being in education: What can be improved for the education system in Indonesia?

This article is based on a review of teachers' mental health, and well-being is closely linked to student outcomes and the overall school environment. Teachers' mental health and well-being are essential components of the educational landscape, profoundly influencing not only their personal lives but also the well-being and academic achievements of their students. This article explores the intricate connections between teachers' mental health, student-teacher relationships, educational experiences, and the surrounding environment. Research shows that when teachers experience poor mental well-being, it can negatively impact students' mental health, resulting in adverse effects on the teaching and learning process. Consequently, it is crucial to implement interventions that bolster teachers' mental health, which can subsequently improve student learning outcomes. The article advocates for a holistic approach to enhancing teachers' mental health in Indonesia, which includes mental health literacy training, continuous professional development, and the establishment of supportive school environments. Training that emphasizes understanding mental health issues and the significance of seeking assistance can shift teachers' perspectives on mental health, promoting a more inclusive and supportive school culture. Furthermore, social support from colleagues and the broader community is highlighted as a vital element in improving teachers' mental health literacy. By adopting support systems akin to those found in other countries, such as Japan, Indonesia can foster a more conducive environment for both teachers and students. The article underscores the importance of structural and cultural transformations within schools to enhance the mental health of both educators and students. Through the implementation of evidence-based strategies, Indonesia can cultivate a healthier and more supportive educational atmosphere, ultimately benefiting the well-being of the entire school community.

Diffusion of Innovation Theory Adaptation in Genomic-Based Product Marketing Strategy

With the rise of preventative healthcare needs after the COVID-19 pandemic, tanyaDNA, a genomics company in Indonesia, seeks to introduce Lifestyle and Pharmacogenomic Testing. This study explores using Diffusion of Innovation Theory to create a targeted marketing strategy for this new service. There's a lack of awareness and affordability concerns surrounding the test, along with a knowledge gap between the company, healthcare professionals, and the target market. The research aims to assess the theory's applicability, bridge these understanding gaps, and promote successful integration of the test into Indonesian healthcare. This can inform marketing strategies for other genomics companies looking to expand beyond COVID-19 testing. The study focuses on the JABODETABEK area of Indonesia and utilizes surveys and interviews to gather data. The findings can help bridge the gap between product creators and target markets, especially regarding the perspectives of key healthcare professionals.

Anti-SARS-CoV-2 antibody dynamics after primary vaccination with two-dose inactivated whole-virus vaccine, heterologous mRNA-1273 vaccine booster, and Omicron breakthrough infection in Indonesian health care workers

BackgroundData on the dynamics and persistence of humoral immunity against SARS-CoV-2 after primary vaccination with two-dose inactivated vaccine (CoronaVac) are limited. This study evaluated the sequential effects of prior infection, heterologous boosting with mRNA-1273 (Moderna), and the occurrence of Omicron vaccine-breakthrough infection (VBI) thereafter.MethodsWe evaluated anti-spike IgG (Abbott) and neutralising (cPASS/GenScript) antibody (nAb) titers up to one year after mRNA-1273 boost in two-dose-CoronaVac-primed Indonesian healthcare workers (August 2021-August 2022). We used linear mixed modeling to estimate the rate of change in antibody levels, and logistic regression to examine associations between antibody levels and VBI.ResultsOf 138 participants, 52 (37.7%) had a prior infection and 78 (56.5%) received an mRNA-1273 booster. After two-dose CoronaVac, antibody titers had significantly declined within 180 days, irrespective of prior infection. After mRNA-1273 booster, anti-spike IgG (1.47% decline/day) and Omicron B.1.1.529/BA.2 nAbs declined between day 28–90, and IgG titers plateaued between day 90–360. During the BA.1/BA.2 wave (February–March 2022), 34.6% (27/78) of individuals experienced a VBI (median 181 days after mRNA-1273), although none developed severe illness. VBI was associated with low pre-VBI anti-spike IgG and B.1.1.529/BA.2 nAbs, which were restored post-VBI.ConclusionsmRNA-1273 booster after two-dose CoronaVac did not prevent BA.1/BA.2 VBI. Periodic vaccine boosters may be warranted against emerging SARS-CoV-2 variants.

The Information and Communication Technology Maturity Assessment at Primary Health Care Services Across 9 Provinces in Indonesia: Evaluation Study.

Indonesia has rapidly embraced digital health, particularly during the COVID-19 pandemic, with over 15 million daily health application users. To advance its digital health vision, the government is prioritizing the development of health data and application systems into an integrated health care technology ecosystem. This initiative involves all levels of health care, from primary to tertiary, across all provinces. In particular, it aims to enhance primary health care services (as the main interface with the general population) and contribute to Indonesia's digital health transformation. This study assesses the information and communication technology (ICT) maturity in Indonesian health care services to advance digital health initiatives. ICT maturity assessment tools, specifically designed for middle-income countries, were used to evaluate digital health capabilities in 9 provinces across 5 Indonesian islands. A cross-sectional survey was conducted from February to March 2022, in 9 provinces across Indonesia, representing the country's diverse conditions on its major islands. Respondents included staff from public health centers (Puskesmas), primary care clinics (Klinik Pratama), and district health offices (Dinas Kesehatan Kabupaten/Kota). The survey used adapted ICT maturity assessment questionnaires, covering human resources, software and system, hardware, and infrastructure. It was administered electronically and involved 121 public health centers, 49 primary care clinics, and 67 IT staff from district health offices. Focus group discussions were held to delve deeper into the assessment results and gain more descriptive insights. In this study, 237 participants represented 3 distinct categories: 121 public health centers, 67 district health offices, and 49 primary clinics. These instances were selected from a sample of 9 of the 34 provinces in Indonesia. Collected data from interviews and focus group discussions were transformed into scores on a scale of 1 to 5, with 1 indicating low ICT readiness and 5 indicating high ICT readiness. On average, the breakdown of ICT maturity scores was as follows: 2.71 for human resources' capability in ICT use and system management, 2.83 for software and information systems, 2.59 for hardware, and 2.84 for infrastructure, resulting in an overall average score of 2.74. According to the ICT maturity level pyramid, the ICT maturity of health care providers in Indonesia fell between the basic and good levels. The need to pursue best practices also emerged strongly. Further analysis of the ICT maturity scores, when examined by province, revealed regional variations. The maturity of ICT use is influenced by several critical components. Enhancing human resources, ensuring infrastructure, the availability of supportive hardware, and optimizing information systems are imperative to attain ICT maturity in health care services. In the context of ICT maturity assessment, significant score variations were observed across health care levels in the 9 provinces, underscoring the diversity in ICT readiness and the need for regionally customized follow-up actions.

Trustworthiness in Indonesia healthcare: fostering loyalty in B2B relationships

Trustworthiness in Indonesia healthcare: fostering loyalty in B2B relationships

The Role of Physical Activity for Adolescent Mental Health in Indonesia: A Systematic Review

The Role of Physical Activity for Adolescent Mental Health in Indonesia: A Systematic Review

Analysis of Islamic Law in the Context of Lethal Injection for Terminated Patients in Indonesia

This study delves into the examination of Islamic law within the framework of lethal injection for terminally ill patients in Indonesia. The research focuses on the ethical and legal dimensions surrounding the use of lethal injection as a method of administering end-of-life care for individuals facing terminal illnesses. Employing a comprehensive analysis of Islamic legal literature and scrutiny of Indonesia's legal provisions pertaining to the termination of patients, the study seeks to ascertain the compatibility of lethal injection with Islamic principles. The research adopts a comparative legal analysis approach, comparing the tenets of Islamic law with Indonesia's existing legal framework concerning end-of-life decisions. By exploring the perspectives of prominent Islamic scholars and jurists, the study aims to provide insights into the multifaceted nature of the debate surrounding lethal injection within the context of Islamic law. The findings of this analysis will contribute to the ongoing discourse on ethical considerations and religious perspectives regarding end-of-life care, with implications for Indonesia's healthcare policies and legal regulations in the realm of terminal patient care.

Analysis of ESG Disclosure Practices in Healthcare Sector Companies

This study aims to describe the disclosure of ESG, environmental, social, and governance dimension practices in healthcare sector companies listed on the Indonesian Stock Exchange from 2021 to 2022. This research used a descriptive study to describe ESG disclosure in healthcare companies. The research objects are 28 healthcare sector companies listed on the Indonesian Stock Exchange from 2021 to 2022. The result shows that the ESG disclosure in Indonesian healthcare sector companies based on the GRI Standard needs to be higher and more informative. In the environmental aspect, the average quantity of ESG disclosure is 38.65%, while the quality of disclosure is 31.94%. In the social aspect, the average amount of ESG disclosure is 43.47%, while the quality of disclosure is 31.10%. In the governance aspect, the average quantity of ESG disclosure is 53.82%, while the quality of disclosure is 37.78%.

Impact of Intellectual Capital and Leverage on Profitability and Their Implications for Firm Value in Indonesian Healthcare Providers

Impact of Intellectual Capital and Leverage on Profitability and Their Implications for Firm Value in Indonesian Healthcare Providers

Emotional Intelligence and Managerial Performance in Healthcare Organizations in Indonesia

Purpose: The aim of the study was to analyze the emotional intelligence and managerial performance in healthcare organizations in Indonesia. Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries. Findings: Emotional Intelligence (EI) positively impacts managerial performance in Indonesian healthcare organizations. Managers with higher EI levels exhibit enhanced interpersonal skills, decision-making abilities, and conflict resolution strategies. This competency enables better understanding and management of both personal and team emotions, fostering improved employee satisfaction and organizational climate. Unique Contribution to Theory, Practice and Policy: Emotional intelligence theory, transformational leadership theory & job demands-resources (JD-R) theory may be used to anchor future studies on emotional intelligence and managerial performance in healthcare organizations in Indonesia. Healthcare organizations should incorporate comprehensive EI training into their leadership development initiatives. Policymakers should include EI competencies as part of the standards and accreditation criteria for healthcare management positions.

Isu Etika dalam Pemanfaatan Tenaga Kesehatan Warga Negara Asing di Indonesia: Perspektif Keberlanjutan Pelayanan Kesehatan

The phenomenon of globalization has transformed the world's landscape, connecting nations, and inspiring the concept of Special Economic Zones (SEZs). The utilization of Foreign National Health Workers (FHNWs) has become a strategy to address the shortage of medical personnel and enhance healthcare services, particularly in remote regions. However, the implementation of this policy also faces several ethical, cultural, and linguistic challenges. The ethical aspect takes center stage in the utilization of FHNWs. Patient rights, professionalism, and cross-cultural collaboration are crucial focal points in healthcare service practices. Despite its benefits, the utilization of FHNWs encounters communication hurdles, especially when the employed language is unfamiliar. Additionally, the integration of local cultural values becomes a pivotal aspect in delivering sensitive and patient-centered care. This paper analyzes policy documents related to the utilization of Foreign National Health Workers (FHNWs) in Indonesia through normative and predictive approaches. The objective is to comprehend the concepts and regulatory implementations concerning the ethics of FHNW utilization within the context of Indonesian healthcare services. The phenomena of globalization and efforts to expedite economic growth through Special Economic Zones (SEZs) have influenced these policies. The analysis involves various policy documents relevant to FHNW utilization. In facing the ethical dilemmas arising in the practice of healthcare services by foreign medical personnel, it is imperative for them to adapt to the local culture without compromising the principles of medical ethics. Moreover, competition within the job market and cultural disparities between foreign and local medical personnel also present challenges that need to be addressed. In dealing with competition, a holistic approach involving the government, relevant institutions, and professional training for local medical personnel is required. Overall, the utilization of FHNWs holds potential benefits in addressing medical workforce shortages and enhancing healthcare access. However, this utilization must be carried out with ethical responsibility, respecting patient rights, and considering cultural and professional aspects. With a prudent approach, the utilization of FHNWs can contribute to improving the quality of healthcare services and the well-being of local medical personnel, in line with ethical principles and national interests.