Analysis of the Effect of Perceptions on The Distribution of Medical Services for BPJS Patients and Organizational Climate on Job Satisfaction of Doctors at Royal Prima Medan Hospital
DOI:
https://doi.org/10.51601/ijhp.v2i1.15Keywords:
Medical incentives, job satisfaction, doctorsAbstract
Job satisfaction among doctors is the main key to getting better health services. Changes in payment methods in the JKN era led to the dissatisfaction of specialists and general practitioners with the medical services received in BPJS patient care. This study analyzes the effect of perceptions about the distribution of medical services for BPJS patients on the job satisfaction of doctors. The research design used in this study was a descriptive analytic non-experimental study with a cross-sectional approach. The study was conducted at the Royal Prima General Hospital located in Medan City from May 2021 to August 2021. The sample in this study was selected using the purposive sampling method so that a sample of 77 people was obtained with the inclusion criteria of having worked for at least 2 years. Data were analyzed using the Chi-Square test and multiple logistic regression. The results showed that the total medical services received by general practitioners per month was 10 million rupiah. Meanwhile, the total number of medical visits and services received by specialist doctors per month is 25 million rupiah. Based on the results of the Chi-Square test, it can be seen that doctors' perceptions of medical services (number of medical services (p = 0.000), timeliness of delivery (p = 0.000), suitability of medical services with performance (p = 0.003), distribution system (p = 0.004), and transparency (p=0.011)) had a significant effect on doctor's job satisfaction. The results of multiple logistic regression test show that the variable with the greatest influence is the number of medical services. The variable number of medical services has a value of Exp(B) = 29,830 (95% CI 3,037-293,034) that means that respondents who state the number of good medical services are 29 times more likely to be satisfied than those who state that the number of medical services is less. Doctor's job satisfaction can be increased by the management's efforts to be more open to doctors regarding doctor's medical services, giving doctors the opportunity to improve their career paths, and conducting periodic evaluations of doctor's satisfaction through questionnaires.
References
Aditama, T., 2002. Manajemen Administrasi Rumah Sakit. UI Press, Jakarta.
Al-Assaf, A.F., 2009. Mutu Pelayanan Kesehatan Perspekstif Internasional. EGC,
Jakarta.
Al-Zoubi, M., 2012. The Shape of the Relationship between Salary and Job Satisfaction:
A Field Study. Far East J. Psychol. Bus. 7 No 3 Pap, 1–12.
Atif, K., Khan, H.U., Maqbool, S., 2015. Job satisfaction among doctors, a multi- faceted
subject studied at a tertiary care hospital in Lahore. Pakistan J. Med. Sci. 31, 610–614.
https://doi.org/10.12669/pjms.313.7402
Bhattacherjee, S., Ray, K., Roy, J.K., Mukherjee, A., Roy, H., Datta, S., 2016. Job
satisfaction among doctors of a tertiary care hospital of eastern India. Nepal J.
Epidemiol. 6, 595–602. https://doi.org/10.3126/nje.v6i3.14762
BPJS Kesehatan, 2014. Panduan Praktis Sistem Rujukan Berjenjang. Sagung Seto,
Jakarta.
International Journal of Health and Pharmaceutical
Curphy, H.G., 2012. Leadership. Salemba Humanika, Jakarta.
Djafar, 2012. Faktor Insentif, Kepemimpinan, Kondisi Lingkungan Kerja dan
Kesempatan Promosi Yang Berpengaruh Terhadap Kepuasan Kerja Dokter Spesialis di
RSUP Dr. Wahidin Sudirohuso. Universitas Hasanuddin.
Eltarhuni, A., Alaqeli, E., 2019. Impact of Incentives on Physicians’ Performance at
Pediatric Hospital in Benghazi. IOSR J. Nurs. Heal. Sci. 6, 32–35.
https://doi.org/10.9790/1959-0604053235
Friedberg, M.W., Chen, P.G., Van Busum, K.R., Aunon, F., Pham, C., Caloyeras, J.,
Mattke, S., Pitchforth, E., Quigley, D.D., Brook, R.H., Crosson, F.J., Tutty, M., 2014.
Factors Affecting Physician Professional Satisfaction and Their Implications for Patient
Care, Health Systems, and Health Policy. Rand Heal. Q. 3, 1.
Gibson, R., 2005. Principles of Nutrional Assesment. Oxford University, New York.
Ha, J.F., Longnecker, N., 2010. Doctor-patient communication: a review. Ochsner J.
, 38–43.
Herawati, 2006. Analisis Faktor-Faktor Manajemen Yang Berpengaruh Terhadap
Kepuasan Kerja Dokter di RSUD Kota Semarang. Universitas Diponegoro.
Heryana, A., 2021. Asuransi Kesehatan dan Managed Care: Buku Ajar.Universitas Esa
Unggul, Jakarta.
Hoff, T., Young, G., Xiang, E., Raver, E., 2015. Understanding U.S. Physician
Satisfaction: State of the Evidence and Future Directions. J. Healthc. Manag. 60, 409–
Ilyas, Y., 2012. Kinerja, Teori, Penilaian Dan Penelitian. Pusat Kajian Ekonomi
Kesehatan FKM Universitas Indonesia, Jakarta.
Jaiswal, P., Gadpayle, A.K., Singhal, A.K., Sachdeva, S., Modi, R.K., Padaria, R., Ravi,
V., 2015. Job satisfaction among hospital staff working in a Government teaching
hospital of India. Med. J. Dr. D.Y. Patil Univ. 8,
– 137. https://doi.org/10.4103/0975-2870.153136
Jalaludin, R., 2007. Persepsi Dalam Proses Belajar Mengajar. Rajawali Pers, Jakarta.
Kotler, P., Keller, K.L., 2012. Manajemen Pemasaran, 14th ed. Erlangga, Jakarta.
Laura, 2017. Faktor-Faktor Yang Berhubungan Dengan Kepuasan Kerja Dokter
Spesialis di Instalasi Rawat Jalan RSUP Prof. Dr. R. D. Kandou Manado. Universitas
Sam Ratulangi.
Mangkunegara, A.A.A.P., 2016. Manajemen Sumber Daya Manusia Perusahaan.
Remaja Rosdakarya, Bandung.
Moekijat, 2009. Administrasi Gaji dan Upah. Bandar Maju, Bandung.
Nafi’ah, A.C., Suryawati, C., Fatmasari, E.Y., 2016. Faktor Yang Berhubungan Dengan
Kepuasan Kerja Dokter Spesialis Rumah Sakit Islam Sultan Agung Semarang Pasca
Implementasi Jaminan Kesehatan Nasional. J. Kesehatan. Masy. 4, 1–11.
Nurhayani, S., 2006. Beberapa Faktor Yang Berhubungan Dengan Kepuasan Kerja
Dokter Spesialis di Poliklinik Rawat Jalan RSU Dr. Kanujoso Djatiw Ibowo Kota
Balikpapan. Universitas Diponegoro.
Oman, K.M., Moulds, R., Usher, K., 2009. Professional satisfaction and dissatisfaction
among Fiji specialist trainees: what are the implications for preventing migration? Qual.
Health Res. 19, 1246–1258. https://doi.org/10.1177/1049732309344116
International Journal of Health and Pharmaceutical
Peña-Sánchez, J.N., Lepnurm, R., Bermedo-Carrasco, S., 2013. Latent gender
inequalities in the well-being of physicians according to payment method for practicing
medicine: a cross-sectional study. J. Hosp. Adm.
, 7. https://doi.org/10.5430/jha.v2n4p7
Robbins, S.P., 2007. Perilaku Organisasi, Konsep, Kontroversi, Aplikasi. PT
Pranhelindo, Jakarta.
Robbins, S.P., Judge, T.A., 2014. Perilaku Organisasi. Salemba Empat, Jakarta. Robbins,
Stephen P., Judge, T.A., 2014. Perilaku Organisasi. Salemba Empat,Jakarta.
Rosmita, N., 2012. Pengaruh Sistem Pembagian Jasa Medik Terhadap Kepuasan Kerja
Perawat Pelaksana di RSUD Dr. H. Yuliddin Away Tapaktuan. Universitas Sumatera
Utara.
Sadeli, L., Yustina, I., Aulia, D., 2018. The Effect of Incentives on Satisfaction of
Specialists at Imelda General Hospital, Medan, North Sumatera, in: The 4th International
Conference on Public Health 2018. p. 269. https://doi.org/10.26911/theicph.2018.04.37
Sejati, D.H., Komariah, A., Abubakar, 2016. Pengaruh Insentif Terhadap Disiplin Kerja
Pegawai Negeri Sipil Di PPPPTK TK Dan PLB Bandung. Adpend 91– 101.
Sheikh, A., Naqvi, S.H.A., Sheikh, K., Naqvi, S.H.S., Bandukda, M.Y., 2012. Causes of
physician migration. Global. Health 51, 305–10. https://doi.org/10.1097/00001888-
-00005
Siswanto, B., 2013. Manajemen Tenaga Kerja Indonesia: Pendekatan Administratif dan
Operasional. Bumi Aksara, Jakarta.
Stanton, W.J., 2003. Prinsip Pemasaran, 7th ed. Erlangga, Jakarta.
Sugihartono,Harahap,F.,Setiawati,F.,NurhayatiS., 2007.Psikologi Pendidikan.
UNY Press, Yogyakarta.
Suharman, M.S., 2005. Psikologi Kognitif. Srikandi, Surabaya.Group, Jakarta.
Tjung, L., Meliala, A., Trisnantoro, L., 2012. Keterlekatan Dokter Spesialis di EKA
Hospital BSD-City dan Pekanbaru. J. Manaj. Pelayanan Kesehat. 15, 115–123.
Waidi, 2006. Pemahaman dan Teori Persepsi. Remaja Karya, Bandung. Walgito, B.,
Psikologi. Andi Offset, Yogyakarta.
Young, L., Milner, M., Edmunds, D., Pentsil, G., Broman, M., 2014. The tenuous
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