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  2. Vol 17, No 3 (2022)
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Model Autonomy of Self-Finance Management for Primary Health Care to Enhance Workers’ Satisfaction

Ahmad Jet Alamin, Ossama Issac, Lina Teo, Atikah Adyas

Abstract


This study aimed to find an appropriate model of autonomous self-finance management in primary health care (PHC) to enhance workers' satisfaction. This was a cross-sectional study in which data were collected through self-administered questionnaires from 204 workers in ten Regional Public Service Agency for Primary Health Care (RPSAPHC)/Badan Layanan Umum Daerah Pusat Kesehatan Masyarakat (BLUD Puskesmas) in Tangerang District, Banten Province, Indonesia using the partial least squares and structural equation model (PLS-SEM). A total of 73 indicators were used to examine the PHC transformation process to enhance workers' satisfaction. The indicators were grouped into three variables depending on workers' satisfaction: intrinsic, extrinsic, and general satisfaction. In addition, there were five independent variables: financial accountability, generating income, structuring human resources, increasing service quality, and consumer satisfaction. Model autonomy was reflected by all the indicators (cross-loading > 0.70, Cronbach’s alpha > 0.70, average variance extracted > 0.5) affecting workers’ satisfaction (path coefficient = 0.196, p-value = 0.002). The management should apply five indicators (financial accountability, increasing income, structuring human resources, improving service quality, and customer satisfaction) affecting workers' satisfaction to transform the PHC.

Keywords


BLUD Puskesmas; unified component; workers' satisfaction

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DOI: http://dx.doi.org/10.21109/kesmas.v17i3.5866

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