Determinants of Community Health Center Performance: The Mediating Role of Employee Performance
DOI:
https://doi.org/10.37287/ijghr.v7i6.332Keywords:
Employee Performance, Health care performance, human resource, Ability, Motivation, WorkloadAbstract
Community Health Centers are the cornerstone of primary healthcare and play a vital role in meeting regional Minimum Service Standards. A decline in SPM achievement at the Mojokerto District Health Office in 2024—specifically in regional technical implementation unit (RTIU) Community Health Centers Sooko and Jetis—indicates challenges in maintaining service quality, strongly related to employee performance. This study Aim is to analyzes the influence of individual factors (ability and motivation) and organizational factors (workload and compensation) on Puskesmas performance, with employee performance as an intervening variable. A cross-sectional quantitative approach was used, involving 96 civil servants from both Community Health Centers units through total sampling. Data collection in this study is primary data and secondary data, secondary data in this study include: health center performance, employee performance, ability, motivation, workload and compensation by using a Likert scale. Structural Equation Modeling (SEM) with Partial Least Squares (PLS) was applied for analysis. The results of the study show that significant positive effects of: Ability (Sooko: β = 0.218, p = 0.020; Jetis: β = 0.234, p = 0.013), Motivation (Sooko: β = 0.311, p = 0.006; Jetis: β = 0.198, p = 0.025), Workload (Sooko: β = 0.216, p = 0.004; Jetis: β = 0.164, p = 0.007), Compensation (Sooko: β = 0.246, p = 0.004; Jetis: β = 0.249, p = 0.007) on employee performance. Employee performance also significantly affected institutional performance (Sooko: β = 0.312, p = 0.000; Jetis: β = 0.275, p = 0.000). Although indirect effects were not statistically significant, they still contributed positively. The findings underscore the need to strengthen human resource management—through capability development, motivation enhancement, workload balance, and fair compensation—to improve public health service outcomes.
References
Aril Ahri, R., Kurnaesih, E., Kidri Alwi, M., & Patimah, S. (2023). Pengaruh Insentif, Beban Kerja, dan Lingkungan TerhadapKinerja Pegawai di UPT Puskesmas Se-Kab Luwu Utara Tahun2022. Journal of Muslim Community Health (JMCH) 2023, 4(2), 66–78. https://doi.org/10.52103/jmch.v4i2.1136JournalHomepage:https://pasca-umi.ac.id/index.php/jmch
Cahyono, B. Y., Khotimah, K., Batunan, D. A., & Imamyartha, D. (2023). Workable Approaches in EFL Teaching Mediated by Mobile Technology during the Pandemic and Post-Pandemic: Indonesian EFL Teachers’ Experiences and Expectations. Call-Ej, 24(1), 137–158.
Chairunnisa, D., Hutagalung, S., Kinanti, V., & Situmeang, R. (2021). Pengaruh Komunikasi, Kompetensi, dan Pelatihan Terhadap Kinerja Karyawan. Jurnal Penelitian Dan Pengembangan Sains Dan Humaniora, 5(2), 186–194. https://doi.org/10.23887/jppsh.v5i2.35517
Dewi, L. N., Suhaeli, D., & Hidayati, L. A. (2023). Pengaruh Kemampuan Kerja , Motivasi Kerja , dan Disiplin Kerja terhadap Kinerja Karyawan ( Studi Empiris pada Puskesmas Kecamatan Candimulyo ). Borobudur Management Review, 3(1), 14–31. https://doi.org/10.31603/bmar.v
Fini Rahma, & Retno Fuji Oktaviani. (2024). Pengaruh Profitabilitas, Likuiditas, Pertumbuhan Perusahaan, dan Ukuran Perusahaan terhadap Nilai Perusahaan. Journal of Management and Social Sciences, 3(3), 44–59. https://doi.org/10.55606/jimas.v3i3.1433
Fitria Sari, A., Yuliarty, P., & Andri Wibowo, D. (2021). Analisis Tingkat Risiko Pekerja Pada Poin Kerja Header Pipe Dengan Metode Rapid Entire Body Assessment (REBA) dan Rapid Upper Limb Assessment (RULA). Jurnal Penelitian Dan Aplikasi Sistem & Teknik Industri (PASTI), XIII(3), 285–297.
Gibson, N., Drain, J. R., Larsen, P., Williams, S., Groeller, H., & Sampson, J. A. (2023). Subjective Measures of Workload and Sleep in Australian Army Recruits; Potential Utility as Monitoring Tools. Military Medicine, 188(3–4), 670–677. https://doi.org/10.1093/milmed/usab551
Haddad, H. A. H. Al, Soleh, A., & Abi, Y. I. (2023). Pengaruh Beban Kerja Dan Disiplin Kerja Terhadap Kinerja Karyawan Bank Bengkulu Cabang Manna. Jurnal Multidisiplin Dehasen (MUDE), 2(1), 48–57. https://doi.org/10.37676/mude.v2i1.3598
Hapsari, M. S., & Pujilestari, A. (2024). Faktor-Faktor yang Mempengaruhi Kepatuhan Pembayaran Iuran BPJS Kesehatan Peserta Non PBI di Kecamatan Tasikmadu. Indonesian Journal of Hospital Administration, 7(2), 44–51. https://ejournal.almaata.ac.id/index.php/IJHAA/article/view/4622
I Komang Budiasa. (2020). Lingkungan Kerja Dan Kinerja SDM. In Suparyanto dan Rosad (2015 (Vol. 5, Issue 3).
I Nyoman Swedana. (2023). The Role Of Workload And Work Motivation In Influencing Performance Through Job Satisfaction. Jurnal Manajemen, 27(2), 401–427. https://doi.org/10.24912/jm.v27i2.1309
Jurnal, J. :, Ekonomi, I., Dan, M., Pengaruh, B., Kerja, B., Kerja, S., Kerja, L., Kinerja, T., David, K., Indrayana, S., Fitroh, I., Putra, S., & Nuswantoro, D. (2024). E-Issn: 2988-5647. JIEMBI: Jurnal Ilmu Ekonomi, 2(1), 9–18.
KEMENKES, R. 2019. (2019). Peraturan Menteri Kesehatan Republik Indonesia Nomor 43 Tahun 2Menteri Kesehatan Republik Indonesia. (2019). Peraturan Menteri Kesehatan Republik Indonesia Nomor 43 Tahun 2019 Tentang Pusat Kesehatan Masyarakat Dengan. In Progress in Retinal and Eye Resea. In Progress in Retinal and Eye Research (Vol. 561, Issue 3, pp. S2–S3).
Kementerian Kesehatan. (2023). Permenkes No. 2 Tahun 2023. Kemenkes Republik Indonesia, 55, 1–175.
Langi, S., Winarti, E., Kadiri, U., & Timur, J. (2023). Pengaruh Kualitas Pelayanan terhadap Kepuasan Pasien (The Effect of Service Quality on Patient Satisfaction). Jurnal Ilmu Medis Indonesia (JIMI, 3(1), 31–39. https://doi.org/10.35912/jimi.v3i1.2870
Lestarina, A., & Safitri, H. (2024). Determination Of Factors That Influence Employee Performance. International Journal of Business, Law, and Education, 5(1), 1432–1439. https://doi.org/10.56442/ijble.v5i1.582
Mojokerto, P. K. (2024). Laporan Kinerja Instansi pemerintah Kabupaten Mojokerto. 167–186.
Mulainudin, R., & Ikbal Irawan. (2023). Pengaruh Kepuasan Kerja dan Kompensasi Non Finansial Terhadap Kinerja Pegawai pada Puskesmas Soromandi Kabupaten Bima. LANCAH: Jurnal Inovasi Dan Tren, 1(2), 79–84. https://doi.org/10.35870/ljit.v1i2.1607
Prabowo, B., Gandung, M., & Suryani, L. (2023). Pendampingan Pemberdayaan Masyarakat dalam Program Pengembangan Urban di Jabodetabek. Jurnal Pengabdian Tangerang Selatan : JURANTAS, 1(2), 60–69. https://doi.org/10.58174/jrt.v1i2.34
Ratnasari, S. D., & Tarimin, T. (2021). Efek Perilaku Individu terhadap Kinerja Karyawan. Jurnal Administrasi Bisnis, 10(2), 165–175. https://doi.org/10.14710/jab.v10i2.36685
Roberta Veonardo, H., Widiarini, R., Studi Kesehatan Masyarakat, P., & Bhakti Husada Mulia Madiun, S. (2023). Analisis Kompensasi terhadap Kinerja Pegawai Puskesmas di Kota Madiun Compensation Analysis of Puskesmas Employee Performance in Madiun City. 5(2), 443–449. https://doi.org/10.36590/jika.v5i2.730http://salnesia.id/index.php/jika
Sagak Rotua Lumban Tobing, M., & Sagala, E. (2024). Analisis Pengaruh Kompetensi dan Pengembangan Karir terhadap Kinerja Pegawai PT. PLN (Persero) UID Sumut. Jurnal Arastirma, 4(2), 532–545. https://doi.org/10.32493/jaras.v4i2.38827
Souisa, N., Macpal, S. J., & Biay, A. (2025). The Influence of Workload and Motivation on Employee Performance through Job Satisfaction. Indonesian Journal Economic Review (IJER), 5(1), 23–32. https://doi.org/10.59431/ijer.v5i1.509
Sriatmi, A., & Yoga Pramana, L. D. (2022). Faktor Lingkungan Fisik dan Dimensi Tangibles Pelayanan Terhadap Niat Kunjungan Ulang ke Puskesmas di Kabupaten Demak. Jurnal Kesehatan Lingkungan Indonesia, 21(2), 235–244. https://doi.org/10.14710/jkli.21.2.235-244
Syahputra Gulo, E., & Hidayat Waruwu, M. (2025). Ekombis Review-Jurnal Ilmiah Ekonomi dan Bisnis The Role Of Compensation Systems In Enhancing Employee Loyalty: A Case Study Of UD Erwin ARTICLE HISTORY. Ekombis Review: Jurnal Ilmiah Ekonomi Dan Bisnis, 13(2), 1067–1078. https://jurnal.unived.ac.id/index.php/er/indexDOI:https://doi.org/10.37676/ekombis.v13i2
Utomo, A. Y. S., Widjanarko, B., & Shaluhiyah, Z. (2023). Quality of Service With Patient Satisfaction in Hospital: Literature Review. Media Publikasi Promosi Kesehatan Indonesia, 6(9), 1708–1714. https://doi.org/10.56338/mppki.v6i9.3720
Widianti, F. R., Noor, D. H. M., & Linggi, K. R. (2018). Kinerja Pegawai Puskesmas Dalam Pelayanan Kesehatan di Kecamatan Sangatta Selatan Kabupaten Kutai Timur. EJournal Ilmu Pemerintahan, 6(1), 185–198. http://ejournal.ip.fisip-unmul.ac.id/site/wp-content/uploads/2017/12/Rosie Fitria Widianti (12-05-17-10-32-47).pdf
Widiarini, R., & Nurannisa, F. R. (2022). Effectiveness of Human Capital on Employee Performance in the Era of Disruption in the Health Sector. Jurnal Kesehatan Masyarakat, 18(2), 243–249. https://doi.org/10.15294/kemas.v18i2.37522
Wulansari, G., & Wahyono, B. (2022). Faktor-Faktor Yang Berhubungan Dengan Kinerja Pegawai Puskesmas Sragen Pada Masa Pandemi Covid-19. Jurnal Kesehatan Masyarakat (Undip), 10(1), 6–11. https://doi.org/10.14710/jkm.v10i1.31314
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