The COVID-19 Pandemic Influence on Doctor’s Service Performance Using Workload as a Mediation Variable

Fida Rahmayanti; Noermijati Noermijati; Armanu Armanu; Fatchur Rohman

doi:10.3889/oamjms.2023.11374

Authors

Fida Rahmayanti Economy and Business Faculty, Brawijaya University, Malang, Indonesia
Noermijati Noermijati Economy and Business Faculty, Brawijaya University, Malang, Indonesia
Armanu Armanu Economy and Business Faculty, Brawijaya University, Malang, Indonesia
Fatchur Rohman Economy and Business Faculty, Brawijaya University, Malang, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2023.11374

Keywords:

Covid-19 pandemic, Doctor’s service performance, Workload, Primary healthcare

Abstract

ABSTRACT

Background:

The Covid-19 pandemic greatly affected doctors' increasing workload, especially in Primary Health Care Facilities. If this is not addressed immediately, it will affect the performance or quality of a doctor's service.

Aim:

This research objective is to identify the role of Primary Healthcare Facility doctors' workload in moderating the impact of the Covid-19 Pandemic on their performance.

Methods:

The explanatory-descriptive research was conducted using a quantitative approach. The research respondents were 103 general practitioners who worked at a Primary Healthcare Facility in Malang City (35.0% male and 65.0% female, the most extensive age range was 26-35 years (74.8%), with a working period of 1-5 years. 57 (55.3%) The research instrument was a questionnaire declared valid and reliable, distributed online, and analyzed using Partial Least Square.

Results:

The findings demonstrated that the Covid-19 pandemic significantly positively affected the performance of Primary Healthcare Facility doctors (β=0.455, t stat=11.390). The pandemic also significantly impacted workload (β=0.283, t stat=4.347). Workload impacted performance significantly and positively (β=0.224, t stat 4.157). Workload mediates the Covid-19 Pandemic influence on doctors' performance (β=0.063, t stat=3.005).

Conclusions:

Doctors at Primary Health Care have not all experienced a decline in performance despite the increased workload due to the Covid-19 Pandemic. It forces doctors to juggle between completing their tasks, fighting against disease, and improving their performance.

Keywords: Covid-19 Pandemic, Doctor’s Service Performance, Workload, Primary Health Care

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References

Ilyas Y. Kinerja-Teori. Penilaian dan Penelitian. Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia; 2012.

Nursalam M. Manajemen Keperawatan. Jakarta: Salemba Medika; 2014.

Yanti Y, Samino S, Sari N. Factors that influence the performance of doctors at the outpatient polyclinic at The Asy-Syifaa Islamic Hospital, Bandar Jaya, Central Lampung in 2020. Public Health World J. 2021;10(2):195-204.

World Health Organization. Making the Most of Existing Health Workers, The World Health Report. Geneva: World Health Organization; 2006.

Rejeki S. Faktor-Faktor Yang Mempengaruhi Kinerja Dokter di Poliklinik Rawat Jalan Rumah Sakit Angkatan Laut Dr. Mintohardjo Jakarta Tahun 2012. Depok: Universitas Indonesia; 2012.

Handayani L. Pengaruh Faktor Individu, Psikologis dan Organisasi Terhadap Kinerja Dokter di Rumah Sakit Umum Mitra Medika Medan. Indonesia: Repositori Institusi Universitas Sumatera Utara; 2016.

Hakman H, Suhadi SK, Yuniar N. Effect of workload, work stress, work motivation on the performance of nurses in Covid-19 Patients. Nursing Care Health Technol J. 2021;1(2):47-54. https://doi.org/10.56742/nchat.v1i2.17 DOI: https://doi.org/10.56742/nchat.v1i2.17

Ulfa L, Muchlis N, Sundari N. The influence of dentist workload on the level of job satisfaction and performance during the covid pandemic at The Kimia Farma Clinic, Makassar City. J Muslim Community Health. 2021;3(2):126-39. https://doi.org/10.52103/jmch.v2i3.548

Bashir U, Ramay MI. Impact of stress on employees job performance a study on banking sector of Pakistan. Int J Mark Stud. 2010;2(1):122-6. DOI: https://doi.org/10.5539/ijms.v2n1p122

Erer B. Impact of Covid-19 fear on employee performance. J Curr Res Soc Sci. 2020;10(4):845-52. https://doi.org/10.26579/jocress.412 DOI: https://doi.org/10.26579/jocress.412

Que J, Shi L, Deng J, Liu J, Zhang L, Wu S, et al. Psychological impact of the covid-19 pandemic on healthcare workers: A crosssectional study in China. Gen Psychiatry. 2020;33(3):e100259. DOI: https://doi.org/10.1136/gpsych-2020-100259

Bateman TS, Scott AS. Management, Leading and Collaborating in a Competitive World. New York: McGraw-Hill; 2015.

Windarwati HD, Ati NA, Paraswati MD, Ilmy SK, Supianto AA, Rizzal AF, et al. Stressor, coping mechanism, and motivation among health care workers in dealing with stress due to the COVID-19 pandemic in Indonesia. Asian J Psychiatr. 2021;56:102470. https://doi.org/10.1016/j.ajp.2020.102470 PMid:33160866 DOI: https://doi.org/10.1016/j.ajp.2020.102470

Stavroula L, Amanda G, dan Tom C. Work organization and stress, systematic problem approaches for employers, managers and Trade union representative. Health Series. 2021;3:6-7.

Yuniswara EO . Systematic review: An overview of the mental health of nurses working with Covid-19 patients. J An Nafs. 2020;6(1):93-109. https://doi.org/10.33367/psi.v6i1.1373 DOI: https://doi.org/10.33367/psi.v6i1.1373

Al-Omari K, Okasheh H. The influence of work environment on job performance: A case study of engineering company in Jordan. Int Appl Eng Res. 2017;12(24):15544-50.

Colquitt JA, Lepine JA, dan Wesson MJ. Organizational Behavior: Improving Performance and Commitment in the Workplace. 4th ed. New York: McGraw Hill; 2015.

Riniwati H. Manajemen Sumber Daya Manusia (Aktivitas Utama dan Pengembangan Sumber Daya Manusia). Malang: UB Press; 2016.

Musyoka FN, Adoyo MA, Ongombe MO. Influence of job description on performance of health workers in public hospitals: A case of Mbagathi hospital, Nairobi city country. Sci J Public Health. 2016;4(2):88-93. https://doi.org/10.11648/j.sjph.20160402.12 DOI: https://doi.org/10.11648/j.sjph.20160402.12

Kemenkes RI. Pedoman Pencegahan dan Pengendalian Coronavirus Disease (Covid-19). 5th ed. Aziza L, Aqmarina A, Ihsan M, editors. Jakarta: Kementerian Kesehatan RI; 2020.

Liem VT, Hien NN. Exploring the impact of dynamic environment and CEO’s psychology characteristics on using management accounting system. Cogent Bus Manag. 2020;7:1-20. DOI: https://doi.org/10.1080/23311975.2020.1712768

Andriana RB. Kinerja Tenaga Kesehatan di era Pandemi Covid-19 Ditinjau Dari Perceived Stigma dan Pengetahuan Tentang Corona Virus Dengan Kecemasan Sebagai Variabel Intervening. Masters Thesis, Surabaya Universitas; 2020.

World Health Organization. Catatan Tentang Aspek Kesehatan Jiwa dan Psikososial Wabah Covid-19. Switzerland: World Health Organization; 2020

Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al. Mental health care for medical staff in china during the Covid-19 outbreak. Lancet Psychiatry. 2020;7(4):e15-6. https://doi.org/10.1016/S2215-0366(20)30078-X PMid:32085839 DOI: https://doi.org/10.1016/S2215-0366(20)30078-X

Artiningsih RA, Chisan FK. Burnout dan Komitmen Terhadap Tugas: Tantangan Tenaga Medis Dalam Menghadapi Pandemi Covid-19. Prosiding Seminar Nasional Lp3m; 2020.

Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A big-scale cross sectional study. EClinicalMedicine. 2020;24:100424. PMid:32766539 DOI: https://doi.org/10.1016/j.eclinm.2020.100424

Munandar AS. Psikologi Industri dan Organisasi. Jakarta: Universitas Indonesia; 2014.

Irzal M. Dasar-Dasar Kesehatan Dan Keselamatan Kerja. Jakarta: Kencana; 2016.

Sunyoto D. Manajemen Sumber Daya Manusia. Jakarta: PT Buku Seru; 2012.

Hariyanto D, Sunaryo H, Priyono AA. Pengaruh beban kerja, stres kerja dan iklim organisasi terhadap kinerja karyawan CV. Kampoeng sejahtera. J Ilmiah Riset Manajemen. 2019;8(6):287.

Rosyanti L, Hadi I. Psychological impact in providing care and health services for Covid-19 patients to health professionals. Health Inf J Peneliti. 2020;12(1):107-30. https://doi.org/10.36990/HIJP.VI.191 DOI: https://doi.org/10.36990/hijp.vi.191

Hamzah W. Effect of workload and social supoort on work fatigue. Psikoborneo. J Ilmiah Psikol. 2019;7(2):336-43. DOI: https://doi.org/10.30872/psikoborneo.v7i2.4789

Permatasari ED, Damayanti NA. Analisis beban kerja tenaga kesehatan di puskesmas pacarkeling Surabaya. J Manajemen Kesehatan Indones. 2017;5(3):65-73. DOI: https://doi.org/10.14710/jmki.5.3.2017.65-73

Solimun MS, Fernandes AA. Nurjanah N. Metode Statistika Multivariat, Pemodelan Persamaan Struktural (SEM)-Pendekatan WarPLS. Malang: UB Press; 2017.

Kuncoro A, Riduwan E. Cara Menggunakan dan Memaknai Analisis Jalur (Path Analysis). Bandung: Alfabeta; 2008.

Asrul A, Tosepu R, Kusnan A. Analysis of the performance of health workers during the Covid-19 pandemic at the Bombana District Hospital BLUD. J Ilmiah Obsgin. 2021;13(4):1-10. https://doi.org/10.36089/job.v13i4.499 DOI: https://doi.org/10.18535/jmscr/v10i3.13

Thamrin. Perencanaan Manajemen Sumber Daya Manusia. Yogyakarta: Budi Utama; 2019.

Occupational Safety and Health Administration. Guidance on Preparing Workplaces for Covid-19. San Francisco: U.S Department of Labor; 2020.

Arslan G, Yıldırım M, Tanhan A, Buluş M, Allen KA. Coronavirus stress, optimism-pessimism, psychological inflexibility, and psychological health: Psyc hometric properties of the coronavirus stress measure. Int J Ment Health Addict. 2021;19(6):2423-39. https://doi.org/10.1007/s11469-020-00337-6 PMid:32837425 DOI: https://doi.org/10.1007/s11469-020-00337-6

Agustina VF, Aswin IM. Optimism as a mediator between social isolation and depression during the Covid-19 pandemic. J Pschol Sci Prof. 2021;5(1):30-9. https://doi.org/10.24198/jpsp.v5i1.29593 DOI: https://doi.org/10.24198/jpsp.v5i1.29593

Ornell F, Halpern SC, Kessler FH, Narvaez JC. The impact of the covid-19 on the mental health of healthcare professionals. Cad Saude Publica. 2020;36(4):e00063520. https://doi.org/10.1590/0102-311x00063520 DOI: https://doi.org/10.1590/0102-311x00063520

Indra IP. Pengaruh Beban Kerja Dan Dukungan Sosial Terhadap Burnout Pada Perawat Rsud Dr. Achmad Darwis Kecamatan Suliki Kabupaten Lima Puluh Kota. Padang: Universitas Negeri Padang; 2018.

Prijayanti I. Pengaruh Beban Kerja Dan Dukungan Sosial Terhadap Burnout Pada Karyawan PT. X. Jakarta: Universitas Islam Negeri Syarif Hidayatullah; 2015.

Xiaoming Y, Ma BJ, Chang CL, Shieh CJ. Effects of workload on burnout and turnover intention of medical staff: A study. Stud Ethno Med. 2014;8(3):229-37. https://doi.org/10.31901/24566772.2014/08.03.04 DOI: https://doi.org/10.31901/24566772.2014/08.03.04

Difa TD, Samsualam S, Arman A. The effect of workload on work motivation and work productivity of dentists at private clinics in Makassar city. J Muslim Communisty Health. 2022;3(2):126-39. https://doi.org/10.52103/jmch.v3i2.774

Zulmaidarleni Z, Sarianti R, Fitria Y. The effect or workload and physical work environment on work stress in office employees in the Padang Timur Sub-District. J Ecogen. 2019;2(1):61-68. https://doi.org/10.24036/jmpe.v2i1.6133 DOI: https://doi.org/10.24036/jmpe.v2i1.6133

Siagian S Manajemen Sumber Daya Manusia. Jakarta: Bumi Aksara; 2018.

Schultz D, Schultz SE. Psychology and Work Today. 9th ed. New Jersey: Pearson Education; 2020. DOI: https://doi.org/10.4324/9781003058847

Kusumaningsih D, Gunawan MR, Zainaro MA, Widianti T. The Relationship Between the Physical and Mental Workload od Nurses and The Application of Safe Patients During the Covid-19 Pandemic at The Pesawaran District Inpatient Health Care UPT. Indones J Health Dev. 2020;2(2):108-18. https://doi.org/10.52021/ijhd.v2i2.93

Jembarwati O. Stress and Social Support for Nurses, Doctors and Health Workers During the Covid-19 Pandemic. Prosid Berkala Psikol. 2020;2:292-7.

Saptarani YD, Saptaningsih AB, Hutapea RF. Burnout and work productivity of nursing staff during the Covid-19 pandemic at BSD Medika Hospital. J Healthsains. 2022:3(1):2723-4339. https://doi.org/10.46799/jhs.v3i1.400 DOI: https://doi.org/10.46799/jhs.v3i1.400