Published: 2026-05-06
Analyzing the Determinants of Employee Performance in Public Healthcare: A Cross-Sectional Quantitative Study in a Community Health Center in Buleleng Regency
DOI: 10.35870/ijmsit.v6i1.6974
Dian Setiyawati, I Nengah Suarmanayasa, Made Ary Meitriana
- Dian Setiyawati: Universitas Pendidikan Ganesha
- I Nengah Suarmanayasa: Universitas Pendidikan Ganesha
- Made Ary Meitriana: Universitas Pendidikan Ganesha
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Abstract
This study aims to empirically examine the influence of motivation, organizational culture, and job satisfaction on employee performance at the Gerokgak I Community Health Center, Buleleng Regency. The population consisted of all 59 employees, and a saturated sampling technique was applied, resulting in the entire population being used as the research sample. Data were collected through a structured questionnaire using a 5-point Likert scale. The data were analyzed using multiple linear regression with the assistance of IBM SPSS version 25. The results indicate that motivation (β = 0.525; p < 0.001), organizational culture (β = 0.263; p = 0.010), and job satisfaction (β = 0.244; p = 0.005) each have a positive and significant effect on employee performance. Among these variables, motivation emerged as the most influential factor, as indicated by the highest standardized coefficient. Simultaneously, the three independent variables significantly affect employee performance (F = 68.460; p < 0.001), with a coefficient of determination (R² = 0.789), indicating that 78.9% of the variance in employee performance can be explained by the model. These findings highlight the importance of strengthening employee motivation, supported by a conducive organizational culture and improved job satisfaction, to enhance performance in public healthcare institutions.
Keywords
Motivation; Organizational culture; Job satisfaction; Employee performance
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Article Information
This article has been peer-reviewed and published in the International Journal of Management Science and Information Technology. The content is available under the terms of the Creative Commons Attribution 4.0 International License.
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Issue: Vol. 6 No. 1 (2026)
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Section: Articles
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Published: 2026-05-06
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License: CC BY 4.0
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Copyright: © 2026 Authors
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DOI: 10.35870/ijmsit.v6i1.6974
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Dian Setiyawati, Universitas Pendidikan Ganesha
Department of Magister Management, Universitas Pendidikan Ganesha, Buleleng Regency, Bali Province, Indonesia
I Nengah Suarmanayasa, Universitas Pendidikan Ganesha
Department of Magister Management, Universitas Pendidikan Ganesha, Buleleng Regency, Bali Province, Indonesia
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Achief, G. O., Ezenekwe, J. E., Ajayi, A. B., Adewara, D. E., Oluwalusi, A. O., & Abeyie, K. S. (2025). The impact of human resource management practices on employee performance in the healthcare sector: A literature review. African Journal of Politics and Administrative Studies (AJPAS), 18(3), 534–561. https://doi.org/10.4314/ajpas.v18i3.29
-
Alrawahi, S., Sellgren, S. F., Altouby, S., Alwahaibi, N., & Brommels, M. (2022). The application of Herzberg’s two-factor theory of motivation to job satisfaction in clinical laboratories in Omani hospitals. BMC Health Services Research, 22(1), 1–10. https://doi.org/10.1016/j.heliyon.2020.e04829
-
-
Antika, S. R. P., & Heryanda, K. K. (2025). Pengaruh motivasi kerja dan gaya kepemimpinan terhadap disiplin kerja pada Dinas Pekerjaan Umum Penataan Ruang, Perumahan dan Kawasan Permukiman Provinsi Bali. Prospek: Jurnal Manajemen dan Bisnis. https://doi.org/10.23887/pjmb.v7i2.99261
-
Belias, D., & Koustelios, A. (2014). Organizational culture and job satisfaction: A review. International Review of Management and Marketing, 4(2), 132–149. https://www.econjournals.com/index.php/irmm/article/view/746
-
Br. Sembiring, T., & Pardosi, M. C. F. (2024). Analysis of the implementation health UU Number 17 of 2023 article 12 concerning improving the quality of human resources in health services at RSUD Dr. Hadrianus Sinaga Pangururan. https://doi.org/10.55927/fjst.v3i7.10340
-
-
Dewi Kusuma, N. K. S., & Yudiaatmaja, F. (2025). Pengaruh motivasi kerja dan lingkungan kerja terhadap produktivitas kerja perawat ICU RSUD Kabupaten Buleleng. Prospek: Jurnal Manajemen dan Bisnis. https://doi.org/10.23887/pjmb.v7i2.97771
-
Dewi, N. P. A., & Heryanda, K. K. (2025). Pengaruh motivasi kerja dan lingkungan kerja terhadap kepuasan kerja pada pegawai Dinas Kesehatan Kabupaten Buleleng. Bisma: Jurnal Manajemen, 11(3). https://doi.org/10.23887/bjm.v11i3.107040
-
Dewi, N. P. C., et al. (2021). Pengaruh motivasi kerja terhadap kinerja pegawai melalui kepuasan kerja sebagai variabel intervening pada Dinas Sosial Kota Denpasar. Widya Amrita: Jurnal Manajemen, Kewirausahaan dan Pariwisata, 1(4). https://doi.org/10.32795/vol4wamrtno1th24
-
Fachiroh, D., & Suratman, A. (2023). Job satisfaction as a mediator of compensation and motivation on employee’s performance. JKBM (Jurnal Konsep Bisnis dan Manajemen), 10(1), 71–85. https://doi.org/10.31289/jkbm.v10i1.10556
-
Farizca, A., Martunis, M., & Usman, S. (2021). Description analysis of patient satisfaction level with the service quality of the outpatient installation of the general hospital Dr. Zainoel Abidin Banda Aceh, 10(1), 622–631. https://doi.org/10.30994/SJIK.V10I1.634
-
Fitriardi, S., & Prasetyo, I. (2025). Inovasi layanan, kinerja karyawan, kepuasan pasien dan kualitas layanan pada rumah sakit. MAP (Jurnal Manajemen dan Administrasi Publik), 8(2), 250–264. https://doi.org/10.37504/map.v8i2.724
-
-
-
Iqbal, M. (2022). Faktor-faktor yang mempengaruhi kinerja tenaga kesehatan aparatur sipil negara di Rumah Sakit Umum Daerah Kabupaten Lombok Utara. Media Bina Ilmiah, 16(12), 7901-7914. https://doi.org/10.33578/mbi.v16i12.62
-
Judge, T. A., Zhang, S., & Glerum, D. R. (2022). Job satisfaction: A review and future directions. Annual Review of Organizational Psychology and Organizational Behavior, 9, 1–28. https://doi.org/10.4324/9780429325755-11
-
Madjiju, A., Usu, I., & Yakup, Y. (2022). Analisis lingkungan kerja, budaya organisasi dan semangat kerja dan pengaruhnya terhadap produktivitas kerja pegawai. JESYA (Jurnal Ekonomi & Ekonomi Syariah), 5(1), 444–462. https://doi.org/10.36778/jesya.v5i1.598
-
Maharani, L. D., & Suarmanayasa, I. N. (2025). Pengaruh lingkungan kerja dan motivasi kerja terhadap kinerja pegawai pada Dinas Pekerjaan Umum Provinsi Bali. Bisma: Jurnal Manajemen, 11(2). https://doi.org/10.23887/bjm.v11i2.96440
-
-
-
Oktaviana, I., & Wahyono, B. (2020). Determinan Kinerja Tenaga Kesehatan di Puskesmas. HIGEIA (Journal of Public Health Research and Development), 4(Special 4), 835-845. https://doi.org/10.15294/higeia.v4iSpecial 4.34587
-
Parashakti, R. D., & Putriawati. (2020). Pengaruh keselamatan dan kesehatan kerja (K3), lingkungan kerja dan beban kerja terhadap kinerja karyawan. Jurnal Ilmu Manajemen Terapan, 1(3), 290–304. https://doi.org/10.31933/jimt.v1i3.113
-
Putri Isnaeni, D. (2020). Pengaruh kompensasi dan motivasi kerja terhadap kinerja guru PNS SD Negeri Kecamatan Pamulang Kota Tangerang Selatan. KREATIF: Jurnal Ilmiah Prodi Manajemen Universitas Pamulang, 8(2), 15–28. https://doi.org/10.32493/jk.v8i2.y2020.p15-28
-
Qurniyati, A., Setyariningsih, E., & Kasnowo. (2023). Pengaruh beban kerja, lingkungan kerja, dan motivasi kerja terhadap kinerja karyawan PT Satria Nusantara Sakti. Jurnal Kendali Akuntansi, 1(4), 162–172. http://repository.unim.ac.id/id/eprint/4858
-
-
Rohmah, S. Y. A., Sahbani, S., & Sukaesih, P. (2025). Public satisfaction index of public services at Pamarayan Community Health Center. Proceeding of The International Conference on Business, Economics, Social Sciences, and Humanities, 8, 35–46. https://doi.org/10.34010/icobest.v8i.678
-
Ryan, R. M., & Deci, E. L. (2021). Intrinsic and extrinsic motivation from a self-determination theory perspective. Contemporary Educational Psychology, 1–25. https://doi.org/10.1016/j.cedpsych.2020.101860
-
Santika, et al. (2022). Pengaruh motivasi kerja, lingkungan kerja, dan budaya organisasi terhadap kepuasan kerja para guru di Yayasan Nasa Professional School Depok. (2023). Co-Creation: Jurnal Ilmiah Ekonomi Manajemen Akuntansi Dan Bisnis, 2(2), 43-57. https://doi.org/10.55904/cocreation.v2i2.1003
-
Sukmara, S., Sumiati, N., & Barokah, R. B. A. (2024). The influence of employee performance on service quality. Almana, 8(1), 39–45. https://doi.org/10.36555/almana.v8i1.2317
-
Udayani, P. K., Meitriana, M. A., & Rahmawati, P. I. (2025). Performance Optimization in Public Health Services: A Human Resource Economics Approach through Workload, Motivation, and Work Environment. International Journal of Economics Development Research (IJEDR), 6(2), 1130–1141. https://doi.org/10.37385/ijedr.v5i3.7804
-
Wahyuni, L. G. S., & Yulianthini, N. N. (2024). Pengaruh motivasi kerja dan pelatihan serta budaya organisasi. Bisma: Jurnal Manajemen, 10(3). https://doi.org/10.23887/bjm.v10i3.83573
-
Wayan Agus Parta Sumarta, I Nengah Suarmanayasa, & Ni Made Suci. (2024). The influence of motivation, work discipline and rotation on performance. Jurnal Ekonomi, 13(01), 1398–1410. https://ejournal.seaninstitute.or.id/index.php/Ekonomi/article/view/3837

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