PERFORMANCE-BASED REMUNERATION AND NURSE OUTCOMES: THE MEDIATING ROLE OF JOB SATISFACTION AND MOTIVATION IN JAKARTA'S PUBLIC HOSPITALS

Background: The performance of nurses is a key element in ensuring the achievement of optimal healthcare service quality in hospitals, especially general hospitals that serve a wide community. In Indonesia, performance-based remuneration PBR for nurses still face implementation challenges, especially in public hospitals that are structurally and organizationally diverse. Aim: of this research is to explore how performance-based remuneration can simultaneously affect patient outcomes and hospital performance, as well as provide input to support fairer and more effective nurse remuneration policies in the context of hospitals in Indonesia. Methods: a causal predictive study with an explanatory predictive approach using quantitative data analysis methods and cross-sectional data. The explanatory predictive study uses survey methods and descriptive analysis PLS-SEM. The respondents are nurses who have worked for more than one year at the Regional General Hospital (RSUD) in Jakarta, with a total of 339 nurses. Results: of this study indicate that the perceived patient outcome variable (PPTOC) as the dependent variable has a relatively high correlation with professional improvement (PRIMV) at 0.573, followed by self-reported nurse performance (SNPRF) at 0.555, and case-based care (CBCR) and hospital safety climate (HSFCL) at 0.485 and 0.480, respectively. Conclusion and Recommendation: this positive correlation indicates that the improvement in nurse professionalism and patient experience in case-based care, as well as the hospital safety climate, are related to the enhancement of patient perception of care outcomes in regional general hospitals. Keywords: Performance-Based Remuneration, Nurse Outcomes, Public hospital.研究背景：护士工作绩效是保障医院（尤其是服务广泛社区群体的综合医院）实现最优医疗服务质量的核心要素。在印度尼西亚，护士绩效薪酬（Performance-Based Remuneration，PBR）的推行仍面临诸多实施难题，尤其是在结构与组织形式各异的公立医院中。 研究目的：本研究旨在探究绩效薪酬如何同时对患者结局与医院绩效产生影响，并为印度尼西亚医院场景下更公平、高效的护士薪酬政策制定提供参考依据。 研究方法：本研究为因果预测性研究，采用解释性预测研究范式，结合定量数据分析方法与横断面数据开展。本解释性预测研究采用调查法，并通过偏最小二乘结构方程模型（PLS-SEM）进行描述性分析。研究对象为雅加达地区综合医院（Regional General Hospital，RSUD）中拥有1年以上工作经验的护士，最终纳入样本共339名。 研究结果：本研究结果显示，作为因变量的患者感知结局变量（Perceived Patient Outcome Variable，PPTOC）与职业提升（Professional Improvement，PRIMV）的相关性较高，相关系数为0.573；其次为护士自我报告绩效（Self-reported Nurse Performance，SNPRF），相关系数为0.555；基于病例的护理（Case-based Care，CBCR）与医院安全氛围（Hospital Safety Climate，HSFCL）的相关系数分别为0.485与0.480。 结论与建议：上述正相关关系表明，在雅加达地区综合医院中，护士职业素养提升、基于病例的护理患者体验改善以及医院安全氛围的优化，均与患者对护理结局感知的提升存在关联。 关键词：绩效薪酬（Performance-Based Remuneration）、护士结局、公立医院。