Innovation, Competency and Public Satisfaction in Indonesia’s Emergency Medical Services: A Study of Semarang’s “Ambulan Hebat”

R. Permadi Mulajaya, Charis Christiani, Roni Ekha Putera

Abstrak


This study examines the effects of public service innovation and frontline employee performance competency on public satisfaction with Semarang’s “Ambulance Hebat” emergency service in Indonesia. The study situates itself within ongoing administrative reform efforts and the growing public demand for inclusive and responsive healthcare. A quantitative design was employed using survey data from 70 respondents associated with the Ambulance Hebat service at the Semarang Health Office. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) to assess both the measurement and structural models. The measurement model demonstrates satisfactory reliability and convergent validity for the constructs of public service innovation, performance competency, and public satisfaction, while variance inflation factor (VIF) values indicate no multicollinearity concerns. Structural results indicate that public service innovation has a moderate, statistically significant effect on public satisfaction, whereas performance competency has a smaller yet significant effect. Together, these predictors explain 58.1% of the variance in public satisfaction, and the model exhibits strong predictive relevance. Substantively, publics respond positively to tangible innovations in service design and delivery and perceive the program’s technical and interpersonal competencies as credible markers of service quality. The findings suggest sustaining satisfaction in emergency healthcare requires complementary strategies: continuous refinement of service innovations alongside systematic investments in frontline capability and training, communication enhancement and performance management.


Kata Kunci


Public Service Innovation; Performance Competency; Emergency Medical Services; Public Satisfaction; Local Government – Semarang Indonesia

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Almari, F. (2021). Measuring gaps in healthcare quality using SERVQUAL model: challenges and opportunities in developing countries. Measuring Business Excellence, 25(4), 407–420. https://doi.org/10.1108/MBE-11-2019-0104

Andini, M. R., Arso, S. P., & Kusumastuti, W. (2020). Analisis Pelaksanaan Program Ambulan Siaga Kota Semarang Tahun 2019. Jurnal Kesehatan Masyarakat, 8(2).

Aparna, S. G., & Bharathi, S. J. (2016). A Study on the Competence of Employees in Information Technology Companies of Coimbatore. Asian Journal of Research in Social Sciences and Humanities, 6(11), 970. https://doi.org/10.5958/2249-7315.2016.01244.2

Aringhieri, R., Bruni, M. E., Khodaparasti, S., & van Essen, J. T. (2017). Emergency medical services and beyond: Addressing new challenges through a wide literature review. Computers & Operations Research, 78, 349–368. https://doi.org/10.1016/j.cor.2016.09.016

Asfaw, F. Z., Yalew, A. Z., Godie, M., Fikadu, A., & Workina, A. (2024). Ambulance service satisfaction level and associated factors among service users in Addis Ababa, Ethiopia. BMC Emergency Medicine, 24(1), 92. https://doi.org/10.1186/s12873-024-01007-9

Ashforth, B. E., Harrison, S. H., & Corley, K. G. (2008). Identification in Organizations: An Examination of Four Fundamental Questions. Journal of Management, 34(3), 325–374. https://doi.org/10.1177/0149206308316059

Astuti, S. D., Perdana, T. A., & Sijabat, R. (2024). Role Stressor, Work Stress and Cyberloafing Behavior: Will They Decrease The Employee Performace? Jurnal Organisasi Dan Manajemen, 20(1), 129–145. https://doi.org/10.33830/jom.v20i1.5988.2024

Bloch, C., & Bugge, M. M. (2013). Public sector innovation—From theory to measurement. Structural Change and Economic Dynamics, 27, 133–145. https://doi.org/10.1016/j.strueco.2013.06.008

Bobek, D. D., & Hatfield, R. C. (2003). An Investigation of the Theory of Planned Behavior and the Role of Moral Obligation in Tax Compliance. Behavioral Research in Accounting, 15(1), 13–38. https://doi.org/10.2308/bria.2003.15.1.13

Bovens, M. (2007). Analysing and Assessing Accountability: A Conceptual Framework. European Law Journal, 13(4), 447–468. https://doi.org/10.1111/j.1468-0386.2007.00378.x

Chen, J., Walker, R. M., & Sawhney, M. (2020). Public service innovation: a typology. Public Management Review, 22(11), 1674–1695. https://doi.org/10.1080/14719037.2019.1645874

Cheung, G. W., Cooper-Thomas, H. D., Lau, R. S., & Wang, L. C. (2024). Reporting reliability, convergent and discriminant validity with structural equation modeling: A review and best-practice recommendations. Asia Pacific Journal of Management, 41(2), 745–783. https://doi.org/10.1007/s10490-023-09871-y

Cho, Y. J., & Song, H. J. (2021). How to Facilitate Innovative Behavior and Organizational Citizenship Behavior: Evidence From Public Employees in Korea. Public Personnel Management, 50(4), 509–537. https://doi.org/10.1177/0091026020977571

Christensen, T., Lægreid, P., & Rykkja, L. H. (2016). Organizing for Crisis Management: Building Governance Capacity and Legitimacy. Public Administration Review, 76(6), 887–897. https://doi.org/10.1111/puar.12558

Deininger, K., & Mpuga, P. (2005). Does Greater Accountability Improve the Quality of Public Service Delivery? Evidence from Uganda. World Development, 33(1), 171–191. https://doi.org/10.1016/j.worlddev.2004.09.002

Demircioglu, M. A., & Chen, C.-A. (2019). Public employees’ use of social media: Its impact on need satisfaction and intrinsic work motivation. Government Information Quarterly, 36(1), 51–60. https://doi.org/10.1016/j.giq.2018.11.008

Denhardt, R. B., & Denhardt, J. V. (2000). The New Public Service: Serving Rather than Steering. Public Administration Review, 60(6), 549–559. https://doi.org/10.1111/0033-3352.00117

Dinas Kesehatan, D. (2025). Layanan Ambulance Hebat Andalan Masyarakat Kota Semarang. Dinas Kesehatan Kota Semarang. https://ambulancehebat.dinkes.semarangkota.go.id/

Dunleavy, P., Margetts, H., Bastow, S., & Tinkler, J. (2006). Digital Era Governance: Oxford University Press. https://doi.org/10.1093/acprof:oso/9780199296194.001.0001

Ellis, D. (2016). Emergency Care & The Sustainable Development Goals. Global Emergency Care. https://globalemergencycare.org/blog/emergency-care-the-sdgs/?utm_source=chatgpt.com

Endeshaw, B. (2020). Healthcare service quality-measurement models: a review. Journal of Health Research, 35(2), 106–117. https://doi.org/10.1108/JHR-07-2019-0152

Fohim, E., Jacobs, C. D., & Sieger, P. (2025). Expanding towards a Public Value Governance paradigm: the role of mindset expansion in a Swiss government agency. Public Management Review, 1–38. https://doi.org/10.1080/14719037.2025.2566903

Grönroos, C. (2006). Adopting a service logic for marketing. Marketing Theory, 6(3), 317–333. https://doi.org/10.1177/1470593106066794

Grönroos, C. (2019). Reforming public services: does service logic have anything to offer? Public Management Review, 21(5), 775–788. https://doi.org/10.1080/14719037.2018.1529879

Habibie, M. A. El, Indrayani, I., Satriawan, B., & Dewi, N. P. (2024). The Influence of Transformational Leadership, Competence, Work Motivation and Organizational Culture on the Performance of RSCM Employees through Job Satisfaction as a Mediating Variable and Organizational Support as a Moderating Variable. Jurnal Manajemen Pelayanan Publik, 8(2), 665–682. https://doi.org/10.24198/jmpp.v8i2.55072

Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2–24. https://doi.org/10.1108/EBR-11-2018-0203

Hair, J. F., Sarstedt, M., Hopkins, L., & G. Kuppelwieser, V. (2014). Partial least squares structural equation modeling (PLS-SEM). European Business Review, 26(2), 106–121. https://doi.org/10.1108/EBR-10-2013-0128

Harinurdin, E., Safitri, K. A., & Kountur, R. (2024). Applying the Theory of Planned Behavior in Examining the Intention to Improve Corporate Tax Compliance Through Compensation and Counterproductive Work Behavior. Sage Open, 14(4). https://doi.org/10.1177/21582440241305624

Hood, C. (1991). A Public Management for All Season? Public Administration, 69(1), 3–19. https://doi.org/10.1111/j.1467-9299.1991.tb00779.x

Kusumasari, B., Setianto, W. A., & Pang, L. L. (2018). A Study on Digital Democracy Practice: Opportunities and Challenges of e-Health Implementation in Indonesia. Jurnal Ilmu Sosial Dan Ilmu Politik, 22(1), 1. https://doi.org/10.22146/jsp.28863

Marthalina, M., Dione, F., & Saribulan, N. (2025). Determining Factors of Digital Public Service Management Implementation Policy at Subdistrict Level in South Jakarta City. Jurnal Manajemen Pelayanan Publik, 9(2), 251–275. https://doi.org/10.24198/jmpp.v9i2.59855

McLay, L. A., & Mayorga, M. E. (2010). Evaluating emergency medical service performance measures. Health Care Management Science, 13(2), 124–136. https://doi.org/10.1007/s10729-009-9115-x

Nasi, G., Osborne, S., Cucciniello, M., & Cui, T. (2024). Public Service Explained. Cambridge University Press. https://doi.org/10.1017/9781009373586

Novitaria, W., Wigati, P. A., & Sriatmi, A. (2020). Analisis Kesiapan Pelaksanaan Program Ambulance Hebat Dalam Rangka Dukungan Terhadap Sistem Penanggulangan Gawat Darurat Terpadu di Kota Semarang. Jurnal Kesehatan Masyarakat, 5(4). https://doi.org/https://doi.org/10.14710/jkm.v5i4.18334

Osborne, S. P., Radnor, Z., Kinder, T., & Vidal, I. (2015). The SERVICE Framework: A Public‐service‐dominant Approach to Sustainable Public Services. British Journal of Management, 26(3), 424–438. https://doi.org/10.1111/1467-8551.12094

Osborne, S. P., Radnor, Z., & Strokosch, K. (2016). Co-Production and the Co-Creation of Value in Public Services: A suitable case for treatment? Public Management Review, 18(5), 639–653. https://doi.org/10.1080/14719037.2015.1111927

Peters, B. G. (2014). The Politics of Bureaucracy. Routledge. https://doi.org/10.4324/9780203879146

Pradana, I. P. Y. B., Susanto, E., & Kumorotomo, W. (2022). Analyzing the critical factors for innovation sustainability in the public sector: evidence from Indonesia. International Journal of Public Sector Management, 35(7), 733–748. https://doi.org/10.1108/IJPSM-02-2022-0044

Pratama, A. B. (2020). The landscape of public service innovation in Indonesia. Innovation & Management Review, 17(1), 25–40. https://doi.org/10.1108/INMR-11-2018-0080

Pratama, M. R., Tualeka, S. H., & Prasetya, A. (2024). Symphony of Digital Public Service Innovation in Indonesia: Evidence from Indonesia Public Service Innovation Competition 2014-2022. Jurnal Studi Pemerintahan, 21–42. https://doi.org/10.18196/jsp.v15i1.342

Pratiwi, C., Noor, I., & Rozikin, M. (2024). Significance Performance Analysis On The Quality Of University Administrative Services. Jurnal Manajemen Pelayanan Publik, 8(2), 433–446. https://doi.org/10.24198/jmpp.v8i2.54062

Rastogi, T., Awasthi, S., Khare, R., Prasad, M., Sami, G., & Verma, V. K. (2022). Perceptions and practices of COVID-19 protective measures among the general public of North India. Clinical Epidemiology and Global Health, 13, 100927. https://doi.org/https://doi.org/10.1016/j.cegh.2021.100927

Rivai, N. I. (2025). Evaluation of Public Services on Community Satisfaction at the Regional Secretariat of Kepulauan Riau Province. Jurnal Manajemen Pelayanan Publik, 9(2), 444–467. https://doi.org/10.24198/jmpp.v9i2.55351

Robbins, S. P., & Judge, T. (2009). Organizational Behavior. Prentice Hall.

Sarstedt, M., Ringle, C. M., & Hair, J. F. (2021). Partial Least Squares Structural Equation Modeling. Handbook of Market Research, July, 587–632. https://doi.org/10.1007/978-3-319-57413-4_15

Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53–55. https://doi.org/10.5116/ijme.4dfb.8dfd

United Nations, U. (2025). Sustainable Development Goal 3: Good health and well-being. United Nations. https://www.un.org/sustainabledevelopment/health/?utm_source=chatgpt.com

Voorberg, W. H., Bekkers, V. J. J. M., & Tummers, L. G. (2015). A Systematic Review of Co-Creation and Co-Production: Embarking on the social innovation journey. Public Management Review, 17(9), 1333–1357. https://doi.org/10.1080/14719037.2014.930505

Weber, M. (2002). Economy and Society: An Outline of Interpretive Sociology. In Readings in Economic Sociology (pp. 24–37). Wiley. https://doi.org/10.1002/9780470755679.ch3

Widowati, E., Koesyanto, H., Istiono, W., Sutomo, A. H., & Sugiharto. (2023). Disaster Preparedness and Safety School as a Conceptual Framework of Comprehensive School Safety. Sage Open, 13(4). https://doi.org/10.1177/21582440231211209

World Health Organization, W. (2025). Universal health coverage (UHC). WHO. https://www.who.int/news-room/fact-sheets/detail/universal-health-coverage-(uhc)




DOI: https://doi.org/10.24198/jmpp.v10i1.68504

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