Analysis of Commitment and Loyality ofMedical Staff in the Gatoel Hospital Mojokerto and the Influence Factorsin the Health Services, Indonesia

Hospitals require medical personnel who have the commitment and loyalty in working to realize an excellent service and continuous to the service user. The purpose of this study to analyze the commitment and loyality medical personnel in Gatoel Hospital Mojokerto in health services and the factors that influence it. The design of this research was all medical personnel at Gatoel Hospital Mojokerto with total sampling technique (42 respondents). Data collection using questionnaire, data analysis with logistic regression test at α = 0.05. The results showed that age (p = 0.040), duration of work (p = 0.039), employment status (p = 0.023), leadership (p = 0.038), work culture (p = 0.037), job satisfaction (p = 0.034) significant to work commitment. While gender (p = 0.077) and work design (p = 0.572) have no effect to work commitment. The most influential factor on commitment is the employment status (Exp (B) = 1.639). Associated with loyalty, it is known that working factors (p = 0.045), employment status (p = 0.032), leadership (p = 0.049), work culture (p = 0.033), job satisfaction (p = 0.025), have significant influence to work loyalty, while the age factor (p = 0.251), gender (p = 0.148) and work design (p = 0.431) did not influence to loyalty. The most influential factor on loyalty is job satisfaction (Exp (B) = 1.743). The low loyalty of medical personnel is related to the low level of job satisfaction and employment status in part time, so Hospital management need to think about to reduce its part time labor, especially specialist by appointing new specialist doctors as permanent/organic staff.Respondents who have high work commitment rate that the leadership of Gatoel Hospital have a democratic leadership style, so tend to be more favored by medical personnel because the leadership has high confidence in medical personel communication.