Change Commitment and Change Efficacy of Public Health Center in Indonesia in Implementing Efforts to Improve the Quality of Health Services

The successful implementation of efforts to improve the quality of health services is influenced by many variables, both organizational and individual variables. The two main variables that are widely discussed when studying the level of organizational readiness to change are commitment to change and efficacy to change. This research was conducted to analyze change commitment and change the efficacy of Public Health Centers (PHC) in Indonesia in implementing efforts to improve the quality of health services. A cross-sectional survey was conducted on health workers in 40 PHCs in Surabaya, to measure change commitment, change efficacy, and efforts to improve the quality of health services that have been implemented. The rank Spearman correlation test is done to prove the relationship between these variables. The results showed that the implementation of efforts to improve the quality of health services was not significantly related to change commitment, but there was a significant relationship with change efficacy. Therefore, so that the implementation of efforts to improve the quality of health services can run well, it is necessary to carry out various activities to improve the capabilities and skills of the staff of PHCs to have an impact on increasing efficacy.