The Influence of Motivation and Work Environment on Performance Through Job Satisfaction as an Intervening Variable in Garut District Community Health Center Employees

Abstract

This study aims to analyze the influence of motivation and work environment on employee performance through job satisfaction as an intervening variable among civil servant doctors at community health centers (Puskesmas) in Garut Regency. The research employed a quantitative explanatory approach with a sample of 84 respondents, selected using probability sampling. Data were collected through a Likert-scale questionnaire and analyzed using Structural Equation Modeling (SEM) with the Partial Least Square (PLS) method. The results reveal that motivation has a positive and significant effect on both job satisfaction and doctor performance. Similarly, the work environment positively and significantly affects job satisfaction and performance. Furthermore, job satisfaction is proven to have a positive and significant effect on doctor performance. Indirect effect analysis confirms that job satisfaction acts as a key mediator in the relationship between motivation, work environment, and performance. Overall, this study emphasizes that the improvement of doctor performance at Puskesmas in Garut Regency depends not only on direct factors such as motivation and work environment, but also strongly relies on the level of job satisfaction perceived by employees. These findings imply that human resource management strategies in Puskesmas should focus on enhancing motivation, improving the work environment, and managing job satisfaction to achieve optimal health service delivery.