Pengaruh Kepemimpinan dan Budaya Organisasi terhadap Kinerja Tenaga Kesehatan dengan Kepuasan Kerja sebagai Mediasi di Puskesmas Kabupaten Purwakarta

Health workers’ performance is an important factor in supporting the quality of health services at primary health centers. However, the 2025 Puskesmas Performance Assessment at Jatiluhur and Maracang Primary Health Centers in Purwakarta Regency showed that several service indicators had not reached optimal targets. This study aimed to analyze the effects of leadership and organizational culture on health workers’ performance, directly and indirectly through job satisfaction as a mediating variable. This quantitative study employed an explanatory approach with a cross-sectional design. The population consisted of 82 health workers, with all eligible participants selected using total sampling. Data were collected using structured Likert-scale questionnaires and analyzed using Structural Equation Modeling-Partial Least Squares (SEM-PLS) with SmartPLS 4.0. The results showed that leadership positively and significantly affected job satisfaction (β = 0.576; p = 0.000) and performance (β = 0.359; p = 0.001). Organizational culture also positively and significantly affected job satisfaction (β = 0.402; p = 0.000) and performance (β = 0.235; p = 0.009). Job satisfaction significantly affected performance (β = 0.361; p = 0.004) and partially mediated the effects of leadership (β = 0.208; p = 0.013) and organizational culture (β = 0.145; p = 0.010). The findings indicate that strengthening leadership, organizational culture, and job satisfaction is essential for improving health workers’ performance.