Abstract
THE ART OF MANAGING THE SPINE DISEASES IN INDONESIA : IS IT A WELL-DEVELOPING HEALTH SYSTEM IN A DEVELOPING COUNTRY? Rully Hanafi Dahlan .1 Neni Sri Imaniyati .1 M. Faiz Mufidi. 1 Nandang Sambas. 1 Sevline Estethia Ompusunggu. 2 Farid Yudoyono. 2 1 Program Studi Doctoral Ilmu Hukum. Pasca Sarjana Universitas Islam Bandung. 2 RFS Spine Care Bandung. Neurospine, Peripheral Nerve, and Pain Division. Neurosurgery Department Faculty of Medicine Padjadjaran University.Hasan Sadikin General Hospital, Bandung, Indonesia Background : The lack of knowledge about health problem is one of the major problem in developing countries. This condition leads to poor judgement of symptoms and delayed of diagnosis. The needs of advanced diagnostic tools, surgery and medical treatments in spinal pathologies compound those difficulties in achieving the optimal outcome. But all the problems were not well-documented as an objective data to evaluate the adequacy of the health system. Objectives : To overview the pre-hospitalization, hospitalization, surgery and post-hospitalization problems in a single centre study. Methods : This is the retrospective study with statistical analysis. We reviewed the records of patients who presented to Neurospine unit of Neurospine Perihperal Nerve and Pain Division, Neurosurgery Departments Hasan Sadikin General Teaching Hospital, Bandung from 2010 through 2016. Results : There were 590 consecutive patients included in the study who met the inclusion criteria. The data was recorded for the demographics, time of the initial symptoms to diagnosis, surgical procedure, pathology entities, and 12-months follow-up obedience. We described the complicating factors from patient’s history taking and literature review. Conclusion : The good collaboration of the surgeons, medical caregivers, peers and relatives support plays important role to establish the proper data registry that can enhance the development of health system in our centre. Keywords : spine diseases, developing country, health system.
Highlights
Health research is a driving force for improving the performance of health systems and the health of individuals and populations. It is often a fragmented, competitive and highly specialized activity, with researchers in different disciplines often working in isolation
This paper showed the problem might happened in developing country [11], such Indonesia, as: A
Most spine patient come to our centre with many problem, which resulting as bad outcome and high morbidity and castatrophic
Summary
Role of oversight of the health system, included government policy, future vision, direction, collecting the problem and data [6]. Health research is a driving force for improving the performance of health systems and the health of individuals and populations. It is often a fragmented, competitive and highly specialized activity, with researchers in different disciplines often working in isolation. Health systems research can be defined as ‘the production of knowledge and applications to improve how societies organize themselves to achieve health goals, including how they plan, manage and finance activities to improve health, as well as the roles, perspectives and interests of different actors in this effort.
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