Background: Telemedicine is a combination of information and communication technology with medical science to provide health services that are not limited to space and can be done remotely (PB IDI, 2020). Patient satisfaction is referred to as the most integral element in the successful implementation of telemedicine (Ploog et al, 2022). This study aims to compare the satisfaction level of outpatients between telemedicine visits and regular face-to-face visits using meta-analysis. Subjects and Method: This study used a systematic review and meta-analysis based on pico as follows, population: outpatient polyclinic, intervention: telemedicine services, comparison: standard care, outcome: patient satisfaction. Data were obtained from the PubMed, Google Scholar, Springerlink, National Center for Biotechnology Information, MEDLINE, Cochrane Library, and Science Direct databases published from 2020 – 2022. The keywords used in the article search were “telemedicine”, “telehealth”, “ virtual care”, “online follow up care”, “telemedicine vs in office” “telemedicine vs conventional”, “patient satisfaction”, “patient experience”, and “randomized clinical trial.” The inclusion criteria were in the form of a full paper article using a randomized clinical trial design, the subjects were outpatients, new patients and follow-up patients, had a control group that assessed standard services, the study outcomes used the mean SD. Article selection used the PRISMA flowchart and the results were analyzed using Review Manager 5.3 software. Results: A meta-analysis of 10 articles from Hong Kong, Turkey, Germany, Austria, the Netherlands, Ireland and the United States with a sample size of 1412 outpatient polyclinics showed that outpatient polypatients who received telemedicine services had an average satisfaction level of 0.38 points. higher than standard service (SMD= 0.38; 95% CI= -0.01 to 0.77; p= 0.060). The meta-analysis of this study showed significant heterogeneity of effect estimates between studies (I² = 69%; p<0.001), so the analysis used was the Random Effect Model (REM). Conclusion: Patients who received telemedicine services experienced an average satisfaction level of 0.38 higher than patients who received standard services (SMD= 0.38; 95% CI= -0.01 to 0.77; p= 0.060). Keywords: Telemedicine, Patient satisfaction, Meta-analysis

Background : Hospitals are required to organize occupational health and safety (K3RS) in all parts of the installation in the hospital, one of which is the medical record installation. The medical record installation has a storage room, namely a filing room which is an important part of storing medical records and has the potential to have various potential hazards. The management of Nganjuk Hospital for this period has not carried out a risk assessment on the medical record installation section. Subject dan Methods: This research is a qualitative descriptive study with a case study design. The sampling technique used was purposive sampling technique. The subjects used in this study were 2 medical record officers, the Head of the Medical Record Installation, and the Head of the K3 Section of Nganjuk Hospital. Results: Based on the HIRADC matrix, the Nganjuk Hospital medical record installation in the Filing section identified a potential hazard in the Moderate-High risk category, including; dusty filing shelves and medical records, poor environmental conditions (temperature, lighting, humidity), distance and height between shelves is not ergonomic, there are sharp objects (remaining staples) in the medical records, carrying and delivering too many medical records to each poly aim. Conclusion : The potential for danger in the filing room is found to be quite a risk to interfere with the work of the filing officer. This requires risk control, including; carry out elimination, substitution, technical control, administrative control and use of PPE

Background: An antenatal visit is the presence of pregnant women at health facilities to check their pregnancy and get information about their pregnancy. The use of mobile health interventions (mHealth) such as SMS, voice messages, videos, and interactive mobile phones can provide behavioral support and health education needs of pregnant women. This study aims to determine the effectiveness of the use of mHealth on the improvement of antenatal visits. Subject and Method: Systematic reviews and meta-analyses were conducted using PRISMA guidelines and PICO models which included Population = pregnant women; Intervention= mHealth, Comparison= does not use mHealth; Outcome= antenatal visit. Articles are collected through databases such as Google Scholar, PubMed, BMJ, Plos One, Plos Digital Health, JMIR, JPHIA, HSPRJ, JIO, Journal of Midwifery and Traditional Health. Keywords used: mHealth or Telemedicine or Phone or Mobile Phones or Mobile Telephone or Short Message Service or Whatsapp Group, Antenatal Visite or Antenatal Care or Pregnancy or Pregnant or Prenatal or Mother Health. A total of 13 articles that met the inclusion criteria were meta-analyzed and assessed using RevMan 5.3. Results: Meta-analyses from Tanzania, Kenya, India, Brazil, Peru, Bangladesh, Nigeria, Uganda, and Indonesia showed that pregnant women who used mHealth services were 2.94 times more likely to have antenatal visits compared to not using mHealth and the effect was statistically significant (OR= 2.94; CI95%= 2.19 to 3.94; p <0.001). Conclusion: The use of mHealth may increase antenatal visits.

Background: Globally, more than half of RME projects face the potential problem that only 35% of lower-middle-income countries and 15% of low-income countries have implemented national electronic health record systems. This study aims to analyze previous primary studies in assessing the influence of electronic medical record training and level of knowledge on health workers' readiness to use electronic medical records. Subjects and Method: This research is a systematic review and meta-analysis using the PRISMA flow diagram and PICO model. Population: health workers. Intervention: RME training and level of knowledge. Comparison: no RME training and poor knowledge level. Outcome: readiness to use RME in health workers. The databases used were Google Scholar, Pubmed, ScienceDirect, Taylor & Francis, Springer Link, Plos One, and BioMed Central, with the keywords (“Willingness” OR “Readiness” OR “Utilization” AND “Electronic Medical Records” OR “EMR” AND “Training” OR “EMR Training” AND “Knowledge” AND 46 “Health Professionals” AND “Cross Sectional” AND “Adjusted Odds Ratio” OR “AOR”). There were 9 cross-sectional studies published in 2015-2023 that met the inclusion criteria. Data analysis using RevMan 5.4. Results: Meta-analysis of 9 articles with a cross-sectional study design obtained from Ethiopia with a sample size of 3,996 health workers. The meta-analysis results show that health workers who received EMR training were 2.62 times more prepared to use electronic medical records compared to health workers who did not receive EMR training, and these results were statistically significant (aOR= 2.62; 95% CI= 2.01 to 3.42; p = 0.001), Health workers who have good knowledge can increase readiness to use electronic medical records by 1.83 times compared to health workers who have poor knowledge, and these results are statistically significant (aOR= 1.83; 95% CI= 1.50 to 2.24; p= 0.001). Conclusion: Health workers who receive RME training and have a good level of knowledge can increase their readiness to use RME. Keywords: RME training, level of knowledge, RME readiness, health personnel

Background: Health Personnel are at risk of contracting diseases from blood/body fluids (bloodborne pathogens) in various ways, one of which is through needle stick injuries or what is known as needle stick injury. Recapping of needles and lack of training are factors in unsafe actions that can risk work accidents. This study aims to analyze the effect of training and recapping of needles on the incidence of needle stick injuries in Health personnal using meta analysis. Subjects and Methode: This study is a systematic review and meta-analysis study using the PRISMA diagram. Article searches were carried out based on eligibility criteria using the PICO Model. Population: Health personnal, Intervention: training and not recapping of needles, Comparison: no training and recapping of needles, Outcome: Occurrence of needle stick injury work accidents. The articles used came from Google Scholar, PubMed, Science Direct and ProQuest published from 2013 – 2023. The keywords used in the search were “Training OR Safety Training OR Infection Prevention Training AND Recapping of Needle AND Needle Stick Injury OR Needle Stick Injuries OR Needle Stick and Sharp Injury OR Percutaneous injuries AND Healthcare Workers OR Health Professionals”. The inclusion criteria for this study were full paper articles with cross-sectional studies. The analysis used was multivariate with adjusted Odds Ratio. Eligible articles were analyzed using the Revman 5.3 application. Results: Meta-analysis was carried out on 13 articles originating from the African and Asian continents with a cross-sectional study design. The results of the analysis show that Health personnal who receive training have a risk of experiencing NSI 0.56 times compared to those without training. Although this relationship was not statistically significant (aOR = 0.56; Cl 95% = 0.26 to 1.17; p = 0.120). Recapping of needles has an effect on increasing the incidence of needle stick injuries in health personnel by 2.04 compared to not recapping of needles and this result is statistically significant (aOR=2.04; 95% CI = 1.50 to 2.78; p<0.001) Conclusion: Training and recapping of needles influence the incidence of needle stick injuries in health worker. Keywords:training, recapping of needle, needle stick injury, health personnal.

Background: Satisfaction of patients or insurance participants is one of the factors that can be used as a reference in determining the success of a service program. This means that the good quality of a service is not based on the service provider's perception, but based on the consumer's perception because it is the consumer who enjoys the services provided by the company. The study aimed to analyze the effect of loyalty and service quality on SCA patient satisfaction and general patients at the Neurology Polyclinic UOBK Dr. Mohamad Saleh Hospital, Probolinggo City. Subjects and Method: An observational study with a cross-sectional approach were conducted at Neurology Polyclinic UOBK Dr. Mohamad Saleh Hospital, Probolinggo, East Javaon August 2022. A total of 100 patients were selected for this study. The dependent variable was satisfaction. The independent variable were loyalty and service quality. The data were collected using a set of questionnaires and analyzed using linier regression. Results: Patient satisfaction increased with good loyalty (b= 2.26; p= 0.002), and good service quality (b= 2.03; p= 0.006). Conclussion: Patient satisfaction increased with good loyalty (b= 2.26; p= 0.002), and good service quality.

Background : Progress technology information make all affected areas _ experience change . One of impact progress technology and information in the area health that is exists record medical electronic . There is a record medical electronic is designed to improve communication between providers within and between organizations by automating the collection, use, and storage of patient information. Additionally, record medical electronics can facilitate guideline compliance and decision support in service health . There is a record medical electronic expected can increase quality service health care in the facility service health . Subjects and Methods : This research is a meta-analysis and systematic review study , with PICO Population = Hospitals that use an EMR system . Intervention = _ Electronic Medical Records ( EMR ) . Comparison = Without Electronic Medical Record ( EMR ) . Outcome = Quality of health services. The articles used in this research were obtained from several databases including PubMed, ScienceDirect, and Google Scholar. Keywords to find articles are: “EMR” OR “ effectiveness of EMR use” OR “ quality of health care” OR “ effectiveness of EMR” Results : A total of 10 articles reviewed in this meta-analysis study came from America, Arabia, London and Taipei. Studies show that EMR use improves the quality of health care ( aOR = 0.87 (95% CI, 0.79 - 0.95). Conclusion : Service health services that use Electronic Medical Records ( EMR ) are 0.87 times more effective in improving health services compared to with service health who do not use an Electrocik Medical Record ( EMR ) . Keywords : EMR, Quality of health services, Electronic Medical Records

Background: COVID-19 pandemic has led to a surge in telemedicine utilization in Indonesia, necessitating increased attention toward user satisfaction and encountering obstacles in telemedicine services. This study aims to analyze the satisfaction and barriers faced by users of telemedicine applications, considering population characteristics during the COVID-19 pandemic in Indonesia. Subjects and Method: Using a descriptive observational design with a cross-sectional approach, the study encompassed the entire population of telemedicine users during the COVID-19 pandemic, with samples adhering to predetermined inclusion and exclusion criteria. Data were collected through Google Forms questionnaires from August 2020 to November 2020. Subsequently, data were subjected to chi-square tests (alternative: Kruskal-Wallis) and logistic regression analyses, with p-value<0.05 and 95% confidence interval. User satisfaction with telemedicine was associated with factors such as domicile, settlement, provider, health insurance, and utilized internet network (p<0.05). Results: User satisfaction with telemedicine was associated with factors such as domicile, settlement, provider, health insurance, and utilized internet network (p<0.05). Conversely, barriers encountered in telemedicine exhibited associations with gender, marital status, age, regional origin, residence, education, occupation, health insurance, income, provider type, internet network, and internet quota (p<0.05). A significant correlation was observed between barriers and user satisfaction with tele¬medicine (p<0.001). The most influential factor affecting satisfaction was income less than Rp 1,500,000 per month (OR 30.818; 95% CI: 1.75 to 542.39), while pay ranging from Rp 3,500,000 to 5,500,000 per month exhibited the most substantial impact on barriers (OR 5.266; 95% CI: 2.326-11.920) Conclusion: The majority of respondents expressed satisfaction and encountered no obstacles when employing telemedicine. Respondents suggested enhancing telemedicine usage by emphasizing the importance of diagnostic accuracy, simplifying processes, maintaining confidentiality, optimizing application features, and improving network speed. Keywords: COVID-19, barriers, satisfaction, telemedicine

Background: Tuberculosis is a public health problem both in Indonesia and internationally. Tuberculosis is an infectious disease that can affect anyone and is one of the 10 leading causes of death worldwide. TB ranks second with the highest cases in Indonesia after India. Tuberculosis Infection Control (TBIC) is a form of TB prevention which is the core of safe and high-quality health services. TBIC is often neglected in patient management practice. This study aims to analyze and estimate the effect of tuberculosis infection control training on improving the performance of staff in health facilities. Subjects and Method: The meta-analysis was carried out using the PICO format including: (1) Population: Health personil; (2) Intervention: TBIC Training; (3) Comparison: No TBIC training; and (4) Outcome: Performance. Article searches were carried out using several databases such as Google Scholar, PubMed, and Elsevier. Search for articles from 20 October 2022 to 21 January 2023. Keywords used: “Tuberculosis infection control training” OR “Performance” AND “Health personel” AND “Health facility” AND “Multivariate” AND “Cross-sectional”. The inclusion criteria for the included articles were full text articles, relationship measures using multivariate analysis (aOR), English articles with a cross-sectional design, and article publications in 2012-2022. Articles are collected using PRISMA flow diagram guidelines. Data were analyzed using the Review Manager 5.3 application. Results: A total of 13 cross-sectional studies, from the continents of Asia and Africa. Nine articles from East Africa (Ethiopia), 2 articles from West Africa (Nigeria), 1 article from Central Africa (Cameroon), and 1 article from South Asia (Nepal). The results showed that health personil who received TBIC training had a 2.35 times better chance of performance compared to health personil without training, and this result was statistically significant (aOR= 2.35; 95% CI= 1.96 to 2.81; p <0.001). Conclusion: Tuberculosis infection control training can improve the performance of workers in health facilities.