Professional Assistance Research Articles

The ENBIS‐21 quality and reliability engineering international special issue

The ENBIS-21 Quality and Reliability Engineering International Special Issue is related to the contributions to the 21st Annual Conference of the European Network for Business and Industrial Statistics (ENBIS) held online from 13 to 15 September, 2021. The topics covered by the 12 papers included in this special issue fall within the scope of ENBIS, whose ultimate goal is to bridge the gap between methodology and application in the field of business and industrial statistics and foster networking between statisticians in academic and commercial settings. It becomes evident from the papers on this issue that classical methods of industrial statistics are still having a wide range of applications and expansions towards complex and big data structures as well as they are increasingly cross-fertilized by artificial intelligence and machine learning perspectives and approaches. The issue is opened by the contribution of Yang et al.1 in the Statistical Process Monitoring (SPM) of data in the form of tensors. The authors develop a hierarchical in-situ process monitoring approach for anomaly detection, which is applied to thermal video streams acquired during a metal additive manufacturing process for highly complex parts. A more traditional SPM approach based on generalized likelihood ratio (GLR) control charts is elaborated by Rizzo and Di Bucchianico2 to set up tailor-made monitoring for high-purity (high-quality) processes and deals with issues arising in GLR control charts for discrete processes. Along the line of developing statistical methods for complex data structures, Gril et al.3 set up a tensor-on-tensor regression model able to dynamically predict repetitive human motions helpful in avoiding unwanted collisions at the interface with robots in industrial assembly tasks. Chuquin et al.4 present a straightforward extension of the K-means clustering to spatially correlated functional data, with an application in the analysis of the normalized difference vegetation index in a large region of Ecuador. From a more general perspective, Vanacore et al.5 address the problem of assessing prediction performance in the multi-class classification of imbalanced data sets. In the optimal Design of Experiments (DoE) Pesce et al.6 offer new results that are oriented to bias reduction in large datasets and protection against confounders. Whereas, Kirchhoff et al.7 use DoE as the initial solution for the optimization of shift planning in high-bay warehouse operations based on Gaussian process models with low-rank correlation kernels. Risk assessment and management is the topic of the following three papers. Testik and Unlu8 compare traditional and fuzzy failure modes and effect analysis to rank risks in different areas of testing and calibration laboratories. Meynaoui et al.9 deal with an accidental scenario in a sodium-cooled fast nuclear reactor by means of a global sensitivity analysis of the input parameter distribution used in numerical simulator outputs to model physical phenomena. Lai and Zwetsloot10 offer a data-driven ensemble ranking system of product quality, which is validated in the identification of high-risk manufacturers in a solar industry case study. The final two papers are devoted to the Reliability and Maintenance of repairable systems. El-Aroui and Gaudoin11 propose a general goodness-of-fit test for imperfect repair models that has the favorable property of being asymptotically distribution-free for renewal and power law processes. Fouladirad et al.12 develop a new bounded transformed gamma process model to describe and predict degradation phenomena by relaxing the typical assumption that the degradation level can grow indefinitely, which is often unrealistic for technological units. The proposed model is also applied to a set of wear measures of cylinder liners that equip a diesel engine for marine propulsion. We are deeply grateful to the journal staff for their professional assistance in the editorial process, as well as to the anonymous referees for the time and effort spent to provide careful and constructive comments, and to all the authors, who made revisions on a very tight timescale.

Usage, acceptability, and preliminary effectiveness of an mHealth-based integrated modality for smoking cessation interventions in Western China.

Many smokers have not accessed professional smoking cessation assistance due to limited smoking cessation services. We developed a novel mHealth-based integrated modality for smoking cessation (WeChat + Quitline modality, WQ modality) and applied it to a large public welfare project (China Western-QUIT Program) in western China. This study evaluated the usage, acceptability, and preliminary effectiveness of the WQ modality in the population of western China. A prospective cohort study was conducted between April and August 2021. Smokers or their relatives were recruited through online advertisements and medical staff referrals. After using the services of the WQ modality for one month, the self-reported awareness, use, and satisfaction with each service among the participants were collected by a telephone interview. We also evaluated the self-reported 7-day point prevalence of abstinence (PPA) and quit attempt rate among baseline current smokers. The usage data of each service were downloaded from quitline and WeChat platforms. Of the 17326 people from western China using the WQ modality, the largest number of users was WeChat official account (11173), followed by WeChat mini program (3734), WeChat group (669), and quitline (541 inbound calls, 605 outbound calls). At one month follow-up, over 70% of participants who completed the baseline survey (n=2221) were aware of WeChat-based services, and over 50% used them. However, the awareness rate (11.1%) and utilization rate (0.5%) of quitline were relatively low. The median satisfaction scores across all services were 9 out of 10 points (IQR: 8-9). Among the baseline current smokers (n=1257), self-reported 7-day PPA was 41.8% (526/1257), and another 225 smokers (17.9%) reported making a quit attempt. The WQ modality could be well used and accepted, and it has great potential to motivate and aid short-term smoking cessation in smokers from western China.

Stigmatizing and negative attitudes in oncology in Russia: prevalence, information aspects and psychological care based on a sociological study

BACKGROUND: In Russia, the cancer stigma is quite widespread. At best, it is expressed in pity, at worst in fear and alienation, which puts an even heavier burden on the patient, who not only faces experiences associated with treatment and the disease itself, but also feels guilty and ashamed. The study considered certain aspects of this stigma: the concealment of the diagnosis, the attitude to body changes, the confrontation with the patients new identification, the degree of stigma control by an individual. Additionally, the stigmatization of the need for psychological care which is necessary for cancer patients, as well as their relatives, leads to additional emotional distress. In order to effectively carry out informational and educational work, one needs to understand stigmatizing attitudes in general public and social media.
 OBJECTIVE: The goal was to analyze the stigmatizing and negative cancer-related attitudes in the public consciousness and social media in Russia, as well as to understand the related stigma of the need for mental care.
 MATERIALS AND METHODS: An all-Russian survey on the stigmatization of cancer and psychological care was conducted on a sample of cancer patients (n=73), close relatives of cancer patients (n=426), and respondents who have no experience with cancer (n=513). Additionally, we carried out a qualitative and quantitative analysis of users messages in social media using keywords, which potentially reflect the cancer-related experience of the author or their relatives (a random subsample of 400 messages from an initial sample of about 150 thousand messages).
 RESULTS: The article addresses the issue of stigmatizing cancer in modern Russian society from the concept of I. Goffman. A fairly widespread prevalence of negative and stigmatizing attitudes towards oncological diseases and professional psychological assistance in modern Russian society and in the media were revealed. We found differences among the subsamples in a number of stigmatizing attitudes, as well as the relationship of adherence to them with the age and gender of the respondents. Analysis of social media revealed their contribution to the cancer context as suffering pain, treatment, and financial burden.
 CONCLUSION: The shown trends, along with gender and age differences, require differentiated information and educational work with each of the population groups.

A Thorough Examination of the Influence of Drug Addiction on Youth and the Efficacy of Legal Measures in its Prevention

Drug addiction is essentially a condition or disorder characterized by the impact of substances on an individual's brain, resulting in a diminished ability to control drug or medication usage. Whether legal or illegal, excessive reliance on any substance is detrimental. Presently, a concerning trend is the increasing susceptibility of young individuals to drug addiction. Various factors contribute to this phenomenon, including easy access to drugs, depression, peer pressure, lack of family involvement, and low self-esteem. The study aims to explore the heightened vulnerability of youth to drug addiction, identify the reasons behind their susceptibility, investigate the influence of adults on youth drug consumption, analyze the role of peer pressure in drug addiction rates, and discuss strategies for overcoming drug addiction. The empirical research methodology employed in this study reveals that drugs are readily available in society, making it easier for youngsters to access them. However, the findings emphasize that individuals hold the key to preventing drug addiction by altering their mindset. Recommendations include seeking diversions such as engaging in physical activities like going to the gym or playing sports, practicing mindfulness through activities like meditation, seeking professional assistance, maintaining a well-balanced lifestyle, listening to music, and surrounding oneself with positive influences. Ultimately, the study underscores the importance of individual initiative in breaking the cycle of drug addiction

Emergency Management and Possibilities of Involvement of Non-Governmental Organizations

The study focuses on the issue of extraordinary events such as disruptions in society and the involvement of non-governmental non-profit organizations. The goal is to describe the possibility of involving non-governmental non-profit organizations in dealing with extraordinary events and crisis situations. Rescue and security forces are established in the Czech Republic to deal with emergencies, whose priority mission is to save life, health, property and the environment. In addition to the state-guaranteed components, non-state nonprofit organizations are also involved in the preparation and solution of extraordinary events. The rules of cooperation and coordination according to the Act on the Integrated Rescue System, as amended, apply primarily to their coordination during emergencies. Nongovernmental non-profit organizations, which prepare for longer and systematically and are involved in the solution of extraordinary events, create platforms for cooperation and coordination focused on follow-up activities after rescue work, e.g. monitoring of the affected area, humanitarian, psychosocial, material and financial assistance, consulting and other professional assistance.

A novel time-of-flight auto-diagnosis model for ultrasonic signal using a sliding window technique based on empirical mode decomposition

Ultrasonic signal analysis is an essential technique used in various fields, including non-destructive testing (NDT), structural health monitoring, and medical diagnosis. Accurate auto-diagnosis of Time-of-Flight (ToF) for ultrasonic signal is crucial in defects locating, ultrasound imaging, etc. However, requisite signal extraction for ToF estimation was interfered with noise in time and frequency domain, and there is a tendency to be interrupted by spikes in ultrasound signal envelope for wave crest auto-location. In this study, a novel auto-diagnosis model for ultrasonic signals is proposed based on the empirical mode decomposition (EMD) technique and sliding window approach. The model utilizes EMD method to extract intrinsic mode functions (IMFs) and obtain time-frequency representations of the signal. Then the ultrasound signal envelope is extracted by Hilbert transform. The sliding window technique is employed to monitor the time-varying characteristics of the ultrasonic signal and capture the changes in ToF. Spline interpolation algorithm was embedded in the sliding window technique for reducing ToF error and computer burden. The proposed model can automatically estimate ToF for the ultrasonic signal without professional assistance. The performance of the proposed model is evaluated using steel plates with a thickness of 10mm and pipelines with a wall thickness of 7mm. The results demonstrate high accuracy in detecting signal abnormalities, with maximum errors of 0.25% and 1.25% for steel plates and pipelines under constant pressure, respectively. The proposed approach holds promising potential for fully automated applications in various fields in the future, such as structural health monitoring and medical diagnosis.

Practice of providing psychological assistance to law enforcement officers in extreme (crisis) situations

Aim: To identify approaches to the practice of providing psychological assistance to law enforcement officers in extreme (crisis) situations. Material and methods: Research methods: bibliosemantic, forecasting, comparative, analysis, and generalization. Clarification of the etymology of extreme (crisis) situations allowed us to identify approaches and techniques of psychological assistance to law enforcement officers after their stay in extreme (crisis) situations and stressful conditions. Law enforcement officers often experience such emotions in extreme situations and stressful conditions as fear, anger, powerlessness, despair, and confusion. The use of psychological debriefing in work with law enforcement officers can help overcome the negative effects of stress after a crisis incident, as well as develop skills that may be needed in the event of a repeated encounter with similar events. Conclusions: The toolkit of professional psychological assistance to law enforcement officers should focus primarily on increasing their communicative open¬ness and social confidence. The psycho-correctional practice involves the best possible adaptation of law enforcement officers to the requirements of an extreme situation, enabling them to master it, weaken or mitigate these requirements, and try to avoid or get used to them.

10 important financial investments for orthopods in India

10 important financial investments for orthopods in India

Key aspects of professional assistance provided by inclusive-resource centers: realities and prospects

Key aspects of professional assistance provided by inclusive-resource centers: realities and prospects

Structure freezing in the ice

Freezing into ice is a complex phenomenon that presents challenges and risks in both individual and construction contexts. Work provides a concise overview of the key aspects surrounding freezing in ice. It highlights the dangers. For construction, the risks lie in compromised structural integrity, limited stability, and access difficulties. Calculating freezing in ice involves considering temperature, material properties, freezing time, ice formation, and expert consultation. Different types of freezing into ice are identified, and the freezing process is shown to be influenced by the type of ice, such as freshwater ice or sea ice. Dealing with freezing in ice requires strategic approaches, including following established procedures, utilizing proper equipment, seeking professional assistance, and adapting to changing conditions. Engineering construction aspects encompass planning, design, ground preparation, foundation design, construction techniques, material selection and monitoring. Understanding and managing freezing in ice is crucial for ensuring safety and successful construction projects in icy environments.

The impact of life of a child with cerebral palsy on the quality of life of mothers: Tuzla Canton/Bosnia and Herzegovina.

The aim of the study was to examine the impact of the quality of life of children with cerebral palsy (CP) on the quality of life of mothers. A total of 122 subjects participated in the study. The general quality of life assessment of paediatric subjects PedsQLTM 4.0 Generic Scale and the specific PedsQLTM 3.0 Module Cerebral Palsy Version 3.0 were used to assess the quality of life of children with CP, and the quality of life of mothers was assessed with the PedsQLTM 2.0 Family Impact Mode Questionnaire. In the present study, the quality of life of mothers is influenced by the physical and social functioning of the child, while the impact of emotional functioning has not been proven. The specific difficulties faced by children with CP, which have a statistically significant effect on the overall quality of life of the mother, are present in the domains: daily activities, mobility and balance and nutrition. The assessment of the quality of life of mothers and children with CP should be an integral part of the clinical assessment, as this will enable professionals to participate more successfully in providing professional assistance in the form of services, therapeutic approaches and prevention programs.

Trend and determinants of home delivery in Gambia, evidence from 2013 and 2020 Gambia Demographic and Health Survey: A multivariate decomposition analysis.

Home delivery is defined as is an even of pregnant women getting giving birth in a woman her home or other homes without an unskilled health professional assistance. It is continuing as public health problem since its responsible for death of women and newborn. In Gambia there is a high maternal mortality rate, which may be related to home delivery. Therefore, this study aimed to assess the trend of home delivery and identify predictors using Gambia Demographic and Health Survey (GDHS) 2013 and 2019-2020 data sets. A Cross-Section survey was conducted based on GDHS 2013 and 2019-2020 among reproductive age group women. A total of 8607 women participated in this study. A bivariate decomposition model was fitted, and variables that had a p-value > 0.25 were dropped. Finally, variables that got a p-value of < 0.05 with 95% confidence interval (CI) in the multivariate decomposition analysis were considered as statistical significance variables in the overall decomposition. There has been a dramatic decrement in maternal home delivery in Gambia. It was 36.18% (95% CI:34.78, 37.58) in 2013 GDHS and 14.39% (95% CI:13.31,15.47) in 2019-2020 GDHS. This reduction is real because there was a change in the characteristics effect of the population and the coefficient effect some variables in the home delivery. Changes in characteristics effect of husband education, women education, rural residents, more than three antenatal cares follow up, and no problem reaching health facilities played a significant role in the reduction of home delivery. Being urban resident and women who had occupation were variables that had a positive effect on coefficient effect change. In this study, the home delivery rate had steeply declined in the Gambia during the study period of the two surveys. Just above nine-tenths decrement in home delivery rate resulted because there was a change in the characteristics effect of the study participants. Enhancing more citizens to attend high school and above, narrowing the gap between rural and urban in terms of accessing health facilities, and improving the availability of infrastructure should be done.

The Expressive Arts in Intimacy Groups with Parents: Processes and Outcomes

In light of the growing needs of people for mental health services and the limited resources available, the literature calls for moving from individual therapy to group therapy. Parents of challenging children may be considered one such vulnerable population for whom the lack of professional assistance not only affects parents’ mental health and functioning but also that of their children. Group psychotherapy is an efficient and effective solution for parents: Research has concluded that group therapy is equally or more effective compared to individual therapy. Yet, group therapy is not frequently used with parents, mainly because psychologists are not trained to conduct such groups. Parent groups require therapists who understand parent-child relationship and who are trained in special methods and techniques that help parents engage in the group process. The aim of this paper is two–fold: 1. Present a group therapy modality to increase intimacy in parent-child relationships that relies on the creative arts; 2. Provide outcome and process research based on four large studies, to support the validity of the intervention.

Association between Opioid Overdose and Health Plan Disenrollment with Mitigating Impact of Buprenorphine Initiation.

Context: Health plan disenrollment has been associated with higher mortality in patients with opioid use disorder. Insurance loss and health plan disenrollment might be downstream social consequences of opioid misuse and overdose that may heighten patient mortality risks during a period of heightened need for professional assistance. Objective: To test hypotheses that: 1) overdose events in patients prescribed long-term opioids are associated with subsequent health plan disenrollment; and 2) buprenorphine initiation after overdose would attenuate this association. Study Design: Retrospective cohort study. Setting and Dataset: Data from the Optum Labs Data Warehouse which includes de-identified medical and pharmacy claims and enrollment records for commercial and Medicare Advantage enrollees. The database contains longitudinal health information on patients, representing a mixture of ages, ethnicities, and geographical regions across the United States. Population studied: Adults (aged ≥18 years) prescribed stable, opioid therapy for a 6-month baseline period (≥90% of days covered, <10% monthly fluctuation from 6-month average, average daily dose ≥10 morphine milligram equivalents). Outcome Measures: Health plan disenrollment during up to one year of follow-up. Negative binomial regression estimated adjusted incidence rate ratios of disenrollment by incident overdose and buprenorphine initiation after overdose. Results: We identified 556,676 patients who were followed up after 1,119,100 stable periods of opioid therapy. During follow-up, 17.5% of person-periods ended in health plan disenrollment. Overdose events during follow-up were associated with health plan disenrollment with a dose-response relationship [adjusted incidence rate ratio (aIRR) for 1 overdose event = 1.29 (95% CI: 1.24-1.35); aIRR for ≥2 overdose events = 1.51 (1.43-1.59)]. Among patients with overdose events, subsequent buprenorphine initiation was associated with substantially reduced risk of health plan disenrollment [aIRR 0.36 (0.17-0.74)]. Conclusions: Overdose events in patients prescribed long-term opioids may portend other social consequences, such as health insurance loss, which may exacerbate patient risk at a time of heightened need and vulnerability. Buprenorphine may mitigate the risk of health plan disenrollment in opioid-prescribed patients who overdose.

Effects of Road Slope and Vehicle Weight on Truck Fuel Consumption

In this paper, we developed truck fuel consumption models for the particular assistance of professionals in charge of road project valuation in terms of predicting fuel used by trucks, which is an important topic on vehicle operating costs to be considered in the benefit–cost analysis of road projects. On the other hand, fuel consumption has a direct impact on emissions to the atmosphere, and thus future research can be conducted regarding estimations about emissions by trucks. In this research, we identified the effect of overall vehicle weight on truck fuel consumption in a free-flow regime. The methodology includes the design of experiments and factorial design as statistical techniques to obtain data, as well as linear and non-linear regressions to obtain models for two types of trucks: rigid (three axles) and articulated (six axles). Notably, there is no evidence of research previously conducted on the latter. We used statistical methods for the selection of trucks, equipment, road segments, and other aspects, obtaining good control in tests verifying the appropriate values for factors according to the planned ones. The results satisfy the expectations of the research, and it was demonstrated that the vehicle weight and roadway slope were significantly more important than speed alone, which was typically considered the main variable in other studies. On the other hand, longitudinal slopes higher than 5% were found to not be suitable for freight road corridors. It is recommended that 6-axle trucks instead of 3-axle trucks be used for a 16 t amount of cargo transported on a plain road (longitudinal slope under 3%). The HDM-4 model did not represent fuel consumption adequately for the current vehicle fleet operating on roads. Fuel consumption models must be updated, for instance, every 10 years, such that they can adapt to vehicle technological advances and the energetic improvement of fuels, including the proportion of biofuels and gas.

IMAGE-BASED VIRTUAL REALITY STRESS THERAPY APPLICATION (VRT-stressNOmore): AN ALTERNATIVE TOOL FOR SELF THERAPY

Students in university are experiencing increased stress levels due to their daily routines. Students can self-manage their everyday stress with the self-therapy application before it causes other problems requiring professional assistance. This study aimed to determine whether VRT-stressNOmore, an image-based virtual reality with a few realistic University Utara Malaysia environments, can reduce student stress. However, the evidence for image-based virtual reality as a self-therapy is still in the leakage phase. Therefore, the objectives are determining the features that support self-therapy, confirming the features through expert review, designing and developing, and conducting therapeutic test. Implementation of pre-production-post methodology to achieve the goals and objectives. During the week of final exams, 47 healthy undergraduates and 29 healthy postgraduates consented to participate in this study. The T-test result indicates the different values before and after experiencing VRT-stressNOmore, demonstrating the beneficial effect of reducing stress. However, additional research is necessary to confirm the potential and efficacy of VRT-stressNOmore as a self-therapy application for university students.

Concept of professional legal aid in Ukraine: general theoretical aspect

The article analyzes key issues of professional legal assistance at a general theoretical level. The article defines that everyone's access to professional legal aid is a fundamental right, which is enshrined at the international legal and constitutional legal level. The right to professional legal assistance, its content and legal nature are described. Taking into account the interpretations of the studied concept of professional legal aid present in the scientific opinion, it is defined as the professional activity of lawyers, which is aimed at realizing the constitutional right to professional legal aid with the aim of observing the legitimate interests, rights and freedoms of a person by solving a problematic legal situation through the provision of legal services.&#x0D; The main problems that cause the lack of unity regarding the definition of the content of professional legal assistance are identified: terminological inconsistency in the legislation, lack of a unified approach in scientific opinion. The main approaches to the relationship between the concepts of "professional legal aid" and "legal aid" in legal science are analyzed and the content of professional legal aid is determined according to the main approaches available in the scientific literature. The specifics of professional legal assistance and its types are determined.&#x0D; It is summarized that the legislator established in Art. 59 of the Constitution of Ukraine the right to professional legal assistance, but at present there is a terminological inconsistency with this provision of the content of other legislative acts. Taking into account the above, it is proposed to improve the legal regulation of the institute of professional legal assistance by making changes to the normative legal acts that regulate various aspects of providing professional legal assistance and to eliminate terminological disagreements regarding the definition of professional legal assistance.

Emerging Strategies in Classroom Management: Impact on the 21st Century Skills Competency of Grade 10 Students

The study was an attempt to determine if there is a significant relationship between teachers’ use of different classroom management strategies and the 21st-century skills competency of Grade 10 students. This research used a random sampling technique to determine the specific number of student respondents to the study. A self-made survey questionnaire was developed in this study. The researcher sought the assistance of different research professionals, master teachers in English, and experts in the field to validate the research instrument. The following are the findings of the study: The extent of utilization of teachers on preventive, supportive, and corrective classroom management strategies are all interpreted as utilized. The levels of students’ learning and innovation skills, life and career skills, and information, media, and technology skills are interpreted as very good. There is a significant relationship between classroom management strategies and the skills competency of the students. And classroom management strategies are significant predictors of students’ 21st skills competency.

Prevalence and Correlates of Self-Injury among Adolescents: A Cross-Sectional Study

Introduction: Non-suicidal self-injury (NSSI) is defined as a deliberate and voluntary self-inflicted physical damage without suicidal intent. However, the risk of suicide is significantly higher among those who have previously engaged in NSSI. Adolescents are at risk for developing this type of behavior, as elevated levels of impulsivity and emotional reactivity are present due to brain developmental processes.&#x0D; Methods: A cross-sectional survey that collected data from a sample of 140 adolescents from two Brazilian public schools in august of 2018. The prevalence of self-injury was calculated, and related factors were analyzed, such as sex, socioeconomic status, age of onset, recurrence, intention to die and healthcare assistance.&#x0D; Results: The prevalence of self-injury was 25% (n = 35) in the sample. Girls were seven times more likely to practice self-injury than boys (OR 7.42; 95% CI 2.80-19.66; p&lt;0.001). However, boys were more likely to have intention to die, recurrence, absence of pain, and no healthcare assistance. The age of onset was 13 to 15 years for most cases. More than one third of participants reported multiple episodes of self-injury (five episodes or more) and they were 13 times more likely to have intention to die (OR 13.2; 95% CI 1.44-120.69; p=0.010). Only one person reported using medication on a daily basis (selective serotonin reuptake inhibitor) and 28.6% reported undergoing professional healthcare assistance.&#x0D; Conclusion: Self-injury is a prevalent behavior in adolescents, that potentially results in psychological and physical impairments. Further research to achieve a better understanding of clinical and epidemiological features of self-injury is essential so that more effective preventive and therapeutic interventions can be developed to target the needs of young people worldwide.

EVALUASI PENGGUNAAN TELEMEDISIN PADA PELAYANAN RAWAT JALAN DI RUMAH SAKIT AKADEMIK UGM SAAT PANDEMI COVID-19 DENGAN METODE HOT-FIT

Background: One hospital that has adapted services to the COVID-19 pandemic is the UGM Academic Hospital (RSA UGM). RSA UGM offers long-distance or telemedicine services, later named the Joempa Dokter Telemedicine RSA UGM. Joempa Dokter stands for Journey for Online Electronic Medical Professional Assistance. Telemedicine Joempa Dokter RSA UGM has been running for 1.5 years. Still, it was found that it had not been appropriately utilized by health workers who worked at the Outpatient Installation at RSA UGM. The process flow for telemedicine services was also not adequately systemized, as evidenced by using semi-conventional technology in practice.&#x0D; Objective: To evaluate ‘Joempa Dokter’ telemedicine service at RSA UGM during the COVID-19 pandemic.&#x0D; Methods: The type of research used in this study is a mixed method with an embedded or nested research design using a survey approach and in-depth interviews. This research was conducted in the outpatient ward of RSA UGM from July to August 2022.&#x0D; Results: The flow of telemedicine services for Joempa Dokter RSA UGM starts with patient registration via the Google form, consulting with doctors via the Zoom platform, then prescribing drugs online. Telemedicine services have not been integrated with the SISTEMA RSA UGM, but this service is helpful and easy to use. There are still some deficiencies in this telemedicine service, such as unattractive features; the platform used is still different from registration to postservice; there is no Standard Operating Procedure (SOP) for Joempa Dokter Telemedicine Services; incentives are not appropriate; and telemedicine services are not a priority service at RSA UGM yet.&#x0D; Conclusion: Joempa Dokter Telemedicine at RSA UGM is beneficial as an alternative solution to improve the quality of health services in hospitals during the COVID-19 pandemic. For better service continuity, UGM RSA management needs to prepare Standard Operating Procedures (SPO) and service roadmaps, adjust incentives to improve the performance and motivation of the health workers involved, and service integration with existing information systems at RSA UGM also needs to be done.