Health Information Center Research Articles

Deep learning based prediction of depression and anxiety in patients with type 2 diabetes mellitus using regional electronic health records.

Depression and anxiety are prevalent mental health conditions among individuals with type 2 diabetes mellitus (T2DM), who exhibit unique vulnerabilities and etiologies. However, existing approaches fail to fully utilize regional heterogeneous electronic health record (EHR) data. Integrating this data can provide a more comprehensive understanding of depression and anxiety in T2DM patients, leading to more personalized treatment strategies. This study aims to develop and validate a deep learning model, the Regional EHR for Depression and Anxiety Prediction Model (REDAPM), using regional EHR data to predict depression and anxiety in patients with T2DM. A case-control development and validation study was conducted using regional EHR data from the Nanjing Health Information Center (NHIC). Two retrospective, matched (1:3) datasets were constructed from the full cohort for the model's internal and external validation. These two datasets were selected from the NHIC data of 2020 and 2022, respectively. The REDAPM incorporates both structured and unstructured EHR data, capturing the temporal dependency of clinical events. The performance of REDAPM was compared to a set of baseline models, evaluated using the area under the receiver operating characteristic curve (ROC-AUC) and the area under the precision-recall curve (PR-AUC). Subgroup, ablation, and interpretation analyses were conducted to identify relevant clinical features available from EHRs. The internal and external validation datasets comprised 24,724 and 34,340 patients, respectively. The REDAPM outperformed baseline models in both datasets, achieving ROC-AUC scores of 0.9029±0.008 and 0.7360±0.005, and PR-AUC scores of 0.8124±0.011 and 0.5504±0.009. Ablation and subgroup experiments confirmed the significant contribution of patients' medical history text to the model's performance. Integrated gradient score analysis identified the predictive importance of other mental disorders. The REDAPM effectively leverages the heterogeneous characteristics of regional EHR data, demonstrating strong predictive performance for depression onset in diabetic patients. It also shows potential for discovering significant clinical features, indicating considerable promise for clinical utility.

The Influence of Biological Literacy and Adolescents' Attitudes Regarding Reproductive Health on Healthy Reproductive Behavior in the 2024 PIK-KRR Program

Adolescent reproductive health includes physical, mental and social aspects. Apart from being related to physical conditions such as diseases or disorders of the reproductive organs, reproductive health also involves psychological and social well-being which has an impact on the quality of life of teenagers. Factors that influence adolescent reproductive health include individual knowledge and attitudes as internal factors, as well as the family environment, the role of teachers, peers, and access to information as external factors. This research aims to analyze the influence of biological literacy and attitudes of adolescents regarding reproductive health in the PIK-KRR (Adolescent Reproductive Health Information and Counseling Center) program on healthy reproductive behavior in adolescents. This research uses an analytical observational design with a case-control method. The sample was taken proportionally with a 1:1 ratio, consisting of 250 teenagers with non-risky reproductive behavior and 250 teenagers with risky reproductive behavior. Data analysis was carried out using the Chi-square test. The results showed that biological literacy (p=0.000) and attitudes (p=0.000) had a significant effect on healthy reproductive behavior in adolescents. These findings emphasize the importance of knowledge and attitudes obtained from the PIK-KRR program in shaping healthy reproductive behavior.

Comparison of occupational diseases development during one decade in the Slovak and Czech Republic.

An occupational disease (OD) is a disorder or health condition which arises due to work related activities and tasks or is caused by work environment. The impact of ODs on medical and social system may be considered as a very important in relation to mortality, morbidity, and invalidity. The most common ODs in the European Union are musculoskeletal disorders (58% of all ODs in 2015). The aim of the study was to determine the differences in the incidence of occupational diseases between the Slovak Republic (SK) and the Czech Republic (CZ). Data were obtained from the Health Statistics Yearbooks of the National Health Information Centre of the Slovak Republic and in CZ from the Institute of Health Information and Statistics of the Czech Republic. We worked with records from 2009 to 2019. The average incidence rates (aIR) per 100,000 labourers were calculated based on the number of workers in a given year. All data were calculated separately for SK and CZ, and for males and females. P < 0.05 was considered a significant value. In SK, the number of ODs diagnosed from 2009 to 2019 amounted to 2,351 cases in males and 1,605 cases in females. In CZ, the amount of ODs diagnosed from 2009 to 2019 reached 6,616 cases in males and 5,513 cases in females. In SK, from 2009 to 2019, the incidence of ODs decreased significantly from 7.3 to 4.8 cases per 100,000 labourers (rs = -0.76; p = 0.006). Diseases from one-sided excessive load were the most common ODs in SK (aIR = 7.6 ± 2.2) and in CZ (aIR = 8.2 ± 3.5), followed by ODs caused by vibration. Occupational diseases due to noise, vibrations and SiO2 inhalation were considerably more common among males. Diseases due to long-term excessive one-sided load, skin and infectious diseases were more prevalent in females. Occupational hearing damage due to noise was more frequent in SK and silicosis, asthma bronchiale, respiratory allergies, dermatoses, and infectious diseases were remarkably more frequent in CZ. Regarding the main goal, we found a significantly higher aIR of ODs caused by noise in SK than in CZ. In CZ, there was a markedly higher presence of ODs caused by SiO2 inhalation, asthma and respiratory allergy, ODs of skin and infectious and parasitic ODs when compared to SK. In both countries different principles for discontinuance in work are applied when a risk factor occurs. It is necessary to enhance surveillance data and reporting of ODs and increase investments in occupational safety, health education and research for the future.

Evaluation of high school-based dengue solution model in Southern Thailand: a community participatory action research

IntroductionBy the time the globe started to tackle the COVID-19 pandemic, Southeast Asian countries had faced an increased dengue incidence, which has eventually become an important public health problem. However, effective and sustainable disease control measures in the area are still lacking. Therefore, the current study is aimed to evaluate the development and implementation of high school-based dengue solution model in Southern Thailand.MethodsIntegrated community participatory action research (CPAR) was employed using preparation, planning, implementation, and evaluation. Data was collected using quantitative and qualitative methods from high school students. Descriptive statistics such as frequency and percentage, chi-square and fisher’s exact test were used to summarize and compare quantitative data before and after intervention. Similarly, qualitative data was collected through interviews and focus group discussion (FGD) and then analyzed through thematic analysis.ResultsTwo hundred and thirty-nine (96.3%, n = 239/248) and 232 (93.5, n = 232/248) participants were included in the interventions before and after, respectively. School-based dengue prevention was developed with input from a variety of stakeholders, including students, community leaders, health educators, district officials, and community health volunteers. As demonstrated by pre- to post-test results, students understanding of dengue and the larval indices surveillance system has increased. Students who received the training were not only inspired but created a sense of community responsibility with a high commitment to teaching and sharing information in their circle to enhance overall community wellbeing. Being female and higher educational attainment was associated with students understanding of dengue and larval indices surveillance.ConclusionThis participatory action research not only improved students' understanding of dengue but also empowered them to be proactive in various community health initiatives. The positive correlation between educational attainment and students understanding of dengue solution and larval indices surveillance underscores the need for tailored educational interventions that address diverse learning needs within the community. Collaborative efforts to establish dengue health information center based at primary schools and above can better improve reduction of dengue incidence.

Alcohol consumption and risk of rheumatoid arthritis: results from the UK Women’s Cohort Study

While some studies have suggested that moderate alcohol consumption may be beneficial for rheumatoid arthritis (RA) prevention(1), the role of competing events have not been considered and may lead to misinterpretation of the magnitude of the risk between alcohol intake and RA incidence. We aimed to investigate the relationship between alcohol consumption and RA incidence when the competing risk of death is accounted for in the survival analysis.Data from the UK Women’s Cohort Study (UKWCS), a prospective cohort study of 35,372 middleaged women established between 1995 and 1998, was used for the analyses(2). Alcohol intake was assessed at baseline by asking for the number of specified units of each type of alcoholic beverage (beer, wine, sherry, and spirits) consumed per week. Cases who developed RA were identified through linkage with Hospital Episode Statistics (HES) up to March 2019 (International Classification of Diseases, ICD-10 code M05-M06). Data linkage with the Health and Social Care Information Centre (HSCIC) allowed cause of death to be identified using ICD codes (9th/10th version). We used directed acyclic graphs, competing risk regression modelling, and subgroup analyses to examine the effect of alcohol intake on RA incidence.Among 29,830 women linked to the HES data (666,857 person-years), 255 cases of rheumatoid arthritis were identified, with a median follow-up of 22.5 years. After adjustment for confounders, in both competing risk regression and cox proportional hazards models, regular drinking was associated with a reduced risk of RA. In the competing risk model, with occasional drinkers (less than 1 serving of alcohol per week) as the reference, the subhazard ratios (SHRs) for non-drinkers were: SHR, 0.67, 95% CI: 0.43-1.07; regular drinkers: SHR, 0.70, 95% CI: 0.53−0.94. Every additional unit of alcohol per week was associated with a 3% lower risk of rheumatoid arthritis (SHR (95% CI): 0.97(0.96−0.99)). BMI modified the linear associations between alcohol intake and risk of RA(Pinteraction = 0.01). The incidence of RA in participants with a BMI &lt; 30 kg/m2 (227 cases, 27,015 participants) was 2% lower for each additional serving of alcohol consumed per week (0.98(0.96−0.99)),no statistically significant effect was seen for alcohol in those with a BMI 30+kg/m2, though numbers were smaller in this group.

A snapshot of the presence of HIV-related features in MSM social media dating apps in New Zealand

The men who have sex with men (MSM) social media dating apps have emerged as a new channel for HIV prevention and education. However, there is a lack of clarity regarding the availability of specific HIV-related features on these apps, making it uncertain what features related to HIV are offered. This study provided a comprehensive overview of the existing HIV-related features of MSM social media dating apps in New Zealand by screening 39 apps, selected from a total of 1296 search results obtained from the Google Play Store and Apple App Store. The HIV-related features within these apps were categorized into 10 groups, including safety practices, HIV status, tribe Poz, where to get tested, last tested, test reminder, HIV/Sexual health information center, link to an outside organization, getting support from health practitioners, and search filters for HIV status, safety practice and tribe Poz, totaling 12 features. Results demonstrated that only about one-third of the apps contained HIV-related information but this ratio significantly increased during the last decade, suggesting a trend of normalization in incorporating such information in the apps. The safety practices and HIV status were identified as the two features most frequently incorporated into these apps and the underlying mechanisms were analyzed using the political economy of communication theory and the uses and gratifications theory. Overall, this study contributed to helping the stakeholders such as app developers, public health agencies, health practitioners and policymakers to make evidence-based decisions to incorporate and promote HIV prevention-related initiatives within the digital realm.

Use of a Set-up Fee to Encourage Survey Participation and Electronic Health Record Submission for a National Health Care Survey.

In 2021, the National Ambulatory Medical Care Survey Health Center (NAMCS HC) Component modernized its data collection and began collecting clinical visit data from health centers using transmission of electronic health record (EHR) data. With this redesign, there are potential cost implications for a health center to participate. Beginning in 2021, a one-time set-up fee (i.e., payment) of up to $10,000 was offered to centers who participated in the NAMCS HC Component. Starting in 2022, a Set-up Fee Questionnaire was used to capture data on the use of this money. Results show on average the fee appeared adequate in covering participation costs, with the fee most often used to cover costs of health center and EHR vendor information technology staff. Although this fee was offered only during the initial year of participation, retention rates for centers appeared high. Implications from the findings of this case study on use of a set-up fee in establishment surveys are also briefly discussed.

The Markov Chains to Predict Malaria Incidence and Death in Gazira State, Sudan From 2001 to 2021

Background: Malaria is considered the most deadly and difficult parasitic disease in the world. This study aims to use Markov chains to predict the probability patterns of stability or change in malaria incidence and deaths. Methods: Markov chains were used to analyze the data on malaria incidence and deaths through the Windows Quantitative Systems for Business (WINQSB) program. Data was obtained from the Ministry of Health, Gazira State, Health Information Centre, Sudan. The data is a time series, from 2001 to 2021 per year, according to three cases of decrease, stability, and increase. A transitional matrix is built for the three cases. Results: The results revealed that the probability that malaria incidence and deaths will reach a stable state in one year and in the long run; the probability of transitioning to an increased state was 0.66 of malaria incidence; and the probability of moving to a decreased state was 0.52 of malaria deaths. Conclusion: The results show that the malaria incidence will increase and malaria deaths will decrease in the short and long run from 2022 to 2030 in Gazira State. It is necessary to reinforce means and resources for case management and to investigate the determinants of the situation. Thus, strategies are urgently needed to arrest the unacceptably high incidence and death rates. Keywords: Markov Chain, Predicting, Malaria Incidence, Malaria Death, Gazira State.

Implementasi Sistem Informasi Puskesmas (SIP) di Puskesmas Baki Sukoharjo

The Primary Healthcare Information System is an arrangement that provides information to assist the decision-making process in implementing Puskesmas management in achieving its activity facilities. According to the Regulation of the Minister of Health of the Republic of Indonesia Number 31 of 2019 article 2, it aims to: 1) Realize the implementation of an integrated Primary Healthcare information system. 2) Ensuring the availability of quality, sustainable, and easily accessible data and information. 3) Improve the quality of health development in its working areas through strengthening the management of Puskesmas. Based on the above background, the researchers are interested in knowing how to implement the Public Health Center Information System at the Baki Sukoharjo Primary Healthcare. This type of research is a descriptive analytic study with a qualitative approach with the aim of getting a picture or description of an actual situation. Primary Healthcare Baki started using SIMPUS Webbased in 2006 which was carried out by medical record personnel, to open the program the Puskesmas had to enter the specified website and then enter an id and password, this program was used to manage patient data and was integrated with P-Care. Optimizing the use of the SIMPUS application and planning the development of the SIMPUS according to the needs of the Puskesmas and the standard for reporting the Primary Healthcare information system Keyword: SIP, Primary Healthcare, SIMPUS

Analysis Of Epuskesmas Adoption In Tasikmalaya Regency Using Utaut Model

The 4.0 Revolution has rendered information technology an indispensable necessity in human life. Technological progress, particularly in healthcare, offers significant conveniences. The healthcare sector's technological evolution is marked by the digital transformation of Community Health Center (Puskesmas) information systems, with ePuskesmas becoming one such system. ePuskesmas serves as an online and integrated Puskesmas information system following the standards set by the Ministry of Health of the Republic of Indonesia through the Puskesmas Information System (SIP). Despite not being universally implemented, particularly in Tasikmalaya District, this study uses the UTAUT model. Variables include Performance Expectancy, Effort Expectancy, Social Influence, Facilitating Conditions, Behavioral Intention, and Use Behavior. This study uses a quantitative method by distributing online questionnaires to ePuskesmas users in 40 Puskesmas in Tasikmalaya District. All collected data met validity and reliability criteria and were assessed using SmartPLS 4.0 software. Hypotheses were tested using Partial Least Square Structural Equation Modeling (PLS-SEM), revealing that Performance Expectancy and Effort Expectancy significantly and positively influence Behavioral Intention. Behavioral Intention and Facilitating Conditions significantly and positively impact the Use Behavior of ePuskesmas.

Audit Keamanan Sistem Informasi Puskesmas Dengan Standar ISO/IEC 27001:2013 Dan Framework COBIT 5

One of the problems of a company is the security of information systems. High security is needed to maintain the confidentiality and misuse of information within the organization. To improve the security of business operations and the quality of information technology resources, it is necessary to evaluate the security of existing information technology assets. Just like one of the systems at PT Infokes Indonesia, namely the Health Center Information System, this is a multi-functional application based on a web base so that it can be used by more than one user at the same time as patient recording is done electronically. The purpose of this study was to conduct a security audit of the Health Center Information System at PT. Infokes Indonesia uses ISO/IEC 27001:2013 and the COBIT 5 framework to document audit findings of information system audits at PT. Infokes Indonesia to make an audit report. Based on the results of research that has been conducted through interviews and questionnaires using the COBIT 5 framework and using the APO13 sub domain, the results show that Existing Capability is at level 1 while the expected Capability Level is at level 3 so that the Capability Gap is 2.

Hubungan Pola Menstruasi Dengan Kejadian Anemia Pada Remaja Putri Di SMPN 6 Tapung Kabupaten Kampar

Anaemia is a public health problem that occurs throughout the world, especially in developing countries such as Indonesia, the prevalence of anaemia in women of reproductive age between the ages of (15-49) in the world in 2019 ranged as much as 29.9%. This study aims to determine the relationship between menstrual pattern variables and the incidence of anaemia. The design of this study was cross sectional. The sample in this study was 100 respondents. The hypothesis test used was the Chi-square test. The results of this study are that there is a significant relationship between menstrual patterns and the incidence of anaemia in adolescent girls at SMPN 6 Tapung Kampar Regency in 2023, the value of P value = 0.002 OR (95% CI: 1.778-9.87), and there is a significant relationship between menstrual patterns and the incidence of anaemia in adolescent girls at SMPN 6 Tapung Kampar Regency. It is expected for health workers to be able to make creative and innovative policies in the prevention of anaemia through increasing health education and promotion in schools and fostering the PIK-KRR program (Adolescent Reproductive Health Information and Counseling Center) and UKS (School Health Unit), as well as facilitating adolescents to participate.

Performance Services for COVID-19 with Private Medical College Hospitals

Corona is a pandemic disease to spread in the human body as a wide-reaching in the history of unwanted world. Yet Medical higher authorities are facing the undesirable spreading causes of this disease as a vital global issue to the present and rationalized generations. Everyone worries of its augmentation around the world and someone suffers from this disease but none can invent effective measures till date as per recovery system. The study aims to assess the management performance services of COVID-19 at North East Medical College and Hospital (NEMCH), as a private medical institution in Sylhet, Bangladesh. Quantitative and qualitative patients&amp;#39; data were obtained from hospital health information centre and secondary data were collected from diverse sources. Key health information instruments of COVID-19 patients and their sustained living status challenges in risks with health rights are highlighted. The research focuses the 41-60 aged group is 42.2%, which is the highest admitted patients and the ratio of male and female is 2:1.13. The study represents the 69.26% of suspected, 30.74% positive and 16.79% death, out of 911 admitted patients from June to August 2020. These findings reflect the health security that the physicians provide. Scientific healthcare knowledge is essential for corona treatment with clinical supports and modern technology but such knowledge is below par. The research suggests future research trajectories of a new alternative treatment options to stimulate the management performance on the priority of National Health Policy and Sustainable Development Goals 2030.

Quantification of factors influencing differences in the Case Mix Index and their significance for health systems sustainability

Case Mix Index (CMI) represents a standard indicator of hospital disease seriousness at both the national and international level. CMI is structured to compute hospital payments and not to follow up disease seriousness. It is considerably related to the data accuracy as well as patients’ medical records. The main aim of the study was to quantify the factors influencing the differences in CMI depending on the types of healthcare facilities, their geographical location, as well as the procedural aspects within the Slovak healthcare system. We use data published by the Institute for Economic and Social Reforms, which continuously surveys the quality and outputs of healthcare provided in the Slovak Republic. The data comes from multiple datasets that are issued by healthcare authorities and stakeholders is the Slovak Republic such as insurance companies, the Ministry of Health of the Slovak Republic, the Ministry of Finance of the Slovak Republic, healthcare facilities, the National Health Information Centre etc. Regression analysis indicates that the positive impact on the Case Mix Index is possessed by the Operating experience of doctors and Overall inpatients satisfaction; whilst the negative impact on Case Mix Index values is documented for variables Total rehospitalisation within 30 d, Intensive care unit mortality, Economy, and Transparency.

An Observational Analysis on the Epidemiological Status of Gastric Cancer Prevalence in the Saudi Population

Abstract Introduction: Gastric cancer, also called stomach cancer, is one of the most fatal cancers with widespread global prevalence, despite declining incidences and mortality rates in the past decade. The data for the study are gathered from the Saudi Cancer Registry, created and maintained by the National Health Information Center, used to undertake the observational analysis on the epidemiological status of gastric cancer prevalence, a cohort-based epidemiological research on stomach cancer. The study examined the age-standardized incidence rates (ASIRs) and crude incidence rates (CIRs) of stomach cancer as per the different anthropometric parameters, such as age group, diagnostic year, and administrative districts, among Saudi inhabitants to analyze the gastric cancer prevalence, distribution, and trends. The study highlights consumption of high salt, high red meat, and highly processed food as some of the major causes of stomach cancer prevalence in Saudi Arabia. Materials and Methods: The data were analyzed using SPSS version 2.0 and GraphPad Prism software, which included the Kruskal–Wallis, sex ratio, t-test, and detailed statistics information. Saudi documented 1972 and 1296 instances of stomach cancer in both sexes, respectively, between 2006 and 2016. Results: The highest mean numbers and percentage of gastric cancer cases were found among men and women over 75 years old, meanwhile men and women aged between 0 and 19 years showed lowest percentage of gastric cancer cases. The greatest mean CIR (2.4) was found in males in Asir, followed by Najran and Makkah (2.1). CIRs of stomach cancer cases in Saudi women decreased somewhat. The highest CIR was 1.5 in 2007, followed by 1.4 in 2011 and 2014, respectively. The highest mean ASIR was observed among both sexes in the Najran and Northern regions. Males and females in Asir and Riyadh, respectively, had the highest mean CIR. Conclusion: In the present study, Saudi males had a modest increase in CIRs and a drop in ASIRs of gastric cancer in males and females, whereas females had a slight decrease in CIRs. Between 2006 and 2016, the mean ASIR in males and females in Riyadh and the Northern area was the highest.

Mediation of metabolic syndrome in the association between long-term exposure to particulate matter and incident cardiovascular disease: Evidence from a population-based cohort in Chengdu

BackgroundParticulate matter (PM) exposure has been linked with cardiovascular disease (CVD) and metabolic syndrome (MetS), the latter characterized by concurrent multiple metabolic disorders. As a result, the mechanisms assumption from PM to CVD through MetS have emerged, thus requiring further epidemiological evidence. This cohort study aimed to assess whether MetS mediates the associations of PM with CVD risk. MethodsThis study included 14,195 participants from the Chengdu cohort of the China Multi-Ethnic Cohort (CMEC) study in 2018. The primary outcome of incident CVD diagnoses was identified using matched hospital records from the Health Information Center of Sichuan Province. Residence-specific levels of PM with aerodynamic diameters of ≤ 1 µm (PM1), ≤ 2.5 µm (PM2.5), and ≤ 10 µm (PM10) were estimated by spatiotemporal models. Causal mediation analyses were applied to evaluate the indirect effect of MetS. ResultsIncreased exposure levels to PM were significantly associated with MetS and CVD. Mediation analyses indicated that the associations between PM exposure and CVD were mediated by MetS, with the proportion of multiple mediations being 19.3%, 12.1%, and 13.5% for PM1, PM2.5, and PM10, respectively. Further moderated mediation analyses suggested that male, overweight individuals, alcohol drinkers, and those suffering from indoor air pollution may experience more significant adverse effects from PM exposure on CVD via MetS than others. ConclusionsOur findings suggest that MetS partially mediates the association between long-term exposure to PM and CVD. These mediation effects appear to be amplified by demographic characteristics and unhealthy lifestyles.

Organizational Relations and Human Resources with Information Quality in Health Center Information System Operators

Backgrounds: Preliminary studies found that the low quality of information in the implementation of the Health Center Information System was caused by the absence of a Health Center Management Information System management team, lack of knowledge and human resource capabilities, lack of funding and specific guidance on Health Center Information System Software operations and lack of use of technology such as computers in processing input, data processing and information output. So that it attracts researchers to conduct research on the Quality of Information on Health Center Information System Operators.&#x0D; Methods: This research is a quantitative research, with a Cross Sectional Study design. The population in this study were 36 people with a total sample of the Health Center Management Information System management team in East Kolaka, namely 36 people with a proportion of 3 people. Each Community Health Center used a non-probability sampling technique in determining the sample.&#x0D; Results: The results of the chi square statistical test at the level of confidence show that the value of p = 0.002 and the calculated X2 value = 9.257 &gt; the X2 table value = 3.841, which means there is a relationship between Organization and Information Quality. And the results of the chi square statistical test show that the value of p = 0.04 and the calculated X2 value = 4.050 &gt; the X2 table value = 3.841, which means that there is a relationship between Human Resources and Information Quality.&#x0D; Conclusion: There is a moderate relationship between Organization and Information Quality and there is a weak relationship between Human Resources and a moderate relationship between Information Quality in the Implementation of Health Center Information Systems in East Kolaka Regency.

Incidence, prevalence, and comorbidities of chronic pancreatitis: A 7-year population-based study.

Chronic pancreatitis (CP) is a fibroinflammatory syndrome leading to reduced quality of life and shortened life expectancy. Population-based estimates of the incidence, prevalence, and comorbidities of CP in China are scarce. To characterize the incidence, prevalence, and comorbidities of CP in Sichuan Province, China, with population-based data. Data on CP from 2015 to 2021 were obtained from the Health Information Center of Sichuan Province. During the study period, a total of 38090 individuals were diagnosed with CP in Sichuan Province. The yearly incidence rate and point prevalence rate (December 31, 2021) of CP were calculated. The prevalence of comorbid conditions in CP patients was estimated. The annual number of CP-related hospitalizations, hospital length of stay, and hospitalization costs for CP were evaluated. Yearly incidence rates were standardized for age by the direct method using the permanent population of Sichuan Province in the 2020 census as the standard population. An analysis of variance test for the linearity of scaled variables and the Cochran-Armitage trend test for categorical data were performed to investigate the yearly trends, and a two-sided test with P < 0.05 was considered statistically significant. The 38090 CP patients comprised 23280 males and 14810 females. The mean age of patients at CP diagnosis was 57.83 years, with male patients (55.87 years) being younger than female patients (60.11 years) (P < 0.001). The mean incidence rate of CP during the study period was 6.81 per 100000 person-years, and the incidence of CP increased each year, from 4.03 per 100000 person-years in 2015 to 8.27 per 100000 person-years in 2021 (P < 0.001). The point prevalence rate of CP in 2021 was 45.52 per 100000 individuals for the total population, with rates of 55.04 per 100000 individuals for men and 35.78 per 100000 individuals for women (P < 0.001). Individuals aged 65 years or older had the highest prevalence of CP (113.38 per 100000 individuals) (P < 0.001). Diabetes (26.32%) was the most common comorbidity in CP patients. The number of CP-related hospitalizations increased from 3739 in 2015 to 11009 in 2021. The total costs for CP-related hospitalizations for CP patients over the study period were 667.96 million yuan, with an average of 17538 yuan per patient. The yearly incidence of CP is increasing, and the overall CP hospitalization cost has increased by 1.4 times during the last 7 years, indicating that CP remains a heavy health burden.

Information Referral System in the Health System

Information Referral System in the Health System

OPTIMALISASI ELEKTONIK MEDICAL RECORD (EMR) PADA LAYANAN KESEHATAN DI TINGKAT PRIMER PUSKESMAS BOTANIA KOTA BATAM

The Batam City Health Office facilitates health centers in its working area by using the health center information system to improve the effectiveness and efficiency of patient services. Assistance in the implementation of information systems related to electronic medical records is needed in puskesmas so that the use of information systems can be optimized. This activity aims to improve officer performance in processing electronic medical record data on information systems. This service activity was carried out at the Botania Health Center, Batam City. The methods used in this activity include counseling on optimizing the puskesmas information system, especially electronic medical records, as well as question and answer sessions. Overall, this community service activity went well. Participants also showed good enthusiasm, which was seen from the beginning of the activity to the end of the community service activity. The organizing team provided material related to optimizing the use of the puskesmas information system as well as system maintenance that can be carried out by puskesmas officers themselves without having to rely on the technical team from the Health Office. Socialization and training activities on the use of information systems have been successfully carried out at Puskesmas Botania. Technical solutions related to the use of the ePuskesmas application have been provided, including suggestions for the future development of the puskesmas management information system.