Health Center Management Research Articles

Implementation of Facility and Safety Management at Public Health Center Pesantren II Kediri

Health Health centers must be accredited to improve the quality of health services. In order for accreditation to be achieved, Public Health Center has requirements that must be met regarding buildings, infrastructure, equipment, and providing a safe environment for service users, visitors, officers, and the community, including patients with physical limitations. Patients with physical limitations are given access to obtain services, so facility and safety management are needed. Community service activities carried out by the Postgraduate Program in Public Health IIK Strada Indonesia, which was carried out from May 22, 2023, to June 17, 2023, aim to identify the implementation and implementation strategies for facility management and safety using Fishbone, USG, and SWOT analysis at Public Health Center Pesantren II Kediri. One of the implementations was the socialization of facility and safety management to all employees, and the results of the Wilcoxon statistical test pre-test and post-test showed a sig value. 0.000 (<0.05) means that there is an effect of socialization of facility management and security among Public Health Center Pesantran II employees. Implementation and management strategies for facilities and security management at Public Health Center Pesantren II Kediri have been well implemented. To improve service quality, there are several conditions that can be optimized. Public Health Center management has a big role to play in ensuring the management of facility management and security in accordance with applicable regulations.

The oral health care system in Libya: a case study

BackgroundThis study aims to describe the Libyan oral health care system in terms of its structure, function, workforce, funding, reimbursement and target groups.MethodsA single descriptive case study approach and multiple sources of data collection were used to provide an in-depth understanding of the Libyan oral health care system. A purposeful sample of the key informants (Managers of oral health centers, dentists of various specialties with experience in the field, dentists, nurses, dental technicians, and officials in the affairs of medical insurance) was recruited. The case and its boundaries were guided by the study’s aim. Both qualitative and quantitative analyses were conducted. Descriptive statistics were used for quantitative data. Framework analysis, informed by the study objectives, was used to analyze interviews and documents.ResultsThe analysis showed that oral health services are integrated into medical services. The provision of dental care is mainly treatment-based, in the private sector. The oral health services in the public sector are mainly emergency care and exodontia. The dental workforce included in the study were mostly dentists (89% General Dental Practitioners (GDPs), 11% specialists), with a marked deficiency in dental technicians and nurses. Around 40% of dentists work in both the private and public sectors. The government provides the funding for the public sector, but the private sector is self-funded. No specific target group(s) nor clear policies were reported. However, the system is built around primary health care as an overarching policy. Dental caries is the most common oral problem among Libyan preschool children affecting around 70% and is the most common cause of tooth loss among adults.ConclusionThe oral health care system in Libya is mainly privatized. The public health services are poorly organized and malfunctioning. There is an urgent need to develop policies and plans to improve the oral health care system in Libya.

A time series analysis of disruptions to maternal and child health care in northern Togo during the COVID-19 pandemic in the context of an integrated primary care program

There are significant concerns that COVID-19-related disruptions in routine health care will reverse the gains made over the past 2 decades in reducing maternal and under-5 mortality in low- and middle-income countries. The objective of this study was to examine the extent of disruptions in community-based maternal and child health services and explore community perceptions and experiences with health care use in the year following the start of the COVID-19 pandemic in one district in northern Togo, West Africa. This study included analysis of multiple types of data including: (1) routine health management information system data from 18 public sector health centers, (2) programmatic data collected through an integrated health center- and community-based primary care program at 5 health centers, and (3) semi-structured interviews with health center managers, community health workers (CHWs), and community members at those 5 health centers. We found only short-term declines in service utilization coinciding with the COVID-19 pandemic and no decline in the delivery of community-based care by CHWs. Qualitative data were consistent with the quantitative results, reporting sustained use of health-care services. Multilevel factors related to the continued provision of care during the COVID-19 pandemic included regular and clear communication from CHWs as trusted community sources, risk minimization at the health-center level, continued provision of community-based care by CHWs, and collaboration between community leaders and health-care workers to limit COVID-19 transmission. Findings demonstrate resiliency of an integrated primary care system when equipped with an adequately trained, supervised, and supplied health workforce, implementation of infection prevention and control measures, communication by trusted community sources, and adaptations to health-care delivery that enable the continued provision of care.

Analyzing Patient Satisfaction Relationship with Hospital Management

The relationship between patient pleasure and medical institution management is a crucial element of healthcare shipping structures worldwide. This research targets to research the complicated dynamics that influence affected person delight inside the context of medical institution control practices. By analyzing various factors consisting of best of care, conversation, responsiveness, and overall health center surroundings, this takes a look at seeks to discover the underlying mechanisms thru which powerful hospital control contributes to enhanced affected person satisfaction. The findings of this analysis will offer treasured insights for healthcare administrators, coverage makers, and researchers, highlighting the significance of green health center management techniques in improving affected person studies and consequences. Through a comprehensive evaluate of literature, statistical evaluation of affected person comments, and case studies from leading hospitals, this research endeavors to shed mild on how medical institution control practices may be optimized to foster better stages of affected person delight, ultimately contributing to higher health outcomes and patient properly-being. KEYWORDS: Research Paper, Staff behavior, Statistical Analysis, Visualize Findings,

Practical Implications of the Organizational Commitment Model in Healthcare: The Case of Nurses

Background. In addition to the usual difficulty of managing human capital in any organization, healthcare institutions have other problems to solve arising from the circumstances and the very nature of the work they perform, such as the ethical pressure on staff, emotional exhaustion, the distribution of work shifts, or the general shortage for nurses. In many cases, this situation has an impact on the quality of care. Objective. The main objective of this research is to compile, in a single document, human resource practices that help health centre managers improve results in terms of performance and quality of care, as well as avoid the intention of abandoning the job, specifically related to the work of nurses. Methods. To this end, a systematic literature review has been performed based on 229 papers published in the Web of Science database, from which the practical implications for nurses proposed by these authors have been extracted. Results. The main results suggest that developing affective commitment helps to improve organizational performance and enhance patient safety culture. Furthermore, improving communication and meaningfulness of work, recognition by superiors, or job flexibility would improve the quality of outcomes, for the work of nurses. Conclusions and Implications for Nursing. Stimulating normative commitment, reducing excessive control, and paying attention to job burnout and job stress help combat the intention of voluntary turnover or leaving the job, especially in the case of nurses.

Health professionals’ perspectives on the role of obstetric ultrasonography in maternity care in rural eastern Ethiopia: a qualitative descriptive study

ObjectiveThe purpose of this exploratory study was to assess healthcare providers’ perspectives on maternity care following the introduction of ultrasound services in the area.DesignThe qualitative descriptive study.Study settingThis study was...

Analyzing Primary Healthcare Governance in Indonesia: Perspectives of Community Health Workers.

Background Community-integrated health posts (Posyandu) are crucial for extending primary healthcare across diverse geographical and demographic landscapes in Indonesia. Community health workers (CHWs) currently function as the main service delivery actors for Posyandu. However, Posyandu's performance remains below the standards set by the Ministry of Health. This study examines health system determinants that explain the poor performance of Posyandu and, in particular, examines the roles of village and township governance and community health center management in supporting the effectiveness of primary healthcare programs. Methodology We analyzed 638 Posyandus across 13 Indonesian provinces, utilizing data from the 2014 Indonesia Family Life Survey. We evaluated eight health system determinants based on the perceptions of CHWs concerning challenges encountered in Posyandus. These factors were ranked and analyzed to determine the variables that affected Posyandu's poor performance. Both unadjusted and adjusted odds ratios were calculated. Results This study revealed that nearly half of the Posyandus in Indonesia are underperforming, particularly in rural areas. Common challenges include insufficient funds, inadequate equipment, and a lack of permanent buildings. Although only a small percentage mentioned minimal support from village and Puskesmas authorities, the weak governance roles of village heads are reflected in all the concerns mentioned by CHWs. Conclusions The absence of village heads from governance roles has contributed to Posyandu's operational problems as perceived by CHWs. Community health centers (Puskesmas), responsible for providing technical support to Posyandu, should be part of CHW teams and networks. Further discussions are needed to choose a workable governance model to ensure practical, accessible, and sustainable primary healthcare services at the grassroots level.

Implementasi Data Mining dengan K-Means Clustering untuk Memprediksi Pengadaan Obat

Community Health Center is one of the institutions that provides healthcare services. To ensure the provision of quality healthcare services, the Community Health Center management must be able to effectively manage medicine inventory to avoid the risks of shortages or excess stock. Therefore, the purpose of this research is to observe and perform clustering of medicine demands at Puskesmas Mandala using the K-Means Clustering technique. The data used includes medicine demand data from January to December 2023 at the health center. In its implementation, the RapidMiner application or software is utilized to perform clustering using the K-Means Clustering algorithm. The available medicine data will be grouped into 3 clusters: cluster 0 for high medicine demands, cluster 1 for moderate medicine demands, and cluster 2 for low medicine demands. Out of the 28 test data used, the results show the first cluster consisting of 24 items, the second cluster consisting of 3 items, and the third cluster consisting of 1 item with a Davies Bouldin Index value of 0.276. From this research, the Puskesmas can continue to procure medicine for the types classified under high-demand clusters to ensure that the medicine needs are consistently met.

Burnout syndrome in Spanish, Portuguese and Latin American ophthalmologists: a cross-sectional analysis.

Despite the well-known consequences of burnout syndrome, there has been little research into this syndrome in the field of ophthalmology. Our objective is to determine the frequency of burnout syndrome between Spanish, Portugal and Latin-American ophthalmologists, as well as to analyse its relationship with different sociodemographic variables. This is an observational cross-sectional descriptive study including ophthalmologists from Spain, Portugal and 15 Latin American countries. Burnout syndrome was evaluated by the Maslach Burnout Inventory-Human Services Survey. Burnout syndrome was defined as high emotional exhaustion, high depersonalization or low personal accomplishment. In addition, we recorded sociodemographic variables and aspects related to the type of work. A conditional backwards stepwise multivariate binomial logistic regression analysis was run to assess the variables associated with burnout syndrome, expressed as an odds ratio (OR). A total of 527 surveys were analysed, the majority from Spain (401; 76.1%), followed by Argentina (45; 8.5%), and Mexico (31; 5.9%). The number of ophthalmologists with burnout syndrome was 351 (66.6%). The results show the profile of a young ophthalmologist (age OR 0.985), carrying out a public activity (OR 2.118) and dedicated to general ophthalmology (OR 1.860). The frequency detected in this study confirms a steady increase in rates of burnout among ophthalmologists. As the consequences of this are well known, it is vital for health centre managers to develop a strategic plan to allow the causes to be understood better and to implement steps to improve the situation in each medical centre.

OPTIMALISASI PENERAPAN SISTEM APLIKASI E-PUSKESMAS: TINJAUAN TERHADAP PROSES DAN KEEFEKTIFAN DI PUSKESMAS TAJINAN KABUPATEN MALANG

The development of digital technology in this modern era has resulted in a digital transformation, including in the realm of health services. This effort is strengthened by the Republic of Indonesia Ministry of Health Regulation Number 24 of 2022, which regulates legal certainty in the management andadministration of Electronic Medical Records (RME). This regulation must be implemented by all health service facilities no later than the end of 2023. This research aims to analyze the implementation of the EPuskesmas Application System at the Tajinan Health Center, Malang Regency. The method used in this research is descriptive qualitative. Data collection was carried out through observations and interviews with health workers using the HOT-Fit information system evaluation model, which includes Human, Organizational, Technology and Benefit aspects. The research results show that the E-Puskesmas application has a variety of menus and features that are considered very profitable and useful, able to help lighten the workload of health workers. Community health center management also supports the implementation of this application by providing adequate hardware. However, there are stillshortcomings, namely the absence of official Standard Operating Procedures (SOP) regarding the implementation of E-Puskesmas, as well as a lack of special training for officers to operate the application. The implications of these findings indicate the importance of preparing official SOPs and appropriatetraining to optimize the implementation of the E-Puskesmas Application System at the Tajinan Health Center, Malang Regency.

Analisis Kepuasan Pengguna Terhadap Penerapan Sistem Informasi Manajemen Puskesmas Di Puskesmas Sibabangun Menggunakan Metode EUCS Tahun 2023

Puskesmas services are progressing day by day, making them increasingly complex, therefore a puskesmas management information system is needed that is able to guarantee the availability of data quickly, accurately, up to date, continuously and responsibly. The community health center management information system (SIMPUS) is a community health center management application whose main function is as a tool for recording, processing and presenting information on all patient data from initial registration to reporting. Every Community Health Center is obliged to implement (SIMPUS) both electronic and non-electronic which is part of the health information system. One method used to evaluate the success of a system as seen from user satisfaction is End User Computing Statistics (EUCS). The EUCS definition of an information system itself is an overall evaluation of information system users with more emphasis on end user satisfaction (statisfaction) with 5 satisfaction assessment variables including content, format, accuracy, timeliness, ease of use. This research was conducted at the Sibabangun Health Center, Sibabangun sub-district, Central Tapanuli district in 2023, involving 30 respondents actively using SIMPUS with the EUCS method by sending questionnaires using Google Form to the respondents with the research results obtained being that on average respondents were satisfied with the implementation of SIMPUS but not closes the possibility that there are still many problems experienced by users, especially in the dimensions of accuracy and ease of use, with problems with system errors and ease of use which needs to be considered by providing training to all SIMPUS users.

A survey on the utilization of internet services to collect job information among medical students and initiation of video public relations activities for the recruitment of public health physicians based on the survey results

Objectives It is difficult for medical students to obtain information about public health physicians because there are very few public health physicians near them. To improve this situation, we surveyed the utilization of internet services to collect job information among medical students and produced six videos and conducted public relations activities for the recruitment of public health physicians based on the survey results.Methods The subjects of the survey were medical students in their third year or above from 18 universities. Public health teachers in these 18 universities sent their students anonymous self-administered questionnaires created with Google Forms mainly by e-mail. The questionnaires included the following items "internet services used to collect job information," "desired length of each video for knowing job information," and "information you want to know about your future work." The responses were reflected in the length and the content of the videos and the settings for their distribution.Results Responses were obtained from a total of 491 medical students, including 14 third-year students, 177 fifth-year students, and 300 sixth-year students. Homepages were the most frequently used online source for collecting job information (94.7%), followed by blogs (42.0%), Twitter (32.6%), and YouTube (18.9%). Medical students are less likely to use social networking services for collecting job information compared with non-medical job-hunting students. Regarding the length of the videos, 55.8% of the respondents preferred the length of one video to be less than 5 minutes, and 95.1% preferred it to be less than 10 minutes. Almost all of the respondents (93.1%) wanted to know the atmosphere of young public health physicians, and 74.1% also wanted to know the atmosphere of veteran physicians. Based on these results, we selected six public health physicians including young and veteran physicians and produced interview videos that conveyed the atmosphere of each doctor within 5 minutes per person. We refurbished the banner on the top page of the Japanese Association of Public Health Center Directors so that the videos uploaded to YouTube could be watched.Conclusion We clarified the current situation of the utilization of internet services for job-hunting activities among medical students and were able to initiate video public relations activities for the recruitment of public health physicians in accordance with the needs. It is necessary to increase awareness of the video platform among medical students and clinicians by deepening cooperation with local governments, universities, and medical institutions and expanding the human network both online and in person.

A QUALIDADE DA GESTÃO NO SERVIÇO HOSPITALAR PÚBLICO

The privatization of the management of public health centers and ideological positions have taken the place of scientific analysis by identifying the advantages and disadvantages of different forms of management. Despite having tried different formulas for two decades. Studies conducted do not show evidence that private management is more efficient than public management in the case of health services. The lack of information on the models of management experienced shows that there is a long way to advance in the rules of good governance within the health systems, thus indicating the precariousness of the health system in force, and deficiency in the qualification of the professionals to manage the services of health.

Readiness for Accreditation of the Administration and Management Working Group at the Basaan Community Health Center Southeast Minahasa Regency

The policy implemented by the Ministry of Health in an effort to improve the quality of services at first level health facilities, especially Community Health Centers, is to issue Regulation of the Minister of Health (Permenkes) of the Republic of Indonesia Number 46 of 2015 concerning Accreditation of Community Health Centers, Primary Clinics, Doctors' Independent Practice Places, and Doctors' Independent Practice Places. Tooth. The aim of the research is to describe the readiness for accreditation of the administration and management working group at the Basaan Community Health Center, Southeast Minahasa Regency. This type of research is qualitative research with a case study approach. The results of the research show that the Basaan Community Health Center for the Community Health Center Administration and Management Working Group in terms of Quality Improvement of the Community Health Center is ready for accreditation based on Community Health Center accreditation standards. The conclusion is that the Basaan Community Health Center for the Community Health Center Administration and Management Working Group in terms of Puskesmas Quality Improvement (PMP) is ready for accreditation based on community health center quality improvement standards.

Identifying factors affecting the selection of heads of city health centers in Iran: A phenomenological study.

Managers in the health care sector have the responsibility of accomplishing objectives and guaranteeing the excellence of services. To be chosen as a manager in a health organization, individuals must possess specific qualities and skills. Examining the process of selecting and appointing managers at the highest level of service provision might offer policymakers valuable insights into the importance of considering competences when choosing and appointing leaders of health centers. Hence, this study was conducted to identify the characteristics that influence the selection process of heads of city health centers in Iran. The present study employed a qualitative and phenomenological approach, utilizing interviews performed in the year 2023. The study sample consisted of health deputy from medical sciences universities, local health network managers, and heads of city health center. The participants were selected using a purposive selection method. A total of 16 male participants were interviewed, and the interviews were then analyzed using MAXQDA-10 software using the usual content analysis method. In this study, the factors affecting the selection of the heads of health care centers were classified into two general topics: individual factors and environmental factors, and eight sub-topics, including health literacy, experience, individual characteristics, communication skills, mental characteristics, legal issues, political factors, and cultural factors. The development of health literacy, specialized knowledge, and communication skills to coordinate and resolve organizational problems helps train competent managers. Top health system managers, who select health center managers, must understand political and cultural variables and regulate and steer their influence to select effective managers.

GAMBARAN PERENCANAAN, PERMINTAAN, DAN PENERIMAAN OBAT DI PUSKESMAS BANJARBARU UTARA TAHUN 2022

Drug management at the Community Health Center is an important indicator of the quality of pharmaceutical services because it determines the success of Community Health Center management. Drug management activities aim to ensure that drugs can be managed optimally. This type of research is non-experimental with a cross sectional research design using an observation sheet from retrospective data for 2022 which was carried out in February – May 2023. The population and sample are planning, demand and acceptance in the 2022 period. Secondary data processing for this research sheet Drug Needs Plan (RKO) and LPLPO for 2022. The results of the research were that the suitability of planning with the Community Health Center Formulary was 85.43% of the 103 planned drug items, there were 88 items that were appropriate and 15 items were inappropriate, the suitability of planning with demand was 4.85% of the 103 items that were planned, there were 5 items that were inappropriate. appropriate and 98 items that are not appropriate and the conformity of requests with acceptance is 3.60% of the 139 items requested there are 5 items that are appropriate and 134 items that are not appropriate.

Web-Based Sukaraja Puskesmas Services Governance Information System

The Community Health Center is a functional health organization which is a center for community health development which also fosters community participation in addition to providing comprehensive services to the community in its working area in the form of main activities. Currently, at the Sukaraja Community Health Center, all data recording is still done manually using paper media. Because increasingly modern technology requires Puskesmas as one of the health service providers to always improve the quality of its services. The use of computers to process data is very necessary because it can provide benefits and convenience in patient care. In this case, community health centers are required to always improve the professionalism of their employees and improve their health facilities or facilities to provide satisfaction to the community using health services. The objectives to be achieved are: Designing a website-based health center management information system, Improving the conventional health center service system with a computerized system. And makes it easier to process patient data for outpatient, inpatient, pharmacy, counter registration, administration (printing certificates/referrals & health center reports) and general clinics using the waterfall method. The stages of the waterfall method are Requirements, design, implementation, integration, Maintenance. The website-based governance information system that has been produced in this design can process patient data from outpatient, inpatient, emergency health centers and pharmacy services. With this website-based community health center management information system application, data at the Sukaraja Community Health Center is now integrated through a database so that it can process data effectively and efficiently and help provide good services.

A Qualitative Study of Barriers, Facilitators, and Challenges of Providing High-Quality Hypertension Care in Health Centers in Iran: Perspectives of Healthcare Care Workers, Patients, and Health Center Managers

Background: Although the vital role of early diagnosing, and properly controlling hypertension has been emphasized for decades, a large number of hypertension patients still encounter barriers and challenges in accessing qualified cares. This study examined and identified barriers, facilitators, and challenges of providing high-quality care for patients with hypertension in health centers in Tabriz, Iran. Methods: A descriptive qualitative study was conducted based on purposive sampling. The participants in this study included health care workers at health centers, patients with hypertension, and health centers managers at official positions (n=19). Data was gathered through semi-structured interviews. Collected data was analyzed thematically. Results: The mean duration of the interviews was 40 minutes (range: 30 to 60 minutes). The barriers were categorized into areas (sub-themes) of patient-related and health-center barriers. Facilitators included patient-related factors, external and environmental activities of health centers, and activities of Iranian health system. Furthermore, the challenges were categorized into (sub-themes) patient-related, environmental, and health system challenges. Conclusion: There are major barriers and challenges in providing qualified and comprehensive services for patients with hypertension. Stakeholders should consider removing these barriers and challenges, and facilitators should be used to provide health services to hypertension patients.

Patient experiences in primary health care services in the JKN era: A qualitative study

Implementing JKN (Jaminan Kesehatan Nasional) in primary healthcare is expected to support the accessibility and success of early treatment and reduce the burden on secondary healthcare facilities. Patient experience can provide information on the quality of health services from different perspectives to provide valuable input for improving the quality of care. This study explores patients' experiences in utilizing health services in primary healthcare services in the JKN era. This research used a qualitative approach with a case study design conducted at the Puskesmas Tangkahan Durian, Langkat Regency. The researchers collected data through oral questioning with 11 informants, following previously developed in-depth interview guidelines. Researchers have also made direct observations of the health services carried out. The study results showed that patients had a fairly positive experience accessing health services at public health center/puskesmas. There was no discrimination or difference in treatment among health workers in JKN patients or general patients. Patient complaints are only in the location of the seats in the waiting room that are not arranged to interfere with patient mobility. Another criticism is that officers do not come to the public health center on time according to predetermined operating hours. Public health center management should increase the discipline of officers regarding service operating hours and consider the seating layout in the patient waiting room.

ENHANCING HEALTHCARE QUALITY AMONG COMMUNITY HEALTH FACILITIES WITH RESULTS-BASED FUNDING IN EASTERN UGANDA

This study examines the effects of Result-Based Funding (RBF) on the healthcare quality in Health Centre (HC) III in Jinja District concerning patient waiting time, drug stockout, choice of healthcare, and availability of essential medicines in Uganda's community health facilities. The research used a cross-sectional survey design and found that results-based funding like timely funding, and funding size had a significant relationship with healthcare quality. Management practices also had a strong positive correlation with healthcare quality, but most importantly management practices moderated the relationship between results-based funding and healthcare quality among Health Centre IIIs in Jinja District. The study recommends increasing the size of RBF, sending or providing timely funds, improving the fund size, and building and maintaining results-based incentives for staff that implement activities at the health facilities. Health Centre management to continue activity planning, improve staffing levels, carry out regular monitoring of all activities supported by the RBF programme, and ensure that storage capacity is enabled for the safety of essential medicines and other stores.