Health Information Center Research Articles

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' 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.
 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.
 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 > 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 > the X2 table value = 3.841, which means that there is a relationship between Human Resources and Information Quality.
 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.

Health literacy, self-efficacy, self-care behaviors, and glycemic control among older adults with type 2 diabetes mellitus: a cross-sectional study in Thai communities

BackgroundProperly understanding the health information of people with type 2 diabetes mellitus (T2DM) is the basis for better risk factor management, which also positively affects their quality of life. The aim of this study was to investigate diabetes health literacy (HL), self-efficacy, and self-care behaviors associated with glycemic control among older adults with T2DM in northern Thai communities.MethodsA cross-sectional study was conducted among 414 older adults over the age of 60 diagnosed with T2DM. The study was conducted in Phayao Province from January to May 2022. Simple random sampling of the patient list for the Java Health Center Information System program was used. Questionnaires were used to collect data on diabetes HL, self-efficacy, and self-care behaviors. Blood samples were tested for estimated glomerular filtration rate (eGFR) and glycemic controls, such as fasting blood sugar (FBS) and glycated hemoglobin (HbA1c).ResultsThe mean age of participants was 67.1 years. FBS (mean ± SD = 108.5 ± 29.5 mg/dL) and HbA1c (mean ± SD = 6.6 ± 1.2%) levels were found to be abnormal in 50.5% (≥ 126 mg/dL) and 17.4% (≥ 6.5%) of the subjects, respectively. There was a strong correlation between HL and self-efficacy (r = 0.78), HL and self-care behaviors (r = 0.76), and self-efficacy and self-care behaviors (r = 0.84). The eGFR was significantly correlated with diabetes HL (r = 0.23), self-efficacy (r = 0.14), self-care behaviors (r = 0.16), and HbA1c (r = -0.16) scores. Linear regression after adjusting for sex, age, education, DM duration, smoking, and drinking alcohol showed that FBS level was inversely associated with diabetes HL (Beta = -0.21, R2 = 11.0%), self-efficacy (Beta = -0.43, R2 = 22.2%), and self-care behavior (Beta = -0.35, R2 = 17.8%), whereas HbA1C level was negatively associated with diabetes HL (Beta = -0.52, R2 = 23.8%), self-efficacy (Beta = -0.39, R2 = 19.1%), and self-care behavior (Beta = -0.42, R2 = 20.7%).ConclusionDiabetes HL was related to self-efficacy and self-care behaviors in elderly T2DM patients and was shown to influence their health, including glycemic control. These findings suggest that implementing HL programs to build competence in self-efficacy expectations is important for contributing to improvements in diabetes preventive care behaviors and HbA1c control.

Empowering the youth in times of crisis: Analyzing crisis-related activities among the youth of Muntinlupa City, Philippines during typhoons

This study attempts to analyze the crisis-related activities among the youth of Muntinlupa City as the basis for a crisis communication management plan which is imperative to minimize the typhoon's impact. The researchers selected six youth representatives from different parts of Muntinlupa City to participate in the conduct of a focused-group discussion. Several themes have emerged before, during and after the typhoon based on their experiences and perspectives of crisis-related activities in the City. For instance, information dissemination on typhoon preparedness, coordination with different local agencies and behavior change communication strategies are the crisis-related activities before the typhoon. Meanwhile, close monitoring of evacuees with the help of local agencies, roving of barangay emergency response team, distribution of relief goods and hot meals, regular information dissemination, provision of informal learning to children and provision of breastfeeding stations are among the crisis-related activities during the typhoon. On the other hand, the crisis-related activities after the typhoon include assessment of devasted areas giving assistance, seeking psychological help, coordination with the health center and post-typhoon information dissemination. These crisis-related activities are good indicators that the youth involvement and participation in Muntinlupa City are active to ensure the safety of their communities during the disaster.

Analysis of Barriers to the Use of Health Information Systems for Tuberculosis Patients at the Parongpong Community Health Center, West Bandung Regency, Indonesia

Based on the rules from the government contained in the Regulation of the Minister of Health of the Republic of Indonesia Number 31 of 2019, the Public Health Center information system can be implemented electronically so that the data obtained can be stored safely. An electronic health center information system must have an application, an internet, and a local network (LAN). This can also support Health Promotion activities through electronic media and online reporting to the Minister of Health of the Republic of Indonesia. This research aims to apply innovative health education to the problem of low Tuberculosis patient visits. This is done by analyzing a fishbone diagram and determining priority solutions to problems that have resulted in no real follow-up plans (RTL) so that targets have not been met and there has been no evaluation action at the Parongpong Health Center. This activity is carried out in several stages, namely 1) problem analysis with fishbone, 2) USG (urgency, seriousness, growth), and 3) SWOT analysis. Furthermore, counseling was carried out to all people in the Parongpong sub-district. The results obtained from calculating the score using the SWOT analysis are to make regulations on procedures and standard operating procedures (SOP) for the use of the Tuberculosis Information System (SITB) to optimize health information management at the Parongpong Health Center, West Bandung Regency, Indonesia.

Examining clinical capability of township healthcare centres for rural health service planning in Sichuan, China: an administrative data analysis

ObjectiveThis study aimed to examine the clinical capability of township healthcare centres (THCs), the main primary care providers in rural China, as a basis for rural health service planning.DesignObservational study...

Web-Based Design and Implementation of Service Systems for Public Health Centers

Information technology is now a necessity for society, including in the health sector at the Community Health Center (Puskesmas) information technology can be used to manage medical record data such as creating a web-based service information system. However, most of the management of puskesmas medical record units in Indonesia is still carried out using spreadsheet applications or still using paper records. The spreadsheet application also has drawbacks because the officers from the puskesmas also have to understand the formulas to use it even though they are not programmers. As in the Mardira Health Center, medical records are written on paper and recorded for archives, this is less efficient because data can be lost or damaged. Therefore this study aims to facilitate the process of managing medical record data such as storing and accessing data and reducing the risk of data damage due to disasters. This application is designed to be web based using the PHP (Pear Hypertext Preprocessor) programming language and MySQL as its database. In its manufacture, this application is tailored to the needs. The result of this application is a web-based health center service system that can search data quickly, modify data and generate reports easily. It is hoped that this application can facilitate the implementation of activities at the puskesmas and improve services to the community.