Health Service Institutions Research Articles

PENGARUH GAJI INSENTIF DAN MOTIVASI KERJA TERHADAP KINERJA KARYAWAN DI RSUD ASY-SYIFA KABUPATEN SUMBAWA BARAT

Asy-Syifa Regional General Hospital in West Sumbawa Regency, as a public health service institution, should have employees who are enthusiastic and motivated to work effectively and efficiently. The salaries and wages given need to be adjusted to the profession, education, and length of service of employees so that they are able to demonstrate high productivity in order to achieve the mission and goals that have been set. However, there are problems at Asy-Syifa Hospital related to the inconsistency in determining employee salaries, incentives, and work motivation. This happens because the salary given is not balanced with the expertise, education, or skills possessed by employees, thus reducing their response and interest in the tasks given by their superiors. The suboptimality in providing incentives and work motivation can be seen from the lack of employee enthusiasm in working, as well as low interest and positive attitudes towards work due to inappropriate rewards, which ultimately have an impact on suboptimal performance. This study aims to determine the effect of Salary, Incentives, and Work Motivation on Employee Performance. The focus of the study was Non-Permanent Employees at Asy-Syifa Hospital, West Sumbawa Regency, with 100 respondents as a sample taken using the Slovin formula. The data were analyzed using multiple linear regression with SPSS Version 27. The results of the study showed that Salary, Incentives, and Work Motivation partially and simultaneously had a significant effect on Employee Performance at Asy-Syifa Hospital, West Sumbawa Regency.

EE453 Clinical and Economic Benefits of Adopting Cladribine Tablets for the Treatment of Relapsing: Remitting Multiple Sclerosis in Public Health Service Institutions in Mexico

EE453 Clinical and Economic Benefits of Adopting Cladribine Tablets for the Treatment of Relapsing: Remitting Multiple Sclerosis in Public Health Service Institutions in Mexico

Ayo Centing Infographic: Unveiling Mothers' Perceptions on Stunting Prevention Media

This study endeavors to devise a graphic information media design aimed at health education for the prevention of stunting. The utilization of infographics serves as an effective means to expeditiously and lucidly depict intricate information. A proficient infographic seamlessly integrates research findings and narrative elements with exemplary visual design to impart a memorable message. The translation of technical content to diverse populations assumes paramount importance in the domain of health education and promotion. The qualitative research design employed herein seeks to comprehensively explore the perceptions of informants regarding the "Ayo Prevent Stunting" (Ayo Centing) infographic media. The study population comprises children under five, attending Posyandu in a village within the Kotagajah District, with a sample size of 20 informants selected through simple random sampling. Data collection encompasses in-depth interviews with the aforementioned 20 direct informants. The research findings uniformly affirm the informants' confidence in the excellence and appropriateness of the infographic media's display, the intriguing simplicity of its title, alignment with readers' needs, relevance, correctness of sources, material comprehension, adherence to provisions, and safety of use. Notably, 17 informants expressed comprehension, while three did not. Regarding ease of access, 18 informants reported it as facile, while two indicated difficulty due to signal constraints. The "Ayo Prevent Stunting" (Ayo Centing) infographic emerges as a pertinent educational tool employed by health service institutions for stunting awareness. Informants facing comprehension challenges are advised to engage in re-reading, and those encountering access issues attributed to signal strength are encouraged to seek optimal signal conditions.

Patient Satisfaction at Aisyiyah RSU Klaten

Patient satisfaction in hospital services can also be achieved from the service system provided by the hospital. Hospitals as health service institutions are required to provide fast, quality and affordable services to provide satisfaction for patients. The purpose of this study is to determine the influence of waiting time, service quality, officer attitude and information technology on patient satisfaction at Aisyiyah Klaten Hospital. The method of this research is quantitative descriptive. The number of research respondents was 120, which was determined by accidental sampling technique. The results of the study showed that waiting time (p value 0.000), officer attitude (p value 0.008) and information technology (p value 0.015) had a positive and significant effect on patient satisfaction in health services at RSU 'Aisyiyah Klaten.The quality of service (p value 0.775) had no effect on patient satisfaction in health services at RSU 'Aisyiyah Klaten. The suggestion of this research is that information technology should be better and easily accessible so that patient satisfaction increases so that the quality of hospital services is even better. Keywords: satisfaction, service quality, officer attitude, information technology, waiting time

Unmasking pregnancy discrimination in Mexico. A longitudinal analysis of a national survey

This article examines pregnancy discrimination in the workplace in Mexico using a population-based sample, the National Survey on the Dynamics of Household Relationships (ENDIREH, initials in Spanish). The prevalence of this type of discrimination, its associated factors and its evolution over a recent 10-year period (2011−2021) are analyzed using the 2016 and 2021 sets of survey data. Despite having a regulatory framework that protects women's rights, pregnancy discrimination persists in various labor sectors, such as factories and the public sector. Our study reveals that overtly (or admittedly) pregnant women, and those suspected of being or becoming pregnant, face challenges in the workplace (before, during and after pregnancy), reflecting deeply ingrained and normalized gender inequalities.Pregnancy discrimination affects a significant number of working women in Mexico (10.4 % for the period 2016–2021, and 5.5 % in the last year of that period). The prevalence has been decreasing. On average, the percentage of women experiencing pregnancy discrimination decreased by 25.2 %, between 2016 and 2021. Women employed at certain types of work facilities, such as factories and maquiladoras, and health service institutions are at a higher risk of experiencing pregnancy discrimination. The article highlights the significance of addressing pregnancy discrimination in Mexico and explains how a deeper understanding of this problem can promote gender equality and improve the well-being of women in the workplace.

Large scale public health system transformation: Germany

Abstract The COVID-19 pandemic was a stress test for public health services in Germany. Decision making was complex (party lengthy and inconsistent) due to the divided responsibilities within the federal system. Some improvements on the public health system were already enacted during the pandemic. A “pandemic radar” was established to bundle up relevant infectious disease indicators with indicators of health services use. The national electronic notification and information system for infectious diseases was extended. Digital improvements were made in the public health offices. Laboratory capacity was strengthened, so was inter-science modelling to forecast pathogen spread. A nation-wide collaborative mechanism, the cloverleaf system, was introduced between regions to avoid the overburdening of hospitals. It is now established for times of excess need for inpatient services. In 2020, a 4 billion euros investment program, the “Pact of Public Health Services”, was adopted to strengthen and modernize the German public health service institutions. The pact is implemented until 2026. The human resources component is the largest. Further priorities include digitalization, improvement of the infrastructure (of designated ports and airports) for the implementation of the International Health Regulations, research and the creation of agile and resilient public health structures. Outputs so far include the establishment of more than 4800 new public health positions, the appointment of new professorships for public health services, the initiation of several research projects, and the roll-out of more than 300 digitalization projects. A new federal institute for prevention is planned. It aims to foster networking between public health services, strengthen health communication, data use, and evidence for public health services. In this process, WHO advised the federal ministry e.g. on behavioral insights; heat health action; prevention on noncommunicable diseases and others. Many public health actors have provided opinions. However, consensus building on how Germany can overcome fragmentation in public health is ongoing.

Constructing a Competency Training Index System in Public Health Emergencies for Community Nurses.

A competency training index system was designed in public health emergencies for community nurses. The purpose of this approach is to provide community nurses with guidelines for standardized training programs on how to respond to public health emergencies. Through semi-structured interviews, a literature review, and team discussion, the first draft of competency training index system in public health emergencies for community nurses was formed. The Delphi method was used for two rounds of expert consultation to screen, modify and determine indicators. Finally, the analytic hierarchy process was utilized to calculate the weights of indicators at all levels. A total of 15 expert consultants were included. The effective recovery rate of the two rounds of expert consultation questionnaire was 100%, the expert authority coefficient was 0.880, 0.887, and the Kendall coordination coefficient was 0.172 and 0.171 (p < 0.001). Expert opinions have determined that the final revised competency index system in public health emergencies for community nurses training consists of 2 primary indicators, 10 secondary indicators, and 46 tertiary indicators. The study has developed a competency training index system in public health emergencies for community nurses. This system can serve as a foundation for standardized training in community health service institutions. It is characterized by its high demand, scientific approach, reliability, and rationality.

Analysis of blood glucose control and influencing factors in 18-64 year-old community people with type 2 diabetes in Shenzhen

Objective: To describe the current situation of blood glucose control in 18-64 year-old people with type 2 diabetes in the Shenzhen community and analyze the influencing factors to provide a reference for enhancing the management effect of type 2 diabetes in community health service institutions. Methods: The data were from the Shenzhen Community Health Service Information System. A cross-sectional survey design was adopted to include 18-64 year-old patients with type 2 diabetes in Shenzhen community health service institutions in 2022. The blood glucose control rate was calculated through the physical examination data recorded by the information system in 2022, and the influencing factors of blood glucose control in this group of patients were analyzed using a multivariate logistic regression model. Results: A total of 120 174 patients were included in the study. The blood glucose control rate was 53.04%. The results of multivariate logistic regression analysis showed that women (OR=1.07, 95%CI: 1.04-1.10), ages 45-54 (OR=1.10, 95%CI: 1.01-1.19), 55-64 (OR=1.24, 95%CI: 1.14-1.35), middle school (OR=1.09, 95%CI: 1.05-1.13), high school and technical secondary school (OR=1.26, 95%CI: 1.21-1.31), junior college or above (OR=1.75, 95%CI: 1.67-1.83), basic medical insurance for urban employees (OR=1.05, 95%CI: 1.01-1.08), weekly exercise (OR=1.26, 95%CI: 1.22-1.31), daily exercise (OR=1.31, 95%CI: 1.28-1.35) and combined hypertension (OR=1.21, 95%CI: 1.18-1.24) were more likely to reach the standard of blood glucose control; while unmarried (OR=0.85, 95%CI: 0.77-0.95), divorced (OR=0.84, 95%CI: 0.73-0.97), insurance status was fully self-funded (OR=0.95, 95%CI: 0.91-0.99), disease duration was 5- years (OR=0.65, 95%CI: 0.63-0.66), ≥10 years (OR=0.41, 95%CI: 0.39-0.42), the treatment method was diabetes drug therapy (OR=0.74, 95%CI: 0.71-0.76), low weight (OR=0.89, 95%CI: 0.80-1.00), obese group (OR=0.85, 95%CI: 0.82-0.88), combined with central obesity (OR=0.83, 95%CI: 0.81-0.86), combined with dyslipidemia (OR=0.69, 95%CI: 0.68-0.71), current smoking (OR=0.74, 95%CI: 0.72-0.77), and current drinking (OR=0.97, 95%CI: 0.93-1.00) were less likely to reach the standard of blood glucose control. Conclusions: The blood glucose control rate of 18-64 year-old people with type 2 diabetes in Shenzhen still has room for improvement. More attention should be paid to 18-64 year-old patients with type 2 diabetes, especially for patients with dyslipidemia, central obesity, and diabetes with a long course, and supervision and guidance should be strengthened for patients with bad habits such as smoking, drinking alcohol, and lack of exercise.

Expert consensus in clinical application of Bailemian Capsules in treatment of insomnia

Bailemian Capsules, as a proprietary Chinese medicine suitable for insomnia of Yin deficiency and fire-excess type, is currently widely used in psychosomatic diseases such as short-term insomnia, chronic insomnia, post-stroke insomnia, and insomnia with anxiety and depression, and it has been recommended by a number of consensus/guidelines/paths. Based on expert interviews, questionnaire surveys, and a systematic review of research literature related to Bailemian Capsules, this paper followed the &quot;evidence-based, consensus-oriented, and experience-reliant&quot; principle and fully combined expert experience and patient preferences on the basis of the best available evidence. According to the characteristics of Bailemian Capsules and the actual clinical situation, 7 recommendations and 12 consensuses were made for the treatment of insomnia, chronic insomnia with anxiety and depression, and insomnia of special populations with Bailemian Capsules alone and combined drugs. During the drafting of the consensus, online and offline opinions were solicited, and peer reviews were collected nationwide. This consensus is applicable to doctors of traditional Chinese medicine(TCM), western medicine, and integrated Chinese and western medicine in hospitals at all levels, as well as clinicians in grassroots health service institutions, providing guidance and reference for the rational use of Bailemian Capsules. It aims to guide and standardize the reasonable use of Bailemian Capsules by clinicians and improve clinical efficacy and safety. The consensus has passed the review of the China Association of Chinese Medicine and has been published, numbered GS/CACM 329-2023.

Perancangan Sistem Informasi Pengolahan Data Rekam Medis Elektronik Guna Menunjang Tata Kelola Pelaporan Rawat Jalan

Recording and reporting medical records is the main activity in health service institutions, and hospital information systems play an essential role in this process. Outpatient data processing at XYZ Hospital uses spreadsheets and Google Sheets even though it has yet to implement SIMRS fully. Because the data in the SIMRS must be changed for each spreadsheet report, there are several reporting problems. Therefore, the authors begin to develop a web-based outpatient reporting system after researching the need for more efficient applications. This study uses a qualitative approach to data collection through interviews and observations, focusing on developing a waterfall software. The results showed that searching and managing patient data and making outpatient recapitulation reports became easier for medical record officers. Implementing this system brings several concrete impacts, including reducing human errors in data recording, increasing the speed of access to medical information, and increasing time efficiency in making reports. This system also allows better data integration between hospital departments, improving patient care coordination and the overall quality of health services.

A generalized behavioral-based goal programming approach for decision-making under imprecision

The body of literature on goal programming (GP) approaches in modeling preferences and the satisfaction philosophy in multi-objective programming (MOP) decision-making processes is extensive. However, there has been little focus on how preferences change in relation to the decision-maker's (DM) behavior within this satisfaction philosophy, particularly in situations involving risk. To address this challenge, we propose introducing a behavior-type utility function into the GP model using the concept of a behavior function. This idea offers an innovative perspective for modeling DM's behavioral preferences in the imprecise GP approach by integrating a risk-aversion parameter specific to each objective. We then formulate a generalized behavioral-based GP approach for decision-making based on this new behavior-type utility function. To validate our proposed approach, we present an illustrative example of project selection in health service institutions, followed by a sensitivity analysis and comparisons with other approaches. The results demonstrate that DM's behavioral preferences significantly impact the decision-making process, and the proposed model provides more reasonable and convenient decisions for DMs with varying degrees of risk aversion.

Uji stabilitas penyimpanan RC A amlodipine dengan metode kromatografi cair tingkat tinggi

Background: One of the important components of health is the availability of drugs as part of public health services. This is because drugs are used to save lives, restore or maintain health. The pharmaceutical industry as a drug-producing industry has a strategic role in health service efforts to the community. Findings: Along with increasing education and public awareness of the importance of health, the pharmaceutical industry is required to provide drugs in adequate types and quantities and of good quality. Therefore, public access to drugs including availability and affordability for the entire community must be expanded. Access to drugs, especially essential drugs, is an obligation for the government and health service institutions, both public and private. Methods: Add with mobile phase to the limit mark, then homogenize (Solution S1 0.04 mg/ml). The solution to be tested for stability during the RC A Amlodipine area is stable. Storage is carried out in dark glass bottles and stored in a refrigerator at a temperature of 2-8 °C. Conclusion: This indicates that each new batch analysis can use the RC Amlodipine stock for a period of 4 months with a storage temperature of 2-8 °C. In this study, RC A Amlodipine which was weighed before the study each time the test was carried out was weighed once and made into a stock solution for 4 months. This study also carried out the potential for cost saving because every year 3 bottles are now 1 bottle, which is 96.5%.

PATIENT SATISFACTION AT AISYIYAH RSU KLATEN

Patient satisfaction in hospital services can also be achieved from the service system provided by the hospital. Hospitals as health service institutions are required to provide fast, quality and affordable services to provide satisfaction for patients. The purpose of this study is to determine the influence of waiting time, service quality, officer attitude and information technology on patient satisfaction at Aisyiyah Klaten Hospital. The method of this research is quantitative descriptive. The number of research respondents was 120, which was determined by accidental sampling technique. The results of the study showed that waiting time (p value 0.000), officer attitude (p value 0.008) and information technology (p value 0.015) had a positive and significant effect on patient satisfaction in health services at RSU 'Aisyiyah Klaten.The quality of service (p value 0.775) had no effect on patient satisfaction in health services at RSU 'Aisyiyah Klaten. The suggestion of this research is that information technology should be better and easily accessible so that patient satisfaction increases so that the quality of hospital services is even better. Keywords: satisfaction, service quality, officer attitude, information technology, waiting time

Hubungan Shift Kerja dengan Kelelahan Kerja pada Radiografer di Rumah Sakit Umum Daerah Teluk Kuantan

A hospital is a health service institution that operates 24 hours a day. The service is divided into several sections, one of which is the medical support section, including radiology. Radiology workers are referred to as radiographers. In carrying out their duties, the radiographer cannot be separated from the work shift system, at the Teluk Kuantan Regional General Hospital applying morning shifts (07.00-14.00), afternoon (14.00-20.00) and night (20.00-08.00). Shift work time from morning, afternoon and evening can result in work fatigue. The purpose of this study was to see whether there is a relationship between work shifts and work fatigue on radiographers at the Teluk Kuantan Regional General Hospital. This research is a type of quantitative research that is analytic in nature with a cross sectional design through library research, field observations, questionnaires / questionnaires distributed to respondents. This research was carried out at the Radiology Institute of the Kuantan Bay Regional General Hospital from April to June 2022. The results of this study can be known by distributing questionnaires after which the data is processed using univariate and bivariate (Chi-Square) tests. Based on the bivariate test (Chi-Square) it is known that the value of p (value) = 0.003 where p (value) &lt;0.05, meaning that there is a relationship between work shifts and the occurrence of fatigue in radiographers at the Teluk Kuantan General Hospital.

A community proactive health management model for family doctors in Shandong, China.

Background Chronic disease management is an essential part of public health management and a fundamental means of slowing down the progression of major diseases. Unlike traditional medical care, proactive health management focuses on the combination of prevention and treatment. Proactive health management can reduce the re-admission rate of patients with chronic diseases, improve long-term prognosis, and effectively reduce the disability and mortality rates of major health events. This study aimed to establish a proactive health management model based on a grid-based medical service team arrangement, and to explore the effect of this model on managing chronic diseases in community health service institutions. Methods A grid-based medical service team was established in Binzhou, Shandong, China, consisting of general practitioners, nurses, public health doctors, health promoters and community grid liaison staff. Each team was responsible for several areas to monitor critical populations within the grid and compile statistics on the health management of these key populations in 2022-2023. Results A total of 2050 patients with coronary artery disease, 4973 patients with hypertension, and 1621 patients with type 2 diabetes were followed up in 2022. Compared with 155,612 resident health records in 2022, the number of records increased by 140.50% in 2023. The number of patients with hypertension under health management in 2023 increased by 50.92%; patients with type 2 diabetes increased by 74.65%; and the number of coronary artery disease increased by 42.00%. After the implementation of grid management, the hospitalisation rate for patients with type 2 diabetes significantly decreased in 2023 (P P >0.05). Conclusion The grid-based community proactive health management model makes full use of the advantages of community resources and improves the pertinence and coverage of community health services. Moreover, it reduces hospitalisation for patients with type 2 diabetes.

The Relationship Between Emotional Intelligence and The Performance of Nurses in Medan Private Hospital

Nurse performance is the result of nursing services, which determines the quality of health services and factors determining the image of health services institutions in the eyes of the community and demonstrate service. This study aims to analyze the relationship between nurses’ emotional intelligence and the performance of implementing nurses. The research design used was an analytical survey with a cross-sectional approach. The sample consisted of 114 people. Data collection tools using questionnaires and observation sheets were then analyzed using the Chi-Square statistical test with a confidence level of 95%. The results of the study showed that the emotional intelligence of nurses obtained a p-value of 0,001 &lt; α = 0,05. So, there is a positive relationship between emotional intelligence and the performance of executive nurses in Medan Private Hospital. In conclusion, emotional intelligence is closely related to the performance of implementing nurses.

EFFECTIVENESS OF ADMINISTRATIVE SERVICES AT ANANDA BEKASI HOSPITAL CONCERNING THE LEVEL OF PATIENT OR COMMUNITY SATISFACTION

As a health service institution such as a hospital, its responsibility is to provide services that meet the health needs of the community. Quality service health own roles important in increase health and well-being whole public. The aim of this research is to examine the effectiveness of administrative services at Ananda Bekasi Hospital and its impact on the level of community satisfaction. Through a comprehensive approach, this research evaluates hospital administration processes, including the registration process, patient data management, and communication with patients. Data was collected through interviews and observations to measure public perceptions of administrative services. The method used is by analyzing data to understand the contributing factors to levels satisfaction community as well as recommendations for improvements that can be made by Ananda Bekasi Hospital. Research results indicated that effectiveness service administration at Bekasi City Hospital had an impact positive to levels satisfaction public.

Counseling About Hospital Health Promotion For Employees In Malahayati Islamic Hospital

Hospitals as health service institutions have a strategic role in providing quality services to the community. Fulfilling the accreditation standards set by the Ministry of Health is an inevitable effort to ensure that the services provided by hospitals meet high criteria. In facing the era of development of health science and technology, it is important for hospital employees to not only understand, but also be able to implement health promotion concepts in accordance with the latest accreditation standards.

Analysis on the willingness and influencing factors of choosing hospice care service institutions among among older people in Wuhu, China: a cross-sectional study

ObjectiveThe purpose of this study was to evaluate the inclination and determinants influencing the selection of hospice care service institutions among elderly individuals in China.DesignThe study conducted has a cross-sectional...

Audit Rekam Medis dalam Upaya Peningkatan Kualitas Pengisian Rekam Medis di RSUD Sleman

A hospital is a health service institution that provides complete individual health services for inpatient, outpatient, and emergency care. Hospitals as health service providers are required to maintain medical records. The administration of medical records for each hospital refers to the Regulation of the Minister of Health of the Republic of Indonesia. A medical record audit is needed to determine the completeness of data in medical records both in quantity and quality. The purpose of this study was to determine the medical record audit at RSUD Sleman. The type of research used is analytic observational with a cross-sectional study design. This research was conducted at RSUD Sleman, Special Region of Yogyakarta. The research was done from April to October 2022, during a period of 7 months. Simple random sampling was used to collect data from 94 medical records. The audit of 94 samples of medical records resulted in the following findings: completeness, patient identity 100%, professional identity in providing care 99.01%, date and time 70.21%, initial assessment 90.42%, subjective examination 98.84%, objective examination 66.01%, management plan 91.49%, clinical pathology examination 58.51%, radiological examination 75.53%, primary diagnosis 100%, secondary diagnosis 100%, and general agreement 100%. The lowest percentage of 58.51% was obtained for incomplete data.