Performance Of Health Services Research Articles

Multi-period state healthcare efficiency for heterogeneous parallel hospital units

Healthcare delivery in public hospitals is operated and managed individually, while performance monitoring, budget and human resource allocation are administered through the Ministry of Health state offices, reflecting the dependency between the two decision units. The geographical distribution of hospitals varies within the states of Malaysia, which requires an efficiency measurement that assesses the relationship between both the state- and hospital-level efficiencies simultaneously. The main objective of this study was to assess the performance of hospital of each decision unit at the state level. The study uses an extended multi-period parallel data envelopment analysis model to assess the multi-period performance of hospital systems, with the characteristics of heterogeneous structure, operating under the Ministry of Health state-level offices. The results showed that the efficiency score for all states ranged between 0.45 and 0.56, while the period-state weights for all states ranged between 0.30 and 0.33. The study utilizes our proposed method of aggregating the period state and hospital data for an overall state efficiency score, providing a more objective measurement compared to the arithmetic mean of efficiency scores. Such results could also be used to justify the mobilization of resources from a performing state to a less performing state. Furthermore, information on endogenous weight could assist policymakers in prioritizing strategic plans to enhance the overall performance of health services at both the hospital and state levels.

Perbedaan Kepuasan Pasien berdasarkan Sistem Pendaftaran Online dan Langsung di Rumah Sakit YPK Mandiri Jakarta Pusat

Patient satisfaction is a level of feeling of a patient that arises as a result of the health service performance results obtained by the patient after comparing with what is felt. Online registration is a registration process that has the function of being able to serve patients online using a particular website or application. Direct registration is an initial process of service that is carried out at the place of registration at a hospital or health facility and meets in person by officers. Satisfaction can occur because of differences in registration systems. The research method used is inferential analysis with a quantitative approach and the chi square test using the SPSS application. The results of the characteristics of the respondents in this study were young respondents, female, S1/D4 education, private employees, and an average income of > Rp.4,901,798. Online registrants amounted to 91 or 74.4%, and on-line registrants amounted to 101 or 52.6%. In the online registration system, 80 or 87.90% of patients were satisfied and 11 or 12.10% dissatisfied. At direct registration, 73 or 72.30% of patients were satisfied and 28 or 27.70% dissatisfied. The number of patient satisfaction based on the online and direct registration system, namely satisfied as many as 153 or 79.7% of patients were dissatisfied 39 or 20.3%. From the results of the chi square test, the result was p = 0.007, which means that there are differences in patient satisfaction based on the online and direct registration systems. In addition, the results obtained were 0R = 2.79, which means that online registration patients are 2.79 times more satisfied than direct registration patients.

8.G. Workshop: Developments in patient experience surveys: how do we maintain relevance and maximise impact?

Abstract Background Patient and service-user experiences of healthcare are a vital component of the monitoring and assessment of the quality and performance of health and social care services and systems, as well as an important predictor of patient outcomes. The National Care Experience Programme (NCEP) is a partnership between the Irish health and social care regulator (Health Information and Quality Authority, HIQA), the national public healthcare provider (Health Service Executive, HSE), and policy makers (Department of Health). The NCEP conducts national care experience surveys with the aim of learning from people's experiences in order to improve the quality of health and social care services in Ireland. The programme includes surveys of acute hospital inpatient, maternity, maternity bereavement, nursing home and end-of-life care. Additional surveys of cancer care and mental health services are currently in development. Objectives Regular review and adaptation of existing surveys, expansion into new areas of care, and development of new methods of data collection, analysis and dissemination of survey findings and stakeholder engagement are required in order to remain agile and responsive to evolving health and social care landscapes and the changing needs of stakeholders, as well as harnessing technological advances and ensuring sustainability. The aim of this workshop is to bring together experts in patient experience from across the health system to stimulate discussion, knowledge sharing and cross-fertilisation of ideas. Presentations will focus on international developments and trends in patient experience, as well as considerations for surveying bereaved parents and families on their experiences of maternity bereavement and end-of-life care. The use of new technologies, including computational text analytics and predictive modelling to facilitate qualitative data analysis and maximise the use of survey findings will be outlined, followed by case studies of how care experience data are used to inform health and social care legislation, policy and practice in Ireland. Experiences from other jurisdictions and potential implications will be discussed with the audience. The workshop will contribute to a better understanding of the value and impact of collecting patient experience feedback and explore how new technologies can be used to generate insights and maximise the use of survey data. Format of the workshop The workshop will include a brief introduction on patient experience and the Irish National Care Experience Programme, followed by five presentations with time for audience contributions and questions after each speaker. The workshop will conclude with a discussion with the audience and presenters. Key messages • Patient experiences are a key component of the monitoring and assessment of the quality and performance of health and social care services and systems. • Regular review and adaptation of surveys and development of new methods are required to remain responsive to evolving health and social care landscapes and ensure sustainability.

Impact of the workforce allocation on the technical performance of mental health services: the collective case of Helsinki-Uusimaa (Finland)

BackgroundLong-term mental health (MH) policies in Finland aimed at investing in community care and promoting reforms have led to a reduction in the number of psychiatric hospital beds. However, most resources are still allocated to hospital and community residential services due to various social, economic and political factors. Despite previous research focussing on the number and cost of these services, no study has evaluated the emerging patterns of use, their technical performance and the relationship with the workforce structure.ObjectiveThe purpose of this study was to observe the patterns of use and their technical performance (efficiency) of the main types of care of MH services in the Helsinki-Uusimaa region (Finland), and to analyse the potential relationship between technical performance and the corresponding workforce structure.MethodsThe sample included acute hospital residential care, non-hospital residential care and outpatient care services. The analysis was conducted using regression analysis, Monte Carlo simulation, fuzzy inference and data envelopment analysis.ResultsThe analysis showed a statistically significant linear relationship between the number of service users and the length of stay, number of beds in non-hospital residential care and number of contacts in outpatient care services. The three service types displayed a similar pattern of technical performance, with high relative technical efficiency on average and a low probability of being efficient. The most efficient acute hospital and outpatient care services integrated multidisciplinary teams, while psychiatrists and nurses characterized non-hospital residential care.ConclusionsThe results indicated that the number of resources and utilization variables were linearly related to the number of users and that the relative technical efficiency of the services was similar across all types. This suggests homogenous MH management with small variations based on workforce allocation. Therefore, the distribution of workforce capacity should be considered in the development of effective policies and interventions in the southern Finnish MH system.

A geospatial analysis of accessibility and availability to implement the primary healthcare roadmap in Ethiopia

BackgroundPrimary healthcare (PHC) is a crucial strategy for achieving universal health coverage. Ethiopia is working to improve its primary healthcare system through the Optimization of Health Extension Program (OHEP), which aims to increase accessibility, availability and performance of health professionals and services. Measuring current accessibility of healthcare facilities and workforce availability is essential for the success of the OHEP and achieving universal health coverage in the country.MethodsIn this study we use an innovative mixed geospatial approach to assess the accessibility and availability of health professionals and services to provide evidence-based recommendations for the implementation of the OHEP. We examined travel times to health facilities, referral times between health posts and health centers, geographical coverage, and the availability and density of health workers relative to the population.ResultsOur findings show that the accessibility and availability of health services in Somali region of Ethiopia is generally low, with 65% of the population being unable to reach a health center or a health post within 1 h walking and referral times exceeding 4 h walking on average. The density of the health workforce is low across Somali region, with no health center being adequately staffed as per national guidelines.ConclusionsImproving accessibility and addressing healthcare worker scarcity are challenges for implementing the primary care roadmap in Ethiopia. Upgrading health posts and centers, providing comprehensive services, and training healthcare workers are crucial. Effective outreach strategies are also needed to bridge the gap and improve accessibility and availability.

The Relationship between Nurses' Therapeutic Communication and the Level of Satisfaction of Outpatient Poly Patients at the South Sanggata Health Center, East Kutai Regency n 2023

Therapeutic communication is both verbal and non-verbal communication applied by nurses to accelerate patient healing. A nurse's good communication skills have a direct impact on patient satisfaction, that is, the feelings that arise as a result of the performance of health services obtained after being compared to what he expected. Determine the relationship between nurses' therapeutic communication and the The results of the Chi Square statistical test of the SPSS 25 program in table 4.7 obtained a P-value value of < α where the P-value (0.003) < α (0.05) so that it can be concluded that there is a significant relationship between nurse therapeutic communication and patient satisfaction at the South Sanggatta Health Center inpatient poly, East Kutai Regency in 2023. There is a significant relationship between nurses' therapeutic communication and patient satisfaction at the South Sanggatta Health Center in East Kutai Regency in 2023.

The Leadership Network in Public Service Assurance at Kedawung Community Health Center, Sragen Regency

The leadership is an important and needed factor in health services, therefore, the purpose of this study is to analyze the influence of leadership in health services at the Kedawung Community Health Center (Puskemas) on public service assurance for the community. Methods used quantitative research approaches and data were collected using questionnaires, observations, and literature studies. Data analysis was used SEM (Structural Equation Modeling) with a study population of 857 people, so that the research sample was 273 respondents. To strengthen the research used triangulation approach. The results showed that leadership has a significant influence on health services categorized as significant and positive with a pathway value of 0.59 greater than 0.5 and a t_value value of 4.49 greater than 1.96. The leadership has a dominant influence in health services at the Kedawung Puskemas is a relationship-oriented leadership dimension including indicators of patient protection, patient/patient family guidance, cooperation in serving patients, and increasing satisfaction of health service recipients. The existence of leadership has a significant effect on health services at the Kedawung Puskemas showing the importance of relationship-oriented leadership in achieving satisfactory health service performance for the community

The Relationship Between The Level Of Midwife Satisfaction With Improving The Quality Of MCH Services In The Working Area Of Muara Dua Health Center In Lhokseumawe City

The background of this study is the complexity of factors that affect midwives' job satisfaction, especially at Muara Dua Health Center, Lhokseumawe. Job satisfaction is related to motivation, continuing education, salary and benefits, management, tasks, work environment, workload, and moral satisfaction. The characteristics of motivational factors are distinguished between intrinsic characteristics such as challenge, recognition, autonomy, work, and responsibility that determine job satisfaction. Extrinsic characteristics such as salary, security in work, working conditions. Job dissatisfaction can lead to delays and absences, inability to conduct proper checks, work fatigue. To determine the relationship between the level of midwife satisfaction with improving the quality of maternal and child health services at the Muara Dua Health Center in Lhokseumawe City. The study was conducted on 55 samples of midwives at the Blang Muara Dua Health Center, Muara Dua District, Lhokseumawe City, with a comfortable cross-sectional work design, giving satisfaction to 14 midwives (58.3%) and 10 uncomfortable people (41.7%). Meanwhile, 31 respondents were satisfied with a comfortable work environment by 19 people (61.3%) and dissatisfied with an uncomfortable work environment by 12 people (36.7%). Based on statistical tests on bivariate analysis with the Exact Fisher test at a 95% confidence level, a value of P = 0.084 (p < 0.05) was obtained, meaning that there was no significant relationship between a comfortable work environment and the level of midwife satisfaction. There is a significant relationship between the distribution of service fees in accordance with midwives' satisfaction in improving the performance of maternal and child health services. At the same time, there is no meaningful relationship between the comfort of the work environment and the level of midwives' satisfaction in improving the performance of maternal and child health services. There is a significant relationship between the distribution of tasks and midwife satisfaction in improving the performance of maternal and child health services. There is no significant relationship between leadership elements and midwives' satisfaction in improving the performance of maternal and child health services.

Relationship Between Nursing Services and Level of Satisfaction of Inpatients

Introduction: One indicator of the success of individual health services at the Public Health Center is patient satisfaction. The provision of quality health services will provide satisfaction for the patient which has an effect on the patient's desire to return to an institution that provides effective health services. Patients will always seek health services in facilities whose health service performance can meet patient expectations. Health services that are not in accordance with patient expectations are expected to be input for health service organizations to try to fulfill them. Objective: To determine the relationship between nursing services and the level of satisfaction of inpatients at the Bongan Health Center, West Kutai Regency. Methods: This study uses an analytical descriptive type of research with a cross sectional approach which was carried out in April 2022. Results and Discussion: Nursing services in the sufficient category (87.5%). The satisfaction level of inpatients is in the satisfied category (45.8%). The relationship between nursing services and the level of satisfaction of inpatients is obtained p-value=0.014. Smaller than 0.05. Conclusion: There is a relationship between nursing services and the level of satisfaction of inpatients at the Bongan Health Center, West Kutai Regency

Evaluation of community basic public health service effect in a city in Inner Mongolia Autonomous Region--based on entropy weight TOPSIS method and RSR fuzzy set.

By analyzing 23 evaluation indicators included in 14 national basic public health service programs in a region of Hohhot City, Inner Mongolia Autonomous Region, China, the performance of basic public health services in the region in 2021 were analyzed to clarify the implementation and conduct of relevant programs. We also use this study as a basis to radiate the work of municipal basic public health services centered on the region and the outstanding problems reflected and to provide theoretical contents and suggestions that can be referred to for the same regions in central and western China as well as worldwide. Using the TOPSIS method as the basis for the data analysis method, the evaluation indexes are ranked in terms of their proximity to the idealized target, and combined with the entropy value method, Technique for order preference by similarity to an ideal solution (TOPSIS) and rank-sum ratio (RSR) were used to rank 14 basic health care providers by grade. A comprehensive evaluation of the performance of basic public health services in a region of Hohhot City, Inner Mongolia Autonomous Region in 2021 was conducted through a joint model of entropy -weighted TOPSIS and RSR, making full use of the characteristics and advantages of the fuzzy joint, and conducting a comprehensive analysis from the perspective of the ratio weight and the method of graded calculation, making the study more distinguishable and measureable. In this study, for the regional basic public health services, a total of 23 evaluation indicators of basic public health service projects were included, among which the top three indicators with the weight of the entropy value method indicators were found to include the rate of Chinese medicine health management for the elderly, the rate of health management for the elderly, and the BCG vaccination rate after the analysis of the weight of the indicators; After the entropy-weighted TOPSIS evaluation showed that the Ci values of the regions were found to be between 0.378 and 0.715 through the calculation of the positive and negative ideal values of each indicator; RSR staging method evaluation showed that three community health centers (X2, X10, X12) had excellent evaluations of basic public health services; The number of evaluations as poor and moderate are 2 (X3, X9) and 9 (X1, X4, X5, X6, X7, X8, X11, X13, X14), respectively; Finally, the results of the entropy-weighted TOPSIS method and the fuzzy joint model of RSR staging method are basically consistent with the overall trend of the above two methods, and the reliability and credibility of the research results are high. The entropy-weighted TOPSIS and RSR joint model can evaluate the effectiveness of basic public health services in a more comprehensive and holistic way. The results of the RSR staging results and the related weight ratio analysis show that the basic public health service programs in Hohhot, Inner Mongolia Autonomous Region are relatively balanced, but there are some differences; The same genus of elderly Chinese medicine health management rate, health management rate of the elderly, BCG vaccination rate several indicators accounted for a higher weight, its correlation with the key population-related items is high, suggesting that the future key population health service items should be focused on, and future research should be suggested from two key research.

Analisis Kinerja Pelayanan Kesehatan Tenaga Medis Di Puskesmas Air Besar Negeri Batu Merah Kecamatan Sirimau Kota Ambon Provinsi Maluku

This research is a qualitative descriptive research. Aims to analyze and explain the Analysis of Health Service Performance of Medical Personnel at Puskesmas Air Besar, Batu Merah Village, Sirimau District, Ambon City, Maluku Province. Informants in this study amounted to 6 people. Data collection techniques used are observation, interviews and documentation and analysis techniques using the interactive analysis model from Miles and Huberman, namely conducting data reduction, presenting data and drawing conclusions. The results of this study indicate that the Analysis of Health Service Performance of Medical Personnel at the Air Besar Health Center, Batu Merah Village, Sirimau District, Ambon City, Maluku Province, is effective but not optimal. The five indicators are influenced by the quality factors of health service performance at the community health center (Puskesmas).

K-MEANS CLUSTER COUNT OPTIMIZATION WITH SILHOUETTE INDEX VALIDATION AND DAVIES BOULDIN INDEX (CASE STUDY: COVERAGE OF PREGNANT WOMEN, CHILDBIRTH, AND POSTPARTUM HEALTH SERVICES IN INDONESIA IN 2020)

One of the causes of the increasing maternal mortality rate in Indonesia is the declining performance of maternal health services in each Indonesian province. To overcome the decline in performance, namely by determining in advance the provinces that need to be prioritized for services by grouping 34 provinces in Indonesia. This study aims to obtain the best provincial grouping results so that it can prioritize the right provinces. One of the methods that are suitable for grouping provinces is K-Means because it is simple and easy to implement. The disadvantage of K-Means is that it is sensitive to determining the right number of initial clusters, so Silhouette Index and Davies Bouldin Index validation is used to obtain the optimal number of clusters with stable and consistent results. This study used healthcare data for pregnant women, childbirth, and postpartum with K=2, 3, and 4 as the initial cluster number. K-Means objects are grouped in similarities using Euclidean and Manhattan distances. The result obtained was the optimal number of clusters with K=2 using Manhattan, where the highest Silhouette Index value was 0,658685 and the lowest Davies Bouldin Index was 0,3561214 which met the criteria for determining the optimal cluster.

Quality of Health Services to the Level of Patient Satisfaction

Complete health care is an important factor in achieving patient satisfaction. With the increase in people's living standards, so do the increasing demands of the community for quality health. This study aims to determine the quality of health services on the level of patient satisfaction. The quantitative research method uses a cross-sectional design with accidental sampling sample techniques totaling 66 respondents. The results of statistical analysis using the chi-square test obtained a value of p = 0.00. It can be concluded that there is a relationship between embodiment, reliability, reassurance, responsiveness and empathy for patient satisfaction. Quality health care is an important factor in achieving patient satisfaction. Patient satisfaction is the level of feeling the patient feels that arises as a result of the performance of health services obtained after the patient compares it to exceed what he expected

The Influence Of Hypertension Patient Satisfaction On Post Covid19 Telepharmacy At Tanralili Puskesmas, Maros Regency

Patient satisfaction is the patient's expectations arising from the actions of health workers as a result of the performance of health services during the process of interacting in an effort to provide services. At the end of 2019 the world was shocked by the spread of Covid-19 so social restrictions were put in place which resulted in decreased service performance and could affect patient satisfaction. This problem can be overcome by improving health services, namely telepharmacy. The purpose of this study was to determine the effect of hypertension patient satisfaction on post-Covid-19 telepharmacy services at the Tanralili Health Center, Maros Regency. The type of research used in this research is non-experimental, with a descriptive quantitative method and prospective data collection in the form of a questionnaire. Sampling used a purposive sampling technique with samples that met the inclusion criteria for hypertension patients at the Tanralili Health Center, Maros Regency, who had received telepharmacy and were willing to fill out a questionnaire. The results of the research on the satisfaction of hypertensive patients with post-covid-19 telepharmacy at the Tanralili Health Center, Maros district, namely the reliability aspect (97.2%), the responsiveness aspect (98.93%), and the empathy aspect (95.6%) which is the value of the level of satisfaction of respondents to telepharmacy provided by Pharmacy Staff. Based on the results of the study, it can be concluded that hypertensive patients are very satisfied with receiving telepharmaceuticals, which can be seen from the percentage of satisfaction.

Experiences, barriers, and facilitators of health data use among performance monitoring teams (PMT) of health facilities in Eastern Ethiopia: A qualitative study.

Routine health data is crucial in decision-making and improved health outcomes. Despite the significant investments in improving Ethiopia's Performance Monitoring Team (PMT), there is limited evidence on the involvement, implementation strategies, and facilitators and barriers to data utilization by these teams responding to present and emerging health challenges. Therefore, this study aimed to explore the PMT experiences, facilitators, and barriers to information use in healthcare facilities in Eastern Ethiopia. This study employed a phenomenological study design using the Consolidated Framework for Implementation Research (CFIR) to identify the most relevant constructs, aiming to describe the data use approaches at six facilities in Dire Dawa and Harari regions in July 2021. Key informant interviews were conducted among 18 purposively selected experts using a semi-structured interview guide. Thematic coding analysis was applied using a partially deductive approach informed by previous studies and an inductive technique with the creation of new emerging themes. Data were analyzed thematically using ATLAS.ti. Study participants felt the primary function of PMT was improving health service delivery. This study also revealed that data quality, performance, service quality, and improvement strategies were among the major focus areas of the PMT. Data use by the PMT was affected by poor data quality, absence of accountability, and lack of recognition for outstanding performance. In addition, the engagement of PMT members on multiple committees negatively impacted data use leading to inadequate follow-up of PMT activities, weariness, and insufficient time to complete responsibilities. Performance monitoring teams in the health facilities were established and functioning according to the national standard. However, barriers to operative data use included PMT engagement with multiple committees, poor data quality, lack of accountability, and poor documentation practices. Addressing the potential barriers by leveraging the PMT and existing structures have the potential to improve data use and health service performance.

Detecting Regional Differences in Italian Health Services during Five COVID-19 Waves

During the waves of the COVID-19 pandemic, both national and/or territorial healthcare systems have been severely stressed in many countries. The availability (and complexity) of data requires proper comparisons for understanding differences in the performance of health services. With this aim, we propose a methodological approach to compare the performance of the Italian healthcare system at the territorial level, i.e., considering NUTS 2 regions. Our approach consists of three steps: the choice of a distance measure between available time series, the application of weighted multidimensional scaling (wMDS) based on this distance, and, finally, a cluster analysis on the MDS coordinates. We separately consider daily time series regarding the deceased, intensive care units, and ordinary hospitalizations of patients affected by COVID-19. The proposed procedure identifies four clusters apart from two outlier regions. Changes between the waves at a regional level emerge from the main results, allowing the pressure on territorial health services to be mapped between 2020 and 2022.

Faktor Yang Mempengaruhi Pelayanan Kesehatan Terhadap Kepuasan Pasien Rawat Inap Di RSUD DR. R.M. Djoelham Binjai Tahun 2022

Patient satisfaction is a level of patient feeling that arises as a result of the performance of health services obtained after the patient compares with what he expects. The purpose of this study is to have a very strategic role in accelerating the improvement of public health status in providing health services. This research method uses quantitative research methods with a cross sectional approach. The population in this study were all inpatients at RSUD Dr. R.M Djoelham Binjai totaled 331 patients. The sample to be studied is 76 respondents. The sampling technique in this study used the accidental sampling technique. Data were analyzed by performing chi-square analysis test. The conclusion of this study is based on hypothesis testing using quantitative methods based on simple linear regression test equipment (F test) it was found that the significance value was 0.0053 or less than 0.05, therefore there was a positive influence between the health service variables (X). Caused by several factors, among others, namely physical evidence (Tangible), reliability (reliability), responsiveness (responsiveness), assurance (assurance), empathy (emphaty) to the satisfaction of inpatients (Y). It is hoped that services that have received a satisfied response from patients will be maintained and improved by measuring the level of patient satisfaction on a regular basis so that they can monitor and maintain the quality of health services.

Review article: Use of the Team Emergency Assessment Measure in the rating of emergency teams' non-technical skills: A mapping review.

The present study aims to explore the utility of the Team Emergency Assessment Measure (TEAM) in relation to the enhancement of emergency team non-technical skills based on research conducted over the last decade. In this mapping review, a citation mining process identified 22 primary studies for inclusion, published between 2012 and 2022. It provides outcome data on emergency teams' non-technical skills following team training and/or real-life patient emergencies. Emergency team studies related to resuscitation teams (adult, paediatric, newborn and obstetric cases) and medical emergency team (MET) management of patient deterioration. Team performance ratings varied, ranging from approximately 90% for experienced clinical teams down to 38% for students. Statistically significant improvements in performance were notable following training and/or repeated practice. Validity evidence, across 11 studies that provided change data described positive learning outcomes and moderate intervention effects. However, according to Kirkpatrick's model of educational evaluation the studies were limited to professional development phases of learning and immediate post-training assessments rather than care quality improvement. The review highlights a lack of studies evidencing quality improvement or clinical impact such as change of patient care practice or health service performance. There is a need to conduct well-designed studies that explore both technical and non-technical skills of resuscitation teams and METs. Currently, non-technical skills training and repeated performance evaluations using the TEAM contribute immensely to the proficiency of emergency teams.

Using Time-Driven Benchmarking for Measuring Health Services Performance Under COVID-19 Pandemic

Purpose: The aim of this study is to analyze whether time-driven benchmarking might be a helpful tool in assessing healthcare operations during the COVID-19 pandemic. Theoretical framework: The research examines the progress of eleven hospital procedures to analyze and evaluate them. This section also focuses on how time and cost data from the two hospitals we are exploring might be utilized to improve operations and performance, particularly in light of our time-driven benchmark. Design/methodology/approach: The research focuses on how to analyze time-driven benchmarking for Measuring Health Services Performance under COVID-19 Pandemic. This assessment entails the use of a strategic approach to determine the results of the review process from all financial and non-financial components of studies, research, and scientific papers found online and elsewhere. Findings: The results showed that the TD-ABC consisting of perspectives provides an innovative approach to evaluating the requirements for implementing the time-driven benchmarking in Two Iraqi hospitals, which helps Measuring Health Services Performance under COVID-19 Pandemic. Research, Practical & Social implications: The study examined the challenges and constraints of whether time-driven benchmarking might be a helpful tool in assessing healthcare operations during the COVID-19 pandemic. Originality/value: The study's originality value by assessing how to analyze time-driven benchmarking for Measuring Health Services Performance during the COVID-19 Pandemic in Two Iraqi hospitals.

The Influence of Training and Motivation on The Performance of Health Services Implementing Employees in Kramat Jati Hospital

This study aims to determine the effect of training and motivation on employee performance at Kramat Jati Hospital. This research method is quantitative with the instrument in the form of a questionnaire. The population in this study were all staff implementing health services at Kramat Jati Hospital as many as 221 employees. The sampling technique was using proportionate stratified random sampling technique or proportional random strata sampling with a total of 69 respondents. The data used in this study are primary data obtained through questionnaires and secondary data obtained from related agencies and journals to support this research. The instrument validity test uses Pearson correlation, while the reliability test uses Cronbach Alpha. The measuring instrument proved to be valid and reliable for the research instrument. Hypothesis testing in this study used the Partial Least Square (PLS) method. PLS is an analysis method with Structural Equation Modeling (SEM) based on variance. The results showed that: Training (X1) had a positive and significant effect on motivation with the original sample estimated value of 0.778 with a significance of 14.080. Second; Training (X1) has a positive but not significant effect on performance with the original sample estimate value of 0.080 with a significance of 0.831. Third; Motivation (X2) has a positive and significant effect on performance with the original sample estimated value of 0.840 with a significance of 11.124. So it can be concluded that in this study, training has a positive but not significant effect on performance and motivation has a positive and significant effect on performance Keywords: Training, Motivation, Employee performance