Health Service Units Research Articles

Effectiveness of the National Health Insurance (JKN) Mobile Application in Improving Health BPJS Services at Puskesmas Medan Tuntungan

The influence of digitalization and the rapid development of technology is widely used in all aspects of life in society including in the field of health services. The health center as one of the health service units that spearheads public health services often faces challenges in providing effective and efficient services. The research method used in this research is descriptive qualitative. Based on data from the Medan Tuntungan Health Center, until June 2024 the number of BPJS health membership was 24,309 people. Furthermore, the number of people who registered JKN Mobile Application accounts in May 2024 was 14 people. The effectiveness of JKN mobile at the Tuntungan Health Center based on the results of research with health workers and the community who are also JKN Mobile user patients is still less than optimal in providing training to the field by BPJS officers who are responsible for this.

Analysis of Planning for Health Workforce Needs at Lasinrang Pinrang Regional General Hospital

Hospital is a health service unit as a place where hospital personnel perform their main tasks and functions. Integration between hospitals and health workers is closely related in terms of health services. How the face of the hospital depends on the quality of its health workers. This research is descriptive research. Research location at the Health Service Office of Lasinrang Pinrang Regional General Hospital. The study was conducted from May 7, 2021 to July 7, 2021. The population in this study were all health workers at the Health Service Office of the Lasinrang Pinrang Regional General Hospital with a sample size of 22 respondents. The results of the study indicate that the Inventory of new health workforce resources is limited to the type and number, while others are not yet such as the skills and abilities of each existing health worker. The forecast of health workforce resources that has been carried out is only informal and immediate, and this is not a systematic planning effort. The suggestion in this research is that there needs to be team work or specialist planning staff or a section/department in the organizational structure. which deals with human resource planning and development and the need for the formulation of strategic plans to serve as a basis/reference for planning health workforce resources.

Analysis of Transparency and Accountability of the Health Operational Assistance (BOK) Budget at Sirombu Inpatient Health Center

Health Operational Assistance (HOA) is a fund that is used to ease the public burden on financing the health sector, especially service in community health centers, reduction in maternal mortality, infant mortality and malnutrition. Puskesmas Sirombu as a health service unit is used as a medical center for the welfare of the community, but in reality the Puskesmas Sirombu has not been optimal in realizing the budgeted funds. This study aims to determine the transparency and accountability of budget execution Bantuan Operasional Kesehatan (BOK) at Puskesmas Rawat Inap Sirombu in 2021. The research sample was taken using the method purposive sampling (specific goals or criteria). The data analysis technique used is triangulation method which combines in-depth interviews and document searches and triangulation of sources using different information to do cross check information from several sources, to improve the results of the data obtained when getting different data. Based on the research results, it can be concluded that the Puskesmas Sirombu has implemented its transparency and accountability well but has not been optimal in managing the budget for transportation assistance for Health Operational Officers (BOK), this can be seen from the fact that some of the budget was not realized.

Factors Of Accidental Falls Among In Elderly Living Alone In Phetchaburi Province Thailand

This research was to study the factors of accidental falls among elderly living alone. The researcher conducted a mixed methods research (Mixed Methods Research) to study factors affecting the incidence of falls and falls in elderly people who live alone. The research results found that Factors that result in falls and falls in elderly people who live alone. Phetchaburi Province has a total of 5 main factors and 24 sub-factors, consisting of main physical factors. Sub-factors were eye disease (p = 0.001, β =1.063), osteoarthritis (p = 0.001, β = 0.955), urinary system intelligence (p = 0.001, β =1.588), frequently going to the bathroom at night (p = 0.001, β =1.236) Congenital disease (p = 0.001, β = 1.638) Regular hospital visits (p = 0.001, β = 1.494) Main behavioral factors Sub-factors include taking medicine to treat chronic diseases (p = 0.001, β = 2.959), using alcoholic beverages (p = 0.001, β = 4.014), not exercising (p = 0.001, β = 5.350), wearing comfortable shoes. Inappropriate (p = 0.001, β = 2.723) Inappropriate clothing (p = 0.001, β = 3.574) Main environmental factors Sub-factors: regularly using stairs (p = 0.001, β = 3.354), two-story house (p = 0.001, β = 4.571), split-level house (p =0.001, β = 2.296), light switch not nearby. mattress (p = 0.001, β =2.363) main economic and social factors The sub-factor was frequently attending social events (p = 0.001, β = 6.633), missing home visits from the health service unit (p = 0.001, β = 3.916). The main factor was caregiver. The sub-factor is living with offspring (p = 0.001, β = 6.019 ) and having to live alone (p =0.001, β = 1.002 ).

The application of healthcare failure mode and effect analysis in reducing medication errors in the emergency department of Regional Public Hospital

Introduction: Medication or medication error is an essential issue in the world of health, both in the world and in Indonesia. The emergency department is a health service unit that provides emergency services 24 hours non-stop, which is very likely for medication errors to occur. Most medication incident errors can be prevented. One method that can be used is of healthcare failure mode and effect analysis (HFMEA). Applying HFMEA in hospitals helps avoid and identify possible or potential problems or errors in healthcare services. Methods: This qualitative study used the HFMEA approach to conduct risk analysis regarding medication events and errors in the emergency department (ER), at Regional Public Hospital, Central Java. Brainstorming and focus group discussion were conducted with all members of the HFMEA team at the regional public hospitals’ ER in Central Java following HFMEA guidelines. Results: Four process flows in ER drug or medication administration services were identified, encompassing 14 service sub-processes and 57 failure modes. Of the 57 failure modes, only 34 were subjected to hazard analysis, and only 24 failure modes required control measures. From these data, four control strategies were obtained. Conclusion: This study found 24 failure modes need to be addressed and suggested four control strategies, including enterprise risk management formats according to the needs of ER’ health workers, improving ER service management, improving standard operational procedures for medical services, and improving pharmacy management.

Terapi Pijat Punggung dengan Alat Pijat Kayu Kaki Tiga Menurunkan Tekanan Darah pada Lansia dengan Hipertensi

Hypertension in the elderly is a degenerative disease caused by increased arterial pressure in accordance with age, aortic regurgitation, and the degenerative process that occurs in the body where persistent blood pressure increases with systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. Efforts that can be made as an alternative to non-pharmacological therapy, one of which is the provision of back massage therapy with a three-legged wooden massage tool. The purpose of this study was to determine the effect of giving back massage therapy with a three-legged wooden massage tool on blood pressure in the elderly with grade one hypertension. This type of research is pre-experimental with the design used one group pretest-posttest design using sampling techniques, namely non probability with purposive sampling. The number of samples used in this study were 16 elderly respondents with hypertension. The research was conducted in April 2023. The results showed that the average systole and diastol blood pressure before treatment was 158,94/92,81 mmHg with the average MAP calculation before treatment was 114,85 mmHg. The average systole and diastol blood pressure after treatment was 140,19/83,06 mmHg with an average MAP calculation after treatment of 102,10 mmHg. The results of statistical tests using paired t-test obtained a p value of 0,000 which stated that there was a significant difference in blood pressure before and after treatment. Based on this, it is recommended to the health service unit to make back massage therapy with a three-legged wooden massage tool as a non-pharmacological therapy in treating hypertensive patients, especially in the elderly group.

Community Care Strategies for Older Adults Facing Hardships: Insights from Central Thailand

The focus of the study is to analyze the community care approach for older adults facing hardships in the social and cultural context of the central region of Thailand. To obtain insightful information, a qualitative research study was performed using observation methods, in-depth interviews, focus group discussions, secondary data, and field notes. A group of 85 key informants consisting of local administrative organizations (LAO), public sector officers from health service units, community leaders, civil groups, older adults facing hardships, and family caregivers participated in the study. There are nine approaches employed in the community care practices for older adults facing hardships as follows: 1) providing social welfare; 2) preparing and using information; 3) developing a service system; 4) developing potential in caring for older adults; 5) adjusting the environment to ensure its contribution to the living conditions; 6) rules, regulations, agreements, and policies; 7) creating job opportunities; 8) building food security; and 9) building and strengthening community networks. Understanding in-depth information regarding the nature of older adults, community strategies, and community involvement assists nurses in health management and increasing skills and knowledge on providing care for older adults.

Risk Factors of Postoperative Wound Infection at Mitra Pedan Public Hospital, Klaten, Central Java Province

Hospitals are very complex health service units with various elements. This will make it easier for cross-infections to occur in patients due to germs, and viruses. These infections are known as nosocomial infections and one of them occurs as a result of surgery which is often known as postoperative wound infection. Many risk factors cause infection such as patient factors, procedure-related factors, facilities, patient preparation, intra-operative factors, and other factors (waiting time for surgery). The incidence of postoperative wound infection in the last 2 years at Mitra Pedan Public Hospital was 2.28% in 2022 and 2% in 2023 which exceeded the standard from the Ministry of Health, namely ≤ 1.5%. This study aimed to analyze the risk factors of postoperative wound infection. This research uses quantitative research with an analytical observational research design and a cross-sectional approach. The test analysis used is the chi-square test and logistic regression. The research was conducted from January to February 2024. The results from the multivariate analysis on the variable duration of hospitalization obtained a p.value of 0.045 (AOR: 4.299, 95%CI: 1.049-17.618) and the variable duration of surgery obtained a p.value of 0.001 (AOR: 8.623, 95%CI: 2.373-31.326). Conclusion: there is no relationship between sterilization of the operating room, BMI, and time of antibiotic administration with postoperative wound infections. Meanwhile, the risk factors found are the duration of the operation and the duration of hospitalization. Hospital management must pay more attention to the duration of operation and length of hospitalization to minimize the incidence of postoperative wound infections.

Respon Time Pelayanan IGD Berhubungan dengan Tingkat Kepuasan Pasien di IGD Rumah Sakit Muhammadiyah Gresik

Hospitals as health service providers, when patients feel satisfaction with the health services provided, this has a positive impact on the patient's recovery process. In serving patients, the concept of Response Time refers to the length of time staff are able to treat patients upon arrival at the health service unit, with a time of ≤ 5 minutes. Efficient service provision, namely characterized by fast response times, can contribute to overall patient satisfaction in the emergency department. The aim of this research is to determine the relationship between Response Time of services in the ER and the level of patient satisfaction at the Muhammadiyah Gresik Hospital. This research uses an analytical survey design with a cross-sectional approach. Researchers used an accidental sampling strategy, a population of 317 respondents. The research sample consisted of 176 individuals who sought treatment at the Muhammadiyah Gresik Hospital Emergency Room. The tools used in this research consisted of a Response Time observation sheet and a patient satisfaction level questionnaire sheet. Almost all service response times in the emergency room at Muhammadiyah Gresik Hospital are in the fast category, as much as 80%. Half the level of patient satisfaction in the satisfied category is 41%. From the chi-square statistical test carried out to analyze the relationship between response time and the level of patient satisfaction in the Muhammadiyah Gresik emergency room, it produces a P-value of 0.000 with α = 0.05. There is a relationship between response time and patient satisfaction level in the emergency room at Muhammadiyah Gresik Hospital. Patient satisfaction shows the nurse's ability to meet patient expectations for high quality services

Registration Application Services for BPJS Patients at Hutabaginda Primary Healthcare

Primary Healthcare is one of the most important health service units in health services that are adapted to local government conditions, needs, requirements and regulations. Recording data at the Primary Healthcare manually takes a long time. When a patient forgets to bring a medical card, it takes a long time to get the file which results in a long time in the registration service process, if the file is not found it is necessary to create a new file. will be automatically created, resulting in duplication of data. Most patients forget to bring their medical card when they want to take it. In addition, when making monthly reports, officials must record data one by one as a monthly report. The use of this application is to increase the effectiveness of the information system for the patient registration Primary Healthcare based on the website and the BPJS application called JKN BPJS.

Art therapy is associated with a reduction in restrictive practices on an inpatient child and adolescent mental health unit

Background The elimination of restrictive practices, such as seclusion and restraint, is a major aim of mental health services globally. The role of art therapy, a predominantly non-verbal mode of creative expression, is under-explored in this context. This research aimed to determine whether art therapy service provision was associated with a reduction in restrictive practices on an acute inpatient child and adolescent mental health services (CAMHS) unit. Methods The rate (events per 1,000 occupied bed days), frequency (percent of admitted care episodes with incident), duration, and number of incidents of restrictive practices occurring between July 2015 and December 2021 were analysed relative to art therapy service provision. The rate, frequency and number of incidents of intramuscular injected (IM) sedation, oral PRN (as-needed medication) use, and absconding incidents occurring in conjunction with an episode of seclusion or restraint were also analysed. Results The rate, frequency, duration, and total number of incidents of seclusion, the frequency and total number of incidents of physical restraint, and the rate, frequency and total number of incidents of IM sedation showed a statistically significant reduction during phases of art therapy service provision. Conclusions Art therapy service provision is associated with a reduction in restrictive practices in inpatient CAMHS.

ANALISIS KINERJA DAN BUDAYA MUTU DI IGD RS PKU MUHAMMADIYAH YOGYAKARTA II

Concern to quality service in nowadays becoming global issue that triggered by consciousness to give best service for patient or by request from eksternal side of hospital. Goverment push hospital to give good quality of service by giving evaluation of hospital standarization. PKU Muhammadiyah Hospital Jogjakarta unit II which new one of health service unit right now striving to improve quality of service. Result of the beginning observation findout evaluation of activity are often neglected, particularly on unit emergency. The objective of this observation is to find out performance and quality culture in management unit emergency of PKU Muhammadiyah Hospital Jogjakarta unit II, This observation using qualitative method with case study as observation plan that using interview as observation instrument involving board of management and officer of unit emergency of PKU Muhammadiyah Hospital Jogjakarta unit II. The Self Assesment accreditation in 2008 and first edition of accreditation standard in 2012 result show that quality service standard that using by unit emergency of PKU Muhammadiyah Jogjakarta unit II for develop their quality of service its guided line for survey of hospital accreditation in 2008 instructed by Indonesia health ministry that poured into activity guidance of unit emergency, but because lack availability of unit emergency officer make unit emergency can’t support implementation of unit emergency activity guidance. Working culture in unit emergency of PKU Muhammadiyah Hospital Jogjakarta unit II its only doing fast emergency response but not yet support quality service development because not yet develop service evaluation process. Service process evaluation hard to do because of limitation number of human resource. The result of unit emergency performance show by AKPPGD, DOA and result of accreditation in 2008 already achieve the standard, but not yet fulfill quality standard evaluation of health service management base on first edition of accreditation in 2012.

Analisis Waktu Tunggu Pelayanan Foto Thorax pada Pasien Rawat Jalan

Background: The time between the patient's arrival and the testing findings is known as the waiting time for the results of a x-ray chest. The amount of time patients must wait to receive medical care from a health service unit, it also reflects how the hospital handles service components that are customized to the needs and demands of patients in public hospitals. This study aims to determine the suitability of waiting time for outpatient chest x-ray services with the standard of Indonesia Ministry of Health No.129/Menkes/SK/II/2008.Methods: The type of research used in this paper is qualitative by using the case study for analyzing the waiting time of x-ray chest in outpatients.Results: Eight patients, or 16% of the total had waiting time of three hours or more. Out of all patients, 84% or 42 patients had a waiting period of less than three hours. 22 minutes is the quickest waiting time, while 5 hours 56 minutes is the late waiting time. Such that in outpatients, the typical wait time for a x-ray chest picture is one hour and thirty minutes.Conclusions: Siloam Sriwijaya Hospital Palembang in adjusting the Minimum Service Standards the Hospital has met the minimum service standards of the Decree of the Minister of Health No. 129/Menkes/SK/II/2008 that the waiting time for a chest photo is ≤ 3 hours.

Web-based Ukp Public Health Center Services System Using the Waterfall Method

Basic health services for the community are community health centers which have Health Service Units (UKP). UKP provides general health services to the community, which has many polyclinics and is interconnected with doctors, patients and administration. So far, in processing service data, there have been difficulties in general polyclinic units when receiving patient information, which is still done by recording it in a book, so there are often errors in information in patient registration services that should be received by the polyclinic that corresponds to the target polyclinic. The storage of patient data based on poly is not yet organized because the files that are stored and archived do not exist in each unit, so that when presenting data and searching you have to confirm who is archiving it, making it difficult for the data or information service department and services to be hampered. The method used in this research is the Waterfall method. This service system uses the waterfall method. The service system provides benefits in inputting and presenting data, searching for patient data such as registering online, then checking medical records to go to the clinic, online medical record results and viewing prescription information, then doctors can meet patients who carry out examinations. This system can provide good benefits and increase effectiveness and efficiency in health services for the surrounding community.

Perkembangan Rumah Sakit Umum Daerah Lubuk Basung (1986-2020)

This thesis examines the development of Lubuk Basung Regional General Hospital from 1986-2020. The purpose of writing this thesis describes the developments and changes that occurred at Lubuk Basung Hospital as the only C-level Health Service unit in Agam district from 1986-2020.To be more focused, this research is focused on the following problem formulations: (1). What is the background of the establishment of Lubuk Basung Hospital?, (2). How is the Development of Health Services at Lubuk Basung Hospital (1986-2020)? The Research Methods used are; Heuristics is the first stage carried out to find sources relevant to research. Source criticism is a form of process carried out by the author to find and filter the truth value of sources, Interpretation is a stage where researchers try to express various ideas of their thoughts obtained through primary or secondary sources, Historiography is the last stage in the Historical method where in this stage the author writes the results of research chronologically and systematically. The results of this study illustrate that the development and changes in the institution of Lubuk Basung Regional General Hospital continue to experience progress from 1986 to 2020. Especially when it started when the Hospital was designated as a Regional General Hospital with type D class and changed to a Regional General Hospital with type C class to its role in providing services for the people of Lubuk Basung which is still standing today

The Persuasive Appeal of Provider-Patient Interaction in the Acceptance of COVID-19 Vaccine at a Health Service Unit in Isabela

The study examined the persuasive appeal of provider-patient interactions in a health service unit in Isabela, focusing on vaccine acceptance. Using the Aristotle Rhetoric triangle framework, it analyzed the effectiveness of Logos, Pathos, and Ethos in influencing vaccine acceptance across different demographic groups. A mixed-methods descriptive design was employed, with quantitative data collected through surveys and qualitative data through focus interviews. The findings indicate that vaccine acceptance and hesitancy are complex and influenced by various factors including age and education. While healthcare providers effectively employ persuasive appeals, they may not significantly influence vaccine acceptance across different groups. Post-rollout opinions on the vaccine correlate with pre-rollout health beliefs, highlighting the importance of ongoing outreach and education efforts. Tailored communication strategies are crucial, addressing concerns among younger age groups and ensuring continuous training for healthcare providers. Additionally, factors beyond provider-patient interaction should be considered, including community engagement programs and long-term follow-up studies. Implementing these recommendations can effectively address vaccine hesitancy and promote widespread acceptance of the COVID-19 vaccine.

Determining Factors For The Accuracy Of Diagnosis Codes Using ICD-10 In Obstetric Cases: Riview Systematics

Medical record coder has complete duties, responsibilities, authority and rights to carry out medical record service activities in health service units. The accuracy of the disease diagnosis code is crucial, the accuracy of the diagnosis code will affect the claim for treatment costs, the allocation of health resources and the accuracy of hospital statistical data. This research systematically reviews articles uses the PRISMA diagram to help sort articles to use, also have criteria: research data is data from Indonesia, uses Indonesian or English, the article was published 2018-2023, the article can be downloaded in full and is not a thesis. This research searched articles through the Google Scholar database, Garuda Portal and Research Gate. As a result of the review of the 7 articles, it is known that inaccurate diagnosis codes in obstetric cases are caused by 7 different factors. The most influential factors are information in MRD (Medical Record Document) is written as unclear or incomplete. The second reason is MRD is not double-checked or inspected and the last is code errors in categories and sub-categories.

PP140 Burden of Illness And Health Care Costs In People with Alzheimer’s Disease

IntroductionAlzheimer’s disease (AD), the most common cause of dementia, is becoming increasingly prevalent worldwide. Understanding the current burden of AD is important in health economic evaluations of new therapies. We aimed to estimate the burden of illness, and healthcare costs of people living with AD using a large, comprehensive real-world database in England.MethodsA retrospective cohort study was undertaken in the Discover-NOW dataset, a real-world database containing the linked primary and secondary care electronic health records of ˜3 million people living in North West London, England. Patients diagnosed with AD were followed from the later of 1 January 2010 or AD diagnosis date, to the earlier of 31 December 2021 or end of follow up (maximum 10 years). Baseline prevalence of 33 comorbidities, incidence of 7 outcomes (survival, cardiovascular, care home admission, hepatic and renal outcomes), healthcare resource utilisation and total direct healthcare costs (using National Health Service tariffs and unit cost approaches) were calculated.ResultsOf 18,116 patients diagnosed with AD, at baseline the mean age was 81 years, 62 percent were female, 65 percent were White, 16.5 percent Asian and 8.9 percent Black. At baseline, hypertension prevalence was 60.2 percent, chronic kidney disease 35.5 percent and Type 2 diabetes 22.4 percent. The highest incidence rates across these outcomes were 13.4 (95% confidence interval [CI]:12.2,14.7) per 1,000 person years for stroke, 7.5 (95% CI: 6.6, 8.5) for myocardial infarction, and 83.6 (95% CI: 80.1, 87.0) for care home admission. Median survival was 4.9 years from diagnosis. Their annual total direct healthcare cost was GBP4,547 per patient, of which 58 percent were from hospital admissions. The majority (75%) of healthcare contacts were from primary care. AD patients had an average length of stay of 11.5 days per inpatient admission, and spent on average one week per year as inpatients.ConclusionsAD is associated with high direct healthcare costs, with patients’ annual costs ˜1.7 times that of the UK population. The majority of these costs are associated with inpatient hospital admissions.

Medicolegal Online-Based Medical Records In Improving Health Services

The hospital is one of the health care facilities that organizes various health services. One of the supporting units of health services is medical records. The presence of technology also makes changes to medical records from manual to online-based or what is commonly referred to as electronic medical records. This study aims to determine the improvement of health services through online-based medical record medicolegal. This research method uses the documentation method with a qualitative approach. The data collection technique is the literature review technique. Then the data is analyzed referring to Miles & Huberman in going through the stages of data reduction, data display, conclusion drawing/verification. The results showed that online-based medicolegal medical records or electronic medical records can improve health services because medical records have several advantages over manual medical records including increasing productivity, being more efficient, it is very easy to issue patient medical records both in recap and detail, and doctors and nurses can easily access patient data

Childminder knowledge of shaken baby syndrome and the role played by childminders in prevention: An observational study in France

BackgroundShaken baby syndrome (SBS) triggers negative short- and long-term outcomes. In France, registered childminders are the principal source of daycare. They may encounter SBS imparted by caregivers or simply excessive infant crying. The aim of the study was to explore childminder knowledge on SBS, the source of information, the responses to infant crying, how childminders perceived their roles in terms of caregiver SBS prevention, and the factors associated with a good knowledge of SBS. MethodsThe participants were registered childminders working in the French department of Gironde who had email accounts. This observational study employed an anonymous online questionnaire distributed by the maternal and child health services unit of the Gironde department over 5 weeks from 16 September 2021. Data on childminder characteristics, knowledge on SBS, responses to infant crying, and perceptions of their roles in SBS prevention were collected. The knowledge score ranged from 0 (all wrong answers) to 30 (all correct answers). ResultsA total of 779 registered childminders participated; 43.9 % had learnt about SBS during their initial training and 75 % before (other training) or after initial training. The median knowledge score was 19/30 (interquartile range [16; 21]). A higher educational level, previous other professional experience, training on SBS, and responsibility for few children were associated with higher scores. Ten reported that they did not advise caregivers who complained of infant crying. ConclusionChildminders require training on SBS and SBS prevention.