Informatics Services Research Articles

Agile Governance Public Information Management at the Communication, Informatics, and Statistics Service of Riau Province

This study aims to analyze the implementation of agile governance in public information management at the Riau Province Communication, Informatics and Statistics Service (Diskominfotik). Agile governance is a governance approach that emphasizes flexibility, responsiveness, and rapid collaboration in providing public services. The research method used is qualitative descriptive with an explanatory approach. Data collection was carried out through observation, interviews, and document studies analyzed using Nvivo 14 software. The results of the study indicate that the implementation of agile governance at Diskominfotik Riau is still faced with a number of obstacles, including limited knowledge and capacity of human resources (HR) in understanding the concept and a bureaucratic structure that does not fully support flexibility. In addition, performance evaluations that are not yet based on quick wins slow down the adaptation process. Nevertheless, Diskominfotik Riau has utilized various digital platforms to provide access to public information, although improvements need to be made in terms of responsiveness and timeliness of service. Recommendations from this study include increasing training for HR, implementing a more flexible governance model, and periodic evaluations based on short-term results. The implementation of agile governance is expected to improve the quality of public services and strengthen public trust in government transparency.

Applying Experienced-Based Co-Design principles to improve digital health demand management processes in a large metropolitan multi-hospital health system

ObjectiveThis study describes the application of Experienced-Based Co-Design (EBCD) principles with an embedded implementation technology framework for improving digital health and informatics demand management processes in a multi-hospital healthcare system. The study identified barriers and enablers within the existing demand management system, proposed interventions to address these challenges and engaged in collaborative co-design with stakeholders. MethodsA multi-method qualitative approach aligning with EBCD principles was used. Framework mapping (Non-adoption, Abandonment, Scale-up, Spread, Sustainability) was applied to barriers and enablers associated with baseline practices. Reflexive thematic mapping and process charts were used to inform stakeholder priorities and co-design. Prototyping was iterative using feedback for continuous improvement with ongoing monitoring. ResultsFragmentation of information was a technological barrier, decentralized processes and service duplication were organizational barriers, and opportunities to improve clarity of governance policies were identified. Solutions were co-generated and prioritised by stakeholders. The co-design and prototyping phase followed an iterative approach which generated two interventions. For centralizing intake and management, a new workflow process was devised. For improving project portfolio visibility and developing a weighted scoring criterion, a single tool to track projects across the lifecycle and a scoring model based on prioritization techniques were created. ConclusionA novel application of an EBCD approach was used to improve demand management processes in a digital health and informatics service context in a large health system. It highlights the value and agility of EBCD to generate flexible and modular solutions for this digital health context and compares favorably to analogous approaches. Public interest summaryIn today's fast-paced digital age, it is vital for hospitals to manage health information innovation efficiently. This study used an Experienced-Based Co-Design design (EBCD) approach to improve how a multi-hospital health system handles and prioritizes digital health projects. We listened to stakeholders, identified challenges, including fragmented information and unclear processes, then co-created solutions. The EBCD produced an implementable streamlined method for managing digital health project requests, including prioritizing and tracking projects from start to finish. This outcome of the exemplar EBCD process is likely to ensure that the most critical health projects are prioritized. For the public, this means better, faster, and more efficient digital health services in the future.

IMPLEMENTASI ALGORITMA CLUSTERING K-MEANS UNTUK PENGELOMPOKAN JENIS LAYANAN PENGGUNA JARINGAN

Advances in information technology are currently the most effective media for finding and disseminating the information needed in today's life. High information is sometimes not matched by the presentation of adequate information, often this information still needs to be extracted or reprocessed. As an intuition engaged in the field of communication and informatics, the Bogor Regency Communication and Informatics Service provides internet services for its employees. Therefore, the quality of the internet network at Diskominfo must always be in prime condition to support the process of its activities. For intuition, knowing and understanding the behavior of internet service users can be a reference for optimizing in the future. Access patterns are a part of user behavior when accessing internet services. Due to the large amount of data that must be processed, a method is needed to process such large data. In this thesis the author uses the K-Means Clustering method to process data. The results of this study indicate that the K-Means clustering algorithm is able to group types of network user services effectively based on the pattern of computer network usage in the Bogor District Communication and Informatics Office

Analysis of the Effectiveness of Based Public Services Information and Communication Technology (ICT)

This research is entitled: Analysis of the Effectiveness of Public Services Based on Information and Communication Technology (ICT): Study of the National Public Service Complaint Management System for People's Online Aspiration and Complaint Services (SP4N LAPOR) at the Communication and Information Service of the Riau Islands Province. The aim of the research is to determine the effectiveness of public services that utilize information and communication technology (ICT) with the SP4N LAPOR Application service at the Riau Islands Province Communication and Informatics Service (Diskominfo). The SP4N LAPOR Application is an application that can be used for category purposes. reporting in the form of aspirations and appreciation, as well as requests for public information and complaints and reports in the reporting completion category. and one of the government's efforts to provide high-quality public services for the community. In measuring the level of program effectiveness, researchers used Champbel theory (in Mutiarin and Arif, 2014). Also this research is descriptive in nature by applying qualitative methods. Informants were determined by applying purposive sampling techniques. In data collection, research instruments were used, including field observations and interviews with several informants. Then documentation studies are used for the documents in the research. Meanwhile, data analysis techniques are carried out through data reduction, displaying data and drawing conclusions on research that has been carried out. In the research results, it was found that the effectiveness of ICT- based public services with the SP4N LAPOR application in the Riau Islands Province Communication and Information Service (Diskominfo) was running quite effectively, although there were a number of obstacles, including limited reliability human resources in the field of information technology and obstacles. others in the form of the Riau Islands Provincial Government, especially Diskominfo, do not yet have an Information and Communication Technology (ICT) master plan and an Electronic Based Service System (SPBE) architecture.

Quantifying clinical actionability of updated tumor profiling reports through electronic health record (EHR)-enabled, on-demand ordering and resulting.

e13621 Background: Next-generation sequencing reports provide matched therapies and clinical trials based on genomic alterations to drive therapeutic decisions in clinical practice. Biomarker-matched oncology drug approvals and trials have grown tremendously over the past decade. From January 2000 to October 2022 alone, a total of 573 agents were approved for various oncology indications, with nearly half being targeted therapies. While matched therapies and clinical trials are current at time of issue, updated variant classification, changes in FDA approvals, and trials available are not reflected in static reports. It is not always practical nor feasible to provide a new biopsy specimen. To address this gap in clinical care, we piloted Tempus Refresh, an on-demand informatics service that provides clinicians with refreshed therapy and trial matches from prior molecular reports directly through the EHR. Here we quantify the clinical actionability of Refresh reports. Methods: TriHealth piloted the Tempus Refresh orderable through the Epic EHR at the treating physician’s discretion. The clinical team specified prior DNA molecular reports (tissue or blood) to update. Orders were transmitted to Tempus through an HL7 interface. All alterations provided on the prior report were updated for therapeutic and trial matches through existing workflows. An updated structured report was then delivered to the TriHealth Epic EHR linked in the lab tab. Results: From 2/2023 to 11/2023, 10 TriHealth providers participated. A total of 35 unique Refresh orders were placed via custom HL7 Epic order, of which 3 were canceled due to orders outside of pilot parameters. Of the 32 Refresh reports, 34% (11/32) contained new FDA-approved therapies (OncoKB Level 1 or 2), and 78% (25/32) were annotated with new clinical trials. The average elapsed time from original date of report issuance to Refresh order delivery was 14.5 months (range 1 month to 45 months). The mean turnaround time for issuance of a Refresh report was 29 hours (range 5 hours to 53 hours). Conclusions: These results demonstrate that on-demand report updates increase the availability of tumor biomarker-matched therapies and trials. Furthermore, the study exhibits the feasibility of integrating updates directly into the standard EHR clinical workflow. This service provides visibility across teams and can support specialty pharmacists in therapy authorization. Considering the success of this pilot, future studies will assess the expansion of Tempus Refresh to additional sites.

Kebijakan Pemerintah Bungo Dalam Menjalankan Peraturan Daerah Nomor 25 Tahun 2010 Tentang Pengaturan Retribusi Menara Telekomunikasi Dengan Tujuan Mendukung Penerimaan Pendapatan Daerah Telah Menjadi Fokus Penelitian Di Dinas Perhubungan Kabupaten Bungo.

This study was conducted at the Transportation and Informatics Service of Bungo Regency over a one-month period, specifically in February 2016. Its objective was to examine, describe, and analyze the implementation of telecommunications tower levies managed by the Bungo Regency Transportation Service. It also aimed to investigate the efforts made by the service to increase Regional Original Income through these levies and to identify and analyze the obstacles faced by the service in raising telecommunications tower levies in Bungo Regency to enhance Regional Original Income (PAD). Employing a descriptive method with a qualitative approach, the research sought to understand the issues occurring at a particular place and time. The findings of the study revealed that management, often referred to as administration, is a systematic process aimed at achieving goals through planning, organizing, activating, and supervising. The efforts undertaken by the Bungo Regency Transportation and Informatics Service included outreach activities, enhanced supervision, establishment of cellular zones, and improvement of facilities and infrastructure for levy payment. The underlying issues in formulating levy policies to regulate telecommunications towers in Bungo Regency included the proliferation of such towers potentially turning Bungo Regency into a tower city. Additionally, ensuring legal certainty for entrepreneurs was crucial, ensuring clarity for telecommunications tower owners regarding imposed levies. Non-compliant tower construction concerning spatial planning aspects further complicated the policy formulation, with the levy intended to contribute to increased regional income for Bungo Regency.

Leadership Evaluation of David Brailer: Insights From Health Informatics and Public Service

This study assesses the leadership style and impact of David Brailer, the former United States National Health Information Technology Coordinator, renowned for his contributions to health informatics. The study employs several methodologies: an examination of both positive and negative leadership attributes, an analysis of his leadership style, and an exploration of his vision-defining abilities. Central to this investigation is the analysis of organizational leadership, undertaken through an innovative leadership theory and guiding principles, which are designed to uncover strategies for enhancing leadership in a rapidly evolving society. Brailer’s extensive background in health informatics, coupled with his tenure at the U.S. Department of Health and Human Services, provides a rich foundation for this study. In 2004, President George W. Bush appointed him as the inaugural Health Information Technology Czar, marking a historic moment in advancing electronic health records and the digitization of healthcare information, health informatics and public service.

Pola Komunikasi Organisasi Dinas Komunikasi dan Informatika Kabupaten Tanah Datar dalam Mengelola Youtube Channel Tanah Datar TV

An organizational communication pattern is a relationship between two or more people in the process of sending and receiving the right way so that the intended message can be understood. The fact that occurs in the Communication and Informatics Service is that differences in the quality of human resources such as less responsiveness and less effective communication flows result in differences in perception between leaders and employees, therefore organizational communication patterns are needed to coordinate management in order to produce a good communication process so that the goals of the Communication and Information Department can be achieved. The aim of this research is to determine the communication patterns used, and the supporting and inhibiting factors in the communication process that occurs at the Tanah Datar Regency Communication and Information Service. This research uses qualitative research methods. The subjects of this research were the Head of the Communication and Information Service, the Head of Public Communication Information, and the Tanah Datar Tv YouTube Channel Team who were selected using a purposive technique. Data collection techniques consist of observation, interviews and documentation. Whereas. The results of this research show that organizational communication patterns in improving service quality at Diskominfo use the Wheel pattern, Y pattern and pattern.

Force Health Surveillance inNATO Does Not Meet the Needs ofIts Users: A Structured Evaluation ofEpiNATO-2.

Disease and non-battle injuries (DNBIs) cause substantial losses among military personnel. NATO has monitored DNBIs among its personnel since 1996 using multiple versions of a tool now called EpiNATO-2, but the surveillance system has never been systematically evaluated. Following a request from NATO to the CDC, the objective of this study was to assess surveillance system attributes of EpiNATO-2 using CDC's updated guidelines for evaluating public health surveillance systems. Between June and October 2022, a literature review and key informant interviews were conducted to assess the following attributes: usefulness, simplicity, flexibility, data quality, acceptability, sensitivity, positive predictive value, representativeness, timeliness, stability, informatics system quality, informatics service quality, and informatics interoperability. Key informant interviews were conducted in Kosovo, Germany, and remotely with EpiNATO-2 users spanning three levels: clinical and data entry personnel (tactical level); regional medical and public health officers (operational level); and senior commanders and other governmental entities (strategic level). Fourteen EpiNATO-2 users participated in interviews, representing 3 of the 5 major NATO missions, 3 partner entities, and 7 nationalities. All users (100%) reported that the system did not meet their needs, with most users noting the following challenges: lack of clearly defined system objectives; poor data quality due to ambiguous case definitions and frequently unsubmitted reports (37% missing during January to June 2022); long delay between the occurrence of health events and the availability of corresponding data (≥2 weeks); and an antiquated and inflexible data management system. Overall, performance was deemed unsatisfactory on 11 of the 13 attributes. This multinational sample of EpiNATO-2 users at all military levels reported that the system is currently not useful with respect to its stated objectives. Opportunities exist to improve the performance and usefulness of EpiNATO-2: improve case definitions, modernize data infrastructure, and regularly evaluate the surveillance system.

Performance Appraisal Decision Making System using the Simple Additive Weighting (SAW) Method

The development of science and technology is increasingly rapid, the development of science and technology is developing in line with the times . The use of computer technology can help complete work and overcome problems that arise in daily activities. The Communication and Informatics Service (Kominfo) is one of the departments at the Padang City Hall Government Office. The Padang City Government Communications and Information Service is having difficulty selecting employees in determining employee transfers and promotions. The researcher aims to assist the Padang City Government Communication and Information Department in helping to determine employee transfers and promotions. This research was conducted using the Simple Additive Weighting (SAW) method. The SAW method is to find the weighted sum of the performance ratings for each alternative on all criteria. The results of calculations using this method using 4 alternative data that will be tested, obtained alternative results in the name of Wahtu Riansah with a value of 0.951 as the best candidate and from these results it was found that the SAW method can help the department in selecting the right employees for employee transfers and promotions. Therefore, an Information System was built at the Padang City Government Communication and Informatics Service to assist the needs in selecting employees using the system that will be implemented

Development of Public Value Based E-Government Maturity Framework

The implementation of E-Government in Indonesia is expected to assist the government in providing services and changing relations with citizens, businesses, and other government agencies. To support the implementation of e-Government, one of the things that can be proposed is the determination of public value in public services. Public value can be defined as the value created by the government for citizens through the delivery of public services. In implementing the SPBE performance targets at the Jombang Regency Communication and Informatics Service, problems were found, including, the Regional Apparatus Organization (OPD) was still building its applications without coordinating, there were still many OPD applications that could not be integrated with other applications and it is still difficult to fulfil sectoral data in OPD, thus affecting the public value obtained by the people in Jombang Regency. The case study focus on assessment of the SiRinduNona website of the Department of Investment and Integrated One-Stop Services Jombang Regency based on the development public value-based E-Government maturity framework that has been made by researchers. The results of the maturity stage of The SiRinduNona website for Jombang Regency is included in stage 4, namely collaboration stage with a percentage of 73.14%.

Use of a Mobile-Based Online Public Complaint System in Kebun Kelapa Village

The problem that occurs among the people of Kebun Kelapa Village is the lack of knowledge regarding technology, especially the use of applications on Android-based mobile phones. The Langkat Regency Communication and Informatics Service as a regional work unit which has duties and functions in the field of technology is supposed to provide direct services to the community in the field of ICT (Information and Communication Technology). The public needs a service or means to make it easier to submit questions and complaints related to the field of technology, which of course hopes to get direct answers from parties who are experts in their fields. So far, the role of the Langkat Regency Communication and Informatics Service is still very minimal in providing facilities for submitting complaints and requests for information to the public, where the public still has to come to the Langkat Regency Communication and Informatics Service Office to submit all types of complaints. This research provides a solution for the Langkat Regency Communication and Informatics Service to provide complaint services to the community, especially in Kebun Kelapa Village, so that they can submit various types of complaints and requests for information in the fields of technology and informatics. The responses and answers obtained are of course obtained directly from the government agency in charge of this matter, so that the public no longer receives wrong information circulating from one media to another. The mobile-based public complaint system that was built can guarantee the confidentiality of personal information for people who are afraid to submit complaints if their identity is known. This system will also provide a guarantee that complaints submitted will be responded to immediately by having a control system for the complaint handling process. In the end, it is also hoped that this research will become a new public service innovation for the Langkat Regency Communication and Information Service, especially in Kebun Kelapa Village, especially in fulfilling the public service compliance survey conducted by the Indonesian Ombudsman every year.

Effectiveness of a Culturally Responsive mHealth Gaming Application to Improve Diabetes Health Literacy in India: A Randomized Controlled Trial.

The purpose of this study was to determine the effectiveness of a culturally responsive interactive gaming mHealth educational application designed to improve diabetes health literacy among an underserved urban population in India when compared with a traditional approach of verbal education. In addition, relationships between participant sociodemographic variables and participant knowledge were assessed. A randomized controlled trial was conducted using a two-arm parallel, single-blinded intervention and control group design. The parallel groups were the mHealth Education group serving as the intervention group and the Verbal Education group serving as the control group. The mHealth application was as effective in improving diabetes health literacy as verbal education. Results for the difference in posttest and pretest score between the two groups indicated there was no statistically significant difference between groups (P = .9306). However, there was a significant improvement in the difference in posttest and pretest scores for each group (P < .0001), indicating that the culturally responsive type 2 diabetes educational content was effective in improving type 2 diabetes health literacy among both groups. This study answers a call by the World Health Organization that advocates for evidence-based mHealth interventions that offer unique opportunities for cost-effective informatics service delivery in low- and middle-income countries.

Pemanfaatan Media Sosial Instagram Dinas Komunikasi dan Informatika Pemerintahan Kota Padangsidimpuan dalam Publikasi Informasi

Today's technological developments greatly influence the growth of media, both conventional media and digital media such as social media. Social media now functions as a necessity that cannot be separated from the public. One of the most widely used social media is Instagram. How to use it and Instagram's interesting features make Instagram the most popular social media among the public. Users vary from young people, public figures, to government agencies. Government agencies utilize the capabilities of social media, especially Instagram, as a medium for disseminating public information, one of which is the Padangsidimpuan City Government Communication and Information Agency. Instagram was chosen to be one of the social media that is actively used by the Padangsidimpuan City Government Communications and Information Service. With the account name (@kominfopsp). Instagram is used in the use of Instagram social media as a medium of communication and information. The method used to conduct this research is descriptive qualitative, this method is used because the utilization used cannot be calculated or quantified or calculated based on data but requires further interviews and observations. The results of this research are that the Padangsidimpuan City Government Communication and Informatics Service Agency is considered quite successful in its use as a public communication and information medium, although along the way it requires criticism and suggestions from the public in order to build a better Padangsidimpuan City Government Communication and Informatics Service.&#x0D; Keywords: Instagram Social Media, Communication and Informatics Service, Information Publication

Restructuring the Public Relations Capacity of the Statistics, Informatics and Encryption Communication Service in South Sulawesi Province

This study aims to analyses the description of institutional structure and human resources for public relations, internal and external factors and to offer a public relations hypothetical model. This study used a descriptive qualitative method, which was carried out at the Department. Informants Informed purposively with consideration of internal and external representation of the Office. Data obtained by observation, interview, and document analysis techniques. The collected data were analyzed using qualitative interactive techniques between data collection, data reduction, data presentation, verification and drawing conclusions. The results of the study show: (1) An overview of the institutional structure and human resources of Public Relations, (2) Internal and external factors that become drivers and obstacles in the development of public relations capacity stem from internal strength, namely the existence of a number of authorities (publication, follow up, and decision-making) owned by the Dinas and external opportunities supported by the local government. While the internal obstacles are the strong interest of political parties in public services and external challenges, namely community participation in responding to educational posts that are still lacking, and (3) The hypothetical model of structuring the capacity of public relations that is applicable has not been realized, so it will not meet the target if its implementation is not compatible with digitization.

Analysis Of Financial Performance At Communication And Informatics Department In Bengkulu Selatan District

The performance of government agencies is now in the spotlight with increasing public awareness of the implementation of public administration. Society often views public sector organizations as nests of inefficiency, waste, sources of leakage of funds and institutions that always lose money. The purpose of this study was to determine the financial performance of the Communication and Informatics Service in South Bengkulu Regency.This study uses a quantitative research approach, collecting data using secondary data search, data analysis. The results of this study indicate that the financial performance of the South Bengkulu District Communication and Informatics Service for 2018-2022 based on the degree of decentralization ratio is in the very low category. Then based on the regional financial dependency ratio, experiencing a low level of dependence on the central government in providing transfer funds. Based on the ratio of regional financial independence, experiencing a very low level of independence. Based on the compatibility ratio, namely the ratio of regional financial operating expenditures, experienced a fairly low portion of operating expenditures due to the lack of revenue from the South Bengkulu Regency Communication and Informatics Office.

Information System for Internship Applications in the Yogyakarta City Communication, Informatics, and Encoding Office

The Office of Communication, Informatics and Encoding (DISKOMINFOSAN) is a Yogyakarta City government agency tasked with carrying out government affairs in the field of Communication, Informatics and Encoding to meet the needs of society in the current digital era. Needs regarding registration and internship activities or field work practices for Yogyakarta City students, DISKOMINFOSAN is needed to provide better service. Based on the data obtained from interviews with the Sub Coordinator of the Information System Planning and Implementation Substance Group explained that the apprentice registration system and apprentice activities that are currently running are not computerized so that the data cannot be managed optimally. Research is also carried out by direct observation as an active participant in internship activities so that it can analyze deficiencies and constraints on the running system. In the early stages, students must submit documents for the requirements to register for an apprenticeship directly to the agency so that it will take time. Next, students fill in the required data on the Google Form. If an internship has been accepted, students must fill in the progress and final report on the Google Form. This activity is considered inefficient for students because they have to access many Google Form links during registration and internship activities. The software development method used in this study is the Waterfall method, the framework used for application development uses the CodeIgniter framework while the software testing used is the black-box method. With the design of this website application system, it can be a solution to problems that occur in the running system for the registration process and internship activities at the Yogyakarta City Informatics and Encryption Communication Service.

Electronic Phenotype for Advanced Chronic Kidney Disease in a Veteran Health Care System Clinical Database: Systems-Based Strategy for Model Development and Evaluation.

Identifying advanced (stages 4 and 5) chronic kidney disease (CKD) cohorts in clinical databases is complicated and often unreliable. Accurately identifying these patients can allow targeting this population for their specialized clinical and research needs. This study was conducted as a system-based strategy to identify all prevalent Veterans with advanced CKD for subsequent enrollment in a clinical trial. We aimed to examine the prevalence and accuracy of conventionally used diagnosis codes and estimated glomerular filtration rate (eGFR)-based phenotypes for advanced CKD in an electronic health record (EHR) database. We sought to develop a pragmatic EHR phenotype capable of improving the real-time identification of advanced CKD cohorts in a regional Veterans health care system. Using the Veterans Affairs Informatics and Computing Infrastructure services, we extracted the source cohort of Veterans with advanced CKD based on a combination of the latest eGFR value ≤30 ml·min-1·1.73 m-2 or existing International Classification of Diseases (ICD)-10 diagnosis codes for advanced CKD (N18.4 and N18.5) in the last 12 months. We estimated the prevalence of advanced CKD using various prior published EHR phenotypes (ie, advanced CKD diagnosis codes, using the latest single eGFR <30 ml·min-1·1.73 m-2, utilizing two eGFR values) and our operational EHR phenotypes of a high-, intermediate-, and low-risk advanced CKD cohort. We evaluated the accuracy of these phenotypes by examining the likelihood of a sustained reduction of eGFR <30 ml·min-1·1.73 m-2 over a 6-month follow-up period. Of the 133,756 active Veteran enrollees at North Florida/South Georgia Veterans Health System (NF/SG VHS), we identified a source cohort of 1759 Veterans with advanced nondialysis CKD. Among these, 1102 (62.9%) Veterans had diagnosis codes for advanced CKD; 1391(79.1%) had the index eGFR <30 ml·min-1·1.73 m-2; and 928 (52.7%), 480 (27.2%), and 315 (17.9%) Veterans had high-, intermediate-, and low-risk advanced CKD, respectively. The prevalence of advanced CKD among Veterans at NF/SG VHS varied between 1% and 1.5% depending on the EHR phenotype. At the 6-month follow-up, the probability of Veterans remaining in the advanced CKD stage was 65.3% in the group defined by the ICD-10 codes and 90% in the groups defined by eGFR values. Based on our phenotype, 94.2% of high-risk, 71% of intermediate-risk, and 16.1% of low-risk groups remained in the advanced CKD category. While the prevalence of advanced CKD has limited variation between different EHR phenotypes, the accuracy can be improved by utilizing two eGFR values in a stratified manner. We report the development of a pragmatic EHR-based model to identify advanced CKD within a regional Veterans health care system in real time with a tiered approach that allows targeting the needs of the groups at risk of progression to end-stage kidney disease.

Effectiveness of Digital Health Literacy Interventions in Older Adults: Single-Arm Meta-Analysis.

In a world of rapid digital technology development, the lack of digital health literacy (DHL) among older people cannot be ignored. DHL is becoming an essential competency that can facilitate the health status and health management of older adults. DHL interventions that are feasible and appropriate can be implemented on a large scale through the health care system for older people. The purpose of this meta-analysis was to assess the effectiveness of DHL interventions for older adults. English publications in PubMed, Web of Science, Embase, and the Cochrane Library were searched from inception to November 20, 2022. Two reviewers independently completed the data extraction and quality assessment. Review Manager (version 5.4; Cochrane Informatics & Technology Services) software was used for all meta-analyses. A total of 7 studies, including 2 randomized controlled trials and 5 quasi-experimental studies, involving 710 older adults were considered eligible. The main outcome was scores on the eHealth Literacy Scale, and secondary outcomes were knowledge, self-efficacy, and skills. Quasi-experimental studies compared baseline and postintervention outcomes, while randomized controlled trials compared pre- and postintervention outcomes in the intervention group. Of the 7 studies, 3 used face-to-face instruction, while 4 adopted web-based interventions. Among them, 4 of the interventions were conducted using theoretical guidance, while 3 were not. Intervention duration varied from 2 to 8 weeks. In addition, the studies included were all conducted in developed countries, mainly in the United States. Pooled analysis presented that DHL interventions had positive effects on eHealth literacy efficacy (standardized mean difference 1.15, 95% CI 0.46 to 1.84; P=.001). Subgroup analysis revealed that DHL interventions that chose face-to-face teaching (standardized mean difference 1.15, 95% CI 0.46 to 1.84; P=.001), were guided by a conceptual framework (standardized mean difference 1.15, 95% CI 0.46 to 1.84; P=.001), and were sustained over 4 weeks (standardized mean difference 1.1, 95% CI 0.46 to 1.84; P=.001) had a more significant effect. Moreover, the outcomes showed considerable gains in knowledge (standardized mean difference 0.93, 95% CI 0.54 to 1.31; P<.001) and self-efficacy (standardized mean difference 0.96, 95% CI 0.16 to 1.77; P=.02). No statistically significant effect was found for skills (standardized mean difference 0.77, 95% CI -0.30 to 1.85; P=.16). The small number of studies, variable study quality, and heterogeneity are some limitations of this review. DHL interventions have positive effects on the health status and health management of older adults. Practical and effective DHL interventions are crucial for the use of modern digital information technology in managing the health of older people. PROSPERO International Prospective Register of Systematic Reviews CRD42023410204; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=410204.

Analisis Inovasi Pelayanan Publik Berbasis Digital Di Dinas Komunikasi Dan Informatika Di Maluku

The research aims to determine Digital-Based Public Service Innovations in the Communication and Informatics Office in Maluku. The data analysis used to answer the problems in this study is a qualitative descriptive analysis. Qualitative analysis with a descriptive approach. These results indicate that the Maluku government has utilized the E-government service through a website in by the communication and informatics service, namely the Maluku SIMANTAP Online E-PPID Service. E-gov services really need critical factors to ensure the success of an innovation, including; Supporting factors for the implementation of e-government-based public service innovations are: Facilities and infrastructure that support electronic-based services, positive community response by welcoming electronic-based services, support from the local government, and the leaders themselves who support application program innovations, sources Human Resources (HR). While the inhibiting factor experienced during the implementation of this e-government-based service innovation was the 'budget'.