Performance Of Health Centers Research Articles

Optimizing the Role of Cadres in Increasing the Coverage of Early Detection of Cervical Cancer in the Working Area of Dasuk Health Center

Cancer is a public health problem in the world. Cancer can threaten health both physically and psychologically and can even cause death. One of the cancers that most often causes death in women is cervical cancer. Efforts to prevent cervical cancer with the cervical cancer screening program in 2018 found estimated data on the number of cervical cancer cases in East Java Province of 27,837 which has the largest number of cervical cancer sufferers compared to other provinces. Meanwhile, 2020 experienced obstacles due to the co-19 pandemic. The COVID-19 pandemic has had a major impact on cervical cancer screening. Based on the data results from the 2022 Dasuk Health Center Performance Assessment Report, the total target of WUS (Women of Reproductive Age) in the Dasuk Health Center Work Area is 6. 672 targets. While the number of WUS (Women of Reproductive Age) who carried out early detection of cervical cancer through the IVA method was 438 targets (0.06%). This shows that the awareness of women of childbearing age in conducting early screening for cervical cancer is still low. Identification of factors that influence the low coverage of early detection of cervical cancer in the Working Area of ​​the Dasuk Health Center with fishbone diagram analysis and identification of priority problems with ultrasound analysis shows that the problems that need to be prioritized for resolution are campaign discontinuity, people are afraid to check IVA tests, lack of public understanding of the importance IVA test examination.

CEBU ASIANA LOGISTICS, INC. LEADERSHIP STYLES TOWARDS CREATING ORGANIZATIONAL CULTURE

This study intent to investigate the leadership style of middle to top managers of Cebu Asiana Logistics Inc. and to create an organizational culture for the organization. The researcher made use of Burnss Transformational and Transactional theory of leadership, Edgar Scheins theory, and Denisons Model of Organizational Culture as its theoretical framework for this research work. This study ascertains the leadership styles of managers and supervisors in the organizational culture of Cebu Asiana Logistics Inc. A significant contribution to understanding this concept of leadership styles is the transformational leadership theory of McGregor Burns which has captured the interest of many researchers in the field of organizational leadership over the past three decades. This theory as cited by Purwanto, A. et al. (2020) in their study on the Effect of Transformational and Transactional Leadership Style on Public Health Centre Performance, was developed in the late 20th century by Burns (1978) in his investigation of political leaders. Most of the managers in Cebu Asiana Logistics Inc., are 41 to 45 years old. And the majority are males with bachelors degree holders. They had been with the company for 1 to 5 years of service, and most of them attended seminars in the Maritime Industry Authority and Philippine Ports Authority; Supervisor respondents are mostly belonging to the age bracket of 46 to 50 years; are males and bachelors degree holders. In terms of length of service, they have been working in the company for 1 to 5 years and have attended seminars from the Philippine Ports Authority. Personnel respondents are ages 26 to 30 years old; Majority of them are males, and are bachelors degree holders; They are also working in the company for 1 to 5 years. Based on the significant findings and conclusions of this research, the following recommendations are offered. 1. Managers and supervisors should pursue graduate education and should be given incentives by the company. 2. Managers and supervisors as well as personnel should be given the chance to continuously evaluate the leadership styles and implementation of organizational culture competencies for results that could promote the quality, efficiency, flexibility, and productivity of the whole Cebu Asiana Logistics Inc. system. KEYWORDS: Leadership styles, organizational culture, Transformational leadership, Transactional leadership

Utilization, quality, and spending for pediatric Medicaid enrollees with primary care in health centers vs non-health centers

BackgroundLimited research has explored the performance of health centers (HCs) compared to other primary care settings among children in the United States. We evaluated utilization, quality, and expenditures for pediatric Medicaid enrollees receiving care in HCs versus non-HCs.MethodsThis national cross-sectional study utilized 2012 Medicaid Analytic eXtract (MAX) claims to examine children 0–17 years with a primary care visit, stratified by whether majority (> 50%) of primary care visits were at HCs or non-HCs. Outcome measures include utilization (primary care visits, non-primary care outpatient visits, prescription claims, Emergency Department (ED) visits, hospitalizations) and quality (well-child visits, avoidable ED visits, avoidable hospitalizations). For children enrolled in fee-for-service Medicaid, we also measured expenditures. Propensity score-based overlap weighting was used to balance covariates.ResultsA total of 2,383,270 Medicaid-enrolled children received the majority of their primary care at HCs, while 18,540,743 did at non-HCs. In adjusted analyses, HC patients had 20% more primary care visits, 15% less non-primary care outpatient visits, and 21% less prescription claims than non-HC patients. ED visits were similar across the two groups, while HC patients had 7% lower chance of hospitalization than non-HC. Quality of care outcomes favored HC patients in main analyses, but results were less robust when excluding managed care beneficiaries. Total expenditures among the fee-for-service subpopulation were lower by $239 (8%) for HC patients.ConclusionsIn this study of nationwide claims data to evaluate healthcare utilization, quality, and spending among Medicaid-enrolled children who receive primary care at HCs versus non-HCs, findings suggest primary care delivery in HCs may be associated with a more cost-effective model of healthcare for children.

Financial Management of Regional Public Service Agency

The Regional Public Service Agency (BLUD) is a work unit in the Regional Work Unit which provides services to the community with flexibility in financial management, different fromregional financial management patterns in general. BLUD is part of local government and has flexibility in implementing business practices to improve community services. The BLUD financial management pattern provides flexibility in managing income, expenditure, cash, debts and investments. The Community Health Center (Puskesmas) has used the BLUD system since 2018, requiring the ability and awareness of human resources to run the system. Based on this, the aim of the research carried out is to see an overview of the implementation of government policies in the form of financial management of Regional Public Service Bodies which have been regulated in the Sumbawa Regent's Regulation Number 5 of 2020 concerning Financial Management Guidelines for Regional Public Service Bodies linked to Sumbawa Regency. To obtain the objectives of this research, the researcher used qualitative descriptive research using interview and observation instruments to collect data both directly and through documents. The results of the research that has been carried out provide an illustration thatPublic policy evaluation is closely related to the level of compliance and satisfaction with the financial management performance of BLUD community health centers. The results of this research can complement William Dunn's opinion or theory regarding public policy evaluation to focus on the level of compliance and performance satisfaction in evaluating public policies, which does not only focus on the values, goals and targets of a policy as measured by numbers

Improving the technical efficiency of public health centers in Cambodia: a two-stage data envelopment analysis

BackgroundCambodia is undergoing a series of reforms with the objective of reaching universal health coverage. Information on the causes of inefficiencies in health facilities could pave the way for a better utilization of limited resources available to ensure the best possible health care for the population.ObjectivesThe purpose of this study is to evaluate the technical efficiency of health centers and the determinants for inefficiencies.MethodsThis cross-sectional study used secondary data from a costing study on 43 health centers in six Cambodian provinces (2016–2017). Firstly, the Data Envelopment Analysis method with output-orientation was applied to calculate efficiency scores by selecting multiple input and output variables. Secondly, a tobit regression was performed to analyze potential explanatory variables that could influence the inefficiency of health centers.ResultsStudy findings showed that 18 (43%) health centers were operating inefficiently with reference to the variable returns to scale efficiency frontier and had a mean pure technical efficiency score of 0.87. Overall, 22 (51%) revealed deficits in producing outputs at an optimal scale size. Distance to the next referral hospital, size and quality performance of the health centers were significantly correlated with health center inefficiencies.ConclusionDifferences in efficiency exist among health centers in Cambodia. Inefficient health centers can improve their technical efficiency by increasing the utilization and quality of health services, even if it involves higher costs. Technical efficiency should be continuously monitored to observe changes in health center performance over time.

Evaluating the performance of WHO and CDC case definitions for influenza-like illness in diagnosing influenza during the 2022–2023 flu season in Mexico

ObjectiveThis study aimed to evaluate the performance of the World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC) case definitions for influenza-like illness (ILI) in diagnosing influenza during the 2022–2023 flu season in Mexico. Study designWe conducted a cross-sectional analysis of national epidemiological surveillance data in Mexico, focusing on respiratory viral pathogens. MethodsWe analyzed data from 6027 non-hospitalized patients between 5 and 65 years old who underwent molecular testing for respiratory viral pathogens. The performance of both case definitions was evaluated in terms of sensitivity, specificity, and the area under the receiver operating characteristic (AUROC) curve. ResultsOverall, the diagnostic accuracy of the evaluated ILI definitions in identifying influenza patients was low, particularly among older patients. When compared to the CDC, the WHO definition had a lower sensitivity but a higher specificity, resulting in a higher AUROC (P = 0.031) for the WHO criteria. ConclusionsOur findings suggest that the WHO and CDC ILI case definitions have limited accuracy for diagnosing influenza in non-hospitalized patients and highlight the need for more specific diagnostic tools to improve the detection of influenza cases during the flu season.

Factor analysis of dynamic capabilities on public health centers operation performance

Purpose: The purpose of this study was to determine how the variables of supply chain performance, performance of medical personnel, and occupancy overload affect operating performance moderated by dynamic capability variables. In a case study of public health center in Indonesia.Design/methodology/approach: This study uses the SEM-PLS quantitative method to analyze the questionnaire data obtained from 112 respondents consisting of medical administrators, nurses, and doctors. Validity and reliability tests were also used to ensure that the data were normally distributed and reliable.Findings: This study found that the supply chain performance variable and the performance of medical personnel had a positive effect on the operational performance of the public health center either through moderating the dynamic capability variable or not. Meanwhile, occupancy overload was found to have a negative effect on the operational performance of the public health center. And the moderating of the dynamic capability variable is only able to reduce its negative impact.Research limitations/implications: This study covers only a small number of public health center in Indonesia, so it is quite difficult to produce generalizable findings. This study also did not involve other internal and external variables that could potentially affect the operational performance of the public health center.Practical implications: The findings of this study can be a suggestion for the government and the management of the public health center to pay more attention to the variables that affect the operational performance of the public health center. Variables that have a positive impact should be increased and variables that have a negative impact should be mitigated.Social implications: Health centers that have effective and efficient operating management will be able to maximize the performance of patient services armed with available resources. The findings of this study can help the public health center to anticipate a surge in patient visits which can reduce the operating performance of the public health center.Originality/value: This study combines the variables of supply chain performance, medical personnel performance, occupancy overload, dynamic capability, and operating performance in one causality model framework. In contrast to other studies that did it separately.

Constructing the performance index of Malaysia’s district health centers using effectiveness-based hierarchical data envelopment analysis

This study aimed to explore the possibility of measuring district health center (DHC) performance using effectiveness-based hierarchical data envelopment analysis (H-DEA). To reflect the overall performance in DHCs, four different scopes of services, namely, disease prevention and control, family health development, health infrastructure and clinical, and governance, were provided by DHCs. The findings show that H-DEA analysis is a possible approach to measure the efficiency of DHCs in Malaysia compared to conventional key performance indicator assessment. This finding hopes to provide guidance to policy makers on DHC service ranking in controlling and distributing the budget pertaining to public health activities at the national level.

Talent and Knowledge Management on Employee Performance in Public Organization

Purpose: In the industrial era 4.0 and during this pandemic, the performance of community health centers (Puskesmas) is essential. Puskesmas can meet these expectations if it is properly built on health workers' performance. Theoretical framework: This study aims to elaborate and analyze the model to improve health workers' performance, constructed as the impact of improving talent management and knowledge management. Design/methodology/approach: This research was conducted in two public health centers, namely Durikumba Health Center and Lara Health Center, Karossa District, and Central Mamuju Regency. The sampling technique used was total sampling. However, in this study, only 70 out of 74 health workers completed the questionnaire completely at the Durikumba Health Center and 45 out of 53 officers at the Lara Health Center. The total final sample obtained was 115 health workers. The model and research approach use explanatory quantitative by choosing structural equation modeling (SEM) as the basis for statistical analysis to determine the influence and relationship between variables processed using AMOS software. Findings: The study's results found that talent management can encourage knowledge management improvements and improve health workers' performance at the research sites. Research, Practical & Social implications: Talent management that is carried out consistently starting from recruitment, retaining existing talents, and with a good development program will encourage improvements in employee performance and, at the same time, improve knowledge management. Originality/value: However, knowledge management cannot improve the performance of health workers as constructed at the beginning of this study.

Evaluation of effective coverage for type 2 diabetes in Mexican primary care health information systems: a retrospective registry analysis

BackgroundAs the leading cause of disability and the fourth leading cause of premature death in Mexico, type 2 diabetes (T2D) represents a serious public health concern. The incidence of diabetes has increased dramatically in recent years, and data from the Mexican National Health and Nutrition Survey (ENSANUT) indicate that many people remain undiagnosed. Persistent socioeconomic health care barriers exacerbate this situation, as T2D morbidity and mortality are worsened in vulnerable populations, such as those without social security. We evaluated the performance of public primary health centers (PHCs) in T2D medical attention through the measure of effective coverage (EC, a combined measure of health care need, use, and quality) at national, state, health jurisdiction, and municipality levels.MethodsThis retrospective analysis used blinded data recorded during 2017 in the Non-communicable Diseases National Information System (SIC) and T2D prevalence reported in 2018 ENSANUT to evaluate the EC achieved. We included individuals ≥ 20 years old without social security who did not declare the use of private health care services. Each EC component (need, use, and quality) was estimated based on the Shengelia adapted framework. The Kruskal–Wallis test was applied to evaluate the associations among EC quintiles and demographics.ResultsIn 2017, 26.5 million individuals, aged ≥ 20 years, without social security, and without the use of private health care services, were under the care of 12,086 PHCs. The national prevalence of T2D was 10.3%, equivalent to 2.6 million people living with T2D in need of primary health care. Large contrasts were seen among EC components between and within Mexican states. We found that only 37.1% of the above individuals received health services at PHCs and of them, 25.8% improved their metabolic condition. The national EC was 9.3%, and the range (by health jurisdiction) was 0.2%–38.6%, representing a large geographic disparity in EC. We found an evident disconnect among need, utilization, and quality rates across the country.ConclusionsExpansion and improvement of EC are urgently needed to address the growing number of people living with T2D in Mexico, particularly in states with vulnerable populations.

Evolution of assisted deliveries at primary healthcare centres in an unstable security context in Mali

IntroductionIn Mali, healthcare systems are severely affected by conflict. However, several studies suggest a lack of knowledge about its impact on maternal healthcare. Frequent and repeated attacks increase insecurity, limit...

Analysis of the Effect of Implementation of Management Functions on Performance Achievements of Community Health Centers in Bengkulu Province

Introduction: The Community Health Center (Puskesmas) is a health service facility that organizes the first level of Community Health Efforts and Individual Health Efforts (UKP) by prioritizing promotive and preventive efforts and is a Regional Technical Implementation Unit (UPTD) of the District/City Health Office. In carrying out its functions, the Puskesmas implements the stages of the management functions of the Puskesmas. Materials/Methods: The research was conducted using quantitative methods with a cross-sectional approach. The research population is the Head in charge of health efforts at Puskesmas throughout Bengkulu Province. The data was collected using a questionnaire and analyzed using the Multiple Linear Regression method with the help of the SPSS version 22 application. Results: The study results showed that there were directions for planning implementation, Organizing Actuating, Supervision Control, and Assessment linear and multiple assessments of the health center's performance achievements. Puskesmas managers should start planning from the five-year plan to the monthly activity implementation plan. The planning must be based on evidence and involve the person in charge, implementer, community, and cross-sector. Conclusion: Carry out monthly and quarterly mini-workshops effectively and efficiently. Carry out supervision in the form of supervision and control of performance achievements monthly through mini-workshops and other meetings. Conduct performance appraisals in an effort to assess achievements and identify problems and solutions for the implementation of future activities.

Peran Kantor Jasa Akuntan Dalam Peningkatan Kualitas Informasi Blud Puskesmas

Health development is aimed at increasing the highest degree of public health. District Health Centeris a spearhead health service facility. The implementation of health services requires the management of integrated, sustainable health centers to produce effective and efficient health center performance in the form of human resources, infrastructure and budgets with the Implementation of Financial Management of Regional Public Service Agencies (BLUD). The problem in this research is the lack of effective application of financial management of the Regional Public Service Agency (BLUD) District Health Center, Bandung in improving service performance, Health Service variables in Performance Assessment are still in sufficient category. The implementation of the BLUD Financial Management Pattern can be said to be effective if it has fulfilled eight criteria in measuring the effectiveness of a program in accordance with Siagian's theory, namely: clarity of purpose, clarity of strategy to achieve goals, steady analysis and policy formulation, careful planning, proper programming, availability facilities and infrastructure activities, effective and efficient implementation, supervision and control.
 Keywords: Health Services, BLUD Financial Management

Performance appraisal models in the county health centers of Iran: A systematic review

Performance design and appraisal makes the system intelligent and motivates people to show desirable behavior and is the main part of organizational policies formulation and implementation. Hence, this systematic review summarizes the current knowledge about performance appraisal models in the county health centers of Iran. In the present study, 13 electronic databases and search engines were searched for the relevant keywords from 2002 to 2020. The obtained English or Persian articles on Health issues were then discussed. The quality appraisal of all articles was performed using the CASP checklist. Out of a total of 2400 articles, 13 articles with relevant titles, abstracts, and texts were reviewed. Based on the results of this study, the components of the performance appraisal model include health improvement, accountability and fairness in financial participation, financing, service provision, resource production, and stewardship. Performance appraisal of health care systems helps health decision makers and politicians to be accountable for their decisions so that they can make better decisions to improve their actions. Therefore, it is possible to improve the performance of inefficient health centers in a more appropriate way by managing the health centers personnel more properly and using their power more correctly. As the establishment and implementation of a performance appraisal model of health centers can improve the provision of health services, the application of these components requires to be well-planned.

Comparison of hospital service performances under COVID-19 pandemics for pilot regions with low vaccination rates

It is essential to measure the quality and performance of health centers and propose policies in order for health services to continue without interruption during the pandemic period and for the continuous and proper implementation of new procedures in hospitals with COVID-19.The measurement of service quality and performance in hospitals should be provided not only for the smooth flow of health services that are vital for individuals but also for the elimination of hesitations in the treatment and vaccination processes related to COVID-19. Previously, models have been proposed by introducing some criteria to measure and evaluate hospital service performance in some extraordinary conditions, but such a study has not yet been put forward under pandemic conditions. Starting from this point, we aim to fill the gap in the literature by conducting a measurement study for hospitals in the pilot region, where COVID-19 cases are common but vaccination is observed at low rates. For this aim, the evaluation criteria are gathered under basic dimensions as in SERVPERF (Service Performance), which is a widely used tool for measuring service quality and a fuzzy multi-criteria decision analysis is proposed to measure the service performance of state hospitals for a pilot region. In the proposed methodology, the integrated methods consisting of CRITIC-TOPSIS have been extended with fermatean fuzzy sets. Expert opinions are taken via questionaries to determine hospital service performances. Based on the results obtained from the hospitals in the pilot region, the policies and strategies to be adopted by the hospitals serving under pandemic conditions worldwide to increase the service quality have been put forward. Additionally, the sensitivity of the parameters in the problem is measured, and then the validity of the obtained results is also validated. According to the results, assurance is determined as the most important main service performance factor during the pandemic period. So, the managers should develop strategies to address people's concerns about vaccines and increase people's trust in hospitals.

Performance Of Regional Public Service Agencies: Accountability As A Moderating Variable

This study aims to empirically examine the influence of leadership style and technology on the performance of the Regional Public Service Agency (RPSA) Health Center in Pekanbaru City. This study also examines Accountability moderation. This research was conducted using a survey method through a questionnaire. All RPSA Public Health Centers in Pekanbaru City were sampled in this study, with 140 RPSA managers as respondents. The results of data analysis using Moderated Regression Analysis (MRA) with SPSS show that leadership style and use of technology affect the performance of the RPSA Health Center. The results also show that accountability does not moderate the influence of leadership style on the performance of the PSA Public health center but moderates the effect of using technology on the performance of the RPSA Public health center. The results of this study contribute to improving the performance of health organizations, especially health centers in the city of Pekanbaru.

Service Quality, Customer Satisfaction, Consumer Behavior and Business Performance of Health and Fitness Center in Kuwait, UAE

Service Quality, Customer Satisfaction, Consumer Behavior and Business Performance of Health and Fitness Center in Kuwait, UAE

Service Quality, Customer Satisfaction, Consumer Behavior and Business Performance of Health and Fitness Center in Kuwait, UAE

This study investigated the quality of service of the health and fitness center as assessed by the clients in terms of reliability, responsiveness, assurance, empathy, and tangibles; the clients’ level of customers satisfaction on the services of the health and fitness center; the clients’ consumer behavior towards the services of the health and fitness center; and the business performance of the health and fitness center in terms of customer loyalty and customer retention rate. Further, it probed the relationship between the quality of service and clients’ level of customer satisfaction on the health and fitness center’s services; between the clients’ level of customer satisfaction and consumer behavior towards the health and fitness center’s services; and between the quality of service and business performance of the health and fitness center. It also ascertained whether service quality, level of customer satisfaction and level of consumer behavior could predict the business performance of the health and fitness center. This study utilized the descriptive-correlational research design, which involved 300 randomly selected clients of the Oxygen Gym Health and Fitness Center, in Kuwait, UAE. Findings revealed that the respondent-clients ‘strongly agree’ with an overall average of 3.48 to the quality of service of the health and fitness center, the Oxygen Gym, as to its services. The respondent-clients’ level of satisfaction on the services of health and fitness center was ‘very high’ with an overall weighted mean of 3.51. The respondent-clients ‘strongly agree’ with an average weighted mean of 3.50 to all the indicators of customer behavior, such as psychological, personal, social and cultural factors, towards the services of the health and fitness center. Results also revealed that the degree of customer loyalty as a qualitative measure of the Oxygen Gym’s business performance was very high. Results also shown that there was a significant relationship between level of customer satisfaction and consumer behavior towards the health and fitness center’s services

Health Center Performance Post Decentralization of Health Services Policy in Makassar City

The objectives of this study are: To describe and analyze the performance of the Health center after the decentralization of health service policies in Makassar City. This type of research is viewed from the research objective, so it is included in the format of qualitative research, which describes a phenomenon of problems that occur about the performance of the Health center, then is connected to the source of the problem, by confirming the service providers and referring to the theory related to the phenomenon that occurs. The results showed that the organizational performance of the Health center after the policy of decentralization of health services in the city of Makassar was still not optimal or still lacking and there was still much that needed to be addressed to be able to realize the expectations of the community.

Assessing Villagers' Satisfaction with the Performance of Health Centers Case study: Zanjan Township

Assessing Villagers' Satisfaction with the Performance of Health Centers Case study: Zanjan Township