Quality Of Health Services Research Articles

Quality and Efficiency of Health Services in The Implementation of Electronic Medical Records: Bibliometric Analysis

Background: Electronic medical records (EMR) were growing rapidly because they were believed to improve the quality and efficiency of health services. Literature studies related to EMR have been carried out, but the bibliometric analysis was not yet known. This study aimed to analyze the bibliometrics of research related to EMR and its impact on quality and patient care. Methods: We have carried out bibliometric analysis using VOS viewer and Mendeley on articles from the Scopus database for 2014-2023. Articles have been filtered based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) diagram. We used the keywords electronic medical records, quality and efficiency to search for articles. Articles that were not in English, could not be downloaded in full text and were not related to quality or efficiency were excluded. Articles that met the criteria were analyzed. Results: We obtained 24 articles from the screening results. Most articles in 2020 (6), there was a significant increase in 2019 (4). Most articles have been published in Journal of Medical Internet Research (3). The International Journal of Medical Informatics received the most citations (160 from 2 articles). There were 8 research articles from the United States. The most frequently used keywords were electronic medical record(s). Meanwhile, the issues most commonly associated with the implementation of EMR include; quality improvement, health care quality, patient satisfaction, and cost. Conclusion: Bibliometric analysis was important to carry out in future research to map the characteristics of research with wider data sources.

The Role of Leadership in Improving the Quality of Healthcare Services at Community Health Centers : A Systematic Review

Various factors related to the quality of health services in primary health care facilities include health care providers, organizational and leadership factors, and environmental factors (internal and external). A leadership role is required, especially in terms of company-wide coordination and of course motivation. This study used a systematic review method. Electro databases used included Google Scholar, Pubmed, & Garuda Journal using the key terms "leadership role", "health service quality", & "puskesmas". Based on the results of the research conducted, it was found that the role of leadership has an impact on improving the quality of health services at the puskesmas. The role of a leader in an organization is very important. This is because the leader is one of the gates or spearheads that is very important in planning the success of an organization. To increase employee creativity and innovation to achieve organizational goals, the manager's role is to encourage employees to express their creativity and recognize the results of their efforts.

Pelayanan BPJS Peserta pada Jaminan Kesehatan di BPJS Kesehatan Kantor Padang Lawas Utara

Quality health services are a right for every individual, including participants of the Health Social Security Administering Agency (BPJS). This study aims to analyze the services provided to BPJS Health participants in the North Padang Lawas area, with a focus on North Padang Lawas Health BPJS. The research method used is a descriptive approach with qualitative methods, direct observation, interviews with participants and officers, as well as analysis of secondary data related to service performance. The research results show that although BPJS Health has provided wider access to health services for the community, there are several challenges faced by participants in the North Padang Lawas area. Some of these are limited health facilities, especially in rural areas, long waiting times to receive services, and sometimes inadequate availability of medicines. The quality of service is also a major concern, where there are complaints regarding the attitude and responsiveness of officers and the availability of adequate medical personnel. In this context, increasing training for officers and improving health infrastructure in this region are very necessary to improve services to BPJS Health participants. This research contributes to the understanding of the quality of health services in the North Padang Lawas area, as well as providing a basis for BPJS Health and local governments to make necessary improvements to increase the quality and accessibility of health services for the community.

Mental health of Irish adolescents following the COVID-19 pandemic: results from a population-based cross-sectional survey.

This study provides data on the prevalence of mental health problems among adolescents in Ireland in 2021, toward the end of the COVID-19 pandemic. The importance of having recent, large-scale, mental health data for adolescents has been heightened by COVID-19, the increased demand for child and adolescent mental health services, and the rapidly changing adolescent environment. As part of the Planet Youth study, a cross-sectional survey of adolescents (N = 4,404), mostly aged 15-16, was conducted between September and December 2021. Participants were recruited from 40 schools and non-traditional educational centres across 3 regions in Ireland, one predominantly urban (North Dublin) and two predominantly rural (Cavan, Monaghan). A range of mental health outcomes were self-reported: a single-item question on mental health; the Strengths & Difficulties Questionnaire (SDQ); depressive and anxiety symptoms from the Symptom Check List 90; the Adolescent Psychotic-like Symptom Screener; and lifetime self-harm, suicidal ideation, and attempt. Over a quarter of adolescents described their mental health as 'bad' or 'very bad' (29%), and had SDQ total problem scores over 20 (26%). Over a third (39%) reported self-harming, 42% reported suicidal ideation, and 11% reported attempting suicide, in their lifetime. Gender-diverse youth (non-binary, trans, and undisclosed) had higher rates of poor mental health outcomes compared to cis-gendered youth (male/female), and females had higher rates of most mental health outcomes compared to males. Many of these estimates suggest a deterioration from previous epidemiological studies. While our findings do not definitively prove youth mental health has worsened over time, these findings are highly concerning. We propose a close monitoring of mental health in future surveys of this population and encourage initiatives to improve the capacity and quality of youth mental health services.

Mapping the evaluation of the electronic health system PEC e-SUS APS in Brazil: a scoping review protocol

BackgroundThe Brazilian Ministry of Health has developed and provided the Citizen’s Electronic Health Record (PEC e-SUS APS), a health information system freely available for utilization by all municipalities. Given the substantial financial investment being made to enhance the quality of health services in the country, it is crucial to understand how users evaluate this product. Consequently, this scoping review aims to map studies that have evaluated the PEC e-SUS APS.MethodsThis scoping review is guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) framework, as well as by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Checklist extension for scoping reviews (PRISMA-ScR). The research question was framed based on the “CoCoPop” mnemonic (Condition, Context, Population). The final question posed is, “How has the Citizen’s Electronic Health Record (PEC e-SUS APS) been evaluated?” The search strategy will be executed across various databases (LILACS, PubMed/MEDLINE, Scopus, Web of Science, ACM Digital Library, and IEEE Digital Library), along with gray literature from ProQuest Dissertation and Theses Global and Google Scholar, with assistance from a professional healthcare librarian skilled in supporting systematic reviews. The database search will encompass the period from 2013 to 2024. Articles included will be selected by three independent reviewers in two stages, and the findings will undergo a descriptive analysis and synthesis following a “narrative review” approach. Independent reviewers will chart the data as outlined in the literature.DiscussionThe implementation process for the PEC e-SUS APS can be influenced by the varying characteristics of the over 5500 Brazilian municipalities. These factors and other challenges encountered by health professionals and managers may prove pivotal for a municipality’s adoption of the PEC e-SUS APS system. With the literature mapping to be obtained from this review, vital insights into how users have evaluated the PEC will be obtained.Systematic review registrationThe protocol has been registered prospectively at the Open Science Framework platform under the number 10.17605/OSF.IO/NPKRU.

Evaluation of Health Service Quality in City Hospitals

In Turkey, city hospitals play a significant role in the provision of healthcare services. This survey looked at the level of satisfaction with various hospitals. In the study, social media was one of the tools. The hospitals' websites were used to compile satisfaction ratings. After that, content analysis was used to look at the hospitals' indicators for technological, communicative, and physical quality. The study considered hospitals with 1200 beds or greater as a sampling factor in hospital selection. Hospitals are classified with the designation "Hospital" in objectives of information security and ethics. Encoding was carried out like Hos1, Hos2, Hos3, etc. for every hospital. The results of this article, which are considered significant research findings, are believed to had an important effect on improving hospital service requirements. Additionally, improvements can be made in health service delivery in line with the opinions of stakeholders. Additionally, the importance of patient satisfaction in terms of health tourism was emphasized.

Profile of Laboratories With the Seal of the Clinical Laboratory Accreditation Program (PALC)

Objective: The objective of this study is to analyze clinical analysis laboratories accredited by the quality seal of the Clinical Laboratory Accreditation Program (PALC) in Brazil. Theoretical Framework: It presents the fundamentals of the research, covering the importance of hospital accreditation, PALC regulations, historical evolution of hospital quality, economic impact on health, quality management in clinical laboratories and the usefulness of quality indicators. Method: A documentary study was carried out, with descriptive and quantitative analysis. During the study period, 163 clinical laboratories were detected in the country accredited by the PALC seal. Results and Discussion: In the study, 163 accredited clinical laboratories were identified in Brazil, with only 32 laboratories in the entire northeast region. Where 92% of accredited laboratories are private and 82% are part of large national diagnostic networks. Highlighting the need for greater investment in quality seals, which better certify the quality of the laboratory service provided. Research Implications: The importance of policies and strategies to promote the accreditation of clinical laboratories stands out, especially in the northeast region of Brazil, aiming to improve the quality and reliability of health services provided to the population, in addition to promoting greater security in medical diagnoses. Originality/Value: This study contributes to the literature by highlighting the originality by examining the grographic distribution and the public and private nature of accredited clinical laboratories in Brazil. The relevance and value of this research are evidenced by its crucial role of accreditation in ensuring quality laboratory services, encouraging continuous improvement and patient confidence.

ARCHITECTURE DESIGN OF HEALTH ASSET DETECTION SYSTEM IN HOSPITAL

Efficient management of hospital assets is essential to ensure that operations can run optimally and the quality of health services is good. However, the recording and management of assets in hospitals carried out manually often causes data errors, information mismatches, and also assets are only known by the manager without being explicitly recorded. In overcoming this problem, the researcher aims to develop a hospital asset detection system architecture using an iterative and incremental methodology approach. The stages of this system development include identification of needs and conceptual models, logical architecture design, conceptual architecture design, logical architecture, physical architecture, technology selection, and evaluation. This system utilizes YOLO model reading technology for asset detection and identification, storing detection results into a local database using SQLite3, sending data to a central server via API, and post-processing data by selecting the highest confidence score stored in a MySQL database and then using the data to manage asset management and asset visualization. The implementation of this system successfully reduces manual recording time, improves asset visibility, and optimizes resource usage, thus contributing to the improvement of efficiency and quality of health services.

HUBUNGAN TINGKAT AKTIVITAS FISIK SEBELUM PERSALINAN DENGAN DURASI KALA II IBU PRIMIPARA DI FASILITAS KESEHATAN MALANG

Maternal Mortality Rate (MMR) is one of the indicators to determine the quality of maternal health services in Indonesia. Obstetric complications are very influential on MMR, including second stage of labor. Physical activity that is carried out regularly can affect the increase in energy, straining power, his, breathing and flexibility of the birth canal so that it can affect the second stage of labor. However, mostly, women reduce physical activity when entering the third trimester of pregnancy. The research method used was observational analysis and cross-sectional approach conducted on 30 primipara mothers with physiological labor at the Malang Regional Health Facility. Rank-spearman statistical analysis was used to determine the meaningful relationship between variables. PPAQ questionnaires and partographs were used to collect research data. The level of physical activity of primipara mothers was categorized into sedentary levels as much as 4 respondents, the mild level is as much as 17 respondents and moderate levels as many as 9 respondents. This study shows that there is a significant relationship between the level of physical activity seven days before delivery and the duration of second stage in primipara mothers. The higher level of seven-day activity tends to shorten the duration of the second period of primipara's labor.

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

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

Quality Indicators for Transition from Pediatric to Adult Care for Youth With Chronic Conditions: Proposal for an Online Modified Delphi Study.

The transition from pediatric to adult care poses a significant health system-level challenge impeding the delivery of quality health services for youth with chronic health conditions. In Canada and globally, the transition to adult care is regarded as a top priority in adolescent health in need of readily applicable, adaptable, and relevant national metrics to evaluate and benchmark transition success across disease populations and clinical care settings. Unfortunately, existing literature fails to account for the lack of engagement from youth and caregivers in developing indicators, and its applicability across chronic conditions, primary care involvement, and health equity considerations. Our proposed study aims to establish a consensus-driven set of quality indicators for the transition to adult care that are universally applicable across physical, developmental, and mental health conditions, clinical care settings, and health jurisdictions. Using an integrated knowledge translation (iKT) approach, a panel comprising youth, caregivers, interdisciplinary health care providers, and health system leaders will be established to collaborate with our research team to ensure that the study methodology, materials, and knowledge dissemination are suitable and reflect the perspectives of youth and their families. We will then conduct an iterative 3-round Online Modified Delphi (OMD) study (n=160) to (1) compare and contrast the perspectives of youth, caregivers, health care providers, and health system leaders on quality indicators for transition; and (2) prioritize a key set of quality indicators for transition applicable across disease populations that are the most important, useful, and feasible in the Canadian context. Using the RAND/UCLA Appropriateness Method (RAM) multistage analytic approach, data from each panel and stakeholder group will be examined separately and compared to establish a key set of indicators endorsed by both panels. The study is funded by the Canadian Institutes of Health Research and Physicians Services Incorporated. This study will produce quality indicators to evaluate and inform action equitably to improve transition from pediatric to adult care for youth and their families in Canada. PRR1-10.2196/60860.

PKM PUSKESMAS CURUGBITUNG: PENINGKATAN KUALITAS TUMBUH KEMBANG ANAK USIA DINI BERBASIS WEBSITE UNTUK MENDUKUNG PENCAPAIAN SDGS POIN 4

Lebak Regency has the second-highest prevalence of stunted toddlers in Banten, at 27.3%. The causes are not only malnutrition among pregnant women and toddlers but also a lack of maternal understanding of parenting practices that support the development of early childhood (0-6 years). Child development encompasses physical, cognitive, social, and emotional changes from birth to adulthood. At the Curugbitung Public Health Center (Puskesmas), midwives have not been equipped with comprehensive knowledge about child development, such as the Stimulation, Detection, and Early Intervention of Child Development (SDIDTK) program from the Indonesian Ministry of Health. The focus of midwives has remained limited to the 'Growth' aspect, such as height and weight, without considering the 'Development' aspect, which includes cognitive, social, emotional, and language development. Additionally, midwives are unable to provide age-appropriate developmental stimulation due to limited knowledge, time, and facilities. The solution offered by the Community Service team (PKM) from the International Relations Study Program of Universitas Budi Luhur is training to improve the quality of early childhood development based on a website to support the achievement of SDGs goal 4. This training aims to enhance midwives' knowledge and skills in early childhood care and development, with a holistic and integrative website-based learning module. This module facilitates midwives in providing counseling to parents, thereby improving the quality of early childhood education. The outcome of this activity is an increase in knowledge, skills, and the quality of health services, as well as the transfer of knowledge and technology to the community of Curugbitung, Lebak, Banten.

Affordability, Accessibility, and Quality of Maternal Health Care Services and Level of Satisfaction of Mothers in Rural Areas in China

Objective: This study aimed to understand the affordability, accessibility, and quality of maternal and child health services for postpartum mothers, and their impact on satisfaction. Methods: The study utilized the Anderson model and revised the Maternal Pregnancy and Perinatal Health Service Questionnaire. A survey was conducted among 289 mothers aged 20–49 in Feicheng City. Results: Regarding accessibility, most respondents (133) reported that travel time to healthcare services exceeded 60 minutes, while 99 respondents indicated a travel time of 16–30 minutes. The issue of affordability was highlighted, with 86.85% of participants perceiving maternal healthcare services as costly, indicating a significant financial burden. More than 50% of respondents were satisfied with two specific dimensions (P < 0.05) regarding the quality of maternal healthcare services. Conclusion: The study found that accessibility, affordability, and quality significantly affect mothers’ satisfaction with maternal health services. Future research should focus on developing more suitable service pathways for rural mothers.

Beyond satisfaction: a reflective analysis of the experience as a route to humanize the evaluation of the health services

Introduction: user satisfaction is the patient’s evaluation of the service’s quality that they receive; In health, this is specifically related to three areas: the structure and staff, the care process and its results. The measurement of these parameters is key to making continuous improvements in services, however, there is still a way to go for these organizational strategies to be truly participatory and people-centered. The objective of this article is to reflexively analyze the knowledge of the user experience as a rute to humanize the health service’s evaluation. Method: reflective analysis based on the documentary review regarding the quality evaluation process of health services in Latin America, a critical reflection is proposed on the use of user experience apply to health as a rute to humanize the health service’s evaluation. Development: the authors suggest applying the user experience paradigm to the evaluation of quality in health services framed in a humanized and person-centered approach through a mixed evaluation design to access the real subjectivity of the experience. Conclusions: three strategies are proposed to achieve the transition from satisfaction to experience from a more holistic and human approach to the evaluation of health services focused on people and oriented to their well-being

Health service utilization, economic burden and quality of life of patients with mucopolysaccharidosis in China

BackgroundPatients with mucopolysaccharidosis (MPS) often face delayed diagnoses, limited treatment options and high healthcare costs, that may significantly affect patients' quality of life. The objective of this study was to understand medical service utilization related to diagnosis and treatment, economic burden during diagnosis period, and health-related quality of life among MPS patients in China.MethodsA series of patients diagnosed with MPS registered in the national patient organization were recruited for a cross-sectional survey from May to July 2019. Information were collected from patients or their parents via phone interview, including demographic data, utilization of services related to diagnosis and treatment, total cost during the period of MPS diagnosis and health-related quality of life (HRQoL). HRQoL was assessed by PedsQL 4.0 Generic Core Scale (PedsQL) and 36-item short-form health survey (SF-36) depending on the age of patients with MPS and compared with the general Chinese population.ResultsA total of 180 MPS patients (50, 67, 15, 46, 1 and 1 for type I, II, III, IV, VI and VII), with a mean age of 9.54 years and 137 (76.11%) males, were included in analysis. The mean age at first visit to a medical doctor for MPS related symptoms was 3.65 ± 2.58 years old, while only 12 patients (6.67%) were diagnosed on their first visit. The mean diagnostic delay, which is defined as the time between the first visit to a medical doctor for MPS related symptoms and the final diagnosis, was 9.42 months, with no significant difference between types. The average number of misdiagnosis was 4.56. Before the confirmed diagnosis, the patients made an average of 6.31 visits and visited 4.3 hospitals. During diagnosis period, the mean of ¥81,086.72 direct medical costs accounted for 63.75% of the total cost. Only 32.78% of the patients had ever received specific treatments. The mean scores of PedsQL and SF-36 of patients were significantly lower than the Chinese norms. Household annual income per person, specific treatment use and MPS subtype were significantly associated HRQoL of patients.ConclusionThe results highlight challenges faced by MPS patients in terms of diagnosis, access to specific treatments, economic burden and low HRQoL. There is an urgent need to improve early detection and diagnosis, create fair and consistent mechanisms to increase access to specialized treatment and reduce the economic burden of MPS patients in China.

Determinants of dropout from the maternal continuum of care in Ethiopia, multilevel analysis of the 2016 demographic and health survey.

Over the past two decades (2000-2020), Ethiopia achieved significant reductions in maternal and neonatal mortality, with a 72% and 44%, respectively. However, low maternal health service utilization and dropout from the maternal continuum of care remain major health system challenges. This study aimed to investigate individual and community-level determinants of dropout from the maternal continuum of care. We used the recent, 2016 Ethiopian Demographic and Health Survey (EDHS) data. In the maternal continuum of care pathway, i) less than four antenatal care (ANC) attendance, ii) subsequent dropout from skilled birth attendance (SBA) after 4 or more ANC, and iii) dropout from postnatal care (PNC) after attendance of facility delivery were the outcomes for dropout. A Multilevel logistic regression analysis of individual and community level factors (e.g., place of residence, geographical regions) were included in the model. The variation in the outcomes were presented by odds ratio (OR), 95% confidence interval and intra-cluster correlation coefficient (ICC). In the maternal continuum of care pathway higher dropouts were observed from SBA to PNC (85%) and from 4+ ANC to SBA (43.4%). Poorest wealth quantile (AOR = 2.31, 95% [CI = 1.69,3.16]), having no health insurance coverage (AOR = 1.44, 95% [CI = 1.01,2.06]), and high community poverty (AOR = 1.28, 95% [CI = 1.01,1.63]) were associated with having < 4 ANC attendance. Perceived distance from health facility as a big problem (AOR = 1.45, [95% = CI, 1.12,1.88), lower community media exposure (AOR = 1.6, 95% [CI = 1.14,2.23]) and rural residency (AOR = 3.03, 95% [CI = 1.75,5.26]) increased the odds of dropout from SBA after 4+ ANC visits. The dropout from the maternal continuum of care was higher in Ethiopia and postnatal care were the most affected maternal care. Oromia and Somali regions were associated with dropouts from all levels of care. Policy strategies should prioritize geopolitical regions with higher dropout levels. In addition to improving access and quality of institutional health services, designing an alternative strategy for targeted outreach for ANC visits and postnatal checkups is recommended.

Health Care Strategy and its Impact on Quality of Health Services in India

The health care industry operates in a very dynamic environment, particularly in the modern era. The introduction of technology has led to a significant advancement in the medical area. The entire environment in which the medical industry today functions has changed as a result of this infusion. Modern medical technology used to treat patients improves the reputation of the hospital. Technology is employed in the hospital's management as well as in its treatment. Hospital operations can be managed more effectively and successfully with the use of automation solutions. Modern technology is available at private hospitals, and it has been seamlessly incorporated into the medical industry. The private sector has always been at the forefront of implementing cutting-edge medical technologies and providing patients with top-notch care. This survey revealed a similar trend, with the private sector coming in first, then trust-run hospitals, and finally private clinics. Public hospitals in India have taken note of this aspect as well and are actively putting plans into place to introduce the necessary technology for hospital management and treatment.

ANALYSIS OF BPJS PATIENT SATISFACTION WITH THE QUALITY OF HEALTH SERVICES IN 2024

Satisfaction is a response received, then compared with performance according to expectations. The performance of the health services received exceeds expectations, so the patient feels satisfied, conversely, if the performance they receive does not meet their expectations, it can be said that the consumer feels dissatisfied. This study aims to determine factors related to BPJS patient satisfaction with the quality of health services at the Muara Kulam Community Health Center in 2024. The design of this research is quantitative with a cross-sectional approach. The population of this study was BPJS patients who received treatment at the Muara Kulam Community Health Center in 2023, totaling 717 respondents. The sample in this study amounted to 88 people. The sampling method uses purposive sampling using the Slovin formula. Inclusion criteria are willing to be a respondent by filling out a consent form. This research was carried out on March 28 - April 28 2024. Data was collected using a questionnaire. Bivariate data analysis used the Chi-Square test. The research results show a tangibles (p value 0.005), responsiveness (p value 0.006) and empathy (p value 0.05) with BPJS patient satisfaction at the Muara Kulam Community Health Center in 2024. Conclusion: there is a relationship between tangibles, responsiveness and empathy with BPJS patient satisfaction in Muara Kulam Community Health Center in 2024. The Community Health Center should complete the facilities and infrastructure at the Community Health Center such as examination equipment

ANALYSIS OF SERVICE QUALITY ON PATIENT SATISFACTION IN INPATIENT INSTALLATIONS OF REGIONAL HOSPITAL 2024

Good service is not only measured by luxurious facilities, complete technology and physical appearance, employee attitudes and behavior must also show high professionalism and commitment. Quality of health services refers to the level of perfection of health services that makes every patient feel satisfied. This study aims to determine factors related to service quality and patient satisfaction at the Inpatient Installation of Ogan Ilir District Hospital in 2024. Quantitative research design with a cross-sectional approach. The population in this study was 854 inpatients at the Ogan Ilir District Hospital. The sample in the research consisted of 90 respondents. The sampling technique uses purposive sampling, using the Slovin formula. This research was carried out on March 13 - April 17 2024. Data was collected using a questionnaire. Bivariate data analysis using the chi-square test and multivariate using logistic regression. The research results show that there is a relationship between responsiveness (p value 0.005) and tangibles (p value 0.001). There is no relationship between reliability (p value 0.86), assurance (p value 0.76) and empathy (p value 0.96). The most dominant factor in patient satisfaction in the Inpatient Installation of Ogan Ilir District Hospital in 2024 is tangibles (p value 0.00), (OR 0.183). The conclusion is that there is a relationship between responsiveness and tangible. Suggestions from the research results can provide input about the quality of service on patient satisfaction in the Inpatient Installation of the Ogan Ilir Regency Regional Hospital in 2024 and contribute to improving health services

The gentrification of health: an analysis of its convergence

The article explores how gentrification impacts public health, with a particular focus on urban transformations and their repercussions on communities. Using a desk review methodology in the Scopus database, this study analyses the literature between 2018 and 2023 to identify how changes in urban structure influence the accessibility and quality of health services. It highlights that while gentrification can improve infrastructure and services, it can also exacerbate health inequalities and lead to the displacement of vulnerable populations. The analysis reveals the need to adapt medical education to these new urban challenges and suggests future lines of research to develop more equitable interventions. This multidisciplinary approach offers valuable insights for more inclusive policies that consider both urban development and health equity