Quality Of Public Health Services Research Articles

Evaluating Local Government Policy Innovations: A Case Study of Surabaya's Efforts in Combating Stunting and Enhancing Public Health Services Quality

This research aims to evaluate regional innovations in implementing Surabaya City government policies to reduce stunting rates and improve the quality of public health services. A qualitative descriptive method was used with a case study approach involving field observations and structured interviews. The research results show the success of Posyandu Prima in reducing stunting rates significantly in the last two years. The Surabaya City Government has proven effective in managing this program's human resources and budget. The active involvement of Great Surabaya Cadres (KSH) and non-governmental organizations also contributed greatly to the program's success. Cross-sector collaboration plays an important role in supporting implementation. Institutional characteristics, such as commitment to public health and ability to collaborate, also matter. Theoretically, this research shows that synergy between the parties involved and government commitment can achieve significant results in handling the stunting problem. In conclusion, the Prima Posyandu Program has proven successful in reducing stunting rates and improving the quality of public health services in Surabaya. Additionally, the collaborative efforts between community stakeholders, healthcare providers, and governmental bodies underscore the crucial role of multi-sectoral partnerships in addressing complex public health issues like stunting. This synergy fosters comprehensive approaches that combine local knowledge, resources, and policy support to effectively combat stunting and enhance the well-being of communities. Thus, the Prima Posyandu Program's success is a compelling example of how concerted action and sustained commitment can yield tangible improvements in population health outcomes.

Impact of recent and future climate change on vectorborne diseases: viruses analyses

Climate directly impacts health through climatic extremes, air quality, sea-level rise, and multifaceted influences on food production systems and water resources. Climate also affects infectious diseases, which have played a significant role in human history, impacting the rise and fall of civilizations and facilitating the conquest of new territories. This review highlights significant regional changes in vector and pathogen distribution , changes that have been anticipated by scientists worldwide . Further future changes are likely if we fail to mitigate and adapt to climate change. Many key factors affect the spread and severity of human diseases, including mobility of people , animals , and goods; control measures in place; availability of effective drugs; quality of public health services; human behavior; and political stability and conflicts.

Administrative Decentralisation and Health Service Delivery in Ibanda District Local Government, Uganda

While research on public service delivery in the Ibanda administrative area is abundant, there is a notable dearth of studies addressing the shortcomings in public health services. This investigation is specifically concerned with examining the influence of governance on the quality and accessibility of public health services in Ibanda District, as well as the impact of administrative decentralization on these services. A cross-sectional research design was employed for this study, involving data collection from 574 participants through self-administered surveys and interviews. Quantitative data were subjected to descriptive and inferential statistical analysis, while qualitative data underwent content analysis. The study's findings and conclusions reveal a positive correlation between governance and the quality of public health services, as well as a favorable association between governance management and these services. Additionally, administrative management was found to have a positive impact on public health services. Consequently, the study offers recommendations for the central government, urging consistent vigilance in supporting district performance and allocating adequate resources for drug distribution and medical equipment to bolster healthcare within the district. Furthermore, the study advocates for a continued emphasis on effective administration, encouraging public involvement in decision-making processes, open communication through public hearings, and grassroots participation in financial planning, all aimed at enhancing public health services. In conclusion, this study underscores the need for greater attention to public health services within the Ibanda administrative area, as it contributes to the existing body of research on public service delivery

Effects ofvertical integration onthe healthcare system inChina: a systematic review andmeta-analysis.

Vertical integration is one possible way to improve the performance of a healthcare system; however, its effects are inconsistent, and there is a lack of evidence from undeveloped nations. This study aims to systematically review the evidence regarding effects of vertical integration on healthcare systems in China. We searched PubMed, Embase, Cochrane Library, Web of Science, ProQuest Health & Medicine Collection, China Knowledge Resource Integrated Database and Wanfang databases from April 2009 (initiation of new healthcare reform) to May 2021 for randomized controlled trials (RCTs), controlled before and after (CBA) trials, cohort studies and interrupted time series (ITS) trials. Vertical integration in the included studies must involve both primary health institutions and secondary or tertiary hospitals. After screening 3109 records, we ultimately analysed 47 studies, including 27 CBA trials, 18 RCTs and 2 ITS trials. The narrative synthesis shows that all but three studies indicated that vertical integration improved efficiency (utilization and cost of health services), quality of public health services and medical services, health provider-centred outcomes (knowledge and skill) and patient-centred outcomes (patients' clinical outcomes, behaviour and satisfaction). Despite the heterogeneity of vertical integration interventions across different studies, the meta-analysis reveals that it lowered diastolic blood pressure (mean difference (MD) -8.41, 95% confidence interval (CI) -15.18 to -1.65) and systolic blood pressure (MD-5.83, 95% CI -9.25 to -2.40) among hypertension patients, and it lowered HbA1c levels (MD -1.95, 95% CI -2.69 to -1.21), fasting blood glucose levels (MD -1.02, 95% CI -1.53 to -0.50) and 2-hour postprandial blood glucose levels (MD -1.78, 95% CI -2.67 to -0.89). The treatment compliance behaviour was improved for hypertension participants (risk ratio (RR) 1.08, 95% CI 1.04-1.13) and for diabetes patients (RR 1.32, 95% CI 1.08-1.61). Vertical integration in China can improve efficiency, quality of care, health provider-centred outcomes and patient-centred outcomes, but high-quality original studies are highly needed.

The influence of transient loss of consciousness in children on the health-related quality of life indicators

Abstract. Any acute, recurrent or inflammatory disease can cause numerous changes in various areas of a child's life from daily duties to emotional and cognitive development, self-esteem, and relationships with other people, as well as can negatively affect his/her contacts with peers, functioning in school or family. The aim of the study was the search for modern scientific achievements in the field of research on the quality of life among children with transient loss of consciousness and their families for a better understanding of the state of the possibilities of using this indicator in the evaluation of the effectiveness of the carried-out treatment and prevention measures. Materials and methods. The following terms were used for the search: «syncope», «epilepsy», «psychogenic transient loss of consciousness», and «quality of life», and «children» in the PubMed Medline and Scopus databases. Only English-language full-text articles published between January 2013 and December 2022 were included in the search. Results. During the past 10 years numerous studies have been published on health-related quality of life in children with epilepsy, and there was only one study among children with vasovagal syncope. Given the typically benign etiology of this disease, children are at high risk of psychological health worsening after experiencing a syncope episode. A diagnosis of epilepsy in early childhood has a profound effect on the child's psychological and physical development. It is important that epilepsy slows down the achievement of children's independence and complicates social relationships and cognitive processes. A number of authors drew attention to the lack of relationship between the quality of life and the frequency of psychogenic non-epileptic seizures in children and proved the key influence of depression and somatoform disorders on the reduction of quality of life. Conclusions. Health-related quality of life study is an important tool for the understanding of disease impact on child’s daily life and family members, which allows you to effectively recognize symptoms for the purpose of their timely correction, and is the final point in assessing the effectiveness of treatment and prevention measures, as well as quality of public health services. The relevance of further quality of life studies in children under the various types of syncope is due to the extremely limited results of observations in this group of patients.

Pengaruh Implementasi Kebijakan Program Kartu Indonesia Sehat Terhadap Peningkatan Kualitas Pelayanan Kesehatan Masyarakat Di UPTD Puskesmas Pammana Kecamatan Pammana Kabupaten Wajo

This study aims to determine the effect of the implementation of the KIS Program policy on improving the quality of public health services at the UPTD Pammana Health Center, Pammana District, Wajo Regency.
 The type of research used in this research is survey research, namely a collection of information that is carried out by compiling a list of statements submitted to respondents in the form of a sample from a population, with the main data collection technique being a questionnaire with a quantitative approach method.
 The results showed that the Policy Implementation of the KIS program at UPTD Pammana Health Center, Pammana District, Wajo Regency, was at an ideal score of 1,089. This generally illustrates that the Policy Implementation of the KIS program at the UPTD Pammana Health Center is in a good category. Meanwhile, the quality of health services at the UPTD Pammana Health Center, Pammana District, Wajo Regency, is at an ideal score of 1,393 which generally illustrates that the quality of health services at the UPTD Pammana Health Center is in the very good category. Overall the implementation of the Healthy Indonesia Card program policy contributed strongly to improving the quality of public health services with a total of r = 0.637. There is a positive and significant influence between the implementation of KIS program policies on improving the quality of health services at the UPTD Pammana Health Center, Pammana District, Wajo Regency.

IMPLEMENTATION OF PAMSIMAS POLICY IN THE PERSPECTIVE OF PLANNING, IMPLEMENTATION, AND SUPERVISION IN GORONTALO DISTRICT

<p>The purpose of this research is to describe and analyze the implementation of public policies in terms of PAMSIMAS policies in order to improve the quality of public health services in Gorontalo Regency. The success of the policies carried out through the process or stages of planning, implementation, and supervision. The research approach was carried out using qualitative research methods with data collection carried out by conducting observations, interviews, documentation, structured and group discussions. The results showed that in general health services in Gorontalo Regency had increased through policies regarding PAMSIMAS which could be said to be consistent through the stages of planning, implementation and supervision.</p>

Evaluation of Regional Public Services Agency Implementation at Community Health Center in Mojokerto, East Java

Background: The phenomenon of the limitations of the community health center in managing budget expenditures can be seen when the beginning of the year cannot be realized. The limitations on spending on goods and services are also faced by community health centers every year. Changing the status of the community health center to regional public service agency (RPSA) allows the community health center to improve the quality of public health services. This study aimed to explore the evaluation of RPSA at community health center. Subject and Method: This was a qualitative study, with interviews with key informants. Discussions and interviews were conducted at community health center in the working area of Mojokerto district health office, Mojokerto, East Java, Indonesia from August to September, 2022. Participants: interview involved 27 informants, and 1 triangulated informant. The transcribed data were analyzed using content analysis. Results: A total of 27 Community Health Centers were ready to implement the Community Health Center RPSA because they have met the technical and administrative requirements for implementing Community Health Centers as RPSA. Government support is still lacking, seen from the absence of regional regulations after the establishment of the BLUDs that help the flexibility of the community health center. The support from the Mojokerto District Health Office is still considered low because 27 community health center stated that they had never been visited by the Health Office during their monitoring activities at the community health center. Conclusion: A total of 27 Community Health Centers are ready to implement the Community Health Center RPSA. Keywords: community health center, regional public services agecy, RPSA, Mojokerto.

Klasterisasi Data Penanganan dan Pelayanan Kesehatan Masyarakat dengan Algoritma K-Means

Quality public health services are one of the characteristics of the country's successful development in the health sector. The Health Office has formulated a number of methods to determine the level of progress of health development at the center to the sub-districts. Every year the Lubuk Pakam Health Office collects public health data for processing so that it produces a ranking of regions with the predicate of healthy districts/cities. Data mining is a process used to extract and identify useful information and obtain some important information from data in analyzing public health data. Furthermore, the algorithm that will be used for data mining management in the case of analyzing public health data and used for cluster formation is the K-Means algorithm. The results obtained in the data grouping there are categories of patient assessment levels Very Satisfied, Satisfied, and Dissatisfied. From the results of the K-Means method, it can be concluded to improve services and health care as for the results of grouping the level of satisfaction

Smartband for Heartbeat and Oxygen Saturation Monitoring with Critical Warning to Paramedic via IoT

There are vital signs in the human body that indicate important physiological values for the body. In the COVID-19 pandemic, some of the important vital signs that must be monitored are BPM (Beats Per Minute) and SpO2 (oxygen saturation) as indicators of whether a person is in good health or lacks oxygen to predict the early symptoms of COVID-19. The purpose of this study is to create a device on the patient's wrist that can monitor BPM and SpO2 in real-time, as well as provide notifications on smartphones and emails when the patient's condition is abnormal. The contribution of this study is to implement an IoT (Internet of Things) system using a Wi-Fi connection so that monitoring activities are not separated by distance and time. The MAX86141 sensor is used in the design of this tool to detect the BPM and SpO2 values, after which the data is processed and displayed on the ESP32 TTGO T-Display. Monitoring results are also sent to the Blynk, and if the patient's condition is abnormal, an email notification is sent. According to the tool testing results, BPM has the smallest error of 0.94 percent and the largest error of 6.48 percent, whereas SpO2 has the smallest error of 0.20 percent and the largest error of 3.23 percent. The findings of this study can be used to improve the ease and efficiency of body health monitoring activities. This has the potential to significantly improve public health service quality, particularly during the COVID-19 pandemic

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KELENGKAPAN IMUNISASI TETANUS TOXOID PADA IBU HAMIL

Tetanus neonatorum is caused by Clostridium Tatami toxin. The study aimed to determine the factors associated with the completeness of tetanus toxoid immunization for pregnant women. This type of research is quantitative, and analytic with a cross-sectional approach. The sample was selected by systematic random sampling so that a sample of 75 pregnant women was obtained. The completeness of tetanus toxoid immunization were measured using a questionnaire. The results of the Chi-Square test of attitudes toward the completeness of tetanus toxoid immunization showed that there was no relationship between the attitudes of pregnant women and completeness of tetanus toxoid immunization with a p-value = 0.466 < 0.05 and the relationship between education and completeness of tetanus toxoid immunization, p-value = 0.000 < 0.05, knowledge with the completeness of tetanus toxoid immunization with p-value = 0.000 < 0.05, occupation with the completeness of tetanus toxoid immunization with p-value = 0.000 < 0.05, and husband's support with the completeness of tetanus toxoid immunization with p-value = 0.311 < 0.05 which means no relationship. The conclusion is that there is a relationship between education, knowledge, and work with the completeness of tetanus toxoid immunization, and there is no relationship between attitudes and husband's support for the completeness of tetanus toxoid immunization for pregnant women in the work area of ??the Puskesmas in Ogan Ilir Regency. Suggestions to the Puskesmas It is hoped that it can improve the quality of public health services, especially for pregnant women, can provide information on the importance of tetanus toxoid immunization for pregnant women to overcome pregnant women who have not been fully immunized to achieve the target of tetanus toxoid immunization to reduce morbidity and mortality in maternity and newborn baby.
 
 

El clima organizacional y su relación con la calidad en el servicio en los Centros de Diagnóstico Integral en Distrito Capital, Venezuela, 2021

The organizational climate constitutes one of the elements to be considered in the organizational processes and the quality of public health services. In this article an assessment is made on the subject, with the aim of characterizing the work of our Comprehensive Diagnostic Centers (CDI). Among several arguments, the techniques proposed by Letwin and Stinger are analyzed. Emphasis is placed on the techniques for exploring the organizational climate through four basic dimensions: motivation, leadership, reciprocity, and participation. Document content analysis was carried out, which included original and review articles published from 2001 to 2021, identifying and reviewing articles that were useful for the development of the review, as well as monographs from various journals and updated doctoral theses that allowed the logical historical analysis of the evolution of the definition of organizational climate. The systematization of the terms related to the organizational climate, allowed to define it, with its characteristics, dimensions and importance, however its knowledge is necessary for the improvement of quality in labor institutions.

Application Specifications Regarding Project Decisions in the Local Public Administration of Grăniceşti Commune, Suceava County, Romania

In order to optimize the public administration process, the local authorities initiate and implement projects oriented to the needs of the beneficiaries of the administrative-territorial unit they represent. In this context, this paper aims to analyze projects initiated at the local community to highlight the results that the beneficiaries will have from the implementation of those projects, by reporting to the case of Grăniceşti commune in Suceava County. Through the project of restoration and modernization of the primary school in the locality, the renovation of the educational institution was carried out, thus ensuring an institutional framework in which the teaching activities to take place in optimal conditions. Through the project of restoring the calamited bridge in the area, a new bridge was built for traffic, being guaranteed the safety of crossing the river, with an effect on improving the living standards of the local citizens. The project for the rehabilitation and modernization of the human dispensary in the locality ensured the endowment of the sanitary unit with high-performance equipment capable of providing quality public health services.

Analysis Satisfaction Patient Treat Inap In dr. Saragih Djasamen Hospital Pematang Siantar

Service health is wrong one factor which influence degrees health Public. Provider service health like house sick on era modern this must improve the quality of public health services. In maintenance, good government hospitals and private hospitals have a quality management component to meet patient satisfaction with health services provided by the hospital. Destination from study this is for knowing satisfaction patient to service in RSUD Dr. Djasamen Saragih Pematang Siantar. This research is classified as observational research and is study quantitative descriptive with design studies cross sectional . Sample study This is as many as 97 patients. Data collection is done by distributing questionnaires and conduct interviews with respondents, namely patients or families of patients who are in the hospital inpatient room B. Analysis of research data using a computer system that is Microsoft Excel 2013. Results study show that score index satisfaction Public that is as big as 77,851, where number the there is on range 76.61 – 88.30 which show quality service B or good. Hospitals need to conduct a patient satisfaction survey every month or once every three months on a regular basis, in order to know the level of community satisfaction and could made ingredient evaluation for house sick if there is patient which not enough satisfied.

Female Nurses’ Experience of Psychological Changes when Caring COVID-19 Patients in Indonesia: A Qualitative Study

BACKGROUND: Nurses as health workers at the frontline have major challenges in dealing with COVID-19. The COVID-19 pandemic can cause the risk of psychological changes in nurses in maintaining the quality of public health services. AIM: This study aims to explore nurses’ experiences through their psychological changes when giving treatment to COVID-19 patients. DESIGN AND METHOD: This qualitative research employed a phenomenological approach. Purposive sampling was applied to determine the participants with criteria of female nurses caring COVID-19 patients and working in hospitals until achieved data saturation. The data were collected by interviewing participants through phone and video calls. In-depth interview recordings were presented in transcriptions, and the contents were analyzed into codes, categories, and themes. RESULTS: Eight nurses participated in this study. This research resulted three themes: Self-surrender during early nursing care for COVID-19 patients, acceptance of the feelings and achievements as COVID-19 nurses, and self-empowerment supported by the environment. CONCLUSIONS: The psychological changes during the nursing care start from self-surrender in the early period of COVID-19 patient care, self-acceptance for any feelings and achievements as COVID-19 nurses, to the forms of self-empowerment and environmental support.

Comprehensive Evaluation of Basic Public Health Service Quality Based on TOPSIS Improved Dynamic Triangle Fuzzy-- A Case Study of Zhengzhou

To comprehensively evaluate the development of basic public health services in Zhengzhou, and to provide data reference for relevant departments to adjust their future decisions. TOPSIS was adopted dynamic triangulation fuzzy multi-attribute decision-making method to comprehensively evaluate the quality of basic public health service in Zhengzhou. After comprehensive evaluation, the top three places of basic public health service quality were Zhongmou in 2016, Zhongmou in 2015 and Erqi in 2016, and the bottom three places were Zhongyuan in 2011, Gangqu in 2011 and Gangqu in 2012. This method comprehensively considers the growth and difference degree of evaluation indexes in different years and regions, and selects the best schemes according to the comprehensive evaluation value. Compared with other methods, this method objectively considers the difference degree of attribute value, growth and change as well as the different psychological preferences of decision makers, and finally obtains scientific and reasonable ranking results, which can effectively meet the actual decision-making needs.

PERAN PEMERINTAH DESA DALAM PELAYANAN KESEHATAN MASYARAKAT DI DESA SUKAJAYA KECAMATAN CIBITUNG KABUPATEN BEKASI

As a legal community unit, the village has the power to regulate and manage its own household, including in realizing health services to improve the quality of health in the community. In health services, it is driven by several sub-systems, such as services for pregnant women, infant health, children and others. The linkage between these sub-systems is interesting to study because changes in one sub-system will have an impact on other sub-systems of the system as a whole. The study is increasingly interesting because in the case of health services, it is still not optimal. This study was conducted to analyze the quality of public health services in Sukajaya village in 2020. With such a goal, the research approach used was qualitative research and data collection techniques through interviews, documentation, and observation. The results show that the sub-systems in health services in Sukajaya village can work and support each other. This can be seen from the implementation of several health service programs in accordance with the regulations set by the state so that in general public health can run well.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS PELAYANAN KESEHATAN DI RSU MITRA MEDIKA AMPLAS MEDAN TAHUN 2021

Factors Associated with the Quality of Public Health Services at Mitra Medika Amplas General Hospital Medan in 2021. Thesis, Department of Public Health, Faculty of Public Health, Deli Husada Delitua Health Institute.
 This study aims to analyze the relationship of tangible, reliability, responsiveness, assurance, empathy with the quality of health services at RSU Mitra Medika Amplas Medan. The population of this study were patients at Mitra Medika Amplas Hospital, Medan. In the sample can be 99 respondents. The sampling technique used in this research is purposive sampling. The method used in this study was analyzed by Chi-Square test. The results of the research on tangible variables in the good category reached 79.3%. The reliability variable obtained 80.3%. The responsiveness variable was obtained 78.5%. Assurance variable obtained 80.5%. Empathy variable obtained 78.9%. So it can be concluded that there is a relationship between tangible, reliability, responsiveness, assurance, empathy variables with the quality of health services at Mitra Medika Amplas Medan General Hospital in 2021.

Profile of unnatural mortality at tertiary hospital

Introduction: Unnatural deaths are deaths that can be prevented, the frequency of which reflects the quality of public health services. Unnatural deaths occur due to external causes such as suicide, homicide, and accidents. This study aims to analyze the profile of cases of unnatural death at Dr. Soetomo General Hospital, Surabaya, Indonesia.

Service Quality in Tourism Public Health: Trust, Satisfaction, and Loyalty.

The spread of COVID-19 and large-scale travel restrictions has caused serious damage to the global tourism industry. Tourists pay additional attention to public health services and their health during travel, but studies on tourism public health service quality (TPHSQ) are limited. Therefore, this study aims to define TPHSQ and revise and validate its scale. The result of exploratory factor analysis (EFA) indicates that TPHSQ includes two dimensions “overall environmental image” and “public health facilities and management.” And based on 456 valid samples, the relationship among TPHSQ, tourists’ trust, satisfaction, and loyalty was validated using the multiple linear regression models. Results revealed the importance of the TPHSQ in improving tourists’ satisfaction and recovering their trust and loyalty. These results provided several implications for research, practice, and society that can benefit diverse stakeholders, which could accelerate the recovery of the tourism industry.