Program Structure Research Articles

Aligning Health Occupation Students for Valuable Interprofessional Learning: Evaluating Program Structure, Resources, and Student Experiences in a Regional Clinical Setting

Developing Inter-Professional Education (IPE) programs for undergraduate healthcare students poses multiple complex challenges, in both university and workplace settings. These challenges can limit the widespread implementation of IPE, despite research demonstrating its potential impact on improving knowledge about other professions roles, collaborative practice, and inter-professional identity. The aim of this study was to provide an overview of an IPE program delivered in a regional health service during clinical placements and evaluate student perceptions of its value to their learning. Students from fourteen disciplines (n=136 across eight workshops) completed a retrospective mixed methods survey. Students particularly valued the following aspects of the IPE program: clinical simulation, structured approach to communication and timely multi-source feedback. Inter-professional learning which enabled opportunities to learn with, from or about students was highly valued.

Teacher Training for Religious Education in Türkiye: Policy, Debate, and Diversity

Teacher education is debated all over the world, and a part of this debate concerns the quality of teacher education. For religious education (RE) teacher education, however, the debate is not only about quality but also about growing diversity. In this article, we explore how RE teachers have been educated and how this has changed in Türkiye. How religious diversity has been integrated into the RE teacher education system is also explored. By teacher education/training, we mean initial (not in-service) teacher education, and by RE, we mean different types of RE provided in schools in Türkiye: compulsory, optional, and vocational RE. The findings reveal that there have been frequent changes, back-and-forth reforms, and a lack of RE teacher education philosophy in Türkiye. Therefore, establishing a consistent RE teacher education policy remains a serious challenge. Moreover, it seems that religious diversity has not been well integrated into RE teacher education in Türkiye. Currently, theology faculties only offer two courses which are overtly related to religious diversity, and both of them approach religious diversity from a historical perspective. It seems that there is a need to rethink the program structures of theology faculties to reform RE teacher education. Theology faculties may offer several programs in line with employment areas. In this way, religious diversity might also become better integrated into compulsory RE teacher education programs. However, this process should be carried out with a scientific understanding by conducting stakeholder and needs analyses.

Designing and delivering a poetry workshop for clinician well-being during the COVID-19 pandemic: A case study.

Facilitated poetry writing workshops are used in healthcare settings as a therapeutic approach to address stressful factors that negatively influence clinician well-being. However, owing to the novelty of this intervention and a tendency to combine poetry with other types of narrative-based techniques, proponents of poetic medicine are calling for harmonization across programs in the US. This would facilitate the study of poetry in medicine and the multiple facets of well-being it is said to promote. To address these points, we partnered with a well-established poetry center to develop and study a facilitated poetry writing workshop program for palliative care and emergency medicine clinicians during the COVID-19 pandemic. Our qualitative aim was to describe how the workshop provided a creative outlet for the sharing and processing of clinician experiences. We conducted a multiple-case study of six workshop sessions using transcripts, model poems, writing prompts, and participant-created poems to describe the program's structure and processes. Our workshop contained the core components of reading, writing, and reflection; however, our program was unique in its inclusion of a website and a pre-writing component. The facilitator's instruction on and fostering the use of poetic technique coupled with website interaction were key promoters of participant engagement with their peers in the processing of complex experiences and related emotions. Healthcare systems seeking to incorporate poetry into their wellness programming may build upon our findings to create flexible workshops suited to their clinician audience and program intent.

Epistemological and ethical issues of evidence-based concept in medicine

Despite of active implementation of the concept of “evidence-based medicine” into all areas of medical education, clinical science and practical healthcare, the epistemological problems of this new scientific reality currently remain underdeveloped in the philosophy of science. Aim: to identify the epistemological and ethical problems inherent in the evidence-based approach in medicine. Methods: The epistemological and ethical aspects of the concept of evidence-based medicine were considered. Results: At the current stage, evidence-based medicine reflects a transitional stage from the classical to the non-classical research paradigm. In this regard, the epistemological and ethical aspects of the concept of evidence-based medicine require further study and critical reflection. Conclusions: The discourse of evidence adopted in medicine today is aimed at increasing the objectivity of medical knowledge from practical point of view. However, this approach is not without significant drawbacks, including the overestimation of statistical patterns at the expense of “individual clinical differences”, the implicit primacy of phenomenological settings over the theoretical layer in the postulated structure of the scientific program, the unjustifiably rapid doctrinalization of the approach and the stigmatization of its opponents.

Empowering future researchers: Designing an information literacy-centric introductory composition course

This article examines past and present practices of embedding information literacy into introductory composition courses at the university level and proposes a new model based on a case study conducted in Fall 2022 at a large research university. Based on the assessment outcomes and student feedback, we used a Fall 2023 iteration of the course to refine some of the activities and assignments, and then created an open access Information Literacy Toolkit for introductory composition instructors. This project demonstrates how librarians can contribute to the existing structures of introductory composition programs at large universities to embed information literacy in a way that is scalable for both librarian and instructor. Conversely, this also highlights the critical role introductory composition at the university level can play in achieving core library priorities, such as teaching information literacy and critical thinking. The Information Literacy Toolkit is open access and all materials are downloadable for free, so that faculty and librarians can view, amend, and apply the toolkit.

Stakeholder perspectives on graduates' acquisition of competencies in nursing bachelor's degree programs: A qualitative study

BackgroundIn nursing education, greater emphasis should be placed on stakeholder perspectives, and these perspectives should be integrated into the educational process. Stakeholder perspectives are of great importance in determining the extent to which graduates achieve program competencies, and if necessary, in revising these competencies based on the relevant feedback. ObjectiveThis study aimed to determine stakeholder perspectives on the acquisition of nursing program competencies by graduates of undergraduate nursing programs. DesignExploratory qualitative research design. Participants and settingThe study was conducted in June 2024 through focus group interviews with a total of 20 internal and external stakeholders. MethodsThe data were collected using Semi-Structured Focus Group Interview Forms. The data were organized according to common/similar categories by content analysis. ResultsThe data obtained based on the views of the participants on the acquisition of nursing program competencies by graduates of nursing education programs were divided into three categories: Competencies Acquired from Nursing Education (professional knowledge and skills, lifelong learning), Competencies That Need Improvement (critical thinking/problem-solving skills, communication skills, foreign language proficiency, professional values, and managerial skills), and Suggestions to Improve Competencies Acquired from Nursing Education (suggestions related to education, the profession, and institutional/administrative matters). Additionally, 10 subcategories associated with these categories were identified. ConclusionCompetencies expected in members of the profession of nursing are a global topic of discussion, and the findings of study provide important insights for future studies. In line with these results, it is recommended to enhance collaboration with stakeholders and conduct regular meetings involving all stakeholders. The outcomes of these meetings should guide the structuring of educational programs to ensure the acquisition of competencies, and relevant activities should be planned and implemented accordingly.

Результаты культурной адаптации когнитивной стимулирующей терапии (КСТ) для лиц пожилого и старческого возраста с когнитивными нарушениями в России

<p><strong>Background.</strong> In Russia, the problem of maintaining cognitive well-being at a later age and helping elderly patients with dementia is an urgent task in the areas of healthcare and social protection of the population. The dynamics of the demographic situation in the country shows that by 2030, the older generation will make up almost a third of the population. At the same time, Russia is among the countries with the largest number of people with dementia. The aim of this study was the cultural adaptation of the Cognitive Stimulation Therapy (CST) program for elderly people with cognitive decline and dementia in a Russian-speaking sample with a pilot study of the use of CST in residential institutions on a group of elderly people with mild dementia. <strong>Methods.</strong> Cultural adaptation of the program was carried out within the framework of the Formative Method for Adapting Psychotherapy (FMAP) approach. The study used the official Russian translation of the manual for specialists conducting group classes “Making a Difference.” The sample consisted of several groups: (a) specialists (psychologists, medical workers, social workers) who participated in surveys with the aim of cultural adaptation of the management and procedure of the CST program, as well as receiving feedback after its implementation (n=25); (b) elderly people who participated in surveys for the purpose of cultural adaptation of stimulus material for the CST program (n=60, age 55–81 years (M=67.6, SD=6.2)); (c) elderly people with mild cognitive decline who participated in the pilot implementation of the CST program (n=5, age 68—83 years (M=75.8), MMSE and MoCA (n=5, M = 24.8 and 21.6, SD = 0.4 and 2.5, respectively). Six surveys were conducted: three in the form of face-to-face group discussions, two in the form of individual interviews, one survey was conducted online. Directed observation of the participants of the pilot study was also conducted (monitoring of progress, monitoring of support). The results are presented within the framework of the five stages of FMAP according to the “bottom-up” principle applied to the CST intervention. Results of surveys and observations received during the pilot study regarding feedback from program participants, staff of a residential facility for elderly patients with cognitive deficits, and group leaders were analyzed. <strong>Conclusions.</strong> The basic principles, structure of the intervention program and activities proposed in the CST manual are acceptable for use with Russian-speaking elderly people with mild dementia. The “Making a Difference” manual, translated into Russian and culturally adapted, is ready for use and further large-scale implementation of the intervention. The prospects for the study include assessment of effectiveness of CST on a Russian sample in various conditions (in the process of implementation), as well as development an online version of CST for the elderly population.</p>

Evidence for extirpation of native kokanee in a large impounded watershed following introduction of a conspecific

AbstractObjectiveWilliston Reservoir in north‐central British Columbia was stocked with kokanee Oncorhynchus nerka from the Columbia River during the 1990s. A native population of kokanee already existed in the reservoir, but that population has not been found in sampling efforts since 2000. Most of the recent sampling, however, has targeted tributaries, and the stocked Columbia River‐type kokanee are stream spawners, whereas Thutade Lake kokanee, from which the native Williston Reservoir kokanee originated, are shore spawners.MethodsIn August 2021, pelagic surveys were conducted in Williston Reservoir by gillnetting and trawling to capture kokanee for subsequent genotyping to assess whether the native Williston Reservoir kokanee have persisted. We used 14 microsatellite loci to genotype 165 samples from the pelagic surveys and compared them to 623 previously genotyped kokanee from four reference populations: native reservoir fish; fish from the source population (Thutade Lake) that naturally colonized the reservoir; fish from isolated lakes in the Williston Reservoir watershed; and Columbia River‐type fish that now spawn in tributaries to the reservoir.ResultKokanee collected from the pelagic survey conducted in Williston Reservoir were entirely assigned to the Columbia River type by using the Bayesian clustering program STRUCTURE and a discriminant analysis of principal components. We found no evidence of any native Williston Reservoir genotypes.ConclusionFormation of Williston Reservoir favored pelagic species, such as kokanee, which have gradually increased in proportion over time—particularly since the introduction of kokanee from the Columbia River. Unfortunately, native Williston Reservoir kokanee appear to have been extirpated from the reservoir and were likely outcompeted by the introduced Columbia River‐origin kokanee.

Understanding factors influencing exercise program adherence for youth with persistent post-concussive symptoms (PPCS)

ABSTRACT Background A significant portion of youth sustain a concussion every year, with around 30% experiencing persistent post-concussion symptoms (PPCS). Research has shown exercising just below the exertion level that provokes symptoms can lead to more rapid recovery. However, youth often struggle to adhere to exercise recommendations following concussion. Methods We conducted structured qualitative interviews (n = 32) with concussed youth and their parents to examine factors influencing motivation to engage in exercise post-concussion. Questions were framed through the lens of Self-Determination Theory (SDT) and Thematic Analysis was used to code and analyze transcripts. Results Four primary factors appeared to motivate youth to exercise after receiving a concussion: 1) social support, 2) accountability, 3) goal setting, and 4) structure. Utilizing the lens of SDT, one could theorize that including social support and accountability helped fulfill the need of relatedness, setting goals helped fulfill the need of autonomy, and providing program structure helped fulfill the need for competence. Conclusions Our results suggest that Self-Determination Theory may be a useful frame for examining exercise adherence post-concussion. Incorporating social support, accountability, goal setting and structure could increase the effectiveness of exercise prescription post-concussion and should be the focus of further study.

TreeHouse: An MLIR-based Compilation Flow for Real-Time Tree-based Inference

Tree-based ensembles stand as the prominent resource-efficient approaches for real-time inference. To optimize their performance, researchers have developed several solutions to accommodate their unique program structure, i.e., consecutive branches and eliminate the floating-point arithmetic operations, which are usually costly at the embedded computing systems. Most of them are realized at the level of source code and a standard compilation is applied subsequently. Therefore, an end-to-end compilation flow may consolidate these methods and provide a holistic optimization. In this work, we introduce TreeHouse, a compilation flow based on MLIR designed for real-time inference of tree ensembles. First, we optimize the layout of basic blocks to reduce the expected branches during inference. Moreover, we provide a solution to facilitate LLVM register allocation for further efficiency. In addressing the suboptimal performance of floating-point operations in edge systems, we incorporate methods to convert data into integer format. We implemented and evaluated TreeHouse using two tree-based ensembles: boosting trees and random forests. Overall, boosting trees exhibited performance gains ranging from 1.38 × to 8.24 × on x86, 1.70 × to 6.61 × on ARMv8, and 1.75 × to 4.52 × on RISC-V compared to state-of-the-art decision tree research. Random forests achieved performance gains of up to 1.6 × on x86, 2.03 × on ARMv8, and 2.9 × on RISC-V.

Characterizing and Evaluating the Structures of Combined Pediatrics and Medical Genetics and Genomics Residency Programs.

There is limited information on rationale for the current training structure within combined Pediatrics-Medical Genetics and Genomics Residency (MGG) residency programs. This study addresses the benefits and drawbacks of different training structures. Program Directors (PDs) and Associate PDs of combined Pediatrics-MGG residency programs were surveyed to evaluate perceived benefits of different structures and the relative importance of particular pediatric rotations for combined training. Programs varied in terms of how many times a typical resident transitioned between Pediatrics and MGG during training (range 4 to > 9). PDs varied in their opinions of which training structure would be most ideal for training a future Clinical Geneticist within a combined Pediatrics-MGG program. However, the majority of PDs indicated that consecutive training (completing two years of Pediatrics, followed by MGG) would support particular aims of training including continuity of patient care and research productivity. The top six out of twenty pediatric rotations that were ranked as most important in order of importance were neonatal intensive care, development and behavior pediatrics, term newborn, pediatric intensive care, neurology, and inpatient pediatric wards. Particular structures may facilitate distinct aims within training; however, there was not widespread consensus on which program structure would be best. Specific pediatric rotations were highlighted as very important, which could influence future curriculum development.

Impact of a social media post on improving an existing residency program.

In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. A social media post prompted reflection and changes to a longstanding pharmacy residency program. Pharmacy leadership utilized consultants with expertise in pharmacy residency training to help facilitate change and introduce new ideas to tenured staff. Other health systems working to continuously improve their residency programs may benefit from our example. The guiding principles of the changes were to align with the new harmonized residency program standards and reduce preceptor burden and potential burnout. Changes were made to the entire program's design, including new leadership, changes to committee structure, reduced requirements for preceptors that were not required in the standards, and resident recruitment and onboarding. We encourage residency programs to regularly evaluate program structure, design, and conduct to ensure alignment with the organization's evolving priorities as well as its mission and vision.

Geomatics: Technology and Applications - A Training Programme for Women Scientists

Abstract. Geomatics, also known as geospatial technology and geomatics engineering, analyzes spatially referenced geographical information. Geomatics is a scientific term. It consists of tools and techniques. Technology is advancing, and modern Geomatics has the utility of maps by analyzing it with many coverages, each with interrelated themes combined to give meaningful answers for decision-makers. A multidisciplinary approach is essential to analyze spatial and nonspatial parameters together for decision-making at the local and global levels. Spatial information represented in the form of thematic maps about the respective attribute data, the system called, Geographical Information System (GIS), has been more popular during the last decades in government and private sectors. The decision support system can take input of data from these sources and analyze multiple parameters together to plan and manage available resources. This training program was intended for women scientists, researchers, academia, and professionals who were engaged and using spatial information, and who wanted to add and upgrade their skills. It was anticipated that a proportion of the trainee participants would come from research and academia. This training program helped participants generate interest in the use of GIS technology in their respective research and professional domains. This paper elaborately describes the process, and structure of the short-term capacity-building training program, and its usefulness for young scientists and professionals, specifically a target group is ‘women in science’ who have not been able to remain in the continue its use and are interested in building a career in geospatial technology field.

Feasibility and Acceptability of a Peer Training Program to Deliver a Theory-Based Physical Activity Behavior Change Intervention to Inactive People Living With and Beyond Cancer: A Mixed Methods Study

Theory-based physical activity (PA) interventions include PA promotion strategies that can be delivered by exercise professionals, friends, family and peers. Peer-delivery presents a valuable opportunity for community implementation. Few peer-led PA interventions for people living with and beyond cancer (LWBC) report the feasibility of their peer mentor training methods. The purpose of this study was to assess the feasibility and acceptability of a peer mentor training program to deliver a behavioural PA intervention to inactive people LWBC using a mixed methods approach. Peer mentors (active people LWBC [≥90 min/week of PA]) participated in an online training program. Weeks 1 to 4 (Phase I) included knowledge and skill development (1-hour online module and 2-hour live workshop weekly). The Assessment phase (Phase II) explored peer mentor readiness (≥80% on a knowledge quiz and ≥3/5 points [Satisfactory] on a mock role play). Feasibility was assessed using enrollment rates, retention rates, adherence, and semi-structured interviews. Acceptability was measured using a satisfaction questionnaire assessing level of agreement with several statements about training program components. Peer mentors (<em>N </em>= 14; M<sub>age</sub> = 65.4 ± 10.7 years) were diagnosed with primarily prostate (57.1%) or breast (21.4%) cancer. Enrollment and retention rates were 73.7% and 92.9%, respectively. Workshops and online modules had 100% and 87.5% adherence rates, respectively. Majority of peer mentors met readiness criteria for the knowledge quiz (92.3%) and mock role play (84.6%) on their first attempt, with 92.3% delivering the follow-up peer-led PA intervention. Peer mentor satisfaction scores ranged from 3.9 to 4.6 out of 5. Interviews generated themes around overall impressions, feedback on timing, structure, and content of the training program and mock role play, and peer mentor preparedness. Structured training for delivering peer-led PA interventions show promise; however, individualized support may be needed for some people LWBC to strengthen mentorship knowledge and skills.

Characterizing Individuals Who Elect and Decline Opioid Overdose Education and Naloxone Distribution to Tailor Programs and Expand Impact.

In response to the opioid epidemic, federal agencies have stressed the importance of targeted naloxone distribution through avenues such as Opioid Overdose Education and Naloxone Distribution (OEND). OEND effectively reduces mortality by training laypersons to respond to overdose situations. Despite demonstrated effectiveness, OEND remains underutilized. This project aimed to characterize those who illicitly use opioids to determine avenues for future tailoring of OEND programs. Individuals who illicitly used opioids within the past 6 months were recruited via online social media. Participants completed an online questionnaire that assessed history of opioid use and were given the option to receive opioid overdose and naloxone administration training. Those who elected training (n = 111) and those who declined (n = 193) were compared on opioid use, severity of use, and overdose experiences. Participants (N = 304) were 47% male and 83% White. Tests of between group differences with measures of effect size were used for analyses. Those who elected training endorsed greater intravenous administration (χ2 = 4.18, P = 0.041, Cramer's V = 0.12). Individuals who declined training reported more frequent nonprescribed methadone use (χ2 = 7.51, P = 0.006, Cramer's V = 0.16), overdose hospitalizations (t(298) = 2.13, P = 0.034, Cohen's d = 0.26), and observed overdoses (t(300) = 3.01, P = 0.003, Cohen's d = 0.36). After adjusting for multiple comparisons, only the differences in nonprescribed methadone use and observed overdoses remained statistically significant. Individuals who declined training were more likely to report ever use of nonprescribed methadone and having witnessed others overdose. They may have had greater exposure to naloxone, hence decreasing perceived need for training. Understanding characteristics of those who elect and refuse training could inform structuring of programs and recruitment approaches.

On the computation of robust examination timetables: methods and experimental results

AbstractWith ever-rising student numbers and an increasing shift towards more interdisciplinary study programs, the requirements for finding schedules for courses and exams become ever more complex. In real-world scenarios, the models used for calculating solutions to the course and the examination timetabling problem often must be provided to the students at the time of registration. In the field of curriculum-based course timetabling, timetables are calculated based on the structure of the study programs. For the examination timetabling problem, only a few papers focus on scheduling exams without registration data, as the requirements for exams are often more strict, or partial information is known from course registrations. In this paper we show that with the use of robustness techniques, we can also define the examination timetabling problem based on curricula. We introduce three robustness measures that address the inherent uncertainty when using the curriculum-based model. These robustness measures, along with other quality measures, are analyzed using a multi-objective simulated annealing algorithm. The results are compared on the Pareto front approximations found. We present a case study showing that, without a significant loss in solution quality, the chance is significantly reduced that rescheduling will be required after the exact numbers for the model are known.

A study protocol for a mixed-method environmental scan of contextual factors that influence lung cancer screening adherence

BackgroundThe efficacy of lung cancer screening (LCS) to reduce lung cancer specific mortality is heavily dependent on adherence to recommended screening guidelines, with real-world adherence rates reported to be drastically lower than rates described in clinical trials. There is a dearth in the literature on reminder processes and clinical workflows used to address adherence and robust data is needed to fully understand which clinical set-ups, processes, and context enhance and increase continued LCS participation. This paper describes a protocol for an environmental scan of adherence and reminder processes that are currently used in LCS programs across the United States.MethodsThis study will triangulate data using a 3-step explanatory sequential mixed methods design to describe mechanisms of current adherence and reminder systems within academic and community LCS programs to pinpoint clinic or system barrier and facilitator combinations that contribute to increased adherence. In step 1, surveys from a nationally representative sample of LCS programs will yield quantitative data about program structure, volume, and tracking/reminder processes and messages. After completion of the survey, interested LCS program personnel will be invited to participate in an in-depth interview (step 2) to explore current processes and interventions used for adherence at the participant and program level. Finally, in step 3, triangulation of quantitative and qualitative data will be completed through qualitative comparative analysis to identify combinations of components that affect higher or lower adherence.DiscussionThis research advances the state of the science by filling a gap in knowledge about LCS program characteristics and processes associated with better adherence which can inform the development and implementation of interventions that are scalable and sustainable across a wide variety of clinical practice settings.

Financial Incentives for Improving Maternal Health: A Review of Ethical Considerations

Abstract Maternal health is considered a key global priority by the World Health Organization, and several strategies are used to promote it. Especially in lower- and lower-middle-income countries, one widely used strategy employs financial incentives to motivate pregnant women to access available healthcare. While such interventions have been extensively empirically evaluated, their normative aspects appear to have received less attention. To address this gap, we systematically searched and reviewed normative and qualitative literature to map and analyze the ethical considerations of using financial incentives to promote maternal health. Twenty-three articles (four normative and 19 qualitative) were included in the review. We grouped ethical considerations under six categories, namely the program structure, promoting institutional births, of the ethical significance of cash, justifying conditionalities for maternal health, effects on individuals’ decision-making and the experiences of vulnerable groups. While incentives could be used for beneficent goals, we show how they may emphasize global rather than local solutions, impose unfamiliar sociocultural values, unfairly expect behavior change and disempower individuals and groups. We argue that future maternal health policy, especially those targeting vulnerable groups and minorities, would benefit from taking these normative considerations into account.

Evaluation of a longitudinal Indigenous health elective in family medicine

Background: In response to the Truth and Reconciliation Commission of Canada Calls to Action 22 to 24 around health, the Department of Family Medicine at the University of Calgary piloted a novel Indigenous Health Longitudinal Elective (IHLE) to give first year residents longitudinal experiences in Indigenous healthcare environments. The purpose of this evaluation was to capture the successful qualities and identify areas for improvements to ensure feasibility of the IHLE pilot program. Methods: Between November 2022 and April 2023, semi-structured interviews were completed with seven participants of the IHLE and included a mix of residents, preceptors, and clinic staff members. Qualitative thematic analysis was used to gain an in-depth understanding of the IHLE program experiences of all participants. Results: Benefits of the IHLE program include a deeper understanding of the values and priorities critical to working in healthcare with Indigenous peoples in Southern Alberta. Areas for improvement include clarity around IHLE program structure; clearly defining roles and responsibilities for preceptors; increased opportunities for reciprocity and relationality; and a deeper self-reflection process. Conclusion: Recommendations for future iterations of the IHLE include ensuring preceptors are trained and engaged, while providing residents more opportunities for relationality and peer debriefing. Results from this study may also help inform future Indigenous health programming in family medicine.

Implementasi Program Badan Penyelenggara Jaminan Sosial (BPJS) Siap Membantu dalam Mengatasi Pengaduan Masyarakat

Public services in the government bureaucracy are an indicator of a country's progress. One concrete form of public service is health service, because good health service will improve the welfare of the people in a country. The BPJS SATU (BPJS Ready to Help) program is one of the innovations carried out by BPJS Health to make it easier for participants to get community complaint services at hospitals. In its implementation, the problems related to BPJS services are that there are still many people who do not know the health insurance procedures for health facilities, then there are still concerns from hospitals that BPJS will not pay patient arrears, and there are doubts about the security of the BPJS participant data system. So this research aims to examine further the implementation of BPJS SATU (Ready to Help) services in dealing with public complaints at Dr Soetomo Hospital, Surabaya City. The research method used in this research is a descriptive qualitative method with the focus of the research here being based on indicators of success in implementing the Edward III program, including communication, resources, disposition and bureaucratic structure. The results of research on communication focus show that communication has been created that creates inclusive services and focuses on achieving the goals of program implementation. The resource focus shows that this program has quality human resources and a supporting system within it. The disposition focus shows that BPJS Health is strongly committed to improving the quality of complaint handling in the BPJS SATU program. The focus on organizational structure has been running well as evidenced by the available procedures that can be carried out by participants and implementing officers.