Value Of Exp Research Articles

Analysis of the Influence of Dental and Oral Health Services on BPJS Patient Satisfaction at Kaliwungu Kendal Health Center

The Kaliwungu Kendal Community Health Center provides comprehensive dental services with competent dental professionals. However, the service is still not optimal due to several patient complaints, such as waiting to see the dentist, waiting even after the dentist has arrived, not receiving immediate attention, a limited number of visits, etc. Creating quality services will undoubtedly lead to satisfaction among health service users. This study aims to determine the quality of service toward the satisfaction of BPJS patients at the Kaliwungu Kendal Community Health Center. The method used in this research is a quantitative analytical survey method with a cross-sectional study design. Data was collected with a sample size of 80 BPJS patients selected through sampling. The variables used in this study include the independent variable, service quality (X), and patient satisfaction (Y) as the dependent variable. The statistical analysis used in this study included a chi-square test and logistic regression. The results of the study show that all variables in the quality of dental and oral health service, including physical appearance, reliability, responsiveness, assurance, and empathy, have a positive and significant effect on patient satisfaction at the Dental Polyclinic of the Kaliwungu Kendal Community Health Center, with a p-value < 0.05. The tangible dimension has the most dominant effect, with a significant influence (exp(B)OR 18.259), followed by empathy (exp(B)OR 11.102), reliability (exp(B)OR 7.627), and assurance (exp(B)OR 5.091). However, responsiveness obtained the lowest satisfaction percentage compared to the other dimensions, with a value of (exp (B) OR 4.474).

Establishing nomograms for predicting disease-free survival and overall survival in patients with breast cancer

Background Prognostic factors-based nomograms have been utilised to detect the likelihood of the specific cancer events. We have focused on the roles of aldehyde dehydrogenase 1 (ALDH1) and p-AKT in predicting the prognosis of BC patients. This study was designed to establish nomograms based on the integration of aldehyde dehydrogenase 1 (ALDH1) and p-AKT in predicting the disease-free survival (DFS) and overall survival (OS) of breast cancer (BC) patients. Methods Demographic and clinical data were obtained from BC patients admitted to our hospital between September 2015 and August 2016. Univariate and multivariate Cox regression analyses were utilised to analyse the risk factors of recurrence and mortality. The nomograms for predicting the DFS and OS were established using the screened risk factors. Stratified analysis was performed with the cut-off value of exp (pi) of 4.0-fold in DFS and OS, respectively. Results Multivariate Cox regression analysis indicated that ALDH, p-AKT and pathological stage III were independent risk factors for the recurrence among BC patients. ALDH1, p-AKT, pathological stage III and ER-/PR-/HER2- were independent risk factors for the mortality among BC patients. The established nomograms based on these factors were effective for predicting the DFS and OS with good agreement to the calibration curve and acceptable area under the receiver operating characteristic (ROC) curve. Finally, stratified analyses showed patients with a low pi showed significant decrease in the DFS and OS compared with those of high risk. Conclusion We established nomograms for predicting the DFS and OS of BC patients based on ALDH1, p-AKT and pathological stages. The ER-/PR-/HER2- may be utilised to predict the OS rather than DFS in the BC patients.

Factors Influencing Early Detection of Breast Cancer Through Clinical Breast Examination (SADANIS) at the North City Health Center, Gorontalo City

Early detection/screening is a secondary prevention effort that is considered the most rational to reduce the death rate due to breast cancer. Clinically early detection of breast cancer is carried out in the target group of women of childbearing age, but the priority for the early detection program in Indonesia is women aged 30-50 years. The research aims to analyze factors influencing early detection of breast cancer through clinical breast examination (SADANIS) at the North City Health Center, Gorontalo City. Analytical survey research method with a cross-sectional study design. The population is women aged 30-50 years who visited the KIA-KB services at the North City Health Center in February 2024, amounting to 136 visitors. Sampling used the Slovin formula, so the total sample was 101 people. Analysis was carried out using the chi-square test and multiple logistic regression test. Based on a multivariate test using a multiple logistic regression test on variables that influence early detection of breast cancer with SADANIS, namely family/husband support, health worker support, and exposure to information, the results obtained are that the family/husband support variable has a significant value of 0.027 <0.05 with a value of Exp(B) = 12.522 which means that family/husband support has a 12.52 times higher risk of influencing early detection of breast cancer. The conclusion of this study is The variable family/husband support is the variable that has the most influence on the early detection of breast cancer with SADANIS

Analysis of Dominant Factors Affecting Pre-Hospital Stroke Management in Kupang City

The incidence of stroke is increasing every year, and effective management comprises both pre-hospital and hospital care. The key to successful management is for families to recognise the clinical symptoms and promptly seek medical attention. Delayed assistance frequently leads to complications, underscoring the importance of timely intervention to save lives and prevent long-term disabilities. The key to successful management is identifying a stroke and prompt transportation to a medical facility. This study used a quantitative approach with a cross-sectional design, and the total sample was 300 people, while data analysis was performed using the Chi-Square test and logistic regression. The results showed that the family decision-making time in taking a stroke patient to the hospital, individually or collectively, significantly affected the Accuracy of Pre-Hospital Stroke Patient Management with a value of P (Sig) < 0.05. The magnitude of the influence was indicated by the value of EXP (B), also known as ODDS RATIO (OR). Specifically, the Decision-Making Time by the family to take stroke patients to the hospital exhibited an OR of 20.714. This implied that respondents capable of making the right decision to take stroke patients to the hospital were 20.714 times more likely to be accurate in pre-hospital stroke patient management. Based on the results, it can be concluded that the dominant factor influencing pre-hospital stroke attack management is the family decision-making time to take the stroke patient to the hospital. Therefore, the Kupang City government needs to improve ambulance facilities for the public, making it easier to access services, specifically in emergencies.

Differences In Quality of Life of Nasopharyngeal Carcinoma Patients at Rsi Sultan Agung Semarang Observational Analytical Studies in Age, Gender, and Stage of Cancer

Nasopharyngeal carcinoma is a malignant tumor in the head and neck area of squamous cell type located in the nasopharynx. Nasopharyngeal carcinoma in Indonesia is the 4th most malignant cancer and is considered one of the most malignant tumors with high mortality and morbidity. This study aims to determine the difference in quality of life in nasopharyngeal carcinoma patients with characteristics (age, gender, and stage of cancer) nasopharyngeal tumors. The research method was carried out with analytical observational through a cross sectional approach. The measuring instruments used in the form of EORTC QLQ-C30 and EORTC QLQ-H&N35 questionnaires were used to measure the quality of life of nasopharyngeal carcinoma patients at RSI Sultan Agung Semarang. The data were analyzed using a binary logistic regression test. The results of the study of nasopharyngeal carcinoma patients according to the characteristics at RSI Sultan Agung Semarang based on 13 respondents were dominated by male patients totaling 8 people (61.54%), aged 45 years as many as 8 people (61.54%), and cancer stages were divided into 6 people (≥46.15%) and 7 people (53.85%) in the early and advanced stages. The results of the Wald Test did not significantly differ in the quality of life of nasopharyngeal carcinoma patients at RSI Sultan Agung Semarang with each sig intention. The independent variables were age (p = 0.187), gender (p = 0.227), and cancer stage (p = 0.558). The independent variable that most affected the level of quality of life of nasopharyngeal carcinoma patients was gender with a value of Exp(B) = 5.394. The conclusion of this study is that there is no difference in quality of life in nasopharyngeal carcinoma patients with characteristics (age, gender, and stage of cancer) nasopharyngeal tumors.International Journal of Human and Health Sciences Vol. 08 No. 02 Apr’24 Page: 151-156

GENETIC DIVERSITY OF IRAQI LOCAL COWS AND THEIR COMPARISON WITH IMPORTED COWS USING MICROSATELLITE MARKERS

This study was conducted to identify the genetic diversity of microsatellite markers CSSM66, ETH10 and ILSTS34 using 100 cows of several breeds distributed as follows: 30 local Iraqi cows (equally divided into Restaki, Janoubi and Sharabi) as well as 50 Holstein cows (German) and 20 Brahman bulls after amplification in PCR reaction, 16 alleles of ETH10, CSSM66 and ILSTS34 markers were detected in a sample of studied cattle and they were 7, 6 and 5 alleles, respectively. The total Shannon (I) was 1.5400, and it was found that the average value of Obs_Hom is smaller than the average value of Exp_Het, being 0.2600 and 0.7544, respectively. This indicates the presence of high genetic heterogeneity or diversity among cows. The average values ​​of FIS, FIT and FST and genetic migration Nm -0.6257, -0.0162, 0.3749 and 0.4168, respectively. These results showed through the UPGMA tree a common ancestry between domestic cattle and Brahman.

An Exploration of the Impact of Social Integration on the Re-employment Patterns of the Mobile Elderly Population in the Context of Informatization

Abstract Re-employment of the mobile elderly population is an important factor in promoting the development of social integration, and the study of the interaction between the two can further realize re-employment. This paper evaluates the level of social integration from four dimensions: economic integration, behavioral integration, cultural integration, and psychological integration, and explains different integration indicators. The indicator factors and their weights of the social integration measurement model were identified through the use of factor analysis and principal component analysis. At the same time, categorical variables were used to set up the re-employment mode of the migrant elderly population, which led to the formulation of three research hypotheses on the impact of social integration. In the description of the overall characteristics of the re-employment of the mobile elderly population, with the help of the multiple covariance test to confirm the accuracy of the estimation of the impact effect, binary logistic regression is used to verify the relationship between the impact of social integration on the re-employment of the mobile elderly population. The test results show that the minimum value of tolerance is 0.804, and the maximum value is 0.954. The maximum value of VIF is 1.199, and the minimum value is 1.009. Model 1 shows that social integration has a negative effect on re-employment of the mobile elderly population, and the value of EXP(B) is 0.541. This study verifies the relationship of the effect of social integration on re-employment and guides the re-employment of the mobile elderly population.

Analysis of Factors Related to The Utilization of Health Services at UPT Puskesmas Tampang Tumbang Anjir

Data from the Ministry of Health show that patient visits to health services in 2020 have decreased by 83.6 percent. This study aims to determine the relationship between the perception of pain, security of ownership, availability of health facilities and utilization of health services at UPT Puskesmas Tampang Tumbang Anjir. Design used with cross sectional method. The population is patients who visited in May 2023 with a total sample of 67 respondents. How to take samples with purposive sampling. Data analysis was descriptive and statistical, namely chi square and multiple logistic regression. The results of the analysis of variables related to the use of health services are perception of illness (p = 0.004 <a 0.05), ownership of health insurance (p = 0.005 <a 0.05) and availability of health facilities (p = 0.000 <a 0.05). The dominant factor is the availability of health facilities because the value of Exp (B) is 8, 262. The conclusion in this study is the variables related to perception of illness, ownership of health insurance and availability of health facilities while the dominant factor is the availability of health facilities.

Planar Turán number of the disjoint union of cycles

The planar Turán number of H, denoted by exP(n,H), is the maximum number of edges in an n-vertex H-free planar graph. The planar Turán number of k≥3 vertex-disjoint union of cycles is a trivial value 3n−6. Lan, Shi and Song determine the exact value of exP(n,2C3). We continue to study planar Turán number of two vertex-disjoint union of cycles and obtain the exact value of exP(n,H), where H is vertex-disjoint union of C3 and C4. The extremal graphs are also characterized. We also improve the lower bound of exP(n,2Ck) when n is sufficiently large.

Hubungan kepuasan kerja dan komunikasi organisasi dengan kinerja pegawai Rumah Sakit Intan Medika Lamongan

Background: Performance is the way employees work in a company during a certain period. A company that has employees with good performance is likely to have good company performance. Objective: To determine the relationship between job satisfaction and organizational communication with employee performance at Intan Medika Hospital.Methods: A correlational research design with a cross-sectional approach and the method of proportionate stratified random sampling was used. A total of 62 employees who had been working for more than 1 year were selected as the research sample. Data were collected using a closed questionnaire in April-May 2023, and analyzed using chi-square and logistic regression.Results: The multivariate analysis results, used logistic regression, indicate that the organizational communication variable has the most dominant influence with a value of Exp(B) = 4.543 compared to the job satisfaction variable, which has an Exp(B) value of 2.803..Conclusion: The organizational communication variable has the most dominant influence on the performance of employees. Management can provided a meeting program involving all employees to better accommodate organizational communication.

FAKTOR YANG MEMPENGARUHI MANAJEMEN KEBERSIHAN MENSTRUASI PADA REMAJA PUTRI DI SMPN1 GUNUNG MERIAH KABUPATEN ACEH SINGKIL

Menstrual Hygiene Management is the management of hygiene and health when a woman is menstruating, poor management of menstrual hygiene can cause health problems such as reproductive tract infections, urinary tract infections and an increased risk of cervical cancer. This study aims to determine the affecting factors on menstrual hygiene management in female studetnts at SMPN 1 Gunung Meriah, Aceh Singkil Regency. This is a quantitative study with a cross sectional approach. The population in this study was female students at SMPN 1 Gunung Meriah as many as 302 students, and the sample 75 students. Data analysis used Chi-square test and Multiple Logistic Regressions. The results showed that the factors influencing management of menstrual hygiene in female students of the School were knowledge (p=0.002), mother support (p=0.000), friend support (p=0.001) and facilities and infrastructure (p=0.001). 0.030), while the unrelated factors were attitude (p=0.662) and teacher support (p=0.088). The most dominant factor affecting menstrual hygiene management was mother's support with a value of Exp(B)/OR = 8,329

Relationship Between Mother Characteristics and Parental Feeding Style with Stunting Incidence in Children Under Children

In 2013, UNICEF stated that 1 in 3 toddlers was stunted. UNICEF data for 2013 states that stunting in Indonesia is predicted to be 7.8 million children under five. This incident places Indonesia in the top 5 countries with the largest number of stunting toddlers in the world. This research aims to analyze the relationship between maternal characteristics and parenting style of feeding with the incidence of stunting. An analytical survey with a cross-sectional approach was chosen in this research. The research was conducted in Palusibaji Village, Pantai Labu District, Deli Serdang Regency in 2022. The population in this study were all mothers who had 56 toddlers and the sampling technique was accidental sampling with a sample of 34 people who were tested using the Chi-Square test at α = 5%. The research results from the data obtained and based on bivariate analysis, it was concluded that the variables of early breastfeeding initiation (p=0.01), complete basic immunization (p=0.01), and parenting style (p=0.001) are related to the incidence of stunting in toddlers. Analysis of multiple logistic regression tests is parenting style p = 0.003 with a value of Exp (B) = 1.615, which means that parenting styles in good feeding is 1.615 likely not to experience stunting compared to bad parenting styles with stunting events. Conclusion of the study Children who are cared for by parents will find it easier to monitor nutritional intake, feeding patterns, stimulus, and children's activities because parents, especially mothers, care about their children's needs.

Hubungan Pekerjaan Orang Tua dan Asi Eksklusif dengan Kejadian Stunting Di Menawi Kabupaten Kepulauan Yapen

Indonesia has a fairly severe nutritional problem, which is marked by the many cases of stunting in children under five. This study aims to analyze social relations. Demographics and behavior of nutrition-aware families and the incidence of stunting in the working area of the Menawi Nursing Health Center, Yapen Islands District This is an observational study with a cross-sectional approach.The population is all families with 242 toddlers and a sample of 149 toddlers in the Menawi Nursing Health Center, Yapen Islands Regency, using purposive sampling and statistical tests using chi-square and logistic regression. The research results showed that occupation (p = 0.018), contact with other cultures (p = 0.001), exclusive breastfeeding (p = 0.001), consumption of diverse foods (p = 0.001), and family behavior aware of nutrition (p = 0.001) were variables related to stunting, while education (p = 0.394) and income (p = 0.646) were not related to stunting. In addition, the behavior of the family that is aware of nutrition has the most influence on the incidence of stunting, with a value of Exp (B) = 3.884. The conclusion obtained is that work, contact with other cultures, exclusive breastfeeding, consumption of a variety of foods, and family behavior that is aware of nutrition are factors that cause stunting. So that sustainable health interventions are needed in the form of family nutrition education.

The ethical principles and caring behavior of Indonesian nurses

Introduction: The caring behavior of nurses affects their working performance and the health care quality received by patients. The adherence to ethical principles by nurses is also known to increase this factor. However, no previous studies have been conducted on how ethical principles affect the caring behaviors of nurses. Hence, this study aims to investigate the association between nursing ethics and other demographic characteristics and their caring behavior in Indonesian hospitals.
 Design and Methods: A cross-sectional descriptive-analytical study was conducted with 389 nurses working in Indonesian hospitals. Furthermore, data were collected using questionnaires, which included demographic characteristics, ethical principles-based attitudes, and caring behavior. The analysis of the data was performed using descriptive (M, SD) and inferential statistics (Chi-square, Spearman’s rank correlation, Fisher’s exact test, and multiple logistic regression) with α= 0.05.
 Results: According to this study, the caring behavior of nurses was associated with gender (p=0.030) and nursing ethical principles, such as veracity (p=0.025), non-maleficence (p=0.007), beneficence (p<0.000), and fidelity (p<0.000). Fidelity was also revealed as the most influential ethical principle on nurses’ caring behavior, with a value of Exp(B)= 3.446. This indicates that nurses, who had demonstrated good fidelity, cared three times more than those who lacked this quality.
 Conclusions: Nurses with good ethical principles deliver suitable caring behavior. Hence, applying the right ethics to a patient would result in a great caring attitude, as the principle of ethical behavior is compassion and respectful conduct towards patients.

Determinants of Post Cesarean Surgery Wound Infection at RS dr. Sumantri City of Parepare

Background: A health problem that still and often occurs during surgery is wound infection after cesarean section. Thee infection experienced by the patient can cause the length of time for wound healing.
 Objectives: This study aims to determine the most dominant determinant of postoperative wound infection after cesarean section.
 Research Metodes: 
 The type of research used is analytic with a cross sectional study design with purposive sampling technique in order to obtain a sample of 70 respondents..
 Results: The results of the analysis found that comorbid disease was not a determinant of post-cesarean surgical wound infection with p value = 0.419> 0.05. Premature rupture of membranes is a determinant of wound infection after cesarean section with p = 0.000 <0.05. History of cesarean section was not a determinant of post-cesarean surgical wound infection with a value of p=1,000> 0.05. The type of surgery is a determinant of post-cesarean surgical wound infection with p¬=0.004<0.05. The type of surgery is the most dominant determinant of wound infection after cesarean section with a value of Exp(B)=0,057.
 Conclusion: It is recommended to routinely control the sutures after cesarean section to prevent surgical wound infection
 Type your conclusion here. Use Calibri-Light 10 pts and justify align. 
 Background: A health problem that still and often occurs during surgery is wound infection after cesarean section. Thee infection experienced by the patient can cause the length of time for wound healing.
 Objectives: This study aims to determine the most dominant determinant of postoperative wound infection after cesarean section.
 Research Metodes: 
 The type of research used is analytic with a cross sectional study design with purposive sampling technique in order to obtain a sample of 70 respondents..
 Results: The results of the analysis found that comorbid disease was not a determinant of post-cesarean surgical wound infection with p value = 0.419> 0.05. Premature rupture of membranes is a determinant of wound infection after cesarean section with p = 0.000 <0.05. History of cesarean section was not a determinant of post-cesarean surgical wound infection with a value of p=1,000> 0.05. The type of surgery is a determinant of post-cesarean surgical wound infection with p¬=0.004<0.05. The type of surgery is the most dominant determinant of wound infection after cesarean section with a value of Exp(B)=0,057.
 Conclusion: It is recommended to routinely control the sutures after cesarean section to prevent surgical wound infection
 Type your conclusion here. Use Calibri-Light 10 pts and justify align.

Faktor-Faktor Yang Mempengaruhi Pemanfaatan Posbindu PTM pada Masa Pandemi COVID-19 di Puskesmas Dalu Sepuluh Kecamatan Tanjung Morawa

Non-communicable diseases have become the main cause of death globally and nationally, due to the high number of PTM which continues to increase every year, so to control PTM risk factors in Indonesia, the government has established the PTM Posbindu program. However, the utilization of PTM Posbindu in the working area of ​​Dalu Ten Health Center has not reached the 100% target. This study aims to determine the factors that influence the use of PTM Posbindu during the COVID-19 Pandemic in the Dalu Ten Health Center working area. This type of research is quantitative with a cross-sectional design. The population in this study is people aged 15-59 years in the working area of ​​Dalu Ten Health Center. The sample in this study amounted to 96 people. The sampling technique used stratified random sampling. Data analysis used univariate, bivariate, and multivariate analysis. The results showed that 80.2% of the 96 respondents used Posbindu PTM. Variables that influence the utilization of PTM Posbindu are supported from health workers (p=0.001), mileage variable (p=0.001), family support (p=0.001), knowledge (p=0.005), and support from health cadres (p=0.005). The variable that did not affect the utilization of PTM Posbindu was the health status variable (p=0.305). The results of the multivariate analysis of the most dominant variables were the support of health workers (p = 0.001 <0.05 and the value of Exp (β) or OR = 11.318). The conclusion of this study is that the most influential variable is the support of health workers with 11 times greater use of PTM Posbindu during the COVID-19 Pandemic. It is recommended for health workers be able to provide other innovations in Posbindu activities to attract public interest in visiting PTM Posbindu during the current COVID-19 Pandemic.

Analysis of Factors that Influence Nurse's Work Stress at the Inpatient Room of General Hospital Regional Doctor Zubir Mahmud Regency of East Aceh

Work stress is a widespread issue that often affects or is complained about by employees in several nations. Consequently, the purpose of this research was to analyze the elements that impact the job stress of nurses in the inpatient room at the Regional General Hospital of Doctor Zubir Mahmud, East Aceh Regency. The research design used is a cross-sectional, analytical survey. The population for this research consisted of 129 respondents, and the sample size for the purposive sampling approach was 56 respondents. Using a simple occupational stress questionnaire, data were obtained. Analysis of data using the chi-square test. Workload had a p-value of 0.004, career uncertainty had a p-value of 0.031, and dual roles had a p-value of 0.045, indicating that it affects the job stress of nurses in the inpatient room of the Regional General Hospital Doctor Zubir Mahmud Regency. Eastern Aceh The workload variable has the biggest impact on the job stress of nurses in the hospital, as measured by the value of Exp (B) or the Odds Ratio of 19,222. This research concludes that workload, career ambiguity, and numerous jobs have an effect on the work stress of nurses in the inpatient unit of the Regional General Hospital of Doctor Zubir Mahmud in East Aceh Regency. Researchers recommend that hospitals conduct good communication routinely before work to define duties and responsibilities, give social support, enhance the abilities of nurses to adapt to current changes, and assess the ability of nurses to deal with stress.

Factors Affecting Exclusive Breast Milk in Work Area of South Kluet Health Center in 2022

Breastfeeding is an important factor in the survival of the baby. Efforts to reduce infant mortality need special attention to infant health, from care at birth to proper feeding. Forknowing and analyzing the factors that influence exclusive breastfeeding in the Working Area of the South Kluet Health Center in 2022. This type of research uses quantitative research with research methods that are analytical surveys with a Cross Sectional approach. This research was conducted in the Working Area of the South Kluet Health Center in 2022. The population was 94 people with a total sampling technique of 94 respondents. Quantitative data analysis with univariate, bivariate and multivariate analysis. Results : Based onThe chi-square test was obtained at the cultural level variable p = 0.015, knowledge p = 0.001, attitude p = 0.018, husband support p = 0.009, birth attendant support p = 0.000, which indicates there are influencing factors. Conclusion: There is a relationship between culture, knowledge, attitudes, husband's support and birth attendant support for exclusive breastfeeding in the working area of the South Kluet Health Center in 2022, and of all the factors that influence exclusive breastfeeding, cultural factors are the most dominant influencing exclusive breastfeeding. with the value of Exp(B) 5,923.

Analysis Of Inpatient Medical Record Management Based On Medical Record Service Standards At Government Hospitals In Medan

Inpatient medical records have an important role as a source of data and health information for inpatients related to treatment and care planning. The main factor that causes problems in inpatient medical records is the undisciplined factor of the person in charge who handles patients in filling out medical records. This can cause inpatient medical record management, not in accordance with medical record service standards. This study aimed to analyze inpatient medical record management based on medical record service standards. This research is a quantitative analytic study with a cross-sectional approach. The study was conducted at the Government Hospital in Medan. The research population was 126 people and all of them were used as samples. Sampling by means of total sampling. Data analysis used univariate, bivariate with chi-square test, and multivariate with multiple logistic regression at 95% confidence level (0.05). The results showed that inpatient medical record management implementation based on medical record service standards at the Government Hospital in Medan was influenced by work motivation (p = 0.001) and supervision (p = 0.000). While the variables that have no effect are length of work (p = 1,000), education (p = 0.848), teamwork (p = 0.241), and completeness of infrastructure (p = 0.760). The supervision variable is the most dominant variable or has the greatest influence with the value of Exp(B)/OR = 19,542. Medical record employees who state that supervision is carried out well by superiors will improve the implementation of inpatient medical record management well, compared to those who state that supervision is still not good. It is recommended that the leadership carry out inherent supervision (waskat) to all medical record employees and provide motivation through motivational seminars to improve the implementation of inpatient medical record management based on medical record service standards.

Medical Record Management Analysis Of Inpatient Patients Based On Standards Of Medical Record Services In Government Hospital In Medan

Inpatient medical records have an important role as a source of data and health information for inpatients related to treatment and care planning. The main factor that causes problems in inpatient medical records is the undisciplined factor of the person in charge who handles patients in filling out medical records. This can cause inpatient medical record management, not in accordance with medical record service standards. This study aimed to analyze inpatient medical record management based on medical record service standards. This research is a quantitative analytic study with a cross-sectional approach. The study was conducted at the Government Hospital in Medan. The research population was 126 people and all of them were used as samples. Sampling by means of total sampling. Data analysis used univariate, bivariate with chi-square test, and multivariate with multiple logistic regression at 95% confidence level (0.05). The results showed that inpatient medical record management implementation based on medical record service standards at the Government Hospital in Medan was influenced by work motivation (p = 0.001) and supervision (p = 0.000). While the variables that have no effect are length of work (p = 1,000), education (p = 0.848), teamwork (p = 0.241), and completeness of infrastructure (p = 0.760). The supervision variable is the most dominant variable or has the greatest influence with the value of Exp(B)/OR = 19,542. Medical record employees who state that supervision is carried out well by superiors will improve the implementation of inpatient medical record management well, compared to those who state that supervision is still not good. It is recommended that the leadership carry out inherent supervision (waskat) to all medical record employees and provide motivation through motivational seminars to improve the implementation of inpatient medical record management based on medical record service standards.