Journal of Health Policy and Management (JHPM)
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Is Longer Working Time Associated with Depression and Mental Well-being in Resident and Young Doctors?
Full text linkBackground: Long working hours are known to have a negative impact on health. This study aims to explore the association between long working hours on depression and mental well-being with a nationally representative sample.
Subjects and Method: A cross-sectional study was conducted on 176 resident doctors and young doctors in Indonesia via Google Forms from November 2022 to July 2023. Depression and mental well-being were evaluated using the Patient Health Questionnaire-9 (PHQ-9) and the World Health Organization's five-item Well-Being Index (WHO-5). The correlation between working hours (< 12 hours and ≥ 12 hours on weekdays) and depression was analyzed using multiple linear regression, while the interrelation between working hours and mental well-being applied multiple logistic regression.
Results: A total of 53 (30.11%) resident doctors and junior doctors worked ≥ 12 hours on weekdays. Multiple linear regression analysis revealed that individuals with work duration ≥ 12 hours had a probability of experiencing depression 1.93 units higher than those who worked < 12 hours (b= 1.93; 95% CI= 0.35 to 3.51; p= 0.017). The multiple logistic regression model shows that individuals with work periods of ≥ 12 hours are 2.69 times more at risk of having poor mental well-being than those who work < 12 hours (OR= 2.69; 95% CI= 1.26 to 5.74; p= 0.010).
Conclusion: Working too long is significantly associated with the development of depressive symptoms and poor mental well-being. Management of working hours for resident doctors and young doctors is essential for maintaining physical and psychological health in order to improve the quality of care.
Keywords: long working hours, depression, mental well-bein
ANALYSIS OF OCCUPATIONAL HEALTH AND SAFETY RISK USING HIRADC METHOD IN MEDICAL RECORD INSTALLATION AT NGANJUK HOSPITAL
Full text linkABSTRAK
Background : Hospitals are required to organize occupational health and safety (K3RS) in all parts of the installation in the hospital, one of which is the medical record installation. The medical record installation has a storage room, namely a filing room which is an important part of storing medical records and has the potential to have various potential hazards. The management of Nganjuk Hospital for this period has not carried out a risk assessment on the medical record installation section.
Subject dan Methods: This research is a qualitative descriptive study with a case study design. The sampling technique used was purposive sampling technique. The subjects used in this study were 2 medical record officers, the Head of the Medical Record Installation, and the Head of the K3 Section of Nganjuk Hospital.
Results: Based on the HIRADC matrix, the Nganjuk Hospital medical record installation in the Filing section identified a potential hazard in the Moderate-High risk category, including; dusty filing shelves and medical records, poor environmental conditions (temperature, lighting, humidity), distance and height between shelves is not ergonomic, there are sharp objects (remaining staples) in the medical records, carrying and delivering too many medical records to each poly aim.
Conclusion : The potential for danger in the filing room is found to be quite a risk to interfere with the work of the filing officer. This requires risk control, including; carry out elimination, substitution, technical control, administrative control and use of PP
Determinants of Dental and Oral Health Care Service: A Meta-Analysis
Full text linkBackground: The limited utilization of dental and oral health services leads to poor dental and oral health status of both individuals and community. Regular visits to dentists can improve oral health status through early detection of dental and oral diseases. The study aims to systematically examine the factors that influence the utilization of dental and oral health services.
Subject and Method: It was a systematic review and meta-analysis study using PRISMA and PICO diagrams. P= general population. I = women, higher education, high income, poor self-perception, and having health insurance. C= male, low education, low income, good self-perception, and no health insurance. O= utilization of dental and oral health services. Data collection was conducted using the PubMed and ScienceDirect databases. The inclusion criteria used were full, English, cross-sectional design articles in 2012-2023. The keywords used are "(Determinant OR Factor associated)" AND "Dental healthcare utilization". Data analysis was performed using the RevMan 5.3 application.
Result: There were14 primary articles as meta-analysis sources from Saudi Arabia, Indonesia, Iran, Korea, Thailand, Bosnia and Herzegovina, Sweden, the United States, Canada, and Brazil. Female (aOR= 1.13; CI 95%= 1.02-1.25; p= 0.020), higher education (aOR= 1.90; CI 95%= 1.40- 2.56; p<0.001), high income (aOR= 1.91; CI 95%= 1.55-2.35; p<0.001), and having health insurance (aOR= 1.68; CI 95%= 1.30-2.19; P<0.001) increased the utilization of dental and oral health services. Self-perception did not affect the utilization of dental and oral health services (aOR= 1.04; CI 95%= 0.81-1.33; p= 0.76).
Conclusion: Female gender, education level, income level, and ownership of health insurance influence the utilization of dental and oral health services.
Keywords: dental healthcare utilization, factor associate
Path Analysis of Factors Influencing the Quality of Health Services and Inpatient’s Satisfaction in Hospitals
Full text linkBackground: Quality of health services is an effort to provide health services to individuals and populations in increasing the likelihood of desired health outcomes. Patient satisfaction is an indicator in assessing the quality of health services. This study aims to analyze the factors that influence the quality of health services and satisfaction of inpatients in hospitals.
Subjects and Method: The research, with a cross-sectional study design, was carried out at public and private hospitals in Mataram City from November to December 2023. A total of 207 inpatients were selected using simple random sampling in the study. The dependent variables are health service quality and patient satisfaction. The independent variables are gender, education level, income, BPJS status (payment type), inpatient class, and length of stay. Collecting data on perceptions of health service quality and patient satisfaction using a structured questionnaire prepared based on Parasuraman's Servqual concept (1985).
Results: Patient satisfaction is significantly influenced by perceived quality of health services (b = 0.81; 95% CI = 0.76 to 0.86; p < 0.001) and patient education level (b = -0.08; 95% CI = -0.17 to -0.003; p = 0.04 ). Perceived quality of health services is significantly influenced by income factors (b= 0.22; 95% CI= 0.09 to 0.35; p= 0.001) and patient inpatient room class (b= 0.40; 95% CI= 0.28 to 0.52; p <0.001) . Perception of service quality is not significantly influenced by the factors gender, education, BPJS status, and length of stay.
Conclusion: Patient satisfaction is significantly influenced by the quality of health services and the patient's level of education. The quality of health services is significantly influenced by income factors and the patient's inpatient room class. Service quality is not significantly influenced by the factors gender, education, BPJS status, and length of stay.
Keywords: pathway analysis, inpatients, quality of health services, satisfaction
Meta-Analysis: Effect of Tuberculosis Infection Control Training on Work Performance among Health Staff in Health Facilities
Full text linkBackground: Tuberculosis is a public health problem both in Indonesia and internationally. Tuberculosis is an infectious disease that can affect anyone and is one of the 10 leading causes of death worldwide. TB ranks second with the highest cases in Indonesia after India. Tuberculosis Infection Control (TBIC) is a form of TB prevention which is the core of safe and high-quality health services. TBIC is often neglected in patient management practice. This study aims to analyze and estimate the effect of tuberculosis infection control training on improving the performance of staff in health facilities.
Subjects and Method: The meta-analysis was carried out using the PICO format including: (1) Population: Health personil; (2) Intervention: TBIC Training; (3) Comparison: No TBIC training; and (4) Outcome: Performance. Article searches were carried out using several databases such as Google Scholar, PubMed, and Elsevier. Search for articles from 20 October 2022 to 21 January 2023. Keywords used: “Tuberculosis infection control training” OR “Performance” AND “Health personel” AND “Health facility” AND “Multivariate” AND “Cross-sectional”. The inclusion criteria for the included articles were full text articles, relationship measures using multivariate analysis (aOR), English articles with a cross-sectional design, and article publications in 2012-2022. Articles are collected using PRISMA flow diagram guidelines. Data were analyzed using the Review Manager 5.3 application.
Results: A total of 13 cross-sectional studies, from the continents of Asia and Africa. Nine articles from East Africa (Ethiopia), 2 articles from West Africa (Nigeria), 1 article from Central Africa (Cameroon), and 1 article from South Asia (Nepal). The results showed that health personil who received TBIC training had a 2.35 times better chance of performance compared to health personil without training, and this result was statistically significant (aOR= 2.35; 95% CI= 1.96 to 2.81; p <0.001).
Conclusion: Tuberculosis infection control training can improve the performance of workers in health facilities.
Key words: Health personil, tuberculosis infection control training, and health facilitie
User Satisfaction and Challenges in Telemedicine Services during the COVID-19 Pandemic in Indonesia: A Population-Based Analysis
Full text linkBackground: The COVID-19 pandemic has led to a surge in telemedicine utilization in Indonesia, necessitating increased attention toward user satisfaction and encountering obstacles in telemedicine services. This study aims to analyze the satisfaction and barriers faced by users of telemedicine applications, considering population characteristics during the COVID-19 pandemic in Indonesia.
Subjects and Method: Using a descriptive observational design with a cross-sectional approach, the study encompassed the entire population of telemedicine users during the COVID-19 pandemic, with samples adhering to predetermined inclusion and exclusion criteria. Data were collected through Google Forms questionnaires from August 2020 to November 2020. Subsequently, data were subjected to chi-square tests (alternative: Kruskal-Wallis) and logistic regression analyses, with p-value<0.05 and 95% confidence interval. User satisfaction with telemedicine was associated with factors such as domicile, settlement, provider, health insurance, and utilized internet network (p<0.05).
Results: User satisfaction with telemedicine was associated with factors such as domicile, settlement, provider, health insurance, and utilized internet network (p<0.05). Conversely, barriers encountered in telemedicine exhibited associations with gender, marital status, age, regional origin, residence, education, occupation, health insurance, income, provider type, internet network, and internet quota (p<0.05). A significant correlation was observed between barriers and user satisfaction with telemedicine (p<0.001). The most influential factor affecting satisfaction was income less than Rp 1,500,000 per month (OR 30.818; 95% CI: 1.751-542.394), while pay ranging from Rp 3,500,000 to 5,500,000 per month exhibited the most substantial impact on barriers (OR 5.266; 95% CI: 2.326-11.920).
Conclusion: Most respondents expressed satisfaction and encountered no obstacles when employing telemedicine. Respondents suggested enhancing telemedicine usage by emphasizing the importance of diagnostic accuracy, simplifying processes, maintaining confidentiality, optimizing application features, and improving network speed
System Readines for the Implementation of Maternal and Child Health Services during COVID-19 Pandemic in Comoro Community Health Center, Dili Timot-Leste
Full text linkAbstract
Background: Maternal and child health is an important element in improving the welfare of mothers, infants and children to achieve Timor-Leste's public health goals. Mother and child services can use the Six Building Blocks service system from the World Health Organization. This study aimed to look at the readiness of the Maternal and Child Health (MCH) service delivery system during the COVID-19 period at the Comoro Health Center.
Methods: A cross-sectional study was conducted at the Comoro Community Health Center, Dili City in November 2021. A total of 94 health workers including doctors, midwives and nurses working in the Maternal and Child Health (MCH) sector, pharmacy technicians working in pharmacy units, laboratory technicians working in laboratory units were selected for this study. The dependent variable was progress in achieving maternal and child health service indicators. The independent variables were provision of health services, availability of health workers, health information system (technology), availability of essential medicines and health products, finance, and leadership/leadership. The data were collected by using questionnaire. The data were analyze using Chi-Square.
Result: Maternal and child health service readiness were associated with health service delivery (OR= 2.97; 95% CI= 1.23-7.16; p=0.014), availability of health workers (OR= 3.44; 95% CI= 1.28-9.25; p=0.012), availability of essential medicine (OR= 1.40; 95% CI= 0.55-3.58; p=0.048). Maternal and child health service readiness were associated with availability of information communication & technologies (OR=2.32; 95% CI= 0.91-5.90; p=0.073), availability of finance (OR= 2.62; 95% CI= 1.06-6.47; p=0.034), and leadership (OR= 1.43 95% CI= 0.60-3.40; p=0.419), but they were not statistically not significant.
Conclusion: Maternal and child health service readiness are associated with health service delivery, availability of health workers, availability of essential medicine, availability of information communication & technologies, availability of finance and leadership. Keywords: maternal and child health, health system and covid-19
Analysis of Loyalty and Quality of Service Against Patient Satisfaction of Social Security Agency of Health and General Patients in Neurology Polyclinic UOBK of Doctor Mohamad Saleh Regional Public Hospital, Probolinggo, East Java
No full textBackground: Satisfaction of patients or insurance participants is one of the factors that can be used as a reference in determining the success of a service program. This means that the good quality of a service is not based on the service provider's perception, but based on the consumer's perception because it is the consumer who enjoys the services provided by the company. The study aimed to analyze the effect of loyalty and service quality on SCA patient satisfaction and general patients at the Neurology Polyclinic UOBK Dr. Mohamad Saleh Hospital, Probolinggo City.
Subjects and Method: An observational study with a cross-sectional approach were conducted at Neurology Polyclinic UOBK Dr. Mohamad Saleh Hospital, Probolinggo, East Javaon August 2022. A total of 100 patients were selected for this study. The dependent variable was satisfaction. The independent variable were loyalty and service quality. The data were collected using a set of questionnaires and analyzed using linier regression.
Results: Patient satisfaction increased with good loyalty (b= 2.26; p= 0.002), and good service quality (b= 2.03; p= 0.006).
Conclussion: Patient satisfaction increased with good loyalty (b= 2.26; p= 0.002), and good service quality.
Keywords: satisfaction, service quality, loyalty.
Correspondence:
Illailatul Musdalifah. Strada Institute of Health Sciences, Kediri, Indonesia. Jl. Manila No.37, Tosaren, Pesantren, Kediri, 64123 East Java. Email: [email protected]. Mobile: 082332627340
Meta Analysis: Patient’s Satisfaction with the Outpatient’s Telemedicine Service
Full text linkBackground: Telemedicine is a combination of information and communication technology with medical science to provide health services that are not limited to space and can be done remotely (PB IDI, 2020). Patient satisfaction is referred to as the most integral element in the successful implementation of telemedicine (Ploog et al, 2022). This study aims to compare the satisfaction level of outpatients between telemedicine visits and regular face-to-face visits using meta-analysis.
Subjects and Method: This study used a systematic review and meta-analysis based on pico as follows, population: outpatient polyclinic, intervention: telemedicine services, comparison: standard care, outcome: patient satisfaction. Data were obtained from the PubMed, Google Scholar, Springerlink, National Center for Biotechnology Information, MEDLINE, Cochrane Library, and Science Direct databases published from 2020 – 2022. The keywords used in the article search were “telemedicine”, “telehealth”, “ virtual care”, “online follow up care”, “telemedicine vs in office” “telemedicine vs conventional”, “patient satisfaction”, “patient experience”, and “randomized clinical trial.” The inclusion criteria were in the form of a full paper article using a randomized clinical trial design, the subjects were outpatients, new patients and follow-up patients, had a control group that assessed standard services, the study outcomes used the mean SD. Article selection used the PRISMA flowchart and the results were analyzed using Review Manager 5.3 software.
Results: A meta-analysis of 10 articles from Hong Kong, Turkey, Germany, Austria, the Netherlands, Ireland and the United States with a sample size of 1412 outpatient polyclinics showed that outpatient polypatients who received telemedicine services had an average satisfaction level of 0.38 points. higher than standard service (SMD= 0.38; 95% CI= -0.01 to 0.77; p= 0.060). The meta-analysis of this study showed significant heterogeneity of effect estimates between studies (I² = 69%; p<0.001), so the analysis used was the Random Effect Model (REM).
Conclusion: Patients who received telemedicine services experienced an average satisfaction level of 0.38 higher than patients who received standard services (SMD= 0.38; 95% CI= -0.01 to 0.77; p= 0.060).
Keywords: Telemedicine, Patient satisfaction, Meta-analysis
Correspondence:
Farahdilla Aribowo Putri. Masters Program in Public Health, Sekolah Pascasarjana, Universitas Sebelas Maret. Jl Ir Sutami No. 36A Jebres Surakarta. Email: [email protected]. Handphone: +6281333287647
Meta Analysis Effects of Completeness of Laboratory Tests and Medicine Supplies on Patient’s Satisfaction Level in Hospital
No full textBackground: Satisfaction is a feeling that arises when someone gets a service, this feeling can be in the form of pleasure or disappointment. Service satisfaction at the hospital is very dependent on the patient, if the patient receives poor service then the patient tends to be dissatisfied with the service he gets, so that it can affect the quality of the hospital. This study aimed to analyze the effects of the completeness of laboratory tests and drugs availability on the patient satisfaction in hospital.
Subjects and Method: This was a systematic review and meta-analysis with PICO model. Population: patients visiting the hospital. Intervention: completeness of laboratory tests and drug availability. Comparison: incomplete laboratory tests and no drugs available. Outcome: patient satisfaction. Data collection from databases Google Scholar, PubMed, Science Direct, and Spinger Link. The inclusion criteria used were full papers, cross sectional study, using English language, and published during 2012 and 2022. The keywords used are “Patient Satisfaction level” OR “Patient Satisfaction” AND “Hospital service” AND “Cross sectional”. Articles were analyzed using RevMan 5.3.
Results: Meta-analysis included 14 cross-sectional studies. The completeness of the laboratory test (aOR= 2.19; 95% CI= 1.49 to 3.21; p= 0.001) and drug availability (aOR=2.41; 95% CI=1.15 to 5.03; p= 0.002) increased patient satisfaction.
Conclusion: Completeness of laboratory tests and drug availability increase patient satisfaction.
Keywords: completeness of laboratory tests, drug availability.
Correspondence: Ayunda Prisilia Kusuma Ningtyas. Master’s Program in Public Health, Universitas Sebelas Maret.Jl Ir Sutami no 36 A, Surakarta 57126, Central Java, Indonesia. Email : [email protected]. Mobile: +628132852052