Journal of Health Policy and Management (JHPM)
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Meta-Analysis the Effects of Working Duration and Working Condition on Satisfaction in Health Workers in Hospital
No full textBackground: Job satisfaction of health workers in hospitals is one of the important points for motivation and increasing work effectiveness, high job satisfaction can improve the performance of health workers and patient satisfaction. However, low job satisfaction results in fatigue and a tendency to increase the turnover of health personnel which will exacerbate the condition of health facilities, especially in hospitals. The aim of the research is to conduct a meta-analysis of previous studies that have been conducted on the effect of working time and working conditions on the job satisfaction of health personnel in hospitals.
Subjects and Method: This study is a meta-analysis with PICO. Population: health personnel. Intervention: long working time and good working conditions. Comparison: Working time is short and working conditions are bad. Outcome: job satisfaction. The articles used in this study were obtained from four databases, namely PubMed, Google Scholar, Science Direct, SpringerLink, BMJ, Garuda, SINTA, and the National Library of Indonesia. Keywords used to search for articles “Working Hours” OR “Working Hours Long” AND “Working Conditions” OR “Working Conditions Good” AND “Job Satisfaction” AND “Health Workers” AND “Multivariate”. The articles used were those which are full text in English from 2014 to 2023. Articles were selected using the PRISMA flowchart and analyzed using the application (RevMan) 5.3.
Results: A total of 17 cross-sectional study articles from Belgium, Canada, China Denmark, Ethiopia, Israel and Switzerland. Based on the analysis, health personnel with long working hours reduced job satisfaction 0.47 times compared to health workers with low working hours and this was statistically significant (aOR=0.47; 95% CI=0.12 to 0.92; p=0.030). Health workers with safe working conditions increased job satisfaction 2.75 times compared to health workers with unsafe working conditions and this was statistically significant (aOR=2.75; 95% CI=1.59 to 4.78; p=0.003).
Conclusion: Long working hours reduce the job satisfaction of health personnel and good working conditions increase the job satisfaction of health personnel.
Keywords: Working Time, Working Conditions, Job Satisfaction, Health Personnels
Correspondence:
Aditya Kurniawan. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected] Mobile: +628564208853
Study of Compliance of Medical Records Officers with Medical Record Security and Confidentiality Regulations Regional General Hospital dr. Gondo Suwarno Semarang Regency
No full textBackground: Regional General Hospital (RSUD) dr. Gondo Suwarno has implemented policies/regulations to maintain the security and confidentiality of medical records as outlined in several Standard Operating Procedures (SPO). Implementation of services often do not comply with these regulations, for several reasons. The purpose of this study is to find out the reasons/causes of these problems by carrying out research on Compliance with Security Regulations and Confidentiality of Hospital Medical Records in Semarang Regency.
Subjects and Method: This type of qualitative descriptive research used a case study approach with observation and interview techniques conducted at Semarang District Hospital in January - April 2022. A total of 5 informants were selected in this study. Data were collected using interview guidelines and observation guidelines. Data is presented descriptively.
Results: The result is dr. Gondo Suwarno already has an SPO to maintain the security and confidentiality of medical records, the procedures of which are in accordance with applicable health minister regulations. Characteristics of medical record officers 86% have Diploma Three in Medical Records and Health Information (D3 RMIK) education, 57% have worked for 25 years or more, and 71% are 50 years old or more. Officers have not fully complied with regulations to maintain the security and confidentiality of medical records, because they are constrained by policy support facilities that have not been fulfilled. Supporting facilities for medical record security and confidentiality policies are not fully available, such as document carrying bags and medical record storage rooms that do not have doors.
Conclusion: SPO for maintaining the security and confidentiality of medical records whose procedures are in accordance with the applicable minister of health regulations, but officers have not fully complied with the regulations for maintaining the security and confidentiality of medical records, due to constraints on supporting policy facilities that have not been fulfilled.
Keywords: compliance, regulation, security, confidentiality.
Correspondence:
Adhani Windari. Poltekkes Kemenkes Semarang. Pedalangan, Banyumanik, Kota Semarang, 50268 Jawa Tengah. Email: [email protected]. Mobile: +62 817-0582-584
Effectiveness of Telemedicine to Improve Drug Taking Adherence in Tuberculosis Patients: Meta-Analysis
Full text linkBackground: Tuberculosis is a disease caused by a bacterium called Mycobacterium tuberculosis which usually attacks the lungs, but TB bacteria can attack any part of the body such as the kidneys, spine and brain. TB treatment must be carried out regularly so that it can be declared cured so it is necessary to monitor the patient's medication intake, namely by using telemedicine. This study aims to analyze the effectiveness of the use of telemedicine in tuberculosis patients to increase treatment adherence.
Subjects and Method: Meta-analysis was carried out using PICO as follows: The population in this study was tuberculosis patients. Intervention in the form of the use of telemedicine. Comparison is not using telemedicine. The outcome is an increase in medication adherence. A meta-analytic study was applied to this study with electronic data sources: Google Scholar, MEDLINE/PubMed, Science Direct and web of science. The article used is a full-text article with a Randomized Control Trial (RCT) study design. There are 6 articles used in this study which were analyzed using the Review Manager 5.3 application.
Results: A total of 6 articles with Randomized Control Trial (RCT) studies from Malaysia, Peru, Cameroon, China and Ethiopia showed that the use of telemedicine is effective for increasing treatment adherence in tuberculosis patients, and the effect is statistically significant (aOR = 1.98; 95% CI = 1.53 to 2.55; p<0.001).Conclusion: The use of telemedicine is effective in increasing medication adherence in tuberculosis patients.
Keywords: telemedicine, tuberculosis, medication adherence
Correspondence:
Lilik Anggar Sri Rahayuningsih. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected] Mobile: +628564758732
Analysis of Formation and Implementation of Health Promotion Programs at Dr. Moewardi Hospital Surakarta
Full text linkBackground: Health promotion needs to be given in hospitals even though the hospital is engaged in curative and rehabilitative fields. The area of preventive and curative that differentiates is the target. The preventive sector targets healthy people, while the curative sector targets patients and their families and health care workers. Health promotion in hospitals also seeks to prevent the patient's family from getting the same disease as what happened to the patient. The purpose of this study is to analyze the formation and implementation of health promotion programs at Dr. Moewardi Regional Public Hospital Surakarta.
Subjects and Method: Qualitative study using in-depth interviews. Interviews were conducted at the regional general hospital Dr. Moewardi, Surakarta, Indonesia in January to March 2023. Interviews were conducted with 2 main informants who were PKRS committee secretaries who were the Head of Public Relations and Marketing Head, 6 regular informants, and 4 additional informants who were randomly selected and were the targets of PKRS activities. The variables in this study are input, process, and output. The data is processed through the stages of data reduction, data presentation, and drawing conclusions and source triangulation.
Results: Hospital Health Promotion activities already have job descriptions and are carried out according to SOPs. The process in this study before the activity started was always planned, when the activity started, the team was involved but there was no supervision by the Hospital Health Promotion Committee and evaluations were always held. The output of this study is that the Hospital Health Promotion activities carried out are in accordance with the letter of assignment formed and are in accordance with the SOP and this is a reference for Hospital Health Promotion activities in the future..
Conclusion: The findings from this study are that Hospital Health Promotion at Dr. Moewardi Regional Public Hospital has been going well and is routinely carried out, but the human resources involved for Hospital Health Promotion activities are still lacking even though everything is in accordance with the operational plan formed.
Keywords: analysis, health promotion, system theory
Correspondence: Dyah Ayu Kusumawardani. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email:[email protected]. Mobile: +628146684749
META ANALYSIS: EFFECTIVENESS OF ELECTRONIC MEDICAL RECORD (EMR) ON THE QUALITY OF HEALTH SERVICES
No full textBackground : Progress technology information make all affected areas _ experience change . One of impact progress technology and information in the area health that is exists record medical electronic . There is a record medical electronic is designed to improve communication between providers within and between organizations by automating the collection, use, and storage of patient information. Additionally, record medical electronics can facilitate guideline compliance and decision support in service health . There is a record medical electronic expected can increase quality service health care in the facility service health .
Subjects and Methods : This research is a meta-analysis and systematic review study , with PICO Population = Hospitals that use an EMR system . Intervention = _ Electronic Medical Records ( EMR ) . Comparison = Without Electronic Medical Record ( EMR ) . Outcome = Quality of health services. The articles used in this research were obtained from several databases including PubMed, ScienceDirect, and Google Scholar. Keywords to find articles are: “EMR” OR “ effectiveness of EMR use” OR “ quality of health care” OR “ effectiveness of EMR”
Results : A total of 10 articles reviewed in this meta-analysis study came from America, Arabia, London and Taipei. Studies show that EMR use improves the quality of health care ( aOR = 0.87 (95% CI, 0.79 - 0.95).
Conclusion : Service health services that use Electronic Medical Records ( EMR ) are 0.87 times more effective in improving health services compared to with service health who do not use an Electrocik Medical Record ( EMR ) .
Keywords : EMR, Quality of health services, Electronic Medical Record
Factors Associated with Readiness to Adopt Electronic Health Record in Professional Health Workers: A Meta-Analysis
Full text linkBackground: The application of an electronic health record at a health service center is something that needs to be prepared so that such a system can be successful. This study aims to determine the factors that influence the readiness of EHR adoption among health professionals.
Subject and Method: This systematic review and meta-analysis was carried out using the PRISMA guidelines and the PICO model: Population: professional health workers, intervention: computer literate, computer access, high perceived benefit, high self-efficacy, EHR training, technical assistance, comparison: no computer literacy, no computer access, no perceived benefit, low self-efficacy, no EHR training, no technical assistance, outcome: readiness to adopt EHR. Articles are collected from databases like Pubmed, Google Scholar, Science Direct. The keywords used are "electronic health record" OR “EHR” OR “electronic medical record” OR “EMR” OR “electronic patient record” OR “EPR” AND “adoption” OR “readiness” AND “EHR implementation” AND “healthcare professionals “AND “Multivariate analysis”. A total of 13 articles met the inclusion criteria, namely full text articles with a cross-sectional study design, with a relationship size adjusted odds ratio (aOR). Data were analyzed using RevMan 5.3.
Result: Meta-analyses from Myanmar, Saudi Arabia, Ghana, Ethiopia, the Netherlands, and the United States showed that computer literacy (aOR= 1.67; CI 95%= 1.29 to 2.16; p< 0.001), computer access (aOR= 1.93; CI 95%= 1.41 to 2.64; p< 0.001), perceived benefit (aOR= 3.21; CI 95%= 2.27 to 4.56; p< 0.001), self-efficacy (aOR= 1.94; CI 95%= 1.37 to 2.75; p< 0.001), HER training (aOR= 2.20; CI 95%= 1.58 to 3.06; p< 0.001), and technical assistance (aOR= 2.34; CI 95%= 1.26 to 4.35; p= 0.007) influenced in the readiness of EHR adoption in health professionals and it was statistically significant.
Conclusion: Good computer literacy, computer access, high perceived benefits, high self-efficacy, EHR training, and technical support increased the readiness for EHR adoption among professional health workers.
Keywords: electronic health record, EHR, medical records, health services, professional health workers.
Correspondence:
Purwa Adrianta Wibawa. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: [email protected]. Mobile: +62 821-3269-7209
Meta-Analysis: Effects of Workload and Work Environment on Work Satisfaction in Health Personnel
Full text linkBackground: Job satisfaction is one of the important points to motivate and improve work efficiency, high job satisfaction can improve the performance of health workers and patient satisfaction. However, low job satisfaction results in fatigue and a tendency to increase the turnover of health workers which will exacerbate the condition of health facilities. The research objective was to analyze the effect of workload and work environment on job satisfaction in health workers.
Subjects and Method: This study is a meta-analysis with PICO. Population: health workers. Intervention: high workload and safe work environment. Comparison: low workload and unsafe work environment. Outcome: job satisfaction. The articles used in this study were obtained from three databases namely Google Scholar, Science Direct and Pubmed. The keywords used to search for articles are “Workload” OR “Job Overload” AND “Safe Work Environment” AND “Job Satisfaction” AND “Health Workers” AND “Multivariate”. The articles used were full text in English from 2012 to 2022. Articles were selected using the PRISMA flowchart and analyzed using the RevMan 5.3 application.
Results: A total of 17 cross-sectional study articles from Ethiopia, Switzerland, Israel, Belgium, China, Canada and Denmark. Based on the analysis, health workers with high workloads reduced job satisfaction 0.47 times compared to health workers with low workloads and this was statistically significant (aOR=0.47; 95% CI=0.24 to 0.92; p=0.030). Health workers with a safe work environment increased job satisfaction 2.75 times compared to health workers with an unsafe work environment and this was statistically significant (aOR=2.75; 95% CI=1.59 to 4.78; p=0.003).
Conclusion: High workload reduces job satisfaction in health personnel and a safe work environment increases job satisfaction in health personnel.
Keywords: workload, work environment, job satisfaction
Correspondence: Galuh Wulansari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: [email protected]. Mobile: 085601548168
Evaluation of the Regional Public Service Agency Budget Absorption Level in Gresik, East Java
Full text linkBackground: Absorption of the expenditure budget is one of the performance assessments that is still a challenge in the Regional Public Service Agency (BLUD) of Health Center in Gresik Regency. The purpose of this study is to explore the evaluation of the level of absorption of the budget of the regional public service agency of the Health Center in Gresik Regency.Subjects and Method: This qualitative study was conducted in Health Center in Gresik Regency in 2 to 28 october 2022. The informants in this study were the owner or person in charge of the clinic with a total of 24 (twenty-four) people with triangulation of sources. The qualitative data and information were analyzed using source triangulation.Results: In the Resource Indicator which includes knowledge, attitudes and workload at the BLUD Health Center, it is known that the informant's knowledge regarding budgeting and BLUD absorption is quite sufficient. In addition, with the change in the status of the Health Center to BLUD, the workload of health workers has also increased. All informants have a good attitude and commitment in implementing BLUD Health Center. The unavailability of regulations related to HR management, accounts payable, investment management and cooperation management in the context of financial independence at the BLUD Health Center in Gresik Regency. There has never been any monitoring assistance from the planning process to the absorption of the BLUD budget at the Gresik Regency Health Center by the Gresik Regency Regional Financial Revenue Management Agency (BPPKAD).Conclusion: It is necessary to immediately issue regulations in the form of Decrees and Regent's Regulations related to the management of Human Resources, accounts payable, investment management, and the management of cooperation with the BLUD Health Center in Gresik Regency.Keywords: Budget, BLUD & Public Health CenterCorrespondence: Eni Wahyuni. Masters Program in Public Health, Strada Indonesian Institute of Health Sciences. Jl. Manila, No. 37, Sumberece, Kediri, East Java 64133, Indonesia. Email: [email protected]. Mobile: +6282233337053.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.02.0
Analysis of Completeness Filling in the Informed Consent Formulir at Bhakti Husada General Hospital, Krikilan, Banyuwangi, East Java
Full text linkBackground: The quality and success of medical record unit services can be seen from the management of the units that have been carried out by professional staff. The minimum service standard for the medical record unit for completing informed consent is 100%. Completeness of filling out informed consent at the Bhakti Husada Krikilan Banyuwangi General Hospital from April to June is still not in accordance with the SPM, namely 79.33%. The aim of this research is to analyze the completeness of filling out informed consent at Bhakti Husada Krikilan Banyuwangi General Hospital.Subjects and Method: This research is a qualitative research with a case study approach conducted at Bhakti Husada Krikilan General Hospital, Banyuwangi, East Java. The sampling technique used was purposive sampling. Data collection techniques using interviews, observation, documentation and questionnaires. Test the validity of the data using triangulation.Results: The percentage of completeness of filling out the informed consent sheet at the Bhakti Husada Hospital from May to July 2022 is 15.28%. The lowest percentage lies in the content and authentication section. Management elements that affect the incomplete filling of informed consent include man factors (knowledge and years of service), machine (availability of office stationery, monitoring and evaluation), method (standard operating procedures) and money (rewards and salaries). In addition, it was also found that busy work schedules and emergency cases could affect the incomplete filling of informed consent.Conclusion: The percentage of completeness of filling out informed consent at Bhakti Husada Krikilan Hospital is low. Elements of management that influence are man factors (knowledge and years of service), machine (availability of office stationery, monitoring and evaluation), method (standard operating procedures) and money (rewards and salaries).Keywords: Medical Records, Completeness of Informed Consent, Quality of Medical Record UnitsCorrespondence: Muhammad Dudayev Caesar Putra. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: [email protected]. Mobile: 085706450991.Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.01.0
Meta-Analysis of the Effect of Internet-Based Self- Management on Blood Glucose Control in Type 2 Diabetes Mellitus Patients
Full text linkBackground: Diabetes mellitus is a chronic metabolic disorder or disease with numerous etiologies characterized by high blood glucose levels accompanied by lipid, protein, and carbohydrate metabolism disorders. Type 2 diabetes is the most common type of diabetes with about 90% of all diabetes cases. The International Diabetes Federation (IDF) estimates that the number of diabetics in the world can reach 783.7 million people while in Indonesia it is estimated to reach 28.57 million people in 2045. This number is an increase of 46% compared to 536.6 million in 2021. The study aims to discover how much influence internet-based self-management has on blood glucose control in type-2 diabetes mellitus patients.Subjects and Method: It was a meta-analysis study using PRISMA flowchart guidelines with the PICO formulation. P = type 2 diabetes mellitus patients. I = Internet-based self-management. C= No internet-based self-management. O= HbA1C. This study was conducted by searching for articles obtained from the MEDLINE/PubMed, Google Scholar, ProQuest, Science Direct, and Spinger Link databases with keywords and operators “Boolean electronic health record" OR "computerized" OR "healthcare system information" OR "mobile health" OR "mobile app" OR "Telehealth" AND "self-management" AND "Diabetes" OR "diabetes mellitus" OR " type 2 diabetes mellitus" OR "Type 2 diabetes. Based on the database, 10 articles met the inclusion criteria. The analysis was performed using Revman 5.3 software.Results: There were 10 articles from Asia, America, and Europe. A meta-analysis using Randomized Controlled Trials indicated that internet-based self-management significantly reduced HbA1c levels by 0.45 units (SMD= -0.45; CI 95%= -0.57 to -0.33= p<0.001).Conclusion: Internet-based management can reduce HbA1c levels of type 2 diabetes mellitus patients.Keywords: internet-based self-management, hba1c, type 2 diabetes mellitusCorrespondence:Moh Maulana. Masters Program in Public Health, Universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +628-851 5667 1759Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.02.0