Journal of Health Policy and Management (JHPM)
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The Application of Communication Privacy Management Theory to Health Information on COVID-19 Through Social Media among Young Women
Full text linkBackground: Social media is open to inappropriate access, misuse, and disclosure of health data. The increasing public anxiety about the COVID-19 outbreak was triggered by the spread of hoax news. This research applies the framework of Communication Privacy Management Theory (CPM) for analyzing the disclosure of health information about COVID-19 through social media. This study aimed to explore health information on COVID-19 through social media in young women.Subjects and Method: This was a qualitative study with a phenomenological approach. The study was conducted in Surakarta, Central Java, from March - August 2021. Study participantss involving 10 women aged 23-24 year as participants. The study dimensions consist of privacy ownership within the boundaries of privacy, privacy control through privacy rules, and turbulence of health information privacy regarding COVID-19. The data were collected by literature review and in-depth interview. Results: Privacy ownership is privacy right and can be disclosed by the authorized only. COVID-19 patients’ status should be disclosed for tracing and finding convalescence plasma donor. Disclosure is useful to increase knowledge, correct information, influence people, and appeal preventive and curative attempts. Disclosure is useful to increase knowledge, correct information, influence people, and appeal preventive and curative attempts. Disclosure should consider different genders, situations, expectations, cultures, situational and condition demand, and ethics. Criteria of privacy border relate to urgency and need. Permeability always changes, and situation can lead to private border removal. Posting privacy information needs to crosscheck truth, consider privacy right, and privacy setting. Privacy control is required to avoid abuse. Privacy turbulence results from private rule infringement, private and public information bias, hoax, private information leakage, gossip, etc. Socialization, system improvement and supervision, and sanction imposition are needed.Conclusion: CPM theory can be used to explore private information on COVID-19.Keywords: communication privacy management, disclosure, social media, phenomenologyCorrespondence: Muhammad Agung Diponegoro. Masters Program in Communication Sciences, Faculty of Social and Political Sciences, Universitas Sebelas Maret Email: [email protected]. Mobile: +62214281288.Journal of Health Policy and Management (2022), 07(01): 14-23https://doi.org/10.26911/thejhpm.2022.07.01.0
Meta-Analysis the Effect of Electronic Health Record Utilization on Mortality and Readmission
Full text linkBackground: The development of technology shows a very rapid development, especially in the health sector. One example of the use of technology in the health sector is the electronic health record. Electronic health records provide several benefits, one of which can reduce mortality and readmission rates in patients. The purpose of this study was to estimate the effect of electronic health records on mortality and readmission rates by metaanalysis.Subjects and Method: This was a metaanalysis study using PRISMA flowchart guidelines. The article search process was carried out between 20112022 using databases from PubMed, Google Scholar, ProQuest, Science Direct and Scopus. The PICO formula used is P = patients with asthma. I= using internetbased selfmanagement. C= without using internetbased selfmanagement. O= asthma control. Article searches were performed using the keywords “mhealth” OR “mobile health” OR “telemedicine” AND “self management” AND “asthma control” OR “asthma treatment” AND “asthma control”. The inclusion criteria were full paper articles with randomized controlled trial study design, articles using English, the intervention provided was the application of internetbased selfmanagement, and the outcome was asthma control. Based on the database, there were 9 articles that met the inclusion criteria. The analysis was carried out using Revman 5.3 software.Results: A total of 13 articles spread across 2 continents, namely Asia (Taiwan, Singapore, and South Korea) and North America (South America). Articles reviewed in the metaanalysis showed that electronic health records had an effect on reducing mortality by 0.74 times compared to those without using electronic health records (aOR= 0.74; 95% CI= 0.64 to 0.86; p<0.001). In addition, it was also found that electronic health records had an effect on reducing readmission by 0.77 times compared to without using electronic health records (aOR= 0.77; CI 95%= 0.62 to 0.95; p= 0.010)Conclusion: The application of electronic health records has an effect on reducing mortality and readmission rates.Keywords: Electronic health record, mortalitas, readmissionCorrespondence: Desi Syahbaniar. Masters Program in Public Health, universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6287708465646Journal of Health Policy and Management (20220, 07(02): 103-111https://doi.org/10.26911/thejhpm.2022.07.02.0
Meta Analysis the Effectiveness of Internet-Based Self- Management for Asthma Control Monitoring
Full text linkBackground: The high incidence and mortality of asthma is caused by a lack of asthma control and the independence of patients and families in doing good self-management. So far, self-management has been carried out in various ways, one of which is using internet-based self-management. The aim of this study was to estimate the effectiveness of Internet-based self-management on asthma control by meta-analysis.Subjects and Method: This research is a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2011-2022 using databases from PubMed, Google Scholar, ProQuest, Science Direct and Scopus. The PICO formula used is P= patients with asthma. I= using internet-based self-management. C= without using internet-based self-management. O= asthma control. Article searches were performed using the keywords “mhealth” OR “mobile health” OR “telemedicine” AND “self management” AND “asthma control” OR “asthma treatment” AND “asthma control”. The inclusion criteria were full paper articles with randomized controlled trial study design, articles using English, the intervention provided was the application of internet-based self-management, and the outcome was asthma control. Based on the database, there were 9 articles that met the inclusion criteria. The analysis was carried out using Revman 5.3 software.Results: A total of 9 articles spread across 4 continents, namely Asia, Europe, Australia, and America. The articles reviewed in the meta-analysis showed that the use of Internet-based self-management in asthmatics was effective in changing asthma control by 1.25 times compared with no Internet-based self-management, and was statistically significant (OR= 1.25; 95% CI= 1.09 to 1.44; p= 0.002).Conclusion: Internet-based self-management is effective in improving asthma control compared to no Internet-based self-management.Keywords: asthma control, internet-based self-management, asthma patientsCorrespondence: Bhre Diansyah Dinda Khalifatulloh. Masters Program in Public Health, universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6287708465646Journal of Health Policy and Management (2002), 07(02): 94-102https://doi.org/10.26911/thejhpm.2022.07.02.0
Meta Analysis of the Influence of COVID-19 Patient Services on the Level of Anxiety and Depression in Nurses in Hospital
Full text linkBackground: The COVID-19 pandemic has spread around the world and is impacting the mental health of everyone, including healthcare workers. Health workers are at the forefront of treating patients infected with COVID-19. are at high risk of experiencing mental health problems during the COVID-19 pandemic. The purpose of this study was to estimate the magnitude of the effect of COVID-19 patient care on the level of anxiety and depression in nurses in hospitals, with a meta-analysis of primary studies conducted by previous authors.Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: nurses. Intervention: serving COVID-19 patients. Comparison: does not serve COVID-19 patients. Outcome: anxiety and depression. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles “Anxiety” AND “Depression” AND “Nurses” OR “Healthcare worker” AND “COVID-19”. The included article is a full-text English language with a cross-sectional study design from 2020 to 2021 and reports the adjusted Odds Ratio (aOR) in a multivariate analysis. The selection of articles is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 12 cross-sectional studies from America, Asia, and Europe were selected for systematic review and meta-analysis. The data collected showed nurses who served COVID-19 patients had a risk of experiencing anxiety as much as 1.75 times compared to nurses who did not serve COVID-19 patients and this result was statistically significant (aOR= 1.75; 95% CI= 1.29 to 2.37; p<0.001 ). A meta-analysis of 12 studies from America, Asia and Europe showed that nurses caring for COVID-19 patients had a 1.1 times risk of developing depression compared to nurses who did not serve COVID-19 patients, but this result was not statistically significant (aOR= 1.10; 95% CI= 0.53 to 2.30; p= 0.80).Conclusion: The effect of caring for COVID-19 patients increases the risk of anxiety and depression in nurses in hospitals.Keywords: Anxiety, Depression, Nurses, COVID-19Correspondence: Andang Sudarmono. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 08156701457.Journal of Health Policy and Management (2022), 07(01): 1-13https://doi.org/10.26911/thejhpm.2022.07.01.0
Utilization of Health Insurance for Outpatient in the Community: A Meta-Analysis
Full text linkBackground: Health insurance is the answer to the uncertainty of the occurrence of illness and the need for health services. To ensure that the need for health services can be adequately financed, a person or small group of people transfers risk to another party called an insurer/insurer, or an insurance agency.Subjects and Method: This was a systematic review and meta-analysis conducted with PRISMA flow diagrams. Search articles through journal databases including: Google Scholar, MEDLINE/ PubMed, Science Direct and Spinger Link by selecting articles published in 2000-2021 The keywords used are “health care”AND “outpatient” OR “insurance” AND “private health insurance” AND “outpatient” OR “health insurance” AND “private health insurance” AND “utilization of public health care” AND “inpatient service” AND “outpatient service” AND “logistic regression aOR”. The inclusion criteria were full paper articles with retrospective study cohort research methods, the analysis used was multivariate with adjusted Odds Ratio (aOR), the intervention provided was health insurance, the research subjects were private health insurance users. Eligible articles were analyzed using the RevMan 5.3 application.Results: A meta-analysis of 9 articles showed that people with private health insurance were 1.98 times more likely to use outpatient services than those without health insurance, and the effect was statistically significant (aOR = 1.98; 95% CI = 1.39 to 2.81; p<0.001).Conclusion: The use of private health insurance has a statistically significant effect in increasing outpatient use.Keywords: health insurance, private health insurance, outpatient, meta analysis.Correspondence: Sulaiman Putra Nagaring. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected] Mobile: 085855533027Journal of Health Policy and Management, (2022), 07(02): 158-165https://doi.org/10.26911/thejhpm.2022.07.02.07
The Affecting of Demographic Factors on Utilization of Postpartum Health Service
Full text linkBackground: Based on research states that the prevalence rate of complete postpartum visits (KF) in Indonesia is 37%, where this figure has increased from 2013 of 32.1%. The problem with the achievement of postpartum visits in Indonesia is that the underdeveloped areas mentioned in Presidential Decree Number 63 of 2020, namely North Sumatra, Central Sulawesi, Maluku, Papua and West Papua, occupy the bottom 6 provinces in the complete postnatal visit. The province of West Papua is the region with the lowest KF coverage rate in Indonesia. Subjects and Method: Metaanalysis conducted using the PRISMA systematic guidelines. Population= puerperium mother, Intervention= Urban, Comparison= Rural, Outcome= Utility of postnatal health service. The process of searching for articles was carried out between 2005 and 2021 using a database search engine consisting of; PubMed, Science Direct, Springer Link, and Google Scholar. Based on the database search, there were ten articles that met the criteria with a crosssectional design and observational studies and research that discussed demographic factors (urban & rural) on health care facilities. Results: The results of the analysis had high heterogeneity between studies I2= 94%, so that the Random Effect Model was used. Postnatal mothers living in urban areas increased by 1.48 times in utilizing postnatal care health services compared to postnatal mothers living in rural areas. however it was not statistically significant (SMD= 1.48; 95% CI= 0.90 to 2.44; p= 0.012). Conclusion: Postpartum women who live in urban areas use postpartum health services more than postpartum women who live in rural areas. Keywords: postpartum, postnatal visit, demographic factorsCorrespondence: Kusmirawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected] Mobile Number: 08816008735.Journal of Health Policy and Management (2022), 07(03): 176-184https://doi.org/10.26911/thejhpm.2022.07.03.0
Readiness of Application of Electronic Medical Records in Bethesda Lempuyangwangi Hospital, Yogyakarta
Full text linkBackground: Based on the strategic plan of the Ministry of Health of the Republic of Indonesia for 20202024, all hospitals can gradually implement electronic medical records. However, there are still many obstacles experienced by hospitals in implementing Electronic Medical Record (EMR), readiness assessments can be used to determine readiness, indications and requirements in facilitating the implementation of EMR so as to avoid various obstacles during the implementation process.Subjects and Method: This was a qualitative descriptive study with a case study design. The study was conducted at Bethesda Lempuyangwangi Hospital, Yogyakarta, from May to June 2022. The data collected was the readiness to implement EMR in terms of organizational alignment and management capacity, by conducting indepth interviews with 7 people. The study subjects were determined by purposive sampling who were considered to have the capacity to make decisions related to EMR.Results: Bethesda Lempuyangwangi Hospital in implementing EMR from organizational alignment is said to be ready, the board of directors has known and understood that the implementation of RME has many benefits, the organization has been planned and the unit leadership understands the implementation risk in case of failure, to anticipate this, a longterm vision has been prepared. Readiness to implement EMR from management capacity can be improved because the IT committee has not yet been formed consisting of stakeholder representatives and hospitals, organization is still within the scope of the hospital, where ICT has been included in the organization's strategic plan. The roles and responsibilities for EMR implementation are defined with clear accountability to vendors and have been documented, the board of directors has considered planning the EMR implementation budget, funding for ongoing clinical IT adoption and the required standards are included in future planning and will be part of the IT budget.Conclusion: Bethesda Lempuyangwangi Hospital is ready to implement electronic medical records that will be applied to inpatient units, this can be seen from the alignment of the organization and management capacity where the culture, organization, leadership, strategy, information management, clinical staff, accountability and budget finance have been planned and have started held.Keywords: Readiness, Electronic Medical RecordCorrespondence: I Gusti Agung Ngurah Putra Pradnyantara. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +62 82146804776.Journal of Health Policy and Management, (2022), 07(02): 149-157https://doi.org/10.26911/thejhpm.2022.07.02.0
Analysis of the Solid Medical Waste Management System Personal Protective Equipment (PPE) at the Special Covid-19 Isolation Facility in Suryah Khairudin Regional General Hospital
Full text linkBackground: The generation of solid medical waste Personal Protective Equipment (PPE) generated in special facilities for Covid19 isolation is increasing and is an infectious waste that poses a risk of transmitting Covid19 to the environment. The occupancy rate (BOR) in the Covid19 special isolation room at Suryah Khairudin Hospital in 2020 was 14.75% of 51 beds, with an average number of inpatients 13 people/month, the total amount of solid medical waste PPE produced reached 60.69 kg/month. Subjects and Method: This was a descriptive qualitative study. The study informants were waste management officers. The data were obtained from interviews and observation. The data were extracted and analyzed using SWOT analysis.Results: The PPE solid medical waste management system at the Suryah Khairudin Hospital as a special Covid19 facility in West Tanjung Jabung Regency is quite good in terms of sorting, transportation is carried out less than 24 hours after being collected, and processing is carried out using incinerator. This is in accordance with KMK No. HK 01.07/MENKES/537/2020. Meanwhile, what has not been fulfilled is the labeling of plastic bags containing PPE waste because the use of black bags is still found but it is not labeled "biohazard" or a description of COVID19 waste, there are no TPS that meet the requirements in accordance with PermenLHK No. 56 of 2015 for storing Covid19 medical waste before processing it using an incinerator and the lack of awareness of waste transport officers in the use of PPE in carrying out their duties.Conclusion: The importance of providing biohazard symbols or information on Covid19 waste, socializing officers on the importance of using PPE, accelerating the implementation of making TPS that meet standards and building collaboration with surrounding companies to get support in the form of assistance for activities related to the management of PPE solid medical waste in special Covid19 facilities. 19 can be done well.Keywords: Covid19, PPE solid medical waste, waste management systemCorrespondence: Syarifah Aini. Study Program of Environmental Sciences, Postgraduate School, Universitas Jambi. Jl. Raden Mattaher 21 Pasar Jambi, Kota Jambi, Indonesia. Email: [email protected]. Mobile: +6285266079299.Journal of Health Policy and Management, (2022), 07(02): 125-138https://doi.org/10.26911/thejhpm.2022.07.02.0
Analysis of Information Management System Utilization at Pelengkap Medical Center Hospital, Jombang, East Java
Full text linkBackground: Hospital Management Information System (SIMRS) is an information technology system that integrates the entire flow of hospital services in the form of a network of coordination, reporting, and administrative procedures to obtain precise and accurate information. The successful implementation of SIMRS depends on the use of the system by staff working in health care facilities. The model used in analyzing the use of SIMRS is the Technology Acceptance Model (TAM). The purpose of this study was to determine the effect of the TAM construct variable on the use of SIMRS.Subjects and Method: This was an analytical observational study with a cross-sectional design. The study was conducted in Pelengkap Medical Center Hospital, Jombang, East Java, in April 2022. A sample of 73 staff was selected by random sampling. The sampled staff are active users of SIMRS for at least 1 year. The dependent variable was the use of SIMRS. The independent variables observed were profession and training education. The data were collected by questionnaire and analzed by path analysis.Results: MIS utilization was directly affected by positive attitude (b= 3.12; 95% CI= 1.67 to 4.58; p<0.001) and perceived ease of use (b= 2.07; 95% CI= 0.63 to 3.50; p= 0.005). It was indirectly affected by education/ trining, profession, and perceived benefit.Conclusion: MIS utilization is directly affected by positive attitude and perceived ease of use. It is indirectly affected by education/ trining, profession, and perceived benefit.Keywords: SIMRS, Technology Acceptance ModelCorrespondence:Rendi Adiansa. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile : 08816008735Journal of Health Policy and Management, (2022), 07(02): 166-175https://doi.org/10.26911/thejhpm.2022.07.02.0
Unit Cost Analysis of National Health Insurance in Inpatients during COVID-19 Pandemic at Pelengkap Medical Center Hospital, Jombang, East Java
Full text linkBackground: In the era of Universal Health Coverage (UHC) as it is now, it is no longer a strange thing. The Indonesian government is preparing for the fulfillment of Universal Health Coverage (UHC) through the National Health Insurance program. The challenge that occurs is that hospitals that work together with BPJS Health are required to be able to carry out quality and cost control. The purpose of this study was to analyze the factors that influence the gap between the BPJS Health Inpatient unit cost rates and the INA CBGs package rates at complementary medical center hospitals in the pandemic era.Subjects and Method: The study was conducted with an analytical observational study design using a crosssectional approach carried out at the Complementary Medical Center Hospital in February March 2022. In a one year period, 204 billing for inpatients using BPJS Kesehatan were selected using a random sampling method. The dependent variable is the difference between the INA CBG package rates and the unit cost. The independent variables were readmission patients, surgery, extra doctors, intensive care, and special drugs. Data were collected by taking billing unit cost of patients at the hospital and analyzed using logistic regression. Results: The results showed that readmission, surgery, and intensive action had an effect on reducing the difference between INA CBG payments and unit cost and was statistically significant. INA CBG payments for patients with readmission were on average Rp 1,142,409 lower than the unit cost (b= 1,142,409; 95% CI= 1,864,753 to 420,066; p= 0.002), while the average surgical procedure was Rp 343,067 lower than the unit cost (b=343,067; 95% CI= 727,550 to 41,414; p = 0.80) and the average intensive action was Rp 1,226,861 lower than the unit cost and the effect was statistically significant (b= 1,226,861; 95% CI= 1,904,739 up to 538,984; p<0.001). Meanwhile, special drugs and extra doctors did not have a statistically significant effect, special drugs (b= 450,282; 95% CI= 1,662,453 to 761,889; p= 0.645) and extra doctors (b=159,838; 95% CI= 537,507 to 253,507; p = 0.447).Conclusion: Patient readmission and surgical procedures affect the difference in INACBGs package rates and unit costs. Keywords: inpatient unit cost, health bpjs.Correspondence: Galuh Ayu Dyah Prameswari. Masters Program in Public Healrh, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 0895358233743.Journal of Health Policy and Management (2022), 07(03): 210-217 https://doi.org/10.26911/thejhpm.2022.07.03.0