Faculty of Public Health Journal Universitas Indonesia
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Gambaran Kematian Maternal di Kota Depok Sebelum dan Sesudah Pandemi COVID-19
Full text linkPandemi COVID-19 menimbulkan tantangan baru bagi kematian ibu yang berdampak pada seluruh aspek. Kematian ibu perlu menjadi perhatian khusus dikarenakan Angka Kematian Ibu (AKI) merupakan salah satu indikator yang menggambarkan kesejahteraan suatu bangsa. Tujuan penelitian ini adalah untuk mengetahui gambaran kematian ibu sebelum dan setelah pandemi COVID-19 di Kota Depok. Penelitian ini merupakan penelitian deskriptif kuantitatif yang menggambarkan isi suatu variabel dalam penelitian dan tidak dimaksudkan untuk menguji hipotesis tertentu. Hasil penelitian didapatkan bahwa kematian ibu di Kota Depok terbanyak terjadi pada tahun 2021 dengan jumlah kematian 65 kasus, dan penyebab tertinggi adalah COVID-19. Tingginya kematian ibu akibat COVID-19 dikarenakan pada saat itu belum ada kebijakan vaksinasi COVID-19 khususnya pada ibu hamil, serta akses pelayanan kesehatan yang berubah dan terbatas. Diharapkan, upaya percepatan penurunan AKI tetap harus dilakukan di situasi pandemi agar setiap ibu mampu mengakses pelayanan kesehatan yang berkualitas dan pemerintah lebih siap dalam menghadapi situasi pandemi, baik dari sisi sarana prasarana kesehatan maupun regulasi yang mengatur hal tersebut
Gambaran Kejadian Computer Vision Syndrome dan Faktor Risikonya pada Mahasiswa FKM UI di Masa Pandemi Covid-19 Tahun 2022
Full text linkAkibat adanya pandemi Covid-19, banyak kegiatan yang tadi nya dilakukan secara offline, berubah menjadi daring, termasuk dalam sektor pendidikan. Hal ini mengakibatkan durasi penggunaan alat elektronik dengan layar digital/VDT meningkat, khususnya di kalangan mahasiswa. Durasi penggunaan layar digital/VDT ini merupakan salah satu faktor risiko dari Computer Vision Syndrome (CVS). Selain dari durasi, diduga ada beberapa faktor risiko lain yang juga berhubungan dengan CVS. Tujuan dilakukannya penelitian ini adalah untuk melihat gambaran kejadian CVS dan faktor risikonya, serta menganalisis hubungan antara kejadian CVS dan faktor risikonya pada mahasiswa (S1 Reguler dan pascasarjana S2) FKM UI di masa pandemi Covid-19 tahun 2022. Penelitian ini dilakukan pada bulan Maret-Juni 2022 dengan menggunakan kuesioner CVS-Q dan beberapa pertanyaan singkat terkait faktor risiko yang disebar secara online. Desain studi yang digunakan pada penelitian ini adalah cross-sectional dan melibatkan 250 responden yang berasal dari mahasiswa S1 reguler dan pascasarjana S2 FKM UI. Hasil dari penelitian ini menunjukkan terdapat 6 variabel yang mempunyai hubungan yang signifikan, yaitu usia (P= 0,000), durasi penggunaan layar digital/VDT(P= 0,006), pola istirahat (P= 0,007), kelainan refraksi mata(P= 0,014), penggunaan antiglare (P= 0,011), dan screen brightness (P= 0,030 ). Oleh karena itu, dibutuhkan pengendalian dan intervensi lebih lanjut agar masalah tersebut dapat diatasi
PATIENT SAFETY CULTURE IN PUBLIC GENERAL HOSPITALS: LITERATURE REVIEW
Full text linkBackground: The global prevalence of preventable adverse events in healthcare is a significant problem, with approximately 42.7 million annual accidents resulting in 23 million DALYs lost. Safety culture plays a crucial role in mitigating or exacerbating these incidents within hospitals. Objectives: To identify the results of the assessment of patient safety culture and the characteristics associated with patient safety culture in public general hospitals in various countries. Methods: This study was conducted between April-July 2021 utilizing a literature review approach using study searches through PubMed, Scopus, ScienceDirect, Google Scholar, and Garuda databases, and it discovered 17 papers from 2011-2021 that used the Hospital Survey on Patient Safety Culture (HSOPSC) as an instrument to assess patient safety culture. Results: This study found that patient safety culture at public general hospitals remains low, and hospital staff perception of safety has to be improved. Discussions: “Teamwork in hospital units” receives the most favorable replies, while “non-punitive response to error” receives the least positive responses. The majority of the employees assessed patient safety in their work unit as “excellent/very good/acceptable” and reported no incidents in the previous year. Staff and hospital characteristics were also found to be related to patient safety culture
KELENGKAPAN DAN KETEPATAN WAKTU PENGISIAN RESUME MEDIS ≤1X24 JAM OLEH DOKTER DI RSIA SMB TAHUN 2020
Full text linkThe discharge summary is a resume of all patient care and treatment periods that must be filled in entirely by the doctor in charge within 1x24 hours after the patient is pronounced discharged. This study examines the completeness and timeliness of filling in discharge summaries by using the system approach. This research is a qualitative study to obtain input and transformation through in-depth interviews and review of hospital documents, then reinforced with quantitative research to get an overview of the output through observation and study of discharge summary forms. Sixty-one discharge summary forms were used as research samples by calculating total sampling. The results showed that the percentage of discharge summaries included in the category fulfilled was only 16.4%. At the same time, in terms of timeliness, it was found that only 45.9% of filling discharge summaries were included in the appropriate time accuracy category. The average time needed for a doctor to get a discharge summary is 32.3 hours. The patient identity and the nursing data items group had the lowest filling distribution, while the highest was in the medical data and data authentication group. There are still differences in knowledge in filling out discharge summary, lack of motivation of the doctors, form formats evaluation that has not been carried out routinely; there is no reward system, punishment system and special training for discharge summary, differences in perceptions regarding the flow of the discharge summary filling process, and the discovery of conflicts related to communication
Distribusi Kasus Difteri, Riwayat Imunisasi Difteri, Tingkat Keparahan Gejala dan Risiko Kematian pada Penderita Difteri di Indonesia Tahun 2020 – 2022
No full textDifteri menjadi salah satu penyebab utama kematian anak dan dewasa pada era pre-vaksin. Insiden difteri secara global kembali meningkat pada beberapa tahun terakhir dengan case fatality rate (CFR) mencapai 10%. Individu tidak memiliki kekebalan alami terhadap difteri, sehingga pemberian imunisasi sangat penting untuk memberikan perlindungan terhadap infeksi difteri, mengurangi tingkat keparahan dan risiko kematian yang dapat ditimbulkan. Penelitian ini bertujuan memberikan gambaran distribusi kasus difteri, riwayat imunisasi difteri, tingkat keparahan gejala dan risiko kematian pada penderita difteri di Indonesia Tahun 2020 – 2022. Penelitian dilakukan dengan desain studi serial kasus. Data yang dikumpulkan adalah data sekunder dari laporan kasus difteri nasional di Kementerian Kesehatan pada tahun 2020 – 2022. Dari 563 responden, studi kami menunjukkan penderita difteri paling banyak berusia 5 – 17 tahun (53.8%), berjenis kelamin laki-laki (55.8%), serta memiliki gejala ringan (55.6%) seperti demam, sakit tenggorokan dan terdapat pseudomembran. Pada penelitian ini mayoritas penderita difteri tidak mendapatkan imunisasi difteri lengkap atau tidak diimunisasi sama sekali (75.8%). Analisis multivariat menunjukkan ada hubungan signifikan secara statistik antara riwayat imunisasi difteri (AOR 2.83, 95%CI 1.23 – 6.54) dan tingkat keparahan gejala (AOR 2.30, 95%CI 1.32 – 4.01) dengan risiko kematian pada penderita difteri. Dengan mengetahui distribusi kasus difteri, riwayat imunisasi difteri, tingkat keparahan gejala dan risiko kematian pada penderita difteri, diharapkan upaya pengendalian difteri dapat dilakukan lebih optimal sehingga dapat menurunkan morbiditas dan mortalitas akibat difteri
Maternal and Child Health Handbook Utilization, Quantity and Quality of Antenatal Services, and Maternal Emergency Rates in Padang City in 2022
Full text linkThis study analyzed the relationship between the utilization of the Indonesian Ministry of Health’s Maternal and Child Health Handbook and the quantity and quality of antenatal care to maternal emergency levels. This study applied mixed methods with a consecutive sampling technique and included 108 mothers undergoing maternal emergencies at a central general hospital (quantitative) and eight mothers, seven midwives, and five cadres at primary health cares (qualitative) as informants. The result showed a relationship between the utilization of the Maternal and Child Health Care Handbook (p-value = 0.043), the quantity of antenatal care (p-value<0.001), the quality of antenatal care (p-value = 0.044) and the maternal emergency level. Not all mothers understood the benefits of the Maternal and Child Health Handbook. Most did not read it, and some mothers perceived that it could prevent emergency cases for them. The mothers were satisfied with the quality of the antenatal care services received. Maternal emergency cases are still quite high; hence, it is necessary to increase the use of Maternal and Child Health Handbook and the quantity and quality of antenatal care
DETERMINANT OF LOYALTY OF EXECUTIVE CLASS PATIENTS AT AMBULATORY SERVICES AT SILOAM HOSPITALS TB SIMATUPANG DURING COVID-19 PANDEMICS
Full text linkBusiness competition in the health industry is getting tighter, especially since the COVID-19 pandemic has significantly decreased patient visits. This study aims to determine the determinants of executive patient loyalty at the Siloam Hospitals TB Simatupang outpatient installation during the COVID-19 pandemic era. This research is quantitative research with an observational research design. The study population consisted of 520 patients with a sample of 84 patients with research instruments using a questionnaire. The results of the study stated that most respondents were loyal to services at the executive clinic, with an NPS of 50%. Customer satisfaction, service quality, perceived value, trust, hospital brand image, and commitment significantly and positively affect executive patient loyalty. Specifically, the commitment variable has a direct influence on loyalty. Customer satisfaction, service quality, trust, hospital brand image, and OCB indirectly affect loyalty. Commitment (0.865) is the most influential variable on patient loyalty. Furthermore, the variables customer satisfaction (0.541), trust (0.484), service quality (0.425), OCB (0.249), hospital brand image (0.107) respectively also have a degree of influence on patient loyalty
DISPUTE ANALYSIS OF CLAIMS FOR PATIENTS WITH COVID-19: A CASE STUDY AT HOSPITAL X CLASS B IN BANTUL REGENCY
Full text linkThe Indonesian Government established referral hospitals for COVID-19 as an effort in combating the pandemic. Referral hospitals for COVID-19 submit their services’ claims to the Ministry of Health. Hospital X in Bantul experienced challenges in submitting COVID-19 claims and underwent claim disputes which caused delays in payment process. This research aimed to explore the factors that led to the disputes over the COVID-19 claims. This descriptive research was conducted with a qualitative approach, using in-depth interviews and observations. The additional descriptive analysis used secondary data COVID-19 claim dispute file reports from 2020. The results showed that the highest criteria of disputed claims at Hospital X were the criteria for non-compliant guaranteed participants, incomplete claim files, non-compliant comorbid diagnoses, and identities that did not comply with the provisions. The causes of the disputes over claims for patients with COVID-19 included inaccurate history taking, differences in regulation perceptions between the provider and payer, PCR results were not provided, and doctors had a lack of understanding regarding the technical guidelines for COVID-19 claims. In addition, there were technical problems faced by the hospital during the process of submitting claims, including regulations were changed frequently, errors in applications, incomplete medical resumes, and unreadable doctors’ writings. Disputed claims did not affect the hospital cash flow, yet delayed the payment process to health workers, which might harm the quality of services
ANALISA FAKTOR-FAKTOR PENYEBAB TERJADINYA KETERLAMBATAN TINDAKAN OPERASI (DELAY TO OPERATION) DI INSTALASI RAWAT DARURAT RSUP SANGLAH DESEMBER 2017 – FEBRUARI 2018
Full text linkPelayanan operasi merupakan salah satu pelayanan kesehatan di rumah rumah sakit yang dapat menggambarkan mutu rumah sakit. RSUP Sanglah, Denpasar merupakan rumah sakit di tingkat provinisi yang memiliki waktu tunggu operasi yang cukup panjang. Adapun waktu tunggu tindakan operasi yang Panjang pada umumnya terkait dengan factor-faktor seperti ketersediaan sarana dan prasarana, sumber daya manusia, serta lamanya persetujuan dari pasien dan keluarga terhadap tindakan operasi. Perlu dilakukan penelitian untuk mengetahui factor yang secara siginifkan menjadi dasar dalam penentuan kebijakan di level RSUP Sanglah, khususnya di Instalasi Rawat Darurat, untuk meningkatkan pelayanan operasi. pendekatan observasional dan desain analisis potong lintang. Penelitian ini melibatkan 54 responden pada penelitian kuantitatif dan 7 informan pada penelitian kualitatif. Bulan Desember 2017-Februari 2018 didapatkan terjadi bed block sebanyak 38,9 % dan tidak terjadi bedblock 61,1%. Persetujuan operasi didapatkan data persetujuan operasi ≥ 1 jam sebanyak 17 responden (31,5%) dan persetujuan operasi < 1 jam sebanyak 37 68,5%. Alat dan sarana didapatkan tidak lengkap 5,6% dan lengkap 94,4%. Tindakan operasi ≥ 5 jam dikategorikan delay sebanyak 33,3%. Tindakan operasi < 5 jam dikategorikan tidak delay sebanyak 66,7%. Faktor yang paling berpengaruh terhadap keterlambatan operasi adalah persetujuan operasi. Persetujuan operasi menyebabkan waktu persiapan operasi sampai pengamprahan kamar operasi menjadi lebih lama. Terdapat hubungan yang signifikan dari bed block, persetujuan operasi serta alat dan sarana terhadap keterlambatan operasi. Temuan dari secara kuantitatif tersebut didukung pula dengan temuan secara kualitatif. Hasil penelitian dapat dijadikan pedoman dalam penyusunan strategi peningkatan kualitas pelayanan kamar operasi di RSUP Sangla
The Influence and Feasibility of Therapeutic Exercise Videos at Home on the Functional Status of Post-COVID-19 Hospitalization
Full text linkThe COVID-19 pandemic pushed physicians to modify conventional practices to reduce the exposure and risk of infection among patients and health workers. Telemedicine is one of the safest methods, and telerehabilitation could prevent the sequelae of COVID-19. A quasi-experimental study with randomized sampling without masking/blinding was conducted. The study was conducted from August 2021 to March 2022 at Hospital A in Pekanbaru, Hospital B in Jayapura, and Hospital C in Jakarta, Indonesia. A total of 27 patients were recruited and divided into control and intervention groups. The control group was given conventional education on therapeutic exercise at home, while the intervention group was shown educational videos about therapeutic exercise at home. The comparison of all functional outcomes between the two groups after the intervention showed a significant difference. The intervention group improved more than the control group, except for the fatigue severity scale. Most of the responses showed that this video was feasible and useful and did not need to be supervised by health workers. Therapeutic exercise educational videos can be an option to deliver rehabilitation programs for post-COVID-19 hospitalized patients