Public Health Commons^™

Pelayanan Kesehatan Primer Sebagai Gatekeeper Dan Kebijakan Diskusi Peer Review: Antara Kualitas Dan Realitas Untuk Menurunkan Kasus Rujukan Non Spesialistik, Zahrina Zahrina, Royasia Viki Ramadani, Khairun Nisa Il Hulwah, Siti Nurlatifah, Aldi Andalan, Ascobat Gani, Golda Kurniawaty, Ery Setiawan

Jurnal Ekonomi Kesehatan Indonesia

Almost 80% of the source of funds is spent on hospital. This situation indicates the failure of the gatekeeper function in primary health care. Performance-based capitation is implemented to ensure the cost and quality of primary care, with non-specialist referral rate as one of the particular parameters. The peer review policy is a discussion between BPJS Health, District/City Health Services, IDI, provincial and branch Team of KMKB and other relevant stakeholders to determine which diagnoses must be handled at FKTP also to accommodate and improve the capacity of FKTP to handle patients and minimize referral cases. This study aims to …

Menakar Kesiapan Puskesmas Dalam Penuntasan Penanganan Penyakit: Analisa Data Riset Fasilitas Kesehatan 2019, Harimat Hendarwan, Suparmi Suparmi

Jurnal Ekonomi Kesehatan Indonesia

The completion of disease treatment at the health center was important for payment of Capitation Based on Fulfillment of Service Commitment (PCFSC/KBPKP) and the Non-Specialist Case Outpatient Referral (NSOR/RRNS) was one of the key indicators. This study aimed to assess public health center readiness in the completion of disease treatment for those stipulated in Ministerial Decree number 514 of the year 2015. This study used Health Facility Research (Rifaskes) data conducted in 2019 with a total of 9831 health centers as observations. Analysis was conducted by comparing the availability of equipment, laboratories, and medicines with existing regulations. Health center readiness …

Analisis Case Mix Index Pelayanan Rawat Inap Rumah Sakit Yang Bekerja Sama Dengan Bpjs Kesehatan Tahun 2019-2020, Anna Tirawani Ambarita, Atik Nurwahyuni

Jurnal Ekonomi Kesehatan Indonesia

BPJS Health experienced various challenges in achieving Universal Health Coverage / Jaminan Kesehatan Nasional (JKN), including a referral system. According to the 2018 National Health Account, curative spending costs reached 69.1%. The Case Mix Index (CMI) is a benchmark for hospital performance abroad, but Indonesian hospitals have not used it. In 2019, BPJS Health tested CMI in 30 hospitals. The research uses sample data from 2019-2020 based on province, hospital type and ownership. The methods used are anova test, independent T, linear regression and multiple linear regression. The research results show a decrease in cases in 2019-2020. The highest CMI …

Pengaruh Kepemilikan Asuransi Kesehatan Pada Kelompok Miskin Terhadap Utilisasi Pelayanan Kesehatan Di Indonesia: Sebuah Studi Retrospektif, Dian Ira Wanti

Jurnal Ekonomi Kesehatan Indonesia

Health is the main priority of the Indonesian government in order to improve the health status of the Indonesian people in order to become a healthy, qualified and productive society. Health insurance is one of the programs held by the government to make this happen. Health insurance ownership from year to year continues to increase, but this increase is not accompanied by high utilization of health services, both outpatient and inpatient. The low utilization of health services raises the questions of how health insurance ownership affects the utilization of health service utilization. Therefore, this study aims to analyze the impact …

Kemampuan Membayar Iuran Jaminan Kesehatan Nasional Peserta Penerima Bantuan Iuran (Jkn Pbi) Kota Tangerang Tahun 2023, Darwati Darwati, Pujiyanto Pujiyanto, Budi Hidayat

Jurnal Ekonomi Kesehatan Indonesia

The number of National Health Insurance (JKN) participants receiving Contribution Assistance (PBI) in Tangerang City from regional funding continues to increase by around 8.85% per year. On the other hand, the number of JKN participants who are non-wage earners (PBPU) and non-workers (BP) who pay contributions independently has decreased by around 0.7% per year from 2017-2022. One of the implications of this phenomenon is that the regional budget to finance JKN contributions for PBI participants is much larger than the budget for other programs. In 2020, JKN contribution payments for Tangerang City APBD PBI participants amounted to 57.81%, in 2021 …

Foreword From Editor - 14th Edition, Yandi Andri Yatmo

ASEAN Journal of Community Engagement

This edition of AJCE brings together discussions on the various roles and effectiveness of research and community engagement programs in strengthening local identity, developing skills, and enhancing quality of life towards a resilient society. Expanding such roles, this issue consists of four research articles, one review article, and three case-based articles. The authors of this edition emerge from the background of language, engineering, economy, policy, education, and health, providing different outlooks and methods in overseeing the processes of community-related programs.

Health Insurance Determinants Of The Working-Class, Lall Ramroo

Student Theses

Abstract:

This research delves into healthcare coverage disparities within the working class, spotlighting challenges in accessing essential services. Leveraging data from the 2021 American Community Survey, we scrutinize coverage intricacies for those above Medicaid eligibility yet unable to afford private insurance. Findings unveil a worrisome trend: the working class faces limited healthcare access due to income thresholds, placing them in precarious situations. Those earning too much for Medicaid but lacking private insurance means or employer-sponsored coverage grapple with significant obstacles. This paper underscores the need for targeted policies to bridge healthcare gaps for the working class, advocating for equitable access …

Effect Of Covid-19 On Food Pricing And Coping Strategies Among Households In Kakamega County Kenya, Angela Mungai

Journal of Global Awareness

Food price shocks exacerbated by the COVID-19 pandemic have the potential to threaten food security, especially among low-income households. The aim of this study was to assess the effect of COVID-19 on food prices and the coping strategies of households in Malava and Lurambi Sub-Counties of Kakamega County, Kenya. The researchers adopted a descriptive survey design for this study. A semi-structured questionnaire was developed using KoBo Collect and synchronized to the Open Data Kit (ODK) server and used to collect data from a sample size of 200 households. Data was analyzed using Statistical Package for Social Sciences Version 26 to …

Dwelling Quality Assessment During Covid-19 Pandemic Self Isolation In East Jakarta, Aisyah Arimurti Afandi

Cities and Urban Development Journal

Background: The government encouraged public health protection with self isolation policy as an effort to control Covid-19 on a wide scale and prevent an increase in occupation rate on health service facilities in order to quickly and effectively handling confirmed cases of Covid-19. Dwelling quality is a significant factor to ensure that self isolation can be carried out effectively since it is stated in public health theory that one of the factors that influences

a person's health status is dwelling quality.

Aims: This research aims to assess dwelling quality where self-isolation being carried out during Covid-19 in East Jakarta. …

Assessment Of Deficits In Specific Cognitive Domains In Older Adults Living With Hiv., Andrea Reyes-Vega, Harideep Samanapally, Rishikesh Rijal, Stephen P. Furmanek, Christopher B. Shields, Brandon C. Dennis, Smita Ghare, Shirish Barve

Faculty and Staff Scholarship

A significant proportion of people living with HIV (PLWH) have cognitive impairment. Moreover, approximately 70% of PLWH in the United States will be ≥50 years old by 2030, raising concerns of a higher incidence of dementia as they age. Accordingly, there is a clinical need to monitor their cognitive status. The aim of this study was to delineate specific cognition areas impacted in OALWH with a clinical diagnosis of neurocognitive impairment. We used a comprehensive set of tests (paper and NIH Toolbox Cognition Battery), to assess different cognitive domains in a total of 25 OALWH ≥ 50 years. 64% were …

Comparing The Effectiveness Of Mother-Focused Interventions To That Of Mother-Child Focused Interventions In Improving Maternal Postpartum Depression Outcomes: A Systematic Review, Divya Kumar, Waqas Hameed, Bilal Iqbal Avan

Community Health Sciences

Background: Most empirically researched interventions for postpartum depression (PPD) tend to target mothers' depression alone. Harmful effects of PPD on physical and mental health of both mother and child has led researchers to investigate the impact of interventions on PPD and child outcomes together. So far, the evidence is limited regarding how these interventions compare with those focusing only on mothers' depression. This review compares the effectiveness of PPD-improving interventions focusing only on mothers with those focusing on mother and child together.
Methods: Nine electronic databases were searched. Thirty-seven studies evaluating mother-focused (n = 30) and mother-child focused interventions (n …

Where Did All The Bed Bugs Go?, Lauren Friedman

Capstones

In the early 2000s in New York City, everyone was talking about bed bugs. The disc-shaped, bloodsucking pests had been a common domestic nuisance up to the World War II era, but in the decades since, they’d mostly faded into obscurity. That was until bed bug infestations, which are often psychologically distressing and sometimes impossible to overcome, suddenly became routine across the five boroughs, driving people from their apartments and stoking fear about everything from upholstered theater seats to thrift stores.

But then, just as quickly as bed bugs had invaded, they seemed to fade away. In a 2022 study …

Policy Review And Recommendation For Secondary Education Np-Led Clinics In The Southeastern United States, Shiney Alex Jacob

Student Scholarly Projects

Secondary-level education involves adolescent children aged 11-12 years to 18-19 with unique healthcare needs. Their healthcare is of significant importance as they are transitioning to adulthood, and a majority of them lack access to primary healthcare needs. Advanced Practice Registered Nurses/Nurse Practitioners (APRNs/NPs) provide high-quality, cost-effective, and evidence-based care to people across the lifespan, and there is minimal utilization of their services in meeting the primary care needs of adolescents at the secondary school level. The purpose of the policy project was to determine if current policies and practices related to school health services in three southeastern states of the …

The Pima County Jail In A “State Of Full-Blown Crisis”: Inmate Deaths Four Times The National Average, Natalie Robbins

Capstones

Last year, 12 inmates died in custody at the Pima County Jail in Tucson, Arizona. With a 10-year average jail population of 1,827, that is a per capita rate of 656.8 deaths per 100,000 inmates.

According to the most recent data from the Bureau of Justice Statistics, the 2019 national local jail mortality rate was 167 deaths for every 100,000 inmates, making the Pima County Jail’s 2022 per capita death rate nearly four times as high as the national average in 2019.

In a December 2022 memo to the Pima County Board of Supervisors, Pima County Sheriff Chris Nanos wrote …

Analisis Hubungan Tingkat Pencahayaan, Reflektansi, Dan Kekontrasan Area Kerja Terhadap Keluhan Eye Strain Pada Karyawan Office Di Pt. X Tahun 2023, Afni Fadhila, Mila Tejamaya

National Journal of Occupational Health and Safety

Eye strain is a condition where the eyes are strained due to prolonged overuse, especially in computer-based activities. NIOSH states that about 75 - 90% of computer users who spend three hours or more complaining of visual impairment. A study by Kowalska et al (2011) on office workers who use computers intensely stated that the prevalence of eye strain in female workers was 50,7% and in men was 32,6%. This study aims to determine the relationship between illuminance, reflectance, and work area contrast on eye strain complaints in office employees at PT. X. This research was conducted from April - …

Bridging The Gap: Reducing Disparities In Reproductive Healthcare For Black And White Women, Emma Weiden

Population Health Research Brief Series

A woman’s reproductive healthcare experience in the United States can vary dramatically depending on her race. In 2020, the pregnancy-related mortality rate in the U.S. was 40.8 deaths per 100,000 live births for Black women, which is more than three times the rate among White women (12.7 per 100,000). This brief summarizes disparities in reproductive healthcare outcomes for Black women compared to White women in the U.S., advocates for policy changes, and provides recommendations for addressing racial disparities to create more equitable reproductive healthcare.

Study Protocol For A Randomized Controlled Trial Of Realconsent2.0: A Web‑Based Intervention To Promote Prosocial Alcohol‑Involved Bystander Behavior In Young Men, Laura F. Salazar, Dominic J. Parrott, David Dilillo, Sarah J. Gervais, Anne Marie Schipani‑Mclaughlin, Ruschelle Leone, Kevin Swartout, Lauren Simpson, Renita Moore, Tiffany Wilson, Nyla Flowers, Haley Church, Amanda Baildon

Department of Psychology: Faculty Publications

Background Sexual violence (SV) is a significant, global public health problem, particularly among young adults. Promising interventions exist, including prosocial bystander intervention programs that train bystanders to intervene in situations at-risk for SV. However, these programs suffer from critical weaknesses: (1) they do not address the proximal effect of alcohol use on bystander decision-making and (2) they rely on self-report measures to evaluate outcomes. To overcome these limitations, we integrate new content specific to alcohol use within the context of prosocial bystander intervention into an existing, evidence-based program, RealConsent1.0. The resulting program, RealConsent2.0, aims to facilitate bystander behavior …

Hubungan Tingkat Berat Jenis Urin Dengan Keluhan Kesehatan Akibat Pajanan Panas Pada Pekerja Konstruksi Depo Lrt, Muhammad Syafiq Nafis, Doni Hikmat Hikmat Ramdhan

National Journal of Occupational Health and Safety

Background: Construction workers in Indonesia are among vulnerable workers of the negative impact of heat hazard from the work environment. Past research has found that more than 80% of construction workers experienced dehydration and 100% construction workers have experienced heat-related symptoms/illnesses. Objective: The purpose of this study is to analyze the correlation between dehydration (based on urine specific gravity) and heat-related symptoms/illnesses in depo Light-Rail Transit (LRT) construction workers. Methods: This study used a cross-sectional method from secondary data of work environment heat level measurement, workers’ questionnaire, and workers’ urine specific gravity in depo LRT construction 2021. Results : There …

Analisis Faktor Risiko Gangguan Otot Rangka Akibat Kerja Pada Pekerja Perkantoran Di Instansi X Tahun 2023, Alvina Winners Putri, Indri Hapsari Hapsari Susilowati

National Journal of Occupational Health and Safety

An uncomfortable posture when doing work for a long duration can cause work-related musculoskeletal disorders. The purpose of this study was to determine the risk factors associated with the occurrence of symptoms of work-related musculoskeletal disorders in office workers at Institution X in 2023. This study used a cross-sectional design and the occupational posture assessment Rapid Office Strain Assessment (ROSA) method then to assess complaints of musculoskeletal disorders as a whole subjectively using the NBM (Nordic Body Map). The results showed that the level of risk of complaints of musculoskeletal disorders due to work at the intermediate level requires further …

Analisis Sistem Proteksi Kebakaran Dan Keselamatan Kebakaran Di Stasiun Transit Manggarai Kereta Rel Listrik (Krl) Commuter Line Jabodetabek Tahun 2023, Naila Adinda Achmad, Hendra Hendra

National Journal of Occupational Health and Safety

Stasiun Manggarai is the most active station. In January 2023, Stasiun Manggarai has 150,000 transit users and 14,000 station users per day (Fransisca, 2023). This large number of users can certainly increase the density – and according to research – density can increase the existing potential hazards and risks, including fire hazards. Therefore, this research was conducted to find out the implementation of fire protection and fire safety system at Stasiun Transit Manggarai Kereta Rel Listrik (KRL) Commuter Line Jabodetabek using a descriptive observational method with comparative approach. The author compares the results of implementing fire protection and fire safety …

Analisis Hubungan Stres Kerja Dengan Kecelakaan Kerja Pada Pekerja Konstruksi Proyek Pembangunan Jalan Tol Yogyakarta – Bawen Paket 1 (Seksi 1) Tahun 2023, Shafira Agustina Rachmat, Doni Hikmat Hikmat Ramdhan

National Journal of Occupational Health and Safety

Construction workers are a job with high level of risk. There are many cases of construction workers experiencing stress due to their work, even until accident occurs. Factors that contribute to the occurrence of work stress include physical hazards and psychosocial factors, but it does not rule out the possibility of influence from individual characteristics. This study aims to analyze the correlation between occupational stress and workplace accidents in construction workers at Yogyakarta – Bawen Toll Road Construction Project Package 1 (Section 1) in 2023. This research is a quantitative study with a cross-sectional study design. The factors studied included …

Learning From Women Veterans Who Navigate Invisible Injuries, Caregiving, And Reintegration Challenges, Nicholas A. Rattray, Diana Natividad, Katrina Spontak, Marina Kukla, Ai Nghia L. Do, Leah Danson, Richard M. Frankel, Gala True

School of Medicine Faculty Publications

Background: As women comprise a greater proportion of military service members, there is growing recognition of how their experiences in the early phase of military to civilian transitions have an important influence on their health and reintegration outcomes. Qualitative accounts of women veterans can inform programs that support transitioning service members. Objectives: We examined narratives of civilian reintegration among women veterans to understand their experiences of adjusting to community life while coping with mental health challenges. Methods/Participants: We interviewed 16 post-911 era women who were within 5 years of separating from military service and developed a case study based on …

Reimagining A Caregiver-Friendly Society, Jodi L. Southerland

Journal of Appalachian Health

Demographic aging is accelerating in the Appalachian Region, resulting in a growing proportion of caregivers living in areas that lack services to support their needs. Strategies are urgently needed in Appalachia to address deficiencies in the region’s long-term supports and services for older adults and their caregivers. Strengthening equitable access to care and community supports for family caregivers is a policy priority for state and community leaders in Appalachia.

Fostering Udl-Informed Library Instruction Practices Developed From The Covid-19 Pandemic, Niki Fullmer, Katie Strand

Library Faculty Research

Purpose: This case study explores how universal design for learning (UDL)-informed online instruction modules developed during COVID-19 can better support student information literacy outcomes. This study will also examine how hybrid learning lends itself to UDL and may resolve some of the issues within library instruction.

Design/methodology/approach: This case study explores how a team of librarians at Utah State University developed three UDL-informed modules to support library instruction and hybrid learning during the height of the COVID-19 pandemic. A survey was sent to composition instructors to understand how they utilized the three new UDL-informed modules and if the modules helped …

What We Know About School-Based Health Centers: Literature On Outcomes, Cost Impact, Implementation, And Sustainability, Michelle R. Coble, Valerie F. Mcdaniel

Pacific Journal of Health

Many children lack access to adequate healthcare in the United States. School Based Health Centers (SBHC) are a useful resource for accessing those needed services. The purpose of this study is to evaluate the available research for the strengths of SBHCs with improving health outcomes and health equity, cost impact of SBHCs, and best practices for implementing and sustaining an SBHC. The focus of this study was on reviewing the current literature on the impact of SBHCs on improving health equity, health outcomes, cost impact, and to establish best practices for implementing and sustaining an SBHC. Although the current literature …

Wellness Review 2023, Part 1, Brian A. Ferguson, Martin Huecker

Journal of Wellness

Introduction: The 2023 Part 1 summary reviews research on wellness in healthcare professionals published outside of JWellness from January 1, 2023 to June 30, 2023.

Methods: Editors conducted a Boolean search of titles and abstracts in PubMed utilizing keyword identifiers pairing healthcare personnel (providers, nurses, and other staff) with a well-being metric. Of 416 relevant articles, an intriguing and innovative 30 were selected for inclusion, with two additional articles manually curated.

Literature in Review: This sample of the recent literature into healthcare professional wellness included multiple targeted interventions and studies of resilience. Main themes that emerged include: positive systematic healthcare …

From Life To Life: Transitioning To Freedom After 45 Years Of Incarceration- A Single Subject Case Study, James O. Mackey, Lindsay Gietzen

Pacific Journal of Health

This case study delves into the complex process of reintegrating an elderly parolee who recently emerged from a 45-year-long incarceration within California's state prisons. The research explores this unique individual's reentry experiences and compares them with those of parolees of average age and sentence length. Factors such as family support, educational background, criminal history, health, social support, employment, access to age-appropriate resources, and recidivism rates are meticulously examined to provide valuable insights into the successful reintegration of elderly individuals back into society.

Navigating Professional Paradigms: Transactional Sex, Behavior Change, And Structural Responses In Uganda, Shelley K. White, Hugo A. Kamya

Journal of Social Work in the Global Community

Professional paradigms within social work and related social service fields have been critiqued for being behaviorally focused, thereby obscuring and perhaps excusing structural determinants of health and well-being. Recent initiatives in international social work have aimed to align theory, practice, education, and research with sustainable development, reflecting the United Nations’ Sustainable Development Goals, which aim to address structural determinants. Our qualitative research examined responses to transactional sex among Ugandan youth through in-depth interviews with 23 professionals working in social services with youth who were vulnerable to HIV. Through thematic content analysis, using deductive and inductive analysis, we examined the demographics …

Breastfeeding In Public: A Review Of Literature And Service Learning Experience, Taylor Jehlik, Makenzie Carney

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This article explores the perceptions and beliefs of first-time expectant mothers, their family members, and their social network about breastfeeding in public places. We used experience through Tiny Tusks and reviewed literature to get a better understanding of what social factors play a role in mothers' decisions to breastfeed in public.

Factors Associated With Caregiver Responsive And Non-Responsive Feeding Styles In Clark County, Nevada, Amanda Castelo Saragosa

UNLV Theses, Dissertations, Professional Papers, and Capstones

Early childhood obesity has increased significantly over the last few decades, reaching epidemic levels in the United States. Many interventions exist to alleviate early childhood obesity; however, little focus is on preventing obesity-related risks for children under two. High-quality child-caregiver interactions are deemed critical for preventing early childhood obesity development, but there is little information on the socio-ecological factors that influence a caregivers' feeding styles. This study examined socio-ecological factors associated with caregivers' feeding styles (responsive vs. non-responsive) for infants under two in Clark County, Nevada. This cross-sectional study utilized a survey targeted to caregivers (18 and older) with infants …