Health Services Research Commons^™

Analisa Keterlambatan Proses Pelayanan Unit Laundry Di Rumah Sakit Balimed Karangasem, I Putu Wirama

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Laundry units in hospitals have an essential role in breaking the transmission chain of infection to staff and patients, especially during the COVID-19 pandemic. From the observation of the management team, the laundry service at BaliMed Karangasem Hospital needs to be revised. It can be seen from the timely provision of linen and incidents of lost linen, even though interventions have been carried out. Management has yet to realize the process in the laundry unit that depends on the machine, so the machine maintenance process has not been carried out correctly and on schedule. In addition, evaluating service processes has …

Kinerja Pelayanan Poliklinik Obstetri Dan Ginekologi Dengan Metode Performance Prism Di Rsia Sammarie Basra, Kristee Grace Sormin, Puput Oktamianti

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Analysis of unit service performance is very important for the improvement or growth of hospital services. This study discusses the analysis of the performance of the Obstetrics and Gynecology (Obgyn) Polyclinic service at SamMarie Basra Hospital using the Performance Prism method. This type of research is a qualitative study with the aim of getting a picture of stakeholder satisfaction, stakeholder contribution, strategy, process, and capability through in-depth interviews, observation and document review. The results of this study indicate that each stakeholder's satisfaction with the Obgyn Polyclinic's performance has not been maximized because most of the stakeholders' desires and needs have …

Teledentistry: Strategi Marketing Pelayanan Kesehatan Gigi Dan Mulut Di Era Pandemi Covid-19: Systematic Review, Noormaya Sari, Wahyu Sulistiadi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

During COVID-19 pandemic, most patients were unwilling to visit the hospital because of fear of COVID-19 contracted, including dental patients, then led to a decrease in the number of patients visits to dental clinics. Hospital managements should have the right marketing strategy so that this situation does not interfere with the operation and income of the hospital. One of the dental service concept that can be developed during the COVID-19 pandemic is teledentistry. The design of this study is a systematic review that searches correlation between dental patients and COVID-19 and marketing strategy. As a result, several studies said that …

Strategi Stp Dan 4p Pada Marketing Produk Layanan Rawat Jalan Di Rumah Sakit Sultan Imanuddin Pangkalan Bun Di Era Pandemi Covid-19, Noormaya Sari

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The COVID-19 pandemic has had a wide impact on the marketing of hospital product and services. The purpose of this study is to analyze about outpatient services at Sultan Imanuddin Pangkalan Bun Hospital (RSSI) and determine what marketing strategies are suitable in marketing hospital service products during the COVID-19 pandemic. Methods : This study is a mixed method, descriptive research which combined with a qualitative approach. Results : based on the STP strategy, RSSI used demographic, geographic, biographic and behavioral segmentation. Targeting is done based on area and insurance membership. RSSI is positioned as General Hospital, despite handling Covid patients, …

Testing Barriers To Non-Suicidal Self-Injury With College Students: Narcissistic Traits As Moderators, Philip Stoner

Dissertations

Research on non-suicidal self-injury (NSSI) has produced mixed findings, resulting in a lack of clarity regarding these behaviors (Klonsky & Meuhlenkamp, 2007). To address this, Hooley and Franklin (2018) developed the Benefits and Barriers Model (BBM) to provide a comprehensive understanding of NSSI, in which they identified the barriers that commonly prevent people from engaging in these behaviors (e.g., self-esteem, shame, and peer-bonding motivations/social norms). They also identified adverse childhood experiences (ACEs) as a distal predictor of NSSI, which aids people in overcoming the barriers to engaging in these behaviors. Recent NSSI literature has shown that college women in the …

The Impact Of Physical Distancing Health Policy In Reducing Covid-19 Incidence In The World In 2020: Literature Review Study, Nunik Nurbaiti, Dumilah Ayuningtyas

Journal of Indonesian Health Policy and Administration

To reduce and slow the spread of COVID-19, many countries in the world have adopted physical distancing health policy, which have never happened before. This study aims to get an overview of the impact of physical distancing health policy to reduce of COVID-19 incidence in the world at 2020. The research design used was a descriptive qualitative with a narrative literature review method, while the research source came from international journal channels Google Scholar, ProQuest, PubMed, Science Direct, and Scopus with search data for the past five years. The approach used is the input, process, and output (IPO). From the …

Role Of Accreditation To The Performance Of Non Communicable Diseases (Ncd’S) Control Program And Control In Accredited And Non Accredited Primary Health Care In Cimahi District, Nurkarti Azni, Ede Surya Darmawan

Journal of Indonesian Health Policy and Administration

The Non-Communicable Disease (NCD’s) Prevention and Control Program is one of the essential Community Health Efforts implemented by the Puskesmas. Puskesmas accreditation is a form of program to maintain the quality and form of standardization to Puskesmas services in order to provide quality services. This research uses qualitative method, conducted in April-May 2018, aim to see improvement of performance at puskesmas especially at NCD’s Prevention and Control Program. Result of research, in general Output of program of implementation of NCD’s at Puskesmas accredited better than Puskesmas not yet accredited. Community-based partnership and funding activities have not been implemented, Iva test …

Supervision Of Traditional Medicines Containing Undeclared Substance: Analysis Of Indonesian Fda Monitoring Data For 2012 - 2021, Widha Dianasari, Mardiati Nadjib

Journal of Indonesian Health Policy and Administration

Background: At a time when people believe in the efficacy and minimal risk of traditional medicines, government agencies that oversee traditional medicines often find chemicals that are intentionally added to traditional medicines. The purpose of this study is to present the findings of Undeclared Substance that have been added to traditional medicines for ten years, to analyze their relevance to the real situation related to diseases or health problems in Indonesia, and to examine the violations of related policies. Methods: This study used an observational design based on quantitative and qualitative data and analyzed descriptively. Quantitative data based on Traditional …

Policy On The Use Of Social Media In Hospitals In Building Communication During The Covid-19 Pandemic: Literature Review, Rita Kumalasari, Wahyu Sulistiadi

Journal of Indonesian Health Policy and Administration

Social media is necessary for almost everyone, including in health services. During the COVID-19 pandemic, social media was widely used to build hospital communications. However, the benefits come with risks, as communication spreads so quickly. A proper policy is needed. This study aims to determine the benefits of social media in building communication in hospitals and the policies that govern it. The method used is a literature study. A literature search, through Science Direct, ProQuest, Google Scholar, and other databases (Google scholar, NIH/NLM, JMIH), with the keywords "social media" AND "communication" AND “policy” AND "hospital" AND "COVID-19 Pandemic", obtained 520 …

Social Distancing Policy As A Means Of Improving Public Awareness During Covid-19 Pandemic: A Literature Review, Ulfa Oktaviani, Helen Andriani

Journal of Indonesian Health Policy and Administration

To reduce COVID-19 transmission during the epidemic, most countries implemented a social distancing policy. However, without the people's compliance, this implementation will be useless. The combination of individual and environmental variables is critical to the success of initiating and maintaining health behaviors. The purpose of this study is to assess public participation toward obedience social distancing policy as a means of improving public awareness during COVID-19 pandemic. A literature review was used in this research. PubMed, Google Scholar, and ProQuest, with a cut-off date of 29 June 2021, were used to do an electronic search with no language constraints. There …

Associations Between Resources And Practices Of Ild Centers And Outcomes In Patients With Idiopathic Pulmonary Fibrosis: Data From The Ipf-Pro Registry, Joao A De Andrade, Tejaswini Kulkarni, Megan L Neely, Anne S Hellkamp, Amy Hajari Case, Daniel A Culver, Kalpalatha Guntupalli, Shaun Bender, Craig S Conoscenti, Laurie D Snyder, Ipf-Pro Registry Investigators

Faculty, Staff and Students Publications

BACKGROUND: Performance benchmarks for the management of idiopathic pulmonary fibrosis (IPF) have not been established. We used data from the IPF-PRO Registry, an observational registry of patients with IPF managed at sites across the US, to examine associations between the characteristics of the enrolling sites and patient outcomes.

METHODS: An online survey was used to collect information on the resources, operations, and self-assessment practices of IPF-PRO Registry sites that enrolled ≥ 10 patients. Site variability in 1-year event rates of clinically relevant outcomes, including death, death or lung transplant, and hospitalization, was assessed. Models were adjusted for differences in patient …

Violence Against Healthcare Workers: An Epidemic Within A Pandemic, Michaela Ramandanes

College of Health Sciences Posters

Violence and harassment towards healthcare workers has been an underlying problem throughout history. However, with the rapid and evolving onset of the COVID-19 pandemic, the risks that healthcare workers face has been a focal topic of discussion among administration, staff and the public. What was once considered an occupational hazard is now being raised as a public health issue- an epidemic within a pandemic. This literature review seeks to identify the prevalence and causes of violence and harassment towards healthcare workers. Was healthcare violence as prevalent before COVID-19? Has violence increased because patient volume increased? Additionally, this review will determine …

Prevalence And Determinants Of Home Delivery In Urban And Rural Philippines: Evidence From The 2017 National Demographic And Health Survey, Arianna Maever L. Amit, Veincent Christian F. Pepito, Sarah J. De Los Reyes, Clinton S. Tang, Neil Andrew K. Aliazas, Lourdes S. Tanchanco

Ateneo School of Medicine and Public Health Publications

Background: Women’s choice of place of delivery has implications on maternal and child mortality. This study aims to provide an updated and detailed comparison of prevalence and determinants of home delivery in the Philippines, and in urban and rural communities.

Methods: Based on data from the 2017 Philippine National Demographic and Health Survey (NDHS), we estimated the prevalence of home delivery and determined factors influencing women’s decision to deliver at home. Analyses were restricted to data from 7229 women who were cohabiting or married, and their last-born child using logistic regression methods for survey data.

Results: There remain a considerable …

The Impact Of Covid-19 On Collaboration And Turnover Among State Health Leadership, Kaylee Gouge

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Background/Objectives: State Health Officials (SHOs), the physician-leaders of state public health departments in the US, have long been indicated as potential peacemakers between the fields of medicine and public health. However, the average term length of SHOs has declined in recent years. Meanwhile, the COVID-19 pandemic has increased public visibility of state public health departments and their leadership. Some have hypothesized that the political strain of the pandemic has further accelerated SHO turnover, compromising their leadership efficacy. Contrarily, others have suggested that the pandemic would force public health and organized medicine into closer collaborative alignment through a common enemy. …

The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor

Capstone Showcase

Natural brain processes make all individuals susceptible to unconscious bias; however, stressful, fearful, or anger-evoking situations as well as the negative influence of media and social surroundings increase the risk of holding obstructive bias, and there is a greater risk of being negatively impacted by this phenomenon when belonging to a minority population (Rose & Flores, 2020). As a result, high rates of infant mortality (10.2 deaths per 1,000 live births for the Non-Hispanic Black population compared to 4.1 in the White population) and cardiovascular related diseases (190.0 cases per 1,000 in the Non-Hispanic Black population compared to 161.3 in …

The 2019 Philippine Uhc Act, Pandemic Management And Implementation Implications In A Post-Covid-19 World: A Content Analysis, Maria Cristina G. Bautista, Paulyn Jean Acacio-Claro, Nori Benjamin Mendoza, Christian Pulmano, Ma. Regina Justina Estuar, Manuel Dayrit, Vincent Festin, Madeleine Valera, Quirino Sugon Jr, Dennis Andrew Villamor

Graduate School of Business Publications

The 2019 Philippine Universal Health Care Act (Republic Act 11223) was set for implementation in January 2020 when disruptions brought on by the pandemic occurred. Will the provisions of the new UHC Act for an improved health system enable agile responses to forthcoming shocks, such as this COVID-19 pandemic? A content analysis of the 2019 Philippine UHC Act can identify neglected and leverage areas for systems’ improvement in a post-pandemic world. While content or document analysis is commonly undertaken as part of scoping or systematic reviews of a qualitative nature, quantitative analyses using a two-way mixed effects, consistency, multiple raters …

An Analysis Of The Special Focus Facility Program And Nursing Home Quality, Annie S. Rhodes

Theses and Dissertations

The Special Focus Facility Program is an intensive program meant to rapidly support 88 of the lowest quality nursing homes in the United States, as determined by the Five-Star Quality Ranking system. There are also 435 facility candidates which are similarly low performing but not enrolled in the program. Academic literature has largely ignored this program, and the existing grey literature is more than a decade old and does not include COVID-19 data. Applying a political economy of aging framework and using a case matching methodology, Special Focus Facilities (SFF), Special Focus Facility Candidate (SFFc) nursing homes, and 5-star nursing …

An Analysis Of Georgia Mothers Who Gave Birth In 2015 And 2016 Without Receiving Prenatal Care, Joncel Stephens, Shanta R. Dube, Merrilee Gober

Journal of the Georgia Public Health Association

Background: The present study characterizes the population of women residing in the state of Georgia who did not receive prenatal care before giving birth to a live infant. The association between mother’s place of residence (rural/non-rural) and preterm delivery was also examined.

Methods: This study examined data obtained from the Georgia Department of Public Health which includes data for 7,062 mothers who did not receive prenatal care before giving birth to a live infant in Georgia in the years 2015 and 2016. Data on the resulting births was also studied. Descriptive analyses of the following variables were used …

Reported Barriers To Hepatitis C Treatment Among Pregnant And Early-Parenting Mothers Undergoing Substance Use Disorder Treatment In One U.S. State, Ayooluwatomiwa Deborah Adekunle, Kathi L. Harp, Zaynab G. Al-Abdali, Agatha S. Critchfield, Sheila Barnhart, Kathleen T. Winter

Health Management and Policy Faculty Publications

Nationwide, the prevalence of the hepatitis C virus (HCV) has risen in recent years. At least 90% of infected persons must be treated to achieve global elimination targets. The current study aimed to explore barriers to, and facilitators of, direct-acting antiviral (DAA) HCV treatment uptake amongst pregnant and early-parenting women undergoing comprehensive substance use treatment. Twenty participants with documented HCV antibody positivity were recruited from two substance use treatment centers in central Kentucky. Semi-structured interviews were conducted to explore knowledge about HCV, previous experiences, and intentions to seek care. Themes were extracted using an inductive analytical approach. Most participants were …

The Ecology Of Mental Health And The Impact Of Barriers On Mental Health Service Utilization, Alisha Aggarwal

Theses & Dissertations

Mental health has emerged as a major public health concern in recent times with several disparities and barriers related to adequate health service utilization. Different age groups experience diverse symptoms and face distinct barriers in accessing and utilizing healthcare. Policies like Mental Health Parity and Addiction Equity Act and the Patient Protection and Affordable Care Act were launched to improve insurance coverage and delivery of mental health services. However, a large gap of unmet needs exists for adequate mental health service utilization in the country. This dissertation aims to describe the financial and non-financial barriers to mental health service utilization …

The Yearly Financing Need Of Providing Paid Maternity Leave In The Informal Sector In Indonesia, Adiatma Y. M. Siregar, Pipit Pitriyan, Donny Hardiawan, Paul Zambrano, Mireya Vilar-Compte, Graciela Ma Teruel Belismelis, Meztli Moncada, David Tamayo, Grace Carroll, Rafael Perez-Escamilla, Roger Mathisen

Department of Public Health Scholarship and Creative Works

Background: The economic cost of not breastfeeding in Indonesia is estimated at US$1.5–9.4 billion annually, the highest in South East Asia. Half of the 33.6 million working women of reproductive age (WRA) in Indonesia (15–49 years) are informal employees, meaning they are working as casual workers or they are self-employed (small scale business) and assisted by unpaid/family worker(s). No specific maternity protection entitlements are currently available for WRA working informally in Indonesia. This study aims to estimate the financing need of providing maternity leave cash transfer (MCT) for WRA working in the informal sector in Indonesia. Method: The costing methodology …

Breastfeeding Media Coverage And Beliefs During The Covid-19 Pandemic In Mexico: Implications For Breastfeeding Equity, Mireya Vilar-Compte, P. Gaitán‐Rossi, E. C. Rhodes, V. Cruz‐Villalba, R. Pérez‐Escamilla

Department of Public Health Scholarship and Creative Works

Background: Because breastfeeding offers short- and long- term health benefits to mothers and children, breastfeeding promotion and support is a public health priority. Evidence shows that SARS-CoV-2 is not likely to be transmitted via breastmilk. Moreover, antibodies against SARS-CoV-2 are thought to be contained in breastmilk of mothers with history of COVID-19 infection or vaccination. WHO recommends direct breastfeeding as the preferred infant feeding option during the COVID-19 pandemic, even among women with COVID-19; but conflicting practices have been adopted, which could widen existing inequities in breastfeeding. This study aims to describe how information about breastfeeding was communicated in Mexican …

Using A Multidisciplinary Data Approach To Operationalize An Experience Framework, Kevin Spera, Garrett Holmes, Sunni Barnes

Patient Experience Journal

Like many healthcare organizations, Baylor Scott & White Health (BSWH) is awash with data. Often, this data is used in siloed departments to monitor safety and quality, make local business decisions, and motivate staff to improve processes to achieve sustained excellence and market share. As margins get thinner and competition from various disrupters increases, organizations have tried to improve the patient experience to remain viable as part of a calculated strategy. Nevertheless, these entities have struggled to focus limited resources for sustained improvement in patient experience. This article details how a large Texas-based healthcare system "operationalized" The Beryl Institute's Experience …

Patient Engagement In An Academic Community-Based Primary Care Practice’S Management Committee: A Case Study, Emmanuelle Trépanier, Marie-Pascale Pomey, Paule Lebel

Patient Experience Journal

Patient engagement in primary care has been the focus of many studies; however, little research has evaluated its added value to organisational management in an academic community-based primary care practice (ACBPCP). In 2017, managers of an ACBPCP in Montreal, Canada, decided to integrate patients into the organization’s management committee to enhance the quality and relevance of decision-making for clinical services, education and research.

Objectives were to 1) assess patients’ role and influence on an ACBPCP management committee’s decision-making process; 2) identify the facilitators of and obstacles to patient involvement in this context; and 3) evaluate the impact of this innovative …

Comparing Patient Experience Survey Scores Between Telehealth And In-Person Ambulatory Pediatric Subspecialty Visits, Sean T. Bomher, Matthew Wood, Elizabeth Uhlhorn, Sandro Marques, Lee Kwiatkowski, Natasa Tekic, Cameron D'Alpe, Natalie M. Pageler, Lane F. Donnelly

Patient Experience Journal

To determine the effect of encounter methods on patient experience, we evaluated patient experience survey data comparing scores between telehealth and in-person visits and pre-COVID-19 and COVID-19 time periods. Pediatric subspecialty visits were either in-person or via telehealth and received the same 16-question patient experience survey. Top box (5/5) scores were compared between in-person and telehealth visits for pre-COVID-19 and COVID-19 periods as well as between periods for in-person and telehealth visits. In addition, for both time periods and encounter methods, correlation analysis was performed to evaluate best correlation between likelihood to recommend practice and the 15 other survey questions. …

Consumer Representative Experiences Of Partnership With Health Workers In Australia, Coralie R. Wales, Judith A. Lababedi, Alison Coles, Philip Lee, Emma Clarke

Patient Experience Journal

We examine the experiences of Consumer Representatives participating in consumer engagement activities across a public health service in NSW, Australia. A team of Consumer Representatives and staff members use a participatory, constructivist paradigm and a hermeneutic phenomenological approach to analyse ten interviews with Consumer Representatives over three years 2017-2019, and three focus groups in 2020. We explore these experiences and identify the linked contextual factors from their points of view. Consumer Representatives were prepared to invest their time, but they needed respect. “Respect” from a consumer perspective was being meaningfully included, supported and heard, and activities needed to be purposeful …

Responding To The Pandemic: A Multicountry Study On Social-Political Factors And Health Outcomes Of Covid-19, Lan Yao

Theses and Dissertations (ETD)

Introduction. Coronavirus Disease 2019 (COVID-19) poses a major global threat to human beings, which has caused devastating consequences of population health, political, and economic crises in many countries. This dissertation was composed of three research activities to study the following aims: (1) review the existing literature focusing on political factors and health outcomes of COVID-19; (2) assess the relationship between democracy and case fatality rate of COVID-19 by controlling for the effect of age, comorbidity, health expenditure, healthcare workforce, and population density; and (3) identify the trajectory pattern cases peak days, deaths peak days, and peak periods.

Methods. We accessed …

Analysis Implementation Of The Supervision Role Commission Ix Of Dpr Ri In The Health Program For The 2014-2019 Period: Case Study In The Primary Care Doctor Program, Ardiansyah Bahar, Anhari Achadi

Journal of Indonesian Health Policy and Administration

Prolonged health problems have been recurring for a long time have raised questions about health program and its supervisory. The supervisory function carried out by Commission IX of the DPR RI on its partners from the government continues to be carried out in various ways. However, analysis has never been conducted to assess whether the various supervisory activities have been effective. This study uses a qualitative method based on phenomena, symptoms, facts, or social informants. Informants are determined directly based on the principles of appropriateness and adequacy. The data is then converted into transcript form, then analyzed, and a Logical …

Communication Skills Training: A Means To Promote Time-Efficient Patient-Centered Communication In Clinical Practice, Else Dalsgaard Iversen, Maiken Wolderslund, Poul-Erik Kofoed, Pål Gulbrandsen, Helle Poulsen, Søren Cold, Jette Ammentorp

Journal of Patient-Centered Research and Reviews

Purpose: We hypothesized that health care providers would behave in a more patient-centered manner after the implementation of communication skills training, without causing the consultation to last longer.

Methods: This study was part of the large-scale implementation of a communication skills training program called "Clear-Cut Communication With Patients" at Lillebaelt Hospital in Denmark. Audio recordings from real-life consultations were collected in a pre-post design, with health care providers' participation in communication skills training as the intervention. The training was based on the Calgary-Cambridge Guide, and audio recordings were rated using the Observation Scheme-12.

Results: Health care providers improved their communication …

Impact Of The Covid-19 Pandemic On Loneliness And Social Isolation: A Multi-Country Study, Roger O’Sullivan, Annette Burns, Gerard Leavey, Iracema Leroi, Vanessa Burholt, James Lubben, Julianne Holt-Lunstad, Christina Victor, Brian Lawlor, Mireya Vilar-Compte, Carla M. Perissinotto, Mark A. Tully, Mary Pat Sullivan, Michael Rosato, Joanna Mchugh Power, Elisa Tiilikainen, Thomas R. Prohaska

Department of Public Health Scholarship and Creative Works

The COVID-19 global pandemic and subsequent public health social measures have challenged our social and economic life, with increasing concerns around potentially rising levels of social isolation and loneliness. This paper is based on cross-sectional online survey data (available in 10 languages, from 2 June to 16 November 2020) with 20,398 respondents from 101 different countries. It aims to help increase our understanding of the global risk factors that are associated with social isolation and loneliness, irrespective of culture or country, to support evidence-based policy, services and public health interventions. We found the prevalence of severe loneliness was 21% during …