Health Services Research Commons^™

Abstracts From The 2022 Health Care Systems Research Network (Hcsrn) Annual Conference

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network (HCSRN) is comprised of 20 health systems with embedded research units. The network’s annual conference serves as a forum for research teams from member institutions to disseminate scientific findings, explore new collaborations, and share insights about conducting research in real-world care delivery settings. Abstracts accepted for presentation at HCSRN 2022 are published in this supplement of Journal of Patient-Centered Research and Reviews, the official journal of HCSRN’s annual conference proceedings.

Gis Automated Delineation And Analysis Of Cancer Service Areas In The United States, Changzhen Wang

LSU Doctoral Dissertations

Delineating a meaningful and reliable geographic unit pertaining to cancer care is essential in examining geographic variations in cancer care for better analysis, management, and planning. Public health researchers have devoted great efforts to defining various service areas, which; however, lack scientific rigor or are unrepresentative of the highly specialized cancer care markets, and their methods have become obsolete in the era of big data and high geo-computation. This study develops the “Spatially Constrained Leiden (ScLeiden)” method, a network community detection algorithm in Geographic Information Systems (GIS), and applies it to delineate a series of coherent cancer service …

Increasing Naloxone Co-Prescribing Among At-Risk Individuals: Evaluation Of A Quality Improvement Project In A Large Health System, Sarah Hemphill Ba, Kristen Silvia Md, Marc D. Kimball Md

Journal of Maine Medical Center

Background: Naloxone availability and early administration is key in preventing death following opioid overdose. The CDC advises that naloxone should be made available to all at-risk individuals. In 2017, providers at Maine Medical Center noted that only 6% of at-risk patients had naloxone prescriptions

Methods: Included in this study were all patients of MaineHealth, a health system comprising 9 hospitals and 30 primary care practices, serving approximately 1.1 million patients. Between 2017 and 2020, we implemented several system-wide quality improvement interventions to increase rates of naloxone co-prescribing among at-risk individuals. Risk factors included prescribed opioids ≥50 morphine milligram equivalents, concurrent …

Describing And Assessing A New Method Of Approximating Categorical Individual-Level Income Using Community-Level Income From The Census (Weighting By Income Probabilities), Uriel Kim, Siran M. Koroukian, Kurt C. Stange, James C. Spilsbury, Weichuan Dong, Johnie Rose

Faculty Scholarship

Objective: To assess a new approach (weighting by “income probabilities [IP]”) that uses US Census data from the patients' communities to approximate individual-level income, an important but often missing variable in health services research. Data Sources: Community (census tract level) income data came from the 2017 5-year American Community Survey (ACS). The patient data included those diagnosed with cancer in 2017 in Ohio (n = 65,759). The reference population was the 2017 5-year ACS Public Use Microdata Sample (n = 564,357 generalizing to 11,288,350 Ohioans). Study Design/Methods: We applied the traditional approach of income approximation using median census tract income …

Validitas Dan Reliabilitas Kuesioner Chinese Positive Youth Development Scales (Cpyds) Mengukur Keterampilan Hidup Pelajar Smp Di Babakan Madang Kabupaten Bogor 2019, Rahastiwi Fadilah Utami, Sabarinah Prasetyo, Dion Zein Nurizin

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Masa remaja merupakan masa di mana individu mengalami peralihan dari anak-anak menjadi dewasa. Pada masa ini ada rasa keingintahuan yang besar dan banyak perubahan yang terjadi, akibatnya tidak sedikit remaja menghadapi berbagai masalah. Salah satu upaya untuk mempersiapkan remaja sehingga siap dan mampu menghadapi masalah adalah dengan membekali remaja keterampilan hidup. Pada tahun 2019, tim Pengabdian kepada Masyarakat FKM UI menerjemahkan kuesioner Chinese Positive Youth Development Scales (CPYDS) ke dalam bahasa Indonesia untuk mengukur keterampilan hidup siswa SMP di Babakan Madang. Data tersebut kemudian dianalisis lebih lanjut untuk tujuan melihat validitas dan reliabilitasnya. Validitas dinilai dengan korelasi point-biserial dan analisis …

Hubungan Beban Kerja Tenaga Kesehatan Dengan Kelelahan Kerja Di Puskesmas Kecamatan Sukmajaya Kota Depok Selama Pandemi, Herma Krisdiana, Jaslis Iljas, Dumilah Ayuningtyas, Eny Juliati

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Beban kerja merupakan salah satu faktor risiko yang menyebabkan terjadinya kelelahan. Situasi pandemi saat ini memberikan dampak nyata khususnya pada sektor kesehatan. WHO menetapkan COVID-19 sebagai pandemi pada tahun 2020. Dampak pandemi COVID-19 menyebabkan tenaga kesehatan sebagai sumberdaya penyedia layanan kesehatan dihadapkan pada situasi berbeda, salah satunya terjadi peningkatan pada tuntutan pekerjaan. Tingginya tuntutan pekerjaan yang diterima tenaga kesehatan akan menjadi penyebab beban kerja menjadi tinggi sehingga lebih berisiko mengalami kelelahan kerja. Penelitian ini bertujuan untuk mengetahui hubungan antara beban kerja dengan kelelahan kerja di Puskesmas Kecamatan Sukmajaya selama masa pandemi. Desain penelitian yang digunakan adalah cross sectional dengan pengumpulan …

Hubungan Aktivitas Fisik, Konsumsi Buah Dan Sayur, Serta Cek Kesehatan Rutin Terhadap Kejadian Hipertensi Pada Siswa/I Sma Sederajat Di Wilayah Kerja Puskesmas Sawangan, Kota Depok, Milla Herdayati, Andito Yahya, Anggi Anitia, Anna Yulianti, Maulidyah Ananda, Meita Chairunnisa, Meliana Putri, Nabilah Huwaida, Nafa Shahira Anglila S, Nafikhatul Khikmah, Rofiq Firzatullah, Rouli Felicia

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Hipertensi adalah salah satu penyakit tidak menular tanpa gejala dengan kematian tertinggi yang mulai berkembang pada remaja. Studi CDC menunjukkan 1 dari 25 remaja usia 12 hingga 19 tahun menderita Hipertensi. Sementara di Indonesia, terdapat 34,11% dengan usia di atas 18 tahun terdiagnosis hipertensi oleh dokter. Pada tingkat lebih kecil, dalam penelitian di kota Depok ditemukan 57,1% kasus hipertensi pada remaja di usia 12-25 tahun. Studi ini bertujuan untuk menganalisis faktor-faktor perilaku yang berhubungan dengan kejadian hipertensi di wilayah kerja puskesmas Sawangan. Metode penelitian menggunakan desain studi cross sectional dengan teknik cluster random sampling. Sampel penelitian adalah hasil randomisasi pada …

Evaluasi Sistem Informasi Surveilans Malaria (Sismal) Di Wilayah Kerja Dinas Kesehatan Kota Malang, Muhammad Irvan Indrayana, Iwan Ariawan

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Malaria merupakan salah satu penyakit menular yang memiliki potensi tinggi dalam penyebarluasan penyakit. Berdasarkan dari Badan Pusat Statistik, Jawa Timur memiliki 7.256 kasus malaria suspek dan di kota Malang memiliki 11 kasus suspek pada tahun 2020 dan mayoritas berasal dari kasus impor dimana pasien berasal atau pernah melakukan perjalanan di luar wilayah Kota Malang yang kemudian merasakan gejala dan melakukan pemeriksaan di Kota Malang. Sistem Informasi Surveilans Malaria (SISMAL) adalah instrumen guna melakukan kegiatan pencatatan, pelaporan dan untuk meningkatkan validitas dan kelengkapan dalam pelaporan data malaria yang merupakan salah satu hal penting untuk mendukung terselenggaranya sistem Surveilans yang baik. Sistem …

Evaluasi Sistem Surveilans Tuberkulosis Di Dinas Kesehatan Kabupaten Banyumas Berdasarkan Pendekatan Sistem, Nadia Hasnanisa, Sabarinah Prasetyo, Arif Burhanudin

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Kabupaten Banyumas sebagai wilayah dengan jumlah kasus TB tertinggi di Provinsi Jawa Tengah mengalami penurunan angka pelaporan kasus TB. Tujuan penelitian ini adalah mengetahui gambaran dan kesesuaian pelaksanaan surveilans TB dari segi input, proses, dan output di wilayah kerja Dinas Kesehatan Kabupaten Banyumas berdasarkan pedoman yang ada. Penelitian kualitatif deskriptif menggunakan data primer melalui wawancara, observasi, dan dokumentasi, dengan jumlah informan sebanyak 2 orang yang dipilih dengan metode purposive sampling. Beberapa komponen surveilans yang belum memenuhi standar yaitu jumlah petugas (Man), pelatihan bagi petugas (Man), pendanaan (Money), sarana transportasi (Material), alat TCM (Material), sarana kepustakaan (Material), …

Mental Health, Chronic Disease, And Substance Use: Findings From Rural Texas, Subi Gandhi, Ryan Glaman, Elizabeth Wachira, Muna Bashir, Sushma Sharma, Chelsea Mowles, Jasmine Luttrell

Journal of Social, Behavioral, and Health Sciences

There are vital links among mental health conditions, chronic diseases, and substance use disorders. Simultaneous examination of the relationship among these three conditions is essential for providing well-integrated care to rural residents who have limited resources and for representing medically underserved areas. We aimed to assess the burden of behavioral health conditions and chronic diseases from a rural Texas community to garner context-specific insights and inform effective health promotion strategies in similar communities. We conducted a cross-sectional study among 181 residents from various zip codes in a rural Texas county. A self-administered, 18-item health-needs questionnaire was used to collect data …

Disparities In Adult Critical Care Resources Across Pakistan: Findings From A National Survey And Assessment Using A Novel Scoring System, Mustafa Ali Khan, Hamna Shahbaz, Ali Aahil Noorali, Anam Noor Ehsan, Mareeha Zaki, Fahham Asghar, Mohammed Moizul Hassan, Haroon Muhammad Arshad, Muhammad Sohaib, Adil H. Haider

Medical College Documents

Background: In response to the COVID-19 pandemic, concerted efforts were made by provincial and federal governments to invest in critical care infrastructure and medical equipment to bridge the gap of resource-limitation in intensive care units (ICUs) across Pakistan. An initial step in creating a plan toward strengthening Pakistan's baseline critical care capacity was to carry out a needs-assessment within the country to assess gaps and devise strategies for improving the quality of critical care facilities.
Methods: To assess the baseline critical care capacity of Pakistan, we conducted a series of cross-sectional surveys of hospitals providing COVID-19 care across the country. …

Development Of A Digital Health Capability Framework For Allied Health Practitioners: An Australian First, Nikki Littlewood, Sharon Downie, Abbey Sawyer, Kath Feely, Dhruv Govil, Brit Gordon

Internet Journal of Allied Health Sciences and Practice

Background: The value of digital health technologies and their contribution to high-quality and safe clinical care and enhanced health patient experience and outcomes is well established. Digital health technologies are increasingly being used by Victorian allied health professionals (AHPs) in routine service delivery, the uptake of which has been significantly accelerated by the impact of the coronavirus (COVID-19) pandemic. Objectives: This case study outlines the development of a capability framework to support Victorian AHPs, health services, other employers, and university training partners to measure and expand digital health capability at individual practitioner and workforce levels. Methods: A mixed-methods approach to …

Increased Rates Of Death From Unintentional Injury Among Non-Hispanic White, American Indian/Alaska Native, And Non-Metropolitan Communities, Lindsey R. Hammerslag, Jeffery Talbert, Tyrone F. Borders

Rural & Underserved Health Research Center Publications

Overview of Key Findings

• Living in a nonmetropolitan area is associated with an increase in the age-adjusted death rate from unintentional injuries, from 46.2 in metropolitan areas to 59.2 in nonmetropolitan areas in 2018, with all races/ethnicity groups affected except for non-Hispanic Black.
• The ratio of unintentional injury deaths in nonmetropolitan areas, compared to metropolitan areas, was 1.28 overall, ranging from 1.05 to 1.56 depending on race and ethnicity.
• American Indians and Alaska Natives have the highest rate of living in nonmetropolitan areas (39.5%), and this group has the greatest increase in death from unintentional injury associated with living in …

Sepsis: Do The Clinical Criteria Support The Medical Coding?, April M. Insco

Theses and Dissertations (ETD)

Background: Sepsis is a condition that can be very costly and very deadly. Diagnosing sepsis can be challenging as there is not one specific test that will identify whether a patient has sepsis and there are varying opinions as to the true definition of sepsis. The definition of sepsis used for this research is a combination of System Inflammatory Response Syndrome (SIRS) with an identified infection. Medical Coders must review the documentation provided in a medical record to accurately assign an ICD-10-CM code. Administrative data is then used to provide statistical information for research purposes. When coded data is not …

Adding Customized Electron Energy Beams To Truebeam Linear Accelerators, Song Gao, Manickam Muruganandham, Weiliang Du, Jared Ohrt, Rajat J Kudchadker, Peter A Balter

Faculty, Staff and Student Publications

Purpose: To better meet clinical needs and facilitate optimal treatment planning, we added two new electron energy beams (7 and 11 MeV) to two Varian TrueBeam linacs.

Methods: We worked with the vendor to create two additional customized electron energies without hardware modifications. For each beam, we set the bending magnet current and then optimized other beam-specific parameters to achieve depths of 50% ionization (I50 ) of 2.9 cm for 7 MeV and 4.2 cm for the 11 MeV beam with the 15 × 15 cm2 cone at 100 cm source-to-surface distance (SSD) by using an ionization chamber profiler (ICP) …

Determinants Of Nurse Turnover In Rural Primary Health Centres At Micro, Meso And Macro Levels Within The Health System Of Tamil Nadu, India: A Study Protocol, Ponnambily Chandy Ms, Bart Criel Dr, Lakshmi L Dr

Manipal Journal of Nursing and Health Sciences

Introduction: Nurses play a critical role in delivering patient care services at the grassroots level. But, frequent nurse turnover in rural primary health centres (PHCs) becomes a barrier in achieving health goals in Tamil Nadu (TN), which is the highest populated state in South India. Objective: The study aims to identify the determinants of nurse turnover in rural PHCs and to inform the policy-making at micro, meso, and macro levels within the health system of Tamil Nadu, India. Methods: We will adopt an integrative qualitative design consisting of five phases. In phase 1, we will do a rapid literature review …

Assessing Covid-19 Booster Hesitancy And Its Correlates: An Early Evidence From India, Geetanjali C. Achrekar, Kavita Batra, Yashashri Urankar, Ravi Batra, Naved Iqbal, Sabiha A. Choudhury, Deepti Hooda, Roohi Khan, Suraj Arora, Aditi Singh, Francesco Chirico, Manoj Sharma

School of Medicine Faculty Research

The emergence of SARS-CoV-2 mutants, waning immunity, and breakthrough infections prompted the use of booster doses of the COVID-19 vaccine to fight against the pandemic. India started booster doses in January 2022 and it is critical to determine the intention of booster dose uptake and its correlates. Therefore, the current cross-sectional study aimed to investigate booster dose acceptability and associated predictors among the Indian population. A convenience sampling technique was utilized to recruit a sample of 687 Indian residents. A 55-item psychometric validated survey tool was used to assess booster dose acceptability, vaccine literacy and vaccine confidence. Univariate, bivariate, and …

The Use Of Occupational Therapy Services In Outpatient Mental Health, Kelsey A. Wasik, Matt T. Valois, Kaylee M. Essenberg, Kelcie P. Beck

Masters Theses

The purpose of this study is aimed to explore the structure and utilization details of occupational therapy in outpatient behavioral health settings. Two occupational therapists participated in qualitative phenomenological interviews which were transcribed and analyzed using the thematic approach. A total of two themes emerged: billing and coverage, and education and advocacy. Participants identified there are necessary factors for reimbursement of services, in addition to the need for education and advocacy for occupational therapists to practice in outpatient behavioral health settings. Future research should be aimed at recruiting more participants, occupational therapists, and from other roles in these clinics such …

Stres Dan Strategi Coping Remaja Pengguna Narkoba Yang Menjalani Program Pasca Rehabilitasi Di Badan Narkotika Nasional Provinsi Jawa Timur, Tisnalia Merdya Andyastanti, Oedojo Soedirham, Rika Subarniati

Preventia: The Indonesian Journal of Public Health

Drug abuse is a problem that must be taken seriously. Coping strategies are ways to deal with situations that are felt to be pressing and burden a person beyond their capabilities. The purpose of this study was to examine the coping strategies possessed by adolescent drug users who are currently undergoing a post-rehabilitation program at the National Narcotics Board (BNN) of East Java. The research method uses a qualitative method with a phenomenological approach. The sampling technique is similar to the purposive sampling technique. In-depth interviews were conducted with five adolescent informants who underwent post-rehabilitation programs at BNN East Java. …

Analisis Resume Medis Rawat Inap Tidak Lengkap Dengan Menggunakan Konsep Masaaki: Sort, Straighten, Scrub, Systematize, Sustain (5s) Di Rsu Parama Sidhi Singaraja Bali, Idn Yunita Pratiwi, Adik Wibowo

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The quality of the hospital’s medical resume is one of hospital’s services quality indicator, which Parama Sidhi General Hospital still have figure of 17,1% for the incompleteness of medical record data (KLPCM). The goal of this research is to improve the attending physician medical resume’s completion through Sort, Straighten, Scrub, Systematize, and Sustain concept (5S) by acknowledged connection between 5S concept and medical resume completeness efforts based on continues improvement. This research is a mixed method analysis, by using primary and secondary data. The secondary data showed 26,80% among 1362 medical resume files were not completed. Univariate analysis of the …