Health Services Research Commons^™

Utilization Of Medi-Cal Dental Benefits, Beatrice Bautista

Annual Research Symposium

No abstract provided.

Potential Cost Savings With Implementation Of Systemwide Rasburicase Protocol, Parker Gundersen, Adalyn Lee

Annual Research Symposium

Purpose: Tumor Lysis Syndrome is a condition that takes place when apoptosis in cancer cells occurs within a short time period. This condition can lead to organ dysfunction and even death. Rasburicase is used to treat high uric acid levels in patients that are experiencing tumor lysis syndrome and is expensive. Dosing and frequency of rasburicase varies across health care institutions. This project evaluated if adherence to a systemwide rasburicase protocol could help reduce drug waste and reduce costs across a healthcare system.

Methods: We conducted a retrospective data analysis reviewing rasburicase doses administered across Intermountain Healthcare over the course …

Comparing The Efficacy Of Sodium Fluoride And Silver Diamine Fluoride In Arresting Caries Through Statistical Analysis, Elana Ferris

Annual Research Symposium

No abstract provided.

Perceptions And Practices Of Key Worker Stakeholder Groups In Hospital Animal- Assisted Intervention Programs On Occupational Benefits And Perceived Risks, Kathryn R. Dalton, William Altekruse, Peter Campbell, Kathy Ruble, Karen C. Carroll, Roland J. Thorpe Jr., Jacqueline Agnew, Meghan F. Davis

People and Animals: The International Journal of Research and Practice

Background: Animal-assisted intervention (AAI) programs, used widely for patient benefit, have increasingly been used for healthcare workers (HCW) to reduce occupational stress. However, there are barriers to these programs which limit their utilization, for both patients and HCW, specifically infectious disease concerns. The aim of the research project is to identify barriers and facilitators to AAI program use for healthcare worker benefit, and determine knowledge, beliefs, and practices regarding infectious disease risk and control policies, in order to understand the contextual parameters of program implementation.

Methods: We collected perceptions of key stakeholders involved with hospital AAI programs (HCW and AAI …

Hubungan Aktivitas Fisik Dengan Diabetes Melitus Pada Wanita Usia 20-25 Di Dki Jakarta (Analisis Data Posbindu Ptm 2019), Nurrahma Fitria Ramadhani, Kemal N. Siregar, Verry Adrian, Intan Rachmita Sari, Hardya Gustada Hikmahrachim

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Diabetes melitus adalah penyakit kronis yang terjadi karena kelainan sekresi insulin, kerja insulin atau keduanya. Diabetes melitus masih menjadi masalah di seluruh dunia terutama di negara berkembang. Tujuan penelitian ini untuk melihat hubungan aktivitas fisik dengan diabetes melitus pada wanita usia 20-25 tahun. Penelitian ini menggunakan data Posbindu DKI Jakarta tahun 2019 dengan desain potong lintang yang melibatkan 1479 subjek wanita usia 20-25 tahun yang berkunjung ke Posbindu. Dilakukan analisis statistik univariat, bivariat chi square (CI: 95%) untuk melihat hubungan aktivitas fisik dan diabetes melitus, serta analisis multivariat regresi logistik untuk melihat hubungan aktivitas fisik dan diabetes melitus setelah di …

Identifikasi Atribut Dengan Principal Component Analysis Dan K-Means Clustering Sebagai Dasar Penyusunan Strategi Promosi Kb Pria Di Indonesia, Titis Risti Yulianti, Kemal N. Siregar, Artha Prabawa

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Penggunaan kontrasepsi pria sangat rendah dibandingkan wanita di Indonesia, serta terdapat gap cukup jauh antara penggunaan kontrasepsi pria di Indonesia dengan beberapa negara di Asia. Penelitian ini bertujuan untuk menentukan strategi promosi KB pria di Indonesia. Analisis data dilakukan dengan metode Principal Component Analysis (PCA) dan k-means clustering menggunakan 4.453 responden SDKI 2017 mengenai penggunaan KB pria dengan 14 atribut. Hasil penelitian berdasarkan PCA didapatkan 5 principal component, kemudian hasil k-means clustering didapatkan 2 cluster meliputi cluster 1 dan cluster 2. Cluster 1 meliputi 411 pria kawin dengan penggunaan KB pria yang baik dan menduduki sebagian kecil provinsi di …

Evaluasi Pengelolaan Data Dan Informasi Program Vaksinasi Covid-19 (Corona Virus Disease 19) Di Wilayah Lampung Tahun 2021, Regina Valya Puspita Araytri, Milla Herdayati

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Pengelolaan data dan informasi pada program vaksinasi merupakan suatu hal penting yang harus diperhatikan pelaksanaannya. Hal ini dikarenakan proses pencatatan dan pelaporan data pada yang dilaksanakan pada program vaksinasi dapat menunjang percepatan vaksinasi di Indonesia karena dapat mengetahui cakupan vaksinasi yang telah terlaksana. Penelitian ini bertujuan untuk mengamati pengelolaan data dan informasi seputar program vaksinasi COVID-19 (Corona Virus Disease 2019) di wilayah Lampung. Penelitian ini merupakan penelitian ini merupakan penelitian deskriptif dengan pendekatan observasional pada pelayanan kesehatan sekunder (Dinas Kesehatan Provinsi Lampung) responden pada penelitian ini adalah kepala seksi surveilans dan imunisasi dinas kesehatan Provinsi Lampung. Pengumpulan data dilakukan …

Penggabungan Aplikasi Telemedicine Tb Sebagai Optimalisasi Pelayanan Tb Selama Masa Pandemi Covid-19, Dian Septiani, Fanesya Nuur Haniifah, Meta Alya Riswaluyo, Najiah Meirina Anwar

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Selama masa pandemi COVID-19, upaya penanganan TB menjadi terhambat. Upaya penanganan TB saat masa pandemi dapat dilakukan dengan memanfaatkan teknologi digital. Yayasan KNCV Indonesia (YKI) bersama Kemenkes RI mengembangkan aplikasi dalam mendukung program TB yaitu SOBAT TB dan EMPATI Client. Kedua aplikasi tersebut memiliki fungsi yang sama yaitu untuk upaya eliminasi TB namun aplikasi tersebut tidak disatukan sehingga pelayanan tidak terintegrasi. Oleh karena itu, diperlukan adanya penggabungan antara aplikasi SOBAT TB dan EMPATI Client. Metode yang digunakan dalam penelitian ini adalah tinjauan literatur (Literature review) dari berbagai sumber. Diperlukan adanya penggabungan aplikasi SOBAT TB dan Empati Client …

Pengklasteran Kepatuhan Konsumsi Tablet Tambah Darah Pada Wanita Usia Subur Menggunakan Metode Principal Component Analysis Dan K-Means, Hasnia Jondu, Kemal N. Siregar, Artha Prabawa, Nurul Fadhilah

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Anemia pada ibu hamil adalah kondisi di mana kadar Hb < 11 gr/dL. Prevalensi anemia di Indonesia cukup tinggi yaitu sebesar 44%. Target penurunan anemia dapat dicapai melalui program suplementasi zat besi dan asam folat (program IFAS). Indonesia telah sejak 1975 merekomendasikan ibu hamil minum satu tablet IFA selama kehamilan minimal 90 hari hingga 42 hari pasca melahirkan. Hasil Riskesdas 2018, Ibu hamil yang mengonsumsi TTD ≥90 butir adalah sebesar 38,1%, sedangkan data mining.Penelitian ini memadukan metode PCA dan K-Means. Peneliti menggunakan data SDKI Wanita Usia Subur 2017. Data terdiri dari 8 atribut dan 12262 record. Hasil penelitian ini yaitu hasil final cluster metode PCA menghasilkan faktor 1 (Pendidikan, Status Ekonomi, dan Tempat Tinggal), faktor 2 (Konsumsi TTD dan Kunjungan ANC), faktor 3 (Pemeriksa Hamil: Non-Nakes). Hasil metode K-Means terbentuk dua klaster dan ketiga atribut baru terdapat signifikansi.

“This Isn’T Just Busy, This Is Scary”: Stress, Social Support, And Coping Experiences Of Frontline Nurses During The Covid-19 Pandemic, Erin S. Craw, Tess M. Buckley, Michelle Miller-Day

Communication Faculty Articles and Research

Despite having previous experience and extensive trauma training, the COVID-19 pandemic presented unprecedented challenges for nurses working in hospital settings. During the pandemic, nurses struggle to care for patients and protect themselves from infection, while navigating ongoing organizational changes. Guided by prior literature on social support and coping, this study explores nurses’ experiences of coping with stress while treating COVID-19 patients during the pandemic. In-depth semi-structured interviews were conducted with 14 active staff nurses working in hospitals and one licensed practical nurse (LPN) at a rehabilitation center who treated COVID-19 patients during the pandemic. An inductive thematic analysis was employed …

Triglyceride-Rich Lipoproteins, Apolipoprotein C-Iii, Angiopoietin-Like Protein 3, And Cardiovascular Events In Older Adults: Atherosclerosis Risk In Communities (Aric) Study, Aliza Hussain, Caroline Sun, Elizabeth Selvin, Vijay Nambi, Josef Coresh, Xiaoming Jia, Christie M Ballantyne, Ron C Hoogeveen

Faculty, Staff and Students Publications

AIMS: Despite statin and antihypertensive therapies, older Americans have high atherosclerotic cardiovascular disease (ASCVD) risk. Novel measures of triglyceride-rich lipoproteins, low-density lipoprotein triglycerides (LDL-TG), and remnant-like particle cholesterol (RLP-C), are associated with ASCVD in middle-aged adults. Polymorphisms in genes encoding angiopoietin-related protein 3 (ANGPTL3) and apolipoprotein C-III (apoC-III), two proteins involved in triglyceride catabolism, are associated with increased risk for hypertriglyceridaemia and ASCVD and are potential therapeutic targets. We examined associations of LDL-TG, RLP-C, apoC-III, and ANGPTL3 levels with ASCVD events in older adults in the Atherosclerosis Risk in Communities (ARIC) study.

METHODS AND RESULTS: In 6359 participants (mean age …

The 2025 Michigan State Oral Health Plan, Ellen Sugrue Hyman Jd

The Journal of the Michigan Dental Association

This feature article explores the 2025 Michigan State Oral Health Plan (SOHP), a comprehensive initiative developed by the Michigan Oral Health Coalition (MOHC) and a statewide coalition, including the Michigan Dental Association (MDA). With a focus on enhancing oral health for all Michigan residents, the SOHP prioritizes addressing economic and racial disparities. The plan, guided by three key goals—Increasing Awareness and Education, Dental-Health Integration, and Access and Infrastructure—aims to improve oral health outcomes. The article discusses the plan's development process, key findings highlighting existing disparities, workforce challenges, and the strategic implementation of the SOHP through collaborative efforts and workgroups.

Evaluating The Military Medical Evacuation Dispatching And Delivery Problem Via Simulation And Self-Exciting Hawkes Process, Virbon B. Frial

Theses and Dissertations

The location, allocation, and utilization of military medical evacuation (MEDEVAC) resources significantly impact the quality and timeliness of medical care to injured troops. In 2009, Secretary of Defense Robert Gates introduced the Golden Hour mandate that entails the evacuation of critically-injured troops to military treatment facilities (MTFs) within an hour to prevent further complications. To develop high-quality policies that improve MEDEVAC system performance, several papers in the current literature assume that MTFs have both the capacity and capability of treating any patient, regardless of the type of injury. However, these assumptions are unrealistic when conducting high-intensity operations. While acknowledging MTF …

A Call For An Integrated Approach To Improve Efficiency, Equity And Sustainability In Rare Disease Research In The United States, Meghan C Halley, Hadley Stevens Smith, Euan A Ashley, Aaron J Goldenberg, Holly K Tabor

Faculty, Staff and Students Publications

To build a more efficient, equitable, and sustainable approach to rare disease research in the United States, we must prioritize integrated research infrastructure and approaches that focus on understanding connections across rare diseases.

The Estimation Of Excess Mortality During The Covid-19 Pandemic In Jakarta, Indonesia, Madona Yunita Wijaya

Kesmas

Indonesia is among the countries affected by the coronavirus disease 2019 (COVID-19) pandemic, and DKI Jakarta Province recorded the highest number of deaths. This study aimed to analyze the excess mortality across five administrative cities in Jakarta stratified by gender to assess the pandemic impact on mortality. The monthly mortality data from January 2018 to December 2020 was obtained through government sources. This data helped to measure excess mortality by estimating the baseline mortality had the COVID-19 pandemic not occurred. The analysis used a linear mixed model because of its ease and flexibility in forecasting subject-specific mortality. The results showed …

The Determinants Of Covid-19 Vaccine Acceptance In Sumatra, Cindy Sidarta, Andree Kurniawan, Nata P H Lugito, Jeremia Imanuel Siregar, Veli Sungono, Rivaldo Steven Heriyanto, Novia Lauren Sieto, Devina Adella Halim, Claudia Jodhinata, Saraswati Anindita Rizki, Terry Devita Sinaga, Chintya Marcella, Felix Wijovi, Billy Susanto, Elizabeth Marcella, Johan Wibowo, Jonathan Juniard Anurantha, Michelle Imanuelly, Michele Indrawan, Nadia Khoirunnisa Heryadi

Kesmas

In light of the current coronavirus disease 2019 (COVID-19) vaccination programs being implemented worldwide, this study aimed to evaluate the COVID-19 vaccine acceptance survey in Indonesia conducted by the World Health Organization (WHO), the Ministry of Health of the Republic of Indonesia, the National Immunization Technical Advisory Group (NITAG), and the United Nations Children's Fund (UNICEF), published in November 2020. It was found that Sumatra Island having lower COVID-19 vaccine acceptance rates, with Aceh Province displaying the lowest level of vaccine acceptance. Thus, a cross-sectional study was conducted, and a logistic regression analysis was used to identify the factors affecting …

Increased Thyroid Hormone Levels In Pesticide Sprayer At Agricultural Area, Aditya Pawitra, Khuliyah Candraning Diyanah, Mohd Talib Latif, Beni Hari Susanto, Muhammad F D Lusno

Kesmas

Pesticides used massively in the agricultural sector would cause many poisoning and serious health problems. Organophosphate pesticides have been identified as endocrine-disrupting chemicals. This study aimed to compare thyroid hormone levels between the sprayers chronically exposed to pesticides and the control respondents who had never been exposed to pesticides. This study was an analytical observational with a cross-sectional design. The total number of respondents was 150, 50 as sprayers and 100 as control respondents. The venous blood samples were examined using the Enzyme-Linked Immunosorbent Assay (ELISA). The findings significantly showed that the sprayer had a higher level of thyroid-stimulating hormone …

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 …

A Study On The Impact Of Occupational Fatigue On Human Performance Among Oil And Gas Workers In Indonesia, Achmad Dahlan, Baiduri Widanarko

Kesmas

Occupational fatigue is a serious problem since it may cause several issues, including deteriorating human performance. Some major accidents in the oil and gas industries were associated with the lack of human performance due to occupational fatigue. This study aimed to analyze the impact of occupational fatigue on human performance among oil and gas workers in Indonesia. This study used a cross-sectional design using a self-administered validated questionnaire to gather information on demographic (gender and age), work characteristics (work rotation, work duration, shift work model, day/night shift, job position), sleep debt, sleep quality, occupational (acute and chronic) fatigue, and at-risk …

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 …