Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.01.08
J. Jumaina, Ascobat Gani
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{"title":"Determinants of the Incidence of Dengue Hemorrhagic Fever in the Work Area of Kunciran Health Center, Tangerang, Banten","authors":"J. Jumaina, Ascobat Gani","doi":"10.26911/the6thicph-FP.01.08","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.01.08","url":null,"abstract":",","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115517565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph.02.35
T. Setiowati, E. Pamungkasari, Hanung Prasetya
Background: To better understand the risky sexual behavior of adolescents, it is important to explore the social contexts in which sexual behaviors among adolescents are developed and shaped. The purpose of this study was to examine effects of intention, attitude, subjective norm, and perceived behavioral control on sexual behavior among female adolescents. Subjects and Method: A cross sectional study was conducted in Bantul, Yogyakarta, from June to July 2019. A total sample of 200 female adolescents was selected randomly. The dependent variable was sexual behavior. The independent variables were constructs of Theory of Planned Behavior (TPB), including intention, attitude, subjective norm, and perceived behavior control. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Healthy sexual behavior was positively associated with strong intention (b= 0.65; 95% CI= 0.56 to 0.74; p<0.001), positive attitude (b= 0.09; 95% CI= 0.03 to 0.14; p= 0.001), supportive subjective norm (b= 0.07; 95% CI= 0.01 to 0.13; p= 0.015), and strong perceived behavior control (b= 0.12; 95% CI= 0.03 to 0.21; p= 0.005). Conclusion: Healthy sexual behavior is positively associated with strong intention, positive attitude, subjective norm, and perceived behavior control.
{"title":"Effects of Intention, Attitude, Subjective Norm, and Perceived Behavioral Control on Sexual Behavior among Female Adolescents: A Multiple Linear Regression Model","authors":"T. Setiowati, E. Pamungkasari, Hanung Prasetya","doi":"10.26911/the6thicph.02.35","DOIUrl":"https://doi.org/10.26911/the6thicph.02.35","url":null,"abstract":"Background: To better understand the risky sexual behavior of adolescents, it is important to explore the social contexts in which sexual behaviors among adolescents are developed and shaped. The purpose of this study was to examine effects of intention, attitude, subjective norm, and perceived behavioral control on sexual behavior among female adolescents. Subjects and Method: A cross sectional study was conducted in Bantul, Yogyakarta, from June to July 2019. A total sample of 200 female adolescents was selected randomly. The dependent variable was sexual behavior. The independent variables were constructs of Theory of Planned Behavior (TPB), including intention, attitude, subjective norm, and perceived behavior control. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Healthy sexual behavior was positively associated with strong intention (b= 0.65; 95% CI= 0.56 to 0.74; p<0.001), positive attitude (b= 0.09; 95% CI= 0.03 to 0.14; p= 0.001), supportive subjective norm (b= 0.07; 95% CI= 0.01 to 0.13; p= 0.015), and strong perceived behavior control (b= 0.12; 95% CI= 0.03 to 0.21; p= 0.005). Conclusion: Healthy sexual behavior is positively associated with strong intention, positive attitude, subjective norm, and perceived behavior control.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114297142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.01.05
Dortua Lince Sidabalok, S. Samsudin, I. Djaja
Background: Globally, nearly 1 million children die each year because of diarrhea. Diarrhea is a major public health problem in developing countries, including Indonesia. The occurrence of diarrhea has been known to be linked with poor hygiene and sanitation. This study aimed to determine the relationship between environmental factors and personal hygiene with diarrhea among children under five in West Kotawaringin, Central Kalimantan. Subjects and Method: This was a cross-sectional study conducted at West Kotawaringin, Central Kalimantan. A total of 1.007 households with children under five was selected for this study. The dependent variable was diarrhea. The independent variables were access to drinking water, latrine ownership, type of latrine, environmental hygiene, children defecation habit, and disposing of children feces habit. The data were collected by a set of questionnaire and analyzed by multiple logistic regression Results: The risk of diarrhea increased with absence of latrine ownership (OR= 1.93; 95%CI=1.28 to 2.91; p=0.002), sub-standard type of latrine (OR= 1.88; 95%CI=1.27 to 2.78; p=0.002), poor child defecation habit (OR=1.85; 95%CI= 1.26 to 2.71; p=0.002), and free disposal of child feces (OR=1.72; 95%CI= 1.28 to 2.91; p=0.007). Conclusion: The risk of diarrhea increases with absence of latrine ownership, sub-standard type of latrine, poor child defecation habit, and free disposal of child feces.
{"title":"Relationship between Environmental Factors and Personal Hygiene with Diarrhea among Children Under Five in West Kotawaringin, Central Kalimantan","authors":"Dortua Lince Sidabalok, S. Samsudin, I. Djaja","doi":"10.26911/the6thicph-FP.01.05","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.01.05","url":null,"abstract":"Background: Globally, nearly 1 million children die each year because of diarrhea. Diarrhea is a major public health problem in developing countries, including Indonesia. The occurrence of diarrhea has been known to be linked with poor hygiene and sanitation. This study aimed to determine the relationship between environmental factors and personal hygiene with diarrhea among children under five in West Kotawaringin, Central Kalimantan. Subjects and Method: This was a cross-sectional study conducted at West Kotawaringin, Central Kalimantan. A total of 1.007 households with children under five was selected for this study. The dependent variable was diarrhea. The independent variables were access to drinking water, latrine ownership, type of latrine, environmental hygiene, children defecation habit, and disposing of children feces habit. The data were collected by a set of questionnaire and analyzed by multiple logistic regression Results: The risk of diarrhea increased with absence of latrine ownership (OR= 1.93; 95%CI=1.28 to 2.91; p=0.002), sub-standard type of latrine (OR= 1.88; 95%CI=1.27 to 2.78; p=0.002), poor child defecation habit (OR=1.85; 95%CI= 1.26 to 2.71; p=0.002), and free disposal of child feces (OR=1.72; 95%CI= 1.28 to 2.91; p=0.007). Conclusion: The risk of diarrhea increases with absence of latrine ownership, sub-standard type of latrine, poor child defecation habit, and free disposal of child feces.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120958358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.01.03
Desiana Utami, O. Setiani, H. L. Dangiran, I. Djaja
Background: The major occupation of Sumberejo villagers is a vegetable farmer. A lot of farmers use organophosphate pesticide spray. Improper use of spraying pesticide may cause harmful health impact in human. Organophosphate pesticide is poisonous and it affects the blood profile of farmers. This study aimed to examine the association between organophosphate pesticide exposure and erythrocyte sedimentation rate (ESR) among farmers in Sumberejo Village, Magelang, Central Java. Subjects and Method: A cross-sectional study was conducted in Sumberejo Village, Magelang, Central Java, on April 2017. A total sample of 43 farmers was selected from a population of 110 farmers for this study by purposive sampling. The dependent variable was ESR. The independent variables were frequency of spraying (exposure/week), number of pesticide, dose of pesticide, length of work (exposure/day), work period (years of exposure), the use of personal protection equipment (PPE), and level of cholinesterase. The ESR data were collected by laboratory test. The other data were collected by questionnaire. The bivariate analysis used the chi-square test. Results: Frequency of spraying, number of pesticides, length of work, work period, the use of PPE, and level of cholinesterase, were associated with ESR, but they were not statistically significant (p>0.050). The association between dose of pesticide and ESR was statistically significant (p= 0.048). Conclusion: Dose of pesticide is associated with ESR. However, PPE usage, length of work, work period, number of pesticides, frequency of spraying, and level of cholinesterase, do not show statistically significant association with ESR in this study.
{"title":"The Association between Organophosphate Pesticide Exposure and Erythrocyte Sedimentation Rate among Farmers in Sumberejo Village, Magelang, Central Java","authors":"Desiana Utami, O. Setiani, H. L. Dangiran, I. Djaja","doi":"10.26911/the6thicph-FP.01.03","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.01.03","url":null,"abstract":"Background: The major occupation of Sumberejo villagers is a vegetable farmer. A lot of farmers use organophosphate pesticide spray. Improper use of spraying pesticide may cause harmful health impact in human. Organophosphate pesticide is poisonous and it affects the blood profile of farmers. This study aimed to examine the association between organophosphate pesticide exposure and erythrocyte sedimentation rate (ESR) among farmers in Sumberejo Village, Magelang, Central Java. Subjects and Method: A cross-sectional study was conducted in Sumberejo Village, Magelang, Central Java, on April 2017. A total sample of 43 farmers was selected from a population of 110 farmers for this study by purposive sampling. The dependent variable was ESR. The independent variables were frequency of spraying (exposure/week), number of pesticide, dose of pesticide, length of work (exposure/day), work period (years of exposure), the use of personal protection equipment (PPE), and level of cholinesterase. The ESR data were collected by laboratory test. The other data were collected by questionnaire. The bivariate analysis used the chi-square test. Results: Frequency of spraying, number of pesticides, length of work, work period, the use of PPE, and level of cholinesterase, were associated with ESR, but they were not statistically significant (p>0.050). The association between dose of pesticide and ESR was statistically significant (p= 0.048). Conclusion: Dose of pesticide is associated with ESR. However, PPE usage, length of work, work period, number of pesticides, frequency of spraying, and level of cholinesterase, do not show statistically significant association with ESR in this study.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"171 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116500871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph.02.24
Salsa Nabila, Aulia Chairani, D. Agustini
Background: Needle stick injury is one of the greatest risks faced by nurses. Deadly blood borne pathogens contaminating needle stick injuries may lead to a serious or fatal infection. This study aimed to examine the relationship between knowledge, attitude, behavior, and needle stick injury among nurse at Cilegon Regional Public Hospital. Subject and Method: This was cross sectional study conducted at Cilegon Regional Public Hospital, Banten, from January to July 2018. Total of 51 nurses at emergency department and central surgical installation were selected for this study by total sampling. The dependent variable was needle stick injury. The independent variables were knowledge, attitude, and behavior. Data was collected by a set of questionnaire and bivariate analysis was performed by chi-square. Results: Poor knowledge (OR= 20.00; 95% CI= 2.07 to 193.17; p=0.004), poor attitude (OR= 4.28; 95% CI= 1.13 to 16.23; p=0.038), and reckless behavior (OR= 20.40; 95% CI= 4.08 to 101.94; p<0.001) were associated with increased risk of needle stick injury. Conclusion: Knowledge, attitude, and behavior are associated with needle stick injury.
{"title":"Relationship between Knowledge, Attitude, Behavior, and Needle Stick Injury among Nurses at Cilegon Public Hospital, Banten","authors":"Salsa Nabila, Aulia Chairani, D. Agustini","doi":"10.26911/the6thicph.02.24","DOIUrl":"https://doi.org/10.26911/the6thicph.02.24","url":null,"abstract":"Background: Needle stick injury is one of the greatest risks faced by nurses. Deadly blood borne pathogens contaminating needle stick injuries may lead to a serious or fatal infection. This study aimed to examine the relationship between knowledge, attitude, behavior, and needle stick injury among nurse at Cilegon Regional Public Hospital. Subject and Method: This was cross sectional study conducted at Cilegon Regional Public Hospital, Banten, from January to July 2018. Total of 51 nurses at emergency department and central surgical installation were selected for this study by total sampling. The dependent variable was needle stick injury. The independent variables were knowledge, attitude, and behavior. Data was collected by a set of questionnaire and bivariate analysis was performed by chi-square. Results: Poor knowledge (OR= 20.00; 95% CI= 2.07 to 193.17; p=0.004), poor attitude (OR= 4.28; 95% CI= 1.13 to 16.23; p=0.038), and reckless behavior (OR= 20.40; 95% CI= 4.08 to 101.94; p<0.001) were associated with increased risk of needle stick injury. Conclusion: Knowledge, attitude, and behavior are associated with needle stick injury.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133834120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.05.02
Derisca Yosa, A. Wibowo
Background: The most frequent microvascular complications in patients with diabetes mellitus (DM) is diabetic nephropathy. Worldwide, diabetic nephropathy is the most common cause of endstage renal disease worldwide and a major cause of morbidity and mortality in DM patients. Urea and creatinine examinations are performed to find out kidney damage in patients with DM. This study aimed to report the correlation between blood urea and creatinine level in patients with DM at the Ministry of Marine and Fishery Clinic. Subjects and Method: This was a cross-sectional study conducted at the Ministry of Maritime Affairs and Fisheries Clinic in August 2019. A total of 155 patients with DM with laboratory tests of urea and creatinine blood was selected for this study. The variables tested were blood urea and creatinine levels. The data of blood urea and creatinine levels were collected from medical records in a year period from January to December 2018. The data were analyzed using Spearman Rank correlation test. Results: There was a positive correlation between urea and creatinine levels in the blood in DM patients (r= 0.44; p <0.001). Conclusion: There is a positive and moderate association between blood urea and creatinine in DM patients.
{"title":"Correlation between Blood Urea and Creatinine Level in Patients with Diabetes Melitus at the Ministry of Marine and Fishery Clinic, Indonesia","authors":"Derisca Yosa, A. Wibowo","doi":"10.26911/the6thicph-FP.05.02","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.05.02","url":null,"abstract":"Background: The most frequent microvascular complications in patients with diabetes mellitus (DM) is diabetic nephropathy. Worldwide, diabetic nephropathy is the most common cause of endstage renal disease worldwide and a major cause of morbidity and mortality in DM patients. Urea and creatinine examinations are performed to find out kidney damage in patients with DM. This study aimed to report the correlation between blood urea and creatinine level in patients with DM at the Ministry of Marine and Fishery Clinic. Subjects and Method: This was a cross-sectional study conducted at the Ministry of Maritime Affairs and Fisheries Clinic in August 2019. A total of 155 patients with DM with laboratory tests of urea and creatinine blood was selected for this study. The variables tested were blood urea and creatinine levels. The data of blood urea and creatinine levels were collected from medical records in a year period from January to December 2018. The data were analyzed using Spearman Rank correlation test. Results: There was a positive correlation between urea and creatinine levels in the blood in DM patients (r= 0.44; p <0.001). Conclusion: There is a positive and moderate association between blood urea and creatinine in DM patients.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"115 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134493363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.04.30
Nurmaida Saana, Ascobat Gani, Rosarlian Rosarlian
Background: Patient satisfaction is an indicator of the existing quality of health ser-vices. Patient satisfaction can affect patient loyalty of future health service. Recent data showed that outpatient visit to Poasia Community Health Center (Puskesmas) had de-creased from 16.74% in 2012 to 11.38% in 2013. This study aimed to examine the association between the quality of service and patient satisfaction at Poasia Puskesmas in Southeast Sulawesi. Subjects and Method: A cross sectional study was conducted in the work area of Poasia Puskesmas, South East Sulawesi, from January to March 2014. A total sample of 97 outpatients was selected for this study at random. The independent variable was outpatient service quality. The dependent variable was patient satisfaction. The quality data were measured by ServQual instrument. Other data were collected using ques-tionnaire and analyzed by chi square test. Results: The empathy dimension of the quality of health service was positively associated with outpatient satisfaction (OR= 0.29; 95% CI= 0.10 to 0.85; p= 0.036). Other dimensions of quality were also associated but not statistically significant with patient satisfaction. Conclusion: Quality of health service is associated with patient satisfaction. The empathy dimension of quality should be capitalized to improve the quality of outpatient service.
{"title":"Association between Quality of Service and Patient satisfaction At Poasia Community Health Center in Southeast Sulawesi","authors":"Nurmaida Saana, Ascobat Gani, Rosarlian Rosarlian","doi":"10.26911/the6thicph-FP.04.30","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.30","url":null,"abstract":"Background: Patient satisfaction is an indicator of the existing quality of health ser-vices. Patient satisfaction can affect patient loyalty of future health service. Recent data showed that outpatient visit to Poasia Community Health Center (Puskesmas) had de-creased from 16.74% in 2012 to 11.38% in 2013. This study aimed to examine the association between the quality of service and patient satisfaction at Poasia Puskesmas in Southeast Sulawesi. Subjects and Method: A cross sectional study was conducted in the work area of Poasia Puskesmas, South East Sulawesi, from January to March 2014. A total sample of 97 outpatients was selected for this study at random. The independent variable was outpatient service quality. The dependent variable was patient satisfaction. The quality data were measured by ServQual instrument. Other data were collected using ques-tionnaire and analyzed by chi square test. Results: The empathy dimension of the quality of health service was positively associated with outpatient satisfaction (OR= 0.29; 95% CI= 0.10 to 0.85; p= 0.036). Other dimensions of quality were also associated but not statistically significant with patient satisfaction. Conclusion: Quality of health service is associated with patient satisfaction. The empathy dimension of quality should be capitalized to improve the quality of outpatient service.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"163 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127521666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.01.09
M. Butarbutar, Ihsan Kurniawan, Naomi Isabella Hutabarat, Linda Hernike Napitupuluh, Agnes Ferusgel
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{"title":"Effect of Nurse Theraupetic Communication on Satisfaction among The Families of Schizophrenic Patients at Prof Muhammad Ildrem Mental Hospital, Medan, North Sumatra","authors":"M. Butarbutar, Ihsan Kurniawan, Naomi Isabella Hutabarat, Linda Hernike Napitupuluh, Agnes Ferusgel","doi":"10.26911/the6thicph-FP.01.09","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.01.09","url":null,"abstract":",","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"161 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124519990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.04.12
Dia Melisa Rafdi, D. Ayubi
Background: Accreditation is a method used to improve and measure the quality of health service. Documentation information system is a basic accreditation assessment in primary health care. However, it has some barriers to implement, which reduced its quality. Six sigma is a management tool that may be used to improve the quality of documentation information system. This study aimed to assess the documentation information system for primary health care accreditation using six sigma method. Subjects and Method: This was a qualitative study conducted at Bekasi District Health Office, Bekasi, West Java, from July to August 2019. A sample of 7 informants was selected for this study by purposive sampling, including 1 manager of the quality of health service and accreditation, 3 accreditation companions, 3 representatives from accreditation working group. The data were obtained from in-depth interview and document review. The data were analyzed using six sigma method with 5 stages namely DMAIC (define, measure, analyze, improve, control), Results: The six sigma included: (1) Defineclarified objective and test the benefit of each process, determine the resources needed, and the impact they cause; (2) Measure-measuring the performance by explaining it through process metric; (3) Analyzeanalyze the main causes in the process by using cause and effect diagram; (4) Improveproposed improvement to overcome the problem. This study was carried out only at the improve stage. Man, Money, Method, and Material were associated with the quality of documentation information system in primary health. Conclusion: The method of documentation is significant factor that associated with the quality of documentation information system.
{"title":"Assessment of the Documentation Information System for Primary Health Care Accreditation Using Six Sigma Method in Bekasi, West Java","authors":"Dia Melisa Rafdi, D. Ayubi","doi":"10.26911/the6thicph-FP.04.12","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.12","url":null,"abstract":"Background: Accreditation is a method used to improve and measure the quality of health service. Documentation information system is a basic accreditation assessment in primary health care. However, it has some barriers to implement, which reduced its quality. Six sigma is a management tool that may be used to improve the quality of documentation information system. This study aimed to assess the documentation information system for primary health care accreditation using six sigma method. Subjects and Method: This was a qualitative study conducted at Bekasi District Health Office, Bekasi, West Java, from July to August 2019. A sample of 7 informants was selected for this study by purposive sampling, including 1 manager of the quality of health service and accreditation, 3 accreditation companions, 3 representatives from accreditation working group. The data were obtained from in-depth interview and document review. The data were analyzed using six sigma method with 5 stages namely DMAIC (define, measure, analyze, improve, control), Results: The six sigma included: (1) Defineclarified objective and test the benefit of each process, determine the resources needed, and the impact they cause; (2) Measure-measuring the performance by explaining it through process metric; (3) Analyzeanalyze the main causes in the process by using cause and effect diagram; (4) Improveproposed improvement to overcome the problem. This study was carried out only at the improve stage. Man, Money, Method, and Material were associated with the quality of documentation information system in primary health. Conclusion: The method of documentation is significant factor that associated with the quality of documentation information system.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114332077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-23DOI: 10.26911/the6thicph-FP.04.16
Ernest Eugene Lie Gultom, B. Besral
Background: Diabetes is a growing health problem worldwide. It is a chronic illness that requires continuing medical care and management. Diabetes care management involves multiple aspects that go beyond drug therapy to providing high quality care. However, many patients with diabetes mellitus are not receiving good quality of diabetes care according to minimum service standard. This study aimed to investigate the quality of health services for patients with diabetes mellitus according to minimum service standard. Subjects and Method: This was a qualitative study conducted at the Community Health Center in sub-district X, South Jakarta, from 26 to 31 July 2019. A total of 14 informants were selected for this study including chairman of individual health effort unit at the Community Health Center, person in charge of non-communicable disease program, and 12 staff of non-communicable disease program. The data was collected by in-depth interview, focus group discussion, and document review. The data were analyzed descriptively. Results: The target output of health care for diabetic patients had not been achieved. According to standard set by the Ministry of Health, input and process were insufficient to achieve output. Factors affecting poor health service were high workload of staff, lack of training, lack of crosssectorial support, and poor collection of diabetes screening data. Conclusion: Targeted quality of health care for diabetic patients has not met minimum service standard.
{"title":"Quality of Health Services for Patients with Diabetes Mellitus according to Minimum Service Standard","authors":"Ernest Eugene Lie Gultom, B. Besral","doi":"10.26911/the6thicph-FP.04.16","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.16","url":null,"abstract":"Background: Diabetes is a growing health problem worldwide. It is a chronic illness that requires continuing medical care and management. Diabetes care management involves multiple aspects that go beyond drug therapy to providing high quality care. However, many patients with diabetes mellitus are not receiving good quality of diabetes care according to minimum service standard. This study aimed to investigate the quality of health services for patients with diabetes mellitus according to minimum service standard. Subjects and Method: This was a qualitative study conducted at the Community Health Center in sub-district X, South Jakarta, from 26 to 31 July 2019. A total of 14 informants were selected for this study including chairman of individual health effort unit at the Community Health Center, person in charge of non-communicable disease program, and 12 staff of non-communicable disease program. The data was collected by in-depth interview, focus group discussion, and document review. The data were analyzed descriptively. Results: The target output of health care for diabetic patients had not been achieved. According to standard set by the Ministry of Health, input and process were insufficient to achieve output. Factors affecting poor health service were high workload of staff, lack of training, lack of crosssectorial support, and poor collection of diabetes screening data. Conclusion: Targeted quality of health care for diabetic patients has not met minimum service standard.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116890907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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