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Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes最新文献

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Factors Associated with Nurse’s Job Satisfaction 护士工作满意度的相关因素
Antonius Simalango, Jaslis Ilyas
Background: Nurses have an important role in hospital to provide quality health ser­vi­­ces. Nurse’s job satisfaction is an aspect that can affect the quality of hospital ser­vi­ces, especially in carrying out nursing care. This study systema­ti­ca­l­ly re­viewed the fac­tors associated with nurse’s job satisfaction.Subjects and Method: This was a systematic review using 2 electronic databa­ses. The key­words were “criteria of job satisfaction”, “determinants”, “factors”, and “nur­­ses”. The articles included in this study were English, full paper, open access, and pu­blished from 2014 to 2019. The data were collected based on PRISMA flow diagram.Results: A total of 10 full articles included in this study. Some variables showed po­s­i­tive correlation with nurse’s job satisfaction, including fair perception, supervisor sup­port, tenure, active involvement of followers, meaningful work, professional com­mit­ment, work unit, mutual understanding in work, management or leadership role through autonomy and justice, professional status, practice envi­ronment, role clarity, job au­tonomy, work support, structural empowerment, global empowerment, op­por­tu­nity, promotion, recognition at work, and security at work. Some variables showed ne­ga­tive correlation with nurse’s job satisfaction, including workload, emo­ti­onal dis­com­fort, education level, type of organization, and role conflict.Conclusion: Some variables have positive while others have negative correlation with nur­se’s job satisfaction. In order to improve nurse’s job satisfaction it is suggested that positive correlates of nurse’s job sa­tis­­fac­tion be strengthened while negative correlates be attenuated.Keywords: job satisfaction, determinants, nurses
背景:护士在医院提供高质量的健康服务中发挥着重要作用。护士的工作满意度是影响医院服务质量的一个方面,特别是在护理工作中。本研究系统地回顾了护士工作满意度的相关因素。对象和方法:这是一项使用2个电子数据库的系统综述。关键词是“工作满意度标准”、“决定因素”、“因素”和“nur - ses”。本研究纳入的文章均为英文、全文、开放获取、2014 - 2019年出版。数据采集基于PRISMA流程图。结果:本研究共纳入10篇全文。一些变量与护士的工作满意度呈正相关,包括公平感知、主管支持、任期、追随者积极参与、有意义的工作、专业承诺、工作单位、工作中的相互理解、管理或领导角色通过自治和公正、专业地位、实践环境、角色清晰度、工作自主、工作支持、结构授权、全局授权、合作、晋升、工作认可。还有工作上的安全。工作量、情绪不适、受教育程度、组织类型、角色冲突与护士工作满意度呈负相关。结论:部分变量与护士工作满意度呈正相关,部分变量与护士工作满意度呈负相关。为了提高护士的工作满意度,建议加强护士工作满意度的正相关因素,减弱其负相关因素。关键词:工作满意度,决定因素,护士
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引用次数: 0
Management of Medical Waste in Developing Countries: A Systematic Review 发展中国家医疗废物管理:系统综述
Asriyanti Bandaso, D. Ayuningtyas
Background: Health care activities can generate different kinds of hazardous waste. Management of hospital health care waste (HCW) especially in developing countries is still a big challenge. Medical waste can result in environmental and occupational health risk. This study aimed to review systematically the management of medical waste in developing countries. Subjects and Method: This was a systematic review conducted according to the PRISMA model. This review was conducted by searching published articles from 2014 to 2019 from databases including Proquest and Scopus. The inclusion criteria were English dan open access. Results: Hospital medical waste management in developing countries was poor. It increased the risk of spreading infections such as HCV, HBV, and HIV. Poor management of hospital medical waste was affected by lack of an effective waste management plan, lack of resources, lack of budget, lack of facilities, and poor hospital staff awareness. Budget, facility, staff, surveillance, and audits were essential to ensure safe and appropriate hospital waste management practices. Conclusion: Poor management of hospital medical waste is affected by lack of an effective waste management plan, lack of resources, lack of budget, lack of facilities, and poor hospital staff awareness.
背景:卫生保健活动可产生不同种类的危险废物。特别是在发展中国家,医院卫生保健废物的管理仍然是一个巨大的挑战。医疗废物可造成环境和职业健康风险。本研究旨在系统回顾发展中国家医疗废物的管理情况。对象和方法:这是一项根据PRISMA模型进行的系统综述。本综述通过检索Proquest和Scopus等数据库中2014 - 2019年发表的文章进行。纳入标准为英文和开放获取。结果:发展中国家医院医疗废物管理水平较差。它增加了传播丙型肝炎病毒、乙型肝炎病毒和艾滋病毒等感染的风险。医院医疗废物管理不善受到以下因素的影响:缺乏有效的废物管理计划、缺乏资源、缺乏预算、缺乏设施以及医院工作人员意识差。预算、设施、工作人员、监督和审计对于确保安全和适当的医院废物管理做法至关重要。结论:影响医院医疗废物管理不善的主要因素是缺乏有效的废物管理计划、缺乏资源、缺乏预算、缺乏设施以及医院员工意识不强。
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引用次数: 0
Analysis of System and Service Management Improvement for Mental Health at Mental Hospitals: A Systematic Review 精神病院精神卫生制度与服务管理改进分析:系统回顾
Dede Suryaputra, Wibowo Adik
Background: Mental disorders are one of the health problems in the world where ± 300 million people experience mental disorders, and the quality of care for mental health has not increased, its caused poor treatment results. Poor quality mental health services can lead to negative therapeutic outcomes. However, poor quality of care can be substantially redressed through concerted and systematic quality improvement strategies. This study aimed to review systematically the system and service management improvement for mental health at mental hospitals. Subjects and Method: A systematic review was conducted by searching following databases included Annual Reviewer, J-Store, Scientdirect, Scopus, Google Scholar and Online Library. The keywords were “mental health patient” AND “system improvement” AND “management health services” AND “hospital”. The inclusion criteria were English and open access. After review process, 16 articles were included in this review. Results: From the 16 literature studies consisting of 5 references mentioning case management, multidisciplinary teams and facilities, 5 references regarding licensing and standardization, 3 references regarding certification and accreditation. Then 3 other references stated that the improvement of education and training of the health profession, organizational factors and hospital management leadership had a positive impact in improving service management hospitals especially in mental hospitals Conclusion: System improvement and management of mental health services reduced the number of patients with chronic mental disorder in hospitals and increase patient satisfaction.
背景:精神障碍是全球健康问题之一,全球约有3亿人患有精神障碍,而精神卫生护理质量没有提高,导致治疗效果不佳。质量差的精神卫生服务可能导致负面的治疗结果。然而,通过协调一致和系统的质量改进战略,可以大大纠正护理质量差的问题。本研究旨在系统回顾精神病院心理健康制度与服务管理之改善。对象和方法:通过检索Annual Reviewer、J-Store、Scientdirect、Scopus、Google Scholar和Online Library等数据库进行系统评价。关键词为“精神病人”、“系统改进”、“管理卫生服务”和“医院”。纳入标准为英文和开放获取。经过审查,16篇文章被纳入本综述。结果:16篇文献中,5篇文献涉及病例管理、多学科团队和设施,5篇文献涉及许可和标准化,3篇文献涉及认证和认可。另外3篇文献指出,卫生专业教育培训、组织因素和医院管理领导的改善对改善医院服务管理有积极影响,尤其是精神病院。结论:精神卫生服务制度的改进和管理减少了医院慢性精神障碍患者的数量,提高了患者的满意度。
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引用次数: 0
The Impact of Accreditation on the Quality of Hospital Service 认证对医院服务质量的影响
Bagus Nugroho, A. Sjaaf
Background: It is hypothesized that hospital accreditation improves the quality of health services. This is because every accredited hospital must implement the standard issues by an independent accreditation organization. However, there is a lack of evidence in Indonesia to support this hypothesis. This study aimed to investigate the impact of accreditation on the quality of hospital service. Subjects and Method: This was a systematic review conducted by searching articles related to hospital accreditation and the quality of health service. The articles were collected from PubMed database. The keywords were "hospital accreditation" AND "quality" AND "impact". The activation filter used in the PubMed were free and full text. The articles were reviewed based on PRISMA flow diagram. Results: Eight articles reported that the hospital accreditation improved the quality of health service. These articles provide some valid evidence in the four stages of accreditation cycle, namely the initiation phase, pre-survey phase, after accreditation phase, and stagnation phase. The quality of hospital health services had increased significantly from initiation phase to the after accreditation phase. Conclusion: Hospital accreditation increases the quality of hospital health service. This is because hospitals must work in accordance with standard issued by independent hospital accreditation to maintain hospital quality.
背景:假设医院认证可以提高医疗服务质量。这是因为每一家获得认证的医院都必须执行由独立认证机构发布的标准。然而,在印度尼西亚缺乏证据来支持这一假设。本研究旨在探讨认证对医院服务品质的影响。对象和方法:这是一项通过检索与医院认证和卫生服务质量相关的文章进行的系统综述。文章来源于PubMed数据库。关键词是“医院认证”、“质量”和“影响”。PubMed中使用的激活过滤器是免费的和全文的。基于PRISMA流程图对相关文章进行了综述。结果:8篇文章报道了医院认证提高了卫生服务质量。这些文章在认可周期的四个阶段,即启动阶段、调查前阶段、认可后阶段和停滞阶段提供了一些有效的证据。从启动阶段到认证后阶段,医院保健服务的质量显著提高。结论:医院认证提高了医院卫生服务质量。这是因为医院必须按照独立医院认证机构发布的标准工作,以保持医院质量。
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引用次数: 1
Evaluation of Inputs in Surveillance System of Suspect Tuberculosis Case Finding at Community Health Centers, Palu, Central Sulawesi 中苏拉威西帕卢社区卫生中心疑似肺结核病例发现监测系统投入的评估
Putri Intan Purnamasari, Ascobat Gani, Y. Yulianti, M. Napirah
Background: The World Health Organization goal for tuberculosis (TB) control is to detect 70% of new, smear-positive TB cases and cure 85% of these cases. The case detection rate is the number of reported cases per 100,000 persons per year divided by the estimated incidence rate per 100,000 per year. Indonesia especially Palu still has a low detection rate of TB. This study aimed to investigate the evaluation of inputs in surveillance system of suspect TB case finding at community health centers (puskesmas), Palu, Central Sulawesi. Subjects and Method: This was a qualitative study conducted at community health center, Palu, Central Sulawesi. Several informants were selected for this study included: head of puskesmas, TB officer, TB laboratory officer, and TB disease management pro-gram manager of Palu City Health Office. The theme of this study was evaluation of inputs in surveillance system of suspect tuberculosis case finding. The data were collected by in-depth interview, focus group discussion, and document review. The data was ana-lyzed by descriptively. Results: Various problems existed within the input of TB surveillance system, inclu-ding man, money, material, method, and market. Some health workers showed incom-petency that calls for appropriate training. Some showed low performance in TB case finding. Tasks were not distributed fairly to all health workers. The tasks were not assigned according to the competency of the health worker. Collaboration with related sectors, private sector, and community organizations was lacking. Conclusion: The surveillance input system for TB control, particurlarly TB case finding, at community health centers was not optimal.
背景:世界卫生组织结核病控制的目标是发现70%的痰检阳性结核病新病例并治愈率达到85%。病例检出率是每年每10万人报告的病例数除以每年每10万人估计的发病率。印度尼西亚,特别是帕卢,结核病的检出率仍然很低。本研究旨在调查对中苏拉威西岛帕卢市社区卫生中心(puskesmas)疑似结核病例发现监测系统投入的评价。对象与方法:本研究是在苏拉威西岛中部帕卢市社区卫生中心进行的定性研究。本研究选择了几名告密者,包括:帕卢市卫生局的puskesmas负责人、结核病官员、结核病实验室官员和结核病管理项目经理。本研究的主题是评估疑似结核病例发现监测系统的投入。数据收集采用深度访谈、焦点小组讨论、文献回顾等方法。对数据进行描述性分析。结果:结核病监测系统投入存在人员、资金、物资、方法、市场等方面的问题。一些卫生工作者表现出不称职,需要进行适当的培训。有些国家在结核病病例发现方面表现不佳。任务没有公平地分配给所有保健工作者。这些任务不是根据卫生工作者的能力分配的。缺乏与相关部门、私营部门和社区组织的合作。结论:社区卫生中心的结核病控制监测输入系统,特别是结核病病例发现系统尚不完善。
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引用次数: 0
Cost Effectiveness Analysis of the Total Hip Replacement Therapy for Hip Osteoarthritis: A Systematic Review 全髋关节置换术治疗髋关节骨关节炎的成本-效果分析:一项系统综述
Nining Tri Maryani, M. Nadjib, Pamudji Utomo
Background: Hip osteoarthritis is inflammation of the joint caused by deterioration of the articular cartilage that protects the end of the joint. Total hip replacement (THR) surgery has been considered as the most effective treatment for osteoarthritis. However, studies into the cost effectiveness of THR are lacking. This study aimed to systematically review the cost effectiveness analysis of the total hip replacement therapy for hip osteoarthritis. Subjects and Method: A systematic review was conducted through PubMed database. The inclusion criteria were articles published in English-language and around last 5 years. The keywords were "cost effectiveness analysis”, “total hip replacement”, “hip osteoarthritis”, and “treatment". The articles selection were using filtering. The qualitative thematic analysis was used for synthesis. Results: Nine of 518 articles were identified for final review. THR surgery was more cost-effective for osteoarthritis than without surgery. This cost-effectiveness was influenced by age, Body Mass Index (BMI), THR procedure, duration of rehabilitation, type and brand of THR implant. Conclusion: THR surgery is more cost-effective than without THR surgery for hip osteoarthritis.
背景:髋关节骨性关节炎是由保护关节末端的关节软骨恶化引起的关节炎症。全髋关节置换术(THR)被认为是治疗骨关节炎最有效的方法。然而,缺乏对THR成本效益的研究。本研究旨在系统回顾全髋关节置换术治疗髋关节骨关节炎的成本-效果分析。研究对象和方法:通过PubMed数据库进行系统评价。入选标准是最近5年左右以英语发表的文章。关键词是“成本-效果分析”、“全髋关节置换术”、“髋关节骨关节炎”和“治疗”。文章选择使用过滤。采用定性专题分析进行综合。结果:518篇文章中有9篇被确定为最终评审。THR手术治疗骨关节炎比不手术治疗更具成本效益。这种成本-效果受年龄、身体质量指数(BMI)、THR手术、康复时间、THR植入物的类型和品牌的影响。结论:THR手术治疗髋关节骨性关节炎比不进行THR手术治疗更具成本效益。
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引用次数: 0
Role of Autonomous Motivation in Increasing Physical Activity among Patients with Type 2 Diabetes Mellitus: A Systematic Review 自主动机在2型糖尿病患者增加体力活动中的作用:一项系统综述
Amalul Fadly Hasibuan
Background: Autonomous motivation and self-care competence play a key role in the proces of health behavior change including increasing physical activity. Physical activity is crucial for glycemic control and is beneficial for overall well-being of patients with type 2 diabetes as well. This study aimed to review systematically role of autonomous motivation in increasing physical activity among patients with type 2 diabetes mellitus. Subjects and Method: A systematic review was conducted by searching published articles from 2015 to 2019 from databases including Proquest, Sciencedirect, Scopus,, and Springer Link. The keyword for WKLV UHYLHZ ZDV 3$XWRQRPRXV PRWLYDWLRQ ́ 36HOI-DetermLQDWLRQ 7KHRU ́ 33KVLFDO DFWLYLW ́ and 3'LDEHWHV 0HOOLWXV WSH ́ 7KH LQclusion criteria were English, open access, health worker, and public health. The dependent variable was physical activity. The independent variable was autonomous motivation. After review process 5 articles were included in this review. Results: Three articles stated that the autonomous motivation increased physical activity. Two other articles stated that the autonomous motivation increases the duration of physical activity. Conclusion: Autonomous motivation is an important factor in increasing adherence to physical activity according to recommendation.
背景:自主动机和自我照顾能力在健康行为改变的过程中起关键作用,包括增加身体活动。体育活动对血糖控制至关重要,对2型糖尿病患者的整体健康也有益。本研究旨在系统回顾自主动机在2型糖尿病患者增加体力活动中的作用。研究对象和方法:通过检索Proquest、Sciencedirect、Scopus和Springer Link等数据库中2015 - 2019年发表的文章进行系统评价。关键词WKLV UHYLHZ ZDV 3$XWRQRPRXV PRWLYDWLRQ·36hoi - detmlqdwlrq·7khhru·33K·VLFDO DFWLYLW·33K·VLFDO和3' ldehwhv 0HOOLWXV·WSH·7KH·lq的入选标准为英语、开放获取、卫生工作者和公共卫生。因变量为体力活动。自变量为自主动机。经过审查,5篇文章被纳入本综述。结果:三篇文章表明自主动机增加了体力活动。另外两篇文章指出,自主动机增加了体育活动的持续时间。结论:自主动机是提高体育锻炼依从性的重要因素。
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引用次数: 0
Family Development Toward Independent Family Planning “Kampung” and Transfer of Technology 面向独立计划生育的家庭发展“甘榜”和技术转让
R. Widayati, Dewi Kartikasari
,
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引用次数: 0
Sharia Hospital as an Added Value: A Systematic Review 伊斯兰教法医院的附加价值:系统评价
Moh. Abdurrokhman, Wachyu Sulistiadi
Background: Sharia hospital is a hospital that provides health services in accordance with Sharia principle. According to framework Sharia based quality management system, the application of Sharia standard in the hospital management system may increase the quality of health care and improve patient satisfaction. This study aimed to review systematically Sharia hospital as an added value. Subjects and Method: A systematic review was conducted by searching published articles from databases, including Google scholar, PubMed, Scopus, and ProQuest. The keywords were “hospital compliant Sharia”, “patient satisfaction”, “Sharia hospital”, and “Islamic hospital”. The inclusion criteria of this study were English, full text, and open access journal. The articles were reviewed using PRISMA flow diagram. Results: Two studies from Malaysia reported the Sharia hospital principle was associated with patient satisfaction. Patient satisfaction related to factors including the availability of the facility for praying, and attitude of health workers in providing health services. Studies in Iran reported that care delivered by same-sex health worker also affected the satisfaction of female patients. Conclusion: The application of Sharia principle in hospitals influences patient satisfaction.
背景:伊斯兰医院是根据伊斯兰教法原则提供保健服务的医院。根据基于伊斯兰教法的质量管理体系框架,在医院管理体系中应用伊斯兰教法标准可以提高医疗质量,提高患者满意度。本研究旨在系统地回顾伊斯兰教医院的附加价值。研究对象和方法:通过检索数据库中已发表的文章进行系统评价,包括Google scholar、PubMed、Scopus和ProQuest。关键词是“医院遵守伊斯兰教法”、“患者满意度”、“伊斯兰教法医院”和“伊斯兰医院”。本研究的纳入标准为英文、全文、开放获取期刊。用PRISMA流程图对文章进行了综述。结果:马来西亚的两项研究报告了伊斯兰医院原则与患者满意度有关。患者满意度与祈祷设施的可用性和卫生工作者在提供卫生服务方面的态度等因素有关。在伊朗进行的研究报告说,同性保健工作者提供的护理也影响到女病人的满意度。结论:伊斯兰教法原则在医院的应用影响患者满意度。
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引用次数: 6
Factors Affecting The Incidence of Acute Respiratory Tract Infection in Children under Five at Betungan Community Health Center, Bengkulu Bengkulu Betungan社区卫生中心5岁以下儿童急性呼吸道感染发生率的影响因素
E. Triana
Background: Acute respiratory infections (ARIs) are a major cause of morbidity and mortality worldwide. Each year, about 1.3 million children under 5 years die from acute respiratory infections worldwide. ARI constitute one third of the deaths in under five in low income countries. The World Health Organization estimates that respiratory infections account for 6% of the total global burden of disease. This study aimed to determine factors affecting the incidence of acute respiratory tract infection in children at Betungan Community Health Center, Bengkulu. Subjects and Method: This was cross sectional study conducted at Betungan community health center from Juny to July 2019. Total of 109 children under five were selected for this study by accidental sampling. The dependent variabel was incidence of acute respiratory tract infection. The independent variables were age, maternal education, occupation, smoking, room ventilation, floor condition, occupant density, and wall condition. Data were collected by a set of questionnaire and analyzed by a multiple logistic regression. Results: As many as 25 (44.6%) children aged 0 to 23 month had ARI. 32 (55.2%) of the sample were male and 27 (52.9%) female. 27 (56.3%) parents of the children attained senior high school. The incidence of ARI in children decreased with absence of smoking habit (OR= 0.24; p= 0.001), good room ventilation (OR= 0.28; p=0.003), and low occupant density (OR= 0.28; p=0.002). Conclusion: Incidence of ARI in children decreases with absence of smoking habit, good room ventilation, and low occupant density. Keyword: acute respiratory tract infection, risk factor, children under five. Correspondence: Eka Triana. Faculty of Public Health, Universitas Indonesia. Email: ekahudi@yahoo.com. Mobile: 082179655188 BACKGROUND Acute respiratory infections (ARI) are the leading cause of morbidity and mortality worldwide. Every year, around 1.3 million children under the age of 5 die from respiratory infections worldwide. ARI is one of three deaths in low-income countries (Tazinya et al., 2018). In developing countries, ISPA incidents often occur with under-five mortality per 40 per 1000 live births is 15-20% per year in the toddler age group (Dongky and Kadrianti, 2016). Acute Respiratory Infection is one of the health problems in the community, it is important to pay attention. 70% of ARI occur in Africa and Southeast Asia (Winardi and Umboh, 2015). In Indonesia ARI disease in children under five with morbidity rates 3-6 times per year (Dewi, 2012). There are two types of ARI namely the upper ARI and the lower ARI. Symptoms of ARI in children usually feel pain in the throat, colds, and cough. ARI can get worse if air pollution occurs. House air ventilation is inadequate, the area of the house is also considered whether it is sufficient for one family's purpose so that clean indoor air can be exchanged from clean and dirty air (Wangsa and Oka, 2019).
背景:急性呼吸道感染(ARIs)是全世界发病率和死亡率的主要原因。全世界每年约有130万5岁以下儿童死于急性呼吸道感染。在低收入国家,急性呼吸道感染占五岁以下儿童死亡人数的三分之一。世界卫生组织估计,呼吸道感染占全球疾病总负担的6%。本研究旨在确定影响Bengkulu Betungan社区卫生中心儿童急性呼吸道感染发生率的因素。对象与方法:本研究于2019年6 - 7月在白屯安社区卫生中心进行。采用随机抽样的方法,选取109名5岁以下儿童作为研究对象。因变量为急性呼吸道感染的发生率。自变量为年龄、母亲受教育程度、职业、吸烟情况、房间通风情况、地板状况、住户密度和墙面状况。采用问卷法收集数据,采用多元逻辑回归分析。结果:0 ~ 23月龄患儿中有25例(44.6%)发生ARI。男性32例(55.2%),女性27例(52.9%)。27名(56.3%)家长达到高中学历。没有吸烟习惯的儿童ARI发病率降低(OR= 0.24;p= 0.001),良好的室内通风(OR= 0.28;p=0.003),居住密度低(OR= 0.28;p = 0.002)。结论:无吸烟习惯、室内通风良好、人员密度低可降低儿童急性呼吸道感染的发病率。关键词:急性呼吸道感染,危险因素,五岁以下儿童。通信:Eka Triana。印度尼西亚大学公共卫生学院。电子邮件:ekahudi@yahoo.com。背景:急性呼吸道感染(ARI)是全世界发病率和死亡率的主要原因。全世界每年约有130万5岁以下儿童死于呼吸道感染。急性呼吸道感染是低收入国家的三种死亡之一(Tazinya et al., 2018)。在发展中国家,ISPA事件经常发生,五岁以下幼儿死亡率为每1000名活产婴儿中每40人每年15-20% (Dongky和Kadrianti, 2016)。急性呼吸道感染是社会健康问题之一,值得重视。70%的急性呼吸道感染发生在非洲和东南亚(Winardi和Umboh, 2015年)。在印度尼西亚,5岁以下儿童患急性呼吸道感染,每年发病率为3-6次(Dewi, 2012年)。有两种类型的ARI,即上ARI和下ARI。儿童急性呼吸道感染的症状通常是喉咙痛、感冒和咳嗽。如果发生空气污染,急性呼吸道感染会变得更严重。房屋通风不足,房屋面积也考虑是否足以满足一个家庭的目的,以便清洁的室内空气可以从清洁和肮脏的空气中交换(Wangsa和Oka, 2019)。
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引用次数: 2
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Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes
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