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

{"title":"Associations between Sex, Body Mass Index, Anxiety, and Emotional Eating among High School Students in Surakarta, Central Java","authors":"Yuliana Rachmawati","doi":"10.26911/the6thicph.02.37","DOIUrl":"https://doi.org/10.26911/the6thicph.02.37","url":null,"abstract":"Background: Emotional eating may be part of a psychological disorder as a way of coping with emotions or stresses in life. In the adolescent phase, immature cognitive development causes vulnerability to stress and anxiety due to social interaction. These negative emotions may impact on their eating behavior. This study aimed to determine associations between sex, body mass index (BMI), anxiety, and emotional eating among adolescents in Surakarta. Subjects and Method: A cross sectional study was carried out at senior high schools in Surakarta, in July 2019. A sample of 104 high school students aged 15-17 years old was selected by cluster random sampling. The dependent variable was emotional eating. The independent variables were gender, body mass index (BMI), and anxiety. Emotional eating was measured by Emotional Eater Questionnaire (EEQ). Body weight was measured by weight scale. Body height was measured by microtoise. Anxiety was measured by Hamilton Anxiety Rating Scale (HARS). The data were analyzed by a multiple logistic regression. Results: Prevalence of emotional eating in adolescents was 42.3% (53.7% female and 21.6% male). 57.6% adolescents experienced anxiety and 80.8% categorized as overweight/obese. The risk of emotional eating increased with female sex (OR= 0.14; 95% CI= 0.04 to 0.45; p= 0.001), overweight/obesity (OR= 14.32; 95% CI= 3.69 to 55.46; p<0.001), and anxiety (OR= 9.97; 95% CI= 2.93 to 33.91; p<0.001). Conclusion: The risk of emotional eating increased with female sex, overweight/ obesity, and anxiety.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"48 4 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":"128267399","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}

{"title":"The Effect of Motivational Interviewing Intervention on Motivation and Adherence to Antiretrovirus Therapy in People Living with HIV/AIDS in Maumere, East Nusa Tenggara","authors":"Pasionista Vianitati, I. Manurung, Sabina Gero","doi":"10.26911/the6thicph.02.15","DOIUrl":"https://doi.org/10.26911/the6thicph.02.15","url":null,"abstract":",","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"3 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":"117253768","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}

{"title":"Violence on Health Workers at The Workplace and its Management Strategy: A Systematic Review","authors":"N. Rahmatika, M. Nadjib","doi":"10.26911/the6thicph-FP.02.05","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.02.05","url":null,"abstract":"Background: Healthcare workers at workplace frequently face with patients becoming violent because of undesired events such as a long wait. Globally, workplace violence is a major challenge to safety for health workers, involving significant consequences to the victims, patients, and healthcare organizations. This study aimed to systematically review violence on health workers at the workplace and its management strategy. Subjects and Method: A systematic review was conducted by searching published articles from 2015 to 2019 including ProQuest, Springer Link, and Scopus. The keyword for this review was \"prevalence\" AND \"risk factor\" AND \"workplace violence\" AND \"hospital\". The inclusion criteria were English, open acces, health worker, and cross-sectional. After review process, 14 articles were included in this study. Results: Violence was affected by age of the victim, lack of courage to report incidents of violence, work experience, direct interaction with patients, feeling of worry / anxiety, shift system, and night work. Two articles stated lack of courage to report incidents of violence as a predictor. Three articles stated reporting as a futile act as a cause of under reporting. An article stated that the institution had taken necessary steps and provided encouragement to report act of violence, as well as had chosen strategies to prevent violence, including security measure, protocol, and training related to violence in the workplace. Conclusion: Violence is often found in health workers in the workplace. Violence was affected by age of the victim, lack of courage to report incidents of violence, work experience, direct interaction with patients, feeling of worry/anxiety, shift system, and night work. Improving management in health care facilities is needed to prevent and deal with workplace violence.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"21 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":"132889905","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}

{"title":"The Benefits of Interoperability to Prevent Medication Error in Hospital","authors":"Heppi Kartika Rahmawati, W. Adisasmito","doi":"10.26911/the6thicph.04.08","DOIUrl":"https://doi.org/10.26911/the6thicph.04.08","url":null,"abstract":"Background: Healthcare Information and Management Systems Society (HIMSS) describes interoperability as the extent to which systems and devices can exchange data, and interpret that shared data. Interoperability of health information systems can improve the accuracy of diagnosis, quality of care, and patient safety. One problem in patient safety is medication errors. Medication error defined as a failure in the treatment process that has the potential to lead to harm among patients. This study aimed to analyze the benefits of interoperability to prevent medication error in hospital. Subjects and Method: This was a systematic review study. The study were done by collecting related articles in English, published in 2014 to 2019. The databases used in this study were ProQuest, PubMed, and Sage Publication. The keywords used were interoperability, interoperable, electronic health records, data sharing, big data, health care information technology, hospitals, medication errors, medication without harm, unsafe medication, medication safety, prescribing errors, and prescription errors. Results: There were 10 articles that met the study criteria. From the articles it were found that interoperability prevents medication errors through (1) Providing quality information with credibility; (2) Preventing the occurrence of making recipes; (3) Increasing the effectiveness of information by direct transfer between systems; (4) Preventing data duplication, (5) Updating data in real time; (6) Data access in parallel by several users; (7) Prevention of data loss, differences in interpretation, and differences in measurement unit; (8) Reconciliation of treatment between patient and hospital; (9) Evaluation of diagnoses and services to patients remotely; and (10) Prevention of medication errors at the administrative stage. Conclusion: Interoperability increases accuracy of diagnoses, quality of care, patient safety, by increasing credibility of information. The existence of reconciliation between users, both doctors, nurses, pharmacists, service units, and patients, can prevent administrative errors and prescription making, and help doctors make decisions.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"88 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":"133099056","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}

{"title":"Effect of Bay Leaf Ethanol Extract on Blood Glucose Level in Patients with Type 2 Diabetes Mellitus","authors":"T. Widyawati, M. Pase, M. Daulay, I. B. Sumantri","doi":"10.26911/the6thicph-FP.05.07","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.05.07","url":null,"abstract":"Background: Previous studies showed that bay leaf or Syzygium polyanthum (Wight) Walp ethanol extract (SPEE) had antioxidant activity. It is safe for use in human. This study aimed to investigate SPEE effect on fasting blood glucose level (FBGL) among patients with type 2 diabetes mellitus. Subjects and Method: This was a pilot study using a randomized controlled trial (RCT) design. A total sample of 8 patients with type 2 diabetes mellitus were selected for this study. The intervention group were given 350 mg SPEE in capsule, once daily for 14 days. The control group were given placebo (Pl). The dependent variable was fasting blood glucose level (FBGL). The data were collected at day 0 and after 14 days administration. The effect of SPEE was determined by comparing mean FBGL in the SPEE-group and Pl-group after intervention. This effect is also shown by Effect Size (ES). The effect is large if ES >0.3. The mean difference after intervention was tested by Mann Whitney test. The means of FBGL of the two groups should be comparable as a result of randomization. Results: After the intervention, the FBGL (mg/dL) was lower in the SPEE-group (Mean= 169.75; SD= 43.72) than the Pl-group (Mean= 225.25; SD= 73.48), and it was not statistically significant (p= 0.438). This statistical non-significant effect was antici-pated in the pilot study, due to the very small sample size (n=8). Effect Size= -0.59, in-dicating large effect of SPEE in lowering the fasting blood glucose level (large if Effect Size > 0.30). Conclusion: Syzygium polyanthum (Wight) Walp ethanol extract (SPEE) is effective to lower fasting blood glucose level in patients with type 2 diabetes mellitus.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"23 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":"130465129","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}

{"title":"An Evaluation of The Effectiveness of Chronic Illness Prevention Program: Multiple Logistic Regression Analysis","authors":"Nafi’ah Aprilia, D. Tamtomo, E. S. Sulaeman","doi":"10.26911/the6thicph.02.12","DOIUrl":"https://doi.org/10.26911/the6thicph.02.12","url":null,"abstract":"Background: The chronic illness prevention program (Prolanis) is a proactive health service system in chronic diseases that can affect the control of hypertension. This stu­dy aimed to analyze the effectiveness of chronic illness prevention program using health belief model (HBM).\u0000Subjects and Method: This was a retrospective cohort study carried at 4 community health centers in Ngawi, East Java, from April to May 2019. A sample of 200 elderly aged 60-74 years old was selected by fixed exposure sampling. The dependent variable was hyper­tension prevention. The independent variables were prolanis participation, per­ceived susceptibility, perceived seriousness, and self efficacy. The data were col­lected by questionnaire and analyzed by a multiple logistic regression.\u0000Results: Hypertension prevention increased with prolanis participation (b= 2.79; 95% CI= 0.55 to 5.03; p= 0.015), perceived susceptibility (b= 1.35; 95%CI= 0.18 to 2.53; p= 0.024), perceived seriousness (b= 0.82; 95%CI= 0.04 to 1.61; p= 0.039), and self efficacy (b= 1.00; 95%CI= 0.16 to 1.85; p= 0.019).\u0000Conclusion: Hypertension prevention increases with prolanis participation, perceived susceptibility, perceived seriousness, and self efficacy.\u0000\u0000Keywords: hypertension, prevention program, health belief model","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"104 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131580457","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}

{"title":"Opportunity of Mobile Telemedicine Technology for Cervical Cancer Screening in Developing Countries: A Systematic Review","authors":"Rizka Arviliana, Atfiana Nur Afifah, T. Eryando","doi":"10.26911/the6thicph-FP.01.13","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.01.13","url":null,"abstract":"Background: Cervical cancer is the leading cause of cancer death in females. However, a largescale screening of precancerous lesions with cytology is hardly possible, because of the lack of specialists and infrastructures. Telemedicine describes the use of mobile phone including picture, video, or email to exchange information in the context of health care between patients, providers, consultants, and content for the purpose of education, evaluation, decision-making, and treatment. The purpose of this study was to systematically review the opportunity of mobile telemedicine technology for cervical cancer screening in developing countries. Subjects and Method: A systematic review was conducted by searching published article from PubMed, Sage Publications, Scopus, and ProQuest online journal databases. The research question was formulated in PICOS format: (1) Population; (2) Intervention; (3) Comparison; (4) Outcome; and (5) Study design. An initial search found 401 articles. 8 articles were met criteria and selected for this study. Results: Mobile telemedicine is used as a complementary alternative intervention to increase the coverage of early detection of cervical cancer. Visual inspection acetic acid and complemented with digital photography has been used in Rwanda with a significant success. The health workers use a digital camera to capture images of the cervix and share it with remote experts for consultation and further diagnosis. In a different example, the Botswana model involves taking images of the cervix using mobile smartphone and transmitting the images to remote experts through multimedia messaging service (MMS). Conclusion: Mobile telemedicine offers a potential complementary screening method for pre cervical cancer lesion diagnosis.","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":"122967065","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}

{"title":"Effect of E-Prescribing Implementation on Reducing Medication Error in Hospital","authors":"Akhmad Safi’i, A. Achadi","doi":"10.26911/the6thicph-FP.04.01","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.01","url":null,"abstract":"Background: Medication error (ME) is a failure in the treatment process that can harm and endanger patient safety. One of the causes of ME is error in prescribing. Several studies have shown that electronic prescribing (e-Prescribing) is beneficial in reducing prescribing errors and improving patient safety. This study aimed to determine the effect of e-Prescribing in reducing ME. Subjects and Method: This was a systematic review study. The keywords used in this study were “implementation” AND “electronic prescribing” AND “hospital”. The articles were obtained from PubMed and Google Scholar. The articles were selected from 2015 to 2019, in English and Indonesian languages, full text, hospital setting area, and evaluate about implementation E-Prescribing in Hospital. The data were collected and analyzed based on PRISMA flow diagram. Results: A total of 11 out of 27 articles were reviewed for this study. Nine articles stated that the impact of implementing e-Prescribing were to reduce ME, facilitate prescription services, process data input faster, and increase the effectiveness of communication between pharmacist and doctor. One article showed a non-significant changes after the implementation of the e-Prescribing, although it is encourages certain types of errors and mitigates others. While the other article discussed recommendation in implementing e-Prescribing, such as increased coordination between users, modification and flexibility of the hospital information system, optimizing systems from the outset, how expertise should be developed as well as increased learning by experience. Conclusion: Implementation of e-Prescribing can reduce medication errors so that it has a positive impact on patient safety.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"17 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":"126043853","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}

{"title":"Factors Influencing Clean and Healthy Behavior among Elderly with Hypertension","authors":"Septian Najib Imtichan, D. Tamtomo, E. S. Sulaeman","doi":"10.26911/the6thicph.02.13","DOIUrl":"https://doi.org/10.26911/the6thicph.02.13","url":null,"abstract":"Background: Previous studies suggest that healthy lifestyle plays an important role in improving health-related quality of life. As a kind of behavior-related disease, the occurrence of hypertension is closely associated with unhealthy behaviour. However, the rate of hypertension self-awareness, access to treatment service, and hypertension control among elderly are low because early stages of the disease do not show any obvious signs and symptoms. This study aimed to examine factors influencing clean and healthy behavior among elderly with hypertension. Subjects and Method: This was a cross sectional study conducted in Ngawi, East Java, from June to July 2019. A sample of 200 elderly was selected for study by a multistage random sampling. The dependent variable was clean and healthy behavior. The independent variables were perceived susceptibility, perceived benefit, attitude, and family support. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Clean and healthy behavior increased with high perceived susceptibility (OR= 4.38; 95% CI= 0.15 to 0.41; p<0.001), high perceived benefit (OR= 4.51; 95% CI= 0.13 to 0.33; p<0.001), positive attitude (OR= 9.81; 95% CI= 0.30 to 0.45; p<0.001), and strong family support (OR= 2.61; 95% CI= 0.03 to 0.23; p= 0.010). Conclusion: Clean and healthy behavior increases with high perceived susceptibility, high perceived benefit, positive attitude, and strong family support.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"73 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114029117","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}

{"title":"The Impact of Clinical Pathway Implementation on Length of Stay and Hospital Cost: A Systematic Review","authors":"Herlin Putri Tanjung, A. Nurwahyuni","doi":"10.26911/the6thicph-FP.04.22","DOIUrl":"https://doi.org/10.26911/the6thicph-FP.04.22","url":null,"abstract":"Background: Clinical Pathway (CP) is a method of clinical documentation that reflects clinical practice standards for physicians, nurses, and other members of healthcare team. Clinical pathways are increasingly being used by hospitals to improve efficiency in the care of certain patient populations. This study aimed to review systematically the impact of CP implementation on length of stay and hospital cost. Subjects and Method: A systematic review was conducted by searching published articles from 2010 to 2019 from databases including: Proquest, Scopus, and Pubmed. The keywords for this review “impact, implementation, clinical pathways, critical pathways, care pathways, integrated care pathways, hospital costs and length of stay”. The dependent variables were length of stay and hospital cost. The independent variable was CP. There were 7 articles obtained after implementing the inclusion criteria. Results: There was a significant reduction in hospital costs and length of stay after the implementation of CP. There was no significant difference between before and after the application of CP in aspects of complication, mortality, readmission, and clinical outcome. Conclusion: Implementation of CP can significantly reduce hospital length of stay and cost without reducing the quality of health service.","PeriodicalId":187475,"journal":{"name":"Strengthening Hospital Competitiveness to Improve Patient Satisfaction and Better Health Outcomes","volume":"87 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":"132593891","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}