Didik Gunawan Tamtomo
Department of Anatomy, Faculty of Medicine, Universitas Sebelas Maret

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Biopsychosocial Factors Affecting Quality of Life in Post-stroke Patients: A Path Analysis Evidence from Surakarta Hospital, Central Java Maki Zamzam; Didik Gunawan Tamtomo; Vitri Widyaningsih
Journal of Epidemiology and Public Health Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health

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Background: Basic health research shows that the prevalence of non-communicable diseases has in
Analysis of Patient Safety Management in Committee for Quality Improvement and Patient Safety at Sumbawa Hospital, West Nusa Tenggara Evie Sulahyuningsih; Didik Gunawan Tamtomo; Hermanu Joebagio
Journal of Health Policy and Management Vol. 2 No. 2 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Patient safety is a crucial issue and a focus of policy standard in internationally accredited organizations. The specific committee responsible for quality improvement in patient safety is the committee for quality improvement and patient safety (PMKP). Incidence of malpractice often occurs but are not reported. It indicates that the committee has not worked according to required accreditation standard. This study aimed to analyze patient safety management with the committee for quality improvement and patient safety at Sumbawa Hospital, West Nusa Tenggara. Subjects and Method: This was a qualitative study with phenomenology approach. Nine study participants were selected purposively, consisting of 3 committee members (chairperson, secretary, and patient safety sub-committee), 3 chiefs of ward (pediatrics, internal medicine, and surgery), and 4 nurses or midwives (pediatrics, surgery, ICU/ICCU, and obstetrics).Results: The committee for quality improvement and patient safety has been established at Sumbawa Hospital, West Nusa Tenggara to meet the requirement of hospital accreditation standard. It aimed to improve the quality of services and to assure patient safety. However, its work has not meet the required standard. The lack of knowledge among involving parties, including hospital management, PMKP member, medical professionals was identified as one important obstacle for the implementation of patient safety management. This has led to the incidence of malpractice at the hospital, sub-standard quality of services and patient safety.Conclusion: PMKP has been established at Sumbawa Hospital, West Nusa Tenggara. However, their work have not meet the required standard. The lack of knowledge among involving parties, including hospital management, PMKP, and health professional, has led to the incidence of malpractice at the hospital, sub-standard quality of services and patient safety.Keyword: quality improvement, patient safety management, committeeCorrespondence: Evie Sulahyuningsih. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Mobile: 08786410495.Journal of Health Policy and Management (2017), 2(2): 147-156https://doi.org/10.26911/thejhpm.2017.02.02.06 
Effects of Social Support, Functional Status, and Depression on the Quality of Life of Stroke Patients: A Meta-Analysis Anwar Wahyudi; Didik Gunawan Tamtomo; RB Soemanto
Journal of Health Promotion and Behavior Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Stroke patients have physical, social, and psychological disorders. It inhibits their daily activities, thus affecting the quality of life. This study aimed to analyze the effect of social support, functional status, and depress­ion on the quality of life of stroke patients.Subjects and Method: This study was a meta-analysis study. The data were obtained from Clinical Key, DOAJ, PubMed, Science Direct, Proquest, Scopus, and Google Scholar. The keywords were "social support" AND "functional status" AND "depression" AND "quality of life "AND" stroke". The articles were published from January 1991 to September 2020. The articles studied were full-text-articles with a cross-sectional and cohort study design. The articles were collected using the PRISMA diagram and analyzed using the RevMan 5.3 program.Results: This study obtained 12 articles consisted of 2,015 selected stroke patients. The result of the meta-analysis showed that social support had a significant positive effect on the quality of life of stroke patients (b= 0.03; 95% CI= 0.02 to 0.05; p= 0.0001), functional status had a significant positive effect on the quality of life of stroke patients (b= 0.63; 95% CI= 0.52 to 1.08; p=0.0001), and depression had a significant negative effect on the quality of life of stroke patients (b= -0.18; 95%CI= -0.26 to -0.10; p=0.0001).Conclusion: Social support and functional status improve the quality of life of stroke patients. Depression reduces the quality of life of stroke patients.Keywords: social support, functional status, depression, quality of life, strokeCorrespondence: Anwar Wahyudi. Masters Program in Public Health, Universitas Sebelas Maret, JL. Ir Sutami 36A, Surakarta 57126, Central Java. Email: arwanwahyudi851@gmail.com. Mobile: +62813106121049.Journal of Health Promotion and Behavior (2020), 05(04): 284-295https://doi.org/10.26911/thejhpb.2020.05.04.06.