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All Journal Indonesian Journal of Medicine Journal of Health Policy and Management
Ani Nur Fauziah
School of Health Sciences Mamba’ul Ulum Surakarta, Central Java
Medicine & Pharmacology Public Health

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The Effects of Diabetes Mellitus Comorbidities on the Risk of Treatment Failure in Tuberculosis Patients: A Meta-Analysis Sri Iswahyuni; Ani Nur Fauziah; Indarto Indarto; Joko Tri Atmojo; Aris Widiyanto
Indonesian Journal of Medicine Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.643 KB) | DOI: 10.26911/theijmed.2022.7.4.597

Abstract

Background: Tuberculosis or TB is a disease caused by the Mycobacterium tuberculosis complex. There are several comorbidities that experience severity and death when infected with tuberculosis or TB, namely hypertension, diabetes mellitus, cardiovascular disease, chronic kidney disease, cerebrovascular disease, and other diseases. This study aims to estimate the magnitude of the risk of treatment failure in Tuberculosis patients with Diabetes Mellitus comorbidity, with a meta-analysis of primary studies conducted by previous authors.Subjects and Method: This was a systematic review and meta-analysis with the following PICO, population: tuberculosis patients. Intervention: chronic comorbid diabetes mellitus. Comparison: without comorbid diabetes mellitus. Outcome: treatment failure. The articles used in this study were obtained from three databases, namely Google Scholar, PubMed, and Science Direct. Keywords to search for articles “Tuberculosis” OR “TBC” AND “Diabetes Mellitus” OR “DM” AND “Treatment failure”. The included article is a full-text English cohort study design from 2007 to 2021 and reports the adjusted odds ratio (aOR) in multivariate analysis. The selection of articles is done using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 7 cohort studies involving TB patients undergoing treatment from America, Europe, Africa and Asia were selected for systematic review and meta-analysis. The data collected showed that tuberculosis patients undergoing treatment with comorbid diabetes mellitus had a 1.57 time the risk of treatment failure compared to patients without comorbid diabetes mellitus (aOR= 1.57; 95% CI= 1.08 to 2.30; p= 0.002).Conclusion: Comorbidity Diabetes mellitus increases the risk of experiencing treatment failure in tuberculosis patients.Keywords: diabetes mellitus, tuberculosis, mortality.Correspondence: Sri Iswahyuni. School of Health Sciences Mamba’ul Ulum Surakarta. Jl. Ringroad Utara, Mojosongo, Jebres, Surakarta, Central Java, Indonesia. Email: iswahyunisri@yahoo.co.id. Mobile: +62 815-6720-715.Indonesian Journal of Medicine (2022), 07(04): 417-427https://doi.org/10.26911/theijmed.2022.07.04.07 
The Relationship between Hospital Administration and Quality of Services: Meta-Analysis Puji Nur Rokhmatun; Siti Maesaroh; Imram Radne Rimba Putri; Susi Salmah; Siti Apriani Kurnianingsih; Ani Nur Fauziah; Ahmad Zamani; Joko Tri Atmojo; Aris Widiyanto
Journal of Health Policy and Management Vol. 8 No. 1 (2023)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.347 KB)

Abstract

Background: Quality of service (QoS) is important because enterprises need to provide stable services for employees and customers to use. Maintaining hospital administration is the most important thing to consider in hospital service indicators. This study aimed to analyzed the strength of the relationship between hospital administration with quality of services.Subjects and Method: This study is a meta-analysis with PICO, population: patients. Intervention: good hospital administration. Comparison: poor hospital administration. Outcome: quality of services. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles are “Hospital Administration” OR “Good Administration” OR “Hospital Services” AND “Quality of Services” OR “Services” AND “Multivariate”. Articles included are full-text English from 2009 to 2021. Articles were selected using a PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 8 cross-sectional study articles from Asia, Europe, Africa, and North America were reviewed in the meta-analysis. Based on the results of the analysis, hospital management or good hospital administration has the possibility to increase the quality of service in hospital by 2.61 times compared to poor hospital administration (aOR= 2.61; 95% CI= 1.44 to 4.72; p= 0.002) and the results were statistically significant. Conclusion: Hospital administration are increase the quality of services.Keywords: hospital, hospital administration, quality of services.Correspondence: Siti Maesaroh. School of Health Sciences Mamba’ul Ulum Surakarta. Jl. Ringroad Utara, Mojosongo, Jebres, Surakarta, Central Java, Indonesia. Email: maesarohsiti70@gmail.com. Mobile: +62 813-9386-7942Journal of Health Policy and Management (2023)https://doi.org/10.26911/thejhpm.2023.08.01.05
Co-Authors Ahmad Zamani Aris Widiyanto Atmojo, Joko Tri Imram Radne Rimba Putri Indarto Indarto Puji Nur Rokhmatun Siti Apriani Kurnianingsih Siti Maesaroh Sri Iswahyuni Susi Salmah