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Optimizing Healthcare Delivery: Analyzing the Relationship Between Inpatient Medical Record Return Time and Service Effectiveness at Ciremai Hospital Syahr, AlfiSyahr; Mustara, Mustara
Jurnal Medisci Vol 1 No 1 (2023): Vol 1 No 1 August 2023
Publisher : Ann Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62885/medisci.v1i1.18

Abstract

The medical record installation must maintain medical records correctly and appropriately, including the return of medical records. According to the Ministry of Health (2006), the standard for returning inpatient medical records is ≤ 2x24 hours after completion of treatment. Meanwhile, the standard of service effectiveness in the form of time for providing outpatient medical records according to Kepmenkes number 129 of 2008 is ≤ 10 minutes. The purpose of the study was to determine the relationship between inpatient medical record return time and service effectiveness. The research method used is quantitative with a cross-sectional design. The population is 220 medical records of post-inpatient patients who are controlled outpatients at Ciremai Hospital during January 2022. The total sample is 145 using the Slovin formula with the purposive sampling technique. Univariate analysis using frequency distribution and bivariate analysis using the Spearman rank correlation test are used because the data is not normally distributed. The results show that the average time to return inpatient medical records is 115,86 hours, the fastest time is 24 hours, and the longest time is 360 hours. The average service effectiveness in the form of outpatient medical record provision was 222,26 minutes; the fastest time was 3 minutes; and the longest time was 710 minutes. The Spearman rank correlation coefficient is 0,418 with a p-value of 0,000 ≤ 0,05. The conclusion is that there is a relationship with moderate correlation strength between inpatient medical record return time and service effectiveness, with a value of 0,418.
Key contents of health education and their impact on improving medication adherence among hypertensive patients: A systematic review and meta-analysis Mustara, Mustara; Hartono, Hartono; Pamungkasari, Eti P.
Narra J Vol. 5 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i2.2080

Abstract

Hypertension is a global health issue with significant effects on morbidity and mortality, and medication adherence is crucial for effective management. Despite its importance, adherence remains low among hypertensive patients. Health education has been shown to improve medication adherence, though its effectiveness varies across studies. The aim of this study was to systematically synthesize evidence on the impact of health education in enhancing medication adherence among hypertensive patients. This study followed preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines and employed the population, intervention, control, and outcome (PICO) approach to develop keywords for a search across five databases: Emerald, ProQuest, PubMed, ScienceDirect, and Scopus. All randomized control trials published between 2019 and 2024 in English, evaluating health education's impact on medication adherence in hypertensive patients aged ≥18 years were included. The protocol was registered on PROSPERO (CRD42024532890), and study quality was assessed using the CEBMa scale. Twelve high-quality articles (CEBMa score of ≥7) involving 1,827 participants were included, identifying four key themes in health education for hypertension: an overview of hypertension and complications, medication and side-effect management, healthy lifestyle modification, and medication adherence strategies. Health education significantly improved medication adherence by 33% (risk ratio (RR): 1.33; 95%CI: 1.08–1.64; p=0.008), with a medium-large effect on improving medication adherence (d=0.70; 95%CI: 0.34–1.05; p<0.0001) and a small-medium effect on reducing non-adherence (d=-0.45; 95%CI: -0.66–(-0.24); p<0.0001). Health education delivered 1 to 3 months and with individualized approaches showed better adherence outcomes compared to more than three months and group-based methods. Face-to-face education was more effective than the digital method. In conclusion, health education improves medication adherence in hypertensive patients when delivered comprehensively over 1–3 months through individualized face-to-face sessions. These findings support its integration as a key strategy in hypertension management to enhance adherence.
Increasing Knowledge and Parenting Patterns of Stunting Toddlers in Stunting Toddler Mothers in Jatikuwung Jatipuro Village, Karanganyar Darnoto, Sri; Ernawati, Dwi Arini; Mustara, Mustara; Oktaviani, Oktaviani; Kristiani, Shinta; Yanuarini, Triatmi Andri; Pamungkasari, Eti Poncorini; Febrinasari, Ratih Puspita
Jurnal SOLMA Vol. 12 No. 3 (2023)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v12i3.12866

Abstract

Background: Berdasarkan hasil SSGI tahun 2022 prevalensi stunting balita di Indonesia masih cukup besar yaitu 21,6%. Bupati Karanganyar melalui SK Tahun 2023 menyatakan bahwa Lokus stunting di Kecamatan Jatipuro Karanganyar yang tertinggi adalah Desa Jatikuwung. Kegiatan ini bertujuan untuk melakukan peningkatan pengetahuan stunting sebagai upaya penurunan stunting di Desa Jatikuwung Jatipuro. Metode: Kegiatan diawali dengan analisis data sekunder dan dilanjutkan Focus Discussion Group (FGD) secara luring dan daring dengan peserta 44 orang yang terdiri dari Tim TPPS Kabupaten, Kecamatan dan Desa. Kegiatan ini dilaksanakan selama bulan Juni 2023 di Balai Desa Jatikuwung Kec. Jatipuro. Hasil: Dari Hasil intervensi yang dilaksanakan dapat diketahui bahwa telah terjadi peningkatan pengetahuan pada ibu balita stunting dengan kategori sangat baik 41,6% menjadi 75%.  Kesimpulan: Pengetahuan ibu balita, ibu hamil dan kader meningkat setelah mendapatkan penyuluhan tentang stunting dan pola asuh.