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All Journal Journal of Epidemiology and Public Health Journal of Health Policy and Management
Apriyanti, Ruth
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Medicine & Pharmacology Public Health

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Effectiveness of Resources to Provide Health Care of National Health Insurance Participants Satisfaction: Meta-Analysis Pertiwi, Mumpuni Intan; Khuril, Muslihatin; Sari, Okky Nurlita; Purba, Prajna Pramitha; Palupi, Raras Indung; Tahta Firmansyah, Reza Ramadhana; Apriyanti, Ruth; Dania, Samara Rahma; Atin, Ulya Khoirunnisa'; Handriani, Winei
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.979 KB)

Abstract

Background: Indonesia is one of the coun­tries in the world that has a commitment to Universal Health Coverage in 2019. Indo­ne­sia has made various efforts to realize this commitment, one of which is through Natio­nal health insurance. The presence of the National Administrative Body is new hope for the Indonesian people for the quality of health services that will be provided. The quality of service can be perceived as good and satisfies the patient if the service received is appropriate or exceeds what is expected. So it is necessary to apply a solution in training or training related to existing resources.Subjects and Method: This study is a syste­matic review and meta-analysis. The articles used in this study were obtained from Pub­med and Scopus. The articles used in this research are articles published from 2016-2021. The article search was carried out by considering the eligibility criteria defined using the PICO model. P: JKN participants, I: adequate resources, C: insufficient resources, O: patient satisfaction. The articles included in this study are articles full text with a study design Cross-sectional. Articles were ana­lyzed using the application Review Manager 5.3.Results: Funnel plot of comparisons showed a publication bias, as evidenced by the unbalanced number of plots on the left and right sides. The distance between the plots was far. Forest plot of national health insu­rance (JKN) patients with sufficient resour­ces has 5.56 to experience patient satisfaction compared to patients with insufficient resources.Conclusion: Publication bias in funnel plots is evidenced by the unbalanced number of left and right-sided plots. Whereas in the forest plot, JKN patients with adequate resources had a higher score, namely 5.56, to experience patient satisfaction than patients with inadequate resources. As a result, there are many complaints about the dissatisfac­tion of JKN participants with inadequate resources, so it is necessary to apply a solu­tion in the form of training or training related to existing resources.Keywords: Resources, Patient Satisfaction, JKN, CrossectionalCorrespondence: Mumpuni Intan Pertiwi.Health Polytechnic Ministry of Health Yogyakarta. Jl. Tata Bumi No 3, DIY 55293, Central Java. Email: mumpuni.ip@gmail.com. Mobile: 085325638182Journal of Health Policy and Management (2021), 06(02): 154-159https://doi.org/10.26911/thejhpm.2021.06.02.08
Obesity and Its Risk on Breast Cancer among Women: A Meta-Analysis Apriyanti, Ruth; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2022.07.01.12

Abstract

Background: Breast cancer is the most common type of cancer experienced by women which can cause the most deaths in both developed and developing countries. The risk of breast cancer severity in women with BMI obesity category increased up to 30% compared with women who had normal weight. This study aims to analyze the effect of obesity on breast cancer mortality in women, with a meta-analysis of primary studies conducted by previous authors. Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: breast cancer women. Intervention: obesity. Comparison: not obese. Outcome: mortality. The articles used in this study were obtained from four databases, namely Google Scholar, Pubmed, Science Direct and Springerlink. Keywords to search for articles “Obesity” OR “Obese Overweight” AND “Mortality” OR “Death” AND “Women with Breast Cancer” OR “Breast Cancer” OR “Breast Cancer Mortality” AND “Adjusted Hazard Ratio”. The included articles are full-text English with an observational cohort study design from 2012 to 2021 and report on the aOR in multivariate analyses. Article selection is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application. Results: A total of 12 observational cohort studies from the United States, Denmark, Netherlands, UK, Spain, Malaysia and China were selected for systematic review and meta-analysis. The data collected showed that obesity increased the mortality risk of breast cancer women and was statistically significant (aOR = 1.23; 95% CI = 1.00 to 1.52; p = 0.050). Conclusion: Obesity increases the risk of mortality in breast cancer women. Keywords: obesity, breast cancer women, meta-analysis Correspondence: Ruth Apriyanti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ruthyanti94.ras@gmail.com. Mobile: +6281375232120.
Co-Authors Atin, Ulya Khoirunnisa' Bhisma Murti Dania, Samara Rahma Handriani, Winei Khuril, Muslihatin Palupi, Raras Indung Pertiwi, Mumpuni Intan Purba, Prajna Pramitha Sari, Okky Nurlita Tahta Firmansyah, Reza Ramadhana yulia lanti retno dewi