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All Journal Journal of Health Policy and Management Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal
Arradini, Dewi
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Education Medicine & Pharmacology Nursing Public Health Veterinary

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TELEMEDICINE, COST EFFECTIVENESS, AND PATIENTS SATISFACTION: A SYSTEMATIC REVIEW Atmojo, Joko Tri; Sudaryanto, Wahyu Tri; Widiyanto, Aris; Ernawati, Ernawati; Arradini, Dewi
Journal of Health Policy and Management Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Telemedicine has been practiced since 1960. The objective of telemedicine was to establish feasible interactive telecommunication for medical diagnosis and treatment of patients at remote sites. Nowadays, with healthcare costs on the rise, telemedicine is increasing­ly being seen as a strategy for healthcare organizations to make cost-saving. This study aimed to explore the opportunity of telemedicine utilization in cost savings to patients and the health care system.Subjects and Method: A systematic review was conducted by searching the published articles from Pubmed, MEDLINE, EMBASE, CINAHL, and Science Direct databases. Keywords for this study were ?telemedicine? AND ?patient saticfaction?, ?telemedicine? AND ?cost-utility and cost-effective­ness?, ?tele­medicine? AND ?systematic review?, and ?telemedicine? AND ?meta analysis?. The data were analyzed by PRISMA flow diagram.Results: 8 articles were selected for this study. These studies reported that telemedicine utiliza­tion in dermatology, radiology, pediatrics, and intensive care unit (ICU) rooms reduced health cost by 56% and patients travel cost to health care by 94%. Telemedicine advantages for patients were reduced transportation time or cost, eliminated time off of work, on-demand option, and reduced time in the waiting room, so that it can increase patient?s satisfaction. A study reported that telemedicine utilization at the pediatrics department increased hospital?s revenue by USD 101,744 per year.Conclusion: Telemedicine is an alternative health care to generate cost savings for patient and hospital and it can increase patient?s satisfaction.Keywords: Telemedicine, cost effectiveness, patient satisfactionCorrespondence: Joko Tri Atmojo. School of Health Sciences Mamba'ul 'Ulum, Surakarta, Jl. Ring Road Utara, Tawangsari, Mojosongo, Jebres, Surakarta, Central Java. Email: jokotriatmojo1@gmail.com. Mobile: 08139331900Journal of Health Policy and Management (2020), 5(2): 103-107https://doi.org/10.26911/thejhpm.2020.05.02.02
PANDEMIC COVID-19, BODY IMMUNITY RESPONSE, AND HERD IMMUNITY Handayani, Rina Tri; Arradini, Dewi; Darmayanti, Aquartuti Tri; Widiyanto, Aris; Atmojo, Joko Tri
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 10 No 3 (2020): Juli 2020
Publisher : LPPM STIKES KENDAL

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The World Health Organization has stated that COVID-19 is a "global pandemic". However, community attitudes and compliance in maintaining protocols during the pandemic were minimal and raised the issue of "herd immunity". What exactly is herd immunity, how exactly does the body's immune system react to COVID-19 and what is a COVID-19 pandemic? The purpose of writing articles is to provide information about the definition of a pandemic, the body's immune system in dealing with COVID-19, and herd immunity. A systematic review was carried out in May 2020 by searching databases: PubMed, google scholar, NIH, CDC, and Science Direct. Keywords: "Pandemic and COVID 19" and "COVID 19 rapid test and accuracy", "PCR accuracy" and "PCR COVID 19 vs Rapid test" and "Herd immunity". The COVID-19 pandemic occurred because there was a discovery and a new mutation of the SARS-CoV virus becoming very infectious and of high virulence. Herd Immunity cannot be said to be the relevant treatment for COVID-19. It requires a large minimum threshold of immunity to achieve Herd Immunity, and it is very unethical to allow large numbers of individuals to be infected.
Nurse Professionalism in Law Perspective: Risk Management of Occupational Health and Safety in the Hospital Arradini, Dewi
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Law number 38/2014 on nursing requires nurses to provide professional services. Unprofessional nurse increases health and safety risk of themselves. This study aimed to describe nursing professionalism in occu­pational health and safety risk management at PKU Muhammadiyah Hospital, Karanganyar, Central Java.Subjects and Method: This was a descriptive qualitative. The study was conducted at PKU Muhammadiyah hospital, Karanganyar, Central Java, from December 2018 to February 2019. There were 6 key informants selected for this study, including (1) Infection prevention and control committee, (2) Head of hospital health promotion, (3) Head division of access to hos­pitals and continuity of service, (4) Head of patient and family rights, (5) Head division of nursing, and (6) Head division of occupational health and safety. A sample of 50 nurses from 7 wards was selected to measure their attitude toward risk management of occupational health and safety. The study sample was selected randomly. Patients were included to describe the quality of health service from their pers­pec­tive. The data were collected by structured interview and analyzed by triangu­la­tion.Results: Nursing professionalism in occu­pational health and safety risk management at PKU Muhammadiyah Hospital was good. In order to maintain and improve nursing pro­fess­ionalism, internal hospital training and regular coordination meeting were conducted, invol­ving ward nurses and heads, and nursing com­mittee. Occupational health and safety risks were minimal. Near-miss and accident cases were recorded and followed up for future pre­ventive purpose.Conclusion: Nursing professionalism in occu­pational health and safety risk management at PKU Muhammadiyah Hospital is good. Some preventive measures had been taken to mini­mize occupational health and safety risk.Keywords: nursing, professionalism, risk managementCorrespondence: Dewi Arradini. School of Health Sciences Mitra Husada. Jl. Achamad Yani 167, Papahan, Tasik­madu, Karanganyar, Surakarta, Central Java. Email: dewiarra29@gmail.com. Mobile: 089­9­4194149.Journal of Health Policy and Management (2020), 05(03): 174-179https://doi.org/10.26911/thejhpm.2020.05.03.02  
Co-Authors Darmayanti, Aquartuti Tri Ernawati Ernawati Handayani, Rina Tri Joko Tri Atmojo MUHAMMAD AGUS SUPRAYUDI Setyorini, Catur Wahyu Tri Sudaryanto Widiyanto, Aris Wijiwinarsih, Amallia