Krisnawati, Hesthi
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Meta Analysis on the Effect of the Quality of Health Services with the Level of Patient Satisfaction Munawaroh, Siti Mar'atul; Nurhayati, Happy; Sudarmono, Andang; Dhony, Ervia Fahma; Veibiani, Nindita Arum; Krisnawati, Hesthi; Puspita, Wita Hana; Handayani, Dian; Dianika, Bani; Sumarah, Kristuti Catur
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: patient-oriented health services are the primary strategy for health service organiza­tions. A good service is determined by the fact that the services provided can meet the patient's needs. Patient satisfac­tion is an integral part of the quality assurance of health service. This study aims to analyze the quality of tangible health ser­vices with patient satisfaction in receiving health services.Subjects and Method: Meta-analysis was performed by searching journals from direct databases such as Google Scholar, Science Direct, and PubMed using the key­words service quality, patient satisfaction, and heat service. The inclusion criteria in this study were full text from 2010-2021, with a cross-sectional study. The data analysis was carried out by RevMan 5.3.Results: Nine articles have been analyzed, showing that the quality of service had direct evidence of an effect on patient satis­faction in accessing health services (aOR= 4.17; 95% CI= 1.78 to 9.78; p <0.001).Conclusion: The quality of direct evidence (tangible) affects patient satisfaction in accessing health services.Keywords: tangible, service, patient satisfaction.Correspondence: Siti Mar'atul Mu­na­waroh. Ahmad Dahlan Uni­ver­sity. Jl. Prof. Dr. Soepomo, Jantu­ran, Um­bulharjo, Yogyakarta. Email: siti­maratul08@­gmail.com. Mobile +62821­33295468.Journal of Health Policy and Management (2021), 06(02): 107-115https://doi.org/10.26911/thejhpm.2021.06.02.03
Meta-Analysis: Depression as A Risk Factor for Dementia Krisnawati, Hesthi
Journal of Epidemiology and Public Health Vol. 7 No. 2 (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.2022.07.02.11

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Background: Depression is a mental disorder which if not treated can cause other diseases, including the individual's physical condition. One of the risks that occur due to recurrent depression is dementia. Dementia can reduce a person's ability to survive due to decreased brain function. This study was aimed to determine the effect of depression (depression) as a risk factor for dementia (dementia).Subjects and Method: This study was a meta-analysis, with a PICO covering Population= people with dementia. Intervention= depression. Comparison= without depression. Outcome= the risk of dementia. Research data was searched from several sources including: PubMed, Google Scholar, Springer Link, and Science Direct from 2011 until 2021 with the following keywords "dementia" AND "depression" OR "risk of dementia" AND “Hazard Ratio” AND "multivariate". The inclusion criteria used were full papers using English with a cohort study design from 2011-2021 by reporting the Adjusted Hazard Ratio (aHR) value. The selection of articles was carried out using the PRISMA flow diagram. Data processing using Review Manager software version 5.3 to determine the risk of depression variables on dementia.Results: A total of 11 cohort studies were selected for a systematic review and meta-analysis. The data collected showed that depression can increase patients of dementia 1.38 times compared to without depression (aHR= 1.38; 95% CI= 1.38 to 1.70; p=0.003).Conclusion: Depression increases the risk of developing dementia. Keywords: depression, dementia, risk factor. Correspondence:Hesthi Krisnawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 Kentingan, Jebres, Surakarta, Central Java. Email: hesthikrisna86@gmail.com. Mobile +628527-8067840
Association between Troponin I and Mortality in COVID-19 Patients: Meta-Analysis Study Krisnawati, Hesthi; Dewi, Yulia Lanti Retno; Murti, Bhisma
Indonesian Journal of Medicine Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: COVID-19 is a new disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 became a pandemic disease that killed 4 million people for almost 2 years. COVID-19 patients with comorbidities or risk factors are more prone to have a worse prognosis, one of which is heart disease which can be checked through troponin I values. This study aimed to determine the relationship between troponin I levels and mortality in patients with COVID-19.Subjects and Method: This was a systematic review and meta-analysis by searching for articles from databases such as Science Direct, Springer, Google Scholar, and PubMed using the keywords: troponin I, cohort, fatality, cardiac biomarker, death, coronavirus, COVID-19 mortality, and COVID-19. Ten accredited articles published between 2019-2021 were included for meta-analysis. The subjects of this study were 10,499 COVID-19 patients. The intervention in this study was high troponin I levels, while the comparison was normal troponin I levels. The outcome of this study is mortality in COVID-19 patients. Data processing using Review Manager software version 5.3 for the relationship between troponin I levels and mortality in COVID-19 patients.Results: From a meta-analysis of 10 primary research articles in China, Spain, New York (United States), France, Turkey, and Philadelphia (United States) showed an association between high troponin I levels and an increased risk of mortality in COVID-19 patients (aOR= 3.07; 95% CI= 1.68 to 5.61; p<0.003).Conclusion: High troponin I levels increase the risk of mortality in COVID-19 patients.Keywords: troponin I, heart disease, mortality, COVID-19.Correspondence: Hesthi Krisnawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: hesthikrisna86@gmail.com. Mobile: +62852780­67840.Indonesian Journal of Medicine (2021), 06(03): 347-353https://doi.org/10.26911/theijmed.2021.­06.03.12