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Analysis of the Factors Influencing the Coding Quality in East Java Hospital of Indonesia: Diabetes Mellitus as A Case Study Markam, Hosizah; Ningsih, Kori Puspita; Widjaja, Lily; Nisak, Umi Khoirun; Marzo, Roy Rillera; Siswati
Window of Health : Jurnal Kesehatan Vol 8 No 2 (April 2025)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.v8i2.1702

Abstract

Code precision has received significant attention due to the increased utilization of encoded procedural data. Coding errors have been documented in multiple research investigations. This study aims to assess the variables that affect coding quality. The prevalence of diabetes has increased substantially in the past two decades and is a significant cause of morbidity and mortality. Method: This study was conducted in 2 hospitals in East Java, Indonesia, that were selected through simple random sampling from a population of hospitals meeting the predefined inclusion criteria. The bed capacities of these hospitals are 211, with details of 62 and 149, respectively, for the specialised ones. The sample in this study was 60 medical record files taken randomly in 2022 in the case of diabetes mellitus. The result showed coding quality testing uses six elements: reliability, accuracy, relevancy, timeliness, completeness, and legibility. Data analysis was carried out analytically using the Fisher Exact test. The results of the study from 60 samples showed that four elements were significant out of a total of 6 aspects of coding quality elements. The four essential elements consisted of Accuracy (p=0.001), Reliability (p=0.001), Completeness (p=0.046), and Legibility (p=0.046). Reliability elements also impact coding accuracy or vice versa (p=0.001); Completeness also affects Legibility and vice versa (p=0.046). The odds ratio value of each component shows that Reliability and Accuracy are 8.782, which means that Reliability can increase Accuracy 8 times and vice versa. Meanwhile, completeness and legibility are at 3.818, which means completeness also increases legibility by three times and vice versa. The Hospitals should consider four significant coding quality elements, including completeness, accuracy, reliability, and legibility, for use in coding audits. Timeliness and Relevance were insignificant.
The Influence of Education on Increasing Women's Empowerment for Early Detection of Pregnancy Complications in Sigi Regency Rahyani, Ni Komang Yuni; Batjo, Siti Hadijah; Nurmiaty, Nurmiaty; Hadina, Hadina; Marzo, Roy Rillera
Buletin Penelitian Kesehatan Vol. 53 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v53i2.4174

Abstract

Background: Women’s empowerment plays a critical role in improving maternal and family health, particularly through timely recognition of pregnancy danger signs and informed decision-making. Educational interventions are expected to enhance women’s knowledge, attitudes, skills, and empowerment related to the early detection of pregnancy complications. This study examined the effect of education on women’s empowerment and behavioral outcomes regarding pregnancy danger signs among third-trimester pregnant women in Sigi Regency, Indonesia. Methods: A quantitative quasi-experimental study with a pretest–posttest design without a control group was conducted from June to October 2023. Eighty-five pregnant women with gestational age >28 weeks were recruited from four community health centers. Participants received structured education using a pocket book on danger signs during pregnancy, childbirth, and the postpartum period. Data were collected using a validated self-reported questionnaire. Paired t-tests were used for data analysis. Results: Mean scores for knowledge (8.74 to 9.35), attitudes (19.07 to 21.46), and skills (20.69 to 25.91) regarding pregnancy danger signs increased significantly after the intervention (p<0.05). Although the empowerment score increased (14.65 to 16.27), the difference was not statistically significant (p>0.05). Conclusion: Educational intervention effectively improved pregnant women’s knowledge, attitudes, and skills related to pregnancy danger signs, but was insufficient to significantly enhance women’s empowerment. Comprehensive, family-centered strategies are needed to strengthen women’s autonomy in maternal health decision-making.