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Highest economic status increases risk of cesarean section in women of childbearing age Haerawati Idris; Rini Anggraini
Universa Medicina Vol. 41 No. 2 (2022)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2022.v41.129-138

Abstract

BACKGROUNDCesarean section (CS) rates that are higher than the WHO recommendation may pose morbidity and mortality risks for both mother and child. In recent years, the number of CS deliveries has been increasing in developed and developing countries. The aim of the present study was to determine the rate of CS delivery and socioeconomic and demographic factors as risk factors of cesarean delivery in women of childbearing age. METHODSThis cross-sectional study used data from the 2017 Indonesian Health Demographic Survey (IDHS). The research subjects were 14,724 women of childbearing age aged 15-49 years who had given birth and met the inclusion criteria. The rate of CS was determined and the associations between independent and dependent variables were explored using logistic regression. RESULTSThe CS rate was 17.9%. Variables that had a significant relationship with cesarean delivery were geographic region, economic status, occupation, education, birth attendant, insurance ownership and antenatal care visits. The most dominant influencing variable was the highest economic status (OR 3.566; 95% CI: 2.857-4.452). Respondents with the highest economic status had a 3.5 times greater risk of having a cesarean delivery than subjects with the lowest economic status after controlling for the other variables. CONCLUSIONThis study demonstrated that the highest economic status increased the risk of CS delivery in women of childbearing age. The current epidemiological findings and evidence suggest adopting and implementing some strict guidelines in the health system to avoid unnecessary delivery by CS.
Waiting Time Experiences and Perceptions Among National Health Insurance Patients in Outpatient Care Muhammad Alamsyah; Yuanita Windusari; Haerawati idris
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2751

Abstract

Waiting time is a critical aspect of healthcare service quality that influences patient satisfaction and overall service evaluation. This study aims to explore patients’ perceptions of waiting time in healthcare services by examining experiential factors that shape how waiting is interpreted and tolerated. A qualitative research design was employed, using in-depth interviews with four patients who had direct experience with healthcare service delivery. Data were analyzed thematically to identify recurring patterns in participants’ accounts. The findings reveal that perceptions of waiting time were influenced not only by its duration but also by procedural clarity, staff responsiveness, communication and information transparency, service environment, and the presence of personalization and emotional support. Clear service procedures and timely, understandable information reduced uncertainty and moderated negative perceptions of waiting. Additionally, clean and comfortable environments, along with empathetic and attentive staff interactions, enhanced patients’ ability to tolerate waiting and contributed to more positive service experiences. The study concludes that waiting time should be understood as a multidimensional experience shaped by both operational and interpersonal factors. These findings highlight the importance of adopting patient-centered strategies that integrate effective communication, environmental comfort, and emotional support in managing waiting time within healthcare services.
Co-Authors : Samwilson Slamet, : Samwilson A Yosef Wempie Abubakar Lutfi Ahmad Ghiffari Alvera Noviyan Alvera Noviyani Amrina Rosyada Asmaripa Ainy Asri Maharani Assaini Carinta Padang Bambang B. Soebyakto Chairil Anwar Dea Pradisa Desheila Andarini Devy Yuliantari Dewi Milandiah Dian Hayati Dian Safriantini Dian Safriantini Dian Safriantini Dian Safriantini, Dian Elan Satriawan Eni Nuraini Erika Pebriyanti Erna Erna Erna Erna Faiznur Ridho Fatma Juwita Lubis Gian Septhayudi Gusti Tri Wahyuni Gustri Olivianti Hamzah Hasyim Henny Febriyanti Henny Henny Icon Harizon Ikhsan Ikhsan Imelda Gernauli Purba, Imelda Gernauli Indah Fasha Palingga Indah Purnama Sari Indah Yuliana Inoy Trisnaini Iwan Stia Budi Jangga Jery Ardhan Junisa Anggraini Khairunnisa Khairunnisa Kirana Kirana Kurnia Aini Laksono Trisnantoro Leni Utami Linda Zuliana Lindia Herawati Lusia Weni M Zulkarnain M Zulkarnain Maya Apriani Misnaniarti Misnaniarti Misnaniarti Mohammad Zulkarnaian Muhammad Alamsyah Muhammad Yuwono Mulia Fadhilatul Azizah Musmarlinda Musmarlinda Najmah Najmah Najmah, Najmah Natalia Natalia Nila Kusumah Ningsih, Nining Ade Nining Ade Ningsih Novrika Sari Novrikasari Novrikasari, Novrikasari Nur Alam Fajar Nur Alam Fajar Nur Alam Fajar Nur Alam Fajar Nur Alam Fajar Nur Alam Fajar Nur Farida Rahmawati Nurafni Nurafni Nurafni Nurlaili Nurlaili Pierre Ramadha K Rahmawati Rahayu Rahmawati, Nur Farida Riana Agny Betry Rico Januar Sitorus Rico Januar Sitorus Rika Maretha Rini Anggraini Rini Anggraini Ririn Noviyanti Putri Risa Nur Amalia Riska Arista Rizky Putri Pratiwi Rizma Adlia Syakurah Rosdiana Rosdiana Rostika Flora Rostika Flora Rostika Flora Rostika Flora Rudy Chendra Sabrina, Tia Saleh Saleh Saparuddin Latu Selvi Fitriah Shania Nursiah Hasri Siti Halimatul Munawarah Siti Zaleha Siti Zaleha Sri Aisyah Nabila Sutari Sutari Syafriyanti, Willyana Titien Kesuma Uttami A Suca Virgina Putri Sabila Widiarti, Ika Putri Yeti Sukeni Yuanita Windusari Yuanita Windusari Yuanita Windusari Yuli Zulaikha Yuni Lasmita Yuni Lasmita Zulkandi Zulkandi Zulkarnain Zulkarnain Zulkarnain, Mohammad