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Journal : Journal of Health Policy and Management

A Meta Analysis: Effectiveness of Telemedicine to Improve Self-Care in Patients with Hearth Failure Ersananda, Audria; Prasetya, Hanung; Ichsan, Burhannudin
Journal of Health Policy and Management Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.01.11

Abstract

Background: Modern and sophisticated self-care education programs such as web-based methods and wireless networks can make changes in patient behavior to improve self-care management. Telemedicine is a potential alternative to continue providing patient health services by minimizing the risk of exposure and physical contact. This study aims to investigate relevant primary studies in order to assess the effectiveness of telemedicine to improve self-care in heart failure patients. Subjects and Method: This study used a systematic review and meta-analysis with PICO namely, P: Patients with heart failure, I; using telemedicine, C: not using telemedicine, O: increasing self care for heart failure patients. By searching for articles in 3 databases namely PubMed, Google Scholar, Cochrane which were published from 2013 to 2023, entering the following keywords (“Heart Failure” OR “congestive heart failure”) AND (Telemedicine OR “electronic health record” OR mHealth OR “ mobile health” OR “mobile app” OR “telehealth” OR “healthcare system information”) AND “self care” AND “randomized controlled trials”. Articles were selected using PRISMA flow and data analysis using the Review Manager 5.3 application. Results: Meta-analysis was carried out on 9 primary studies using RCT study designs from several countries such as Canada, the United States, Colombia, Australia, Hong Kong, Finland with a total sample size of 1.018. The processed meta-analysis data found that telemedicine is effective for improving self-care in heart failure patients, and is statistically close to significant. Heart failure patients who received telemedicine-based education had an average self-care value of 0.33 SMD units higher than those who did not receive the intervention (SMD= 0.33; 95% CI= 0.15 to 0.52; p= 0.004). Conclusion: Telemedicine is effective for improving self care in heart failure patients. Keywords: Heart Failure, Self Care, Telemedicine. Correspondence: Audria Ersananda, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: audriaersa@gmail.com. Mobile: 082233999407.
Meta Analysis: Effect of Waiting Time and Outpatient’s Satisfaction in Hospitals Safitri, Feby; Murti, Bhisma; Ichsan, Burhannudin
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.05

Abstract

Background: Service waiting time is one of the problems that causes patient complaints in several hospitals. The length of patient waiting time reflects how the hospital manages service components that are tailored to the patient's situation and expectations, as well as analyzing the effect of waiting time on the level of outpatient patient satisfaction at the hospital. The purpose of this study was to determine the effect of waiting time on the satisfaction level of outpatients at the hospital. Subjects and Method: A systematic review and meta-analysis was performed using the PRISMA guidelines and the PICO model including Population = Outpatients; Intervention = short waiting time < 2 hours; Comparison = long waiting time > 2 hours; Outcome = satisfaction. Articles are collected from databases such as PubMed, Science Direct, and Google Schoolar. The keywords used in the database search were "waiting time and satisfaction" OR "satisfaction" AND "outpatient" AND "hospital' AND "cross-sectional study". A total of 9 articles met the inclusion criteria, namely primary full text paper, cross-sectional study design, with a relationship size adjusted Odds Ratio (aOR), outpatient study subjects, interventions in the form of short waiting times < 2 hours and outcomes in the form of outpatient satisfaction for meta-analyses were then assessed using RevMan 5.3. Results: The meta-analysis which is dominated by Ethiopia shows that there is an effect of waiting time on patient satisfaction. Patients who receive services with short waiting times <2 hours have the possibility to be satisfied 6.86 times compared to long waiting times > 2 hours (aOR= 6.86; 95% CI= 1.31 to 3.26; p= 0.002) Heterogeneity (I2 = 83%) -> using random effects with statistically significant results. Conclusion: Patients who wait for a short time have the possibility to be satisfied 6.86 times compared to long waiting times. Keywords: waiting time, satisfaction, outpatien, hospital. Correspondence: Feby Safitri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: safitri.feby@gmail.com. Mobile: +6282143749717.
Meta-Analysis: Factors Reducing Health Workers' Willingness to Leave Work Hidayat, Fany Nurul Fawzi; Raharjo, Setyo Sri; Ichsan, Burhannudin
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.09

Abstract

Background: Employees are the most important human resource in a company because they have a direct influence on institutional operations in achieving organizational goals. The main problem in health service management is a shortage of health workers due to turnover or intention to leave work. This research aims to analyze the factors that reduce the desire to leave among health personnel. Subjects and Method: This research uses a meta-analysis based on PICO as follows; population: health workers; intervention: satisfied autonomy, good working environment, length of service > 5 years, low workload; comparison: autonomy not satisfied, poor working environment, length of service < 5 years, high workload; outcome: intention to leave work. Data was obtained from the PubMed, Google Scholar, Science Direct databases published from 2013-2022. The keywords in the article search are "Autonomy", "Work Environment", "Work Experience", "Workload", "Intention to Out", "Turnover Intention". "Cross Sectional". Article selection used PRISMA Flowchart and results were analyzed using Review Manager 5.4 software. Results: This study was conducted on 14 articles from Ethiopia, Ghana, California, Peru with a sample size of 9,555 professional health workers. Meta-analysis results concluded that satisfied work autonomy (aOR=0.22; CI 95%=0.06 to 0.85; p=0.030), low workload (aOR=0.60; CI 95%=0.46 to 0.78; p<0.001), had the desire out of work low. The meta-analysis results of the work environment were good (aOR=0.51; CI 95%=0.23 to 1.14; p=0.100), work experience >5 years (aOR=0.51; CI 95%=0.23 to 1.14; p=0.100) was not significantly influenced. Conclusion: Satisfied job autonomy and low workload reduce the intention to leave work among health workers. Health workers' desire to leave work is not significantly influenced by work experience or work environment.
Co-Authors Achyarnis, Achyarnis Adi Fahmi Anshari Aflit Nuryulia Praswati Akrom, Akrom Amalia, Najlah Ananda Asriany Perdana Ananda Asriany Perdana, Ananda Asriany Arum Widya Anantasya Asti Nurhayati Astuti, Indah Sri Ayu Khoirotul Umaroh Ayyasi, Quanta Sansabilla Aziz, Yusuf Abdullah Bayu Hendro Wibowo Bayu Hendro Wibowo, Bayu Hendro Bhisma Murti Binuko, Raafika Studiviani Dwi Dena Tri Solehaini Desi Ekawati Desviana Rizki Kurniasari Devi Usdiana Rosyidah Devi, Ninda Callista Dewi Nirlawati Dewi Nirlawati, Dewi Dian Handini Dian Handini, Dian Didik Gunawan Tamtomo Didik Tamtomo, Didik Dona Dewi Nirlawati Ekki Dita Anggariksa Ekki Dita Anggariksa, Ekki Dita Erna Herawati Ersananda, Audria Estu Werdani, Kusuma Fajrin, Rahmawati Flora Ramona Sigit Prakoeswa H.A.A. Soebijanto H.A.A. Soebijanto Harsono Salimo Harsono Salimo Hidayat, Fany Nurul Fawzi Hutami, Norma Putri Imronudin Imronudin, Imronudin Inggrit Thalasavia Utami Ismail, Aem Iwan Setiawan Jayanti Wulansari Jayanti Wulansari, Jayanti Jonathan Eko Jonathan Eko, Jonathan Komala, Annisa' Meyndra Kurniawati, Novarina Kusumawati, Maharani Ayu Lestari, Nining Luthfiyanti, Niken M. Nur Sidiq M. Nur Sidiq, M. Nur Mahawan, Yasmin Faradila Muhammad Nur Sidiq Muhammad Nur Sidiq, Muhammad Nur Muhammad Shoim Dasuki Mulyanto , Agus Mushhaf, Muhammad Dhiyaul Muzakar Isa Nadya Dwi Puspitasari Nendika Dyah Ayu Murika Sari Nida Faradisa Fauziyah Nining Lestari Nuredis, Yudwari Adhicha Prasetya, Hanung Pratama, Bertha Nanta Priscillah, Wildan Prisma, Fara Aristya Puspitasari, Sintha Putri Rahmitasari Putri Rahmitasari, Putri Retno Wulandari Retno Wulandari Rini Kuswati S Sulistyani Safitri, Feby Sahilah Ermawati Salsabila Purnamasari Salsabilla, Annisa Sari, Primadiati Nickyta Saskia Sabrina Sastrawijayah, Jemmi Setyo Sri Raharjo Siti Soekiswati Sulistyani Sulistyani Sulistyani Syahanita Anindira Putri Tri Agustina Verawati Hadi Vitri Widyaningsih Wahyudya Setya Ananta Wati, Dwi Prasetyo Widayati, Anis Nur Wikantama, Aswin Windi Hapsari Wisnu Wijayanto wisnu wijayanto Yeni Indriyani Yoga Prasadja Yurita, Irma Yusuf Alam Romadhon Yusuf, Muchammad Zaen, Nurussyifa Afiana Zahra Hafizha Fitria Anam Zakky Cholisoh