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All Journal Media Kesehatan Masyarakat Indonesia The Indonesian Journal of Public Health Journal of Health Education Jurnal Preventia Jurnal Penelitian Kesehatan Suara Forikes Jurnal Pembelajaran Pemberdayaan Masyarakat (JP2M) Sport Science and Health International Journal of Public Health Excellence (IJPHE) Abdi Makarti Journal of Educational Innovation and Public Health HEALTH FRONTIERS (MULTIDISCIPLINARY JOURNAL FOR HEALTH PROFESSIONALS) PROMOTIF: Jurnal Pengabdian Kepada Masyarakat Holistik Jurnal Kesehatan Sasambo: Jurnal Abdimas (Journal of Community Service) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Ema Novita Deniati
Universitas Negeri Malang
Humanities Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Tipe Diagnosis Sebagai Faktor Penentu Utama Keberhasilan Pengobatan Tuberkulosis pada Anak Kurniawati, Anerinanta Ajeng Nurul; Deniati, Ema Novita; Nurrochmah, Siti; Supriyadi, Supriyadi
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 1 (2025): Januari-Maret 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16130

Abstract

Tuberculosis is one of the diseases that contributes to the high death rate in Indonesia. Tuberculosis cases are not only found in adults, but can also affect children. Every six months, an evaluation of the final results of treatment is carried out to determine the success rate of treatment. The high and low rates of treatment success are one of the benchmarks for the success of the tuberculosis control program. The purpose of this study was to determine the factors that influence the high and low rates of treatment success in children with tuberculosis in Malang Regency. The subjects of the study were 505 children selected using a purposive sampling technique. The method used in this study was quantitative using an observational research study with a cohort approach. The data used in this study were secondary data, namely the Tuberculosis Information System (SITB) Data on form 03 in 2023, which came from the Malang Regency Health Office. The data were analyzed using the Kruskal-Wallis, Mann-Whitney, Kendall's Tau-b, and Multinomial Logistic Regression tests. The p-value for statistical test for diagnosis type was <0.001, diagnosis based on scoring result was 0.006 and age was 0.002. It could be concluded that the final outcome of treatment is influenced by diagnosis type, diagnosis based on scoring result and age.Keywords: tuberculosis; children; final outcome of treatment ABSTRAK Tuberkulosis menjadi salah satu penyakit yang banyak menyumbangkan angka kematian di Indonesia.  Kasus tuberkulosis tidak hanya ada pada orang dewasa, namun juga dapat menyerang anak-anak. Setiap enam bulan dilakukan evaluasi hasil akhir pengobatan guna mengetahui angka keberhasilan pengobatan. Tinggi rendahnya angka keberhasilan pengobatan menjadi salah satu tolak ukur keberhasilan program penanggulangan tuberkulosis. Tujuan penelitian ini adalah mengetahui faktor yang menjadi pengaruh tinggi rendahnya angka keberhasilan pengobatan pada penderita tuberkulosis anak di Kabupaten Malang. Subyek penelitian adalah 505 anak yang dipilih dengan teknik purposive sampling. Metode yang digunakan dalam penelitian ini adalah kuantitatif yang menggunakan studi penelitian observasional dengan pendekatan kohort. Data yang digunakan dalam penelitian ini adalah data sekunder, yaitu Data Sistem Informasi Tuberkulosis (SITB) pada form 03 tahun 2023, yang bersumber dari Dinas Kesehatan Kabupaten Malang. Data dianalisis menggunakan uji Kruskal-Wallis, Mann-Whitney, Kendall’s Tau-b, dan Regresi Logistik Multinomial. Nilai p untuk uji statistik untuk tipe diagnosis adalah <0,001), diagnosis berdasarkan hasil skoring adalah 0,006 dan usia adalah 0,002. Dapat disimpulkan bahwa hasil akhir pengobatan dipengaruhi oleh tipe diagnosis, diagnosis berdasarkan hasil skoring dan usia.Kata kunci: tuberkulosis; anak; hasil akhir pengobatan
Lama kejadian loss to follow up pasien tuberkulosis paru Munarwi, Puteri Zawaliya; Deniati, Ema Novita; Nurrochmah, Siti; Supriyadi, Supriyadi
Holistik Jurnal Kesehatan Vol. 19 No. 3 (2025): Volume 19 Nomor 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i3.902

Abstract

Background: Malang Regency ranks fourth in East Java in terms of loss to follow up (LTFU) and can have an impact on improving public health. Applicable contextual knowledge about when TB patients stop treatment and factors that predict LTFU are useful for bridging the development of time-relevant intervention approaches. There needs to be follow-up related to the management of pulmonary TB so that the number of cases can be controlled and minimized. Purpose: To determine the duration of loss to follow up in pulmonary TB patients. Method: The study used a quantitative approach that was observational analytical with a retrospective cohort study design using purposive sampling. The research sample was obtained based on data from the Tuberculosis Information System (SITB) in 2023 in the reporting records for 2023 - February 29, 2024. Data analysis was carried out univariately, bivariate using the Kaplan-Meier test, and multivariate analysis using the Cox Regression test. Results: There were differences in the age variable (p<0.001) with a predicted event at 12.1 months, employment status (p=0.041) with a predicted event at 12.1 months, and history of diabetes mellitus (DM) (p=0.004) with a predicted event at 8.0 months. However, there was no significant difference in the gender variable (p=0.099) and had a predicted event at 12.5 months. The DM history variable was the dominant variable with a risk of event of 1.9 times. Conclusion: There were differences in the variables that experienced LTFU events, including age, employment status, and history of DM. However, there was no significant difference in the gender variable. Suggestion: The importance of psychosocial support, ongoing health education, close monitoring to reduce the risk of drug withdrawal, and ensure treatment compliance.   Keywords: Duration of Event; Loss to Follow Up; Tuberculosis (TB).   Pendahuluan: Kabupaten Malang menempati peringkat keempat se-Jawa Timur mengenai kejadian loss to follow up (LTFU) dan dapat berpengaruh pada peningkatan derajat kesehatan masyarakat. Pengetahuan kontekstual yang berlaku tentang waktu saat pasien TB berhenti menjalani pengobatan dan faktor-faktor yang memprediksi LTFU berguna untuk menjembatani pengembangan pendekatan intervensi yang relevan dengan waktu. Perlu adanya tindak lanjut mengenai penanggulangan TB paru agar angka kasusnya dapat dikendalikan dan diminimalisir. Tujuan: Untuk mengetahui lama kejadian loss to follow up terhadap pasien tuberkulosis paru. Metode: Penelitian menggunakan pendekatan kuantitatif yang bersifat observasional analitik dengan desain studi kohort retrospektif secara purposive sampling. Sampel penelitian diperoleh berdasarkan data Sistem Informasi Tuberkulosis (SITB) tahun 2023 pada catatan pelaporan tahun 2023 – 29 Februari 2024. Analisis data dilakukan secara univariat, bivariat menggunakan uji Kaplan-Meier, dan analisis multivariat menggunakan uji Cox Regression. Hasil: Terdapat perbedaan pada variabel usia (p <0.001) dengan prediksi kejadian pada 12.1 bulan, status pekerjaan (p = 0.041) dengan prediksi kejadian pada 12.1 bulan, serta riwayat diabetes melitus (DM) (p = 0.004) dengan prediksi kejadian pada 8.0 bulan. Namun, pada variabel jenis kelamin tidak terdapat perbedaan yang signifikan (p = 0.099) dan memiliki prediksi kejadian pada 12.5 bulan. Variabel riwayat DM merupakan variabel yang dominan dengan 1.9 kali risiko kejadian. Simpulan: Terdapat perbedaan pada variabel yang mengalami kejadian LTFU, meliputi variabel usia, status pekerjaan, dan riwayat DM. Namun, pada variabel jenis kelamin tidak terdapat perbedaan yang signifikan. Saran: Pentingnya dukungan psikososial, edukasi kesehatan berkelanjutan, monitoring ketat untuk mengurangi risiko putus obat, dan memastikan kepatuhan pengobatan.   Kata Kunci: Lama Kejadian; Loss to Follow Up; Tuberkulosis (TB).
Faktor sosiodemografi dan kejadian tuberkulosis di Indonesia berdasarkan IFLS 5 Imthiatiyyah, St Mutrifatul; Deniati, Ema Novita; Supriyadi, Supriyadi; Nurrochmah, Siti
Holistik Jurnal Kesehatan Vol. 19 No. 3 (2025): Volume 19 Nomor 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i3.906

Abstract

Background: Tuberculosis (TB) in Indonesia has not yet achieved the target for treatment success. Sociodemographic factors are suspected to influence TB incidence. Purpose: To analyze the relationship between socio-demographic factors and TB incidence in Indonesia. Method: Cross-sectional study design with quantitative research type that is observational analytical. This study analyzes the Indonesian Family Life Survey wave 5 (IFLS 5) Data conducted in July - September 2024 with a population including all respondents of the IFLS 5 study. The sample in this study was 32,442 individuals in Indonesia who had TB diagnosis results. Data analysis was carried out univariately to describe the frequency and percentage distribution, bivariate analysis using the Chi-square test to see the correlation of events between variables, and multivariate analysis using multiple logistic regression tests with a risk factor model to see a valid estimate of the relationship between one main independent variable and the dependent variable. Results: The relationship between residential area (p=0.001) with a risk of 1.48 times, age (p<0.001) with a risk of 0.39 times, and gender (p=0.008) with a risk of 1.35 times. Age was the dominant factor, and an interaction was found between residential area and employment status. The final model: TB = -1.752 + (-0.574 residential area) + (-0.942 age) + (-1.124 employment status) + 0.631 employment status and residential area. Conclusion: Based on the analysis of IFLS 5 data, the incidence of tuberculosis in Indonesia is related to factors of residence, age, and gender. Meanwhile, factors that are not related to the incidence of tuberculosis in Indonesia include education level, employment status, marital status, and smoking status.   Keywords: Indonesian Family Life Survey 5  (IFLS 5); Sociodemographics; Tuberculosis.   Pendahuluan: Tuberkulosis (TB) di Indonesia masih belum mencapai target keberhasilan pengobatan. Faktor sosiodemografi diduga memiliki pengaruh terhadap kejadian TB. Tujuan: Untuk menganalisis hubungan antara faktor sosiodemografi dan kejadian TB di Indonesia. Metode: Desain studi cross sectional dengan jenis penelitian kuantitatif yang bersifat observasional analitik. Penelitian ini menganalisis data Indonesian Family Life Survey gelombang 5 (IFLS 5) yang dilaksanakan pada Juli - September 2024 dengan populasi meliputi seluruh responden penelitian IFLS 5. Sampel dalam penelitian ini sebanyak 32,442 individu di Indonesia yang telah memiliki hasil diagnosis TB. Analisis data dilakukan secara univariat untuk menggambarkan distribusi frekuensi dan persentase, analisis bivariat menggunakan uji Chi-square untuk melihat korelasi kejadian antar variabel, dan analisis multivariat menggunakan uji regresi logistik ganda dengan model faktor risiko untuk melihat estimasi secara valid hubungan dari satu variabel independen utama dengan variabel dependen. Hasil: Terdapat hubungan antara variabel tempat tinggal (p=0.001) dengan risiko 1.48 kali, usia (p<0.001) dengan risiko 0.39 kali, dan jenis kelamin (p=0.008) dengan risiko 1.35 kali. Usia menjadi faktor dominan, serta ditemukan interaksi antara tempat tinggal dan status pekerjaan. Model akhir: TB = -1.752 + (-0.574 tempat tinggal) + (-0.942 usia) + (-1.124 status pekerjaan) + 0.631 status pekerjaan dan tempat tinggal. Simpulan: Berdasarkan analisis data IFLS 5, kejadian tuberkulosis di Indonesia memiliki hubungan dengan faktor tempat tinggal, usia, dan jenis kelamin. Sementara itu, faktor yang tidak berhubungan dengan kejadian tuberkulosis diantaranya tingkat pendidikan, status pekerjaan, status pernikahan, dan status merokok.   Kata Kunci: Indonesian Family Life Survey 5 (IFLS 5); Sosiodemografi; Tuberkulosis.
Implementasi budidaya hidroponik dalam program intervensi psikososial untuk kesehatan mental Deniati, Ema Novita; Ekawati, Rany; Malita, Cintya Nur; Kurniawati, Amalia Putri; Pramudya, Dandy Arie; Tuanani, Muhammad Fahresa; Annajah, Nabiilah; Garnisa, Rachmalia Zahwa
Jurnal Pembelajaran Pemberdayaan Masyarakat (JP2M) Vol. 6 No. 3 (2025)
Publisher : Universitas Islam Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33474/jp2m.v6i3.23950

Abstract

Warga binaan seringkali mengalami stres psikososial karena adanya tekanan selama masa tahanan. Kegiatan pengabdian ini bertujuan untuk meningkatkan pemahaman dan keterampilan coping stres dengan pelaksanaan budidaya hidroponik sebagai metode adaptif. Kegiatan dilaksanakan di Lapas Kelas IIB Jombang dengan pendekatan partisipatif-edukatif, melibatkan 30 warga binaan dalam dua sesi kegiatan: edukasi mekanisme coping stres dan praktek langsung menanam hidroponik. Data dikumpulkan melalui pre-test dan post-test menggunakan kuesioner berisi 10 soal pilihan ganda, lalu dilakukan analisis dengan uji paired sample t-test menggunakan SPSS. Hasil menunjukkan peningkatan signifikan skor pengetahuan dari 49,33 (SD - 11,43) menjadi 74,44 (SD=11,04) dengan p < 0,0001. Seluruh peserta mengalami peningkatan kategori, dari mayoritas “cukup” (80%) menjadi “baik” dan “sangat baik” (masing-masing 50%). Kegiatan ini tidak hanya meningkatkan pemahaman tentang stres dan hidroponik, tetapi juga memberi manfaat psikososial seperti peningkatan rasa percaya diri dan kesiapan menghadapi kehidupan sosial. Program ini terbukti efektif dan direkomendasikan untuk dilanjutkan serta dimanfaatkan dalam mendukung pembinaan mental dan penguatan kapasitas ekonomi warga binaan.
The Hidden Crisis in Healthcare: How Referral Non-Compliance Jeopardizes Patient Safety and Invites Malpractice Yumna, Nasywa Annisa; Indah Fitri, Anggun Novia; Putri, Laili Andini; Umar, Malida; Sayyida, Fatma Lutfiyatus; Mustofa, Ananda Dwi; Putri, Davina Erida; Nuryalestri, Deviany Hanadia; Karidin, Fahmi 'Ilman; Deniati, Ema Novita; Evi, Nurul
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 3 No. 1 (2025): Health Frontiers
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v3i1.146

Abstract

Referral non-compliance represents a critical yet under addressed challenge in healthcare systems, undermining patient safety and amplifying malpractice risks. This mixed-methods study investigates the systemic, demographic, and socio-economic factors driving non-compliance, alongside its clinical and legal consequences. Conducted across urban and rural settings in Indonesia and comparative U.S. jurisdictions, the research integrates quantitative analysis of referral compliance rates and malpractice trends with qualitative insights from provider interviews and legal case studies. Key findings reveal that systemic barriers—such as fragmented electronic health record (EHR) systems, socio-economic inequities, and geographic isolation—disproportionately affect marginalized populations, exacerbating disparities in access to specialized care. Legal analysis highlights the tension between negligence liability and tort reform policies, emphasizing the need for rigorous documentation and patient-centered communication to mitigate risks. The study proposes multi-dimensional solutions, including technology-driven referral tracking, policy reforms to address structural inequities, and provider training in motivational interviewing. By bridging gaps between clinical practice, legal accountability, and ethical advocacy, this research advocates for systemic reforms to transform referral protocols into pillars of equitable, safe healthcare. The findings underscore the urgency of addressing non-compliance as both a clinical imperative and a moral obligation to protect vulnerable patients.
The Climate Effect on COVID-19: Lessons Learned from the Pandemic in Jakarta Saki, Vernonia Yora; Deniati, Ema Novita; Saputra, Yoerdy Agusmal; Susanna, Dewi; Efendi, Efendi
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The global COVID-19 pandemic has presented humanity with difficult and unforeseeable hurdles. Among these challenges is understanding how climate-related aspects impact the survival of the SARS-CoV-2 virus. This study aimed to investigate the relationship between environmental factors, such as temperature, humidity, and rainfall, and the spread of COVID-19 cases in different regions. A time-and-place-based ecological study design was adopted, integrating geographic information systems and statistical techniques. Statistical testing revealed a significant association between humidity (p-value = 0.000; r = -0.777) and rainfall (p-value = 0.001; r = -0.561) with COVID-19 instances. However, no statistically significant relationship was found between temperature variables and COVID-19 cases. Due to the impact of changing weather conditions, governments may become concerned about developing tailored preventive and control measures, considering the varying risk levels associated with different locations.
Application SIMPUS (Sistem Informasi Manajamen Puskesmas) with TAM Theory (Technology Acceptance Model) at Puskesmas Setabelan in Surakarta Noor, Frieda Ani; Prastyoningsih, Aris; Pratiwi, Ajeng Maharani; Rahayu, Retnaning Tyas; Deniati, Ema Novita
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.1173

Abstract

Based on the results of the preliminary study, Puskesmas Setabelan in implementing the SIMPUS application has not been maximized because at the end of each month the internet network is often erroneous because it does not have a good provider, there are still new employees who have not received socialization related to the use of the SIMPUS application, and the patient's online registration has not been opened due to the condition of the community who are still unfamiliar with technology. So the researcher is interested in analyzing how effective the acceptance of the use of the SIMPUS (Puskesmas Management Information System) application is using the TAM (Technology Acceptance Model) theory at the Setabelan Health Center in Surakarta City. This type of research is qualitative and descriptive with data collection methods in-depth interviews with 11 informants including SIMPUS coordinators, SIMPUS programmers, nurses, midwives, pharmacists, dental nurses and administrative staff. The sample selection method used purposive sampling method.
Training Data Analysis To Increase The Capacity Alumni Romadlona, Nohan Arum; Tama, Tika Dwi; Deniati, Ema Novita; Pratama, Aditya Yudha; Susanti, Meirina Nur Asih; Ramadhani, Evada Mutiara
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 2 No. 1 (2024): Health Frontiers
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v2i1.115

Abstract

Aftersales is a routine program carried out to increase the capacity of alumni, especially alumni of Public Health Sciences, Universitas Negeri Malang. This training took the theme of data analysis which was carried out six times both online and offline. Training results were measured through pre- and post-test questionnaires for 15 participants. The results show that there is a significant increase in knowledge p value (<0.005). Statistical data analysis is a topic that is expected to be able to increase knowledge, skills and support alumni according to their field of work.
Analisis hubungan sumber informasi dengan pengetahuan komprehensif HIV pada wanita usia subur (WUS) Ningtiyas, Rosalinda Syafira Cahya; Deniati, Ema Novita; Supriyadi, Supriyadi; Ulfah, Nurnaningsih Herya
Holistik Jurnal Kesehatan Vol. 19 No. 10 (2025): Volume 19 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i10.1826

Abstract

Background: Comprehensive knowledge of HIV among women of reproductive age is one of the key factors in preventing HIV transmission. Comprehensive knowledge of HIV is thought to be influenced by sources of information. Purpose: To analyze the relationship between information sources and comprehensive knowledge among women of reproductive age. Method: This study is a quantitative observational analytical study with a cross-sectional design, using data from the 2012 and 2017 Indonesian Demographic and Health Surveys, with a sample of 34,222 respondents in the 2012 Indonesian Demographic and Health Surveys data and 39,545 respondents in the 2017 Indonesian Demographic and Health Surveys data. The analysis was conducted uniaviately to describe the frequency, bivariately using the chi-square test, and multivariately using multiple logistic regression analysis to control for confounding variables and obtain odds ratio (OR) values. Results: In 2012, women of reproductive age who obtained information from one source were 1.86 times more likely to have incomplete knowledge (p<0.001), and those with no source of information were 1.92 times more likely (p=0.017). In 2017, the same results were found with a 1.74 times higher chance (p<0.001) for one source of information and a 2.02 times higher chance (p=0.046) for those without any source of information. Conclusion: Incomplete knowledge among women of reproductive age was significantly associated with fewer sources of information received, with consistent results in 2012 and 2017.   Keywords: Comprehensive Knowledge; HIV; Information Sources; Women of reproductive age.   Pendahuluan: Pengetahuan komprehensif HIV pada wanita usia subur (WUS) menjadi salah kunci utama pencegahan penularan HIV. Pengetahuan komprehensif HIV diduga dipengaruhi oleh sumber informasi. Tujuan: Untuk menganalisis hubungan sumber informasi dengan pengetahuan komprehensif HIV pada Wanita usia subur (WUS). Metode: Jenis penelitian ini adalah kuantitatif yang bersifat obervasional analitik dengan desain cross sectional menggunakan Data Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2012 dan 2017, dengan sampel sebanyak 34,222 responden pada data SDKI tahun 2012 dan 39,545 responden pada data SDKI tahun 2017. Analisis dilakukan secara univariat untuk memaparkan frekuensi, bivariat menggunakan uji Chi-square, dan multivariat menggunakan analisis regresi logistik berganda untuk mengontrol variabel perancu dan mendapatkan nilai odds ratio (OR). Hasil: Pada tahun 2012, WUS yang mendapatkan informasi dari satu sumber memiliki peluang 1.86 kali lebih tinggi untuk memiliki pengetahuan tidak komprehensif (p<0.001), dan yang tidak ada sumber informasi memiliki peluang 1.92 kali lebih tinggi (p=0.017). Pada tahun 2017, ditemukan hasil yang sama dengan peluang 1.74 kali lebih tinggi (p<0.001) pada satu sumber informasi dan 2.02 kali lebih tinggi  (p=0.046) pada yang tidak ada sumber informasi. Simpulan: Pengetahuan tidak komprehensif pada WUS secara signifikan berhubungan dengan semakin sedikitnya jumlah sumber informasi yang diterima, hasil tersebut konsisten pada tahun 2012 dan 2017.   Kata Kunci: Human Immunodeficiency Virus (HIV); Pengetahuan Komprehensif; Sumber Informasi; Wanita Usia Subur (WUS).
Overcoming Barriers to Electronic Referral Systems: A Multidisciplinary Approach to Enhancing Global Healthcare Delivery Shofi Yanti, Indi Dwi; Agita, Ghoniya Ilmi; Prasetyo, Dewa Bagus; Yuwana, Nayla Putri; Aurellia Hadi, Nelsya Gita; Agustina, Raudhatunnisa; Nur Ramadhany, Syelova Oktoprime; Kiremi, Wesi Wasella; Izzah, Zahra Nuriyatul; Evi, Nurul; Deniati, Ema Novita
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 3 No. 2 (2025): Health Frontiers
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v3i2.190

Abstract

The integration of electronic referral (e-referral) systems into healthcare ecosystems offers significant potential to enhance care coordination, reduce inefficiencies, and improve patient outcomes. However, challenges persist across legal, technological, and social dimensions. A PRISMA-based Systematic Literature Review (SLR) highlights jurisdictional barriers, such as GDPR-HIPAA mismatches, with 40% of EU organizations facing hurdles in sharing data with U.S. partners. Stringent data localization laws in countries like Russia and China further complicate interoperability. Ethical frameworks, including beneficence and non-maleficence, are critical for trust in sensitive care areas. Technological gaps include uneven HL7 FHIR adoption, infrastructure limitations, and underutilization of AI and blockchain innovations. Estonia’s X-Road system demonstrates blockchain’s role in reducing referral wait times by 30%, while India’s e-Sanjeevani platform serves remote areas offline. Clinician resistance and digital literacy gaps necessitate tailored solutions. Escalating cyber threats demand robust measures like zero-trust architectures. Public-private partnerships, open-source platforms, and measurable outcomes (?80% clinician adoption, <48-hour approval times) are vital. Pandemic-resilient systems and sustainable cloud solutions further emphasize scalability and equity. Harmonized policies and inclusive stakeholder engagement are essential for global success.
Co-Authors Agita, Ghoniya Ilmi Agustina, Raudhatunnisa Anindya Hapsari Anisa Noor Cahyani Annajah, Nabiilah AnNisaa AnNisaa Annisaa Annisaa Annisaa Annisaa Aprizal Satria Hanafi Aprizal Satria Hanafi Aurellia Hadi, Nelsya Gita Azza Rizqia Vatrisa Besral . Citra Fepriani Pallumpa Dewi Susanna Efendi Efendi Efendi Efendi Fina Adibatul Hasanah Harra Frieda Ani Noor Garnisa, Rachmalia Zahwa Halimatus Sa’adah Hanafi, Aprizal Satria Imthiatiyyah, St Mutrifatul Indah Fitri, Anggun Novia Izzah, Zahra Nuriyatul Karidin, Fahmi 'Ilman Khanza Khaldya Malik Kiremi, Wesi Wasella Kurniawati, Amalia Putri Kurniawati, Anerinanta Ajeng Nurul Lilik Ariyanti Lu&#039;luim Mutakifah Malita, Cintya Nur Mario Ekoriano Martina Martina Muchammad Zamzami Muhammad Irfan Saputra Muhammad Thoriq Haidar Rantaka Muhammmad Al-Irsyad Munarwi, Puteri Zawaliya Mustofa, Ananda Dwi Najwa Tsaqifa ‘Azmil Umami Ningtiyas, Rosalinda Syafira Cahya Nisa Assifa Hakiki Nohan Arum Romadlona Nur Ramadhany, Syelova Oktoprime Nurnaningsih Herya Ulfah, Nurnaningsih Herya Nurrochmah, Siti Nurul Evi Nuryalestri, Deviany Hanadia Pramudya, Dandy Arie Prasetyo, Dewa Bagus Prastyoningsih, Aris Pratama, Aditya Yudha Pratiwi, Ajeng Maharani Putri, Davina Erida Putri, Laili Andini Qomariyatus Sholihah Rachmawati, Windi Chusniah Rahayu, Retnaning Tyas Ramadhani, Evada Mutiara Rany Ekawati Rara Warih Gayatri Saki, Vernonia Yora Saputra, Yoerdy Agusmal Sayyida, Fatma Lutfiyatus Shofi Yanti, Indi Dwi Siti Nurrochmah Siti Salma Hanifah St. Mutrifatul Imthiatiyyah Supriyadi Supriyadi Supriyadi, Supriyadi Susanti, Meirina Nur Asih Tika Dwi Tama Tuanani, Muhammad Fahresa Umar, Malida Vernonia Yora Saki Vernonia Yora Saki Weva Rahmadana Yumna, Nasywa Annisa Yuwana, Nayla Putri Zalva Hanny Fauzia