Nuryalestri, Deviany Hanadia
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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 collaborative research and education system on poultry and eggs (CRESCOVA) to achieve balanced nutrition and prevent stunting Ro’is, Rachmy Rosyida; Nuryalestri, Deviany Hanadia; Putri, Naifa Inggit Kheisya; Indriani, Sifa
Public Health Risk Assesment Journal Vol. 3 No. 2: January (2026)
Publisher : Institute for Advanced Science, Social, and Sustainable Future

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61511/phraj.v3i2.2026.2455

Abstract

Background: Stunting remains one of Indonesia’s most critical public-health challenges, affecting child growth, cognitive development, and long-term human-capital productivity. Despite national efforts to accelerate stunting reduction, gaps persist in dietary diversity, nutrition literacy, and integration between health and agricultural sectors. Poultry and eggs—nutrient-dense, affordable, and widely acceptable—represent a strategic yet underutilized entry point for improving child nutrition. This study aims to synthesize interdisciplinary evidence and develop the CRESCOVA (Collaborative Research and Education System on Poultry and Eggs) framework as an innovative model that integrates nutrition education, small-scale poultry practices, and community empowerment to support Indonesia’s stunting-reduction agenda. Method: This research employed a qualitative descriptive literature-review design. A systematic search was conducted across Scopus, PubMed, Web of Science, ScienceDirect, DOAJ, Google Scholar, FAO, WHO, UNICEF, World Bank, Kemenkes, and BKKBN repositories (2019–2025), supplemented with foundational meta-analyses. A total of 52 eligible sources were analyzed using narrative thematic synthesis, covering nutrition-sensitive agriculture, animal-source foods, community-based education, and cross-sector collaboration. Extracted themes were integrated to construct the CRESCOVA conceptual model and validated against national policies and global development frameworks. Finding: Results show consistent evidence that egg and poultry consumption significantly improves linear growth and dietary adequacy among children, while participatory nutrition education enhances caregiver behavior. Cross-sector interventions linking health, education, and agriculture demonstrate greater impact than fragmented programs. Based on these findings, the CRESCOVA model offers a scalable, context-appropriate framework that strengthens household capacity, promotes women’s empowerment, and aligns with SDG 2 and SDG 3 to improve food security and child nutrition outcomes. Conclusion: CRESCOVA provides a practical strategy to operationalize multisectoral stunting-reduction efforts through integrated education and poultry-based learning. Further field implementation and evaluation are recommended to assess feasibility across Indonesia’s diverse regions. Novelty/Originality of this article: This study introduces the CRESCOVA framework as a novel socio-technical intervention that specifically bridges the gap between nutrition-sensitive agriculture and public health education in the Indonesian context.