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Simulation Outcomes: Impact of Health Emergency Policies on Referral Mechanisms During the Pandemic Naufal Ivanda, Rio Revaldi; Salma, Dewi; Joanna, Adila Helga; Athadita, Anindya Fathin Sava; Saputri, Puput; Cellia, Natasya Nawa; Syahida, Bilqis Ayu; Handartiwi, Refiana Martha; Ghozi Abdullah, Muhammad Nur Hakim; Ningrum, Titah Wahyu
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.v3i1.160

Abstract

Health emergency policies, such as lockdowns and quarantine mandates, profoundly impacted healthcare referral mechanisms during the COVID-19 pandemic, exposing systemic vulnerabilities and ethical dilemmas. Restrictions hindered emergency access, delaying critical care in India and Brazil, while hospital overloads in Italy and South Africa highlighted infrastructure fragility. Coordination gaps, including data silos in the Philippines and public-private discord in Pakistan, worsened outcomes. However, adaptive strategies—Chile’s “green corridors,” Vietnam’s modular hospitals, and Rwanda’s community health worker networks—demonstrated resilience through decentralized, equitable solutions. Technology, like Singapore’s AI-driven referrals and Germany’s dual-track systems, optimized resource allocation, though digital divides persisted in regions like Indonesia. Ethical tensions between pandemic control and patient rights, as seen in China’s quarantines, emphasized the need for balanced policies, exemplified by South Korea’s compensated isolation. Recommendations include dynamic resilience assessments, standardized protocols, and global collaboration under WHO frameworks. This study underscores the imperative to integrate technology, community engagement, and equity into referral systems, ensuring preparedness for future crises while safeguarding both public health and individual rights.
Systematic Review of Health Emergency Policies and Their Impact on Referral Mechanisms During the COVID-19 Pandemic Naufal Ivanda, Rio Revaldi; Salma, Dewi; Joanna, Adila Helga; Sava Athadita, Anindya Fathin; Saputri, Puput; Cellia, Natasya Nawa; Syahida, Bilqis Ayu; Handartiwi, Refiana Martha; Ghozi Abdullah, Muhammad Nur Hakim; Ningrum, Titah Wahyu; Santi, Neni Fidya; 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.v3i1.168

Abstract

The COVID-19 pandemic placed unprecedented strain on healthcare systems worldwide, necessitating rapid policy interventions to manage patient flow, resource allocation, and referral mechanisms. This study employed a systematic literature review (SLR) using the PRISMA framework to evaluate the impact of health emergency policies on referral mechanisms during the pandemic. The review focused on understanding how policies such as lockdowns, triage protocols, and telemedicine integration influenced access, equity, system efficiency, and resilience in referral networks. A comprehensive search was conducted across databases including PubMed, Scopus, Web of Science, IEEE Xplore, and Cochrane Library, with inclusion criteria encompassing peer-reviewed studies published in English between 2020 and 2023. Studies were rigorously assessed for methodological quality using tools such as the Cochrane Risk of Bias Tool and Simulation Model Quality Assessment Framework. Key themes identified included restricted access to emergency services, healthcare system reordering, operational strain on infrastructure, and coordination gaps. The findings revealed significant challenges, such as ambulance delays, emergency department closures, protocol overload, and inequities in care access, while also highlighting adaptive strategies like AI-driven referral tools, hybrid triage systems, and community health worker networks. This study underscores the need for balanced policy design, robust technological integration, and long-term systemic reforms to strengthen referral mechanisms during health emergencies. The results provide actionable insights for policymakers and healthcare administrators to optimize referral systems and ensure equitable access to care during future crises.
Pelatihan Manajemen Risiko Keselamatan dan Kesehatan Kerja Berbasis Teknologi Tepat Guna di Taman Rekreasi Selecta Kota Batu Provinsi Jawa Timur Sulistyorini, Anita; Ro’is, Rachmy Rosyida; Annisya', Annisya'; Azizah, Elisa Lutfiyah; Salma, Dewi; Yunus, Ibad Maulana
Lumbung Inovasi: Jurnal Pengabdian kepada Masyarakat Vol. 10 No. 4 (2025): December
Publisher : Lembaga Penelitian dan Pemberdayaan Masyarakat (LITPAM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/kxywhv08

Abstract

Peningkatan jumlah wisatawan di Kota Batu, khususnya di Taman Rekreasi Selecta, juga diiringi dengan peningkatan risiko kecelakaan. Taman Rekreasi Selecta merupakan pelaku sektor pariwisata yang telah menerapkan Keselamatan dan Kesehatan Kerja di lingkungan kerja , namun masih terdapat kesenjangan antara penerapan manajemen risiko di lapangan dengan kapasitas sumber daya manusia (SDM) pekerjanya. Untuk mengatasi permasalahan tersebut, dilakukan pelatihan manajemen risiko K3 berbasis teknologi tepat guna. Pelatihan ini merupakan inovasi karena mengintegrasikan pendekatan teknologi tepat guna berbasis simulasi dengan metode HIRADC di sektor wisata berbasis risiko tinggi, yang belum banyak diterapkan di lokasi serupa. Dengan tujuan meningkatkan pengetahuan dan sikap keselamatan dan kesehatan kerja (K3) para pegawai Taman Rekreasi Selecta. Metode yang digunakan adalah participatory action dengan tahapan persiapan, pelaksanaan, serta monitoring dan evaluasi. Intervensi dilakukan melalui ceramah, workshop Hazard Identification, Risk Assessment, and Determining Control (HIRADC), simulasi P3K, dan resusitasi jantung paru (RJP). Hasil pre-test dan post-test menunjukkan adanya peningkatan signifikan pada aspek pengetahuan, sikap, dan keterampilan peserta dalam penerapan manajemen risiko. Selain itu, peserta mampu menyusun tabel HIRADC serta melaksanakan simulasi pertolongan pertama secara tepat. Simpulan dari kegiatan ini adalah pelatihan berbasis teknologi tepat guna efektif dalam memperkuat kesiapsiagaan petugas, mendukung budaya zero accident, dan menciptakan suasana wisata yang aman dan nyaman. Appropriate Technology-Based Occupational Safety and Health Risk Management Training at Selecta Recreation Park Batu City, East Java Province  Abstract The increasing number of tourists in Batu City, particularly at Selecta Recreational Park, is also accompanied by an increased risk of accidents. Selecta Recreational Park is a tourism sector player that has implemented Occupational Safety and Health in the workplace, but there is still a gap between the implementation of risk management in the field and the capacity of its human resources (HR). To address this issue, appropriate technology-based K3 risk management training was conducted. This training is innovative because it integrates a simulation-based appropriate technology approach with the HIRADC method in the high-risk tourism sector, which has not been widely implemented in similar locations. The aim is to improve the knowledge and attitudes of Selecta Recreational Park employees regarding occupational safety and health (K3). The method used is participatory action with stages of preparation, implementation, monitoring and evaluation. Interventions are carried out through lectures, Hazard Identification, Risk Assessment, and Determining Control (HIRADC) workshops, first aid simulations, and cardiopulmonary resuscitation (CPR). The results of the pre-test and post-test show a significant increase in the participants' knowledge, attitudes, and skills in implementing risk management. In addition, participants were able to compile a HIRADC table and accurately perform a first aid simulation. The conclusion of this activity was that appropriate technology-based training was effective in strengthening officer preparedness, supporting a zero-accident culture, and creating a safe and comfortable tourism environment.