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All Journal Berita Kedokteran Masyarakat Academic Hospital Journal
Alfajri, Novi Zain
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Management of COVID-19 in Universitas Gadjah Mada (UGM) Academic Hospital: Balancing to save the patients and protect the staffs Siswanto, Siswanto; Utama, Oktaviarum Slamet; Sari, Astari Pranindya; Alfajri, Novi Zain; Lestari, Ade Febrina
Academic Hospital Journal Vol 5, No 2 (2023)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v5i2.88794

Abstract

The Coronavirus Disease 2019 (COVID-19) is a worldwide outbreak disease caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Indonesia is the fourth most populous country in the world and is predicted to be affected significantly over a more extended period. Universitas Gadjah Mada (UGM) Academic Hospital is one of the COVID-19 referral hospitals located in the Yogyakarta Special Region, Indonesia. Since the early months of the pandemic, the hospital has prepared strategies to provide effective and efficient patient care. The focus has been safety for both patients and healthcare staff. Here, we will share our experiences activating a Hospital Incident Command System (HICS) as a hallmark for preparedness and response to the COVID-19 pandemic disaster so it can be adopted in other hospitals nationwide or worldwide. The HICS in the UGM Academic Hospital includes 1) surge capacity for isolation rooms, 2) infection prevention and control, 3) human resources, 4) continuity of essential health services and patient care, 5) communication, 6) logistics and management of supplies including pharmaceuticals, 7) essential support services, 8) case management system, 9) surveillance early warning and monitoring, 10) laboratory services, and 11) additional programs including community service programs. Based on our experiences, early preparedness with a proactive response, and adapting plans to local needs, the national and global current situation are the keys to managing patient care. Implementing all levels of the hierarchy of control infection and keeping the human resources adequate also could protect staff
Strategies for increasing effective coverage of hypertension services in health care facilities: a scoping review Djasri, Hanevi; Alfajri, Novi Zain; Asdary, Rahma Novita; Wardoyo, Muhammad Hardhantyo Puspo
BKM Public Health and Community Medicine Vol 40 No 04 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (474.172 KB) | DOI: 10.22146/bkm.v40i04.12927

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Purpose: To identify supporting and inhibiting factors for effective coverage of hypertension services, as well as recommendations for improvement efforts that can be made. Methods: A scoping review consists of five steps: Identification of research questions, identification of relevant research articles, study selection, data collection, and data synthesis. Results: 19 articles met the research objectives. Supporting factors include information systems, electronic-based pharmaceutical services, self-management, health insurance, quality improvement cycles, support for professionals, patients’ interventions, and digital technology. Inhibiting factors include low health insurance coverage, inaccurate equipment, inappropriate diagnosis and treatment, lack of screening coverage, difficulty in access, and differences in policies and procedures between regions. Recommendations for improvement include changes to service systems, the use of defined hypertension thresholds, ensuring blood pressure measurement devices are functioning properly, and the implementation of consistent policies, systems, and processes throughout the healthcare system, including between regions. Conclusion: There are various opportunities for improvement, both in utilizing existing supportive factors and reducing inhibiting factors, as well as in implementing various improvement recommendations, especially those that proved effective in published research.
Co-Authors Asdary, Rahma Novita Hanevi Djasri Lestari, Ade Febrina S Siswanto Sari, Astari Pranindya Utama, Oktaviarum Slamet Wardoyo, Muhammad Hardhantyo Puspo