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All Journal Jurnal Edukasi Ilmiah Kesehatan Media Kesehatan Politeknik Kesehatan Makassar Journal Interdisciplinary Health Journal of Health Policy Analysis
Suprapto Suprapto
Department of Nursing, Politeknik Sandi Karsa, South Sulawesi, Indonesia
Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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The role of obesity in increasing the risk of hypertension in the elderly Suprapto Suprapto; Zhian Salah Jalal; Ali Syahid Bayau Naka
Jurnal Edukasi Ilmiah Kesehatan Vol. 2 No. 3 (2024): Volume 2 Number 3 December 2024
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/junedik.v2i3.59

Abstract

Introduction: Obesity has been identified as one of the main risk factors contributing to the increase in hypertension cases, particularly among the elderly. This study aims to analyze the role of obesity in increasing the risk of hypertension in the elderly by examining the relationship between body mass index (BMI) and blood pressure. Methods: This research uses a cross-sectional design, an analytical study that studies the causes of incidents or incidents. Data collection uses a questionnaire. The sample in this study was 64 elderly hypertensive patients in the working data analysis using the chi-square test. Results: This study's results indicate a relationship between obesity (p=0.000) and the incidence of hypertension in the elderly working. The results showed that the elderly with obese status had a significantly higher risk of hypertension compared to the elderly with average weight. Conclusions: These findings underscore the importance of preventing and treating obesity in the elderly to reduce the risk of hypertension and other health complications. This research is expected to contribute to formulating health policies and hypertension prevention programs among the elderly through a practical weight management approach
Integrating Public Health and Clinical Care to Improve Population Health Outcomes Suprapto Suprapto
Journal Interdisciplinary Health Vol. 1 No. 1 (2025): Volume 1 Number 1 February 2025
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jih.v1i1.183

Abstract

Health systems worldwide continue to face complex challenges related to rising disease burden, health inequities, and fragmented service delivery. The separation between public health and clinical care often limits the effectiveness of preventive and curative interventions in improving population health outcomes. This study aimed to examine the relationship between the integration of public health and clinical care and population health outcomes. A quantitative observational study with a longitudinal approach was conducted involving 50 healthcare professionals from primary healthcare facilities and public health institutions. Data were collected using structured questionnaires to assess levels of service integration and secondary health system data to measure population health outcomes. Statistical analyses included descriptive statistics and regression analysis to determine associations between integration indicators and health outcomes. The findings showed that higher levels of public health–clinical care integration were significantly associated with improved preventive service coverage (? = 0.42; p < 0.001) and increased early disease detection rates (? = 0.39; p = 0.003). Additionally, greater integration was linked to a reduction in avoidable hospital admissions (? = ?0.36; p = 0.012). These results indicate that coordinated preventive and curative services contribute positively to population health performance. Integrating public health and clinical care is associated with measurable improvements in population health outcomes. Strengthening collaboration, referral coordination, and shared information systems may enhance health system efficiency and equity. Integrated service models should be prioritized as a strategic approach to improving sustainable population health outcomes
Analysis of nursing workforce policy impacts on healthcare quality and equity using a prospective cohort study design Suprapto Suprapto
JAKESPOL Journal of Health Policy Analysis Vol. 1 No. 2 (2026): Volume 1 Number 2 April 2026
Publisher : Lembaga Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jakespol.v1i2.382

Abstract

Introduction: Nursing workforce policies are critical determinants of healthcare system performance, particularly in improving care quality and reducing inequities. However, longitudinal evidence assessing their causal impact remains limited. This study aimed to analyze the effects of nursing workforce policy implementation on healthcare quality and equity outcomes using a prospective cohort design. Methods: A prospective cohort study was conducted across public and private healthcare facilities in South Sulawesi, Indonesia (2025). A multistage stratified sampling approach yielded 862 participants. Policy exposure was categorized into low, moderate, and high levels based on staffing regulations, skill mix, and workload management. Data were collected at baseline and follow-up intervals using validated instruments and administrative records. Multilevel regression models were applied, including logistic regression for patient safety events, linear regression for continuous outcomes, and risk ratio estimation for equity indicators. Results were reported as OR/β/RR with 95% confidence intervals (CI) and p-values. Results: High policy exposure significantly reduced patient safety events (OR = 0.62; 95% CI: 0.45–0.85; p = 0.003). Length of stay decreased (β = −1.75; 95% CI: −2.80 to −0.70; p = 0.001), while patient satisfaction increased (β = 3.42; 95% CI: 1.90–4.94; p < 0.001). Equity outcomes improved significantly (RR = 1.28; 95% CI: 1.10–1.49; p = 0.002). These findings remained robust after adjusting for individual and facility-level confounders. Conclusion: Nursing workforce policy implementation significantly enhances healthcare quality and promotes equity. Strengthening staffing regulations, optimizing skill mix, and ensuring consistent policy enforcement are essential strategies to improve health system performance. Integrating workforce policies with governance and financing mechanisms is crucial for achieving sustainable and equitable healthcare outcomes.
Correlation Between Knowledge and Attitude Toward Treatment Adherence Among Patients with Type 2 Diabetes Mellitus in Makassar, Indonesia Zulfiah Zulfiah; Yuniharce Kadang; Suprapto Suprapto
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1709

Abstract

Many patients with diabetes mellitus still exhibit low adherence to long-term treatment. This study aimed to analyze the correlation between knowledge and attitude with treatment adherence among patients with type 2 diabetes mellitus. This research employed an analytical observational design with a cross-sectional approach. The study population consisted of patients receiving outpatient care at Nur Ichsan Clinic, Makassar City, from January to April 2025. A total of 74 respondents were selected using accidental sampling. Research instruments included the Diabetes Knowledge Questionnaire (DKQ-24), Diabetes Self-Management Education (DSME) attitude scale, and the Diabetes Self-Management Questionnaire (DSMQ) for treatment adherence. Each instrument had been validated in Indonesian with Cronbach’s alpha values of 0.82 (DKQ), 0.79 (DSME), and 0.85 (DSMQ), indicating good internal consistency. Knowledge, attitude, and compliance scores were categorized as good, fair, or poor based on mean cut-off points obtained from the total score distribution, as the data were normally distributed according to the Kolmogorov-Smirnov test (p = 0.119). Data were analyzed using Pearson’s correlation test, as the data met the assumptions of normality. The results showed that most patients had good levels of knowledge (75.7%), positive attitudes (75.7%), and high treatment adherence (75.7%). There was a significant positive correlation between knowledge and treatment adherence (r = 0.614, p < 0.001) and between attitude and treatment adherence (r = 0.587, p < 0.001). These findings indicate that patients with higher knowledge and more positive attitudes are more likely to adhere to treatment recommendations. In conclusion, knowledge and attitude are strongly correlated with treatment adherence among patients with type 2 diabetes mellitus. It is recommended that health education programs be strengthened through structured diabetes self-management interventions focusing on knowledge enhancement and attitude change to improve long-term adherence
Co-Authors Ali Syahid Bayau Naka Yuniharce Kadang Zhian Salah Jalal Zulfiah Zulfiah