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Journal of Health Policy and Management
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490281     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Health Policy and Management (JHPM) is an electronic, open-access, double-blind and peer-reviewed international multidisciplinary and integrative journal, focusing on health policy, health system, and healthcare management. It began its publication on October 21, 2015. The journal is published twice yearly. It aims to improve the design and implementation of health policies, health systems, and healthcare management, primarily in low- and middle-income countries. JHPM analyzes policy initiatives and healthcare systems and provides evidence-based research to guide policymaking and management decision-making.
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Search results for , issue "vol. 7 no. 2 (2022)" : 8 Documents clear
Meta-Analysis the Effect of Electronic Health Record Utilization on Mortality and Readmission Desi Syahbaniar; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 7 No. 2 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The development of technology shows a very rapid development, especially in the health sector. One example of the use of technology in the health sector is the electronic health record. Electronic health records provide several benefits, one of which can reduce mortality and readmission rates in patients. The purpose of this study was to estimate the effect of electronic health records on mortality and readmission rates by metaanalysis.Subjects and Method: This was a metaanalysis study using PRISMA flowchart guidelines. The article search process was carried out between 20112022 using databases from PubMed, Google Scholar, ProQuest, Science Direct and Scopus. The PICO formula used is P = patients with asthma. I= using internetbased selfmanagement. C= without using internetbased selfmanagement. O= asthma control. Article searches were performed using the keywords “mhealth” OR “mobile health” OR “telemedicine” AND “self management” AND “asthma control” OR “asthma treatment” AND “asthma control”. The inclusion criteria were full paper articles with randomized controlled trial study design, articles using English, the intervention provided was the application of internetbased selfmanagement, and the outcome was asthma control. Based on the database, there were 9 articles that met the inclusion criteria. The analysis was carried out using Revman 5.3 software.Results: A total of 13 articles spread across 2 continents, namely Asia (Taiwan, Singapore, and South Korea) and North America (South America). Articles reviewed in the metaanalysis showed that electronic health records had an effect on reducing mortality by 0.74 times compared to those without using electronic health records (aOR= 0.74; 95% CI= 0.64 to 0.86; p<0.001). In addition, it was also found that electronic health records had an effect on reducing readmission by 0.77 times compared to without using electronic health records (aOR= 0.77; CI 95%= 0.62 to 0.95; p= 0.010)Conclusion: The application of electronic health records has an effect on reducing mortality and readmission rates.Keywords: Electronic health record, mortalitas, readmissionCorrespondence: Desi Syahbaniar. Masters Program in Public Health, universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: desiniar15@gmail.com. Mobile: +6287708465646Journal of Health Policy and Management (20220, 07(02): 103-111https://doi.org/10.26911/thejhpm.2022.07.02.02
Utilization of Health Insurance for Outpatient in the Community: A Meta-Analysis Sulaiman Putra Nagaring; Bhisma Murti; Didik Tamtomo
Journal of Health Policy and Management Vol. 7 No. 2 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Health insurance is the answer to the uncertainty of the occurrence of illness and the need for health services. To ensure that the need for health services can be adequately financed, a person or small group of people transfers risk to another party called an insurer/insurer, or an insurance agency.Subjects and Method: This was a systematic review and meta-analysis conducted with PRISMA flow diagrams. Search articles through journal databases including: Google Scholar, MEDLINE/ PubMed, Science Direct and Spinger Link by selecting articles published in 2000-2021 The keywords used are “health care”AND “outpatient” OR “insurance” AND “private health insurance” AND “outpatient” OR “health insurance” AND “private health insurance” AND “utilization of public health care” AND “inpatient service” AND “outpatient service” AND “logistic regression aOR”. The inclusion criteria were full paper articles with retrospective study cohort research methods, the analysis used was multivariate with adjusted Odds Ratio (aOR), the intervention provided was health insurance, the research subjects were private health insurance users. Eligible articles were analyzed using the RevMan 5.3 application.Results: A meta-analysis of 9 articles showed that people with private health insurance were 1.98 times more likely to use outpatient services than those without health insurance, and the effect was statistically significant (aOR = 1.98; 95% CI = 1.39 to 2.81; p<0.001).Conclusion: The use of private health insurance has a statistically significant effect in increasing outpatient use.Keywords: health insurance, private health insurance, outpatient, meta analysis.Correspondence: Sulaiman Putra Nagaring. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: sulaimanputran@gmail.com Mobile: 085855533027Journal of Health Policy and Management, (2022), 07(02): 158-165https://doi.org/10.26911/thejhpm.2022.07.02.07 
Meta-Analysis the Effect of Pharmaceutical Care on Blood Glucose Level in Type 2 Diabetes Mellitus Patients Muthia Syafira; Setyo Sri Rahardjo; Bhisma Murti
Journal of Health Policy and Management Vol. 7 No. 2 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Pharmaceutical care is a patientoriented program carried out by pharmacists. In the management of type 2 diabetes mellitus (T2DM) several parameters have been determined as targets for the success of pharmaceutical care such as HbA1c and the level of patient compliance. This paper aims to evaluate the role of pharmaceutical care in improving clinical outcomes and compliance of patients with T2DM.Subjects and Method: This study was conducted using a Systematic Review and Metaanalysis study design using PICO, population: Diabetes mellitus type 2 patients, Intervention: Obtaining pharmaceutical care. Comparison: Did not receive pharmaceutical care, Outcome: Hba1c. The articles used in this study came from 4 databases, namely Pubmed, ScienceDirect, ProQuest and Google scholar. Article keywords are Diabetes Mellitus, Type 2 OR T2DM OR Type 2 diabetes AND Pharmaceutical care OR Clinical pharmacy OR Community pharmacy OR Pharmacist* OR Pharmaceutical services OR Education OR Intervention OR Medication Management AND Knowledge OR adherence OR HbA1c OR glycemic control” Included articles in this study is a full paper article, RCT study design for 20112021.Results: A total of 12 RCT studies with 1,746 T2DM patients in Asia (Jordan, Hong Kong, Northern Cyprus, Thailand, China, Malaysia and Indonesia), Americas (Brazil) and Europe (France and England). From the data processing, it was found that the provision of pharmaceutical care reduced HbA1c levels by 0.81 in patients with type 2 diabetes mellitus compared to those without pharmaceutical care. (SMD= 0.81; 95% CI= 1.11 to 0.52 p<0.0001).Conclusion: The provision of pharmaceutical care can improve clinical outcomes in the form of decreasing HbA1c values.Keywords: Pharmaceutical Care, Type 2 Diabetes Mellitus, HbA1c, Glycemic Control.Correspondence: Muthia Syafira. Masters Program in Public Health Sciences, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email mutsyaf@student.ac.id. Mobile: +6285920660180.Journal of Health Policy and Management, (2022), 07(02): 112-124https://doi.org/10.26911/thejhpm.2022.07.02.03
Analysis of Information Management System Utilization at Pelengkap Medical Center Hospital, Jombang, East Java Rendi Adiansa; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 7 No. 2 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Hospital Management Information System (SIMRS) is an information technology system that integrates the entire flow of hospital services in the form of a network of coordination, reporting, and administrative procedures to obtain precise and accurate information. The successful implementation of SIMRS depends on the use of the system by staff working in health care facilities. The model used in analyzing the use of SIMRS is the Technology Acceptance Model (TAM). The purpose of this study was to determine the effect of the TAM construct variable on the use of SIMRS.Subjects and Method: This was an analytical observational study with a cross-sectional design. The study was conducted in Pelengkap Medical Center Hospital, Jombang, East Java, in April 2022. A sample of 73 staff was selected by random sampling. The sampled staff are active users of SIMRS for at least 1 year. The dependent variable was the use of SIMRS. The independent variables observed were profession and training education. The data were collected by questionnaire and analzed by path analysis.Results: MIS utilization was directly affected by positive attitude (b= 3.12; 95% CI= 1.67 to 4.58; p<0.001) and perceived ease of use (b= 2.07; 95% CI= 0.63 to 3.50; p= 0.005). It was indirectly affected by education/ trining, profession, and perceived benefit.Conclusion: MIS utilization is directly affected by positive attitude and perceived ease of use. It is indirectly affected by education/ trining, profession, and perceived benefit.Keywords: SIMRS, Technology Acceptance ModelCorrespondence:Rendi Adiansa. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: adiansarendi@gmail.com. Mobile : 08816008735Journal of Health Policy and Management, (2022), 07(02): 166-175https://doi.org/10.26911/thejhpm.2022.07.02.08
Analysis of the Solid Medical Waste Management System Personal Protective Equipment (PPE) at the Special Covid-19 Isolation Facility in Suryah Khairudin Regional General Hospital Syarifah Aini; Hutwan Syarifuddin; Ilham Ilham
Journal of Health Policy and Management Vol. 7 No. 2 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The generation of solid medical waste Personal Protective Equipment (PPE) generated in special facilities for Covid19 isolation is increasing and is an infectious waste that poses a risk of transmitting Covid19 to the environment. The occupancy rate (BOR) in the Covid19 special isolation room at Suryah Khairudin Hospital in 2020 was 14.75% of 51 beds, with an average number of inpatients 13 people/month, the total amount of solid medical waste PPE produced reached 60.69 kg/month. Subjects and Method: This was a descriptive qualitative study. The study informants were waste management officers. The data were obtained from interviews and observation. The data were extracted and analyzed using SWOT analysis.Results: The PPE solid medical waste management system at the Suryah Khairudin Hospital as a special Covid19 facility in West Tanjung Jabung Regency is quite good in terms of sorting, transportation is carried out less than 24 hours after being collected, and processing is carried out using incinerator. This is in accordance with KMK No. HK 01.07/MENKES/537/2020. Meanwhile, what has not been fulfilled is the labeling of plastic bags containing PPE waste because the use of black bags is still found but it is not labeled "biohazard" or a description of COVID19 waste, there are no TPS that meet the requirements in accordance with PermenLHK No. 56 of 2015 for storing Covid19 medical waste before processing it using an incinerator and the lack of awareness of waste transport officers in the use of PPE in carrying out their duties.Conclusion: The importance of providing biohazard symbols or information on Covid19 waste, socializing officers on the importance of using PPE, accelerating the implementation of making TPS that meet standards and building collaboration with surrounding companies to get support in the form of assistance for activities related to the management of PPE solid medical waste in special Covid19 facilities. 19 can be done well.Keywords: Covid19, PPE solid medical waste, waste management systemCorrespondence: Syarifah Aini. Study Program of Environmental Sciences, Postgraduate School, Universitas Jambi. Jl. Raden Mattaher 21 Pasar Jambi, Kota Jambi, Indonesia. Email: syarifah.22aini@gmail.com. Mobile: +6285266079299.Journal of Health Policy and Management, (2022), 07(02): 125-138https://doi.org/10.26911/thejhpm.2022.07.02.04
Policy Implementation of Mayor Regulation Number 21 of 2020 concerning the Implementation of an Integrated Public Safety Service Center in Padang, West Sumatera, Indonesia Viola Fathia Irwan; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 7 No. 2 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Public service is an important element in improving the quality of life in the community. The government plays an important role in providing public services, especially in the emergency department. This study aims to analyze the implementation of the Padang mayor's regulation number 21 of 2020 regarding the implementation of an integrated safety service center in the city of Padang.Subjects and Method: This was a descriptive qualitative study. The study was conducted in Padang, West Sumatera, Indonesia, from April 18 to May 31, 2022. The primary data were obtained directly through interviews with selected informants. Results: The Policy Implications of the Padang Mayor's Regulation Number 21 of 2020 concerning the Implementation of an Integrated Safety Service Center (Public Safety Center) in the City of Padang is based on the Regulation of the Minister of Health of the Republic of Indonesia Number 19 of 2016 concerning the Integrated Emergency Management System. In its implementation, the Padang City Health Office still relies on health workers at the Puskesmas because PSC 119 does not yet have its own special team or officers. The Padang City Health Office has not officially disseminated to the public and has not officially collaborated with external parties.Conclusion: The policy of Padang Mayor Regulation Number 21 of 2020 as a whole is the authority and responsibility of the Padang City Health Office. The Padang City Health Office has not officially disseminated to the public and has not officially collaborated with external parties. In its implementation, the Padang City Health Office still relies on health workers at the Puskesmas because PSC 119 does not yet have its own special team or officers.Keywords: Policy Implementation, PSC 119, Integrated Service Center.Correspondence: Viola Fathia Irwan. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: violairwan@gmail.com. Mobile: +6281270403409.Journal of Health Policy and Management, (2022), 07(02): 139-148https://doi.org/10.26911/thejhpm.2022.07.02.05.
Meta Analysis the Effectiveness of Internet-Based Self- Management for Asthma Control Monitoring Bhre diansyah dinda khalifatulloh; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 7 No. 2 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The high incidence and mortality of asthma is caused by a lack of asthma control and the independence of patients and families in doing good self-management. So far, self-management has been carried out in various ways, one of which is using internet-based self-management. The aim of this study was to estimate the effectiveness of Internet-based self-management on asthma control by meta-analysis.Subjects and Method: This research is a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2011-2022 using databases from PubMed, Google Scholar, ProQuest, Science Direct and Scopus. The PICO formula used is P= patients with asthma. I= using internet-based self-management. C= without using internet-based self-management. O= asthma control. Article searches were performed using the keywords “mhealth” OR “mobile health” OR “telemedicine” AND “self management” AND “asthma control” OR “asthma treatment” AND “asthma control”. The inclusion criteria were full paper articles with randomized controlled trial study design, articles using English, the intervention provided was the application of internet-based self-management, and the outcome was asthma control. Based on the database, there were 9 articles that met the inclusion criteria. The analysis was carried out using Revman 5.3 software.Results: A total of 9 articles spread across 4 continents, namely Asia, Europe, Australia, and America. The articles reviewed in the meta-analysis showed that the use of Internet-based self-management in asthmatics was effective in changing asthma control by 1.25 times compared with no Internet-based self-management, and was statistically significant (OR= 1.25; 95% CI= 1.09 to 1.44; p= 0.002).Conclusion: Internet-based self-management is effective in improving asthma control compared to no Internet-based self-management.Keywords: asthma control, internet-based self-management, asthma patientsCorrespondence: Bhre Diansyah Dinda Khalifatulloh. Masters Program in Public Health, universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: bhrediansyah98@gmail.com. Mobile: +6287708465646Journal of Health Policy and Management (2002), 07(02): 94-102https://doi.org/10.26911/thejhpm.2022.07.02.01
Readiness of Application of Electronic Medical Records in Bethesda Lempuyangwangi Hospital, Yogyakarta I Gusti Agung Ngurah Putra Pradnyantara; Bhisma Murti; Didik Tamtomo
Journal of Health Policy and Management Vol. 7 No. 2 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Based on the strategic plan of the Ministry of Health of the Republic of Indonesia for 20202024, all hospitals can gradually implement electronic medical records. However, there are still many obstacles experienced by hospitals in implementing Electronic Medical Record (EMR), readiness assessments can be used to determine readiness, indications and requirements in facilitating the implementation of EMR so as to avoid various obstacles during the implementation process.Subjects and Method: This was a qualitative descriptive study with a case study design. The study was conducted at Bethesda Lempuyangwangi Hospital, Yogyakarta, from May to June 2022. The data collected was the readiness to implement EMR in terms of organizational alignment and management capacity, by conducting indepth interviews with 7 people. The study subjects were determined by purposive sampling who were considered to have the capacity to make decisions related to EMR.Results: Bethesda Lempuyangwangi Hospital in implementing EMR from organizational alignment is said to be ready, the board of directors has known and understood that the implementation of RME has many benefits, the organization has been planned and the unit leadership understands the implementation risk in case of failure, to anticipate this, a longterm vision has been prepared. Readiness to implement EMR from management capacity can be improved because the IT committee has not yet been formed consisting of stakeholder representatives and hospitals, organization is still within the scope of the hospital, where ICT has been included in the organization's strategic plan. The roles and responsibilities for EMR implementation are defined with clear accountability to vendors and have been documented, the board of directors has considered planning the EMR implementation budget, funding for ongoing clinical IT adoption and the required standards are included in future planning and will be part of the IT budget.Conclusion: Bethesda Lempuyangwangi Hospital is ready to implement electronic medical records that will be applied to inpatient units, this can be seen from the alignment of the organization and management capacity where the culture, organization, leadership, strategy, information management, clinical staff, accountability and budget finance have been planned and have started held.Keywords: Readiness, Electronic Medical RecordCorrespondence: I Gusti Agung Ngurah Putra Pradnyantara. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: gustipradnyantara1997@gmail.com. Mobile: +62 82146804776.Journal of Health Policy and Management, (2022), 07(02): 149-157https://doi.org/10.26911/thejhpm.2022.07.02.06

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