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HEALTH FRONTIERS (MULTIDISCIPLINARY JOURNAL FOR HEALTH PROFESSIONALS)
Published by Tarqabin Nusantara Group
ISSN : -     EISSN : 30249740     DOI : 10.62255/mjhp
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Health Frontiers is an national /scientific journal, double-blind peer-reviewed, open acces journal published by Tarqabin Nusantara Group. Health Frontiers provides a means for ongoing discussion of relevant issues that fall within the focus and scope of the journal that can be empirically examined. The journal publishes research articles covering all aspects of Health Professionals
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 50 Documents
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Enhancing Athlete Performance with Mobile Health Applications: Benefits and Challenges Wahyudi, Nanang Tri; Yunus, Moch
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.v3i1.141

Abstract

Introduction:Mobile health applications have gained significant attention in recent years due to their ability to enhance athletic performance, prevent injuries, and support overall health management. By integrating advanced technologies, these applications provide athletes with personalized exercise plans, real-time monitoring of physiological and psychoemotional indicators, and immediate feedback. Method:This study employed a systematic literature review (SLR) using the PRISMA framework to identify, screen, and synthesize peer-reviewed studies published between 2013 and 2023. Databases including PubMed, Scopus, and Web of Science were searched using terms such as "mobile health applications," "athlete performance," and "privacy compliance." Eligible studies focused on mobile health applications specifically designed for athletes, addressing features like personalized plans, monitoring, and data security. Results:The review identified that mobile health applications significantly improve athletic performance, injury prevention, and motivation through personalized exercise plans and real-time feedback. However, persistent challenges were noted, including difficulties in personalizing plans for diverse athletes, ensuring user adherence, and addressing privacy and security concerns related to data handling. The findings underscore the need for robust privacy mechanisms and interdisciplinary collaboration to optimize these applications. Conclusion:Mobile health applications play a vital role in enhancing athletes' physical and mental well-being. However, addressing challenges such as personalization, adherence, and data security is essential to their continued success. Future research should focus on advancing AI-driven personalization, improving user engagement, and strengthening privacy safeguards to maximize the potential of these applications in athletic health management.
Children’s Motor Skills Development After Puzzle Play Therapy Wahyuni, Eko Sari; Solikhah, Fitriana Kurniasari; Septyasih, Rossyana; Prastiwi, Swito
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.v3i1.135

Abstract

Development at preschool age is a basic stage that influences subsequent development, at this time children often experience delays in fine motor development, the impact that often occurs is a lack of stimulation so that children experience obstacles in the learning process at school. One game that improves fine motor development is puzzles. The aim of this research is to identify fine motor development after being given a puzzle game. This research uses a descriptive observational case study on 2 subjects using a modified KPSP observation sheet. The research results before being given the puzzle subject 1 were moderate (10) subject 2 was poor (8) after being given the puzzle both subjects were good (21) and (19). It is recommended that both subjects optimize puzzle games to improve their fine motor development. For future researchers, it is recommended to condition puzzle games simultaneously and not to stimulate separately and it is recommended to involve parents and teachers in conducting research.  
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.
Decentralizing Healthcare Referrals: How Graph Neural Networks and Blockchain Can Bridge Gaps in LMICs for Equitable Care Budiono, Christiano Evan; Nul Arif, Hendri Lukman; Kencana Efendi, Sekar Galih; Ramadani, Nadia Ayu; Hendrawan, Nailyaa Faza; Mirachel Prakusya, Nabila Levi; Zannah, Qoridhatul; En Nabhan, M. Zuhair; Dwianti , Aigies Siska
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.v3i1.147

Abstract

Healthcare referral systems are pivotal for equitable care delivery, yet inefficiencies persist across low- and middle-income countries (LMICs), exacerbating disparities in access to specialist care. This mixed-methods study integrates longitudinal data from Portugal’s National Health Service (12M consultations, 2017–2022) and Indonesia’s National Health Insurance claims (1.7M beneficiaries) to evaluate referral mechanisms. Graph neural networks (GNNs) reveal power-law distributed referrals (?=2.3), where 20% of specialists handle 78% of cases, driven by professional affiliations (?=0.67, p<0.001) that disproportionately marginalize rural providers. Logistic regression identifies urban deprivation (OR=1.72, 95% CI: 1.45–2.04) and fragmented e-referral systems (OR=2.10, 95% CI: 1.88–2.35) as key compliance barriers, particularly among youth (18–44 years) with 54% higher odds of nonattendance. A PRISMA-guided systematic review of 63 studies highlights 10 systemic gaps, including inadequate patient tracking (58% of studies), provider workload (49%), and patient mistrust (37%). While e-referral integration reduces median care delays by 67% (21 vs. 7 days, p=0.003) and duplicate referrals by 41%, adoption challenges persist in 62% of Indonesian primary clinics due to fragmented IT infrastructure. Policy recommendations emphasize (1) decentralizing referral networks through GNN-driven analytics to prioritize underserved populations, (2) scaling interoperable e-referral platforms with blockchain-backed tracking, and (3) implementing community-led digital literacy programs to address youth and rural disparities. These reforms align with Sustainable Development Goal (SDG) 3.8, offering a roadmap to mitigate inequities and optimize referral efficiency in LMIC health systems.
Bridging the Gap: Navigating Regulations to Enhance Referral Coordination Between Puskesmas and Hospitals Malia Fadhilah , Isna Najwa; Firdausy, Amala Hessa; Savira , Berliana Hanza; Zalianti , Devina Amelia; Sefriza , Ayla; Ayu Hastari, Findi Vinolia; Rahmadyanti , Rosalya Galuh; Harianja, Ardisa Larassati; Khairani , Ghefira Nayana
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.v3i1.152

Abstract

Referral coordination between community health centers (Puskesmas) and hospitals is critical for ensuring seamless healthcare delivery, yet it remains hindered by regulatory challenges. This study explores the dual role of regulations in either supporting or impeding referral systems, focusing on payment mechanisms, legal frameworks, technological integration, and socioeconomic barriers. Supportive regulations, such as service payment contracts, government subsidies, and integrated information systems, enhance efficiency and collaboration. However, anti-kickback laws, fragmented systems, and lack of standardized criteria often create inefficiencies and inequitable access. Addressing these issues requires policy reforms, investment in technology, and targeted interventions to overcome socioeconomic barriers. Evidence suggests that strengthening Puskesmas as gatekeepers, adopting value-based payment models, and leveraging telemedicine can significantly improve referral outcomes. By aligning regulations with collaborative care objectives, healthcare systems can achieve better patient outcomes, reduce costs, and promote equitable access to specialty care. This analysis underscores the urgent need for systemic reforms to bridge gaps and optimize referral coordination.
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.
From Sensors to Safety: IoT-Enabled Smart Helmets as a Game-Changer for Worker Protection in High-Risk Industries Budiono, Christiano Evan; Nul Arif, Hendri Lukman; Kencana Efendi, Sekar Galih; Ramadani, Nadia Ayu; Hendrawan, Nailyaa Faza; Mirachel Prakusya, Nabila Levi; Zannah, Qoridhatul; En Nabhan, M. Zuhair; Dwianti , Aigies Siska
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.v3i1.164

Abstract

The integration of wearable technology into workplace safety systems has emerged as a transformative solution for mitigating risks in hazardous environments. This study evaluates the effectiveness of IoT-enabled smart helmets equipped with real-time monitoring and early warning systems to enhance worker safety in industries such as mining, construction, and chemical processing. The smart helmet system integrates multiple sensors, including GPS modules for location tracking, gas detectors for environmental monitoring, temperature and humidity sensors for ambient condition assessment, and health monitoring sensors such as heart rate monitors and concussion detectors. Advanced edge AI algorithms are embedded to enable local data processing, ensuring low latency and rapid decision-making. The performance of the system was rigorously evaluated under controlled and simulated hazardous conditions, demonstrating high accuracy in location tracking (mean absolute error of 2.3 meters), gas detection (thresholds of 5 ppm for methane and 5,000 ppm for CO2), and health monitoring (97% accuracy for heart rate sensors). Battery efficiency was optimized through low-power hardware design and energy-saving strategies, achieving a continuous operational lifespan of up to 10 hours. Robust privacy and security measures, including AES-256 encryption and multi-factor authentication, ensured the protection of sensitive data. Despite these advancements, challenges such as scalability, adaptability to dynamic scenarios, and emerging cybersecurity threats remain areas for further exploration.
Optimizing BPJS Referral Systems: A Pathway to Equitable, Sustainable Healthcare in Indonesia Damayanti, Nabila Ardelia; Putri, Dealonika Amanda; Napitupulu, Gladys Shevani Chilau; Kholvi, Indy Zaheera; Khairunnisa, Khairunnisa; Mustama'ah, Nadiyatus Sholatil; Rachmad, Rayhan Ramadhan Daffa Attariansyah; Putri, Serli Kusuma Dewi Dwi; Turmudi, Syifa Rabitha Alizza; 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.v3i1.166

Abstract

The BPJS referral system in Indonesia has been instrumental in expanding healthcare access, yet challenges such as unnecessary referrals, governance transparency, and cost inefficiencies persist. Strengthening primary healthcare infrastructure, enhancing quality control, and improving patient education are critical to optimizing the system's effectiveness. This study explores the impact of targeted interventions on BPJS referral accessibility. This study employed a systematic review approach guided by the PRISMA framework. Peer-reviewed studies published between 2019 and 2023 were identified through databases such as PubMed, Scopus, and Web of Science using terms like "BPJS referral system," "healthcare accessibility," and "governance transparency." Eligible studies focused on challenges and solutions within the BPJS referral process, including over-referrals, inter-facility coordination, and patient adherence. Quality assessments were conducted using the Cochrane Risk of Bias Tool and Newcastle-Ottawa Scale. Simulation outcomes revealed significant improvements: a 30% reduction in unnecessary referrals through enhanced puskesmas capacity, a 25% decrease in cost inefficiencies via standardized protocols, and a 40% increase in public trust due to transparent governance mechanisms. Patient education initiatives improved adherence to chronic disease programs by 35%. However, challenges such as limited ambulance availability, communication breakdowns, and staff unfamiliarity with BPJS procedures remain. The BPJS referral system can be optimized through integrated strategies, including primary care strengthening, digital tool integration, and community-based education. Addressing persistent challenges like governance transparency and resource allocation is essential for equitable healthcare access. Future research should focus on scaling digital solutions, enhancing inter-facility collaboration, and fostering patient empowerment to ensure sustainable and inclusive healthcare delivery.
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.
Equity in Healthcare Referrals: Navigating Legal Rights and Digital Frontiers for Fair Access Abdurrahman, Muhammad Naufal; Indriani, Sifa; Nurlita, Eka; Mehrunisa, Ourelova Hilyatul; Harahap, Syaharani Putri; Islami, Tiara Audyna; Suryanto, Riezky Alfaryzy; Azizah, Maylatul; Mumtazah, Kayyisah Iffat
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.v3i1.196

Abstract

This systematic literature review investigates the legal, ethical, and practical challenges surrounding patients’ right to fair referral services, analyzing 180 peer-reviewed studies, case laws, and policy documents (2010–2023) through the PRISMA framework. While international instruments like the UDHR and ICESCR mandate equitable healthcare access, national implementations vary, with marginalized groups (e.g., Roma communities, refugees) facing systemic delays and discrimination. Case precedents such as Montgomery v Lanarkshire (2015) reinforce transparency and informed consent, yet gaps in provider awareness (35% in Poland) and patient literacy (22% in Macedonia) persist. Digital tools like AI-driven referral platforms offer efficiency but demand compliance with privacy laws (e.g., GDPR). The study highlights structural barriers—resource constraints, racial bias, and weak enforcement—and advocates for legislative reforms, anti-discrimination training, and secure digital solutions. Recommendations include standardized protocols, ombudsman oversight, and public reporting of outcomes. Future research must address equity in low-resource settings and evaluate long-term impacts of technology on referral fairness. This review underscores the urgent need to harmonize legal rights, institutional accountability, and innovation to ensure referrals uphold justice and non-discrimination

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