cover
Contact Name
Matias JP
Contact Email
kesehatan@paspama.org
Phone
-
Journal Mail Official
kesehatan@paspama.org
Editorial Address
Jl Piano N0 156 Selambo, Deliserdang, Sumatera Utara, Indonesia, Sumatera Utara, Indonesia , Kab. Deli Serdang, Provinsi Sumatera Utara, 20229
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INDONESIA
Journal Health of Indonesian
Published by Paspama Institute
ISSN : -     EISSN : 29870313     DOI : https://doi.org/10.54209
Core Subject : Health, Science,
Journal Health of Indonesian: Journal Health is a peer reviewed and open access journal. The journal facilitates authors to publish scholarly articles in the field of health and provides open access to the public to read abstracts and full papers.Health Care: Health Journal covers all areas of health including nursing, midwifery and public health and accepts original articles, case reports and review articles. Articles submitted to the journal will be screened by the editors and decide whether the article will be sent to reviewers or not.
Arjuna Subject : Umum - Umum
Articles 32 Documents
Patient Flow and Service Efficiency in Public Hospitals: Data-Driven Approaches, Strategies, Challenges, and Future Directions Okechukwu Chiedu Ezeanyim; Emeka Celestine Nwabunwanne; Nkemakonam Chidiebube Igbokwe; Charles Onyeka Nwamekwe
Journal Health of Indonesian Vol. 3 No. 02 (2025): Journal Health of Indonesian, July 2025
Publisher : Paspama Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/health.v3i02.228

Abstract

Public hospitals in resource-constrained environments face persistent challenges in patient flow and service efficiency, often resulting in overcrowded emergency departments, delayed admissions, and prolonged waiting times. This review synthesizes literature on data-driven and operational strategies that address these inefficiencies, focusing on predictive analytics, discrete-event simulation, artificial intelligence, and digital dashboards. Findings reveal that integrating simulation-based capacity planning, workforce scheduling, and proactive bed management with digital decision-support tools can significantly enhance throughput and reduce systemic bottlenecks. However, the successful adoption of these strategies requires overcoming barriers such as limited data interoperability, inadequate infrastructure, staff resistance to change, and ethical concerns related to patient data use. Emerging trends, including digital twins, mobile health solutions, and AI-driven predictive models, highlight opportunities for scalable and context-appropriate interventions. The review emphasizes the critical role of governance, interdisciplinary collaboration, and policy support in sustaining efficiency gains. Ultimately, structured, data-enabled frameworks are necessary to build resilient hospital systems that advance equitable healthcare access and contribute to achieving Sustainable Development Goals (SDGs) in low- and middle-income countries.
Management of Recurrent Aphthous Stomatitis (RAS) Cases Through a Communication, Information, and Education Approach Lestari, Diah Rochmayani Tri; Naviatullaily, Naviatullaily
Journal Health of Indonesian Vol. 4 No. 02 (2026): Journal Health of Indonesian, 2026
Publisher : Paspama Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Recurrent Aphthous Stomatitis (RAS) is an inflammatory condition of the oral mucosa characterized by recurrent ulcers typically presenting with a yellowish-white base and erythematous borders. These lesions are often painful and may interfere with daily activities. The exact cause of RAS is unknown, although predisposing factors include hormonal disturbances, nutritional deficiencies, and stress. To evaluate the management of Recurrent Aphthous Stomatitis (RAS) caused by hormonal imbalance, nutritional deficiencies, and stress using the Communication, Information, and Education. A 28-year-old woman presented with recurrent canker sores on the right buccal mucosa and the commissure of the upper lip for the past three days. The patient experienced similar complaints every month before menstruation. Intraoral examination revealed two irregular ulcerative lesions, measuring less than 1 cm in size, exhibiting a yellowish-withe base with erythematous border. The diagnosis was established as multiple minor Recurrent Aphthous stomatitis lesions.  Through a CIE approach, the patient was educated regarding the mechanisms of RAS, including the role of hormonal changes during the luteal phase, the impact of stress through activation of the HPA axis, and the importance of nutrients such as vitamin B12, folate, and iron in mucosal regeneration. The patient was advised to improve dietary habits, avoid irritant foods, maintain good oral hygiene, manage stress, and ensure adequate hydration. Referral to an obstetrician-gynecologist or nutritionist was recommended when indicated Oral therapy was provided in the form of a multivitamin containing vitamins A, B-complex, C, D, and E, along with minerals. The patient was instructed to take one tablet tablet once daily for 10 days to help improve nutritional status and promote ulcer healin. The management of RAS requires a holistic approach through effective communication, information, and education (CIE) regarding trigger factors and the underlying mechanisms of RAS, combined with supportive therapy and lifestyle modification to prevent recurrence.

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