The development of information technology is now growing rapidly, including in the health sector. According to WHO, medical record is an important compilation of facts about a patient's life and health. The development of information technology in medical records is the electronic medical record (EMR). Developed countries, such as the United States and Korea have implemented EMR for a long time. In developing countries such as Indonesia, the development of EMR is still in progress because its implementation requires many factors to build a system or replace from manual medical records. Eventually, it is hoped that in the future all health care will use the EMR to resume patient datas from admission to discharge. The purpose of this study is to analyse the implementation and preparation of EMR in health care in Indonesia. This study is a literature review on the implementation and preparation of EMR in health care in Indonesia. The review is dome from 28 literature sources (Google-Scholar database). Total of 8 articles were obtained from 2017 to 2021. The results show that there are benefits after switching to EMR, even though some health care only used EMR in certain units. The highest benefit is reducing the cost of duplicating paper for printing. Also there is still limited human resources and tools for implementing EMR in Indonesia. The implementation of this EMR will enable the improvements of the service quality of the health care itself, especially in Indonesia.
Background: Family holds an important role in the care of patient’s health against a disease or illness. The majority of pulmonary TB (tuberculosis) patients have poor social support systems and compliance. Problems with pulmonary TB patients have an impact on families and family unpreparedness, lack of family knowledge about tuberculosis, and the impact of discrimination (stigma) are some of the factors that need to be considered. The family resilience model to improve the compliance of pulmonary TB patients in carrying out treatment programs still requires further study. Research Objectives: To develop a model of family resilience as an effort to improve compliance to treatment for pulmonary TB patients. Research Methods: This study adopted a cross-sectional design. It was conducted in the work areas of Puskesmas in Surabaya City from August to December 2019. A sample of families with pulmonary TB patients containing 160 respondents was calculated using the Rule of Thumb formula, using a multistage random sampling technique. Research variables included: 1) individual factors: age, gender, education, knowledge, position of the patient in the family, personal motivation, 2) family factors: family type, family structure, family health care function, 3) social factors: social support, stigmas, 4) family stressors, including loss, illness and care, tension, 5) individual stress, including depression, anxiety, stress, 6) family stress, 7) family problem solving and coping skills, 8) family resilience, including survival, adaptation, acceptance, growing stronger, helping others, 9) individual belief, including susceptibility, severity, barriers, benefits, cues to action and self-efficacy, and 10) medication compliance included medication compliance and BTA conversion results. Data were collected using a questionnaire which was developed and analyzed using SEM-PLS. Research Results: The family resilience model as an effort to improve treatment compliance for pulmonary TB patients was a fit model with good predictive relevance (SRMR=0.053<0.081; NFI=0.919>0.90; Q2>0). Individual factors (t-stat=3.048) and family stress (t-stat=4.923) have an effect on the pulmonary TB patients. Individual stress (t-stat=2.642) and family resilience (t-stat=5.163) have an effect on individual beliefs. Patient factors (t-stat=2.429), family factors (t-stat=2.999), social factors (t-stat=2.745), and family stressors (t-stat=3.345) have an effect on family stress. Family stress affects family problem solving and coping skills (t-stat t=3.606). Problem solving ability and family coping skills affect family resilience (t-stat=2.116). Family resilience affects medication compliance (t-stat=7.407), while the patient's belief affects compliance (t-stat=2.881). Conclusions: There is better increased compliance to treatment through family resilience compared to individual beliefs of pulmonary TB patients. Family plays an important role in the care of sick family members, and one of the family functions is health care. Family as a group can cause, prevent, ignore, or remedy health problems in the group.
The percentage of Unintended Pregnancy or Kehamilan Tidak Diinginkan (KTD) in Indonesia is still 17.5%. East Java contributed for 14.6% of cases of KTD during 2019. The increase in fertility rates and maternal mortality cases in Indonesia is partly due to KTD. This study will analyze the determinants of the incident of KTD in women of childbearing age or Wanita Usia Subur (WUS) in East Java. This study is a non-reactional study with a Cross-sectional design using data on the Program Performance and Accountability Survey (PPAS) for Family Planning and Family Development Program (KKBPK) 2019. Sample in this study were 2,650 married WUS with ages 15-49 years. Secondary data were analyzed using multiple logistic regression tests. Some factors that determine the incidence of unintended pregnancy include mother's age (p=0.000), age of first marriage or Usia Kawin Pertama (UKP) (p=0.004), number of living children (p=0.000), welfare level (p=0.004), residence (p=0.043), knowledge of contraception (p=0.022), history of contraceptive use (p=0.001), access of information (p=0.000), and family planning decisions (p=0.003). Meanwhile mother's education (p=0.998), mother's occupation (p=0.362), and insurance ownership (p=0,750) did not affect the case of KTD in East Java. New policies and innovations that are more targeted are needed so that prospective acceptors receive contraceptive services easily and affordably so as to reduce the number of KTD. Optimizing the role of the Family Planning Field Officer or Petugas Lapangan Keluarga Berencana (PLKB) to increase the rate of the use of modern contraceptives in East Java.
Introduction: Covid-19 has made changes to health services in Indonesia. It occurs in the hospital service flow, so patients must adjust to the restrictions that apply in the hospital. National health insurance (JKN) in Indonesia provides public access to health services. The existence of health insurance should be the solution for patients who are willing to take advantage of health services. Meanwhile, in the covid-19 condition, health services are essential, so they have to get a lot of attention. Objective: The purpose of this study was to analyze National Health Insurance (JKN) patients before and during covid-19 in Mother-Child Hospital "Putri" Surabaya. Methods: This study used descriptive analysis of national health insurance hospital patient visits (both outpatient and inpatient) in Mother-Child "Putri" Hospital Surabaya. The data was taken twice, which is before covid-19, from January 2018 to February 2020, and during Covid-19 from March 2020 to December 2021. Result: The results showed that the trend of JKN patients before and during covid-19 was very different. Before covid-19, there was a tendency to see an increase in JKN patients. During COVID-19, the JKN patient was reduced. Conclusion: Covid-19 is one of the factors that affected the reduction of JKN patients in Mother-Child Hospital "Putri" Surabaya. Not only this hospital, but all health-care services.
Hospitals as health care facilities are needed not only in the service sector but also in the need for recording and documenting the results of examinations, treatment, actions, and other services that have been provided to patients which are recorded in medical record documents. every patient who receives medical services at the hospital will receive a medical record document to document his medical history. The increase in patient visits is sometimes not in line with the readiness of the hospital in fulfilling the facilities and supporting service tools. The study aimed to predict the number of patient visits. The type of research used is quantitative research and the sampling technique used is total sampling by looking at the data of the last 5 years of visits in the medical record unit and the analysis used is the ARIMA method in predicting visit data. Prediction results from patient visits for the next two years tend to fluctuate quite a lot with a total of 5163 patient visits in outpatients, with a Mean Absolute Percentage Error (MAPE) value of 19% with the ARIMA model (2,1,2) which means that the prediction of visits patients can be quite accurate and reliable. So that in the future the hospital must be able to improve the facilities and quality of its services. So that the service process for visiting patients can be served effectively and efficiently.Keywords: Prediction, Patient Visit, ARIMA
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