Patient Experience Correlates with Willingness to Retain Service Utilization in Post-Pandemic Times Among Telemedicine Users in Indonesia.

Background: COVID-19 pandemic increases the use of telemedicine worldwide. Sustaining its use during post-pandemic times is important to overcome health care disparities, especially in countries with an inadequate number or uneven distribution of health care workers. This study aims to analyze factors associated with the willingness to retain telemedicine utilization after the COVID-19 pandemic. Methods: An online survey was administered during the COVID-19 pandemic. Demographic characteristics and patient experience were used as predictors. Chi-square was used to examine the relationship between the outcome variable and the predictors. Finally, binary logistics regression was conducted to determine factors associated with willingness to retain telemedicine utilization after the COVID-19 pandemic. Results: A total of 784 responses were included in the analysis. The result showed a high rate of willingness to retain telemedicine utilization (81%). Factors associated with outcome variable were satisfaction (adjusted odds ratio [aOR] 7.893; 95% confidence interval [CI]: 3.600-17.308; p < 0.001), telemedicine efficacy (aOR 1.747; 95% CI: 1.144-2.667; p = 0.010), ease of use (aOR 6.570; 95% CI: 3.029-14.250; p < 0.001), time efficiency (aOR 1.666; 95% CI: 1.092-2.540; p = 0.018), and cost efficiency (aOR 1.852; 95% CI: 1.005-3.411; p = 0.048). In contrast, patients who first used telemedicine during the COVID-19 pandemic were less likely to retain telemedicine utilization (aOR 0.437; 95% CI: 0.281-0.679; p < 0.001). Conclusions: The high willingness to retain utilization is a good indication of the sustainability of telemedicine services during post-COVID-19 pandemic. The stakeholders should focus on factors revealed in this study to increase the service uptake.

Information clarity about Covid-19 in Indonesia: does media exposure matter?

BACKGROUND: Confusion of information has also colored the course of the Covid-19 pandemic in Indonesia. The study analyzes the relationship between media exposure and information clarity about Covid-19 in Indonesia. METHODS: The study collected extensive data (n = 5,397). The study determines information clarity about Covid-19 based on respondents' admissions. There were four types of media exposure analyzed: frequency of reading a newspaper/magazine, frequency of listening to a radio, frequency of watching television, and frequency of internet use. The study carried out a binary logistic regression test in the final stage. RESULTS: The results show read a newspaper/magazine every day is 1.670 times more likely than reading a newspaper/magazine > five days a week to get precise information about Covid-19. Reading a newspaper/magazine 2-3 days a week is 1.386 times more likely than reading a newspaper/magazine > five days a week to get precise information about Covid-19. Reading a newspaper/magazine 4-5 days a week is 1.470 times more likely than reading a newspaper/magazine > five days a week to get precise information about Covid-19. Watching television 2 to 3 days a week is 1.601 times more likely than watching television > five days a week to get clear details about Covid-19. Watching television 4 to 5 days a week are 1.452 times more likely than watching television > five days a week to get precise information about Covid-19. CONCLUSION: The study concluded two types of media exposure related to information clarity about Covid-19 in Indonesia: the frequency of reading newspapers and watching television.

The prevalence and distribution of risk factors for depression and emotional mental disorders in the elderly in Indonesia.

BACKGROUND: Depression is a mental health disorder. The prevalence of mental health disorders in the elderly is high. AIMS: This study was to determine the mental status depression and emotional of the elderly based on their characteristics. METHODS: This study was a further analysis of Basic Health Research 2018 data. The population was all households from all districts/cities in 33 provinces in Indonesia with a cross-sectional design. The sample was all elderly, with a total sample of 82,304,000 people. The respondents included young elderly (60-69 years), middle elderly (70-79 years), and old elderly (>80 years). RESULT: Depression is experienced by most of elderly aged 60 to 69 years as many as 3,756,384 respondents (59.72%), females as many as 3,885,191 respondents (61.77%), living in urban areas, as many as 3,147,131 respondents (50.03%), graduated from elementary school as many as 2,052,22 respondents (32.63%), not working as many as 3,535,241 respondents (56.21%), and quintile one expenditure level as many as 1,532,358 respondents (24.36%). CONCLUSIONS: Emotional disorders of depression in elderly are due to the adaptation process to physical and psychosocial changes. Family support is a must to improve elderly's quality of life on mental health aspects, especially depression. Furthermore, better treatment by medical personnel is required.