Developing hospital resilience domains in facing disruption era in Indonesia: a qualitative study.

BACKGROUND: The studies of hospital resilience have been of increasing importance during the last decade due to disasters and pandemics. However, studies in developing the domain and indicators of hospital resilience were limited mainly on disaster response. A few studies of hospital resilience focused on how to deal with disruptions such as environmental turbulence, rapid technological changes, and changes in patient preferences. This study aims to develop domains and indicators of hospital resilience in facing the disruption era. METHODS: This qualitative study focused on exploring the domains and indicators to face disruptions that have been identified in the first exploratory phase of the studies. Key informants included hospital experts from the government, medical practitioners, and academics. A total of 20 key informants were involved in semi-structured interviews which were conducted face-to-face, via telephone and Zoom. Data was analyzed using a grounded theory approach to discover domains for a resilient hospital. RESULTS: The study identified a number of domains that are fundamental for a hospital to become a resilient in the face of disruption. These include readiness to face digital transformation, effective leadership, and flexibility in managing resources among others. Situation awareness and resilience ethos, implementation of marketing management, networking, and disaster anticipation are found to be equally important. These domains focused on the hospital's ability to deal with specific shocks from different perspectives as the result of changes from disruptions which are inevitable within the organizational business environment. CONCLUSIONS: The domains identified in the study are able to respond to the limitations of the concept of hospital resilience, which is currently more focused on hospital disaster resilience. They can be used to measure hospital resilience in the context of the volatility, uncertainty, complexity, and ambiguity (VUCA), which are relevant to the context of the Indonesia hospital industry.

What is known about patient-centered care application in post-surgical breast cancer patients?

BACKGROUND: Over the past two decades, patient-centered care has become internationally recognized as a dimension of high-quality health care. Recent research has shown that patient-centered care has many benefits, which are broadly categorized as patient experience and clinical and operational benefits. OBJECTIVE: The study aimed at analyzing the correlation between the application of patient-centered care (PCC) and length of stay, patient satisfaction, and clinical outcome of post-surgical breast cancer patients. METHODS: The study design was cross-sectional. A sample of 100 patients was determined and selected with the inclusion criteria. Data were collected using measuring tools comprising patient-centered care and patient satisfaction questionnaires as well as medical records to evaluate the length of stay and clinical outcomes. Bivariate analysis was conducted to analyze the correlation between patient-centered-care and length of stay (LOS), patient satisfaction, and the clinical outcomes of inpatients. RESULTS: A correlation was found between patient-centered care (PCC) application and patient satisfaction (p = 0.005), but no correlation was observed between PCC application and length of stay (LOS) (p = 0.176) as well as clinical outcome (p = 0.128). CONCLUSIONS: The application of patient-centered care can be attributed to patient satisfaction but is not correlated to length of stay and clinical outcome of post-surgical breast cancer patients. The hospital should create an accepted definition and commonly agreed set of dimensions used for the concept of operationalization and its measurement to implement PCC and improve overall patient satisfaction and clinical outcome and reduce the length of stay as expected.

The relationship between service quality perceptions and the level of hospital accreditation.

BACKGROUND: The quality of health services has long received global attention. Consequently, safe and quality health services in hospitals have become the main hopes and goals of the community, health workers, managers, owners, and regulators. A common external strategy used globally involves recognizing the applied quality management system, specifically certification and accreditation. OBJECTIVE: Therefore, the purpose of this study is to determine the relationship between levels of quality perception and accreditation in hospitals based on several variables. METHODS: A total of 13 hospitals were examined in this cross-sectional study, while a questionnaire consisting of 24 validated items was used for data collection. Subsequently, the analysis was performed by utilizing descriptive statistics and chi-square techniques. RESULTS: From the results obtained, the patient assessment, drug use management, patient and family education, infection prevention and control, alongside facility management and safety variables, had a relationship with the level of hospital accreditation, while patient service did not. CONCLUSIONS: Therefore, each hospital is expected to improve its service quality and accreditation.

Hospital laboratory management in dealing with disaster.

OBJECTIVE: This study aims to identify scientific evidence and knowledge currently available related to clinical laboratory management in the face of disasters with the literature review method. METHOD: This is a literature review study. Various references were collected from online databases, including reports, scientific journals, and books in the last ten years. Articles are screened according to the research objectives. The keywords used are laboratories, hospitals, disasters, Point of Care Testing (POCT). RESULTS: POCT is defined as the tools of a laboratory diagnostic test used in a disaster situation effectively. It can be operated by anyone who has been trained. However, it is quite constrained by temperature, earthquake shocks, and battery life. Storage and reagents supply, such as the strip test, might be prepare before the disaster. Moreover, maintenance and validation of POCT tools in disaster preparation is necessary. Hospitals must prepare POCT to conquer the limitation of electricity sources, human resources, and buildings situation was using a laboratory diagnostic analyzer not possible. The POCT was suitable to be conveyed anywhere both within the hospital and to disaster sites using the vehicle. CONCLUSION: POCT has the enormous potential as an emergency laboratory examination tool both at the hospital and at the disaster site to grip patient safety.

Musculoskeletal disorders problems and its relation to age, working periods, and smoking habit among fishermen.

OBJECTIVE: In this study, we conducted a research to determine the relationship between ages, working period, and smoking habit with the musculoskeletal disorder in fishermen. METHOD: This type of research is analytic survey research with a cross-sectional study. The population in this study totaled 224 people with 56 samples as respondents. Nordic Body Map (NBM) and Rapid Entire Body Assessment (REBA) were used as a questionnaire instrument. RESULTS: The result showed that the age variable has p=0.658 and the smoking habit has p=1.000, this indicates that age and smoking habit variables do not have a significant relationship with musculoskeletal disorders. Meanwhile, the working period variable has a result of p=0.015, it can be said that the work period has a significant relationship with musculoskeletal disorders. CONCLUSION: The respondents who were quite old were still fit for work and did not have as many musculoskeletal complaints as they should be for their age. Likewise with the smoking habit of fishermen who are more enthusiastic and motivated to work. Meanwhile, the work period has more influence on the complaints of musculoskeletal disorders among fishermen.

Relation of body mass index and work posture to musculoskeletal disorders among fishermen.

OBJECTIVE: In this study, we researched to determine the relationship between body mass index (BMI) and work posture/position with the musculoskeletal disorders (MSD) in fishermen. METHOD: This type of research is analytic survey research with a cross-sectional study. There were 224 people as the population in this study with 56 samples as respondents. Nordic Body Map (NBM) and Rapid Entire Body Assessment (REBA) were used as a questionnaire instrument. RESULTS: The result of the Chi-square test shows that the BMI variable has a p-value of p=0.848 where the p-value is p>0.05. This means BMI has no significant relationship with MSD. Meanwhile, the work posture/position variable has a p-value of p=0.000 where the p-value is p<0.05, which means that there is a significant relationship with MSD. CONCLUSIONS: BMI was not associated with MSD. This is possible because fishermen who have normal and abnormal BMI both have complaints of MSD. Meanwhile, work posture/position has a significant relationship with complaints of MSD in fishermen. This is because the posture of fishermen when working with tools when doing research looks very risky.

Relation of body mass index and work posture to musculoskeletal disorders among fishermen

Objective: In this study, we researched to determine the relationship between body mass index (BMI) and work posture/position with the musculoskeletal disorders (MSD) in fishermen. Method: This type of research is analytic survey research with a cross-sectional study. There were 224 people as the population in this study with 56 samples as respondents. Nordic Body Map (NBM) and Rapid Entire Body Assessment (REBA) were used as a questionnaire instrument. Results: The result of the Chi-square test shows that the BMI variable has a p-value of p = 0.848 where the p-value is p > 0.05. This means BMI has no significant relationship with MSD. Meanwhile, the work posture/position variable has a p-value of p = 0.000 where the p-value is p < 0.05, which means that there is a significant relationship with MSD. Conclusions: BMI was not associated with MSD. This is possible because fishermen who have normal and abnormal BMI both have complaints of MSD. Meanwhile, work posture/position has a significant relationship with complaints of MSD in fishermen. This is because the posture of fishermen when working with tools when doing research looks very risky. (AU)

The relationship between service quality perceptions and the level of hospital accreditation

Background: The quality of health services has long received global attention. Consequently, safe and quality health services in hospitals have become the main hopes and goals of the community, health workers, managers, owners, and regulators. A common external strategy used globally involves recognizing the applied quality management system, specifically certification and accreditation. Objective: Therefore, the purpose of this study is to determine the relationship between levels of quality perception and accreditation in hospitals based on several variables. Methods: A total of 13 hospitals were examined in this cross-sectional study, while a questionnaire consisting of 24 validated items was used for data collection. Subsequently, the analysis was performed by utilizing descriptive statistics and chi-square techniques. Results: From the results obtained, the patient assessment, drug use management, patient and family education, infection prevention and control, alongside facility management and safety variables, had a relationship with the level of hospital accreditation, while patient service did not. Conclusions: Therefore, each hospital is expected to improve its service quality and accreditation. (AU)

Hospital laboratory management in dealing with disaster

Objective: This study aims to identify scientific evidence and knowledge currently available related to clinical laboratory management in the face of disasters with the literature review method. Method: This is a literature review study. Various references were collected from online databases, including reports, scientific journals, and books in the last ten years. Articles are screened according to the research objectives. The keywords used are laboratories, hospitals, disasters, Point of Care Testing (POCT). Results: POCT is defined as the tools of a laboratory diagnostic test used in a disaster situation effectively. It can be operated by anyone who has been trained. However, it is quite constrained by temperature, earthquake shocks, and battery life. Storage and reagents supply, such as the strip test, might be prepare before the disaster. Moreover, maintenance and validation of POCT tools in disaster preparation is necessary. Hospitals must prepare POCT to conquer the limitation of electricity sources, human resources, and buildings situation was using a laboratory diagnostic analyzer not possible. The POCT was suitable to be conveyed anywhere both within the hospital and to disaster sites using the vehicle. Conclusion: POCT has the enormous potential as an emergency laboratory examination tool both at the hospital and at the disaster site to grip patient safety. (AU)

Musculoskeletal disorders problems and its relation to age, working periods, and smoking habit among fishermen

Objective: In this study, we conducted a research to determine the relationship between ages, working period, and smoking habit with the musculoskeletal disorder in fishermen. Method: This type of research is analytic survey research with a cross-sectional study. The population in this study totaled 224 people with 56 samples as respondents. Nordic Body Map (NBM) and Rapid Entire Body Assessment (REBA) were used as a questionnaire instrument. Results: The result showed that the age variable has p = 0.658 and the smoking habit has p = 1.000, this indicates that age and smoking habit variables do not have a significant relationship with musculoskeletal disorders. Meanwhile, the working period variable has a result of p = 0.015, it can be said that the work period has a significant relationship with musculoskeletal disorders. Conclusion: The respondents who were quite old were still fit for work and did not have as many musculoskeletal complaints as they should be for their age. Likewise with the smoking habit of fishermen who are more enthusiastic and motivated to work. Meanwhile, the work period has more influence on the complaints of musculoskeletal disorders among fishermen. (AU)

Assessment of Patient Satisfaction Level to Dental Health Care Services in Indonesia

Abstract Objective: To know the level of patient satisfaction with dental healthcare services in Bantaeng, Indonesia. Material and Methods: This pilot pathfinder survey was conducted at Dental and Oral Health Services in Bantaeng and Pa'jukukang Sub-districts of Bantaeng Regency of South Sulawesi Indonesia. The Short-Form Patient Satisfaction Questionnaire (PSQ-18) scaled was used and it consists of 18 questions and seven subscales. The t-test and ANOVA were used with a significance level set at 5% (p<0.05). Results: The female participation (72.8%) was greater than the male (27.2). Regarding age, 74.6% were <40 years, 21.1% were between 40-60 years old and 4.4% were over 60 years old. On the subscale of technical quality, there was significant value in the age variable (p=0.45), education level (p=0.031), job (p=0.026), waiting time (p=0.46), distance to dentist=0.026), and location (p=0.007). There were significant values on the interpersonal aspect subscale that were present at age (p=0.016), education level (p=0.038), and occupation (p=0.007). The highest satisfaction score was found on the technical quality subscale (13.04 ± 1.75) and the lowest satisfaction score was seen on the general satisfaction subscale (4.11 ± 1.75). There was a significant difference between the value of patient satisfaction with age, education, and occupation. Conclusion: Patients from the District Bantaeng and Pa'jukukang Bantaeng regency of South Sulawesi were more satisfied with the service provided. The highest satisfaction score was found on the technical quality subscale and the lowest satisfaction score was found in the general satisfaction subscale (AU).

Factors Affecting Dental Center Service Quality in Indonesia

Objective: To identify factors affecting dental center service quality in Bantaeng Regency, Indonesia. Material and Methods: This study used a pilot pathfinder design and analysed a sample of 114 subjects. Data were collected using a questionnaire designed for the study based on model of service quality which consists of two parts: the subject's demographic characteristics and a 30 item questionnaire to measure the five dimensions of the service quality, include tangibility (7 question), reliability (9 question), responsiveness (6 question), assurance (4 question) and empathy (4 question). Five points Likert Scale were used to evaluate all dimension in questionnaire (1= strongly disagree, 5=strongly agree). The data were analyzed using SPSS 24.0 and Amos 18.0 to get the mean, standard deviation and confirmatory factor. Results: The most important thing of each dimensions were "the clinic employees should be clean, neat, tidy and appropriate to their professions"(4.08) on tangibility, "The dentist should give patients useful and necessary advice for preventing them from other diseases" (4.12) on reliability, "A secretary should always be accountable for arranging the time of treatment session by phone or in person" (4.06) on responsiveness, "In a good dental clinic, the employees should always behave towards patients with respect and courtesy and ensure their privacy" (4.11) on assurance and "The clinic employees should pay particular attention to each patient's costs of dental services and should be assured that they are affordable for patients" (4.22) on empathy. Results showed that tangibility, reliability, and assurance have the highest effect on dental service quality in Bantaeng District. Meanwhile, the responsiveness dimensions have the lowest effects. Conclusion: Assurance, reliability, tangibility/physical condition are the factors affecting dental service quality in Bantaeng Regency.

Relationship Between Health Service Access to Dental Conditions in Urban and Rural Areas in Indonesia

Objective: To determine relationship between access to dental health services with dental health conditions of adult communities in urban areas represented by Somba Opu and rural districts represented by Patalassang subdistrict in Gowa subdistrict. Material and Methods: This was pilot pathfinder survey, conducted in Gowa District in April 2018 with 420 subjects. Data were collected using a CoHRE questionnaire. Information regarding gender, age and location (rural and urban), transportation (public and private), toothache in past one year, dental treatment in past one year, dental treatment frequency (regular and irregular), smoking, alcohol consumption, routine activity, drugs intake, oral problems, driving car, distance to health facility (near and far) were collected. The number of teeth was dichotomized to less than 20 and 20 or more. Data were analyzed using Chi-square test and the level of significance was set at 5%. Results: In the urban area there was an association between routine activities with dental health conditions (p=0.002). There is no significant association between distance or access to health care facility with dental condition in adult society in urban area (p>0.05). In rural area there is a significant association between distance or access to health care facility with dental condition (p=0.046). Conclusion: There is an association between access to dental health services with dental health conditions of adult communities in urban areas represented by Somba Opu and rural disparities represented by Patalassang subdistrict in Gowa district.