scholarly journals Mengkaji Faktor yang Mempengaruhi Kinerja Pelayanan Organisasi RSUD Kota Tangerang

2021 ◽  
Author(s):  
Alan Budi Nugroho
Keyword(s):  
Quality Improvement ◽  
Health Service ◽  
Health Services ◽  
Quantitative Research ◽  
Service Organization ◽  
Organization Performance ◽  
Service Organisation ◽  
Or Organization ◽  
Research Show ◽  
Variable Measurement

Due to importance of the health service, therefore is needed quality improvement and health services, so there are many factors affected. In this research the factors that affected in health service is an activity results as an individual or organization who have the same goals to fullfill necessary by means of others person activity. The Purpose : (1) to determine the affect between Proffesionalism and service organization performance in RSUD Tangerang city. (2) to determine the affects between leadership and service organization performance RSUD Tangerang city. (3) to determine the affects between an authority of management and service organization performance in RSUD Tangerang city. This research is quantitative research. In this research there are four variables, Proffesionalism (X1), Leadersip (X2), an authority of managements (X3) and service organisation performance (Y). Variable measurement in this research is using ordinal scala. Data were collected through questionnaire. The result of this research show that (1) Proffesionalism variable affets to service organization performance in RSUD Tangerang city with probability value 0,0002, (2) Leadership variable affects to service organization performance in year 2016 with probability value 0,0018, (3) An authority management variable doesn’t affect to service organization performance in year 2016 with probability value 0,204.

scholarly journals The Sustainable Aging Health Network in Thailand

2021 ◽  
Vol 277 ◽  
pp. 06007
Author(s):  
Thitima Wataneeyawech ◽  
Patcharuch Onto
Keyword(s):  
Health Service ◽  
Health Services ◽  
Research Design ◽  
Quantitative Research ◽  
Community Organization ◽  
Demographic Data ◽  
Health Assessment ◽  
Health Examination ◽  
Health Network ◽  
Aging Health

The objectives of this research were to explore factors related to aging health network and to identify the sustainable aging health network in a community of Thailand. The research design was mixed method that included both qualitative and quantitative research design. The samples were aging people and aging health networks in community. The instruments were the health services network interview form and aging health factors related questionnaire. The data were collected include demographic data, health status, health service for aging. The finding shown that the factors related of aging health were aging age, aging health assessment, aging health security, health examination, aging health care, aging health information,aging health service,aging health activities, and health services barriers. The sustainable aging health network in Thailand depended on community organization related aging health network as follow: District and subdistrict administrative organization 2) Health organzation: Health Promoting Hospital 3)Academic organization :University and educational institute in community. The data from interview from found that the ways to develop sustainable aging health network should have participation of every sectors from all health services network in community of Thailand.

scholarly journals Accuracy of national key performance indicator reporting from two Aboriginal medical services: potential to underestimate the performance of primary health care

2018 ◽  
Vol 42 (4) ◽  
pp. 453 ◽  
Author(s):  
Isaac Hill ◽  
David Johnson ◽  
David Scrimgeour ◽  
Robyn McDermott
Keyword(s):  
Quality Improvement ◽  
Health Service ◽  
Health Services ◽  
Performance Indicator ◽  
Data Extraction ◽  
Information Management System ◽  
Health Data ◽  
Service Performance ◽  
Key Performance Indicator ◽  
Local Quality

Objective The aim of the present study was to assess the accuracy of extracting national key performance indicator (nKPI) data for the Online Community Health Reporting Environment for Health Services (OCHREStreams) program using the Pen Computer Systems (Leichhardt, NSW, Australia) Clinical Audit Tool (CAT) from Communicare (Telstra Health Communicare Systems, Perth, WA, Australia), a commonly used patient information management system (PIMS) in Aboriginal primary care. Methods Two Aboriginal Community-Controlled Health Services (ACCHSs) were recruited to the present study. A sample of regular clients aged ≥55 years from each ACCHS was selected and a subset of 13 nKPIs was examined. A manual case note audit of the nKPI subset within Communicare was undertaken by a clinician at each participating ACCHS and acted as a ‘gold standard’ comparator for three query methods: (1) internal Communicare nKPI reports; (2) PenCS CAT nKPI manual filtering (a third-party data-extraction tool); and (3) nKPI data submitted to the Improvement Foundation qiConnect portal. Results No errors were found in nKPI data extraction from Communicare using the CAT and subsequent submission to the qiConnect portal. However, the Communicare internal nKPI report included deceased clients and past patients, and we can be very confident that deceased clients and past patients are also included in the qiConnect portal data. This resulted in inflation of client denominators and an underestimation of health service performance, particularly for nKPIs recording activity in the past 6 months. Several minor errors were also detected in Communicare internal nKPI reports. Conclusions CAT accurately extracts a subset of nKPI data from Communicare. However, given the widespread use of Communicare in ACCHSs, the inclusion of deceased clients and past patients in the OCHREStreams nKPI data program is likely to have resulted in systematic under-reporting of health service performance nationally. What is known about the topic? There has been limited validation of health data exported via data-extraction tools in Australia. More specifically, there are no current published data describing the accuracy of the CAT in mapping health data extracted from Communicare or the accuracy of internal nKPI reports generated by Communicare. Further, no systematic review has been undertaken to assess the accuracy of the nKPI data submission pathway from PIMSs at the health service level to the OCHREStreams qiConnect portal using the CAT. What does this paper add? The CAT accurately extracts a subset of nKPI data from Communicare and accurately submits this to the qiConnect portal. Minor errors exist in some Communicare internal nKPI reports. The inclusion of deceased clients and past patients in the nKPI reporting system for ACCHSs is likely to have resulted in systematic under-reporting of health service performance nationally through this program. What are the implications for practitioners? The inclusion of deceased clients and past patients in the OCHREStreams nKPI program limits the usefulness of these data for local quality improvement activities and national monitoring of health service performance for participating ACCHSs. The use of the CAT by ACCHSs independently from the OCHREStreams program can enable deceased clients and past patients to be excluded from reports that can provide more accurate nKPI data from Communicare for local quality improvement and planning purposes.

scholarly journals Guidelines for the empowerment of nurses in health services

1998 ◽  
Vol 3 (3) ◽  
pp. 24-30
Author(s):  
Karien Jooste ◽  
Susanne Booyens
Keyword(s):  
Decision Making ◽  
Problem Solving ◽  
Health Service ◽  
Health Services ◽  
Full Text ◽  
Management Approach ◽  
Service Organisation

The scenario that should exist in a modern health service organisation is that of rapid decision making and problem solving at the point nearest to the problem and a management approach of flexibility and conscious, calculated change. OpsommingDie scenario wat in 'n moderne gesondheidsdiensinstansie behoort te bestaan is die van vinnige besluitneming en probleemoplossing by die punt naaste aan die probleem en 'n bestuursbenadering van buigsaamheid en bewuste, berekende verandering. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

Consumer Participation in Service Evaluation and Quality Improvement: Key Ingredients for a System to Deliver National Indicators

2011 ◽  
Vol 19 (6) ◽  
pp. 493-497 ◽  
Author(s):  
Karen Oakley ◽  
Gillian Malins ◽  
Louisa Riste ◽  
John Allan
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Mental Health Service ◽  
Health Service ◽  
Health Services ◽  
Service Evaluation ◽  
Consumer Participation ◽  
Local Systems ◽  
Health Performance ◽  
Health Service Evaluation

Objectives: The aim of this paper is to describe the fundamental components of a system to ensure consumer participation in mental health service evaluation and quality improvement. Conclusions: The seven fundamental components identified provide the basis for a system to deliver national indicators for consumer participation in quality improvement under the National Health Performance domain of “responsiveness to consumers”. The MH-CoPES Framework satisfies these criteria and may be drawn upon as the basis for developing local systems for consumer participation in quality improvement within mental health services.

A template approach to quality improvement activity: a primary care example

2013 ◽  
Vol 37 (4) ◽  
pp. 535 ◽  
Author(s):  
Christopher Fawcett ◽  
Helen Moriarty ◽  
Roshan Perera
Keyword(s):  
Quality Improvement ◽  
Clinical Practice ◽  
Health Service ◽  
Health Services ◽  
Community Practice ◽  
Quality And Safety ◽  
Quality Improvement Activity ◽  
Community Based ◽  
Quality Framework ◽  
Area Of Concern

Introduction. This paper demonstrates the use of a Quality Framework and Implementation Template to review processes for improving the quality and safety of opiate prescribing for chronic non-malignant pain (CNMP). Escalating use of prescription opiates for chronic pain is of national and international concern, with major implications for personal and public health as well as for patient safety and health service quality and safety. Objectives. This paper uses opiate prescribing for CNMP as a worked example to illustrate use of the Quality Framework for self-directed quality improvement in smaller specialist medical or community-based practices. Methods. An Implementation Template, comprising a series of focussed questions derived from the Quality Framework, was applied to one specific quality improvement activity arising from clinical practice (opiate prescribing for CNMP). This helped the practice team understand current systems and processes, identify actual and potential problems, and find possible solutions to institute interventions for change. Conclusion. The template approach to quality activity is very applicable within smaller specialist or community health service settings, enabling such health services to focus on their own quality improvement activities and address topics of importance to the practice in a systematic and productive manner. What is known about the topic? There are complex interactions and activities to be considered when undertaking quality improvement within community practice. Repeat opiate prescribing for CNMP is a significant issue for practices and patients. What does this paper add? This paper examines the specific case of improvements to quality and safety of repeat prescribing of opiates for CNMP in small clinics and other community-based health services. This example shows how users may utilise an Implementation Template to perform a systematic and comprehensive review of their systems and processes in relation to any chosen aspect of practice-based quality improvement activity. Services could apply these same principles to any topic of interest, or practice and/or organisational activity, to undertake systematic quality improvement. What are the implications for practitioners? The Implementation Template was designed for use by clinical practice teams. It will be helpful for practices that wish to undertake a quality improvement activity but lack the knowledge of how to proceed. Use of the template approach provides practice teams with the means to ensure that they consider the area of concern from all angles, and helps to uncover areas that might not otherwise have been considered.

scholarly journals Konstribusi Lembaga Swadaya Masyarakat dalam Penanganan HIV-AIDS di Kota Kendari : Studi Pada Lembaga Advokasi HIV- AIDS Sulawesi Tenggara

2019 ◽  
Vol 1 (1) ◽  
pp. 58
Author(s):  
Ayi Nur Fauziah ◽  
Muhammad Amir ◽  
Muhammad Yusuf
Keyword(s):  
Health Service ◽  
Health Services ◽  
Board Of Directors ◽  
Social Service ◽  
Management Program ◽  
City Government ◽  
The City ◽  
Research Show ◽  
Hiv Aids

The purpose of this study was to determine how the role of NGOs in handling HIV-AIDS in Kendari City and to find out how to handle NGOs in handling HIV-AIDS in Kendari City. The subjects in this study were the Southeast Sulawesi Province Board of Directors consisting of the Director of Laha, Laha Staff, PLWHA in Kendari City, PLWHA Community, Social Service Apparatus, and Health Service Apparatus The type of research used is descriptive qualitative. The results of the research show that NGO LAHA plays a role as a Facilitator, Broker, Mediator, Defender, Protector in  Dealing with HIV-AIDS In the city of Kendari, the HIV-AIDS Management Program, namely Improving Communication,. Information and Education of HIV-AIDS, increases efforts to reduce the prevalence of infectious diseases  sexually,  increasing  universal  awareness  in  the provision of health services and cooperation between the Kendari City Government and the NGO LAHA still lacking in the handling of HIV-AIDS that occurred in Kendari CityKeywords :Handling, HIV-AIDS, NGO, Laha. Role

scholarly journals Hubungan Faktor Sikap dengan Pelaksanaan Program Pelayanan Kesehatan Usaha Kesehatan Sekolah (UKS) di SMP Muhammadiyah 4 Gadung Surabaya

2019 ◽  
Vol 12 (2) ◽  
Author(s):  
Dya Sustrami ◽  
Ninik Ambar Sari
Keyword(s):  
Health Service ◽  
Health Services ◽  
Program Implementation ◽  
Quantitative Research ◽  
Disease Process ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
P Value ◽  
Attitude Factor ◽  
Knowledge And Attitude

Health services in schools aim to improve skills and skills to take healthy living in order to form a healthy life behavior, increase the immune system of learners against disease and prevent disease, stop the disease process and prevention of disease complications. Health Services UKS need to pay attention to several factors, including predisposing factors that include attitude, knowledge. Behavior change is based on positive knowledge and attitude that will cause long lasting behavior. The research was conducted in SMP Muhammadiyah 4 Gadung Surabaya. Quantitative research with sample technique using Probability Sampling technique with simple random sampling counted 155 respondents. Instruments using questionnaires. Data were analyzed by spearman rank's and pearson's correlation test. Independent variable is attitude factor, and dependent variable is health service program implementation. The result of p = 0,000 (p value <0,05) hence concluded there is relation between attitude factor with health service of UKS. The implications of this study are the positive attitudes of pupils affecting the implementation of the health services of the UKS so that the role of pupils and implementing teachers can advance the UKS health care program.Keywords: Attitude Factor, and UKS Health Services 

School Settings

2018 ◽  
Author(s):  
Melissa K. Holt ◽  
Jennifer Greif Green ◽  
Javier Guzman
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Provision ◽  
Community Mental Health Service ◽  
Health Service Provision ◽  
School Settings ◽  
Mental Health Service Provision

Schools are a primary setting for mental health service provision to youth and are also main sources of referral to community mental health service providers. This chapter examines the school context and its key role in the child and adolescent mental health services system. The chapter first provides information about the association of emotional and behavioral disorders with school experiences, including academic performance. Next, the chapter presents a framework for mental health service provision and assessment in schools, including describing methods for identifying students who might need mental health services and tracking their progress. Further, several evidence-based interventions are highlighted as examples of effective practices in schools. The chapter concludes with recommendations for clinical practice in school settings.

scholarly journals Higher Rates of Untreated Distress in Older Versus Younger Adults With Indolent Lymphoma

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 466-466
Author(s):  
Kelly Trevino ◽  
Peter Martin ◽  
John Leonard
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Younger Adults

Abstract Indolent lymphomas are incurable but slow-growing cancers, resulting in a large number of older adults living with these diseases. Patients typically live with their illness for years with the knowledge that disease progression is likely. Yet, little is known about psychological distress in this population. This study examined rates of and the relationship between distress and mental health service use in older and younger adults with indolent lymphomas. Adult patients diagnosed with an indolent lymphoma (e.g., follicular lymphoma, marginal zone lymphoma) within the past six months completed self-report surveys of distress (Hospital Anxiety and Depression Scale; HADS) and mental health service use since the cancer diagnosis (yes/no). Descriptive statistics, t-tests, and chi-square analyses were used to examine study questions. The sample (n=84) included 35 patients 65 years or older. Across the entire sample, 21.4% screened positive for distress on the HADS; 58.8% of these patients did not receive mental health services. Older adults reported lower distress levels than younger adults (17.1% v. 24.5%; p=.038). Among younger adults, 50% of distressed patients received mental health services; only 20% of distressed older adults received mental health services. Distress was associated with mental health service use in younger adults (p=.004) but not in older adults (p=.17). Older adults with indolent lymphomas have higher levels of untreated distress than younger adults. Research on the mechanisms underlying these age differences (e.g., stigma toward mental health services, ageism) would inform interventions to increase rates of mental health service use and reduce care disparities due to age.

scholarly journals Quality management systems in Aboriginal Community Controlled Health Services: a review of the literature

2021 ◽  
Vol 10 (3) ◽  
pp. e001091
Author(s):  
Jenifer Olive Darr ◽  
Richard C Franklin ◽  
Kristin Emma McBain-Rigg ◽  
Sarah Larkins ◽  
Yvette Roe ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Quality Management ◽  
Health Service ◽  
First Nations ◽  
Quality Management System ◽  
Grey Literature ◽  
Models Of Care ◽  
Clinical Governance ◽  
Aboriginal Community ◽  
Continuous Quality

BackgroundA national accreditation policy for the Australian primary healthcare (PHC) system was initiated in 2008. While certification standards are mandatory, little is known about their effects on the efficiency and sustainability of organisations, particularly in the Aboriginal Community Controlled Health Service (ACCHS) sector.AimThe literature review aims to answer the following: to what extent does the implementation of the International Organisation for Standardization 9001:2008 quality management system (QMS) facilitate efficiency and sustainability in the ACCHS sector?MethodsThematic analysis of peer-reviewed and grey literature was undertaken from Australia and New Zealand PHC sector with a focus on First Nations people. The databases searched included Medline, Scopus and three Informit sites (AHB-ATSIS, AEI-ATSIS and AGIS-ATSIS). The initial search strategy included quality improvement, continuous quality improvement, efficiency and sustainability.ResultsSixteen included studies were assessed for quality using the McMaster criteria. The studies were ranked against the criteria of credibility, transferability, dependability and confirmability. Three central themes emerged: accreditation (n=4), quality improvement (n=9) and systems strengthening (n=3). The accreditation theme included effects on health service expenditure and clinical outcomes, consistency and validity of accreditation standards and linkages to clinical governance frameworks. The quality improvement theme included audit effectiveness and value for specific population health. The theme of systems strengthening included prerequisite systems and embedded clinical governance measures for innovative models of care.ConclusionThe ACCHS sector warrants reliable evidence to understand the value of QMSs and enhancement tools, particularly given ACCHS (client-centric) services and their specialist status. Limited evidence exists for the value of standards on health system sustainability and efficiency in Australia. Despite a mandatory second certification standard, no studies reported on sustainability and efficiency of a QMS in PHC.

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