The Modern Small Hospital and Community Health Center: A Selection of Plans for Small Hospitals and Community Health Centers Submitted in the 1944 Competition Conducted by the Modern Hospital Together with Discussions of the Problems Involved in Financing, Planning, Building and Operation by Leading Hospital Authorities

1946 ◽  
Vol 132 (8) ◽  
pp. 482
Author(s):  
Cindra T. Yuniar ◽  
Kusnandar Anggadiredja ◽  
Alfi N. Islamiyah

According to Indonesia’s result of Basic Health Research of 2013, prevalence of acute respiratory infection in 2007 and 2013 were not different (25.5% and 25.0%, respectively). Identifying the cause of acute pharyngitis is a key point in determining the optimal treatment. The main purpose is to evaluate the rational use of drugs and its irrational impact as well as the correlation of the drug use with the incidence and prevalence of acute pharyngitis. This study was a descriptive and observational study, carried out retrospectively and concurrently at two community health centers located in Bandung and Cimahi, Indonesia. There were 80.01% over prescription of antibiotics, with a total of 8.98% is non-treatment option, and 62.43% irrational used of corticosteroids. The incidence and prevalence of acute pharyngitis at one health center in Bandung were 2.45% and 2.31%, respectively, with irrationality rate of 83.82%. Those recorded at one health center in Cimahi were 2.11% of incidence and 2.00% of prevalence with irrational rate of 91.29%. It can be concluded that there were still irrational use of medicines in the treatment of acute pharyngitis in community health center. The higher incidence and prevalence might indicate the declining health services quality.


2019 ◽  
Vol 2 (02) ◽  
pp. 90-94
Author(s):  
Rosmala Nur ◽  
Muh. Ryman Napirah ◽  
Nafilah . ◽  
Radiah . ◽  
Nurhaya S. Patui ◽  
...  

Vasectomy method has 99% success in preventing pregnancy. Among 13 community health centers in 2017, the widest number of vasectomy contraception users recorded in Bulili Community Health Center with 37 people (57,81%). The studi aims to discover of several factors of contraception use, such as education, knowledge, and family support. This research is a descriptive quantitative. The sample of this research is 37 men, particularly husbands, who are older than 35 years old and have 2 children. In collecting the sample, this research uses total sampling method. The data collection method is done by observation and interview. Furthermore, the obtained data are analyzed statistically by showing frequency distribution in each variable. The research showed that vasectomy contraception based on education (64,9%), knowledge (89,2%), and family support (94,6%) in this area is good. Consequently, citizens are expected to willingly accept information from health worker related to men’s KB


2020 ◽  
Vol 202 ◽  
pp. 06017
Author(s):  
Arifah Wulansari ◽  
Sudarno ◽  
Fuad Muhammad

Total of medical waste generation from health care activities increased every year. Medical waste must be treated seriously because the hazardous substances have potentially to transmit disease and pollute the environment. According to data in 2018, the ministry of environment and forestry estimates that there are around 8,000 tons of untreated medical waste in Indonesia. This is because the current capacity of medical waste management in Indonesia is smaller compared to the growth of medical waste. Several research results indicate that the conditions for the management of medical waste in community health centers still encounter various obstacles. This paper aims to conduct a literature review on matters relating to the medical waste management in community health center and influencing variables. The results of the study are in the form of a framework for conducting a more comprehensive study in order to overcome the problem of managing medical waste at community health centers.


2020 ◽  
Vol 2 (2) ◽  
pp. 20-32
Author(s):  
Edo Muhammad ◽  
Tri Joko ◽  
Nurjazuli Nurjazuli

Some of the waste produced by community health centers is hazardous waste and can pose a number of health and environmental risks if management is not in accordance with the requirements. This study aims to evaluate the conditions for managing solid medical waste in the Cianjur Regency community health center. This type of research is a qualitative descriptive study. The results of the study show that the public health center with the HR condition is quite 90% and less 10%. Public health center with budget conditions in good category 73.3%, and quite 26.7%. Community health center with a condition of facilities and infrastructure of less than 50% category, and quite 50%. Community health centers with SOP conditions in the category of both 90%, and less than 10%. Public health center with conditions for sorting and storing good categories of 46.7%, and enough of 53.3%. all community health centers have sufficient conditions for collecting medical waste. Community health center with conditions for transporting medical categories of waste both 60%, enough 26.7%, and less 13.3%. Community health center with temporary storage conditions medical waste is quite 83.3%, and less 16.7%. a public health center whose medical waste management officers had experienced an accident of 13.3%, whose officers had never had an accident of 86.7%. The conclusion of this study is that most public health center medical waste management is in accordance with the requirements, which are not yet appropriate are aspects of HR, facilities and infrastructure, sorting, use of PPE and Temporary Storage Places.


Author(s):  
Hery Harjono Muljo ◽  
Herru Darmadi

The aim of integrating the information system for Community Health Center is to create an integrated information system for managing all data processing between different community health centers, namely district community health centers with village community health centers. Methods used in integrating community health center information system are Identifying Information Requirements, Identifying System Requirements, Modification of Information System Application Design (integrated), Modification of Information System Application, Application Test, Refining Application, employee training, and the last is implementation of integrated community health center information system. The result of this research is development of integrated community health center information system which in the past is only integrated in the same location, and now integrates between community health centers in different locations. The steps are development of database from local database into distributed and central database; development of admission transaction, clinic data, and pharmacy data modules which makes it possible for synchronization of patient data between distributed database with the central database. Therefore, patient data is still stored in both databases.Keywords: integration, information system, community health center


2020 ◽  
Vol 2 (2) ◽  
pp. 85
Author(s):  
Luh Putu Febryana Larasanty ◽  
Kadek Nadia Marta Dewi ◽  
Made Ary Sarasmita

Background: Pharmacists play a role as a part of health services both at pharmacies, hospitals and community health centers. Pharmaceutical care was regulated in the Regulation of the Minister of Health of the Republic of Indonesia. In the internship, students of the Pharmacists program Faculty of Mathematics and Natural Sciences, Udayana University can see clearly how the implementation of the role of Pharmacists in the Pharmacy, Hospital and Community Health Center. Objective: This study aims to assess the perceptions (responses) of Pharmacist students on the role of Pharmacists in various pharmacy services. Methods: This study used a one-group posttest only design methods. The population of the study used all of the Pharmacist students who were internship at the Pharmacy, Community Health Center and Hospital. The research instrument used a closed-ended questionnaire about the perceptions of Pharmacist students on the role of Pharmacists in internship locations. Results: The results showed that the role of pharmacists in pharmacies and community health centers was greater in the field of clinical pharmacy services. While in hospitals, pharmacists have a greater role in the field of drug management. Conclusion: Students have a positive perception of the role of pharmacists. There were no significant differences in perceptions of Pharmacist students on the role of Pharmacists in the field of drug management and clinical pharmacy services (p> 0.05). Keywords: pharmacist, pharmaceutical care, perception, role, students


2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Melda Mayapia ◽  
Andi Reza Alief Chairin Nor ◽  
Mufida Kamaludin

ABSTRACT At this time, information technology is one of technology that is growing rapidly, with the advancement of information technology, data or information that provided can be fast to access, efficient and accurate. For example the results of advances in information technology is the development of the Internet network that allows all mankind worldwide using data provided or connected in the network together, meanwhile for Community Health Centers of Birobuli, data entry system still done manually, only BPJS already using a computerized system, so this study aims to determine the evaluation of health information systems at Community Health Centers of Birobuli Palu in medical record room.The method that used is qualitative, qualitative sense is depth research on employee community health center about training, processing SIK, activities program and benefits as well as developments SIK in community health centers of Birobuli Palu. The number of informants that used was 7 people of one key informant, three informant regular and three additional informants. The analysis of data using analytical approach (analysis content) with the matrix technique where the information was obtained on though in the table. It refers that input (for an educational background in the medical record average DIII of Public Health and for training of SIK at the community health center have never done the training because which provide training was from the Department of Health. Process (in data processing is done in two ways: manually and computerized, with a network system used is a LAN network, and for the delivery of report conducted by the online system and manual system). Output (many benefits of SIK for community health centers, so that the expected for community health center can immediately apply the SIMPUS program for SIK and provide training to SIK employees).The conclusion of this study is the application of SIMPUS program hasn’t been implemented at the community health center of Birobuli Palu because the community health center employee have never been training that given by the Department of Health. Expected to governments and health authorities can implement and optimize the use of SIK adequately in order to achieve maximum health services Keywords: Input, Process, Output, Health information systems


2019 ◽  
Vol 7 (1) ◽  
pp. 1-8
Author(s):  
Andy Asmara

The daily facts indicated that an individual is the key factor to achieve organization’s success. Every organization with its best performance is always related to its human resources’ balanced competency. The midwife has role, function, and competencies to provide maternal services for women. The midwife’s role is not only a doer, but also an organizer, an educator, and a researcher. Therefore, the midwife is expected to focus on prevention and health promotion aspect with basis of partnership, and community empowerment collaboration with other health workers in order to be readily prepare the health services for anyone who is in need.This was qualitative research method with case study approach. The informant was the midwives of Tambakrejo Community Health Center of Surabaya. According to the data of antenatal care attendance, trained birth attendance, and perinatal care, there were 859 pregnant women, 581 persons on phase of K1 (67.64%), and 551 persons on phase of K4 (64.14%). The birth attendances by trained birth attendants are 513 people (62.56%), while perinatal care recorded 570 people attending the health service (69.51%). The data indicated the performance by the midwives of Tambakrejo Community Health Center categorized in the lowest position among 63 community health centers in Surabaya. The result showed poor soft skill competency and poor hard skill competency on midwives. In conclusion, poor soft skill competency including personal competence and social competence should be trained and developed by obstetrics and gynecology specialist of Soewandhi Public Hospital of Surabaya. The study suggested Surabaya District Health Office needs to conduct training of technology information and computer in order to increase the service quality and to solved the problem related to hard skill competencies on technology and computer skill. 


2019 ◽  
Author(s):  
Stephanie Loo ◽  
Chris Grasso ◽  
Jessica Glushkina ◽  
Justin McReynolds ◽  
William Lober ◽  
...  

BACKGROUND Electronic patient-reported outcome (ePRO) systems can improve health outcomes by detecting health issues or risk behaviors that may be missed when relying on provider elicitation. OBJECTIVE This study aimed to implement an ePRO system that administers key health questionnaires in an urban community health center in Boston, Massachusetts. METHODS An ePRO system that administers key health questionnaires was implemented in an urban community health center in Boston, Massachusetts. The system was integrated with the electronic health record so that medical providers could review and adjudicate patient responses in real-time during the course of the patient visit. This implementation project was accomplished through careful examination of clinical workflows and a graduated rollout process that was mindful of patient and clinical staff time and burden. Patients responded to questionnaires using a tablet at the beginning of their visit. RESULTS Our program demonstrates that implementation of an ePRO system in a primary care setting is feasible, allowing for facilitation of patient-provider communication and care. Other community health centers can learn from our model in terms of applying technological innovation to streamline clinical processes and improve patient care. CONCLUSIONS Our program demonstrates that implementation of an ePRO system in a primary care setting is feasible, allowing for facilitation of patient-provider communication and care. Other community health centers can learn from our model for application of technological innovation to streamline clinical processes and improve patient care.


Author(s):  
David Hartzband ◽  
Feygele Jacobs

To better understand existing capacity and help organizations plan for the strategic and expanded uses of data, a project was initiated that deployed contemporary, Hadoop-based, analytic technology into several multi-site community health centers (CHCs) and a primary care association (PCA). An initial data quality exercise was carried out after deployment, in which a number of analytic queries were executed using both the existing electronic health record (EHR) applications and in parallel, the analytic stack. Each organization carried out the EHR analysis using the definitions typically applied for routine reporting. The analysis using the analytic stack was carried out using those common definitions established for the Uniform Data System (UDS) by the Health Resources and Service Administration.  In addition, interviews with health center leadership and staff were completed to understand the context for the findings.The analysis uncovered many challenges and inconsistencies with respect to the definition of core terms (patient, encounter, etc.), data formatting, and missing, incorrect and unavailable data. At a population level, apparent underreporting of a number of diagnoses, specifically obesity and heart disease, was also evident in the results of the data quality exercise, for both the EHR-derived and stack analytic results.Data awareness, that is, an appreciation of the importance of data integrity, data hygiene and the potential uses of data, needs to be prioritized and developed by health centers and other healthcare organizations if analytics are to be used in an effective manner to support strategic objectives. While this analysis was conducted exclusively with community health center organizations, its conclusions and recommendations may be more broadly applicable. 


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