The Wholistic Health Center: A New Direction in Health Care

AORN Journal ◽  
1977 ◽  
Vol 26 (1) ◽  
pp. 140
Author(s):  
Sister Kane
Medical Care ◽  
1977 ◽  
Vol 15 (3) ◽  
pp. 217-227 ◽  
Author(s):  
Donald A. Tubesing ◽  
Paul C. Holinger ◽  
Granger E. Westberg ◽  
Edward A. Lighter

2017 ◽  
Vol 4 (2) ◽  
pp. 99-104
Author(s):  
Agus Nursikuwagus

Information system at community health center is an information system that has several activities, such as registration, medical record, health care, and reporting.  Day to day operation, community health service, is using process manually. It is cause the stack of service. Sometime, the patient has to wait within several times. For Further, the patient did not know that the queuing is full. In order to help the problem, this paper wants to show about E-Health as service software. The research is completed by conveying the model like UML diagram. The UML diagrams are consisting such as usecase, class, activity, and component. The sequence of system construct is using Prototype Paradigm. The result is the software which has ability to service patient start from registration, medical check, medical prescription, until reporting. As an impact for Community health service is the service more efficiency. The system is able to control the medicine and reporting on day to day operation.   REFERENCES[1] Susanto, Gunawan,” Sistem Informasi Rekam Medis PadaRumah Sakit Umum Daerah (RSUD) Pacitan Berbasis WebBase”. Pacitan. 2012.[2] B, Nugroho, S.H. Fitriasih, B. Widada, “Sistem InformasiRekam Medis Di Puskesmas Masaran I Sragen”. JournalTIKomSiN, vol.5, no.1, p.49-56, 2017.[3] G.G.S. Bagja,” Membangun Sistem Informasi KesehatanPuskesmas Cibaregbeg”, Univ. Komp. Indonesia, 2010.[4] A.M. Herdy, Aulia, M. Amran, D. Novita, “PerancanganSistem Informasi Pelayanan Medis Di Puskesmas SungaiDua”, STMIK MDP. 2014.[5] J. Sundari, “Sistem Informasi Pelayanan Puskesmas BerbasisWeb”, Int.Journal.on Soft.Eng, vol.2, no.1, p.57-62, 2016.[6] R.S. Pressman, Software Engineering A PractitionersApproach. Nineth Edition, Addsion Wesley, 2011.[7] G. Booch, J. Rumbaugh, I. Jacobson, Unified ModelingLanguage User Guide, Addison-Wesley, 1999.[8] I, Daqiqil. (2011, August 2). Framework CodeIgnite. [Online].Available: http://koder.web.id/buku-codeigniter-gratis/


2021 ◽  
Vol 12 ◽  
pp. 215013272110002
Author(s):  
Tarika Srinivasan ◽  
Erica J. Sutton ◽  
Annika T. Beck ◽  
Idali Cuellar ◽  
Valentina Hernandez ◽  
...  

Introduction: Minority communities have had limited access to advances in genomic medicine. Mayo Clinic and Mountain Park Health Center, a Federally Qualified Health Center in Phoenix, Arizona, partnered to assess the feasibility of offering genomic screening to Latino patients receiving care at a community-based health center. We examined primary care provider (PCP) experiences reporting genomic screening results and integrating those results into patient care. Methods: We conducted open-ended, semi-structured interviews with PCPs and other members of the health care team charged with supporting patients who received positive genomic screening results. Interviews were recorded, transcribed, and analyzed thematically. Results: Of the 500 patients who pursued genomic screening, 10 received results indicating a genetic variant that warranted clinical management. PCPs felt genomic screening was valuable to patients and their families, and that genomic research should strive to include underrepresented minorities. Providers identified multiple challenges integrating genomic sequencing into patient care, including difficulties maintaining patient contact over time; arranging follow-up medical care; and managing results in an environment with limited genetics expertise. Providers also reflected on the ethics of offering genomic sequencing to patients who may not be able to pursue diagnostic testing or follow-up care due to financial constraints. Conclusions: Our results highlight the potential benefits and challenges of bringing advances in precision medicine to community-based health centers serving under-resourced populations. By proactively considering patient support needs, and identifying financial assistance programs and patient-referral mechanisms to support patients who may need specialized medical care, PCPs and other health care providers can help to ensure that precision medicine lives up to its full potential as a tool for improving patient care.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Nicholas Dowhaniuk

Abstract Background Rural access to health care remains a challenge in Sub-Saharan Africa due to urban bias, social determinants of health, and transportation-related barriers. Health systems in Sub-Saharan Africa often lack equity, leaving disproportionately less health center access for the poorest residents with the highest health care needs. Lack of health care equity in Sub-Saharan Africa has become of increasing concern as countries enter a period of simultaneous high infectious and non-communicable disease burdens, the second of which requires a robust primary care network due to a long continuum of care. Bicycle ownership has been proposed and promoted as one tool to reduce travel-related barriers to health-services among the poor. Methods An accessibility analysis was conducted to identify the proportion of Ugandans within one-hour travel time to government health centers using walking, bicycling, and driving scenarios. Statistically significant clusters of high and low travel time to health centers were calculated using spatial statistics. Random Forest analysis was used to explore the relationship between poverty, population density, health center access in minutes, and time saved in travel to health centers using a bicycle instead of walking. Linear Mixed-Effects Models were then used to validate the performance of the random forest models. Results The percentage of Ugandans within a one-hour walking distance of the nearest health center II is 71.73%, increasing to 90.57% through bicycles. Bicycles increased one-hour access to the nearest health center III from 53.05 to 80.57%, increasing access to the tiered integrated national laboratory system by 27.52 percentage points. Significant clusters of low health center access were associated with areas of high poverty and urbanicity. A strong direct relationship between travel time to health center and poverty exists at all health center levels. Strong disparities between urban and rural populations exist, with rural poor residents facing disproportionately long travel time to health center compared to wealthier urban residents. Conclusions The results of this study highlight how the most vulnerable Ugandans, who are the least likely to afford transportation, experience the highest prohibitive travel distances to health centers. Bicycles appear to be a “pro-poor” tool to increase health access equity.


2014 ◽  
Vol 18 (4) ◽  
Author(s):  
Daniele Natália Pacharone Bertolini ◽  
Janete Pessuto Simonetti
Keyword(s):  

Author(s):  
Suryati Romauli

The Child development speed is unique; it varies due to the child’s nature and its stimulants. Lack of stimulants will affect late fine motoric development of children. Data from the Waena Health Center inform, 190 toddlers have impaired fine motor development. This research objective was to determine the effect of mosaic techniques on the enhancement of fine motor skills in children aged 3-4 years in Integrated Health Care Waena area, Jayapura City. A quantitative descriptive research was done with Two Group Pretest-Postest Group Design. The results before the mosaic technique showed in intervention group, had dubious fine motor skills (55.6%) and 16.6% deviant. Whereas in the control group had dubious fine motor skills (83.3%) and 5.6% deviant. After using mosaic technique the intervention group had fine motor skills (77.8%) and small part doubted (22.2%). The average score after improving fine motor skills in the intervention group was 8, while the control group was 7.1 with independent t-test statistical test at a significance value of 95% ( = 0.05) obtained p-value 0.042 or p <α (0.05), thus there is an effect of mosaic techniques on improving fine motor skills of children at the Integrated Health Care Waena area, Jayapura City. Keyword: Mozaik Technique, Fine motor skill, children age 3-4 tahun


2020 ◽  
Vol 3 (2) ◽  
pp. 544-552
Author(s):  
Oktaviana Manek

Good health care is a community need and is often a measure of development success. The purpose of this study was to analyze inpatient health care service level I to the satisfaction of BPJS patients in the Sikumana Health Center in Kupang City. The study was conducted at the Sikumana Community Health Center in Kupang City from 15 October to 10 November 2019. The research design used was a qualitative study using a cross sectional approach. The independent variable is health service and the dependent variable is patient satisfaction. The population of all BPJS patients in the Sikumana Kupang health center in the January-August period was 230 respondents. The sampling technique used was Simple Random Sampling with a sample of 146 respondents data analysis techniques using the Logistic regression test. The results of the study of 146 respondents the majority (56.2%) of respondents were very satisfied with the service of nurses, there were 82 research subjects, the majority (58.9%) of respondents were very satisfied with the service of doctors namely there were 86 research subjects and the majority (56, 2%) respondents are very Satisfied with Nurse services, there are 82 research subjects, almost half (45.9%) respondents get good service based on Tangibels, almost half (43.2%) respondents get good service based on reliability, most ( 54.1%) respondents get good service based on Responsiveness, almost half (46.6%) respondents get good service based on Assurance and almost half (44.5%) respondents get good service based on Empathy. Logistic regression data analysis concluded that BPJS patient satisfaction based on health services at the Community Health Center in Sikumana, Kupang, obtained a p value of 0.002 because p value <α (0.05) It is expected that research sites will improve the cleanliness of the ward each morning before the examination and in the afternoon, especially the bathroom of the patient and the staff must be diligent in controlling hygiene


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