scholarly journals Change in geographic access to community health centers after Health Center Program expansion

2019 ◽  
Author(s):  
Leigh Evans ◽  
Martin P. Charns ◽  
Howard J. Cabral ◽  
M. Patricia Fabian
Keyword(s):  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Health Centers ◽  
Geographic Access ◽  
Center Program ◽  
Program Expansion

scholarly journals Deployment of Analytics into the Healthcare Safety Net: Lessons Learned

2016 ◽  
Vol 8 (3) ◽  
Author(s):  
David Hartzband ◽  
Feygele Jacobs
Keyword(s):  
Data Quality ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Health Resources ◽  
Population Level ◽  
Safety Net ◽  
Lessons Learned ◽  
Health Centers ◽  
Effective Manner

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. 

scholarly journals Evaluation of Rational Drug Use for Acute Pharyngitis Associated with the Incidence and Prevalence of the Disease at Two Community Health Centers in Indonesia

2016 ◽  
Author(s):  
Cindra T. Yuniar ◽  
Kusnandar Anggadiredja ◽  
Alfi N. Islamiyah
Keyword(s):  
Drug Use ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
One Health ◽  
Services Quality ◽  
Community Health Center ◽  
Health Centers ◽  
Acute Pharyngitis ◽  
Rational Drug

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.

scholarly journals The Vasectomy Vasectomy Contraception Method in the Area of Bulili Community Health Center at City of Palu

2019 ◽  
Vol 2 (02) ◽  
pp. 90-94
Author(s):  
Rosmala Nur ◽  
Muh. Ryman Napirah ◽  
Nafilah . ◽  
Radiah . ◽  
Nurhaya S. Patui ◽  
...  
Keyword(s):  
Data Collection ◽  
Community Health ◽  
Health Center ◽  
Family Support ◽  
Community Health Centers ◽  
Sampling Method ◽  
Community Health Center ◽  
Health Centers ◽  
Collection Method ◽  
Contraception Use

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

scholarly journals Medical waste management at community health center: a literature review

2020 ◽  
Vol 202 ◽  
pp. 06017
Author(s):  
Arifah Wulansari ◽  
Sudarno ◽  
Fuad Muhammad
Keyword(s):  
Literature Review ◽  
Waste Management ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Community Health Center ◽  
Medical Waste ◽  
Health Centers ◽  
Hazardous Substances ◽  
Medical Waste Management

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.

scholarly journals EVALUATION OF SOLID MEDICAL WASTE MANAGEMENT SYSTEM OF PUSKESMAS IN CIANJUR DISTRICT

2020 ◽  
Vol 2 (2) ◽  
pp. 20-32
Author(s):  
Edo Muhammad ◽  
Tri Joko ◽  
Nurjazuli Nurjazuli
Keyword(s):  
Public Health ◽  
Waste Management ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Community Health Center ◽  
Medical Waste ◽  
Health Centers ◽  
Public Health Center ◽  
Medical Waste Management

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.

scholarly journals Pengaruh Karakteristik Individu Dan Leadership, Terhadap Kinerja Organisasi Dengan Teamwork Sebagai Variabel Intervening Pada Puskesmas Terakreditasi Paripurna Di Kabupaten Pasuruan

MANAJERIAL ◽  
2021 ◽  
Vol 8 (01) ◽  
pp. 68
Author(s):  
Mira Kurniawati ◽  
Lidia Andiani ◽  
Hanif Mauludin
Keyword(s):  
Organizational Performance ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Individual Characteristics ◽  
Individual Characteristic ◽  
Health Centers ◽  
Leadership Skill ◽  
Order Variable ◽  
Positive Effect

Background -  Based on the observations of researchers while being an accreditation companion at a fully accredited health center, several components of the success of the puskesmas in getting accreditation need to be studied so that they can be applied in other Puskesmas scopes. Purpose  –  This  study  aims  to  examine  and  analyze  the  effect  of individual characteristics and leadership skill on organizational performance with Teamwork as an intervening variable at accredited Community Health Centers in Pasuruan district. Design/ Methodology/ ApproachThis study examines the effect of individual characteristic and leadership skill on organizational performance with Teamwork skill as an intervening variable at plenary accredited Community Health Center in Pasuruan district. The sample of this study are employees who involved in accreditation process and quality improvement at two plenary accredited Community Health Centers totaling 157 people. Hypothesis testing used Structural Equation Modelling with Partial Least Square regression. Result and Discussion – The result of this study shows that individual characteristics and leadership skill have significant positive effect toward Teamwork skill. Individual characteristic and leadership skill also have significant positive effect toward organizational performance through Teamwork which means that improvement on individual characteristic and Teamwork skill lead to better organizational performance along with better Teamwork skill. Leadership variable dominantly affects organizational performance through Teamwork skill rather than individual characteristic. Leadership is second order variable with transformational leadership which has dominant measurement toward leadership skill rather than transactional leadership. Conclusion –The result of this study shows that there is positive and significant effect between individual characteristic and leadership skill toward organizational performance with Teamwork skill as an intervening variable. Leadership skill dominantly affects organizational performance through Teamwork rather than individual characteristic. Leadership is second order variable with transformational leadership dimension which has more dominant effect toward leadership skill rather than transactional leadership. Research  Implication – This research has implications for assessing individual characteristics and leadership, as well as Teamwork on the organizational performance of the health center.

scholarly journals INTEGRASI SISTEM INFORMASI PUSKESMAS

2009 ◽  
Vol 3 (1) ◽  
pp. 45
Author(s):  
Hery Harjono Muljo ◽  
Herru Darmadi
Keyword(s):  
Information System ◽  
Community Health ◽  
Health Center ◽  
System Application ◽  
Community Health Centers ◽  
Community Health Center ◽  
Distributed Database ◽  
Patient Data ◽  
Health Centers ◽  
Central Database

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

scholarly journals Health Care Facility Mapping with GIS in Majuli, India

2019 ◽  
Vol 9 (2) ◽  
pp. 5250-5253
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Care Facility ◽  
Health Care Facility ◽  
Secondary Data ◽  
Health Centers ◽  
Primary Health ◽  
Development Block

This paper concerns the availability of healthcare facilities including primary health centers (PHC), sub-centers and community health centers in the Majuli region, Jorhat district of Assam, India. Majuli Consist of two development blocks i.e. Ujoni Majuli and Majuli blocks. The paper is based on secondary data and analyses are done in GIS environment. It is identified that primary health care centers are not equally distributed in Majuli development block but instead of PHC there are lots of sub-centers and community health centers are available in the study area. Again availability of sub-centers is found satisfactory in both of these blocks. The number of community health centers is very low in the whole region of Majuli. The result also shows served areas of primary health center in Ujoni Majuli block (77.13%) is much higher than the Majuli Development block (43.70%), again for sub-center and community health center, it is found satisfactory than the PHC service area in both of the blocks.

scholarly journals OPTIMALISASI SISTEM PENYIMPANAN REKAM MEDIS DI PUSKESMAS PADANG PASIR TAHUN 2019

2020 ◽  
Vol 4 (1) ◽  
pp. 116
Author(s):  
Dewi Oktavia
Keyword(s):  
Community Health ◽  
Health Center ◽  
Medical Record ◽  
Medical Records ◽  
Community Health Centers ◽  
Storage System ◽  
Health Centers ◽  
Average Value ◽  
Post Test ◽  
Long Time

Semua fasilitas pelayanan kesehatan wajib menyelenggarakan rekam medis, termasuk puskesmas. Dengan pelayanan rekam medis yang berkualitas pasien akan merasa puas, khususnya  karena  pasien  dilayani  dengan  cepat,  tepat  dan  aman  oleh  pihak puskesmas. Permasalahan yang sering ditemui pada bagian penyimpanan rekam medis adalah terjadinya misfile maupun duplikasi nomor rekam medis. Akibatnya, berkas rekam medis pasien lama sulit ditemukan sehingga proses pencarian berkas rekam medis pasien di rak penyimpanan membutuhkan waktu yang cukup lama. Tujuan pelaksanaan Pengabdian Kepada Masyarakat (PKM) agar sistem penyimpanan rekam medis menjadi optimal dalam rangka peningkatan kualitas pelayanan rekam medis pasien rawat jalan di Puskesmas Padang Pasir. Metode yang digunakan berupa sosialisasi tentang optimalisasi sistem penyimpanan rekam medis di Puskesmas Padang Pasir. Sebelum sosialisasi, dilakukan pre-test dan setelah sosialisasi dilakukan kegiatan post-test dengan tujuan mengetahui tingkat pemahaman mitra tentang materi sosialisasi. PKM ini dilakukan pada tanggal 9 bulan Agustus 2019 di Puskesmas Padang Pasir. Peserta dari kegiatan PKM ini adalah semua petugas rekam medis di Puskesmas Padang Pasir sebanyak 6 (enam) orang. Hasil dari kegiatan PKM ini adalah adanya peningkatan pengetahuan mitra tentang penyimpanan rekam medis dari nilai rata-rata 45 menjadi 85 point. Kata Kunci : Kualitas, Pengabdian, Penyimpanan, Puskesmas, Rekam Medis ABSTRACT All health service facilities are required to hold medical records, including public health centers. With a quality medical record service, patients will feel satisfied, especially because patients are served quickly, precisely and safely by the community health centers. The problem that is often encountered in the medical records storage is the occurrence of misfiling and duplication of medical record numbers. As a result, old patient medical record files are difficult to find, so the process of searching a patient's medical record file on a storage rack takes quite a long time. The purpose of the implementation of Community Service (PKM) so that the medical record storage system becomes optimal to improve the quality of outpatient medical record services at the Padang Pasir Health Center. The method used in the form of socialization about optimizing the medical record storage system at the Padang Pasir Health Center. Before the socialization, a pre-test was carried out and after the socialization, a post-test was carried out to know the level of understanding of partners about the material of the socialization. This PKM was held on August 9, 2019, at the Padang Pasir Communuty Health Center. The participants of this PKM activity are all 6 medical records officers at the Padang Pasir Health Center. The result of this PKM activity was an increase in partner knowledge about medical record storage from an average value of 45 to 85 points. Keywords: Quality, Service, Storage, Community Health Centers, Medical Records

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