scholarly journals ANALYSIS OF ACCEPTANCE OF E-HEALTH APPLICATION BY USERS IN PRIMARY HEALTHCARE CENTER IN SURABAYA CITY

2021 ◽  
Vol 16 (1) ◽  
pp. 66
Author(s):  
Ni Made Mira Wahyu Astani ◽  
Ni Luh Putu Arum Puspitaning Ati ◽  
Ernawaty Ernawaty

This study used the observational quantitative method to analyze the acceptance of information technology  in the form of thee-Health. The theory of acceptance was further analyzed using the Unified Theory of Acceptance and Use of Technology (UTAUT) model. UTAUT model is the latest unified model that is an appropriate to explain the acceptance and use of information systems. The research objective was to analyze perceptions of the use of e-Health applications in the Surabaya City Health Center. The research design method used was cross-sectional design. The selected samples of 100 people were determined by multistage sampling in primary healthcare centers in every area of Surabaya. The independent variables in this study were performance expectancy, effort expectancy, social influence and behavioral intention while the dependent variable was the use of e-Health applications. Data were collected through questionnaires delivered via interviews. The results showed that the lowest indicator of acceptance by the users  was the time needed to input data category to the e-Health application. This study concludes that the acceptance of e-Health by users primary healthcare centers in Surabaya is low. This study suggests a more widespread dissemination of information regarding the benefits of the use of e-Health along with technical assistance and guidance on the use of e-Health applications.Keywords: UTAUT Model, e-Health application, primary healthcare center, acceptance

2019 ◽  
Vol 7 (2) ◽  
pp. 147 ◽  
Author(s):  
Ratna Dwi Wulandari ◽  
Agung Dwi Laksono

Background: Urban always attracts investors to invest. Health facilities in urban areas are growing rapidly compared to villages. This condition is estimated to contribute to the disparity of urban-rural areas in the utilization of health services. Studying the utilization of health services is a way to evaluate the performance of the health care system through its output.Aim: This study analyzed the urban-rural disparity in the utilization of primary healthcare center by the elderly.Method: This study used in the 2013 Basic Health Research raw data. The 2013 Basic Health Research was designed as a cross-sectional survey. With the multi-stage cluster random sampling method, 25,813 elderly people in East Java Province participated. Data were analyzed using Multinomial Logistic Regression tests.Results: Elderly people in urban areas have a better probability of outpatient use of 1.208 than those living in rural areas (OR 1.208; 95% CI 1.057-1.380). The elderly who have a primary school and under education have the possibility of 1.558 times more utilizing outpatients in primary healthcare centers than the elderly who have college education levels (OR 1.558; 95% CI 1.001-2.424).Conclusion: There was a disparity between urban and rural areas in the utilization of outpatient primary healthcare centers in East Java by the elderly. Policymakers in East Java are recommended to improve facilities and infrastructure of the primary healthcare centers in rural areas by paying attention to the results of this study.Keywords: elderly, urban-rural disparities, primary healthcare center, healthcare utilization, inpatient-outpatient. 


Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Tomás de Souza Mello ◽  
Beatriz D Marinho ◽  
Rafael B Azevedo ◽  
Lucas Antequera ◽  
Pedro Julio Velasco ◽  
...  

Objective: To evaluate the relationship between the main cardiovascular (CV) risk factors and socioeconomic indicators in a population of young adults provided by a Primary Healthcare Center in a large urban area of Brazil. Methods: Cross-sectional population study that included adults aged between 20- and 50-years old provided by a Primary Healthcare Center in Rio de Janeiro, Brazil. Demographic data (gender and age), socioeconomic data (education level, occupation, employment), CV risk factors (smoking, sedentary lifestyle, obesity, hypertension, diabetes, dyslipidemia) were recorded. The metabolic profile was evaluated through laboratory tests. Those who studied up to high school were considered poorly educated. Results: A total of 604 individuals were enrolled [39% male, mean age: 38.8 ± 8,9 years]. The median of schooling was 12 years. In addition, 288 individuals had high schooling, of which 44.5% were male. A total of 130 individuals did not study or work. Women with low education had a higher risk of smoking, hypertension, and obesity, with no difference regarding labor or study activities. Otherwise, men with low education had higher risk of sedentary lifestyle and hypertension. Among men, not working or studying increased the risk of smoking and hypertension. Conclusions: We found an inverse association between socioeconomic status and the prevalence of CV risk factors. Women are more affected by low schooling, while men are more affected by their working occupation. The study suggests that socioeconomic factors influence the CV risk, affecting men and women differently, pointing to the need for public policies to reverse this situation.


2019 ◽  
Vol 7 (1) ◽  
pp. 73 ◽  
Author(s):  
Nadia Damayanti Soeripto

Background: A referral system in the era of National Health Insurance starts from first-level primary health facility. The high number of referral in one of primary healthcare centers in Surabaya indicates that the implementation of the vertical referral system has not gone well.Aim: To determine the conformity of the vertical referral system to the clinical procedures at the general outpatient clinics of the the primary healthcare center based on the National Referral System Guidelines.Methods: This study was an observational descriptive study and used implementation research method, which conducted in August 2018. This study was conducted in one of primary healthcare centers in Surabaya. This study used triangulated data, such as the review of reference documents, interviews with referral officers, and direct observation.Results: Out of 7 regulations in the clinical procedures of referral system according to the National Referral System Guidelines, only 2 regulations were not run by the at the general outpatient clinics of the primary healthcare center. For example, patients being referred did not come to the primary healthcare center on their own instead of requesting their family to come. Also, the doctors in the primary healthcare center referred the patients by themselves. However, according to the guidlines, before referring patients, the doctors should contact the referred health facilities.Conclusion: The implementation of clinical procedures in the vertical referral system in the primary healthcare center in Surabaya is broadly in accordance with the existing regulations and guidelines. However, it is necessary to do some improvement. It is recommended that they should re-contact the referral health facility before referring the patients to improve the quality of communication and provide more education to the patients’ family so that they bring the patients to do check-up when the the referral is extended. Keywords: Clinical procedure, Primary healthcare center, Vertical referral system. 


2021 ◽  
Vol 95 (35) ◽  
Author(s):  
NAYARA CRISRINA RABELO BANDEIRA ◽  
FRANCISCO CLÉCIO DA SILVA DUTRA ◽  
PATRÍCIA FREIRE DE VASCONCELOS ◽  
VANESSA EMILLE CARVALHO DE SOUSA FREIRE ◽  
RHANNA EMANUELA FONTENELE LIMA DE CARVALHO ◽  
...  

Aim: To identify errors in drug prescriptions and its causes in a primary healthcare center. Method: Cross-sectional study carried out in a primary healthcare center in northeastern Brazil. A total of 707 drug prescriptions were analyzed using an instrument with pre-established criteria, according to the country's legal provisions regarding drug prescription. An Ishikawa diagram was created to identify the possible causes for the identified errors. Results: A total of 138 drug prescriptions (19.5%) presented information failure or inadequacy. From the errors found, 116 (16.41%) were related to information on dosage. The Ishikawa diagram showed opportunity for improvement in management, training, and technical/professional qualification. Conclusion: The errors seen on drug prescriptions at a primary healthcare center were related to illegibility, absence of dosage, and absence of mandatory patient information. Organizational, technical, scientific, and political factors were identified as the roots of the identified errors.


2020 ◽  
Vol 15 (3) ◽  
pp. 315
Author(s):  
Novrin Senselia Putri Ziliwu ◽  
Lina Dewi Anggraeni ◽  
Rosa Nora Lina

The number of children under five years of age suffering from underweight was 28.0% in Gunungsitoli district. Out of six primary Healthcare centers in the district, Gunungsitoli Idanoi Primary Healthcare Center Healthcarewas one of the six primary healthcare centers with the highest malnutrition prevalence. Sixty-four children under five years of age there Healthcaresuffered from malnutrition. This study aimed to identify factors associated with the nutritional status of children under five in Gunungsitoli Idanoi Primary Healthcare Center, Gunungsitoli district. It was an analytical survey with a cross-sectional approach conducted in Gunungsitoli Idanoi Primary Healthcare Center in February 2019. Data were collected using a questionnaire. This study had samples as many as 246 mothers of children under five years of age selected using a purposive random sampling technique. The bivariate analysis indicates the nutritional status of children under five was significantly associated with mother’s employment status (p=0.043) and family size (p=0.015). While the nutritional status of children under five had no significant association with mother’s knowledge of nutrition (p=0.485), mother’s education (p=0.616), family income (p=0.511), infectious disease (p=0.913), and history of breastfeeding (p=0.847). Mother’s employment status and family size affected the nutritional status of children under five. The primary Healthcare center should cooperate with stakeholders across sectors, especially conduct training for improving economic business skills of the people in the village, and promote family planning program for couples of childbearing age. Keywords: Breastfeeding, children under five years of age, underweight, mother’s knowledge, mother’s employment.


2021 ◽  
Vol 16 (1) ◽  
pp. 101
Author(s):  
Kadek Risma Yulina Sari

Ubud I Primary Healthcare Center's working area showed an annual increase in dengue hemorrhagic fever (DHF) cases and deaths. It reported the highest DHF cases out of 13 Primary Healthcare Centers in Gianyar district. The purpose of this study was to analyze the determinants of the Aedes aegypti larvae' existence in the Ubud I Primary Healthcare Center 's working area, Gianyar district, Bali. This research was an analytic observational study with a cross-sectional study design. The research sample was 95 respondents chosen randomly using the simple random sampling technique. The high DHF cases in the Ubud I Primary Healthcare Center working area can be referred to environmental factors and community behavior factors. Interviews, larvae observation and other observations were done to collect data. Chi-square statistical test was used for data analysis. The results showed that there was a relationship between the MNE-DHF actions (p = 0.047), water PH (p = 0.001), container color (p = 0,000) to Aedes aegypti larvae' presence. On the other hand, MNE-DHF knowledge (p = 1.00) and room humidity (p = 0.357) showed no relationship with Aedes aegypti larvae' presence. Thus, it has been concluded that community actions, container color, and water pH have significant relationships with the larvae' existence. It is recommended to increase community awareness of applying more environmental management precautions.Keywords: Container’s Color, Dengue Fever, Aedes aegypti 


2018 ◽  
Vol 3 (2) ◽  
pp. 27
Author(s):  
Carlos Vieira ◽  
Paulo Gentil ◽  
Mário Campos ◽  
Wanderson Santos ◽  
Gustavo Costa ◽  
...  

2018 ◽  
Vol 12 (7) ◽  
pp. e0006642
Author(s):  
Julia Guillebaud ◽  
Barivola Bernardson ◽  
Tsiry Hasina Randriambolamanantsoa ◽  
Laurence Randrianasolo ◽  
Jane Léa Randriamampionona ◽  
...  

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