THE IMPLEMENTATION OF CLINICAL PROCEDURES IN THE VERTICAL REFERRAL SYSTEM   IN A PRIMARY HEALTHCARE CENTER

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.

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URBAN-RURAL DISPARITY: THE UTILIZATION OF PRIMARY HEALTHCARE CENTERS AMONG ELDERLY IN EAST JAVA, INDONESIA

Jurnal Administrasi Kesehatan Indonesia ◽

10.20473/jaki.v7i2.2019.147-154 ◽

2019 ◽

Vol 7 (2) ◽

pp. 147 ◽

Cited By ~ 1

Author(s):

Ratna Dwi Wulandari ◽

Agung Dwi Laksono

Keyword(s):

Primary Healthcare ◽

Rural Areas ◽

Health Research ◽

Urban Areas ◽

The Elderly ◽

Utilization Of Health Services ◽

Healthcare Center ◽

Urban Rural ◽

Primary Healthcare Centers ◽

Primary Healthcare Center

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.

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

The Indonesian Journal of Public Health ◽

10.20473/ijph.v16i1.2021.66-78 ◽

2021 ◽

Vol 16 (1) ◽

pp. 66

Author(s):

Ni Made Mira Wahyu Astani ◽

Ni Luh Putu Arum Puspitaning Ati ◽

Ernawaty Ernawaty

Keyword(s):

Primary Healthcare ◽

Technical Assistance ◽

Design Method ◽

Cross Sectional ◽

Utaut Model ◽

Healthcare Center ◽

Health Application ◽

Primary Healthcare Centers ◽

Primary Healthcare Center ◽

Health Applications

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

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FACTORS ASSOCIATED WITH NUTRITIONAL STATUS OF CHILDREN UNDER FIVE YEARS OF AGE IN GUNUNGSITOLI IDANOI PRIMARY HEALTHCARE CENTER

The Indonesian Journal of Public Health ◽

10.20473/ijph.v15i3.2020.315-324 ◽

2020 ◽

Vol 15 (3) ◽

pp. 315

Author(s):

Novrin Senselia Putri Ziliwu ◽

Lina Dewi Anggraeni ◽

Rosa Nora Lina

Keyword(s):

Nutritional Status ◽

Primary Healthcare ◽

Employment Status ◽

Children Under Five ◽

Under Five ◽

Factors Associated ◽

Healthcare Center ◽

Nutritional Status Of Children ◽

Primary Healthcare Centers ◽

Primary Healthcare Center

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.

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A comparison of the levels of satisfaction with the medical services provided by primary healthcare centers in selected communes in Lubelskie Voivodeship

Polish Journal of Public Health ◽

10.1515/pjph-2016-0002 ◽

2016 ◽

Vol 126 (1) ◽

pp. 8-12

Author(s):

Daria Przybylska ◽

Piotr Przybylski ◽

Bartłomiej Drop ◽

Krzysztof Czarnocki ◽

Wojciech Przybylski ◽

...

Keyword(s):

Family Medicine ◽

Primary Healthcare ◽

The Elderly ◽

Healthcare Services ◽

Medical Services ◽

Public Healthcare ◽

Healthcare Facilities ◽

Primary Type ◽

Primary Healthcare Centers

Abstract Introduction. Family medicine remains the primary type of medical services in Poland and it is supposed to treat both individual patients and the society as a whole. Due to the growing commercialization of the health service, most primary healthcare centers have transformed into non-public healthcare facilities. The public ones (called SPZOZ in Polish) account only for a small fraction of the whole number of primary healthcare facilities. The quality of medical services provided by such facilities, as patients see it, remains one of the key elements determining the development of family medicine centers. Aim. The aim of this paper was to assess patient satisfaction levels regarding the healthcare services they received in two primary healthcare institutions, both of the NZOZ and SPZOZ type, in a small town located close to Lublin. Material and methods. An anonymous survey was filled out by 30 patients of both a public and non-public healthcare center located in Niemce (Niemce Commune, Lublin District). The quality of services was assessed using an original questionnaire in the form of a poll. Results. The results obtained indicate a clear relationship between one’s trust to the physician, diagnosis accuracy and visiting the particular center again, in order to continue the treatment. For older subjects, it was nurses’ kindness and politeness that was the most important. The elderly appreciated the kindness and politeness of the nurses in particular. No significant differences were found between the institutions in respect of the overall perception of satisfaction with services. In terms of infrastructure assessment, the majority of positive feedback was provided for NZOZ. Conclusions. The findings above suggest that it is essential to conduct surveys on a regular basis, in order to check patients’ assessment of the service quality in various institutons.

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Impact of Quality of Healthcare Services on Consumer’s Satisfaction at Primary Healthcare Centers

Medico-Legal Update ◽

10.37506/mlu.v21i1.2452 ◽

2021 ◽

Keyword(s):

Primary Healthcare ◽

Quality Of Healthcare ◽

Healthcare Services ◽

Primary Healthcare Centers

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Estimated cost for cardiovascular disease risk-based management at a primary healthcare center in Nepal

Global Health Research and Policy ◽

10.1186/s41256-020-0130-2 ◽

2020 ◽

Vol 5 (1) ◽

Author(s):

Anu Aryal ◽

David Citrin ◽

Scott Halliday ◽

Anirudh Kumar ◽

Prajwol Nepal ◽

...

Keyword(s):

Cardiovascular Disease ◽

Primary Healthcare ◽

Disease Risk ◽

Cardiovascular Disease Risk ◽

Healthcare Center ◽

Primary Healthcare Center

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Perspectives of Public and Private Primary Healthcare Users in Two Regions of Albania on Non-Clinical Quality of Care

Journal of Primary Care & Community Health ◽

10.1177/2150132720970350 ◽

2020 ◽

Vol 11 ◽

pp. 215013272097035

Author(s):

Jonila Gabrani ◽

Christian Schindler ◽

Kaspar Wyss

Keyword(s):

Quality Of Care ◽

Primary Healthcare ◽

Outpatient Clinics ◽

Ageing Population ◽

Coordination Of Care ◽

Public And Private ◽

Clinical Quality ◽

Private Providers ◽

Better Than

Background: Aiming to tackle the rise of non-communicable diseases and an ageing population, Albania is engaged in boosting primary healthcare services and quality of care. The patients’ perspectives on their experience with public and private providers are, however, missing, although their viewpoints are critical while shaping the developing services. Consequently, we analyze perceptions of users of primary healthcare as it relates to non-clinical quality of care and the association to sociodemographic characteristics of patients and the type of provider. Methods: A facility-based survey was conducted in 2018 using the World Health Organization responsiveness questionnaire which is based on a 4-point scale along with 8 non-clinical domains of quality of care. The data of 954 patients were analyzed through descriptive statistics and linear mixed regression models. Results: Similar mean values were reported on total scale of the quality of care for private and public providers, also after sociodemographic adjustments. The highest mean score was reported for the domain “communication” (3.75) followed by “dignity” (3.65), while the lowest mean scores were given for “choice” (2.89) and “prompt attention” (3.00). Urban governmental PHC services were rated significantly better than private outpatient clinics in “coordination of care” (2.90 vs 2.12, P < .001). In contrast, private outpatient clinics were judged significantly better than urban PHC clinics in “confidentiality” (3.77 vs 3.38, P = .04) and “quality of basic amenities” (3.70 vs 3.02, P < .001). “Autonomy” was reported as least important attribute of quality. Conclusion: While the perception of non-clinical care quality was found to be high and similar for public and private providers, promptness and coordination of care require attention to meet patient’s expectations on good quality of care. There is a need to raise the awareness on autonomy and the involvement of patients’ aspects concerning their health.

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