scholarly journals An Evaluation of the Feasibility of Implementing a Novel Tobacco Dependence Treatment Program for High-risk Individuals Into Clinical Practice Within a Community Mental Health Center

2021 ◽  
Author(s):  
Tory Hogan ◽  
Amanda Quisenberry ◽  
Nicholas Breitborde ◽  
Aubrey Moe ◽  
Amy Ferketich
Keyword(s):  
Mental Health ◽  
Smoking Cessation ◽  
Community Health ◽  
Health Center ◽  
Integrated Care ◽  
Community Health Center ◽  
Health Centers ◽  
Smoking Cessation Program ◽  
Care Community ◽  
Cessation Treatment

Abstract Background: Individuals with serious mental illnesses experience deaths related to smoking at a higher prevalence than individuals without a serious mental illness. Traditional smoking cessation programs are often not effective among individuals with chronic mental disorders. Little is known about how to implement a tobacco cessation treatment programs for this at-risk population within a community health centers. The current study used qualitative methods to examine the factors that may enhance or impede the delivery of a novel tobacco cessation treatment for smokers with a psychotic-spectrum disorder diagnosis in an integrated care community health center. Methods: Using purposeful sampling, we conducted 22 semi-structured interviews with primary care providers, mental health providers, addiction counselors, case managers, intake specialists, schedulers, pharmacists, and administrative staff at employed at the organization. Interviews were transcribed and themes were identified through a rich coding process. Results: We identified environmental factors, organizational factors, provider factors and patient factors which describe the potential factors which may enhance or impede the implementation of a smoking cessation program at the integrated care community health center. Most notably we identified that community mental health centers looking to implement a smoking cessation program for individuals with chronic mental health disorders should ensure that the incentives for providers to participate align with the program’s objectives. Lastly, organizations should invest in educating providers to address stigma related to smoking cessation and nicotine use. Conclusions: The findings of our study provide valuable insight for administrators to consider when implementing a smoking cessation program in an integrated care community health center. Our findings provide public health practitioners with potential considerations that should be discussed when designing and implementing a smoking cessation program for individuals with chronic mental disorders.

scholarly journals The Implementation of AIDS Care Community (ACC) Work Program as an Efforts for Handling HIV / AIDS Cases in Poncol Community Health Center Work Area

2021 ◽  
Vol 4 (3) ◽  
pp. 89-97
Author(s):  
Siti Ekfiyatil Wafah ◽  
Besar Tirto Husodo ◽  
Novia Handayani
Keyword(s):  
Local Government ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Community Support ◽  
Care Community ◽  
Descriptive Research ◽  
Central Java ◽  
Work Area ◽  
Hiv Aids

Introduction: Semarang City has the highest number of HIV / AIDS cases in Central Java. Several attempts to control HIV / AIDS cases, such as the organization for AIDS that is named after AIDS Care Community (ACC) in every village scope. The purpose of this study is to describe the implementation of the ACC program in Poncol Community Health Center.Methods: This is a descriptive research, uses qualitative methods using in-depth interview for data collection techniques. There are 9 informants who are selected by using purposive sampling method. Data is analyzed using descriptive method. The process of data analysis begins with collecting data, and then reducing the data that has been generated. After that, the data are presented and concluded.Results: The results show that the implementation of ACC program in the work area of Poncol Community Health Center is assisted by Poncol Puskesmas. There is 1 ACC out of 9 ACC that is actively implementing the ACC program while the others are not running well. It is found that low capacity of ACC members, lack of funds, low of support from the local government (village), low community support, inadequate facilities and infrastructure that affect the implementation of ACC programs. Therefore, the output is not achieved optimally.Conclusions: The implementation of the of the ACC program in Poncol Community Health Center work area has not been running optimally. Support from all parties is needed, including from the members of the ACC, local government, AIDS commission, and the community in order to achieve the ACC goals.  

scholarly journals THE EFFECT OF IMAGE AND SERVICE QUALITY ON CUSTOMER COMMITMENT WITH TRUST MEDIATION (A Study at PUSKESMAS In-Patients, Jakenan, Regency of PATI)

2014 ◽  
Vol 13 (2) ◽  
Author(s):  
R.A. Marlien ◽  
Alimuddin R R ◽  
Ali Muslihin
Keyword(s):  
Service Quality ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Community Health Service ◽  
Health Centers ◽  
Service Center ◽  
The Public ◽  
Customer Commitment ◽  
Patient Service

Community health center as a community health service center has an important value in building a healthy and productive society. The existence of in-patient service at a public health center has been highly expected by the public who suffer from illnesess. The general public expects the nearest health center to resolve arising issues related to their illnesses. The purpose of this study was to test the effect of the Image and the Service Quality on Customer Commitment with Trust mediation. The data compiled were analysed by Linear Regression. The findings show that the Image and Service Quality significantly show a direct effect to Trust and Customer Commitment, but the Trust variable do not mediated Image and Customer Commitment. The majority of in-patients are farmers and they are more likely to feel safe and confident when treated in health centers.

scholarly journals Longitudinal Observation of Outcomes and Patient Access to Integrated Care Following Point-of-Care Glycemic Screening in Community Health Center Dental Safety Net Clinics

2021 ◽  
Vol 2 ◽  
Author(s):  
Ingrid Glurich ◽  
Richard Berg ◽  
Aloksagar Panny ◽  
Neel Shimpi ◽  
Annie Steinmetz ◽  
...  
Keyword(s):  
At Risk ◽  
Community Health ◽  
Health Center ◽  
Integrated Care ◽  
Point Of Care ◽  
Community Health Center ◽  
Safety Net ◽  
Risk Patients ◽  
Dental Appointments

Introduction: Rates of diabetes/prediabetes continue to increase, with disparity populations disproportionately affected. Previous field trials promoted point-of-care (POC) glycemic screening in dental settings as an additional primary care setting to identify potentially at-risk individuals requiring integrated care intervention. The present study observed outcomes of POC hemoglobin A1c (HbA1c) screening at community health center (CHC) dental clinics (DC) and compliance with longitudinal integrated care management among at-risk patients attending dental appointments.Materials and Methods: POC HbA1c screening utilizing Food and Drug Administration (FDA)-approved instrumentation in DC settings and periodontal evaluation of at-risk dental patients with no prior diagnosis of diabetes/prediabetes and no glycemic testing in the preceding 6 months were undertaken. Screening of patients attending dental appointments from October 24, 2017, through September 24, 2018, was implemented at four Wisconsin CHC-DCs serving populations with a high representation of disparity. Subjects meeting at-risk profiles underwent POC HbA1c screening. Individuals with measures in the diabetic/prediabetic ranges were advised to seek further medical evaluation and were re-contacted after 3 months to document compliance. Longitudinal capture of glycemic measures in electronic health records for up to 2 years was undertaken for a subset (n = 44) of subjects with available clinical, medical, and dental data. Longitudinal glycemic status and frequency of medical and dental access for follow-up care were monitored.Results: Risk assessment identified 224/915 (24.5%) patients who met inclusion criteria following two levels of risk screening, with 127/224 (57%) qualifying for POC HbA1c screening. Among those tested, 62/127 (49%) exhibited hyperglycemic measures: 55 in the prediabetic range and seven in the diabetic range. Moderate-to-severe periodontitis was more prevalent in patients with prediabetes/diabetes than in individuals with measures in the normal range. Participant follow-up compliance at 3 months was 90%. Longitudinal follow-up documented high rates of consistent access (100 and 89%, respectively), to the integrated medical/DC environment over 24 months for individuals with hyperglycemic screening measures.Conclusion: POC glycemic screening revealed elevated HbA1c measures in nearly half of at-risk CHC-DC patients. Strong compliance with integrated medical/dental management over a 24-month interval was observed, documenting good patient receptivity to POC screening in the dental setting and compliance with integrated care follow-up by at-risk patients.

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 PELATIHAN MENGATASI KECEMASAN BERBICARA DI DEPAN UMUM PADA KADER KESEHATAN JIWA

2018 ◽  
Vol 1 (3) ◽  
pp. 190-200
Author(s):  
Ika Pratiwi Wibawanti ◽  
Endah Puspita Sari ◽  
Vequentina Puspa
Keyword(s):  
Mental Health ◽  
Community Health ◽  
Health Center ◽  
Communication Apprehension ◽  
Community Health Center ◽  
Group Analysis ◽  
T Test ◽  
Paired Sample ◽  
Post Test ◽  
Quasi Experimental

Cadre is a member of the community representing its territory to serve as a mediator between Puskesmas (Community Health Center) and the community within a certain scope of area. In addition to posyandu cadres that have long been known, currently in some areas in Sleman district also has mental health cadres. One problem that occured in the mental health cadres at Cangkringan Community Health Center was communication apprehension among the mental health cadres to deliver a message from Puskesmas. This training was conducted to reduce communication apprehension on mental health cadres of Puskesmas Cangkringan. Kader merupakan anggota masyarakat yang mewakili wilayahnya untuk menjadi penghubung antara Puskesmas dan masyarakat dalam suatu cakupan kerja tertentu. Selain kader posyandu yang sudah lama dikenal, saat ini di beberapa wilayah di kabupaten Sleman juga memiliki kader kesehatan jiwa. Permasalahan yang terjadi pada kader kesehatan jiwa di Puskesmas Cangkringan adalah kecemasan saat berbicara di depan masyarakat untuk menyampaikan pesan dari Puskesmas. Pelatihan ini dilakukan untuk menurunkan kecemasan berbicara di depan umum pada kader kesehatan jiwa Puskesmas Cangkringan. Untuk mencapai tujuan tersebut, peneliti menggunakan quasi experimental one-group pre-test and post-test dengan within group analysis. Pengukuran pre-test dan post-test kelompok dilakukan menggunakan modifikasi alat ukur Back Anxiety Inventory. Hasil pengukuran menggunakan paired sample T-test menunjukan t = 5.647 dengan p = 0.000 (p ˂ 0.01). Artinya pelatihan mengatasi kecemasan berbicara di depan umum yang dilakukan pada kader kesehatan jiwa Puskesmas Cangkringan mampu menurunkan kecemasan dengan sangat signifikan.

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

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