scholarly journals Patient Awareness of Cost of Treatment at a Government Sponsored Hospital in India

2019 ◽  
Vol 39 (3) ◽  
pp. 147-154
Author(s):  
. Ritesh ◽  
Harsh Mohinder Singh ◽  
Bikram Jit Singh

Introduction: To evaluate the awareness amongst the beneficiary about the costs of medical services in a hospital which provides all services at no cost and also to analyse whether education level of the beneficiary client, number of days stayed in hospital and their prior exposure of being treated on payment in other hospital has some bearing on cost estimation by the participants. Method: It was a cross sectional questionnaire based survey study. A total of 130 beneficiary clientele of a government hospital were interviewed. Two sample ‘t’ test and ANOVA were used for statistical analysis. Multivariate regression analysis was used to study effect of more than one independent variable on cost estimation. Scatter plot and box plots were used to study standard deviation. Results: It revealed poor awareness of people in cost estimation of medical expenses. A significant ‘p’ value of < 0.05 was observed with respect to length of stay (p = 0.003), treatment modality (p = 0.000) and multivariate variable (treatment technique along with exposure to treatment in paid hospital, p = 0.008). Conclusion: The beneficiary clientele in a hospital with free treatment generally not aware about the exuberant costs of treatment born by the state.

2018 ◽  
Vol 1 (1) ◽  
pp. 60
Author(s):  
Widya Arisandy

Knowledge is the result of �know� and this is happening after they made a sensing towards an object certain .Sensing towards an object occur through panca human senses the sight , hearing , of smell , taste and touched with own .Knowledge about the implementation of the nurse strategy is obliged to understandable and in understand by a nurse soul .Many things can affect knowledge a nurse soul both internally and externally.Strategy the implementation of the act of nursing is a in made as a guide by a nurse if when interacting with disorder patients hallucinations.The purpose of research to know relations factors internal a nurse with knowledge nurse in the application of the implementation of the strategy in patients with disorder hallucinations in inpatient Rooms Hospital Ernaldi Bahar The Province Of South Sumatera 2017 . The kind of research done is research quantitative by using the method survey analytic approach in cross sectional .Technique the sample collection that is using a technique the sample collection total of sampling , the number of the sample are always 33 people .To research this independent variable consists of education , length of employment and the days of while dependent variable is knowledge nurse about strategy the implementation of the hallucinations . the results of this research was obtained one variable are associated than 3 variable internal factors researched namely working time with the results of p-value 0,011. Researchers hope from the results of this research , nurses can identify any factor that could affect the knowledge nurses and also can be used to understand the science of psychiatric Keywords : Nurses Knowledge, Strategy Implementation Hallucinations


1970 ◽  
Vol 5 (2) ◽  
pp. 01
Author(s):  
Didit Damayanti ◽  
Pria Wahyu R.G ◽  
Muhanni’ah Muhanni’ah

Introduction: Disaster management is a dynamic, continual, and integrated process as to increase the qualities of the actions which are relevant to the process of observation and analysis of disaster as well as minimalizing the negative impacts, mitigation, readiness, early warning, immediate emergency, rehabilitation and reconstruction. The aim of this research is to analyse theconnection between disaster management and the prevention of community breakdown in order to face a volcanic eruption for every head of household. Method: The design of this research is correlational research with a cross sectional approach. The demographic group that is used for this research is the head of households in Rt 06/Rw 01 dusun Puncu desa Puncu, by using the purposive sampling technique which has been collected from the sampling of the 33 heads of households. Independent variable is the knowledge of disaster management, and the dependent variable is the prevention of community breakdown in the handling of the disaster. The data has been received by using the questionnaire, and the results have been analysed by using spearman rho test. Result:  As according to the statistics test, it is found that p-value= 0,000 on the significant level (α) = 0,05 and r = 0,752. It is concluded that there is a connection between knowledge and the prevention of community breakdown in handling of the volcanic eruption in Rt 06/Rw 01. This research shows that the level of knowledge within the community about disaster management and prevention in handling volcanic eruption has been increasing. Conclution: This is shown by the capability of the community in mitigating the effects of the disaster. It is hoped that the community will further engage in training education and simulation to reduce the negative impacts of a disaster. The location where the participants resideis Kelud Volcano, and it is therefore hoped that the communities are willing to participate in better handling of any disaster by joining the education training and simulation; Kata kunci : Pengetahuan, Manajemen bencana, Prevention.


Author(s):  
Hernan Chinsk ◽  
Ricardo Lerch ◽  
Damián Tournour ◽  
Luis Chinski ◽  
Diego Caruso

AbstractDuring rhinoplasty consultations, surgeons typically create a computer simulation of the expected result. An artificial intelligence model (AIM) can learn a surgeon's style and criteria and generate the simulation automatically. The objective of this study is to determine if an AIM is capable of imitating a surgeon's criteria to generate simulated images of an aesthetic rhinoplasty surgery. This is a cross-sectional survey study of resident and specialist doctors in otolaryngology conducted in the month of November 2019 during a rhinoplasty conference. Sequential images of rhinoplasty simulations created by a surgeon and by an AIM were shown at random. Participants used a seven-point Likert scale to evaluate their level of agreement with the simulation images they were shown, with 1 indicating total disagreement and 7 total agreement. Ninety-seven of 122 doctors agreed to participate in the survey. The median level of agreement between the participant and the surgeon was 6 (interquartile range or IQR 5–7); between the participant and the AIM it was 5 (IQR 4–6), p-value < 0.0001. The evaluators were in total or partial agreement with the results of the AIM's simulation 68.4% of the time (95% confidence interval or CI 64.9–71.7). They were in total or partial agreement with the surgeon's simulation 77.3% of the time (95% CI 74.2–80.3). An AIM can emulate a surgeon's aesthetic criteria to generate a computer-simulated image of rhinoplasty. This can allow patients to have a realistic approximation of the possible results of a rhinoplasty ahead of an in-person consultation. The level of evidence of the study is 4.


2021 ◽  
Vol 12 (3) ◽  
pp. 389
Author(s):  
Rico Januar Sitorus ◽  
Novrikasari Novrikasari ◽  
Rizma Adliah Syakurah ◽  
Merry Natalia

<p>Antiretroviral treatment side-effects and patient compliance with medical instructions continue to be a growing challenge for HIV/AIDS patients. Arv therapy has resulted in a substantial intervention that has been successful in preventing transmission and opportunistic infection. The main objective of this study was to analyze the association between side-effects of ARV therapy and medication adherence as well as another potential confounding such as opportunistic infection, family support, stress level, knowledge of ARV, marital status, and occupation. This study is a quantitative approach by using cross-sectional methods. A total of 244 respondents from 1.180 patients with confirmed HIV registered in the Care Support and Treatment (CST) service and Sriwijaya Community in the City of Palembang to respond to the survey. Non-random sampling was used to collect the samples. As the result, the majority of the respondents were male (84,43 %), ≥30 years old (57,4%), and secondary school graduates (52%). After adjusting with stress and opportunistic infection variable, a Multivariate regression analysis revealed a positive relationship between side effects and medication adherence (p-value of 0,041; 0,05), OR Adj 2,131 (1,190-4,988). PLHV who had adverse effects had a 2.131 times worse adherence rate than those who did not. In conclusion, medication adherence must be greatly improved in light of therapeutic side effects, stress levels, and opportunistic infection.</p>


2021 ◽  
Vol 17 (35) ◽  
pp. 203
Author(s):  
Benson Muchoki Mwangi ◽  
Francis N. Kibera ◽  
Mary Kinoti ◽  
Magutu P. Obara

This paper focuses on determining the influence of sales territory design on salesforce performance in the detergent manufacturing companies in Kenya. Detergents play a critical role in our everyday lives by ensuring hygiene at our personal level, in our homes, in schools, institutions, and hospitals. Detergents have gained a lot of prominence since the onset of the Corona Virus (COVID-19) disease in 2019, as it has been proved that they play an important role in curtailing the transmission of the COVID-19 disease. The Salesforce plays an important role in organizations as they are the ones who in most cases interact with customers, provide information about their organization and products, provide prices, demonstrate how products are used, train customers, provide after sales service, and resolve any issues that may arise. The study was anchored on Expectancy Theory, Resource Based Theory, Equity Theory, and Agency Theory. The study adopted positivism philosophy and used a descriptive cross sectional design. The unit of analysis was the sales people in the detergent manufacturing companies in Kenya who are members of Kenya Association of Manufacturers as per list obtained from KAM in December 2018. The study used primary data which was collected by administering semi-structured questionnaires. The data was analyzed using a combination of both descriptive and inferential statics to describe the manifestations of the variables in the data collected, simple regression model was used to test the significance of the influence of sales territory design (independent variable) on the salesforce performance (dependent variable). Fischer distribution test (F-test) was used to test the significance of the independent variable and the overall model. The p-value for the F-statistic was used to determine the robustness of the model. This was done at 95% confidence level (p<0.05). The study found a strong relationship between sales territory design and salesforce performance. This depicts that sales territory design is critical in determining salesforce performance in detergent manufacturing companies in Kenya.


2019 ◽  
Vol 27 (2) ◽  
pp. 71
Author(s):  
Dian Irawati ◽  
Agustin Dwi Syalfina

Objectives: Maternal Mortality Rate (MMR) is closely related to maternal care. MMR in Indonesia based on the 2015 IDHS is 359 per 100,000 live births. By increasing the utilization of MCH handbooks, MMR would be decline. Therefore, this research investigated the relationship between of the utilization of MCH handbooks and attitudes pregnant women regarding pregnancy and childbirth complications.Materials and Methods: We conducted a cross sectional research with 54 pregnant women during March - June 2018 at the Sooko Health Center, Mojokerto. The independent variable was the utilization of MCH handbooks and the dependent variable was the attitude of pregnan women regarding pregnancy and childbirth complications. Data analysis included descriptive and bivariate analysis.Results: The results showed that 79.6% of respondents used the MCH handbook well. The results of the chi square analysis test showed a p value of 0.027 (<0.05).Conclusion: MCH handbook utilization effected the attitude of pregnant women regarding the complication of pregnancy and childbirth. Pregnant women who read and utilize MCH handbook would be have better alertness about the risk of complication so they would make the right decision for their pregnancy.


2013 ◽  
Vol 2 (3) ◽  
pp. 158
Author(s):  
Sari Handayani Utami ◽  
Desmiwati Desmiwati2 ◽  
Endrinaldi Endrinaldi

AbstrakWanita pada periode post-partum memiliki angka unmet need terhadap kontrasepsi, padahal ini waktu yang tepat untuk mulai memakai kontrasepsi. Salah satu kontrasepsi pasca-salin terkini yang mulai disosialisasikan adalah IUD post-placenta. Namun demikian, masih belum banyak wanita pasangan usia subur yang menggunakan alat kontrasepsi ini bahkan mengetahuinya. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan unmet need KB pasca-salin IUD post-placenta. Jenis penelitian survey dengan desain cross sectional study. Waktu pengambilan data dari 12 Januari sampai dengan 12 Maret 2013. Sampel adalah wanita pasangan usia subur yang melahirkan pervaginam dan dipilih secara accidental sampling. Penelitian dilakukan pada 88 orang responden dengan 50 orang bukan akseptor KB IUD post-placenta dan 38 orang akseptor KB IUD Post-placenta. Pengumpulan data dilakukan menggunakan kuesioner melalui wawancara terpimpin. Data dianalisis secara univariat dan bivariat. Hasil penelitian menunjukkan faktor yang memiliki hubungan signifikan dengan unmet need IUD post-placenta adalah faktor pengetahuan (p value = 0,001), sedangkan faktor lain yang tidak memiliki hubungan signifikan adalah faktor pendidikan (p value = 0,222), faktor status ekonomi (p value = 1,000), dan faktor konseling KB (p value = 0,583).Kata kunci: faktor yang berhubungan, unmet need, KB pasca-salin, IUD post-placentaAbstractThe women in post-partum period have unmet need rate to contraception, whereas it’s approriate time to start using contraception. One of recent post-partum contraception method is IUD post-placenta. But, only a few women of fertile age couple use this contraception even has known it. The purpose of this study was to determine the factors associated to unmet need of post-partum contraception IUD post-placenta. This survey study with cross sectional design study. The data was collected from January 12 until March 12 2013. The subject were women of fertile age couple who give birth per vaginam and selected by accidental sampling. This study had 88 respondents consists of 50 as not IUD Post-placenta acceptors and 38 respondents as IUD post-placenta acceptors. The data collected by using questionnaire through guided interview and analyzed through univariate and bivariate.The result of analysis showed that the factor had significant relation to unmet need of IUD post-placenta is knowledge (p value = 0,001), while another factors did not have significant relation are education level (p value = 0,222), economic level (p value=1,000), and family planning counselling (p value=0,583).Keywords:the relating factors, unmet need, post-partum contraception, IUDpost-placenta


Author(s):  
Ratih Handayeni ◽  
Evi Nurhidayati

The problem of children’s growth in preschool age can decrease the human resource quality in the following days when it cannot be detected in early phase. Mother’s assistance of her children is very needed in the first 5 years of golden age. This is the phase where they play and learn with their mother. This study was done to compare between non worker mothers and worker mothers with the problems of emotional mental. The purpose of this study was to identify the relationship of mother’s work status and emotional mental problem at preschool students at TK Annur III Maguwoharjo, Sleman Year 2018. This study was an analytic survey with Cross-Sectional Approach. The independent variable was the problem of emotional mental, and the dependent variable was the mother’s work status. The population in this study involved all workers and non-worker mothers with 149 of students at TK Annur III Maguwoharjo, Sleman while the samples were 140 students. The questionnaire of this study used Emotional Mental Method as a prime data.  The Design of sampling was non probability sampling as a simple consecutive sampling. Statistical analysis for data evaluation were carried out by using Chi Square p= 0.005. The analysis results showed the work status of mothers with emotional mental problems at preschool students at TK Annur III Maguwoharjo, Sleman (P-Value=0.000) with the odd ratio was 415.4; 95% CI; 51.6 to 3339.8. There was significant relationship between mother’s work status and problems of emotional mental at the preschool students of TK Annur III Maguwoharjo, Sleman.    


2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Jerro H. Tambuwun ◽  
Nancy S. H. Malonda ◽  
Paul A. T. Kawatu

Abstract: Musculoskeletal complaints vary from mild to severe form. Musculoskeletal com-plaints and disorders could occur due to work or conditions at work inter alia odd posture, static and repetitive movements, as well as physical exposure such as temperature and vibration. This study was aimed to determine the relationship between age and work period and musculoskeletal complaints among furniture workers at Desa Leilem Dua, Sonder. This was an analytical survey study with a cross sectional design. Population of this study consisted of 210 workers, meanwhile respondents were 68 workers. We used the Nordic Body Map questionnaire and the chi square test with a confidence level of 95% (α=0.05). The results showed that 17 respondents aged ≥30 years had moderate complaints and 36 respondents had severe complaints meanwhile 12 respondents aged <30 years had moderate complaints and 3 respondents had severe complaints. Moreover, 21 respondents who had work period <10 years had moderate complaints and 10 respondents had severe complaints; 8 respondents who had work period ≥10 years had moderate complaints and 29 respondents had severe complaints. The chi-square obtained a p-value of 0.002 for the relationship between age and musculoskeletal complaints and a p-value of 0.000 for the relationship between work period and musculoskeletal complaints. In conculsion, there was a significant relationship between age and musculoskeletal complaints as well as between work period and musculoskeletal complaints among furniture workers at Desa Leilem Dua, Sonder.Keywords: musculoskeletal complaints, furniture worker Abstrak: Keluhan muskuloskeletal dapat bervariasi dari keluhan ringan sampai berat. Keluhan dan gangguan muskuloskeletal dapat terjadi karena faktor pekerjaan atau kondisi saat bekerja berupa postur janggal, gerakan statis dan berulang, juga berupa pajanan fisik seperti suhu dan getaran. Penelitian ini bertujuan untuk mengetahui adanya hubungan antara usia dan masa kerja dengan keluhan muskuloskeletal pada pekerja mebel di Desa Leilem Dua Kecamatan Sonder. Jenis penelitian ialah survei analitik dengan desain potong lintang. Populasi penelitian ini ialah 210 pekerja sedangkan yang menjadi responden ialah 68 orang. Instrumen penelitian yang digunakan yaitu Nordic Body Map dengan uji bivariat meng-gunakan uji chi-square (α=0,05). Hasil penelitian mendapatkan 17 responden berusia ≥30 dengan keluhan sedang dan 36 responden dengan keluhan berat; 12 responden yang berusia <30 tahun dengan keluhan sedang dan 3 responden dengan keluhan berat. Terdapat 21 responden dengan masa kerja <10 tahun mengalami keluhan sedang dan 10 responden mengalami keluhan berat; 8 responden dengan masa kerja ≥10 tahun mengalami keluhan sedang dan 29 responden mengalami keluhan berat. Hasil uji chi-square terhadap hubungan antara usia dan keluhan muskuloskeletal mendapatkan nilai p=0,002 dan terhadap hubungan antara masa kerja dan keluhan muskuloskeletal mendapatkan nilai p=0,000. Simpulan penelitian ini ialah terdapat hubungan bermakna antara usia dan masa kerja dengan keluhan muskuloskeletal pada pekerja mebel di Desa Leilem Dua Kecamatan Sonder.Kata kunci: keluhan muskuloskeletal, pekerja mebe


2020 ◽  
Vol 11 (2) ◽  
pp. 184-192
Author(s):  
Ravi Verma ◽  
Charu Bansal ◽  
Trupti Jain

Background- Ayurveda has given a unique concept of Viruddha Ahara. Junk food an energy-dense food could be consider as Viruddha Ahara because of its serious physical and mental health consequences. Aim - Find out the frequency of consumption of Junk food preparation and their effects on Physical & Mental health in the youngsters of Bhopal city with special reference to Viruddha Ahara. Study Design- was Observational cross sectional study. Material and Method- Modified Questionnaire based on WHO STEPS1, 2 and 3 guidelines was used to collect the data. 600 youngsters of age group between 12-25 years from various schools and colleges of Bhopal city were selected by stratified random sampling technique and Statistical Analysis was done with epi infoTM version 7 software. Appropriate statistical tests were applied such as frequency distribution, cross tabulation (M x N/ 2 x 2 Table), chi square test, z statistics and logistic regression analysis. Odds ratios (OR) with 95% confidence intervals (C.I) and p-value (significant <0.05) were also calculated as per need. Result- It was observed that all subjects were consuming different kinds of junk food with high mean frequency that was 3.28 days per week.  Maximum youngsters were suffering from various physical and mental health consequences like 80.83% subjects were suffering from nutritional problem, 73.50% skin problems, 73.33 % GIT problems and 58.67% had anxiety disorder and 38.50% had recognised with mood disorder. Conclusion: The result of the survey study indicating that serious health consequences are developing in youngsters by consumption of viruddha ahara (Junk Food) and that could be converted them in chronic disease patients in near future.


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