scholarly journals Study of Health Care Practices and Comorbidities in Diabetic Population at Small Community Level in Biratnagar: A Cross-Sectional Descriptive Study

2021 ◽  
Vol 10 (2) ◽  
pp. 15-19
Author(s):  
Rimu Mishra ◽  
Alok Acharya ◽  
Amar Kumar Yadav ◽  
Kaushal Sigdel
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Private Health Care ◽  
Cross Sectional ◽  
Male And Female ◽  
Health Care Practices ◽  
Co Morbidity ◽  
Care Practices

Background: Death in diabetes mellitus occurs mostly due to co-morbidities and complications resulting from diabetes. To reduce morbidity and mortality, awareness regarding diabetes and its complications is necessary. The aim of the study is to assess the health care practices and co-morbidities associated with the disease. Materials and Methods: A descriptive cross-sectional study was conducted at community level (Kharji ward number 4) at Biratnagar. All diagnosed patients of type II diabetes mellitus ≥ 18 years of age were enrolled for the study.  Data for socio-demographic factors and clinical status were collected by pretested semi structured Questionnaire. Random blood sugar was measured using a portable glucometer. Anthropometric measurements were done by measuring height and weight of participants and body mass index was calculated by standard formula. The data was analyzed using SPSS version 21.0. Results: Out of the total 205 participants, 55.7% were found to be within the age group of 45-64 years i.e. middle aged (55.6%). Almost equal participants of the male and female were found, 50.7% and 49.3% respectively. More participants were found of below poverty line 67.31%. More than half 47.8% of the participants were suffering from the diabetes for less than 5 years of duration. All most all participants 98.5% knew about diabetes and its complications. Majority of the respondents 62.4% were having co-morbidity, among them 34.6% of participants were having hypertension. Majority of the participants were utilizing private health care service 79%. Conclusion: The diabetic participants were mostly of middle age with almost equal number of male and female having adequate knowledge about diabetes. Hypertension was the most common co morbidity among participants and they preferred private health care service mostly.

scholarly journals HEALTH CARE-SEEKING BEHAVIOUR OF COASTAL COMMUNITIES IN BANYUWANGI, INDONESIA: RESULTS OF A CROSS-SECTIONAL SURVEY

Jurnal NERS ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 66
Author(s):  
Susy Katikana Sebayang ◽  
Erni Astutik ◽  
Desak Made Sintha Kurnia Dewi ◽  
Ayik Mirayanti Mandagi ◽  
Septa Indra Puspikawati
Keyword(s):  
Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Coastal Communities ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Seeking Behavior ◽  
Seeking Behavior

Introduction:  Improving health care-seeking behavior of the coastal communities is a pathway to improve their health. This analysis aims to explore the health care-seeking behavior of the coastal communities in Banyuwangi District to recommend the room for improvement for health promotion and health service improvement for these communities. Method: Data from a cross-sectional survey of metabolic syndrome and mental health conducted in coastal communities in Banyuwangi was used for analysis.  Randomly selected participants from a list of members of Family Welfare Development Group (Pembinaan Kesejahteraan Keluarga /PKK) were asked for an interview at corresponding village office in Ketapang, Bangsring, Bulu Agung, Grajagan and Kampung Mandar village.  Distribution of health care-seeking behaviors was analyzed individually and where possible were segregated by gender and age. Results: More than half of the coastal communities in Banyuwangi District went to health care service to seek health and 7 out of 10 turned to health care service to seek health for their family members.  Women more than men turned to health care service when they or their family members fell ill.  Private doctors rather than Puskesmas were more popular.  Private midwives were the most popular service for antenatal care (ANC) and delivery.  Although there was not a clear increase in health care service utilization over time, we found that contraceptive utilization increased with time. Conclusion: The utilization of health care service in Banyuwangi needs to be more promoted especially for men’s health.  

scholarly journals HUBUNGAN ANTARA LIMA DIMENSI MUTU PELAYANAN RAWAT JALAN DENGAN KEPUASAN PASIEN

2020 ◽  
Vol 6 (2) ◽  
pp. 708-715
Author(s):  
Mokh. Firman Ismana
Keyword(s):  
Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Total Sample ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Five Dimensions ◽  
Patient’S Satisfaction ◽  
The Relationship

Kepuasan pasien merupakan merupakan tingkat kepuasan dari persepsi pasien terhadap layanan kesehatan dan merupakan salah satu indikator kinerja. Apabila pasien menunjukan hal – hal yang bagus mengenai layanan kesehatan dan pasien mengindikasikan dengan perilaku yang positif maka akan dapat mengambil kesimpulan bahwa pasien merasa puas terhadap layanan tersebut. Penelitian ini bertujuan untuk mengetahui hubungan antara lima dimensi mutu pelayanan rawat jalan dengan kepuasan pasien di RSUD Arjawinangun Kabupaten Cirebon Tahun 2015. Jenis penelitian deskriptik analitik dengan desain Cross Sectional. Populasi dalam penelitian ini adalah jumlah seluruh pasien yang berobat ke rawat jalan RSUD Arjawinangun pada bulan Januari tahun 2015 sebanyak 9.707 pasien. Jumlah sampel sebanyak 385 pasien yang diambil secara Accidental Sampling. Data dianalisa secara statistic menggunakan uji Chi Square pada tingkat kemaknaan 5% (0,05). Variabel yang diteliti yaitu variabel dependen: kepuasan pasien, variabel independen: Bukti Fisik (Tangibles), Kehandalan (Reliability), Ketanggapan (Responsiveness), Jaminan (Assurance), Dan Empati (Empathy). Hasil penelitian ini menunjukan ada hubungan yang bermakna antara Bukti Fisik (Tangibles) dengan kepuasan pasein (p = 0,034), ada hubungan yang bermakna antara Kehandalan (Reliability) dengan kepuasan pasein (p= 0,000), ada hubungan yang bermakna antara Ketanggapan (Responsiveness) dengan kepuasan pasein ( p= 0,000), ada hubungan yang bermakna antara Jaminan (Assurance) dengan kepuasan pasein (p= 0,000), ada hubungan yang bermakna antara Empati (Empathy) dengan kepuasan pasein (p= 0,000).Kata Kunci: Kepuasan Pasien, Lima dimensi mutu ABSTRACTPatient’s satisfaction is the satisfaction level of the patient’s perception of the health services and is one of the performance indicators. If the patients shows the good things about the health care service and the patients indicated by the positive behavior will be able to infer that patients are satisfied with the health care service. This research aimed to determine the relationship between the five dimensions of quality of outpatient care with patient’s satisfaction in RSUD Arjawinangun Kabupaten Cirebon 2015. The type of this research is descriptive analytic with Cross Sectional Design. Population in this research is the total number of outpatients treated at RSUD Arjawinangun Kabupaten Cirebon through Januari 2015 as many as 9707 patients. The total sample of 385 patients were taken by accidental sampling. Data were analyzed statiscally using Chi-squared test at 5% (0.05) significance level. The dependent variable analyzed in this research is patient’s satisfaction and the Independent variable in this research are Tangibles, Realiability, Responsiveness, Assurance, and Empathy. Judge from the analysis above, we conclude that the result of this research showed the relationship between Tangibles with patient’s satisfaction (p = 0.034). There is relationship between Reliability with patient’s satisfaction (p = 0.00). There is relationship between Responsiveness with patient’s satisfaction (p = 0.00). The relationship between Assurance with patient’s satisfaction is also influence with p = 0.00, and the last of variable, there is relationship between empathy with patient’s satisfaction (p=0.00). The result of this research can be followed up by efforts to improve the Tangibles, Reliability, Responsiveness, Assurance, and Empathy by providing technical training to every officer to increase the ability to carry out the services.Key Word : Patient’s Satisfaction, Five dimensions of  quality

scholarly journals Factors Affecting Destination Choice in Medical Tourism

2020 ◽  
Vol 8 (2) ◽  
pp. 80-88 ◽  
Author(s):  
Haşim Çapar ◽  
Özgür Aslan
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Medical Tourism ◽  
Care Service ◽  
Low Cost ◽  
Health Care Service ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Selection Of

Introduction: Although many factors can affect the choice of destination in medical tourism, some factors are indispensable to medical tourists and medical tourism. The aim of this study was to analyze important factors affecting the selection of a destination by potential medical tourists. Methods: This descriptive, cross-sectional study, conducted in Turkey, included a population of 1700 people and a sample size of 317 people selected through purposive sampling. Values were evaluated with a 95% confidence interval and 0.05 standard error. A value of P<0.05 was considered statistically significant. The medical tourism scale and a demographic information form were used in data collection. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and path analysis were used as statistical methods. Analyses were made using IBM SPSS-AMOS 25.0. Results: In this study, 56.5% of the participants were male and 43.5% were female. The factors affecting the selection of medical tourism destinations were determined to be, in order of importance, accessibility of health care service (X̄ = 4.68 ± 1.073), level of security and safety (X̄ = 4:57 ± 1.122), quality of health care service (X̄ = 4:39 ± 1.129), level of hygiene (X̄ = 4.16 ± 1.381), potential of savings-low cost (X̄ = 4.07 ± 1.447), and tourism opportunities (X̄ = 4.02 ± 1.540). Conclusion: It is thought that the current study will make a serious contribution to the field of medical tourism both in practice and in theory.

scholarly journals Value-Added Tax and its implication for the provision of private health services in Botswana

2003 ◽  
Vol 6 (1) ◽  
pp. 118-125
Author(s):  
Zein Kebonang
Keyword(s):  
Health Care ◽  
Private Sector ◽  
Care Service ◽  
Health Care Service ◽  
Value Added ◽  
Health Facilities ◽  
Private Health Care ◽  
Value Added Tax ◽  
Number Of Patients ◽  
The Impact

This paper examines the impact of Value Added Tax on the provision of private health care in Botswana and argues that government cannot succeed in the discharge of its social obligations unless the private sector is also taken on board. The introduction of Value Added Taxation has led to an over-whelming demand for and constraint on government health facilities and a decline in the number of patients seeking private health care service. The government’s success in providing health facilities must be complimented by private sector participation and this can be achieved by providing certain incentives such as zero rating and exempting the provision of certain health care services.

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