scholarly journals Implementasi Sistem Rujukan Layanan Kesehatan: Systematic Literature Review

2021 ◽  
Vol 9 (2) ◽  
pp. 138-152
Author(s):  
Sri Rahayu ◽  
Hosizah Hosizah
Keyword(s):  
Health Care ◽  
Health Service ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Health Personnel ◽  
Health Workers ◽  
Google Scholar ◽  
Referral System ◽  
Synthesis Process ◽  
Service Referral

AbstractThe Health Care Referral System is a service system that controls the delegation of authority and responsibility for health problems which is carried out reciprocally vertically or horizontally, in the sense of a unit with less capability to a more capable unit. The purpose of this study was to determine the implementation of the health service referral system in terms of regulations, health personnel resources and infrastructure. This research is a systematic review (Systematic Literature Review). The data synthesis process was carried out by comparing 15 literatures that met the quality assessment as well as inclusion and exclusion criteria with the database sources used, namely, Google Scholar, Pubmed, ScienceDirect. The data is processed and presented in tabulated form. The results showed that several countries such as Indonesia, Iran, Northern Tanzania, Riyadh, Ghana, Zambia and Hoduras from the articles reviewed used a referral system starting from the basic level (Primary), secondary level (Secondary) and tertiary level (Tertiary). Judging from the three aspects of the implementation of the health service referral system reviewed, it shows that there are problems in its implementation, including; the regulatory aspect found only 2 literatures that discussed regulations in the implementation of the referral system, the aspect of health personnel resources was found to be unavailability of health workers in health services causing patient referral and infrastructure aspects found obstacles in inadequate infrastructure resulting in referral.Keywords: implementation, referral system, health care AbstrakSistem Rujukan Pelayanan Kesehatan merupakan sistem pelayanan yang mengendalikan pelimpahan wewenang serta tanggung jawab atas permasalahan kesehatan yang dilakukan secara timbal balik secara vertikal ataupun horizontal, dalam makna dari unit yang berkemampuan kurang ke unit yang lebih, terjangkau dan rasional. Tujuan penelitian ini untuk mengetahui implementasi sistem rujukan layanan kesehatan dilihat dari aspek regulasi, sumber daya tenaga kesehatan dan sarana prasarana. Penelitian ini merupakan tinjauan sistematis (Systematic Literature Review). Proses data sintesis dalam penelitian ini dilakukan dengan cara membandingkan 15 literature yang memenuhi penilaian kualitas serta kriteria inklusi dan ekslusi dengan sumber database yang digunakan yaitu, Google Scholar, Pubmed, ScienceDirect. Data diolah dan disajikan dalam bentuk tabulasi. Hasil penelitian menunjukan beberapa negara seperti Indonesia, Iran, Tanzania Utara, Riyadh, Ghana, Zambia dan Hoduras dari artikel yang direview menggunakan sistem rujukan yang dimulai dari tingkat dasar (Primary), tingkat menengah (Secondary) dan tingkat tersier (Tertiary). Dilihat dari ketiga aspek implementasi sistem rujukan layanan kesehatan yang direview menunjukkan adanya permasalahan dalam pengimplementasiannya diantaranya; aspek regulasi ditemukan hanya 2 literature yang membahas regulasi dalam pengimplementasian sistem rujukan, aspek sumber daya tenaga kesehatan ditemukannya ketidaktersediaan tenaga kesehatan di layanan kesehatan sehingga menyebabkan terjadinya rujukan pasien dan aspek sarana prasarana ditemukannya hambatan pada infrastruktur yang tidak memadai sehingga menyebabkan terjadinya rujukanKata Kunci: implementasi, sistem rujukan, layanan kesehatan

Health Service Impact from Mass Gatherings: A Systematic Literature Review

2016 ◽  
Vol 32 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Jamie Ranse ◽  
Alison Hutton ◽  
Toby Keene ◽  
Shane Lenson ◽  
Matt Luther ◽  
...  
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Ambulance Service ◽  
Local Health ◽  
Mass Gathering ◽  
Mass Gatherings ◽  
The Impact

AbstractBackgroundDuring a mass gathering, some participants may receive health care for injuries or illnesses that occur during the event. In-event first responders provide initial assessment and management at the event. However, when further definitive care is required, municipal ambulance services provide additional assessment, treatment, and transport of participants to acute care settings, such as hospitals. The impact on both ambulance services and hospitals from mass-gathering events is the focus of this literature review.AimThis literature review aimed to develop an understanding of the impact of mass gatherings on local health services, specifically pertaining to in-event and external health services.MethodThis research used a systematic literature review methodology. Electronic databases were searched to find articles related to the aim of the review. Articles focused on mass-gathering health, provision of in-event health services, ambulance service transportation, and hospital utilization.ResultsTwenty-four studies were identified for inclusion in this review. These studies were all case-study-based and retrospective in design. The majority of studies (n=23) provided details of in-event first responder services. There was variation noted in reporting of the number and type of in-event health professional services at mass gatherings. All articles reported that patients were transported to hospital by the ambulance service. Only nine articles reported on patients presenting to hospital. However, details pertaining to the impact on ambulance and hospital services were not reported.ConclusionsThere is minimal research focusing on the impact of mass gatherings on in-event and external health services, such as ambulance services and hospitals. A recommendation for future mass-gathering research and evaluation is to link patient-level data from in-event mass gatherings to external health services. This type of study design would provide information regarding the impact on health services from a mass gathering to more accurately inform future health planning for mass gatherings across the health care continuum.RanseJ, HuttonA, KeeneT, LensonS, LutherM, BostN, JohnstonANB, CrillyJ, CannonM, JonesN, HayesC, BurkeB. Health service impact from mass gatherings: a systematic literature review. Prehosp Disaster Med. 2017;32(1):71–77.

Mental health care for rural veterans: A systematic literature review, descriptive analysis, and future directions.

2017 ◽  
Vol 41 (3) ◽  
pp. 222-233 ◽  
Author(s):  
David J. Bumgarner ◽  
Elizabeth J. Polinsky ◽  
Katharine G. Herman ◽  
Joanne M. Fordiani ◽  
Carmen P. Lewis ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Literature Review ◽  
Mental Health Care ◽  
Systematic Literature Review ◽  
Descriptive Analysis ◽  
Future Directions

Telepsychiatry for the Rohingya refugees (Preprint)

2018 ◽  
Author(s):  
Tanjir Rashid Soron
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Care ◽  
Social Networking Sites ◽  
Health Workers ◽  
Mobile Apps ◽  
The Social ◽  
Health Need

UNSTRUCTURED Though health and shelter are two basic human rights, millions of refugees around the world are deprived of these basic needs. Moreover, the mental health need is one of least priority issues for the refugees. Bangladesh a developing country in the Southeast Asia where the health system is fragile and the sudden influx of thousands of Rohingya put the system in a more critical situation. It is beyond the capacity of the country to provide the minimum mental health care using existing resource. However, the refuges need immediate and extensive mental health care as the trauma, torture and being uprooted from homeland makes them vulnerable for various mental. Telepsychiatry (using technology for mental health service) opened a new window to provide mental health service for them. Mobile phone opened several options to reach to the refugees, screen them with mobile apps, connect them with self-help apps and system, track their symptoms, provide distance intervention and train the frontline health workers about the primary psychological supports. The social networking sites give the opportunity to connect the refugees with experts, create peer support group and provide interventions. Bangladesh can explore and can use the telepsychiatry to provide mental health service to the rohingya people.

scholarly journals Sustainability of Biosimilars in Europe: A Delphi Panel Consensus with Systematic Literature Review

2020 ◽  
Vol 13 (11) ◽  
pp. 400
Author(s):  
Arnold G. Vulto ◽  
Jackie Vanderpuye-Orgle ◽  
Martin van der Graaff ◽  
Steven R. A. Simoens ◽  
Lorenzo Dagna ◽  
...  
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Health Care Systems ◽  
Delphi Panel ◽  
The European Union ◽  
Modified Delphi ◽  
Care Systems ◽  
Supply Risks ◽  
The Impact

Introduction: Biosimilars have the potential to enhance the sustainability of evolving health care systems. A sustainable biosimilars market requires all stakeholders to balance competition and supply chain security. However, there is significant variation in the policies for pricing, procurement, and use of biosimilars in the European Union. A modified Delphi process was conducted to achieve expert consensus on biosimilar market sustainability in Europe. Methods: The priorities of 11 stakeholders were explored in three stages: a brainstorming stage supported by a systematic literature review (SLR) and key materials identified by the participants; development and review of statements derived during brainstorming; and a facilitated roundtable discussion. Results: Participants argued that a sustainable biosimilar market must deliver tangible and transparent benefits to the health care system, while meeting the needs of all stakeholders. Key drivers of biosimilar market sustainability included: (i) competition is more effective than regulation; (ii) there should be incentives to ensure industry investment in biosimilar development and innovation; (iii) procurement processes must avoid monopolies and minimize market disruption; and (iv) principles for procurement should be defined by all stakeholders. However, findings from the SLR were limited, with significant gaps on the impact of different tender models on supply risks, savings, and sustainability. Conclusions: A sustainable biosimilar market means that all stakeholders benefit from appropriate and reliable access to biological therapies. Failure to care for biosimilar market sustainability may impoverish biosimilar development and offerings, eventually leading to increased cost for health care systems and patients, with fewer resources for innovation.

Strategic issues of big data analytics applications for managing health-care sector: a systematic literature review and future research agenda

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rajesh Kumar Singh ◽  
Saurabh Agrawal ◽  
Abhishek Sahu ◽  
Yigit Kazancoglu
Keyword(s):  
Health Care ◽  
Big Data ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Data Analytics ◽  
Big Data Analytics ◽  
Health Care Sector ◽  
Future Research ◽  
Research Gaps ◽  
Content Type

PurposeThe proposed article is aimed at exploring the opportunities, challenges and possible outcomes of incorporating big data analytics (BDA) into health-care sector. The purpose of this study is to find the research gaps in the literature and to investigate the scope of incorporating new strategies in the health-care sector for increasing the efficiency of the system.Design/methodology/approachFora state-of-the-art literature review, a systematic literature review has been carried out to find out research gaps in the field of healthcare using big data (BD) applications. A detailed research methodology including material collection, descriptive analysis and categorization is utilized to carry out the literature review.FindingsBD analysis is rapidly being adopted in health-care sector for utilizing precious information available in terms of BD. However, it puts forth certain challenges that need to be focused upon. The article identifies and explains the challenges thoroughly.Research limitations/implicationsThe proposed study will provide useful guidance to the health-care sector professionals for managing health-care system. It will help academicians and physicians for evaluating, improving and benchmarking the health-care strategies through BDA in the health-care sector. One of the limitations of the study is that it is based on literature review and more in-depth studies may be carried out for the generalization of results.Originality/valueThere are certain effective tools available in the market today that are currently being used by both small and large businesses and corporations. One of them is BD, which may be very useful for health-care sector. A comprehensive literature review is carried out for research papers published between 1974 and 2021.

scholarly journals Faktor Penghambat dalam Pelaksanaan Program VCT (Voluntary Counselling And Testing): A Literature Review

2020 ◽  
Vol 11 (4) ◽  
pp. 346
Author(s):  
Nita Anggerina Putri Hi Setiawan ◽  
Mateus Sakundarno Adi
Keyword(s):  
High Risk ◽  
Literature Review ◽  
Keyword Search ◽  
Health Workers ◽  
Google Scholar ◽  
Voluntary Counselling ◽  
Voluntary Counseling And Testing ◽  
Hiv Test ◽  
Voluntary Counselling And Testing ◽  
Hiv Aids

The prevalence of HIV/AIDS had been increasing due to the lack of awareness of people to use or access VCT services, especially those with high risk. Many factors affect people and people at high risk of accessing VCT services. The study aims to describe barriers that arise in the implementation of the VCT program. The research method was a literature review from electronic database such as Google Scholar, PubMed, and Science Direct. Keyword search included barrier, Voluntary Counseling and Testing, and HIV VCT. Selected 9 articles published from 2018 to 2020. The results of the study of all articles founded that barriers in the implementation of VCT in the form of lack of knowledge, fear, and shame when taking an HIV test, difficulty in communicating because of hearing impairment so that the information received was not enough, stigma from the community and health workers, barriers to limited operational hours of VCT services, lack of staff as program implementers, limited competence due to lack of training, and limited health infrastructure/facilities. Keywords: barrier; VCT; HIV/AIDS ABSTRAK Prevalensi HIV/AIDS semakin meningkat karena kurangnya kesadaran orang-orang untuk memanfaatkan atau mengakses layanan VCT terutama mereka dengan risiko tinggi. Banyak faktor yang mempengaruhi masyarakat maupun orang dengan risiko tinggi dalam mengakses layanan VCT. Tujuan penulisan artikel ini adalah untuk menggambarkan tentang hambatan-hambatan yang muncul dalam pelaksanaan program VCT. Metode penelitian adalah literature review dari database elektronik seperti Google Scholar, PubMed, dan Science Direct. Kata kunci pencarian antara lain menggunakan kata kunci barrier, Voluntary Counselling and Testing, dan VCT HIV. Terpilih 9 artikel yang dipublikasi tahun 2018 sampai 2020. Hasil penelitian dari semua artikel, diperoleh bahwa hambatan-hambatan dalam pelaksanaan VCT yaitu berupa kurangnya pengetahuan, rasa takut, dan malu jika melakukan tes HIV, kesulitan dalam berkomunikasi karena memiliki gangguan pendengaran sehingga informasi yang diterima pun kurang, stigma dari masyarakat serta petugas kesehatan, hambatan jam operasional layanan VCT yang terbatas, kurangnya jumlah staf sebagai pelaksana program, kompetensi yang terbatas karena kurang mengikuti pelatihan, serta infrastruktur/fasilitas kesehatan yang terbatas. Kata Kunci: hambatan; VCT; HIV/AIDS

scholarly journals COVID-19 associated delirium: pathogenetic mechanisms of induction and clinical features

2021 ◽  
Vol 12 (1) ◽  
pp. 33-37
Author(s):  
L. V. Tsoy
Keyword(s):  
Older Adults ◽  
Literature Review ◽  
Clinical Features ◽  
Systematic Literature Review ◽  
Clinical Studies ◽  
Present Review ◽  
Google Scholar ◽  
Pathogenetic Mechanisms ◽  
Potential Factors

The present review describes pathogenetic mechanisms and clinical features of COVID-19 associated delirium. Potential factors leading to the named condition and pathophysiological chains were described elaborately, including older adults’ manifestation analysis based on the latest clinical studies. A systematic literature review was conducted in the following databases: PubMed, Scopus, e-library, Google Scholar and others.

scholarly journals Terapi pada Dispepsia

2021 ◽  
Vol 3 (3) ◽  
pp. 503-510
Author(s):  
Bahtiar Yusuf Habibie
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Google Scholar ◽  
Literature Searching ◽  
H Pylori

Dispepsia adalah sindrom yang terdapat pada saluran pencernaan atas dan  dijumpai di seluruh dunia. Banyak faktor yang dapat menyebabkan dispepsia seperti riwayat riwayat keluarga, makanan, riwayat penyakit,  pola hidup, dan juga  faktor psikologis. Tujuan dilakukannya literature review ini adalah untuk memberikan informasi terkait terapi pada dispepsia dengan benar. Sumber referensi pada literature review ini meliputi 20 artikel yang didapat dengan melakukan literature searching di Sumber NCBI, Google scholar dan 4 buku yang semuanya dipublikasikan dalam rentang tahun 2000-2020. Literature sarching tersebut dilakukan dengan menggunakan kata kunci dispepsia, terapi farmakologi, dan tatalaksana dan filter berupa rentang publikasi tahun 2000-2020. Hasil yang ditemukan dari literature searching ini adalah 7301 artikel yang kemudian dipilih 20 artikel dan 4 buku berdasarkan informasi yang dibutuhkan. Referensi yang telah didapatkan kemudian dianalisis dengan metode systematic literature review yang mencakup kegiatan mengumpulkan, mengevaluasi, dan mengembangkan penelitian dengan topik tertentu secara sistematis. Hasil literature review in menunjukkan bahwa Terapi farmakologi yang dapat digunakan pada dispepsia adalah obat golongan, PPI (lansoprazol, omeprazole), antagonis H2 (simetidin, ranitidine, nizatidin, atau famotidine), antasida, dan juga dapat diberikan kombinasi antara ketiga obat tersebut. Terapi lain yang dapat dilakukan adalah pemberian kombinasi dengan antibiotik pada dispepsia yang disebabkan oleh H. Pylori

Literature Review : Evaluasi Peer Group Support dan Family Support Terhadap Kepatuhan Pengobatan Pada Pasien Tuberkulosis Paru

2021 ◽  
Vol 11 (1) ◽  
pp. 51
Author(s):  
Suarnianti Suarnianti ◽  
Chairul Hasan Selan ◽  
Susi Sastika Sumi
Keyword(s):  
Literature Review ◽  
Pulmonary Tuberculosis ◽  
Family Support ◽  
Systematic Literature Review ◽  
Peer Group ◽  
Tuberculosis Treatment ◽  
Google Scholar ◽  
Group Support ◽  
Tuberculosis Patients ◽  
Support Family

Tuberculosis (TB) is an infectious disease which is the leading cause of ill health, one of the top 10 causes of death worldwide and the leading cause of death from a single infectious agent (ranking above HIV / AIDS). WHO estimates that there are 23,000 cases of MDR / RR in Indonesia. In 2017 there were 442,000 TB cases recorded in the program, of which an estimated 8,600-15,000 MDR / RR TB, (estimated 2.4% of new cases and 13% of previously treated TB patients), but only 27.36% treated. The aim of this literature is to evaluate peer group support and family support on treatment adherence to pulmonary tuberculosis patients. This study used a systematic literature review design. Articles were collected through the PubMed and Google Scholar databases published from 2016-2020 using the keywords peer group support, family support, medication adherence, pulmonary tuberculosis. The results of the literature review showed that providing peer group support or family support can have an impact positive for pulmonary tuberculosis patients. The conclusion in this study is that patients who get support from either peer group support or family support can significantly improve compliance with pulmonary tuberculosis treatment so that it can increase the success rate of pulmonary tuberculosis treatment. Keywords: peer group support; family support; treatment compliance; pulmonary tuberculosis ABSTRAK Tuberkulosis (TB) adalah penyakit menular yang merupakan penyebab utama masalah kesehatan yang buruk, salah satu dari 10 penyebab utama kematian di seluruh dunia dan penyebab utama kematian dari satu agen infeksi tunggal (peringkat di atas HIV / AIDS). WHO memperkirakan ada 23.000 kasus MDR/RR di Indonesia. Pada tahun 2017 kasus TB yang tercatat di program ada sejumlah 442.000 kasus yang mana dari kasus tersebut diperkirakan ada 8.600-15.000 MDR/RR TB, (perkiraan 2,4% dari kasus baru dan 13% dari pasien TB yang diobati sebelumnya), tetapi cakupan yang diobati baru sekitar 27,36%. Tujuan Literatur ini untuk mengevaluasi peer group support dan family support terhadap kepatuhan pengobatan pasien tuberkulosis paru. Penelitian ini menggunakan desain systematic literature review. Artikel dikumpulkan melalui database PubMed dan Google Scholar yang dipublikasikan dari tahun 2016-2020 dengan menggunakan kata kunci peer group support, family support, kepatuhan pengobatan, tuberkulosis paru. Hasil literature review menunjukkan bahwa pemberian peer group support atau family support dapat memberikan dampak yang positif kepada pasien tuberkulosis paru. Kesimpulan dalam penelitian ini bahwa pasien yang mendapatkan dukungan baik peer group support atau family support secara signifikan dapat meningkatkan kepatuhan pengobatan tuberkulosis paru sehingga dapat meningkatkan tingkat keberhasilan pengobatan tuberkulosis paru Kata kunci: peer group support; family support; kepatuhan pengobatan; tuberkulosis paru

Literature Review : Penerapan Metode Kompres Hangat Dalam Menurunkan Intensitas Nyeri Ibu Bersalin Kala 1 Fase Aktif

2021 ◽  
Vol 1 ◽  
pp. 1721-1726
Author(s):  
Moh Faesol ◽  
Windha Widyastuti
Keyword(s):  
Literature Review ◽  
Health Workers ◽  
Oxygen Demand ◽  
Active Phase ◽  
Labour Pain ◽  
Pain Scale ◽  
Google Scholar ◽  
Average Pain ◽  
Scientific Report ◽  
Stage 1

AbstractThe unproper handied labour pain may ancrease blood pressure as well as oxygen demand, and decrease uterine contraction. Warm compress is a method that can be applied to reduce the intensity of pain during labour. this scientific report was written to describe the application of warm compresses to reduce the intensity of maternal pain during the first active phase of labour based on a literature review. this literature review was constructed by analyzing 3 articles takeen from Google Scholar with "labour pain", "firts active phase" and "warm compresses" the keywords, in the form of fulltext articles, and published during 2011 - 2021. From 78 respondent, 66.6% of them aged >25 years old, 58% were multipara, and 60.4% finished secondary education. The result showed that the average pain scale before the intervention was 5,3. Therefore, it can be concluded that warm compresses can reduce labour pain during the firts active phse. hence, health workers are suggested to give warm compresses to reduce the intensity of labour pain during the firts active phase.Keywords: Labour Pain; Warm Compresses; Stage 1 Active Phase AbstrakNyeri persalinan yang tidak ditangani dengan tepat dapat menyebabkan peningkatan tekanan darah, peningkatan kebutuhan oksigen dan penurunan kotraksi uterus. Metode kompres hangat merupakan salah satu intevensi yang dapat menurunkan intensitas nyeri pada ibu bersalin. Penulisan karya tulis ilmiah ini bertujuan untuk mengambarkan penerapan kompres hangat terhadap intensitas nyeri ibu bersalin kala 1 fase aktif berdasarkan literature review. Desain karya tulis ilmiah ini adalah Literature Review, dengan menganalisis 3 artikel yang diambil dari laman google scholar dengan kata kunci “nyeri persalinan”, “kala 1 fase aktif” dan “kompres hangat”, berupa artikel fulltext artikel terbit pada tahun 2011-2021 . Hasil analisa karakteristik responden berjumlah 78,  66,6%  responden berusia >25 tahun, 58% paritas Multipara, dan 60,4% pendidikan menegah. Rata-rata skala nyeri sebelum intervensi 7,9 dan setelah intervensi 5,3. Kesimpulanya adalah kompres hangat dapat menurunkan nyeri pada ibu bersalin kala 1 fase aktif. Saran bagi tenaga kesehatan adalah memberikan kompres hangat untuk menggurangi intensitas nyeri bersalin kala 1 fase aktif.Kata kunci: Nyeri Persalinan; Kompres hangat; Kala 1 Fase Aktif

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