scholarly journals Comparison of Visit Length and Waiting Time of Patients in Public and Private Clinics in the North of Iran

Health Scope ◽  
2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Raana Gholamzadeh Nikjoo ◽  
Mobin Sokhanvar ◽  
Khadijeh Motahari ◽  
Yegane Partovi ◽  
Mohammad Taghi Khodayari

Background: The visit length is considered one of the indicators for assessing patients’ satisfaction. Factors such as waiting time for getting a visit affects the desirability of the visit. Objectives: This study aimed to investigate the visit length and waiting time of patients in public and private clinics in Tabriz. Methods: This is a descriptive-analytic study conducted in five clinics in 2018. A questionnaire-based survey was used to collect data from 386 participants recruited through simple random sampling. Mann-Whitney U and Kruskal-Wallis tests were applied to analyze the data using SPSS version 22.0. Results: Overall, the mean visit length was 25.5 and 25.4 min in public and private centers, respectively, while the mean waiting time was 141.2 and 156.4 min in public and private centers, respectively. There was no significant difference between public and private centers regarding the visit length (P > 0.05); however, there was a significant difference between public and private centers in terms of waiting time (P < 0.05). Conclusions: The waiting time was too much, especially in private clinics, which can negatively affect patient satisfaction. Therefore, suggested interventions may consist of using internet and telephone admission, scheduling a waiting list, and requiring physicians to be present on time.

2021 ◽  
Vol 5 (1) ◽  
pp. 8
Author(s):  
Dwi - Kuswanto ◽  
Hari Basuki Notobroto ◽  
Rachmah Indawati

ABSTRAK Latar Belakang : Diabetes melitus merupakan penyakit metabolik dengan karakteristik hiperglikemia sebagai akibat kelainan sekresi insulin maupun kerja insulin. Diabetes sebagai salah satu penyebab dislipidemia sekunder, sehingga pengelolaan glukosa darah merupakan pencegahan primer timbulnya komplikasi penyakit kardiovaskular. Hasil Riskesdas tahun 2018, prevalensi diabetes melitus yang didiagnosis dokter pada penduduk di semua umur sebesar 3,4% di Kota Surabaya.Tujuan : Penelitian ini untuk mengetahui perbedaan profil lipid pada level HbA1C normal, prediabetes dan diabetes melitus.Metode : Penelitian cross sectional, teknik pengambilan sampel dengan simple random sampling dari data rekam medis pasien rawat jalan di Rumah Sakit Islam Surabaya  dari 1 Januari tahun 2018 sampai dengan 31 Desember 2019 berusia 35-80 tahun dan mendapat pemeriksaan HbA1c, kolesterol, trigliserida dan LDL-kolesterol pada waktu yang sama dan terdokumentasi lengkap pertama sekali sehingga diperoleh besar sampel 73 data pasien. Uji Anova one way digunakan untuk mengetahui perbedaan rata-rata kolesterol, trigliserida dan LDL-kolesterol berdasarkan HbA1C.Hasil : Hasil penelitian menunjukkantidakada perbedaan yang signifikan rata-rata kolesterol, dan LDL-kolesterol dengan tingkatan HbA1C (p>0,05), ada perbedaan yang signifikan rata-rata trigliserid dengan HbA1C normal, prediabetes, dan diabetes (p=0,01). Hasil multiple comparison dengan metode Tukey HSD menunjukkan perbedaan signifikan rata-rata trigliserid  pada HbA1C normal dengan diabetes (p=0,039) dan prediabetes dengan diabetes (p=0,044).Kesimpulan :Perbedaan rata-rata trigliserida signifikanpada HbA1Ckategorinormal dan prediabetes dengan diabetes, pentingnya mengendalikanglukosa darah untuk mencegahkomplikasi kardiovaskuler pada penderita diabetes melitus yang dapat dilakukan melalui pemantauan mandiri glukosa darah, pola hidup sehat, aktivitas fisik secara teratur, terapi nutrisi medis sesuai kebutuhan, menurunkan berat badan bagi yang mengalami obesitas, tidak merokokdan intervensi obat anti hiperglikemia jika dibutuhkan.Kata Kunci : diabetes, HbA1C, kolesterol, trigliserid, LDL-kolesterol. ABSTRACT  Background :Diabetes melitus is a metabolic disease characterized by hyperglicemia as a result of abnormal insulin secretion and insulin action. Diabetes is a cause of secondary dislipidemia, so that diabetes melitus monitoring is a primary deterrent to cardiovascular complication. Riskesdas 2018 said that the prevalence of doctors' diagnosed diabetes in the population at all age 3.4% in Surabaya.Objective : This study is to find out the difference in lipid profiles on normal HbA1Clevels, pre-diabetes and diabetes mellitusMethod: Cross-sectional study, the sampling technique used was simple random sampling fromoutpatient medical recordsthe Surabaya Islamic hospital's from 1st of January 2018 to 31st December 2019 aged 35-80 years and checked for HbA1C, cholesterol, triglyceride and LDL-cholesterol at the same and firsttime documented. Sample sizes of 73 data analized with One Way Anova test was used to identify differences in mean cholesterol, triglyceride and LDL-cholesterol based Hba1C.Results :The results showed that there was no significant difference mean cholesterol and mean LDL-cholesterol with HbA1C levels (p> 0.05), there were significant differences mean the triglyceride with normal HbA1C levels, pre-diabetes, and diabetes (p= 0.01). Multiple comparason results using Tukey HSD methods showed that there was significant differences mean the triglycerid on normal HbA1C levels with diabetes (p= 0.039) and the mean triglyceride ebetween hba1c prediabetesand diabetes (p= 0.044).Conclusions: The mean difference trigliseride signifnificant in normal HbA1C levels and pre-diabetes with diabetes.The importantce of controlling blood glucose to prevent cardiovasculer complication in people with diebetes mellitus can be done through education on independent monitoring of blood glucose, healthy lifestyle, reguler physical activity, medical nutrition therapy according to the needs, lost weight for those who are obese, do not smoke and  anti-hyperglicemia drug intervention if needed.


2019 ◽  
Vol 14 (1) ◽  
pp. 80
Author(s):  
Rezky Intan Rahmaningtyas ◽  
Stefanus Supriyanto

The number of patient revisits in maternity polyclinic of Surabaya Haji Public Hospital decreased within the period of 2015 – 2016 as much as 24%. In addition, there were several indicators complained by patients in the maternity polyclinic of Surabaya Haji Public Hospital. The purpose of this study was to analyze the effect of service quality to patients’ satisfaction and loyalty in the maternity polyclinic based on Donabedian Theory. It was an observational analytic study, and sampling was taken by simple random sampling technique which in the end obtained a total of 141 respondents. The results of the study indicated that service quality significantly affected patients’ satisfaction. The mean value <3.00 was an issue that should get attention from the polyclinic including structural components (the parking space which is not large and comfortable enough) as well as process components (waiting duration to get services from physicians). Thus, recommendation given to the polyclinic could be to conduct periodic evaluation of the application of service quality as well as patients’ satisfaction and reschedule physicians’ medical practices.


Author(s):  
Nastaran Norouzi Parashkouh ◽  
Leila Mirhadian ◽  
Abdolhossein EmamiSigaroudi ◽  
Ehsan Kazemnezhad Leili ◽  
Hengameh Karimi

Abstract Introduction Addiction to the Internet and mobile phones in adolescents could be related to loneliness. However, less research has been conducted on this topic in developing countries. This study aimed to examine addiction to the Internet and mobile phones and its relationship with loneliness in adolescents in Iran. Method This was a cross-sectional and analytic study that was conducted between 2015 and 2016 in Rasht, in the north of Iran. Subjects were selected through cluster sampling from female and male teens who were studying in the public and private schools. The Kimberly’s Internet Addiction Test, Cell phone Overuse Scale (COS), and the University of California , Los Angeles (UCLA) Loneliness Scale were used for data collection. Results The mean age of participants was 16.2 ± 1.1 year. The mean of addiction to the Internet was 42.2 ± 18.2. Overall, 46.3% of the subjects reported some degrees of addiction to the Internet. The mean of addiction to mobile phones was 55.10 ± 19.86. The results of this study showed that 77.6% (n = 451) of the subjects were at risk for addiction to mobile phones, and 17.7% (n = 103) of them were addicted to their use. The mean of loneliness was 39.13 ± 11.46 in the adolescents. Overall, 16.9% of the subjects obtained a score higher than mean in loneliness. A statistically significant direct relationship was found between addiction to the Internet and loneliness in the adolescents (r = 0.199, p = 0.0001). The results also showed a statistically significant direct relationship between addiction to mobile phones and loneliness in the adolescents (r = 0.172, p = 0.0001). Conclusion The results of this study revealed that a high percentage of adolescents who have some degrees of addiction to the Internet and mobile phones experience loneliness, and there are relationships between these variables.


2020 ◽  
Vol 8 (3) ◽  
pp. 102-107
Author(s):  
P Rajendran ◽  
R Anandarasu

The present study was Academic Self Image of B.Ed., trainees in the perambalur district. The main objectives of the study are to find out the academic self-image of B.Ed., trainees concerning the Demographic variables such as gender, year of study, subject, locality of college, marital status. A sample was using the survey method, and the simple random sampling technique was adopted for the selection of the sample. The samples of 941 B.Ed., trainees were taken from the study. The main findings of the study are there is no significant difference in the mean scores on the academic selfimage of B.Ed., trainees concerning their gender, subject, and marital status. There is a significant difference in the mean scores on the academic self-image of B.Ed., trainees concerning their year of study, locality of college. It’s my conclusion that the present study reveals that there is morenumber of B.Ed., Trainees have a high academic self-image.


2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Mercy Manembu ◽  
Jimmy Rumampuk ◽  
Vennetia R. Danes

Abstract: Blood Pressure (BP) is the pressure of blood that is pumped by the heart against arterial wall. Blood Pressure is the pushing force for the blood which can circulate to the whole body to give fresh blood that contains oxygen and nutrients to body organs. This study aimed to obtain the blood pressure measurements of the North Minahasa Regency civil servants in two body positions, namely sitting position (SeP) and standing position (StP). This study was conducted in the period of June to July 2015 at the complex of the Mayor office of North Minahasa Regency in Airmadidi District. This was an observational analytical study with a cross sectional approach. Samples were determined with simple random sampling and the amount of samples was 42 people. The data were analyzed by using SPSS 20 with the Wilcoxon signed ranks test. The results showed that there was a significant difference between measurements of blood pressure during sitting position (SeP) and standing position (StP). The data showed that Systoloc BP SeP = 117.9841±12.5877 mmHg vs Systolic StP = 124.7302 ±11.9546 mmHg, whereas Diastolic BP SeP = 79.2698±9.0656 mmHg vs Diastolic StP = 87.5238 ±8.6639 mmHg. The Wilcoxon signed ranks test indicated that there was a significant difference between the two groups (p=0.000 < α=0.05). Coclusion: Body positions namely sitting position and standing position affected both systolic and diastolic blood pressure. Blood pressure in standing position showed a tendency to be higher than that of sitting position.Keywords: systolic, diastolic, blood pressure, sitting position, standing position, civil servantsAbstrak: Tekanan darah adalah tekanan dari darah yang dipompa oleh jantung terhadap dinding arteri. Tekanan darah merupakan kekuatan pendorong bagi darah agar dapat beredar ke seluruh tubuh untuk memberikan darah segar yang mengandung oksigen dan nutrisi ke organ-organ tubuh. Penelitian ini bertujuan untuk mengetahui hasil pengukuran tekanan darah antara posisi duduk dan posisi berdiri pada Pegawai Negeri Sipil (PNS) Pemerintah Kabupaten Minahasa Utara. Penelitian dilaksanakan di kompleks Kantor Bupati Minahasa Utara, Airmadidi pada bulan Juni-Juli 2015. Metode penelitian ini yaitu observasional analitik dengan pendekatan potong lintang. Sampel ditentukan secara simple random sampling yang berjumlah 42 orang. Data dianalisis menggunakan SPSS 20 dengan Wilcoxon Signed Ranks Test. Hasil penelitian menunjukkan terdapat perbedaan hasil pengukuran tekanan darah antara posisi duduk dan posisi berdiri. Tekanan darah sistolik antara posisi duduk vs posisi berdiri 117,9841±12,5877 mmHg vs 124,7302±11,9546 mmHg dan tekanan darah diastolik antara posisi duduk vs posisi berdiri 79,2698±9,0656 mmHg vs 87,5238±8,6639 mmHg. Hasil Wilcoxon Signed Ranks Test menunjukkan bahwa terdapat perbedaan bermakna antara posisi duduk dan posisi berdiri dengan nilai p=0,000 <α=0,05. Simpulan: Posisi badan yaitu posisi duduk dan berdiri pada saat dilakukan pengukuran tekanan darah memengaruhi hasil tekanan darah baik sistolik maupun diastolik. Pada posisi berdiri tekanan darah cenderung lebih tinggi dibanding pada posisi duduk.Kata kunci: tekanan darah, posisi duduk, posisi berdiri


Author(s):  
Jayabharathi Bhaskaran

Background:  Labor is the process by which the fetus and the placenta leave the uterus. Delivery can occur in two ways, vaginally or by a cesarean delivery. The majority of women who have a vaginal birth will sustain perineal trauma from a spontaneous perineal tear or episiotomy or both.Aim: This study aims to assess the effectiveness of hands off versus hands on techniques on perineal trauma and perineal pain among parturient mothers in selected hospitals, Kerala.Methods: The research design adopted in this study was true experimental post test only design. The study was conducted in 3 hospitals at Kerala such as Karothukuzhiyil hospital Pvt, Lakshmi hospital Pvt and Carmal hospital Pvt. Sample size was computed by power analysis based on the previous studies and it would be a total of 90 samples, with 30 parturient mothers in each groups. Simple random sampling technique (Lottery method) was adopted for the selection of parturient mothers into the study. Perineal trauma was assessed by the scale given by Royal College of Obstetrics and Gynaecology (RCOG), 2001, and visual analogue scale (Combined numerical and categorical pain scale) was used to assess the perineal pain of parturient mothers.Results:  The results showed that, there was extremely significant difference found in perineal trauma and perineal pain of parturient mothers between study group I and study II at  p=0.000 level. The mean scores of study group I was lesser than the mean scores of study group II. Conclusion: Different perineal techniques and interventions such as hands on technique, hands off technique, perineal massage, warm compresses etc can be widely used by midwives and birth attendants to prevent perineal trauma during labour.  Key words:  hands off  technique, hands on technique, perineal trauma and perineal pain


2015 ◽  
Vol 3 (3) ◽  
Author(s):  
I Gusti Bagus Magitojaya ◽  
Jehosua S. V. Sinolungan ◽  
Lydia David

Abstract: Nowadays, phenomeneon of juvenile delinquency has been spreading widely. Particularly to students, they usually perform juvenile delinquency that would harm themselves and finally trouble their minds due to consquences they are going to face. This study aimed to investigate the comparison of anxiety levels among students who performed juvenile delinquency. This was an analytical observational study with a cross sectional design. Subjects were 86 students of Swadharma Mopugad High School and Swadharma Werdhi Agung Senior High School obtained by using simple random sampling. Data were analyzed by using T independent test with α=0.005. The T independent test showed a t value of 0.457 and a p value of 0.649 (> 0.005) which indicated that there was no significant difference of anxiety levels among students who performed juvenile delinquency in both high schools. Conclusion: There was no significant difference between anxiety levels of students who performed juvenile delinquency in Swadharma Mopugad Senior High School and Swadharma Werdhi Agung Senior High School.Keywords: juvenile delinquency, anxietyAbstrak: Fenomena kenakalan remaja makin meluas dewasa ini. Hal ini tentunya dapat menimbulkan kecemasan pada siswa yang melakukannya mengingat sanksi yang bisa diperoleh akibat perbuatannya. Penelitian ini bertujuan untuk mengetahui perbandingan kecemasan siswa yang melakukan perilaku kenakalan remaja. Penelitian ini menggunakan metode analitik observasional dengan pendekatan potong lintang. Teknik pengambilan sampel yang digunakan yaitu simple random sampling. Subyek penelitian ialah siswa kelas XI SMA Swadharma Mopugad dan siswa kelas XI SMA Swadharma Werdhi Agung dengan jumlah total 86 siswa. Data dianalisis dengan uji T Independent (α = 0,005). Hasil uji T Independent mendapatkan nilai t sebesar 0,457, p = 0,649, yang menunjukkan tidak terdapat perbedaan tingkat kecemasan pada siswa yang melakukan kenakalan remaja di SMA Swadharma Mopugad dan SMA Swadharma Werdhi Agung. Simpulan: Tidak terdapat perbedaan tingkat kecemasan yang bermakna pada siswa yang melakukan kenakalan remaja di SMA Swadharma Mopugad dan SMA Swadharma Werdhi Agung.Kata kunci: kenakalan remaja, kecemasan


2017 ◽  
Vol 4 (3) ◽  
Author(s):  
Dr. Harneet Billing

The present study aimed to investigate the attitude of prospective teachers towards inclusive education in relation to gender and academic stream. The respondents were teacher trainees of district Mohali of Punjab. A sample of 100 B.Ed students (N=50 boys and 50 girls) by employing simple random sampling. Descriptive survey method was employed; attitude towards inclusive education scale was used, Analysis of Variance and for the significant F- ratio, the t-test was used for testing the significance of difference between the mean scores different groups on variables under study. The study revealed that (a) There exists significant differences in attitude of prospective teachers towards the concept of inclusive education for children with disabilities with respect to gender (b) There exists no significant differences in attitude of prospective teachers towards the concept of inclusive education for children with disabilities with respect to academic stream and (c) There exists no significant differences in attitude of prospective teachers towards the concept of inclusive education for children with disabilities with respect to interaction effect of academic stream and gender.


2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Dr. Maheshbabu. N ◽  
Mr. Chandrkanth. B. K ◽  
Dr. Shivakumar S Chengti

The present study seeks to investigate the level of adjustment and social support of college going adolescents. Sample included 120 (simple random sampling method) randomly selected adolescents i.e. 60 boys and 60 girls college students from various pre-university colleges of Kalaburgi district of Hyderabad Karnataka. For obtaining the data on social support and adjustment, social support scale developed by Vaxu (1986), and adjustment inventory was developed by Sinha and Singh (1984) were used respectively. The statistical technique t-test and spearman rho coefficient of correlation was employed for comparing the two groups. The findings of the study showed that there exists significant difference in adjustment and social support between boys and girls. Whereas there exists no significant difference in respect to domicile between adjustment and social support. It also concludes that there exists positive and significant difference between adjustment and social support.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Dr Thiyam Kiran Singh ◽  
Dr. M.V.R. Raju ◽  
Noreen Choudhri ◽  
Thiyam Sushma Devi ◽  
Omprakash Patel ◽  
...  

This study is to bring some of the patterns of Alcohol Dependents on Rorschach test. In this study random sampling technique was used through which a sample of 20 Alcohol Dependents and 20 Non dependents were included with the mean age of 33.60 years and 30.70 years. All participants were administered Rorschach Ink Blot test to see the different patterns between the groups. The result of the study reflects that there exists a significant difference between groups in the area of total responses, contents categories, space responses (S), ordinary (O) responses, synthesized responses (V/+), vague responses (V), form (F) responses, Popular (P) responses, Raw sum6 and Wgtd sum6. It was found that Non dependents produce more in: total responses, contents categories, space responses, ordinary responses, form responses and popular responses. Whereas alcohol dependents reflect more response in the areas of: vague responses, synthesized responses, unusual responses, Rawsum6 and Wgtdsum6.


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