UTILIZATION RATE OF DENTAL SERVICES IN THE ERA OF NATIONAL HEALTH INSURANCE IN PRATAMA CLINIC, CITY OF JEPARA

ABSTRACTBackground: The utilization rate is the use of dental and oral health which can be calculated using the number of National Healthcare Security (BPJS) patients per month compared to the number of BPJS participants multiplied by 100%Method: This study was an observational study used cross sectiona design and nominal data scale that produced quantitative data which was carried out by analysing the Pcare data started from March-August 2019 in eight primary clinics of Jepara City and District. Before conducted the study, Ethics Review No.098 / b.1-KEPK / SA-FKG / VII / 2019 was done.Result: The results of the utilization rate study based on the visit rates, Armina Pratama Clinic was 1.585%, Multisari II Pratama Clinic was 0.665%, Sentra Husada Pratama Clinic was 0.68%, Jepara General Pratama Clinic was 2.329%, Yasmin Medika Pratama Clinic was 2.173%, Hanis Pratama Clinic was 0.752%, Az-Zahra pratama clinic 2.945%, and Armina Denta pratama clinic was 1.885%.Conclusion: In conclusion, the utilization rate based on pratama clinic visits in the city and the regency of Jepara was still in the low to the ideal category. Meanwhile, the utilization rate based on the referral numbers of pratama clinic in the city and the regency of Jepara was far from the standard value

Advance care tweeting: A mixed-methods analysis of online conversations surrounding National Healthcare Decisions Day hashtags on Twitter (Preprint)

BACKGROUND Within most Western societies, topics related to death and dying continue to be taboo, and opportunities for presence and engagement during end-of-life that could lead to a good death are avoided as a result. Several efforts have been made to help people engage in advance care planning (ACP) conversations, including completing advance care directives, so they may express their goals-of-care if they become too sick to communicate their wishes. One major effort in the United States towards encouraging such challenging discussions is the annual celebration of National Healthcare Decisions Day (NHDD). OBJECTIVE The present study explored ACP from a socio-cultural perspective, using Twitter as a communication tool. METHODS All publicly available tweets published between August 1st 2020 and July 30th 2021 (N = 9,713) were collected and analyzed using the computational, mixed-method Analysis of Topic Model Network (ANTMN) approach. RESULTS Results revealed conversations, driven primarily by laypersons (96% of tweets originated from unverified accounts) surrounded three major themes: importance and promotion, surrounding language, and finally, systemic issues. CONCLUSIONS Based on the results, we argue there is a need for awareness of what barriers people may face in engaging in ACP conversations, including systemic barriers, literacy levels, misinformation, policies, including Medicare reimbursements, and trust among health care professionals. This is incredibly important for clinicians and scholars to be aware of as we strive to re-envision ACP so that people are more comfortable engaging in ACP conversations. In terms of content of Tweets, we argue there is a chasm between the biomedical and biopsychosocial elements of ACP, including patient narratives. If used properly, Twitter conversations and NHDD hashtags could be harnessed to serve as a connecting point between organizations, physicians, patients and family members, to lay the groundwork for the trajectory towards a good death.

A Study on Medical Welfare in Vietnam

Medical welfare are services provided to people with little or no fee, for the sake of a standardised health care for the general public. There are many methods are being implemented to achieve the goal of health welfare in Vietnam. These methods are being adopted simultaneously, including: (i) Investing in input resources to reduce costs; (ii) Incorporating public health services that are not provided by the private sector; (iii) providing support with health insurance and medical assistance. Healthcare welfare policies have exerted their effects on developing the national healthcare system. But, which require new modification and rectification for the sake of remarkable achievements in the future.

Digital Technology, Knowledge Level, and Food Safety Governance: Implications for National Healthcare System

Exploring the intrinsic relationship between digital technology and the efficiency of food safety supervision contributes to a better understanding of the role of digital technology in food safety supervision and how to maximize its influence. This study employed sample data from 31 regions in China between 2015 and 2017 for an empirical analysis of the correlation between the two and to examine the moderating effects of the knowledge levels of food producers and consumers. The results show that the development of digital technology contributes to enhancing the efficiency of food safety supervision. In this process, the higher the knowledge level of consumers, the greater the positive promotional effect of digital technology. On the contrary, when the knowledge level of producers is higher, it is not conducive to enhancing the effect of digital technology on the efficiency of food safety supervision. The author holds the view that this is related to the fact that employees in the food production and manufacturing industry have insufficient moral and legal knowledge. This not only limits the effect of digital technology on enhancing the efficiency of food safety supervision, but also opens the door to illegal production for some unprincipled producers. The policy implications are that digital technology should be used to improve food safety supervision, the moral and legal knowledge of food producers should be improved, and consumers should be encouraged to use digital technology more in the pursuit of food safety. Implications for national healthcare system would be also discussed in our paper.