Media Publikasi Promosi Kesehatan Indonesia (MPPKI)

Evaluating EMR Adoption and Its Effect on Organizational Performance: A Quantitative Study Using SEM-PLS in Type-C Hospitals in Kupang City

Mahasar Reinheart F. Damanik — 2025-07-03

Introduction: This study aims to identify key determinants influencing EMR adoption and measure their subsequent impact on organizational performance in Type-C hospitals, emphasizing internal organizational factors, user acceptance, and adaptability to healthcare policy dynamics. With persistent implementation gaps in low-resource settings despite national mandates our objective was to explore user-centered determinants of EMR success and address the shortcomings of top-down health digitalization strategies in developing countries.

Methods: This cross-sectional explanatory study involved a survey-based quantitative design conducted across three Type-C hospitals in Kupang City, Indonesia, between January and March 2024. A total of 282 healthcare professionals, selected using stratified random sampling, participated in the study. Data were collected using a validated Likert-scale questionnaire measuring variables such as human capital, task-technology fit, and system acceptance. Given the non-interventional nature of this study, adherence to ethical research standards including voluntary informed consent, and obtained administrative approvals from relevant local government authorities, formal ethical approval was waived as per prevailing national guidelines.

Results: The primary outcome of the study was the identification of key drivers of EMR acceptance, with human capital (? = 0.205; p < 0.001), task-technology fit (? = 0.203; p = 0.001), and effort expectancy (? = 0.176; p < 0.001) showing significant influence. Additionally, user satisfaction was found to mediate the relationship between acceptance and organizational performance (? = 0.728; p < 0.001). External variables such as perceived cost and government policy showed no significant effect (p > 0.05). The strongest indirect effect on performance was recorded via the pathway: Acceptance ? Satisfaction ? Performance (? = 0.394; p < 0.001).

Conclusion: In conclusion, our study contributes to the understanding of EMR adoption in resource-constrained health systems by highlighting the dominant role of internal capabilities over external mandates. This research provides insights into the importance of user satisfaction and system alignment in shaping digital health success. Future studies should explore longitudinal impacts and the role of organizational culture, ultimately advancing knowledge in the field of international health informatics.

Evaluating Sharia Compliant Healthcare Standards: A Quantitative Study on Patient Satisfaction in Indonesian Hospitals

Fini Fajrini — 2025-07-03

Introduction: Management and services of Sharia hospitals require high quality institutional standards covering organization, human resources, facilities, services, and financial systems designed in accordance with Islamic Sharia principles. This study aims to empirically examine the effect of implementing these Sharia hospital standards on patient satisfaction in Indonesia, where faith based expectations significantly influence healthcare experiences.

Methods: This quantitative study employed a Structural Equation Modeling Partial Least Squares (SEM-PLS) approach based on primary data. A total of 195 respondents were selected through purposive sampling from two certified Sharia compliant hospitals in Indonesia, Tangerang City Hospital and RSI Sari Asih Serang.

Results: Bivariate analysis revealed significant relationships between all five Sharia hospital standard domains and patient satisfaction. Multivariate analysis, however, identified that only the facilities variable had a statistically significant effect, highlighting the central role of religiously congruent infrastructure.

Conclusion: This study provides new empirical insights into the implementation of Sharia hospital standards by demonstrating that certified facilities enhance patient satisfaction particularly through physical environments that align with Islamic values. These findings contribute to the development of culturally responsive healthcare policies in Muslim majority settings.

Relationship Between Low Birth Weight and Neonatal Jaundice: Retrospective Case-Control Study at Wates Regional Hospital

Sri Handayani — 2025-07-03

Introduction: Neonatal mortality is a critical indicator of public health and reflects the quality of maternal and neonatal healthcare services in a country. Low birth weight (LBW) and neonatal jaundice are among the leading causes of neonatal morbidity. This research aims to investigates the relationship between LBW and the incidence of neonatal jaundice in infants treated at the NICU of RSUD Wates, Kulon Progo, Yogyakarta. The findings will inform evidence-based policies and targeted interventions for Kulon Progo and surrounding areas.

Methods: This quantitative analytical study employed a retrospective case-control design. Data were collected from medical records of neonates admitted at the NICU of RSUD Wates from January to April 2023. A total of 200 neonates were selected using purposive sampling based on the study's criteria. Data analysis was performed using SPSS 25, with chi-square tests to examine the relationship between LBW and neonatal jaundice.

Results: The analysis revealed that 35% of infants were LBW, and 28% experienced neonatal jaundice. The chi-square test showed a significant association between LBW and neonatal jaundice, with a p-value of < 0.001. Infants with LBW were 4.15 times more likely to develop jaundice compared to those with normal birth weight.

Conclusion: This condition is a major contributor to the development of neonatal jaundice, with a 4.15 fold increased risk. These findings highlight the importance of early detection and management of LBW to reduce the incidence of neonatal jaundice and improve neonatal outcomes, particularly in regions with high LBW prevalence.

Effectiveness of Sambas Language Health Promotion Video on Food Hygiene Sanitation at KWT Rose in Tambatan Village

Salsa Septiani Nur — 2025-07-03

Introduction: Food sanitation hygiene is the process of minimizing food contamination from various sources to control risk factors for food contamination that could potentially cause health problems. Video media can stimulate two senses, namely the eyes and ears, which makes understanding clearer for the audience. This research aims to improve the knowledge and attitude of Rose Women Farmers Group (KWT) regarding Food Hygiene Sanitation in Tambatan Village, Sambas Regency.

Methods: Pre-Experiment design with one group pre-test and post-test approach was used in this study. It was conducted in Tambatan Village, Teluk Keramat Sub-district, Sambas Regency from September to December 2024. The research sample of 30 respondents was determined through total sampling technique. The research instrument used a specially designed questionnaire to collect data on food sanitation hygiene. Data were analyzed using univariate and bivariate analysis using Wilcoxon test.

Results: The Wilcoxon test showed a difference in the mean knowledge and attitude scores between before and after the sambas language video media intervention was given. The mean knowledge score increased from 5.03 to 9.43 (p-value = 0.000 < 0.05) and the mean attitude score increased from 38.57 to 47.33 (p-value = 0.000 < 0.05).

Conclusion: It can be concluded that health promotion using sambas language videos is proven effective in improving KWT Rose's knowledge and attitude regarding food sanitation hygiene.

Comparative Analysis of Patient Safety Culture Among Trained and Untrained Staff at the Educational Dental and Oral Hospital in Semarang: Cross-Sectional Study

Retno Kusniati — 2025-07-03

Introduction: Patient safety (PS) is crucial to healthcare services, including in dental practice. A good patient safety culture can reduce adverse events and improve the quality of care. Patient safety training is one strategy to improve safety culture. However, there are still gaps in the implementation of patient safety culture (PSC). This study aims to analyze the differences in patient safety culture between staff who have received patient safety training and those who have not.

Methods: This study was cross-sectional using the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire. Participants were staff at the Dental and Oral Hospital of the University of Muhammadiyah Semarang who met the inclusion criteria. Data were collected for two weeks, and statistical analysis was performed using the Mann-Whitney test to compare differences in patient safety culture between groups that had received training and those that had not.

Results: Of the 12 dimensions of patient safety culture, teamwork within the unit (89.6 %) and organizational learning–continuous improvement (85.8%) had the highest positive response rates. In contrast, the dimensions of staffing (35.4 % ) and openness of communication (36.2%) recorded the lowest positive responses. Staff who had attended patient safety training showed a higher positive response than those who had not, but the results of the difference in mean scores with 95% confidence intervals (CI) proved to be statistically insignificant (p = 0.563).

Conclusion: Patient safety training increased the perception of safety culture, although there was no significant difference in scores between staff who had and had not attended training. A supportive work environment and good teamwork are essential in shaping a patient safety culture. Hospitals should consider strategies to increase staffing so that they are not working in “crisis mode” to maintain patient safety and to support the Indonesian Ministry of Health and WHO Patient Safety Action Plan.

Gamifying Interprofessional Education: Development of the 'My Medicine E-Matching Card' Innovation

Elsye Maria Rosa — 2025-07-03

Introduction: Interprofessional education (IPE) is essential for equipping healthcare students with the competencies required for effective collaborative and patient-centered care. Traditional IPE methods, however, often lack interactivity and fail to simulate authentic clinical dynamics.

Objective: This study aimed to design and evaluate the My Medicine E-Matching Card, a gamified digital platform intended to enhance IPE through interactive, case-based learning and foster collaboration among students of multiple health professions.

Methods: A qualitative case study approach was employed involving 20 IPE lecturers from nursing, medicine, pharmacy, and dentistry programs at Universitas Muhammadiyah Yogyakarta. Data were collected through focus group discussions (FGDs) and analyzed using thematic analysis to guide the development of the application's features.

Results: The analysis identified three core themes: the need for clear role delineation, interactive clinical case simulations, and mechanisms for real-time interdisciplinary collaboration. These themes were integrated into the app design. Lecturers noted improved student engagement, enhanced collaborative decision-making, and reduced hierarchical barriers. Key features of the application included customizable clinical scenarios, asynchronous learning access, and structured feedback tools.

Conclusion: The My Medicine E-Matching Card demonstrates promise in advancing interprofessional learning by integrating gamification into IPE. By simulating real-life clinical encounters in a digital environment, the platform cultivates teamwork, communication, and clinical reasoning skills. Further longitudinal studies are warranted to assess its educational impact and scalability across institutions.

Communicable Disease Patterns and Public Health Policy Responses: A SWOT Analysis in an Island Region

M. Fais Satrianegara — 2025-07-03

Introduction: Communicable diseases pose a major threat to public health with significant impacts on mortality rates. Despite efforts to control these diseases, challenges in addressing their spread remain, especially in regions with limited resources. Kabupaten Pangkajene and Kepulauan faces this issue, with diseases such as ISPA, Diarrhea, and Tuberculosis (TBC) being the main concerns.

Objective: This study aims to analyze the trends in the spread of communicable diseases and evaluate the health policies implemented in Kabupaten Pangkajene and Kepulauan from 2021 to 2023.

Methods: This research adopts a mixed-methods approach. The quantitative approach analyzes disease trends based on case report data from the Health Office and Public Health Centers (Puskesmas). The qualitative approach involves Focus Group Discussions (FGD) and interviews with program implementers to evaluate health policies. SWOT analysis is used to identify the strengths, weaknesses, opportunities, and threats related to disease prevention policies.

Results: ISPA, Diarrhea, and Tuberculosis (TBC) are the main communicable diseases in Kabupaten Pangkajene and Kepulauan from 2021 to 2023. The SWOT analysis reveals strengths in community awareness but weaknesses in healthcare infrastructure. Opportunities to strengthen the health system are abundant, while threats from disease spread and resource shortages remain significant.

Conclusion: Communicable diseases are rising in Pangkajene and Kepulauan Regency, notably respiratory infections, diarrhea, and tuberculosis. The SWOT analysis reveals both systemic strengths and areas for policy intervention. Strengthening public health education, healthcare infrastructure, disease surveillance, and GIS-based risk mapping is essential. These findings offer critical insights for policymakers to redesign regional health strategies, allocate resources more effectively, and build a resilient, data-driven response framework for managing current and future public health threats.

Optimizing Discharge Processes to Alleviate Emergency Department Overcrowding: An Audit in a Central Malaysian Tertiary Hospital

Thaalitha Naidu — 2025-07-03

Introduction: Emergency Department (ED) overcrowding is a global challenge, often exacerbated by delays in discharging patients from inpatient wards. In Malaysia, this issue is especially pressing in tertiary hospitals, where prolonged discharge times hinder bed turnover and contribute to ED congestion.

Methods: A 30-day cross-sectional audit was conducted in a medical ward of a central tertiary hospital in Malaysia, involving 109 consecutively discharged patients selected via total sampling. Discharge duration was measured from the point of medical fitness for discharge to actual bed vacancy. Data were analysed using descriptive statistics to identify patterns and sources of delay.

Results: The mean discharge duration was 420 minutes—more than double the 180-minute target—with only 7% of patients meeting the benchmark. Key delay factors included insufficient pre-discharge planning, limited staffing, delayed documentation and pharmacy processes, poor IT infrastructure, logistical challenges, and social support issues. Complex cases requiring multidisciplinary input experienced the longest delays.

Conclusion: To improve hospital efficiency and reduce ED overcrowding, hospitals should implement structured early discharge planning, enhance staffing, upgrade digital infrastructure, and establish a discharge lounge. Strengthening interdepartmental coordination and integrating social support services earlier in the discharge process are also crucial.

Global Research Trends in CBT for Children with ASD: A Bibliometric Analysis of Disparities Between Developed and Developing Countries

Vernando Yanry Lameky — 2025-07-03

ntroduction: Autism spectrum disorder (ASD) is a neurodevelopmental condition with an increasing global prevalence that demands effective intervention strategies. Cognitive behavioral therapy (CBT) is a well-researched approach for treating various co-occurring disorders in children with ASD. However, despite the growing volume of research, there remains a lack of comprehensive bibliometric analysis that maps global trends, thematic focus, and collaboration patterns in CBT-related ASD studies, highlighting a critical gap that this study seeks to address.

Methods: This study used a bibliometric approach to analyze global research trends in CBT for treating children with ASD. It analyzed 148 articles published between 2007 and 2025. Data were collected from the Scopus database and analyzed using VOSviewer, Harzing's Publish or Perish, and Microsoft Excel. This bibliometric analysis provides a novel perspective by quantitatively mapping the evolution of research, identifying underexplored themes, and revealing disparities in scientific contributions between developed and developing countries, an area that has received limited attention in existing CBT-ASD literature.

Results: The results showed a significant upward trend in publications on CBT for ASD since 2007, peaking by 2025. The United States, the United Kingdom, Canada, and Australia dominated the geographical distribution of research, whereas developing countries had limited contributions. Collaboration patterns revealed strong connections between developed countries, with the United States as the main center. This study focused on the effectiveness of CBT in managing anxiety disorders, improving social skills, and addressing comorbidities, such as obsessive-compulsive disorder and sleep problems. However, there are research gaps in the application of CBT for severe ASD and in the involvement of developing countries.

Conclusion: This study offers a novel bibliometric insight into the evolution and focus of CBT research in ASD, highlighting underexplored areas for future inquiry. Its implications can be extended to health practitioners, policymakers, educators, and researchers. Future research should explore the adaptation of CBT to various cultural contexts and ASD severity, utilizing technological advancements and multidisciplinary collaboration to provide more inclusive and accessible interventions for children with ASD worldwide.

A Systematic and Critical Review of Parental Program Integrated to Prevent and Manage Delay Development in Children

Rian Adi Pamungkas — 2025-07-03

Introduction: Delay development is a crucial problem in the early childhood period. An effective parental program is an essential strategy to prevent and manage delayed development. However, limited number studies described how parental integrated to prevent and manage delay development systematically. This review aims to describe developmental delays and explore strategies for their prevention and management in early childhood.

Method: A total of 1,237 articles were extracted from four databases including, PubMed, Scopus, and Web of Science, using suitable keywords as; "parenting-based program," "delay development," "early childhood," and "parenting style." The appraisal of the systematic review was based on the PRISMA format.

Result: This review described four domains of developmental delays among childhood, such as physical, cognitive, language and social, and emotional development. There were nine tools for early childhood developmental screening. The effective parental program focused on the problem-solving, positive parent-child relationship, quality of communication, coaching the child, and stimulating the home learning environment.

Conclusion: Effective management suggested positive of the parental program on improvement of child development and child behaviors and improvement of antisocial personality. From the findings, healthcare providers should promote a parental-based program to prevent and manage the delayed development of the early childhood period.