Inovasi Lokal

Optimizing Referral Services: A Health Management Approach to Quality Improvement in Health Services

2025-07-02T03:08:20+00:00

Optimizing referral services through a health management approach aims to increase efficiency, reduce waiting times, and improve patient satisfaction. This study used a discrete-event simulation model with three scenarios: baseline (standard protocol), optimized service coordination (telemedicine integration), and predictive analytics-based resource reallocation. Simulation results showed a 40% reduction in waiting time (from 14 days to 8.5 days) in the service coordination scenario, with an increase in referral acceptance to 85%. Resource reallocation cut waiting time by 30% (9.8 days) and achieved 78% acceptance. Telemedicine expanded access to specialist services in remote areas, while predictive analytics reduced overload at major referral hospitals. However, challenges such as the primary-secondary care capacity imbalance and limited IT infrastructure in primary healthcare facilities still hamper. Recommendations include strengthening structured telemedicine, developing algorithm-based referral criteria, increasing primary care capacity, and dynamic feedback systems. This simulation proves that a holistic health management approach-combining technology, systemic collaboration, and data-driven policies-can build an adaptive, efficient, and equitable referral system.

Enhancing Time Management and Prioritization Skills in Healthcare Professionals: A Simulation-Based Training Approach

2025-07-02T02:47:49+00:00

Time management and prioritization are essential skills for healthcare professionals, yet many struggle with inefficiencies due to high workloads and multitasking demands. This study explores the effectiveness of a simulation-based training program designed to enhance time management and prioritization skills among healthcare workers. Using role-playing simulations, participants were exposed to realistic scenarios requiring them to manage tasks under time constraints. The training incorporated tools such as the Eisenhower Matrix and Time Blocking techniques to improve decision-making and task prioritization. Results showed a significant increase in work efficiency (from 50% to 75%), improved patient satisfaction (from 3/5 to 4.5/5), and reduced stress levels (from 8/10 to 4/10). Challenges such as communication gaps and initial resistance to new methods were identified but addressed through collaborative learning. The findings highlight the importance of structured training programs in equipping healthcare workers with practical time management skills. Recommendations include periodic training, technological integration, and organizational support to sustain improvements. These outcomes underscore the potential of simulation-based education to enhance both individual performance and organizational outcomes in healthcare settings

Bridging the Digital Divide: A Hybrid Community-Based Health Information System for Rural Empowerment

2025-07-02T06:05:17+00:00

A 6-month simulation of a community-based health information system in a rural area involving 500 participants (health workers, volunteers, community) demonstrated the potential for improved access to health services through technology collaboration and local participation. Active participation reached 80%, with a 20% decrease in infectious disease cases and a 35% increase in pregnant women's participation in ANC programs. The hybrid system (SMS gateway and web application) effectively overcame infrastructure limitations, although 30% of areas still experienced network constraints. Technology resistance in the elderly (15%) and interface complexity (30%) highlighted the need for inclusive design. participant feedback (85%) positive) emphasized the importance of educational and emergency features. This simulation confirmed that the success of CBHIS depends on multisectoral partnerships, continuous training, and policy adaptation. The study recommends integration of the system with government programs and long-term evaluation to ensure sustainability. The findings contribute to the literature on digital health innovations in remote areas, in line with WHO recommendations (2021) and studies on technological inclusion (Brown & Lee, 2021).

Optimizing Medical Waste Management in Primary Healthcare A Hands-On Workshop for Safer and Sustainable Practices

2025-07-02T02:56:43+00:00

The management of medical waste in primary healthcare facilities is a critical issue due to its potential impact on public health and the environment. Improper handling of medical waste can lead to the spread of infectious diseases, environmental pollution, and risks to healthcare workers and communities. However, many primary healthcare facilities, particularly in developing countries, face challenges such as inadequate infrastructure, insufficient training, and limited resources. This workshop aimed to address these gaps by using role-playing simulations to provide healthcare workers with practical knowledge and skills in managing medical waste. Participants were divided into groups to simulate scenarios involving waste segregation, storage, transportation, and coordination among stakeholders. The results highlighted the importance of proper waste classification, effective communication, and the use of technology to improve efficiency. Participants also identified key challenges, such as limited storage facilities and poor coordination, and proposed practical recommendations, including regular training, increased infrastructure, and digital tracking systems. This workshop demonstrated that structured interventions can enhance medical waste management practices, ensuring safer healthcare environments and better compliance with international standards.

Role-Playing Simulations for Resilient Healthcare Systems: Lessons from Pharmaceutical Management in Puskesmas and Pustu

2025-07-02T06:59:43+00:00

Drug governance in Puskesmas (Community Health Centers) and Pustu (Sub-Health Centers) often faces challenges such as stockouts, expired medications, and improper storage. This study evaluates the effectiveness of a participatory role-playing simulation in enhancing healthcare workers’ competencies in pharmaceutical management. The method involved 8 groups (3–4 participants per group) engaging in diverse scenarios, including essential drug shortages and logistical coordination. Each group simulated problem-solving within a 5-minute timeframe, followed by reflective discussions to identify challenges and solutions. Results showed significant improvements: drug availability increased from 60% to 90%, expired drugs decreased from 25% to 5%, and patient satisfaction rose by 35%. Technology, such as a drug management information system (SIMO), reduced human error, though budget constraints and staff resistance emerged as barriers. Recommendations include strengthening continuous training, adopting hybrid systems (digital-manual), and advocating for policy-level funding. The simulation demonstrated that participatory approaches and appropriate technology enhance primary healthcare resilience while highlighting the need for multi-stakeholder collaboration to ensure sustainable drug governance.

Optimizing Vaccine Logistics at the Grassroots: Innovative Strategies for Effective Village-Level Immunization Programs

2025-07-02T06:34:28+00:00

The management of vaccine logistics at the village or neighborhood level is a critical component of successful vaccination programs, particularly in ensuring equitable access to vaccines. This study employed a role-playing simulation method with a participatory collaborative approach to explore the challenges and solutions in vaccine logistics management. The simulation involved 10 groups of participants, each assigned different scenarios reflecting real-world logistical issues, such as limited transportation, inadequate storage facilities, and community engagement barriers. Results showed that structured planning, supported by technological tools like real-time monitoring systems, significantly improved efficiency and reduced vaccine wastage. Community involvement emerged as another key factor, enhancing public trust and participation. However, challenges such as infrastructure gaps and digital literacy disparities persist, particularly in remote areas. Collaborative efforts among stakeholders, including governments, healthcare providers, and local communities, were identified as essential for overcoming these barriers. The findings underscore the need for integrated strategies that combine technology, training, and stakeholder collaboration to strengthen vaccine logistics at the grassroots level.

Bridging Communities and Healthcare: Empowerment Strategies for Effective JKN Program Governance

2025-07-02T03:20:43+00:00

This research evaluates community empowerment strategies in managing the National Health Insurance Program (JKN) through role-playing simulations and participatory approaches. The collaborative method involved 10 groups of students who were given patient referral scenarios (preeclampsia, child fever, stroke) to enhance their understanding of healthcare service dynamics. Simulation results show that this method effectively enhances multidisciplinary collaboration skills, such as communication between healthcare facilities and emergency decision-making. However, challenges such as the limited number of ambulances and the low public understanding of referral procedures still hinder the implementation of JKN. Post-simulation reflections recommend continuous training for health cadres and optimizing communication technology to accelerate coordination. This study emphasizes the importance of integrating community empowerment into the JKN strategy to strengthen active community participation and achieve inclusive universal health coverage.

Health Transformation at Asy-Syifa' Islamic Boarding School: Evidence from a Self-Assessment Survey

2025-07-05T07:36:11+00:00

Empowering pesantren communities is a strategic approach to improving health quality in environments that often face challenges such as anemia, poor clean and healthy living behavior (PHBS), and inadequate environmental sanitation. This study was conducted at Pesantren Tahfidzul Qur'an Putri Asy-Syifa', Malang City, aiming to increase students’ awareness and healthy behaviors through self-assessment surveys (Survei Mawas Diri/SMD) and educational interventions. A total of 30 female students aged 12–18 years participated in the study, which consisted of surveys, group discussions, and health education-based interventions. The SMD results identified anemia as the top health issue based on the USG (Urgency, Seriousness, Growth) matrix. Interventions included "Isi Piringku" nutrition education, counseling on communicable and non-communicable diseases, and training in proper tooth brushing techniques. Evaluation showed high levels of attendance, engagement, and positive feedback from participants. The intervention effectively increased students’ health knowledge and awareness, although improvements in supporting facilities and program sustainability are still required. This empowerment model has the potential to be adapted in other pesantren to promote a healthier and more self-reliant school environment.

Empowering Communities, Transforming Health: A Simulation-Based Approach to Optimizing Posyandu Management

2025-07-02T06:47:28+00:00

Community-based Posyandu (Integrated Health Posts) programs are vital for improving public
health outcomes in underserved areas, yet many face challenges such as low participation and
resource limitations. This study employed a simulation-based approach to evaluate strategies for
enhancing Posyandu effectiveness, focusing on three key interventions: empowering health cadres
and community leaders, adjusting schedules to align with community needs, and adding
supplementary services such as maternal health consultations and child nutrition checks. The results
demonstrated that supplementary services had the most significant impact, increasing participation
rates to 75%, followed by community mobilization (60%) and flexible scheduling (55%). These
findings highlight the importance of offering value-added services, fostering trust through local
leaders, and ensuring inclusivity through adaptable schedules. Continuous health education further
reinforced awareness and voluntary participation. However, challenges such as resource allocation,
training, and scalability remain critical. Leveraging digital tools like mobile applications and
electronic health records offers innovative solutions to streamline operations and enhance efficiency.
The study concludes that a holistic, community-driven approach is essential for strengthening
Posyandu programs, ensuring equitable access to quality healthcare while remaining adaptable to
diverse contexts.

Enhancing the Capacity of Healthcare Cadres in Data Management: A Simulation-Based Approach to Strengthen Healthcare Systems

2025-07-02T06:15:55+00:00

The increasing demand for efficient data management in healthcare has highlighted the need to enhance the capacity of healthcare cadres in handling health-related information. This study evaluates the effectiveness of a role-playing simulation in improving data management skills among healthcare workers. The simulation involved 10 groups, each comprising 4-5 participants, who were assigned unique patient referral scenarios requiring collaboration and problem-solving. Results demonstrated a 40% reduction in data entry errors and improved proficiency in navigating electronic health record systems, with 85% of participants successfully generating basic reports post-training. Reflection sessions revealed persistent systemic challenges, such as limited resources and communication gaps, while also emphasizing the value of teamwork and continuous professional development. The findings align with existing literature on experiential learning and competency-based education, which stress the importance of hands-on training and real-world application. By addressing both technical and systemic barriers, this approach not only enhances individual competencies but also strengthens healthcare delivery systems. These insights underscore the critical role of tailored capacity-building programs in empowering healthcare cadres and achieving sustainable improvements in health data management.