Background: Quality health care needs are increasing. The service quality of one public health center andanother does not have the same standard yet. One of the factors that influence the assessment of service quality is the patient satisfaction. Several factors can influence patient satisfaction, especially from the doctor's side. This study aims to determine the effect of physician motivation, the age of the doctor, and the head of the health center on physician job satisfaction and patient satisfaction. Method: This was an analytic observational study with a cross-sectional design. The study was conducted at community health centers in Karanganyar and Surakarta, Central Java, in August 2018. A total of 25 doctors and 225 patients were selected using proportional random sampling. The dependent variable in this study is patient satisfaction. The independent variables in this study were doctor's motivation, doctor's work satisfaction, doctor's age, and the head of the health center. Data were obtained using questionnaires and analyzed using path analysis. Results: Patient satisfaction was directly increased by by the doctor's work satisfaction (b = 0.10; SE= 0.02; p<0.001) but decreased by doctor's age (b= -0.82; SE= 0.02; p<0.001). Patient satisfaction was indirectly affected by doctors' motivation and head of community health center. Conclusions: Patient satisfaction is directly increased by by the doctor's work satisfaction but decreases by doctor's age. Patient satisfaction is indirectly affected by doctors' motivation and head of community health center.
The prevalence of multimorbidity, the coexistence of two or more chronic diseases, is expected to increase, including in Indonesia. This phenomenon is associated with increased life expectancy and incidence of non-communicable diseases. Therefore, this study assesses the burden of multimorbidity in Indonesia by sociodemographic factors. The researchers analyzed cross-sectional data from the latest wave of IFLS conducted in 2014, the IFLS wave 5. The researchers included individuals aged 15 and above with blood pressure measurements (n= 32.256) from 13,536 households. Meanwhile, the researchers excluded individuals with missing data on BMI (183 individuals) or who had biologically implausible or extreme values (n=6). The analyses were then conducted on 32,067 individuals. The analyses comprised the ten most common self-reported chronic diseases diagnosis in IFLS-5. The findings revealed that the prevalence of self-reported multimorbidity in Indonesia was relatively high, at 9.32% (n= 2.989), with the highest proportion of multimorbidity reported among the elderly. Approximately 2.76% of the respondents (n- 885) reported having three or more chronic diseases. The most common combinations were hypertension and digestive problem (2.15%, n= 689), followed by hypertension and arthritis (1.79%, n= 574), and hypertension and high cholesterol (1.68%, n= 539). When stratified by sociodemographic factors, the researchers found a higher proportion of multimorbidity among females (11.01%, n= 3,530) compared to males (7.41%, n= 2.376), elderly (21.54%, n= 3.530) compared to younger adults, and previous smokers (20.90%, n= 6.072). People who were obese and overweight also reported a higher prevalence of multimorbidity (13.73%, n= 4.403 and 9.3%, n= 2.998, respectively). In addition, those living in urban areas had a higher proportion of multimorbidity (10.33%, n= 3.313) compared to rural areas (7.2%, n= 2.527). In conclusion, this study uncovered a relatively high prevalence of multimorbidity. People living in urban areas were overweight/obese and those who had low SES had a higher proportion of multimorbidity. With the nature of self-reported data and previously reported underdiagnosis of chronic diseases, screening to examine multimorbidity is needed.
Maximal oxygen uptake is a measure of cardiorespiratory capacity that shows human body fitness. Resting heart rate shows the ability of the heart to pump blood throughout the body thus resting heart rate related to the maximum oxygen volume. The young adult is an important phase of human in determining the productivity of the level of life. Maximum oxygen volume can be related to resting heart rate, but this has not been studied in detail regarding the relationship between maximal oxygen volume and resting heart rate in young adults. The purpose of this study was to determine the relationship between maximal oxygen volume and resting heart rate of young adults. This research uses cross sectional method. The number of research samples was 38 students from the Faculty of Medical Education, Sebelas Maret University (UNS). The dependent variable tested in this study was resting pulse rate and the independent variable was maximal oxygen volume. The research was conducted at the Physiology Laboratory of Sebelas Maret University, Surakarta. Resting heart rate was calculated by sleeping position in the supine position for 15 minutes then measured by pulse oximetry and maximal oxygen volume was calculated by Astrand-Rhyming Step Test. The results showed that the data were normally distributed so that the Pearson correlation test could be performed. The results of the correlation test showed that the value of p = 0.000 (p < 0.05) which indicated there was a significant correlation between the two variables tested and the Pearson correlation value of - 0.612 which indicated a negative correlation with a strong correlation strength. This study concludes that there is a significant correlation between maximal oxygen volume and heart rate of young adults with a negative correlation.
The Covid-19 pandemic has put a restriction on people's mobility, including children. The restraint on physical and social activity for children has become an additional stressor for children. Gadget has become a daily fixture in children's daily lives, and more children are getting addicted to gadget. Hence, intervention is needed to provide alternative emotional and physical outlets for children. We provided an online traditional community for children who are at elementary school and kindergarten. This study aims to evaluate the influence of online traditional dance community on children's mental health. Through the online dance community, children can learn a new traditional dance, Rampak dance, which philosophically can improve children's motivation and emotional wellbeing, and requires moderate physical activity. This was a quasi-experimental design, with an online traditional dance community as a form of intervention for children. Approximately 40 children joined the online community. At the beginning of the program, we assessed children's mental wellbeing.We found that more than half (approximately 60%) of children were reported to sometimes become angry or scared, and almost a third (30%) often felt. Most of the children (>75%) play with gadget more than 1 hours per day, with 33% of them had trouble in controlling the time to play gadget. The children received an example video of the traditional dance and had the chance to practice their moves. We had four virtual zoom sessions in which the children were able to learn from traditional dance expert, and also meet with their friends from the online community. At the end of the program, most children reported better emotional status, and more engagement with the online traditional dance community.
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