Factors affecting readiness toward online learning among medical students during COVID-19 pandemic in Indonesia

The rapid spread of transmission COVID-19 leads to the government applied a regulation to close schools and colleges for a while, as an effort to stop the spread. It also has an impact on medical student education that can be threatened by their educational system. This study identified and analyzed the factors affecting the readiness of medical students for studying online during the COVID-19 pandemic. This was an observational analytic study with a cross-sectional approach. A total of 3,331 respondents from all over Indonesia participated in this study. An online questionnaire by Indonesian Medical Student Senate Association (Ikatan Senat Mahasiswa Kedokteran Indonesia/ISMKI) was used and distributed from April 9th, 2020 to June 21st, 2020. A Chi-square test (alternative: Fisher exact test) and logistic regression with significance alpha=0.05 used to analyze. The university origin (p=0.031, OR=1.130 (1.012–1.263)), internet connections (p=0.001, OR=1.387 (1.134–1.696)), and learning interaction models (p<0.000, OR=0.463 (0.384–0.558)) were affected medical students’ readiness for online learning

Medical crisis during pandemic: Career preferences change in medical student

The COVID-19 pandemic is a major threat to global education. Incidental emotions of fear and anxiety during pandemic have unconsciously influenced preference and outcome about their future career. This study aimed to assess the effect of the COVID-19 pandemic towards career preference change in medical students. A total of 1,027 responses from all over the medical students in Indonesia were collected from an online questionnaire which was broadcasted through social media from 14th July 2020–21st July 2020. This study was using Fear of COVID-19 Scale (FCV-19S) and Depression Anxiety Stress-Scale-21 (DASS-21) to assess fear of COVID-19, stress, anxiety, and depression. Out of 1,027 respondents, 44.6% had stressed, 47.8% had anxiety, and 18.5% had depression with an average FCV-19S score was 17.1. The result showed that the fear and anxiety of COVID-19 during the pandemic had associated significantly with the career decisions in medical students (p=<0.05). Indonesian policymakers had to keep in mind that the fear of the COVID-19 pandemic in medical students is due to the high mortality COVID-19 cases of health workers in Indonesia. Health workers need adequate working conditions and specific protection, this requires prompt attention from stakeholders

The use of peer role-play in doctor-patient communication skills training for medical students: A systematic review

The quality of communication is directly related to patient satisfaction and can influence health outcomes. However, most doctors still have poor communication skills. A systematic literature search in PubMed, Cochrane, and Science Direct was conducted to retrieve studies reporting the use of peer role-play (PRP) for doctor-patient communication skills training in medical students. The quality of each study was assessed using the Joanna Briggs Institute (JBI) critical appraisal checklist. A total of 1,620 studies were obtained from electronic database search and screening of reference lists. After removing irrelevant studies and duplicates, one randomized control trial (RCT) and eight quasi-experimental studies were included in this systematic review. Peer role-play was perceived to be as useful as simulated patients (SP) training methods with comparable post-intervention objective structured clinical examination (OSCE) scores. Majority of students preferred PRP for learning communication skills over didactic lectures. The limitation of this review is the scarcity of eligible studies, high variability in the PRP programs across studies, and the lack of grey literature included. Peer role-play might be a cost-effective method to improve doctor-patient communication skills with comparable results (student’s perception and OSCE scores) with the expensive use of simulated patients. However, further study is needed to support this statement

Barriers and challenges for primary care service in the COVID-19 pandemic

The COVID-19 pandemic is such a barrier for health systems around the world including Indonesia. Primary care is the first-line in controlling the pandemic at the community level, but there are many barriers and challenges faced by doctors during the service that are not fully recognized. This aimed to distinguish barriers and challenges in health centers and/clinics amid the COVID-19 widespread. This was qualitative study with a phenomenological approach. As much 44 health centers/clinical specialists interviewed in October 2020. Then, the data categorization method/coding and content analysis used. There were three themes related to the barriers and challenges confronted by specialists in health centers/clinics, specifically barriers and challenges based on service management, environment, and individuals. The barriers and challenges confronted are related to changes within the consultation flow, a diminished number of patient visits, limited supplies of personal protective equipment (PPE), patient states of mind and behavior within the confront of a pandemic, and progressively heavier burdens and duties for doctors. It is necessary to provide specific, valid, and right-on-target knowledge in improving community behavior in efforts to prevent COVID-19 infection and the government's important role to be more concerned about the future of health workers

Analisis Manajemen Proyek Pelayanan Gizi Pada Pasien Covid-19 Di RSUD Palembang BARI

Meningkatnya kasus COVID-19 di Indonesia memerlukan perhatian diseluruh aspek, baik penatalaksanaan medis maupun aspek nutrisi. Sebagai salah satu rumah sakit rujukan COVID-19, pelayanan gizi pada pasien COVID-19 di RSUD Palembang BARI terdiri dari pelayanan makan pasien COVID-19 dan kegiatan asuhan gizi pada pasien COVID-19. Penelitian ini bertujuan untuk menganalisis pelaksanaan manajemen proyek pelayanan gizi pada pasien COVID-19 di RSUD Palembang BARI. Penelitian ini merupakan penelitian kualitatif deskriptif dengan pendekatan participant observation dimana peneliti melakukan pengamatan objek secara langsung di lapangan dan ikut serta terlibat dalam kegiatan-kegiatan yang dilakukan oleh RSUD Palembang BARI. Prioritas masalah pada penelitian ini yaitu pemberian pelayanan gizi yang optimal kepada pasien COVID-19. Tahap persiapan terdiri dari pelayanan makan pasien COVID-19, kegiatan asuhan gizi pasien, dan mengusahakan peralatan sekali pakai. Simulasi dilakukan terhadap alur pemberian makanan pasien dan prosedur pemakaian APD. Tahap supervisi dan monitoring dilaksanakan untuk membina dan mengawasi serta menilai pelaksanaan projek, meliputi manajemen budget dan manajemen risiko. Supervisi dilakukan satu kali dalam satu minggu dan monitoring dilakukan setiap bulan. Tahap evaluasi kegiatan dilakukan oleh penanggung jawab setiap akhir tahun sesuai dengan kegiatan yang telah direncanakan. Manajemen program pelayanan gizi pada pasien COVID-19 telah sesuai dengan peraturan yang berlaku

Analysis of public search interest towards immune system improvement during the COVID-19 pandemic using Google Trends

In combating COVID-19, maintaining the immune system is important. Providing this information to the general population will increase public awareness towards improving their immune system. The use of Google Trends for exploring web behavior related to a topic or search term also considered as a tool for monitoring public awareness to help risk communication during the COVID-19 pandemic. Therefore, this study was conducted to assess the use of Google Trends to monitor public awareness to immune system improvement during the COVID-19 pandemic in Indonesia. This quantitative and qualitative research used time-series data from 31 December 2019 to 2 May 2020. The time-lag correlation analysis was performed to compare between relative search volume (RSV) of “Vitamin C”, “Vaksin” (Vaccine), “Berjemur” (Sunbathing) from Google Trends (GT), and the number of reported COVID-19 new cases. Validation using time-lag correlation shows the significant correlation between RSV keywords related to public awareness towards immune system improvement and the number of COVID-19 cases in Indonesia in 1-3 days before an increase in the number of cases occurs. Google Trends has the potential to become an early warning system and a tool for monitoring risk communication towards immune system improvement during the COVID-19 pandemic by Indonesia Government

Public Search Interest Analysis on Indonesian COVID-19 Containment Policy

To assess public search interest pattern on Indonesian containment policy and to determine the use of Google Trends as an early warning system and a tool for making a suitable form of risk communication and interventions during COVID-19 Pandemic. The data related via GT using time series data ranging from 1 March 2020 to 2 May 2020. The data then compared to the number of COVID-19 daily new cases.  Qualitative analyzes used in every spike/peaking of search interest. The time-lag correlation with Pearson correlation was performed to measure the correlation between the raised of GT data and the increase of COVID-19 cases. From the keyword searched ‘lockdown’, ‘PSBB’, and ‘jaga jarak’ has 5,3,1 peak, respectely. PSBB’ has a highly significant positive correlation (R = 0,8137) compared with ‘lockdown’ (R = -0,2494) and ‘jaga jarak’ (R = 0,3177) with Pearson correlation. Lag-period wise, ‘PSBB’ also has a highly significant positive correlation in all set (P£0,05). ‘PSBB’ reached its peak consistently based on the policy issued by the Government. Validation using time-lag correlation shows the significant correlation between RSV keywords related to Government of Indonesia personal protection and the number of COVID-19 cases. GT can be used as a public search interest in accordance with government policy and also can confirm the reaction among population which is the original policy of the Indonesian government

UTILIZATION AND PERCEPTION OF TELEMEDICINE IN INDONESIA: HEALTHCARE PROVIDERS POINT OF VIEW

The popularity of Telemedicine nowadays has started to bloom and increasingly becoming accepted practice in Indonesia. However, it is still vague whether the available telemedicine platforms in Indonesia have already met the standards and needs of the users. This study aimed to evaluate the utilization and perception of telemedicine users from the perspective of healthcare providers. One hundred and eighteen responses were gathered to see healthcare providers' point of view on the telemedicine platform they used using a social-media broadcasted questionnaire. This questionnaire was adapted from the mHealth Application Usability Questionnaire (MAUQ) to see healthcare providers' points of view on the telemedicine platform they used. Data obtained from 16th - 29th June 2020 were analyzed descriptively then presented in a distribution table. Four telemedicine platforms mainly used were Alodokter, Halodoc, Mobile JKN, and Hospital-linked Telemedicine. Three-forth of respondents stated that they used the telemedicine platform due to the flexible working hours (75.4%), as an alternative during the pandemic and easy to use (71.2%), widespread in the society (50.8%), and most healthcare services have consultation sessions (93.2%). The majority of respondents prioritized doctor-patient communication during practice (89.0%). SehatPedia had the highest average score among platforms users. Majority of healthcare providers feel the benefits of using telemedicine. The quality of healthcare service served by healthcare providers does not diminish compared to in-person healthcare service, and that Telemedicine should further be developed

Healthcare providers’ utilization and perception on telemedicine: urgency amidst COVID-19 pandemic

The outbreak of coronavirus disease 2019 (COVID-19) in Indonesia had awakened the fact that the country’s healthcare system could not stand-alone with conventional in-person healthcare service. The sudden massive adaptation of telemedicine in Indonesia still needed be reassess periodically, especially with blooming numbers of users. This cross-sectional study conducted on medical doctors, dentists, and specialist in Indonesia, aimed to evaluate the utilization and perception of healthcare providers towards telemedicine in Indonesia during COVID-19 pandemic. Data were collected using convenience sampling from an online questionnaire through social media from June 16-29, 2020. Data were analyzed using Chi-square test (p-value<0.05) and prevalence ratios (PR) with 95% confidence interval (CI). Most physicians who practiced using telemedicine admitted that they used telemedicine as an alternative during pandemic (71.2%). The usage of telemedicine had an association with the idea that telemedicine provided the patients’ needs (p<0.001, 95% CI=3.53 (1.86-6.70) and provided knowledge for the society (p=.047 95% CI=3.54 (0.93-13.51)). The potential and benefits of telemedicine could be recognized during the pandemic, though the use of collaborative media and the advancement of platform features for a better quality of diagnosis could be improved The policymakers and stakeholders expected to establish a balanced and thoughtful framework of telemedicine

Analisis Manajemen Proyek Pelayanan Gizi Pada Pasien Covid-19 Di RSUD Palembang BARI

Meningkatnya kasus COVID-19 di Indonesia memerlukan perhatian diseluruh aspek, baik penatalaksanaan medis maupun aspek nutrisi. Sebagai salah satu rumah sakit rujukan COVID-19, pelayanan gizi pada pasien COVID-19 di RSUD Palembang BARI terdiri dari pelayanan makan pasien COVID-19 dan kegiatan asuhan gizi pada pasien COVID-19. Penelitian ini bertujuan untuk menganalisis pelaksanaan manajemen proyek pelayanan gizi pada pasien COVID-19 di RSUD Palembang BARI. Penelitian ini merupakan penelitian kualitatif deskriptif dengan pendekatan participant observation dimana peneliti melakukan pengamatan objek secara langsung di lapangan dan ikut serta terlibat dalam kegiatan-kegiatan yang dilakukan oleh RSUD Palembang BARI. Prioritas masalah pada penelitian ini yaitu pemberian pelayanan gizi yang optimal kepada pasien COVID-19. Tahap persiapan terdiri dari pelayanan makan pasien COVID-19, kegiatan asuhan gizi pasien, dan mengusahakan peralatan sekali pakai. Simulasi dilakukan terhadap alur pemberian makanan pasien dan prosedur pemakaian APD. Tahap supervisi dan monitoring dilaksanakan untuk membina dan mengawasi serta menilai pelaksanaan projek, meliputi manajemen budget dan manajemen risiko. Supervisi dilakukan satu kali dalam satu minggu dan monitoring dilakukan setiap bulan. Tahap evaluasi kegiatan dilakukan oleh penanggung jawab setiap akhir tahun sesuai dengan kegiatan yang telah direncanakan. Manajemen program pelayanan gizi pada pasien COVID-19 telah sesuai dengan peraturan yang berlaku