Meta Analysis on the Effect of the Quality of Health Services with the Level of Patient Satisfaction

Background: patient-oriented health services are the primary strategy for health service organiza­tions. A good service is determined by the fact that the services provided can meet the patient's needs. Patient satisfac­tion is an integral part of the quality assurance of health service. This study aims to analyze the quality of tangible health ser­vices with patient satisfaction in receiving health services.Subjects and Method: Meta-analysis was performed by searching journals from direct databases such as Google Scholar, Science Direct, and PubMed using the key­words service quality, patient satisfaction, and heat service. The inclusion criteria in this study were full text from 2010-2021, with a cross-sectional study. The data analysis was carried out by RevMan 5.3.Results: Nine articles have been analyzed, showing that the quality of service had direct evidence of an effect on patient satis­faction in accessing health services (aOR= 4.17; 95% CI= 1.78 to 9.78; p <0.001).Conclusion: The quality of direct evidence (tangible) affects patient satisfaction in accessing health services.Keywords: tangible, service, patient satisfaction.Correspondence: Siti Mar'atul Mu­na­waroh. Ahmad Dahlan Uni­ver­sity. Jl. Prof. Dr. Soepomo, Jantu­ran, Um­bulharjo, Yogyakarta. Email: siti­maratul08@­gmail.com. Mobile +62821­33295468.Journal of Health Policy and Management (2021), 06(02): 107-115https://doi.org/10.26911/thejhpm.2021.06.02.0

Meta-Analysis the Effect of Asthma Comorbidity on the Mortality of COVID-19 Patients

Background: COVID-19 is an infectious disease that spread throughout the world in December 2019. The risk factors for mortality of COVID-19 patients depend on comorbid diseases. Most of the comorbid diseases associated with COVID-19 deaths consist of hypertension, diabetes, obesity, cardiovascular disease, chronic obstructive pulmonary disease, chronic kidney disease, and asthma. This study aims to analyze the effect of comorbid asthma on mortality in COVID-19 patients. Subjects and Method: This research is a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2020-2021 using databases from PubMed, Google Scholar, and Scopus. Based on the database, there were 15 articles that met the inclusion criteria. The analysis was carried out using the RevMan 5.3 software. Results: The 15 articles reviewed in the meta-analysis showed that comorbid asthma increased the mortality risk of COVID-19 patients and was statistically significant (aOR = 1.18; 95% CI = 1.02 to 1.36; p = 0.030). Conclusion: Asthma comorbidities increase the mortality of COVID-19 patients. Keywords: Asthma, mortality, COVID-19, SARS-CoV 2 Correspondence

Pengaruh Kondisi Sekolah Terhadap Kejadian Leptospirosis

Leptospirosis masih endemik di Indonesia dan telah lazim di Kabupaten Kulon Progo, dimana kasusnya mengalami fluktuasi. Kondisi lingkungan fisik yang buruk dijadikan sebagai faktor risiko penularan leptospirosis. Tujuan penelitian ini adalah menganalisis pengaruh kondisi selokan terhadap kejadian leptospirosis di Kabupaten Kulon Progo, Daerah Istimewa Yogyakarta, Indonesia. Studi kasus-kontrol di Kabupaten Kulon Progo, Daerah Istimewa Yogyakarta, Indonesia, dari bulan Maret hingga Juli 2019. Sebanyak 88 subjek penelitian dikumpulkan dengan simple random sampling. Variabel dependen adalah leptospirosis. Variabel independen adalah kondisi selokan. Data kasus leptospirosis dikumpulkan dari Dinas Kesehatan Kulon Progo dan 21 Puskesmas di Yogyakarta. Data lainnya dikumpulkan dengan kuesioner. Data dianalisis dengan chi-square. Kondisi selokan buruk meningkatkan risiko kejadian leptosprirosis, namun secara statistik tidak signifikan (aOR= 1.16; CI 95%= 0.94 hingga 2.22; p= 0.136). Kondisi selokan yang buruk meningkatkan risiko leptospirosis