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All Journal Journal of Epidemiology and Public Health Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Munawaroh, Siti Mar'atul
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Medicine & Pharmacology Public Health

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Meta Analysis on the Effect of the Quality of Health Services with the Level of Patient Satisfaction Munawaroh, Siti Mar'atul; Nurhayati, Happy; Sudarmono, Andang; Dhony, Ervia Fahma; Veibiani, Nindita Arum; Krisnawati, Hesthi; Puspita, Wita Hana; Handayani, Dian; Dianika, Bani; Sumarah, Kristuti Catur
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.049 KB)

Abstract

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.2021.06.02.03
The Associations between Parity, Family Income, Residence, and Abortion Incidence: A Meta-Analysis Putri, Annessa Marknalia Sasqia; Soraya, Mira Mashita; Aisy, Jihan Rohadatul; Murti, Bhisma; Munawaroh, Siti Mar'atul
Journal of Maternal and Child Health Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.03.03

Abstract

Background: Abortion is a complex and controversial issue found across the country. The decision to terminate a pregnancy involves many aspects in terms of medical, ethical, moral, religious, social, economic, and legal. Understanding the factors that influence the incidence of abortion is critical to developing strategies to effectively address this issue. This study aims to analyze and estimate the magnitude of the effects of parity, family income, and residence with the incidence of abortion. Subjects and Method: Systematic review and meta-analysis studies were conducted according to the PRISMA flowchart and PICO model. Population: women of childbearing age. Intervention: multipara, high income, and urban residence. Comparison: primapara, low income, and rural residence. Outcome: The incidence of abortion. The basic data used involved Google Scholar, PubMed, BMC, Elsivier, ScienceDirect, and Springer Link. The inclusion criteria are full-text articles with observational study design using multivariate analysis that attaches aOR values and is published from 2014-2023. Data analysis using Review Manager 5.3 application. Results: Ten case control studies and nine cross-sectional studies from the Americas, Africa, and Asia were selected for the meta-analysis. Multiparous (aOR= 1.12; CI 95%= 0.54 to 2.34; p= 0.750), high family income (aOR= 0.55; CI 95%= 0.22 to 1.34; p= 0.190), and urban dwellings (aOR= 1.17; CI 95%= 0.88 to 1.55; p = 0.270) increases the risk of abortion in women of childbearing age, but is not statistically significant. Conclusion: Multipara, high family incomes, and urban residences increase the risk of the likelihood of having an abortion in women of childbearing age, but are not statistically significant.
Meta Analysis: Factors Affecting Alcohol Consumption in Adolescents Hanif, Ihsan; Mardiah, Ardiana; Yolanda, Rachmawaddah; Murti, Bhisma; Munawaroh, Siti Mar'atul
Journal of Health Promotion and Behavior Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.04.04

Abstract

Background: Since alcohol is obtained easily, so it tends to be widely abused. The factors that cause a teenager to consume alcohol are individual factors/individual personality, and envi­ron­mental factors. This study aims to estimate the factors that affect alcohol consumption in adolescents. Subjects and Method: This study used systematic review and meta-analysis using PICO. Population: adolescents. Interventions: drinking parents, drinking friends, smoking. Comparison: non-drinking parents, non-drinking friends, non-smoking. Result: alcohol consumption. The articles used in this study were derived from 2 databases, namely Google Scholar and Science Direct. The article's keywords were ""teenager" AND "drinking parents" AND "drinking friends" AND "smoke" AND “alcohol consumption". The articles included in this study were full paper articles, cross-sectional study design, publication year ranged from 2019-2023 and the measure of association used was Adjusted Odds Ratio. The articles were analyzed using the Review Manager 5.4 application. Results: Seven cross-sectional studies showed that drinking friends increased alcohol consumption by 5.09 times compared to non-drinking friends, and the result was statistically significant (aOR=5.09; CI 95%= 2.64 to 9.81; p= 0.001). Seven cross-sectional studies showed that drinking parents increased alcohol consumption by 1.99 times compared to non-drinking parents, and the result was statistically significant (aOR=1.99; CI 95%= 1.50 to 2.64; p= 0.001). Seven cross-sectional studies showed that smoking can increase alcohol consumption by 2.09 times compared to nonsmoking, and the result was statistically significant (aOR=2.09; CI 95%= 1.32 to 3.30; p= 0.001). Conclusion: Smoking-adolescents, drinking parents, and drinking friends increase their likelihood of consuming alcohol.
Meta-Analysis: Effects of Gender, Waiting Time, Visits, and Insurance on Outpatient Satisfaction with Health Services Prasetyowati, Regita Azzahra; Ibrahim, Natalia Prisca; Arini, Septa Santiya; Murti, Bhisma; Munawaroh, Siti Mar'atul
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.02

Abstract

Background: Patient satisfaction is the result of the service process felt by the patient, overall satisfaction arises from the patient's evaluation of the experience or as an interaction, including the availability of health services provided by officers (health workers), so that patient satisfaction can be used to assess the quality of services received by the patient. This study aims to estimate the magnitude of the influence of gender, waiting time, visits, and insurance on health service satisfaction. Subjects and Method: Systematic review and meta-analysis using PRISMA flow charts and PICO models. Population: outpatients. Intervention: Female, long waiting time, already visited, using insurance. Comparison: Male, short waiting time, first time visit, and not using insurance. Outcome: Outpatient satisfaction with health services. The online databases used were Google Scholar, Biomedcentral, Taylor & Francis and Plos with the keywords gender, waiting time, visits, insurance, outpatient satisfaction, cross-sectional and aOR. Inclusion criteria were full text articles with cross-sectional use of multivariate analysis that included aOR and were published from 2014-2024. Data analysis using the RevMan 5.3 application. Result: Twelve primary studies were used to analyze gender and patient satisfaction with health services. Women had satisfaction with health services 1.19 times compared to men (aOR= 1.19; 95% CI=1.11 to 1.28; p<0.001). Ten primary studies were used to analyze insurance and patient satisfaction with health services. Patients who have insurance are 1.23 times more satisfied with health services than those who do not have insurance (aOR= 1.23; 95% CI=1.09 to 1.40; p<0.001). Seven primary studies were used to analyze waiting times and patient satisfaction with health services. Patients who experienced short waiting times were 0.30 times more satisfied with health services compared to those with long waiting times (aOR=0.30; 95% CI=0.21 to 0.44; p<0.001). Seven primary studies were used to analyze visit frequency and patient satisfaction with health services. Patients who have visited are 2.96 times more satisfied with health services than patients who are visiting for the first time (aOR=2.96; 95% CI=2.60 to 3.37; p<0.001). Conclusion: Female gender, short waiting times, repeat visits and insurance in increasing outpatient satisfaction with health services.
Meta-Analysis the Effect of Asthma Comorbidity on the Mortality of COVID-19 Patients Munawaroh, Siti Mar'atul; Prasetya, Hanung; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

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 2Correspondence:
Meta Analysis: Factors Affecting Health Care Service on Outpatient’s Satisfaction in Hospital Noviani, Desi; Purwantanti, Titis Cipta; Risnasari, Annisa; Murti, Bhisma; Munawaroh, Siti Mar'atul
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.07

Abstract

Background: Patient satisfaction with health services is very important to measure the level of health services offered to patients and the implementation of health services in hospitals. Patient expectations about service quality are also related to service perceptions and when patients have a good impression, patients' clinical experiences and outcomes are more likely to have positive responses. The aim of this study is to analyze the influence of health service factors on the level of satisfaction of outpatients in hospitals based on the results of several previous studies using meta-analysis.Subjects and Method: This research is a systematic review and meta-analysis based on data obtained through various databases including Google Scholar, PubMed, ResearchGate and Science Direct. This study used articles that were published from 2014 to 2022. The article search was carried out by considering the eligibility criteria defined using the PICO model. Population: outpatients. Intervention: comfortable waiting room, short waiting time, drug availability and payment status (free). Comparation: uncomfortable waiting room, long waiting time, no medicine available and payment status (Out of Pocket). Outcome: patient satisfaction. This article was collected within 1 month with the following keywords used: "Waiting Room" AND "Waiting Time" AND "Drug" AND "Payment Status" AND "Outpatient Health Services" OR "Satisfaction" AND "Cross Sectional Study". The articles included in this research are full text articles with a cross-sectional study design. This article was collected using a PRISMA flow diagram and analyzed using the Review Manager 5.3 application.Results: Meta-analysis of 16 articles using a cross-sectional research design from the countries of Ethiopia and Fiji. Total sample 15,453. Patient satisfaction increases with a comfortable waiting room (aOR= 2.54; 95% CI= 2.01 to 3.21; p < 0.001), short waiting time (aOR= 2.97; 95% CI= 1.62 to 5.47; p < 0.001), good availability of medicines. complete (aOR= 2.01; 95% CI= 1.55 to 2.60; p <0.001), and payment status (free) (aOR= 1.99; 95% CI= 1.34 to 2.95; p <0.001).Conclusion: Outpatient satisfaction in hospitals increases with the comfort of the waiting room, short waiting time, availability of medicines, and payment status (free).
The Relationship of Vaccination Status with Implementation Worship Behavior during the COVID-19 Pandemic in Indonesia Santoso, Budi; Munawaroh, Siti Mar'atul; Lestari, Asri
Journal of Health Promotion and Behavior Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2021.06.02.01

Abstract

Background: COVID-19 pandemic has cer­tainly brought tremendous global impacts in various sectors of life, such as social activities that are becoming increasingly limited. In addition, another impact is the prohibition of the implementation of collective worship of Muslims in Indonesia. The government imple­ments health protocols as the main capital to stop the expansion of the pandemic. In addi­tion, the use of vaccines with great hope as one of the main weapons to control COVID-19. This study aims to analyze the relationship between vaccination status and behavior in the imple­mentation of Ramadan worship during the COVID-19 pandemic in Indonesia.Subjects and Method: A cross-sectional study was conducted in Indonesia from April to May 2021, with the research subjects being members of the Muhammadiyah Disaster Management Center (MDMC). A sample of 746 study subjects was selected for this study. The dependent was worship behavior. The indepen­dent variable was vaccination status. The data were analyzed by Chi-square test.Results: Complete vaccination status improved the worship behavior during the COVID-19 pandemic (OR= 1.92; 95% CI= 1.43 to 2.57; p<0.001).Conclusion: Complete vaccination status improves the worship behavior during the COVID-19 pandemic.Keywords: vaccination status, worship behavior, COVID-19Correspondence: Budi santoso. Faculty of Health Sciences, Uni­versitas ‘Aisyiyah Yogyakarta, Jl Ring Road Barat 63 Mlangi Nogotirto Gamping Sleman 55292. Email: siti­maratul08@gmail.com. Phone: +6281919120118.Journal of Health Promotion and Behavior (2021), 06(02): 91-96https://doi.org/10.26911/thejhpb.2021.06.02.01 
Co-Authors Aisy, Jihan Rohadatul Arini, Septa Santiya Asri Lestari Bhisma Murti Dhony, Ervia Fahma Dian Handayani Dianika, Bani Dwi Budi Santoso Hanif, Ihsan Ibrahim, Natalia Prisca Krisnawati, Hesthi Mardiah, Ardiana Noviani, Desi Nurhayati, Happy Prasetya, Hanung Prasetyowati, Regita Azzahra Purwantanti, Titis Cipta Puspita, Wita Hana Putri, Annessa Marknalia Sasqia Risnasari, Annisa Soraya, Mira Mashita Sudarmono, Andang Sumarah, Kristuti Catur Veibiani, Nindita Arum Yolanda, Rachmawaddah