Journal La Medihealtico <p>International <strong>Journal La </strong><strong>Medihealtico </strong>ISSN 2721-1231 (Online) and 2721-1215 (Print) includes all the areas of research activities in all fields of Medical and Health Care such as Health Care Delivery, Health Care Research, Epidemiology, Medical Care, Nursing, Nursing Education, Neonatal nurse, Home Health Nursing Community and Home care, Information Technology in Nursing, Occupational Health and Safety, Midwifery, Health Care Administration, Hospital Science and Management, Innovations in Patient Care,&nbsp; Public Health, Health Psychology, Social Health, Physical health, Quaternary Care, Secondary Care, Veterinary Nursing, Medical Sciences and Pharmaceutical Sciences, Hospital and Clinical Pharmacy, Pathology, Physiotherapy &amp; Rehabilitation, Ergonomics, Food and Nutrition, Veterinary Medicines.</p> Newinera Publisher en-US Journal La Medihealtico 2721-1215 Analysis of the Implementation of Patient Safety Culture with the AHRQ Model at Mitra Medika Hospital Tanjung Mulia Medan <p><em>Safety Culture is a collaborative environment where clinical staff treat one another with respect by involving or empowering patients and families so that each Professional provides patient-focused care. The purpose of this study was to determine the implementation of a patient safety culture with the AHRQ model in Mitra Medika Tanjung Mulia General Hospital Medan. This research uses a mix of methods, namely qualitative and quantitative. The population of this study were all staff on duty in each hospital unit associated with 450 patients at MItra Medika Hospital, so the sample was 75 people using simple random sampling technique. The main research informants were one officer each in each installation.Unit Mitra Medika Tanjung Mulia General Hospital Medan, namely 10 people, one key informant, and one triangulation informant.The results of the study show that the description of expectations and managerial actions of patient safety is 68%, organizational learning is 100%, cooperation in units is 76%, communication open by 80%, feedback about the error of 75%, the dimension of non-punitive response to errors is 55%,Staffing 51%, management support for patient safety efforts by 77%, cooperation between units of 61%, handsoff work and changing patients was 71%,the overall perception of hospital staff about patient safety was 63%, reporting frequency was 63%. With the research results, it is expected that Mitra Media Tanjung Mulia General Hospital Medan is expected to be able to initiate, maintain, and develop an ongoing patient safety program and implement the existing safety culture. </em></p> Naeni Juliani Arifah Devi Fitriani Deli Theo Copyright (c) 2021 Journal La Medihealtico 2021-08-30 2021-08-30 2 5 1 9 10.37899/journallamedihealtico.v2i5.411 The Influence of Earphone Usage Behaviour on Ear Disorders <p>Is the use of earbuds linked to ear disorders? This research tries to find out. A proportional random sample method was used for the research. The main data and simple linear regression are used for descriptive statistics and statistical analysis of the findings. The habit of wearing earbuds has a negative impact on ear problems. Extended exposure to sound above 110 dB in loudness each day for more than 1 hour per day, along with extended earphone usage, may lead to impaired hearing. To minimize hearing loss, earphone use should be avoided if possible, and use should be limited to less than 1 hour a day, at lower volumes</p> Scempham Jarvey Hertmaan Gouyaso Copyright (c) 2021 Journal La Medihealtico 2021-08-30 2021-08-30 2 5 10 15 10.37899/journallamedihealtico.v2i5.414 Factors Affecting the Utilization of Medical Check Up at the Putri Hijau Level II Hospital <p><em>The purpose of this research is to investigate the variables that affect the use of medical services. At the Putri Hijau Level II Hospital, you may get checked out. It was decided to employ a kuantitatif research design with a cross sectional design for this particular investigation. Patients who came in for a medical check-up at the Putri Hijau Level II Hospital were included in the research study. According to the results of the first survey, the total number of patients who had medical examinations in 2019 was 2135 individuals. We needed to look at 100 different individuals for our experiment. The chi square test and multiple linear regression were the statistical tests that were used. The results of the chi square test study revealed that the variable service quality (reliability p-value = 0,000, responsiveness p-value = 0,000, assurance p-value = 0,036, empathy p-value = 0,003, physical evidence p-value = 0,026) obtained a p-value less than 0.05, the variable facility p-value = 0.000, the variable rate / price p-value = 0.000, and the variable patient perception obtained a p-value Patient views of the use of Medical Check Up services are associated with service quality (reliability, responsiveness, assurance, empathy, physical evidence) as well as medical facilities, rates / pricing and patient perceptions of the usage of Medical Check Up services (p-value = 0.039 0.05). Using multivariate analysis, it was discovered that one of the variables in this research, the Facility variable, had the most influence on the outcome. </em></p> Putri Junita Sembiring Aisyah Simanjorang Nur Aini Copyright (c) 2021 Journal La Medihealtico 2021-08-30 2021-08-30 2 5 16 25 10.37899/journallamedihealtico.v2i5.410 Assessment of the Effectiveness of Matrix Model Among Methadone Patients Using ATS in Ho Chi Minh City, Vietnam <p><em>This study assessed the effectiveness of the application of the Matrix model in patients undergoing methadone treatment for Amphetamine-type substance (ATS) in Ho Chi Minh City. A total of 951 methadone patients were screened; 60 (16%) met the inclusion criteria and of those 51 (85%) completed 16 weeks of study procedures. Most of the participants were ATS users with moderate or higher risk of dependence. Compared to the non-intervention group, the intervention group showed a significant reduction in positive urine tests for methamphetamine (a decrease from 100% to 11% vs. a decrease from 100% to 98% for the non-intervention group, p&lt;0.001) and for opiates (a decrease from 36.7% to 3.7% vs. a decrease from 43.3% to 29.2% for the non-intervention group). In the intervention group, the quality of life increased from 76.74 points to 85.5, the proportion of depression decreased from 43.3% to 18.5%, anxiety decreased from 30% to 11.1%, and stress decreased from 76.7% to 29.6%. In the non-intervention group, quality of life decreased from 75.2 points to 74.5 points, the proportion of depression decreased slightly from 40% to 36%, anxiety decreased from 33.3% to 24%, and stress decreased from 76.7% to 76.0%. The intervention group was significantly more likely to adhere to methadone treatment (p&lt;0.001). The proportions of participants in the intervention group and non-intervention group who discontinued treatment were 10% and 20%, respectively. The study results suggested that the MATRIX model could help reduce ATS and opiate use and improve mental health as well as treatment adherence.</em></p> Han Dinh Hoe Khoa Tran Nguyen Van Hai Pham Thi Huyen Trang Nguyen Thi Lien Copyright (c) 2021 Journal La Medihealtico 2021-10-13 2021-10-13 2 5 26 34 10.37899/journallamedihealtico.v2i5.453 The Effect of Patients' Perceptions on the Quality of Health Services on the Reuse of Health Services in the Work Area of the Health Services of West Langsa <p><em>The purpose of the study was to determine and analyze the effect of perceptions of responsiveness, reliability, assurance, empathy, tangible and dominant factors on the reuse of health services in the work area of Langsa Health Center. West. The research method uses an analytical survey with a cross sectional approach. The population in the study was 5.5362 people. The sampling technique used the Slovin formula and accidental sampling, so that 99 people were obtained. Data analysis used univariate, bivariate with chi-square test and multivariate with logistic regression test. The results showed that the multivariate sig value of perceived responsiveness (0.000), perceived reliability (0.214), perceived assurance (0.040), perception of empathy (0.017), perception of real evidence (0.195). The conclusion is that there is an influence of perception of responsiveness, assurance, empathy, there is no influence of perception of reliability and direct evidence on the reuse of health services, while the dominant factor of reuse of health services is the perception of responsiveness. For this reason, it is recommended for the Puskesmas to further improve the quality of its services related to communication of doctors' schedules so that they come on schedule, explain the provisions on the use of generic drugs for JKN patients, and doctors use the principles of smile, greet and touch to serve patients.</em></p> Nur Anifah Asyiah Simanjorang Yuniati Yuniati Copyright (c) 2021 Journal La Medihealtico 2021-10-13 2021-10-13 2 5 35 43 10.37899/journallamedihealtico.v2i5.459 Analysis of the Role of the Midwife in Increasing Exclusive Breast Milk at Mare Community Health Center Technical Implementation Unit <p><em>The kind of research that was utilized in this study was an analytical questionnaire. In this study, a cross-sectional design was employed to collect data. Sixty-six individuals were included in the samples that fulfilled the requirements. The findings revealed that 1) the midwife's attitude toward promoting exclusive breastfeeding at the UPT Puskesmas (Community Health Center) Mare had no impact on the outcomes of the study. The results of the chi square test revealed that the p-value was 0,089, indicating that the hypothesis was correct (0,05). There is an association between midwife assistance and an increase in exclusive breastfeeding at the University of Puskesmas Mare, according to the findings of the chi square test (p-value =0,007 for exclusive breastfeeding at the UPT Puskesmas Mare) (0,05). The rise in exclusive breastfeeding at the UPT Puskesmas Mare may be attributed to the midwifery program, according to the findings. The results of the chi square test reveal that the p-value is 0,0002, which indicates a significant difference (0,05). 4) Midwife assistance had a 12,7-fold higher impact on the rise in exclusive breastfeeding, with a p-value of 0.028 0.05 for the effect of midwife support. The midwife program, on the other hand, had a moderate impact on the rise in exclusive breastfeeding, with a p-value of 0,038 0.05 and a moderate effect of 11,1 times on the increase in exclusive breastfeeding. </em></p> Sulfianti Sulfianti Hasliana Haslan Copyright (c) 2021 Journal La Medihealtico 2021-10-13 2021-10-13 2 5 44 51 10.37899/journallamedihealtico.v2i5.461