Difference in the Effects Of Predictors For One-Day Care Utilization Between Thalasemia Andchemotherapy Services At Adam Malik General Hospital, Medan


Emma Pintamalem Br Tarigan

 

Faculty of Public Health, Universitas Sumatera Utara

 

ABSTRACT

Background: One of the innovations for a hospital to compete with others is to offer a one day care. This study aimed to analyze the differences in the effects of hospital status, accessibility, experience, and confidence, on the utilization of one day care between the thalassemia and the chemotherapy services at Haji Adam Malik General Hospital in Medan.

Subjects and Method: This was a cross-sectional study conducted at Haji Adam Malik General Hospital in Medan. A total of 80 patients was selected, consisting of 40 patients who used or did not use the one-day care in the chemotherapy unit and 40 patients who used or did not use the one-day care in the thalassemia unit. The patients were classified as using the one-day care if using it at least three times. The dependent variable was utilization of one-day care either at the thalassemia or chemotherapy unit. The independent variables were hospital status, accessibility, experience, and confidence. Data were analyzed by discriminant analysis.

Results: There was a statistically significant difference in the effects of hospital status (p < 0.001) and experience (p < 0.001) on the decision to use one day care in the thalassemia unit and the chemotherapy unit. However, there was no statistically significant difference in the effects of accessibility (p= 0.127) and confidence (p= 0.180) on the decision to use one day care in the thalassemia unit and the chemotherapy unit.

Conclusion: The effects of hospital status and experience on the decision to use the one-day care were significantly different in the thalassemia unit and the chemotherapy unit. But there is no difference in the effects of accessibility and confidence on the decision to use one day care in the thalassemia unit and the chemotherapy unit.

Keywords: utilization of one day care, thalassemia, chemotherapy, discriminant analysis.

Correspondence: Emma Pintamalem br Tarigan, Faculty of Public Health, Universitas Sumatera Utara. Email: emma.pintamalem@gmail.com. Mobile: +628126377701.

DOI: https://doi.org/10.26911/ICPHmanagement.FP.08.2021.06

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