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"The most difficult part of making decisions in the health care field on all levels (national, regional, institutional, patient) is linked to the very complexity of the system itself, to the intrinsic uncertainty involved and its dynamic nature. This requires not only the ability to analyze and interpret a large amount of information but also arrange it so that it becomes a cognitive base for appropriate decision-making. Moreover, decisions in the health care field are subjected to many challenges and constraints: fast change and uncertain outcomes, aging population, increasing citizen expectations, equity considerations and limited resources. Operations research, statistical and economic-related quantitative methods supply these decisions making tools and methodology. The contributed book presents a collection of applications to concrete situations detailing the problem area, the methodology employed, the implementation and results. Each topic addressed in the book will be structured in such a way that an interdisciplinary and wide audience will be able to use the materials presented. As an example the book chapters will address health policies issues, planning health services, epidemiology and disease modelling, home-care modelling, logistics in health care, capacity planning, quality and appropriateness."

"Tuli memiliki potensi untuk mengalami risiko imaturitas emosi yang akan berdampak pada pengambilan keputusan termasuk pada pemilihan pelayanan kesehatan. Pengambilan keputusan yang tidak tepat dalam memilih pelayanan kesehatan dapat mengakibatkan keterlambatan pendeteksian dini suatu penyakit seseorang. Penelitian ini bertujuan untuk mengetahui hubungan antara kematangan emosi serta karakteristik tuli dengan pengambilan keputusan dalam memilih pelayanan kesehatan. Penelitian ini menggunakan desain penelitian deskriptif-analitik cross-sectional dengan melibatkan 100 responden melalui metode purposive sampling dengan pendekatan convenient sampling. Pengukuran kematangan emosi menggunakan kuesioner modifikasi Emotional Maturity Scale, sedangkan variabel pengambilan keputusan menggunakan kuesioner Decision Making. Pengambilan keputusan dalam memilih pelayanan kesehatan pada masyarakat tuli berhubungan dengan tingkat pendidikan (p < 0,0001; 95% CI), penghasilan (p < 0,0001; 95% CI) dan kematangan emosional (r = 0,738; p < 0,0001; 95% CI). Hasil analisis menunjukkan terdapat hubungan yang signifikan antara kematangan emosi dengan pengambilan keputusan dalam memilih pelayanan kesehatan, yakni apabila semakin tinggi kematangan emosi maka akan semakin baik pengambilan keputusan dalam memilih pelayanan kesehatan. Penelitian ini merekomendasikan pembuatan program pengelolaan emosi seperti konseling terkait kontrol emosi; serta meningkatkan literasi bagi tingkat pendidikan; dan memberikan dukungan finansial pada masyarakat tuli sehingga dapat berdampak pada pengambilan keputusan.

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Deafness has the potential to experience the risk of emotional immaturity which will have an impact on decision making including the selection of health services. Incorrect decision making in choosing health services can lead to delays in the early detection of a persons illness.

This study aims to determine the relationship between emotional maturity and deafness characteristics with decision making in choosing health services. This study used a cross-sectional descriptive-analytic research design involving 100 respondents through a purposive sampling method with a convenient sampling approach. Measurement of emotional maturity using a modified Emotional Maturity Scale questionnaire, while the decision-making variable uses the Decision Making questionnaire. Decision making in choosing health services in deaf communities is related to emotional maturity (r = 0.738; p <0.0001; 95% CI), education level (p <0,0001; 95% CI), and income (p <0, 0001; 95% CI).

The results of the analysis show that there is a significant relationship between emotional maturity and decision making in choosing health services, namely if the higher emotional maturity, the better the decision making in choosing health services. This study recommends making an emotional management program such as counseling related to emotional control and increase literacy for education level and provide financial support to deaf people so that it can have an impact on decision making."

"In the past decade, the relationship between patient choice and clinical decision making has been seen as increasingly significant by healthcare systems around the globe. This 3rd edition of Shared Decision Making in Health Care addresses important developments in this area, including the placing of shared decision making (SDM) at the centre of the US 2009 Affordable Care Act by Obamacare. This resource examines what makes an effective decision-making process from both theoretical and practical viewpoints, and the benefits and obstacles arising in shared patient-clinician decision making. It begins by putting shared decision making in a real-world context, examining its role in customized rather than commercialized healthcare, and in the achievement of allocative efficiency in health systems. It then provides theoretical and practical information for clinicians on the inclusion of patients in decision making and teaching SDM. Research is presented using systematic reviews and case studies to provide an understanding of the theoretical and practical aspects of preparing for, developing, and implementing SDM. The resource then relates SDM to broader issues such as health inequalities and quality improvement, and ends by examining ways in which SDM can be promoted by different population groups."

"Visit Musi 2008 merupakan program baru yang digulirkan pemerinlah untuk mcningkatkan jumlah kunjungan wisatawan ke Sumatera Selatan. Untuk melihat apakah progmm promosi Visit Musi 2008 mampu mencapai tujuan dan sasaran, maka penelitian ini mengangkat permasalahan mengenai evaluasi alat komunikasi pemasaran produk jasa wisata baru terhadap pengambiian keputusan kimjungan wisatawan. Pendekatan yang digunakan yaitu dengan menggunakan pendekatan penelitian kualitatif yang mengungkapkan realitas, berangkat dari acuan kerangka konseptual untuk diperlihatkan pada kcnyataan di lapangan. Alat komunikasi pemasaran Visit Musi 2008 yang paiing menyentuh aspek konatif wisatawan dalam pengambilan keputusan kunjungan wisata ke Sumatera Selatan adalah .sales promotion atau promosi penjualan.

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Visit Musi 2008 is a new govcmmcnt’s program in order to raise the number of foreign visitors to South Sumatera. To see of Visit Musi 2008 promotion program can bc reach its goals and targets, for this occasion, this research to adopt the evaluation of marketing communication tools of new tourism services product marketing toward the decision making of tourist's visit. The approach of this research using qualitative research in order to shown up the reality using the conseptual design to reveal the truth of existing reality. The most touching tourist Visit Musi 2008 communication tools on the conatif aspect of decision making for tourist’s visit to South Sumatera is sales promotion."

"ABSTRAKKeterlambatan pengambilan keputusan saat persalinan dengan komplikasiobstetri berdampak kematian ibu dan neonatal. Penelitian memahami pengambilankeputusan rujukan. Informan utama ibu dengan komplikasi obstetri saatpersalinan. Studi kasus kualitatif, purposive samplingHasil penelitian, keputusan diambil secara terpaksa. Ibu menerima rujukanhampir seluruhnya belum memahami masalah, alternatif paraji dan orang pintar.Ibu menolak rujukan belum memahami masalah, alternatif dan penanganan paraji.Persepsi kualitas pelayanan kesehatan sulit dijangkau. Proses rujukan terdapatkendala biaya, kemandirian keluarga kurang, dukungan sosial tidak tepat dandukungan bidan belum maksimal serta persepsi penanganan komplikasi obstetricukup baik.Saran : peningkatan kinerja tim, komunikasi efektif, kualitas ANC, amanatpersalinan, kemitraan paraji?bidan. Koordinasi pemetaan ibu hamil risiko tinggi,pengembangan pelayanan rujukan.

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AbstractDelay in decision making during delivery with obstetric complication may causematernal and neonatal death. The purpose of this study to understand decisionmaking about referrals. The main informants were mothers who had obstetriccomplication during delivery. The study is a qualitative case study with purposivesampling.The result of study showed that decisions were made by force. Almost womenwho had accepted referrals did not understand the problem, alternatives bytraditional birth attendant and traditional Healing. All women who had refusedreferral have not understood the problem yet, the alternative selecting withtraditional births attended (paraji) and management with traditional birthsattended (paraji). in referal process are found that perception about health servicequality was hard to reach, money, lack of family autonomy, incorrect socialsupport and lack of midwife support but also perception about obstetriccomplication are good enough.Recommendation For Health Office the District Cianjur, Mother and BabyFriendly of Hospital Cianjur are should : Increase team work, make effectivecommunication, ensure antenatal care quality, Do plan of delivery andparthnership traditional birth attendant-midfery, Make Coordination and mappingof high risk pregnant mothers, development of referral health service."