https://jurnal.ugm.ac.id/v3/BKM Universitas Gadjah Mada en-US BKM Public Health and Community Medicine 0215-1936 https://jurnal.ugm.ac.id/v3/BKM/article/view/18631 <p><strong>Purpose:</strong><span style="font-weight: 400;"> This study aims to examine the relationship between response time and the length of stay (LOS) in obstetric emergency management at the public hospital of Central Kalimantan. </span></p> <p><strong>Methods:</strong><span style="font-weight: 400;"> A cross-sectional observational study was conducted using 205 medical records of pregnant women treated for obstetric emergencies between July and September 2024. Data on three types of response time—initial emergency action, obstetrician consultation, and patient disposition—were analyzed using univariate and Pearson correlation tests to assess their association with the LOS in the emergency department. </span></p> <p><strong>Results:</strong><span style="font-weight: 400;"> All patients received an initial emergency response within five minutes, indicating good early management. However, over 60% of patients experienced delays in obstetrician consultation. Most patients received timely disposition decisions, which showed the most decisive influence on patient LOS. Statistical analysis revealed a weak positive correlation between initial response time and LOS (r=0.33), a very weak negative correlation with obstetrician consultation time (r= -0.098), and a perfect positive correlation with disposition time (r=1.000). These results suggest that the speed of disposition decisions plays a critical role in determining how long patients remain in the emergency room. </span></p> <p><strong>Conclusion:</strong><span style="font-weight: 400;"> Disposition efficiency plays the most pivotal role in determining LOS. Improving administrative processes, increasing human resources, and optimizing infrastructure are essential. These findings provide practical insights for strengthening emergency service protocols and can guide health policy interventions to enhance maternal care quality in referral hospitals across Indonesia.</span></p> Bella Rossana Dewi Ayun Sriatmi Bagoes Widjanarko Copyright (c) 2025 BKM Public Health and Community Medicine 2025-04-30 2025-04-30 e18631 e18631 10.22146/bkm.v41i04.18631 https://jurnal.ugm.ac.id/v3/BKM/article/view/19266 <p><strong>Purpose: </strong><span style="font-weight: 400;">This study aims to provide an overview of the ability to perform activities of daily living (ADL) in the elderly population and to identify associated factors.</span></p> <p><strong>Methods: </strong><span style="font-weight: 400;">A cross-sectional study was conducted with 100 community-dwelling participants aged 60 and older in West Jakarta. Sociodemographic data, the Barthel Index, the Berg Balance Scale, the Fried Frailty Index, and the Geriatric Depression Scale were collected by interview. Chi-Square and multiple logistic regression analyses were used for the bivariate and multivariate analyses. </span></p> <p><strong>Results: </strong><span style="font-weight: 400;">The majority of participants were women (71%), aged 60-74 years (75%), with education levels of 12 years or more (90%). Fifteen percent of elderly participants experienced problems with ADL. Chi-square analysis showed significant associations between ADL impairment with age (p=0.006; OR=4.57; 95%CI: 1.454-14.368), balance (p=0.023; OR=10.38; 95%CI: 1.567-68.595), and depression (p=0.006; OR=5.00; 95%CI: 1.468-17.033). Multiple logistic regression analysis identified depression as the most dominant risk factor affecting ADL, increasing the risk by 4.02 times. </span></p> <p><strong>Conclusion: </strong><span style="font-weight: 400;">This study highlights age, body balance, and depression as potential contributors to ADL impairment, with depression emerging as the predominant risk factor. Both physical and mental health should be considered essential for preserving ADL function in the elderly.</span></p> Audrey Carissa Giovanny Yvonne Suzy Handajani Yuda Turana Kevin Kristian Copyright (c) 2025 BKM Public Health and Community Medicine 2025-04-30 2025-04-30 e19266 e19266 10.22146/bkm.v41i04.19266