Strategi Manajemen Akses Pelayanan Kesehatan dalam Pencegahan Preeklamsia: Systematic Literature Review
DOI:
https://doi.org/10.63004/hrji.v5i1.1606Keywords:
preeklamsia, akses pelayanan kesehatan, deteksi dini, digital health, manajemen pelayananAbstract
Latar belakang: Preeklamsia merupakan salah satu komplikasi kehamilan yang berkontribusi terhadap morbiditas dan mortalitas maternal serta perinatal. Pencegahannya masih menghadapi berbagai hambatan dalam akses dan manajemen pelayanan kesehatan.
Tujuan: Penelitian ini bertujuan mengidentifikasi dan mensintesis strategi manajemen akses pelayanan kesehatan dalam pencegahan preeklamsia.
Metode: Penelitian menggunakan metode Systematic Literature Review (SLR) dengan mengacu pada pedoman PRISMA 2020. Pencarian literatur dilakukan pada Juli 2026 melalui PubMed, Scopus, ScienceDirect, dan Google Scholar terhadap artikel yang dipublikasikan pada tahun 2022–2026. Sebanyak 1.351 artikel berhasil diidentifikasi, kemudian dilakukan penghapusan 182 artikel duplikat, sehingga 1.169 artikel disaring. Sebanyak 750 artikel ditelusuri teks lengkapnya dan 622 artikel dinilai kelayakannya. Berdasarkan kriteria inklusi dan eksklusi, 37 artikel memenuhi syarat untuk dianalisis dan disintesis.
Hasil: Hasil penelitian menghasilkan empat tema utama, yaitu akses, kesiapan pelayanan, dan sistem rujukan; pengetahuan, literasi kesehatan, dan deteksi dini; pemanfaatan digital health dan telehealth; serta inovasi prediksi, skrining, dan penguatan manajemen pelayanan.
Simpulan: Disimpulkan bahwa penguatan manajemen pelayanan kesehatan yang terintegrasi melalui peningkatan akses, kapasitas tenaga kesehatan, sistem rujukan, serta pemanfaatan teknologi digital perlu dioptimalkan untuk mendukung deteksi dini, meningkatkan kualitas dan kontinuitas pelayanan, serta memperkuat upaya pencegahan preeklamsia.
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