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Quality health services are key to improving patient satisfaction among National Health Insurance (JKN) participants. This study aims to systematically review various studies that have been conducted in Indonesia related to the level of JKN patient satisfaction with health services at Community Health Centers. The method used is a literature study by selecting relevant articles published in 2023-2025. Inclusion criteria include articles that discuss the relationship between service quality and JKN patient satisfaction. A total of 11 articles that meet the criteria have been analyzed. The results of the analysis show that the dimensions of service quality that most often influence the level of patient satisfaction are reliability, responsiveness, empathy, and tangibles. Most studies also use a quantitative approach with statistical tests such as chi-square and logistic regression to analyze the relationship between variables. However, not all dimensions always significantly affect the assurance dimension in several studies showing inconsistent results. The conclusion of this study is the importance of improving the quality of health services at Community Health Centers to improve JKN patient satisfaction. Health centers must develop patient-focused service strategies by training human resources, improving service systems, and conducting continuous quality evaluations.  

Nursing as a profession, is limited by self-regulation in the form of a code of ethics of killing. The code of ethics of extermination is the basic reference for nurses in carrying out their profession, both in relation to the use of extermination technology and knowledge. The purpose of this study was to determine the relationship between the principle of protection ethics and the quality of service in the inpatient room of Bakti Tin Karimun Hospital. The design of this study was cross-sectional with a sample size of 84 respondents, namely patients in the inpatient room using a purposive sampling technique. Data were collected using a prevention ethics questionnaire to measure the application of the principle of prevention ethics and a prevention service questionnaire to measure the quality of service. Data were analyzed through a chi-square statistical test P Value of 0.007 <0.05, which means that there is a significant relationship between the application of the principle of protection ethics and the quality of protection services in the inpatient room of Bakti Tin Karimun Hospital. So the more optimal the application of protection ethics, the better the quality of protection services. Nurses are expected to be able to apply the principle of optimal care ethics in providing care to patients so that the quality of service in inpatient care is good.

Globally, the World Health Organization (WHO) notes that diarrhea related to acute gastroenteritis (AGE) is the second leading cause of death in children under five years of age, with more than 1.7 billion cases of diarrhea occurring each year. The economic burden due to AGE is substantial, including healthcare costs, loss of productivity, and long-term impacts on nutrition status and child development. Objective: to increase public awareness regarding the prevention of AGE. Method: The health education activities were conducted in the inpatient room of Bintang Amin Hospital using the method of community service by providing education on AGE prevention. The participants of the counseling were patients and their families. Results: This activity was held on Saturday, June 14, 2025, at Bintang Amin Hospital. All respondents were very enthusiastic about the material and demonstrations presented. Conclusion: After the counseling on the prevention of GEA, there was an increase in knowledge among respondents as seen from their responses when asked about the concept of GEA disease.

Electronic Medical Record (EMR) systems have become a fundamental component of hospital information systems, aiming to improve the quality, efficiency, and continuity of patient care. However, the success of EMR implementation depends largely on user satisfaction. This study investigates user satisfaction with the EMR system implemented at Dr. Soetarto (DKT) Hospital, a mid-tier hospital in Yogyakarta, Indonesia. The research addresses issues related to usability, data accuracy, and system responsiveness that potentially hinder effective EMR usage. The objective is to evaluate user satisfaction using the End User Computing Satisfaction (EUCS) framework, which consists of five dimensions: content, accuracy, format, ease of use, and timeliness. A quantitative approach was applied through a structured questionnaire distributed to 40 healthcare workers, including medical records staff, nurses, pharmacists, and administrative personnel. Data analysis using Spearman correlation revealed significant positive relationships among all EUCS dimensions, with the strongest association found between format and ease of use. The findings indicate that while users are generally satisfied with the system’s performance, improvements are still needed in timely data retrieval and user interface consistency. This study highlights the critical need for continuous system evaluation and end-user involvement to optimize EMR functionality and healthcare service delivery.

The digitalization of healthcare had prompted health institutions to adopt digital content marketing as an innovative strategy for service promotion and patient loyalty development, while preserving service reliability as a crucial loyalty factor. Recent empirical research had revealed inconsistent findings about the non-linear relationships among these variables, which necessitated additional investigation incorporating trust as a mediating factor. This research sought to provide empirical validation of how trust mediated the relationship between service reliability, digital content marketing, and patient loyalty within hospital settings. The study employed a cross-sectional methodology using purposive sampling with 119 outpatients from Hermina Kemayoran Hospital in Jakarta. The analytical approach utilized the three box method for descriptive analysis and Partial Least Square-Structural Equation Modeling (PLS-SEM) via Smart-PLS 4 for inferential analysis. Results demonstrated that both digital content marketing and service reliability influenced patient loyalty indirectly through trust mediation, though digital content marketing's indirect influence was considerably weaker than its direct impact. The research determined that trust served as a partial mediator in how digital content marketing and service reliability affected patient loyalty development in hospital environments.

Digital outpatient services are an important alternative in providing fast, efficient, and affordable health services, especially after the COVID-19 pandemic. However, this system change requires an active role from Health Care Administrators in designing strategies that can maintain and improve patient satisfaction. This article aims to analyze how the role of health administrators in developing technology-based quality management strategies to optimize patient experience in digital services. This study uses a qualitative approach with literature studies and analysis of digital outpatient service policies. The results of the study indicate that the success of increasing the patient satisfaction index depends on the administrator's ability to design effective digital communication strategies, virtual queue management, digital HR training, and strengthening online feedback systems. The involvement of administrators in strategic decision-making also makes a major contribution to improving service quality. The main recommendation of this study is the need to strengthen the capacity of health administrators in aspects of information technology, digital risk management, and patient engagement. With this strategic role, health administrators are at the forefront of the transformation of digital health services in the future.

The utilization of Artificial Intelligence (AI) in healthcare services and medical diagnosis in Indonesia has grown rapidly alongside the digital transformation of the health sector. AI technology has been employed to improve service efficiency, accelerate diagnostic processes, and enhance disease detection accuracy, particularly through medical imaging and ECG data analysis. Algorithms such as K-Nearest Neighbor (KNN) and Chi-Square have shown effectiveness in heart disease classification. However, despite its benefits, AI implementation presents legal challenges. The absence of specific regulations regarding legal liability in cases of AI-based diagnostic errors creates uncertainty for both medical professionals and patients. Additionally, the lack of national standards, weak patient data protection, and digital literacy gaps present significant obstacles. Adaptive policies, the establishment of dedicated regulations, and collaboration between government, medical practitioners, technology developers, and academics are essential to develop a legal framework that accommodates AI advancements responsibly. With clear legal certainty, AI technology can be optimally utilized to support more inclusive and high-quality healthcare services.

The implementation of the Enhanced Recovery After Cesarean Surgery (ERACS) method as an innovation in the Sectio Cesarea (SC) surgical procedure aims to accelerate recovery, minimize pain, and improve patient comfort. Although it has been clinically proven, there is still limited research exploring patients' subjective experiences with this method, particularly in eastern Indonesia. This study aims to explore in depth the physical, emotional, psychological experiences, as well as perceptions of service and patient expectations after undergoing SC with the ERACS method at Banggai Laut General Hospital. The study employs a qualitative approach with a phenomenological study design. Data were collected through in-depth interviews with purposively selected informants and analyzed using Braun & Clarke's thematic analysis technique. The results showed that patients experienced rapid physical recovery, minimal pain, and were able to mobilize early. Emotionally, patients felt calm and stable, supported by good communication with medical staff and family support. However, information about the ERACS procedure before surgery was still perceived as lacking detail. Patients also hope that this method continues to be implemented with improvements in educational aspects and financial support from BPJS. Patients' experiences with the ERACS method are generally very positive and reflect the success of this approach not only clinically but also in creating a more comfortable, efficient, and humane childbirth experience. This study recommends enhancing preoperative education, postoperative monitoring, and more inclusive financial support systems.

The development of information technology has had a significant impact on the healthcare sector, particularly in improving the efficiency and quality of services. Technologies such as Big Data and the Internet of Things (IoT) enable the collection and analysis of large volumes of medical data as well as real-time patient monitoring. This study aims to analyze how the integration of Big Data and IoT can enhance the quality of healthcare services, with a focus on their impact on patient care and hospital operational efficiency. The research method used is a literature review, involving the collection and analysis of data from various sources such as scientific journals, articles, and related research reports. The results indicate that hospitals that have implemented these technologies have experienced significant improvements in several aspects, including increased diagnostic accuracy, reduced service delays, and more efficient resource management. Real-time patient monitoring through IoT devices enables faster medical decision-making, while Big Data analytics helps predict disease patterns and medical needs. However, the challenges faced include data security issues, infrastructure limitations, and shifts in healthcare practice paradigms. In conclusion, the integration of Big Data and IoT can improve the quality of healthcare services, but addressing the existing challenges is essential to optimize its implementation in the healthcare sector.

Dengue hemorrhagic fever is a disease caused by a virus that is very dangerous because it can cause patients to die in a very short time. Eradicating the Aedes aegypti mosquito is the most important way to eradicate dengue disease, this is done because vaccines to prevent and drugs to eradicate the dengue virus are not yet available. Abate (tempo’s) is one of the groups of pesticides used to kill insects in the larval stage. The goal is to increase public knowledge about the use of abate as a form of dengue prevention. The method carried out in the implementation of community service activities uses the extension method. As a result, the Abate Movement Program has shown positive results in increasing public awareness and knowledge related to dengue prevention. This activity not only provides education, but also encourages real actions in the neighborhood where residents live, such as the use of abate and the implementation of PHBS.

Background: Bali Province is a tourist destination which makes Bali have the potential for drowning cases. It is very important to initiate first aid immediately so that the victim can avoid death or more severe disability. Therefore, knowledge regarding techniques for providing basic life support and handling drowning victims. Tourism actors in coastal areas have the first opportunity to help drowning victims. Objective: To determine the knowledge and skills of the community in providing first aid to drowning victims. Method: Lectures and discussions to explain knowledge and techniques in handling or providing first aid to drowning patients. The media used are leaflets and flipcharts. The targets for this community service are tourism actors, namely travel agent employees in the Mertasari Sanur beach area, totaling 50 employees. Results: Before being given education about handling drowning victims, 66.7% of participants had poor knowledge and only 33.3% of participants had good knowledge and 76.7% of participants had very good knowledge and 23.3% had good knowledge after learning about handling drowning victims. Conclusion: There was an increase in participants' knowledge and skills in providing first aid to drowning victims.

E-Puskesmas is a solution to problems caused by manual systems. It was created to streamline the method of reporting data to the Health Office and digitize the process of providing health services to the community at the Puskesmas. In addition, the online reporting system facilitates the dissemination of information effectively and efficiently. This study aims to determine the impact of using E-Puskesmas in improving the effectiveness of health services at the Pancur Community Health Center in Tanjungpinang City. The research method used is descriptive research with a qualitative approach conducted through observation, interviews, and documentation. The results of the study indicate that the implementation of E-Puskesmas has brought significant improvements in managing patient data, appointment scheduling, and reporting processes to the Health Office. Health workers find the system beneficial for storing accurate data, reducing paperwork, and enabling faster coordination with other health facilities. However, the use of the system is still hampered by unstable or slow internet or Wi-Fi networks, which often delay data input and retrieval during busy operational hours. This issue not only reduces efficiency but also causes frustration among staff who rely on the system for daily activities. The conclusion of this study highlights that the use of E-Puskesmas is effective in supporting digital health services but remains suboptimal due to technical challenges. Improving internet connectivity is critical to ensuring seamless operation and maximizing the benefits of the system. The study recommends that the local government and relevant stakeholders enhance the quality of network infrastructure and provide regular technical support and training for Puskesmas staff. By addressing these challenges, the Pancur Community Health Center can improve the stability of its operations and ensure that the E-Puskesmas application delivers optimal results in supporting high-quality, efficient, and technology-driven health services for the community.

Background: Telenursing in its application is able to provide nursing care services that can increase patient satisfaction and increase family participation. Telenursing can also function to reduce distance, visiting time, and monitor patients who have returned home from the hospital. This study aims to show the significance of the application of telenursing in nursing services. Method: The method applied is a systematic review referring to the PRISMA guidelines. Results: The research findings indicate that seven studies were taken from 5,737 publications. Publications were taken from the period 2020 to 2025. Research articles were searched through academic electronic databases (Scopus, Pubmed, and Google Scholar). The application of telenursing has positive implications for nurses, patients and families in assisting the nursing care process. Conclusion: Telenursing is an effort to improve nursing services so that they can reach distant locations, time efficiency and make it easier for patients and families to get nursing services.

Most people are exposed to sudden death as a result of viral hepatitis infection, especially at an advanced age, so we need to know the continuation of the disease until death in a sample of hospitals to know the differences in the services provided by those hospitals. The research aims to estimate a function for the Rayleigh distribution (RD) using several methods (maximum likelihood function, White, s, weighted least square) and choose the best method for estimation using the mean square error (MSE) and compare the survival rates of patients admitted to (Al-Kadhimiya, Al-Karkh, and Yarmouk) hospitals, The results of the research showed in the experimental aspect that the maximum likelihood method for all sample sizes is the best, followed by the weighted least squares method and finally the White method. In the applied aspect, on a sample consisting of (63) patients (liver cirrhosis + liver cancer) for the first quarter of 2025, it was found that their survival rate until death is (33%) for a time average of (2) months and (15) days.

This study investigates the influence of patient involvement and effective communication on the image of the Emergency Department (ED) at Dr. Dradjat Prawiranegara Regional Hospital in Serang, with service quality acting as a moderating variable. Utilizing a quantitative research method, data were collected through questionnaires distributed to 315 patients who received emergency care services between October 1 and November 1, 2024. The data were analyzed using multiple regression analysis and Moderated Regression Analysis (MRA). The findings show that patient involvement has a significant and positive impact on the image of the ED, while effective communication alone does not show a statistically significant effect. However, service quality positively moderates the relationship between effective communication and the ED’s image, enhancing its influence. In contrast, service quality does not moderate the relationship between patient involvement and ED image. These results highlight the importance of engaging patients in medical decisions and ensuring effective communication strategies supported by high service quality to enhance the institutional image of emergency healthcare services. The study suggests that hospital management should develop integrated service improvement policies focusing on staff communication training, patient-centered care practices, and continuous quality improvement. It also recommends further qualitative studies to explore deeper insights into patient experiences and to examine other hospital departments to broaden the understanding of healthcare service quality's role in shaping hospital image.

Background: Patient satisfaction is a form of feeling happy or disappointed with the service received after the patient compares it with what is expected. In the era of digitalization, telemedicine has an impact on health services, especially patient satisfaction. This study aims to determine the use of telemedicine on increasing patient satisfaction in health services in Indonesia. Research methods: Systematic review using PRISMA guidelines and the PICO model, Population = patients who use telemedicine; Intervention = telemedicine; Comparison = not using telemedicine; Outcome = patient satisfaction in health services in Indonesia. Articles were collected through Google Scholar, Jurnal Manajemen Kesehatan (JMK), Jurnal Kebijakan Kesehatan Indonesia (JKKI), Jurnal Pendidikan dan Teknologi Kesehatan (JPTK), Jurnal Ilmiah Indonesia (JII), and Jurnal Komunikasi which focus on Indonesia. Keywords use: patient satisfaction, health services, telemedicine, Indonesia. A total of 6 articles met the inclusion criteria for a systematic review. Results: 6 articles out of 119 articles were studied for systematic review. Six articles did not find a significant difference in patient satisfaction between telemedicine and face-to-face meetings. There are several factors that influence patient satisfaction, including: most are female, productive age, college educated, and work as private employees. Conclusion: Telemedicine services have been shown to increase patient satisfaction in health services in Indonesia. This shows that the more telemedicine services used, the higher the level of patient satisfaction. However, further research is needed to analyze how effective the use of telemedicine is on patient satisfaction in health services in Indonesia.

Employee performance represents the ability to fulfill tasks and responsibilities according to organizational standards. At UPTD Puskesmas Kosambi, the evaluation of Non-Civil Servant (Non-ASN) healthcare workers is still done manually and tends to be subjective, primarily based on attendance. This study aims to address the issue by developing a decision support system using the MOORA (Multi-Objective Optimization on the Basis of Ratio Analysis) method. A descriptive-applied approach and the waterfall development model were employed. Five evaluation criteria were used: attendance (25%), service quality (35%), report timeliness (20%), patient complaints (10%), and lateness (10%). Data from 20 Non-ASN healthcare workers in April 2025 were analyzed, with Anis Julianti achieving the highest MOORA score of 0.3839. The system underwent validation through black-box testing and user acceptance testing (UAT), both confirming its accuracy and usability. The findings were compared with previous studies. Harningsih et al. (2024) used the MOORA method for promotion evaluations at the North Sumatra Provincial Inspectorate Office and recorded a top score of 0.3616. Dewi Yohana br Ginting et al. (2024) applied the method at a beauty clinic and found a top score of 0.3747. These comparisons indicate that the MOORA results in this study fall within a consistent and valid range. The developed decision support system is expected to enhance the objectivity, transparency, and accountability of performance evaluations for Non-ASN employees in primary healthcare services, offering a more comprehensive alternative to manual assessment methods.

The incidence of chronic diseases is not comparable to the ratio of chronic disease service utilization in Jambi City. Data from BPJS Kesehatan Jambi states that Talang Banjar Health Center is a health center with the lowest achievement of the Controlled Chronic Disease Management Program Participant Ratio (RPPT) of 0.55% from ≥ 5%. It is suspected that the behavior of chronic disease sufferers influences this figure. The study aims to analyze the behavior of health service utilization by chronic disease patients in the work area of Talang Banjar Health Center, Jambi City. Quantitative research with a cross-sectional study design. The research sample was selected through the Total Sampling Technique, namely all prolanis participants who have been registered at Talang Banjar Health Center, Jambi City, totaling 75 respondents. Data analysis using the chi square test. The results of the study showed that there was a relationship between Education (p = 0.049), knowledge (p = 0.000), accessibility (p = 0.043), and perception of disease (0.020) with prolanis utilization. There is no relationship between age (p = 0.254), gender (p = 0.383), occupation (p = 1.000), and health worker attitudes (p = 0.320) with the utilization of prolanis health services. It is concluded that education, knowledge, accessibility and perception of disease factors influence patient behavior in utilizing Prolanis services.

This study analyzes the application of collaborative governance in overcoming the phenomenon of overcrowding of visitors and its impact on environmental security at Kaimana Hospital, West Papua. The background of the research is based on the imbalance in the capacity of hospital infrastructure (serving 65,490 people) with the high number of visits, exacerbated by the habit of the community transporting patients en masse and the massive use of JKN services. The descriptive qualitative method is used with data collection techniques through semi-structured interviews, observations, and visual documentation. The analysis refers to the theory of Ansell and Gash (2008) which includes starting conditions, institutional design, facilitative leadership, collaborative process, and outcome. The results of the study show that efforts such as limiting visiting hours and the construction of halfway houses are not optimal due to less participatory policy design, lack of structured dialogue between stakeholders, and top-down leadership. Overcrowding is triggered by narrow waiting rooms, limited facilities, and the disintegration of the queue system. Despite collaborative initiatives, the results are still partial due to weak cross-sector coordination and low community participation. Strategic suggestions include infrastructure improvement, the development of an integrated digital queuing system, intensive socialization, and the formation of collaborative teams across sectors (RSUD, government, TNI/POLRI, and the community). Conflict management training, periodic evaluation, and participatory leadership approaches are also needed to create sustainable service transformation. This study emphasizes that inclusive and transparent collaboration is the key to overcoming overcrowding and strengthening the safety of the hospital environment.

Hospitals as a health service industry are required to provide quality services through marketing strategies so that the quality of health services in hospitals becomes higher. One strategy that can be used by hospitals is to implement the Marketing Mix. From the results of initial interviews, it was found that most patients were elderly patients at RSI Ibnu Sina Bukittinggi who had difficulty getting information through social media, resulting in a backlog of registrations and decreased patient satisfaction. This study aims to determine the relationship between the marketing mix and outpatient satisfaction at RSI Ibnu Sina Bukittinggi. This study uses a quantitative method with a cross-sectional design. The sample used was 100 respondents taken from the outpatient population. Data analysis was carried out using the Chi-Square statistical test at α = 0.05 to see the significance of the relationship between the marketing mix and patient satisfaction. The results of the study found that there was a relationship between the product marketing mix and patient satisfaction and there was no relationship between the marketing mix of price, promotion, people, process, physical evidence and outpatient satisfaction. Based on the results of the study, it is expected that the marketing mix in the Outpatient Unit of RSI Ibnu Sina Bukittinggi will maintain and improve its marketing services.