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Tuberculosis (TB) is a disease caused by Mycobacterium tuberculosis. Indonesia is one of the countries with the highest number of TB cases in the world. The key to successful TB treatment is treatment adherence. One factor that influences treatment adherence is stigma, which can result in incomplete treatment. This study aimed to determine the relationship between stigma and adherence to pulmonary TB treatment in the city of Lhokseumawe. The research method used was descriptive correlational with a cross-sectional approach. The sampling method was quota sampling with a sample size of 83 pulmonary TB patients. Data were filled in by filling out the Internalized Stigma of Mental Illness (ISMI) scale and Morisky Medication Adherence Scale (MMAS-8) questionnaires, and the data were analyzed using the Spearman correlation test (p = 0.05). The results of the bivariate test of age, gender, last education, occupation, and PMO did not have a relationship with adherence to pulmonary TB treatment, with a p value> 0.05. However, the duration of treatment had a relationship with the level of adherence to pulmonary TB treatment, with a p-value = 0.008. The study's results also showed that stigma and treatment compliance did not have a significant relationship, with p-value = 0.197. It was concluded that there was no relationship between stigma and compliance with pulmonary TB treatment. Health services in Lhokseumawe City are expected to continue to provide education and motivation to pulmonary TB patients to comply with their treatment.

Tritya Eye Clinic Surabaya, as one of the developing eye health service providers today, faces a major challenge in providing optimal services for various patient segments, including BPJS Kesehatan participants, private insurance users, and general patients. Problems that occur with employees at the Tritya Eye Clinic, based on the results of a psychological test on September 9, 2024 on 24 employees, it was found that 22 employees had low/lacking emotional stability, in addition, based on personnel data in 2024, it was found that there were employees who committed violations with one of the causes being emotional stability based on the results of counseling conducted by the Head of HR. From the counseling, it was also found that employees have a desire for their well-being in the workplace, which is a trigger for expectations related to employee well-being and digitalization requires Tritya Eye Clinic to make changes that are expected to simplify work and minimize errors in work. The purpose of this study was to determine the effect of employee well being , emotional intelligence and job simplification on employee performance with employee achievement as an intervening variable on employees of Tritya Eye Clinic Surabaya. This study uses a quantitative method with primary data sources obtained from distributing questionnaires. The population of the study was employees of Tritya Eye Clinic Surabaya. The selection of respondents was carried out using the saturated non-probability sampling method with a total of 67 respondents . The data analysis method used descriptive analysis and SEM-PLS analysis. The results showed that the variables employee well being , emotional intelligence and job simplification had a positive and significant effect on employee performance through employee achievement on employees of Tritya Eye Clinic Surabaya.

Healthcare financing for patients covered by BPJS Kesehatan in hospitals is carried out through a claims mechanism. Delayed BPJS Kesehatan claims represent a critical issue within the healthcare service context in Indonesia. The aim of this study is to identify management strategies that can expedite the eligibility of BPJS Kesehatan claims at Restu Ibu Hospital in Balikpapan. This research is conducted using a descriptive qualitative approach, with data collection through interviews and Focus Group Discussions (FGD). The informants consisted of one doctor, three coders, and one verifier. The study begins by identifying the claim service system situation, focusing on both internal aspects (Strengths and Weaknesses) and external aspects (opportunities and Threats), also known as SWOT analysis. This study identifies several strategies, including: 1) Enhancing the competence of staff and medical personnel through regular training; 2) Developing a more advanced and integrated information system; 3) Improving communication with BPJS Kesehatan; 4) Improving documentation and data verification; and 5) Strengthening coordination with relevant units.

Puskesmas are the spearhead of the government in providing basic health services to the community in Indonesia. Puskesmas are required to provide excellent quality services to the community, but these expectations have not been met. Government efforts are then made through independent financial management of the Regional Public Service Agency (BLUD). Karang Rejo Health Centre is one of the Health Centres that successfully received a designation by the Government of Tarakan City, North Kalimantan Province as one of the Independent Health Centres with BLUD management. This study aims to analyse the role & interaction between political actors or leaders in Puskesmas in improving the quality of excellent service at Karang Rejo Puskesmas. The research informants are 1). Head of Puskesmas, 2). The Head of Section and Head of Administration. Visitors include patients who come for treatment and take care of health certificates. The research used descriptive qualitative research in order to explore in-depth information about the excellent service of Karang Rejo Health Centre. The results showed that first the Head of Puskesmas is a professional doctor, as a political actor has a very important role, especially when conducting vertical interactions and horizontal interactions. Vertical interaction with the leaders above him (head of department, regent) and horizontal interaction with the leaders below him (head of section & head of administration), causing Karang Rejo Health Centre to become independent with BLUD management. Secondly, in the dimensions of public service quality at Puskesmas Karang Rejo, West Tarakan Sub-district, Tarakan City, North Kalimantan Province, Indonesia, which has been running optimally with an achievement of 85% is the reliability dimension, the responsiveness dimension and the guarantee dimension. These dimensions can be optimal due to changes in the Puskesmas institution which was previously not independent in terms of its finances, turning into independent with BLUD management. Meanwhile, the dimensions of public service quality that have not run optimally and require improved management, amounting to 15%, namely the dimensions of physical evidence and empathy.

The implementation of Electronic Medical Records (EMRs) in hospital emergency units is essential to improve the speed, accuracy, and quality of services. However, various challenges hinder optimal system utilization. This study aimed to assess the adoption of EMR at the Emergency Unit of RSUD A.M Parikesit Tenggarong using the Human-Organization-Technology Fit (HOT-FIT) framework. A qualitative descriptive approach was employed involving seven purposively selected informants, including health professionals, administrative staff, and IT personnel. Data were collected through interviews, observations, and document reviews, then analyzed using the Miles and Huberman interactive model. The findings indicate that from the human aspect, the system was considered easy to use (85%), though user satisfaction remained moderate (67.14%) due to system errors and incomplete CPPT data entries. Organizationally, the hospital provided adequate infrastructure and support, though some policies require stronger enforcement. Technological aspects revealed limitations in system stability, lack of pharmacy integration, and low service quality due to frequent downtime. The study concludes that EMR implementation in the Emergency Unit has not yet achieved full effectiveness across all HOT-FIT domains. Improvements are needed in system reliability, information consistency, and inter-unit integration to optimize EMR benefits and enhance patient care delivery in critical settings.

The implementation of Electronic Medical Records (EMR) in outpatient services aims to improve the efficiency, accuracy, and accessibility of clinical information. However, the effectiveness of such systems is highly dependent on user satisfaction. This study evaluated the satisfaction of health personnel using outpatient EMR at Sultan Fatah Regional Hospital, Indonesia, by employing the End User Computing Satisfaction (EUCS) model. The research addressed issues related to incomplete data, low system responsiveness, and interface usability that may affect the quality of service delivery. A qualitative descriptive method was used, involving in-depth interviews, direct observations, and document analysis from 21 informants selected purposively across multiple service units. The EUCS dimensions—content, accuracy, format, ease of use, and timeliness—were used to assess user experience. The findings indicate that users encountered problems such as incomplete patient data and duplicate records (accuracy), non-intuitive interfaces (format and ease of use), and delays in accessing medical information (timeliness). Observations and documentation review further revealed a reliance on manual backups and inconsistencies between digital and physical records. Overall, the study highlights the need for better data integration, enhanced user training, interface redesign, and system infrastructure upgrades to ensure real-time and comprehensive EMR usage. The study concludes that addressing technical and human factors through the EUCS model can enhance user satisfaction and system utilization in outpatient healthcare settings.

Electronic Medical Records (EMRs) have become a fundamental component of healthcare digitization, offering improved accuracy, accessibility, and efficiency in patient data management. However, the adoption of EMR systems often encounters varied acceptance levels among healthcare workers, particularly in outpatient services where workflow integration is crucial. This study evaluates the implementation of an outpatient EMR system at RSAU dr. Siswanto, Indonesia, using the Technology Acceptance Model (TAM) framework. The research aims to explore users’ perceived usefulness, ease of use, attitude toward usage, behavioral intention, and actual system usage in daily operations. Employing a qualitative descriptive approach, data were collected through in-depth interviews, observations, and document analysis involving doctors, nurses, and medical record staff. The findings reveal that although the EMR system is generally perceived as beneficial for improving documentation and efficiency, several challenges persist, including incomplete feature utilization, limited training, and inconsistent user adaptation across roles. Additionally, network instability and technical downtime were noted as barriers to system reliability. Overall, the study underscores that perceived ease of use and continuous institutional support significantly influence EMR acceptance. These insights highlight the need for targeted capacity building and iterative system development to ensure effective EMR integration in outpatient settings.

The Maternal Mortality Rate (MMR) in Indonesia is still high and is a major challenge in the health system, especially in the labor phase. This study aims to analyze the implementation of the BPJS patient labor referral system in reducing MMR at the Gunung Tinggi Health Center. The study used a qualitative method with a case study approach to health workers at the Gunung Tinggi Health Center. The results of the study showed that the availability of competent health workers, adequate facilities and infrastructure, and a referral system integrated with BPJS have made a positive contribution to labor services. However, challenges were still found in the form of late responses from referral hospitals, geographical constraints, and low public health literacy regarding the importance of referrals. This study concludes that strengthening the coordination system between facilities and educating the community is very important in increasing the effectiveness of the referral system and reducing maternal mortality.  

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. 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. 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. 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.

Antibiotic resistance is a worldwide threat that is largely caused by the inappropriate use of antibiotics. The purpose of this community service is carried out in order to increase knowledge about the wise and correct use of antibiotics. This community service was given to 20 patients with counseling using leaflets. In general, the implementation of this community service was categorized as successful and went well. There was an increase in knowledge about the importance of using antibiotics correctly after counseling.

The digitalization of healthcare services has emerged as a pivotal catalyst in modernizing Indonesia’s health system, delivering enhanced efficiency, accessibility, and integrated service quality. This study employs a qualitative literature review approach to explore the implementation of digital transformation strategies in hospitals, with a particular emphasis on ethical challenges and patient data security. The findings reveal that the adoption of technologies such as artificial intelligence, Internet of Things, and telemedicine accelerates service delivery and broadens medical outreach, especially in remote areas. Nevertheless, critical issues arise concerning the vulnerability of health data to breaches, misuse, and cyber threats, exacerbated by uneven digital infrastructure and limited technological literacy among healthcare professionals. Proposed strategies include strengthening data protection regulations, improving human resource capacity, and fostering cross-sectoral collaboration to establish a secure and ethical digital healthcare ecosystem. Through comprehensive management of these challenges, healthcare digitalization is expected to expedite the achievement of SDG 3 and bolster public trust in the national health system.

This research was carried out at the Multipurpose Health Center, Sako District, Palembang City. The purpose of this study is to find out the health services provided to Healthy Indonesia Card (KIS) patients at the multivehicle health center and to find out what factors are obstacles in providing maximum service to Healthy Indonesia Card (KIS) patients at the health center. The method used in this study is a descriptive method with a qualitative approach. Data collection techniques include primary data collection in the form of interviews and field observations, as well as secondary data collection in the form of documentation and literature studies. The determination of informants in this study uses the purposive sampling technique. The result of the analysis of this study is Health Services for KIS Patients at the Multiwahana Health Center, Sako District, Palembang City based on PERMENKES Number 04 Article (3) of 2019 concerning Minimum Service Standards (SPM). Health is assessed from the number of quality goods/services, quantity and quality of infrastructure. Health human resources and procedures for meeting standards are running well, this can be seen from the free services provided to KIS participants, namely KIS participants get basic health services at the Puskesmas free of charge, including examinations, treatments, immunizations and maternal and child health services. The provision of medicines at the Puskesmas ensures the availability of essential medicines needed by KIS participants. However, the flow of procedures and services at the multipurpose health center is quite clear, simple, not convoluted, and the officers are friendly. Then, the inhibiting factor in providing services to KIS patients is that there are still many people or patients who are not interested in the Healthy Indonesia Card program.

This study explores the implementation process of the Electronic Health Record (EHR) system at RSUD Loekmono Hadi Kudus. The objective is to gain an in-depth understanding of the implementation phases, identify encountered challenges, and assess the system’s impact on the efficiency of medical record management and quality of healthcare services. A qualitative methodology was employed, using in-depth interviews and direct field observations for data collection. The findings indicate that the EHR system facilitates easier access to patient data, accelerates service delivery, and improves the accuracy and reliability of medical information. Despite facing several challenges related to technical issues and human resources, training and adaptation efforts proved effective in overcoming these obstacles. The study recommends ongoing system enhancements and continuous training for staff to ensure more effective utilization of EHR in the future.

Registration counter services as the main gateway for patient interaction with hospitals play a crucial role in shaping public perception of the quality of health services. However, Kaimana Hospital faces challenges such as long queues, limited physical facilities, and reliance on coordination between units, which have the potential to reduce patient satisfaction. This study aims to analyze the gap between patients' expectations and perceptions of the quality of registration counter services using the SERVQUAL model, focusing on five dimensions: Reliability, Assurance, Tangibles, Empathy, and Responsiveness (responsiveness). The qualitative-descriptive method is applied through direct observation during the workday, semi-structured interviews and analysis of secondary documents. The results of the study showed that officers were considered competent in providing Assurance information  and showed spontaneous empathy for the Empathy vulnerable group. However, the Reliability  dimension is hampered by long queues and reliance on the availability of medical personnel, while Tangibles is limited to physical facilities that are less adaptive during visitor density. Responsiveness is also influenced by fluctuations in the number of patients and coordination between units that are not optimal. The main gap lies in the absence of a digital queuing system, structured inclusive protocols, and standardization of officer competencies. Strategic recommendations include certification-based HR training, integration of digital queue technology, infrastructure optimization, and strengthening operational coordination. This research emphasizes the importance of a holistic approach to create an inclusive, efficient, and sustainable service ecosystem, as well as a reference for regional hospitals in improving the quality of services based on the SERVQUAL model.  

Negligence in pharmaceutical services is a multifaceted issue that significantly impacts patient safety, the quality of healthcare delivery, and the professional reputation of pharmacists in Indonesia. Such negligence can occur at various stages of pharmaceutical services, including prescribing, dispensing, storage, and administration of medication to patients. The causes of negligence are diverse, encompassing excessive workload, inadequate understanding and application of professional ethical codes, ineffective communication between pharmacists and other healthcare professionals, and suboptimal supervisory and audit systems. This study aims to analyze the ethical and professional implications of negligence in pharmaceutical services and to identify preventive efforts that can improve the quality of pharmaceutical services. This study employs a library research method with a qualitative descriptive approach, thoroughly reviewing scientific literature indexed in Sinta and other reputable academic sources to analyze the ethical and professional implications of negligence in pharmaceutical services. Findings reveal that negligence not only violates core professional ethical principles such as beneficence, non-maleficence, and justice but also exposes pharmacists to serious legal and disciplinary sanctions. Furthermore, negligence leads to long-term negative consequences, including diminished public trust in pharmaceutical services and the broader healthcare system, ultimately hindering national efforts to improve healthcare quality. Therefore, this study recommends continuous professional ethics training, strengthening of both internal and external supervisory mechanisms, and the innovative use of information technology to minimize negligence risks in pharmaceutical practice. The implementation of these measures is expected to enhance pharmaceutical service quality, uphold the integrity and dignity of the pharmacist profession, and provide optimal patient protection in Indonesia.

This study aims to determine and evaluate the BPJS Health Service Policy in the VIP Room of Edelweiss, Dr. M. M. Dunda Limboto Regional General Hospital, Gorontalo Regency. The research method used is qualitative descriptive. The results of the study indicate that several indicators of the effectiveness of the BPJS Health service policy in the VIP Room of Edelweiss, Dr. M. M. Dunda Limboto Regional General Hospital have not been running optimally. In terms of effectiveness, the administrative procedures are still considered unclear and not easy by patients and families, especially with the time limit for processing BPJS only 3 x 24 hours. The adequacy indicator is running quite well, but administrative information is only delivered verbally without written support, so patients or their families often have to ask again for the information needed. In terms of equality, although there are differences in facilities and comfort between the VIP room and the general care room, equality in processing BPJS administration is maintained. Responsiveness is considered good; administrative officers are considered fast and precise in providing solutions to obstacles faced by patients. However, in the accuracy indicator, some informants felt that the time given for administrative management was not yet in accordance with needs, especially for patient families who live far away or have other activities. This indicates the need for a re-evaluation of the time provisions and the delivery of more complete and written information.

This study aims to identify forms of violations of the right to health services in the implementation of BPJS Kesehatan, analyze the factors that cause them, and formulate preventive and limiting solutions. The research used a descriptive qualitative approach with in-depth interviews with six informants who were active BPJS Health participants in Tanjung Sari, East Jambi. The results showed that there was service discrimination in the form of different treatment between BPJS patients and general patients, patient rejection, administrative obstacles in emergency situations, and unavailability of drugs and medical facilities. Contributing factors include unequal distribution of health facilities, limited human resources, and a weak monitoring system. The experiences of BPJS participants confirm the gap between the program's objectives and the reality on the ground, reflecting a denial of the state's obligation to guarantee citizens' health rights. Comprehensive efforts are needed, including public education, administrative simplification, equitable distribution of health facilities, enforcement of strict sanctions, and active community involvement to realize quality and equitable health services.

Informed consent is a crucial component of medical records that ensures the legality and ethical compliance of medical procedures conducted on patients. At RSUP Surakarta, the completeness of informed consent documentation in the surgical ward has consistently failed to meet the national minimum service standard of 100%, with observed monthly completion rates ranging from 86% to 98% throughout 2024. This study aims to analyze the factors contributing to the incomplete documentation of informed consent in the surgical ward. A qualitative descriptive approach was employed using data collection techniques such as direct observation, in-depth interviews, documentation review, and participatory methods including the USG (Urgency, Seriousness, Growth) prioritization technique and brainstorming. The study involved four key informants: a medical services director, a surgeon, a surgical nurse, and a medical records officer. Findings indicate that the main contributing factors are the absence of Standard Operating Procedures (SOP) for consent documentation, lack of training, insufficient internal and external motivation due to absence of rewards or enforcement measures, limited knowledge, and short tenure of some staff members. The USG analysis identified the absence of an SOP as the most critical issue. Consequently, the development and dissemination of an SOP, coupled with regular staff training, were recommended as corrective measures. This study underscores the importance of structural and motivational support in improving the completeness of informed consent documentation, which is vital for patient safety and institutional accountability.

The rapid advancement of digital technology has transformed healthcare services, including the implementation of online registration systems in hospitals. RSUP Surakarta has operated an online patient registration system since 2021 to reduce wait times and improve service efficiency. However, no formal evaluation has been conducted from the user experience (UX) perspective. This study aims to evaluate the UX of RSUP Surakarta’s online registration system using the User Experience Questionnaire (UEQ) method. A descriptive quantitative approach was employed with accidental sampling involving 100 respondents who had used the system in 2024. The UEQ measured six aspects: Attractiveness, Perspicuity, Efficiency, Dependability, Stimulation, and Novelty. Results revealed that all aspects scored positively, with Attractiveness (1.920) and Dependability (1.810) reaching the “Excellent” benchmark. Perspicuity (1.863) and Efficiency (1.868) also showed strong scores, while Stimulation (1.693) and Novelty (1.130) scored lower in the “Good” category. These findings suggest that although the system is well-received, improvements are necessary in terms of user engagement and innovation. Enhancing the user interface and enriching system features are recommended to optimize user satisfaction and ensure alignment with patient-centered service standards. This study contributes to digital service evaluation practices in public healthcare by providing empirical insights into user perceptions and expectations.

The implementation of Electronic Medical Records (RME) in hospitals often faces various obstacles that hinder the achievement of maximum benefits. The main problems lie in the visual design, content quality, and user acceptance of the system, which have an impact on the work efficiency of medical personnel and the quality of service to patients. This study aims to analyze the effect of visual design and content quality of RME on Net benefits by considering system users as intervening variables. This research approach uses the HOT-Fit model that integrates human, organizational, and technological dimensions, accompanied by EUCS theory to assess visual and content quality and UTAUT theory to understand user perceptions. The results showed that the dimensions of visual design and content quality had a significant influence on the Net benefits of RME, both directly and through intervening system user variables. The findings also revealed that weaknesses in menu structure and information relevance hindered system performance, although overall, the Net benefits of RME were in the high category. Therefore, continuous evaluation and improvement on visual aspects, such as a more intuitive layout, as well as more organized and relevant content, are priorities for improving RME implementation. Key suggestions include optimizing the menu structure, simplifying navigation, integrating the system across hospital units, and providing ongoing training for system users. Thus, this study contributes to the development of a more effective RME implementation strategy, so as to support digital transformation in the healthcare sector.