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Puskesmas is one of the health services whose traffic is difficult to determine, because it cannot be predicted that people will get sick and need health services. The queuing system at the puskesmas is implemented through several stages, namely the first stage the patient goes to the counter to get a queue number, after that the patient will be called according to the serial number to be served. This has a big impact on patients who were previously queuing because they have to be willing to wait longer to get service. This queue system often causes various kinds of problems and patient dissatisfaction. The Queue Management System at the Sindangkerta Community Health Center has several problems, including long queue waiting times which tend to be detrimental to patients who will receive services. Long queues cause longer waiting times. The queue is not easily accessible to prospective patients, making it difficult to obtain a queue number. This research uses qualitative research methods with a descriptive type. Data collection techniques using direct observation techniques, interviews and documentation. Data analysis techniques using data collection techniques, data reduction, data presentation and drawing conclusions. The results of the research show that the evaluation of the management of the queuing system at the Sindangkerta Community Health Center is quite good, but there are still problems, including long queue waiting times and difficulty for visitors to get a queue number.  

The implementation of pharmaceutical service standards in hospitals must be supported by the availability of pharmaceutical resources, organization oriented towards patient safety and standard operational procedures, where pharmaceutical resources include human resources as well as facilities and infrastructure. The purpose of this study was to determine the evaluation of prescription service waiting time at the Surya Insani Pasir Pangairan Hospital pharmacy. This study used qualitative research (In-depth interview) from this study the sample was 6 (six) people, namely 2 key informants, 2 main informants and 2 triangulation/additional informants totaling 6 people. The results of the study Human resources on prescription service waiting time at the Surya Insani Pasir Pangaraian Hospital Pharmacy Installation, Riau are still lacking. The required standard is 13 and the available is 9 so it requires 4 more people, facilities and infrastructure for waiting time for prescription services at the Pharmacy Installation of Surya Insani Hospital Pasir Pangaraian Riau meet 85% and there are still obstacles to speeding up services, the policy for waiting time for prescription services at the Pharmacy Installation of Surya Insani Hospital Pasir Pangaraian Riau is that SOP is enforced for 10 minutes for non-compounding and 20 minutes for compounding., supervision of waiting time for prescription services at the Pharmacy Installation of Surya Insani Hospital Pasir Pangaraian Riau is that SOP is enforced as a reference for work, there is training and education for waiting time for prescription services at the Pharmacy Installation of Surya Insani Hospital Pasir Pangaraian Riau., Suggestions are expected for hospitals As information for Surya Insani Hospital Pasir Pangairan so that they can intervene in order to make good Health Human Resource planning, As information material for Surya Insani Hospital Pasir Pangairan regarding things that are considered good or not considered good so that they can be an improvement in the future.

Hospital information systems are technologies used in hospital information management. Dr. Cipto Mangunkusumo Hospital has kept up with technological developments by using HIS which is used to simplify the service process in the medical record unit from incoming patients to outpatients. The purpose of this study is to find out the overview based on the Technology Acceptance Model (TAM) dementia, which is an information system theory of how users can accept and utilize technology. The RME evaluation considers five perceptions, namely perceived ease of use, perceived usefulness, attitude toward using, behavioral intention, and actual technology use. The method of this study is quantitative description research and the object of this study is 96 Hospital Information System (HIS) respondents. The results of this study show that as many as (61.5%) respondents who received HIS and (38.5%) who have not received HIS with details of the perceived ease of use HIS obtained (75%), perceived usefulnesss (70.8%), Attitude toward using was obtained (79.2%), behavioral intention was obtained (62.5%) and in terms of Actual Technology Use as many as 70.8% used every day with a duration of 3 hours per day. It can be concluded that the perception of HIS users has gone well and provided benefits for officers including increased productivity in doing work, but there are still several shortcomings so that there is a need for monitoring and socialization of users who are still not skilled in using HIS and developing HIS features that are more responsive to the needs of health workers and improving technological infrastructure so that HIS can run more easily.

Degenerative diseases are a global health problem with increasing prevalence, including in Indonesia. This disease can cause serious complications in vital organs such as the heart, kidneys, and brain. Therefore, preventive efforts are needed through education and nutritional innovation. This community service program aims to provide education on molecular examinations for degenerative diseases and introduce the Watermelon Lemonade innovation as preventive nutrition. The activity was carried out in Dukuh Branglor, Mancasan Village, with the pre-test method, educational presentation, Q&A, product demonstration, and post-test. The results of the activity showed an increase in public knowledge about hypertension and its examination, as well as high enthusiasm for the Watermelon Lemonade innovation. Based on the results of the activity, it can be seen that molecular examinations can be used to diagnose hypertension through analysis of genetic biomarkers, proteins, and metabolites, and the Watermelon Lemonade innovation has the potential to help lower blood pressure in hypertensive patients. The success of this program was shown by an increase in the average pre-test score of 58.46 to 86.67 in the post-test. The Wilcoxon test showed (p < 0.001), indicating a significant difference between the pre-test and post-test results and proving an increase in participant understanding. The questionnaire results showed a high level of satisfaction from participants with the delivery of materials, product manufacturing demonstrations, and practical benefits that can be applied in everyday life. The Watermelon Lemonade innovation is not only useful as an alternative to preventing hypertension, but also has the potential to be further developed as a health product based on natural ingredients.

Nursing students need to have adequate competence related to patient safety. Patient safety is a system aimed at providing safe healthcare services, preventing incidents for patients, and improving patient services. Knowing students' perspectives is necessary to understand how they think in response to what they have done or learned about patient safety. It is critical to evaluate nursing students' perspectives on patient safety competency and assess their level of competence. The results can be used to formulate plans to improve students' proficiency in patient safety among healthcare professionals. The design of this research is descriptive, with 108 respondents participating in filling out the Patient Safety Survey (PSS) instrument. The research results analyze students' competencies in three domains, namely patient safety review, patient safety issues, and incident reporting. The analysis results show that in the domain of patient safety review, 79.63% of respondents have a good perspective. In the domain of patient safety issues, 71.30% of respondents had a good perspective. Similarly, in the incident reporting domain, the majority of respondents also had a good perspective, which was the highest among the other domains, at 83.33%. Overall, it can be concluded that the survey results indicate that the respondents have a good perspective, with 82 respondents out of a total of 108 respondents (75.93%). Students who have attended patient safety management lectures and completed clinical nursing practice have good competence in patient safety. Future research is expected to be conducted in various cultural and contextual backgrounds to enhance the understanding of variables that influence patient safety in nursing practice and education

The development of information technology has changed the way patients interact with hospitals. The Minimum Service Standard Indicator for Hospitals in Indonesia shows that the number of registrations via mobile applications has still not reached the target and the results of the review show that there are still complexities and difficulties in using the application. Understanding the factors that influence patient intention to use the hospital mobile application is essential to optimize its adoption and use. This study aims to test the Technology Acceptance Model in understanding patient intention to use the Hospital mobile application. This quantitative study with the causality method used a sample of 100 users of the application who met the criteria. Data were collected through questionnaires and analyzed using path analysis. The results showed that perceived ease of use and perceived usefulness had an indirect effect on behavioral intention to use through attitude. Research findings show that Perceived Usefulness is the most dominant factor in influencing users attitudes towards applications. The implications are improvements in simplifying features, design, increasing the function of hospital mobile applications, as well as considering patient expectations of the application in order to increase user intention to adopt the application. These findings provide insight for hospital management to design mobile applications that are easier to use and provide benefits to patients, to increase adoption and use of the application.

In the era of digital transformation, the healthcare sector is required to adapt to technological developments, especially in terms of recording and managing patient medical data. Electronic Medical Records (RME) is a strategic solution that can improve efficiency, accuracy, and integration of health services. The implementation of RME in health facilities faces a number of challenges. Infrastructure readiness, limited human resources (HR), and resistance to change are factors that affect the adoption of this technology.  to analyze the extent to which Perceived Usefulness, Subjective Norm and Perceived Ease of Use affect Usage Behaviour through Behavioural Intention as an intervening variable. this research method is quantitative explanatory research. The sample in this study were care givers (PPA) at the Mayjend H.M. Ryacudu Hospital, North Lampung, totaling 140 respondents. Data collection using questionnaires and descriptive analysis techniques using the SEM-PLS method. the results showed Perceived Usefulness, Subjective Norm and Perceived Ease of Use influence directly and indirectly on Usage Behaviour through Behavioural Intention as an intervening variable on the acceptance of RME at Mayjend H.M. Ryacudu Hospital. These results in theoretical implications support the theory and previous research. Managerially, it is expected to provide input for the management of RSUD Mayjend H.M. Ryacudu to understand the factors that influence the acceptance of RME by medical personnel, so that technology adoption strategies can be more effective, in improving and improving the quality of technology and systems that support the use of RME.

Healthcare Information Systems (HIS) play a critical role in modern medical services by improving patient data management, clinical decision-making, and overall healthcare efficiency. However, existing HIS models face challenges related to interoperability, security, and processing efficiency. This study conducts a systematic literature review to evaluate cloud-based, blockchain-enhanced, and AI-driven HIS solutions. The proposed hybrid HIS model integrates AI-driven decision-making with blockchain-based security to enhance accuracy, interoperability, and data protection. The evaluation metrics include accuracy, latency, and security score, comparing the proposed system with state-of-the-art HIS implementations. Experimental results indicate that the hybrid HIS model achieves 93.4% accuracy, a security score of 0.90, and reduced latency (220 ms), outperforming traditional cloud-based and standalone blockchain solutions. These findings demonstrate that a hybrid approach balances efficiency and security, making HIS more practical for real-world applications. Future research should focus on real-world deployment, computational cost reduction, and regulatory compliance.

Health service management has an important role in managing resources effectively and efficiently, dealing with the dynamics of community needs, and ensuring quality health services through a systematic and humanistic approach. However, there are still shortcomings in the availability of adequate resources and managerial skills of implementing officers in service units that do not meet the standards. This study aims to analyze the direct impact of health management on accessibility, quality, effectiveness, and policy-making in health services.This study uses a literature review method with data sources obtained from Google Scholar, National Library e-Resources, and Garuda Portal. The research data was taken from 2015-2025. Based on the literature review, effective health management includes strategic planning, strengthening internal management, managing human resources, community involvement, and utilizing technology. The implementation of health management is proven to improve the competence of health workers, accelerate service processes, and increase patient satisfaction. In addition, good health management also encourages the expansion of health facility distribution, maintains the availability of drugs and medical devices, and improves the quality of infrastructure. However, there are challenges that need to be overcome, such as limited human resources and challenges in implementing Electronic Medical Records (EMR) in various healthcare facilities. The review shows that health management positively impacts accessibility, service quality, effectiveness, and evidence-based policymaking. Effective strategies include strategic planning, internal managemen human resource management, technology use, and community involvement, although challenges like limited human resources and Electronic Medical Record implementation remain

The quality of National Health Insurance (NHI) services is one of the important aspects of the health system in Indonesia. So that in an effort to improve the quality of health services, every health service facility is required to improve the quality of health services both internally and externally and continuously and sustainably. The purpose of this study is to determine the quality of service to the satisfaction of national health insurance (NHI) users. The method in this article uses a literature study, namely a method of collecting data by understanding and studying theories from various literatures related to a study that is being conducted. There are four stages of making a literature study in research, namely preparing the necessary literature sources, managing literature, organizing time and reading or recording research materials and by compiling articles. The results of this study show that the quality of service to the satisfaction of National Health Insurance (NHI) users is very important because it has a direct impact on the quality of life of the community with the quality of service, service waiting time, ease of access, affordable costs, good communication, availability of facilities, ability to overcome problems and satisfaction with the service process. It can be concluded that the quality of health services is very important because it has a direct impact on the quality of life of the community and patient safety. Good service quality can increase the satisfaction of NHI users and improve the quality of life of the community. For the government, it is necessary to improve evaluation and monitoring. Improve evaluation and monitoring of the quality of NHI services. Improve accessibility of information on NHI evaluation and monitoring.

The release of medical information is the process of disclosing or sharing information about a patient's health condition, medical history, or medical examination results with other parties. Due to the sensitive nature of the information contained in medical records, healthcare providers are obligated to ensure that all information is appropriately accountable. This study aims to explore the work activities of medical record officers and health information management in the process of releasing medical information to insurance parties at Tarakan Regional General Hospital (RSUD Tarakan). This research uses a descriptive method with a qualitative approach by explaining the results of interviews regarding the work activities of medical record officers and health information management in the process of releasing medical information to insurance parties. RSUD Tarakan already has standard operating procedures related to the release of medical information, both to insurance parties that cooperate and to those that do not cooperate. In the work activities of the officers, the stages of data collection for insurance types, the request flow stage, data collection stage, data processing stage, and data presentation stage involve the insurance services and fundraising departments in the release process for cooperating insurance parties. Meanwhile, the medical records department and the information department are only involved in the release of medical information to non-cooperating insurance parties. The challenges in releasing medical information to non-cooperating insurance parties include the lack of requirements provided by patients, as they are often unaware of the necessary documents and the process for requesting the release of medical information, which can cause delays in the process.

The purpose of this study was to analyze the significance of the influence of work motivation, workload and work discipline on the performance of inpatient room nurses at Karanganyar Regency Hospital. This research is a quantitative study at Karanganyar Regency Hospital with a population of 239 inpatient room nurses. The sample was 71 people with proportional cluster random sampling technique. Data collection techniques using questionnaires and observation. Data analysis techniques using multiple linear regression analysis, t test, F test, and coefficient of determination (R2) test. The t test results show that work motivation, workload, work discipline have a significant partial effect on the performance of inpatient room nurses at Karanganyar Regency Hospital. The results of the F test obtained the right model in predicting the effect of work motivation (X1), workload (X2) and work discipline (X3) on nurse performance (Y) in the hospital room of Karanganyar Regency Hospital.  Based on the results of the study, it is hoped that the Director will provide opportunities for nurses to participate in education and training and provide rewards proportional to workload, namely medical services according to the number of patients served.

Patient loyalty is an attitude that drives behavior to return to using the services of a hospital, incorporating emotional aspects, particularly making regular and repeated visits with high consistency. This study aims to obtain empirical evidence of the relationship between brand image, patient experience, and trust on the loyalty of inpatients using private insurance at MRCCC Siloam Semanggi Hospital. The background of this research is the trend of decreasing patient numbers in 2023 among those with private payment and non-JKN insurance. Additionally, secondary data from patient feedback forms revealed some patients were dissatisfied with services not meeting their expectations and showed a tendency to switch hospitals. Based on the data, there is a noticeable decline in the number of patients in the inpatient unit, reflecting an issue with patient loyalty towards MRCCC Siloam Hospital. The research design used is a quantitative study with a cross-sectional design, involving 75 inpatients as the subjects of this study. Data collection was carried out by distributing questionnaires to inpatients randomly, with informed consent. The analysis tool used is Structural Equation Modeling (SEM). The results of the study based on the analysis test show a significant influence of brand image, patient experience, and trust on patient loyalty. However, the influence of brand image and patient experience on patient loyalty, when mediated by trust, is not significant. It is recommended that the hospital improve patient loyalty by enhancing the quality of services through various internal evaluations of the existing system to meet patient expectations and build stronger relationships.

Hospital is a health service place that provides services based on safety competency and safety activities that are evaluated using performance assessment. The purpose of this study was to determine the effect of patient safety competency on patient safety activities and nurse performance assessment. The independent variable in this study is patient safety competency, nurse performance assessment is the dependent variable while patient safety activity is the mediating variable. The study used an observational analytical design with a cross-sectional approach. Respondents in the study were some nurses at Mardi Waluyo Hospital, Blitar City who had a patient safety competency certificate totaling 159 respondents. The sampling technique used simple random sampling. The results of the regression analysis obtained a significant effect on patient safety competency on patient safety activities and nurse performance assessment with ap value = 0.01. The variable that has a dominant influence is safety competency with a standardized coefficient of 0.327 compared to safety activities in patients with a standardized coefficient of 0.312. The conclusion in this study is that there is an effect of patient safety competency on patient safety activities and nurse performance assessment. The results of the study are in line with previous research and theories which show that patient safety competency has a greater influence on nurse performance assessments directly compared to the presence of patient safety activities as a mediating variable, but it is possible that other factors play a role in the differences in the effects of influence between variables. Hospital policies, safety culture, and the level of awareness of the work team in implementing daily safety practices may play a role in the difference in influencing effects between variables. However, it is also possible that there are other factors such as the attitude and motivation to work of individuals who are considered not to meet the expectations of the leadership.

The implementation of patient safety standards is a major challenge in healthcare services, particularly in hospitals such as RSAU Soemitro. Data indicates that there were 25 patient safety incidents in the Inpatient Installation in 2023, with falls being the most common case (9), followed by nosocomial infections, medication errors (4), and the absence of patient identification bracelets during surgery (7). This study aims to analyze the influence of clinical skills and supervisory techniques on the implementation of patient safety standards at RSAU Soemitro, with caring behavior as an intervening variable. This quantitative research employs a cross-sectional study design, using a sample of 110 nurses in the inpatient installation. Data collection was conducted using questionnaires, and data analysis was performed using SEM-PLS techniques. The results show that the implementation of patient safety standards is simultaneously influenced by clinical skills, supervisory techniques, and caring behavior. Caring behavior can be significantly influenced by both clinical skills and supervisory techniques. Additionally, the implementation of patient safety standards is influenced by clinical skills and supervisory techniques both directly and indirectly through caring behavior. Furthermore, caring behavior has been proven to be the most significant factor, contributing 53.1%. These findings suggest that hospital management should focus on interpersonal skills training to support better implementation of patient safety standards.

Background: Brand loyalty reflects patients' tendency to continue using a hospital's services and recommend them to others. However, the decline in physiotherapy patient visits since the COVID-19 pandemic has affected hospital revenue, while brand image and digital marketing via Instagram are still underutilized. Most previous studies have addressed brand loyalty in general, while specific studies on physiotherapy units are still rare. Although many studies show that SMMA and brand image affect loyalty through brand trust, research specifically examining the role of brand reliability as a dimension of trust in healthcare services is still limited.Objective: This study fills this gap by examining the influence of SMMA, brand image, and brand reliability on brand loyalty in the context of physiotherapy services at Siaga Raya Orthopedic Hospital.Methods: This research uses quantitative methods with a purposive sampling technique on 120 respondents. Data analysis was conducted using Structural Equation Modeling (SEM) with the Partial Least Square (PLS) method. The study develops the SOR (Stimulus-Organism-Response) theoretical framework.Results: SMMA has a significant effect on brand loyalty both directly and through the mediation of brand reliability. In contrast, brand image requires brand reliability mediation to influence loyalty. Brand reliability proved to be an essential element in building patient loyalty.Implications: Hospitals need to design marketing strategies through social media and brand image that are not only attractive but also reflect service reliability to establish long-term relationships with patients.

Sharia nursing is often applied in health services with Islamic standards which aim to maintain boundaries between members of the opposite sex and respect religious values. This practice is expected to increase patient satisfaction and loyalty, especially those who are predominantly Muslim. To prevent errors, hospitals and medical personnel need to prepare service standards and have a good understanding of sharia nursing. This study aims to analyze whether there is a correlation between sharia nursing and patient loyalty. This is a quantitative research with a cross-sectional approach. Data collection using a questionnaire. Population in this study amounted to 749 people. This study used 260 respondents using non-probability sampling techniques with purposive sampling methods. Data obtained were processed using the Spearman rank test. Results of this study indicate that the majority of respondents to sharia nursing are in the high category with a total of 230 (88.5%) respondents, while patient loyalty with the most respondents is in the high category with a total of 242 (93.1%) respondents. results of the statistical test obtained a p-value: 0.000 with a closeness of 0.456 which means that there is a correlation between sharia nursing and patient loyalty with a strong level of closeness. There is a significant correlation between sharia nursing and patient loyalty with (p-value <0.05).

Good governance for hospitals is the first step that can be taken to be able to follow the rules that change and will always change. Patients as health service users that after the patient uses the services of the hospital, the patient will compare the quality of service expected by the patient with what they actually receive. The purpose of this study is to determine the influence of good governance and hospital service quality on patient satisfaction at HVA Toeloengredjo Pare Kediri Hospital. This study is a quantitative research with data analysis using multiple linear regression. The number of samples used was 32 patients. The results of the study showed that good governance had an effect on patient satisfaction by data analysis obtained a significant value of 0.000 < 0.05 and tcal>ttable, H0 was rejected and H1 was accepted, which means that good governance has a positive and significant influence on patient satisfaction. While the significant value is 0.019 < 0.05 and the tcal>ttable, H0 is rejected and H2 is accepted, which means that the quality of service has a positive and significant influence on patient satisfaction. From the results of data processing, it is known that the significant value is 0.000 < 0.05 and the tcal>ttable, H0 is rejected and H1 is accepted, which means that good governance and service quality have a positive and significant influence on patient satisfaction at HVA Toeloengredjo Pare Kediri Hospital.    

Human Immunodeficiency Virus (HIV) is a disease that attacks the body's immune system so that it is unable to fight various diseases. Communities with low levels of health literacy will face more problems. According to the Central Java Provincial Health Service, the number of HIV sufferers has also increased rapidly to Central Java, Semarang City with 331 cases, and the majority of those infected are men. The general aim of this research is to determine the relationship between health literacy and adherence to taking antiretroviral drugs (ARV) in people living with HIV (PLHIV). This research is a type of non-experimental descriptive analytical research with a cross-sectional approach. The samples taken were all patients with HIV (PLHIV) who took ARV drugs in the work area of ​​the Poncol Health Center, Semarang City. The technique used was consecutive sampling of 83 people. The correlation test used in this research is the chi-square test. From the results of the analysis, it was found that of the 83 research respondents, there was a relationship between the health literacy of people living with HIV (PLHIV) and the use of antiretroviral drugs (p value 0.003). The research results showed that the majority of respondents had high health literacy and were compliant with medication consumption with a total of 55 respondents (96.5%).

Disruption of the treatment process, lack of attention, and lack of knowledge about how to obtain medical information about the patient result in poor communication. Optimizing the role and function of nurses, especially independent care, can increase the professionalism of nurses in this hospital, which can be achieved through effective communication between nurses and other health service providers. The purpose of this research is to determine the relationship between SBAR communication and employee work habits when carrying out maintenance tasks at the Sultan Agung Islamic House, Semarang. This research is a quantitative study using a cross-sectional design. Data collection was carried out using questionnaires and observation sheets for 50 respondents. This study used a total sampling approach, and Spearman's rank correlation test was applied for statistical analysis. The results of the Spearman rank test of SBAR communication data during handover and the performance of nurses in providing nursing care obtained a p value of 0.003 (<0.05), which means that Ha is accepted or there is a relationship, with the relationship being quite strong (0.406) and the direction is positive. To increase effectiveness in providing nursing care in hospitals, nurses are required to be able to implement SBAR communication more effectively during handover.