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Hospitals worldwide are increasingly concerned about the performance of outpatient services, which contribute significantly to their revenue and are projected to surpass inpatient services in importance. As the demand for medical care continues to grow, outpatient services could generate even greater financial returns for hospitals. This study aims to evaluate patient service wait times at Stella Maris Hospital Makassar's outpatient department using the lean methodology. A mixed-methods approach was employed, involving the measurement of wait times for 100 patients and interviews with eight informants, including the head of the outpatient department (1 person), admission officers (3 individuals), the hospital director (1 person), and nurses (3 individuals). The interview data were analyzed through processes of data reduction, visualization, and conclusion formulation. A patient care process flowchart was created to assess data quality. Findings indicate the absence of an integrated hospital information system (SIMRS), leading to issues such as long queues at the pick-up counter, delays in doctor availability, and inefficiencies in order processing. Recommendations include integrating SIMRS across the hospital, implementing system improvements, and quantifying outcomes for effective decision-making.  

Background: Digitalization is fundamentally reshaping health financing, enabling more efficient management of healthcare resources, improving service delivery, and increasing accessibility. This systematic review explores the intersection of digital tools and financial health systems, examining their transformative potential.Objective: The primary aim of this review is to identify the impact of digitalization on healthcare financial management, highlighting its benefits and addressing the challenges that arise during its implementation.Methods: A systematic review of 10 studies was conducted, focusing on digital health financing and employing PRISMA guidelines to ensure rigorous selection and analysis. The data extraction process identified thematic relevance, methodological rigor, and contextual insights.Results: The findings reveal that digitalization enhances resource allocation, patient accessibility, and administrative efficiency. Technologies such as blockchain and artificial intelligence optimize transparency and predictive financial modeling. However, significant challenges include data security vulnerabilities and the integration of digital tools with legacy systems.Conclusion: Digital technologies present transformative potential for healthcare financing. However, strategic implementation, robust governance, and cross-sector collaboration are critical to overcoming challenges and maximizing the benefits of digitalization. By addressing these needs, digitalization can create sustainable, inclusive, and equitable healthcare systems for the future.

Law Number 35 of 2009 concerning Narcotics in Indonesia provides a strong legal basis for regulating the use of narcotics in the medical field. This regulation aims to ensure that the use of narcotics is carried out safely, in a controlled manner and in accordance with the interests of health services. This research aims to analyze legal aspects related to the use of illegal drugs in the medical field, identify challenges in implementing regulations, and provide policy recommendations to overcome existing obstacles. The research method used is normative juridical, with a legal approach and literature studies from various legal and health journals. The research results show that although regulations have been prepared comprehensively, their implementation in the field faces obstacles, such as complicated bureaucracy, lack of education for medical personnel, and social stigma against narcotics use. This hampers patient access to treatment, especially for palliative therapy needs and chronic pain management. The conclusions of this research emphasize the need for strategic steps to increase understanding of medical personnel, simplify administrative procedures, and educate the public to reduce stigma. Thus, existing regulations can be implemented optimally to support public health goals without ignoring aspects of supervision. It is hoped that this recommendation can strengthen the legal system and health services in Indonesia, so that patients' rights to health can be fulfilled more effectively.

Patient satisfaction is one of the benchmarks for assessing a hospital's success in providing services. Quality targets in nutrition services based on hospital Minimum Service Standards include three indicators, namely timeliness of food distribution, food waste and the absence of errors in diet administration. The aim of this research is to determine the relationship between minimum nutritional service standards and the level of satisfaction of inpatients at the Muhammadiyah Islamic Hospital Sumberrejo, Bojonegoro Regency. This type of research is cross-sectional. The sample in this study was patients in classes 2 and 3 of the Shafa and Marwah inpatient rooms, totaling 135 patients. The data measured are the level of patient satisfaction, timeliness of food distribution, accuracy of diet and food waste. Bivariate analysis used the Spearman's Rank test. The results of data analysis showed that food distribution timeliness was 92.5%, diet accuracy was 98%, food waste was 15.1%, while patient satisfaction levels were very satisfied (52%), satisfied (44%), dissatisfied (2%) and very dissatisfied (1%). The results of the study showed that the timeliness of distribution of breakfast (p=0.864>0.05), afternoon (p=0.853>0.05), evening (p=0.864>0.05) and the level of satisfaction, while the accuracy of the diet and the level of satisfaction patients (p=0.112>0.05), for food waste and level of patient satisfaction (p=0.311>0.05). From this research it can be concluded that statistically there is no significant relationship between minimum service standards (timeliness of food distribution, accuracy of diet and food waste) and the level of patient satisfaction. Suggestions that can be given in this research are that hospital efforts are needed to maintain the quality of food services by paying more attention to the accuracy of diet for patients.

Health is a human right and one of the elements of human welfare that must be realized by the state, the 1945 Constitution of the Republic of Indonesia, Article 34 paragraph (3) emphasizes that the state is responsible for providing equitable and affordable health service facilities for the entire community. This study aims to determine and analyze the legal formulation of patient protection in medical practice, using the normative legal research method, namely through literature/legislation searches (statute approach) with types of data sources, secondary data supported by primary data. The descriptive research type is then analyzed and presented qualitatively. The high level of public awareness of the importance of health has made people increasingly aware and understand their rights as patients in order to obtain good health services from health workers and hospitals. The legal relationship between doctors and patients as regulated in Law No. 17 of 2023 concerning Health is a business agreement relationship (inspaning verbentenis), which gives rise to rights and obligations. The community/patients receiving medical practice services have the right to legal protection so that every mistake in carrying out the medical profession is a form of mistake/violation of the law that is worthy of being prosecuted/filed in court as a form of protection for patients, victims of medical malpractice.

The development of science and technology is increasingly rapid along with globalization and changes that are always happening in the world today. The development of science and technology also has a significant impact on the world of education, especially in the health sector, one of which is the community, which of course will get access to health services. In conveying health information messages to the community, of course, it will be more interesting and have a wide reach if you use digital media to design and create an attractive appearance to look at. This is because the development of digital technology has caused many people to utilize modern technology because of the importance of information in the digital era. This study aims to Increase Student Knowledge in Making Digital-Based Health Promotion Media in the Nursing Study Program at Timor University. This type of research is pre-experimental research with a One-Group Pretest-Posttest Design (One Group Pretest-Posttest). The sample in this study were 29 patients. Respondents will be given training in using the Canva application in making health promotion media, then their knowledge before and after regarding the Canva application and its use in making health promotion media will be measured. The results of the study showed that the average respondent had a pre-test score of 62.24 and the average respondent after being given training was 83.28. The results of the Kolmogorov-Smirnov test showed that the data was normally distributed with a p value> 0.05. Furthermore, in the Difference Test using the Paired Sample T-Test, a p value of 0.000 <0.05 was obtained. This shows that there is a difference in the knowledge of respondents before and after being given training related to the Canva application and its use in creating health promotion media. The conclusion is that providing training to increase respondent knowledge is very important to do so that the world of education is able to produce a generation that is always able to adapt to the development of science and technology that occurs.

The rapid development of health technology has significantly contributed to healthcare services. Technologies such as Electronic Medical Records (EMR), telemedicine, and Artificial Intelligence (AI) have improved healthcare accessibility. However, these advancements also present legal challenges, particularly regarding patient data protection and liability for medical errors (malpractice). Patients have the right to data privacy, and data breaches can have serious consequences. In Indonesia, regulations such as the Ministry of Health Regulation No. 24 of 2022 on Medical Records have been implemented to strengthen patient data security. However, legal gaps still exist, particularly concerning the responsibility of third-party technology providers. Additionally, the application of technology increases the risk of malpractice, especially in the use of AI and telemedicine, where diagnostic errors can occur. Current regulations, including Law No. 17 of 2023 on Medical Health, do not fully address liability for errors involving technology. Therefore, stronger legal certainty and more comprehensive regulations are needed to keep pace with the rapid development of health technologies.

This study aims to determine the impact of possessing the components of strategic cognitive competencein enhancing the quality of health services in the private health sector operating in the holy KarbalaGovernorate through a sample that was studied, which included three important private hospitals, namely(Al-Kafeel Hospital, Al-Hujjah Hospital, and Zain Al-Abidin Hospital). To achieve this goal, threedimensions were adopted for the main independent variable, strategic cognitive competence, which are(information technology, decision-making, creative thinking). Five dimensions were also adopted for thedependent variable, the quality of health services, which are (tangibility, reliability, responsiveness,assurance, empathy), based on ready-made scales. A sample of leaders, administrators, and doctorsworking in these hospitals, amounting to (120) respondents, was selected for the purpose of answering thequestions related to the independent variable, strategic cognitive competence. As for the questions relatedto the dependent variable, the quality of health services, they were answered by a sample of clients ofthese hospitals, amounting to (120) respondents, in order to ensure the credibility of the answers. Anumber of statistical programs were used, such as (SPSS V.25, AMOS V.23). One of the most importantconclusions reached by the study is that the material aspects of health services, such as medical devicesand equipment, are considered good, but they need continuous improvement to keep pace with everythingnew in this field. The study concluded with a number of recommendations, the most important of whichwas the need to work on developing an integrated system to measure and analyze the level of patientsatisfaction with the nature of the health services provided.

The XYZ Health Center faces challenges in managing the outpatient registration process manually, often resulting in long queues, extended waiting times, and data inaccuracies. To address these issues, this study aims to design and develop an Android-based outpatient registration application. The application is intended to simplify the registration process for patients, allowing them to register for visits without needing to visit the health center in person, while also enabling healthcare staff to manage patient data more efficiently. The methodology employed in this study includes requirements analysis and system design using the Unified Modeling Language (UML). The application features online registration, doctor schedules, visit reminder notifications, and patient data management. This study concludes that the Android-based application can serve as an effective and efficient solution for improving health center services. Further development is recommended to enable integration with other healthcare systems.

Health centers have an important role in providing effective and efficient health services to the community. However, the problem of long and unorganized queues often hinders the quality of service. This study aims to design and implement a web-based queue management system at the Stabat Lama Health Center. The methods used include system requirements analysis, database design, and software development. This system allows patient registration, queue number retrieval, and automatic patient calling, thereby reducing waiting time and increasing operational efficiency. The implementation results show that this system is able to create a more orderly service flow, minimize errors in the queuing process, and increase patient satisfaction. With the integration of information technology, this system is expected to support the transformation of more modern and responsive health services.

Changes in the health insurance system in Indonesia continue to evolve, one of which is implementing the Standard Inpatient Class (KRIS) policy as a replacement for the BPJS Health class system based on Presidential Regulation (Perpres) Number 59 of 2024. This policy is designed to unify healthcare classes to reduce disparities in healthcare access and quality in Indonesia. However, its implementation is faced with key challenges, including hospital infrastructure readiness, limited human resources, and criticism from various parties, including patients and healthcare providers. This study uses a qualitative approach with descriptive methods to review various policy documents, relevant literature, and legal and social perspectives related to policy implementation. The results show that although KRIS has the potential to reduce disparities in access to health services, its implementation requires more attention to the readiness of health facilities, strengthening management systems, and budget adjustments to support optimal operations. Furthermore, this policy requires the active involvement of the community and health workers in the evaluation and decision-making process so that the policy is more responsive to the real needs in the field. The theoretical approaches used, such as public policy theory and progressive law, highlight the importance of cooperation between the government, healthcare providers, and communities to ensure effective and equitable implementation of KRIS. This research suggests improving hospital infrastructure, continuous training for health workers, and strengthening a transparent monitoring system to ensure the success of this policy. This research is expected to make a positive contribution to the formulation of health policies that are more inclusive and sustainable and can serve as a reference in efforts to realize a more equitable and fair health service system for all Indonesians.

Soft food served in hospitals is a simple indicator that can be used to evaluate the success of hospital nutrition services. The aim of this study was to determine the perception of oral surgery patients regarding soft food waste at Surya Husadha Hospital Denpasar. This research uses a quantitative descriptive survey method. The total population was 30 people, the number of research samples was 20 people... data collection was carried out by measuring perceptions of taste and food waste using a questionnaire for the 20 samples studied. Data was obtained from filling out a questionnaire about perceptions of soft food and a form for the amount of food waste. The data was analyzed using SPSS version 21 statistical analysis. The results of this study showed that there were porridge food waste in 40-49% (45%) of the sample, 50-59% (40%) of the sample, 60-69% (15%) of the sample. Leftover animal side dishes (0%). Vegetable side dishes (10%). Leftover vegetables (10%) And for juice (0%). It can be concluded that the perception of soft food at Surya Husadha Hospital from this research shows that as many as 40-49% (45%) are not satisfied with the rest of the soft food (porridge).  

The Electronic Medical Record Information System (RME) is an information technology solution used to manage patient medical record data digitally, replacing manual recording systems that are prone to errors and data loss. This report discusses the design and implementation of the Electronic Medical Record Information System (RME) at the Community Health Center, which aims to increase efficiency, accuracy and security in managing patient medical records. This system includes recording medical data, treatment history, diagnosis, drug prescriptions, as well as integration with other health service systems. With RME, the medical service process at the Community Health Center is expected to be faster, more transparent and organized. This research uses a web-based system development method with database-based programming, which allows medical record data to be managed centrally and easily accessed by authorized medical personnel. The results of implementing this system show a significant increase in speed of service as well as a reduction in administrative and medical errors.  

In the pre-operative phase, clients experience various discomforts that arise due to ignorance about the procedure, fear of surgery and uncertainty of the results of the operation. One of the problems that often arises is anxiety. . Efforts to reduce anxiety levels in pre-operative patients are by providing Al-Qur'an murottal therapy. Al-Qur'an murottal therapy is one of the therapies that can provide a calming effect on the soul and eliminate anxiety. The results of community service showed that before being given murottal therapy, 72.2% of participants experienced moderate anxiety and after being given intervention, 83.3% of participants experienced a decrease in anxiety to the mild anxiety category. The time that can be applied in providing Al-Qur'an murottal therapy is at least 15 minutes to provide a relaxing effect and reduce anxiety in pre-operative patients.

Rapid technological developments have encouraged society to adapt to advances in technology and information. One very important aspect of health services is the management of inventory in hospitals, which has a direct influence on the quality of services provided to patients. With the increasing number of patients and the complexity of health services in Batu Bara Regency, RSUD is required to have an effective system for managing inventory. Therefore, it is very important for Batu Bara District Hospital to develop and implement an effective inventory information system. This application has helped increase efficiency in making reports. Such as reports of incoming goods, outgoing goods, stock and mutation reports are faster and more efficient. Goods managers can easily access inventory information from anywhere and at any time. This has increased the accessibility of information and facilitated faster and more informed decision making.

Since its first operation in 2010, Bhakti Dharma Husada Regional Public Hospital (RSUD) has experienced an increase in patient demand for health services. Some services now require additional space. Moreover, there is a growing need for executive and VIP services. To address these needs, Bhakti Dharma Husada Regional Public Hospital is planning to enhance its services by constructing a new building. Based on the results of investment analysis obtained Net Present Value (NPV) of Rp. 1,373,606,103,022, Payback Period (PP) for 6.89 years, Internal Rate of Return (IRR) value of 17.39% is greater than the Minimum Attractive Rate of Return (MARR) value of 9.21% (IRR> MARR), Benefit Cost Ration (BCR) of 1.28, then the investment is declared feasible. In addition, based on the results of the sensitivity analysis, the investment feasibility limit is obtained, namely the development of the hospital becomes unfeasible if the service tariff is reduced by 15% or the operating costs are increased by 15% or the interest rate is increased by 13%.

Lean Management is a method that emphasizes reducing waste and increasing added value in healthcare service processes. Through a systematic literature review, this study identifies various aspects of Lean implementation in hospitals, such as reducing patient waiting times, optimizing resource utilization, and improving patient satisfaction. The findings reveal that Lean Management implementation not only supports operational efficiency but also enhances service quality and patient experience. The success of this method heavily depends on management support, active staff involvement, and adequate training. This study also highlights challenges such as resistance to change and budget constraints. These findings have significant implications for hospital managers and policymakers in formulating strategies to improve healthcare service effectiveness. Recommendations for future research include empirical studies examining Lean implementation in various hospital contexts, particularly in developing countries. This study aims to explore and analyze strategies for improving hospital operational efficiency through the Lean Management approach.

This study attempts to ascertain the partial and joint analysis of employee performance, job motivation, and patient satisfaction with respect to basic service standards at the Nice Dental Care Clinic. Questionnaires are distributed as part of the quantitative approaches used in this study to collect data. 50 patients and staff members of the Nice Dental Care Clinic made up the study's sample, This was calculated with a 5% error rate using the Slovin algorithm (e). The analysis of data methods that are used coefficient of determination , T and F test. The factors of career growth, work environment, and mutation account for 2.9% of the work morale variable, whereas additional variables not included in the study do so. The t test results show that employee performance, work motivation and patient satisfaction partially influence the minimum service requirements. Employee performance, motivation if work, and patient happiness regarding minimum service requirements all have a large influence at the same time.

Background: Patient safety is one of the dimensions of quality that is the center of attention of health practitioners on a national and international scale. Patient safety is a top priority that must be implemented by hospitals with an optimal role of nurses that can support the patient safety movement. A good safety culture creates an increase in service quality in its implementation, the culture of reporting incidents has not been widely practiced because officers think that reporting incidents can threaten the work of medical staff. The purpose of this study was to determine the description of the implementation of patient safety culture in nurses in the inpatient room at Sanjiwani Gianyar Hospital. Method: The method used in this study was quantitative with descriptive research design. The sampling technique used was Nonprobability Sampling type of total sampling of 94 respondents. The research instrument used was a patient safety culture questionnaire which amounted to 42 questions. Results: The results of this study indicate that the implementation of patient safety culture with the culture category is sufficient (57.4%). Conclusion: The conclusion of this study is that the implementation of a patient safety culture is categorized as a sufficient culture, meaning that nurses have implemented a safety culture but are not optimal in carrying out services according to the SKP.  It is expected for hospitals to further optimize and pay attention to the implementation of patient safety culture.

Background: Pulmonary tuberculosis (TB) is an infectious disease that requires long-term treatment and patient compliance so that the healing process can be achieved properly. One of the factors that plays an important role in the success of pulmonary TB treatment is family support. Families who are directly involved in care and motivation can increase the patient's enthusiasm to complete treatment. Therefore, empowering families in supporting pulmonary TB treatment is very important to reduce the number of failed treatments and prevent drug resistance. This community service aims to empower families in providing effective support to pulmonary TB patients so that patients can complete their treatment completely. The empowerment program carried out through counseling on the importance of adherence to TB treatment, as well as training on how to care for patients and reduce social stigma against TB, is expected to increase the active role of families in supporting patient treatment. This community service activity involves families of pulmonary TB patients, medical personnel, and the surrounding community, with an educational and collaborative approach. The results of this community service show an increase in family understanding of TB disease, the importance of adherence to treatment, and a reduction in stigma against TB patients. In addition, families feel more prepared and motivated to support patients in undergoing treatment. Family empowerment has been proven effective in increasing the completion rate of pulmonary TB treatment, which in turn can reduce transmission rates and drug resistance.