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Hypertension is a condition of the blood circulation system that causes an increase in blood pressure above normal values ​​or blood pressure ≥140/90 mmHg. Prolonged increase in blood pressure can trigger the risk of stroke, heart failure, and kidney failure. Community service activities are one of the efforts to implement physiotherapy services, one form of counseling is by addressing problems that are widely complained about by the community. The purpose of the counseling is to provide knowledge about hypertension and how to do exercises to reduce neck pain independently at home. The method used is in the form of education and stretching exercises using leaflets as a counseling medium. Counseling is carried out by providing pre-tests and post-tests in the form of questions to patients to assess the effectiveness of the counseling that will be given to the elderly community. The results of the counseling went smoothly and from the evaluation there was an increase in participant knowledge from 0% to 100%, which in counseling activities can increase participant knowledge about how to deal with neck pain caused by hypertension.

Low back pain (LBP) is a musculoskeletal disorder that is most often found in work activities (Anggraika et al., n.d.). The Directorate General of Health Services, Ministry of Health of the Republic of Indonesia (Kemenkes RI) reports that the prevalence of Low Back Pain (LBP) in Indonesia is 18%. This figure is based on patient visits from several hospitals, and around 3-17% of all LBP complaints occur in Indonesia (Hasby et al., n.d.). This outreach aims to increase the knowledge of Dinoyo ceramic workers about low back pain. This outreach activity includes explanation of the definition, causes, signs and symptoms, prevention, and exercises for LBP. The method of physiotherapy activities used is providing health promotion outreach and physiotherapy exercises carried out independently regarding low back pain. From the results of observations and interviews, several workers complained of lower back pain. It is hoped that this outreach activity can increase workers' knowledge regarding low back pain. The hope is that all ceramic industry workers in Malang City will gain knowledge and prevention about low back pain.

Background: The National Health Insurance Program helps patients pay for medical expenses and provides financial protection against unexpected health risks. INA-CBG system is used for healthcare payments, where the payment is determined based on type of disease the patient has. However, the rates set by INA-CBG are lower than hospital rates, causing financial losses and affecting the quality of service. Purpose: This research aims to compare rates to maintain hospital financial balance and fair access to services. Method: This study uses comparative quantitative research method with cross-sectional approach. The research was conducted at Rumah Sakit Islam Jakarta Sukapura. The sampling technique used was saturated sampling, with a sample of 374 claim data for type II diabetes mellitus patients from October to December 2023. Data were taken from Zi-Care system, which has been bridged with INA-CBG. The data collection tool used was a checklist. The analysis techniques included univariate and bivariate analysis using Wilcoxon Signed Rank Test. Results: The research results show that the total hospital cost is Rp265,805,506, with the highest value being Rp2,746,407 and the lowest value being Rp161,000. The total INA-CBG cost is Rp73,341,400. P-value of 0.0001 indicates a significant difference between both variables. Conclusion: The difference in rates resulted in the hospital experiencing a loss of IDR 192,464,106. Hospitals need to refer drug collection to external pharmacies, and BPJS must evaluate INA-CBG rates to match hospital expenditure to prevent losses.

The storage of medicines and medical consumables is a management process to ensure that the received medicines remain safe, free from physical and chemical damage, and maintain their quality. Medication damage not only negatively impacts patients but also affects the efficiency of healthcare facilities. Healthcare facilities serve as venues for implementing various health efforts, including promotive, preventive, curative, and rehabilitative measures, conducted by the government, local authorities, or the community. As primary healthcare facilities, Puskesmas prioritize promotive and preventive efforts to improve the health status of the communities in their service areas. This study aims to analyze the compliance levels of medicine storage, arrangement in storage rooms, and warehouse requirements at Puskesmas Siring Betik and Puskesmas Wonosobo, Wonosobo District, Tanggamus Regency, in 2024. The research employed a descriptive quantitative design with a saturated sampling technique, using observation sheets guided by the standards outlined in Permenkes RI No. 74 of 2016 regarding Pharmaceutical Service Standards at Puskesmas and the 2010 Directorate General of Pharmaceutical and Medical Devices Training Materials on Pharmaceutical Management. The results showed that medicine storage compliance at both Puskesmas Siring Betik and Wonosobo reached 100%. In terms of medicine arrangement, Puskesmas Siring Betik achieved a compliance rate of 87%, while Puskesmas Wonosobo reached 100%. Regarding warehouse requirements, the compliance level at both Puskesmas was 85%. Overall, the compliance levels were 81.25% for Puskesmas Siring Betik and 84% for Puskesmas Wonosobo..

The development of information technology (IT) has had a significant impact on increasing the efficiency and quality of health services. Specialized Eye Hospitals, as facilities with specialized services, require IT infrastructure that can support medical and administrative operations optimally. The TOGAF framework (The Open Group Architecture Framework) offers a systematic approach to designing, managing and implementing effective IT architecture. This study aims to examine the application of TOGAF in IT infrastructure planning at a Special Eye Hospital. The research methods used include IT needs analysis, IT architecture modeling based on TOGAF, and evaluation of the architecture implementation. The research results show that the application of TOGAF is able to increase operational efficiency, speed up access to patient information, and improve overall service quality. This research contributes to providing practical guidance for other hospitals wishing to optimize their IT systems using the TOGAF approach.

This research is based on a decrease in the number of new and old patients in outpatient installation services in 2022. The purpose of this study was to empirically reveal the effect of brand image, social media promotion on patients' decisions to seek treatment, with trust as an intervening variable. This research is included in the quantitative research with a cross sectional study approach, the population used is patients who use health services in outpatient installations, the sample technique uses probability sampling, the sample calculation is by calculating the number of indicators X 5, so that the sample size is 225 respondents with accidental sampling technique. The analytical method used is the three box analysis method and SEM with the help of the Amos program. The results of the analysis conclude that brand image has no effect on decisions, social media promotion and trust have an effect on patient decisions. Brand image and social media promotion affect patient trust and with patient trust, brand image and social media promotion are higher in influencing patient decisions to seek treatment.

Organizational culture change in the healthcare sector has a significant impact on the quality of services provided. In a dynamic environment, healthcare organizations must be able to adapt their internal culture to face new challenges, such as technological developments, regulatory changes, and increasing expectations from patients and the public. This study aims to explore the effect of organizational culture change on the quality of healthcare services through a systematic literature review. The methodology used is the Systematic Literature Review (SLR) with data analysis from various relevant studies. The results show that cultural change that supports employee engagement and focuses on patient satisfaction can improve operational efficiency and service quality. However, challenges such as resistance to change and limited resources remain obstacles that must be overcome. The conclusion of this study emphasizes that organizational culture change is not only a strategic step to improve service quality, but also a long-term investment that can improve employee engagement and patient satisfaction.

Delivery using the caesarean section method is one of the JKN-KIS services which has experienced a significant increase in cases from year to year at Graha Sehat Probolinggo Hospital. The general tariff applied by the hospital is IDR 10,800,000, which is 206.15%, far above the INA CBGs tariff of IDR 5,238,800, making the hospital feel the need to carry out descriptive quantitative research using the ABC method and DD method. Then the unit cost results of the ABC method are compared with the INA-CBGs rates. The results of this research show that the unit cost of the ABC method is IDR 5,484,214, which is IDR 245,414 (4.68%) greater than the INA-CBGs tariff. The potential efficiency that can be achieved results in savings of IDR 665,295 so it is hoped that the unit cost of the ABC method will be IDR 4,818,919. IDR 419,881 (8.01%) smaller than the INA-CBGs tariff. The conclusion is that there is a negative difference between the unit costs of the ABC method and the DD method and the INA CBGs rates. Hospitals should submit a tariff review to BPJS, including a review of the provision of separate tariffs for baby handling costs. Apart from that, hospitals also need to make efficiencies by reducing length of stay, reviewing medical services, efficiency in laundry units and CSSD, speeding up RME, as well as efficiency in several other resources while still prioritizing patient safety

The increased of Maternal Mortality Rate (MMR) can be lowered through by various efforts, one of them with quality Antenatal Care (ANC). Quality of ANC services can be given by several health workers who work together in giving services to patients through the Interprofessional Collaboration (IPC). IPC or interprofessional collaboration can improve health service quality. The purpose of this study is to find out an overview of the level of perception of health workers about IPC on ANC services in Lubuk Buaya Health Center. This study is descriptive research using crosssectional design. The study sample is 30 health workers who are determined by the total sampling method. Data collection use the Collaborative Practice Assessment Tools (CPAT) questionnaire. The results of the study can be found that all health workers (100%) have a high perception of IPC in ANC services with components of connection among members, coordination and division of roles, and missions, goals, and objectives have the highest percentage (100%) and decision-making and conflict management components have the lowest percentage (10%). All health professions consist of GPs, midwives, nurses, dentists, pharmacists, nutritionists, and ATLM have a high perception (100%) of IPC on ANC services. The dentist professions have a high perception of all eight components, meanwhile other professions have a high perception of the seven components of perception and have a moderate perception in one component of perception, that is the components of decision making and conflict management. In general, health workers have a high perception of IPC in ANC services, but there are still a moderate perception in one components of perception so efforts are needed to improve IPC competence in that component.

Executive polyclinic in the hospital provides premium health services for middle to upper-socioeconomic patients. However, the low utilization of executive polyclinic services is a concern for hospital management. This study uses the Theory of Planned Behavior framework to understand the factors that influence patient intention to visit the executive polyclinic. This study aims to analyze the effect of subjective norms and brand image on visiting intentions through attitudes toward visiting the Executive Polyclinic of dr. Sitanala Central General Hospital. The quantitative causal research method is to determine the relationship between variables based on previous hypotheses. Data were collected through questionnaires from 135 patients and visitors who had never visited the Executive Polyclinic of dr. Sitanala Central General Hospital was selected using Stratified Random Sampling. The analysis was carried out using SEM-PLS. The results showed that subjective norms and brand image influenced visiting attitudes and visiting intentions, and visiting attitudes influenced visiting intentions. In addition, attitudes mediate the influence of subjective norms on visiting intentions and brand image on visiting intentions. In a managerial context, this research can be a basis and reference for hospital management to improve communication and information systems, human resource (HR) management for medical personnel, patient experience management systems, and patient education systems.

Rumah Sakit Umum Daerah Cililin has not yet achieved patient satisfaction, with ongoing complaints about suboptimal health service quality, particularly in the Emergency Department (IGD). This study aims to identify the causes of inadequate health service quality as observed in the IGD. The research employs a descriptive method with a qualitative approach. Data collection was conducted using observation, interviews, and documentation techniques. The researcher used source triangulation to verify the validity of the data. Data analysis was performed through data reduction, data presentation, and conclusion drawing. This study assessed the quality of health services in the Emergency Department at RSUD Cililin, Kabupaten Bandung Barat, based on six main indicators: 1) Professional and Skill; 2) Attitudes and Behavior; 3) Accessibility and Flexibility; 4) Reliability and Trustworthiness; 5) Recovery; and 6) Reputation and Credibility. The general overview of the identified issues includes: 1) Limited number of certified medical staff; 2) High-pressure work environment; 3) Limited space and equipment; 4) Issues with medical equipment; 5) Slow evaluation processes; and 6) Impact of adverse patient incidents. Overall, the quality of services in the Emergency Department at RSUD Cililin can be considered adequate. Despite facing various challenges, RSUD Cililin demonstrates a strong commitment and effort to improve emergency department services, reflecting dedication to patient welfare and ongoing enhancement of health service quality.

This research entitle of " Mediating Variables: A Review of the Influence of Service Quality, Customer Experience, and Trust on Loyalty and Satisfaction at the Berbah Public Health Center, Sleman Regency ". The purpose of this study is to find and analyze the influence of service quality, customer experience and trust on loyalty with satisfaction as a mediation variable. To research it uses purposive sampling and accidental sampling of 100 respondents. The tests on this study were conducted with tests of validity, reliability, classical assumptions, hypothesis testing,path analysisand sobel tests. With multiple linear regression analysis in this study obtained results b1 =0.217 showed a positive influence of service quality variables on loyalty, b2 =0.209 showed a positive influence of customer experience variables on loyalty, b3= 0.146 showed a positive influence of trust variables on loyalty, b4 = 0.164 showed a positive influence of satisfaction variables on loyalty. For partial hypothesis testing used t test, obtained a value of tcalculated for the quality of service to loyalty of 4,072, tcount for customer experience to loyalty of 3,648, for trust to loyalty of 2,657 and tcalculate for patient satisfaction to loyalty of 2,657. Then based on the results of calculations through the sobel test, patient satisfaction mediated the relationship between the quality of service to loyalty with at count value of 2,281, patient satisfaction mediated the relationship between customer experience to loyalty with at calculated value of 2,095,patient satisfaction mediated the relationship between trust to loyalty with at count value of 2.0009.

The quality of health services is the degree of perfection of health services that are in accordance with professional standards and service standards by using the potential resources available in the hospital. The purpose of this study was to determine the Quality of Service in At-Tin Ward Reviewed from Quality Dimensions at PKU Muhammadiyah Hospital Sukoharjo.This research method is qualitative, namely a research procedure that produces descriptive data to determine the Quality of Service in At-Tin Ward Reviewed from Quality Dimensions at PKU Muhammadiyah Hospital Sukoharjo. The population in this study were the Head of PMKP, Head of Inpatient Room, Nursing Officer, IPSRS Officer, CS Officer and patients. The variables used in this study are Service Quality, with three dimensions of tangible quality, reliability, responsiveness. conducted in July 2024 to August 2024. The research instruments include observation guidelines, interview guidelines, Data Collection, Data Reduction, Data Display, Conclusion Drawing.The results of the study show Physical Evidence (Tangible) on the aspect of cleanliness. The cleaning staff carries out their duties well, the Aspect of the Availability of Medical Equipment is considered to be in accordance with the standards set for type C hospitals, the aspect of the condition of the ward room can be said to be not good enough, Reliability of officers has sufficient knowledge regarding the procedures and procedures for serving patients, Responsiveness is good quality of service in terms of communication, speed of service, and friendliness of staff.The conclusion of this study is that the Cleanliness Aspect still needs to be improved, Availability of medical devices for respiratory aids needs to be improved, Room conditions in the adult ward still need to be improved, Accurate and Reliable Service Medical personnel in the adult Inpatient ward have shown good competence in carrying out their duties, but there is no clear SOP regarding service times.

The large number of hospitals in Sukoharjo City makes the people of Sukoharjo City have many choices to determine where they will use health services. The community is very selective about services in hospitals, so that aspects in the Marketing Mix become a benchmark for determining whether or not patients will use health services at the hospital. Marketing Mix is ​​a series of marketing tools used by companies or hospitals continuously to achieve their marketing goals in the target market. This study aims to explore and find obstacles in the implementation of the marketing mix at PKU Muhammadiyah Hospital, Sukoharjo. The study used a qualitative descriptive method with a cross-sectional approach and data collection techniques using in-depth interviews with key informants and specialist informants at the hospital. The results of the study showed that marketing mix components such as products, people, and promotions have been implemented well, although there are still some challenges. Excellent services such as ERACS and stitch-free eye surgery have succeeded in attracting patient interest, but promotion through social media has not been optimal, based on a comparison between the number of patients each month and interactions on social media, it was concluded that social media promotion is still not optimal because the number of interactions is still ≥50% of the number of patients. In addition, hospitals face obstacles in implementing telemedicine and homecare services. Recommendations provided include improving digital promotion strategies and developing innovative services to improve hospital competitiveness and hospitals must also consider the suitability between educational background and the work assigned.

Expert systems are one type of computer technology that is being used by a used in the medical field to assist physicians in patient examinations is expert systems.The goal of this is to improve patient care both now and in the future.system with expertise  is an application that replicates how an expert would reason to solve a particular problem or acts similarly to an expert due to its understanding of a knowledge base that has to be processed and its ability to solve problems. An expert system's diagnosis of epilepsy leads to the creation of a system that can offer individuals with the condition a consultation service for the purpose of diagnosing the condition and providing information on treatment options. This is demonstrated by the development of numerous technologies that facilitate the work of numerous parties. One of them is computer-related and uses Expert System Science to assist in the diagnosis of epilepsy. The Certainty Factor approach is employed in this study. Thirteen symptoms and three different forms of epilepsy—general, partial, and secondary—were used in this investigation. The study's findings indicate that, based on the chosen symptoms, the most accurate diagnosis is Partial Primary, Partial Secondary, with a confidence level of 74%, and the most accurate diagnosis is Generalized Epilepsy, with a confidence level of 99%.    

Minimum service standards are about the quality of basic services which are an obligatory matter for the region that every citizen has the right to obtain at a minimum. So each hospital can implement and fulfill services in accordance with the minimum service standards that have been set. Nutrition services in hospitals can be said to be of quality if they have met 3 indicators related to minimum standards of service in nutrition services, where these are accuracy of food distribution (≥ 90%), accuracy of diet (100%), food waste (≤ 20%) (Ministry of Health , 2008). This study aims to determine the timeliness of food distribution to patients, determine the accuracy of the type of diet to patients and food waste to patients in the Asoka ward of Syarifah Ambami Rato Ebu Regional Hospital. The type of research used is descriptive quantitative with a cross sectional research design. This research was conducted in November at Syarifah Ambami Rato Ebu Bangkalan Regional Hospital. The subjects in this study were 169 inpatients in the Asoka room for 10 days. The data collection technique was carried out using the observation method. Observations consist of data on the timeliness of food distribution, data on the accuracy of the diet and data on patient food waste. The data analysis technique used is univariate. The results of the research stated that the average results for the timeliness of food distribution were 74%, the accuracy of the type of diet was 100% and the food waste was 27%. Thus, it can be interpreted that the indicator of timeliness of distribution of food and food waste has not yet reached the SPM success indicator, while the accuracy of the type of diet has reached the SPM success indicator.

Nurses need to be caring to be responsive and care about patient needs. One of the patient's needs that must be met is ADL needs including bathing, dressing, going to the bathroom, moving/mobility, defecation/defecation and food. Nurses are less concerned about fulfilling daily ADLs such as assisting with patient mobility, not facilitating bowel movements, and paying less attention to patient hygiene even though patients need the presence of a nurse. Aims to determine the relationship between nurses' caring behavior and patient ADL fulfillment in the internal medicine ward at Dr. RSUD. Doris Sylvanus Palangka Raya. The research design used is correlation with a cross sectional method which aims to determine the correlative relationship between two variables. The instruments used were questionnaires and Chi-Square statistical tests aimed at patients in the Internal Medicine Room with a total of 37 patients. Results of the significance value of the relationship between nurses' caring behavior and patient ADL fulfillment in the internal medicine ward at RSUD dr. Doris Sylvanus Palangka Raya is 0.000 < 0.05. So Ha's hypothesis is accepted, which means that there is a relationship between nurses' caring behavior and the patient's ADL fulfillment in the internal medicine ward at dr. RSUD. Doris Sylvanus Palangka Raya. There is a correlation between nurses' caring behavior and patients' ADL fulfillment in the internal medicine ward at dr. Doris Sylvanus Palangka Raya Hospital. Based on the results of this research, it is hoped that nurses will increase caring behavior in providing nursing services so that the quality of nursing care will be good.

This writing aims to provide an understanding to the public that patients as people who need health services at the Hospital need to get optimal services from all fields including the fulfillment of patient rights as recipients of hospital services. In order for health services to patients to take place properly, the fulfillment of patient rights at the Hospital must also be implemented so that there are no problems with health service actions to patients such as cases of malpractice or negligence.  This writing uses a normative legal research approach method (normative legal research method). The normative legal research method is a library legal research conducted by examining library materials or secondary data.Thus, the patient's right as a recipient of medical services is to obtain information on medical services to find out the results of the examination/diagnosis that have been carried out by the medical team and has the right to know what actions the patient must receive.    

One of the critical elements affecting nurse performance and impacting the quality of nursing services is the implementation of the head nurse's functions. This role must be effectively integrated into the healthcare system to motivate nurses to provide optimal patient care, thereby improving community health quality. This study aims to analyze the relationship between the head nurse's functions and the performance of bedside nurses in the inpatient wards at RSUD Palangka Raya. Method: This study employed a quantitative method with a correlational research type and a cross-sectional approach. The sampling technique used was total sampling, involving 34 respondents. Data collection was performed using a questionnaire, and statistical analysis was conducted using the Spearman Rank Correlation test. Results:The results of the Spearman Rank statistical test showed a significance value (2-tailed) of p = 0.00 with a level of significance of p < 0.05, indicating a relationship between the head nurse's functions and the performance of bedside nurses. The correlation coefficient was 0.685, reflecting a high or strong correlation. This positive relationship indicates that as the function of the head nurse improves, the performance of bedside nurses also increases. Therefore, the alternative hypothesis (Ha) is accepted, meaning there is a relationship between the head nurse's functions and the performance of bedside nurses. Conclusion: There is a significant relationship between the head nurse's functions and the performance of bedside nurses. It is recommended that the hospital provide training for head nurses on management functions.

Mobilization is a basic human need required by individuals to carry out daily activities in the form of joint movement, posture and gait in order to meet activity needs and maintain health. The World Health Organization (WHO) says that births by caesarean section are around 10-16% of all births in developing countries, in the last 30 years the incidence of caesarean sections has increased very rapidly, for many reasons but some also don't have the right reasons, just because the patient wants the operation or the doctor wants an easy way, in Australia around 16% to 20% of the reason for the high number of caesareans in the United States is because most obstetricians. The aim of the research was to analyze the relationship between early mobilization post cesarean section and the surgical wound healing process in the postpartum room at Kartika Pulomas Hospital. The type of research used is qualitative analytic with a cross sectional approach design. The sampling technique uses accidental sampling. The number of samples used was 61 people. There is a relationship between early mobilization post cesarean section and the surgical wound healing process in the postpartum room at Kartika Pulomas Hospital. The paired sample t-test showed a value of p = 0.002, meaning p<0.05. Recommendations for hospitals need to have a policy for early mobilization of patients after caesarean section. Early mobilization accelerates wound healing and shortens the period of hospital treatment, so that it is a promotion for the hospital, namely: establishing independent hospitals as the main choice with quality services.