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The Covid-19 pandemic has led to various policies whose purpose is to limit activities and suppress the rate of spread. These restrictions make it difficult for people to seek medical treatment for those who are exposed. The government then introduced telemedicine as an online/virtual medical service that allows medical personnel to provide health services. However, the use of telemedicine is not fully understood by most Indonesians. The purpose of this activity is to increase the understanding and knowledge of the community and foster a sense of trust in the community so that they are willing and able to use telemedicine services as a preventive measure in dealing with certain health conditions. Activities are carried out using the door to door method and involve students as technical implementation assistants. Based on the results of the activity, it is known that before this service activity, the community did not know and did not recognize telemedicine. However, after this activity took place, the community was interested in using the telemedicine application and better understood the benefits of telemedicine.

A hospital is an institution or health service organization with broad and comprehensive functions, dense in expertise and capital intensive. Hospitals carry out broad functions so they must have resources, both capital and experienced and professional humans. Nursing service is part of the health service system in hospitals which has the function of maintaining the quality of service, which is often used as a barometer by the community, in assessing the quality of hospitals, thus demanding the professionalism of nurses in their work as shown by the results of the performance of nurses, both implementing and nursing nurses. management in providing nursing care to clients. Maximum implementation of nurse work in quality health services occurs when the nursing care implementation system supports professional nursing practice according to standards (RI Law No. 38, 2014). Motivation is the factors that exist within a person that move and direct his behavior or encouragement that causes him to do something or do something to satisfy individual needs to achieve certain goals (Rini, 2015).

Tuberculosis (TB) is still a major global health problem and is spreading all over the world, including in Indonesia. In recent years, the incidence of TB in Indonesia has continued to increase. Data in East Java also shows that TB is increasing at any time and one of the largest is in Jember. This is caused by various factors, such as the lack of public knowledge about TB, high poverty rates, and lack of access to health services. Therefore, efforts are needed to increase public knowledge about TB and how to prevent its spread. The aim of this program is to provide education related to TB disease prevention among the people of Banjarsengon, Patrang District, Jember, East Java. The target of this program is the general public who are at risk of contracting TB, such as migrant workers, farmers and informal workers. The method used is presentation using actual references and socialization. Socialization can be done through various media, such as leaflets distributed to participants. The socialization material presented included an explanation of TB symptoms, ways of transmission, ways of prevention, and access to health services. Apart from that, educational media is also made, which can be in the form of short videos as an illustration for the participants of this education for prevention and early detection. With increasing public knowledge, it is hoped that it can reduce the incidence of TB among the community in Banjarsengon

The Hopeful Family Program (PKH) is a poverty alleviation program. This study aims to find out what forms of Family Hope Program (PKH) assistance are available, as well as the positive and negative impacts felt from the Family Hope Program (PKH) in Balangtanaya Village, Takalar Regency. As for the qualitative descriptive research method and the type of field research. The research subjects were carried out using purposive sampling techniques and the informants in this study were 5 categories, such as pregnant women, the elderly, elementary, junior high, high school. The data collected consists of primary data and secondary data. The data collection techniques and procedures used were through in-depth interviews with a number of PKH beneficiaries, observation, documentation and data recording related to the problems of this study. The results of the study describe: 1) The forms of assistance received by PKH beneficiary communities and beneficiary families include; a. Health assistance for pregnant women and children aged 0 to 6 years, b. Educational assistance for children enrolled in SD, SMP, SMA/SMK equivalent, c. Social welfare assistance for the elderly over 60 years. 2) The positive impacts felt by beneficiaries of the Family Hope Program (PKH) assistance include; a. Pregnant women, namely getting services every month such as checking the content, giving vitamins and nutrition, b. Children aged 0 to 6 years, namely the nutritional and body health of toddlers are monitored, c. Children enrolled in elementary, junior high and high school, namely fulfilling school needs, and helping to reduce the generation of children who drop out of school, d.. Elderly (Elderly), namely social protection programs, namely health services in ensuring their welfare. 3) The negative impact arising from the Family Hope Program (PKH) is that it makes some people become dependent and do not have a business to help working families to earn other income.

The Healthy Indonesia Card (KIS) is one of the programs planned by Mr. President Joko Widodo and Vice President Mr. Jusuf Kalla on January 1 2014 ago, 14 days later, Mr. Joko Widodo and Jusuf Kalla were inaugurated as President and Vice President. The Healthy Indonesia Card (KIS) functions to provide health insurance for underprivileged/poor people to access health services free of charge. This study aims to find out how the Implementation of the Healthy Indonesia Card Program (Case Study at the UPTD Puskesmas Teluk Sasah, Seri Kuala Lobam District, Bintan Regency). This study uses a qualitative descriptive approach with primary and secondary data sources and data collection techniques using field observations, interviews, literature studies and documentation. This study uses Edwards III's theory with four indicators, namely communication, resources, disposition, and bureaucratic structure. The research results are based on the first indicator, namely the UPTD Teluk Sasah Health Center has provided information about Karu Indonesia Sehat to people seeking treatment in the area of Teluk Sasah Health Center by conducting outreach through the mass media. The second indicator is Resources, there are two resources in the implementation of the Healthy Indonesia Card program, namely human resources and financial resources. It is said that human resources are still lacking and financial resources such as facilities and infrastructure are sufficient. The third indicator is the disposition that the characteristics of the implementation of the Healthy Indonesia Card program are commitment, honesty, responsibility and fairness. The fourth indicator is the Bureaucratic Structure in which the implementation of the Indonesia Seat Card program has been carried out in accordance with the Standard Operating Procedures. The results of this study indicate that the Implementation of the Healthy Indonesia Card Program at the UPTD Puskesmas Teluk Sasah, Seri Kuala Lobam District, Bintan Regency has been implemented in a optimal.

Telemedicine, as a form of evolution in the field of health services, has emerged as a response to the challenges and opportunities arising from advances in information and communication technology (ICT). In the era of globalization and digitalization, the concept of telemedicine has revolutionized the way medical services are provided, providing broader, more efficient, and innovative access to healthcare. The purpose of this study was to determine the relationship between service quality and satisfaction among telemedicine users in Surakarta City. This research method is a quantitative descriptive method by distributing online questionnaires (google form). The population in this study are telemedicine users in the Surakarta City area. While determining the number of samples using the Lemeshow formula with a sample of 96 respondents. The results showed that most of the respondents were aged 36-45 years (30.2%), female (51%). The education level of the majority of respondents graduated from high school or equivalent (31.2%). The level of employment of civil servants and self-employed (18.8%) and the activity that is often used is to consult a doctor (66.7%). A total of 3 - 4 times using telemedicine a total of 42.7%. While the results of the description of the quality of services provided are in the good category (72.9%) and the description of satisfaction is in the satisfied category (66.7%). The conclusion in this study is that there is a relationship between service quality and satisfaction with the use of telemedicine services indicating a significant and positive relationship (p value = 0.000).    

Background: The application of patient safety goals is an effort made by hospitals to improve the quality of health services. Handover activities that are not accompanied by effective communication can cause errors that can harm the patient. Recommendations from WHO require nurses to improve communication patterns, especially when carrying out handovers, namely by using SBAR communication which consists of Situation, Background, Assessment and Recommendation. Based on the data summary of reported incidents that occurred in the hospital as many as 20 incident cases in the past year, including cases of KTD, KNC, KTC and KPCS. From these incidents, there were 6 cases related to miscommunication during handovers. Some nurses still do not apply the SBAR communication method when carrying out handovers, resulting in cutting/lagging of the information provided and resulting in incidents. Objective:to determine the reltionshipbetween SBAR Communication during handover and the implementation of patient safety at Bakti Timah Karimun Hospital. Methods: This research is quantitative with a cross-sectional approach. The population of this study were all inpatient nurses at Bakti Timah Karimun Hospital with total sampling, which consisted of 63 respondents. Results: showed that 41 respondents (65%) used SBAR communication during handovers in the good category and implemented patient safety. Conclusion:This means that the implementation of SBAR communication during the handover is good but not optimal because there are still 35% who have not implemented it. Based on the chi square test, there is a relationship between SBAR communication during handover and the application of patient safety (p=0.000 <0.05). Suggestion:, it is expected that nurses can carry out SBAR communication during handovers effectively so that they can implement patient safety optimallyKeywords : Newbron, Skin wrap, hypothermia.

Traditional health services are expected to be implemented in health care facilities. Puskesmas had a traditional health clinic that has been running since 2019, but there is no evaluation on that program. This study aims to identify the implementation that has been carried out, in order to find out which aspects still need improvement. The research method used is descriptive qualitative research. Researchers collect data by interview, observation and secondary data. The results of the study show that traditional health services at the puskesmas have been implemented fairly well. In 2022 there were 20 visitors with the majority of visitors aged 31-45 years (50%), female (90%), all coming from the Javanese and Muslim religions. Meanwhile, the average number of visits was 1 time (55%) and 5% of visitors made 4 repeat visits. The most frequently treated complaints were dizziness/headaches (35%) and other pain complaints (45%). Treatment in traditional health polyclinics is provided with oral medication as much as 40% and 60% without drug administration. The traditional treatment given is acupressure (65%), cupping (15%) and a combination of both as much as 20%. Officers who provide traditional health services at the Palm Health Center are nurses with acupressure training. The implementation that has been carried out still requires various improvements in order to increase the number of patient visits. Further research is needed to find the right implementation model so that traditional health services at puskesmas are widely utilized by the community.

 Older adults are someone who is over 60 years old, which is the final stage of the development of human life, or someone who is starting to enter the stage of the aging process. This study aimed to determine the difference in effectiveness of giving bay leaf decoction with hypertension exercise to older adults with hypertension to reduce blood pressure in Karangayu, Semarang Barat, before and after the intervention. This research method used quasi-experimental pre-and post-tests for two intervention groups, 1 and 2. The sampling technique used was non-probability sampling on 74 respondents, using pre-test and post-test observation sheets with SOP for boiled bay leaves and SOP for hypertension exercises. This study showed that the average blood pressure before being given the bay leaf decoction intervention in group 1 was 89.2% with severe pain. In contrast, the average blood pressure after being given bay leaf decoction intervention was 86.5%, with mild blood pressure. For group 2, the average blood pressure before being given the hypertension exercise intervention was 94.6% with severe pain. Meanwhile, the average blood pressure after the hypertension exercise intervention was 75.7% with mild blood pressure. The results of the marginal homogeneity test obtained a P value of 0.001 (<0.05), meaning that there was a significant difference in mean between the pre-test and post-test, which affected the effect of giving bay leaf decoction with hypertension exercise on blood pressure in the older adults. Advice to health services, such as Posbindu (Pos Pembinaan Terpadu), on how to provide non-drug treatment with bay leaf decoction and hypertension gymnastics, which means physical exercise and traditional medicine, as part of training for Posbindu officers in secondary prevention services for high blood pressure in older adults.

Health services in hospitals must be able to manage risks to patients and have the ability to learn how to follow up on incidents or injuries that occur and be able to implement solutions to reduce the risk of patient safety incidents occurring. Therefore, through hospital accreditation, service quality must be carried out in accordance with predetermined patient safety standards. This study aims to determine the experience of implementing nurses in carrying out patient safety at dr. Bratanata in 2022.

Background: Jobs related to hospitals or health are often exposed to high work stress, namely nurses. Nurses who experience work stress show negative emotional responses. The negative impact of increased work stress and low emotional intelligence on nurses has an impact on the quality of health services. Therefore, when a nurse is exposed to work stress and low emotional intelligence, her performance in providing nursing services will decrease, which in turn will get complaints from patients. Prolonged job stress can contribute to nurse burnout, increased dropout rates, and decreased job satisfaction. In the long term, this can affect nurse retention and reduce the availability and quality of the nursing workforce. Methods: Quantitative research with a correlational type of research using Cross Sectional. Sampling using the Total Sampling approach totaling 46 nurses. Data analysis using Univariate Analysis and Bivariate Analysis. Results: 1) 56.52% emotional intelligence in nurses at Dr. Hospital. Bratanata Kota Jambi is categorized as low and 43.48% is categorized as high; 2) 54.35% work stress on nurses at Dr. Hospital. Bratanata Kota Jambi is categorized as high and 45.65% is categorized as low; 3) There is a relationship between emotional intelligence and work stress on nurses in the inpatient rooms of Akasia, Cemara and Cendana at Dr. Hospital. Bratanata Jambi City in 2022 with a Spearman correlation value of -0.869. That is, high emotional intelligence, the work stress experienced by nurses will be low. Conclusion: There is a relationship between emotional intelligence and work stress of nurses in the Inpatient Room of Akasia, Cemara and Cendana Dr. Jambi City Bratanata Hospital. It is hoped that the hospital can provide various programs for nurses not to experience high stress, and can increase the emotional intelligence of nurses to reduce work stress with training for nurses such as Gathering which can reduce nurse work stress.

The health services between urban and rural areas are quite interesting because they have many differences that can be seen, especially the gap between the two areas. One of the characteristics of urban and rural areas is accessibility development, urban areas tend to develop faster than rural areas. This article was created with the aim of knowing the condition of health service facilities in rural areas in Indonesia and their access, especially for the elderly. The search strategy used in this research is a systematic literature review. The disparity in the elderly's use of health facilities are impacted by their education level, socioeconomic status, ownership of insurance, distance traveled, and cost of transportation. In conclusion, access to healthcare is crucial in Indonesia, particularly for elderly people living in rural areas. The Indonesian government must evenly distribute medical facilities in rural areas and guarantee universal coverage with National Health Insurance. To improve elderly health care, the government needs to develop sufficient expertise with health and social care workers with the necessary training in integrated care services.

Measurement of haemoglobin (Hb) is a standard examination in pregnant women at the first prenatal visit that is used to evaluate physical status and anemia. One of the health conditions that often occurs and is important to note in reducing maternal and perinatal morbidity and mortality is anemia in pregnancy, which can increase the risk of infection, preeclampsia, postpartum hemorrhage, low birth weight babies, preterm birth, to death for both mother and child. fetus. This cross-sectional study aims to determine the difference in mean haemoglobin levels with the incidence of mild preeclampsia, severe preeclampsia and eclampsia which were selected according to the criteria by total sampling using medical record data in the period January 2020 - December 2020. The variables in this study consisted of the basic characteristics of the respondents (age mother and parity status), gestational age (weeks), and medical condition of the mother divided into three groups (mild, severe preeclampsia, and eclampsia). Statistical analysis using the Kruskall Wallis test. This study included 190 respondents with an average maternal age of 32 years and an average haemoglobin level of 10.86 with medical conditions dominated by severe preeclampsia (85.3%). The results of the study found that there was no significant difference in mean hemoglobin levels between the three groups of pregnant women (p-value: 0.235). To improve the quality of life of the mother and fetus, it is recommended that primary health services should be strengthened, prevention, early diagnosis and treatment of anemia in pregnancy should be prioritized.    

In various countries the use of information technology in fields that present aspects of goodness in everyday life. This is to improve the quality of the performance of health workers to streamline their time, skills and abilities. In addition, technology can also be accessed via computers or other modern tools that support health services. Leverage technology as the ability to create increased value with a stable or shrinking amount of resources, while at the same time enhancing the ability to grow more rapidly. The purpose of this theoretical literature review is to find out how leveraging technology can improve the quality of the performance of health workers. The research method used by the author, namely theoretical review, is a theoretical approach used by researchers to explain research problems. This method is to review or review various literature that has been published by academics or other researchers. The results of this theoretical literature review are leveraging technology to improve the quality of performance of health workers, namely by increasing understanding, using technology effectiveness and increasing targets. It can be concluded that the more a person can develop and improve their abilities in the field of technology, the more technologies are created which will have an impact on the quality of performance that a person gets. So, nothing is impossible to present and use the advanced information technology of the future. For health workers the use of technology as a system based on smart technology. It is hoped that health workers will always hone their skills, learn new things, and have the ability to apply modern technology. This can make the performance assessment of health workers to improve the reputation of the institution.

Outpatient services are an important part of health services provided by hospitals. However, some BPJS hospitals experience obstacles in providing efficient and quality outpatient services, such as long queues, long waiting times, and lack of a good management system. the application of Lean Management to the outpatient services of BPJS patients in hospitals can help hospitals improve operational performance, so as to increase public trust in BPJS Health. This study aims to analyze the application of Lean Management to the outpatient services of BPJS patients in hospitals. This research uses a literature study method or Systematic Literature Review using the Google Scholar search engine and journal databases, such as Researchgate. The results showed that most outpatient service activities for BPJS patients still have patient waiting times below the established service standards. In analyzing the flow that patients go through, each activity is identified into two groups, namely Value Added (VA) as an activity that is considered necessary and profitable and Non Value Added (NVA) as an activity that is considered unnecessary. Based on the percentage of waste in the form of the largest waiting time can be described, namely, 35.1% in the registration process, 30.2% in the poly examination process, and 20.7% in the process of receiving drugs in the pharmaceutical installation

Health workers have an important role to improve the maximum quality of health services to the community. It is also necessary for health workers to consider balanced work, one of which is the management of work life balance (WLB). Work Life Balance as an individual's ability to balance his responsibilities at work and things that are not related to work. The purpose of this theoretical study is to find out the management of work life balance in health workers in hospitals. The method used is a theoretical study by analyzing and comparing existing theories. It then learns more about a subject in theory or research and helps readers understand it better and with implications. The data that has been obtained is then analyzed and presented in narrative form in the form of diagrams or schematics whose contents discuss the results of the research analyzed from some of the literature. The result of this theoretical study is to arrange plans and schedules, control unnecessary things, filter between professional and personal, prevent burn out, and increase job attendance. It can be concluded that work life balance or balance of time in the context of working in a hospital, namely as health workers have the ability to balance between the time we provide as a professional in the workplace and the time we provide as a person outside where we work. Health workers who have a good work-life balance, then a person can be more productive and efficient at work. This also supports increasing satisfaction in doing work. It is hoped that the hospital and health workers will always conduct training to support increasing the professionalism of health workers and balancing their responsibilities at work and those that are not related to work. In addition, as a professionalism and performance appraisal that is assessed in terms of punctuality, discipline and altruism.

This service program aims to increase understanding and support for mental health in rural communities, especially in Kenagarian Sungai Tanang, West Sumatra. The main problems faced are lack of access to mental health services, stigma towards mental health problems, and lack of understanding of the importance of mental health at the family level. The aim of this activity is to increase public understanding about mental health, strengthen the role of families in providing support to family members who need it, and increase access to mental health services. The methods used include developing educational materials, implementing interactive workshops, mentoring, and program evaluation. The results of this activity show an increase in public understanding about mental health, an increase in the active role of families in providing support, expansion of access to mental health services, and a reduction in stigma towards mental health problems. This program makes a positive contribution in improving the mental health welfare of the Kenagarian Sungai Tanang rural community and provides direction for the development of similar programs in other rural areas.

Antenatal care is care or care provided to pregnant women before birth, which is useful for facilitating healthy and positive outcomes for pregnant women. Perfect health services have an impact on the quality of service that gives satisfaction to everyone. This study aims to determine the relationship between the quality of health services (tangible, reliability) to the level of satisfaction of the visit of TM I pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency. This research is an analytical quantitative research using a cross sectional design. The population in this study were all TM I pregnant women who visited the Labuhan Deli Health Center, namely 56 respondents at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023. The sampling technique was accidental sampling. Data collection was analyzed by chi-square test. The results of this study indicate that there is a correlation between the satisfaction of pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023 based on the tangible dimension (physical evidence), and there is no relationship between the level of satisfaction of pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023 based on dimension of realibility (reliability).

The hospital is one of the organizations in the service sector that is engaged in efforts to improve public health. In addition, the hospital as oe of the subsystems of health services provides two types of services for the community, namely health services and administrative services. Therefore, as a hospital service institution, it is required to improve its service quality management continuously and continuously in various fields of service provided. So the Dumai City Hospital should be able to provide good service to pattiens with planned management for class B classified hospitals. The purpose of this study was to find out how the management of outpatient services in the field of pregnancy at the Regional General Hospital in Dumai City. This research method uses qualitative research methods with data collection thechniques using primary data and secondary data obtained from the results of observations, interviews, and documentation that the researcher analyzed in obtaining the data. This study uses the theory of Ratminto about service management, namely planning, implementation, and coordination. The results of the study indicate that the service management of the Dumai City Regional Public Hospital still has obstacles in its services such as training of workers who have not all received training, budget, facilities and infrastructure.

Puskesmas as one of the most important health services infrastructure has a task for give health services to the whole of society. Puskesmas is accused to always keep patient’s trust and satisfaction by give quality services. Quality services in the context of the services at Puskesmas mean give services to the patient based on standard quality for fill up necessary and anxiety of the society, so that they can get satisfaction which finally can increase patient’s trust to Puskesmas. This study aims to determine the quality of health services, the causal factors, and the demands and needs of the community. Measurements from service quality using the SERQUAL method and data extraction is done either quantitatively or qualitatively.