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This study aims to determine the relationship between health facility measures and reference service measures on the quality of service for patients participating in BPJS Health at the Sukodono Community Health Center, Sidoarjo. This research also aims to describe the quality of BPJS Health services at the puskesmas. The results of previous research show that the quality of BPJS Health services at the Sukodono Community Health Center still needs to be improved, especially in the aspects of waiting time, patient satisfaction and communication with health workers. This research uses survey methods and data to find out how the quality of BPJS Health services at the Sukodono Community Health Center and how health facility actions and referral service actions influence service quality. It is hoped that the results of this research can become a reference for improving the quality of health services provided by the Sukodono Community Health Center, so that people who use BPJS Health services can receive better and more effective services.

The clinic's process for requesting a consultation with a doctor and receiving a queue number is inefficient. To help patients make the most of their time at the clinic, it is helpful to provide them with information on when physicians will be available to see them. A new approach to health development governance is required under Regulation No. 21 of 2020 of the Republic of Indonesia's Minister of Health, which addresses the Ministry's Strategic Plan for 2020–2024. This plan encompasses health information systems, research integration, and development, among other areas. First, Health Technology Transformation, which includes developing and integrating health data; second, Health Service Application Integration and Development; and third, Health Technology Ecosystem Development, will house the primary activities involved in health technology transformation. This study's findings suggest that consumers are mostly interested in finding hospitals in close proximity to their homes, rather than using the doctor's appointment component of the KlikDokter app. Because of this, KlikDokter has to implement a change movement that can increase the number of health facilities that operate with Klik Doctor, allowing it to reach the closest health facility. It also has to link insurance and BPJS so that health facilities may provide transaction features.

This research discusses the application of User Interface (UI) and User Experience (UX) principles in the development of hospital information systems to improve the quality of health services. The research method used involved qualitative and quantitative approaches with data collection through observation, interviews, and surveys. The results showed significant improvements in user experience, measured through access speed, satisfaction levels, and reduced user error rates. Operational efficiency was also shown to improve, especially in terms of scheduling, patient monitoring, and staff information exchange. This study concludes that implementing UI/UX can have a positive impact on user experience and operational efficiency in the context of hospital systems. Therefore, hospital system developers are advised to consider UI/UX principles as an integral strategy in the development of health information systems, in order to improve the overall quality of healthcare services

Satisfying excellent service will definitely have an impact on achieving a standard value of satisfaction for patients or service recipients. Patient satisfaction is the best assessment of the description of the diversity of service quality received by patients. This research was conducted with the aim of knowing the relationship between service quality and patient satisfaction at the general polyclinic at the Mamburungan Health Center, Tarakan City, by applying the RATER concept, namely responsiveness, assurance, tangible, empathy, and reliability. This research is descriptive quantitative using the Cross Sectional Study method conducted on 165 respondents, using a questionnaire, with the result that the quality of service is good, and patient satisfaction at the Mamburungan Health Center is satisfied. The results of the data analysis test Rho Spearman's P value (Sig. (2-tailed) 0.00 and α 0.05 which proves that there is a significant relationship between service quality and patient satisfaction in the general polyclinic at the Mamburungan Health Center, Tarakan City. It is hoped that the Mamburungan Public Health Center can further improve quality services by creating separate examination rooms so that patient privacy can be better maintained, not combining multiple services so that patient privacy and comfort can be increased, and building cleanliness, service rooms, tidiness, and the appearance of officers so that they can be further improved so that maximum patient satisfaction can be achieved.  

Doctors have a legal responsibility to ensure that patient medical records are complete and accurate. A legal analysis of the doctor's responsibility for the completeness of patient medical records in order to fulfill patient rights in hospitals is an important study to ensure that patient rights are fulfilled in accordance with the standards set by applicable laws and regulations. A comprehensive analysis of the doctor's responsibility and the importance of complete medical records is expected to create a better health care system that respects and fulfills patient rights optimally. This study uses a normative legal method. The conclusions of this study are: 1) The doctor's legal responsibility for fulfilling the patient's right to obtain complete Medical Records as a form of the patient's right to information in health services. This right is protected and regulated in a number of legal regulations. Fulfillment of the method of obtaining the contents of Medical Records to patients must also pay attention to and follow the procedures as stipulated in the laws and regulations. 2) The legal consequences of the doctor's legal responsibility if they violate the fulfillment of the patient's right to complete Medical Records, including: 1) criminal sanctions, namely imprisonment for a maximum of 1 (one) year and a maximum fine of Rp. 50,000,000.00 (fifty million rupiah) (Article 79 point b of the Medical Practice Law Law No. 29 of 2004), 2) civil sanctions in the form of compensation by the Hospital or the doctor to the patient (Article 1365 of the Civil Code) and 3) administrative sanctions in the form of written warnings and/or recommendations for revocation or revocation of accreditation status. (Minister of Health Regulation 24 of 2022 concerning Medical Records).

Health services in Indonesia are one of the many components of the health system that have direct contact with the community. The quality of health services is so important because it makes it easier for people to carry out health checks. Patient satisfaction can also be obtained from the quality of health services received from the health center. The quality of services provided to service recipients can affect their satisfaction with the health services provided by service providers. This study aimed to determine the relationship between each dimension of the quality of health services and patient satisfaction at the Sail Health Center in Pekanbaru City. This research is included in quantitative research with an analytic survey and cross-sectional study approach. The number of samples in this study was 95 outpatients at the Sail Health Center in Pekanbaru City. According to the statistical results of the Fisher's Exact test, there is a relationship between the quality of health services and outpatient satisfaction at the Sail Health Center, Pekanbaru City. Suggestions that can be given are the allocation of health workers by duties and responsibilities, such as the number of health workers by duties and responsibilities and the need for Puskesmas Sail to conduct regular patient satisfaction surveys to evaluate the quality of services at Puskesmas Sail.

Patient safety includes safe care, risk assessment, risk management, and incident reporting. The most frequent patient safety incidents are falls, which rank second after medication errors. Objective: To analyze the knowledge and compliance of nurses in implementing prevention for patients at risk of falls in the inpatient room at PKU Muhammadiyah Kartasura Hospital. Method: This research uses mixed methods, which combines collection, analysis and mixing of quantitative and qualitative data in one study. The research population was 20 nurses at the PKU Muhammadiyah Kartasura Hospital Inpatient Installation in 2024. Results: Respondents aged 26-35 years (45%), female (85%), last education was D-III Nursing (80%), and length of service 1-5 years (40%). Most respondents had a high level of knowledge (70%), and high compliance (80%). Nurses with poor knowledge who did not comply were 66.7%, while all nurses with good knowledge complied 100%. Chi-square analysis was 0.003, showing that compliance was influenced by level of knowledge, length of work, age, and self-awareness. Conclusion: A nurse's compliance cannot be separated from the nurse's level of knowledge in implementing risk prevention for patient falls. Apart from the level of knowledge, length of work and a person's age also greatly influence the implementation of risk prevention for patient falls, a person's lack of self-awareness can also influence a person's compliance to progress and be successful. 

Patient safety in surgical procedures is a critical element that must be addressed by medical professionals, including anesthesiologists. The World Health Organization's (WHO) Surgical Safety Checklist (SSC) is designed to enhance patient safety during surgery, but its implementation still encounters several challenges, such as insufficient training and limited resources. This study aims to improve anesthesiologists’ understanding and compliance with the SSC through the use of educational video media. The research methods involved socialization, video-based training, hands-on practice, and evaluation with a participatory approach. The participants were anesthesiologists who received a structured training session using videos that explained the SSC steps and emphasized its importance. Pre- and post-training assessments were conducted to measure changes in understanding and compliance.The results demonstrated a significant improvement in both the anesthesiologists’ understanding and compliance with the SSC after the training. The average understanding score increased from 60.5 to 85.3, while compliance rose from 55.2 to 88.7. These findings indicate that educational videos are an effective tool for enhancing anesthesia service quality and increasing medical personnel’s access to training. The study emphasizes the importance of technology-based education to overcome barriers related to limited resources and training opportunities. Based on these results, the study recommends the implementation of similar video-based educational methods in training programs for other medical personnel, aiming to improve patient safety across various healthcare settings.

Type II Diabetes Mellitus accounts for about 90-95% of all diabetes cases in the world. Education is the main basis for effective treatment and prevention of Diabetes Mellitus. The mentoring method is considered more effective than conventional counseling. This study aims to determine the effect of mentoring on knowledge, dietary adherence, medication adherence, physical activity, and blood glucose levels of Diabetic Mellitus patients in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency. This study is a purely experimental study with random grouping of samples and assessments carried out before and after the intervention. The research was conducted in Bangun Rejo Village from March to June 2024. The results showed a significant difference in the knowledge of Diabetes Mellitus patients before and after the assistance with a p-value < 0.05. In addition, there was an effect of assistance on dietary adherence and a decrease in blood glucose levels in patients with Diabetes Mellitus with a p-value of < 0.05. This finding is expected to be an information material for health agencies, especially Bangun Rejo Village, to improve services to people with Diabetes Mmelitus and provide input for the Tanjung Morawa District Government, Deli Serdang Regency, especially the Health Office, in developing an educational intervention program with a mentoring approach to achieve optimal metabolic control.

Kosambi Maternal and Children Center is a basic and specialized medical services with specialization in maternal and Child Services that seeks to maintain consumer loyalty by improving the quality of services and seeks to maintain consumer satisfaction in maternal and Child Health Services. This study aims to analyze the effect of service quality variables on customer satisfaction variables and their implications on customer loyalty Kosambi Maternal and Children Center. Data processing in this study using the method of Partial Least Square (PLS) with the help of SmartPLS. This study uses a quantitative approach. The method used is a survey method through questionnaires that are distributed digitally through google forms. The samples used in this study were 92 respondents taken from Kosambi Maternal and Children Center patients at random. The results of this study showed that the effect of customer satisfaction has a significant effect on customer loyalty with a T-statistic value of 7.426 ≥ 1,96 or p values of 0.000 ≤ 0,05. The quality of Service has a significant effect on customer satisfaction with T-statistic value of  5.435 ≥ 1,96 or p values of 0.000 ≤ 0,05. Service quality significantly affects customer loyalty with t-statistic value of 2.993 ≥ 1,96 p values of 0.003 ≤ 0,05.

Hypertension is defined as an increase in systolic blood pressure >140 mmHg and diastolic blood pressure >90 mmHg, often triggered by unhealthy modern lifestyles. In the Working Area of Puskesmas Tumbang Talaken, Gunung Mas Regency, there was an increase in hypertension cases in 2021. Interviews with 10 patients revealed that 5 had a family history of hypertension and poor dietary habits, 3 were active smokers, and 2 rarely exercised and often felt tense due to work-related stress. The high number of hypertension cases warrants research into the factors associated with the incidence of hypertension in this area. The aim of this study is to analyze the factors related to hypertension incidence in Puskesmas Tumbang Talaken. Method: A correlational study with a cross-sectional approach. Data were collected using observation and questionnaires (physical activity, diet, Depression Anxiety Stress Scales, and smoking habits). The sample consisted of 180 respondents visiting Puskesmas Tumbang Talaken, selected using accidental sampling, and data were analyzed using the Chi-square correlation test. Results: The study showed significant relationships between genetic factors (p-value = 0.000), diet (p-value = 0.000), physical activity (p-value = 0.000), stress (p-value = 0.000), and smoking habits (p-value = 0.000) with the incidence of hypertension in the Working Area of Puskesmas Tumbang Talaken, Gunung Mas Regency. Conclusion: The focus of hypertension control programs should be integrated and include comprehensive services, such as promotive and preventive services through health promotion activities, as well as curative and rehabilitative services. Behavioral changes should focus on avoiding cigarette smoke, adopting a healthy diet, and engaging in regular physical activity.

Background: Lay people are the first and main helpers for victims who experience emergencies outside the hospital. However, facts on the ground show that people are often confused about providing assistance to victims at the scene and tend to wait for the medical team, thereby missing the "golden time" of first aid to victims outside the hospital. One of the efforts that must be made to overcome this is to improve the behavior of ordinary people in carrying out BT&CLS skills. Counseling and simulations about BT&CLS are an important solution and effort to improve the behavior of ordinary people in providing prehospital emergency assistance. Purpose: The aim of this community service activity is to improve the behavior of ordinary people by empowering Sekaa Teruna Teruni related to BT&CLS skills through counseling and simulation. Method: This stage of PKM activities uses the POAC concept approach, namely planning by conducting assessments with partners about PKM activities, organizing through approaches with related parties, and analyzing the readiness of DM patients to receive training. Actuating and controlling training for Teruni youth students regarding BT&CLS for victims of trauma and cardiac arrest, evaluation, and reflection. Results: The average pre-test result of Sekaa Teruna Teruni before counseling and BT&CLS simulation for trauma and cardiac arrest victims was 52.53, which increased in post-test results to 77.20 after being given training. Conclusion: There was an influence of BT&CLS counseling and simulation on sekaa teruna teruni in the Pedungan Region.

The occurrence of patient accidents is like an iceberg phenomenon. Medical errors remain a global issue in the healthcare sector. The culture of safety aims to create safer patient care, considering that Adverse Events can not only increase healthcare service costs but also bring hospitals into a blaming area. This study aims to describe the patient safety culture at Melati Perbaungan General Hospital. This descriptive study observes the implementation of patient safety culture in preventing adverse events in the inpatient department at Melati Perbaungan General Hospital using a total sampling technique with criteria including human resources in the inpatient department, such as executors, responsible persons, and department heads, totaling 65 people. The measurement of patient safety culture uses the Hospital Survey on Patient Safety Culture (HSPSC) questionnaire with 12 dimensions of patient safety culture. The results show that the majority of respondents' characteristics in terms of age and length of work greatly support the creation of a patient safety culture, as most staff are in their productive age (31-40 years) and have an optimal working period (1-5 years) in performing their duties. The implementation of the patient safety culture by staff at Melati Perbaungan General Hospital is in the Positive Response category at 77.9%. This indicates that the patient safety culture has been well implemented.

Medical tourism is a new form of tourism and medical services by getting health services according to expectations to a certain area. In an effort to develop the health system and competition as well as the impact of health globalization, it is possible that medical tourism will lead to intense competition between hospitals in providing quality services and superior service products provided by these hospitals in attracting patients to come for treatment. Assessing the potential for the development of medical tourism in Indonesia and analyzing government regulations on the development of a medical tourism strategy in Indonesia. The method used is normative juridical, or legal research conducted by examining legal literature as primary material. Some things that must be considered in developing hospitals in Indonesia that have the potential to develop medical tourism services are tariffs, service quality, hospital accreditation, marketing, access to treatment from the aspect of transportation, availability of health workers and types of treatment. The central government, the ministry of health and local governments as policy or regulatory makers in terms of medical tourism in Indonesia play an important role. There needs to be regulations or policies that regulate matters related to medical tourism so that it is not just a discourse.    

Missed care (MNC) is a global health care problem that primarily incorporates elements of optimal nursing care needed by patients that are skipped or delayed by nurses. This research is quantitative research with a cross sectional approach, namely research where data is collected only one observation/measurement. Objective: This research aims to determine the independent variables, namely Work Load, Education Level and Years of Work and the dependent variable, namely missed nursing care. Method: This research was carried out in the inpatient room of Bakti Timah Karimun Hospital. The time for carrying out this research until data processing was carried out in March-April 2023. The respondents in this study were all inpatient nurses at Bakti Timah Karimun Hospital who had met the inclusion criteria, totaling 44 respondents using total sampling techniques. The analysis is Univariate Analysis and Bivariate Analysis with statistical testing using the chi-square test. The data collection process was carried out by researchers using a questionnaire. Results: 17 respondents (38.6%) with missed nursing care in the high category. Vocational education level (D3) 26 respondents (59.1%), working period ≤ 3 years 9 respondents (20.5%) and heavy workload 20 respondents (45.5%). Conclusion: that there is a significant relationship between level of education, length of service and workload with the incidence of missed nursing care in the inpatient ward of Bakti Timah Karimun Hospital.

Traditional medicine in Indonesia faces significant challenges regarding patient protection and clear regulation in the context of consumer protection. Unlike modern medicine that follows a structured European model, traditional medicine often lacks consistent definition and clear regulatory mechanisms. Law Number 17 of 2023 concerning Health seeks to accommodate the diversity of healthcare systems in Indonesia, yet there are still shortcomings in the responsibility of health organizations for the standardization and supervision of traditional medicine. This research analyzes how patient protection in traditional healthcare services is viewed from a consumer protection perspective and examines the implementation of Law Number 17 of 2023. Findings indicate the need for further steps to develop robust mechanisms in standardization, address deficiencies in health organizations responsible, and balance communal interests with individual needs in traditional medicine. Thus, these efforts are expected to enhance patient protection and improve the safety and effectiveness of traditional medicine in Indonesia.

Community Health Centers (Puskesmas) are the main place for the public to get basic health services. In certain conditions, the Health Center will receive visits from patients who arrive with the same number of origins at the same time. This has an impact on health services experiencing a decline and not maximizing the health of health workers in checking patients' health. So, comprehensive services are not obtained, and there are even patients who queue for too long. In order to minimize this occurrence, simulations are carried out to predict the number of possible visits that will occur in the future. The method used in this study is Monte Carlo. This research is intended so that the information provided by the Health Center related to the prediction of the number of patient visits that are likely to occur in the next year or in the future can be done validly and accurately. The data used is data on the number of patient visits in 2021, 2022, and 2023. As a result of this study, a prediction of the number of patient visits was obtained so that the Health Center could implement the next action that was useful for improving the quality of services needed    

Hospitals have an obligation to provide services in accordance with standard operating procedures for patient care, maintain patient safety and security, and provide accurate information. Incorrect medical treatment such as surgery on the side of the body that is not in accordance with the diagnosis can have a serious impact on the patient. The wrong side of the operation on the patient caused by the negligence of medical staff may result in legal liability for negligence. The hospital can be held responsible and obliged to provide compensation for the physical, emotional and financial losses suffered by the patient. If an incident occurs that harms the patient, the hospital may be subject to lawsuits. Hospitals must be legally responsible and take steps to improve the medical service system to improve quality and patient safety.  

Health BPJS program aims to provide assurance of social protection and welfare for all Indonesian people. One of the problems that patients who use BPJS often face is the problem of Health BPJS services in the field, namely cases of refusal of patients participating in Health BPJS to get an examination room by the hospital. The need for legal protection in obtaining health services, which aims to ensure legal certainty obtained by patients that patients avoid losses when receiving health services that should be provided properly and optimally by health workers. This study aimed to identify and analyze the legal protection of patients who used Health BPJS in hospitals. This study used a normative juridical approach. The result showed that there were two kinds of legal protection for Health BPJS participants in health services, namely preventive and repressive legal protection.  

The phenomenon of globalization has transformed the world's landscape, connecting nations, and inspiring the concept of Special Economic Zones (SEZs). The utilization of Foreign National Health Workers (FHNWs) has become a strategy to address the shortage of medical personnel and enhance healthcare services, particularly in remote regions. However, the implementation of this policy also faces several ethical, cultural, and linguistic challenges. The ethical aspect takes center stage in the utilization of FHNWs. Patient rights, professionalism, and cross-cultural collaboration are crucial focal points in healthcare service practices. Despite its benefits, the utilization of FHNWs encounters communication hurdles, especially when the employed language is unfamiliar. Additionally, the integration of local cultural values becomes a pivotal aspect in delivering sensitive and patient-centered care. This paper analyzes policy documents related to the utilization of Foreign National Health Workers (FHNWs) in Indonesia through normative and predictive approaches. The objective is to comprehend the concepts and regulatory implementations concerning the ethics of FHNW utilization within the context of Indonesian healthcare services. The phenomena of globalization and efforts to expedite economic growth through Special Economic Zones (SEZs) have influenced these policies. The analysis involves various policy documents relevant to FHNW utilization. In facing the ethical dilemmas arising in the practice of healthcare services by foreign medical personnel, it is imperative for them to adapt to the local culture without compromising the principles of medical ethics. Moreover, competition within the job market and cultural disparities between foreign and local medical personnel also present challenges that need to be addressed. In dealing with competition, a holistic approach involving the government, relevant institutions, and professional training for local medical personnel is required. Overall, the utilization of FHNWs holds potential benefits in addressing medical workforce shortages and enhancing healthcare access. However, this utilization must be carried out with ethical responsibility, respecting patient rights, and considering cultural and professional aspects. With a prudent approach, the utilization of FHNWs can contribute to improving the quality of healthcare services and the well-being of local medical personnel, in line with ethical principles and national interests.