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Informed consent is an essential element in health services, including in the field of anesthesiology and intensive care, which have high risks and involve critical medical decisions. This study aims to analyze the procedures and implementation of informed consent for patients in the anesthesia and intensive care unit, highlighting the legal and ethical aspects of decision-making. A qualitative approach was used to evaluate patients' and families' understanding of the medical information provided, their rights in agreeing to or refusing medical treatment, and the role of doctors in ensuring that consent is given voluntarily and informatively. Data were obtained through in-depth interviews with health practitioners and a review of related legal and medical ethics literature. The results of the study indicate that the implementation of informed consent in the intensive care unit and anesthesiology unit often faces challenges due to the critical condition of the patient, time constraints, and the complexity of communication. Therefore, this study recommends strengthening communication policies and training for medical personnel to ensure that patient rights are met and medical actions can be carried out in accordance with applicable ethical and legal principles.

To carry out the constitutional mandate to overcome the very complex problems arising among youth, the Indonesian government, through the BKKBN organization, has launched a program called Generasi Beplan, or GenRe for short, for teenagers. Planning Generation, integrated into the Youth/Student Information and Consulting Center (PIK R/M), aims to provide communication, information, and education services to reproductive health adolescents to create quality adolescents. Many countries have issued regulations on reproductive health services, but implementation is still limited. The author uses a qualitative research method using a descriptive analysis method. The data collected is secondary data in the form of legal regulations related to adolescent reproductive health services. The results of this study indicate that UKM PIK-M Garuda Bhakta has implemented adolescent reproductive health services in the form of KIE provided during peer teacher training. At the same time, KIE (communication, information, and education) is provided formally and informally, as well as activities that empower the younger generation as peer educators. Therefore, implementation of adolescent reproductive health services at Bhakti Wiyata Kediri Institute of Medical Sciences through UKM PIK-M Garuda Bhakta has been carried out in accordance with the constitutional provisions of PP No. 61 of 2014.

This study examines the application of speech acts in communication between doctors and patients at the Pratama Haji Medan-Pancing Clinic, focusing on the use of various types of speech acts, such as expressive, representative, directive, and commissive in medical interactions. Speech acts are understood as the smallest unit of speech activity that has a specific function, and in the medical context, this includes providing information, instructions, as well as expressions of empathy and emotional support. According to the findings from observations and interviews, effective communication between doctors and patients plays a crucial role in building trust and increasing patient satisfaction with healthcare services. According to the findings from observations and interviews, effective communication between doctors and patients plays a crucial role in building trust and increasing patient satisfaction with healthcare services. The use of appropriate speech acts, such as giving instructions on healthy lifestyles, showing empathy, and expressing care and support, plays a major role in reducing patient anxiety and improving social-emotional relationships in the hospital environment. Politeness in communication is a key element in improving the quality of health services. Therefore, the development of communication skills for medical personnel is essential to create a better experience for patients and be responsive to their needs.

Satisfaction is very important in assessing service quality, especially in health services. Physiotherapy services are one of the medical rehabilitation services in hospitals aimed at individuals to restore movement and body functions are required to provide the best service. Dr. Hafiz Hospital (RSDH) Cianjur is the first private hospital in Cianjur, which strives to improve the quality of services in all types of services including physiotherapy services. However, the data on quality indicators of the Physiotherapy Unit showed a decrease in visits. The complaint data that is often received is about administration, service procedures, communication and attitude of officers and others. This study aims to find out the picture of patient satisfaction with physiotherapy services at Dr. Hafiz Cianjur Hospital . This type of research is quantitative with a descriptive method, the population in this study is 87 physiotherapy patients obtained using purposive sampling techniques. Data was obtained using a questionnaire, then the data was processed and univariate analysis. The results showed that satisfaction based on physical evidence (tangible) included high (41.4%), reliability had high satisfaction (41.4%), accuracy (resvonsiveness) had high satisfaction (43.7%), assurance had moderate satisfaction (44.8%), and care (empathy) have moderate satisfaction (47.1%). The hospital is advised to evaluate the quality of service to meet patient satisfaction, so that it can determine the next steps to be taken in measuring wisdom in the future.

Economic and demographic developments in the past few decades have increased the pressure on efficiency in the healthcare industry. Modern management accounting and cost accounting techniques are a critical component in improving the efficiency and quality of care in urology. With the ever-increasing costs of healthcare, the need for a sophisticated accounting system that can provide accurate data on costs and revenues is more important than ever. The aim of this research was to investigate the role of modern techniques in management accounting and cost accounting as a means of enhancing cost efficiency and quality of care in urology. The research highlights the importance of training medical staff in these techniques, as this can improve overall performance and reduce costs without compromising the quality of care provided to patients. These techniques have been shown to help physicians and administrators make informed decisions, which helps improve the efficiency and quality of care. They also contribute to improving communication between medical teams, enabling better patient care. By focusing on improving resource and cost management, these techniques can play a pivotal role in achieving superior and effective health outcomes.

Employee commitment in an organization is not just carrying out their duties and obligations as employees in accordance with their job descriptions, but doing their best with their thoughts, attention, ideas, and dedication to produce the best for the organization. The problem that occurred at X Hospital Central Jakarta was the decreasing employee commitment related to the lack of employee intensity to stay working for a long time at X Hospital Central Jakarta and there were still employees who left the work hours room with a percentage of 27%, thus reducing the overall performance of the hospital and the lack of supporting work facilities. The purpose of this study was to analyze the influence of democratic leadership style and organizational culture simultaneously on employee commitment mediated by the work environment. This research method is quantitative causality against 64 non-medical employees who have worked for at least 6 months at X Hospital Central Jakarta. The sampling method was total sampling. The data analysis method used was the Three Box Method and the Path Analysis Method with SEM AMOS. The results of the study found that democratic leadership style and organizational culture simultaneously have a positive effect on employee commitment with the mediation of the work environment, democratic leadership style does not affect employee commitment, democratic leadership style does not affect the work environment, organizational culture does not affect employee commitment, organizational culture has a positive effect on the work environment, the work environment has a positive effect on employee commitment. The implications of the study in theory will prove the influence of research variables and in managerial terms will further improve the system of facilities for work facilities and improve communication between leaders and employees in hospitals. Suggestions for the need for attention from the hospital management to improve work facilities and improve communication between leaders and employees.

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.

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 increasing use of digital platforms in the healthcare industry has highlighted the importance of effective communication, especially in English, as it is the primary language for disseminating global health information. This study examines the linguistic aspects of English usage in health information delivery on digital platforms, focusing on clarity, accessibility, and accuracy. The research aims to analyze how linguistic features, such as word choice, sentence structure, and tone, impact the comprehension of health-related content by diverse audiences.The study employs a qualitative approach, analyzing a sample of health-related websites, social media posts, and mobile health applications. Discourse analysis is used to identify patterns and strategies in the presentation of information, particularly how technical medical terms are simplified for laypeople.The findings reveal that while most platforms aim for clarity and inclusivity, inconsistencies in language use and overly technical jargon often hinder comprehension. Additionally, the use of complex sentence structures can create barriers, especially for non-native English speakers.The study concludes that improving linguistic accessibility on digital health platforms can enhance public understanding and engagement with health information, contributing to better health outcomes. Recommendations for creating more user-friendly, linguistically accessible content are also provided.

The development of health information systems (GIS) is important in this digital era to improve patient data management and provide better care. This research aims to develop a SIK that can help health service providers manage patient data more efficiently and improve care coordination. Development steps include requirements analysis, system design, implementation, and performance evaluation. The developed system has features such as recording patient medical history, scheduling appointments, monitoring health conditions, and communication between health care providers. The evaluation results show that the developed SIK succeeded in increasing efficiency in patient data management and care coordination. Healthcare providers can easily access patient information, plan more coordinated care, and communicate effectively with colleagues. Thus, the development of this SIK is expected to make a significant contribution to improving the quality of health services and patient outcomes through better data management and more coordinated care.

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.    

Hospitals as a health facility have become an important part of public health. Facing globalization, hospitals must carry out marketing activities which can be influenced by several factors, including: IT and communications have brought us into a free market era where location and distance are no longer a problem and it is increasingly easy for the public to access information to determine which hospital a patient will seek treatment at. This causes competition between hospitals to become increasingly fierce. To understand the challenges of domestic health services is to improve the quality of services holistically in all aspects of health, including factors assessed by patients such as respect, comfort, order, responsibility and professionalism so that they can match health services abroad. Medical Tourism as part of the Hospital Marketing Strategy in the Tourism Area. The article in this review explains medical tourism and hospital marketing strategies in Indonesia. Hospitals as private businesses use various strategies to attract more patients or customers, such as creating therapy rooms in hybrid hotels (hospitals designed for the comfort of international patients)  

Teledentistry is a relatively new combination of telecommunications technology and dental care. It has its roots in telemedicine, which involves the use of communications and information technology to provide health services across geographic distances. Teledentistry faces several challenges, including limited internet access and inadequate infrastructure in remote areas, concerns about the confidentiality of electronic medical records, and incomplete regulations regarding teledentistry in the current law. The problems raised in this research are the obstacles faced by teledentistry practitioners in Indonesia, including factors that hinder their ability to manage medical risks and legal protection for teledentistry practitioners who face medical risks such as drug allergies. Legal protection for dentists in the field of teledentistry when facing medical risks, such as allergies to electronically prescribed medications. Dentists must obtain legal guarantees and certainty in providing health services to their patients. The conclusion of this study is that in teledentistry consultation services, medical risks such as drug allergies, which are unpredictable reactions of the patient's body, cannot be predicted. Medical risk is not a form of medical malpractice. Because, in medical risks, one of the elements in articles 338 and 359 of the Criminal Code cannot be fulfilled, namely the element of negligence.

The integration of metaverse technology in employee training has the potential to significantly enhance digital skills, collaboration, and overall learning outcomes in virtual workspaces. This study explores the effectiveness of metaverse-based training compared to traditional methods, focusing on participant engagement, learning retention, and practical application in immersive virtual environments. The results indicate that metaverse technology leads to increased participant engagement, offering real-time communication, interactive simulations, and realistic task scenarios that foster deeper involvement and better skill acquisition. Additionally, the immersive nature of metaverse platforms improves learning effectiveness, especially for high-risk tasks such as medical procedures and technical skills that benefit from hands-on experience. However, challenges such as technological barriers, infrastructure limitations, and initial resistance from employees were identified, requiring organizations to provide adequate support and training for smooth adoption. While the upfront costs of developing and maintaining metaverse training platforms are significant, the long-term benefits—such as scalability, reduced need for physical resources, and enhanced training outcomes—outweigh these initial investments. Organizations looking to implement metaverse-based training solutions should carefully consider the required technological infrastructure, support for employees, and privacy concerns. Future research should explore advancements in metaverse technology, including AI integration, and investigate the broader adoption of these technologies across various industries, focusing on overcoming adoption barriers and measuring their long-term impact on workforce development.

This research was conducted with the aim of determining the influence of PMIK (Medical Recorder and Health Information) professional competence on the performance of medical record officers at the Dr. Air Force Hospital. Esnawan Antariksa. The research method used is quantitative with inferential analysis. The data collection techniques used were observation, interviews and questionnaires. The sampling technique used a total saturated sampling technique of 14 people. Obtained from 7 PMIK competency standard indicators (Noble Professionalism, Ethics and Legal, Introspection and Personal Development, Effective Communication, Health Data and Information Management, Clinical classification skills, Disease coding and other Health Problems as well as Clinical Procedures, Health Statistics Applications, Basic Epidemiology, and Biomedicine, Management of Medical Records Services and Health Information, there are still 2 indicators in the percentage that are not good, and in the 5 performance indicators of medical record officers (Quality of Work, Quantity of Work, Supervision, Attendance, Conservation) there are still 2 indicators in the percentage not good. It was found that 3 officers had a D-III RMIK education and 11 officers still had a high school education. Based on the results of the T test, it was found that the Sig. value was 275. It could be concluded that there was no influence of PMIK competency on the performance of medical records officers.    

OSCE  is a form of test used as a formative and summative exam to assess skill competency in various health sciences. OSCE requires students to demonstrate clinical skills, medical knowledge, and communication skills in realistic simulated situations. This makes the stress level in adolescence higher based on one of the factors that can reduce stress and improve students' well-being is self-compassion. This research is a quantitative research with a correlational descriptive design with a cross sectional approach. Results: Low category Self-Compassion means the lower the Self-Compassion, the higher the stress level and respondents with Stress Levels are in the medium stress category. And in the severe stress category. And the Pvalue is .002, so there is a significant relationship between self-compassion and stress levels in final year nursing students at Logos Health Vocational School in 2023. Conclusion: There is a relationship between self-compassion and stress levels in facing the OSCE among final year nursing students in Logos Health Vocational School in 2023.

Introduction : Smart hospital is an emerging and fast-developing innovation in the context of a rapid increase of internet users, an increasing demand for high-quality medical resources, and an aging population worldwide. It generally involves the use of the optimized and automated processes built on an information and communications technology (ICT) environment, especially based on the Internet of things (IoT), to offer assessment, consultation, direct treatment, services, and integrated care. This innovation has the potential and has already gained initial evidence to improve healthcare access, efficiency, or even effectiveness. Yet, along with these positive impacts and promises, a number of issues and challenges also appear.Methods: Study This is study quantitative with design survey research. Study This done on the month of June 2023. Instruments used in study This use questionnaire with the HOT-Fit method consisting of the 47 questions divided in 6 groups question namely: Human, Organization, Technology, Knowledge Users Regulations and Benefits. Subject for this study is hospital managers, administration staff and health workers. Data analysis using analysis multivariate .Result: 22 hospital state that digitization service health to a very smart hospital important one of them is applied For increase quality service House hurts and improves satisfaction patient. In application of smart hospital Sick need integrate between technology, service and regulation.Conclusion : Smart hospitals can influence health and medical policies and create new medical values by defining and quantitatively measuring detailed indicators based on data collected from existing hospitals. Simultaneously, appropriate government incentives, consolidated interdisciplinary research, and active participation by industry are required to foster and facilitate smart hospitals.   Keywords: ,   

Patient loyalty is often closely related to patient satisfaction with the experience they get during medical treatment. Issues related to service quality, long waiting times, lack of effective communication with patients, or disrespectful attitudes from medical staff can all cause patients to feel dissatisfied and unmotivated to return to the same health facility. This type of quantitative research with a design using correlation analysis, cross sectional. The population in the study were 193 patients treated at a private hospital in Jakarta. The research sample was 130 with the Slovin formula, the sampling technique used quota sampling and the data collection instrument used a questionnaire. Analysis of research data used multiple linear regression. The results showed that service quality partially had a significant effect on patient loyalty with a sig value of 0.036. Partial satisfaction has a significant effect on patient loyalty with a sig value of 0.001 Service quality and satisfaction simultaneously have a significant effect on patient loyalty with a sig value of 0.001 and each effect is 94.1%. In conclusion, the quality of hospital services and patient satisfaction have a significant effect on patient loyalty..  

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).    

The patient's lack of understanding regarding informed consent in doctors' medical actions is motivated by several factors. Informed consent is a process as well as the result of an effective communication between the patient and the doctor/dentist and not just the signing of the consent form. The relationship between doctors, hospitals and patients or what is known as the therapeutic transaction is generally the origin of conflict. Conflict can occur when the parties do not carry out their roles as expected by the other party. This requires learning or educating patients regarding informed consent through the information media platform provided at the hospital. This journal discusses the reasons why many patients do not understand the contents of informed consent.