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Johan Juliawan Adhi; Matheus Mangentang; Stenly Reina Paparang

Coram Mundo : Jurnal Teologi dan Pendidikan Agama Kristen 2026 Sekolah Tinggi Teologi Injili Arastamar (SETIA) Ngabang

This article examines the influence of cell group (komsel) leadership, Christian lifestyle, and discipleship on the growth of the congregation at Christian Ministry Church (CMC) Jakarta. Employing a quantitative correlational design with 140 respondents, the study operationalizes three independent variables (X₁ = cell leadership; X₂ = lifestyle; X₃ = discipleship) against the dependent variable (Y = congregational growth). Pearson correlation analysis reveals significant correlations between cell leadership and lifestyle (r = .800, p < .01) and between cell leadership and discipleship (r = .591, p < .01), whereas direct correlations with Y were non-significant individually. Multiple regression yielded R = .752 and R² = .566, indicating that collectively the three predictors account for 56.6% of variance in congregational growth. These findings reinforce the argument that organic church growth is multidimensional and that the synergistic interaction of cell leadership, moral integrity, and discipleship constitutes a coherent growth ecosystem. Theological and pastoral implications are discussed within frameworks of contemporary missiology and cell ecclesiology.

Hollines Luahambowo; Muhammad Rizal; Ngadi Permana

JURNAL RISET EKONOMI DAN AKUNTANSI (JREA) 2026 Institut Teknologi dan Bisnis (ITB) Semarang

This study examines how tax knowledge, the use of e-filing systems, and the enforcement of tax penalties influence individual taxpayers’ compliance in filing annual tax returns. Tax compliance is a critical factor for the sustainability of government revenue, yet public compliance rates remain suboptimal. The research employs a quantitative approach with an associative causal design, involving 131 respondents in West Jakarta selected through convenience sampling. The instrument, consisting of a questionnaire with 34 items, was tested for validity and reliability and then analyzed using multiple linear regression with the aid of SPSS. The results of the analysis indicate that tax knowledge, the use of e-filing, and tax penalties have a positive effect—both partially and simultaneously—on compliance with annual tax return filing. These findings underscore the need to improve tax literacy, strengthen the e-filing system, and ensure consistent enforcement of penalties to encourage compliance. This study provides an empirical basis for the development of more inclusive and efficient tax policies and supports the government’s strategy to optimize state revenue by raising taxpayer awareness and fostering a sense of responsibility.

Viosela Meytriana Situmorang; Burhanuddin Burhanuddin

JURNAL PENELITIAN TEKNOLOGI INFORMASI DAN SAINS (JPTIS) 2026 Institut Teknologi dan Bisnis (ITB) Semarang

The development of digital communication technology has encouraged health institutions to utilize social media as a medium for health promotion and information dissemination. This study aims to analyze the effect of Instagram content management on audience responses at Lakespra dr. Saryanto. The research used a quantitative approach with a survey method involving 60 respondents selected from members of Lakespra dr. Saryanto. Data were collected through questionnaires distributed online and analyzed using validity tests, reliability tests, descriptive statistics, and simple linear regression with IBM SPSS Statistics. The results showed that all questionnaire items were valid and reliable, with Cronbach’s Alpha values of 0.951 for the content management variable and 0.934 for the audience response variable. The regression analysis indicated that Instagram content management had a significant effect on audience responses, with a significance value of 0.000 and an F value of 184.783. The coefficient of determination showed that Instagram content management contributed 76.1% to audience responses, including engagement, understanding of health information, and interest in health services. The findings indicate that visually attractive, informative, and consistent Instagram content can improve audience interaction and support digital health communication effectively.

Heriziana Hz; Shanti Rosalina

Jurnal Sains dan Kesehatan (JUSIKA) 2026 Universitas Muhamadiyah Manado

Work stress is a critical occupational health concern among midwives working at primary healthcare facilities. This cross-sectional study aimed to analyze factors associated with work stress among 30 midwives, including age, marital status, length of service, and dual-role conflict. Data were collected using structured questionnaires measuring work stress (9 valid items) and dual-role conflict (6 items), and analyzed through univariate, bivariate (Fisher's Exact Test and Chi-Square), and multivariate (binary logistic regression) analyses. Results showed that 43.3% of midwives experienced high work stress and 53.3% reported high dual-role conflict. Bivariate analysis revealed significant associations between work stress and marital status (p=0.009) and dual-role conflict (p=0.004), while age (p=0.633) and length of service (p=0.586) were not significant. Multivariate analysis identified dual-role conflict as the primary determinant of work stress (OR=15.762; 95% CI: 2.149–115.631; p=0.007). Healthcare facility management should develop gender-responsive policies and workplace stress intervention programs to reduce dual-role conflict and work stress among midwives.

Anggi Ibnu Ramdani; Herdiyanti Herdiyanti

JURNAL MANAJEMEN DAN BISNIS EKONOMI 2026 Institut Teknologi dan Bisnis (ITB) Semarang

This study investigates the critical factors influencing job satisfaction among night shift employees at RSUD KHZ Musthafa Singaparna Tasikmalaya, given the inherent challenges of 24-hour hospital operations. Night shift workers are particularly susceptible to physical and psychological strain, which can elevate job stress and disrupt work-life balance, ultimately threatening their job satisfaction. The research employs a quantitative associative approach, utilizing Likert-scale questionnaires distributed to 75 night shift staff selected through purposive sampling. Data were analyzed using Multiple Linear Regression with SPSS. Instrument validation confirmed that all items were both valid and reliable. Partial regression results reveal that job stress exerts a positive and significant effect on job satisfaction (t = 3.106, Sig. = 0.003), while work-life balance also demonstrates a positive and significant impact (t = 1.815, Sig. = 0.044). Simultaneously, both variables together significantly influence job satisfaction (F = 10.121, Sig. < 0.001), with an RSquare of 0.419, indicating that 41.9% of the variance is explained by the model, while 58.1% is attributable to external factors. These findings underscore the importance for hospital management to actively manage job stress through targeted interventions and design equitable shift scheduling policies. Such strategies are essential to sustaining high levels of employee satisfaction, which in turn supports both staff well-being and the quality of patient care in a demanding healthcare environment.

Ciptawan Ciptawan

JURNAL RISET EKONOMI DAN AKUNTANSI (JREA) 2026 Institut Teknologi dan Bisnis (ITB) Semarang

This study aims to examine the effect of accounting system digitalization, financial literacy, and financial management on the sustainability of Micro, Small, and Medium Enterprises (MSMEs) in Medan Tembung District. This research uses a quantitative method with an associative approach. The population in this study consists of all MSMEs in Medan Tembung District, totaling 48 MSMEs; therefore, a saturated sampling technique was used, meaning all population members were selected as the sample. The data used are primary data collected through questionnaires and analyzed using descriptive statistical tests, validity tests, reliability tests, classical assumption tests, multiple linear regression analysis, and hypothesis testing with the assistance of SPSS version 26. The results show that accounting system digitalization has a positive and significant effect on MSME sustainability. Financial literacy also has a positive and significant effect and is the most dominant variable influencing MSME sustainability. In addition, financial management has a positive and significant effect on MSME sustainability. Simultaneously, the three variables significantly affect MSME sustainability in Medan Tembung District. The coefficient of determination indicates that the independent variables explain most of the variation in MSME sustainability, while the remaining variation is influenced by other factors outside this study. Therefore, it can be concluded that MSME sustainability is strongly influenced by the implementation of accounting system digitalization, the level of financial literacy, and the financial management capabilities of business owners.

Tahnia, Tia; Defrin, Defrin; Firdawati, Firdawati; Semiarty, Rima; Sriyanti, Roza +1 more

Jurnal Sains dan Kesehatan (JUSIKA) 2026 Universitas Muhamadiyah Manado

Preeclampsia is a pregnancy complication that significantly contributes to maternal and neonatal morbidity and mortality worldwide. Globally, it affects approximately 3–8% of pregnancies and causes more than 70,000 maternal deaths each year. In Indonesia, preeclampsia accounts for around 30% of the 4,151 maternal deaths reported in 2024. In Padang City, there were 254 cases in 2023 and 129 cases in 2024, with Puskesmas Bungus having the highest prevalence (7.2% and 3.77%). This study aimed to analyze the association between body mass index (BMI), history of hypertension, and history of preeclampsia with the incidence of preeclampsia among pregnant women at Puskesmas Bungus, Padang. This study used a quantitative case-control design involving 50 cases and 50 controls. Data were analyzed using chi-square and logistic regression tests. The results showed significant associations between obesity (p=0.031; OR=2.897), history of preeclampsia (p=0.006; OR=13.821), and history of hypertension (p=0.002; OR=17.216) with the incidence of preeclampsia. Multivariate analysis identified history of hypertension as the most dominant factor associated with preeclampsia. This study concludes that obesity, history of hypertension, and history of preeclampsia are significant risk factors for preeclampsia among pregnant women. Strengthening early detection and routine antenatal care for high-risk pregnancies is necessary to reduce maternal complications associated with preeclampsia.

Eka Nurazizah; Raisa Hilia Aini Syifa

JURNAL MANAJEMEN DAN BISNIS EKONOMI 2026 Institut Teknologi dan Bisnis (ITB) Semarang

This study examines the influence of career adaptability and intrinsic motivation on the work readiness of Generation Z in Tasikmalaya Regency. The research is motivated by high unemployment rates and the rising phenomenon of youth in the NEET category, indicating low post-pandemic workplace preparedness. Employing a quantitative survey method, data were gathered from 100 Gen Z respondents (aged 16–31) using Likert-scale questionnaires through purposive sampling, and subsequently analyzed via multiple linear regression using SPSS 31.The partial test results indicate that career adaptability has a positive and significant effect on work readiness (t = 3.984; p = 0.000), as does intrinsic motivation (t = 4.751; p = 0.000$). Simultaneously, both variables significantly impact work readiness (F = 122.363; p = 0.000). The coefficient of determination demonstrates that these two factors contribute 71.6% to work readiness, while the remaining 28.4% stems from external variables. This research concludes that strengthening internal motivation and adaptive capacity is crucial for Gen Z's competitiveness, thereby requiring intensive attention from the local government, academic sector, and all relevant institutions located in the region.

Najwa Nabila; Sri Sudiarti

JURNAL RISET MANAJEMEN (JURMA) 2026 Institut Teknologi dan Bisnis (ITB) Semarang

This study focuses on Generation Z in Tasikmalaya Regency and investigates how self-efficacy and emotional intelligence influence career decision-making processes. The research was motivated by increasing youth unemployment and the growing number of NEET individuals, namely those not in education, employment, or training, which indicates a lack of readiness among young people in planning their professional future. This study employed a quantitative survey design, with data collected from 100 Generation Z respondents selected through purposive sampling. The data were analyzed using multiple linear regression with SPSS 31. The results show that emotional intelligence has a positive and significant effect on career decision-making, with a t value of 5.291 and a significance value of 0.000. Self-efficacy also has a positive and significant effect, with a t value of 4.153 and a significance value of 0.000. Simultaneously, emotional intelligence and self-efficacy significantly predict career decision-making, with an F value of 131.890 and a significance value below 0.001. The two variables explain 73.1 percent of the variance in career decision-making, while the remaining 26.9 percent is influenced by other variables not included in this study. These findings highlight the importance of strengthening self-efficacy and emotional intelligence to help Generation Z make more mature and well-directed career decisions.

Hendra Pranata; Hengki Hengki

JURNAL RISET EKONOMI DAN AKUNTANSI (JREA) 2026 Institut Teknologi dan Bisnis (ITB) Semarang

This research examines the effect of service quality and promotion on the interest in using the Traveloka application among students in Pangkalpinang City. This study uses a quantitative method with an explanatory survey approach. The sample consisted of 113 respondents determined using purposive sampling technique. Data collection was carried out through online questionnaires using Google Form. Data analysis techniques include validity test, reliability test, classical assumption test, multiple linear regression analysis, t-test, F-test, and coefficient of determination using SPSS version 26. The results reveal that service quality has a positive and significant effect on interest in using the Traveloka application with a t-value of 8.409 and significance of 0.000. Promotion has a positive and significant effect with a t-value of 3.853 and significance of 0.000. Simultaneously, service quality and promotion have a positive and significant effect with an F-value of 144.134 and significance of 0.000. The R Square value of 0.724 indicates that both variables explain 72.4% of the variation in interest in using the Traveloka application.

Aldy Rachman; Ahmad Maulana; ⁠Dani Irawan

Jurnal Riset Rumpun Ilmu Teknik 2026 Pusat riset dan Inovasi Nasional

This study aims to analyze the effect of cutting parameters on surface roughness in the turning process of AISI 1045 steel. The investigated parameters include cutting speed, feed rate, and depth of cut. A quantitative approach was employed using multiple linear regression analysis with SPSS software. The dataset consisted of 30 simulated experimental observations with varying cutting parameter conditions. Prior to regression analysis, classical assumption tests including normality, multicollinearity, and heteroscedasticity tests were conducted to ensure the validity of the model. The results indicated that all assumptions were satisfied. The findings reveal that simultaneously, all independent variables have a significant effect on surface roughness with a coefficient of determination of 82.1%. Partially, Feed rate and cutting speed significantly influence surface roughness, while depth of cut does not show a significant effect. Feed rate is identified as the most dominant variable affecting surface roughness, where an increase in Feed rate leads to higher roughness values. In contrast, increasing cutting speed tends to reduce surface roughness. This study highlights the importance of controlling cutting parameters, particularly Feed rate and cutting speed, to improve machining quality. The results provide practical implications for manufacturing industries in optimizing machining parameters to achieve better surface quality and process efficiency.

Samosir, Triwira; Siregar, Tiara Anggrini; Clarissya Shatala Revi; Lubis, Nabila; Silaban, Putri Sari Margaret Julianty

Indonesia merupakan produsen padi terbesar di kawasan ASEAN dengan produksi mencapai 60,3 juta ton pada tahun 2025. Meskipun demikian, tingginya produksi tersebut belum mampu meningkatkan ekspor beras secara signifikan dan Indonesia masih menghadapi tantangan dalam memenuhi kebutuhan pangan secara berkelanjutan. Kondisi ini menunjukkan bahwa peningkatan output pertanian belum tentu mencerminkan efektivitas penggunaan faktor-faktor produksi yang mendukungnya. Penelitian ini bertujuan untuk menganalisis pengaruh luas lahan sawah, jumlah petani, dan penyaluran pupuk bersubsidi terhadap produksi padi di Indonesia menggunakan pendekatan fungsi produksi Cobb-Douglas. Penelitian ini menggunakan metode kuantitatif dengan data cross section pada 10 provinsi penghasil padi terbesar di Indonesia tahun 2025. Analisis dilakukan menggunakan regresi linier berganda setelah model memenuhi pengujian asumsi klasik. Hasil penelitian menunjukkan bahwa luas lahan sawah berpengaruh positif dan signifikan terhadap produksi padi dengan elastisitas sebesar 1,038743. Sebaliknya, jumlah petani berpengaruh negatif dan tidak signifikan, sedangkan penyaluran pupuk bersubsidi berpengaruh positif namun tidak signifikan. Temuan ini mengindikasikan bahwa peningkatan produksi padi lebih dipengaruhi oleh ketersediaan dan pemanfaatan lahan yang produktif dibandingkan penambahan tenaga kerja maupun subsidi input pertanian. Penelitian ini menyimpulkan bahwa peningkatan produksi padi memerlukan kebijakan yang berfokus pada efisiensi penggunaan sumber daya, perlindungan lahan pertanian produktif, serta penerapan teknologi pertanian yang mampu meningkatkan produktivitas secara berkelanjutan.

Ni Putu Nina Eka Lestari; I Gusti Ayu Tirtayani; Ni Wayan Gita Sucitawati

JURNAL RISET EKONOMI DAN AKUNTANSI (JREA) 2026 Institut Teknologi dan Bisnis (ITB) Semarang

This study aims to explain the influence of product innovation, Digital marketing, word of mouth on purchasing decisions of MSME products in Bali Creative. The sample used in this study was 100 respondents with the category of Bali Creative consumers who have shopped at Bali Creative. The sampling method used was purposive sampling technique. Data analysis techniques used were validity test, reliability test, classical regression assumption test, multiple regression analysis, coefficient of determination test, partial test (T test), simultaneous test (F test) using the SPSS 26 application. The conclusion of this study is that there is a positive and significant influence between the product innovation variable (X1) on product purchasing decisions (Y) partially obtained t-value 3.951 with a significance level value of 0.000. There is a positive but insignificant influence between the Digital marketing variable (X2) on product purchasing decisions (Y) partially obtained t-value 1.585 with a significance level value of 0.116. There is a positive and significant influence between the Word of mouth variable (X3) on product purchasing decisions (Y) partially, the calculated t is 7,943 with a significance level of 0.00. There is a positive and significant influence between product innovation (X1), Digital marketing (X2) and Word of mouth (X3) on product purchasing decisions (Y), the calculated F is 43,926 with a significance value of 0.000.

Lucky Antonio; Edward Nimit Abraham

REDOMINATE : Jurnal Teologi dan Pendidikan Agama Kristiani 2026 Sekolah Tinggi Teologia Kerusso Indonesia

This study aims to analyze the role of kenotic Christology as a theological foundation for spiritual formation and non-dominative leadership in undergraduate theological education at STT Kerusso Indonesia. A quantitative survey design was employed, involving 26 students as respondents through a Likert-scale questionnaire. The results indicate that all measured variables are in the high category, with mean scores for kenotic Christology ranging from 4.10 to 4.30, spiritual formation at approximately 4.20, and non-dominative leadership at approximately 4.25. Correlation analysis shows strong positive relationships between kenotic Christology and spiritual formation (r≈0.65), as well as between spiritual formation and leadership (r≈0.70). Regression analysis further reveals a significant simultaneous contribution of 55%, indicating that the variables collectively support the formation of servant-oriented leadership. These findings confirm that kenotic Christology functions as a meaningful theological foundation in shaping spiritual habits, humility, self-emptying attitudes, and leadership practices that avoid domination. The study concludes that theological education should intentionally integrate kenotic values to strengthen spiritual maturity and servant leadership among future church leaders within academic communities that prepare students for humble ministry in diverse ecclesial contexts.

Rima Rohmawati; Nurherawati Nurherawati

JURNAL MANAJEMEN DAN BISNIS EKONOMI 2026 Institut Teknologi dan Bisnis (ITB) Semarang

The era of globalization and accelerated digital transformation has given rise to increasingly competitive job markets, requiring every individual to possess adequate skills, confidence, and abilities to face professional demands. In this situation, Generation Z, as a productive age group, still faces various obstacles related to job readiness, for example, a lack of confidence in meeting job expectations and a low mastery of non-technical skills required by industry. This research intends to assess the influence of self-efficacy and soft skills on the employment preparedness of Generation Z in Tasikmalaya Regency using quantitative approaches. The sample comprised 100 participants who were chosen using a non-probability sampling technique, specifically purposive sampling. Data collection employed an ordinal-scale questionnaire, and data analysis was conducted using multiple linear regression testing. The findings indicate that self-efficacy has a partial, positive, and significant influence on job readiness. A similar impact is also demonstrated by the soft skills variable, where these non-technical skills are proven to accelerate individual readiness. When tested simultaneously, the combination of self-efficacy and soft skills plays a crucial role in strengthening the job readiness of Generation Z in Tasikmalaya Regency. These findings emphasize that the combination of self-confidence and interpersonal and intrapersonal competencies is the main foundation for facing the world of work. Therefore, this study offers practical implications regarding the urgency of strengthening both aspects through academic pathways, training programs, and stimulating work experiences to produce a Generation Z capable of optimally responding to the dynamics of industry needs.

Dewi, Nila Sari; Jayantika; Joice Lwisa Nababan; Ryan Chandra Dalimunthe

This study examines the influence of interest rates and the rupiah exchange rate on the money supply in Indonesia during the 2023–2025 period. A quantitative research approach was employed using monthly secondary data obtained from Statistics Indonesia (BPS) and Bank Indonesia (BI). The data were analyzed through multiple linear regression with the assistance of SPSS software. Several statistical procedures were applied, including classical assumption tests, partial significance tests (t-tests), simultaneous significance tests (F-tests), and coefficient of determination (R²) analysis. The findings reveal that interest rates have a significant negative effect on the money supply, while the rupiah exchange rate exerts a significant positive influence. Furthermore, the simultaneous test indicates that both variables collectively have a significant impact on the money supply. The coefficient of determination shows that 85.4% of the variation in the money supply can be explained by changes in interest rates and the rupiah exchange rate. These results highlight the importance of maintaining stable interest rates and exchange rates as essential components of monetary policy aimed at regulating the money supply and preserving monetary stability in Indonesia.

Rahayu Rahayu; Winda Kristiyani Br Purba; Aisyah Siregar; Willy Cahyadi

JURNAL RISET EKONOMI DAN AKUNTANSI (JREA) 2026 Institut Teknologi dan Bisnis (ITB) Semarang

The rubber processing manufacturing company PT Darmasindo Intikaret Tebing Tinggi is encountering more and more intense competition. So, managing human resources, the company's most valuable asset, is a top priority alongside meeting financial and operational goals. In human resource management, employee happiness is a key performance measure. Leadership style, discipline, and K3 are all variables that this study hopes to identify and examine in some detail. This research falls under the category of development studies and employs a quantitative methodology. This research makes use of both primary and secondary sources for its data. Findings from both primary and secondary sources are used into this research. People who work in production at PT. Darmasindo Intikaret were the subjects of this research. According to the results of the complete sampling method, the milling production staff consists of 34 individuals. In this study, the entire population is employed as a sample. The data analysis techniques utilised in this study included reliability and validity tests, tests for classical assumptions like normality and multicollinearity and heteroscedasticity, and tests for multiple regression, determination coefficients, and hypotheses like the F and T tests. Leadership style significantly and positively affects employee job satisfaction, according to the study's results. There is a favourable and statistically significant relationship between discipline and employee job satisfaction, and K3 is no exception. Employees' happiness on the job is influenced by a number of factors, including leadership style, discipline, and K3. The significance of enhancing the quality of leadership style, discipline, and 3 in boosting employee job satisfaction in a firm, particularly manufacturing companies, can be demonstrated by doing this study.

Putri Rizki; Thasrif Murhadi; Fani Sartika

JURNAL RISET MANAJEMEN (JURMA) 2026 Institut Teknologi dan Bisnis (ITB) Semarang

This study aims to determine the influence of product packaging, sales promotions, and online customer reviews on Skintific skincare purchase decisions on the TikTok platform, both partially and simultaneously. The method used in this study is a quantitative approach. The sample consisted of 96 respondents who were selected as research participants. Data collection was carried out using questionnaire statements designed to measure respondents’ perceptions of each research variable. The data obtained were then analyzed using multiple linear regression analysis to examine the relationship between independent and dependent variables. In addition, hypothesis testing was conducted using the t-test to determine the partial effect of each independent variable and the F-test to determine the simultaneous effect of all independent variables on the dependent variable. The results of the study indicate that product packaging has a significant partial effect on Skintific skincare purchase decisions on the TikTok platform. Sales promotions also have a significant partial effect on purchase decisions, as they influence consumer interest and purchasing behavior. Furthermore, online customer reviews significantly affect purchase decisions by providing social proof and influencing consumer trust. Simultaneously, product packaging, sales promotions, and online customer reviews have a significant combined effect on Skintific skincare purchase decisions on the TikTok platform, indicating that these variables jointly play an important role in shaping consumer purchasing behavior.  

Nabilla Tita Saputri; Yusuf Alam Romadhon

Jurnal Sains dan Kesehatan (JUSIKA) 2026 Universitas Muhamadiyah Manado

Diabetes Mellitus is a non-communicable disease with an increasing prevalence and has become a major public health concern globally and nationally. The incidence of diabetes mellitus is influenced by various individual and environmental factors. This study aimed to analyze the relationship between age, gender, and residential proximity to landfill areas and the incidence of diabetes mellitus in Bendosari District. A quantitative analytic observational design with a cross-sectional approach was employed. The study population consisted of 1,890 patient visit records recorded in the Management Information System of Bendosari Public Health Center in 2025. A total of 363 respondents were selected using proportionate stratified random sampling. Data were analyzed through univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis using multiple logistic regression. The findings showed that age was significantly associated with diabetes mellitus incidence (p=0.000; OR=79.790; 95% CI=53.511–118.974). Gender was also significantly related to diabetes mellitus incidence (p=0.000; OR=0.298; 95% CI=0.203–0.435), indicating that females had a higher risk than males. In contrast, residential proximity to landfill areas was not significantly associated with diabetes mellitus incidence (p=0.308; OR=1.247; 95% CI=0.439–3.540). Multivariate analysis revealed that age and gender were the dominant factors influencing diabetes mellitus incidence, with the model explaining 56.1% of the variation. The study concludes that age and gender are significant determinants of diabetes mellitus incidence, whereas residential proximity to landfill areas has not been proven to significantly affect its occurrence.

Eprila Bernolyan Putri; Maksuk Maksuk; Sri Utari

Jurnal Kesehatan Amanah 2026 Universitas Muhammadiyah Manado

Patient satisfaction represents the comparison between expectations before receiving health services and perceptions of the quality of services provided. The assessment of healthcare service quality generally uses the five SERVQUAL dimensions, namely tangibles, reliability, responsiveness, assurance, and empathy. A preliminary survey showed that the reliability dimension obtained the lowest average score compared to other dimensions. This study employed an observational analytic design with a cross-sectional approach. The study population consisted of BPJS (National Health Insurance) patients who received services. A total of 386 respondents were selected using purposive sampling. Data were collected through a SERVQUAL-based questionnaire and analyzed using univariate, bivariate (chi-square test), and multivariate (logistic regression) analyses to identify the dominant factors related to patient satisfaction. The results indicated that the variables of age (p < 0.05) and all five SERVQUAL dimensions (tangible, reliability, responsiveness, assurance, and empathy) were significantly associated with patient satisfaction levels. It can be concluded that most BPJS patients were satisfied with the services provided. The assurance dimension was found to be the most influential factor. Therefore, efforts to improve service quality should focus on strengthening aspects of assurance, trust, and service reliability.