Publication Search

Waiting time for healthcare services is a key indicator of quality, particularly for BPJS patients in outpatient settings. This study aims to examine the waiting time for BPJS patient services at Siti Khadijah Islamic Hospital Palembang and identify factors contributing to delays. A quantitative descriptive method was employed, with data collected through observation, questionnaires, and checklists. The sample consisted of 97 BPJS outpatient respondents. Findings revealed that 68% of patients experienced waiting times exceeding 60 minutes, surpassing the established standard. Key factors contributing to delays included inconsistent doctor schedules and high patient volumes in specific clinics, such as geriatrics. The study concludes that waiting times need improvement through the implementation of written Standard Operating Procedures (SOPs), increased medical staff, and optimized service schedules. The findings emphasize the importance of effective time management in enhancing service quality and patient satisfaction.

Installation take care road is one of facility House the most sick used by clients or patient and also is access First for every patient For get the care needed , so that very important for House Sick For ensure that every means infrastructure , and also the provision of quality human resources For ensure quality service in maintain satisfaction patient . Research This done For know influence partial and simultaneous from performance nurses , facilities , and quality service to satisfaction patient . Research This is study quantitative descriptive , for describe influence between variable X to Y, which is done against 101 patients take care Road in the House Bandung Adventist Hospital , data inside study This collected use questionnaires that have been tested for validity and reliability, which are then processed use SPSS application , and presented in form table . Found that performance nurse No own influence significant to satisfaction patient with mark significant 0.249, while facilities and quality service own influence significant with mark respectively 0.006 and 0.000. In simultaneous performance nurses , facilities and quality service own influence significant with value 0.000 with 67.9% of satisfaction patient explained by the variables discussed in study this . Satisfaction patient influenced by performance nurses , facilities , and quality service in a way together , because That important for House Sick For Keep going maintain and improve it .

In this era of globalization, technological progress is growing very rapidly, one of which is in the health sector. The development of various technologies makes it easier in the health sector, one of which is in the registration section. Bandar Lampung Adventist Hospital is one of the hospitals that utilizes technological advances using the Mobile JKN application. To achieve the goal of using the online registration system, 5 elements of management or management facilities are needed, namely: man, money, material, machine, and method. The purpose of this study was to review the use of an outpatient online registration system at the Adventist Hospital in Bandar Lampung. This research was conducted with quantitative descriptive methods, data collection instruments using observations and checklist sheets. From the observation that the man element in the use of the online registration system is not appropriate, this is seen from the HR in charge of the registration section is not a PMIK and of course does not have a medical record STR, the money element in the use of the online registration system is in accordance with this in terms of the budget for the use of an online registration system, the material element is also in accordance with this in terms of several machines used such as the presence of stable WiFi, queue card printing machines, computers, telephones, and televisions that are used as monitors, the machine elements are in accordance with this in terms of their presence an adequate WiFi network in the running system and a registration application system in the form of the Mobile JKN application. And the elements of the method are also in accordance with this in terms of the SOP for online outpatient registration and the registration procedure that is already running.

Background: The role of the family is very important to avoid recurrence. There is an influence of the rebuke technique on the patient's ability to control hallucinations. The family's role is to remind or even teach the patient rebuking techniques at home, so it is necessary to implement family intervention with rebuking techniques to try to control the patient's ability to hallucinate. Objective: This study aims to determine the differences in the level of family role in supervising patients with hallucinations versus efforts to control hallucinations using rebuke techniques. Method: Quasi-experimental research design using pre-posttest without control group. The sample was 88 people, namely the patient's family who took the control patient to the outpatient clinic. The sampling technique used was purposive sampling. The data collection instrument used the dependent t test. Results: The results of the study p value = <0.001 (<0.05) which means There is a significant difference between the level of family role before and after the intervention with the rebuke techniques taught to the patient's family. Meanwhile, p value = <0.001 which this means that there is a significant difference between the patient's ability to control hallucinations before and after intervention with the rebuke techniques taught by the patient's family. Conclusion: There is a significant difference in the level of family role in supervising patients with hallucinations versus efforts to control hallucinations using rebuke techniques.

The level of repeat visit interest of patients in the Hospital Outpatient Clinic in April, June, July, August was relatively decreased. This decrease in repeat visit interest needs to be further examined to understand the factors involved. This study is to link the marketing mix implemented by the Hospital and the hospital image to the repeat visit interest to the hospital through patient experience. This study aims to analyze the effect of the marketing mix and hospital image on the repeat visit interest to the hospital with patient experience as an intervening variable in the Hospital Outpatient Clinic. This study uses a quantitative analysis method with a cross-sectional research design. The sample calculation uses purposive sampling of 105. The study used a questionnaire as a research instrument with Likert scale measurements showing that there is a positive and significant influence both simultaneously, directly, and indirectly between the marketing mix and hospital image on the repeat visit interest to the hospital with patient experience as an intervening variable in the Hospital Outpatient Clinic. Thus, the research hypothesis is accepted. Implications need to improve the hospital image through various media, improve the direction system, improve communication between doctors and patients and follow-up after visits

Puskesmas is a functional health organization as well as a center for community health development. The Klender urban health center currently uses an online registration system and offline registration. This study aims to determine the online and offline outpatient registration system at the Klender Village Community Health Center in 2023. This research is a qualitative research. In this study, researchers directly observed the process of outpatient registration. Retrieval of research data is done by observation and interviews with registration officers. The results of the study found that online registration uses the Jaksehat application, patients do not need to come to the health center to register, patients come to the health center to validate queue numbers to the polyclinic only. Calling patients who register online is prioritized with a system of calling queue numbers 1-5, 11-15 and so on. Offline registration is done by having patients come directly to the puskesmas and queue to register. For calling patients, register offline after patients register online with queue numbers 6-10, 16-15, etc. The problems found in registration were the separate queues for patients who registered online and offline and there was a mismatch in calling patients according to the serial number of the queue. The conclusion in this study is that online registration of outpatients uses the Jaksehat application and offline registration is carried out using the system used by the puskesmas. It is expected that the puskesmas will separate the queues of patients who have registered online with patients who have registered offline.    

Pulmonary tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis, namely acid-fast bacteria. Successful treatment of patients with tuberculosis (TB) is a problem in today's society. One of the reasons for the increase in pulmonary TB cases is the low level of education of sufferers. One of the causes of failure of tuberculosis treatment therapy is the side effects of anti-tuberculosis drugs (OAT) which can affect the adherence to medication in tuberculosis patients. The success of TB treatment is compliance in taking anti-tuberculosis medication at the prescribed dose. The aim of this research was to determine the relationship between clients' knowledge of pulmonary tuberculosis and compliance with taking anti-pulmonary tuberculosis medication at Harapan Pematang Siantar Hospital. This research was conducted at Harapan Pematangsiantar Hospital in May 2023. This type of research is descriptive quantitative correlational with a cross-sectional approach. Data collection was carried out using a questionnaire with the Gutman scale. The population of this study was all outpatient clinic patients at Harapan Pematang Siantar Hospital in October-December 2022. The sampling technique was accidental sampling, namely 58 respondents who came in May 2023. Statistical test results used the chi square test with a confidence level of 95% (α = 0.05) shows the p value = 0.001, meaning that there is a relationship between the level of knowledge of tuberculosis clients and compliance with taking anti-tuberculosis medication at Harapan Pematang Siantar Hospital in 2023

Hypertension is a Non-Communicable Disease (NCD) characterized by elevated blood pressure above the normal value of 140/90 mmHg. Evaluation of antihypertensive drug use aims to ensure rational and effective medication use in hypertensive patients. Improper medication use can lead to treatment failure. The objective of this study is to evaluate the pattern of antihypertensive treatment among hypertensive outpatients at the Community Health Center (Puskesmas) of Sumberlawang Sub-District, Sragen in 2023. The research was descriptive observational with a cross-sectional study design. Sample selection used purposive sampling based on inclusion and exclusion criteria. The instrument for this study utilized medical records data of hypertensive outpatients at the Community Health Center (Puskesmas) Sumberlawang, Sragen from January to December 2023. Results from the study involving 100 hypertensive patients showed that the majority were female (78%), aged between 51-61 years (40%), with amlodipine being the most frequently used antihypertensive medication (62%), and Calcium Channel Blockers being the most commonly prescribed class of antihypertensive drugs (60%). Evaluation of antihypertensive treatment patterns among 100 patients revealed percentages indicating appropriate indication (100%), patient suitability (100%), correct drug selection (97%), and correct dosage (97%).

Hospital Management Information System (SIMRS) is a communication information technology system that can process and integrate all service process flows in the Hospital into a network that coordinates between divisions, both reporting and administrative procedures to be able to obtain precise and accurate information, and is part of a Health Information System. As an effort to improve the performance of the Hospital Management Information System (SIMRS), its implementation must be followed by an evaluation of the system itself to determine the positive aspects that encourage the use of the system and identify factors that cause obstacles. Evaluation is an important thing to do because it can produce negative findings from the use of a system. Evaluation covers various aspects of the use of information and communication technology in hospitals. The HOT-Fit method is one of the theoretical frameworks used to evaluate information systems in the field of health services. The HOT-Fit method also addresses the core components of information systems, namely Human, Organization, Technology and Net Benefit. The purpose of this study was to determine the evaluation of the Hospital Management Information System (SIMRS) with the HOT-Fit Method in the Outpatient Unit at PKU Muhammadiyah Kartasura Hospital. The research method used was quantitative research. The instrument used in this study was a questionnaire. The results of research on the evaluation of the Hospital Management Information System (SIMRS) with the HOT-Fit Method which shows positive and useful things in supporting health services to patients.

Background: By 2022 it will be found that 50% of the 3000 hospitals in Indonesia will have implemented electronic medical records. Of this percentage, only 16% have properly maintained electronic medical records. One of them is PKU  Muhammadiyah  Karanganyar Hospital implementing Electronic Medical Records (RME) in 2023  and it has only been fully implemented in the outpatient polyclinic section. For inpatient treatment, PKU  Muhammadiyah Hospital still uses manual. The objective of the research: to determine the level of user satisfaction with the implementation of Electronic Medical Records (RME) at PKU  Muhammadiyah  Karanganyar Hospital. Method: This type of research is quantitative descriptive using a cross-sectional approach. Results: the level of satisfaction of Electronic Medical Record (RME) users was 51.2% of respondents who felt satisfied seen in the 5 dimensions of  EUCS (End User Computing Satisfaction). The results obtained were that respondents felt satisfied (score 3.26) that the content was included in the category satisfied (3.41), accuracy (accuracy) is in the satisfied category (3.22), format (display) is in the satisfied category (3.16), ease of use is in the satisfied category (3.24 ), and timeless (punctuality) are in the satisfied category (3.27). Conclusion: the electronic medical record (RME) at PKU  Muhammadiyah  Karanganyar Hospital is running well and meets user expectations, especially in 5 aspects, namely content, accuracy, format, ease of use, and timeless.  

Along with the development of technology, the use of computers as a tool really needs to be used, especially in the health sector. The Prabumulih City General Hospital is the only hospital owned by the Prabumulih City Government and is a first-level referral. The patient registration process at the Prabumulih City Hospital is still direct, by means of the patient/patient's guardian coming directly to the health service facility, then the patient is given a registration queue number, then the patient waits for a call according to the queue number, after the queue number is called, the officer will ask the type of patient new or old, poly patient purposes, outpatient or inpatient care, private payments or BPJS, after that the officer enters patient data to create a queue number for patient care in order to get health services. In this regard, it is necessary to have an application system for patient administration so that new patients can register online through the internet network, making it easy for old patients to check personal data, view doctor schedules, take queues and others.

This study describes the results of innovations from the Android-based Hospital Santri Application (Hospital Queue SMS) at the Outpatient Installation of the Specialist Polyclinic and the Executive Polyclinic of Sidoarjo Hospital, which is an innovation that is very helpful in managing patient queues. Initially, Sidoarjo Hospital used the SMS Queue program to manage patient queues online. However, since September 2019, this program has changed to the Santri RS (Hospital Queue SMS) application which can be downloaded through the Google Play Store. This application aims to facilitate patient needs related to outpatient queues at Sidoarjo Hospital. Patients can register through the Santri RS application or manually with the same queue number. The Santri RS application is supported by a legal umbrella and SOP (Standard Operating Procedure). This ensures that the implementation of innovation runs well. This research highlights the factors that affect the innovation process, including innovation governance, sources of ideas, innovation culture, capabilities and tools, goals, outcomes, and barriers.

The aim of this research is to determine the influence of the five dimensions of service quality on patient satisfaction, both partially and simultaneously. And to find out which variables have the most dominant influence on satisfaction. The research was conducted at the Outpatient Health Center Kepanjenkidul Blitar. The method used in this research is quantitative. The independent variables in this research are Tangible, Emphaty, Responsiveness, Reability, and Assurance. The dependent variable is patient satisfaction. The analysis method used is Multiple Linear Regression and uses SPSS version 20 for Windows statistical analysis tools. The results found that all variables had a positive and significant influence, both partially and simultaneously. The Empathy variable is the variable that has the dominant influence on satisfaction.

Compliance with regular use of asthma control drugs is still low, which can increase morbidity and mortality rates. One factor that influences compliance is knowledge. Asthma is a chronic inflammatory disorder of the airways that involves many cells and elements. The aim of this research is to determine the level of compliance with the use of the drug Symbicort 160 Micrograms in asthma patients at the outpatient pharmacy installation at Dokter Hafiz Cianjur Hospital. This research uses descriptive research methods with a quantitative approach. Research sampling was carried out using a total sampling technique using the time limited sampling method, namely all patients suffering from asthma who met the inclusion criteria of the study and entered the specified research time period, namely 1 May-31 July 2023. The number of respondents was 52 people, 43 people were selected. because there are several factors, namely age. The instrument used in this research was the Morisky Medication Adherence Scale (MMAS) questionnaire. Of the 43 respondents, 22 (51.16%) respondents had a high level of compliance, 20 (46.51%) respondents had a medium level of compliance, and 1 (2.33%) respondent had a low level of compliance. The compliance level of most patients using Symbicort 160 Microgram medication is at a high level, namely 22 respondents (51.16%) indicating a good understanding and commitment to asthma treatment. The conclusion of this study is that the level of compliance with the use of Symbicort 160 Microgram medication in asthma patients shows that the level of compliance of most patients using Symbicort 160 Microgram medication is at a high level, namely 22 respondents (51.16%) indicating a good understanding and commitment to asthma treatment.

Hospitals play an important role in the service system health And is institution service health Which own staff professional medical Which organized, facility take care road, give service medical, nursing And service related 24 O'clock per day, 7 day per Sunday And give service health complete to public, Good curative as well as preventive . The correlational descriptive design research method aims to understand the relationship between service quality in the department Outpatient registration and patient satisfaction level at Vina Estetika Hospital. Type study Which used is approach cross sectional . Research Research Results This implemented in Vina Aesthetic Hospital, with a total sample of 80 respondents, namely all patient Which register in registration take care road. Type study This is Descriptive correlational using cross sectional approach with sampling techniques is accidental sampling, data done in place registration take care road Vina Aesthetic Hospital with fill in format questionnaire Which has arranged previous.In study This, management data done with using SPSS ( Statistical Package For Social Science ) Then analyzed using statistical tests, namely tests Chi Square. Collection Deep Data study This data collected through a number of procedure. As for procedure Which will done in collection data that is need exists recommendation from party institution Arta Kabanjahe STIKes campus. Then submit application permission to party Vina Aesthetic Hospital For do study. After get research approval from Vina Estetika Hospital along with management, Then done study.

This research is motivated by several problems that: There are several things that have been identified in relation to the implementation of the national health insurance policy on public health services, such as: In supporting the success of health services and reducing health costs for the community, the government in collaboration with PT. Health Insurance holds a Community Health Insurance (Jamkesmas) program. Social Health Insurance services include first-level outpatient care, advanced outpatient care, inpatient care, drug services, childbirth, advanced diagnostic support services, medical equipment and supplement services, operative and non-operative medical procedures, medical rehabilitation services, intensive care Intensive Care Unit (ICU), hemodialysis (dialysis), and emergency services. The method used is a qualitative descriptive method. The results of the study show that: Based on the results of the analysis, it is known that in the service process, both the Jamkesmas pattern and the JKN pattern, are carried out in accordance with the service procedures, namely: self-esteem, meeting expectations (exceed expectations), improvement and rediscovery, forward-looking (vision), continuous improvement (improving), full attention (care, empathy), finally always holding empowerment (empowerment). The obstacles faced by employees in implementing the Jamkesmas and JKN patterns in public health services in Pangandaran Regency are: (1) access to health center services is still limited to certain diseases; (2) the availability of expert personnel is still minimal, (3) the availability of nurses is still limited; (4) the availability of other professional personnel such as pharmacists is still lacking; (5) inpatient facilities are still lacking and so on, which results in less than optimal service. Efforts made by employees in overcoming obstacles when implementing the Jamkesmas and JKN patterns in public health services in Pangandaran Regency are (1) improving access to health center services; (2) adding expert personnel, (3) adding nurses; (4) adding professional personnel; (5) improving inpatient facilities.

Cases of Chronic Kidney Failure (CRF) every year increase, CRF is a progressive kidney function disorder and requires treatment in the form of kidney transplantation, peritoneal dialysis, hemodialysis and outpatient for a long time. Patients undergoing hemodialysis experience various problems arising from malfunctioning of the kidneys, affective coping mechanisms are needed in undergoing the treatment process. Objective: Identify coping mechanisms for chronic renal failure patients in the hemodialysis unit of NTB Provincial Hospital. Research method: descriptive research using a cross sectional approach.  The sample in this study was 69 respondents, data collection method using Jalowiec Coping Scale questionnaire. Results: most respondents used maladaptive coping, which was 37 people (53.6%). Conclusion: still a large percentage of patients in the maladaptive category so that appropriate interventions are needed to improve the coping of individual CRF patients.

Cases of Chronic Kidney Failure (CRF) every year increase, CRF is a progressive kidney function disorder and requires treatment in the form of kidney transplantation, peritoneal dialysis, hemodialysis and outpatient for a long time. Patients undergoing hemodialysis experience various problems arising from malfunctioning of the kidneys, affective coping mechanisms are needed in undergoing the treatment process. Objective: Identify coping mechanisms for chronic renal failure patients in the hemodialysis unit of NTB Provincial Hospital. Research method: descriptive research using a cross sectional approach.  The sample in this study was 69 respondents, data collection method using Jalowiec Coping Scale questionnaire. Results: most respondents used maladaptive coping, which was 37 people (53.6%). Conclusion: still a large percentage of patients in the maladaptive category so that appropriate interventions are needed to improve the coping of individual CRF patients.

A caregiver is someone who provides physical or emotional care for individuals who suffer from illness or disability, usually the individual is someone they love. The aim of this research is to find out how caregivers experience caring for members who experience mental disorders, with pastoral conversations with caregivers. The research method used is a qualitative method with a phenomenological approach with (in-depth interviews), early symptoms of children experiencing mental disorders, feelings that arise when hearing children experiencing mental disorders, social responses of children experiencing mental disorders (discrimination), alternatives in the treatment of children experiencing mental disorders. mental disorders, family perceptions when children experience mental disorders. The results of research conducted by the author at the Prof. Dr. Muhammad Ildrem Mental Hospital in Medan, show that there are several family members who are providing outpatient care to a family member who is ODGJ, and they are being cared for by their own family, starting from parents, older brothers, sisters, relatives, aunt, and also uncle.

A caregiver is someone who provides physical or emotional care for individuals who suffer from illness or disability, usually the individual is someone they love. The aim of this research is to find out how caregivers experience caring for members who experience mental disorders, with pastoral conversations with caregivers. The research method used is a qualitative method with a phenomenological approach with (in-depth interviews), early symptoms of children experiencing mental disorders, feelings that arise when hearing children experiencing mental disorders, social responses of children experiencing mental disorders (discrimination), alternatives in the treatment of children experiencing mental disorders. mental disorders, family perceptions when children experience mental disorders. The results of research conducted by the author at the Prof. Dr. Muhammad Ildrem Mental Hospital in Medan, show that there are several family members who are providing outpatient care to a family member who is ODGJ, and they are being cared for by their own family, starting from parents, older brothers, sisters, relatives, aunt, and also uncle.