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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.

The quality of health services is a level that shows the perfection of health services that can create a sense of satisfaction in every patient. Service quality has a positive and significant relationship with the level of patient satisfaction that cannot be denied. By showing the high and low level of patient satisfaction is influenced by the high and low quality of service provided. Service quality starts from patient needs and ends at patient expectations. Satisfied patients are a very valuable asset because if patients are satisfied they will continue to use the services of their choice, but if patients are dissatisfied they will tell others twice as great about their bad experiences. So if there is dissatisfaction with the patient, it is something that needs to be considered. This study aims to determine the analysis of the quality of hospital administration services on patient satisfaction in the outpatient installation unit at the Hospital. This study uses an analytical observational design based on crosssectional, quantitative analysis. The population in this study were 10444 patients. The sampling technique used Accidental sampling, with a sample of 100 samples. The instrument in this study was a questionnaire, the data analysis used was simple linear regression. This study shows that all indicators of service quality (Tangible, Reliability, Responsiveness, Assurance, Emphaty) together have a positive influence on the quality of service of hospital administrative personnel on patient satisfaction in the outpatient installation unit at the Hospital.

The study conducted at OMNI Cikarang Hospital in 2021 aimed to assess the impact of nursing services on patient satisfaction. Using a cross-sectional, analytical survey methodology, 73 respondents, comprising both inpatients and outpatients, were sampled through accidental sampling. Bivariate and univariate analysis were employed for data analysis.Results revealed that 61.6% of respondents were classified as satisfied, while 38.4% were unsatisfied. Patient satisfaction was significantly associated with tangibles, dependability, assurance, responsiveness, and empathy, as indicated by the chi-square statistical test. Particularly, there was a substantial correlation (Spearman rho = 0.799) between patient satisfaction and the responsiveness of nursing services.The findings underscored the importance of maintaining and enhancing the standard of nursing care to ensure patient satisfaction. Specifically, the study emphasized the significance of tangibles, dependability, responsiveness, assurance, and empathy in influencing patient satisfaction levels. Therefore, it is imperative for medical professionals, especially nurses, to focus on these aspects to meet patient expectations and enhance their overall experience with healthcare services.In conclusion, the study highlighted the crucial role of nursing services in shaping the perception of health service institutions like OMNI Cikarang Hospital. By prioritizing and improving various dimensions of nursing care, hospitals can strive to consistently meet patient needs and expectations, ultimately enhancing overall satisfaction levels.

The outpatient registration site is the frontline service unit for each community health center. Bulakamba Community Health Center has several problems, including a backlog of patients, a delayed registration process and long patient waiting times. The aim of this research is to analyze the management of service quality at the outpatient registration counter at the Bulakamba Community Health Center. The type of research is qualitative research using phenomenological methods. There were 8 research informants selected using purposive sampling technique. Data collection techniques use interviews and observation. The research results show that the quality of Bulakamba Community Health Center services in terms of Input and Output is good and meets standards, but the quality of the Process is still problematic. Problems with the quality of services at the Bulakamba Community Health Center include long waiting times and the poor performance of health service staff.

Dyspepsia (ulcer) is a collection of upper gastrointestinal symptoms including pain or discomfort in the gastro-duodenal area (epigastrium/tenati), burning, fullness, fullness, nausea or vomiting. The purpose of this health education activity is to increase the knowledge and understanding of the community, especially in the Inpatient Health Center environment regarding dyspepsia including signs and symptoms, how to use drugs, and prevention. The activity includes several stages, namely material presentation using lecture method and leaflet media, question and answer session, pretest, and post test. The percentage results of the average pretest value are 37.30% and the average post test is 67.70%. The conclusion of this study is that there is an increase in community knowledge in Puskesma Rawat Inap Cempaka after being given education and exposure to dyspepsia material.

This study examines the quality of outpatient public services for BPJS Health patients at the Regional General Hospital of Dumai City. The purpose of this research is to assess how service quality is experienced by patients and how effectively outpatient services are delivered. A qualitative descriptive approach was used, with data collected through direct observation, in-depth interviews, and documentation. Informants included outpatient service staff and BPJS patients selected purposively to represent both service providers and service users. The analysis focuses on five dimensions of service quality: physical facilities, service reliability, responsiveness, assurance, and empathy. The results indicate that outpatient services are generally perceived as adequate, particularly in terms of physical facilities, diagnostic accuracy, and staff professionalism. However, delays in registration and service processes remain a major concern, mainly due to high patient volume and administrative procedures. In addition, differences in staff communication and interpersonal attitudes lead to variations in patient experiences. Overall, the study highlights the importance of improving service responsiveness and strengthening empathetic communication to enhance patient satisfaction and the effectiveness of public hospital outpatient services.

Pharmaceutical Services at the Hospital is an integral part of the Hospital's health care system that is patient-oriented, providing Pharmaceutical Preparations Medical Devices, and Medical Materials that are quality and affordable for all levels of society including clinical pharmacy services (Anonymous, 2016) Besed on the Decree of the Minister of Health of the Republic of Indonesia No 179 Menkes/SK/11/2008, the SPM indicator of hospital pharmacy services includes the waiting time for drug services to be a maximum of 30 minutes while the maximum concoction drug is 60 minutes, the absence of medication errors, stalaction customers at least 80% and prescription writing all must refer to the Hospital formulary This study aims to find out the Waiting Time (Respond Time) of Prescription Services for Finished Medicines and drugs mixed with BPJS patients Outpatient in Bangil Hospital. This research is a non-experimental research with descriptive approach, namely the type of research approach to obtain an overview of the state of a group of data based on observations the real thing is, data collection is done in the Outpatient Pharmacy Service at Hangil Hospital, and is carried out for three months. The total mumber of prescription samples erered in the pharmacy installation for three months a 12.587 prescriptions with details of 10,770 prescriptions of JKN BPJS 85.27% 1,808 peral recipes 14 66% and 9 other insurance recipes 0.07% Among the recipe for JKN BPIS obtained during the study were 90.23% of non-concoction recipes and 9.77% of recipe recipes. The results of the study were obtaining results, the number of prescriptions from patients was 85.27% more than prescriptions from general patients 14 66% and other insurance 0.07%. The average waiting time for non-concoction recipe services in 25 minutes, and concoctions are 62 minutes

Quality is one of the important elements in every health service. Therefore, in providing health services for the community, health service providers must always maintain the quality of services provided. The purpose to be achieved in this study is to analyze the factors that affect the quality of health services on patient satisfaction of the General Polyclinic at Bethesda Gunungsitoli General Hospital. This type of research uses a descriptive analytical survey with a cross sectional design. The population in this study was all patients who came for outpatient treatment at the General Polyclinic at Bethesda General Hospital Gunungsitoli approximately 2235 visits to take smpel using the Accidental sampling method.While the sample amounted to 100 people. Data analysis was carried out by univariate, bivariate and multivariate analysis. Based on the results of  the chi-square  test, it is known that the incidence of hypotension affects  Tangible, Responsiveness, Reliability, Assurance and Empahaty  p = 0.000, meaning that there is Tangible, Responsiveness, Reliability, Assurance and Empahaty to patient satisfaction. From the results of multivariate analysis, it is known that the most influential variable in this study is the Responsiveness variable with an OR value of 15,104. The conclusion in this study is that responsiveness is the dominant factor affecting patient satisfaction at the General Polyclinic at Bethesda General Hospital Gunungsitoli. To be able to improve the quality of services that must be improved, especially security and comfort guarantees for patients such as: completing patient administration, responding quickly to patient complaints, providing drugs quickly and precisely, providing information and quick response in handling patients to be improved to create a patient satisfaction that becomes patient satisfaction at the General Polyclinic at Bethesda General Hospital Gunungsitoli.    

Pharmaceutical service is direct and responsible service to patients related to pharmaceutical preparations to improve the quality of life of the patients. One of the health service facilities is the hospital. Hospitals are required to provide quality services for the creation of a satisfaction. Satisfaction is closely related to the expected service and the reality of service that has been given. Therefore it is necessary to measure patient satisfaction to see how far the services provided in accordance with the expectations of patients. The research is using deskriptif prospektif metode and using purposive sampling technique. The study was conducted in February 2020, by giving a questionnaire to the visiting patients and having receivedpharmaceutical services at the "x" hospital in Sidoarjo. Able to communicated well, used Indonesian, willing to be interviewed with the provisions of 18 years old, 19-45 years old and ≥46 years old. The perception of patients satisfied about the tangible of 72%, emphaty indicator of 66% with satisfied categories, and reability indicator of 67% with satisfied categories so the average percentage of overall out patient BPJS satisfaied. The conclusion of this research is that the services provided in the installation of the "x" pharmacy to patients are categorized as well.

Nowadays, the level of competition between health service providers is increasingly high. Compared to inpatient care, outpatient services are developing more rapidly. One effort to win the competition is to improve the quality of health services and provide services according to patient needs so that it will provide patient satisfaction. In this study, patient satisfaction was identified based on 5 determinants of service quality, namely Reliability, Responsiveness, Assurance, Empathy and Tangibility. The aim of this research is to determine patient satisfaction based on determinants of service quality. The research was carried out using a survey method of filling out online questionnaires by respondents. The sampling technique used was Malhotra's theory with a sample size of 160 people. The research results show that the Customers Satisfaction Index (CSI) value for outpatients at health service facilities in Batam City is 79.6%, including in the satisfied category. All gap values ​​show negative results, the highest gap value is - 0.84 for the attribute of readiness to respond to patient requests and staff who are always polite. Meanwhile, the lowest gap value is -0.04 for the facility/service place attribute that looks attractive to look at. Therefore, it is necessary to gradually improve the quality of service in order to increase patient satisfaction which can be implemented based on service improvement priorities starting from the attribute that has the highest negative gap value. Keywords: patient satisfaction, outpatient, health service facilities.

Nowadays, the level of competition between health service providers is increasingly high. Compared to inpatient care, outpatient services are developing more rapidly. One effort to win the competition is to improve the quality of health services and provide services according to patient needs so that it will provide patient satisfaction. In this study, patient satisfaction was identified based on 5 determinants of service quality, namely Reliability, Responsiveness, Assurance, Empathy and Tangibility. The aim of this research is to determine patient satisfaction based on determinants of service quality. The research was carried out using a survey method of filling out online questionnaires by respondents. The sampling technique used was Malhotra's theory with a sample size of 160 people. The research results show that the Customers Satisfaction Index (CSI) value for outpatients at health service facilities in Batam City is 79.6%, including in the satisfied category. All gap values ​​show negative results, the highest gap value is - 0.84 for the attribute of readiness to respond to patient requests and staff who are always polite. Meanwhile, the lowest gap value is -0.04 for the facility/service place attribute that looks attractive to look at. Therefore, it is necessary to gradually improve the quality of service in order to increase patient satisfaction which can be implemented based on service improvement priorities starting from the attribute that has the highest negative gap value. Keywords: patient satisfaction, outpatient, health service facilities.

Drug information services were activities that carried out by pharmacists to provide information about drugs that is impartial, critically evaluated, and with the best evidence in all aspects of drug use to other health professionals, patients, or the public. Providing drug information has an important role in improving the quality of life of patients and providing quality services for them. The purpose of this study was to determine drug information services for outpatients in the pharmaceutical installation of Imelda Pekerja Indonesia Public Hospital. This study used qualitative research methods with a sample of pharmaceutical officers who provided drug information services to outpatients, as many as 100 patients. Data collection was carried out by interview, direct observation, and using a check list sheet of drug information components. The results showed that the percentage of components conveyed when delivering drug information, including the name of the drug, drug dosage, type of preparation, rules of use, how to use, time of use, amount of drug, and efficacy or indications, had a percentage of 100%. While the drug information component that is rarely conveyed is how to store the drug with a percentage of 8%, the drug information component that is not conveyed is the side effects of the drug. The results of this study indicate that drug information services to outpatients carried out by pharmaceutical officers in the pharmaceutical installation of the Imelda Pekerja Indonesia Medan Public Hospital have been well implemented, with a percentage of 80.80%. The results also concluded that the drug information services carried out by the pharmacist of Imelda Pekerja Indonesia Public Hospital, Medan, were in accordance with hospital procedures and Regulation of the Minister of Health of the Republic of Indonesia Number 72 of 2016 concerning Pharmaceutical Service Standards in Hospitals.

The quality of health services is a manifestation of the results of the performance of health workers which results in patient satisfaction, if the service meets or exceeds what the patient expected (Antari, 2019). Service quality is assessed from five variables, namely Reliability, Responsiveness, Physical Evidence, Guarantee and Empathy. The aim of the research was to determine the relationship between the quality of nursing services and the level of outpatient satisfaction at RSBT Karimun in 2023. The research carried out was descriptive correlational research and a cross-sectional approach. The sampling method used was consecutive sampling with a sample size of 174 outpatients at Bakti Timah Karimun Hospital in 2023. Research data was collected by filling in questionnaires by respondents. The research data were analyzed univariately with frequency tables and bivariate tests with the Chi Square test. The results of the univariate analysis show a picture of Service Quality from the reliability variable. The results of the bivariate analysis of the Reliability and Satisfaction variables were obtained, so it can be concluded that there is a significant relationship between service quality and satisfaction of outpatients at Bakti Timah Karimun Hospital in 2023. It is hoped that this research's suggestions will enable the educational institution at Awalbros University, Batam, to increase nurses' knowledge about the quality of nursing services. to increase patient satisfaction.

Diarrhea is a condition in which a person has bowel movements with a soft or liquid consistency, it can even be just water and the frequency is more frequent in one day. Diarrheal disease in toddlers is ranked 2 out of the top 10 childhood diseases at the Sadewa Mother and Children Hospital (RSKIA) in May 2022. Knowing the pattern of prescribing diarrhea drugs in toddlers in outpatient care at the Sadewa Mother and Children Hospital for the period January - June 2022. The research conducted was a non-experimental descriptive research with a retrospective method. The study was conducted by taking prescription data from electronic medical records at the Sadewa RSKIA pharmacy and then recording them on a data collection sheet. Data were analyzed using tabulations in the form of percentages (%). The results showed that out of 130 samples, the profile of diarrhea patients under five was dominated by males, 77 children (59%), aged 2-3 years 65 children (50%), and the degree of dehydration of patients without dehydration, 120 children (92%). ). The most widely used drug class was zinc with 120 prescriptions (34.3%), zinc has a protective effect against diarrhea and can reduce recurrence and probiotics with 119 prescriptions (33.8%), probiotic bacteria will help the process of nutrient absorption and prevent disturbances in water absorption. The dominating combination was a combination of 3 drugs namely electrolytes, zinc and probiotics 69 prescriptions (57%), oralit functioned to replace fluids and electrolytes in the body that are wasted during diarrhea, zinc supplementation and probiotics in diarrhea effectively reduced stool output. The rule for using the treatment of diarrhea in toddlers is mostly 1 time a day with a total of 132 drugs (37.7%). The dominating drug was zinc with 117 prescriptions (88.6%) The pattern of prescribing diarrhea drugs in toddlers in this study was dominated by male patients, aged 2-3 years with a degree of dehydration, patients without dehydration. The most widely used drug classes are zinc and probiotic groups. The most common drug combination found is a combination of 3 drugs, namely electrolyte, zinc and probiotic group drugs. The rule for using the treatment of diarrhea in most toddlers is 1 time a day.    

Dr. Hospital Soetomo Surabaya with minimum service standard data that must be met is customer satisfaction ≥ 90% and waiting time ≤ 60 minutes in accordance with Ministry of Health (Kemenkes) decree no. 129 of 2008. Therefore, the problems faced by the Outpatient Institution Children's Polyclinic include service time Administration takes too long and quality must be improved. The most critical slowness of services at the Children's Polyclinic is in the registration administration section, namely the number of double registrations, disruptions in facilities and nurses who are still lacking in discipline. Applying Lean Healthcare and Failure Mode and Effects Analysis to improve service quality and prevent failures, such as slow service and lack of facilities will help find recommendations for improving these problems, namely reducing double registration of patients by improving data management and registration, repairing and improving maintenance of computer facilities for reducing waiting time due to disturbances and tightening discipline according to SOP.

Background: Malnutrition during pregnancy will affect the growth, formation and development of organs as well as the function of the fetus's organs becoming less than optimal, it is feared that congenital defects will occur in the baby born, it could even result in the baby's head being small due to a lack of fetal nutritional intake for brain development so that brain development is not optimal. . Apart from that, infant deaths due to LBW, namely less than 2.5 kg and premature babies, are also due to the mother's poor nutritional status (Nurul Pujiastuti, 2015). The aim of this community service program (PKM) is to increase education on nutritional needs for pregnant women in the first trimester in PMB M Ginting, Siantar Martoba District, Simalungun Regency in 2023. The methods used include 1) identification of pregnant women in PMB M Ginting, Siantar Martoba District, Simalungun Regency); 2) preparation of materials and steps for education on nutritional needs for pregnant women in the first trimester); 3) implementation of education on nutritional needs for pregnant women in the first trimester). Results Based on the results of implementing community service for outpatient pregnant women in PMB M Ginting, Siantar Martoba District, Simalungun Regency, in 2023 there are a total of 30 pregnant women as members, of which the majority are 20-35 years old, 27 pregnant women (90%), < 20 years old, 3 pregnant women (10%), all participants were enthusiastic about carrying out educational activities on the nutritional needs of pregnant women. Providing information regarding increasing the use of the registration application for Education on Nutritional Needs for Pregnant Women in the First Trimester in order to improve the comfort of pregnant women.