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Health services which is execllent is able to refer to prime levels that are implemented on basis of service and code of ethics. Those will create a satisfaction for each patient. To measure the quality of service, there are several references, including; tangibles, reliability, empathy, assurance, and responsiveness. This study investigated the correlation between service quality and outpatient satisfaction at Manguharjo Lung Hospital (RS Paru Mangunharjo), Madiun, East Java. All the specimens in this research were outpatients where purposive sampling is used to determine the research sample. Data Accomodation technique is carried out by questionnaire. The  output of the research, from 80 respondents asked about the relation between service quality and outpatient satisfaction at Manguharjo Lung Hospital, it can be concluded that there are dealings among Reliability, Assurance Tangibles, Empathy, and Responsiveness. The outcome of this research is ecpected to contribute theoritically such escalating quality development especially in public institutions, namely hospitals. Practically, It can be a consideration in arranging the policies that relate about hospital service particularly for outpatient service cases.

UPT Karanganyar Health Center Karanganyar Regency is a type urban non-inpatient health centers, so they only serve outpatient care and emergency. Based on the results of the survey and introduction of researchers, at UPT Karanganyar Health Center found a medical record document missfile. The Missfile was due to a lack of non-RMIK officers in the filing department careful in returning medical record documents in place, and amount the medical record staff in the filing is inadequate. This research aims to find out the medical record document storage system at UPT Puskesmas Karanganyar.This type of research uses descriptive research methods, with approach. The subjects in this study were medical record filing officers. The object of this study is a medical record document storage system in UPT Karanganyar Health Center. This research instrument uses guidelines interviews and observations. Data processing by collecting, editing, and data presentation.The result of this research is based on record numbering system medical uses UNS (Unit Numbering System) with Family Numbering, for alignment using SNF (Straight Numerical Filling) and storage using centralization with personal folders. Factor the cause of the missfile is the inaccuracy of the clerk in returning the document medical records to the filing rack, the impact of the missfile is service delays and duplication of medical records efforts made namely socialization with color coding.The author suggests that a tracer should always be used when retrieval of medical record documents, so that they are stored again medical record documents faster, and avoid missfiles. It is necessary control by medical record officers when non medical record officers put DRM back on the shelf. Conduct HR recruitment with competence and qualifications from D3 Medical Records.  

Medical records are files that contain records of documents regarding patient identity, examinations, treatment, actions and other services provided to patients. Medical records contain written or recorded information containing identity, anamnesis, support, diagnosis, services and medical actions that will be given to patients and treatment whether inpatient, outpatient or receiving emergency services (Permenkes RI No. 269 of 2008) . Increasing the effectiveness of recording medical record data accurately and quickly can take advantage of current technological advances through Electronic Medical Records (RME). Electronic Medical Records are Medical Records created using an electronic system intended for the maintenance of Medical Records

Children are the younger generation who have an important role in maintaining and continuing the ideals of the nation. Several cases of serious health complaints experienced by children require more than just outpatient treatment. If a child is hospitalized, then the child will easily experience a crisis because the child experiences anxiety due to the changes he is experiencing. Children need media that can overcome anxiety due to hospitalization and be able to work with health workers while in treatment. One of the media so that children can overcome anxiety is the skill of playing coloring pictures. Intervention play therapy coloring pictures is done 15-20 minutes every day for 2 days in a row. The level of anxiety before being given play therapy coloring pictures in subject I was 11 (severe anxiety) and subject II was 6 (moderate anxiety). The level of anxiety after being given play therapy coloring pictures in subject I is a score of 9 (moderate anxiety) and subject II a score of 4 (mild anxiety). The conclusion from the discussion of this case study is that there is a decrease in anxiety levels after the application of coloring pictures play therapy in preschool-aged children.

Hypertension as silent disease or silent killer i.e. escalation of systolic blood pressure is higher or equal to 140mmHg, and escalation of diastolic pressure is higher or equal to 90 mmHg. High prevalence of hypertension need to get the right treatment. The situation analyst at Dr. R. Koesma Tuban Hospital, obtained two from five patient have not complied with instructions by local doctor. This Study intend : (1) acknowledge relationship level of knowledge toward diet obedience in outpatient hypertension at Dr. R. Koesma Tuban Hospital, (2) acknowledge relationship family support toward diet obedience in outpatient hypertension at Dr. R. Koesma Tuban Hospital. This Study uses correlation, using a cross sectional approach. This study held in Dr. R. Koesma Tuban Hospital and several respondent houses. Sample of this study come to 22 respondent using total sampling technique. Data retrieval by  test and questionnaires. Then, the data were analyzed by frequency distribution and Chi-square Test. Based on the results of this research were obtained respondents have good knowledge (27,3%) Family support with a good values (50%). Result of bivarate analysis knowledge p value>0,05, so then there is uncorelattion between knowledge with diet obedience. Whereas, result of family support p value <0,05, so then there is a relationship between family support with diet obedience. Conclusion from the data show, that the variable level of knowledge has no relationship diet obedience in outpatients at Dr. R. Koesma Tuban, while family support be found relationship,  toward diet obedience outpatient at Dr. R. Koesma Tuban Hospital.  

Patient satisfaction is a factor that can be used as a reference in determining the success of a service program. Patient satisfaction will arise when it is supported by good quality service. There are five dimensional aspects known as service quality (SERVQUAL), reliability, responsiveness, assurance, empathy, and tangible. These five dimensions influence patient satisfaction. This research aims to provide an overview of the level of satisfaction of outpatient BPJS patients at Hermina Bitung Hospital, Tanggerang Regency in 2023. This research uses a descriptive method with a quantitative approach with the data that has been collected being processed using SPSS (statistical packagen for the social sciences) then the results analyzed by measuring the average percentage for each patient criterion and a sample size of 76 respondents, from this research it can be concluded that patient satisfaction through the reliability dimension is 56.58%, the responsiveness dimension is 55.26%, the assurance dimension was 53.95%, the empathy dimension was 56.58%, while the direct evidence (tangible) was 51.32%. Thus, the researchers concluded that the number of BPJS patients in outpatient registration services was 52.63%. This result still does not reach the minimum service standard set by the Indonesian Ministry of Health in 2008, which is ≥90%.

The purpose of this study is to determine the analysis of the effect of service quality, costs and facilities on the satisfaction of outpatient patients Benyamin Guluh Kolaka This research is a survey research using a questionnaire as an instrument. The population in this research is all patients who have carried out outpatient treatment at Benjamin Guluh Kolaka Hospital in Kolaka Regency and taken as many as 75 responsiveness using purposive sampling techniques, namely the technique of determining certain criteria. Data collection techniques are primary data and secondary data. The data obtained were analyzed using PLS analysis techniques through Smart PLS software. The results of this study indicate that service quality has a positive and significant effect on patient satisfaction. This is evidenced by T-count or T-statistics which is 2.164 higher than the rule of thumb used which is 1.96 and the cost also has a positive and significant effect on patient satisfaction due to the value of T-count or T-Statistics which is 13.769 higher than the rules of thumb used is 1.96. While the facility has a negative and not significant effect on patient satisfaction because the value of t arithmetic or t statistical value is 1.089 lower than the rule of thumb used that is 1.96 then the service quality variable and the cost have a positive and significant effect on passient satisfaction of 97.1%.

Background; Emesis gravidarum is a physiological thing but if it is not treated immediately it will become a pathological thing. Most emesis gravidarum can be treated with outpatient treatment, but a small number of pregnant women cannot cope with nausea and vomiting, so that it interferes with their daily activities and falls into a condition called hyperemia gravidarium. From these problems can be overcome by being given a treatment that can reduce nausea and vomiting in pregnant women in the first trimester, namely PC6 acupressure point. Objective; Knowing the effect of PC6 point acupressure on reducing the frequency of emesis gravidarum. Method; In this study using a quantitative design with an experimental approach to the design of one group pre test post test. The data analysis technique uses the Wilcoxon test. Sample; the sampling technique used in this study was quota sampling with a sample size of 28 respondents. Results; Based on the results of the analysis with the Wilcoxon test, the p value was obtained - 0.000 or (0.000) < (-0.05) then H0 was rejected and H1 was accepted. So it can be concluded that there is an effect of PC6 acupressure on the frequency of Emesis gravidarum in first trimester pregnant women at the Independent Practice of Midwife Yohana Puspiyati A.Md Keb Mukiran, Kaliwungu, Semarang. Conclusion; There was a decrease in emesis gravidarium after PC6 point acupressure was performed on first trimester pregnant women.

Hypertension is a condition that experiences an abnormal increase in blood pressure, the elderly are said to be hypertensive if their blodd pressure reaches ≥130/80 mmHg and is a non-communicable disease. A study has been carried out regarding the Evaluation of Prescribing in Outpatient Geriatric Hypertension Based on the Beers Criteria for Internal Medicine at RSUD dr. Soekardjo City of Tasikmalaya using a descriptive method of retrospective medical record data of hypertensive geriatric patients. This study aims to determine the treatment profile and the percentage of drug use included in the 2019 beers criteria list. The results showed that the most commonly prescribed treatment combination in this study was the combination of the ACE Inhibitor drug class (Ramipril) and the CCB drug group (Amlodipine), and Inappropriate drug prescribing in geriatric patients with hypertension in the outpatient installation of RSUD dr. Soekardjo City of Tasikmalaya in the 2020 period is still high with the number of inappropriate prescriptions as many as 47 (67,1%) prescriptions classified as PIMs (Potentially Inappropriate Medication). So it can be concluded that the high mismatch of therapy can be caused becaused because patients receive more than one drug that is not suitable for geriatric when getting drug prescriptions and to reduce these incidents it can be done by increasing the selection os safe drugs in geriatric using the 2019 beers criteria

Background: Cervical cancer is a type of deadly malignant cancer that attacks women. So that it can affect the quality of life for sufferers and Self Efficacy is needed. Purpose: Knowing the relationship of self-efficacy to the quality of life of cervical cancer patients. Research method: Quantitative research design with a sample of 50 respondents, the technique used is purposive sampling. Results: Based on age, education, and length of illness, bivariate results obtained using the sperman rank correlation test showed that the p-value was 0.002 (<0.05) meaning that there was a significant relationship between self-efficacy and the quality of life of cervical cancer patients. The correlation coefficient value obtained was 0.429, meaning that the relationship between self-efficacy and the quality of life of cervical cancer patients showed a moderate relationship with a positive direction, meaning that the higher the self-efficacy, the better the quality of life of cervical cancer patients. Suggestion: Future researchers can focus on one respondent who is undergoing chemotherapy or who is currently on an outpatient basis.

. Children with acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (LMA) undergoing chemotherapy have one of the side effects, namely experiencing mucositis, this is also influenced by oral hygiene. The aim of the study was to determine the relationship between oral hygiene and mucositis in. The design of this study used quantitative research with descriptive analytic, namely cross sectional. The number of samples is 56 respondents with purposive sampling data collection technique. Measuring tools used Oral Hygiene questionnaire and mucositis assessment questionnaire (OAG). The results of the study were the majority of respondents with male sex 60.7%, the length of the chemotherapy period for the majority of respondents was more than 2 years 67.9%, the majority of oral hygiene obtained the most results with sufficient oral hygiene 57.1% and the majority of mucositis obtained mucositis results being 51.8%. Spearman test Rank p value obtained 0.000 so that there is a relationship between Oral Hygiene and Mucositis in cancer children, with a value of r = -0.799 very strong strength with a negative. The results of this study are expected that health workers can apply good oral hygiene for patients undergoing inpatient and outpatient care regarding the importance of good oral hygiene for children with cancer so as not to cause severe mucositis.

Research on the Identification of Drug Related Problems (DRPS) has been carried out in Congestive Heart Failure (CHF) patients at the Outpatient Installation of RSUD dr. Soekardjo City of Tasikmalaya used a descriptive method of medical record data of CHF patients retrospectively. This study aims to determine the frequency and categories of DRPs that occur based on the Pharmaceutical Care Network Europe V9.0 classification. The results showed that out of 80 patients, 288 DRPs were found consisting of 4 symptoms (indications) that were not treated (1.4%), adverse drug events may occur as much as 1 event (0.3%), inappropriate drug combinations or drug interactions as many as 279 events (96.9%), and the dose was too high in 4 incidents (1.4%), so that it can be concluded that the categories of causes and problems of DRPs that most often occur in RSUD dr. Soekardjo City of Tasikmalaya in 2022, namely drug interactions.

Outpatient services are an important part of health services provided by hospitals. However, some BPJS hospitals experience obstacles in providing efficient and quality outpatient services, such as long queues, long waiting times, and lack of a good management system. the application of Lean Management to the outpatient services of BPJS patients in hospitals can help hospitals improve operational performance, so as to increase public trust in BPJS Health. This study aims to analyze the application of Lean Management to the outpatient services of BPJS patients in hospitals. This research uses a literature study method or Systematic Literature Review using the Google Scholar search engine and journal databases, such as Researchgate. The results showed that most outpatient service activities for BPJS patients still have patient waiting times below the established service standards. In analyzing the flow that patients go through, each activity is identified into two groups, namely Value Added (VA) as an activity that is considered necessary and profitable and Non Value Added (NVA) as an activity that is considered unnecessary. Based on the percentage of waste in the form of the largest waiting time can be described, namely, 35.1% in the registration process, 30.2% in the poly examination process, and 20.7% in the process of receiving drugs in the pharmaceutical installation

The hospital is one of the organizations in the service sector that is engaged in efforts to improve public health. In addition, the hospital as oe of the subsystems of health services provides two types of services for the community, namely health services and administrative services. Therefore, as a hospital service institution, it is required to improve its service quality management continuously and continuously in various fields of service provided. So the Dumai City Hospital should be able to provide good service to pattiens with planned management for class B classified hospitals. The purpose of this study was to find out how the management of outpatient services in the field of pregnancy at the Regional General Hospital in Dumai City. This research method uses qualitative research methods with data collection thechniques using primary data and secondary data obtained from the results of observations, interviews, and documentation that the researcher analyzed in obtaining the data. This study uses the theory of Ratminto about service management, namely planning, implementation, and coordination. The results of the study indicate that the service management of the Dumai City Regional Public Hospital still has obstacles in its services such as training of workers who have not all received training, budget, facilities and infrastructure.

Hospital is a health service organization that organizes complete individual health services, and provides inpatient, outpatient and emergency services. In order for hospital management to run well, it is necessary to measure hospital performance, namely the Balanced Scorecard method. : The Balanced Scorecard (BSC) is used as a decision-making tool regarding the actions that must be taken to correct deficiencies and advance the hospital. Purpose: This study aims to determine the application of the balanced scorecard (BSC) in analyzing the performance of hospitals in Indonesia. Methods: This study used the library research method. . Results: a literature review of ten journals shows that all conclude that localization and conceptual use of the BSC can greatly improve hospital performance. The results of performance analysis with the BSC at the hospital can also provide clear direction in determining policies, resources and routine activities, as well as in building systems in each unit in the hospital. Conclusion: BSC can not only be applied in private hospitals, but government hospitals also need to apply BSC to measure their performance and be used as a guide in making policies and designs or work plans. Findings from existing studies must also be enriched by the literature and by empirical evidence about the benefits of BSC application in hospitals. It will also provide experience for a number of hospitals in Indonesia which can be a reference for expanding the implementation of BSC in hospital administration.

The quality of health services is a level that shows the perfection of health services that can create a sense of satisfaction in each patient. So if there is dissatisfaction with the patient, it is something that needs to be considered. This study aims to determine the effect of the quality of hospital administration services on patient satisfaction in the outpatient installation unit of lasinrang Hospital, pinrang Province. This study uses an analytical observational design based on cross-sectional, quantitative analysis. The population in this study was 10444 patients. The sampling technique used accidental sampling, with a sample of 100 samples. The instrument in this study is a questionnaire, and the data analysis used is simple linear regression.In this study, all indicators of service quality (Tangible, Reliability, Responsiveness, Assurance, Empathy) together have a positive influence on the service quality of hospital administration staff on patient satisfaction in the outpatient installation unit of Lasinrang Hospital, Pinrang Province. There are two service quality indicator variables that have the most dominant influence on the quality of hospital administration staff service on patient satisfaction in the outpatientinstallation unit of Lasinrang Hospital, Pinrang Province, which include the Assurance indicator 48.6% and Tangible 24.3% and (R2) of (0.636) shows that 63.6% of patient satisfaction variables can be explained by the quality of service of hospital administrative staff, while the remaining 36.4% is explained by other variables not included in this research model. So it can be concluded that the better the quality of service, the more satisfied patients will be and will continue to return to get service from time to time because good service can provide satisfaction to patients according to their needs and desires.  

Patient is a person who, directly or indirectly, consults a doctor or medical service about a health problem in order to receive the medical care the patient needs. After registering, patients need to wait until they get health services from the intended poly. The waiting time is understood as the time required from the arrival of the patient to the moment when the specialist performs the service. This study aims to review the length of waiting time for cardiac outpatient services at the Cilandak Marine Marine Hospital in 2022 using a quantitative approach with descriptive research methods, namely conducting direct interviews with outpatients and directly reviewing the length of waiting time for patients. 74 patient samples, there were 23 patients (31.08%) whose waiting time was appropriate or below the minimum service standard of waiting time (≤60 minutes), while for 51 patients (68.92%) the waiting time did not meet the minimum service standard of time. waiting time (>60 minutes), with an average patient waiting time of 96 minutes. The fastest waiting time for patients is 41 minutes, while the longest waiting time for patients is 173 minutes. Factors that cause long waiting times for outpatients are the inadequate number of medical record officers and medical personnel, the number of patients who come at the same time, causing queues at the registration counter and queues at the poly, doctors' practice hours are quite at odds with registration hours at the counter, negligence of the patient when registering, not carrying a medical card, not carrying the necessary documents, and not the patient concerned who registers, and the number of medical personnel and officers is not sufficient.    

The type of fat that is best known by parents or the public that can cause disease is cholesterol. According to Yogendra Kumar, 2021, normal total cholesterol levels in the blood are in the range of 140-200 mg/dl, while high total cholesterol levels are between 200-400 mg/dl. Men aged 40 years and over with high serum cholesterol levels, namely cholesterol > 200 mg/dL and LDL cholesterol > 130 mg/dL, have a high risk of stroke and coronary heart disease (CHD). Based on WHO data for 2015, Yusvita and Shinta (2018) reported that globally there were 17.7 million deaths due to heart and blood vessel disease. Data collection was carried out based on the results of blood cholesterol examination in every man aged 40 to 70 years. This research approach is descriptive. The samples taken amounted to 30 people according to the criteria and are willing to be respondents. This research method uses total sampling. From the results of the study it was found that high total cholesterol levels were > 200 mg/dl at ages 40-55 years with 6 respondents out of 12, while those aged 56-70 years only amounted to 4 respondents out of 8. This shows that the percentage of ages 40-55 and 56-70 is not much different or the same. Total blood cholesterol levels in men aged 40 years to 70 years have normal values ​​or > 200 mg/dl with a percentage of 60% and 40% having high value or > 200 mg/dl from 30 respondents or outpatients who were sampled . High total blood cholesterol levels or > 200 mg/dl have a risk of stroke and coronary heart disease, while normal total blood cholesterol levels or < 200 mg/dl have a low risk. This basic research is expected to be a reference for further or other research and can be useful for readers, especially men aged 40 to 70 years.

The type of fat that is best known by parents or the public that can cause disease is cholesterol. According to Yogendra Kumar, 2021, normal total cholesterol levels in the blood are in the range of 140-200 mg/dl, while high total cholesterol levels are between 200-400 mg/dl. Men aged 40 years and over with high serum cholesterol levels, namely cholesterol > 200 mg/dL and LDL cholesterol > 130 mg/dL, have a high risk of stroke and coronary heart disease (CHD). Based on WHO data for 2015, Yusvita and Shinta (2018) reported that globally there were 17.7 million deaths due to heart and blood vessel disease. Data collection was carried out based on the results of blood cholesterol examination in every man aged 40 to 70 years. This research approach is descriptive. The samples taken amounted to 30 people according to the criteria and are willing to be respondents. This research method uses total sampling. From the results of the study it was found that high total cholesterol levels were > 200 mg/dl at ages 40-55 years with 6 respondents out of 12, while those aged 56-70 years only amounted to 4 respondents out of 8. This shows that the percentage of ages 40-55 and 56-70 is not much different or the same. Total blood cholesterol levels in men aged 40 years to 70 years have normal values ​​or > 200 mg/dl with a percentage of 60% and 40% having high value or > 200 mg/dl from 30 respondents or outpatients who were sampled . High total blood cholesterol levels or > 200 mg/dl have a risk of stroke and coronary heart disease, while normal total blood cholesterol levels or < 200 mg/dl have a low risk. This basic research is expected to be a reference for further or other research and can be useful for readers, especially men aged 40 to 70 years.

Based on the Regulation of the Minister of Health of the Republic of Indonesia No. 72 of 2016, a hospital is an individual health service facility that provides inpatient and outpatient care, therefore quality services that must be fulfilled by hospitals. In order to maximize the service to the patient, the operational system must be made more efficient and efficient. The study uses a review literature study approach using several sources selected based on the inclusion and exclusion criteria that the researchers have established that an efficient operating system can provide optimal service to the patient. This will give a positive response to patient satisfaction.