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Background: The first point of contact for patients seeking medical attention at the hospital is patient registration. Of course, the hospital needs to be able to deliver quality care. Hospitals, particularly in Bali, have a system in place for online reservations. Patients who wish to receive treatment at the cardiac polyclinic must first wait in line in the morning in order to receive a queue number before being able to receive treatment in the afternoon because the Tk II Udayana Hospital's outpatient registration system does not currently use an online reservation system. This study's objective was to develop an online reservation system for outpatients at Tk II Udayana Hospital's web-based cardiac polyclinic.   Methods: The study design used was the Pre Experimental Design method. Create an online registration system in the form of a web using the System Development Life Cycle or SDLC development stage. The samples used in this study were registration officers and patients using non-probability sampling technique with quota sampling. The instrument in this study used an observation checklist, stopwatch and also a questionnaire that was used, namely the usability USE questionnaire by Amond M Lund. Results: The study's usability test findings showed a percentage of 78.90%, which is considered "Eligible." The Outpatient Online Reservation System at the Web-based Cardiology Poly at Tk II Udayana Hospital is being used effectively, as shown by the Mann-Whitney Test findings, which have a significant value of 0.000 0.05. Conclusion: The study's findings show that the outpatient online reservation system at web-based cardiac polyclinics was successful in reducing waiting times and in making it easier for cardiac outpatients to make reservations online. The Mann-Whitney Test can be used to demonstrate this.

The Covid-19 pandemic and the hospital class transition caused a decrease in the number of outpatient visitors at the Pandan Arang Hospital, Boyolali, except for the Gastroentero Hepatology (GEH) clinic. This study aims to determine the service quality by management to create patient satisfaction and loyalty, especially at the GEH clinic. In this study, the factors of service quality, customer experience, and customer perceived value that link trust and customer satisfaction to customers loyalty to find out motivate consumers or patients in the selection of hospitals. The methodology in this research is a mixed-method approach to Sequential Exploratory design, starting with interviews with the management and consultant doctors of GEH, followed by distributing questionnaires to GEH clinic patients with a total of 307 respondents at different and sequential times. The results of the study are Pandan Arang Hospital prepared infrastructure and competent human resources according to type B hospital qualifications. During the pandemic era, Pandan Arang Hospital provided outpatient services according to the recommendations of WHO and the Ministry of Health with a separate service flow between Covid-19 and Non-Covid-19 patients. The results of quantitative research found a positive and significant relationship between service quality, customer experience, customer perceived value on trust; a positive and significant relationship between service quality, customer perceived value, and trust in customer satisfaction; the positive and significant relationship between customer satisfaction and customer loyalty.

In 2016 - 2018 the number of visits to 6 poles including general surgery poly, echocardiography, eye poly, internal medicine, ENT poly, poly urology fluctuated from 11.23% to -5.23%. Fluctuations in the number of visits can be caused by several factors, one of which is consumer behavior in health service selection decisions. This study aims to determine the effect of the marketing mix on service selection decisions.This research is an analytic survey research with cross sectional approach. The population in this study were patients in 6 outpatient clinics at Jemursari Islamic Hospital in Surabaya. The number of samples is taken by quota sampling within one month.The results showed that the marketing mix at 6 Polis RSI Jemursari Surabaya with a good category of 77.5% resulted in high service selection decisions. The results of the ordinal regression test show a significance value of 0,000 which means that there is an influence of the marketing mix on the decision of choosing the Jemursari Hospital. Of the seven marketing mix elements that have the lowest influence on service selection decisions are the 47.1% price mix element, while the most influential marketing mix element is the human resource mix element with a percentage of 68.6%.The conclusion in this study is the positive influence of the marketing mix on the decision to choose outpatient services at the Jemursari Hospital in 2019.