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The higher the awareness regarding health, the higher the human need for health services. As a health service center, hospitals have the task of providing complete individual health services, providing inpatient, outpatient and emergency services. Social security provided by the Indonesian state is implemented by the Social Security Administering Body (BPJS) to ensure the certainty of equitable health services. This research is a quantitative descriptive study with an observational method to determine the description of satisfaction of BPJS outpatients regarding pharmaceutical services at Bekasi Hospital using Proportional Random Sampling sampling techniques with sample criteria of BPJS patients aged 17 - 65 years, who receive pharmaceutical services from the Pharmacy Installation Hospital at least 2 times. Based on the data provided, the highest overall satisfaction category is "Satisfied" while the lowest category is "Not Satisfied". These results show that the majority of patients feel a very high level of satisfaction with the services they receive. Based on the results of research conducted at the Bekasi Hospital Pharmacy Installation with 3 hospitals as research objects, it can be concluded that 51% of respondents feel satisfied with the pharmacy services at the hospital.

The purpose of developing an outpatient management information system at Waikabubak Regional Hospital is to improve the efficacy and efficiency of the outpatient health service process. The system created will facilitate recording, managing, and monitoring patient health status in real-time. Current manual procedures often result in inaccurate recording, slow administration, and substandard medical data management. This information system is expected to facilitate medical decision-making and smooth the flow of information from patient registration and health checks to treatment and follow-up.

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 .

This research is based on a decrease in the number of new and old patients in outpatient installation services in 2022. The purpose of this study was to empirically reveal the effect of brand image, social media promotion on patients' decisions to seek treatment, with trust as an intervening variable. This research is included in the quantitative research with a cross sectional study approach, the population used is patients who use health services in outpatient installations, the sample technique uses probability sampling, the sample calculation is by calculating the number of indicators X 5, so that the sample size is 225 respondents with accidental sampling technique. The analytical method used is the three box analysis method and SEM with the help of the Amos program. The results of the analysis conclude that brand image has no effect on decisions, social media promotion and trust have an effect on patient decisions. Brand image and social media promotion affect patient trust and with patient trust, brand image and social media promotion are higher in influencing patient decisions to seek treatment.

Human Immunodeficiency Virus (HIV) remains one of the most serious health challenges in the world. Until now, people with HIV/AIDS have not been cured, but HIV infection and replication can still be prevented with medication. The treatment is known as antiretroviral therapy (ARV). Quality of life in HIV/AIDS patients is very important to note, because this infectious disease is chronic and progressive, so that it has an impact on various aspects of life, both physical, psychological, social, and spiritual. This study aims to identify factors that can affect the quality of life of HIV/AIDS patients through family support, knowledge of ARV therapy, and adherence to taking medication as intervening. Quantitative research method with cross sectional design. The sample technique in this study was purposive sampling. The minimum sample size was determined through Hair's formula and 140 samples were obtained. Data collection techniques with questionnaires and data analysis techniques using bivariate and multivariate analysis. The results showed that there was a significant positive influence between family support and knowledge of ARV therapy on quality of life through adherence to taking ARV drugs as an intervening variable. There is a significant positive influence between family support on quality of life. There is a significant positive influence between ARV therapy knowledge on quality of life. There is a significant positive influence between family support on adherence to taking ARV drugs. There is a significant positive influence between knowledge of ARV therapy on adherence to taking ARV drugs. There is a significant positive influence between adherence to taking ARV drugs on quality of life.

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 purpose: To determine the effect of differences between SWD and neural mobilization with SWD and William’s flexion exercise to improve of functional ability on patient’s with low back pain ischialgia. Design: Two group pretest and posttest design. Participants and interventions: Ten patients with low back pain ischialgia from both sexes were involved (outpatient hospital clinic). Age of the patients between 46 – 65 years. They were divided into two equal groups, Group (I) received SWD and neural mobilization intervention and Group (II) received SWD and William’s flexion exercise. Outcome measure: The Oswestry disability index (ODI) was used to assess changes in perceived disability. The mean differences between week 0 and week 3 were compared across the two treatment groups using Mann-Whitney. Ninety-five percent (95%) confidence intervals (CIs) for the differences between groups were calculated. Results: The results of study revealed that: there was significant difference in functional ability group I (p=0.034) and group II (p=0.038). Howeverthere wasn’t a significant difference between both groups on functional disabilities improvement (p=0.245), so there wasn’t intervention which better of both. Conclusion: It is concluded that SWD addition neural mobilization and SWD addition William’s flexion exercise may be beneficial in the management of patients with low back pain ischialgia to improving of functional ability in two groups.

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%).

Tuberculosis is still one of the deadliest diseases in the world. Patients with tuberculosis will be given ati-tuberculosis drugs for 6 months. The administration of anti-tuberculosis drugs has 2 phases, for the intensive phase given for 2 months and for the continuation phase given for 4 months. There are types of anti-tuberculosis drugs that have nephrotoxic side effects. If the kidneys, especially the glomerulus, are not functioning properly, erythrocytes can be found in the urine. Normally, erythrocytes in the urine are 0-4 cells/LPB. If more than 0-4 cells/LPB it is called hematuria. This study aims to determine the description of the number of erythrocytes in tuberculosis patients at Arjawinangun Regional General Hospital. In this study using descriptive research method. This study was conducted using a microscopic examination method where urine will be centrifuged first and then made preparations using glass objects and covered with cover glass and viewed using a microscope with a magnification of 40x at least 10 Large Fields. The sampling technique in this study was total sampling. The population in this study were all outpatient TB patients at Arjawinangun Regional General Hospital. Based on the results of urine sediment examination at Arjawinangun Regional General Hospital, data on urine erythrocyte levels in tuberculosis patients obtained the lowest value of 0-1 cells / LPB. The highest value is 12-16 cells/LPB. The average value is 0-2 cells/LPB. The percentage of tuberculosis patients at RSUD Arjawinangun whose erythrocyte levels were positive was 13.3%.

The Drug Information Service is an activity conducted by pharmacists to provide patients with information about medications, including dosage, dosage form, administration route, safety of use, side effects, and drug interactions. This service is crucial for patients, particularly those lacking detailed information about their prescribed medications. This study aimed to assess the level of satisfaction with drug information services among outpatient patients with BPJS and non-BPJS insurance at the Pharmacy Department of Dr. Moewardi Regional Public Hospital. The research adopted a quantitative approach with a cross-sectional design. Data collection was conducted using a questionnaire with 100 respondents. The findings of the study indicated that across 5 dimensions of satisfaction, the distribution of respondent answers regarding satisfaction with drug information services at the Outpatient Pharmacy of Dr. Moewardi Regional Public Hospital showed the following: reliability dimension 67.85% in the category of fairly satisfied, responsiveness dimension 63.20% in the category of fairly satisfied, assurance dimension 66.33% in the category of fairly satisfied, empathy dimension 68.52% in the category of fairly satisfied, and tangibles dimension 63.7% in the category of fairly satisfied. BPJS prescription type received a satisfaction percentage of 66.20%, while non-BPJS received 64.74%. In conclusion, the overall satisfaction level with drug information services at the Outpatient Pharmacy of Dr. Moewardi Regional Public Hospital could be categorized as fairly satisfied.    

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.

Background: Gastroesophageal Reflux Disease (GERD) is a pathological condition caused by reflux of contents from the stomach entering the esophagus, with various signs and symptoms involving the esophagus, pharynx, larynx and airway. Gastroesophageal Reflux Disease (GERD) has typical symptoms of heartburn and regurgitation. So that the symptoms that appear will interfere with all activities carried out by someone. Objective: This study is to determine the profile picture of drug use in outpatient Gastroesophageal Reflux Disease (GERD) patients at Aura Syifa Hospital Kediri and to determine the study of drug use in outpatient Gastroesophageal Reflux Disease (GERD) patients at Aura Syifa Hospital Kediri by analyzing the right indications and right doses. Method: This study is a descriptive observational study with retrospective data collection from patient medical record data. Results: The results of a study on the useof drugs in outpatient gastroesophageal reflux disease (GERD) patients at Aura Syifa Hospital Kediri for the period January-November 2022 by analyzing the right indications and correct doses, which were obtained as many as 175 patients. The most GERD patients were women as many as 114 patients and men as many as 61 patients. The most common age for GERD is 56-65 years old and >65 years old. The most widely used drug class is the Proton Pump Inhibitor (PPI) class with a percentage of 38% and the drug in this class that is often used is lansoprazole with 167 prescriptions. The results of a study on drug use in outpatient gastroesophageal reflux disease (GERD) patients at Aura Syifa Hospital Kediri for the period January- November 2022 that meet the rationality of treatment based on the literature of the Indonesian GERD Consensus in 2013 or BNF 2017 or Pharmacotherapy A Pathophysiologic Approach 11th edition in 2020 or Medscape, where the indication is 100% (175 patients) and the right dose is 100% (175 patients).

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.