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Telemedicine is a technology-based healthcare innovation that can improve access and efficiency. The quality of service provided by human resources (HR) plays a crucial role in determining patient satisfaction. This study aims to analyze the influence of HR service quality on patient satisfaction among telemedicine users. The method used was a literature review using a qualitative descriptive approach through analysis of scientific articles from various databases published between 2020 and 2025. The results indicate that HR service quality significantly influences patient satisfaction, particularly through aspects of reliability, responsiveness, assurance, empathy, and effective communication. Patient satisfaction is also influenced by ease of access, time efficiency, and trust in the services provided. However, limitations such as the lack of in-person physical examinations remain a challenge in the implementation of telemedicine. Therefore, improving HR competency, particularly in digital communication and technology utilization, is essential to improving the quality of telemedicine services. Therefore, HR service quality is a key factor in increasing patient satisfaction and the successful development of digital healthcare services.

The dimensions of healthcare service quality are a concept for measuring service quality. This study aims to determine the effect of the dimensions of healthcare service quality on the satisfaction of inpatients at Cut Nyak Dhien General Hospital in Langsa City. This study uses a quantitative design of the Survey Analytic type with a cross-sectional approach. The population consisted of 121 inpatients with a sample size of 55 respondents using purposive sampling technique. Analysis used multiple logistic regression test (α=0.05). The research results show that there is an influence between Responsiveness p<0.042 with an EXP (B) value of 11.361, Assurance p<0.008 with an EXP (B) value of 20.163, Empathy p<0.018 with an EXP (B) value of 13.547, Reliability p<0.033 with an EXP (B) value of 6.896 on inpatient patient satisfaction (p<0.05), while the Tangible variable shows no influence with p<0.088 and an EXP (B) value of 4.967. Among these variables, the one that significantly affects inpatient patient satisfaction is the Assurance variable with p<0.008 and an EXP (B) value of 20.163. It is recommended to continuously improve the quality of service comprehensively in every dimension of service quality, strengthen the competence and professionalism of healthcare personnel, enhance the speed and accuracy of service, and build good communication to improve the quality of inpatient services and maintain patient trust in the hospital.  

This study aims to determine the influence of price, product quality, and service quality on customer satisfaction at Salon Natayu. The approach used was quantitative, with data collection techniques through questionnaires distributed to Salon Natayu customers, with a total of 53 respondents (using census techniques). The data were analyzed using multiple linear regression analysis with the help of SPSS version 20. The results of the study show that the three independent variables (price, product quality, and service quality) simultaneously have a positive effect on customer satisfaction. However, partially, the price variable has the most dominant influence on customer satisfaction. The conclusion of this study shows that price is the most influential factor on customer satisfaction, followed by service quality, while product quality has the least influence. These findings indicate that a competitive pricing strategy is a crucial aspect for Salon Natayu in maintaining and improving customer satisfaction. In addition, continuous improvement of service quality is also necessary to create a better customer experience. This research is expected to be a reference for salon managers in formulating more effective marketing strategies as well as for future research that examines the factors that affect customer satisfaction in the beauty services industry.

Health services at the Puskesmas (Community Health Center) are an important sector directly related to the community. However, there are still various challenges in patient data management and handling complaints that can hinder service efficiency. One of the efforts to improve service quality is by developing a complaint information system that can efficiently manage and record patient complaints. This study aims to develop a complaint information system for services at the Puskesmas Waimangura using the Prototype method. This method was chosen because of its ability to produce system prototypes that can be immediately tested and developed according to user needs. The system is designed to allow patients to submit complaints related to the services received, as well as enabling Puskesmas staff to follow up on and record each complaint systematically. With the implementation of this system, it is expected to increase efficiency in managing complaint data, speed up problem resolution processes, and improve accuracy in recording patient and complaint data. The results of prototype testing show that this system simplifies the complaint process and provides convenience for staff in following up on patient complaints. The implementation of this information system is expected to improve the quality of services at Puskesmas Waimangura and accelerate responses to issues faced by patients.

In this paper, we study the use of linear programming for the performance enhancement of fortified queues systems in which resources are unreliable in terms of variation and a case study on Marjan Hospital is considered. The quality management maturity level in the hospital was measured by an integrated inspection tool; senior management was found to be concerned for quality of service improvement and implementation of modern technology systems. Strengths and weaknesses in that activity are shown, and it is evidenced the need of boosting the quality of service activities and promoting the coordination between the different areas. From the findings, the study recommends the use of linear programming technique,Orgers should as well enhance proper training and development and Acquisition of modern day technology for effective performance improvement and quality of service. The study demonstrates that the adoption of linear programming techniques could be a viable solution to optimize resource allocation and enhance performance in the hospital's queue systems. Additionally, the research underscores the importance of investing in staff training and development programs, as well as the acquisition of state-of-the-art technology, to further improve service delivery and ensure sustainable quality improvement in the long term.

Fitness center is a business or service center that provides sports services and sports facilities for its customers. The level of member satisfaction can be seen from the quality of service provided. With the professionalism provided by personal trainers, members will have their own interest in the services and ethics that personal trainers do. This study aims to determine the level of member satisfaction with the professionalism provided by personal trainers at ATLAS CLUB SPORT Surabaya. This type of research is presented using a descriptive quantitative research method with a survey approach, where the questionnaire instrument is used as support for data collection. This study uses the Servqual method to measure the level of professionalism provided by personal trainers to members. This method includes several aspects, namely tangibles, reliability, responsiveness, assurance, and empathy which are used to measure the professionalism of personal trainers. The study population was members who used personal trainer services totaling 100 people, and a sample of 25 people taken using the purposive sampling method. The results of this study indicate that the tangible aspect and the responsiveness aspect received the highest scores, namely 88% and 87%. Meanwhile, the aspects of reliability, assurance, and empathy each received a score of 86%. With the results obtained, it shows that the personal trainer of ATLAS SPORT CLUB Surabaya has provided professional quality, very satisfying service and also understands what members need.

The quality of user experience (Quality of Experience/QoE) in YouTube video streaming services is highly influenced by the quality of network service (Quality of Service/QoS). QoS measurement is conducted using Wireshark software with parameters such as throughput, packet loss, delay, and jitter, and assessed based on the TIPHON standard. Meanwhile, QoE is evaluated through a survey of 30 respondents and measured using the Likert scale.The analysis results indicate that QoS falls into the "Good" category, with a throughput of 1,545.45 kbps at 51.5%, 0% packet loss, 5.69 ms delay, and 0.0015 ms jitter. Additionally, the average QoE score of 4.55 suggests that the user experience is also considered good. Further analysis reveals a correlation between QoS and QoE, where a more optimal network quality positively impacts user experience. These findings provide insights for service providers to optimize streaming quality to meet user expectations.

The integration of Internet of Things (IoT) with cloud computing has revolutionized healthcare systems, offering scalable and real-time patient monitoring. However, optimizing response times and energy consumption remains crucial for efficient healthcare delivery. This research evaluates various algorithmic approaches for workload migration and resource management within IoT cloud-based healthcare systems. The performance of the implemented algorithm in this research, Hybrid Dynamic Programming and Long Short-Term Memory (Hybrid DP+LSTM), was analyzed against other six key algorithms, namely Gradient Optimization with Back Propagation to Input (GOBI), Deep Reinforcement Learning (DRL), improved GOBI (GOBI2), Predictive Offloading for Network Devices (POND), Mixed Integer Linear Programming (MILP), and Genetic Algorithm (GA) based on their average response time and energy consumption. Hybrid DP+LSTM achieves the lowest response time (82.91ms) with an energy consumption of 2,835,048 joules per container. The outcome of the analysis showed that Hybrid DP+LSTM have significant response times improvement, with percentage increases of 89.3%, 79.0%, 83.8%, 97.0%, 99.8%, and 99.94% against GOBI, GOBI2, DRL, POND, MILP, and GA, respectively. In terms of energy consumption, Hybrid DP+LSTM outperforms other approaches, with GOBI2 (3,664,337 joules) consuming 29.3% more energy, DRL (2,973,238 joules) consuming 4.9% more, GOBI (4,463,010 joules) consuming 57.4% more, POND (3,310,966 joules) consuming 16.8% more, MILP (3,005,498 joules) consuming 6.0% more, and the GA (3,959,935 joules) consuming 39.7% more. The result of ablation of the Hybrid DP+LSTM model achieves a 47.05% improvement over DP-only (156.57ms) and a 70.64% improvement over LSTM-only (282.41ms) in response time. On the energy efficiency side, Hybrid DP+LSTM shows 22.80% improvement over LSTM-only (3,671,51 joules), but 7.34% underperformance compared to DP-only (2,640,93). These research findings indicate that the Hybrid DP+LSTM technique provides the best trade-off between response time and energy efficiency. Future research should further explore hybrid approaches to optimize these metrics in IoT cloud-based healthcare systems.

This study aims to analyze the impact of internal control systems and service quality on accountability and work culture at LP3I Banda Aceh. Specifically, it investigates how internal control systems influence accountability and work culture, as well as the effect of service quality on both accountability and work culture. Additionally, the research explores the role of work culture as a moderating variable in the relationship between internal control systems, service quality, and accountability. The study involves two exogenous variables, namely internal control systems and service quality, and one endogenous variable, accountability. Work culture is treated as a moderating variable. The research population includes employees and lecturers at LP3I Banda Aceh, with a total of 53 respondents in the sample. The analysis was conducted using Structural Equation Modeling (SEM) with PLS 3.0 software. The findings reveal that both internal control systems and service quality partially affect accountability and work culture. More specifically, internal control systems have a positive effect on accountability, indicating that effective internal controls contribute to higher levels of accountability within the institution. Likewise, service quality also influences accountability, suggesting that improving the quality of services leads to better accountability outcomes. Furthermore, work culture is shown to have a significant impact on accountability, reinforcing the idea that a positive work culture fosters higher levels of accountability. Importantly, the study demonstrates that work culture acts as a moderating variable, enhancing the relationship between internal control systems, service quality, and accountability. This indicates that a strong work culture can amplify the positive effects of internal control systems and service quality on accountability, contributing to the overall effectiveness of the institution.

In perceiving the quality of service, satisfaction, or image, a person would base the perception on the values felt by the patients. The research aimed at analyzing the influence of service quality on the reuse of inpatient services at Hospital X. This was an analitic survey research with the cross sectional study design. Responden taken as samples were as many as 120 people. Data collected through an interview, questionnaire, and documentation. Data were analyzed using the descriptive statistics analysis namely calculating the average, percentage, frequency tables and inferential statistics through the Chi-square test, multivariate analysis through the multiple logistic regression analysis. The research result indicates that the influence of service quality with the inpatient reutilization in general hospital X was significant, that is service quality of administration (p = 0,032), service quality of doctors (p = 0,001), service quality of nurses (p = 0,000), service quality of pharmacist (p = 0,000), service quality of instruments (p = 0,020), and quality service of treatment rooms (p = 0,009). The variable of the nurses service quality and pharmacist’s quality are the most influential variables on quality service with the inpatient reutilization.

Children's education and development are crucial aspects and a primary concern for parents, especially in the field of sports. In this context, the Science Swimming Team (SST) Sidoarjo swimming club plays a strategic role in providing quality swimming training for children. This study aims to evaluate the level of parental satisfaction with the quality of services provided by the club's coaches. Using a quantitative approach and descriptive design, this study collected data through a closed-ended questionnaire distributed to 15 respondents who were parents of students at SST. The research instrument was structured based on five dimensions of service quality: tangibles, empathy, reliability, responsiveness, and assurance. The data obtained were then analyzed descriptively quantitatively by calculating frequency distributions and percentages to obtain a clear picture of the level of parental satisfaction. The results showed that the majority of respondents, namely 53.33%, felt quite satisfied with the services provided by the coaches, while 26.67% felt satisfied, 13.33% were less satisfied, and 6.67% were dissatisfied. The reliability and responsiveness dimensions scored highest, indicating that coaches were able to provide reliable and responsive services to parents' needs. However, the tangible and empathy dimensions still need to be improved to achieve optimal satisfaction. The implications of these findings suggest that coaches and club management need to strengthen the quality of existing facilities and infrastructure and develop a more empathetic communication approach with parents. This is crucial for creating a better relationship between coaches and parents, thereby increasing their trust and satisfaction with the services provided. Future research is recommended to expand the number of respondents and identify specific factors influencing satisfaction, so that the results obtained are more comprehensive and applicable in the context of service development in swimming clubs.

The Message Queue Telementary Transport (MQTT) protocol is able to adjust the sending and receiving of messages to monitor in accordance with the user's preferences because the sending and receiving of messages is topic based on a specified topic, making it necessary to routinely monitor the condition of patients who have been diagnosed with heart problems from a distance. With the aim to perform a Quality of Service (QoS) analysis with throughput, delay, and packet loss parameters using Unshielded Twisted Pair internet transmission media (UTP) and Wireless, the goal of this research is to design and implement (MQTT) a heart rate monitoring device with an EKG module as a sensor and ESP32 as a microcontroller. On the Ubidots website, EKG signals are transmitted over the internet and shown in real time. QoS analysis is performed using the Wireshark application. Data was collected on two scenarios at intervals of 30 minutes, 1 hour, 2 hours, 5 hours, 8 hours, 12 hours, 18 hours, and 23 hours. The throughput, latency, and packet loss metrics used in this study's results cause different value variations; these are influenced by the weather, internet bandwidth, computer, and router specifications. According to testing, the tool is portable and has a 3000mAh battery, but it has the restriction that it can only be used with reliable internet and bandwidth.

The digital transformation in education has encouraged the adoption of computer-based tests (CBT) using video content, which demands stable and efficient network performance. This study aims to evaluate the performance of two queue management algorithms, namely Random Early Detection (RED) and Per Connection Queue (PCQ), in maintaining the quality of service (QoS) of school networks during online video-based examinations. A case study approach was applied using a real network topology in a school environment, and QoS parameters such as throughput, delay, packet loss, and jitter were measured. The implementation was conducted using a MikroTik RB450Gx4 router configured with simple queue settings for each algorithm. The results show that PCQ provides more consistent performance under high user loads, achieving an average throughput of 56,482 bps and lower delay compared to RED. Conversely, RED performs better in scenarios with a small number of users. The study recommends using PCQ for networks with dynamic and dense user environments, while RED is more suitable for low-traffic conditions where latency stability is crucial. These findings offer practical guidance for managing bandwidth and improving the quality of CBT delivery in educational settings.

Nursing as a profession, is limited by self-regulation in the form of a code of ethics of killing. The code of ethics of extermination is the basic reference for nurses in carrying out their profession, both in relation to the use of extermination technology and knowledge. The purpose of this study was to determine the relationship between the principle of protection ethics and the quality of service in the inpatient room of Bakti Tin Karimun Hospital. The design of this study was cross-sectional with a sample size of 84 respondents, namely patients in the inpatient room using a purposive sampling technique. Data were collected using a prevention ethics questionnaire to measure the application of the principle of prevention ethics and a prevention service questionnaire to measure the quality of service. Data were analyzed through a chi-square statistical test P Value of 0.007 <0.05, which means that there is a significant relationship between the application of the principle of protection ethics and the quality of protection services in the inpatient room of Bakti Tin Karimun Hospital. So the more optimal the application of protection ethics, the better the quality of protection services. Nurses are expected to be able to apply the principle of optimal care ethics in providing care to patients so that the quality of service in inpatient care is good.

This study aims to determine the effect of price, promotion and service quality on purchasing decisions at the Eccindo cooperative. This study is a causal study using quantitative methods. The sampling technique used was accidental sampling with a total of 96 respondents who had purchased at the Eccindo cooperative. The data collection technique was by distributing questionnaires. The data analysis technique used Partial Least Square (PLS) using the Smart-PLS Version 3.0 program. The results of this study indicate that. (1) price affects purchasing decisions. (2) promotion affects purchasing decisions. (3) service quality affects purchasing decision.

This study investigates the impact of cashless payment technologies, specifically e-toll and Garda Total Objek (GTO), on customer satisfaction and travel efficiency on the Tangerang-Merak Toll Road. The research demonstrates that the implementation of these technologies significantly enhances travel time efficiency and overall user satisfaction, providing a more seamless and convenient toll payment experience. Despite these positive outcomes, the study identifies several technical challenges that hinder optimal performance. Notably, there is an 18% transaction failure rate, primarily caused by malfunctions in card reader devices and server disruptions, which negatively affect the customer experience. In addition to technological reliability, the quality of service delivered by field staff and the degree of customer loyalty emerge as critical factors influencing sustained use of the digital payment system and overall satisfaction levels.The study underscores the importance of time efficiency and customer loyalty as key drivers for improving service quality and encouraging the widespread adoption of cashless systems. To address these challenges, the study recommends enhancing the reliability of payment devices and network infrastructure through regular maintenance and upgrades. Furthermore, the adoption of Multi-Lane Free Flow (MLFF) technology is suggested to allow toll transactions without stopping, thereby reducing traffic congestion and waiting times at toll plazas. Continuous staff training is essential to improve service response and technical troubleshooting. Additionally, customer loyalty programs offering incentives like discounts and rewards could increase user engagement. The study also emphasizes the need for increased public education on cashless payment systems and their features to minimize resistance and misunderstandings. Finally, ongoing monitoring and evaluation based on user feedback are critical for promptly addressing issues and sustainably improving customer satisfaction.

The implementation of Electronic Medical Records (EMR) in outpatient services aims to improve the efficiency, accuracy, and accessibility of clinical information. However, the effectiveness of such systems is highly dependent on user satisfaction. This study evaluated the satisfaction of health personnel using outpatient EMR at Sultan Fatah Regional Hospital, Indonesia, by employing the End User Computing Satisfaction (EUCS) model. The research addressed issues related to incomplete data, low system responsiveness, and interface usability that may affect the quality of service delivery. A qualitative descriptive method was used, involving in-depth interviews, direct observations, and document analysis from 21 informants selected purposively across multiple service units. The EUCS dimensions—content, accuracy, format, ease of use, and timeliness—were used to assess user experience. The findings indicate that users encountered problems such as incomplete patient data and duplicate records (accuracy), non-intuitive interfaces (format and ease of use), and delays in accessing medical information (timeliness). Observations and documentation review further revealed a reliance on manual backups and inconsistencies between digital and physical records. Overall, the study highlights the need for better data integration, enhanced user training, interface redesign, and system infrastructure upgrades to ensure real-time and comprehensive EMR usage. The study concludes that addressing technical and human factors through the EUCS model can enhance user satisfaction and system utilization in outpatient healthcare settings.

The implementation of Electronic Medical Records (EMRs) in hospital emergency units is essential to improve the speed, accuracy, and quality of services. However, various challenges hinder optimal system utilization. This study aimed to assess the adoption of EMR at the Emergency Unit of RSUD A.M Parikesit Tenggarong using the Human-Organization-Technology Fit (HOT-FIT) framework. A qualitative descriptive approach was employed involving seven purposively selected informants, including health professionals, administrative staff, and IT personnel. Data were collected through interviews, observations, and document reviews, then analyzed using the Miles and Huberman interactive model. The findings indicate that from the human aspect, the system was considered easy to use (85%), though user satisfaction remained moderate (67.14%) due to system errors and incomplete CPPT data entries. Organizationally, the hospital provided adequate infrastructure and support, though some policies require stronger enforcement. Technological aspects revealed limitations in system stability, lack of pharmacy integration, and low service quality due to frequent downtime. The study concludes that EMR implementation in the Emergency Unit has not yet achieved full effectiveness across all HOT-FIT domains. Improvements are needed in system reliability, information consistency, and inter-unit integration to optimize EMR benefits and enhance patient care delivery in critical settings.

This research was conducted to determine the quality of e-identity card (e-KTP) making services provided by UPTD Administrative Services Subdistrict Government Baki Regency, which is measured through several indicators of service quality, namely: direct evidence, reliability, responsiveness, assurance, empathy, and communication. In addition, this research was also conducted to determine the constraining factors of the quality of e-KTP services which can be seen from the facilities and infrastructure, service procedures, and the ability of employees. This study uses a qualitative descriptive approach with data collection obtained from observations and interviews. The results of this study indicate that the quality of service for making e-KTP in UPTD Baki Subdistrict has been maximized which can be seen from the guarantee of definite completion, adequate facilities and infrastructure, good attention and response from employees, high employee responsiveness and being able to provide reliable information. Researchers suggest that the UPTD Baki Subdistrict further improve the performance of its employees by conducting training for employees, adding facilities and infrastructure and also clarifying information about service procedures.

This research aims to analyze service innovation strategies that can be applied at the National Land Agency (BPN) Medan in an effort to improve the quality of services to the public. In the digital era and with increasing public expectations, BPN Medan faces challenges in adapting and innovating to provide more efficient and effective services. The research method used is a combination of qualitative and quantitative approaches, with data collection through surveys, interviews, and document analysis. The results indicate that the implementation of information technology, enhancement of human resource competencies, and improvement of service processes are significant innovation strategies for improving service quality at BPN Medan. Additionally, this study also identifies factors that influence the successful implementation of service innovations, such as management support, community participation, and organizational culture. These findings are expected to provide useful recommendations for BPN Medan and other government agencies in their efforts to enhance the quality of public services in Indonesia.