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The quality of interaction between physicians and patients plays a crucial role in the healthcare system, as it directly affects patient satisfaction. Ineffective communication by physicians may reduce patient satisfaction and increase the risk of complaints and medical disputes. This study aims to analyze the relationship between doctor–patient communication patterns and patient satisfaction in outpatient services. This research employed a quantitative approach with an observational analytic design using a cross-sectional method. The study population included all outpatient patients, with a sample of 110 respondents selected through accidental sampling. The independent variable was doctor–patient communication, while the dependent variable was patient satisfaction. Data were collected using a questionnaire, and analysis was performed using the Chi-Square test with a 95% confidence level. The results showed that the majority of respondents rated doctor–patient communication as good (80.9%) and reported high levels of satisfaction (75.5%). The analysis revealed that among respondents who experienced good communication, 84.3% reported high satisfaction, whereas the proportion of high satisfaction decreased significantly in the groups with moderate and poor communication. In conclusion, there is a significant relationship between the quality of doctor–patient communication and patient satisfaction in outpatient services, where improvements in communication quality are consistently associated with increased patient satisfaction.

The Outpatient Unit is an important service unit that contributes to the hospital's revenue. However, at Adam Talib Cikunir Hospital, the number of patient visits has not yet reached the target, thus it is necessary to formulate a strategy to enhance competitiveness. This research aims to develop a strategic plan for the Outpatient Unit to improve service quality and increase its contribution to the hospital's revenue. The research uses a qualitative descriptive approach. Analysis is conducted through Internal Factor Evaluation (IFE), External Factor Evaluation (EFE), SWOT analysis, and Quantitative Strategic Planning Matrix (QSPM). The IFE score of 2.44 and the EFE score of 2.41 place RS DAT Cikunir in Quadrant V of the IE Matrix, which means RS DAT Cikunir is in a Hold and Maintain position. The SWOT analysis generates several alternative strategies, and the QSPM prioritizes three strategies: enhancing specialized services (score 5,84), expanding services and digital promotion (score 5,66), and optimizing cooperation with BPJS and private insurance (score 5,38). The research concludes that improving specialized services, expanding services and digital promotions, as well as optimizing cooperation between BPJS and private insurance are the right strategies to enhance service quality, attract more patients, and strengthen the competitiveness of RS Dokter Adam Talib Cikunir amid competition in the healthcare sector.  

Hypertension is one of the most common non-communicable diseases in Indonesia. Hypertensive patients must have high self-efficacy to comply with antihypertensive medication so that blood pressure can be controlled and complications prevented. Therefore, intervention is needed to improve therapy compliance. One intervention that can be given is the provision of pill cards. This study was a quasi-experimental design with a pre-intervention post-intervention control group design. Sampling was conducted using non-probability purposive sampling from July to September 2025. A total of 106 respondents were divided into two groups, with 53 respondents in the control group and 53 respondents in the intervention group. The control group was only given the MMAS-8 questionnaire, while the intervention group was given pill cards and the MMAS-8 questionnaire. In the intervention group, prior to intervention, 25 patients (47.2%) had low compliance, 21 patients (39.6%) had moderate compliance, and 7 patients (13.2%) had high compliance. After the intervention, there was a significant increase, with 21 patients (39.6%) showing high compliance, 26 patients (49.1%) showing moderate compliance, and 6 patients (11.3%) showing low compliance. Providing pill cards to outpatients with hypertension can improve patient medication adherence. Based on the results of the Wilcoxon Signed Ranks Test, a value of (p<0.001) was obtained, indicating that H0 was rejected and there was a significant effect.

Tuberculosis (TB) remains one of the leading infectious diseases causing morbidity and mortality in Indonesia. Limited public health literacy regarding TB symptoms, prevention, and treatment adherence contributes to delayed diagnosis and poor treatment outcomes. This community service program aimed to improve public understanding and awareness of TB through interactive educational activities conducted at the Outpatient Unit and TB Clinic of UPT Puskesmas DTP Saketi, Pandeglang Regency. The activities involved 30 participants, including TB patients and their families. Interactive counseling sessions, audiovisual media presentations, and group discussions were used to engage participants actively. Evaluation results showed a 35% increase in participants’ knowledge scores, greater awareness of the importance of completing treatment, and improved communication between patients and healthcare workers. The implementation of interactive education proved effective in enhancing TB health literacy and supporting national TB elimination efforts at the primary healthcare level.

The JKN Mobile application is an electronic-based service innovation introduced by BPJS Health to facilitate JKN participants in accessing healthcare services and managing their membership information. This study aims to explore the experiences and perspectives of outpatient patients regarding the effectiveness of the JKN Mobile online registration system at Baubau City Regional General Hospital. A qualitative phenomenological approach was employed, with informants selected through purposive sampling. Data were collected to capture the meanings of patients’ experiences in using the application. The findings show that most patients are satisfied with the practicality, speed, and flexibility of the online registration system. However, technical problems, particularly unstable internet connectivity, remain a major challenge. Furthermore, the online registration system has contributed to improved service efficiency and patient satisfaction. These findings indicate the importance of continuous evaluation and improvement of the JKN Mobile online registration system to enhance service quality and health information system development at Baubau City Regional General Hospital.

Electronic Medical Record (EMR) is an essential component of hospital digital transformation aimed at improving administrative efficiency and service quality. This study aims to analyze the factors influencing the implementation of EMR in outpatient registration at a private hospital in North Jakarta. A mixed-methods design was employed, combining quantitative data collected from questionnaires completed by 30 registration staff with qualitative data obtained through structured interviews and direct observation. The logistic regression analysis revealed that Training and Staff Competence (X2) had a significant positive effect on outpatient registration (OR 30.663; p=0.040), while System Integration and Data Security (X4) also showed a significant effect (OR 15.121; p=0.047). In contrast, Technological Infrastructure Readiness (X1) was positive but not significant (p=0.112), and Organizational Culture and Managerial Support (X3) was negative and not significant (p=0.954). Simultaneously, the model explained 72.1% of the variation in registration effectiveness (Nagelkerke R²=0.721) with a classification accuracy of 93.3%. Qualitative findings supported the quantitative results, highlighting insufficient staff training, persistent technical issues in BPJS system bridging, and difficulties faced by elderly patients in adapting to digital registration. Elderly patients still required staff assistance and simple educational media such as tutorial videos displayed in hospital waiting areas. This study concludes that staff competence and system integration are the key determinants of successful EMR implementation in outpatient registration. It is recommended that hospitals strengthen continuous training programs, improve network and server stability, and expand patient education initiatives to ensure effective, efficient, and patient-friendly digital services.

Epilepsy is one of the most common chronic neurological disorders in children. Long-term use of antiepileptic drugs carries the risk of Drug Related Problems (DRPs) such as drug interactions, inappropriate dosing, and untreated indications. This study aimed to identify the types and incidence of DRPs in pediatric epilepsy outpatients at Embung Fatimah General Hospital, Batam. This was a descriptive, non-experimental study with a retrospective design. Data were collected from pediatric medical records (<18 years) between January–December 2024, with a total of 45 patients. DRPs were identified using the American Society of Hospital Pharmacist (ASHP) classification. Of 45 patients, the majority were aged 1–5 years (38%) and female (53%). The most frequently used antiepileptic drug was sodium valproate (56.36%). Identification DRPs included drug interactions (63.16%), untreated indications (5.26%), and inappropriate drug selection (5.26%). No cases of overdose or failure to receive medication were found. The most dominant DRP in pediatric epilepsy patients was drug interactions, particularly between valproic acid and folic acid.

Patient satisfaction is a feeling that arises from the performance of health services that have been obtained after the patient compares it with what was expected. Rather than the reality that occurs there are still complaints about outpatient registration services based on electronic medical records, Frequent obstacles are if the network is disrupted, then access to the EMR can be hampered or cannot be accessed at all and the limited capacity of the waiting room is also an obstacle, especially with the large number of patients during peak hours so that many patients wait outside the waiting room. This study aims to determine the level of patient satisfaction in outpatient registration based on EMR. This study uses a quantitative method with a population of 13,750 and a sample of 99 outpatients. Based on the results of the study in 2025, it can be concluded that patient satisfaction with RME-based outpatient registration in the aspect of tangibles can be categorized as "Less Satisfied" especially regarding facilities such as AC/Television, from the aspect of reliability it can be categorized as "Satisfied" even though there are a few respondents who answered "Less Satisfied", from the aspect of responsiveness it can be categorized as "Satisfied" even though there are some patients who feel "Less Satisfied", from the aspect of assurance in RME-based outpatient registration it can be categorized as "Satisfied" but there are a small number of patients who answered "Less Satisfied" and from the aspect of empathy it can be categorized as "Satisfied" even though there are some patients who answered "Less Satisfied". So the researcher's suggestion is that the Hospital improves the quality of the waiting room, especially AC, television, increases the number of chairs and provides adequate seating for all patients, so that patients are more comfortable and avoid overcrowding

Long outpatient waiting time is an indicator of suboptimal hospital administrative systems. The Hospital Management Information System (SIMRS) is designed to improve administrative efficiency; however, in practice, complaints about long patient waiting time still persist. This study aims to examine the relationship between the registration administrative system using SIMRS and the waiting time for outpatient services at RS Patria IKKT in 2025. A quantitative approach with a cross-sectional analytical design was employed. The sample consisted of 100 outpatient respondents selected using purposive sampling. Data were collected through questionnaires and analyzed using the Chi-Square test and Spearman correlation to determine the relationship between variables. The results show that the system quality, information quality, and service quality of SIMRS at RS Patria IKKT are categorized as good. Spearman correlation analysis reveals no significant relationship between system quality (p=0.281) and information quality (p=0.910) to waiting time. However, the Chi-Square test indicats a significant relationship between service quality (p=0.001) and outpatient waiting time. The implementation of SIMRS at RS Patria IKKT contributes to accelerating administrative processes and reducing outpatient waiting time. Nevertheless, improvements in service quality are necessary to achieve more optimal results.

The quality of outpatient services is an essential indicator of hospital performance and patient satisfaction. At Mega Buana Hospital Palopo, patient complaints remain regarding waiting times, limited facilities, and staff communication, highlighting the need for evaluation based on the Ministry of Health Regulation No. 129/Menkes/SK/II/2008. This study aimed to analyze the relationship between human resources, medical staff interactions, service processes, and patient satisfaction with outpatient service quality. This research employed a quantitative design with a cross-sectional approach. A total of 116 patients were selected through accidental sampling. Data were collected using a validated and reliable questionnaire and analyzed using the chi-square test. The results revealed significant associations between human resources (p=0.001), medical staff interactions (p=0.003), and patient satisfaction (p=0.002) with outpatient service quality. The service process, particularly waiting time and queue management, proved to be important factors influencing patients’ perceptions of service quality. Overall, the service quality was categorized as good but not yet fully aligned with the national standards, especially in administrative speed, queue system, and facility comfort. In conclusion, outpatient service quality at Mega Buana Hospital Palopo is influenced by human resources, medical staff interactions, service processes, and patient satisfaction. The findings emphasize the importance of strengthening human resource management, improving the quality of medical staff communication, enhancing queue management, and providing adequate supporting facilities to meet national service standards.

The level of healthcare quality is determined by the extent to which societal or individual requirements for healthcare are met in alignment with high professional benchmarks, while ensuring prudent resource utilization and impact within government and societal constraints. In addition, it must be delivered in a safe and satisfactory manner to patients, following ethical standards and best practices. Quality indicators of health services in hospitals have challenges in improving the overall quality of health services. In the Cardiac Poly Outpatient Unit at Kendari City Hospital, it is necessary to know the strategies used in improving service quality. The purpose of this study is to ascertain the Strategy for Improving the Quality of Health Services in the Cardiac Poly Outpatient Unit at Kendari City Hospital in 2024. The research methodology used is qualitative and descriptive, using the Phenomenal model to investigate various phenomena in Kendari City Hospital with data collection techniques, namely field observations at the research location and also in-depth interviews with informants who have been determined. The results showed that the quality strategy of health services provided by the Kendari City Hospital is quite good, especially in the Cardiac Poly Outpatient Unit. However, considering the importance of health services, it must always be improved so that the quality of health services received by the community is always maintained. There are still many things that must be considered, for example, the problem of waiting rooms that must be added to the seats for visitors and the speed of service that must still be improved.

This research aims to simplify the management of dr. Chasbullah Kota Bekasi    hospital outpatient service data. so that work becomes effective and efficient, in addition to the design of this application can also help solve work problems related to reports that can be completed quickly, precisely and accurately. The research method used in this Hospital outpatient service application system is Grounded Research which is based on facts and uses comparative analysis with the aim of conducting empirical generation, establishing concepts, proving theories, developing theories, collecting data and analyzing data at the same time. In addition, the author also collected data through direct observation, interviews, literature studies, and documentation to obtain the required information. After conducting the research, the author concluded that the Hospital Outpatient application system can help data processing become more effective and efficient.

Type 2 Diabetes Mellitus (DM) is a disease caused by impaired insulin function, impaired insulin secretion, or both, resulting in a hyperglycemic condition. Patients with type 2 DM generally exhibit characteristics such as a Random Blood Glucose level exceeding 200 mg/dL and an HbA1c  level exceeding 6.5%. The accuracy of medication administration to patients must also consider the rationality of antidiabetic therapy in order to influence the success rate of optimal therapy. This study aims to evaluate the rationality of patient appropriateness and indication appropriateness in outpatients with type 2 DM at Tabanan Regional Public Hospital (RSUD Tabanan). This study employed a semi-quantitative observational research design with a retrospective approach by reviewing patient medical records from the initiation of therapy. Sampling was conducted using purposive sampling, whereby samples had to meet predetermined inclusion criteria. The results indicated that the age group with the highest prevalence of DM patients at RSUD Tabanan was over 56 years old (74%), with a predominance of females (63%). The most common comorbidity among DM patients was hypertension alone (24.5%). Based on the findings, the percentage of patient appropriateness rationality among DM outpatients at RSUD Tabanan was 97.5%, while the percentage of indication appropriateness rationality in type 2 DM outpatients at RSUD Tabanan was 98.5%.

Digital outpatient services are an important alternative in providing fast, efficient, and affordable health services, especially after the COVID-19 pandemic. However, this system change requires an active role from Health Care Administrators in designing strategies that can maintain and improve patient satisfaction. This article aims to analyze how the role of health administrators in developing technology-based quality management strategies to optimize patient experience in digital services. This study uses a qualitative approach with literature studies and analysis of digital outpatient service policies. The results of the study indicate that the success of increasing the patient satisfaction index depends on the administrator's ability to design effective digital communication strategies, virtual queue management, digital HR training, and strengthening online feedback systems. The involvement of administrators in strategic decision-making also makes a major contribution to improving service quality. The main recommendation of this study is the need to strengthen the capacity of health administrators in aspects of information technology, digital risk management, and patient engagement. With this strategic role, health administrators are at the forefront of the transformation of digital health services in the future.

Hospitals as a health service industry are required to provide quality services through marketing strategies so that the quality of health services in hospitals becomes higher. One strategy that can be used by hospitals is to implement the Marketing Mix. From the results of initial interviews, it was found that most patients were elderly patients at RSI Ibnu Sina Bukittinggi who had difficulty getting information through social media, resulting in a backlog of registrations and decreased patient satisfaction. This study aims to determine the relationship between the marketing mix and outpatient satisfaction at RSI Ibnu Sina Bukittinggi. This study uses a quantitative method with a cross-sectional design. The sample used was 100 respondents taken from the outpatient population. Data analysis was carried out using the Chi-Square statistical test at α = 0.05 to see the significance of the relationship between the marketing mix and patient satisfaction. The results of the study found that there was a relationship between the product marketing mix and patient satisfaction and there was no relationship between the marketing mix of price, promotion, people, process, physical evidence and outpatient satisfaction. Based on the results of the study, it is expected that the marketing mix in the Outpatient Unit of RSI Ibnu Sina Bukittinggi will maintain and improve its marketing services.

 Chronic pain is pain that persistent and will continue beyond the proper healing time, there are two time points used in daily practice, namely 3 months and 6 months after the first injury. Sensitivity of peripheral nociceptive neurons and central underlying the process of transition from acute pain to chronic pain. There are several factors that influence the increasing incidence of postoperative chronic pain including preoperative, intraoperative and postoperative factors. Untreated acute postoperative pain also increases the risk of increasing chronic postoperative pain. In Asia, the prevalence of chronic pain varies widely, between 7% in Malaysia to 60% in Cambodia. The prevalence of postoperative chronic pain in adults is reported to be around 20% in developed countries. The incidence includes all ages with a higher incidence in women and the elderly. The purpose of this study was to describe the characteristics of postoperative chronic pain in outpatients in the surgical polyclinic and obstetrics and gynecology polyclinic at RSU Medan. The type of research used in this study was Observational with a Cross Sectional method approach. Based on the research that has been done, it was found that ages 26-35 years experienced the most chronic pain, namely as much as 29.8% and women experienced more chronic pain compared to men. Based on this study it was found that the majority of respondents experienced moderate pain intensity as many as 36 respondents (63.2%). There were descriptions of characteristics that were mostly 26-35 years old.

Building an effective and efficient health system is an important effort to improve the quality of health services in Indonesia, the implementation of RME is an integral component in the modern health service system. The government issued the One Healthy policy in efforts to implement Health Data governance. In order to achieve this, data variables and data formats/values ​​determined by the Ministry of Health must be used as a reference in the implementation of RME based on Minister of Health Regulation No. 24 of 2022. The aim of this research is to analyze data variables in the ETI Care application for outpatient registration at Budi Kemuliaan Hospital Jakarta according to the applicable guidelines, that is Minister of Health Decree Number HK.01.07/MENKES/1423/2022. This research uses descriptive qualitative methods. Data variables were obtained and their conformity with the existing meta data in the ETI Care application with government meta data, that is in the general identity there were 13 missing data variables and 2 variables that did not exist in the identity of the newborn baby, and 7 data variables that did not match the general identity and 1 data variable whose format/value did not match the identity of the newborn baby.  It is necessary to develop the system by involving users in adjusting technical and organizational policies. There are still data variables that do not exist in the ETI Care application in the outpatient registration section, and there is also a discrepancy between the format/value of outpatient registration in the ETI Care application and the format/value of Minister of Health Decree Number HK.01.07/MENKES/1423/2022. This requires further communication with the vendor regarding system development in accordance with applicable guidelines.  

This study aims to design and implement a web-based outpatient registration information system at Regional General Hospital (RSUD) X to overcome issues arising from the manual registration system. The current manual registration system at RSUD X causes problems such as long queues, potential data entry errors, lost files, and difficulty in finding patient medical history. As a result, patient waiting times are longer, the administrative staff's workload increases, and the overall effectiveness of services decreases. The research method used is a qualitative one, which describes various processes in the system, from patient data input to the digital registration receipt output. The system design approach uses the waterfall method. Data collection was carried out through purposive sampling, while data gathering was done through interviews with registration officers, direct observation, and a documentation study in the medical records unit. The system is built with a combination of technologies, including PHP as a server-side programming language and MySQL as the database. The result is a web-based outpatient registration information system that can improve the efficiency and quality of hospital services. The advantages of this system include wide accessibility, time efficiency, and effective data management. This system is expected to reduce patient queues, improve the efficiency of the registration process, and simplify patient data management. However, the implementation of this system may face challenges such as limited resources and user skills. Solutions to overcome these challenges are effective resource allocation and user training. Overall, the web-based outpatient registration information system can be an effective solution to improve service quality at RSUD X.

One of the important indicators in hospital quality standards is the level of patient satisfaction with the services provided. Therefore, improving the quality of health services is very crucial, not only in the medical aspect, but also in terms of communication and empathy of health workers to patients. This study aims to determine the description of the quality of service of registration staff at the outpatient polyclinic of General Hospital X, South Jakarta, in 2023, based on patient perceptions. This study is a quantitative study with a descriptive approach, conducted on 50 respondents. Data were collected using a questionnaire covering five dimensions of SERVQUAL: Tangibles, Reliability, Responsiveness, Assurance, and Empathy. Data analysis was carried out by presenting the frequency distribution and percentage of each service dimension. The results showed that: in the Tangibles dimension, 66% of respondents rated it good and 34% less good; Reliability, 70% good and 30% not good; Responsiveness, 52% good and 48% not good; Assurance, 72% good and 28% not good; and Empathy, 66% good and 34% less good. In conclusion, although most respondents rated the service of the registration staff as good, there are still aspects that need to be improved. Improving the overall quality of service, especially in the dimensions of Responsiveness and Empathy, is needed as a strategic step in an effort to increase patient satisfaction and loyalty.

Background: Hypertension in the elderly is caused by degenerative processes and triggering factors such as poor diet, smoking, and alcohol consumption. The WHO identifies hypertension as a major risk factor for cardiovascular diseases that can lead to serious complications such as stroke and heart disease. Objective: To identify the factors influencing dietary behavior related to hypertension in elderly patients who will be treated as outpatients in the Orchid Room of Bhakti Asih General Hospital, Tangerang, focusing on knowledge, attitudes, health worker support, and family support. Research Method: This quantitative study uses primary data from questionnaires with a Field Research method. The sample consists of 40 respondents, and data analysis was conducted using the Chi-Square Test. Research Results: The results of the Chi-Square test show a significant relationship between knowledge (ρ = 0.000), attitudes (ρ = 0.012), health worker support (ρ = 0.009), and family support (ρ = 0.000) towards dietary behavior related to hypertension in the elderly. Conclusion: Overall, knowledge, attitudes, health worker support, and family support influence dietary behavior related to hypertension in the elderly, which can impact the effective management of hypertension and prevent further complications. Recommendation: For future researchers, this study has limitations, and it is hoped that further research can develop this topic with a more comprehensive research methodology approach.