This study examines the application of speech acts in communication between doctors and patients at the Pratama Haji Medan-Pancing Clinic, focusing on the use of various types of speech acts, such as expressive, representative, directive, and commissive in medical interactions. Speech acts are understood as the smallest unit of speech activity that has a specific function, and in the medical context, this includes providing information, instructions, as well as expressions of empathy and emotional support. According to the findings from observations and interviews, effective communication between doctors and patients plays a crucial role in building trust and increasing patient satisfaction with healthcare services. According to the findings from observations and interviews, effective communication between doctors and patients plays a crucial role in building trust and increasing patient satisfaction with healthcare services. The use of appropriate speech acts, such as giving instructions on healthy lifestyles, showing empathy, and expressing care and support, plays a major role in reducing patient anxiety and improving social-emotional relationships in the hospital environment. Politeness in communication is a key element in improving the quality of health services. Therefore, the development of communication skills for medical personnel is essential to create a better experience for patients and be responsive to their needs.

This research aims to analyze the influence of export levels and unemployment on economic growth in Indonesia in the 2019-2023 period. Using secondary data from the Central Statistics Agency and Bank Indonesia as well as multiple linear regression analysis methods, the research results show that exports have a positive but not significant impact on economic growth, with a calculated t value of 2.328 and a significance value of 0.145. On the other hand, unemployment has a negative and significant effect on economic growth, with a calculated t value of 5.096 and a significance value of 0.036. The simultaneous test shows that these two variables together have a significant effect on economic growth, with a calculated F value of 20.871. This research concludes that although exports do not have a significant effect, reducing unemployment must be the main focus to support sustainable economic development in Indonesia.