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p-Index From 2021 - 2026
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All Journal JOURNAL LA MEDIHEALTICO
Bahrul Ilmi
Master’s Program in Public Health Sciences, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarbaru, Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Factors Influencing the Enhancement of Flexibility and Accountability in Financial Management Services under the BLUD Scheme at Community Health Muhammad Ukas; Izaak Zoelkarnain Akbar; Bahrul Ilmi; Ahmad Yunani; Neka Erlyani
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3224

Abstract

Transparent healthcare services has driven Community Health Centers (Puskesmas) to adopt the Financial Management Pattern of Regional Public Service Agencies (PPK-BLUD). This study aims to examine the factors influencing the flexibility and accountability of BLUD-based financial management within Community Health Centers in Kotabaru Regency. The research employs a literature review approach, utilizing content analysis of scholarly articles and relevant regulatory documents published within the last five years. The findings reveal that the effectiveness of BLUD implementation is predominantly shaped by four key determinants: the quality of human resources, regulatory frameworks, infrastructural capacity, and the structure of authority and governance
Analysis of Factors Associated with Patient Satisfaction in the Outpatient Unit Besty Sibarani; Didik Dwi Sanyoto; Bahrul Ilmi; Endah Labati Silapurna; Zairin Noor
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3227

Abstract

The patient satisfaction level at the Outpatient Unit of the Sengayam Regional General Hospital (RSUD) in the second quarter of 2025 was recorded at 84.23, which means it is still below the minimum service standard of ≥95%. This study aims to analyze factors associated with patient satisfaction through a literature review using a qualitative descriptive approach on scientific articles published between 2015 and 2025. The analysis results indicate that the reliability dimension is the most critical factor as it is directly related to the consistency of staff in accurately following standard operating procedures. In addition to clinical aspects, cost factors such as tariff transparency and physical facilities including the comfort of waiting areas and cleanliness were found to be significant in shaping patients’ perceived value. This satisfaction dynamic is not static but continues to evolve alongside patients’ demographic characteristics and the ease of accessing digital information, which makes the public’s expectations regarding healthcare services increasingly critical and personalized. In conclusion, effective coordination across the SERVQUAL dimensions, particularly regarding reliability and tangible evidence, serves as the primary strategy for Sengayam General Hospital to enhance service quality and achieve the established satisfaction standards.
Co-Authors Ahmad Yunani Besty Sibarani Didik Dwi Sanyoto Endah Labati Silapurna Izaak Zoelkarnain Akbar Muhammad Ukas Neka Erlyani Zairin Noor