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All Journal Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Syntax Literate: Jurnal Ilmiah Indonesia Manuju : Malahayati Nursing Journal Randwick International of Social Science Journal Budapest International Research and Critics in Linguistics and Education Journal (Birle Journal) Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Jurnal Kesmas Jambi Britain International of Exact Sciences Journal (BIoEx Journal) JUMANTIK (Scientific Journal of Health research) International Journal of Health and Medicine
Destanul Aulia, SKM., MBA., M.Ec., Ph.D
Departemen Administrasi Dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara
Religion Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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The Effect of Individual Characteristics, Organizational Support, and Work Environment on Job Satisfaction among Medical Personnel at Pangeran Jaya Sumitra Regional Gen-eral Hospital, Kotabaru Frisna Sihombing; Juanita Juanita; Destanul Aulia
International Journal of Health and Medicine Vol. 3 No. 3 (2026): Juli: International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v3i3.634

Abstract

Job satisfaction is a key consideration for employees to remain with a company. Employees consider both internal and external satisfaction. Factors that can increase job satisfaction are individual characters, organizational support and work environment. The purpose of this study is to analyze the influence of individual characteristics, organizational support, and the work environment on job satisfaction. The researcher used a quantitative approach through the distribution of questionnaires and hospital data to 50 medical workers. The study findings show that individual characteristics do not significantly influence medical job satisfaction. Age, gender, education, employment status, length of service, and marital status did not significantly influence the results, with p-values > 0.05. Meanwhile, organizational support and work environment significantly influence the job satisfaction of medical workers at Pangeran Jaya Sumitra Hospital, Kotabaru. Superior support, reward support, and fairness support all showed significant effects, with p-values < 0.05. Similar results were found in the physical work environment and non-physical work environment, with a p-value <0.05. Therefore, based on this view, it can be concluded that hospitals need to pay attention to organizational support and the work environment in order to create a sense of satisfaction while working.
Factors Influencing the Utilization of the Free Health Check-Up Service Program Among Adults in Medan City in 2026 Humaira Nasution; Juanita Juanita; Destanul Aulia
International Journal of Health and Medicine Vol. 3 No. 3 (2026): Juli: International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v3i3.646

Abstract

The Free Health Check-Up Program (CKG) is a promotive and preventive government policy aimed at improving early detection of non-communicable diseases among adults. However, the utilization of the CKG program in Medan City remains suboptimal despite the community’s positive perception regarding the importance of health screening. This study aimed to analyze the factors influencing the utilization of the CKG program among adults in Medan City, including knowledge, attitude, family support, access to health services, the role of health workers, perceived need, and evaluated need. This research employed a quantitative approach with a cross-sectional design. The study population consisted of 17,724 participants of the CKG program from five community health centers in Medan City, with a sample of 392 respondents selected using accidental sampling techniques. Data were collected using structured questionnaires that had been tested for validity and reliability. Data analysis was conducted through univariate, bivariate, and multivariate analyses using multiple logistic regression. The simultaneous analysis showed that all variables in the model had a significant effect on the utilization of the CKG program, with a model contribution of 65.8% (Nagelkerke R Square = 0.658). Knowledge was identified as the most dominant factor influencing the utilization of the CKG program, with a regression coefficient of 1.579. The findings indicated that better respondent knowledge regarding the benefits and procedures of the CKG program increased the likelihood of utilizing the health service. In addition, attitude, family support, access to health services, the role of health workers, perceived need, and evaluated need also contributed significantly to the individual's decision to utilize preventive health services. This study concludes that improving inclusive health education, optimizing primary health care services, and integrating health data such as Electronic Medical Records (EMR) are essential to increase the utilization of the CKG program among adults in Medan City.
Pengaruh Kualitas Pelayanan Terhadap Kepuasan Pasien dan Loyalitas Pasien TB Paru di RS Khusus Paru Sumatera Utara Putri Utami Asjriani; Destanul Aulia; Siti Khadijah Nasution
Malahayati Nursing Journal Vol 8, No 10 (2026): Volume 8 Nomor 10 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i10.26040

Abstract

ABSTRACT Pulmonary tuberculosis (TB) is a chronic disease that requires continuous, patient-oriented health services. Pulmonary specialty hospitals play an important role in the success of TB treatment through the provision of quality services. Good service quality can increase patient satisfaction and encourage patient loyalty in undergoing long-term treatment. The quality of service is critical given the long duration of therapy, the need for continuous monitoring, and a holistic approach to patients (physical, social, psychological) to avoid medication withdrawal which is a major problem today in some health facilities.This study aims to analyze the influence of service quality on patient satisfaction and loyalty of pulmonary TB patients at the North Sumatra Pulmonary Special Hospital. This study is a quantitative research with an analytical approach and explanatory design. The research was conducted in January-February 2026 with a sample of 106 patients selected using the purposive sampling technique. Data collection was done using a questionnaire on the Likert scale. Data analysis using SEM PLS. The results showed that physical evidence (t=3.605; p=0.000), reliability (t=4.739; p=0.000), responsiveness (t=6.785; p=0.000), assurance (t=5.594; p=0.000), and empathy (t=3.770; p=0.000) had an effect on patient satisfaction. Furthermore, physical evidence (t=2.714; p=0.007), responsiveness (t=2.025; p=0.043), assurance (t=2.661; p=0.008), empathy (t=2.101; p=0.036), and patient satisfaction (t=5.658; p=0.000) had an effect on patient loyalty, while reliability had no effect (t=1.576; p=0.115). Patient satisfaction was shown to mediate the influence of physical evidence (t=2.986; p=0.003), reliability (t=3.239; p=0.001), responsiveness (t=4.141; p=0.000), assurance (t=3.745; p=0.000), and empathy (t=3.214; p=0.000) on patient loyalty. The dimension of service quality affects patient loyalty indirectly through patient satisfaction as a mediating variable. Thus, patient satisfaction is a key factor in strengthening the influence of service quality on patient loyalty. Keywords: Pulmonary Tuberculosis, Service, Satisfaction, Loyalty.  ABSTRAK Tuberkulosis (TB) paru merupakan penyakit kronis yang memerlukan pelayanan kesehatan berkelanjutan dan berorientasi pada pasien. Rumah sakit khusus paru berperan penting dalam keberhasilan pengobatan TB melalui penyediaan pelayanan yang berkualitas. Kualitas pelayanan yang baik dapat meningkatkan kepuasan pasien dan mendorong loyalitas pasien dalam menjalani pengobatan jangka panjang. kualitas pelayanan menjadi kunci kritis mengingat durasi terapi yang panjang, kebutuhan pemantauan berkelanjutan, dan pendekatan holistik terhadap pasien (fisik, sosial, psikologis) untuk menghindari putus obat yang menjadi masalah utama saat ini di beberapa fasilitas kesehatan. Penelitian ini bertujuan untuk menganalisis pengaruh kualitas pelayanan terhadap kepuasan pasien dan loyalitas pasien TB paru di RS Khusus Paru Sumatera Utara. Penelitian ini merupakan penelitian kuantitatifdengan pendekatan analitik dan desain eksplanatori. Penelitian dilakukan pada januari-februari 2026 dengan jumlah sampel sebanyak 106 pasien yang dipilih menggunakan Teknik purposive sampling. Pengumpulan data menggunakan kuesione dengan skala Likert. Analisis data menggunakan SEM PLS. Hasil penelitian menunjukkan bukti fisik (t=3,605; p=0,000), keandalan (t=4,739; p=0,000), daya tanggap (t=6,785; p=0,000), jaminan (t=5,594; p=0,000), dan empati (t=3,770; p=0,000) berpengaruh terhadap kepuasan pasien. selanjutnya bukti fisik (t=2,714; p=0,007), daya tanggap (t=2,025; p=0,043), jaminan (t=2,661; p=0,008), empati (t=2,101; p=0,036), dan kepuasan pasien (t=5,658; p=0,000) berpengaruh terhadap loyalitas pasien, sedangkan keandalan tidak berpengaruh (t=1,576; p=0,115). Kepuasan pasien terbukti memediasi pengaruh bukti fisik (t=2,986; p=0,003), keandalan (t=3,239; p=0,001), daya tanggap (t=4,141; p=0,000), jaminan (t=3,745; p=0,000), dan empati (t=3,214; p=0,000) terhadap loyalitas pasien. Dimensi kualitas pelayanan berpengaruh terhadap loyalitas pasien secara tidak langsung melalui kepuasan pasien sebagai variabel mediasi. Dengan demikian, kepuasan pasien menjadi faktor kunci dalam memperkuat pengaruh kualitas pelayanan terhadap loyalitas pasien. Kata Kunci: Tuberkulosis Paru, Pelayanan, Kepuasan, Loyalitas.
Co-Authors Albiner Siagian Aldri Frinaldi Dessy Irfi Jayanti Eddy Syahrial Fazidah Aguslina Siregar, Fazidah Aguslina Frisna Sihombing Gerry Silaban Harry Chrismanda Humaira Nasution Ida Yustina Jhonni Wahyudi Jimy Fran Juanita Juanita Juanita Juanita Juanita Juanita Juanita Juanita Lidia Marianne Anggreni Simanjuntak Lita Andayani Lita Sri Andayani Mardelina Mardelina Marta Simanjuntak Maya Fitria Meutia Nauly Muhammad Sofyan Nefonavratilova Ritonga Nisrina Nisrina Nur Hidayah Nasution Nurman Achmad Putri Utami Asjriani R. Kintoko Rochadi Rahayu Lubis Rahayu Lubis Ribka Sagala Rifka Banjarnahor Silvia Agustina Hasibuan Siti Khadijah Nasution Siti Latifah Hanum Sri Fajar Ayu Sri Mayanti Sirait Taufik Ashar Wilda Zulihartika Nasution Winda Novita Zulfendri Zulfendri Zulfendri Zulhaida Lubis