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All Journal Dimensi Interior NOTARIUS Jurnal Anestesi Perioperatif CommIT (Communication & Information Technology) JURNAL TATA KELOLA SENI Jurnal Ilmiah Bina Edukasi Revitalisasi : Jurnal Ilmu Manajemen Jurnal Manajemen Bisnis dan Kewirausahaan Journal of Islamic Economics and Finance Jurnal Penyakit Dalam Indonesia IIJSE Jurnal Pengabdian kepada Masyarakat : Kreasi Mahasiswa Manajemen
Merry Merry
Binus University
Arts Humanities Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Social Sciences Other

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Antecedents of Patient Experiential Satisfaction and Its Effect on Revisit Intention Merry, Merry; Wuisan, Dewi Sri Surya; Baguna, Khakan
REVITALISASI : Jurnal Ilmu Manajemen Vol 14 No 2 (2025): REVITALISASI : Jurnal Ilmu Manajemen
Publisher : Universitas Islam Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32503/revitalisasi.v14i2.8186

Abstract

Introduction/Main Objectives: This paper examines declining patient visits in private clinics in Central Kalimantan, focusing on XYZ Clinic, which relies solely on out-of-pocket payments. Despite surviving the COVID-19 crisis, the clinic saw a sharp decrease in visits in 2023, highlighting the need to understand patient loyalty drivers. Background Problems: The main issue addressed in this study is the sustainability of private healthcare services, specifically examining the influence of price fairness, Clinic Image, and communication on patients’ revisit intention, with experiential satisfaction acting as a mediating factor. Novelty: This study integrates communication, price fairness, and Clinic Image in a single model with satisfaction as a mediator, an approach not widely explored in Indonesian private clinic contexts. Research Methods: A cross-sectional quantitative design was used. Data were gathered via structured questionnaires from 162 XYZ Clinic patients and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Advanced analytics were also performed. Finding/Results: Price fairness and communication significantly affect experiential satisfaction, with communication being the strongest factor. Both fairness and satisfaction influence revisit intention, while Clinic Image has no significant effect. Conclusion: The findings suggest that private clinics should focus on transparent communication and fair pricing to enhance patient loyalty, rather than relying solely on image-building strategies.
Peritonsillar Block as a Treatment for Post-Tonsillectomy Pain in Pediatric Patients with a History of OSA Merry, Merry; Adi, Made Septyana Parama
Jurnal Anestesi Perioperatif Vol 13, No 3 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v13n3.4159

Abstract

Background: Postoperative pain remains one of the most common and distressing complaints following tonsillectomy in children. Among the various strategies explored, regional anesthesia techniques have gained attention for their ability to provide targeted analgesia with minimal systemic side effects. Our objective is to evaluate the effectiveness of ropivacaine and dexamethasone in controlling postoperative pain in children undergoing tonsillectomy, with a focus on its potential to improve recovery outcomes and patient satisfaction.Case: This case involved an 8-year-old male patient who exhibited classic symptoms of OSA, who underwent tonsillectomy procedure. In the anesthetic management, the patient received premedication with midazolam, ondansetron, and intravenous paracetamol. Induction was achieved using propofol, fentanyl, and atracurium, while anesthesia maintenance was provided with Sevoflurane. Prior to extubation, bilateral injections of ropivacaine and dexamethasone were administered in the peritonsillar fossae. Postoperative pain assessments indicated mild pain, with no occurrence of nausea or vomiting. The patient was discharged one day after surgery with manageable pain.Discussion: This case highlights the potential benefit of pre-extubation peritonsillar infiltration with 0.2% ropivacaine (3 mL) and dexamethasone for postoperative pain control. This multimodal, opioid-sparing approach may reduce central sensitization, minimize opioid-related adverse effects, and improve postoperative recovery. Although recent evidence suggests ropivacaine provides superior analgesia at 24 hours compared with bupivacaine, variability in pain timing underscores the need for further research on optimal administration strategies.Conclusion: This case highlights the effectiveness of ropivacaine and dexamethasone in controlling postoperative pain in children.
Co-Authors Adi, Made Septyana Parama Asra, Rezky Gustian Baguna, Khakan Bambang Gunawan Daradila, Ni Putu Kostarika Melia Dewiyanto , Rino Hafidh Prasetyo, Mujiono Harapan, Edi Hardianka, Fikri Erlanda Hartadi, Putu Ardy Hutapea, Ruth N. Innocentius Bernarto, Innocentius Lina Fuadah Muhammad Faisal Nelly Nelly Pertiwi Manuaba, Ida Ayu Santhi Rahmautami, I Gita Dewi Ratna Kinasih, Komang Vika Nariswari Ratna M.S, Edith ROHANA ROHANA Sastrawan, I Gede Gita Sudarmika, Putu Sutanto, Derian Adiguna Upadhana, Putu Sayakumara Wuisan, Dewi Yanuar Yanuar, Yanuar