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IMPLEMENTATION OF MARKETING MIX STRATEGY IN ATTRACTING PATIENTS' INTEREST IN TREATMENT AT MAYJEN HM RYACUDU REGIONAL HOSPITAL, BUMI CITY, NORTH LAMPUNG REGENCY Finny Redjeki; Etty Sofia Mariati Asnar; Yuana Cita Adhyaksa Putri; Vip Paramarta; Ayu Laili Rahmiyati; Farida Yuliaty
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.20984979

Abstract

The decline in outpatient visits is a major challenge for regional hospitals amidst increasing competition in healthcare services. This study aims to analyze the implementation of the 7P marketing mix (Product, Price, Place, Promotion, People, Process, and Physical Evidence) in increasing outpatient visits at Mayjen HM Ryacudu Regional General Hospital in Kotabumi, Lampung. The study used a qualitative approach with a case study method. Data were collected through in-depth interviews with management, medical personnel, and patients, which were then validated through source triangulation, field observation, and documentation. Then, they were analyzed using data reduction, data presentation, and conclusion drawing techniques. The results show that price and place elements are the hospital's main strengths due to affordable rates and strategic location. However, limited pricing flexibility due to government regulations limits the function of price as a differentiation tool. People and process elements play a significant role in shaping patient perceptions of service quality, while promotion has not been optimally utilized. A SWOT analysis places the hospital in a position that requires aggressive market penetration through service digitalization and physical facility modernization to restore public trust and increase visits by BPJS and general patients. This study emphasizes the importance of integrating all elements of the 7P marketing mix synergistically to increase patient interest in visiting regional hospitals.
ANALYSIS OF HOSPITAL MANAGEMENT INFORMATION SYSTEMS (HMIS) ON THE EFFECTIVENESS AND EFFICIENCY OF OUTPATIENT SERVICES AND ITS IMPLICATIONS FOR EMPLOYEE PERFORMANCE (A SURVEY STUDY AT RUMAH SEHAT TERPADU DOMPET DUAFA HOSPITAL, BOGOR CITY) Anggilia Yuliani Susanti; Sri Rochani Mulyani; Rukhiyat Syahidin; Ayu Laili Rahmiyati; Farida Yuliaty; Fitriana
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.20736148

Abstract

This study aims to analyze the effect of the Hospital Management Information System (HMIS) on the effectiveness and efficiency of outpatient services and its implications for employee performance at Rumah Sakit Sehat Terpadu Dompet Dhuafa, Bogor City. The study employed a quantitative approach with a survey method involving employees directly engaged in outpatient services and HMIS utilization. Data were collected through questionnaires and analyzed using descriptive analysis and path analysis with SPSS version 24. The results indicate that HMIS contributes to service effectiveness (β=0.605; R²=36.6%), reflected in improved patient data accessibility, recording accuracy, and service speed. HMIS also contributes to service efficiency (β=0.603; R²=36.4%), evidenced by reduced patient waiting times and accelerated administrative processes. Service effectiveness and efficiency jointly contribute to employee performance (R²=26.5%), although only efficiency demonstrates a meaningful partial contribution. HMIS exerts a direct effect on employee performance (β=0.526) as well as indirect effects through effectiveness (0.126) and efficiency (0.242), yielding a total effect of 0.894. It is concluded that optimal HMIS implementation contributes to improving outpatient service quality and employee performance.
Clinical Pathway Compliance, Length of Stay, and Cost Efficiency among Inpatients at Marsudi Waluyo Hospital Dian Prawibawa; Farida Yuliaty; Etty Sofia Mariati Asnar; Vip Paramarta; Kosasih Kosasih; Fitriana Fitriana
Journal of Mathematics Instruction, Social Research and Opinion Vol. 5 No. 3 (2026): September
Publisher : MASI Mandiri Edukasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58421/misro.v5i3.1800

Abstract

Hospitals are under increasing pressure to improve service quality while maintaining financial sustainability under Indonesia’s National Health Insurance (JKN) reimbursement system. Clinical Pathway (CP) implementation and Length of Stay (LOS) are considered important strategies for improving cost efficiency, yet their financial impact remains inconsistent across healthcare settings. Previous studies have primarily examined the influence of Clinical Pathway implementation on service quality or Length of Stay separately. In contrast, evidence regarding the combined effects of Clinical Pathway compliance and Length of Stay on hospital cost efficiency, particularly in Type D hospitals, remains limited. This study aimed to analyse the effects of Clinical Pathway compliance and Length of Stay on cost efficiency among inpatients at Marsudi Waluyo Hospital, Malang Regency, using Gross Profit Margin (GPM) as the indicator of cost efficiency. A quantitative study with an observational, analytic, and retrospective design was conducted using secondary data from medical records, Clinical Pathway forms, hospital information systems, billing records, and casemix data. The study included 361 inpatient care episodes selected through total sampling. Multiple linear regression was employed to examine the relationships among variables, and bootstrap analysis with 1,000 resamples was applied to enhance the robustness of the estimates. Clinical Pathway compliance significantly affected Gross Profit Margin (β = −0.341, p = 0.029), while Length of Stay also showed a significant negative effect (β = −10.385, p < 0.001). Simultaneously, both variables significantly influenced Gross Profit Margin (F = 30.800, p < 0.001), explaining 14.7% of its variance (R² = 0.147). Length of Stay demonstrated a stronger influence on cost efficiency. This study also contributes empirical evidence on hospital cost efficiency in a Type D hospital and provides practical guidance for hospital managers in developing evidence-based cost-control strategies.
Peran Pengaruh Manajemen Sumber Daya Pendidik dan Kepemimpinan Kepala Sekolah terhadap Mutu Sekolah di Madrasah Aliyah Swasta Yayasan Pondok Pesantren Babakan Jamanis Parigi Pangandaran Ai Adah Rahmani; Sri Rochani Mulyani; Farida Yuliaty
J-STAF: Siddiq, Tabligh, Amanah, Fathonah Vol. 1 No. 2 (2022): July
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM) STITNU Al-Farabi Pangandaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62515/staf.v1i2.50

Abstract

Through this research, it is expected to obtain empirical evidence about the influence of Educator Resource Management and Principal Leadership on School Quality in Private Madrasah Aliyah, Babakan Jamanis Parigi Pangandaran Islamic Boarding School Foundation. The object of research in this research is Madrasah Aliyah Private Islamic Boarding School Foundation Parigi Pangandaran, because based on the observations of researchers that there is a phenomenon of educators who do not have an academic degree and there are still many who have not been certified. The research method used is descriptive and verification analysis with data collection techniques using questionnaires distributed to educators using total sampling technique (saturated) because the population is only 25 people. The results of descriptive analysis prove that educator resource management, principal leadership and quality the school is classified as very good, the results of the verification analysis "there is a strong positive relationship between educator resource management and principal leadership on school quality".
The Impact of Open Disclosure Implementation Following Patient Safety Incidents on Patient Trust and The Potential Medical Disputes in Hospitals: A Systematic Literature Review I Putu Oka Yudaswara Pande; Farida Yuliaty; Kosasih Kosasih
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.61068

Abstract

Patient safety incidents remain a major concern in hospital services because they may affect clinical outcomes and public trust. Open disclosure is increasingly recognized as an ethical and communication-based response after patient safety incidents, yet its implementation remains inconsistent across healthcare settings. This study aimed to examine the concept and implementation of open disclosure, its relationship with patient trust, and its role in reducing medical disputes, complaints, and patient conflicts. This systematic literature review was conducted using Scopus, PubMed, and Google Scholar. The target population was peer-reviewed studies on open disclosure in healthcare contexts. Studies were selected through systematic searching and PRISMA-based eligibility screening using the keywords “open disclosure” AND “patient safety”. From 563 identified documents, 14 studies published between 2021 and 2026 met the inclusion criteria. The independent variable was open disclosure, while the dependent variables were patient trust, complaints, conflict resolution, medical disputes, and patient responses. Data were measured through structured extraction based on PICO and eligibility criteria, then analyzed using narrative synthesis. Among the 14 included studies, 6 were qualitative, 4 cross-sectional, 2 mixed-method, 1 quasi-experimental, and 1 retrospective observational. Most studies were conducted in Australia (n=3), followed by Ireland and multi-country studies (n=2 each). Open disclosure supported patient trust through honest, timely, empathetic communication, apology, and patient or family involvement. Full disclosure increased forgiveness (P<0.010), while partial and full disclosure increased intention to return for treatment (P<0.050). Complaints increased by 4.2% (p<0.010), whereas medicolegal cases decreased (CAGR=4.8%; p<0.050), with 88.6% resolved without legal proceedings. Open disclosure is an important hospital response strategy for restoring patient trust and reducing escalation of medical disputes. Its effectiveness depends on structured implementation, non-punitive culture, and healthcare professionals’ communication competence.
Pengaruh Disiplin Kerja dan Motivasi Kerja Terhadap Kepuasan Kerja Serta Implikasinya Pada Kinerja Pegawai (Studi Kasus Pada Rumah Sakit Umum Daerah Dr. Alberth H. Torey Kabupaten Teluk Wondama Provinsi Papua Barat) Yoce Kurniawan; Kosasih Kosasih; Etty Sofia; Vip Paramarta; Farida Yuliaty
Jurnal Ners Vol. 10 No. 4 (2026): OKTOBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.62988

Abstract

Penelitian ini bertujuan untuk menganalisis pengaruh disiplin kerja, motivasi kerja, kepuasan kerja dan kinerja pegawai di Rumah Sakit Umum Daerah Dr. Alberth H. Torey Kabupaten Teluk Wondama Provinsi Papua Barat. Penelitian ini menggunakan pendekatan metode kuantitatif. Hasil penelitian analisis deskriptif terhadap pengaruh disiplin kerja, motivasi kerja, kepuasan kerja dan kinerja pegawai responden memberikan penilaian baik. Sementara model analisis jalur menunjukkan nilai koefisien jalur variabel disiplin kerja terhadap kinerja pegawai bernilai positif, artinya variabel kepuasan kerja sebagai variabel intervening mampu memediasi antara variabel disiplin kerja terhadap variabel kinerja pegawai. Variabel motivasi kerja terhadap kinerja pegawai memiliki pengaruh positif, artinya variabel kepuasan kerja sebagai variabel intervening mampu memediasi variabel motivasi kerja terhadap variabel kinerja pegawai. Hasil hipotesis statistik untuk uji-t (parsial), variabel disiplin kerja berpengaruh positif dan signifikan terhadap variabel kinerja pegawai, karena t-hitung > tα (1,805 > 1,73). Variabel motivasi kerja berpengaruh positif dan signifikan terhadap variabel kinerja pegawai, karena t-hitung > tα (1,755 > 1,73). Untuk uji-F (simultan), variabel disiplin kerja dan motivasi kerja terhadap kepuasan kerja berpengaruh secara simultan karena nilai f-hitung > fα ( 9,510 > 3,05). Kesimpulan penelitian ini menunjukan adanya implikasi variabel disiplin kerja, motivasi kerja dan variabel kepuasan kerja terhadap kinerja pegawai.
Budaya Keselamatan Pasien sebagai Mediator Pengaruh Protokol Keselamatan terhadap Kejadian Tidak Diharapkan: Studi pada Instalasi Dialisis RS Husada Jakarta Hardi Yanis; Farida Yuliaty; Vip Paramarta
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 4 No. 3 (2026): September: Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebida
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v4i3.2508

Abstract

Hemodialysis is a high-risk medical procedure that requires strict adherence to patient safety protocols. Adverse events in hemodialysis units can be minimized not only through structural compliance with regulations but also through the internalization of a patient safety culture among healthcare workers. This study aimed to analyze the effect of safety protocol implementation on adverse events through patient safety culture as a mediating variable during the hemodialysis process at the Dialysis Installation of Husada Hospital, Jakarta. A quantitative approach with path analysis was employed, involving a total sample of 16 healthcare workers selected through total sampling. Data were collected using closed-ended questionnaires and analyzed using path analysis and the Sobel test. Results showed that safety protocol implementation and patient safety culture were both high (94.9% and 94.5%, respectively), while adverse events were low (85.1% on the negative-worded instrument). Safety protocol implementation significantly affected safety culture (t = 6.157; p = 0.000), and safety culture significantly affected adverse events (t = 3.409; p = 0.004). The Sobel test confirmed a significant mediating effect (z = 2.849 > 1.96) that exceeded the direct effect. Patient safety culture plays a pivotal mediating role in translating safety protocols into reduced adverse events, and hospital management should therefore foster an open, non-punitive safety climate.
Pengaruh Waktu Tunggu, Kualitas Pelayanan, dan Kenyamanan Fasilitas Terhadap Loyalitas Pasien Melalui Kepuasan Pasien di Poli Gigi RS Al Irsyad Surabaya R. Handi Bramanto; Vip Paramarta; Ayu Laili Rahmiyati; Farida Yuliaty; Kosasih
Jurnal Mahasiswa Ilmu Kesehatan Vol. 4 No. 3 (2026): Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v4i3.4114

Abstract

Patient loyalty is an important indicator of the success of hospital services, which is influenced by patient satisfaction. Patient satisfaction is shaped by various factors, including service waiting time, service quality, and the comfort of the facilities used during health services. This study aims to analyze the effects of service waiting time, service quality, and facility comfort on patient loyalty, with patient satisfaction as a mediating variable, at the Dental Polyclinic of Al Irsyad Hospital Surabaya. The study used a quantitative approach, employing survey methods and total sampling with 90 patients. Data were collected through questionnaires that had passed validity and reliability tests, and were then analyzed using path analysis. The results of the study showed that service waiting time, service quality, and facility comfort contributed to patient satisfaction, which in turn increased patient loyalty. These findings show that patient satisfaction plays an important role as a mediating variable in the relationship between the quality of service patients receive and their loyalty. Therefore, improving service quality, reducing waiting times, and providing comfortable facilities need to be priorities for hospitals to increase satisfaction and maintain patient loyalty.
Pengaruh Persepsi Harga, Mutu Pelayanan dan Kepercayaan Pasien Terhadap Minat Kunjungan Ulang di Parahyangan Dental dan Orthodontics Bandung Lisye Lisye; Kosasih Kosasih; Farida Yuliaty; Vip Paramarta; Ayu Laili Rahmiyati
Jurnal Penelitian Ilmu Ekonomi dan Keuangan Syariah Vol. 4 No. 2 (2026): Mei : Jurnal Penelitian Ilmu Ekonomi dan Keuangan Syariah
Publisher : STAI YPIQ BAUBAU, SULAWESI TENGGARA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59059/jupiekes.v4i2.3533

Abstract

Patients’ intention to make repeat visits is an important aspect of sustaining healthcare services, particularly in dental and orthodontic clinics. A patient’s decision to return may be influenced not only by the price paid but also by perceived service quality and trust in the healthcare provider. This study aimed to examine the effects of price perception, service quality, and patient trust on patients’ intention to make repeat visits at Parahyangan Dental and Orthodontics Bandung. A quantitative approach with descriptive and verificative methods was employed. Data were collected through questionnaires from 171 patients. The data were analyzed using multiple linear regression, t-test, and F-test. The results showed that price perception, service quality, patient trust, and repeat visit intention were all categorized as high, with mean scores of 3.95, 4.21, 4.04, and 4.12, respectively. Partially, price perception, service quality, and patient trust had positive and significant effects on repeat visit intention, with t-values of 4.579, 8.879, and 7.249, respectively (p<0.05). Simultaneously, the three independent variables had a significant effect on repeat visit intention, with an F-value of 49.981 (p<0.05). The coefficient of determination (R²) of 0.473 indicates that 47.3% of the variation in repeat visit intention can be explained by price perception, service quality, and patient trust.
Analisis Faktor Determinan Waktu Tunggu dan Dampaknya Terhadap Kepuasan Pasien Rawat Jalan di RSUD Kardinah Tegal Euis Ayu Indah Purnamasari; Dyah Kusumastuti; Farida Yuliaty
Jurnal Mahasiswa Ilmu Kesehatan Vol. 4 No. 3 (2026): Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v4i3.4244

Abstract

Outpatient services are one of the key indicators of hospital service quality. Patient satisfaction is influenced by various factors, including service determinant factors and waiting time. This study aimed to analyze the effect of Service Determinant Factors on Waiting Time, the effects of Service Determinant Factors and Waiting Time on Patient Satisfaction, and the mediating role of Waiting Time in outpatient services at Kardinah Regional General Hospital (RSUD Kardinah), Tegal. This study employed a quantitative, explanatory research approach. The sample consisted of 152 outpatients selected through purposive sampling. Data were collected via a Likert-scale questionnaire and analyzed using Jamovi, including descriptive analysis, classical assumption tests, linear regression, and mediation analysis. The results showed that Service Determinant Factors, Waiting Time, and Patient Satisfaction were all categorized as good. Service Determinant Factors had no significant effect on Waiting Time (p = 0.361), but had a positive and significant effect on Patient Satisfaction (β = 0.374; p < 0.001). Waiting Time also had a positive and significant effect on Patient Satisfaction (β = 0.184; p = 0.024). Furthermore, mediation analysis indicated that Waiting Time did not mediate the relationship between Service Determinant Factors and Patient Satisfaction because the effect of Service Determinant Factors on Waiting Time was not statistically significant. Outpatient satisfaction at Kardinah Regional General Hospital (RSUD Kardinah) in Tegal is influenced more directly by service quality than by waiting time. Therefore, efforts to improve service quality should prioritize enhancing service processes, the efficiency of the registration system, healthcare professionals' performance, and facility comfort, while continuously optimizing waiting-time management to improve patient satisfaction.