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Analysis of Online Registration Service Quality on the Satisfaction of BPJS Outpatients with the Mediation of Perceived Ease of Use at RSUD Ciamis Yulianti, Elys; Windiyaningsih, Cicilia; Supardjo, Supardjo
International Journal of Business, Law, and Education Vol. 6 No. 2 (2025): International Journal of Business, Law, and Education (On Progress July-Desembe
Publisher : IJBLE Scientific Publications Community Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56442/ijble.v6i2.1233

Abstract

This study aims to analyze the influence of online registration service quality on the satisfaction of BPJS outpatients at RSUD Ciamis, with perceived ease of use as a mediating variable. The research is motivated by the low utilization of the online registration system, despite RSUD Ciamis implementing two digital platforms: RSUD Ciamis Mobile (June 2023–May 2024) and JKN Mobile (June 2024–present). Challenges such as limited registration quotas, disorganized queues, and the dominance of elderly patients preferring onsite registration serve as the main focus of this research. A quantitative approach was employed with a cross-sectional survey design. The sample consisted of 96 BPJS outpatients who had used online registration, selected through quota sampling. Data were analyzed using multiple linear regression and the Sobel test. The results reveal that online registration service quality significantly affects perceived ease of use and patient satisfaction. Moreover, perceived ease of use has a significant direct effect on satisfaction and serves as a significant mediator between service quality and patient satisfaction. These findings emphasize that perceived ease of use is a crucial determinant in optimizing patient experiences with digital health services. The study recommends strengthening patient education, developing elderly-friendly features, and conducting regular evaluations of digital system effectiveness to ensure sustainable improvements in service quality.
The Role of Nurses in Patient Safety Culture Implementation in the Neonatal and Pediatric Care Intensive Unit Anugrahsari, Santi; Yulianti, Elys; Teterissa, Shirley Eleonora Gusmariny; Kusumaningrum, Dietha; Desra, Safira Cantika; Sumidjatun, Sumidjatun
Indonesian Journal of Nursing and Health Sciences Vol 6 No 2 (2025): Indonesian Journal of Nursing and Health Sciences: October 2025
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijnhs.v6i2.7296

Abstract

Patient safety culture plays a vital role in improving the quality of health services, especially in the Neonatal and Pediatric Intensive Care Unit that serves critically ill patients. Evaluation of patient safety culture in NICU and PICU nurses at RSUD X is essential to understand the extent of compliance and challenges in its implementation. This study analyzed patient safety culture in the NICU and PICU of RSUD X from the perspective of nurses using the Hospital Survey on Patient Safety Culture (HSOPSC) version 2.0, developed by the Agency for Healthcare Research and Quality (AHRQ). This study used a descriptive cross-sectional design involving 52 nurses. Data were collected by filling out the HSOPSC AHRQ 2.0 questionnaire, which consisted of 12 composites that described different aspects of patient safety culture. The HSOPSC 2.0 (AHRQ) instrument was used because its validity and reliability have been tested in measuring patient safety culture globally. The data were analyzed descriptively to identify the dimensions with the highest and lowest values. The survey results suggested that the patient safety culture in nurses working in the NICU and PICU had several strong aspects, including teamwork (77.54%), communication about errors (72.43%), and managerial support (71.15%). However, other elements must be considered more intensively, which are responses to errors (56.24%) and staffing (42.9%). Although the patient safety culture in the NICU and PICU of RSUD X has proven good in some aspects, improvement in incident reporting and workload management is required.