The aim of this research is to determine the relationship between health service quality and outpatient satisfaction. The research method used is quantitative research with a cross sectional design. Respondents were patients aged 18-50 years who came to Puskesmas X Grobogan Regency in March-April 2023, totaling 500 patients. The sampling technique used non-probability sampling with accidental sampling technique, namely 83 respondents. The results of the validity test using the product moment person test were declared valid with a calculated value > 0.361 and the results of the reliability test with Cronbach's alpha coefficient (C) were declared reliable with a calculated value > 0.600. The normality test using the Kolomogorov-Smirnov test shows that the data is not normally distributed with a significance <0.05, namely 0.000. The results of the study used the chi-square test with a confidence level of 95%, namely that there was a significant relationship between the variables reliability (p value = 0.000), empathy (p value = 0.002), tangibility (p value = 0.002) on outpatient satisfaction. And there is no significant relationship between the variables of fast response (p value = 0.280), guarantee (p value = 0.511) on outpatient satisfaction.
                        
                        
                        
                        
                            
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