This study aims to analyze the causes that can affect the length of waiting time for outpatients with JKN participants at the Neurology clinic of RSU Annisa. This research is a type of mix method research with observations and interviews using a systems approach. The calculation of the length of waiting time starts from the patient registering at the registration until getting a poly examination by analyzing the causes through a system approach including human resources (adequacy of the number of human resources and performance), infrastructure (availability and quality) and standard operating procedures (availability and implementation). The result of this study is that the average waiting time for outpatients with JKN participants in the Neurology clinic of Annisa Hospital is the longest in the average doctor's examination time, which is 87 minutes. What can cause the waiting time to lengthen based on HR, infrastructure and SPO is the mismatch of practice schedules with the arrival of doctors, down systems or decreased performance of SIMRS and bridging with BPJS Health for a long time, as well as changes in service flow due to policy changes or acceleration of services. Therefore, it is expected to carry out scheduled periodic monitoring and evaluation of the doctor's practice schedule and service flow, for infrastructure facilities to continue to be maintained according to a predetermined schedule.
                        
                        
                        
                        
                            
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