The suboptimal level of patient satisfaction at Tebet Health Center underscores the necessity of enhancing Internal Service Quality (ISQ). This study aims to evaluate the contribution of E-Health (E-Puskesmas) and Primary Service Integration (ILP) toward ISQ and its subsequent impact on employee job satisfaction, while examining the moderating role of Human Resources (HR) competence. Employing a quantitative cross-sectional design, data were gathered from 100 employees through structured questionnaires, observations, and interviews. Data analysis utilized multiple linear regression and Moderated Regression Analysis (MRA). The findings reveal that partially, E-Puskesmas ($p$-value = 0.000; $t_{test}$ = 4.409) and ILP ($p$-value = 0.000; $t_{test}$ = 5.747) exert a significant positive influence on ISQ. Simultaneously, both variables significantly enhance ISQ ($F_{test}$ = 31.108). Furthermore, this research identifies that HR competence acts as a significant moderator ($p$-value = 0.000; $t_{test}$ = 5.221), strengthening the relationship between digital transformation, service integration, and internal quality. An improved ISQ is shown to directly increase employee job satisfaction ($p$-value = 0.000; $t_{test}$ = 4.780). In conclusion, the synergy between technological adoption, systemic integration, and personnel competence is vital for optimizing internal performance and employee well-being at Tebet Health Center.
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