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HUBUNGAN ASUPAN KARBOHIDRAT, SERAT, DAN AKTIVITAS FISIK DENGAN KADAR GLUKOSA DARAH PADA PENDERITA DIABETES MELLITUS TIPE II DI POLI PENYAKIT DALAM RSUD BAHTERAMAS PROVINSI SULAWESI TENGGARA Evi Kusumawati; Ni Komang A. Seniari
Preventif Journal Vol 8, No 1 (2023): PREVENTIF JOURNAL
Publisher : Universitas Halu Oleo

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Abstrak Resistensi insulin yang menyebabkan peningkatan kadar gula darah adalah penyebab penyakit metabolik kronis yang dikenal sebagai DM tipe II/ diabetes mellitus tidak tergantung insulin (NIDDM). Pada tahun 2020 provinsi Sulawesi tenggara, jumlah kasus penderita DM mengalami peningkatan dengan prevalensi 23%, di RSUD Bahteramas prevalensi kasus DM mengalami peningkatan sebanyak 63,2% pada tahun 2022. Pola makan tidak seimbang, kurang aktivitas fisik, gaya hidup tidak sehat dan obesitas adalah penyebab DM lainnya. Tujuan penelitian ini adalah untuk menentukan hubungan antara kadar glukosa darah pada pasien penderita DM tipe II dengan asupan karbohidrat, serat, dan aktivitas fisik. Sampelnya terdiri atas 72 pasien DM tipe II. Penelitian ini menggunakan analisis observasional dengan desain cross-sectional, teknik pengambilan sampel yaitu total sampling, dan korelasi produk pearson moment sebagai uji tes statistik. Penelitian ini menunjukan sebanyak 51,4% responden asupan karbohidratnya berada pada kategori lebih, 55,6% responden asupan seratnya berada pada kategori kurang, 47,2% responden aktivitas fisiknya termasuk dalam kategori sedang, dan 54,2% responden dengan kadar glukosa darah dalam kategori tinggi. Penderita DM tipe II memiliki kadar glukosa darah sewaktu yang berkorelasi secara signifikan dengan asupan karbohidrat (P=0,002) dan aktivitas fisik (P =0,003). Pada penderita DM tipe II, tidak ada korelasi signifikan (P = 0,373) antara asupan serat dan kadar glukosa darah sewaktu. Penderita diabetes melitus yang menjalani pemeriksaan di RSUD Bahteramas yang memiliki asupan karbohidrat berlebihan, konsumsi serat yang rendah dan aktivitas fisik yang ringan seharusnya tetap waspada untuk komplikasi tambahan dan memperparah kondisi serta disarankan untuk konsumsi buah jangan yang terlalu matang. Kata kunci : Aktivitas Fisik, Asupan Karbohidrat, Asupan Serat, Diabetes Melitus Abstract Insulin resistance, which causes elevated blood sugar levels, is a cause of chronic metabolic disease known as type II DM (insulin-dependent diabetes mellitus). In 2020, in southeastern Sulawesi province, the number of cases with DM has increased with a prevalence of 23%; in RSUD Bahteramas the prevalence of DM cases is increasing by 63.2% by 2022. Unbalanced diet, lack of physical activity, unhealthy lifestyle, and obesity are other causes of DM. The purpose of this study is to determine the relationship between blood glucose levels in patients with type II DM and carbohydrate intake, fiber intake, and physical activity. The sample consisted of 72 patients with type II DM. This research is an observational analysis with a cross-sectional design, a total sampling technique, and a correlation of the Pearson moment product as a statistical test. The study showed that 51.4% of respondents had higher carbohydrate intake, 55.6% had lower fiber intake, 47.2% had moderate physical activity, and 54.2% had high blood glucose levels. Type II DM patients have blood glucose levels that correlate significantly with carbohydrate intake (P = 0,002) and physical activity (P =0,003). In patients with type II DM, there was no significant correlation (P = 0.373) between fiber intake and blood glucose levels at the time. Diabetes mellitus patients undergoing examination at Bahteramas Medical Center who have excessive carbohydrate intake, low fiber intake, and mild physical activity should remain vigilant for additional complications and worsening of the condition and are advised to consume non-excessively ripe fruit. Keywords: Physical activity, Carbohydrate intake, Fiber intakes, Diabetes mellitus

UTILIZATION OF HEALTH SERVICES AT COMMUNITY HEALTH CENTERS: A REVIEW Usman, Usman; Tosepu, Ramadhan
Preventif Journal Vol 8, No 2 (2024):
Publisher : Universitas Halu Oleo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37887/epj.v8i2.47972

ABSTRACT The Indonesian government's response to the new normal, particularly in the health services sector during the Covid-19 era, has prompted a transformative shift, emphasizing the need for health professionals to adeptly integrate technology, information, and communication. This shift is fueled by evolving consumer expectations, marked by a heightened demand for accessible health services addressing immediate concerns and preventing illness. The implications of this transition extend to the accessibility of health facilities, funding sources, and overall service costs. This research aimed to explores the behavioral patterns influencing individuals' utilization of community health centers in the new normal. Using a modified systematic literature review, the study synthesizes existing knowledge on factors shaping health service utilization, focusing on motivations for seeking healthcare due to pain or discomfort. Employing a modified systematic literature review methodology, the research analyzed relevant papers on individuals utilizing community health centers, emphasizing the new normal's impact on access, funding sources, and cost implications of health services. Findings highlight a prominent motivation—alleviating pain or discomfort—consistently emerging across the literature. In the evolving new normal landscape, individuals accessing community health centers rely substantially on services to alleviate pain, emphasizing the need for tailored health service delivery aligned with proactive health-seeking behavior. Recommendations include health service providers adapting practices to evolving consumer expectations through potential technology integration, improved access, and transparent communication on costs. Ongoing research and monitoring of consumer behavior remain essential for sustained effectiveness and responsiveness in the dynamic new normal landscape. Keywords: Health services, Community Health Center

BILATERAL BCPS PADA SINDROM HETEROTAXY : LAPORAN KASUS Muchlis, Nooryasni; Patimang, Yulius; Arymn, Andi Alief Utama; Amir, Muzakkir
Preventif Journal Vol 8, No 2 (2024):
Publisher : Universitas Halu Oleo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37887/epj.v8i2.48070

ABSTRAK Bilateral Bidirectional Cavopulmonary Shunt (BCPS) hanya dilakukan pada bilateral Superior Vena Cava (SVC) tanpa vena inominata. Sementara itu pasien dengan bilateral SVC seringkali memiliki kondisi penyerta dan kelainan anatomi seperti heterotaxy dan dextrocardia. Kelompok pasien ini dikategorikan sebagai kandidat dilakukan prosedur Fontan dengan risiko tinggi yang dapat mempengaruhi luaran pasien. Pada laporan kasus ini, seorang anak laki-laki usia 13 tahun dengan bilateral SVC dan riwayat telah dilakukan bilateral BCPS sebelumnya. Kondisi anatomi yang kompleks sangat sulit bila hanya dievaluasi dengan ekokardiografi, maka dilakukan pemeriksaan MSCT Kardiak dan Kateterisasi Jantung Kanan. Hasilnya ditemukan dextrokardia dengan situs inversus, bilateral BCPS, Atresia Pulmonal (AP), Atrial Septal Defect (ASD) dan Ventricular Septal Defect (VSD) dengan functional single ventricle. Kedua anastomosis BCPS paten, tidak ditemukan adanya fistula pulmonal maupun Patent Ductus Arteriosus (PDA) dan Major Aortopulmonary Collateral Arteries (MAPCAs). Prosedur Fontan perlu dipertimbangkan sebagai teknik pembedahan pada kasus ini. Teknik prosedur Fontan saat ini telah mengalami modifikasi dengan tujuan memperbaiki hemodinamik pasien dan mencegah komplikasi akibat dilatasi di tingkat atrium secara progresif dengan cara memperbaiki aliran darah dari sistemik vena ke paru-paru. Teknik modifikasi yang dimaksud adalah mengganti jalur sistem vena ke intra-atrial dengan menghubungkan antara Vena Cava Inferior dengan arteri pulmonal sinistra menggunakan extra cardiac conduit (EC) sebagai jalur anastomosis. Kata kunci: BCPS, bidirectional Cavopulmonary Shunt, Dextrokardi, Heteroraxy, Prosedur Fontan ABSTRACT Bilateral Bidirectional Cavopulmonary Shunt (BCPS) is performed only on bilateral Superior Vena Cava (SVC) without inominate veins. Meanwhile, patients with bilateral SVC often have accompanying conditions and anatomical abnormalities such as heterotaxy and dextrocardy. This group of patients is categorized as a candidate for a high- risk Fontan procedure that can affect the patient's outcome. In this case report, a 13-year-old boy with bilateral SVC and a history of having previously conducted bilateral BCPS. Complex anatomical conditions are very difficult if only evaluated with echocardiography, then carried out MSCT cardiac examination and right heart catheterization. The results were dextrocardy with situs inversus, bilateral BCPS, Atresia Pulmonal (AP), Atrial Septal Defect (ASD) and Ventricular Septal defect (VSD) with functional single ventricle. Both anastomosis BCPS are patent, no pulmonary fistula found nor Patent Ductus Arteriosus (PDA) nor Major Aortopulmonary Collateral Arteries (MAPCAs). The Fontan procedure should be considered as a surgical technique in this case. The Fontan technique has been modified with the aim of improving the patient's hemodynamics and preventing complications from being progressively restricted at the atrium level by improving blood flow from the systemic veins to the lungs. The modified technique is to replace the path of the venous system into the intra-atrial by connecting the vena cava inferior to the pulmonary artery sinistra by using extra - cardiac conduit (EC) as an anastomosis path. Keywords: BCPS, bidirectional Cavopulmonary Shunt, Dextrokardi, Heteroraxy, Prosedur Fontan

COUNTERING POLICIES AND INTERVENTIONS STUNTING IN INDONESIA Insan, Nur
Preventif Journal Vol 8, No 2 (2024):
Publisher : Universitas Halu Oleo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37887/epj.v8i2.47942

ABSTRACT Indonesia's stunting prevalence rate in 2021 is 24.4%, classified as high compared to the world stunting prevalence rate in the same year. The government has made various efforts to overcome the stunting problem that occurs through policies and interventions. This article aims to provide an explanation of stunting prevention policies and interventions in Indonesia. The method used in this research is the literature study method through collecting library data, reading and taking notes, and managing research materials. The research results show that there are various stunting prevention programs which are a synergy between ministries and institutions. There are two intervention models in overcoming stunting, namely specific nutrition interventions and sensitive nutrition interventions. Specific nutritional interventions focus on fulfilling the nutrition of priority target groups, namely pregnant women, breastfeeding mothers, children aged 0-23 months, teenagers and women of childbearing age and children aged 24-59 months. Sensitive nutrition interventions focus on improving the provision of drinking water and sanitation, increasing access and quality of nutrition and health services, increasing awareness, commitment and practices for maternal and child care and nutrition as well as increasing access to nutritious food. The accumulation of stunting prevention policy and intervention programs has succeeded in reducing Indonesia's stunting prevalence rate to 21.6% in 2022. This can be a reference for reducing Indonesia's stunting prevalence rate to 14% in 2024 in accordance with the RPJMN target. Keywords: intervention, policy, stunting

DESCRIPTION OF THE LEVEL OF SATISFACTION OF INpatient PATIENTS WITH PHARMACEUTICAL SERVICES IN KENDARI HOSPITALS, KENDARI CITY Muharni, Muharni; Tosepu, Ramadhan
Preventif Journal Vol 8, No 2 (2024):
Publisher : Universitas Halu Oleo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37887/epj.v8i2.47908

ABSTRACT Pharmaceutical services at the Kendari City Regional General Hospital are one of the services that has an increasing number of patient visits every day. To keep patients choosing service products at the pharmacy, hospitals must be able to meet patient needs so that satisfaction arises. The research aims to analyze the level of patient satisfaction with pharmaceutical services at Kendari city regional general hospitals based on the expectations and reality of the services received by patients. The research design used in this study was deskription. The population in this study was 108 inpatients with a sample size of 75 respondents. Sampling was carried out using simple random sampling. The research method is a survey with a questionnaire instrumentData analysis using the difference test (gap). This research shows the results that the gap between expectations and reality in physical evidence is (-0.25), empathy (0-0.07), reliability (-0.11), assurance (-0.20) and responsiveness (- 0.47). It was concluded that the quality of pharmaceutical services (the dimensions of physical evidence, reliability, assurance and responsiveness) influenced the satisfaction of inpatients at the Kendari City Regional Hospital. Sequentially, the highest level of patient satisfaction is in the dimensions of responsiveness, physical evidence, assurance, reliability and empathy. This means that all dimensions of service quality must be made a top priority in efforts to improve the quality of service to patients Keywords: Quality of Service, Pharmacy, Patient Satisfaction

PATIENT LOYALTY :THE INFLUENCE OF WORD MOUTH AND SERVICE QUALITY Asia, Sri; Tosepu, Ramadhan
Preventif Journal Vol 8, No 2 (2024):
Publisher : Universitas Halu Oleo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37887/epj.v8i2.48036

ABSTRACT Patient loyalty is a very valuable asset for any hospital because it can generate positive recommendations to others and build a good reputation in the community. This research aims to analyze the influence of Word of Mouth (WOM), service quality, and patient loyalty at Bhayangkara Hospital Kendari. The respondents in this study were 117 patients. The data analysis method used was Partial Least Square (PLS). This study emphasizes that positive word-of-mouth recommendations (WOM) and perceptions of service quality play a crucial role in influencing the level of patient loyalty towards a healthcare facility. The research findings indicate that WOM leading to positive recommendations, along with positive experiences with service quality, have a significant impact on patient loyalty. The implications of this study emphasize the importance of paying attention to and enhancing WOM, as well as ensuring patient satisfaction and trust in the quality of services provided, as crucial strategies for maintaining and increasing patient loyalty in the healthcare sector. Keywords: Word Of Mouth, Service Quality, Patient Loyalty.

IKLIM DAN KEJADIAN DEMAM BERDARAH DENGUE DI SULAWESI TENGGARA Irma Irma; Listy Handayani; Swaidatul Masluhiya AF
Preventif Journal Vol 8, No 1 (2023): PREVENTIF JOURNAL
Publisher : Universitas Halu Oleo

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Abstrak Salah satu masalah Kesehatan yang cukup serius terjadi di negara tropis seperti Indonesia adalah penyaki Demam Berdarah Dengue (DBD). Tingkat incidene rate (IR) dan case fatality rate (CFR) DBD di Indoneisa masih tinggi. Tahun 2018 sebesar 25,11 per 100.000 penduduk dengan CFR sebesar 0,71%. Di Provinsi Sulawesi Tenggara angka IR dan CFR DBD juga masih tinggi. Tahun 2017 angka IR sebesar 32,4 per 100.00 penduduk dan CFR sebesar 1,01, tahun 2018 IR sebesar 38,4 per 100.000 penduduk dengan CFR sebesar 0,6% dan pada tahun 2021 IR sebesar 56,6 per 100.000 penduduk dengan CFR sebesar 0,59%. Penelitian ini merupakan penelitian ekologis dengan pengumpulan data secara retrospektif. Data yang dikumpulkan berupa data sekunder yang memuat data DBD dan iklim. Data dianalisis secara uvariat dan bivariat dengan uji korelasi Pearson pada α 0,05 untuk melihat hubungan antara kelembaban udara dan suhu lingkungan dengan kejadian DBD. Hasil uji korelasi Pearson kelembaban dan kejadian DBD diperoleh nilai р=0,001 dan r = 0,463 dan suhu lingkungan dengan kejadian DBD dengan nilai р=0,001 dan nilai r = 0,44. Kesimpulan: ada hubungan signifikan antara kelembaban udara dengan kejadian DBD dengan kekuatan hubungan yang sedang dan tidak ada hubungan yang signifikan antara suhu lingkungan dengan kejadian DBD dan kekuatan hubungan yang lemah. Dengan demikian, sebaiknya Dinas Kesehatan Provinsi Sulawesi Tenggara perlu memberikan informasi mengenai kondisi iklim di Sulawesi Tenggara yang mendukung terjadinya penyakit DBD sehingga diharapkan masyarakat dapat melakukan upaya preventif lebih dini terhadap penyakit DBD. Kata kuci : DBD, kelembaban, suhu Abstract One of the serious health problems that occurrence in thropical country like Indonesia is Dengue Hemorrhagic Fever (DHF) disease. The incidence rate (IR) and case fatality rate (CFR) of DHF in Indonesia also still high. In 2018 the IR of DHF was 25.11 per 100,000 population with CFR of 0.71%. The IR and CFR of DHF in Southeast Sulawesi Province, were still high. In 2017 the IR was 32.4 per 100.00 population and CFR was 1.01, in 2018 IR was 38.4 per 100,000 population and CFR was 0.6% and in 2021 IR was 56.6 per 100,000 population and CFR by 0, 59%. The type of study was ecological study that collected secondary data on DHF and climate retrospectively. The data analysis done by uvariate and bivariate with Pearson corelation test on α 0.05 to identify relationship between air humidity and enviroment temperature with incidence DHF. The results of the Pearson corelation test of humidity with incidence of DHF obtained р = 0.001 and r = 0.463 and the enviroment temperature with incidence of DHF with value of р = 0.001 and value of r = 0.44. Conclusion: there was a significant relationship between air humidity with incidence of DHF with a moderate relationship and there was no significant relationship between enviroment temperature with incidence of DHF and weak relationship. Therefore, Southeast Sulawesi Provincial Health Office may share the information related with climate condition that influence the DHF incidence so the prevention measures can be done early by community. Keywords: DHF, humidity, temperature

A LITERATURE REVIEW: THE RELATIONSHIP BETWEEN COMPLIANCE AND THERAPY OUTCOMES FOR HYPERTENSIVE PATIENTS AT THE PUBLIC HEALTH CENTER Paradillah, Sarah; Tosepu, Ramadhan
Preventif Journal Vol 8, No 2 (2024):
Publisher : Universitas Halu Oleo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37887/epj.v8i2.47977

ABSTRACT Hypertension, also recognized as elevated blood pressure, denotes an elevation in systolic blood pressure beyond the standard threshold. Hypertension is characterized as elevated blood pressure, indicated by a systolic pressure exceeding 140 mmHg and a diastolic pressure surpassing 90 mmHg. The level of patient compliance in taking medication influences the therapy outcomes for hypertensive patients. The patient's compliance in using medication influences the success of treatment therapy. Non-adherence to medication among hypertensive patients can lead to significant adverse outcomes, including the development of complications. Poor compliance with medication can result in blood pressure not showing significant improvement, resulting in poor quality of life. This study aimed to review articles regarding the relationship between compliance and therapy outcomes for hypertensive patients. This research employed a systematic literature review methodology. The searches for this review article were Google Scholar, Research Gate, Pubmed, and Portal Garuda using the selected keywords, namely Hypertension, Therapy Outcomes, and Compliance. The results obtained from 5 literature studies showed that the relationship between compliance to taking medication and therapy outcomes based on gender, age, education level, occupation, and quality of life influenced compliance to antihypertensive therapy. In summary, a substantial correlation exists between adherence to antihypertensive medication and therapeutic outcomes among hypertensive patients, with the average result yielding a p-value of 0.000 (p < 0.05). Based on the results of the review of articles that have been obtained, suggestions that can be given are to examine the relationship between compliance and therapy outcomes of hypertension patient with comorbidities. Keywords: Hypertension, Therapy Outcome, Compliance

ANALISIS KESIAPSIAGAAN MANAJEMEN KEGAWADARURATAN DAN BENCANA DI RUMAH SAKIT UMUM DAERAH KOTA KENDARI Almuida Almuida; Ramadhan Tosepu; Syawal Kamiluddin Saptaputra
Preventif Journal Vol 8, No 1 (2023): PREVENTIF JOURNAL
Publisher : Universitas Halu Oleo

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Abstrak Rumah sakit merupakan bagian Sistem Penanggulangan Gawat Darurat Terpadu (SGPTD). Bangunan rumah sakit harus kokoh sehingga mampu menahan segala bentuk bahaya pada saat terjadinya bencana dan dapat meminimalisir dampak bencana yang ditimbulkan. Tujuan penelitian ini adalah untuk menganalisis kesiapsiagaan struktural dalam menghadapi bencana di RSUD Kota Kendari berdasarkan Hospital Safety Indeks. Penelitian ini menggunakan metode kombinasi (Mix Method) dengan desain Sequental Explanatory Design. Polulasi dalam penelitian ini adalah pegawai RSUD Kota Kendari. Sampel kuantitatif berdasarkan pembagian yang terdapat pada kusioner Hospital Safety Indeks, yang sesuai dengan pertanyaan yang dituju yaitu bagian sarana dan prasarana rumah sakit, sedangkan pada tahap penelitian kualitatif, informan penelitian ditentukan dengan teknik purposive sampling yang terdiri dari 5 orang yaitu ketua K3RS, Wadir Umum dan Keuangan, Ka.Biid. Pelayanan Medik, Ka.Sub. SDM, Sarana dan Prasarana, Ka.Sub. Logistik dan Keuangan. Data kuantitatif dalam penelitian ini diperoleh melalui kuesioner Hospital Safety Indeks edisi kedua WHO 2015, sedangkan data kuantitatif diperoleh melalui wawancara mendalam (indepth interview). Hasil penelitian menunjukan skor kesiapsiagaan manajemen kegawatdaruratan dan bencana RSUD Kota Kendari berdasarkan Hospital Safety Indeks sebesar 0,45 artinya berada pada level kesiapsiagaan sedang dengan Klasifikasi B. Kesimpulan, kesiapsiagaan rumah sakit memadai, namun masih berpontesi tidak berfungsi pada saat terjadi bencana. Saran, Rumah sakit perlu meningkatkan kemampuan perencanaan respon dan pemulihan rumah sakit dari bencana logistik dan keuangan; dan perawatan pasien dan pelayanan pendukung sumber daya manusia. Kata Kunci : Hospital Safety Indeks, Kesiapsiagaan Manajemen, Kedaruratan Bencana, Rumah sakit Abstract Hospitals are parts of the Integrated Emergency Mitigation system. Hospital buildings must be sturdy to manage and minimize various dangers due to disasters. This research analyzed the structural readiness to mitigate disasters at Kendari’s regional hospital based on Hospital Safety Index. This mix-method research applied a sequential explanatory design. The research population consisted of the employees at Kendari’s regional hospital. The quantitative sample was based on the Hospital Index Safety questionnaire division, related to the addressed questions. The samples consisted of facilities and infrastructures of the hospitals. On the other hand, in the qualitative stage, the researchers determined the informants by promoting a purposive sampling technique on five individuals. The researchers took the qualitative data from the second edition of the Hospital Safety Index questionnaire published by WHO (2015) while the quantitative data was based on the in-depth interview. The results showed the emergency and disaster preparedness management of the hospital, based on the Hospital Safety Index, obtained a value of 0.45. The value indicated moderate readiness with B-classification. The researchers concluded that the hospital readiness was adequate but the hospital might encounter dysfunctional matters once a disaster occurred. The researchers suggested the hospital improve the planning responsiveness and recovery capability to mitigate disaster, logistic and financial matters, and patient service and treatment with excellent human resources. Keywords : Hospital Safety Index, Disaster Emergency, Preparedness Management, Hospital

RELATIONSHIP BETWEEN HEALTH SERVICES AND PATIENT SATISFACTION FROM THE SOCIAL SECURITY AGENCY (BPJS): A LITERATURE REVIEW Endarwati, Wa Ode Khofifah; Tosepu, Ramadhan
Preventif Journal Vol 8, No 2 (2024):
Publisher : Universitas Halu Oleo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37887/epj.v8i2.47968

ABSTRACT Hospital is an establishment engaged in the provision of healthcare services. The government must ensure that individuals have access to health services, which is considered a fundamental right. Hospital is one type of facility that is established and operated by the government. Despite this, a significant number of Indonesians continue to lack access to health services Priority must be given to ensuring patient satisfaction when implementing services. An element contributing to patient discontentment is the inadequate level of attention provided by hospitals, particularly to inpatients utilizing Badan Penyelenggara Jaminan Sosial (BPJS) services. The research approach employed was a narrative review of articles retrieved from databases such as PubMed and Google Scholar, utilizing the search terms "health services, BPJS patients." A total of nine research articles were chosen in alignment with the objectives of the literature review. This article comprised cross-sectional and descriptive research. An element that might impact patient contentment was the standard of nursing services. A range of complaints arose as a result of patient dissatisfaction resulting from substandard service. An increase in complaints served as an indicator of substandard service, potentially leading to a decline in patient satisfaction. As a result, it is imperative to propose enhancements to healthcare provisions in order to increase patient satisfaction Keywords: BPJS, health services, patients.

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Kota kendari,

Sulawesi tenggara

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