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Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Published by Universitas Muhammadiyah Palu
ISSN : -     EISSN : 25976052     DOI : https://doi.org/10.56338/mppki
Core Subject : Health,
Public Health
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) periodic scientific journal that is published by Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu. with ISSN Number: 2597-6052 (Online - Electronic). This journal accepts scientific papers in the form of research articles and review articles in the field of health promotion and behavior science. The focus and scopes of the journal include: Health Literacy Community health empowerement and culture Health promoting hospital Health promotion in institution including tourism and industry Health media and communication technology Health promotion for infectious and non infectious diseases Lifestyle diseases including reproductive health,sexuality and HIV/AIDS Health promoting Occupational health and safety Health behaviour and education Intervention strategies in health promotion
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 1,250 Documents
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Spiritual Emotional Freedom Technique and Lavender Aromatherapy in Hypertensive Elderly: A Quasy-Experimental Study Ni Luh Putu Dian Yunita Sari; Prastikanala, I Kadek
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 11 (2025): November 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i11.8415

Abstract

Introduction: Hypertensive elderly are one of the vulnerable groups because they have the potential to experience catastrophic disease complications and even death. Efforts to control blood pressure and pain perception in elderly hypertension require a drug companion approach. The purpose of this study was to determine the combination of Spiritual Emotion Freedom Technique (SEFT) and lavender aromatherapy on blood pressure and pain scale of hypertensive elderly. Methods: A quasi-experimental design with control group pre post-test was used in this study. The population in this study were all elderly people with hypertension who visited the Geriatric Poly of Mangusada General Hospital, which were then selected using purposive sampling technique. The sample size obtained after calculation using a two-group unpaired approach was 70 people. A calibrated sphygmomanometer was used to measure blood pressure, while the Numeric Rating Scale (NRS) was used to measure the pain scale. The analysis test used in paired data is Wilcoxon sign rank and in unpaired data is Mann-Whitney because it is not normally distributed. This study was approved by the Ethics Committee for Health Research at Mangusada General Hospital, Badung Regency, Bali (Approval Number: 070/6857/RSDM/2024). All respondents provided informed consent before participating in the study. Results: There is a significant difference between the intervention group and the control group on systolic (mean difference = 9,914), diastolic (mean difference = 3,714), and the pain scale (mean difference = 1,057) of hypertensive elderly before and after the intervention. So, there is an effect of the combination of Spiritual Emotion Freedom Technique (SEFT) and lavender aromatherapy on blood pressure and pain scale of hypertensive elderly. Conclusion:These results can be used as a reference in providing interventions for hypertensive elderly to control blood pressure and reduce pain scale.
Between Stigma and Survival: The Role of Digital Backstage and Selective Disclosure in MSM Health Navigation in Palu, Indonesia Fitri Sulistiyani; Nurdin Rahman; I Made Tangkas; Ahmad Sinala
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 11 (2025): November 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i11.8303

Abstract

Introduction: In this study, we aimed to explore how Men Who Have Sex with Men (MSM) in post-disaster Palu, Indonesia, manage their sexual identities under religious conservatism, patriarchal norms, and heightened moral surveillance following the 2018 earthquake. Within this religiously conservative and disaster-affected context, our objective was to understand how MSM employ impression-management strategies to navigate visibility, stigma, and safety, and to analyze their implications for mental health, healthcare-seeking behavior, and overall well-being. This study addresses gaps in the literature by situating MSM experiences within Indonesia’s sociocultural and religious frameworks, thereby contributing to regional and cross-cultural analyses of LGBTQ+ identity negotiation in Southeast Asia. Methods: This qualitative phenomenological study employed in-depth interviews, photo-elicitation, and digital ethnographic observation over six months in Palu. A total of twenty-five MSM participants aged 18–40 were purposively recruited to ensure diversity of experience and social background. Sampling continued until thematic saturation was reached, meaning no new themes emerged during ongoing analysis. Data collection included semi-structured interviews and analysis of interactions on online platforms (e.g., Telegram, BlueD, and Instagram). Visual materials contributed to the coding framework by illustrating non-verbal expressions of impression management, later integrated into thematic synthesis. Ethical approval was obtained from the Institutional Review Board (IRB) of the Faculty of Public Health, Universitas Muhammadiyah Palu, following the British Psychological Society (BPS) and American Anthropological Association (AAA) ethical codes. Participants provided verbal and written informed consent, and all identifying details were anonymized. Results: The primary outcome of the study was an understanding of how MSM in Palu adaptively navigate identity, stigma, and safety through impression management. Key findings revealed that MSM maintain dual personas—performing heteronormativity in public (front-stage) while expressing their authentic identities within digital backstage spaces. Selective disclosure of sexual orientation was governed by contextual trust, relational safety, and fear of institutional stigma. Digital platforms functioned as crucial psychosocial and health-navigation spaces, enabling solidarity and access to information. However, overreliance on digital interactions sometimes intensified isolation and reproduced inequalities linked to digital literacy and class. While these adaptive strategies ensure survival under moral surveillance, they inadvertently reinforce structural stigma by normalizing concealment and restricting public visibility. Conclusion: In conclusion, this study contributes to understanding how Men Who Have Sex with Men (MSM) in Palu construct survival and well-being through impression management under conditions of religious-patriarchal stigma and disaster-induced moral tightening. It illustrates that dual personas, selective disclosure, and digital backstage practices function both as protection and as mechanisms that perpetuate invisibility. These findings inform the design of culturally sensitive, confidentiality-centered health interventions, emphasizing peer navigation, digital outreach, and faith-inclusive stigma reduction. Future studies should investigate the long-term mental health impacts of sustained concealment and digital dependency, advancing inclusive policies and provider training across Indonesia’s public health systems and the broader Southeast Asian region.
Integrating the Mararang Postpartum Tradition into Biomedical Care: An Interdisciplinary Study of Health Beliefs, Communication, and Maternal–Infant Outcomes Siregar, Putra Apriadi; Ritonga, Aulia Rahma; Suraya, Rani; Rezebri, Muhammad; Siregar, Prima Yanti; Iqbal, Mhd.; Pratiwi, Sabila; Apriliani, Apriliani; Adinda, Desty
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8407

Abstract

ntroduction: Traditional postpartum care practices remain an integral aspect of maternal and child health in indigenous communities. Mararang tradition is a postpartum care tradition that continues to be widely practiced among Batak postpartum mothers, as it is believed to accelerate maternal and infant recovery through heat therapy. . This study aims to examine the historical evolution of the mararang tradition, its cultural significance, and its implications for maternal and infant health. Methods: A qualitative phenomenological approach was employed to explore the experiences of postpartum mothers practicing the mararang tradition. Data were collected through in-depth interviews with postpartum mothers, their husbands, traditional leaders, and healthcare providers in North Sumatra Province. Source triangulation, methodological triangulation, and data analysis were applied in this research. Thematic and content analyses were conducted to explore key dimensions of health beliefs, communication, and the transformation of the mararang tradition over time. Results: Participants ascribed thermal balance, comfort, and social support to mararang, while acknowledging potential risks from heat and smoke. Communication between families and midwives produced adaptive forms (e.g., moderated heat, improved ventilation, time?limited sessions), balancing cultural continuity with safety. We synthesise a conceptual model showing how explanatory beliefs, family authority, and professional guidance co?produce negotiated care. Conclusion: Mararang persists through culturally safe adaptations facilitated by respectful dialogue; practical safeguards (distance from heat source, ventilation, exclusion post?caesarean) can be embedded within routine postpartum care. Programmes should integrate culturally anchored counselling and risk?mitigation protocols, enabling context?sensitive maternal and newborn care.
Digital Media Interventions for Anemia Prevention Among Adolescent Girls: A Scoping Review Fitri, Annisa Aulia; Rahfiludin, Mohammad Zen; Agushybana, Farid
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8449

Abstract

Introduction: Anemia among adolescent girls remains a global health concern, with prevalence reaching 30.7% among women aged 15–49 years in 2023. Education is essential in shaping behaviors toward anemia prevention. The rapid expansion of digital platforms provides new opportunities to deliver engaging and accessible health education. This review aimed to map available evidence on digital media interventions designed to improve anemia-related behaviors among adolescent girls. Methods: This review followed PRISMA guidelines. Eligible studies were interventional in design (quasi-experimental or pre–post), evaluated digital media interventions (e.g., videos, animations, social media, mobile applications, websites, or e-leaflets), targeted adolescent girls aged 12–22 years, and reported at least one behavioral outcome related to anemia. Studies published between 2014 and 2024 in English or Indonesian full text were included. Exclusion criteria comprised studies published before 2014, non-original research, studies not specific to anemia or adolescent girls, interventions not involving digital media, inaccessible paid articles, and ineligible designs. Searches were conducted in Scopus, ScienceDirect, and PubMed, and completed on 24 December 2024. Screening and extraction were managed using Mendeley and followed the PRISMA stages. Data were extracted on study characteristics, intervention details, comparator groups (where available), outcomes, and findings. Results: Nine studies fulfilled the criteria. Most reported significant improvements in knowledge, while some also showed gains in attitudes and practices. The most frequently used interventions included animated videos, mobile applications, and social media platforms, with interactive and visually engaging formats yielding stronger effects. Conclusion: Digital media interventions have demonstrated effectiveness in improving anemia-related behaviors among adolescent girls, with consistent effects observed in knowledge. Integration of these approaches into adolescent health programs is recommended. However, further rigorous research comparing different digital modalities is needed to guide implementation in diverse settings.
Global Research Trends on the Role of Chlorogenic Acid on Antidiabetic Mechanisms and Reproductive Hormone Regulation (2015-2025): A Bibliometric Analysis Sofyanita, Eko Naning; Suwondo, Ari; Nugroho, Heri; Juniarto, Achmad Zulfa
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8557

Abstract

Introduction: Chlorogenic acid (CGA) is a natural chemical discovered in a variety of plants that has been associated with numerous health benefits. Recent evidence suggests that CGA impacts reproductive hormone regulation, thus linking metabolic health and endocrine function. Understanding trends and gaps in research at this intersection is crucial. This study characterizes global research patterns, collaboration, and thematic evolution on CGA's antidiabetic activity and its influence on reproductive hormones through bibliometric analysis. Methods: Data were retrieved from the Scopus database using the keywords ("Chlorogenic Acid") AND ("Antidiabetic") AND ("Reproductive Hormone" OR "Testosterone" OR "LH" OR "FSH" OR "Estrogen" OR "Sperm" OR "Fertility") OR ("Reproductive Hormone" OR "Testosterone" OR "LH" OR "FSH" OR "Estrogen" OR "Sperm" OR "Fertility"). Publications from 2015 to 2025 were included. Bibliometric analysis was performed using VOSviewer and Biblioshiny to visualize co-authorship networks, keyword co-occurrence, publication trends, source dynamics, and thematic clusters. Results: A total of 162 relevant publications were identified, with a consistent increase observed from 2015 and a peak in 2024. Egypt, China, South Korea, and Saudi Arabia emerged as leading contributors, concentrating research in Asia and the Middle East. The primary journals were Molecules, Nutrients, and Frontiers in Pharmacology. Keyword mapping identified three principal clusters: phytochemical and antioxidant characterization, metabolic and antidiabetic mechanisms, and hormonal and molecular regulation. Thematic analysis revealed a shift from compound characterization to mechanistic and translational studies integrating metabolism and reproductive endocrinology. Conclusion: Global research increasingly highlights CGA as a bridge between metabolic and hormonal regulation. Our findings show a shift toward interdisciplinary, molecular investigations, but reveal significant gaps in clinical validation and formulation research. Unlocking CGA’s therapeutic potential in metabolic and reproductive health will depend on advanced multiomics, enhanced formulations, and greater global research partnerships.
Evaluating Determinants of Electronic Medical Record Implementation Effectiveness in a Regional Indonesian Hospital Tahir, Muhammad; Sunadar Ali; Muhammad Farras Salim; Roni Roni; Kassaming Kassaming; Ibrahim Ibrahim; Ishak Kenre; Meriem Meisyaroh Syamson; Arsyad Arsyad; Asmah Sukarta
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8566

Abstract

Introduction: Electronic Medical Record (EMR) implementation is a key component of digital transformation in healthcare. This study evaluated the perceived effectiveness of EMR implementation in a regional Indonesian hospital by examining three empirically measured determinants, namely efficiency, accuracy, and system quality. The objective was narrowed to provide evidence on how these factors predict perceived EMR effectiveness within a single-site, low-resource setting without extending to unmeasured constructs such as health literacy or health promotion. Methods: A cross-sectional survey was conducted among 100 healthcare professionals using a structured, validated questionnaire. Data were analyzed using descriptive statistics, chi-square tests with effect sizes, and logistic regression with odds ratios and confidence intervals. Analyses examined how perceptions of efficiency, accuracy, and system quality predicted perceived EMR implementation effectiveness. Results: Respondents reported high perceptions of efficiency (96%), accuracy (94%), and system quality (95%). All three determinants were significantly associated with perceived EMR effectiveness (p < 0.001), with effect sizes indicating strong relationships. Logistic regression showed that system quality had the largest effect size (OR=7.02; 95% CI 2.04–24.10), followed by efficiency (OR=5.83; 95% CI 1.85–18.41) and accuracy (OR=4.26; 95% CI 1.24–14.68). These results indicate that usability and reliability are central predictors of perceived implementation effectiveness in this context. Conclusion: This single-site study provides empirical evidence on the determinants of perceived EMR implementation effectiveness in a regional Indonesian hospital. System quality emerged as the strongest predictor, emphasizing the need for user-friendly, reliable systems supported by training and governance. Because the study did not directly measure health literacy or health promotion outcomes, such impacts are identified as areas for future research rather than conclusions. The results offer practical guidance for improving EMR adoption and inform ongoing work in technology acceptance frameworks.
Integrating Human Reliability Assessment into Health Promotion Strategies to Reduce Patient Mortality and Preventive to Legal Issue Assegaf, S. Zulfikar. G.; AL, Suardi; Dase, Jerny; Mutaher, Annisa Anwar; Nelwan, Berty. J; Zainuddin, Andi Alfian; Lawrence, Gatot. S.
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8567

Abstract

Introduction: Human error is one of the leading factors in medical negligence cases worldwide. These errors may include a range of actions such as misdiagnosis, medication errors, and procedural mistakes. Based on studies and reports from several major hospitals in Indonesia, as well as reports from the Hospital Patient Safety Committee (Komite Keselamatan Pasien Rumah Sakit – KKPRS), incidents related to patient safety in the ICU remain considerably high. Human Reliability Analysis (HRA) is a method used to prevent human error by analysing and assessing the likelihood of human mistakes within a work system and by developing mitigation strategies to minimise such errors. The HRA method involves several techniques and approaches that can be applied in healthcare settings to enhance patient safety and prevent medical negligence. Methods: This qualitative descriptive-exploratory study was conducted in the ICU of Dr. Wahidin Sudirohusodo General Hospital from January to March 2025. Thirty ICU healthcare workers were recruited through total sampling. Mortality data were reported only for contextual description, not as a direct outcome of HRA, in order to avoid conflating qualitative error mapping with quantitative outcomes. Results: ICU nurses demonstrated a higher potential for human error compared to anesthesiology residents. The ICU mortality rate was 45%, with chronic kidney disease, malignancies, and cardiovascular disorders identified as the leading causes of death. These figures are presented descriptively and not interpreted as effects of HRA Conclusion: The SHERPA approach provided insight into potential errors, their impact, and contributing factors, enabling recommendations to strengthen ICU safety systems. These findings underline the urgent need for medical audits and suggest potential implications of SHERPA in reducing medico-legal risks, rather than establishing causal effects on mortality reduction.
Determining Factors of Quality of Life in Tuberculosis Patients: A Qualitative Case Study in Yogyakarta Sofiana, Liena; Mateus Sakundarno Adi; Martini Martini; Mursid Raharjo
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8650

Abstract

Introduction: The second-largest tuberculosis hotspot in the world is located in Indonesia, which creates a significant threat to global health. The disease causes severe harm to patients' health status because it damages their physical health, mental state, and social relationships. The development of tuberculosis control strategies requires knowledge about elements that impact the maintenance of the health quality of tuberculosis patients. This study aims to explore the determinants of quality of life in tuberculosis patients qualitatively using thematic analysis techniques with Atlas.ti software in Yogyakarta. Methods: This study used a qualitative design and a case study technique. Patients and TBC program holders from Yogyakarta City's primary healthcare institutions participated in the event. Nine participants were selected using a purposive sampling strategy from individuals who had recently completed treatment and were educated about TBC. In-depth interviews were conducted utilizing an interview guide to gather data. Atlas.ti was used for thematic analysis of the data. This project has been granted ethical approval under license number 369/EA/KEPK-FKM/2024. Results: Most TBC patients have a low quality of life due to physical and psychological disorders, as well as the influence of social stigma. At the same time, the environmental health dimension is in good condition. Determining factors include intrapersonal aspects (knowledge, self-efficacy, motivation), interpersonal aspects (family knowledge and support), and environmental aspects (stigma). Therefore, psychosocial education for patients and their families is crucial for improving quality of life. Conclusion: Tuberculosis patients in Yogyakarta City continue to have a bad quality of life in terms of physical, psychological, and social dimensions. As a result, education is required to promote awareness of TBC among patients and their families, encouraging social support to aid in the healing process, and reducing societal stigma.
Health Belief Model of Pregnant Women in Samarinda’s Free Nutritious Meal Program: The Role of Predisposing, Reinforcing, and Enabling Factors in Self-Efficacy Sunarsih, Tri; Rosdiana, Rosdiana; Utami, Nendhi Wahyunia; Astuti, Endah Puji; Shanti, Elvika Fit Ari
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8659

Abstract

Introduction: Stunting remains a national health priority in Indonesia due to its long-term impact on human capital. One flagship government intervention under the National Strategy for Stunting Reduction 2018–2024 is the provision of free nutritious meals for pregnant women to improve maternal nutritional status and prevent stunting. However, adherence to this program varies widely, and previous studies have rarely examined psychosocial determinants based on behavioural health theories. Objective: This study aimed to analyse factors within the Health Belief Model (HBM), including perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy, alongside predisposing, reinforcing, and enabling factors that influence the self-efficacy of pregnant women participating in the free nutritious meal program in Samarinda City. Methods: A quantitative cross-sectional design was applied to 203 pregnant women enrolled in the free nutritious meal program between March and August 2024. Participants were selected purposively to ensure representation of diverse educational backgrounds, parity, and gestational ages according to predefined inclusion criteria. Data were collected using a structured questionnaire based on HBM dimensions, perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy, that had been validated and tested for reliability. Partial Least Squares–Structural Equation Modeling (PLS-SEM) was employed due to its suitability for analyzing complex latent constructs and small-to-moderate sample sizes, enabling simultaneous estimation of measurement and structural models. Results: Predisposing factors showed a strong effect on the HBM construct (? = 0.556). Reinforcing factors exerted a greater influence on self-efficacy (? = 0.228) compared with enabling factors (? = 0.142). The HBM construct itself contributed positively to the enhancement of self-efficacy (? = 0.244). The model demonstrated an SRMR of 0.074 (< 0.08), indicating acceptable model fit. Conclusion: Predisposing factors (knowledge, attitudes, and motivation) form the foundation of maternal health perceptions, while social support (reinforcing factors) plays a more dominant role than enabling factors in improving pregnant women’s self-efficacy. This first comprehensive application of the HBM to a free nutritious meal program in Samarinda provides new empirical evidence to guide the design of theory-based maternal nutrition interventions and supports Indonesia’s national stunting reduction efforts. Theoretically, the findings extend the HBM by demonstrating how contextual predisposing and reinforcing factors interact to strengthen self-efficacy within community-based nutrition programs. Practically, policymakers should integrate behavioral counseling and family involvement components into the free meal program to enhance motivation and sustained adherence among pregnant women. Future research should use longitudinal designs to assess long-term program effects and explore contextual factors influencing self-efficacy.
Quality of Health Services in Influencing Patient Satisfaction and Loyalty in Dental Clinics Andi Muhammad Irfan M. Amir; Thahir, Hasanuddin; Lenni Indriani; Fuad Husain Akbar; Eddy Heriyanto Habar; Irene Edith Rieuwpassa
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8660

Abstract

Introduction: Quality of healthcare services plays a crucial role in determining the overall success of dental clinic operations. It influences not only treatment outcomes but also patients’ overall experiences and perceptions. Key elements such as staff friendliness, facility cleanliness, responsiveness to patient needs, and professional competence are essential factors that shape patient satisfaction and encourage long-term loyalty. These factors collectively determine how patients perceive service quality and whether they choose to return for future dental care. Methods: This study utilized a systematic review approach to explore the relationship between healthcare service quality and its influence on patient satisfaction and loyalty. Data were obtained from major academic databases, including PubMed, Google Scholar, and ScienceDirect. The PICO framework was applied to establish clear inclusion and exclusion criteria. Only articles published from 2019 onward that examined the influence of service quality on patient satisfaction and loyalty were selected. Each study was assessed for methodological quality and relevance. A total of five eligible studies were analyzed using the SERVQUAL model, which consists of five dimensions: tangibles, reliability, responsiveness, assurance, and empathy. Results: Findings revealed that all five SERVQUAL dimensions influenced patient satisfaction and loyalty, although to different extents. Tangibles, such as modern equipment and clean facilities, were important for creating comfort and a positive perception of care. However, reliability, responsiveness, assurance, and empathy demonstrated stronger and more consistent effects in enhancing both satisfaction and loyalty. Key factors such as personalized attention, professional staff behavior, timely service, and emotional support significantly contributed to positive patient experiences. Conclusion: The quality of dental healthcare services, particularly when addressing both technical and interpersonal aspects through the SERVQUAL framework, plays a crucial role in building patient satisfaction and loyalty. Clinics that invest in comprehensive quality strategies are better positioned to maintain long-term relationships with patients and improve service competitiveness.

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