Hospital Medan Research Articles

PEACH Score Validation as a Predictor of Postoperative In-hospital Mortality in Adult Congenital Heart Disease Patients at Haji Adam Malik General Hospital Medan

PEACH Score Validation as a Predictor of Postoperative In-hospital Mortality in Adult Congenital Heart Disease Patients at Haji Adam Malik General Hospital Medan

The Effects Of Streching And Strengthening Exercise On Motor Cycle Gros Inchildren With Cerebral Palsy Spastic Type At Memorial Murni Teguh Hospital Medan 2023

Cerebral palsy (CP)Congenital malformasi: a condition of weakness of the extremities which results in distruption of the child's growth and development. The cause of cerebral palsy is the result of brain damage or brain defects which most often occur when a person is still in the womb or after birth, although there are several cases that experience CP is not congenital. This condition of congenital malformation has an unstable movement coordination system.floppiness or stiffness of the limbs,the emergence of abnormal movement ,poor balance,or several combination of the signs that have been mentioned. Congenital malformation affects the motor and function capacity system. The aim of this is to find out that there is a stretching effec and strengthening exercise on gross motor skills in spastic type cerebral palsy. The type of research uses a quasi experiment with pre and post test design. The research sample is 7 children with spastic type cerebral palsy at Murni Teguh Hospital in Medan who meet the research criteria. The level of spasticity was measured by observation using the Mas method (Muscle Ashwort scale) with repeated measurements, before and after treatment In research, data analysis this study used is T.Test (t test).

Analysis of Family Support in Enhancing Life Quality among Breast Cancer Patients at Haji Adam Malik Central General Hospital Medan

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Cancer is the most common chronic disease worldwide, with cervical cancer, breast cancer, ovarian cancer, and skin cancer being the most prevalent. Breast cancer ranks second globally after lung cancer. Patients diagnosed with breast cancer undergo changes in their physical, sexual, social, and daily life activities, affecting their overall life quality. One crucial factor that can enhance the life quality for patients is the support from their families, which is a pivotal determinant for individual well-being. To determine the differences in the life quality among breast cancer patients with high and low family support and to analyze the correlation between family support and the breast cancer patients life quality. This study employed a quantitative analytic survey with a cross-sectional design. The research was conducted at Haji Adam Malik Central General Hospital from August to October 2023. The study population included all stage I and II breast cancer patients, totaling 205 outpatient individuals from March to April 2022, with a sample size of 66. Simple random sampling was utilized for participant selection. Data collection involved questionnaire interviews. Data analysis comprised two steps: first, univariate analysis using descriptive and frequency statistics, and second, bivariate analysis using Pearson's test and independent t-test with a significance level of 95% (p-value ≤ 0.05). Statistical results indicated a significant difference in the life quality between breast cancer patients with high and low family support (p=0.037). It was concluded that there is a significantive correlation between family support and the breast cancer patients life quality (p=0.001; r=-0.644). Family support is crucial for patients facing chronic diseases such as breast cancer. It is recommended that families strive to enhance their support to ensure patients' comfort during treatment and therapy programs, ultimately improving the breast cancer patients life quality.</em><em> </em><em></em></p><p> </p></td></tr></tbody></table></div><p><strong><em>Keyword: Breast Cancer, Family, Life Quality</em></strong></p>

The Moderating Role of Compensation on the Influence of Job Stress and Coworkers on Performance in Medan Adventist Hospital

The aim of this research is to analyze and prove the influence of Job Stress and Coworkers on the performance of nurses at Adent Hospital Medan. This research will also prove the moderating effect of compensation on the relationship between Job Stress and co-workers on performance. The population in this study were 150 permanent nurses who worked at the Medan Adventist Hospital. The sampling technique used was Simple Random Sampling, obtaining a sample of 109 respondents. Data analysis techniques use multiple regression with t-test (partial test), F test (simultaneous test) and coefficient of determination test (R2) as well as moderating analysis using residual analysis. The results of this study prove that Job Stress and co-worker variables simultaneously influence nurse performance. Partial testing proves that the Job Stress variable influences nurse performance, as well as the individual Co Workers variable influences nurse performance. Moderation testing using the residual test proves that compensation is able to moderate the relationship between Job Stress and coworkers on nurse performance. The implications of the results of this research are able to prove that the importance of Job Stress management and co-workers in improving nurse performance is strengthened by compensation.

Analysis of the Relationship between Clean Living Behavior and Environmental Sanitation in Thyfoid Patients

Typhoid fever is often experienced by children and teenagers. This happens because they do not realize the importance of food and environmental cleanliness. Typhoid fever is related to the patient's environment and behavior. Prevention of typhoid disease must be linked to clean and healthy living habits such as maintaining a hygienic diet and a clean and comfortable environment, especially for children who do not pay attention to cleanliness and health. The aim of this research is to analyze the relationship between clean living behavior and environmental sanitation in Thyphoid patients at DR Pirngadi Regional Hospital, Medan. This type of research is an analytical survey with a cross-sectional design. The population in this study were typhoid patients at DR Pirngadi Medan Hospital in 2023 for the period January 2023 – September 2023, totaling 585 patients. Determining the sample used interpretive estimation with Structural Equation Modeling (SEM) where the number of samples in this study was 150 samples. Data analysis in this study used univariate, bivariate and multivariate analysis. The results of the research show that there is a relationship between clean living behavior in Thyphoid patients at DR Pirngadi Hospital, Medan, p - value < 0.05, there is a relationship between environmental sanitation in Thyphoid patients at DR Pirngadi Hospital, Medan, p - value < 0.05, simultaneously There is a relationship between clean living behavior and environmental sanitation in Thyphoid patients at DR Pirngadi Hospital, Medan, p - value < 0.05.

Fatigue in healthcare workers with mild COVID-19 survivors in Indonesia.

Persistent symptoms after the coronavirus disease 2019 (COVID-19, known as post-COVID syndrome (PCS), presented an ongoing health burden among COVID-19 survivors, including health workers. The existence of fatigue in mild COVID-19 survivors has not been widely reported. The aim of this study was to present the symptoms of fatigue in healthcare workers who experienced mild COVID-19 and the factors associated with fatigue. A cross-sectional study was conducted at H. Adam Malik General Hospital in Medan, Indonesia, from September to December 2022, included doctors, nurses, ancillary workers, and medical support workers who experienced mild COVID-19. Fatigue was measured by a fatigue assessment scale (FAS). The assessed possible risk factors were gender, age, vaccination history, comorbid, presence of PCS, duration of PCS symptoms, and number of PCS symptoms. The Chi-squared or Fisher's exact tests were used to assess the association between the incidence of fatigue and risk factors. A total of 100 healthcare workers of mild COVID-19 survivors were included. Most of them were nurses (58%), women (81%), and aged 19-30 years old (36%). The majority had incomplete vaccination history (64%), experienced PCS (71%), no comorbidities (61%), and experienced <3 months of PCS symptoms (55%). Mild to moderate fatigue was found in 23% of healthcare workers and only 1% experienced severe fatigue. No significant association was found between gender, vaccination history, and comorbidities with the incidence of fatigue. However, a significant association was observed between age (p=0.021), the presence of PCS (p=0.041), and the number of PCS symptoms (p=0.047) with fatigue incidence. Furthermore, there were significant associations between symptoms of PCS (confusion (p=0.004), insomnia (p=0.001), myalgia (p=0.035), arthralgia (p=0.028), throat pain (p=0.042), headache (p=0.042), and chest pain (p=0.011)) with fatigue. These findings can contribute to providing the necessary support for mild COVID-19 survivors and persistent fatigue.

Effect Of Mental Workload And Moral Sensitivity On Nurse Performance In The Acute Inpatient Room Of The Prof. Dr. M. Ildrem Mental Hospital, Medan

Objectives: High mental workload can decrease nurse performance. Nurses with higher moral sensitivity are ethically more practicing professionals and the quality of care is better. This study assesses effect of Mental Workload and Moral Sensitivity on Nurse Performance in the Acute Inpatient Room of the Prof. Dr. M. Idrelm Mental Hospital Medan in Indonesia . Methods: The study used a cross-sectional design, sampel number of 58 nurses in acutel inpatient room through total sampling. NASA-TLX Questionnaires for Mental Workload, Moral Sensitivity Questionnaires for Moral Sensitivity and Individual Work Performance Questionnaires for Nurse Performance. Analyzed data using the Statistical Package for social Science (SPSS) version 26 software. Descriptive statistics, Pearson test and multiple linear regression analysis to measure its effect. A p-vaule of &lt; 0.05 was considered statistically significant at a 95% confidence level. Result: Majority of participant had a high level of mental workload (86.2%), high level of moral sensitivity (58.6%) and had good level of performance (53.4%). Further, there is no correlation mental workload with nurses performance (p = 0.350), but moral sensitivity significantly correlated with nurses performance (p = 0.041). Conclusion: Nurse has level mental workload high indicate prone to fatique and burnout, but they have good performance because they have adapted to the existing work situation. This is supported by high moral sensitivity so that nurses feel very responsible for their profession.

Factors That Influence The Performance Of Emergency Installation Nurses At Bunda Thamrin Medan Hospital in 2018

Nurses as one of health workers in the hospital having an important role in achieving health development goals. The success of health services depends on the participation of nurses to provide high quality care nursing for patients . This research is quantitative and uses cross sectional design. The purpose of this research is to see what factors that can influence the performance of the emergency room in Bunda Thamrin Hospital Medan 2018. This research use total sampling or exhausted sampling and The source data of this research is using questionnaires and then followed by using univariate analysis, bivariate analysis, and multivariate analysis with the SPSS program. The results of this research is that work load (p=0,000), stress of work (p=0,000),competition (p=0,000), incentive (p=0,000),length of working (p=0,000) have influences for performance of nurses. After multivariate analysis the most influential variable is work load (p=0,000. The result showed that there was correlation between work load, stress of work, competition, incentive, length of working has influences against work performances of nurses. Therefore, there is a need to improve nursing service that can be made to improve the performance of nurses with increased knowledge through education nursing sustainable and improving skills nursing is absolutely necessary. The arrangement of a work conducive environment is so important, so that nurses can work effectively and efficiently .Creating a work that could lead to a nurse to do the best.&#x0D; &#x0D; Keywords : nurse performance, work load, work stress, competition, incentive, length of working

Implementasi Five Moment Hand Hygiene Pada Perawat Di Ruang Rawat Medikal Bedah Rumah Sakit Santa Elisabeth Medan

The prevalence of nosocomial infections worldwide has become a serious concern for healthcare professionals, especially in hospitals. One contributing factor is the inadequate implementation of the five moments hand hygiene in handwashing procedures that do not conform to operational procedure standards. The aim of this research is to determine how the implementation of the five moments hand hygiene among nurses in the surgical medical care ward at Santa Elisabeth Hospital in Medan. This study utilized a descriptive cross-sectional approach, employing observation sheets. The sample size included 30 nurses in the Surgical Medical Care Ward at Santa Elisabeth Hospital in Medan, using total sampling technique. The measurement tool was an observation sheet, and the data analysis employed univariate analysis. The research findings revealed that, in the first moment before patient contact, 56.7% of nurses did not adhere to the practice, while 43.3% did. In the second moment, before aseptic procedures, 56.7% of nurses did not comply, and 43.3% did. In the third moment, after exposure to patient body fluids, all nurses (100%) adhered to the practice. In the fourth moment, after patient contact, all nurses (100%) complied. In the fifth moment, after contact with the patient's environment, all nurses (100%) followed the practice. It is hoped that nurses can consistently implement the five moments hand hygiene to prevent disease transmission and nosocomial infections, fostering a habit of incorporating these practices into nosocomial infection prevention.

The Association of Age, Parity, and History of Cesarean Section with the Occurrence of Placenta Accreta Spectrum (Pas) at H. Adam Malik Hospital in Medan 2020-2022

Background: Maternal mortality rate (MMR) is an indicator of the quality of midwifery services in a country. Postpartum hemorrhage is a serious life-threatening complication and the main cause of maternal death especially that caused by placenta accreta spectrum (PAS). This study aims to determine the relationship between age, parity, and history of cesarean section on the incidence of PAS at H. Adam Malik Hospital Medan in 2020-2022.Method: This study was an analytic-observational study with a cross-sectional design. The data used came from the medical records, including information about the population of mothers who gave birth, maternal age at delivery, parity, and previous history of cesarean section. Statistical analysis used univariate and bivariate chi-square tests.Result: The study subjects were 84 people selected by simple random sampling method. The results of the univariate analysis showed the highest frequency of age &gt;32 years, parity 3-4 times, and a history of cesarean section ≥ 2. The results of bivariate analysis showed a significant relationship between age and the incidence of PAS (p=0.016), parity and the incidence of PAS (p&lt;0.001), and a history of cesarean section and the incidence of PAS (p=0.004).Conclusion: There is a relationship between age, parity, and history of cesarean section with the incidence of PAS at H. Adam Malik Hospital Medan in 2020-2022.

Covid-19 vaccination in pregnancy and placental pathology

Objective: To describe and determine the association between Covid-19 vaccination in pregnancy and placental pathology. Methods: Conducted in a tertiary hospital in Medan, Indonesia, from April 30th 2022 to June 30th 2022, this single-center cross-sectional study involved Covid-19 vaccinated and unvaccinated women with singleton full-term pregnancies delivering live fetuses via cesarean section. Maternal characteristics, placental pathologies, and the placental index were documented at enrollment. The association between Covid-19 vaccination status and placental pathology was assessed. Results: The study enrolled 200 pregnant women, including 110 vaccinated women and 90 unvaccinated women. No significant differences were observed in birthweight (P=0.48), placental index (P=0.48), and placental pathology findings [intervillous bleeding (P=0.20), increased syncytial knots (P=0.83), chorangiosis (P=0.13), villous stromal edema (P=0.13), vascular dilation and congestion (P=0.13), and vascular wall thrombus (P=0.71)] between the vaccinated and unvaccinated groups. Conclusions: This study revealed no statistically significant association between Covid-19 vaccination and placental pathology. The findings support the safety of Covid-19 vaccination during pregnancy, in regards to changes of the placental pathology.

Clinical Profile and Vitamin D Status of Cerebral Palsy Children at Haji Adam Malik Hospital Medan

Clinical Profile and Vitamin D Status of Cerebral Palsy Children at Haji Adam Malik Hospital Medan

Relationships Between Age of Onset, Seizure Frequency, And Disease Duration with Cognitive Function in Epilepsy Patients at the Neurology Clinic of H. Adam Malik Central Hospital, Medan

Background: Cognitive function disorders often occur in individuals with epilepsy. The decline in cognitive function in epilepsy patients can be caused by various factors, including age of onset, seizure frequency, and duration of the disease. This study aims to investigate the relationship between the age of onset, seizure frequency, and disease duration on the cognitive function of epilepsy patients at the Neurology Outpatient Clinic of Haji Adam Malik General Hospital in Medan Method: The chosen research design is a cross-sectional analytic. The study was conducted at the neurology outpatient clinic of the Adam Malik Central General Hospital in Medan. The samples used were patients diagnosed with epilepsy at the Neurology Outpatient Clinic of Adam Malik Central General Hospital in Medan, aged 18-65 years, and without any other medical conditions aside from epilepsy. The study involved 35 subjects.Result: The majority of the research subjects are aged 18-45 years (94.3%), with more males (51.4%) than females. Most have a high school education background (48.6%), and the largest group is unemployed (62.9%). The most common age group at onset is 0-18 years (48.6%). The majority of subjects experience seizures in the rare category (less than 1 time per month) at 62.9%. Most subjects have a disease duration of less than 15 years (65.7%). The majority of epilepsy patients at the Neurology Outpatient Clinic of H. Adam Malik Hospital (52.1%) have abnormal cognitive function based on the MoCA-Ina test results. Statistical analysis was conducted using the chi-square test and multivariate analysis with logistic regression. The chi-square test results revealed a significant relationship between age of onset and cognitive function (p=0,008), a significant relationship between seizure frequency and cognitive function (p=0,004), and a significant relationship between disease duration and cognitive function (p=0,012). The multivariate analysis results indicated that disease duration had a significant relationship with cognitive function, with an odds ratio of 0,081 (p-value=0,037, 95% CI 0,008-0,862).Conclusion: There is a relationship between age of onset, seizure frequency, and disease duration with the cognitive function of epilepsy patients at the Neurology Outpatient Clinic of Haji Adam Malik General Hospital in Medan

Fracture Risk Assessment Tool (Frax Tool) Scores in Type 2 Diabetes Mellitus Patients in Haji Hospital Medan

Background: Diabetes mellitus (DM) is a metabolic disease characterized by chronic hyperglycemia resulting from defects in insulin secretion and/or insulin action. Bone fragility in T2DM, which mirrored bone mineral density and bone mass reduction. Classical diagnosis of osteoporosis in T2DM is performed by dual-energy X-ray absorptiometry (DXA) and the risk of fracture can be assessed using the FRAX tool (Fracture Risk Assessment Tool). The purpose of the study was to assess the risk of osteoporosis using FRAX tool calculation (without BMD) in T2DM patients at the endocrine metabolic clinic of Haji Hospital Medan. Method: Descriptive observational with a cross-sectional study approach using primary and secondary data from the medical records of the Endocrine and Metabolic Clinic of Haji Hospital Medan in September-October 2023.Results: Of the 80 respondents with a risk of major osteoporosis, there were 77 respondents (96.3%) with low risk, 3 respondents (3%) with moderate risk, and no respondents with high risk (0%). The FRAX score for the risk of hip fracture received a low risk of 72 respondents (90%). At the same time, the high-risk was 8 respondents (10%).Conclusion: The majority of T2DM patients at Haji Hospital Medan are at low- risk for major osteoporosis and hip fracture

The Use of Complementary and Alternative Medicine among Patients with Cervical Cancer Patients at H. Adam Malik Hospital Medan

Background: Cervical cancer is the second most common cancer in Indonesia. As a culturally rich country, Indonesia has various traditional medicines that are passed through generations to maintain health conditions as local wisdom in the society. A combination of conventional complementary and alternative medicine (CAM) is often used by cancer patients. This study aims to describe the use of complementary and alternative medicine among cervical cancer patients in H. Adam Malik Hospital Medan.Method: This is a descriptive observational study with a cross-sectional design. Subjects were patients diagnosed with cervical cancer at Gyneco-Oncology Clinic, H. Adam Malik Hospital, Medan. Fifty patients were interviewed with questions about the type, frequency, source of information, satisfaction rate, and openness to doctors regarding the use of CAM. Data were collected from July - September 2023.Results: The types of CAM used were nutritional therapy (39.3%), mind-body interventions (27.1%), herbs (23.4%), massage (9.3%), and acupuncture (0.9%). Most of the subjects used a combination of 2 types of CAM (74%). Most of the respondents (82%) were satisfied with CAM, and 48% of respondents did not inform doctors regarding the CAM used.Conclusion: All cervical cancer outpatients at H. Adam Malik Hospital used CAM together with conventional cancer therapy. The doctors should actively ask about the CAM that is used by the patients since not all patients disclose the information to their healthcare provider.

Tinjauan Pemberian Kompensasi Terhadap Produktifitas Kerja Petugas Rekam Medis Di Rumah Sakit Tere Margareth Tahun 2022

An employee can be said to be productive if he is able to produce goods or services as expected in a short or precise time. The population of this study is medical records officers in the medical records room at RSU Tere Margareth. The sample size is 5 RM employees. The instrument in this research used interviews with respondents who were RM officers at RSU Tere Margareth. The research results showed that the distribution of respondents' answers based on interviews showed that the identification of the Main Duties of Officers in the Hospital Medical Records Unit. Tere Margareth already has a medical record service manual No. Kep/095/I/2019 as follows regarding working time arrangements at Tere Margareth Medan Hospital, divided into 2 work shifts. The performance of medical records officers at Tere Margareth Hospital has two meanings, where first, compensation and performance are directly proportional to the implementation of the quality of work of medical records officers, where from the results of interviews it was found that officers felt very happy, enthusiastic and eager to carry out their responsibilities if their work compensation was increased. However, in the second aspect, whether or not there is compensation for medical records officers, they are still enthusiastic about doing their work because it is their responsibility to do daily work without having to be lured by high compensation. This indicates that awareness of the work responsibilities of medical records officers in Tere Margareth Hospital is good. Based on the results of the research conducted, it can be concluded that RSU.Tere Margareth should pay attention to officer compensation, so that it can help in increasing the productivity of medical records officers at Tere Margareth Hospital, Medan City and officers must also be aware that without compensation, officers continue to work and are responsible for his job.

Analysis Of Factors Influencing Patient Safety Incidents at Royal Prima Medan General Hospital in 2021

Incident safety patients must be minimized to avoid undesirable danger during maintenance in the hospital. Perception of health workers reporting patient safety incidents at the Royal Prima Medan General Hospital still needs to be higher. Low perception of health workers in writing incident Patient safety is related to individual and organizational factors. The study aims to identify the influence factor on patients' personal and corporate incident safety in the inpatient room of royal prima hospital medan. The type of research used is a method survey with a cross-sectional approach. The population in the study of health workers at the Royal Prima General Hospital in Medan was 259 people, and the sample was 119. Collection data with primary, secondary, and tertiary data was analyzed with multiple logistic regression statistical tests with a level of trust of 95%. Results study show bring individual factors (knowledge with p-value = 0.021 and experience with p-value=0.021) effect-on-patient safety incident reporting and organizational factors (organizational environment with p-value = 0.038 and power with p-value=0.014) effect on reporting incident safety patient, individual characteristics (motivation with p-value = 0.557) have no impact on writing incident safety patient And factor organization (organizational culture with p-value =0.535) has no effect to reporting incident patient safety and most influence reporting incident patient safety in Royal Prima General Hospital Medan is a knowledge variable (OR=155.6). They are recommended for a hospital for-develop system information integration related to writing incident patient safety and officer health to increase the perception of officer health through improvement, knowledge, and experience of officer health.

Factors Affecting the Response Time of Radiology Result Reading

Respond time is a common issue in healthcare practice. This problem also occurs in radiology services concerning the reading of radiology results to the expert interpretation process by radiologists. This study analyzes departmental and personal factors influencing the response time of radiology result readings at Murni Teguh General Hospital in Medan in 2021. This quantitative research study has a cross-sectional design and an analytical observational approach. The population includes all radiologists in the Radiology Department. Data is collected through questionnaires and documentation. Logistic regression is used for data analysis. The majority of radiology result readings have a poor response time (56.9%). Multivariate analysis reveals that departmental factors (image results and network) and personal factors (work schedule) significantly influence the response time of radiology result readings. However, there is no significant influence from departmental factors (teaching obligations) and personal factors (educational level and employment status) on the response time of radiology result readings. It is recommended that hospital management cultivate a collaborative and supportive environment among the technology and human resources working in the Radiology Department to improve the response time by the standards set by the ministry.

Overview of Leprosy Reactions at Universitas Sumatera Utara Medical Faculty Hospitals between 2017 and 2021

BACKGROUND: Leprosy, or Morbus Hansen, is a chronic granulomatous disease caused by Mycobacterium leprae that involves the skin and peripheral nerves, with or without motor disorders. Leprosy reactions are immune-mediated acute or subacute inflammatory episodes that interfere with chronic disease and are classified into three types: type 1 (RR), type 2 (ENL), and the Lucio phenomenon. AIM: The purpose of the study is to describe the epidemiology of leprosy reactions at Universitas Sumatera Utara (USU) teaching hospitals and provide a description of factors associated with the reactions that might provide valuable information for future studies. METHODS: This is a cross-sectional analytic study with total sampling on medical records of patients in the Dermatology and Venereology Polyclinic at H. Adam Malik Hospital Medan and USU Education Hospital in 2017–2021. RESULTS: The incidence of leprosy reactions at the USU Medical Faculty Education Hospital in 2017–2021 was 41 cases. The majority of reaction types were type 2 reactions (68.3%). Risk factors for type 1 reactions were a history of reactions, being elderly, multiple lesions or nerve involvement, and co-infections, whereas the risk factors for type 2 reactions were LL, younger age, bacterial index &gt;4+, stress, and co-infections. The highest age group proportion was 18–59 years (95.1%) and was more common in men (70.7%), which mostly appeared before treatment (39.1%). The incidence of leprosy reactions was 26 new cases per 100 patients. CONCLUSION: The highest proportion of leprosy reactions was type 2, within the adult age group (18–59 years), males, and before treatment.

Analysis of Outpatient Satisfaction with Health Personnel Services at the Haji General Hospital Medan

&lt;p&gt;&lt;em&gt;Low quality healthcare services result in an increase in the number of deaths each year, with an estimated 5.7 to 8.4 million people dying in low and middle-income countries. This figure represents about 15% of total deaths in those countries. The impacts of inadequate services encompass a decrease in societal productivity and potential economic losses for the country of approximately 1.4 to 1.6 trillion annually.The aim of this research is to identify the relationship between the quality of services provided by healthcare professionals and the level of patient satisfaction among outpatient care recipients at Haji Medan General Hospital. The studied population includes all outpatient care patients currently receiving treatment, with a sample size of 120 individuals, selected using the Accidental Sampling method. The research method employed is a quantitative approach with a Cross-Sectional design.Research findings reveal that out of the 120 respondents, there is a relationship between independent variables such as reliability (x1), responsiveness (x2), assurance (x3), empathy (x4), as well as physical evidence (x5), and the dependent variable, which is the level of patient satisfaction (y) among those receiving outpatient care at Haji Medan General Hospital, with a p-value less than 0.05.In analyzing patient satisfaction levels, around 66% of the total 120 respondents expressed dissatisfaction with the healthcare services at Haji Medan General Hospital. Independent variables that exhibit a strong correlation with the dependent variable include reliability, responsiveness, assurance, patient satisfaction level, physical evidence, and empathy. Based on these findings, it can be concluded that there is a relationship between the quality of services provided by healthcare professionals and the level of patient satisfaction at the hospital.&lt;/em&gt;&lt;/p&gt;