Level Of Patient Satisfaction Research Articles

Evaluation of the Implementation of Salary Payment in Improving the Performance of Honorary Workers at the Aceh Singkil Hospital

Improving the performance of hospital honorary staff is one of the most important things to maintain the quality of health services provided to patients. Many hospitals face obstacles in improving employee performance, such as high attendance rates, low productivity, and unsatisfactory service quality. In general, the decline in work morale and seriousness of work is due to the dissatisfaction of the workers concerned, both materially and non-materially. The purpose of this study is to evaluate the implementation of salary payments for honorary personnel in Aceh Singkil Regency which has an impact on the performance of honorary personnel at BLUD Aceh Singkil Hospital. This study uses a descriptive qualitative approach, to describe the phenomena that occur in the object of research. Data collection techniques are carried out by observation, interviews, and documentation. Data analysis through data collection, data condensation, data presentation, conclusion drawn. This study also used 10 informants consisting of 1 key informant, 3 main informants, and 6 supporting informants. Based on the results of observations, interviews and documentation of the Performance of BLUD Honorary Personnel of Aceh Singkil Hospital is not in accordance with the Optimization of the Implementation of SOPs for Inpatient and Outpatient Services has not been carried out properly, it is still found that honorary personnel have not complied in carrying out hand hygiene and the use of personal protective equipment. As well as the service waiting time which is relatively slow. The quality of service is considered poor. The work motivation of honorary staff is still relatively low and lack of discipline in work In addition, the Patient Satisfaction Level is still low because the service has not been in accordance with their expectations. This also has an impact on the Implementation of Salary Payments for Honorary Personnel of the Aceh Singkil Hospital against the decline in performance which results in less than optimal services at the BLUD Aceh Singkil Hospital. Advice to the management to be able to pay attention to honorary personnel, especially in the implementation of salaries to provide motivation or work spirit to improve performance at BLUD Aceh Singkil Hospital.

Analysis of the Influence of the Quality of Dental and Oral Health Service on the Level of Patient Satisfaction at RSI Malahayati Medan

Background: The quality of health services can affect the degree of hhealth and well- being of patients, because satisfied patients will come for treatment again. The purpose of this study is to analyze the effect of dental and oral health services on patient satisfaction at the Malahayati Islamic Hospital. Methodology: This research uses a quantitative analytic survey research with cross sectional study design. The location of this study was conducted at the Malahayati Islamic Hospital. The study population was all out patients who visited with Total Visit on May 2023-August 2023 of 422 patients. The number of samples in this study were 81 people. The technique used is purposive sampling. Survey data were analyzed using the chi-square test and logistic regression. Results: The results showed that there was an effect of tangibility, reliability, responsiveness, assurance and empathy for dental and oral health services on patient satisfaction. Conclusion: Based on the results of the study note that tangible, reliability, responsiveness, assurance and empathy affect patient satisfaction at the MalahayatiPublic Health Center in Medan and the variables that most influence on patient satisfaction are responsiveness variables. The suggestion for this research is that the Hospital should maintain customer satisfaction by increasing the quality of service and completing the infrastructure that is still lacking so that patient satisfaction is fulfilled and patients become loyal.

Construction and application of a stratified nursing intervention program for postoperative delirium after Stanford type A aortic dissection: a quasi-experimental trial

BackgroundPostoperative delirium is a common and significant consequence in patients with type A aortic dissection following surgery; however, there is currently no effective postoperative care plan.ObjectiveThe purpose of this study is to develop and evaluate the practical implementation of a stratified nursing intervention program for postoperative delirium in patients undergoing surgery for Stanford type A aortic dissection.MethodsA stratified nursing intervention program for postoperative delirium was created using a literature review, group discussions, and the Delphi method via expert mail inquiry. A quasi-experimental design was used, with patients admitted to the general ward of a tertiary hospital in Wenzhou, China, functioning as subjects. From September to December 2022, 43 patients were included in the control group and given standard treatment. From January to June 2023, 37 patients were recruited in the intervention group, receiving both routine care and the intervention plan. The intervention’s effects were compared in the two groups.ResultsThe intervention group had considerably shorter delirium and hospital stays than the control group (P < 0.05), as well as higher patient satisfaction levels. There were no inadvertent extubations in the intervention group. When the incidence and beginning time of delirium in the general ward were compared, there were no significant differences between the two groups (P > 0.05).ConclusionImplementing this nurse intervention in the ward context can shorten postoperative delirium and hospital stays, increase patient satisfaction with care, and improve patient prognosis and quality of life. This intervention will also serve as a great resource for future clinical management of postoperative delirium.Trial registrationThe National Health Security Information Platform’s Medical Research Registration Information System has registered this study under the registration number MR-33–22-022978.

Assessment of Patient Satisfaction with Access to Healthcare Services at Mbozi District Hospital, in Songwe Region, Tanzania

This study assessed patient’s satisfaction on access to health services in public health facilities particularly at Mbozi District Hospital, using a convenience sample of 112 patients. Data were collected through interviews, observations, and documentary reviews. The study had two specific objectives: the first was to determine the level of customer satisfaction in accessing health services, and the second was to examine factors for patient satisfaction. Descriptive statistics were used to show the demographic characteristics of respondents and frequencies and percentages were obtained. The Likert scale was used to measure the level of patient satisfaction based on their opinions while a Multiple Linear Regression model was used to examine the determinant factors for patient satisfaction. The results revealed that the level of satisfaction was inadequate where availability of experts in the hospital, such as medical doctors and specialized doctors; staff attitude (traits towards the patient); availability of medicine, and improved sanitation infrastructure (clean washrooms) were the significant determinant factors. Therefore, more efforts should be made to improve patient satisfaction by providing better health services. The local government authorities should continuously sensitize health workers to be available at their working stations. Furthermore, the hospital Management should ensure that sanitation infrastructures, especially washrooms, are constantly cleaned and should also make follow ups to ensure medicines are always available.

The effectiveness of orthodontic treatment with clear aligners in different thicknesses

This study aimed to evaluate the effectiveness, pain, and satisfaction levels of patients treated with different thicknesses of clear aligners among class I maxillary mild crowding cases. Twenty-eight subjects were randomly divided into two groups. Group 1 were treated with 0.5 mm-thick aligners and group 2 were treated with 0.75 mm-thick aligners. Maxillary models were printed using a 3-dimensional printer and aligners were produced using a vacuum thermoforming machine. The amount of orthodontic tooth movement was evaluated by comparing pre- and post-treatment digital models and lateral cephalograms taken at the beginning and end of the treatment. Pain and satisfaction levels were measured before aligner insertion, at the 4th hour, 2nd day, 1st week, 1st month and at the end of the treatment. Increases in maxillary intercanine, interpremolar, and intermolar widths, and dental arch perimeter were significantly higher in group 2 (p < 0.05). The pain levels peaked at T1 and decreased gradually in both groups; group 2 demonstrated greater pain levels. Group 1 reported significantly greater satisfaction levels (p < 0.05). Aligner thickness is a key determinant of the extent of orthodontic tooth movement. Treatment with a 0.5 mm-thick aligner provides enhanced comfort for patients, but a 0.75 mm-thick aligner yields more efficient treatment results.Trial registration: The trial was registered on https://ClinicalTrials.gov retrospectively with the registration number of NCT06504498, on 16/07/2024.

Optimizing Quality Assurance in Naval Hospitals: A Qualitative Study by Comprehensive Strength, Weakness, Opportunity, and Threat Analysis

Abstract Introduction: Quality assurance (QA) in healthcare is the degree to which healthcare services increase the likelihood of desired outcomes and are consistent with the current professional knowledge. It is a panacea to achieve higher levels of patient safety and satisfaction. This study aims to do a situational analysis of the current QA mechanism in naval hospitals through a Strength, Weakness, Opportunity, and Threat (SWOT) analysis. Methods: The study is a qualitative study where data were collected by in-depth interviews and focused group discussions as well as by review of reports. The data were processed using transcription and anonymized to maintain the data security and integrity. Further, it was iterated and triangulated to establish credibility and reliability. Number and relevant events were analyzed to arrive at inferences. Based on these themes and inferences, a situational analysis of QA mechanisms in naval hospitals by SWOT method was done by the authors. Ethical consent was obtained from the institutional ethical committee. Results: National QA Standards (NQAS) developed by the National Health Systems Resource Centre, and the Ministry of Health and Family Welfare is a comprehensive and objective QA tool. QA by modified NQAS tool has also been rolled out systematically in the naval hospitals over the past 1 year. The strengths identified with respect to the adoption of NQAS are improved patient safety and satisfaction, objective assessment to ensure accuracy, consistency, and compliance, ensure benchmarking against international standards, aid in comparison of hospitals, build accountability, and ensure trust among stakeholders. The weakness in the implementation of NQAS is the lengthy assessment process, implementation cost for training and infrastructure upgradation, biased internal audits, lack of felt need among users, and resistance to change. The strengths far outweigh the weaknesses. Conclusion: By leveraging the strengths, addressing existing weaknesses, capitalizing on opportunities, and mitigating threats, naval hospitals can significantly enhance their QA mechanisms. Thus, the adoption of a continuous improvement process by NQAS implementation is crucial in advancing healthcare quality. Spreading awareness to generate the felt need, emphasizing proactive training, focusing on patient satisfaction surveys, and incentivizing the process will ensure robust implementation. Through these measures, naval hospitals can maintain excellence in healthcare delivery and readiness to meet future challenges.

ASSESSMENT ON THE LEVEL OF SATISFACTION OF ADULT SURGICAL PATIENTS WITH ANAESTHESIA CARE AT 68 NIGERIAN ARMY REFERENCE HOSPITALS

This research assessed the level of satisfaction of anaesthesia care among adult’s surgical patients at 68 Nigeria army reference hospital Lagos. The study employed descriptive cross-sectional design and a target population of 384 adult’s surgical patients. The instrument used for this study was a self-structured questionnaire with a reliability 0.7. Descriptive statistics was used to summarize the demographic data of respondents using frequency, proportion, mean, standard deviation and range at a significant level of 0.05. In which the findings showed a mean age of the participants to be 33.97 ± 12.28 years. Among them, the largest age group was 20-29, comprising 166 individuals. Gender distribution showed 168 males and 197 females. And 38.4% participants held tertiary qualifications. Among the respondents, 40.0% were satisfied with anesthesia care, 46.3% reported receiving adequate information that positively influenced their satisfaction, 38.1% were moderately satisfied with the quality of care, and 39.7% perceived effective communication by healthcare providers as satisfactory. Additionally, 46.3% found clear explanations of anesthesia procedures to enhance their quality of care. Three hypothesis were tested and the results showed that; there is no significant relationship between patients’ satisfaction with anaesthesia care provided (p= 0.01), there is no significant relationship between competence of anaesthesia providers and satisfaction (p= 0.01). Also, there is no significant relationship between satisfaction, perceived impact of effective communication and Competence of Anaesthesia Providers on quality of anaesthesia care (p= 0.01). In conclusion, the study highlights a high level of patient satisfaction with anesthesia care, high quality of care provided, and a significant positive impact of effective communication by healthcare providers on patient satisfaction. Therefore, the study recommended that; Hospitals should create enabling environment for implementing further strategies that enhance collaboration, improve training and pain management protocols to ensure patient satisfaction with anaesthesia care.

Analysis of patient satisfaction with health services at Sei Berombang Labuhanbatu Health Center

The quality of health services is an essential factor in creating patient satisfaction and trust in health facilities. Puskesmas, as a critical health service, plays a central role in meeting the community's health needs, especially in remote areas such as Sei Berombang Labuhanbatu. However, the challenges faced by Puskesmas in providing adequate services often lead to variations in patient satisfaction levels. Lack of resources and infrastructure are barriers to improving service quality. This study aims to analyze the effect of health service quality dimensions on patient satisfaction at Puskesmas Sei Berombang in 2024. The method used was a quantitative approach with a cross-sectional analytic design involving 160 respondents from a population of 256 patients selected incidentally. Data were collected through interviews and online questionnaires and then analyzed using the Chi-Square test and multiple logistic regression. The results showed that reliability, assurance, tangibles, responsiveness, and empathy had a significant relationship with patient satisfaction, with p-values of 0.001, 0.008, 0.009, 0.002, and 0.003, respectively. The empathy variable has the most important influence on patient satisfaction, with an odds ratio (OR) of 8.256, indicating that increased empathy in service increases the chance of patient satisfaction by more than eight times. These findings highlight the importance of improving the quality of health services, especially empathy, to achieve optimal patient satisfaction. Therefore, service quality improvement strategies are recommended to focus on all five quality dimensions to effectively improve patient satisfaction in community health centers.

Assessment of patient satisfaction in quality of healthcare services rendered in hemodialysis department unit in Manuel v. Santiago medical center hospital in Trece Martires Cavite

This research explores the satisfaction levels of patients receiving hemodialysis services at the Manuel V. Santiago Medical Center Hospital in Trece Martires, Cavite. As renal diseases become increasingly common, understanding patient experiences can help improve service delivery in healthcare settings. This is a cross-sectional study that employs a qualitative approach to gathering feedback from patients and healthcare professionals to delineate areas for improvement and highlight successful practices. The implications of these findings for policy and future healthcare reforms will be discussed and intends to contribute to enhancing the overall patient experience in the facility.

Hubungan Standar Pelayanan Minimal Gizi dengan Tingkat Kepuasan Pasien Rawat Inap di Rumah Sakit Islam Muhammadiyah Sumberrejo Kabupaten Bojonegoro

Patient satisfaction is one of the benchmarks for assessing a hospital's success in providing services. Quality targets in nutrition services based on hospital Minimum Service Standards include three indicators, namely timeliness of food distribution, food waste and the absence of errors in diet administration. The aim of this research is to determine the relationship between minimum nutritional service standards and the level of satisfaction of inpatients at the Muhammadiyah Islamic Hospital Sumberrejo, Bojonegoro Regency. This type of research is cross-sectional. The sample in this study was patients in classes 2 and 3 of the Shafa and Marwah inpatient rooms, totaling 135 patients. The data measured are the level of patient satisfaction, timeliness of food distribution, accuracy of diet and food waste. Bivariate analysis used the Spearman's Rank test. The results of data analysis showed that food distribution timeliness was 92.5%, diet accuracy was 98%, food waste was 15.1%, while patient satisfaction levels were very satisfied (52%), satisfied (44%), dissatisfied (2%) and very dissatisfied (1%). The results of the study showed that the timeliness of distribution of breakfast (p=0.864&gt;0.05), afternoon (p=0.853&gt;0.05), evening (p=0.864&gt;0.05) and the level of satisfaction, while the accuracy of the diet and the level of satisfaction patients (p=0.112&gt;0.05), for food waste and level of patient satisfaction (p=0.311&gt;0.05). From this research it can be concluded that statistically there is no significant relationship between minimum service standards (timeliness of food distribution, accuracy of diet and food waste) and the level of patient satisfaction. Suggestions that can be given in this research are that hospital efforts are needed to maintain the quality of food services by paying more attention to the accuracy of diet for patients.

P0823 Access to an integrated Inflammatory Bowel Disease diet clinic improves patient-reported outcomes and dietary self-confidence in a tertiary service previously without dietetic services

Abstract Background Disability and impaired food-related quality of life (FRQoL) is prevalent in people with inflammatory bowel disease (IBD). The aim of this study was to examine whether access to specialised IBD diet care influenced patient-reported outcomes. Methods This was a prospective study of an IBD Diet Clinic (IBDDC) piloted at The Queen Elizabeth Hospital, South Australia between February 2021- September 2022. During routine IBD care, adults with diet-related issues were referred to a specialised IBD dietitian and invited to complete questionnaires evaluating before- and after dietary intervention. The primary outcome was change in FRQoL (defined as 0 (poor) and 149 (exceptionally high). Secondary outcomes included change in IBD-disability index (IBD-DI), domains of diet self-management including knowledge and self-confidence and satisfaction with IBD diet care. Appropriate statistical tests were applied to descriptive, categorical, and paired data. Results Of 91 who attended first consult in IBDDC, 55 completed before- and after-dietetic intervention questionnaires. FRQoL scores were 64.6 (SD 16.8) at baseline and improved by 13.9 points (95% CI 8.27, 19.6; p&amp;lt;0.001) following dietetic intervention. Similarly, IBD-DI scores improved by 3 points (95% CI 1.78, 4.22; p&amp;lt;0.001), knowledge of what to eat improved by 37% (p&amp;lt;0.001) and confidence in self-managing diet improved by 21% (p=0.003). Satisfaction with dietary advice was high; 46/55 (83%) were satisfied or extremely satisfied and 49/55 (89%) placed high or extremely high value on continuation of an integrated IBDDC within The Queen Elizabeth Hospital IBD service. Conclusion In an IBD service previously without a dedicated diet clinic, access to integrated, specialised and personalised IBD dietary care led to a significant improvement in all patient-reported outcomes and a high level of patient satisfaction. Poor baseline FRQoL was identified in IBD patients without access to specialised dietetic care and through attendance to an IBDDC, FRQoL, disability indices and dietary self-confidence improved.

PENGARUH KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN BADAN PENYELENGGARA JAMINAN SOSIAL (BPJS) KESEHATAN DI PUSKESMAS TUNTUNGAN KECAMATAN PANCUR BATU KABUPATEN DELI SERDANG

This study aims to analyze the effect of service quality on patient satisfaction of the Social Security Administering Agency (BPJS) Health at the Tuntungan Health Center, Pancur Batu District, Deli Serdang Regency. Service quality is one of the important factors in creating patient satisfaction, which in turn affects loyalty and the level of use of health services. The research method used is a survey with a quantitative approach, where data is collected through a questionnaire distributed to 100 respondents who are BPJS Health patients at the Health Center. Data analysis was carried out using a simple linear regression technique to test the relationship between service quality variables and patient satisfaction. The results of the study showed that there was a positive and significant effect between service quality and BPJS Health patient satisfaction at the Tuntungan Health Center. This indicates that the better the quality of service provided, the higher the level of patient satisfaction. This study provides recommendations for the Health Center to continue to improve the quality of service through training medical personnel and providing adequate facilities, in order to achieve higher patient satisfaction and increase the effectiveness of health services.

Immediate Patient Satisfaction with Dental Esthetics After Endodontic and Prosthodontic Treatment of Dental Dyschromia.

Objectives: This study aimed to evaluate patients' satisfaction with the esthetic outcomes of combined endodontic and prosthetic treatments for devitalized or dyschromic teeth, a condition influenced by various intrinsic and extrinsic factors that present a growing concern in modern dentistry. Methods: A total of 104 patients, including 43 men and 61 women, underwent treatment using lithium disilicate restorations for esthetic zones and zirconium oxide restorations for regions with higher occlusal demands. Patient satisfaction was evaluated through a post-treatment questionnaire, classifying responses as either "satisfied" or "dissatisfied". Dissatisfied participants were further asked to specify their concerns. Results: The study revealed a high satisfaction rate of 93%. Dissatisfaction was slightly more prevalent among women than men, but this difference was statistically insignificant. The primary reasons for dissatisfaction included darker restoration color, chipping, and gingival recessions. Conclusions: Combined endodontic and prosthetic treatments, utilizing lithium disilicate and zirconium oxide restorations, achieved high levels of patient satisfaction. Nevertheless, addressing specific issues, such as color matching and gingival health, could enhance outcomes further.

Thematic analysis of perceptions from both patients and dental students on a digital clinical decision aid in prosthodontics: A qualitative study.

The present study aimed to investigate the impact of utilizing an innovative and comprehensive patient-centered digital clinical decision aid designed to facilitate shared decision-making in missing tooth replacement between dental students and their patients. A qualitative study using interview approach was conducted in Hong Kong SAR and Malaysia. Thirty dental undergraduate students, each with one patient from the Faculty of Dentistry at The University of Hong Kong (n = 15) and Universiti Teknologi MARA (n = 15), were introduced to a digitally designed decision aid in missing tooth replacement prior to their treatment appointments. Semi-structured interviews were conducted with each student and patient, adhering to the interview protocol. Each interview was audio-recorded, transcribed, and subsequently coded to investigate the perceptions and potential advantages of this decision aid. Thematic analysis identified three key themes from the dental students' perspective: communication, utilization, and satisfaction. From patients' perceptions, four central themes emerged: communication, treatment information, uncertainty, and utilization. Detailed examination of the data highlighted an enhancement in patients' confidence and trust in their dental care providers, as well as a marked increase in both student and patient satisfaction levels upon implementing this novel approach. The average satisfaction rates for students were 83 % for Hong Kong SAR and 82 % for Malaysia. This patient-centered clinical decision aid helped to enhance communication between dental students and patients in both regions, ultimately leading to heightened patient satisfaction levels. Nonetheless, to address the present study's limitations, future studies should consider diversifying participant backgrounds, including patients without prior treatment discussions with students. Clinical decision aids are valuable tools in clinical teaching due to their enhancement of communication between clinicians and patients. They promote shared decision-making, leading to more personalized and evidence-driven treatment plans, ultimately improving patient care.

The Effect of Online Registration System on Outpatient Satisfaction

This study aims to analyze the effect of online registration system on outpatient satisfaction . The background of this study focuses on the need for improving fast, efficient, and technology-based health services to meet patient expectations. The online registration system is expected to reduce queues, speed up the administrative process, and improve patient comfort. This study uses a quantitative method with a cross-sectional approach. The sampling technique was carried out using the simple random sampling method , with the criteria of patients using the online registration system in December 2024, namely 115 patients. Data were collected through a questionnaire that measured aspects of patient satisfaction, such as ease of access, speed of service, data accuracy and system convenience. Data analysis was carried out using a simple linear regression test to identify the effect between the online registration system and patient satisfaction levels. The results of the study showed a positive and significant effect between the online registration system and patient satisfaction. This system simplifies the registration process and increases positive perceptions of the quality of hospital services. Therefore, it is recommended to improve the quality of information technology and training for officers to ensure the sustainability of excellent services and further development of system features is needed to improve accessibility and reliability of services.

DETERMINING FACTORS OF PATIENT SATISFACTION WITH PHARMACEUTICAL SERVICES: A SYSTEMATIC REVIEW

Background: Good pharmaceutical service quality can be seen through the level of patient satisfaction. Patient satisfaction is a feeling that arises from the performance of healthcare services obtained after patients compare them with their expectations and their needs are met. Pharmaceutical services still have shortcomings and require continuous improvement to enhance trust and minimize patient disappointment. Objective: The purpose of this systematic review was to identify and gather evidence related to the factors that determine patient satisfaction. Methods: This systematic review follows the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Information collection was conducted through searches on PubMed, Scopus, and Google Scholar from 2018 to 2023, considering eligibility and inclusion criteria. Results: Eight studies have been identified that provide various determining factors of satisfaction, including 10 factors based on patient characteristics: age, gender, education, job, salary, race, marital status, religion, disease status, and visit. Additionally, there were eight determining factors based on pharmaceutical service providers: location, facilities, medication, pharmacy services, working time, waiting time, assurance, and additional non-paid services. Conclusion: The study identified and collected evidence related to the determining factors of patient satisfaction from 2018 to 2023, along with the reasons from each article. The determinants of satisfaction based on these factors can be considered by pharmacists when determining errors that need to be corrected and services that need improvement. Keywords: Determinant; Patient Satisfaction; Patient Characteristic; Pharmaceutical Service; PRISMA

Patient Satisfaction level at National Traditional Medicine Hospital 2024: A cross-sectional study

Patient Satisfaction level at National Traditional Medicine Hospital 2024: A cross-sectional study

Perioperative changes in anxiety and comfort in third molar extraction patients sedated with midazolam.

This study aimed to analyze changes in anxiety and comfort levels at each perioperative stage during third molar extraction under single-agent intravenous midazolam sedation, and to clarify how these conditions at each perioperative stage affect postoperative satisfaction. 115 who requested extraction of 1 ~ 4 third molars under single-agent intravenous midazolam sedation were targeted. These patients were administered a questionnaire survey one week after surgery. The questionnaire's five items (Anxiety before surgery, Comfort during surgery, Comfort after surgery, Amnesia, and Satisfaction) were evaluated using a visual analog scale (VAS). We investigated the correlation between each of the eight parameters which added age, operation time, and total amount of midazolam, to the VAS score. Furthermore, we compared each eight parameters according to the number of extracted wisdom teeth and sex differences. Regarding the correlation among each parameter, low preoperative anxiety were weak and positively correlated with reduced operation time reduced midazolam dosage, and an increase in postoperative comfort. All parameters influenced the patient's satisfaction level. Those levels were significantly affected by preoperative reassurance (r = 0.4402, p < 0.01), postoperative comfort (r = 0.5522, p < 0.01) amnesia (r = 0.5741, p < 0.01), and intraoperative comfort (r = 0.7578, p < 0.01). Each parameter had no significant difference depending on the number of teeth extracted. In comparison between men and women, only preoperative reassurance was significantly lower in women than in men (p<0.05). This sedation effectively managed preoperative anxiety and improved postoperative satisfaction. To obtain good sedative condition, Preoperative anxiolytics are recommended. This sedation is considered particularly effective in women.

"MINIMIZING THIGHPLASTY COMPLICATIONS: A COMBINED APPROACH OF J MEDIAL PATTERN AND HELIUM-PLASMA ASSISTED LIPOSCULPTURE".

Thighplasty is a widely performed body contouring procedure, utilizing various surgical techniques for thigh lifting, including medial scar positioning, vertical and horizontal procedures, and liposuction. Despite its popularity, thighplasty is associated with high complication rates and suboptimal postoperative outcomes.This article presents a novel technique: the J medial thighplasty combined with helium plasma radiofrequency technology (HPRF) to address moderate skin and soft-tissue laxity and ptosis in the inner thighs. Between 2020 and 2023, 21 patients underwent this combined procedure. The surgical approach involved selective liposuction in targeted areas, skin resection, and preservation of deep tissue layers, coupled with the application of HPRF in the lower third of the medial thigh.Results demonstrated significant reductions in thigh laxity, correction of skin overhang, and fat reduction, yielding improved functional and aesthetic outcomes in the lower thigh region. By strategically avoiding lymphatic vessels in superficial areas, the risk of secondary lymphedema was minimized. Patient satisfaction was notably high, with both patients and surgeons reporting favorable results.In conclusion, the J medial thighplasty combined with HPRF offers an effective and straightforward method for enhancing the lower thigh area with minimal complications. This innovative technique provides a promising solution for patients seeking improved thigh contouring while ensuring high levels of patient satisfaction.

THE RELATIONSHIP BETWEEN SERVICE QUALITY AND PATIENT SATISFACTION IN THE PRIMARY CLINIC OF THE DIRECTORATE GENERAL OF REGIONAL DEVELOPMENT, MINISTRY OF HOME AFFAIRS

Background: Service activities at healthcare facilities are closely linked to service quality, facilities, and patient satisfaction. Consumer satisfaction is the feeling of pleasure or disappointment that arises after comparing their perception or impression of a product's performance or outcome with their expectations. Patient satisfaction is related to the service quality of healthcare facilities. By knowing the level of patient satisfaction, management can improve service quality. Objective: To determine the relationship between healthcare service quality and patient satisfaction at the Primary Clinic of the Directorate General of Regional Development, Ministry of Home Affairs. Methods: This research is a quantitative analytical study with a cross-sectional design. The sample formula used in this study is the Slovin formula, with a total of 94 respondents selected using accidental sampling technique. Bivariate data analysis was performed using the chi-square test. Results: The univariate results showed good service quality at 95.7% and poor quality at 4.3%, while patient satisfaction was 94.7% satisfied, 3.2% fairly satisfied, and 2.1% dissatisfied. Bivariate analysis found a significant influence between service quality and patient satisfaction at the Primary Clinic of the Directorate General of Regional Development, Ministry of Home Affairs, with a P-value of 0.001. Conclusion: Good service quality will increase the level of patient satisfaction as service recipients.