Meet Patient Expectations Research Articles

Non-surgical management of BPH: An updated review of current literature and state of the art on natural compounds and medical therapy.

Benign prostatic hyperplasia (BPH) is a common urological disease that is strongly associated with the aging process and can lead to lower urinary tract symptoms (LUTS). LUTS due to BPH can significantly affect the quality of life of many patients. Among the treatments available for BPH to improve symptoms and functional outcomes, drug therapy and surgical therapy are the options of choice. However, for most patients with symptomatic BPH, medical management remains the cornerstone of treatment. Pharmacologic interventions are often preferred as a first approach, being less invasive compared to surgery. Although the medical treatment of BPH is currently defined by the algorithms of international guidelines, the need for a more personalized approach is increasingly recognized given the wide and heterogeneous range of therapeutic options available. A review of medical therapy for BPH was conducted using relevant articles in PubMed, Scopus, and the Cochrane Central Register of Controlled Trials. In this review, all drug treatments currently available on the international market whose efficacy is scientifically proven are reviewed and described (phytotherapy, alpha-blockers, muscarinic receptor antagonists, 5-alpha-reductase inhibitors, combination therapies, etc.). A total of 17 randomized clinical trials were selected for review. Further, 75 studies were included for analysis and discussion. As the treatment landscape continues to evolve, tailoring therapy to individual patient needs and preferences is likely to become increasingly important to ensure that treatment strategies are both effective and meet patient expectations.

Enhancing Patient Satisfaction by Healthcare Service Providers: A Systematic Literature Review

Aims: The aim of this study is to identify the primary determinants and emerging trends that influence patient experiences patient experiences. Study Design: Through a systematic review of scholarly literature, an investigation examines the pivotal elements that drive patient satisfaction outcomes in innovative healthcare service delivery contexts. Place and Duration of Study: The study was conducted in healthcare service innovation. The duration of the study around six months by analyzing articles published between 2019 and 2023 in Scopus-indexed academic journals. Methodology: Following the PRISMA guidelines, this study analyzed 54 peer-reviewed articles to examine the relationship between service quality, communication, digital transformation, physical environment, waiting time, and healthcare accessibility on patient satisfaction. Results: The findings emphasize the increasing trend toward patient-centered care and the integration of technology to improve service delivery. These results underscore the importance of continuous service improvement and innovation in healthcare to meet patient expectations and enhance satisfaction. The study concludes that addressing these key factors is essential for healthcare providers to achieve higher patient loyalty, better health outcomes, and a competitive advantage. Future study should focus on further integrating digital solutions and patient-centered approaches to drive improvements in customer satisfaction in healthcare settings. Conclusion: The review indicates that service quality, characterized by reliability, responsiveness, and empathy, is the most significant determinant of customer satisfaction. Communication between healthcare providers and patients is also identified as a critical factor, with clear and empathetic interactions significantly enhancing patient trust and satisfaction. Digital transformation, including telemedicine and electronic health records, emerges as a key innovation in improving service efficiency, reducing waiting times, and expanding access to care. The physical environment and waiting times are also noted as important contributors to patient satisfaction, influencing their overall experience in healthcare facilities.

Patient Experiences of Service Quality and its Impact on Satisfaction at B&B Hospital

Purpose: The research paper attempted to provide the consensus regarding the influence of perceptual service quality on customer satisfaction at B&B hospital in Lalitpur district. Design/methodology/approach: Impact were assessed in 2024 in Lalitput, Nepal by employing 186 samples with the help of convenience sampling method. Sample were selected from existing patients from the B&B hospital. Five-point Likert scalequestion were asked and the validity and reliability of the questionnaire were confirmed. Findings: Measure of central tendency and dispersions, correlation and regression analysis were used through SPSS 25. Study found that the patients perceived better service quality in case of outpatient department of the hospitals, and services of thehospitals were found better based on the patient experience. Conclusion: The study reveals that B&B Hospital meets patient expectations through high service quality, with physician consultation, perceived costs, and physical environment influencing satisfaction, highlighting the need for strategic enhancements. Implications: The study implies that hospitals can boost patient satisfaction and attract more patients by investing in staff training, enhancing communication, creating a comfortable environment, and addressing service costs, thus differentiating themselves through targeted service improvements. JEL Classification: I11, I13, I18

Orna face analysis

Aim: Facial aesthetics is a dynamic field requiring precise professional assessment, considering beauty concepts, variability in cultural and ethnic facial features, and patient perception. This study aimed to develop the Orna Face Analysis (OFA), an integrated tool for detailed facial evaluation to improve the planning of aesthetic treatments. Methods: The OFA integrates multiple analysis methods, considering key aspects such as youthfulness, average appearance, symmetry, and dimorphic features to create a comprehensive evaluation protocol based on a critical review of the scientific literature searched through PubMed, Scielo, Web of Science, and Scopus databases without language or time restrictions. Results: The OFA was designed as an electronic form that can generate a printed file, allowing for a deep understanding of patients faces by highlighting these essential aspects. This approach enables detailed and personalized diagnostics essential for effectively planning facial aesthetic treatments and meeting patient expectations. The OFA emerges as a complementary and integrative tool in facial aesthetics, promoting a personalized and evidence-based approach to facial harmonization. After constructing the OFA prototype in electronic and printed formats, the tool was tested in a clinical setting (TRL 6 – technology readiness level) to assess its objectivity, clarity, coherence, precision, and usability. TRL 6 indicates that the system has been demonstrated in a relevant environment but requires further testing for full validation. Conclusion: A preliminary evaluation by a facial harmonization specialist confirmed that the OFA enables the creation of highly personalized treatment plans, accurately reflecting a range of aesthetic outcomes. Further validation will solidify its applicability across diverse patient populations and settings.

Patient expectations and understanding of hospital food service provision when declaring a food allergy.

Food allergies are increasingly common and so hospitals must promptly identify and manage these to maintain patient safety. The present study explored patient understanding and expectations of food allergy management in hospital food services. This exploratory descriptive study used mixed methods, including semi-structured interviews and surveys with hospital inpatients declaring food allergies, aiming to explore understanding, expectations and preferences for food allergy management in the hospital setting. Twenty-four participants were interviewed, reporting between one and six food allergies across 25 different allergens. Three main themes were identified: "Shared responsibility for declaring and managing allergens in hospital", "Varied understanding and trust in hospital food service processes" and "Satisfactory hospital food service experience". In the latter, participants identified 13 key factors valued for hospital food, including appearance, food quality and flavour. Remarkably, being "free from" the food allergen was not amongst the most common factors. Generally, participants felt that declaring a food allergy had not negatively impacted their hospital admission, and overall satisfaction with food services did not differ between the food allergic study participants and the general hospital population. Overall, the declaration of a food allergy did not negatively impact on hospital experience. However, further investigations are required to identify the most valued factors for hospital meals, aiming to enable a more targeted approach to better meet patient expectations.

Rancang Bangun Sistem Informasi Pelayanan Kesehatan Berbasis Website Pada Salvio Medical Information

In an era of rapid advances in Information Technology, health is an important aspect of human life. Clinics and hospitals compete to meet patient expectations, but often patients struggle to find suitable services, wasting valuable time. A common problem faced by many visitors to Bali is the confusion of finding a hospital or clinic that suits their needs. Salvio Medical Information, as a healthcare institution in Bali, faces similar challenges with a lack of a comprehensive information system. This can result in errors in data management, difficulties in accessing information, as well as delays in service to guests who need health care. Therefore, this research aims to design a website-based healthcare information system for Salvio Medical Information. The development approach uses the Extreme Programming model to enable rapid software development. Thus, this research is expected to make a significant contribution to efforts to develop health services that are more efficient and able to better meet the needs of patients. The expected result is a web-based health service information system that is built using the PHP programming language with the help of the Laravel framework and the extreme programming method. Where in the system built custemer can place orders through the website and the admin can manage service content and partner content on the website.

Analysis of The Quality of Physiotherapy Services For BPJS Patients In Hospitals On The Island of Java

The growing emphasis on patient-centered healthcare highlights the critical need for high-quality services that meet patient satisfaction, particularly in physiotherapy clinics. This study aims to explore the relationship between the quality of physiotherapy services and patient satisfaction, focusing on various dimensions such as tangibility, reliability, responsiveness, assurance, and empathy. A literature review was conducted, analyzing studies from 2013 to 2023 to assess the effectiveness of physiotherapy services in different settings. The findings indicate a significant correlation between service quality and patient satisfaction, with a substantial number of patients reporting satisfaction with the services received. However, certain areas, such as communication and facility conditions, were identified as needing improvement. The study underscores the importance of enhancing service quality to meet patient expectations and improve overall healthcare outcomes. The results are expected to contribute to the development of more effective physiotherapy services and serve as a reference for future research in this area.

Respon Time Pelayanan IGD Berhubungan dengan Tingkat Kepuasan Pasien di IGD Rumah Sakit Muhammadiyah Gresik

Hospitals as health service providers, when patients feel satisfaction with the health services provided, this has a positive impact on the patient's recovery process. In serving patients, the concept of Response Time refers to the length of time staff are able to treat patients upon arrival at the health service unit, with a time of ≤ 5 minutes. Efficient service provision, namely characterized by fast response times, can contribute to overall patient satisfaction in the emergency department. The aim of this research is to determine the relationship between Response Time of services in the ER and the level of patient satisfaction at the Muhammadiyah Gresik Hospital. This research uses an analytical survey design with a cross-sectional approach. Researchers used an accidental sampling strategy, a population of 317 respondents. The research sample consisted of 176 individuals who sought treatment at the Muhammadiyah Gresik Hospital Emergency Room. The tools used in this research consisted of a Response Time observation sheet and a patient satisfaction level questionnaire sheet. Almost all service response times in the emergency room at Muhammadiyah Gresik Hospital are in the fast category, as much as 80%. Half the level of patient satisfaction in the satisfied category is 41%. From the chi-square statistical test carried out to analyze the relationship between response time and the level of patient satisfaction in the Muhammadiyah Gresik emergency room, it produces a P-value of 0.000 with α = 0.05. There is a relationship between response time and patient satisfaction level in the emergency room at Muhammadiyah Gresik Hospital. Patient satisfaction shows the nurse's ability to meet patient expectations for high quality services

Evaluation of patient anxiety level and patient decision-making in selecting dental services

This study aimed to assess the patient decision-making process regarding dental visits and evaluate patient perceptions in selecting dental services/clinics. A cross-sectional study was conducted on 624 patients attending the Dental Outpatient Department from February 2023 to March 2023. A questionnaire consisting of 15 questions covering various aspects of patient perception was administered to willing participants. Questions were framed in both English and vernacular languages, focusing on patient perspectives, expectations, decision-making, anxiety reduction, and suggestions for future dental practices. The study revealed key insights into patient behavior: 87% sought opinions from others regarding dental treatment, 50% visited the dentist only when a problem arose, and 51.5% relied on friends and peers for treatment information. Factors influencing clinic choice included proximity (41%), procedure quality (43.5%), and popularity (38%). Brand image (35.5%) and pricing (29%) were significant in purchasing dental products. Patient anxiety was reduced when procedures were explained thoroughly (57.5%) and restorations lasted long (34%). Recommendations for dental clinics were based on treatment quality (62%) and dentist honesty (45%).Understanding patient decision-making processes are vital for dental practitioners. Clear communication, quality care, and honesty are crucial in building patient trust and satisfaction. Dentists should address patient concerns honestly and provide assurances regarding treatment outcomes to meet patient expectations effectively.

Return to Sports in Patients Aged 50 Years or Younger After Robotic-Assisted Patellofemoral Arthroplasty: A 10-Year Experience Reporting High Clinical Benefits and High Patient Satisfaction With Return to an Active Lifestyle

Background: Limited data are available on return to sports and patient psychometric ratings of success after patellofemoral arthroplasty (PFA) in younger patients with high expectations to return to an active lifestyle. Purpose/Hypothesis: The purpose of this article was to determine the role of PFA and its success in meeting patient expectations regarding the return to low-impact recreational sports and an active lifestyle in younger, active patients. It was hypothesized that PFA would allow younger patients to return to low-impact sports and an active lifestyle and achieve high patient psychometric ratings. Study Design: Case series; Level of evidence, 4. Methods: In this 10-year prospective study (2009-2018), robotic-assisted PFA was performed on 44 patients (32 women and 12 men; n = 51 consecutive knees), with a mean age of 37.2 years (range, 21-50 years). The follow-up rate was 98%, with a mean of 5.3 years (range, 2-9.3 years). Primary clinical outcomes were as follows: the validated Cincinnati Knee Rating System sports activity and symptom rating scales, patient psychometric ratings of the substantial clinical benefit (SCB), and the Patient Acceptable Symptom State (PASS). Secondary outcomes were the Cincinnati Knee Rating System occupational rating, visual analog pain scale, and the 12-Item Short Form Health Survey. Survivorship was defined by conversion to total knee replacement (TKR). Results: Before PFA, 78% of patients (35/45 knees) were symptomatic and unable to perform recreational sports, with only 20% of patients (9/45 knees) performing some low-impact sports. After PFA, 80% of patients (36/45 knees) were able to perform low-impact sports, and 7% (3/45 knees) performed jumping-pivoting sports (P < .001). The SCB scored by the patient showed 87% of knees as good, very good, or normal. On the PASS analysis, 89% of patients (95% CI, 76%-96%) were “pleased,” and 93% (95% CI, 82%-99%) would undergo surgery again. There were clinically relevant improvements in symptoms of pain, swelling, and giving way (P = .0001). Preoperatively, 91% of knees had moderate to severe pain with activities of daily living, and only 11% of knees had pain at the follow-up. Five of the 50 knees (10%) underwent TKR conversion with one patient lost to follow-up. Conclusion: PFA resulted in a high return of patients to low-impact sports with high SCB and PASS psychometric ratings. The robotic-assisted 3-dimensional preoperative planning allowed precise intraoperative trochlear implant alignment in knees with severe trochlear dysplasia. PFA is recommended as an alternative treatment in younger patients with end-stage symptomatic patellofemoral arthritis. Registration: NCT02738476 (ClinicalTrials.gov identifier).

Evaluation of Patient Expectations and Outcomes after Distal Radius Fractures.

Patient expectations influence patient-reported outcomes after musculoskeletal injuries. The goal of this study is to determine how pretreatment expectations correlate with outcomes in patients with distal radius fractures. Seventy-five patients with an isolated distal radius fracture were prospectively enrolled into nonoperative and operative cohorts. The Trauma Expectation Factor-Trauma Outcome Measure (TEF-TOM) score was the primary outcome measure. Trauma Expectation Factor scores were recorded at the time of enrollment, and TOM scores were recorded at 3, 6, and 12 months. Quick Disabilities of the Arm, Shoulder, and Hand (qDASH) and Patient-Rated Wrist Evaluation (PRWE) scores were also recorded. Trauma Outcome Measure scores at all time points were worse than expected (P < .01). Expectations were higher for patients younger than 65 years than for the 65+ group (P = .02). In patients aged 65+ years, mean TOM at 3 months was not significantly different than expected (P = .11) but decreased by 6 (P = .04) and 12 months (P < .01). Baseline TEF and TEF-TOM scores were not significantly different between operative and nonoperative groups (P = .37). Quick Disabilities of the Arm, Shoulder, and Hand and PRWE scores were not significantly different between age or treatment groups at the final follow-up. The overall treatment of distal radial injuries in our study did not meet patient expectations. Patients aged 65 years or older had lower expectations but were not able to predict their outcomes better than patients aged <65 years. There were no differences in TEF or TOM by treatment method. Patients demonstrated improved functional outcomes (qDASH/PRWE) at all time points regardless of age and treatment method.

High-Definition Liposuction Contouring of the Arms in Males and Females

Liposuction is one of the most common esthetic procedures performed in both males and females. High-definition liposuction has become more sought after recently, especially to define the arms and abdominal musculature. This is a case report of high-definition liposuction of the arms to create markings and techniques to obtain a muscular and sculpted appearance of the arms. Between July 2022 and October 2023, 6 patients were selected for high-definition liposuction to bilateral arms. Specific pre-operative markings were made to outline the deltoid, biceps, and triceps. Traditional liposuction with focus on liposculpture of these markings was done to define the muscles of the arms. Results showed that with proper selection, pre-operative markings, and adequate technique of liposculpture, the muscles of the arms can be defined to meet patient expectations and give a more athletic appearance.

Factors affecting operating room scheduling accuracy for primary and revision total hip arthroplasty: a retrospective study.

Optimizing operating room (OR) scheduling accuracy is important for OR efficiency, meeting patient expectations, and maximizing value for health systems. However, limited data exist on factors influencing the precision of Total Hip Arthroplasty (THA) OR scheduling. This study aims to identify the factors influencing the accuracy of OR scheduling for THA. A retrospective review of 6,072 THA (5,579 primary THA and 493 revision THA) performed between January 2020 and May 2023 at an urban, academic institution was conducted. We collected baseline patient characteristics, surgeon years of experience, and compared actual wheels in to wheels out (WIWO) OR time against scheduled OR time. Significant scheduling inaccuracies were defined as actual OR times deviating by at least 15% from scheduled OR times. Logistic regression analyses were employed to assess the impact of patient, surgeon, and intraoperative factors on OR scheduling accuracy. Using adjusted odds ratios, primary THA patients who had a lower BMI and surgeons who had less than 10 years of experience were associated with overestimation of OR time. Whereas, higher BMI, younger age, general anesthesia, non-primary osteoarthritis indications, and afternoon procedure start times were linked to underestimation of OR time. For revision THA, lower BMI and fewer components revised correlated with overestimated OR time. Men, higher BMI, more components revised, septic indication for surgery, and morning procedure start times were associated with underestimation of OR time. This study highlights several critical patient, surgeon, and intraoperative factors influencing OR scheduling accuracy for THA. OR scheduling models should consider these factors to enhance OR efficiency.

Analysis of the Influence of Clinical Governance on Physician Job Satisfaction at RSUD Teungku Peukan Kab. Southwest Aceh in 2023

This study highlights the importance of physician job satisfaction in the context of health care quality. Modern hospitals must not only comply with regulations, but also uphold high standards to meet patient expectations. Factors such as management, clinical governance, and work environment influence physician job satisfaction. This study aims to investigate whether management factors, especially clinical governance, have an impact on the job satisfaction of doctors at Teuku Pekan Hospital, Southwest Aceh Regency in 2023. A cross-sectional method was used by collecting data through questionnaires to 33 doctors who work at home. the pain. The results of the analysis show that the majority of respondents consider management effectiveness, such as communication and strategy, to be quite effective. However, there are areas that are still less effective, such as risk and resource management. The majority of doctors feel sufficient satisfaction regarding the work environment, but there is still room for improvement, especially regarding income commensurate with workload.

Expectations of Patients Receiving Orthodontic Treatment from Saidu College of Dentistry Swat: A Cross Sectional Study

OBJECTIVE: The aim of this study was to assess the anticipations of orthodontic treatment held by both patients and parents. This would enable the provision of optimal services for expectations that are rational, while also facilitating discussions or guidance for expectations that are impractical. One of the key goals of healthcare systems today is to meet patient expectations. The declaration of a patient’s desires is significant because healthcare providers frequently undervalue their need for treatment. When a clinician is aware of patient demands, they are better equipped to meet the patient’s realistic expectations while explaining the least possibility to fulfil arbitrary expectations, thus results in more rewarding therapeutic interventions. METHODOLOGY: The data collection process involved the utilization of a non-randomized sampling technique, specifically selecting 300 participants as determined through Epi info using a structured form. The study focused on recruiting new patients who exhibited internal motivation, along with anatomical or morphological issues related to their teeth or jaws. A prior history of orthodontic treatment was an exclusion criterion. Participants with craniofacial syndromes or malformations, as well as those dealing with mental or psychological health conditions, were excluded from the research. RESULTS: In total, 300 individuals were examined, with 170 females and 130 males. Improvement in facial appearance was the most popular reason for seeking orthodontic treatment (180 patients out of 300), although other functions like mastication, better oral health and communication were mentioned by 120 patients. 70% (210) had a thought, since they would receive treatment, they would be more accepted by society and thus improve their social standing, while the remaining 30% (90) thought that it would have no difference. CONCLUSION: Essentially, expectations from orthodontic interventions among patients are quite uniform, although males generally display more practical perceptions regarding treatment duration and the initial appointment. However, when it comes to dietary and beverage restrictions during orthodontic treatment, patient expectations differ from those held by their parents. KEYWORDS: Patient expectations, orthodontics, Evaluate.

A Qualitative Systematic Review of Healthcare Practitioners' Experience of Workplace Violence.

Healthcare practitioners face significant risks of workplace violence due to various reasons such as hospital congestion, miscommunication, and aggressive behaviours of patients and relatives. Exposure to workplace violence may disrupt the workflow process and compromise patient care in healthcare facilities, ultimately affecting job performance, reducing job satisfaction, and negatively affecting the physical and mental health of healthcare practitioners. This study aimed to review all the published studies conducted on the experiences of workplace violence among healthcare practitioners. This study is a systematic review of qualitative studies. Data were collected through online databases including ScienceDirect, PubMed, MEDLINE and JSTOR were searched from the year 2015-2021. The inclusion criteria were: qualitative methods and mixed methods of data collection and analysis; studies that were carried out among healthcare practitioners who have been experience on workplace violence; scope of the primary studies included experience of workplace violence; and published in English/Malay in academic journal between 2015 and 2021. A total of 15 papers were included in the final analysis. The overall quality of the included papers was high. Of the 15 papers, 12 studies fully met the CASP criteria. The results of the 15 included studies were organised into the thematic groups of: i) verbal violence as the common workplace violence; ii) perceived causes of workplace violence and iii) seeking help. Across different countries, verbal violence was the most common type of workplace violence reported by healthcare practitioners. This review also identified that a lack of information, failure to meet patient expectations, and delayed treatment were the main contributing factors to workplace violence.

Rehabilitasi Respirasi pada Pasca Operasi Angkat Pita Suara

Laryngectomy is a surgery that involves the removal of components of the larynx and vocal cords, with a permanent stoma created in the neck. Voice, breathing, and eating functions will be impaired in the long term. After laryngectomy, people lose not only their voice and ability to communicate but also part of their personality. Voice rehabilitation becomes essential in treatment, focusing on acceptable voice production and aspiration prevention and improving the quality of life of larynx-impaired patients post vocal cord removal. Rehabilitation of laryngectomized patients is a current therapeutic challenge. A therapeutic respiratory rehabilitation was designed to meet patient expectations better.

Comparative Analysis Of Service Quality On Patient Satisfaction Levels In Government And Private Hospitals In Medan City In 2022

This study compares service quality to patient satisfaction in government and private hospitals in Medan City in 2022. This study used a survey method using a questionnaire as a data collection instrument. The research respondents were patients who used government and private hospital services. The data collected includes service quality dimensions, such as tangibles, reliability, responsiveness, assurance, and empathy. In addition, the data also consists of the level of patient satisfaction with the services provided by the hospital. Comparative analysis of service quality and patient satisfaction levels was carried out using appropriate statistical techniques, such as testing the difference between two groups of hospitals (government vs. private) using appropriate statistical tests. The results of this analysis will provide an understanding of the differences in service quality between government and private hospitals, as well as the related level of patient satisfaction. This research is expected to contribute to the development and improvement of health services in hospitals, especially in the city of Medan. The results of this study can also be input for hospital management to improve service quality and patient satisfaction. Thus, hospitals can provide better services and meet patient expectations to enhance the reputation and competitiveness of both government and private hospitals in Medan City. Especially in the city of Medan. The results of this study can also be input for hospital management to improve service quality and patient satisfaction. Thus, hospitals can provide better services and meet patient expectations to enhance the reputation and competitiveness of both government and private hospitals in Medan City. Especially in the city of Medan. The results of this study can also be input for hospital management to improve service quality and patient satisfaction. Thus, hospitals can provide better services and meet patient expectations to enhance the reputation and competitiveness of both government and private hospitals in Medan City.

Impact of polyethylene glycol and polydopamine coatings on the performance of camptothecin-loaded liposomes for localised treatment of colorectal cancer

Orally delivered therapeutics offer great promise for localized treatment of colorectal cancer. However, various natural barriers along the gastrointestinal tract need to be tackled to allow effective drug delivery to tumoral sites.

Analysis of Satisfaction Levels of Patients on Service Quality with The Importance Performance Analysis (IPA) Method

The Importance Performance Analysis (IPA) method is a survey method that can be used to measure the satisfaction performance that is considered important by customers (expectations) and the satisfaction performance received by customers (reality). This research aims to determine the level of compatibility between performance and expectations of satisfaction towards the quality of service at the Biromaru Public Health Center in Sigi Regency. This type of research was quantitative with descriptive analysis techniques; the sample size used the Slovin formula, while the sampling used accidental sampling techniques. The total sample was 99 respondents. Data were collected through questionnaires and then analyzed using the Importance Performance Analysis (IPA) method. Results show that The Biromaru Public Health Center has met patient expectations in terms of the friendliness and politeness of health workers, the cleanliness of examination rooms, and the timeliness of doctor examinations. However, there are several areas where the health center can improve, such as the cleanliness and maintenance of the building, the waiting time for medicines, and the availability of sophisticated and adequate health facilities. The attributes that patients consider less important, but are still implemented well, include the appearance of health workers, the clarity of drug dosage information, and the good communication of nurses. The Bureaumaru Health Center has met patient expectations in terms of the courtesy and politeness of health workers, the cleanliness of the examination room, and the timeliness of doctor's examinations.