https://univerpubl.com/index.php/scholastic <p><strong>Scholastic: Journal of Natural and Medical Education </strong>with<strong> U.S. ISSN <a href="https://portal.issn.org/resource/ISSN/2835-303X">2835-303X</a></strong> is an open-access fully peer-reviewed scholarly journal. The monthly – interdisciplinary journal is directed in first place to scientists who want to publish their findings, insights, observations, conclusions, etc., related to natural sciences in a short space of time. Within the scope of natural sciences: life sciences, biology, veterinary medicine, animal and agriculture, food sciences, environment and environmental protection, forest sciences and ecology, botany, zoology, biochemistry and biotechnology, pharmaceutics and chemistry of medicines, horticulture, geography and tourism, oceanography, geology, paleontology. The papers published in the "<strong>Journal of Natural and Medical Education"</strong> are abstracted by International Databases: Global Scientific Journals Databases, Google Scholar, Semantic, Zotero, and other indexes. </p> <p><strong>Articles can also be submitted to editor@univerpubl.com.</strong></p> en-US editor@univerpubl.com (Editor in Chief) editor@univerpubl.com (Managing Editorial) Wed, 31 Jul 2024 00:19:56 -0400 OJS 3.3.0.10 http://blogs.law.harvard.edu/tech/rss 60 https://univerpubl.com/index.php/scholastic/article/view/3229 <p><strong>:</strong> In general, tuberculosis control in 2020-2024 aims to accelerate Indonesia's efforts to eliminate tuberculosis by 2030, and end the tuberculosis epidemic by 2050 (Indonesian Ministry of Health, 2020). TB controls efforts are carried out with Direct Observed Treatment Short Courses (DOTS). The use of DOTS and eradication of TB is a treatment with direct supervision. Patient compliance in pulmonary TB treatment is very important (Firdaus, 2019). Method The study design in this research uses analytical observational research with a cross sectional research design. Population The population in this study is all pulmonary TB patients in Pesisir Barat Regency, Lampung Province in 2024, with a total of 238 pulmonary TB patients. Samples The samples is a portions of the number and characteristics of a population of 74 respondents. Data analysis was univariate, bivariate and multivariate using the Chi-square analysis technique. This research began from April to May 2024. The results of medication adherence for TB patients mostly occurred in people aged 45-65 years, low to medium education, working in the private sector, with poor knowledge, poor motivation and lacking family support. There is a relationship between education and adherence to medication in TB patients (p-value 0.002), Employment Status (p-value 0.012), Knowledge (p-value 0.004), Motivation (p-value 0.005), Family Support (p- value 0.002). Motivation is the most dominant factor in medication compliance for pulmonary TB patients in Pesisir Barat Regency, Lampung Province. In 2024, Conclusion: It is hoped that health services in Coastal West Regency can improve health education in the form of education,especially TB, not only for TB sufferers but also the local community. in their work area and provide motivation and support to both patients and their families.</p> Sherly, Yunita Theresiana, Hartian Pansori Copyright (c) 2024 https://univerpubl.com/index.php/scholastic/article/view/3229 Mon, 29 Jul 2024 00:00:00 -0400 https://univerpubl.com/index.php/scholastic/article/view/3231 <p>Hospitals in Indonesia are currently making various efforts to grow and maintain customer loyalty by improving service quality and customer satisfaction. This research aims to determine the impact of service quality using a business process and internal Balanced Scorecard perspective and patient satisfaction on patient loyalty in the outpatient installation at Kaur Hospital Bengkulu in 2024. This research uses mixed-method research using Convergent Mixed Methods Design, which was carried out from January to July 2024. The results of the univariate test analysis showed that almost all respondents stated that the quality of service was good, almost all respondents stated that the waiting time for outpatient care, doctors providing services, service availability and service opening hours were up to standard. The majority of respondents stated that they were satisfied with the service, almost all respondents stated that they were satisfied with the type of service available at the hospital, almost all respondents stated that the service was easy, almost all respondents stated that the service time was fast, almost all respondents stated that the costs or rates were according to standard/reasonable , almost all respondents stated that they were satisfied with the service product, almost all respondents stated that the competence was competent, almost all respondents stated that they were satisfied with the behavior of the officers, almost all respondents stated that they were satisfied with the available infrastructure, and almost all respondents stated that the handling of complaints was good. The bivariate test results showed that the type of service, ease of service, service time, costs or rates, service products, competence, staff behavior and infrastructure had an impact on patient loyalty. Multivariate test results showed that service time had the most dominant impact on patient loyalty in the Outpatient Installation at Kaur Regional Hospital, Bengkulu. The informant mapping model based on the Net Promoter Score (NPS) found that almost all customers were in the Promoter customer category.Researchers suggest that Kaur Bengkulu Regional Hospital can improve the quality of service and patient satisfaction for patients in the Outpatient Installation thereby increasing patient loyalty.</p> Leppi Agung Wahyudi, Jon Hendri Nurdan, Hartian Pansori, Yunita Theresiana, Tuti Rohani Copyright (c) 2024 https://univerpubl.com/index.php/scholastic/article/view/3231 Mon, 29 Jul 2024 00:00:00 -0400