Objective. The purposes of this research are: 1) To describe the quality of service, health facilities and satisfaction of BPJS patients at Mina Padi General Hospital, Simalungun Regency. 2) To determine the effect of service quality and health facilities on BPJS patient satisfaction at Mina Padi General Hospital, Simalungun Regency, either simultaneously or partially. Research Methods. The research design used in this research is library research and field research. Data collection techniques used in this research are questionnaire method, interview method and documentation method. Results. The results of the study can be concluded as follows: Service quality, health facilities are good, and patient satisfaction is also categorized as good. The results of the regression analysis are = 7.407 + 0.378 X1 + 0.364 X2, meaning that the quality of services and health facilities has a positive and significant effect on patient satisfaction. 3) The results of the correlation analysis obtained a value of r = 0.794, meaning that there is a strong and positive relationship between the quality of services and health facilities and patient satisfaction. The value of the coefficient of determination R = 0.631 means that the level of patient satisfaction can be explained by the quality of services and health facilities of 63.1%. The research hypothesis H0 is rejected, meaning that the quality of services and health facilities has a positive and significant effect on BPJS patient satisfaction at Mina Hospital in Simalungun Regency, either simultaneously or partially. Conclusion. To create a good quality of service, Mina Padi General Hospital in Simalungun Regency should increase the number of inpatient rooms so that sick patients can be treated immediately and receive incentive treatment from medical personnel. To improve health facilities at Mina Padi General Hospital, Simalungun Regency, it is better to increase the number of specialist doctors so that patients who need treatment can be handled immediately. And so that patients feel comfortable, the hospital should be able to overcome the smell of waste. To create patient satisfaction, it is recommended that Mina Padi Hospital, Simalungun Regency, need to increase the supply of medicines needed by BPJS patients.

Objective. The purpose of this research is: To know the description of consumer perceptions, purchasing decisions, and consumer satisfaction at PT Garuda Makmur Sentosa Pematangsiantar. To determine the effect of consumer perceptions and purchasing decisions on consumer satisfaction at PT Garuda Makmur Sentosa Pematangsiantar. Research Methods. The research design used in writing this research is library research and field research. Data collection techniques used in this research are questionnaire method, interview method and documentation method. Results. Consumers agree with their perceptions, purchase decisions are good, and customer satisfaction is satisfied. The results of the regression analysis are = 8.302 + 0.448 X1 + 0.400 X2, meaning that consumer perceptions and purchasing decisions have a positive and significant effect on consumer satisfaction. The results of the correlation analysis obtained a value of r = 0.789, meaning that there is a strong and positive relationship between consumer perceptions and purchasing decisions with consumer satisfaction. The value of the coefficient of determination R = 0.623 means that the level of consumer satisfaction can be explained by consumer perceptions and purchasing decisions of 62.3%. The research hypothesis H0 is rejected, meaning that consumer perceptions and purchasing decisions have a positive and significant effect on consumer satisfaction at PT Garuda Makmur Sentosa Pematangsiantar either simultaneously or partially. Conclusion. The results of the qualitative descriptive analysis on perceptions both in terms of selective attention, selective distortion and selective retention got an average value of 3.85. Then the highest average value of 4.20 for the dimension of selective attention with an indicator of paying attention to banners. While the lowest average value is 3.27 on the selective retention dimension with indicators of previous experience and beliefs about product quality. The results of qualitative descriptive analysis on purchasing decisions both in terms of identifying the problem of needs, seeking information, evaluating alternatives, purchasing decisions, and post-purchase behavior got an average value of 3.96. Then the highest average value of 4.23 on the dimensions of purchasing decisions with indicators of consumer confidence. While the lowest average value of 3.17 on the dimensions of purchasing decisions with indicators of consumer decisions. The results of qualitative descriptive analysis on consumer satisfaction in terms of product and service quality, price structure, convenience of procedures, and consumer support got an average score of 3.96. The highest average value is 4.30 on the dimensions of product and service quality with product completeness indicators and also on the convenience dimension of procedures with service procedures indicators with the highest average value of 4.30. While the lowest average value is 3.27 on the dimension of consumer support with indicators of the speed of service provided and handling of complaints submitted.

The main goal of this study is to examine the variables that affect MSMEs in Pematangsiantar City s behavioral intention to utilize the QRIS digital payment instrument. A causal quantitative research strategy was used in this study. 250 SMEs served as the study s sample population. Partial Least Squares is the technique used for data analysis (PLS). The statistical program Smartpls 3.0 is used by the data analysis test tool. The results of this study conclude performance expectancy and social influence have a positive but not significant effect on behavioral intention. This study also concludes that effort expectancy, hedonic motivation, trust, lifestyle compatibility, and habit positively and significantly affect behavioral intention. The managerial implications of this research mention that habit and trust are the main factors for MSME actors to adopt payment systems with QRIS. This of course can be used as a recommendation for QRIS providers to improve the performance of several QRIS platforms in the form of increasing security features, so that this will foster a sense of comfort and high trust from users to use and recommend QRIS to others.