This research examines the influence of brand experience and brand satisfaction of brand loyalty with brand trust as intervening variable. The samples used in this study were 130 respondents who were Honda motorcycle customers in Medan city. Nonprobability sampling Technique by purposive sampling method is used as a sampling technique. The analysis method is Structural Equation Modeling (SEM) using the AMOS-20 (Analysis of Moment Structure) device. It was found that brand experience and brand Trust have significant effect on brand trust and brand loyalty. Brand Trust is a significant effect on brand loyalty. Brand Trust is a partial mediation the influence of brand experience and brand trust of brand loyalty.

This research analyses on improving marketing performance and product innovation for the optimization of competing excellence. Sample amounted to 100 customers of UKM Dodol workshop of the Perbaungan Serdang Regency Bedagai by using SPSS Analysis tool version 19.0. The results showed that the marketing performance and product innovations have significant effect on the competitive advantage of UKM Dodol workshop of Serdang Regency Bedagai.

This study aims to find empirical evidence regarding the factors that affect the quality of information systems and the quality of supply chain management as seen from the environmental uncertainty of the organizational structure and the distribution network competence in manufacturing companies in Medan, Indonesia. The research method used is quantitative and verification that aims to determine the relationship between variables through a hypothesis testing. The data used are primary data using a questionnaire aimed at functional managers of marketing managers and production managers with a Likert scale. The study uses a sampling technique through a census of the entire population as a unit of analysis as many as 206 managers spread across 103 manufacturing companies in the city of Medan. Data analysis was performed through multiple linear regression analysis. The results showed that environmental uncertainty, organizational structure, and distribution network competence partially and simultaneously affected the quality of supply chain management information systems in manufacturing companies.

The Health Care Referral System is a service system that controls the delegation of authority and responsibility for health problems which is carried out reciprocally vertically or horizontally, in the sense of a unit with less capability to a more capable unit. The purpose of this study was to determine the implementation of the health service referral system in terms of regulations, health personnel resources and infrastructure. This research is a systematic review (Systematic Literature Review). The data synthesis process was carried out by comparing 15 literatures that met the quality assessment as well as inclusion and exclusion criteria with the database sources used, namely, Google Scholar, Pubmed, ScienceDirect. The data is processed and presented in tabulated form. The results showed that several countries such as Indonesia, Iran, Northern Tanzania, Riyadh, Ghana, Zambia and Hoduras from the articles reviewed used a referral system starting from the basic level (Primary), secondary level (Secondary) and tertiary level (Tertiary). Judging from the three aspects of the implementation of the health service referral system reviewed, it shows that there are problems in its implementation, including; the regulatory aspect found only 2 literatures that discussed regulations in the implementation of the referral system, the aspect of health personnel resources was found to be unavailability of health workers in health services causing patient referral and infrastructure aspects found obstacles in inadequate infrastructure resulting in referral.Keywords: implementation, referral system, health care AbstrakSistem Rujukan Pelayanan Kesehatan merupakan sistem pelayanan yang mengendalikan pelimpahan wewenang serta tanggung jawab atas permasalahan kesehatan yang dilakukan secara timbal balik secara vertikal ataupun horizontal, dalam makna dari unit yang berkemampuan kurang ke unit yang lebih, terjangkau dan rasional. Tujuan penelitian ini untuk mengetahui implementasi sistem rujukan layanan kesehatan dilihat dari aspek regulasi, sumber daya tenaga kesehatan dan sarana prasarana. Penelitian ini merupakan tinjauan sistematis (Systematic Literature Review). Proses data sintesis dalam penelitian ini dilakukan dengan cara membandingkan 15 literature yang memenuhi penilaian kualitas serta kriteria inklusi dan ekslusi dengan sumber database yang digunakan yaitu, Google Scholar, Pubmed, ScienceDirect. Data diolah dan disajikan dalam bentuk tabulasi. Hasil penelitian menunjukan beberapa negara seperti Indonesia, Iran, Tanzania Utara, Riyadh, Ghana, Zambia dan Hoduras dari artikel yang direview menggunakan sistem rujukan yang dimulai dari tingkat dasar (Primary), tingkat menengah (Secondary) dan tingkat tersier (Tertiary). Dilihat dari ketiga aspek implementasi sistem rujukan layanan kesehatan yang direview menunjukkan adanya permasalahan dalam pengimplementasiannya diantaranya; aspek regulasi ditemukan hanya 2 literature yang membahas regulasi dalam pengimplementasian sistem rujukan, aspek sumber daya tenaga kesehatan ditemukannya ketidaktersediaan tenaga kesehatan di layanan kesehatan sehingga menyebabkan terjadinya rujukan pasien dan aspek sarana prasarana ditemukannya hambatan pada infrastruktur yang tidak memadai sehingga menyebabkan terjadinya rujukanKata Kunci: implementasi, sistem rujukan, layanan kesehatan

The purpose of this research is to empirically examine the factors that influence effectiveness of supply chain management by investigating the role of the variables of the customer relationship management, human resource competence, and the organization’s internal control system. The research method used is explanatory research and the type of research is verification. The research instrument was tested through the validity and reliability of the data. Furthermore, inferential data analysis using SEM-PLS statistics. The results found that the factors that affect the effectiveness of supply chain management were customer relationship management, competence of human resources affects the effectiveness of supply chain management, and internal control system. The results are useful for providing and utilizing various forms and means of communication and for managing the customer relationship, developing human resources, and updating control systems continuously in public organizations.