Problems in the dental clinic of Gandoang health center are the large gap between the number of diagnoses and the number of dental health services provided, and also reduction in the number of patient visits in dental clinic, these can be caused by unuptimal communication. This study aims to determine the relationship between dentist communication quality variables and patient characteristics with dental patient satisfaction. Research with a mixed method design with a sequential explanatory approach, begins with quantitative research and then deepened through qualitative research. The population was dental clinic’s outpatients, with a sample size of 100, while the qualitative research informants consisted of 2 patients, 1 dentist, and 1 head of the Gandoang helat center, through in-depth interviews. Most respondents (52%) stated that the quality of dentist communication was good, the aspect of introduce (59%) and shows respect (78%) were good, while the aspects of explanation (53%) and listen carefully (55%) were poor criteria. Most of respondents (54%) showed dissatisfaction. Most respondents were disappointed with open-endedness (58%) and empathy dimensions (54%). Multivariate analysis showed that the most dominant variable related to patient satisfaction with dental dentists was ciommunication quality, p value = 0.001, OR = 4,8 (95% CI 1,984-11,752), that means poor communication quality of dentists would have an opportunity of 4,8 times causing dissatisfaction patients compared to the quality of good dentist communication.

To increase community affordability towards basic health services, several Public Health Center (PHC) in Indonesia have been upgraded to inpatient PHC, including in Bogor Regency. The number of inpatient visits during the last few years did not increase significantly, even during the last 2 years decreased. Even though during that period there were two new inpatient PHC unit. It is still unknown whether the low level of patient visits is related to the performance of that inpatient PHC unit. The purpose of this study was to determine the performance description and organizational factors related to the performance of inpatient PHC unit at the Bogor  Regency in 2020 based on Malcolm Baldrige's criteria: leadership; strategic planning; patient focus; measurement, analysis and knowledge management; workforce focus, and process management. The design of this research is sequential explanatory by using mixed methods between quantitative and qualitative. The study involved 168 respondents from 13 inpatient PHC in Bogor Regency. Data analized with Chi Square Test and multiple logistic regression. In-depth interviews were conducted with 8 informants from selected PHC and 1 informant from Bogor Public Health Office. The results showed that the proportion of respondents who rated the performance of the inpatient PHC unit as good (54.2%) was greater than the proportion of respondents who rated the performance of the inpatient PHC unit as not good (48.2%). Based on Malcolm Baldrige's score, nine PHC are in the benchmark leader criteria while four other PHC are in the industry leader criteria. The results also show that there is a relationship between strategic planning (p-value=0.011), measurement analysis and knowledge management (p-value=0.003) and process management (p-value=0.011) with the results of the performance of inpatient services. The most dominant variable related to performance in this research is measurement, analysis and knowledge management (OR = 7.678). Recommendations for this study are the acceleration of BLUD legal protection making by the local government of Bogor Regency, increasing the frequency of scientific update activities and training for health workers and data management personnel at the PHC, better management of patient voices by the PHC, and a better reward system by the chief of PHC.