Marlina, M., Azzahra, S. and Arnita, V. 2026. Analysis of the Efficiency and Effectiveness of Regional Spending in Improving the Quality of Public Services in the Medan City Regional Government for the 2023-2024 Fiscal Year. Jurnal Akuntansi, Manajemen dan Bisnis Digital. 5, 3 (May 2026), 1079 -. DOI:https://doi.org/10.37676/jambd.v5i3.11372.