Analysis of the Influence of Service Quality on Patient Satisfaction at the Bumidaya Inpatient Health Center, South Lampung Regency
DOI:
https://doi.org/10.35451/jkg.v9i1.3857Keywords:
Service Quality, SERVQUAL, Patient Satisfaction, Community Health Centers, Health ServicesAbstract
The quality of healthcare services is an important factor in improving patient satisfaction, as patient experience is shaped by the comparison between the service received and their expectations. This study aims to analyze the relationship between five dimensions of service quality tangible evidence, reliability, responsiveness, assurance, and empathy with patient satisfaction and to identify the most influential dimensions at the Bumidaya Inpatient Community Health Center (UPTD) in South Lampung Regency. This study employed an analytical survey design with a cross-sectional approach. Respondents consisted of 100 outpatients selected using an accidental sampling method. Data were obtained through a Likert-scale questionnaire that had been tested for validity and reliability, then analyzed using multiple linear regression and Spearman correlation. The results showed that tangible evidence was positively and significantly associated with patient satisfaction (r=0.370; p<0.001), as well as empathy (r=0.317; p=0.001). Meanwhile, reliability (r=-0.060; p=0.556), responsiveness (r=0.189; p=0.060), and assurance (r=0.125; p=0.214) did not show any significant relationship in the bivariate analysis. In the multivariate analysis, physical evidence (β=0.444), responsiveness (β=0.232), and empathy (β=0.252) had a significant relationship with patient satisfaction, with the model explaining 36.4% of the variation in satisfaction. Physical evidence was the most dominant dimension with a standardized beta value of 0.444, higher than empathy (β=0.252) and responsiveness (β=0.232), with a coefficient value 76.2% greater than empathy and 91.4% greater than responsiveness. Improving patient satisfaction should focus on improving comfort and service facilities, increasing staff responsiveness, and strengthening interpersonal communication and empathy in service.
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References
[1] World Health Organization. Quality health services: a planning guide. Geneva: World Health Organization; 2020. Available from: https://www.who.int/publications/i/item/9789240011632
[2] World Health Organization. Quality of care. Geneva: World Health Organization; 2024. Available from: https://www.who.int/health-topics/quality-of-care
[3] Bleich SN, Özaltin E, Murray CJL. How does satisfaction with the health-care system relate to patient experience? Bull World Health Organ. 2009;87(4):271–278. Available from: https://doi.org/10.2471/BLT.07.050401
[4] Baan RRS. Analisis pengaruh kualitas pelayanan terhadap kepuasan pasien rawat inap pada RS. Bahagia Makassar. Ekombis Sains: Jurnal Ekonomi, Keuangan dan Bisnis. 2020;5(1):45–52. doi:10.24967/ekombis.v5i1.591.
[5] World Health Organization. Primary health care. Geneva: World Health Organization; 2023. Available from: https://www.who.int/health-topics/primary-health-care
[6] Agency for Healthcare Research and Quality. What is patient experience? Rockville: AHRQ; 2024. Available from: https://www.ahrq.gov/cahps/about-cahps/patient-experience/index.html
[7] World Health Organization. Patient-reported experiences in primary care: metrics and assessment tool, reference version. Geneva: World Health Organization; 2025. ISBN 978-92-4-011267-4. Available from: https://www.who.int/publications/i/item/9789240112674
[8] World Health Organization. Patient-reported experiences in primary care: metrics and assessment tool, rapid version. Geneva: World Health Organization; 2025. ISBN 978-92-4-011243-8. Available from: https://www.who.int/publications/i/item/9789240112438
[9] Parasuraman A, Zeithaml VA, Berry LL. SERVQUAL: a multiple-item scale for measuring consumer perceptions of service quality. J Retailing. 1988;64(1):12–40. Available from: https://doi.org/10.5281/zenodo.14579730
[10] Parasuraman A, Zeithaml VA, Berry LL. A conceptual model of service quality and its implications for future research. J Marketing. 1985;49(4):41–50. doi:10.1177/002224298504900403.
[11] Donabedian A. The quality of care: how can it be assessed? JAMA. 1988;260(12):1743–1748. doi:10.1001/jama.260.12.1743.
[12] Murray CJL, Kawabata K, Valentine N. People's experience versus people's expectations. Health Aff (Millwood). 2001;20(3):21–32. doi:10.1377/hlthaff.20.3.21.
[13] Sitzia J, Wood N. Patient satisfaction: a review of issues and concepts. Soc Sci Med. 1997;45(12):1829–1843. doi:10.1016/S0277-9536(97)00128-7.
[14] Batbaatar E, Dorjdagva J, Luvsannyam A, Savino MM, Amenta P. Determinants of patient satisfaction: a systematic review. Perspect Health Inf Manag. 2017;14:1–21. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5493177/
[15] Purcarea VL, Gheorghe IR, Petrescu CM. The assessment of perceived service quality of public health care services in Romania using the SERVQUAL scale. Procedia Econ Finance. 2013;6:573–581. doi:10.1016/S2212-5671(13)00176-5.
[16] Ahmed S, Tarique KM, Arif I. Service quality, patient satisfaction and loyalty in the healthcare sector: a systematic review. J Mark Dev Competitiveness. 2017;11(1):20–29. Available from: https://doi.org/10.33423/jmdc.v11i1.154.
[17] Yadav D, Savita S, Kaur S. Assessing hospital service quality: a systematic review using PRISMA and SERVQUAL to explore patient satisfaction and loyalty. Asia Pac J Health Manag. 2026;21(1). doi:10.24083/apjhm.v21i1.3619.
[18] Sugiyono. (2016). Buku Metode Penelitian Kuantitatif, Kualitatif dan R &Metode Penelitian Kuantitatif, Kualitatif Dan R & D.Bandung:Alfabeta. In Bandung:Alfabeta.
[19] Noor WR. Pengaruh kualitas pelayanan apotik yang terdiri dari tangibles, reliability, responsiveness, assurance, empathy terhadap kepuasan pasien pada RSUD Pangeran Jaya Sumitra Kotabaru–Kalimantan Selatan. KINDAI. 2021;17(2). doi:10.35972/kindai.v17i2.654.
[20] Kismanto J, Murtopo AS. Analisis faktor-faktor kualitas pelayanan terhadap kepuasan pasien rawat inap di RSUD Karanganyar. Jurnal Kesehatan Kusuma Husada. 2023;14(1). doi:10.34035/jk.v14i1.928.
[21] Yunningsih Y. Physical evidence, reliability, responsiveness, assurance and empathy of service quality on inpatient patient satisfaction: study a regional general hospitals. Journal of Resource Management, Economics and Business. 2022;1(2). doi:10.58468/remics.v1i2.40.
[22] Andriani V, Tamtomo DG, Murti B. Associations between reliability, assurance, physical evidence, responsiveness, empathy, gender, and income with inpatient satisfaction in Yos Sudarso Hospital, Padang, Indonesia. Journal of Health Policy and Management. 2025;10(2):201–209. doi:10.26911/thejhpm.2025.10.02.05.a.
[23] Salfia S, Yusran S, Saimin J. Hubungan mutu pelayanan terhadap kepuasan pasien: studi kasus pasien rawat inap Rumah Sakit Umum Kabupaten Bombana 2021. Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia. 2021;5(2).
[24] Anderson RT, Camacho FT, Balkrishnan R. Willing to wait? The influence of patient wait time on satisfaction with primary care. BMC Health Services Research. 2007;7:31. doi:10.1186/1472-6963-7-31.
[25] Siloam FV, Rampengan DD, Tengor JRS, Kuluq MA. The relation between waiting time, facility availability, and healthcare workers’ attitude on patient satisfaction in primary healthcare facilities in Curug, Tangerang: a cross-sectional study. Indonesian Marketing Journal. 2024;4(1). doi:10.19166/imj.v4i1.9338.
[26] Putra DJ. Besaran pengaruh mutu pelayanan terhadap kepuasan pasien di fasilitas kesehatan: meta analisis. Jurnal Manajemen Kesehatan Indonesia. 2026;14(1):15–26. doi:10.14710/jmki.14.1.2026.15-26.
[27] Mardiansyah M. Kualitas Pelayanan Puskesmas Terhadap Pengguna Program BPJS Kesehatan Di Puskesmas Pagurawan. JURNAL KESMAS DAN GIZI (JKG). 2019; 1(2), 16-20.
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