Analysis of the Effect of Service Quality on Loyalty with Family Satisfaction as an Intervening Variable (A Case Study)

Authors

  • Idris Nursoffa Universitas Sangga Buana Bandung, Indonesia
  • Farida Yuliaty Universitas Sangga Buana Bandung, Indonesia
  • Rahadian Malik Universitas Sangga Buana Bandung, Indonesia
  • Vip Paramarta Universitas Sangga Buana Bandung, Indonesia
  • Kosasih Universitas Sangga Buana Bandung, Indonesia
  • Fitriana Universitas Sangga Buana Bandung, Indonesia

DOI:

https://doi.org/10.55885/jprsp.v5i3.740

Keywords:

Patient Family Satisfaction, Service Quality, Loyalty, Hospital

Abstract

At the Regional General Hospital, Drs. Jacobus Luna, M.Si, and Bengkayang examine patient loyalty, family satisfaction, and service quality. In order to increase patient family happiness, hospitals must now offer complete services and uphold patient trust by enhancing service quality. With a sample of 100 respondents who are patients at the Regional General Hospital under the care of Drs. Jacobus Luna and M. Si, Bengkayang, this study takes a quantitative method. Descriptive-verificative analysis along with path analysis was used to analyze the data. Although some issues were found that need to be addressed and improved, respondents rated service quality, patient family satisfaction, and loyalty as good to very good, according to the results of the descriptive analysis. The indirect effect's coefficient was higher than the direct effect's (85.1% > 80.4%), and the path coefficients between the variables were positive, according to the findings of the verifying study utilizing path analysis. This suggests that the relationship between service quality and loyalty can be mediated by the intervening variable of patient family satisfaction. Given that the t-value is higher than the t-critical (26.60 > 1.95), the statistical hypothesis test (t-test) demonstrated that the service quality variable has a positive and substantial impact on patient family satisfaction. Loyalty is positively and significantly impacted by the patient family satisfaction variable (t = 21.39 > 1.95). Additionally, loyalty is positively and significantly impacted by service quality (t = 20.05 > 1.95). Because the t-value is higher than the t-critical (3.81 > 1.95), service quality indirectly influences loyalty through patient family satisfaction.

References

Andaleeb, S. S. (2001). Service quality perceptions and patient satisfaction: a study of hospitals in a developing country. Social science & medicine, 52(9), 1359-1370. https://doi.org/10.1016/S0277-9536(00)00235-5

Andrieiev, I., Trehub, D., Khatsko, K., Sokolovska, I., & Ganzhiy, I. (2024). Strategic management in healthcare: the impact of strategic decisions on achieving organizational goals and improving the quality of healthcare services. Multidisciplinary Science Journal, 6. https://doi.org/10.31893/multiscience.2024ss0217

Arifin, S., Effendi, A., Syahidin, R., & Paramarta, V. (2023). Kualitas Layanan Meningkatkan Kepuasan Pasien Bpjs Rawat Inap Rsud Ratu Aji Putri Botung. Jurnal Inspirasi Ilmu Manajemen, 1(2), 83-93. https://doi.org/10.32897/jiim.2023.1.2.2240

Astari, D. W., Noviantani, A., & Simanjuntak, R. (2021). Kepuasan pasien terhadap mutu pelayanan keperawatan di era pandemi Covid-19 di Rumah Sakit Mata Cicendo. Journal of Hospital Accreditation, 3(1), 34-38.

Bentum-Micah, G., Ma, Z., Wang, W., Atuahene, S. A., & Bondzie-Micah, V. (2020). Perceived service quality, a key to improved patient satisfaction and loyalty in healthcare delivery: the servqual dimension approach. Journal of Health and Medical Sciences, 3(2).

Bjertnaes, O. A., Sjetne, I. S., & Iversen, H. H. (2012). Overall patient satisfaction with hospitals: effects of patient-reported experiences and fulfilment of expectations. BMJ quality & safety, 21(1), 39-46. https://doi.org/10.1136/bmjqs-2011-000137

Budi, A. P., & Perwirani, R. (2024). Analisis Pengaruh Kualitas Pelayanan dan Kepuasan Pasien Terhadap Loyalitas Pasien Pelayanan Pendaftaran Rawat Jalan Di Rumah Sakit Umum Asy Syifa Sambi. Journal Health Information Management Indonesian (JHIMI), 3(1), 21-26. https://doi.org/10.46808/jhimi.v3i1.59

Chang, C. S., Chen, S. Y., & Lan, Y. T. (2013). Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters. BMC health services research, 13(1), 22. https://doi.org/10.1186/1472-6963-13-22

Chehayeb, R. J. (2023). Analyzing the mediating role of service quality in the relationship between service quality and patient satisfaction at rafic hariri university hospital. International Journal of Professional Business Review: Int. J. Prof. Bus. Rev., 8(11), 3.

Cheng, S. H., Yang, M. C., & Chiang, T. L. (2003). Patient satisfaction with and recommendation of a hospital: effects of interpersonal and technical aspects of hospital care. International Journal for Quality in Health Care, 15(4), 345-355. https://doi.org/10.1093/intqhc/mzg045

DiMatteo, M. R. (2004). The role of effective communication with children and their families in fostering adherence to pediatric regimens. Patient education and counseling, 55(3), 339-344. https://doi.org/10.1016/j.pec.2003.04.003

Gupta, K. S., & Rokade, V. (2016). Importance of quality in health care sector: A review. Journal of Health Management, 18(1), 84-94. https://doi.org/10.1177/0972063415625527

Helena Vinagre, M., & Neves, J. (2008). The influence of service quality and patients' emotions on satisfaction. International journal of health care quality assurance, 21(1), 87-103. https://doi.org/10.1108/09526860810841183

Heyland, D. K., Tranmer, J. E., & Kingston General Hospital ICU Research Working Group. (2001). Measuring family satisfaction with care in the intensive care unit: the development of a questionnaire and preliminary results. Journal of critical care, 16(4), 142-149. https://doi.org/10.1053/jcrc.2001.30163

Imran, M. (2022). Peningkatan Reputasi dan Citra Rumah Sakit Melalui Strategi Humas. IKRA-ITH HUMANIORA: Jurnal Sosial Dan Humaniora, 6(3), 108-114.

Kosasih, K., & Paramarta, V. (2020). Peningkatan Kualitas Pelayanan Kesehatan dan Pengaruhnya Terhadap Peningkatan Kepuasan Pasien di Puskesmas. Jurnal Soshum Insentif, 67-76. https://doi.org/10.36787/jsi.v3i1.223

Kruse, F. M., Stadhouders, N. W., Adang, E. M., Groenewoud, S., & Jeurissen, P. P. (2018). Do private hospitals outperform public hospitals regarding efficiency, accessibility, and quality of care in the European Union? A literature review. The International journal of health planning and management, 33(2), e434-e453. https://doi.org/10.1002/hpm.2502

Laila, F. N. (2024). Pengaruh Kualitas Pelayanan Pada Kepuasan Pasien Dan Konsekuensinya Terhadap Loyalitas Di Rumah Sakit. Jurnal Kesehatan Ilmiah Indonesia (Indonesian Health Scientific Journal), 9(2). https://doi.org/10.51933/health.v9i2.1709

Luxford, K., Safran, D. G., & Delbanco, T. (2011). Promoting patient-centered care: a qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience. International Journal for Quality in Health Care, 23(5), 510-515. https://doi.org/10.1093/intqhc/mzr024

Mahsyar, S., & Surapati, U. (2020). Effect of service quality and product quality on customer satisfaction and loyalty. International Journal of Economics, Business and Accounting Research (IJEBAR), 4(01). https://doi.org/10.29040/ijebar.v4i01.950

Malhotra, N., & Mukherjee, A. (2004). The relative influence of organisational commitment and job satisfaction on service quality of customer‐contact employees in banking call centres. Journal of services Marketing, 18(3), 162-174. https://doi.org/10.1108/08876040410536477

Marcinowicz, L., Chlabicz, S., & Grebowski, R. (2009). Patient satisfaction with healthcare provided by family doctors: primary dimensions and an attempt at typology. BMC Health Services Research, 9(1), 63. https://doi.org/10.1186/1472-6963-9-63

Mavlutova, I., & Babauska, S. (2013). The competitiveness and balanced scorecard of health care companies. International Journal of Synergy and Research, 2(1-2), 131. http://dx.doi.org/10.17951/ijsr.2013.2.1-2.131

Meesala, A., & Paul, J. (2018). Service quality, consumer satisfaction and loyalty in hospitals: Thinking for the future. Journal of Retailing and Consumer Services, 40, 261-269. https://doi.org/10.1016/j.jretconser.2016.10.011

Naidu, A. (2009). Factors affecting patient satisfaction and healthcare quality. International journal of health care quality assurance, 22(4), 366-381. https://doi.org/10.1108/09526860910964834

Nutaella, C. (2020). Pengaruh Kepuasan Kerja Terhadap Kinerja Individual Dengan Self Esteem Dan Self Efficacy Sebagai Variabel Intervening (Studi Empiris Pada Dealer Yamaha Sumber Baru Motor Magelang) (Doctoral dissertation, Skripsi, Universitas Muhammadiyah Magelang).

Purba, L., Halim, E. H., & Widayatsari, A. (2021). Pengaruh Kualitas Pelayanan, Kepercayaan Terhadap Kepuasan dan Loyalitas Pasien Rawat Jalan di Poliklinik Bedah Saraf RSUD dr. Doris Sylvanus Palangkaraya. Jurnal Ekonomi KIAT, 32(2). https://doi.org/10.25299/kiat.2021.vol32(2).8272

Raposo, M. L., Alves, H. M., & Duarte, P. A. (2009). Dimensions of service quality and satisfaction in healthcare: a patient’s satisfaction index. Service Business, 3(1), 85-100. https://doi.org/10.1007/s11628-008-0055-1

Sadeh, E. (2017). Interrelationships among quality enablers, service quality, patients’ satisfaction and loyalty in hospitals. The TQM journal, 29(1), 101-117. https://doi.org/10.1108/TQM-02-2015-0032

Sadiq Sohail, M. (2003). Service quality in hospitals: more favourable than you might think. Managing Service Quality: An International Journal, 13(3), 197-206. https://doi.org/10.1108/09604520310476463

Shie, A. J., Huang, Y. F., Li, G. Y., Lyu, W. Y., Yang, M., Dai, Y. Y., ... & Wu, Y. J. (2022). Exploring the relationship between hospital service quality, patient trust, and loyalty from a service encounter perspective in elderly with chronic diseases. Frontiers in public health, 10, 876266. https://doi.org/10.3389/fpubh.2022.876266

Smailhodzic, E., Hooijsma, W., Boonstra, A., & Langley, D. J. (2016). Social media use in healthcare: a systematic review of effects on patients and on their relationship with healthcare professionals. BMC health services research, 16(1), 442. https://doi.org/10.1186/s12913-016-1691-0

Srinivasan, V., & Chandwani, R. (2014). HRM innovations in rapid growth contexts: the healthcare sector in India. The International Journal of Human Resource Management, 25(10), 1505-1525. https://doi.org/10.1080/09585192.2013.870308

Sugiharto, A. D., Hidayat, S., & Rosyidah, R. (2023). Pengaruh Kualitas Pelayanan Dan Kepuasan Pasien Terharap Loyalitas: Analisis Di Sebuah Fasilitas Kesehatan Tingkat Pertama (FKTP) Program Jaminan Kesehatan Nasional (JKN). An-Nadaa: Jurnal Kesehatan Masyarakat (e-Journal), 10(2), 118-125.

Sumeliani, N. K. (2022). Word Of Mouth, Citra Rumah Sakit Dan Loyalitas Pasien Pada Rumah Sakit Umum Daerah Kabupaten Buleleng. Widya Amerta, 8(2), 62-78. https://doi.org/10.37637/wa.v8i2.902

Turner, L. (2010). “Medical tourism” and the global marketplace in health services: US patients, international hospitals, and the search for affordable health care. International Journal of Health Services, 40(3), 443-467. https://doi.org/10.2190/HS.40.3.d

Weyns, D., Bencomo, N., Calinescu, R., Camara, J., Ghezzi, C., Grassi, V., ... & Tamburrelli, G. (2018, January). Perpetual assurances for self-adaptive systems. In Software Engineering for Self-Adaptive Systems III. Assurances: International Seminar, Dagstuhl Castle, Germany, December 15-19, 2013, Revised Selected and Invited Papers (pp. 31-63). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-319-74183-3_2

Yeganeh, H. (2019). An analysis of emerging trends and transformations in global healthcare. International Journal of Health Governance, 24(2), 169-180. https://doi.org/10.1108/IJHG-02-2019-0012

You, L. M., Aiken, L. H., Sloane, D. M., Liu, K. E., He, G. P., Hu, Y., ... & Sermeus, W. (2013). Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe. International journal of nursing studies, 50(2), 154-161. https://doi.org/10.1016/j.ijnurstu.2012.05.003

Downloads

Published

2025-12-19

How to Cite

Nursoffa, I., Yuliaty, F. ., Malik, R. ., Paramarta, V. ., Kosasih, K., & Fitriana, F. (2025). Analysis of the Effect of Service Quality on Loyalty with Family Satisfaction as an Intervening Variable (A Case Study). Journal of Public Representative and Society Provision, 5(3), 850-865. https://doi.org/10.55885/jprsp.v5i3.740