The Mediating Effect of Patient Satisfaction in the Influence of Service Quality on Patient Loyalty at the Dr. Soekardjo Tasikmalaya Regional General Hospital

Authors

  • Peni Cahyati Poltekkes Kemenkes Tasikmalaya, Indonesian
  • Yanyan Bahtiar Poltekkes Kemenkes Tasikmalaya, Indonesian
  • Novi Indriani Poltekkes Kemenkes Tasikmalaya, Indonesian

DOI:

https://doi.org/10.38035/gijea.v3i4.699

Keywords:

service quality, patient satisfaction, patient loyalty, mediation, SEM-PLS

Abstract

Introduction: Competition in the healthcare industry requires hospitals to not only provide quality medical services but also build patient loyalty as the key to long-term sustainability. This study aims to analyze the influence of service quality on patient loyalty with patient satisfaction as a mediating variable at Dr. Soekardjo General Hospital in Tasikmalaya.

Methods: The research method used a quantitative approach with a survey of 100 patient respondents. Data analysis was conducted using Structural Equation Modeling based on Partial Least Squares (SEM-PLS).

Results: The results indicate that service quality has a positive and significant effect on patient satisfaction (path coefficient = 0.579; p < 0.05) and patient loyalty (path coefficient = 0.317; p < 0.05). Additionally, patient satisfaction also positively influences patient loyalty (path coefficient = 0.386; p < 0.05). Another important finding is that patient satisfaction significantly mediates the relationship between service quality and patient loyalty. Thus, improving service quality enhances satisfaction, which ultimately strengthens patient loyalty.

Conclusion: The implications of this study emphasize the importance of hospital strategies in providing services that are not only efficient but also create emotionally satisfying experiences to build long-term loyalty.

References

Abekah-Nkrumah, G., Antwi, Y., Braimah, S. M., & Ofori, C. G. (2020). Customer relationship management and patient satisfaction and loyalty in selected hospitals in Ghana. International Journal of Pharmaceutical and Healthcare Marketing, 15(2), 251–268. https://doi.org/10.1108/IJPHM-09-2019-0064

Afrashtehfar, K. I., Assery, M. K. A., & Bryant, S. R. (2020). Patient Satisfaction in Medicine and Dentistry. International Journal of Dentistry.

Aljumah, A., Nuseir, M. T., & Islam, A. (2020). Impacts of service quality, satisfaction and trust on the loyalty of foreign patients in Malaysian medical tourism. International Journal of Innovation, Creativity and Change, 11(2), 451–467.

Ambari, A., Sunarsih, E., & Minarti, M. (2023). Studi Literatur Tentang Peningkatan Manajemen Mutu Pelayanan Kesehatan Di Rumah Sakit Indonesia. Journal of Nursing and Public Health, 11(2), 318–330. https://doi.org/10.37676/jnph.v11i2.5093

Andromeda, I., & Antonio, F. (2022). The influence of hospital servicescapes on patient loyalty mediated by patients’ emotion and satisfaction: a study private hospital in Indonesia. Jurnal Ilmiah Manajemen Bisnis dan Inovasi Univ Sam Ratulangi, 9(2).

Ardian, I., Haiya, N. N., & Azizah, I. R. (2022). Kualitas pelayanan keperawatan meningkatkan kepuasan dan loyalitas pasien. NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan, 7(2), 86. https://doi.org/10.30659/nurscope.7.2.86-96

Asri Rossnita Dewi, Chriswardani Suryawati, & Septo Pawelas Arso. (2023). Pengaruh Kualitas Pelayanan dan Citra Rumah Sakit terhadap Kepuasan Pasien di Indonesia: Literature Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(10), 1940–1949. https://doi.org/10.56338/mppki.v6i10.4075

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).

De Mattia, E., Angioletti, C., D’Agostino, M., Paoletti, F., & de Belvis, A. G. (2024). Moving from Principles to Practice: A Scoping Review of Value-Based Healthcare (VBHC) Implementation Strategies. Healthcare (MDPI).

Fajriani, F., Lastri, S., & Hasnur, H. (2023). Hubungan mutu pelayanan kesehatan dengan kepuasan pasien di Puskesmas Panteraja tahun 2023. Jurnal Kesehatan Tambusai, 4(3), 2560–2567.

Kawi, J. S., & Keni, K. (2024). Peran kualitas pelayanan dalam meningkatkan kepuasan dan loyalitas pasien di rumah sakit umum daerah. In Jurnal Manajemen Bisnis dan Kewirausahaan (Vol. 8, Nomor 2, hal. 407–418). https://doi.org/10.24912/jmbk.v8i2.29670

Maharani, P. H., Dewi, L. K. C., & Martini, L. K. B. (2023). Pengaruh Penanganan Keluhan Dan Kualitas Pelayanan Terhadap Loyalitas Pasien Dengan Kepuasan Pasien Sebagai Variabel Mediasi Di Masa Pandemi Covid Di RSK Bedah Bimc, Kuta. Relasi: Jurnal Ekonomi, 19(1), 134–145.

Oktavia, S. N., & Prayoga, D. (2023). Kualitas Pelayanan Terhadap Loyalitas Pasien Pada Rumah Sakit Ibu Dan Anak?: Literature Review. Jurnal Kesehatan Tambusai, 4(3), 2199–2205. https://doi.org/10.31004/jkt.v4i3.16876

Pertiwi, D. S., Mujinastiti, P., Ardona, R., & Haryanti, T. (2019). Pengaruh Kualitas Layanan terhadap Kepuasan dan Loyalitas Pasien Rawat Jalan di RSP. Jurnal Ilmiah Kesehatan Rustida, 6(2), 690–703. https://doi.org/10.55500/jikr.v6i2.88

Rahayu, D., Widianingsih, I., & Nurasa, HeruAdiwisastra, J. (2019). Tantangan Pengembangan Rumah Sakit Umum Daerah Menjadi Organisasi Pembelajar. MIMBAR?: Jurnal Penelitian Sosial Dan Politik, 8(1), 1–8. https://www.researchgate.net/publication/335561725_TANTANGAN_PENGEMBANGAN_RUMAH_SAKIT_UMUM_DAERAH_MENJADI_ORGANISASI_PEMBELAJARAN

Rangachari, P., Thapa, A., Sherpa, D. L., Katukuri, K., Ramadyani, K., Jaidi, H. M., & Goodrum, L. (2025). Characteristics of hospital and health system initiatives to address social determinants of health in the United States: A scoping review of the peer-reviewed literature. BMC Health Services Research, 25(1), 12494.

Sari, M. R., Ardiwirastuti, I., & Harviandani, B. S. (2020). Hubungan Kepuasan Pasien dengan Loyalitas Pasien. Jurnal Wiyata: Penelitian Sains Dan Kesehatan, 7(1), 56–61.

Winata, H., Wahyoedi, S., & Gunardi, W. D. (2022). Pengaruh Kualitas Layanan terhadap Loyalitas Pasien yang Dimediasi oleh Citra Rumah Sakit dan Kepuasaan Pasien (Studi pada Pasien Rawat Inap RS Ukrida Jakarta). Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI), 6(2), 120–127. https://doi.org/10.52643/marsi.v6i2.2402

Wulaisfan, R., & Fauziah, Y. (2019). Pengaruh Kualitas Pelayanan Terhadap Loyalitas Pasien Dengan Kepuasan Pasien Sebagai Mediasi Pasien Rawat Inap Di RSU Dewi Sartika Kendari. Window of Health?: Jurnal Kesehatan, 2(2), 97–105. https://doi.org/10.33096/woh.v2i2.577

Published

2026-01-03

How to Cite

Peni Cahyati, Yanyan Bahtiar, & Novi Indriani. (2026). The Mediating Effect of Patient Satisfaction in the Influence of Service Quality on Patient Loyalty at the Dr. Soekardjo Tasikmalaya Regional General Hospital. Greenation International Journal of Economics and Accounting, 3(4), 682–690. https://doi.org/10.38035/gijea.v3i4.699