PENGARUH SERVICE QUALITY, PATIENT SATISFACTION, TRUST, COMMITMENT TERHADAP REVISIT INTENTION OUTPATIENT BPJS DI RUMAH SAKIT SUMBER WARAS

Authors

  • Nia Maylani Hutagaol Department of Hospital Administration, Universitas Pelita Harapan, Jakarta, Indonesia
  • Ardi Ardi Department of Hospital Administration, Universitas Pelita Harapan, Jakarta, Indonesia
  • Dewi Sri Surya Wuisan Department of Hospital Administration, Universitas Pelita Harapan, Jakarta, Indonesia

DOI:

https://doi.org/10.31004/prepotif.v8i3.38351

Keywords:

BPJS, commitment, kepuasan pasien, kualitas pelayanan, niat kunjungan ulang, responsiveness, reliability, rumah sakit, SEM-PLS, trust

Abstract

Pelayanan kesehatan yang berkualitas menjadi kunci dalam meningkatkan kepuasan dan loyalitas pasien, terutama di era Jaminan Kesehatan Nasional (BPJS) di Indonesia. Rumah Sakit Sumber Waras sebagai rumah sakit rujukan BPJS menghadapi tantangan dalam menjaga kualitas layanan untuk memenuhi harapan pasien, termasuk menangani berbagai kendala seperti waktu tunggu panjang dan transparansi pelayanan. Fokus penelitian ini adalah memahami pengaruh kualitas layanan, kepuasan, dan faktor lain terhadap niat kunjungan ulang pasien rawat jalan BPJS. Penelitian ini dilakukan di RS Sumber Waras dengan melibatkan 3 poli utama yaitu 3 poli yaitu IPD, Bedah, atau Obgyn dengan melibatkan 375 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner berisi 51 pertanyaan dengan skala likert berdasarkan metode purposive sampling Data dianalisis dengan metode SEM berbasiskan PLS. Hasil penelitian ini menyatakan reliability dan responsiveness terbukti memiliki pengaruh positif signifikan terhadap kepuasan pasien BPJS rawat jalan di RS Sumber Waras, yang kemudian berdampak pada peningkatan Trust, Commitment, dan Revisit Intention. Trust dan Commitment juga berperan sebagai mediator dalam hubungan antara kepuasan pasien dengan niat kunjungan ulang. Rumah sakit perlu meningkatkan pelayanan pasien BPJS dengan memperbaiki sistem informasi, responsivitas, dan fasilitas, serta memberikan edukasi dan komunikasi yang jelas untuk meningkatkan kepuasan dan kepercayaan pasien. Penelitian selanjutnya disarankan untuk melibatkan lebih banyak poli, jenis pasien, serta menggunakan pendekatan kombinasi kuantitatif dan kualitatif untuk hasil yang lebih komprehensif.

References

Akthar, N., Nayak, S., & Pai, Y. (2023). A cross-sectional study on exploring the antecedents of patient’s revisit intention: Mediating role of trust in the hospital among patients in India. F1000Research, 12.Ali, B. J., Gardi, B., Othman, B. J., Ahmed, S. A., Ismael, N. B., Hamza, P. A., ... & Anwar, G. (2021). Hotel service quality: The impact of service quality on customer satisfaction in hospitality. International Journal of Engineering, Business and Management, 5(3), 14-28Aljaberi, M. A., Juni, M. H., Al-Maqtari, R. A., Lye, M. S., Saeed, M. A., Al-Dubai, S. A. R., & Shahar, H. K. (2018). Relationships among perceived quality of healthcare services, satisfaction and behavioural intentions of international students in Kuala Lumpur, Malaysia: a cross-sectional study. BMJ open, 8(9), e021180

Anabila, P. 2019. Service Quality: A Subliminal Pathway to Service Differentiation and Competitive Advantage in Private Healthcare Marketing in Ghana. Health Marketing Quarterly 36 (2): 136–151. https://doi.org/10.1080/07359683.2019.1575062

Aslam, W., Tariq, A. and Arif, I. (2019). The Effect of A.T.M. Service Quality on Customer Satisfaction and Customer Loyalty: An Empirical Analysis. Global Business Review,20(5): 1155-1178, doi: 10.1177/0972150919846965

Barata, Atep Adya. (2004). Dasar-dasar Pelayanan Prima: Persiapan Membangun Bidang Pelayanan Prima Untuk Meningkatkan Kualitas dan Loyalitas Pelanggan. Jakarta: ELEX Media Computindo Kelompok Gramedia

Bartha, V., Exner, L., Schweikert, D., Woelber, J. P., Vach, K., Meyer, A., Basrai, M., Bischoff, S. C., Meller, C., & Wolff, D. (2021). Effect of the Mediterranean diet on Gingivitis: A randomized controlled trial. Journal of Clinical Periodontology, 49(2), 111–122. https://doi.org/10.1111/jcpe.13576

Chang, H. and Wang, H. (2011). The moderating effect of customer perceived value on online shopping behaviour. Online Information Review,35(3): 333-359, doi: 10.1108/ 14684521111151414.

Daskivich, T. J., Houman, J., Fuller, G., Black, J. T., Kim, H. L., & Spiegel, B. (2017). Online physician ratings fail to predict actual performance on measures of quality, value, and Peer Review. Journal of the American Medical Informatics Association, 25(4), 401–407. https://doi.org/10.1093/jamia/ocx083

Dhagarra, D., Goswami, M. and Kumar, G. (2020). Impact of Trust and Privacy Concerns on Technology Acceptance in Healthcare: An Indian Perspective. International Journal of Medical Informatics,141(1):1-13, doi: 10.1016/j.ijmedinf.2020.104164.

Dicky, N. H., & Masykura, I. (2019). The Effect of Store Atmosphere on Revisit Intention that is in Mediation by Customer Satisfaction.

Firdausi, A. S. (2024). Kasus Pelayanan Buruk Nakes "Bedakan Pasien BPJS dengan Reguler" di Fasilitas Kesehatan. https://www.kompasiana.com/arinasabila/65f9aff4c57afb2e2f12d552/kasus-pelayanan-buruk-nakes-bedakan-pasien-bpjs-dengan-reguler-di-fasilitas-kesehatan?page=2&page_images=1

George, A., & Sahadevan, J. (2024). What Determines Behavioural Intention in Health Services? A Four-Stage Loyalty Model. Rajagiri Management Journal, 18(2). https://doi.org/10.1108/RAMJ-10-2023-0291

Guspianto, G., Hubaybah, H., Ningsih, V. R. (2022). Quality of Services and Its Effect on Patient Value, Patient Satisfaction, and Revisit Intention: Investigation of the Public Health Center in Jambi Province. Journal of Medical Science. https://doi.org/10.3889/oamjms.2022.8666

Goodstats (2024). Ada Lebih dari 269 Juta Peserta BPJS Kesehatan di 2024. https://data.goodstats.id/statistic/ada-lebih-dari-269-juta-peserta-bpjs-kesehatan-di-2024-xHnLi

Huang, I.C., Du, P.L., Lin, L.S., Liu, T.Y., Lin, T.F. and Huang, W.C. (2021). The Effect of Perceived Value, Trust, and Commitment on Patient Loyalty in Taiwan. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 58(1): 1-9, doi: 10.1177/ 00469580211007217.

Isnanto, B. A (2024). Daftar Rumah Sakit di Jakarta yang Menerima BPJS Kesehatan. https://apps.detik.com/detik/ https://finance.detik.com/berita-ekonomi-bisnis/d-7495255/daftar-rumah-sakit-di-jakarta-yang-menerima-bpjs-kesehatan

Jandavath, R. K. N., & Byram, A. (2016). Healthcare Service Quality Effect on Patient Satisfaction and Behavioral Intentions in Corporate Hospitals in India. International Journal of Pharmaceutical and Healthcare Marketing.

Khan, F., Ahmed, W., Najmi, A. (2019). Understanding Consumer’s Behavior Intentions towards Dealing with the Plastic Waste: Perspective of a Developing Country. Resources, Conservation and Recycling, 142(2): 1-12. doi: https://doi.org/10.1186/s12913-021-06276-9

Kalfon, P., Mimoz, O., Loundou, A., Geantot, M.-A., Revel, N., Villard, I., Amour, J., Azoulay, E., Garrouste-Orgeas, M., Martin, C., Sharshar, T., Baumstarck, K., & Auquier, P. (2016). Reduction of self-perceived discomforts in critically ill patients in French Intensive Care Units: Study Protocol for a cluster-randomized controlled trial. Trials, 17(1). https://doi.org/10.1186/s13063-016-1211-x

Kwateng, K. O., R. Lumor, and F. O Acheampong. 2017. Service Quality in Public and Private Hospitals: A Comparative Study on Patient Satisfaction. International Journal of Healthcare Management 12 (3): 1–8. https://doi.org/10.1080/20479700.2017.1390183

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.

Mohan, A., Sen, P., Shah, C., Jain, E., & Jain, S. (2021). Prevalence and risk factor assessment of Digital Eye Strain among children using online e-learning during the COVID-19 pandemic: Digital Eye Strain Among Kids (desk study-1). Indian Journal of Ophthalmology, 69(1), 140. https://doi.org/10.4103/ijo.ijo_2535_20

Moreira, A.C. and Silva, P.M. (2015). The Trust-Commitment Challenge in Service Quality-Loyalty Relationships. International Journal of Health Care Quality Assurance, 28(3): 253-266. DOI: 10.1108/ijhcqa-02-2014-0017.

Mohammadi-Sardo, M. R., and S. Salehi. 2018. Emergency Department Patient Satisfaction Assessment using Modified SERVQUAL Model; a Cross-sectional Study. Advanced journal of emergency medicine 3 (1): 1–10.

Mustaffa, W. S. W. 2021. Patient Satisfaction with the Healthcare Service Quality: An Empirical Investigation at Malaysian Public Hospitals by Utilising SERVQUAL-Gap Analysis. Turkish Journal of Computer and Mathematics Education (TURCOMAT) 12 (3): 734–740. https://doi.org/10.17762/turcomat.v12i3.779

Ongkaruna, L. A. L., Kristaung, R. (2023). The Influence of Hospitals Service Quality on Patients Revisit Intention and Word-of-Mouth in Class B Private General Hospital in DKI Jakarta. Journal of Open Research, 2(7): 581-593.

Olesen, K. and Bathula, H. (2022). A Meta-Analysis of the Determinants of Patient Satisfaction and Loyalty. Health Marketing Quarterly,39(2): 191-210, doi: 10.1080/07359683.2022. 2050000.

Qolipour, M., A. Torabipour, A. FarajiKhiavi, and A. Saki. 2018. Assessing Medical Tourism Services Quality Using SERVQUAL Model: A Patient’s Perspective. Iranian Journal of Public Health 7 (1): 10–110.

Parasuraman, A., Berry, L. L., & Zeithaml, V. A. (1991). Refinement and reassessment of the SERVQUAL scale. Journal of Retailing, 67(4), 420.

Pighin et al. (2022). Factors of the Revisit Intention of Patients in the Primary Health Care System in Argentina. Sustainability, 14. https://doi.org/10.3390/su142013021

Putri, E. L., & Setyawati, H. A. (2022). Pengaruh Service Quality Terhadap Revisit Intention Melalui Patient Satisfaction dan Trust Sebagai Variabel Intervening (Studi pada Pasien Rawat Inap RSU Purwogondo Kebumen).

Wibowo (2017). 85% Pasien RS Sumber Waras Pengguna Layanan BPJS. https://www.medcom.id/nasional/metro/ObzW4nxk-85-pasien-rs-sumber-waras-pengguna-layanan-bpjs

Yudityawati, D. K., Ekawati, E., Maulidiah, F., & Hermawan, S. (2022, August). Analisis Kepuasan Terhadap Mutu Pelayanan Menggunakan Metode Importance Performance Analysis Pada Pasien Rawat Jalan Rs “X”. In UMMagelang Conference Series (pp. 685-697).

Zahra, S. A., Farida, N., Arso, S. P. (2023). The Effect of Customer Value and Trust on Patient Revisit Intention: Satisfaction as Mediation. Journal of Health Science and Prevention, 7(2).

Zubayer, M., & Hoque, S. (2019). Health care service quality and in patients’ satisfaction: An empirical investigation on healthscape’stangible quality. Global Journal of Arts, Humanities and Social Sciences, 7(5), 39-55

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Published

2024-12-30

How to Cite

Hutagaol, N. M., Ardi, A., & Wuisan, D. S. S. (2024). PENGARUH SERVICE QUALITY, PATIENT SATISFACTION, TRUST, COMMITMENT TERHADAP REVISIT INTENTION OUTPATIENT BPJS DI RUMAH SAKIT SUMBER WARAS. PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 8(3), 7754–7780. https://doi.org/10.31004/prepotif.v8i3.38351