KUALITAS PELAYANAN SERVQUAL DAN RENDAHNYA BOR : PERSPEKTIF PASIEN DI RSUD UNDATA SULAWESI TENGAH
DOI:
https://doi.org/10.31004/prepotif.v9i3.52221Keywords:
BOR, kualitas pelayanan, persepsi pasien, rawat inap, SERVQUALAbstract
Rendahnya Bed Occupancy Rate (BOR) di RSUD Undata dalam empat tahun terakhir mengindikasikan adanya problematika pada mutu pelayanan rumah sakit yang berpengaruh terhadap tingkat pemanfaatan layanan rawat inap. Fenomena ini diperkirakan berkaitan dengan persepsi pasien terhadap kualitas pelayanan yang diterima, khususnya ketika diukur melalui dimensi SERVQUAL. Penelitian ini bertujuan menganalisis secara mendalam persepsi pasien mengenai kualitas pelayanan rawat inap dan keterkaitannya dengan rendahnya BOR di RSUD Undata. Penelitian menggunakan pendekatan kualitatif dengan rancangan studi kasus, melibatkan 14 informan yang dipilih secara purposive, mencakup pasien, keluarga pasien, tenaga kesehatan, dan staf rekam medis. Pengumpulan data dilakukan melalui wawancara mendalam, observasi partisipatif, dan telaah dokumen yang dianalisis secara sistematis melalui tahapan reduksi data, penyajian data, serta penarikan kesimpulan. Hasil penelitian menunjukkan bahwa implementasi kelima dimensi SERVQUAL, yaitu reliability, assurance, tangibles, empathy, dan responsiveness belum optimal. Ketidaktepatan waktu pelayanan medis, minimnya kejelasan informasi klinis, disparitas fasilitas antar kelas rawat, perhatian personal yang tidak konsisten, serta respons yang fluktuatif antar shift menjadi faktor dominan yang membentuk persepsi negatif pasien. Persepsi tersebut berimplikasi langsung pada rendahnya loyalitas, kecenderungan tidak merekomendasikan rumah sakit kepada orang lain, dan penurunan minat untuk kembali dirawat, yang pada akhirnya berdampak pada rendahnya BOR. Penelitian ini menegaskan pentingnya peningkatan kualitas pelayanan secara komprehensif pada seluruh dimensi SERVQUAL sebagai strategi untuk memperbaiki persepsi pasien, meningkatkan kepuasan, serta mengoptimalkan pemanfaatan tempat tidur rumah sakit.References
Arief, I., Fahriati, A., & Kartikasari, N. (2022, August 18). Servqual Scale to Investigate Patient Satisfaction of Pharmaceutical Service at Private Dental Hospital, Jakarta, Indonesia. https://doi.org/10.4108/eai.11-10-2021.2319535
Ariwidyastuti, C. I., Januraga, P. P., & Duarsa, D. P. (2016). Relationship between the Responsiveness of Service Providers with Patient Satisfaction at Three Conventional Radiography Services in Denpasar. Public Health and Preventive Medicine Archive, 4(1), 60–66. https://doi.org/10.53638/phpma.2016.v4.i1.p11
Departemen Kesehatan. (2011). Juknis-SIRS-2011. Kementerian Kesehatan RI Direktorat Jenderal Bina Upaya Kesehatan. https://sardjito.co.id/wp-content/uploads/2018/05/Juknis-SIRS-2011.
Dinas Kesehatan Sulteng. (2024). Profil Kesehatan Provinsi Sulawesi Tengah 2024. https://dinkes.sultengprov.go.id/wp-content/uploads/2025/07/Profil-Kesehatan-Sulteng-2024.pdf
Dinkes Sulawesi Tengah. (2023). Profil Kesehatan Dinas Kesehatan Sulawesi Tengah. Profil Kesehatan Provinsi Sulawesi Tengah, 1–368.
Doshmangir, L., Khabiri, R., Jabbari, H., Arab-Zozani, M., Kakemam, E., & Gordeev, V. S. (2022). Strategies for utilisation management of hospital services: a systematic review of interventions. Globalization and Health, 18(1), 2–39. https://doi.org/10.1186/s12992-022-00835-3
Erlina, Muhajrin Muhajrin, Sari Andi Mu’tiah, & Ilyas Asmiana Saputri. (2025). The Relationship between Service Quality and Patient Satisfaction of Health Social Security Administration Agency Users in Hospital Hajj Makassar. International Journal Of Health Science, 5(1), 01–07. https://doi.org/10.55606/ijhs.v5i1.4985
Exposto, L. A., Ida Mulyati, M., Magno, J., & Carvalho, M. (2023). Choosing Service Facilities In The Hospital Interior To Increase Patient Satisfaction. Asian Journal of Healthy and Science, 2(5), 213–224. https://doi.org/10.58631/ajhs.v2i5.46
Gibson, J. L., Ivancevich, J. M., Donnelly Jr, J. H., & Konopaske, R. (2012). Organizations Behavior-Structure-Processes (P. Ducham, Ed.; 2012th ed.). The McGraw-Hill Companies. https://industri.fatek.unpatti.ac.id/wp-content/uploads/2019/03/084-Organizations-Behavior-Structure-Processes-James-L.-Gibson-John-M.-Ivancevich-James-H.-Donnelly-Jr.-Roberth-Konopaske-Edisi-14-2011.pdf
Gilavand, A., & Torabipour, A. (2022). The Quality of Services of Iran University Hospitals Based on SERVQUAL’s Evaluation Model: A Systematic Review and Meta-Analysis. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.838359
Hapsari, K., Sriatmi, A., & Kartini, A. (2023). Inpatient satisfaction with hospital services in Indonesia: A systematic review. Interdisciplinary Social Studies, 3, 10–22.
Harahap, N. (2020). Buku Metodogi Penelitian Kualitatif (Hasan Sazali, Ed.; Vol. 1). Wal ashri Publishing.
Hidayat, D. H. Z., Mimanda, Y., & Maikel, M. P. (2025). The Impact of Responsiveness on Patient Satisfaction: Ensuring Healthy Lives and Well-Being Through Sustainable Development Goal 3. The Journal of Indonesia Sustainable Development Planning, 6(1), 21–30. https://doi.org/10.46456/jisdep.v6i1.640
Hosseinzadeh, M., Pouladzadeh, M., & Eskandari, A. (2024). Assessment of Healthcare Service Quality and Patient Satisfaction Using the SERVQUAL Questionnaire in Khuzestan Province During 2022 - 2023. Jundishapur Journal of Chronic Disease Care, 13(4). https://doi.org/10.5812/jjcdc-146329
Jones, K. C., Austad, K., Silver, S., Cordova-Ramos, E. G., Fantasia, K. L., Perez, D. C., Kremer, K., Wilson, S., Walkey, A., & Drainoni, M.-L. (2023). Patient Perspectives of the Hospital Discharge Process: A Qualitative Study. Journal of Patient Experience, 10. https://doi.org/10.1177/23743735231171564
Khotib, A., Suprapto, S. I., & Indasah, I. (2024). Patient satisfaction associated with increased patient retention. Malahayati International Journal of Nursing and Health Science, 7(4), 425–431. https://doi.org/10.33024/minh.v7i4.178
Kristianto, T., & Sangkot, H. S. (2024). Analisis Forecast Kebutuhan Tempat Tidur Berdasarkan Indikator Barber Johnson di RSUD Sidoarjo. Jurnal Rekam Medik Dan Informasi Kesehatan, 5(2), 102–111. https://doi.org/10.25047/j-remi.v5i2.4151
Kurniawan, H. D., Dharma, Y. P. T., & Santoso, B. (2024). Efisiensi Penggunaan Tempat Tidur Sebagai Evaluasi Mutu Dalam Pelayanan Kesehatan di Rumah Sakit. Jurnal Ilmu Kesehatan, 12(2), 197–107.
Menteri Kesehatan Republik Indonesia Nomor : 129/Menkes/SK/II/2008 Tentang Standar Pelayanan Minimal Rumah Sakit, 1 (2008). https://www.regulasip.id/regulasi/9233
Mercader, L. B., & Siciliani, L. (2023). The association between bed occupancy rates and hospital quality in the English National Health Service. European Journal of Health Economics, 24(2), 209–236. https://doi.org/10.1007/s10198-022-01464-8
Miarsih, A. (2024). Patient Satisfaction Analysis Based on Hospital Service Quality. Adpebi International Journal of Multidisciplinary Sciences, 4(1), 26–39. https://doi.org/10.54099/aijms.v4i1.1116
Monica, M., Nofierni, N., & Pamungkas, R. (2024). Patient Experience and Effective Communication and Patient Belief have Positive Prediction on Patient Loyalty to Use. International Journal of Nursing and Health Services (IJNHS), 7(4), 124–130. https://doi.org/10.35654/ijnhs.v7i4.802
Moslehpour, M., Shalehah, A., Rahman, F. F., & Lin, K.-H. (2022). The Effect of Physician Communication on Inpatient Satisfaction. Healthcare, 10(3), 463. https://doi.org/10.3390/healthcare10030463
Negash, W. D., Tsehay, C. T., Yazachew, L., Asmamaw, D. B., Desta, D. Z., & Atnafu, A. (2022). Health system responsiveness and associated factors among outpatients in primary health care facilities in Ethiopia. BMC Health Services Research, 22(1), 249. https://doi.org/10.1186/s12913-022-07651-w
Nurhayati, & Indrawati, R. (2018). Factors Affecting The Quality Of Hospital Bed Of Occupancy Levels With The Quality And Patient Safety An Variable Intervening Insiaga Raya Hospital Jakarta Hospitalia. Hospitalia, 1(2), 134.
Parashar, A., Rawat, V., & Peter, P. (2022). Patient Satisfaction: Key Strategies for Better Health Care Outcomes. Nursing Journal of India, CXIII, 35–38. https://doi.org/10.48029/NJI.2022.CXIII104
Parasuraman, A. P., Zeithaml, V., & Berry, L. (1988). SERVQUAL A Multiple-item Scale for Measuring Consumer Perceptions of Service Quality. Journal of Retailing, 64, 12–40.
Putri. (2022). Evaluasi Kepuasan Pasien Terhadap Mutu Pelayanan Kesehatan di Ruang Rawat Inap RSUD Labuang Baji [Universitas Hasanuddin]. https://repository.unhas.ac.id/id/eprint/24631/3/R011181323_skripsi_15-12-2022%201-2.pdf
Rafliadi, Hattab, S., & Salingkat, S. P. (2024). Pengaruh Kualitas Pelayanan Terhadap Kepuasan Pasien BPJS dan Pasien Umum Rumah Sakit Umum Daerah Undata Provinsi Sulawesi Tengah. Journal Of Publicness Studies, 1(2), 56–66. https://jurnal.fisip.untad.ac.id/index.php/jps/article/view/1373/426
Rahmatia, S., Basri, M., Ismail, I., Adi, S., Nasrullah, N., & Ahmad, A. (2025). Service quality in hospital inpatient care: SERVQUAL model approach. Health SA Gesondheid, 30. https://doi.org/10.4102/hsag.v30i0.3055
Ramadhan, A., Wijaya Widiyanto, W., & Sunandar, A. (2022). Analisis Efisiensi Pelayanan Rawat Inap Setiap Bangsal Di Rumah Sakit Jiwa Daerah dr. Arif Zainudin Surakarta Tahun 2021. Journal Health Information Management Indonesian (JHIMI) Jurnal JHIMI, 03(1), 63–70.
Sari, D. W., Oetari, R. A., & Kuncahyo, I. (2023). Evaluasi Kualitas Pelayanan dan Penanganan Keluhan (Management Complaint) Terhadap Kepuasan Pasien Rawat Inap di RSUD Undata. Jurnal Penelitian Kesehatan Suara Forikes, 14(4), 746–753. https://forikes-ejournal.com/index.php/SF/article/view/sf14417/14417
Sholeh, A. A., Ma’rufi, I., & Puspitaningtyas, Z. (2021). The Effect of Quality of Service on Patient Satisfaction and its Implications on The Interest of Patients to Use Health Services Back at Jember Regency Health Center. Health Notions, 5(3), 83–90. https://doi.org/10.33846/hn50303
Siyoto, S., & Tule, A. R. (2019). Analysis of Bed Occupancy Rate (BOR) in Terms of Internal Factors (Procedures, Doctor, Nurse, Facilities and Infrastructure). Global Journal of Health Science, 11(13), 77. https://doi.org/10.5539/gjhs.v11n13p77
Suryawijaya, B. B., & Dewanto, Y. (2022). Perencanaan Utilitas Pada Rumah Sakit Umum Daerah (RSUD) Di Slawi, Jawa Tengah. Jurnal Teknologi Industri, 11(02). https://doi.org/https://doi.org/10.35968/jti.v11i2.951
Teymori, E., Tabatabaee, S. S., Akhlaghi, S., Delavarinejad, A., & Kokabisaghi, F. (2023). The assessment of health system responsiveness from the viewpoints of COVID-19 patients. BMC Health Services Research, 23(1), 909. https://doi.org/10.1186/s12913-023-09806-9
Widiyanto, & Wijayanti, R. A. (2020). Analisis Faktor Penyebab Rendahnya Bed Occupancy Rate (BOR) di Rumah Sakit Mitra Medika Kabupaten Bondowoso. J-REMI : Jurnal Rekam Medik Dan Informasi Kesehatan , Vol. 1 No. 4, 529–536.
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