ANALYSIS OF HEALTH SERVICE QUALITY AND PATIENT VALUES ON REVISIT INTEREST THROUGH OUTPATIENT SATISFACTION AT TAMANAN HEALTH CENTER
Downloads
Objective : This study aims to analyze the influence of service quality and perceived value on patient satisfaction and revisit intention in the context of outpatient services at Tamanan Community Health Center, Bondowoso. The research further examines the mediating role of patient satisfaction in the relationship between service quality, perceived value, and revisit intention. Understanding these relationships is critical to improving patient-centered care and fostering long-term patient loyalty. Method : This explanatory quantitative study involved 100 respondents, determined through Slovin's formula, with accidental sampling as the sampling technique. Data were collected using questionnaires, observations, and literature review, while both primary and secondary data were utilized. Structural Equation Modeling (SEM) with WarpPLS 8.0 software was employed to test hypotheses and evaluate the relationships between variables, including service quality, perceived value, patient satisfaction, and revisit intention. Results : The findings reveal that service quality and perceived value significantly influence patient satisfaction and revisit intention. Additionally, patient satisfaction serves as a significant mediating variable, strengthening the impact of service quality and perceived value on revisit intention. This indicates that improving service quality dimensions such as reliability, responsiveness, empathy, and ensuring patients perceive high value can enhance satisfaction and loyalty toward healthcare services. Novelty : This study offers a novel perspective by integrating service quality, perceived value, and patient satisfaction as predictors of revisit intention in a primary healthcare setting, particularly in a rural area with unique resource limitations. The findings highlight the importance of tailoring healthcare service strategies to address both tangible and emotional aspects of patient care, providing valuable insights for healthcare providers and policymakers.
S. Jalias and F. P. Idris, “Pengaruh mutu pelayanan kesehatan gigi dan mulut terhadap minat kembali pasien melalui tingkat kepuasan di puskesmas tamalate makassar 2020,” Journal of Muslim Community Health, 2020, [Online]. Available: http://pasca-umi.ac.id/index.php/jmch/article/view/243
F. Gusmawan, H. Haryadi, and E. Sutrisna, “Pengaruh Kualitas Pelayanan Dan Karakteristik Sosiodemografi Terhadap Minat Kunjungan Ulang Yang Dimoderasi Oleh Kepuasan Pasien Pada Pelayanan …,” Jurnal Ekonomi, Bisnis, dan …, 2020, [Online].
Available: https://www.academia.edu/download/85943558/287177389.pdf
H. S. Sangkot, U. Latifah, and ..., “Analisis Pengaruh Kepuasan Pasien Rawat Jalan Terhadap Minat Kunjungan Ulang Di Rs X Kota Madiun,” Jurnal Manajemen…, 2022, [Online].
Available: https://ejournal.undip.ac.id/index.php/jmki/article/view/46165
D. A. Puteri, E. Syaodih, I. W. P. Agung, and ..., “Pengaruh mutu pelayanan kesehatan terhadap minat kunjungan ulang pasien bpjs klinik kirana medika bandung,” Jurnal Manajemen …, 2024, [Online]. Available: http://ejurnal.ars.ac.id/index.php/mmars/article/download/1601/876
Y. Ginting, T. Chandra, I. Miran, and ..., “Repurchase intention of e-commerce customers in Indonesia: An overview of the effect of e-service quality, e-word of mouth, customer trust, and customer satisfaction …,” International Journal of …, 2023, [Online]. Available: http://m.growingscience.com/beta/ijds/5792- repurchase-intention-of-e-commerce-customers-in-indonesia-an-overview-of-the- effect-of-e-service-quality-e-word-of-mouth-customer-trust-and-customer- satisfaction-mediation.html
C. Elizar, R. Indrawati, and T. Y. R. Syah, “Service quality, customer satisfaction, customer trust, and customer loyalty in service of Paediatric Polyclinic over Private H Hospital of East Jakarta, Indonesia,” Journal of Multidisciplinary …, 2020, [Online]. Available: http://www.kemalapublisher.com/index.php/JoMA/article/view/442
H. Z. Amly, J. Harahap, and M. Lubis, “Analisis Faktor Penentu Minat Kunjung Ulang Pasien Diabetes Melitus Di Instalasi Rawat Jalan Poliklinik Endokrin RS. Pirngadi,” Jurnal Health Sains, 2020, [Online]. Available: https://jurnal.healthsains.co.id/index.php/jhs/article/view/40
Y. T. Latupapua, “Faktor faktor yang mempengaruhi minat kunjungan ulang ke daya tarik objek Siwang Paradise Kota Ambon,” Jurnal Hutan Pulau-Pulau Kecil, 2021, [Online]. Available: https://ojs3.unpatti.ac.id/index.php/jhppk/article/view/4592
L. Rohmah, “Program pemberian makanan tambahan pada ibu hamil kekurangan energi kronis,” HIGEIA (Journal of Public Health Research and Development), 2020, [Online]. Available: https://journal.unnes.ac.id/sju/higeia/article/view/37052
I. S. Soulisa and D. S. Hidayat, “Persepsi Nilai, Kepercayaan, Kepuasan Dan Minat Pasien Berkunjung Ulang Dalam Situasi Pandemi (Studi Pada Puskesmas Pangkah),” Magisma: Jurnal Ilmiah …, 2022, [Online]. Available: http://jurnal.stiebankbpdjateng.ac.id/jurnal/index.php/magisma/article/view/226
A. S. S. Djuwa, M. Sinaga, and D. O. Dodo, “Hubungan Persepsi Pasien tentang Mutu Pelayanan Kesehatan dengan Minat Kunjungan Ulang Rawat Jalan di Puskesmas Bakunase Kecamatan Kota Raja,” Media Kesehatan Masyarakat, 2020,
[Online]. Available: https://www.academia.edu/download/86005059/2070.pdf
H. Akbar, H. Amir, S. R. Ningsih, and ..., “Hubungan Mutu Pelayanan Petugas Kesehatan Terhadap Minat Kunjungan Ulang Pasien Rawat Jalan di Puskesmas X,” Pena Medika: Jurnal …, 2020, [Online]. Available: http://jurnal.unikal.ac.id/index.php/medika/article/view/1247
H. Haeruddin, M. K. Alwi, and ..., “Pengaruh Mutu Pelayanan Kesehatan terhadap Kepuasan dan Minat Kembali di RSUD Haji Makassar,” Window of Health: Jurnal …, 2021, [Online]. Available: https://jurnal.fkmumi.ac.id/index.php/woh/article/download/241/176
S. Hwang, J. Kim, E. Park, and S. J. Kwon, “Who will be your next customer: A machine learning approach to customer return visits in airline services,” J Bus Res, 2020, [Online]. Available: https://www.sciencedirect.com/science/article/pii/S014829632030535X
K. Mendrofa, Y. Mendrofa, and S. Gulo, “Hubungan Mutu Pelayanan Terhadap Minat Kunjungan Ulang Pasien Rawat Inap,” … Manajemen Dan Ekonomi, 2022, [Online].
Available: https://jamane.marospub.com/index.php/journal/article/view/40
W. P. Saogo, S. Yanti, and M. Mursal, “Pengaruh Kualitas Layanan, Kualitas Informasi, dan Presepsi Harga Terhadap Kepuasan Pelanggan (Studi Kasus pada Pengguna Aplikasi Pos Aja! PT. Pos Indonesia Cabang Batam),” Zona Manajerial: Program Studi Manajemen (S1) Universitas Batam, vol. 14, no. 2, pp. 94–107, Aug. 2024, doi: 10.37776/ZONAMANAJER.V14I2.1552.
A. D. Astianita and A. Lusia, “Pengaruh Kualitas Layanan, Citra Merek, Word of Mouth dan Promosi Terhadap Loyalitas Pelanggan,” Jurnal Indonesia Sosial Teknologi, vol. 3, no. 03, pp. 370–380, Mar. 2022, doi: 10.59141/JIST.V3I03.382.
A. H. Putri, E. Rombe, and C. Chalil, “PENGARUH KUALITAS LAYANAN TERHADAP KEPUASAN PASIEN PADA PUSKESMAS KAMONJI DI KOTA PALU,” Jurnal Ilmu Manajemen Universitas Tadulako (JIMUT), vol. 3, no. 1, pp. 105–110, Jan. 2017, doi: 10.22487/JIMUT.V3I1.77.
N. X. Nguyen, K. Tran, and T. A. Nguyen, “Impact of service quality on in- patients’ satisfaction, perceived value, and customer loyalty: A mixed-methods study from a developing country,” Patient preference and …, 2021, doi: 10.2147/PPA.S333586.
R. Adawiyah, Hubungan Nilai Pasien dan Kepuasan Pasien dengan Minat Kunjung Ulang Pasien di Puskesmas Sengeti Muaro Jambi. repository.unja.ac.id, 2024. [Online]. Available: https://repository.unja.ac.id/68614/
J. Damanik and M. Yusuf, “Effects of perceived value, expectation, visitor management, and visitor satisfaction on revisit intention to Borobudur Temple, Indonesia,” Journal of Heritage Tourism, 2022, doi: 10.1080/1743873X.2021.1950164.
S. Frisnoiry, D. Ginting, and N. Zega, “Evaluasi Peran Program Pemberian Makanan Tambahan (PMT) terhadap Permasalahan Stunting di Sumatera Utara dalam Perspektif Ilmu Ekonomi,” Jurnal Pendidikan Tambusai, 2024, [Online]. Available: https://jptam.org/index.php/jptam/article/view/14602
T. H. Cham, J. H. Cheah, H. Ting, and ..., “Will destination image drive the intention to revisit and recommend? Empirical evidence from golf tourism,” International Journal of …, 2022, doi: 10.1108/IJSMS-02-2021-0040.
I. G. N. Surahman, P. N. S. Yasa, and ..., “The effect of service quality on customer loyalty mediated by customer satisfaction in tourism villages in Badung Regency,” Jurnal Ekonomi dan …, 2020, [Online]. Available: https://www.ejournal.warmadewa.ac.id/index.php/jagaditha/article/view/1626
R. L. Oliver, “A cognitive model of the antecedents and consequences of satisfaction decisions,” Journal of Marketing Research, vol. 17, no. 4, pp. 460–469, 1980, doi: 10.1177/002224378001700405.
A. Parasuraman, V. A. Zeithaml, and L. L. Berry, “SERVQUAL: A Multiple-Item Scale for Measuring Consumer Perceptions of Service Quality,” Journal of Retailing, vol. 64, no. 1, pp. 12–40, 1988.
M. B. Holbrook, “Beyond Attitude Structure: Toward the Informational Determinants of Attitude,” Journal of Marketing Research, vol. 15, no. 4, p. 545, Nov. 1978, doi: 10.2307/3150624.
M. Sholihin and D. Ratmono, Analisis SEM-PLS dengan WarpPLS 7.0 untuk Hubungan Nonlinier dalam Penelitian Sosial dan Bisnis, 2nd ed. Yogyakarta, Indonesia: Universitas Gadjah Mada, 2021.
I. Ghozali, Structural Equation Modeling: Metode Alternatif dengan Partial Least Square (PLS), 4th ed. Semarang, Indonesia: Universitas Diponegoro, 2021.
A. S. Hussein, “Effects of brand experience on brand loyalty in Indonesian casual dining restaurant: Roles of customer satisfaction and brand of origin,” Tourism and hospitality management, 2018, [Online]. Available: https://hrcak.srce.hr/193630
M. S. Rahman, M. Mannan, M. A. Hossain, and M. H. Zaman, “Patient’s behavioral intentions: public and private hospitals context,” Marketing Intelligence & Planning, vol. 37, no. 4, pp. 353–371, 2019, doi: 10.1108/MIP-08-2018-0342.
N. Munthe, M. K. Rokan, N. Ahmadi, and B. Rahmani, “Pengaruh Peran Manajer, Kualitas Pelayanan Islami dan Kepercayaan terhadap Loyalitas melalui Kepuasan Pasien Bekam Sebagai Variabel Intervening Pada Mitra Sehat Thibun Nabawi di Masa Covid-19.,” Jurnal Ilmiah Ekonomi Islam, vol. 8, no. 3, pp. 3761–3769, Nov. 2022, doi: 10.29040/JIEI.V8I3.6752.
I. Tuncer, C. Unusan, and C. Cobanoglu, “Service quality, perceived value and customer satisfaction on behavioral intention in restaurants: An integrated structural model,” … quality assurance in hospitality …, 2021, doi: 10.1080/1528008X.2020.1802390.
Y. Jeaheng, A. Al-Ansi, and H. Han, “… of Halal-friendly services, facilities, and food and Beverages on Muslim travelers’ perceptions of service quality attributes, perceived price, satisfaction, trust, and loyalty,” Journal of Hospitality Marketing &…, 2020, doi: 10.1080/19368623.2020.1715317.
M. I. W. Haeruddin and M. Haeruddin, “The effect of customer satisfaction on customer loyalty in Kartu as products in Makassar City,” Jurnal Administrare: Jurnal …, 2020, [Online]. Available: http://eprints.unm.ac.id/27820/
J. O. N. Putra and B. Cahyoadi, “Pengaruh Periklanan dan Kualitas Pelayanan Terhadap Minat Kunjung Ulang pada Waterpark Singapura Tulungagung,” Indonesian Journal of Strategic Management, vol. 6, no. 2, pp. 97–110, Aug. 2023, doi: 10.25134/IJSM.V6I2.8402.
Y. Rustam, “Analisa Daya Tarik Wisata terhadap Minat Kunjungan Wisatawan di Pantai Pasir Mayang Kabupaten Paser,” Jurnal Administrasi Bisnis FISIPOL UNMUL, vol. 10, no. 3, pp. 205–212, Aug. 2022, doi: 10.54144/JADBIS.V10I3.7160.
D. Suhartanto, A. Brien, I. Primiana, and ..., “Tourist loyalty in creative tourism: the role of experience quality, value, satisfaction, and motivation,” Current Issues in …, 2020, doi: 10.1080/13683500.2019.1568400.
T. C. Dam, “Influence of brand trust, perceived value on brand preference and purchase intention,” The Journal of Asian Finance, Economics and …, 2020, [Online]. Available: https://koreascience.kr/article/JAKO202029062616803.page
N. A. Mranani and S. D. Lastianti, “Hubungan Kelompok Acuan, Perceived Value, Perceived Quality Dan Media Sosial Terhadap Niat Pembelian Serta Dampaknya Pada Keputusan Pembelian Sepeda Pushbike,” Media Mahardhika, vol. 20, no. 2, pp. 252–263, Jan. 2022, Accessed: Jan. 11, 2025. [Online]. Available: https://ojs.stiemahardhika.ac.id/index.php/mahardika/article/view/393
T. T. H. Nguyen and T. T. Nguyen, “Purchase behavior of Generation Z for new- brand beauty products: Exploring the role of blockchain,” Journal of Retailing and Consumer Services, vol. 65, p. 102867, 2022.
K. Hasan, S. K. Abdullah, F. Islam, and ..., “An integrated model for examining tourists’ revisit intention to beach tourism destinations,” Journal of Quality …, 2020, doi: 10.1080/1528008X.2020.1740134.
R. Sianipar, J. M. H. Situmorang, and ..., “Factors influencing tourist satisfaction and revisit intention to Cibuntu tourist village during COVID-19 pandemic,” JELAJAH: Journal of …, 2021, [Online]. Available: https://www.researchgate.net/profile/Kevin-Gustian- Yulius/publication/359483165_FACTORS_INFLUENCING_TOURIST_SATISFACTION_AND_REVISIT_INTENTION_TO_CIBUNTU_TOURIST_VILLAGE_DURING_COVID19_PANDEMIC/links/6397d0f2484e65005b05581f/FACTORS-INFLUENCING-TOURIST-SATISFACTION-AND-REVISIT-INTENTION-TO- CIBUNTU-TOURIST-VILLAGE-DURING-COVID-19-PANDEMIC.pdf
B. E. K. Sungkana, Y. Sutarso, and T. Prawitowati, “Benefits and Risk Perception of User Financial Technology Sat-isfaction and Trust in Indonesia: Literature Review and Proposed Model Literature Review and Proposed Model,” The International Conference of Business and Banking Innovations (ICOBBI), vol. 5, no. 1,pp. 56–62, 2019, doi: 10.6084/m9.figshare.9812210.
R. Ramadania, T. Rosnani, R. Fauzan, and D. Caisar Darma, “The Study of Perceived Risk and E-Service Convenience Towards Satisfaction and Trust of Online Academic Users in Indonesia,” International Journal of Media and Information Literacy, vol. 6, no. 2, pp. 387–395, Dec. 2021, doi: 10.13187/IJMIL.2021.2.387.
N. Aslami, A. Apriani, C. C. Widayati, and R. V. Losi, “The Role Of Trust In Mediating Perceived Ease Of Use, Perceived Risk And E-WOM On Purchase Intention,” Jurnal Perspektif Manajerial dan Kewirausahaan (JPMK), vol. 2, no. 2, pp. 69–81, May 2022, doi: 10.59832/JPMK.V2I2.189.
Copyright (c) 2025 Nia Damayanti, Toni Herlambang, Mohammad Thamrin

This work is licensed under a Creative Commons Attribution 4.0 International License.



