Role of Patient Satisfaction in Mediating the Effects of Service Quality and Brand Image on Hospital Selection Decisions
DOI:
https://doi.org/10.59211/mjpjetl.v4i2.402Keywords:
Citra Merek, Keputusan Pemilihan Rumah Sakit, Kepuasan Pasien, PLS-SEM, Kualitas Layanan.Abstract
Hospital selection has become an increasingly important issue as patients consider both healthcare quality and institutional reputation before choosing healthcare providers. This study aimed to examine the effects of service quality and brand image on hospital selection decisions, with patient satisfaction serving as a mediating variable. A quantitative cross-sectional design was employed using data collected from 259 patients who had received outpatient or inpatient services at a Type B regional public hospital in Indonesia. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) with SmartPLS 4. The measurement model demonstrated satisfactory indicator reliability, convergent validity, discriminant validity, and construct reliability. The structural model also showed strong explanatory power. The results indicated that service quality and brand image significantly improved patient satisfaction. Brand image and patient satisfaction significantly influenced hospital selection decisions, whereas the direct effect of service quality on hospital selection decision was not significant. Furthermore, patient satisfaction significantly mediated the relationships between service quality and hospital selection decision as well as between brand image and hospital selection decision. These findings suggested that patient satisfaction represented the primary mechanism through which healthcare quality and institutional reputation influenced patients' hospital selection decisions. The study provides empirical evidence supporting the integration of service quality, brand image, and patient satisfaction in explaining hospital selection decisions within regional public hospitals.
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[1] J. F. Engel Blackwell, R. D. ., & Miniard, P. W. ., Consumer behavior. Dryden Press. 1995.
[2] L. L. Berry & Bendapudi, N., “Health care: A fertile field for service research. Journal of Service Research, 10(2), 111–122. https://doi.org/10.1177/1094670507306682,” 2007.
[3] A. Maulana & Ayuningtyas, D., “The Influence of Hospital Brand Image on Patient’s Decision to Choose Hospital: Literature Review. Jurnal ARSI : Administrasi Rumah Sakit Indonesia, 9(3), 80–85. https://doi.org/10.7454/arsi.v9i3.7284,” 2023.
[4] R. A. Prayogo & Ariadi, G., “Influence of Service Quality on Purchase Decision with Customer Satisfaction and Hedonistic View as Mediating Variables. KnE Social Sciences, 2024(1), 618–631. https://doi.org/10.18502/kss.v9i14.16133,” 2024.
[5] A. P. Parasuraman Zeithaml, V., & Berry, L., “SERVQUAL A Multiple-item Scale for Measuring Consumer Perceptions of Service Quality. Journal of Retailing, 64, 12–40.,” 1988.
[6] S. T. Hasibuan Musannip, Z., Siregar, E., & Harahap, A., “The Effect of Service Quality, Price, Customer Satisfaction on Purchase Decisions at Usman Wholesale. Budapest International Research and Critics Institute-Journal (BIRCI-Journal), 5(1), 6232–6242. https://doi.org/10.33258/birci.v5i1.4343,” 2022.
[7] K. L. Keller, “Conceptualizing, Measuring, and Managing Customer-Based Brand Equity. Journal of Marketing, 57(1), 1. https://doi.org/10.2307/1252054,” 1993.
[8] R. B. Hutagaol Alfifto, & Tarigan, E. D. S., “The Influence of Trust, Service Quality and Brand Image on Customer Decisions: A Case Study of Prudential in Babura Sunggal Village. Journal of Management and Business Innovations, 7(01), 34–40. https://creativecommons.org/licenses/by/4.0/,” 2025.
[9] B. Supriyanto & Dahlan, K. S. S., “The Impact of Brand Image and Service Quality on Customer Loyalty, with Customer Satisfaction as A Mediator. International Journal of Social Service and Research, 4(01), 290–297. https://doi.org/10.46799/ijssr.v4i01.709,” 2024.
[10] P. Maharani Ramadhani Sitepu, & Tati Murni Karokaro., “Analysis of Minimum Service Standards on General Patients’ Revisit Intention at the Outpatient Department of RS Grandmed Lubuk Pakam in 2026. Jurnal Kesmas Dan Gizi (JKG), 8(2), 1267–1274. https://doi.org/10.35451/chtfx419,” 2026.
[11] S. Abigail Puji Suci, R., Rupiwardani, I., Suraji, A., Tri Rachmi Nuswantari, A., & Tinggi Ilmu Kesehatan Widyagama Husada Malang, S., “The Impact of Service Quality on Hospital Image: The Mediating Roles of Patient Satisfaction and Trust. Journal of World Future Medicine, 4(3), 383–400. https://doi.org/10.70177/health.v4i3.3919,” 2026.
[12] D. A. Aaker, Managing brand equity : capitalizing on the value of a brand name. Free Press ; Maxwell Macmillan Canada ; Maxwell Macmillan International. 1991.
[13] R. L. Oliver, “A Cognitive Model of the Antecedents and Consequences of Satisfaction Decisions. Journal of Marketing Research, 17(4), 460–469. https://doi.org/10.1177/002224378001700405,” 1980.
[14] J. F. Hair, G. T. M. Hult, C. M. Ringle, and M. Sarstedt, A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM), 3rd ed. Thousand Oaks, CA: Sage Publications, 2021.
[15] S. Haryono, Metode SEM untuk Penelitian Manajemen dengan AMOS LISREL PLS (1st ed.). PT. Intermedia Personalia Utama. 2016.
[16] J. F. Hair, G. T. M. Hult, C. M. Ringle, and M. Sarstedt, A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM), 3rd ed. Thousand Oaks, CA: SAGE Publications, 2022.
[17] F. R. Azzam Widodo, A., Silvianita, A., & Rubiyanti, N., “The Service Quality and Brand Trust Toward Purchase Decisions the Mediating Role of Customer Satisfaction : A Conceptual Paper. International Journal of Integrative Sciences, 3(5), 391–402. https://doi.org/10.55927/ijis.v3i5.9208,” 2024.
[18] M. A. Prayogi, S. Farisi, and H. Salwa, “Pengaruh Pelatihan dan Budaya Organisasi Terhadap Kinerja Karyawan di Mediasi Oleh Organizational Citizhenship Behavior,” Proceding Semin. Nas. Kewirausahaan, vol. 2, no. 1, pp. 1068–1078, 2021.
[19] A. O. Trisno & Berlianto, M. P., “The Effect of Perceived Value, Brand Image, Satisfaction, Trust and Commitment on Loyalty at XYZ Hospitals, Tangerang. Jurnal Manajemen Kesehatan Indonesia, 11(1), 22–33. https://doi.org/10.14710/jmki.11.1.2023.22-33,” 2023.
[20] U. A. Solihah Suci, R. P., Rahayu, Y. I., & Iswari, H. R., “Pengaruh Citra Merek dan Electronic Word Of Mouth Terhadap Keputusan Pembelian Yang Dimediasi Kepercayaan Konsumen. EKOMA : Jurnal Ekonomi, 3(3), 667–678.,” 2024.
[21] P. A. D. Suryo Gde, S. I. P., Made, W., & Ketut, G. I. G. A., “The Mediating Role of Customer Satisfaction in The Influence of Product Quality and Brand Image on Home Purchase Decisions in Bali: A Study of Bali Surya Residence Real Estate. Russian Journal of Agricultural and Socio-Economic Sciences, 139(7), 71–84. https://doi.org/10.18551/rjoas.2023-07.09,” 2023.
[22] R. Christiarini & Martasya, M., “Analisa Product Quality terhadap Purchase Decision dengan Satisfaction sebagai Variabel Intervening pada Produk Kecantikan di Kota Batam. Equilibrium : Jurnal Ilmiah Ekonomi, Manajemen Dan Akuntansi, 13(2), 439. https://doi.org/10.35906/equili.v13i2.2050,” 2024.
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