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Exploring Patient Trust as a Mediator in Factors Influencing Inpatient Revisit Intention

Adjra Safira Hidayat

Abstract


This research investigates the impact of healthcare service quality and patient satisfaction on the intention to revisit, with patient trust serving as a mediating factor, among inpatients at Ciawi Regional Hospital. Employing a quantitative approach with a causal-comparative design, primary data were obtained from 108 hospitalized respondents through questionnaires. The analysis utilized Partial Least Squares Structural Equation Modeling (PLS-SEM) with SmartPLS version 4.0. Results from the measurement model confirmed that all indicators met the validity and reliability standards, covering convergent and discriminant validity using the Fornell-Larcker criterion, cross-loadings, and the HTMT ratio. Structural model testing revealed strong explanatory capacity, with R-square values of 74.4% for revisit intention and 40.7% for patient trust, alongside predictive relevance indicated by a Q-square value of 0.668. Hypothesis testing showed that both healthcare service quality and patient satisfaction exert significant positive effects on revisit intention and patient trust. Additionally, patient trust itself demonstrated a significant and positive impact on revisit intention. Mediation analysis further established that patient trust significantly mediates the relationship between healthcare service quality, patient satisfaction, and revisit intention. These results reinforce the relevance of the Theory of Planned Behavior within healthcare contexts and emphasize the pivotal role of patient trust in linking service quality and satisfaction to foster revisit intention. Practical implications suggest that Ciawi Regional Hospital should prioritize strengthening service quality and cultivating patient trust as strategies to enhance loyalty and encourage repeat visits.

Keywords


patient satisfaction; patient trust; revisit intention; Ciawi Hospital

References


Ajzen, I. (2020). ' The Theory of Planned Behavior: Frequently asked questions', Human Behavior and Emerging Technologies,. 2 (4), 314–324.

Al-Assaf. (2019). Quality of Health Services Perspective International. EGC.

Amanda, DPA (2022). The Influence Quality Service and Trust Regarding Interest in Visiting Repeat With Satisfaction Patient Clinic As Variables Mediator. Muhammadiyah University of Surakarta.

Anathasia, ES, & Mulyanti, D. (2023). Factors that influence improvement quality service Health in Hospitals: A Review Theoretical. Journal Scientific Medicine and Health, 2 (2), 145–151.

Azwar. (2019). Management Quality Health Services. Sinar Library.

Bachman, R., & Akbar, Z. (2019). Handbook of Trust Research. Edward Elgar Publishing.

Bakri, AAM, Ahri, RA, & Batara, AS (2022). The Influence Quality Service On Patient Return Visit Interest Through Satisfaction Inpatients. Journal of Muslim Community Health (JMCH), 3 ( 4 ), 1–15.

Budiastuti. (2020). Satisfaction Patient To Hospital Services. Trans Info Media.

Bustami. (2015). Assurance of Health Service Quality and Its Acceptability. Erlangga.

Chandra, T., Chandra, S., & Hafni, L. (2020). Service Quality, Consumer Satisfaction, and Consumer Loyalty: Review Theoretical (1st ed.). CV IRDH.

Dharmmesta, BS, & Hani Handoko. (2016). Management Marketing. Analytics and Behavior Consumers. BPFE Yogyakarta.

Gerson, RF (2020). Measuring Satisfaction Customer. PPM.

Gultom, DK, Arif, M., & Fahmi. Muhammad. (2020). Determination Satisfaction Customer To Loyalty Customer Through Trust. Maneggio : Journal Master of Management Science, 3 (2), 171–180.

Herlambang S. (2016). Health Service Quality Management. Publisher Book EGC Medicine.

Indrasari, M. (2019). Marketing and Customer Satisfaction Customer. Unitomo Press.

Khasanah, UU, & Mahendri, W. (2023). The Influence of Quality Service and Price Perceptions on Patient Return Visit Intentions through Satisfaction at Ngimbang Public Health Center. Focus Media Business Review Management and Accounting, 22 (1), 85–96. https://doi.org/10.32639/fokbis.v22i1.384

Kotler. (2018). Marketing management: Analysis, planning, implementation and control, (8th edn ). Prentice Hall International. Inc.

Kotler P, and KK (2021). Management Marketing. Erlangga.

Mangkunegara, AAP (2017). Evaluation HR performance. PT. Refika Aditama.

Marchamah, DNS, & Desty, RT (2022). Relationship quality service health with satisfaction patient take care road in Puskesmas X Regency Grobogan. Thermometer : Journal Scientific Health and Medical Sciences, 2 (1), 235–246.

Mowen, J. C., & Minor, M. (2015). Consumer Behavior. Prentice Hall, Inc.

Muninjaya, AG (2015). Quality Management of Health Services. Edition 2. EGC.

Nursalam. (2022). Management Nursing application in practice nursing professional edition 6 (Peni Puji Lestari (ed.); 6th ed. Salemba Medical.

Parasuraman. (2014). The behavioral consequences of service quality. Prentice Hall.

Parasuraman, & Tjiptono, F. (2019). Service, quality & customer satisfaction. Andi Offset.

Regulation of the Minister of Health of the Republic of Indonesia Number 30 of 2019 Concerning Classification and Licensing of Hospitals., Pub. L. No. 30 (2022).

Pohan. (2019). Quality Assurance of Health Services. EGC.

Prapitasari, R., & Hidayatun, N. (2020). Concept base quality service health. CV. Adanu Abimata.

Rosyidi, I. (2020). Health Service Quality Management. Publisher Goshen.

Safira, A. (2022). Factors That Influence Quality Inpatient Healthcare Services Health Center Tammeroddo Kab Majene. Thesis. University Hasanuddin.

Schiffman, LG, & Kanuk, LL (2018). Behavior Consumers ( 7th Edition, Z. Zoelkifli, Trans). Index.

Simamora, H. (2019). Management Human Resources. STIE YPKN Publishing.

Sulistiyowati, W. (2018). Quality services : Theory and Application (SB Sartika & MT Multazam (eds.); 1st ed.). Umsida Press.

Tjiptono, F. (2019). Satisfaction Customer : Concepts, Measurement, and Strategy. 1st ed. Andi Publisher.

Wiyono. (2019). Health Service Quality Management. Airlangga University Press Surabaya.

Zahro, A., & Nurtjahjadi, E. (2024). The Influence of Medical Service Quality on Re -treatment Interest Mediated by Satisfaction Patient In Rsia Bunda Arif Purwokerto. Oikos: Journal of Economic Education and Economic Science Studies, 9 (1).


Full Text: PDF

DOI: 10.33751/jsi.v7i2.12811

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