Analysis of the Relationship Between Service Quality, Healthcare Facilities, Patient Satisfaction, and the Intention To Migrate BPJS Patients to Other Healthcare Facilities at Wonokusumo Health Center
Analisis Hubungan Antara Kualitas Layanan, Fasilitas Kesehatan, Kepuasan Pasien, dan Niat untuk Memindahkan Pasien BPJS ke Fasilitas Kesehatan Lain di Pusat Kesehatan Wonokusumo
DOI:
https://doi.org/10.21070/jbmp.v11i2.2230Keywords:
Service Quality, Health Facilities, Patient Satisfaction, BPJS MigrationAbstract
The increasing number of patient visits at the Wonokusumo Community Health Center demonstrates the importance of first-level healthcare facilities (FKTP) as the frontline of the National Health Insurance (JKN) service. Wonokusumo Community Health Center experienced a decline in patient satisfaction, leading to a desire to migrate to other healthcare facilities. This study aims to analyze the relationship between service quality and healthcare facilities on patient satisfaction and their impact on BPJS patient migration intentions. A quantitative approach was used with the Structural Equation Modeling-Partial Least Squares (SEM-PLS) method. The sample consisted of 252 BPJS patients using Maternity and Child Health (KIA) clinic services, selected using the purposive sampling technique. The results showed that service quality had a p-value of 0.003 and health facilities had a p-value of 0.007, both significantly influencing patient satisfaction, while patient satisfaction significantly influenced the desire to migrate with a p-value of 0.000. Health facilities and service quality did not significantly influence the desire to migrate for BPJS patients, with p-values of 0.161 and 0.101, respectively. This study provides important implications for the management of community health centers, focusing on improving service quality and facilities to maintain patient loyalty.
References
Azhar Fadiyah, N., & Gunawan, E. (2021). Tinjauan Sistem Pelayanan Pendaftaran Pasien BPJS Rawat Jalan di Puskesmas Banjaran Kota. Jurnal Sosial Sains, 1(8), 951–956. https://doi.org/10.36418/sosains.v1i8.188
Burhanudin, B., & Febryanti, B. (2023). The role of brand love on brand satisfaction, brand engagement, and brand loyalty. Jurnal Manajemen Maranatha, 23(1), 67–78. https://doi.org/10.28932/jmm.v23i1.7610
Fatima, T. , Malik, S. A., & Shabbir, A. (2019). Hospital Healthcare Service Quality, Patient Satisfaction, and Loyalty.Hospital Healthcare Service Quality, Patient Satisfaction, and Loyalty. International Journal of Quality & Reliability Management, 33(6), 1195–1214.
Harriet, N., Arthur, N., Komunda, M. B., & Mugizi, T. (2024). Service Quality, Customer Loyalty and Customer Retention among Private Health Care Services in Mbarara City. Open Journal of Social Sciences, 12(01), 101–126. https://doi.org/10.4236/jss.2024.121008
Hoang, D. P., Nguyen, T. H. H., Vuong, N. L., & Van Luong, D. (2023). Linking psychological needs, perceived financial well-being and loyalty: the role of commercial banks. Journal of Financial Services Marketing, 28(3), 466–487. https://doi.org/10.1057/s41264-022-00170-z
Hussain, A., Kanwel, S., Khan, S., Alonazi, W., Malik, A., & Khan, A. (2025). Moderating, Antecedents Of Patient Loyalty: Exploring Mediating And Adherence, Paradigms In Public Hospitals. Patient Preference And Adherence, 19, 527–542.
Kim, C. E., Shin, J.-S., Lee, J., Lee, Y. J., Kim, M., Choi, A., Park, K. B., Lee, H.-J., & Ha, I.-H. (2017). Quality of medical service, patient satisfaction and loyalty with a focus on interpersonal-based medical service encounters and treatment effectiveness: a cross-sectional multicenter study of complementary and alternative medicine (CAM) hospitals. BMC Complementary and Alternative Medicine, 17(1), 174. https://doi.org/10.1186/s12906-017-1691-6
Le, K. H., La, T. X. P., & Tykkyläinen, M. (2022). Service quality and accessibility of healthcare facilities: digital healthcare potential in Ho Chi Minh City. BMC Health Services Research, 22(1), 1374. https://doi.org/10.1186/s12913-022-08758-w
Lestari, W. S., Panjaitan, U. Z., & Lubis, K. F. (2023). Analisis Kualitas Pelayanan dan Fasilitas Terhadap Kepuasan Pasien Umum Berobat di Puskesmas Aek Songsongan. Journal Transformation of Mandalika, 4(5), 170–174.
Liu, S., Li Genqiang Li, Liu Nan, & Hongwei Wu. (2021). The Impact of Patient Satisfaction on Patient Loyalty with the Mediating Effect of Patient Trust. The Journal of Health Care Organization, Provision, and Financing , 58, 1–11.
Pradipta, R. , & Jalilah, N. (2020). Manajemen pelayanan kesehatan.
Setianingsih, A., & Susanti, A. S. (2021). Pengaruh kualitas pelayanan kesehatan terhadap kepuasan pasien di Rumah Sakit “S.” Menara Medika, 4(1).
Suandana, I. A., Januraga, P. P., & Indrayathi, P. A. (2019). Faktor-faktor yang berhubungan dengan keinginan perpindahan fasilitas kesehatan tingkat pertama pada peserta JKN Mandiri di Kota Denpasar tahun 2017. Archive of Community Health, 6(1), 1–8.
Sugiyono. (2017). Metode Penelitian Kuantitatif, Kualitatif, Dan R&D. CV Alfabeta.
Thuy, D. H. D., Phuong, T. T. T., Khanh, N. H., & Vien, N. T. (2021). Evaluation of patient satisfaction and the service quality of the outpatient care at the Heart Institute of Ho Chi Minh City. ECONOMICS AND BUSINESS ADMINISTRATION, 11(1), 46–59. https://doi.org/10.46223/HCMCOUJS.econ.en.11.1.1307.2021
Tofik, S., Yitayal, M., Negash, W., & Debie, A. (2023). Quality of healthcare services among adult outpatients at two Public Hospitals in East Ethiopia: Using service quality (SERVQUAL) assessment model.
Widiyastuty, F., Suryawati, C., & Arso, S. (2023). (2023). Mengapa Masyarakat Sarawak, Kecamatan Entikong Kabupaten Sanggau Berobat Ke Health), Malaysia. Jurnal Kesehatan Komunitas (Journal Of Community, 9(1), 115–121.
Yulisetiarini, D., Suroso, I., & Owen, H. K. (2023). The influence of service quality, image and facility of hospital on patient loyalty through patient satisfaction with BPJS Kesehatan at type C hospitals in Jember. IOSR Journal of Business and Management, 25(4), 11–16.
Yunita, S., Syamiyah, N., & Ferial, L. (2024). Literatur review: pengaruh kualitas pelayanan terhadap kepuasan pasien rawat inap di rumah sakit. . Journal of Baja Health Science, 4(01), 1–16.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Tri Puspitasari, Burhanudin, Basuki Rachmat

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