The Influence of Health Service Quality, Perceived Value, and Perceived Price on Patient Loyalty and Patient Satisfaction

Authors

  • Weni Miftachul Jannah Universitas Hayam Wuruk Perbanas, Surabaya, Indonesia.
  • Basuki Rachmat Universitas Hayam Wuruk Perbanas, Surabaya, Indonesia.

DOI:

https://doi.org/10.38035/dijefa.v6i5.5158

Keywords:

Healthcare quality, perceived value, perceived price, patient satisfaction, patient loyalty

Abstract

This study aims to analyze the influence of health service quality, perceived value, and perceived price on patient loyalty and satisfaction at the Benowo Community Health Center in Surabaya. The method used is a quantitative approach with explanatory research. Data were collected through a closed-ended questionnaire administered to 397 respondents and analyzed using the Partial Least Square-Structural Equation Modeling (PLS-SEM) method with SmartPLS 4.0. The results of the study indicate that healthcare service quality, Perceived Value, and Perceived Price have a positive and significant influence on patient satisfaction and loyalty. These findings emphasize the importance of professional service, appropriate pricing, and perceived value in building loyalty toward public health services. This study suggests improving service quality based on empathy, price transparency, and leveraging digital technology as strategies to strengthen patient satisfaction and loyalty.

References

Ahmed, S., Tarique, K. M., & Arif, I. (2017). Service quality, patient satisfaction and loyalty in the Bangladesh healthcare sector. International Journal of Health Care Quality Assurance, 30(5), 477–488.

Alhassan, R. K., Nketiah-Amponsah, E., Spieker, N., Arhinful, D. K., Ogink, A., Van Ostenberg, P., & Rinke de Wit, T. F. (2015). Effect of community engagement interventions on patient safety and risk reduction efforts in primary health facilities: evidence from Ghana. PLoS One, 10(11), e0142389.

Ali, J., Jusoh, A., Idris, N., Nor, K. M., Wan, Y., Abbas, A. F., & Alsharif, A. H. (2023). Applicability of healthcare service quality models and dimensions: future research directions. The TQM Journal, 35(6), 1378–1393.

Alizadeh, T., Noveiry, M. J. S., Karkhah, S., Leyli, E. K., Kohan, K. S., & Vajargah, P. G. (2025). Service Quality in Iranian Hospitals From Patients’ Perspectives Based on the SERVQUAL Model: A Systematic Review and Meta‐Analysis. Health Science Reports, 8(1), e70362.

Bancsik, K., Daina, M. D., Ghitea, T. C., Bancsik, R., & Daina, L. G. (2024). Current Advances in Patient-Perceived Quality Assessment Within Romanian Healthcare. Cureus, 16(9).

Batbaatar, E., Dorjdagva, J., Luvsannyam, A., Savino, M. M., & Amenta, P. (2017). Determinants of patient satisfaction: a systematic review. Perspectives in Public Health, 137(2), 89–101.

Chandra, Y., Tjiptono, F., & Setyawan, A. (2021). The promise of entrepreneurial passion to advance social entrepreneurship research. Journal of Business Venturing Insights, 16, e00270.

Fathillah, M. I. (2023). The Effect of Service Quality and Price Perception on Patient Loyalty Mediated by Patient Satisfaction. International Journal of Social Service and Research, 3(3), 669–679. https://doi.org/https://doi.org/10.46799/ijssr.v3i3.303

Fatima, T., Malik, S. A., & Shabbir, A. (2018). Hospital healthcare service quality, patient satisfaction and loyalty: An investigation in context of private healthcare systems. International Journal of Quality & Reliability Management, 35(6), 1195–1214.

Flaviana, B., Karo-Karo, U., & Sigabariang, E. E. (2023). Pengaruh Mutu Pelayanan Sumber Daya Manusia Terhadap Kepuasan Pasien di Uptd Puskesmas Semula Jadi Kota Tanjung Balai Tahun 2021. Jambura Journal of Health Sciences and Research, 5(2), 632–640.

Hasan, A. M., Dewi, M. K., & Hanifa, F. (2023). Hubungan Peran Petugas Kesehatan, Kualitas Pelayanan, dan Persepsi terhadap Pemanfaatan Pelayanan Penatalaksanaan Stunting pada Balita: Relationship between the Role of Health Workers, Quality of Service, and Perceptions of Utilization of Stunting Managem. Open Access Jakarta Journal of Health Sciences, 2(12), 1031–1038.

Hidayatillah, S. A., & Putri, M. G. (2020). Gambaran kepuasan pasien rawat jalan di tempat pendaftaran Puskesmas Babatan Kabupaten Seluma. Jurnal Manajemen Informasi Kesehatan (Health Information Management), 5(2).

Imran, I., Yulihasri, Y., Almasdi, A., & Syavardie, Y. (2021). Dampak kualitas pelayanan terhadap kepuasan pasien puskesmas. Jurnal Penelitian Dan Pengembangan Sains Dan Humaniora, 5(3), 389–396.

Kosnan, W. (2019). Pengaruh kualitas pelayanan terhadap kepuasan pasien rawat inap di rumah sakit umum daerah Kabupaten Merauke. Jurnal Ekonomi, Bisnis, Dan Akuntansi, 21(4).

Kotler, P., & Keller, K. L. (2018). manajemen pemasaran (J. Purba (ed.). Pt. Indeks.

Manus, B., Soegoto, A. S., & Rogi, M. H. (2023). Analisis Pengaruh Kepuasan Konsumen, Kepercayaan, Dan Reputasi Perusahaan Terhadap Loyalitas Pelanggan Shopee Bitung. Jurnal EMBA: Jurnal Riset Ekonomi, Manajemen, Bisnis Dan Akuntansi, 11(4), 748–757.

Meesala, A., & Paul, J. (2018). Service quality, consumer satisfaction and loyalty in hospitals: Thinking for the future. Journal of Retailing and Consumer Services, 40, 261–269.

Mohebifar, R., Hasani, H., Barikani, A., & Rafiei, S. (2016). Evaluating service quality from patients’ perceptions: application of importance–performance analysis method. Osong Public Health and Research Perspectives, 7(4), 233–238.

Mujiburrahman, M. (2021). Peran customer satisfaction sebagai variabel pemediasi antara perceived value dengan affective loyalty dan behavioral loyalty. Ekobis Syariah, 1(1), 29–42.

Natanael, A., & Chan, S. (2021). Analyzing the Effect of the Product, Price Perception, and Promotion on Customer Loyalty to the Product of PT. EBARA Indonesia with Repurchase Intention. Journal of Business and Management Studies, 3(2), 55–67.

Nguyen, N. X., Tran, K., & Nguyen, T. A. (2021). Impact of service quality on in-patients’ satisfaction, perceived value, and customer loyalty: A mixed-methods study from a developing country. Patient Preference and Adherence, 2523–2538.

Oliver, R. L. (1999). Whence consumer loyalty? Journal of Marketing, 63(4_suppl1), 33–44.

Parasuraman, A., Zeithaml, V. A., & BERRY, L. L. S. (1988). a multiple–item scale for measuring consumer perceptions. Journal of Service Quality Retailing, Spring, 64, 12–40.

Pebrianti, E., & Enas, E. (2023). Pengaruh Kualitas Pelayanan Administrasi Kependudukan Dan Kinerja Pegawai Terhadap Kepuasan Masyarakat. Maslahah: Jurnal Manajemen Dan Ekonomi Syariah, 1(4), 93–110.

Purnomo, Y. J. (2023). Digital marketing strategy to increase sales conversion on e-commerce platforms. Journal of Contemporary Administration and Management (ADMAN), 1(2), 54–62.

Rahayu, S. P., & Surwanti, A. (2022). Pengaruh Kualitas Pelayanan Terhadap Kepercayaan dan Kepuasan Pasien BPJS. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 5(1), 65–72.

Rostami, M., Ahmadian, L., Jahani, Y., & Niknafs, A. (2019). The effect of patient satisfaction with academic hospitals on their loyalty. The International Journal of Health Planning and Management, 34(1), e726–e735.

Saputri, R. D., Suzana, A. J., Rokhayati, I., Masita, T. E., Achadi, A., Wijayanto, W., & Utomo, I. B. (2022). Pengaruh Citra Merek, Kualitas Pelayanan dan Persepsi Harga terhadap Loyalitas Pelanggan pada PT. Orindo Alam Ayu (Oriflame) di Purwokerto. Proceeding of Midyear International Conference, 1.

Setyaningrum, Y., & Nirbaya, A. (2023). Hubungan Sikap Ahli Gizi, Sikap Pramusaji Dan Cita Rasa Makanan Terhadap Kepuasan Pasien: Relationship between Attitudes of Nutritionists, Attitudes of Waiters and Food Taste on Patient Satisfaction. Svasta Harena: Jurnal Ilmiah Gizi, 4(1), 16–25.

Setyawan, F. E. B., Supriyanto, S., Ernawaty, E., & Lestari, R. (2020). Understanding patient satisfaction and loyalty in public and private primary health care. Journal of Public Health Research, 9(2), jphr-2020.

Sumathi, G. N., Elango, J., & Thenmozhi, M. (2023). Patient satisfaction on hospital care services: a study with specific reference to beneficiaries of community-based health insurance schemes in India. International Journal of Services and Operations Management, 46(4), 560–583.

Vimla, & Taneja, U. (2021). Brand image to loyalty through perceived service quality and patient satisfaction: A conceptual framework. Health Services Management Research, 34(4), 250–257.

Wulandari, P., Listiawaty, R., & Hafiz, A. (2020). Hubungan Waktu Tunggu Terhadap Kepuasan Pasien Di Puskesmas X Kota Jambi. Jurnal Ilmiah Manusia Dan Kesehatan, 3(2), 265–269.

Yeboah, D. (2024). Understanding perceived value as important factors for the successful implementation of value co-creation at the dyadic level. International Hospitality Review, 38(2), 334–354.

Yustina, E. W., & Yohanes Budisarwo, S. H. (2020). Hukum jaminan kesehatan: sebuah telaah konsep negara kesejahteraan dalam pelaksanaan jaminan kesehatan. SCU Knowledge Media.

Zeithaml, V. A. (1988). Consumer perceptions of price, quality, and value: a means-end model and synthesis of evidence. Journal of Marketing, 52(3), 2–22.

Published

2025-10-21

How to Cite

Jannah, W. M., & Rachmat, B. (2025). The Influence of Health Service Quality, Perceived Value, and Perceived Price on Patient Loyalty and Patient Satisfaction. Dinasti International Journal of Economics, Finance & Accounting, 6(5), 4458–4468. https://doi.org/10.38035/dijefa.v6i5.5158

Similar Articles

<< < 1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.