Islamic Service Quality in Primary Care : An IPA-Based Gap Analysis from Bandung, Indonesia

Authors

  • Nugraha Nugraha Universitas Pendidikan Indonesia, Bandung City, Indonesia
  • Ratih Hurriyati Universitas Pendidikan Indonesia, Bandung City, Indonesia
  • Heny Hendrayanti Universitas Pendidikan Indonesia, Bandung City, Indonesia
  • Sulastri Sulastri Universitas Pendidikan Indonesia, Bandung City, Indonesia
  • Yuda Dharma Putra Universitas Islam Bandung, Bandung City, Indonesia
  • Alfin Rizky Rachman Universitas Islam Bandung, Bandung City, Indonesia

DOI:

https://doi.org/10.38035/dijemss.v8i1.6906

Keywords:

IS-SERVQUAL-PC, Islamic service quality, Importance-Performance Analysis, gap analysis, primary care

Abstract

Healthcare quality in Islamic institutions requires evaluation frameworks that integrate technical service dimensions with Islamic values, which standard SERVQUAL instruments fail to capture, creating a measurable gap between conventional measurement and the lived experiences of Muslim patients in faith-based primary care. Objectives: This study measures the service quality gap between patient expectations and performance at an Islamic primary care clinic in Bandung, Indonesia; validates IS-SERVQUAL-PC, a 25-item Islamic-augmented SERVQUAL scale embedding eight Islamic values across five service dimensions; identifies priority dimensions for improvement; and maps service attributes using Importance-Performance Analysis (IPA). Methods: A cross-sectional survey collected data from 80 outpatients at Clinic “X” using the dual-scale IS-SERVQUAL-PC. Validity was confirmed via Pearson correlation (r > 0.296) and reliability via Cronbach’s alpha (0.974 for Performance; 0.984 for Expectations). Gap analysis (Gap = P − E) and IPA quadrant mapping guided interpretation. Results: All 25 items showed negative gaps (mean = −0.217). The largest gaps were waiting queue experience (−0.363), medical equipment and facilities (−0.325), and respectful treatment of patient Islamic values (−0.313). At dimension level, Tangibles (−0.253) and Empathy (−0.258) recorded the largest gaps, and all items fell within IPA Quadrant II. Conclusion: Although performance was rated above 4.0, persistent negative gaps reveal unmet expectations. Islamic-specific dimensions, particularly spiritual respect and halal provision, are critical differentiators of faith-based service quality, and IS-SERVQUAL-PC offers a psychometrically robust, replicable measurement tool.

References

Abalo, J., Varela, J., & Manzano, V. (2006). Importance values for Importance-Performance Analysis: A formula for spreading out values derived from preference rankings. Journal of Business Research, 59(2), 204–211. https://doi.org/10.1016/j.jbusres.2005.06.004

Aghamolaei, T., Eftekhaari, T. E., Rafati, S., Kahnouji, K., Ahangari, S., Shahrzad, M. E., Kahnouji, A., & Hoseini, S. H. (2014). Service quality assessment of a referral hospital in Southern Iran with SERVQUAL technique. Patient Preference and Adherence, 8, 537–542. https://doi.org/10.2147/PPA.S57753

Al-Sakkak, M. A., Al-Nowaiser, N. A., Al-Khashan, H. I., Al-Abdrabulnabi, A. A., & Jaber, R. M. (2008). Patient satisfaction with primary health care services in Riyadh. Saudi Medical Journal, 29(3), 432–436.

Alotaibi, M., & Rousseau, N. (2016). Primary healthcare quality improvement in Saudi Arabia: A systematic review. Eastern Mediterranean Health Journal, 22(1), 57–67.

Arnaya, A. A., & Niryana, I. W. (2021). Tingkat kepuasan dan harapan pasien rawat jalan terhadap kualitas pelayanan kesehatan di Puskesmas Mengwi I. E-Jurnal Medika Udayana, 10(10), 45–51. https://doi.org/10.24843/mu.2021.v10.i10.p08

Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-2909.112.1.155

Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE.

Cronin, J. J., & Taylor, S. A. (1992). Measuring service quality: A reexamination and extension. Journal of Marketing, 56(3), 55–68. https://doi.org/10.1177/002224299205600304

Deng, W. J. (2007). Using a revised importance-performance analysis approach: The case of Taiwanese hot springs tourism. Tourism Management, 28(5), 1274–1284. https://doi.org/10.1016/j.tourman.2006.07.010

DeVellis, R. F. (2016). Scale development: Theory and applications (4th ed.). SAGE.

Ennew, C. T., Reed, G. V., & Binks, M. R. (1993). Importance-performance analysis and the measurement of service quality. European Journal of Marketing, 27(2), 59–70. https://doi.org/10.1108/03090569310026402

Farouk, A., Hussin, A., & Omar, M. (2021). Islamic service quality: A systematic review and future research agenda. Journal of Islamic Marketing, 12(4), 841–866. https://doi.org/10.1108/JIMA-01-2020-0007

Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/BF03193146

Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2019). Multivariate data analysis (8th ed.). Cengage.

Hamzah, M. I., Othman, A. K., & Hassan, F. (2017). Emerging dimensions of Islamic marketing in healthcare services. Journal of Islamic Marketing, 8(2), 282–303. https://doi.org/10.1108/JIMA-10-2015-0076

Handayani, S. (2016). Tingkat kepuasan pasien terhadap pelayanan kesehatan di Puskesmas Baturetno. Profesi (Profesional Islam): Media Publikasi Penelitian, 14(1), 42–48. https://doi.org/10.26576/profesi.135

Harzing, A. W. (2006). Response styles in cross-national survey research: A 26-country study. International Journal of Cross Cultural Management, 6(2), 243–266. https://doi.org/10.1177/1470595806066332

Hertzog, M. A. (2008). Considerations in determining sample size for pilot studies. Research in Nursing & Health, 31(2), 180–191. https://doi.org/10.1002/nur.20247

Hidayat, A., Rahmat, A., & Kartini, D. (2023). Patient expectations in Islamic and secular primary care clinics in West Java: A comparative analysis. Jurnal Kesehatan Masyarakat Indonesia, 18(2), 45–57.

Johanson, G. A., & Brooks, G. P. (2010). Initial scale development: Sample size for pilot studies. Educational and Psychological Measurement, 70(3), 394–400. https://doi.org/10.1177/0013164409355692

Karim, R., Ahmad, S., & Khalid, S. (2020). Islamic service quality dimensions and patient satisfaction in healthcare: Evidence from Pakistan and Malaysia. International Journal of Islamic and Middle Eastern Finance and Management, 13(5), 843–862. https://doi.org/10.1108/IMEFM-03-2019-0101

Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607–610. https://doi.org/10.1177/001316447003000308

Kuntoro, W., & Istiono, W. (2017). Kepuasan pasien terhadap kualitas pelayanan di tempat pendaftaran pasien rawat jalan Puskesmas Kretek Bantul Yogyakarta. Jurnal Kesehatan Vokasional, 2(1), 140–147. https://doi.org/10.22146/jkesvo.30327

Kurniawan, B., & Mulyadi, H. (2022). Islamic service quality dimensions and patient loyalty in Jakarta Islamic hospitals. Jurnal Manajemen Indonesia, 22(1), 33–44.

Ladhari, R. (2009). A review of twenty years of SERVQUAL research. International Journal of Quality and Service Sciences, 1(2), 172–198. https://doi.org/10.1108/17566690910971445

Martilla, J. A., & James, J. C. (1977). Importance-performance analysis. Journal of Marketing, 41(1), 77–79. https://doi.org/10.1177/002224297704100112

Ministry of Health of the Republic of Indonesia. (2014). Peraturan Menteri Kesehatan No. 9 Tahun 2014 tentang Klinik [Ministerial Regulation No. 9 of 2014 on Clinics]. Ministry of Health.

Nunnally, J. C. (1978). Psychometric theory (2nd ed.). McGraw-Hill.

Oh, H. (2001). Revisiting importance–performance analysis. Tourism Management, 22(6), 617–627. https://doi.org/10.1016/S0261-5177(01)00036-X

Othman, A., & Owen, L. (2001). Adopting and measuring customer service quality (SQ) in Islamic banks: A case study in Kuwait Finance House. International Journal of Islamic Financial Services, 3(1), 1–26.

Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1985). A conceptual model of service quality and its implications for future research. Journal of Marketing, 49(4), 41–50. https://doi.org/10.1177/002224298504900403

Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), 12–40.

Pew Research Center. (2020). The global religious landscape: Muslims. Pew Research Center.

Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903. https://doi.org/10.1037/0021-9010.88.5.879

Ramsaran-Fowdar, R. R. (2008). The relative importance of service dimensions in a healthcare setting. International Journal of Health Care Quality Assurance, 21(1), 104–124. https://doi.org/10.1108/09526860810841192

Slovin, E. (1960). Slovin’s formula for sampling technique. Statistics, 136.

Sugiyono. (2001). Statistik untuk penelitian. CV. Alfabeta.

Sugiyono. (2007). Metode penelitian kuantitatif kualitatif R&D. Alfabeta.

Tabachnick, B. G., & Fidell, L. S. (2019). Using multivariate statistics (7th ed.). Pearson.

Tanan, L. (2017). Analisis tingkat kepuasan pasien di Puskesmas Bara Permai kota Palopo. Jurnal AKK, 2(3), 15–21.

Tejada, J. J., & Punzalan, J. R. B. (2012). On the misuse of Slovin’s formula. The Philippine Statistician, 61(1), 129–136.

Warjiyanti, S. (2018). Tinjauan hukum Islam terhadap penerapan good governance dalam pelayanan publik. Hukum Islam, XVIII, 119–132.

World Health Organization. (2018). Quality in primary health care. WHO.

World Medical Association. (2013). Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053

Yavas, U., & Shemwell, D. J. (2001). Modified importance–performance analysis: An application to hospitals. International Journal of Health Care Quality Assurance, 14(3), 104–110. https://doi.org/10.1108/09526860110391591

Zeithaml, V. A., Bitner, M. J., & Gremler, D. D. (2008). Services marketing: Integrating customer focus across the firm (5th ed.). McGraw-Hill.

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Published

2026-11-11

How to Cite

Nugraha, N., Hurriyati, R., Hendrayanti, H., Sulastri, S., Putra, Y. D., & Rachman, A. R. (2026). Islamic Service Quality in Primary Care : An IPA-Based Gap Analysis from Bandung, Indonesia. Dinasti International Journal of Education Management and Social Science, 8(1), 935–951. https://doi.org/10.38035/dijemss.v8i1.6906

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