Examining SERVQUAL Dimensions and Patient Satisfaction Using PLS-SEM: Evidence From an Indonesian Public Health Center
DOI:
https://doi.org/10.38035/jafm.v7i2.3353Keywords:
SERVQUAL, Patient Satisfaction, Public Health Center, IndonesiaAbstract
Primary healthcare centers in Indonesia face persistent service quality challenges, yet empirical studies employing structural modeling in resource-constrained settings remain scarce. This study analyzes the effect of the five SERVQUAL dimensions—tangibles, reliability, responsiveness, assurance, and empathy—on patient satisfaction at Keboan Ngusikan Public Health Center, Jombang Regency, East Java. Using a quantitative cross-sectional design, 300 outpatients were selected via purposive sampling and surveyed with a validated Likert-scale instrument. Partial Least Squares–Structural Equation Modeling (PLS-SEM) was applied for analysis. All five dimensions exerted a positive and statistically significant effect on patient satisfaction. Responsiveness emerged as the most influential predictor, followed by tangibles, assurance, empathy, and reliability. The model demonstrated strong explanatory power (R² = 0.712), explaining 71.2% of variance in patient satisfaction. These findings extend Service Quality Theory to a primary care context with staffing constraints, offering actionable implications for healthcare managers and policymakers seeking to improve service delivery at community health centers across Indonesia.
References
Ameliah, W. R., Razak, A., & Rusydi, A. R. (2023). Pengaruh kualitas pelayanan kesehatan terhadap kepuasan pasien rawat jalan di Puskesmas Barana Kabupaten Jeneponto tahun 2022. Journal of Muslim Community Health, 4(4), 226–237.
Anggit, R. H., & Setyorini, I. (2022). Review artikel: Analisis kualitas pelayanan terhadap kepuasan pasien di Puskesmas menggunakan metode SERVQUAL. Journal of Industrial and Engineering System, 3(1), 88–94.
Aryawan ATD, I. D. G. S. (2021). Mal pelayanan publik dan standar pelayanan publik. Media Nusa Creative.
Candrianto, S. T. (2021). Kepuasan pelanggan: Suatu pengantar. CV Literasi Nusantara Abadi.
Chandra, T., Chandra, S., & Hafni, L. (2020). Service quality, consumer satisfaction, dan consumer loyalty: Tinjauan teoritis. CV IRDH.
Febrianti, S. V. (2023). Analisis pengaruh kualitas pelayanan terhadap kepuasan pasien unit layanan rawat jalan kesehatan jiwa di Puskesmas Kabupaten Situbondo. Jurnal Mitra Bisnis, 7(1).
Hair, J. F., Hult, G. T. M., Ringle, C. M., Sarstedt, M., Danks, N. P., & Ray, S. (2021). Partial least squares structural equation modeling (PLS-SEM) using R: A workbook. Springer.
Hattab, S., & Salingkat, S. P. (2024). Pengaruh kualitas pelayanan terhadap kepuasan pasien BPJS dan pasien umum RSUD Undata Provinsi Sulawesi Tengah. JPS: Journal of Publicness Studies, 1(2), 56–65.
Hidayatullah, D. S. (2024). Pengaruh kualitas pelayanan terhadap kepuasan pasien BPJS rawat jalan di Puskesmas Panarukan. Health & Medical Sciences, 1(2), 14. https://doi.org/10.47134/phms.v1i2.42
Jumaidi, J. (2025). Pengaruh kualitas pelayanan terhadap kepuasan pasien di Puskesmas rawat inap Kecamatan Haruyan Kabupaten Hulu Sungai Tengah. Al Iidara Balad, 6(2), 361–369.
Khatimah, G. K., Cokki, C., & Helmi, M. (2024). Pengaruh kualitas pelayanan terhadap kepuasan pasien di RS YPK Mandiri Jakarta Pusat. Jurnal Manajemen Bisnis dan Kewirausahaan, 8(3), 668–680.
Kurniawan, Y., Tj, H. W., & Fushen, F. (2022). Pengaruh kualitas layanan dan penanganan keluhan terhadap loyalitas pasien BPJS dimediasi oleh kepuasan pelanggan. Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia, 6(1), 74–85.
Laila, F. N. (2024). Pengaruh kualitas pelayanan pada kepuasan pasien dan konsekuensinya terhadap loyalitas di rumah sakit. Jurnal Kesehatan Ilmiah Indonesia, 9(2), 1–14.
Minarti, A., Rahmah, P., Surianti, S., Amrial, A., Idrus, I., & Salwa, S. (2024). Pengaruh kualitas pelayanan terhadap kepuasan pasien pada Puskesmas Batu-Batu. Jurnal Ilmiah Metansi, 7(1), 75–81.
Nashar, H. (2020). Kualitas pelayanan akan meningkatkan kepercayaan masyarakat. Duta Media Publishing.
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.
Putri, N. T. (2022). Manajemen kualitas produk dan jasa. Andalas University Press.
Roflin, E., Liberty, I. A., & Pariyana. (2021). Populasi, sampel, variabel dalam penelitian kedokteran. Penerbit NEM.
RUK. (2025). Rencana usulan kegiatan (RUK) Puskesmas Keboan Ngusikan tahun 2026. Dinas Kesehatan Kabupaten Jombang.
Runggandini, S. A. (2024). Pengaruh mutu pelayanan di fasilitas kesehatan dan pengaruhnya terhadap kepuasan pasien rawat jalan: Literature review. Innovative: Journal of Social Science Research, 4(4), 2611–2620.
Sellang, K., Jamaluddin, D. R. H., & Mustanir, A. (2022). Strategi dalam peningkatan kualitas pelayanan publik: Dimensi, konsep, indikator dan implementasinya. Penerbit Qiara Media.
Sirajuddin, I. N. F., Istiqamah, N. F., Islamiati, S. D., & Rachman, H. M. (2026). SERVQUAL outpatient service quality and patient satisfaction: Policy implications at Puskesmas Kabanjahe. TROPHICO, 6(1), 1–10.
Transyah, C. H., Musmiler, E., & Mubarokah, E. (2025). Hubungan bukti fisik (tangibles) terhadap kepuasan pasien di ruang rawat inap. Jurnal Amanah Kesehatan, 7(2), 9–18.
Zeithaml, V. A., Parasuraman, A., & Berry, L. L. (1990). Delivering quality service: Balancing customer perceptions and expectations. Free Press.
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