The Impact of Service Quality on Loyalty through Satisfaction as a Mediating Variable
DOI:
https://doi.org/10.61987/jemr.v4i1.908Keywords:
Service Quality, Patient Satisfaction, Patient LoyaltyAbstract
This study aims to analyze the influence of service quality and waiting time on patient loyalty at the Emergency Department (ED), with patient satisfaction as a mediating variable. A quantitative method was employed using a survey approach with questionnaires distributed to 100 patients who had visited the ED more than twice. Data were analyzed using Structural Equation Modeling (SEM) with a Partial Least Squares (PLS) approach via SmartPLS 4.0. The results show that service quality has a significant positive effect on patient satisfaction and loyalty, while waiting time has a significant negative effect. Additionally, patient satisfaction is proven to be a mediating variable between service quality and waiting time on patient loyalty. These findings suggest that improving service quality and reducing delays can enhance student satisfaction and loyalty in educational settings. Educational leaders can apply these insights to streamline administrative processes, prioritize student needs, and foster a supportive learning environment, ultimately improving student retention and academic outcomes.
References
Ahmed, F. R., & Timmins, F. (2024). Prioritizing Well-Being: Fostering a Healthy Work Environment for Emergency Nurses. Journal of Emergency Nursing, 50(5), 582-585. https://doi.org/10.1016/j.jen.2024.07.002
Amerta, L., & Madhavi, I. (2023). Exploring service quality and customer satisfaction in the service industry: A mixed-methods analysis. Journal on Economics, Management and Business Technology, 2(1), 1-16. https://doi.org/10.35335/jembut.v2i1.184
Anggraeni, E., & Prihatin, N. (2022). Analisis Pengaruh Kualitas Pelayanan Terhadap Loyalitas Pasien Di Rumah Sakit. Jurnal Manajemen Kesehatan, 17(3), 112-120.
Ayodeji, Y., Rjoub, H., & Özgit, H. (2023). Achieving sustainable customer loyalty in airports: The role of waiting time satisfaction and self-service technologies. Technology in Society, 72, 102106. https://doi.org/10.1016/j.techsoc.2022.102106
Ayu, L. (2021). Pengaruh Kualitas Pelayanan Kesehatan Terhadap Kepuasan Pasien Di Rumah Sakit Umum Daerah Taman Husada Bontang (Studi Kasus Pada Pasien Rawat Inap Dewasa). eJournal Administrasi Publik, 9(2), 5063.
Burke, P., & Mittelman, M. (2023). Emergency Medical Services: A Diverse, Complex and Essential Profession for Disasters and Terrorist Attacks. In The Distributed Functions of Emergency Management and Homeland Security (pp. 74-86). CRC Press. https://doi.org/10.4324/9781003350729-6
Gao, Y., & Luo, X. (2020). Patient satisfaction in healthcare settings: A comprehensive review of the factors and outcomes. Journal of Healthcare Management, 45(4), 222-236.
Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2022). A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM) (2nd ed.). Sage Publications. https://doi.org/10.1007/978-3-030-80519-7
Haliza, D. N., & Sifa. (2021). Konsep Aplikasi Level-Up.Id: Strategi Pemberdayaan UMKM Melalui Pengoptimalan Peran Koperasi Syariah Dengan Pendekatan 5P Di Madura. Izdihar: Jurnal Ekonomi Syariah, 1(1), Desember 2021. https://doi.org/10.32764/izdihar.v1i2.2155
Lee, M., & Choi, S. (2019). The impact of service quality and patient satisfaction on patient loyalty in a hospital setting. Healthcare Policy, 41(4), 350-358.
Munawwaroh, A. I., & Indrawati, F. (2022). Faktor-faktor yang berhubungan dengan tingkat kepuasan pasien rawat jalan dalam pelayanan kesehatan dasar di Puskesmas Lerep. Indonesian Journal of Public Health and Nutrition, 2(3), 268-277. https://doi.org/10.15294/ijphn.v2i3.55161
Novitasari, D. (2022). Hospital quality service and patient satisfaction: how the role of service excellent and service quality?. Journal of Information Systems and Management (JISMA), 1(1), 29-36.
Nugroho, A., & Hidayat, D. (2022). Pengaruh Kualitas Pelayanan dan Waktu Tunggu Terhadap Kepuasan dan Loyalitas Pasien di Instalasi Gawat Darurat Rumah Sakit. Jurnal Manajemen Rumah Sakit, 16(2), 78-90.
Pavedahl, V., Muntlin, Å., Von Thiele Schwarz, U., Summer Meranius, M., & Holmström, I. K. (2024). Fundamental care in the emergency room: insights from patients with life-threatening conditions in the emergency room. BMC Emergency Medicine, 24(1), 217. https://doi.org/10.1186/s12873-024-01133-4
Pramudita, D. T., Gunawan, N. F., Ningsih, M. C., & Adilah, R. (2022). Determinasi Kepuasan Pelanggan Dan Loyalitas Pelanggan: Harga Dan Kualitas Produk (Literature Review Manajemen Pemasaran). Jurnal Manajemen Pendidikan Dan Ilmu Sosial, 3(1), 424–436. https://doi.org/10.38035/jmpis.v3i1.887
Santos-Jaén, J. M., Valls Martínez, M. D. C., Palacios-Manzano, M., & Grasso, M. S. (2022, June). Analysis of patient satisfaction through the effect of healthcare spending on waiting times for consultations and operations. In Healthcare (Vol. 10, No. 7, p. 1229). MDPI. https://doi.org/10.3390/healthcare10071229
Setiawan, H., & Puspita, D. (2024). Peran Kepuasan Pasien sebagai Mediasi dalam Hubungan antara Kualitas Pelayanan dan Loyalitas Pasien di Rumah Sakit Umum. Jurnal Manajemen Rumah Sakit, 22(1), 45-52.
Shaw, R. L., Morrison, R., Webb, S., Balogun, O., Duncan, H. P., & Butcher, I. (2024). Challenges to well‐being in critical care. Nursing in Critical Care, 29(4), 745-755. https://doi.org/10.1111/nicc.13030
Singh, V., & Kumar, B. R. (2023). Service quality, customer satisfaction and customer loyalty: A comprehensive literature review. Journal of Survey in Fisheries Sciences, 10(4S), 3457-3464.
Venkatakrishnan, J., Alagiriswamy, R., & Parayitam, S. (2023). Web design and trust as moderators in the relationship between e-service quality, customer satisfaction and customer loyalty. The TQM Journal, 35(8), 2455-2484. https://doi.org/10.1108/TQM-10-2022-0298
Williams, B., & Wright, L. (2020). The impact of waiting time on patient satisfaction and clinical outcomes in emergency departments. International Journal of Emergency Medicine, 13(1), 100-112.
Yuliana, S., & Pratama, R. (2021). Peran Kepuasan Pasien sebagai Variabel Mediasi dalam Hubungan Kualitas Pelayanan dan Loyalitas Pasien di Rumah Sakit Umum. Jurnal Kesehatan Masyarakat, 13(3), 200-208.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Katarina Neva, Adrie Frans Assa

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








