Patient Satisfaction is a Mediator of the Relationship between Human Resource Interaction, Service Quality, Trust, and Patient Loyalty

  • Panji Aryandaru Universitas Muhammadiyah Purwokerto, Purwokerto, Indonesia
  • Herni Justiana Astuti Universitas Muhammadiyah Purwokerto, Banyumas, Indonesia
  • Bima Cinintya Pratama Universitas Muhammadiyah Purwokerto, Purwokerto, Indonesia
  • Muchammad Agung Miftahuddin Universitas Muhammadiyah Purwokerto, Purwokerto, Indonesia
Keywords: Human Resources Interaction, Service Quality, Trust, Satisfaction, Loyalty

Abstract

This study aims to analyze the influence of human resource interaction, service quality, and trust on patient loyalty mediated by patient satisfaction at PKU Muhammadiyah Gombong General Hospital, PKU Muhammadiyah Amanah Sumpiuh General Hospital, and PKU Muhammadiyah Aghisna Kroya General Hospital. This study used a quantitative method with a survey approach, involving 200 patient respondents consisting of 100 patient respondents from PKU Muhammadiyah Gombong General Hospital, 50 patient respondents from PKU Muhammadiyah Amanah Sumpiuh General Hospital, and 50 patient respondents from PKU Muhammadiyah Aghisna Kroya General Hospital, reflecting institutional patient volume differences. Although the overall sample size is adequate for PLS-SEM, the disproportionate allocation across hospitals and the absence of explicit controls for institutional characteristics (such as hospital size, service scope, and patient demographics) may limit the comparability of hospital specific effects and constrain the generalizability of the findings to each organizational context. Respondents filled out a questionnaire related to their perceptions of human resource interaction, service quality, trust, satisfaction, and loyalty. Data were analyzed using the Partial Least Squares Structural Equation Modeling (PLS-SEM) technique with the help of Smart PLS software. The results showed that human resource interaction had no effect on satisfaction. Human resource interaction and service quality also had no effect on loyalty. Service quality and trust had a positive and significant effect on satisfaction. Trust and satisfaction had a positive and significant effect on loyalty. Patient satisfaction could mediate service quality and trust on loyalty. However, it did not for human resource interaction on loyalty.

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References

Agustina, M., Ibrahim, I., & Abqa, R. (2024). Pengaruh Kepercayaan dan Kualitas Pelayanan terhadap Kepuasan Pasien Rawat Jalan dan Implikasinya terhadap Loyalitas Pasien Rawat Jalan di RSUD Tgk. Di Tiro Sigli. Singkite Journal, 3(3), 38–44.

Aladwan, M. A., Anuar, M. M., Aladwan, R. M., & Salleh, H. S. (2024). The effect of service quality, patient trust and hospital reputation on patient satisfaction in Jordanian Public Hospital. WSEAS Transactions on Business and Economics, 21, 410–426.

Ali, B. J., Gardi, B., Othman, B. J., Ahmed, S. A., Ismael, N. B., Hamza, P. A., Aziz, H. M., Sabir, B. Y., Sorguli, S., & Anwar, G. (2021). Hotel service quality: The impact of service quality on customer satisfaction in hospitality. International Journal of Engineering, Business and Management, 5(3), 14–28.

Amin, M. A., & Novianti, F. (2023). Pengaruh Kualitas Pelayanan dan Brand Trust Terhadap Loyalitas Melalui Kepuasan Sebagai Variabel Intervening pada Pasien Rawat Jalan RSUD Salewangan. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(12), 2562–2571.

Andhini, F., & Ruhana, A. (2024). Gambaran Standar Pelayanan Minimal Dan Tingkat Kepuasan Layanan Gizi Pada Pasien Rawat Inap Ruang Edelweis Rumah Sakit Bhayangkara HS Samsoeri Mertojoso Surabaya. Jurnal Gizi Kerja Dan Produktivitas, 5(2), 230–242.

Arfa, A. R., Nasrudin, N., & Ahri, R. A. (2025). Pengaruh Kualitas Layanan Terhadap Kepuasan Pasien dan Loyalitas Pasien Rawat Inap di Rumah Sakit Ibu Anak Sitti Khadijah 1 Makassar: The Effect of Service Quality on Patient Satisfaction and Loyalty of Inpatients at Sitti Khadijah 1 Hospital Makassar. Journal of Aafiyah Health Research (JAHR), 6(2), 79–87.

Astuti, Anggraeni, & Wijayanti. (2018). Patient Loyalty to Healthcare Organisation: Service Quality, Brand Image, Brand Trust and Satisfaction (Study in Patients at Beauty Care Clinics). International Conference on Industry, Business and Social Sciences (IBSS 2018).

Astuti, H. J. (2018). Balancing Operational Services in Healthcare: An Indonesian Perspective. In Contemporary Issues and Research in Operations Management. https://doi.org/DOI: 10.5772/intechopen.76425

Astuti, H. J., & Nagase, K. (2016). A framework for conceptualizing patient loyalty to healthcare organizations. Health Services Management Research, 29(3), 70–78. https://doi.org/10.1177/0951484816663562

Astuti, & Santoso. (2020). Reinforce Loyalty Model Based on Marketing Relationship, Satisfaction, Trust and Retention Program. ICBAE 2020: Proceedings of the 2nd International Conference of Business, Accounting and Economics, ICBAE 2020, 5-6 August 2020, Purwokerto, Indonesia, 220.

Bilal, M., & Achmad, N. (2023). Analysis Of The Effect Of Service Quality, Brand Trust And Perceived Quality On Customer Loyalty With Customer Satisfaction As An Intervening Variable. Paradigma, 20(2), 232–246.

Bungatang, B., & Reynel, R. (2021). The effect of service quality elements on customer satisfaction. Golden Ratio of Marketing and Applied Psychology of Business, 1(2), 107–118.

Chakraborty, D., Mehta, P., & Khorana, S. (2025). Metaverse technologies in hospitality: using the theory of consumption values to reveal consumer attitudes and trust factors. International Journal of Contemporary Hospitality Management, 37(4), 1276–1308.

F. Hair Jr, J., Sarstedt, M., Hopkins, L., & G. Kuppelwieser, V. (2014). Partial least squares structural equation modeling (PLS-SEM) An emerging tool in business research. European Business Review, 26(2), 106–121.

Gabriel, V., & Ellitan, L. (2025). The Influence of Service Quality and Trust on Customer Loyalty with Customer Satisfaction as an Intervening Variable (The Case Of Alodokter Health Services Application). Journal of Entrepreneurship & Business, 6(1), 73–93.

Honifa, H., Derriawan, D., & Sampurno, S. (2022). Pengaruh kompetensi sumber daya manusia dan kualitas pelayanan terhadap kepuasaan pasien umum yang berdampak kepada berkunjung kembali di Klinik Andilia Kabupaten Bogor. Jurnal Ilmiah Kesehatan, 21(1), 25–32.

Hride, F. T., Ferdousi, F., & Jasimuddin, S. M. (2022). Linking perceived price fairness, customer satisfaction, trust, and loyalty: A structural equation modeling of Facebook‐based e‐commerce in Bangladesh. Global Business and Organizational Excellence, 41(3), 41–54.

Indra, D. P., Ramadhan, Y., & Ruswanti, E. (2022). Pengaruh Kualitas Pelayanan terhadap Loyalitas Pasien yang Dimediasi Oleh Pemasaran Relasional dan Kepuasan Pasien. Jurnal Health Sains, 3(2), 199–212.

Iqbal, M. (2025). Pengaruh Mobile Service Quality Dan Customer Relationship Management Terhadap Loyalitas Pelanggan Melalui Kepuasan Pelanggan Coffe Faste Berdasarkan Perspektif Bisnis Islam. Jurnal Media Akademik (JMA), 3(7).

Isbahi, M. B., Zuana, M. M. M. ., & Mariana, E. R. . (2022). The Technology Strategy in Website Communication Media in Improving Business Activities. Majapahit Journal of Islamic Finance and Management, 1(2), 126–138. https://doi.org/10.31538/mjifm.v1i2.17

Isbahi, M. B., Zuana, M. M. M., & Toha, M. (2024). The Multi-Social Relation of the Cattle Industry in the Plaosan Subdistrict Animal Market of Magetan Regency. Malacca: Journal of Management and Business Development , 1(1), 31–46. https://doi.org/10.69965/malacca.v1i1.51

Jacoby, J., Chestnut, R. W., & Fisher, W. A. (1978). A behavioral process approach to information acquisition in nondurable purchasing. Journal of Marketing Research, 15(4), 532–544.

Karnowati, & Astuti. (2020). Effect Of Consumer Value, Consumer Experience And Service Quality Of Customer Loyalty Through Consumer Satisfaction (Case Study On Beauty Care In Cilacap). ICBAE 2020: Proceedings of the 2nd International Conference of Business, Accounting and Economics, ICBAE 2020, 5-6 August 2020, Purwokerto, Indonesia, 142.

Karnowati, N. B., Astuti, H. J., Pujiharto, P., & Fitriati, A. (2021). Pengaruh Kualitas Layanan, Pengalaman, Kepuasan Konsumen Dan Perilaku Mencari Variasi Terhadap Perpindahan Merek. Jurnal Manajemen Motivasi, 17(1), 18–26.

Kotler, P., & Keller, K. L. (2016). Marketing management (15th global ed.). England: Pearson, 803–829.

Mao, Y., Ning, W., Zhang, N., Xie, T., Liu, J., Lu, Y., & Zhu, B. (2021). The therapeutic relationship in China: a systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 18(7), 3460.

Mayang, W. O. S., Lawelai, H., & Sa’ban, L. M. A. (2023). TATA KELOLA SUMBER DAYA MANUSIA PELAYANAN PEMBAYARAN PAJAK KENDARAAN BERMOTOR PADA SAMSAT KOTA BAUBAU. Jurnal Inovasi Penelitian, 4(1), 137–150.

Meliala, J., & Meliala, S. B. (2022). Hubungan Waktu Tunggu Pelayanan Rawat Jalan Dengan Kepuasaan Pasien Spesialis Pribadi Di Rumah Sakit Advent Medan. Jurnal Administrasi Rumah Sakit Arta, 1(1).

Morgan, R. M., & Hunt, S. D. (1994). The commitment-trust theory of relationship marketing. Journal of Marketing, 58(3), 20–38.

Prihatini, R. P. (2024). Analisis Kualitas Komunikasi Antara Dokter Ke Pasien, Kepercayaan Pasien Pada Dokter Dan Mutu Pelayanan Terhadap Kepuasan Pasien Rawat Jalan Di Rumah Sakit Gatoel Mojokerto. Journal of Innovation Research and Knowledge, 4(4), 1993–2002.

Rampi, C. N., Tj, H. W., & Fushen, F. (2024). PENGARUH KUALITAS LAYANAN DAN KEPERCAYAAN TERHADAP LOYALITAS PASIEN YANG DIMEDIASI KEPUASAN PASIEN DI KLINIK UTAMA ARDITA. JMBI UNSRAT (Jurnal Ilmiah Manajemen Bisnis Dan Inovasi Universitas Sam Ratulangi)., 11(3), 1611–1626.

RS PKU Muhammadiyah Gombong. (n.d.). https://pkugombong.com/index.php/konten/submenu/14

Sabet, E., Rasyid, A., Pongtiku, A., Sonjaya, Y., & Marihi, L. O. (2023). Pengaruh Citra Dan Kualitas Pelayanan Terhadap Loyalitas Pasien Dimediasi Kepuasan Pasien Pada Rumah Sakit Provita. Journal of Economics Review (JOER), 3(2), 73–87.

Shen, Y., Tan, R., & Li, S. (2025). From Sensory Experience to Community Activation: The Impact and Enhancement Pathways of Sensory Stimulation in Public Art on Residents’ Participation. Buildings (2075-5309), 15(19).

Sujana, S., & Yusni, Y. (2024). The influence of service quality and price perceptions on customer loyalty and customer satisfaction as intervening variables.

Tjiptono, F. (2015). Strategi pemasaran edisi 4. Yogyakarta: Andi Offset.

Toha, M., Zuana, M. M. M., & Isbahi, M. B. (2024). Acculturation of Mataraman Local Wisdom with Islamic Values: Implications for Social and Economic Development. Danadyaksa: Post Modern Economy Journal, 2(1), 33–47. https://doi.org/10.69965/danadyaksa.v2i1.143

Van Huy, L., Thinh, N. H. T., Thi Thu Dung, T., & Duc Tien, N. (2025). Trust, Satisfaction and Co-Creation-An Approach to Corporate Social Responsibility in the Hospitality Industry: A Roadmap Towards Customer Loyalty. Journal of Quality Assurance in Hospitality & Tourism, 1–26.

Wartiningsih, M. (2024). The Influence of Human Resource Interactions on Loyalty with Patient Satisfaction as an Intervening Variable in Hospital X Surabaya. Public Health of Indonesia.

Yıldırım, Y., Amarat, M., & Akbolat, M. (2022). Effect of relationship marketing on hospital loyalty: the mediating role of patient satisfaction. International Journal of Pharmaceutical and Healthcare Marketing, 16(3), 337–353.

Published
2025-12-30
How to Cite
Aryandaru, P., Astuti, H., Pratama, B. C., & Miftahuddin, M. A. (2025). Patient Satisfaction is a Mediator of the Relationship between Human Resource Interaction, Service Quality, Trust, and Patient Loyalty. Indonesian Interdisciplinary Journal of Sharia Economics (IIJSE), 9(1), 1512-1532. https://doi.org/10.31538/iijse.v9i1.8802