Participant Satisfaction Mediation: The Impact of Service Quality and Trust on Loyalty in Mobile JKN Participants of BPJS Kesehatan Madiun Branch
Abstract
This study aims to analyze the influence of service quality and trust on the loyalty of participants of the Mobile JKN application BPJS Kesehatan Madiun Branch, with participant satisfaction as a mediation variable. The research method uses a quantitative approach through a questionnaire survey to Mobile JKN participants. The results of the study show that service quality including usage efficiency, system reliability, feature responsiveness, and personal data protection have a positive and significant effect on participant loyalty, both directly and through participant satisfaction as a mediation variable. Participants' trust in the integrity, transparency, and competence of service managers also has a strong effect on loyalty, where participant satisfaction mediates the relationship significantly. The findings prove that participant satisfaction is the main bridge that connects service quality and trust with the loyalty of Mobile JKN application users. The recommendations from this study are the importance of increasing digital feature innovation, transparency, and participant education to strengthen the satisfaction and loyalty of BPJS Kesehatan digital health service users
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Ajib Catur Yudo Yuwono, Aries Setiawan, Ariati Anomsari, & Ida Farida. (2024). The Effect of Price Perception, Service Quality on Customer Loyalty through Customer Satisfaction as a Mediation Variable in the Company of Pt. Soyo Aji Perkasa. E-Business: Scientific Journal of Economics and Business, 17(2), 117–130. Https://Doi.Org/10.51903/E-Bisnis.V17i2.2015
Andri, I., & Suryanto, D. (2023). The Effect of Service Quality and Trust on Customer Loyalty with Customer Satisfaction as an Intervening Variable (Case Study on Pt. Andalas Wahana Rezeki West Sumatra). The Effect of Service Quality and Trust on Customer Loyalty with Customer Satisfaction as an Intervening Variable (Case Study on Pt. Andalas Wahana Rezeki West Sumatra), 3, 74827501.
April, D., Simangunsong, Y., Lathief, M., & Nasution, I. (2023). The Effect of Service Quality, Trust, and Satisfaction on Customer Loyalty (Case Study of Bank Sumut Syariah Kcp Lubuk Pakam). Journal Of Islamic Economics And Finance, 1(4), 153–173.
Armanda, B., & Fadhullah Hana, K. (2025). The Influence of CRM, Fintech, and Trust on Customer Loyalty: The Role of Satisfaction Mediation at Bsi Kcp Kudus. Journal Of Economics And Business Research, 4(1), 17–33.
Ashiq, R., & Hussain, A. (2024). Exploring The Effects Of E-Service Quality And E-Trust On Consumers' E-Satisfaction And E-Loyalty: Insights From Online Shoppers In Pakistan. Journal Of Electronic Business & Digital Economics, 3(2), 117–141. Https://Doi.Org/10.1108/Jebde-09-2023-0019
Astuti, Y. W. (2022). Yulia Widi Astuti, Ratno Agriyanto and Ahmad Turmudzi, "The Influence of Service Quality, Customer Value, Trust, and Satisfaction on Customer Loyalty of Sharia Mobile Banking Service Users", Indonesian Journal of Marketing Science 19, no. 3 (2020): p. 134. Indonesian Journal of Marketing Science, Xix(3), 134–158.
Bahiizza Shadrina Zhafarin, Haikal Ghifary, Putri Andini Novianti, & Novita Dwi Istanti. (2023). Analysis of the Effectiveness of UHC Implementation in Improving the Quality of Health Services in Indonesia. Journal of Ventilators, 1(1), 01–09. Https://Doi.Org/10.59680/Ventilator.V1i1.239
Barre, G. M., Warsame, A. A., Hussein, H. A., & Mohamed, I. I. (2023). Islamic Banks' Service Quality In Somalia: Customer Loyalty, Satisfaction, And The Role Of Trust As A Mediator. Asian Economic And Financial Review, 13(5), 320–337. Https://Doi.Org/10.55493/5002.V13i5.4781
Candra, N. A. (2025). The Effect of Service Quality on Patient Loyalty by Mediating Patient Satisfaction at Mas Amsyar Kasongan Regional General Hospital. Sibatik Journal, 4(10), 3207–3218.
Chintya Natalia Rampi, Hery Winoto Tj, F. (2024). The Effect of Service Quality and Trust on Patient Loyalty Mediated by Patient Satisfaction at Ardita Main Clinic. Scientific Journal of Business Management and Innovation, Sam Ratulangi University (Jmbi Unsrat), 11(3), 1611–1626.
Chlorella Tama, E., & Siagian, M. (2024). The Influence of Digital Marketing, Product Variety and Product Innovation on Customer Loyalty at Board Games Cafe Batam. Seiko : Journal Of Management & Business, 7(1), 859–868.
Damanik, K., Sinaga, M., Sihombing, S., Hidajat, M., & Prakoso, O. S. (2024). The influence of service quality, public policy and customer satisfaction on customer loyalty. Journal of Educational Management and Social Sciences, 5(2), 76–85. Https://Doi.Org/10.38035/Jmpis.V5i2.1834
Dandis, A. O., Wright, L. T., Wallace-Williams, D. M., Mukattash, I., Al Haj Eid, M., & Cai, H. (2021). Enhancing Consumers' Self-Reported Loyalty Intentions In Islamic Banks: The Relationship Between Service Quality And The Mediating Role Of Customer Satisfaction. Cogent Business And Management, 8(1). Https://Doi.Org/10.1080/23311975.2021.1892256
Desri & et al. (2024). The Influence of Service Quality, Trust and Customer Satisfaction on Jne Customer Loyalty in Payakumbuh City. Innovative: Journal Of Social Science Research, 4(1), 342–348.
Dewantari, F., Telagawathi, N. L. W. S., & Widiastini, N. M. A. (2024a). Analysis of the influence of knowledge and experience on the professionalism of administrators with the moderation of administrative information systems. Jmbi Unsrat (Scientific Journal of Business Management and Innovation, Sam Ratulangi University)., 11(1), 160–173. Https://Doi.Org/10.35794/Jmbi.V11i1.53576
Dewantari, F., Telagawathi, N. L. W. S., & Widiastini, N. M. A. (2024b). The role of customer satisfaction in mediating service quality and trust in the loyalty of Bri customers in Buleleng Regency. Jmbi Unsrat (Scientific Journal of Business Management and Innovation, Sam Ratulangi University)., 11(1), 160–173. Https://Doi.Org/10.35794/Jmbi.V11i1.53576
Dewi, R., & Jihad, F. (2023). The Relationship between Health Service Quality and Satisfaction of Pesertsa Pesertsa Outpatients of Bpjs Kesehatan. Tambusai Health Journal, 4(3), 3662–3671.
Efendi, B., & Kholunnafiah, U. (2023). The Influence of Service Quality, Brand Trust and Satisfaction on Customer Loyalty of Prepaid Xl Card Internet Data Packages. Dfame Digital Financial Accounting Management Economics Journal, 1(2), 61–69. Https://Doi.Org/10.61434/Dfame.V1i2.116
Effendy, M. L., Sari, M. I., & Hermawan, H. (2021). The Influence of Promotion Strategies Through Social Media, Service Quality, and Word of Mouth on Customer Loyalty at Cak Kebo Coffee Shop. E-Journal of Business Economics and Accounting, 8(2), 107. Https://Doi.Org/10.19184/Ejeba.V8i2.24805
Fasa, M. A. M. I. (2023). Sharia Marketing Strategy in Increasing Customer Loyalty in Islamic Banking. Journal of Management, Accounting, and Logistics (Friday), ii(1), 300–313.
Ferdinand. (2015). Management Research Methods with SEMs: Guidelines for Thesis, Thesis and Dissertation Research in Management Science. Diponegoro University Semarang.
Hafidz, G. P., & Muslimah, R. U. (2023). The influence of service quality, brand image, customer trust and customer satisfaction on customer loyalty of Herbalife products. Scientific Journal of Management, Economics, & Accounting (MEA), 7(1), 253–274. Https://Doi.Org/10.31955/Mea.V7i1.2912
Hermawan, A., Gozali, A. F., & Muhammadi, A. M. (2023). Optimization of strengthening teacher professional commitment through the development of adversity intelligence, interpersonal communication, task interdependence and job satisfaction. Journal of Syntax Admiration, 4(9), 2180–2193. Https://Doi.Org/10.46799/Jsa.V4i9.944
Hidayat Arrosadi, A., & Marlina Verawati, D. (2022). Consumer Satisfaction with Customer Loyalty (Case Study on Monera Titip Service Customers). pp. 314 Ivo Novitaningtyas, 5(3), 314–328.
Indah Yani, M., & Sugiyanto, S. (2022). The Influence of Service Quality, Trust, Brand Image and Customer Satisfaction on Edwin Jeans Indonesia's Customer Loyalty on Shopee E-Commerce. Sinomika Journal: Scientific Publications in the Field of Economics and Accounting, 1(3), 443–472. Https://Doi.Org/10.54443/Sinomika.V1i3.285
Isnaini, N. R., & Hanandhika, A. N. (2024). The appeal of Tiktok Live influences customer interest in making impulse purchases based on the stimulus-organism-response framework. Balance Sheet: Journal of Economics, Management and Accounting, 2(7), 354–369.
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
Juliana, J., & Ken, K. (2020). Prediction of service quality and trust in customer loyalty: customer satisfaction as a mediating variable. Journal of Management and Entrepreneurship, 2(1), 110. Https://Doi.Org/10.24912/Jmk.V2i1.7451
Juwariyah, N., Hasanah, N., & Akriana, F. (2024). The Role of Satisfaction Mediation in Increasing Ship Passenger Loyalty. Solutions, 22(3), 363–377. Https://Doi.Org/10.26623/Slsi.V22i3.9065
Kasinem, K. (2022). The Influence of Trust and Service Quality on Consumer Satisfaction at Bukit Serelo Lahat Hotel. Journal of Economic Vehicle Media, 17(4), 329. Https://Doi.Org/10.31851/Jmwe.V17i4.5096
Khawaja, L., Ali, A. A., & Mostapha, N. (2021). The Mediating Effect Of Customer Satisfaction In Relationship With Service Quality, Corporate Social Responsibility, Perceived Quality And Brand Loyalty. Management Science Letters, 11, 763–772. Https://Doi.Org/10.5267/J.Msl.2020.10.030
Kristianto, C. (2022). The Effect of Service Quality on Customer Loyalty through the Mediation of Jne Customer Satisfaction and Trust in West Surabaya. Performance, 7(5), 547–563. Https://Doi.Org/10.37715/Jp.V7i5.2964
Lantang, L., & Ken, K. (2022). The Influence of Service Quality and Customer Experience on Bank Customer Loyalty in Jakarta: Trust as a Mediation Variable. In Journal of Business Management and Entrepreneurship (Vol. 6, Issue 3, p. 231). Https://Doi.Org/10.24912/Jmbk.V6i3.18645
Lie, L., Yakin, I., Mufrihah, M., Shalahuddin, A., & Mayasari, E. (2025). The effectiveness of talent management, WLB, and job satisfaction as mediating variables on employee performance. Journal of Business and Entrepreneurship, 14(1), 135–148. Https://Doi.Org/10.37476/Jbk.V14i1.4941
Mastura, Z., & Ibrahim, A. (2021). The Influence Of Service Quality And Trust On Customer Satisfaction: A Study Of Bank Aceh Syariah In Banda Aceh. Journal Of Business Administration, Vo, 11(01), 321–331.
Musana, K., Syafuri, B., & Syarifudin, E. (2024). The Effect of Service Quality on Muzakki's Loyalty in Paying ZIS (Study on Baznas Banten Province). Ekonomica Sharia: Journal of Sharia Economic Thought and Development, 9(2), 297–314. Https://Doi.Org/10.36908/Esha.V9i2.921
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, 15, 2523–2538. Https://Doi.Org/10.2147/Ppa.S333586
Nur Lena, & Syahputra, R. (2025). Analysis of service quality and trust in consumer satisfaction, in building the company's image. Economics And Digital Business Review, 6(2 se-articles), 148–160.
Octavia, M. (2022). The influence of trust, service quality, and company image on loyalty is mediated by customer satisfaction. Journal of Management Science and Research, 14(5), 1–20.
Octavia, R. (2021). The Effect of Service Quality and Customer Satisfaction on Customer Loyalty of Pt. Bank Index Lampung. Journal of Marketing Management, 13(1), 35–39. Https://Doi.Org/10.9744/Pemasaran.13.1.35-39
Pangesti, E. N., Official, S., & Utami, A. M. (2024). The Effect of Service Quality and Customer Satisfaction on Customer Loyalty at the Gunungkidul Employment Social Security Administration. Business Horizons, 5(1), 17–28.
Pasaribu, M. W. (2024). The Effect of Service Quality, Competence of Medical Personnel and Supporting Facilities on Patient Loyalty of BPJS Users with Patient Satisfaction as an Intervening Variable. Comserva : Journal of Research and Community Service, 4(7), 2346–2364. Https://Doi.Org/10.59141/Comserva.V4i7.2715
Pratama, R. A., Prasetyo, W. B., & Ramli, A. H. (2024). E-Service Quality, E-Trust, E-Satisfaction And E-Loyalty In Online Shopping. Scientific Journal of Unit Management, 11(3). Https://Doi.Org/10.37641/Jimkes.V11i3.2313
Putra, S. D., & Hasmawaty, H. (2022). The Effect of Product and Service Quality on Customer Loyalty and Customer Satisfaction of Bank Negara Indonesia's Priority Savings. Journal of Economic Vehicle Media, 19(1), 117. Https://Doi.Org/10.31851/Jmwe.V19i1.8011
Putri, R. A., Makkasau, A. K. A., & Astriana, M. (2024). The Effect of Health Service Quality on Patient Satisfaction of BPJS Participants at the Benteng Health Center, Selayar Islands Regency. Journal Of Aafiyah Health Research (Jahr), 5(1), 30–39.
Qatrunnada, C. H. (2023). The Effect of Service Quality and Trust on Customer Loyalty at Ninja Xpress Sukamanah Mitra Tasikmalaya City. 9(1), 503–512.
Rafidah. (2021). The Influence of Brand Trust, Islamic Service Quality and Promotion on Customer Satisfaction of Rabbani Outlets in Jambi City. Iltizam Journal Of Shariah Economic Research, 3(1), 41–62.
Rahayu, S., & Nasrawati. (2024). Servqual in Service Quality for Patient Satisfaction of Jkn Users at the Karangrayung Health Center. Pro Health Scientific Journal, 6(1), 41–47.
Ratu, N., & Idris. (2023). Analysis of the Influence of Service Quality and Trust on Customer Loyalty with Customer Satisfaction as an Intervening Variable (Study on Bank BCA Customers in Semarang City). Diponegoro Journal Of Management, 12(3), 1–12.
Rofiqo, A., Addinata, V. H., & Sari, D. N. (2021). The Effect of Service Quality on Loyalty with Trust and Satisfaction as Variables of Mediators of Sharia Banks in Ponorogo. Etihad: Journal Of Islamic Banking And Finance, 1(1), 1–11. Https://Doi.Org/10.21154/Etihad.V1i1.2732
Santosa, J., Mahendra, D., Haryanto, A. T., High School, ), Economics, I., Unggul, A., & Surakarta, B. (2021). Building Service Quality And Trust In Loyalty With Satisfaction As A Mediator At Bank Syariah Mandiri Solo. Management: Journal of Business and Management, 8(1), 10–17.
Saputra, R., & Wala, G. N. (2024). The Effect of Service Quality and Customer Trust on Consumer Loyalty, Through Satisfaction in the Service Industry (Study Literature Review). Journal of Social and Political Greenation, 2(3), 88–99.
Sari, Y., Monalysa, L., Ruray, T. A., Hardian, R., Baturaja, U., Malahayati, U., Patient, K., Customer, K., Patient, L., & Sick, R. (2025). The Influence of Service Quality and Trust on Patient Loyalty with Consumer Satisfaction as Mediation Variables 1. 13(1), 29–38.
Siti Yolanda Rahman Utami, Edy Yulianto, & Agung Nugroho L.I.F. (2024). Beyond Convenience: Understanding E-Service Quality Role In Fostering E-Customer Satisfaction And Loyalty. Journal of Management, 28(2), 341–364. Https://Doi.Org/10.24912/Jm.V28i2.1956
Sudibyo, A., & Ken, K. (2025). The role of service quality, trust, and lead time in increasing patient satisfaction and loyalty. Journal of Business Management and Entrepreneurship, 9(2), 195–208. Https://Doi.Org/10.24912/Jmbk.V9i2.33892
Sudjadi, S., Syaodih, E., & Andriani, R. (2023). The Effect of Service Quality on Trust Mediated by Patient Satisfaction at Telogorejo Hospital Semarang. Journal Of Economics And Business Ubs, 12(6), 3685–3695. Https://Doi.Org/10.52644/Joeb.V2i6.856
Wadhwa, S., & Jaya, I. (2022). The Influence of Facilities, Officer Competence and Service Quality on Patient Satisfaction through Loyalty as an Intervening Variable (Case Study of Airan Raya Hospital South Lampung). Darmajaya Business Journal, 8(2), 91–104. Https://Doi.Org/10.30873/Jbd.V8i2.3206
Wajiyono, Widhy Tri Astuti, W. (2024). The Effect of Service Quality on Loyalty Mediated by Trainee Satisfaction at the DIY Education and Training Agency. J-Mas (Journal of Management and Science), 9(2), 872–882. Https://Doi.Org/10.33087/Jmas.V9i2.1833
Wani, A. Z., Bhatnagar, A., & Mir, M. A. (2023). The Impact Of E-Service Quality On E-Loyalty And Revisit Intention Through The Mediating Role Of E-Satisfaction And E-Trust. African Journal Of Hospitality, Tourism And Leisure, 12(2), 555–573. Https://Doi.Org/10.46222/Ajhtl.19770720.385
Widayanto, N. H., & Mursid, A. (2022). Analysis of the influence of service quality and company image on the decision to take productive loans at Bank Jateng with trust as a mediating variable (Case Study on Bank Jateng Wanadadi Banjarnegara Sub-Branch). Magisma Journal, X(2), 244–257.
Widiastuti, W., Indartono, S., & Sa'adah, N. (2024). Islamic Service Quality And Patient Loyalty: Investigating The Role Of Satisfaction In Healthcare Contexts. Society, 12(2), 538–555. Https://Doi.Org/10.33019/Society.V12i2.723
Winasih, T., & Hakim, L. (2021). The role of satisfaction as a mediating variable of service quality and customer trust in the loyalty of Islamic banks. Iqtishadia Journal of Sharia Economics & Banking, 8(2), 205–221. Https://Doi.Org/10.19105/Iqtishadia.V8i2.4152
Yurindera, N. (2023). Mediation of consumer trust in the influence of service quality on Traveloka consumer loyalty. Journal of Infokom Essence: Journal of Information Systems and Computer Systems, 7(2), 73–77. Https://Doi.Org/10.55886/Infokom.V7i2.751
Yurindera, N. (2024). The Impact of Trust on Customer Loyalty through Satisfaction in Online Motorcycle Taxi Transportation Services. Journal of Infokom Essence: Journal of Information Systems and Computer Systems, 8(2), 41–47. Https://Doi.Org/10.55886/Infokom.V8i2.931
Yustan, M., Firdaus, A., & Rachmawati, I. (2024). The Influence Of E-Service Quality On Customer Loyalty Through Customer Satisfaction Among Livin' By Mandiri Users. International Journal Of Social Science And Business, 8(1), 142–150.
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