PENGARUH KEPERCAYAAN PASIEN DAN LINGKUNGAN FISIK PUSKESMAS TERHADAP MINAT KUNJUNGAN ULANG PASIEN DENGAN PATIENT ENGAGEMENT SEBAGAI MEDIASI DI PUSKESMAS “X” KOTA JAMBI
DOI:
https://doi.org/10.53625/jirk.v5i4.11227Keywords:
Patient Trust, Physical Environment Of Puskesmas, Revisit Intention, Patient EngagementAbstract
A common issue faced by Puskesmas is the low rate of patient revisit intention, which can impact the quality of healthcare services. One of the factors that may influence this issue is patient trust in the services provided, as well as the physical environment of the Puskesmas, which can create comfort for patients. However, few studies have examined the relationship between patient trust and the physical environment of Puskesmas with revisit intention, especially with patient engagement as a mediating factor. This study aims to examine the influence of patient trust and the physical environment of Puskesmas on patient revisit intention, with patient engagement as a mediator, at Puskesmas “X” , Jambi City. This quantitative study uses a survey design and purposive sampling of 100 patients who have received services at the Puskesmas. Data were collected using questionnaires measured with a Likert scale and analyzed using Structural Equation Modeling (SEM). The results of the study show that patient trust has a positive and significant effect on patient engagement, which in turn influences patient revisit intention. Furthermore, the physical environment of the Puskesmas also has a direct influence on patient engagement and revisit intention. Patient engagement serves as a mediator that links the influence of patient trust and the physical environment of Puskesmas on patient revisit intention. These findings indicate the importance of managing patient trust and the physical environment to enhance patient involvement and their intention to revisit the Puskesmas. This study contributes to policies for improving the quality of healthcare services at Puskesmas to increase patient satisfaction and revisit intention
References
Akthar, N., Nayak, S., & Pai, P. Y. (2024). A cross-sectional study on exploring the antecedents of patient’s revisit intention: Mediating role of trust in the hospital among patients in India. F1000Research, 12, 75.
Alkazemi, M., Bayramzadeh, S., Alkhubaizi, N. B., & Alayoub, A. (2019). The physical environment and patient satisfaction ratings on social media: An exploratory study. Facilities.
Aren, S., Güzel, M., Kabadayı, E., & Alpkan, L. (2013). Factors Affecting Repurchase Intention to Shop at the Same Website. Procedia - Social and Behavioral Sciences, 99(1), 536–544. https://doi.org/10.1016/j.sbspro.2013.10.523
Amoako, G. K., Kutu-Adu, S. G., Caesar, L. D., & Neequaye, E. (2019). Relationship marketing and repurchase intention in Ghana’s hospitality industry: An empirical examination of trust and commitment. Journal of Relationship Marketing, 18(2), 77–107.
Ballester, E., Ruiz, C., & Rubio, N. (2021). Engaging consumers through firm-generated content on Instagram. Spanish Journal of Marketing - ESIC, 25(3), 355–373. https://doi.org/10.1108/SJME-11-2020-0189
Bergman, & Evans, B. (2018). Beyond The Basics: Effects Of The Eden Alternative Model On Quality Of Life Issues. Journal Of Gerontological Nursing, 30(6), 27–34.
Bitrián, P., Buil, I., & Catalán, S. (2021). Enhancing user engagement: The role of gamification in mobile apps. Journal of Business Research, 132(1), 170–185. https://doi.org/10.1016/j.jbusres.2021.04.028
Blomqvist, K. (1997). The Role of Trust in Cooperative Relations. The Swedish Institute for Social Research.
Bombard, Y., et al. (2018). Engaging patients to improve quality of care: A systematic review. Implementation Science, 13, 98.
Cham, T.-H., Lim, Y.-M., Sia, B.-C., Cheah, J.-H., & Ting, H. (2020). Medical tourism destination image and its relationship with the intention to revisit: A study of Chinese medical tourists in Malaysia. Journal of China Tourism Research, 16(4), 381-394.
Chen, X., Sun, X., Yan, D., & Wen, D. (2020). Perceived sustainability and customer engagement in the online shopping environment: The rational and emotional perspectives. Sustainability (Switzerland), 12(7), 1–16. https://doi.org/10.3390/su12072674
Creswell, J. W., & Poth, C. N. (2018). ). Qualitative Inquiry and Research Design Choosing Among Five Approaches (4th Edition ed.). Sage Publishing.
Douglas, C. H., & Douglas, M. R. (2003). Patient-friendly hospital environments: Exploring the patients’ perspective. Health Expectations, 7(1), 61-73.
Egede, L. E., & Ellis, C. (2008). Development and testing of the Multidimensional Trust in Health Care Systems Scale. Journal of General Internal Medicine, 23(6), 808-815.
Fengmin, Z., Baijun, W., Jiangtao, B., Li, L., & Patwary, A. K. (2022). Investigating revisit intention of medical tourists in China through nutritional knowledge, perceived medical quality, and trust in the physiologist. Frontiers in Public Health, 10, 893497.
Frosch, D. L., May, S. G., Rendle, K. A., Tietbohl, C., & Elwyn, G. (2010). Shared decision making and the role of Patient engagement in health care. Health Affairs, 29(6), 1340-1348. https://doi.org/10.1377/hlthaff.2010.0573
Ginting, C. N., Kurnia, M. A., & Putra Zai, Z. J. (2023). The influence of service marketing mix on the revisitation intention of BPJS inpatient patients at Royal Prima Marelan General Hospital. International Journal of Multidisciplinary Research and Analysis, 6(10), 4707–4718.
Ghozali, I. (2018). Aplikasi Analisis Multivariate dengan Program IBM SPSS 25 Edisi 9: Vol. 23 (2) (Issue 1470). Semarang: Badan penerbit Universitas Diponegoro.
Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2017). A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM).
Hair, J. F., Sarstedt, M., Ringle, C. M., Sharma, P. N., & Liengaard, B. D. (2024). Going beyond the untold facts in PLS–SEM and moving forward. European Journal of Marketing, 58(13), 81–106. https://doi.org/10.1108/EJM-08-2023-0645
Hadiyati, H., Suroto, B., & Fatkhurahman, F. (2020). Exploring service and environment: In-patient trust and satisfaction in public hospital. IOP Conference Series: Earth and Environmental Science, 469, 012065.
Hartono, S., et al. (2024). The clinical information system that effects the patients' satisfaction of the healthcare services. Jurnal Manajemen, 28(1), 1-448.
Higgins, T., Larson, E., & Schnall, R. (2016). Unraveling the meaning of Patient engagement: A concept analysis. Patient Education and Counseling. https://doi.org/10.1016/j.pec.2016.09.002
Hojat, M., Louis, D. Z., Markham, F., Wender, R., & Gonnella, J. S. (2011). Measuring physician trust: The development and psychometric properties of the trust in physician scale. The Journal of General Internal Medicine, 26(10), 1075-1081. https://doi.org/10.1007/s11606-011-1731-1
Hu, J., & Run, P. (2023). The factors affecting customer repurchase intention of economic hotels in Kunming. Proceedings of International Conference of Graduate School on Sustainability, 1(1), 1–10.
Islam, J. U., & Rahman, Z. (2016). Linking Customer Engagement to Trust and Word-of-Mouth on Facebook Brand Communities: An Empirical Study. Journal of Internet Commerce, 15(1), 40–58. https://doi.org/10.1080/15332861.2015.1124008
Irdan, R., Kusumapradja, R., & Ramadhan, Y. (2024). The effect of brand image and medical quality on intention of re-visit with word of mouth as a mediating variable among patients. International Journal of Nursing and Health Services, 7(2), 139-145.
Jonathan, J. V., Syah, T. Y. R., & Wekadigunawan, C. (2022). Analisis minat kunjung ulang pasien rawat jalan di unit rawat jalan rumah sakit “X.” Jurnal Ilmu Kesehatan Masyarakat, 11(01), 33–41.
Kurniawan, J., Ahmad, H., & Aida, M. (2020). Analisis minat kunjung ulang pasien rawat jalan di unit rawat jalan RS Atma Jaya. Journal of Hospital Management, 3(1), 2615–8337.
Keelson, S. A., Addo, J. O., & Amoah, J. (2024). The impact of Patient engagement on service quality and customer well-being: an introspective analysis from the healthcare providers’ perspective. Cogent Public Health, 11(1), 1–13. https://doi.org/10.1080/27707571.2024.2340157
Lacap, M., & Alfonso, J. P. (2022). The mediating role of patient loyalty on the relationship between satisfaction on physical environment and intention to recommend. International Journal of Multidisciplinary Research and Analysis, 5(3), 345-359.
Levi, M., Moore, K. T., Castillejos, C. F., Kubitza, D., Berkowitz, S. D., Goldhaber, S. Z., & Levy, J. H. (2014). ). Comparison Of Three‐Factor And Four‐Factor Prothrombin Complex Concentrates Regarding Reversal Of The Anticoagulant Effects Of Rivaroxaban In Healthy Volunteers. Journal of Thrombosis and Haemostasis, 12(9), 1428–1436.
Maguire, I. (2020). Patient engagement in health and health care: A literature review. Healthwatch Ireland.
Mechanic, D., & Meyer, S. (2000). Concepts of trust in the health sector. Journal of Health Politics, Policy and Law, 25(3), 453-472.
Meyer, S. B., Brown, P., Calnan, M., Ward, P. R., Little, J., Betini, G. S., Perlman, C. M., Burns, K. E., & Filice, E. (2024). Development and validation of the Trust in Multidimensional Healthcare Systems Scale (TIMHSS). International Journal for Equity in Health, 23(94).
Meilatinova, N. (2021). Social commerce: Factors affecting customer repurchase and word-of-mouth intentions. International Journal of Information Management, 57(January 2020), 102300. https://doi.org/10.1016/j.ijinfomgt.2020.102300
Mokoagow, S. M., Samsualam, & Haeruddin. (2023). Pengaruh bauran pemasaran terhadap minat kunjungan ulang pasien rawat jalan. Journal of Muslim Community Health, 4(1), 165–180.
Nurmawaddah, Ekawaty, D., & Insani, Y. (2020). Hubungan bauran pemasaran (marketing mix) dengan pemanfaatan ulang pelayanan di unit rawat jalan RSIA Pertiwi Makassar. Jurnal Penelitian Kesehatan Pelamonia Indonesia, 3(2), 1–15.
Octivanny, G. B. C., & Berlianto, M. P. (2022). The effect of service marketing mix towards patient satisfaction and its impact to word of mouth and revisit intention at Kania Dental Clinic through service marketing mix. Enrichment: Journal of Management, 12(5), 4095–4104.
Ongkaruna, L. A. L., & Kristaung, R. (2023). The influence of hospital service quality on patient revisit intention and word-of-mouth in class B private general hospital in DKI Jakarta. American Journal of Open Research, 2(7), 581-593.
Pighin, M., Alvarez-Risco, A., Del-Aguila-Arcentales, S., Rojas-Osorio, M., & Yáñez, J. A. (2022). Factors of the revisit intention of patients in the primary health care system in Argentina. Sustainability, 14(20), 13021.
Puteri, D. A., Syaodih, E., Agung, I. W. P., & Andikarya, O. (2024). Pengaruh Mutu Pelayanan Kesehatan terhadap Minat Kunjungan Ulang Pasien BPJS Klinik Kirana Medika Bandung. Jurnal Manajemen Rumah Sakit, 2(1), 13–21. https://ejurnal.ars.ac.id/index.php/mmars
Rahman, M. K., et al. (2022). Determinants of patients' satisfaction and trust toward healthcare service environment in general practice clinics. Frontiers in Psychology, 13, 856750.
Rhamdani, N. I. (2021). Net Promoter Score sebagai tolok ukur ketercapaian customer loyalty peserta pekerja penerima upah badan usaha. Jurnal Jaminan Kesehatan Nasional, 1(2), 123-135.
Ringle, C. M., Sarstedt, M., Sinkovics, N., & Sinkovics, R. R. (2023). A perspective on using partial least squares structural equation modelling in data articles. Data in Brief, 48(1), 1–22. https://doi.org/10.1016/j.dib.2023.109074
Rotter, J. B. (1967). A new scale for the measurement of interpersonal trust. Journal of Personality, 35(4), 651-665.
Sadeghi-Bazargani, H., Farahbakhsh, M., Tabrizi, J. S., Zare, Z., & Saadati, M. (2019). Psychometric properties of primary health care trust questionnaire. BMC Health Services Research, 19(502).
Sandnes, O. K. H., Håavold, J. I., & Glavee-Geo, R. (2020). Trust in leaders, work satisfaction and work engagement in public hospitals. International Journal of Public Leadership, 18(2), 87–102.
Samhale, K., Ladwein, R., & Samhale, S. (2024). Exploring determinants of engagement in the use of IoT for healthcare during the COVID-19 pandemic: A fear-driven perspective. Digital Business, 4(1), 100072. https://doi.org/10.1016/j.digbus.2023.100072
Sarstedt, M., Hair, J. F., Pick, M., Liengaard, B. D., Radomir, L., & Ringle, C. M. (2022). Progress in partial least squares structural equation modeling use in marketing research in the last decade. Psychology and Marketing, 39(5), 1035–1064. https://doi.org/10.1002/mar.21640
Sarstedt, M., Ringle, C. M., & Hair, J. F. (2021). Partial Least Squares Structural Equation Modeling (Issue July). https://doi.org/10.1007/978-3-319-05542-8
Sekaran, & Bougie. (2016). Research Methods for Business: A skill. Building Approach (Edisi 5). New York : John wiley@Sons.
Sekaran, U., & Bougie, R. (2020). Research Methods for Business A Skill-Building Approach : Seventh Edition. United Kingdom:John Wiley & Sons Ltd.
Setiawan, L., & Sukmawati, N. (2024). Exploring patient trust dimensions to enhance patient satisfaction in Amarilis 2 inpatient ward at Dr. Adhyatma MPH Hospital Semarang. International Journal of Accounting and Management Research, 5(1).
Shahabuddin, A. M., et al. (2024). Antecedents of revisit intentions on hospital choice in the developing country: A SEM analysis. American International Journal of Social Science Research, 15(1), 12-20.
Shalamah, U. H., & Indrawati, F. (2021). Pengaruh bauran pemasaran terhadap minat kunjungan ulang di Balai Kesehatan Masyarakat. Higeia Journal of Public Health Research and Development, 5(1), 145–157.
Sugiyono. (2019). Metode Penelitian Pendidikan Kualitatif Kombinasi, R dan D, dan Penelitian Pendidikan. Alfabeta.
Sugiyono. (2024). Metode Penelitian Pendidikan Pendekatan Kuantitatif, Kualitatif, dan R&D. Alfabeta.
Suliyanto. (2020). Metode Penelitian Bisnis. Untuk Skripsi, Tesis dan Disertasi. Andi.
Stephens, J., Lambalot, H., & Ramiah, K. (2020). Patient trust: A guide for essential hospitals. Essential Hospitals Institute.
Talantikite, S. I., & Bencherif, M. (2021). Effect of spatial ambiances on the patient satisfaction and well-being in hospitals: The case of UHC Ibn Sina Annaba and UHC Benbadis Constantine—Algeria. HERD: Health Environments Research & Design Journal, 14(3), 83–107.Thom, D. H., Chen, L. W., & Ford, D. E. (2004). Doctor–patient communication and trust. Journal of General Internal Medicine, 19(12), 856-860.
Wandebori, H., & Pidada, I. G. A. A. P. (2017). Revisit intention to hospital: Factors unveiled from a case study of Balimed Hospital. Jurnal Manajemen Teori dan Terapan, 10(3), 205-215.
Wati, S. K., Dewi, S., & Kusumapradja, R. (2020). The effect of marketing mix, hospital image, and patient loyalty on intention for retreatment over outpatient care at Pasar Minggu Hospital during COVID-19 outbreak. Journal of Multidisciplinary Academic, 4(6), 361–367.
Wijaya, D. S., & Anggraini, R. (2023). Analysis of the influence of physical environment, service quality, and satisfaction on revisit intention at resort in Batam City. Pusaka: Journal of Tourism, Hospitality, Travel and Business Event, 5(1), 63-71.
Wong, E. L. Y., Lui, S., Cheung, A. W. L., Yam, C. H. K., Huang, N. F., Tam, W. W. S., & Yeoh, E. (2017). Views and experience on Patient engagement in healthcare professionals and patients—How are they different? Open Journal of Nursing, 7(6), 615-629.
Wu, Q., Ye, X., Wu, Y., & Zhao, L. (2019). Development and psychometric evaluation of the Patient engagement in Health Care Questionnaire. Journal of Nursing Care Quality, 00(00), 1–6. https://www.jncqjournal.com
Yasni, Y., Narmi, & Putri, L. A. R. (2020). Hubungan marketing mix terhadap kunjungan ulang pasien. Journal Management, 21(1), 1–9.
Zahra, S. A., Farida, N., & Arso, S. P. (2023). The effect of customer value and trust on patient revisit intention: Satisfaction as mediator. Journal of Health Science and Prevention, 7(2), 82-87.
Zahra, S. A., Farida, N., & Arso, S. P. (2023). The effect of customer value and trust on patient revisit intention: Satisfaction as mediator. Journal of Health Science and Prevention, 7(2), 82-87.
Zhao, Z., Zhang, Z., Yang, C., Li, Q., Chen, Z., & Yin, W. (2024). The influence of patient experience and trust on willingness to see a doctor based on SOR theory. BMC Health Services Research, 24, 1278.
Zvonareva, O., Craveț, C., & Richards, D. P. (2022). Practices of Patient engagement in drug development: A systematic scoping review. Research Involvement and Engagement, 8, 29.
