The Mediating Role of Patient Satisfaction: The Influence of Trust and Brand Image on Patient Loyalty
Keywords:
trust, brand image, patient satisfaction, patient loyaltyAbstract
Hospitals as health service providers must adapt to the changing market dynamics and compete between government and private hospitals whose numbers are always increasing in the Jember Region. This competition is greatly influenced by technological advances, increasing public awareness of the importance of health and the quality of medical services and regulatory changes. This study aims to test and analyze the effect of trust and brand image on patient loyalty with patient satisfaction as an intervening variable at Level III Baladhika Husada Hospital, Jember . The population in this study were all outpatients from Level III Baladhika Husada Hospital, Jember, recorded in August 2024, namely 226 people. Sampling was carried out using purposive sampling. Data analysis and structural equation modeling using Warp PLS 7.0 software. The results of the study prove that trust and brand image have a positive and significant effect on patient satisfaction at Level III Baladhika Husada Hospital, Jember. Trust and brand image have a positive and significant effect on loyalty to patients at Level III Baladhika Husada Hospital, Jember. Patient satisfaction has a positive and significant effect on loyalty to patients at Level III Baladhika Husada Hospital, Jember. III Baladhika Husada Jember. Brand trust has a positive but insignificant effect on loyalty through patient satisfaction in Level III Baladhika Husada Jember Hospital. Brand Image has a positive and significant effect on loyalty through patient satisfaction in Level III Baladhika Husada Jember Hospital.
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S. G. Koustas, T. Reichenstein, S. J. Oks, J. Fuchs, and K. M. Möslein, “Demonstrating industrial smart product-service systems: Industry 4.0 maturity through stakeholder-oriented development and testing,” Procedia CIRP, vol. 120, pp. 1268–1273, 2023, doi: 10.1016/j.procir.2023.09.161.
A. Parasuraman, V. A. Zeithaml, and L. L. Berry, “SERQUAL: A Multiple-Item scale for Measuring Consumer Perceptions of Service Quality,” J. Retail., vol. 64, no. 1, pp. 13–40, 1988, doi: 10.1016/S0148-2963(99)00084-3.
and H. Cronin, Brady, “Assessing the Effects of Organizational Culture on Organizational Performance: A Multiple-Item Approach,” 2000.
R. L. Oliver, “Whence Consumer Loyalty?,” J. Mark., vol. 63, p. 33, 1999, doi: 10.2307/1252099.
J. Frederick F. Reichheld and W. Earl Sasser, “Zero Defections: Quality Comes to Services,” 1990.
P. M. Pereira et al., “Protective Effects of a synthetic glycosaminoglycan mimetic (OTR4132) in a rat immunotoxic lesion model of septohippocampal cholinergic degeneration,” Glycoconj. J., vol. 39, no. 1, pp. 107–130, 2022, doi: 10.1007/s10719-022-10047-x.
A. Durmuş and M. Akbolat, “The Impact of Patient Satisfaction on Patient Commitment and the Mediating Role of Patient Trust,” J. Patient Exp., vol. 7, no. 6, pp. 1642–1647, Dec. 2020, doi: 10.1177/2374373520967807.
X. Chen, W. Zhao, J. Yuan, W. Qin, Y. Zhang, and Y. Zhang, “The Relationships Between Patient Experience with Nursing Care, Patient Satisfaction and Patient Loyalty: A Structural Equation Modeling,” Patient Prefer. Adherence, vol. 16, no. October, pp. 3173–3183, 2022, doi: 10.2147/PPA.S386294.
S. Kwan Soo Shin, F. E. Amenuvor, R. Basilisco, and K. Owusu-Antwi, “Brand Trust and Brand Loyalty: A Moderation and Mediation Perspective,” Curr. J. Appl. Sci. Technol., no. November, pp. 1–17, 2019, doi: 10.9734/cjast/2019/v38i430376.
Selvia, “PENGARUH BRAND IMAGE, BRAND TRUST, BRAND SATISFACTION TERHADAP BRAND LOYALTY PADA E-WALLET GOPAY,” Angew. Chemie Int. Ed. 6(11), 951–952., vol. 1, no. April, 2024.
A. O. Trisno and M. P. Berlianto, “The Effect of Perceived Value, Brand Image, Satisfaction, Trust and Commitment on Loyalty at XYZ Hospitals, Tangerang,” J. Manaj. Kesehat. Indones., vol. 11, no. 1, pp. 22–33, 2023, doi: 10.14710/jmki.11.1.2023.22-33.
F. Alimbel and Y. Sutarso, “The effect of quality, value and trust on brand loyalty in domestic courier services,” J. Bus. Bank. , vol. 13, no. 1, p. 139, 2023, doi: 10.14414/jbb.v13i1.3893.
S. Khu and S. Sukesi, "Analysis of the Effect of Brand Experience on Brand Loyalty Through Brand Satisfaction and Brand Trust in Wakoel Rempah Restaurant Surabaya," Ekspektra J. Bisnis and Manaj. , vol. 4, no. 1, pp. 65–83, 2020, doi: 10.25139/ekt.v4i1.2656.
MN Ihsan and B. Sutedjo, “The influence of brand image and brand trust on consumer satisfaction and its impact on repurchase intention,” Econ. Forum. , vol. 24, no. 1, pp. 170–176, 2022, doi: 10.30872/jfor.v24i1.10586.
U. Abbas, K. M. A. Islam, S. Hussain, M. Baqir, and N. Muhammad, “Impact of Brand Image on Customer Loyalty With the Mediating Role of Customer Satisfaction and Brand Awareness,” Int. J. Mark. Res. Innov., vol. 5, no. 1, pp. 1–15, 2021, doi: 10.46281/ijmri.v5i1.987.
R. Pramudita, S. Chamidah, and D. W. Wahyuningsih, “Pengaruh Brand Image, Brand Trust dan Brand Satisfcation Terhadap Brand Loyalty Pengguna Marketplace Tokopedia,” ISOQUANT J. Ekon. Manaj. dan Akunt., vol. 6, no. 2, pp. 238–248, 2022, doi: 10.24269/iso.v6i2.1243.
S. Kantoni, “The effect of digital marketing on the performance of SMEs in Indonesia,” 2023.
A. A. Asnawi, Z. Awang, A. Afthanorhan, M. Mohamad, and F. Karim, “The influence of hospital image and service quality on patients’ satisfaction and loyalty,” Manag. Sci. Lett., vol. 9, no. 6, pp. 911–920, 2019, doi: 10.5267/j.msl.2019.2.011.
W. G. Prabjit, Cynthia Viorenza Salim, Annisya Kusumawardhani, “Impact of service quality on in-patients’ satisfaction, perceived value, and customer loyalty: A mixed-methods study from a developing country,” PLoS One, vol. 9, no. 2, pp. 1–10, 2021, doi: 10.2147/PPA.S333586.
R. Agarwal and S. Dhingra, “Factors influencing cloud service quality and their relationship with customer satisfaction and loyalty,” Heliyon, vol. 9, no. 4, p. e15177, 2023, doi: 10.1016/j.heliyon.2023.e15177.
Abdul Subhan, AF Firdaus, and Mukhamad Najib, "The Influence of Islamic Service Quality and Trust on Customer Satisfaction and Intention in Reusing the Services in the Implementation of Umrah and Special Hajj Pilgrimage," J. Ekon. Sharia Theory. and Applied. , vol. 10, no. 3, pp. 275–289, 2023, doi: 10.20473/vol10iss20233pp275-289.
Calvin Feliks Cantona and Meilisa Alvita, “The Influence of Brand Image and Brand Trust on Customer Loyalty at Shopee with Customer Satisfaction as an Intervening Variable,” GEMILANG J. Manaj. and Account. , vol. 4, no. 3, pp. 73 –86, 2024, doi: 10.56910/gemilang.v4i3.1535.
Y. Zhang, M., dan Wang, “Exploring the Relationship Between Brand Experience and Brand Loyalty: The Mediating Role of Brand Satisfaction,” J. Bus. Res.
Adam Apriansyah and Andi Hidayat Muhmin, “The Influence of Brand Image and Trust Brand Againts Xiaomi Brand Loyalty Throught Customer Satisfaction,” Int. J. Asian Bus. Manag., vol. 2, no. 2, pp. 117–128, 2023, doi: 10.55927/ijabm.v2i2.3834.
A. R. Osman, M. H. Raihan Joarder, K. Hoque, and Jakowan, “Student engagement, brand image and loyalty relationships: The mediating role of student satisfaction,” J. Educ. e-Learning Res., vol. 11, no. 2, pp. 311–321, 2024, doi: 10.20448/jeelr.v11i2.5553.
R. M. Morgan and S. D. Hunt, “The Commitment-Trust Theory of Relationship Marketing,” J. Mark., vol. 58, no. 3, p. 20, 1994, doi: 10.2307/1252308.
P. H. Chadwick and I. R. McGowan, “Determination of plutonium and uranium in mixed oxide fuels by sequential redox titration,” Talanta, vol. 19, no. 11, pp. 1335–1348, 1972, doi: 10.1016/0039-9140(72)80130-9.
D. A. Aaker, “Managing brand equity: Capitalizing on the value of a brand name.” 1991.
E. Garbarino and M. S. Johnson, “The different roles of satisfaction, trust, and commitment in customer relationships,” J. Mark., vol. 63, no. 2, pp. 70–87, 1999, doi: 10.2307/1251946.
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