AN EVALUATION OF PATIENT SATISFACTION WITH INPATIENT SERVICES AT UPTD COMMUNITY HEALTH CENTER OF MUMBULSARI, JEMBER REGENCY
DOI:
https://doi.org/10.31959/jm.v15i1.3563Abstract
Introduction: Patient satisfaction is a crucial indicator of healthcare quality, serving as a benchmark for evaluating service performance in primary care institutions. This study examines how SERVQUAL dimensions affect inpatient satisfaction at UPTD Community Health Centers, Mumbulsari, Jember.
Methods: Data were gathered once within a predetermined time frame from patients who had received inpatient care during the preceding three months using a cross-sectional, quantitative strategy. Ninety respondents made up the sample, which was chosen using a combination of purposive and incidental sampling methods and calculated using Ferdinand's formula. The five SERVQUAL dimensions were measured using a standardized questionnaire with a five-point Likert scale. SPSS-supported multiple linear regression was used to examine the data.
Results: The findings showed that tangibles, responsiveness, empathy, and assurance all significantly and favorably impacted patient satisfaction, with assurance being the best predictor. Unexpectedly, there was a strong negative correlation between reliability and satisfaction, meaning that as reliability increased, patient satisfaction decreased. This result may indicate problems with measurement validity or reflect a mismatch with patient expectations. With an Adjusted R2 of 0.819, the regression model showed strong explanatory power, indicating that aspects of service quality had an important impact on patient satisfaction.
Conclusion and suggestion: It is concluded that improving assurance, responsiveness, empathy, and tangibles should be prioritized in service delivery, while the negative reliability effect requires further investigation to refine measurement tools or manage patient expectations. These findings have practical implications for enhancing primary healthcare management, particularly in strengthening staff competence, service responsiveness, and facility standards to increase overall patient trust and satisfaction.
Keywords: Inpatient Care, Patient Satisfaction, Public Health Center, SERVQUAL
References
A’aqoulah, A., Kuyini, A. B., & Albalas, S. (2022). Exploring the Gap Between Patients’ Expectations and Perceptions of Healthcare Service Quality. Patient Preference and Adherence, Volume 16, 1295–1305. https://doi.org/10.2147/PPA.S360852
Adil, A., Liana, Y., Mayasari, R., Lamonge, A. S., Ristiyana, R., Saputri, F. R., Jayatmi, I., Satria, E. B., Permana, A. A., & Rohman, M. M. (2023). Metode Penelitian Kuantitatif dan Kualitatif: Teori dan Praktik. Jakarta: Get Press Indonesia. https://www.researchgate.net/profile/Moh-Rohman-3/publication/377329440_
Agostinho, P., Potra, T., Lucas, P., & Gaspar, F. (2023). The Nursing Practice Environment and Patients’ Satisfaction with Nursing Care in a Hospital Context. Healthcare, 11(13), 1850. https://doi.org/10.3390/healthcare11131850
AJN, American Journal of Nursing. (2022). Safety Concerns of Patients Using Health Care Organizations. 122(6), 16–16. https://doi.org/10.1097/01.NAJ.0000833880.31786.e0
Alabbas, A. M., Alzahrani, F. E., Alsulami, A. A., Almogati, M. W., Alhutayrashi, Y. S., Althobaiti, A. S., Alotaibi, M. M., Alotaibi, M. A., Alofi, A. S., Alsarawani, T. M., Alotaibi, A. N., Allehyani, M. M., Allehyani, M. M., Almatrafi, A. F., Alotaibi, A. O., Almotairi, Y. M., Almalki, H. S., Alrefai, M. S., Aloufi, Y. S., … Albaqami, A. S. (2024). The Effect of Service Quality on Patient Satisfaction at King Faisal Hospital in Saudi Arabia. Journal of Ecohumanism, 3(8). https://doi.org/10.62754/joe.v3i8.4928
Alfiannor, A., Syamsuddinnor, S., & Tusiana, D. (2025). The Influence Of Patient Trust And Service Digitalization On General Patient Satisfaction With Service Quality As An Intervening Variable. Indonesian Financial Management Association (IFMA). http://repository.stimi-bjm.ac.id/id/eprint/11/1/PROSIDING%20INTERNASIONAL%20ALFIANNOR.pdf
Ali, J., Jusoh, A., Idris, N., & Nor, K. M. (2024). Healthcare service quality and patient satisfaction: A conceptual framework. International Journal of Quality & Reliability Management, 41(2), 608–627.
Almomani, R. Z. Q., Al-Ghdabi, R. R., & Banyhamdan, K. (2020). Patients’ satisfaction of health service quality in public hospitals: A PubHosQual analysis. Management Science Letters, 10(8), 1803–1812.
Alshugeer, M., Ministry of Health, Saudi Arabia, Ashiya, A. R., Ministry of Health, Saudi Arabia, Aljawayan, A. A., Ministry of Health, Saudi Arabia, Abuhaimed, R. A., Ministry of Health, Saudi Arabia, Alsuhali, M. B., Ministry of Health, Saudi Arabia, Almuhaesen, T. H., Ministry of Health, Saudi Arabia, Alhassar, M. S. M., Ministry of Health, Saudi Arabia, Aqeeli, A. Y., Ministry of Health, Saudi Arabia, Almgli, I. Z. I., Ministry of Health, Saudi Arabia, Alharthy, N. M., … Ministry of Health, Saudi Arabia. (2024). The Significance of Quality in Health Services Ministry of Health, Saudi Arabia. International Journal of Medical Science and Clinical Research Studies, 04(05). https://doi.org/10.47191/ijmscrs/v4-i05-07
Anderson, S. F., & Lamp, S. J. (2022). Sample Size Planning for Statistical Power and Accurate Estimation. In S. F. Anderson & S. J. Lamp, Psychology. Oxford University Press. https://doi.org/10.1093/obo/9780199828340-0296
Andini, R. Y. N., Nurfikri, A., Shanty, J. D., & Achmadi, N. K. (2023). Analysis of BPJS Health and Non-BPJS Health Patient Satisfaction on Inpatient Services at X Hospital. International Journal of Nursing Information, 2(1), 19–25. https://doi.org/10.58418/ijni.v2i1.42
Arikewuyo, A. O., Eluwole, K. K., & Özad, B. (2021). Influence of Lack of Trust on Romantic Relationship Problems: The Mediating Role of Partner Cell Phone Snooping. Psychological Reports, 124(1), 348–365. https://doi.org/10.1177/0033294119899902
Armiyanti, Y., Mirawati, & Anisah Ardiana. (2024). Relationship Between Patient Satisfaction and Dimensions of Health Service Quality with Revisit Interest of Outpatient in Lumajang Health Center. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 11(3), 301–311. https://doi.org/10.26699/jnk.v11i3.ART.p301-311
Aryani, A. D., Bachtiar, A., & Candi, C. (2024). The Structural Equation Modelling of First Level Health Facilities’ Performance-Based Capitation Payment in National Health Service. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 19(1), 35. https://doi.org/10.21109/kesmas.v19i1.7340
Asari, A., Zulkarnain, & Hartatik. (2023). Pengantar Statistika. PT. Mafy Media Literasi Indonesia.
Azhar, M. S. (2020). The Effect of Customer Relationship Management Factors on Airline Customer Satisfaction [PhD Thesis, Dissertation]. https://etd.uum.edu.my/8870/1/s901485_01.pdf
Azhari, M. T., Al Fajri Bahri, M. P., Asrul, M. S., & Rafida, T. (2023). Metode penelitian kuantitatif. PT. Sonpedia Publishing Indonesia. https://books.google.com/books?hl=id&lr=&id=P7OpEAAAQBAJ&oi=fnd&pg=PP1&dq=metode+kuantitatif&ots=efG4DVuhZ-&sig=VIU9QJyWsT1EXwDoS1I3lSrb3p0
Balaka, M. Y. (2022). Buku Metodologi Penelitian Kuantitatif. Penerbit Widina. https://books.google.com/books?hl=id&lr=&id=KlFmEQAAQBAJ&oi=fnd&pg=PP1&dq=buku+metode+penelitian+arikunto+terbaru&ots=KL0dJwjOwp&sig=IIjOfe1RCQazEqmACjZ8O9LymKo
Bataev, K. M., Surgut City Clinical Polyclinic No. 2, Surgut, Russia, Dyshekov, I. A.-Kh., & Surgut City Clinical Polyclinic No. 2, Surgut, Russia. (2024). Transformation Of The Healthcare System: Investments In Infrastructure And Improving The Quality Of Medical Services. EKONOMIKA I UPRAVLENIE: PROBLEMY, RESHENIYA, 12/18(153), 23–29. https://doi.org/10.36871/ek.up.p.r.2024.12.18.003
Berry, L. L. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), 12–40.
Bouranta, N., Psomas, E. L., & Kafetzopoulos, D. (2025). Integrating online learning into service quality assessment in higher-education its influence on student satisfaction. The TQM Journal, 37(5), 1418–1445.
Creswell, J. W., & Creswell, J. D. (2023). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. SAGE-Publications.
Darmawan, D., Ramadhani, Y. R., Harto, P., Gumilar, E. B., Lusiani, L., Pramayanti, D. I., Arsawan, I. W. E., Wicaksono, G., Nisa, T. F., & Tanwir, T. (2024). Metode penelitian kuantitatif. https://repository.penerbiteureka.com/media/publications/568092-metode-penelitian-kuantitatif-1bd2fc11.pdf
Dimitrios, T. (2021). Measuring patient satisfaction. Nursing Practice Today. https://doi.org/10.18502/npt.v8i2.5118
Dombi, J., & Jónás, T. (2021). Likert Scale-Based Evaluations with Flexible Fuzzy Numbers. In J. Dombi & T. Jónás, Advances in the Theory of Probabilistic and Fuzzy Data Scientific Methods with Applications (Vol. 814, pp. 167–187). Springer International Publishing. https://doi.org/10.1007/978-3-030-51949-0_5
Duli, N. (2020). Metodologi Penelitian Kuantitatif: Beberapa konsep dasar untuk penulisan skripsi & analisis data dengan SPSS. Deepublish. https://books.google.com/books?hl=id&lr=&id=h5RYEQAAQBAJ&oi=fnd&pg=PR5&dq=analisis+data+kuantitatif+dengan+spss&ots=EEOC1k2eDz&sig=BG_MqFMlzegUSbtGhHVRz4zflAg
Edgman-Levitan, S., & Schoenbaum, S. C. (2021). Patient-centered care: Achieving higher quality by designing care through the patient’s eyes. Israel Journal of Health Policy Research, 10(1), 21. https://doi.org/10.1186/s13584-021-00459-9
El-Bassiouni, M. Y., Madi, M., Zoubeidi, T., & Hassan, M. Y. (2012). Developing customer satisfaction indices using SERVQUAL sampling surveys: A case study of Al-Ain municipality inspectors. Journal of Economic and Administrative Sciences, 28(2), 98–108.
Faeni, D. P. (2023). SERVQUAL measures: Indonesian government healthcare (BPJS) from a human resource perspective. Journal of Infrastructure, Policy and Development, 8(2). https://doi.org/10.24294/jipd.v8i2.2271
Febriawati, H., Yandrizal, Y., & Angraini, W. (2022). Service Quality, Satisfaction and Patient Loyalty in Public Health Center of Bengkulu. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 7(1), 29–38. https://doi.org/10.30604/jika.v7i1.757
Gálvez, G., Jimenez, M., Manzanera, R., Ávalos, A., De Castro, M., Moral, I., & Iruela, A. (2024). How do Patients and Managers Value Gold Standard Elements in Primary Health Care. Journal of Patient Experience, 11, 23743735241282702. https://doi.org/10.1177/23743735241282702
Ghozali, I. (2018). Aplikasi analisis multivariete dengan program IBM SPSS 23.
Groenewegen, P. P., Spreeuwenberg, P., Leyland, A. H., De Boer, D., & Boerma, W. (2023). Case-mix adjustments for patient reported experience and outcome measures in primary care: An empirical approach to identify patient characteristics as case-mix adjusters based on a secondary analysis of an international survey among patients and their general practitioners in 34 countries. Journal of Patient-Reported Outcomes, 7(1), 127. https://doi.org/10.1186/s41687-023-00667-8
Hair, J. F. (2009). Multivariate data analysis. https://digitalcommons.kennesaw.edu/facpubs/2925/
Han, H. (2023). Research on Improving the Quality of Rural Medical Services in Shandong Province Based on the SERVQUAL Model. Highlights in Science, Engineering and Technology, 74, 1–8. https://doi.org/10.54097/xekqaq74
Harahap, A. B., G, E., & Nasution, S. L. R. (2022). Quality of Health Services on Outpatient Satisfaction Levels: A Literature Review. Journal of Community Health Provision, 1(3), 12–21. https://doi.org/10.55885/jchp.v1i3.111
Jailani, M. S., & Saksitha, D. A. (2024). Tehnik analisis data kuantitatif dan kualitatif dalam penelitian ilmiah. Jurnal Genta Mulia, 15(2), 79–91.
Jonkisz, A., Karniej, P., & Krasowska, D. (2021). SERVQUAL Method as an “Old New” Tool for Improving the Quality of Medical Services: A Literature Review. International Journal of Environmental Research and Public Health, 18(20), Article 20. https://doi.org/10.3390/ijerph182010758
Jonkisz, A., Karniej, P., & Krasowska, D. (2022). The Servqual Method as an Assessment Tool of the Quality of Medical Services in Selected Asian Countries. International Journal of Environmental Research and Public Health, 19(13), 7831. https://doi.org/10.3390/ijerph19137831
Kamal, A. M., Hubeis, M., & Najib, M. (2022). Strategy for the Development of Patient Services at the YAPIDA Primary Clinic in Gunung Putri, Bogor Regency. Jurnal Ad’ministrare, 9(1), 1. https://doi.org/10.26858/ja.v9i1.32262
Kumar, R., Javia, M., Mehta, H., & Kamlesh. (2023). Assessment of Patient Satisfaction Level with the Services Available in the Inpatient Departments at a Tertiary Care Hospital. International Journal of Advanced Medical and Health Research, 10(2), 85–88. https://doi.org/10.4103/ijamr.ijamr_58_23
Lestari, O. N. P., & Putranto, A. K. D. (2024). Kualitas Pelayanan Kesehatan di Puskesmas Depok I Kabupaten Sleman. PARADIGMA: Jurnal Ilmu Administrasi, 12(2), 103–119.
Lin, Q., Or, C. K., & Zhang, D. (2024). Patients’ Perception of Quality of Outpatient and Inpatient Care in General and Specialized Hospitals. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 68(1), 510–513. https://doi.org/10.1177/10711813241274426
Mabini Jr., S. P., Narsico, L. O., & Narsico, P. G. (2024). Service Quality, Patient Satisfaction, and Improvement Indicators. International Journal of Multidisciplinary: Applied Business and Education Research, 5(4), 1331–1345. https://doi.org/10.11594/ijmaber.05.04.18
Maisarah, S., Kamil, H., Putra, A., . Y., & . R. (2024). Patient Satisfaction in the Inpatient Ward of Aceh Government Hospital: Case Study. International Journal of Advanced Multidisciplinary Research and Studies, 4(2), 181–184. https://doi.org/10.62225/2583049X.2024.4.2.2461
Memon, M. A., Ting, H., Cheah, J.-H., Thurasamy, R., Chuah, F., & Cham, T. H. (2020). Sample Size for Survey Research: Review and Recommendations. Journal of Applied Structural Equation Modeling, 4(2), i–xx. https://doi.org/10.47263/JASEM.4(2)01
Milosavljević, T., Stoičević, N., & Ivanović, D. (2024). Patients’ satisfaction with the quality healthcare services. Биомедицинска Истраживања, 15(1), 1–10. https://doi.org/10.59137/BII202401397M
Mohile, S. G., Epstein, R. M., Hurria, A., Heckler, C. E., Canin, B., Culakova, E., Duberstein, P., Gilmore, N., Xu, H., & Plumb, S. (2020). Communication with older patients with cancer using geriatric assessment: A cluster-randomized clinical trial from the National Cancer Institute Community Oncology Research Program. JAMA Oncology, 6(2), 196–204.
Musy, S. N., Endrich, O., Leichtle, A. B., Griffiths, P., Nakas, C. T., & Simon, M. (2021). The association between nurse staffing and inpatient mortality: A shift-level retrospective longitudinal study. International Journal of Nursing Studies, 120, 103950. https://doi.org/10.1016/j.ijnurstu.2021.103950
Nembhard, I. M., David, G., Ezzeddine, I., Betts, D., & Radin, J. (2023). A systematic review of research on empathy in health care. Health Services Research, 58(2), 250–263. https://doi.org/10.1111/1475-6773.14016
Oliver, R. L. (1980). A Cognitive Model of the Antecedents and Consequences of Satisfaction Decisions. Journal of Marketing Research, 17(4), 460–469. https://doi.org/10.1177/002224378001700405
Parasuraman, A., Zeithaml, V. A., & Berry, L. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. 1988, 64(1), 12–40.
Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1985). A Conceptual Model of Service Quality and Its Implications for Future Research. Journal of Marketing, 49(4), 41–50. https://doi.org/10.1177/002224298504900403
Prakash, P. (2024). Servqual method– A tool for quality assurance in health care. IP Annals of Prosthodontics and Restorative Dentistry, 10(2), 101–105. https://doi.org/10.18231/j.aprd.2024.020
Priyastama, R. (2020). The Book of SPSS: Pengolahan & Analisis Data. Anak Hebat Indonesia. https://books.google.com/books?hl=id&lr=&id=g_HzDwAAQBAJ&oi=fnd&pg=PR3&dq=analisis+data+kuantitatif+dengan+spss&ots=g5E1G4py7U&sig=KTxG0F9QTKfbUGAy4F7DMTQvFi8
Putri, A., Manah, S. N., Supriyadi, S., & Zaharuddin, Z. (2025). The Influence of Promotion and Service Quality on BPJS Patient Satisfaction at Clinic" X". International Journal of Business, Law, and Education, 6(1), 222–229.
Safitri, D., & Siti Ambarwati, D. A. (2024). Exploring Patient Satisfaction with Hospital Services Using SERVQUAL: A Case Study in Bandarlampung Municipality, Indonesia. Journal of Business and Management Review, 5(7), 575–591. https://doi.org/10.47153/jbmr.v5i7.992
Saraiva, A. L., Silva, C. J., Cabral, J., Antunes, J. P., Rama, P., Pinheiro, S. J., & Afreixo, V. (2025). Analysis of Primary Healthcare Indicators. Mathematical and Computational Applications, 30(1), 14. https://doi.org/10.3390/mca30010014
Shodiya, O., Obamiro, J., & Tijani, A. (2024). Facilities Tangibility and Patients’ Satisfaction in Selected Primary Health Centres in Odeda Local Government Area, Ogun State, Nigeria. Southern African Business Review. https://doi.org/10.25159/1998-8125/14593
Sihotang, H. (2023). Metode penelitian kuantitatif. Uki Press. http://repository.uki.ac.id/13063/
Subhaktiyasa, P. G. (2024). Menentukan Populasi dan Sampel: Pendekatan Metodologi Penelitian Kuantitatif dan Kualitatif. Jurnal Ilmiah Profesi Pendidikan, 9(4), 2721–2731.
Sulistinah, A., Soesetijo, A., & Iqbal, M. (2023). The Effect Of Service Quality On Satisfaction Of Low Economic Patient In Jember District Public Health. Jurnal Kesehatan Dr. Soebandi, 11(1), 64–73. https://doi.org/10.36858/jkds.v11i1.400
Susanto, P. C., Arini, D. U., Yuntina, L., Soehaditama, J. P., & Nuraeni, N. (2024). Konsep Penelitian Kuantitatif: Populasi, Sampel, dan Analisis Data (Sebuah Tinjauan Pustaka). Jurnal Ilmu Multidisplin, 3(1), 1–12.
Tech, J. E. T. (2020). The influence of online food delivery service quality on customer satisfaction and customer loyalty: The role of personal innovativeness. Journal of Environmental Treatment Techniques, 8(1), 6–12.
Ubery, Y. F., & Ernawaty, E. (2024). Determinants of Patient Loyalty: A Systematic Review. MAHESA : Malahayati Health Student Journal, 4(9), 4127–4147. https://doi.org/10.33024/mahesa.v4i9.15612
Utami, A. P., Pamungkas, G., Tusrini, W., & Komalaningsih, S. (2024). Hubungan Kualitas Pelayanan Dengan Kepuasan Pasien Jaminan Kesehatan Nasional Di Uptd Puskesmas Garuda Kota Bandung. https://siakad.stikesdhb.ac.id/repositories/400120/4001200026/ARTIKEL.pdf
Vieira, I., Ferreira, D., & Pedro, M. I. (2023). The satisfaction of healthcare consumers: Analysis and comparison of different methodologies. International Transactions in Operational Research, 30(1), 545–571. https://doi.org/10.1111/itor.13098
Wahyuni, S., Widodo, A., & Yulian, V. (2024). Factors Influencing Patient Satisfaction with Nursing Services in the Private Inpatient Health. Interest : Jurnal Ilmu Kesehatan, 36–49. https://doi.org/10.37341/interest.v13i1.630
WHO. (2023). SDG 3.8.1 Coverage of essential health services. https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/service-coverage
Wulandari, R. D., Laksono, A. D., Rohmah, N., Latifah, L., & Ashar, H. (2023). Determine The Target to Increase Primary Healthcare Utilization in Indonesia’s Disadvantaged Areas. Editorial Board Of Indonesian Journal Of Health Administration, 11(2). https://perpus-utama.poltekkes-malang.ac.id/assets/file/jurnal/Desember,_Vol._11_No_._2_(2023)_(1)_compressed_.pdf#page=132
Yağar, F., Sungur, C., & Dökme Yağar, S. (2025). The Relationship among Patient Satisfaction, Patient Loyalty, and Compliance with Treatment. Hospital Topics, 103(3), 145–154. https://doi.org/10.1080/00185868.2023.2266551
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Lutrianingsih, Roro Aditya Novi Wardhani, Harmawan Teguh Saputra

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








