SERVICE QUALITY AND BPJS PATIENT SATISFACTION AT THE MATERNAL AND CHILD HEALTH CLINIC (KIA) OF LEDOKOMBO HEALTH CENTER, JEMBER REGENCY

Authors

  • Dessy Yulianti PGRI Argopuro University Jember, Indonesia
  • Harmawan Teguh Saputra PGRI Argopuro University Jember, Indonesia
  • Hanif Hadinata Utama PGRI Argopuro University Jember, Indonesia

DOI:

https://doi.org/10.31959/jm.v15i2.3764

Abstract

Introduction: This study aims to analyze the relationship between BPJS patient satisfaction and the quality of maternal and child health (KIA) services at the Ledokombo Community Health Center. Patient satisfaction is a crucial indicator in assessing the success of healthcare services, particularly within the National Health Insurance (JKN) scheme implemented through BPJS. The KIA service, as a maternal health service at the community health center, possesses both clinical and interpersonal characteristics that influence patient perceptions of quality and satisfaction.
Methods: This study used a quantitative analytical design with a correlational approach, involving 100 BPJS patients at the KIA Clinic of Ledokombo Community Health Center. Data were collected using a 5-point Likert-scale SERVQUAL questionnaire and analyzed using the Pearson Product-Moment correlation test in SPSS 2025.
Results: The results show that service quality at the MCH clinic is classified as good, with Assurance and Responsiveness as the most prominent dimensions. Patients feel safe, trust healthcare providers, and receive fast and responsive services. A total of 76% of respondents reported being satisfied, although some were moderately satisfied or dissatisfied, particularly regarding communication and personal attention. Pearson analysis indicates a strong and significant positive relationship between service quality and patient satisfaction (r = 0.684; p = 0.000), thus the research hypothesis is accepted.
Conclusion and suggestion: There is a significant relationship between service quality and BPJS patient satisfaction at the MCH clinic. Therefore, increased satisfaction can be achieved by strengthening clinical competence, service speed, and interpersonal communication. It is recommended that community health centers strengthen clinical communication training and optimize maternal service flows.

Keywords: BPJS, KIA, Primary Health Care, Satisfaction, Service Quality

References

Afiyah, N., & Ayuningtyas, D. (2023). Factors Influencing The Implementation Of Health Service Quality Governance In Puskesmas: Systematic Review. Asian Journal of Healthy and Science, 2(3), 130–147. https://doi.org/10.58631/ajhs.v2i3.36

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.

AlOmari, F. (2021). Measuring gaps in healthcare quality using SERVQUAL model: Challenges and opportunities in developing countries. Measuring Business Excellence, 25(4), 407–420. https://doi.org/10.1108/MBE-11-2019-0104

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

Aniharyati, A., Haris, A., Lalu, S., Saimi, S., Menap, M., & Sastrawan, S. (2025). Satisfaction with health services received by patients in regional hospitals using SERVQUAL. International Journal of Public Health Science (IJPHS), 14(3), 1404. https://doi.org/10.11591/ijphs.v14i3.25961

Arifin, F., Yusuf, F. A., & Hardianto, A. M. (2023). The Role of Community Health Center Service Quality and Health Service Facilities on Patient Satisfaction Through Community Health Center Accreditation. Social, Humanities, and Educational Studies (SHES): Conference Series, 6(4). https://doi.org/10.20961/shes.v6i4.82741

Azhari, M. T., Al Fajri Bahri, M. P., Asrul, M. S., & Rafida, T. (2023). Metode penelitian kuantitatif. PT. Sonpedia Publishing Indonesia.

Azlya Fahrezi Muhammad, Purwito Soegeng Prasetijono, & Andhika Dwi Anggara. (2025). Effect of Quality of Health Services and Facilities on Patient Satisfaction at Mulyoharjo Health Center, Pemalang Regency. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 4(2), 587–597. https://doi.org/10.55123/sehatmas.v4i2.5131

Basnet, A., Subedi, B., Bhushal, S., & Baral, K. P. (2023). Utilization of Basic Health Services at Primary Health Care Facilities During COVID-19 Pandemic. Journal of Nepal Health Research Council, 20(3), 645–652. https://doi.org/10.33314/jnhrc.v20i3.3957

Bentum-Micah, G., Ma, Z., Wang, W., Atuahene, S. A., & Bondzie-Micah, V. (2020). Perceived service quality, a key to improved patient satisfaction and loyalty in healthcare delivery: The servqual dimension approach. Journal of Health and Medical Sciences, 3(2). https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3603338

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

Data Puskesmas Ledokombo. (2025). Data Kunjungan Puskemas Ledokombo dari Juni- Desember 2024. Puskesmas Ledokombo.

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.

Emma Thompson & James Moore. (2024). Addressing Health Inequities in Maternal and Child Healthcare In Low-Income Communities. International Journal of Health and Medicine, 1(2), 23–27. https://doi.org/10.62951/ijhm.v1i2.139

Fidorova, Y. & Dinda Febriani. (2023). Analisis Mutu Pelayanan KIA Melalui Peran Kader di Posyandu Mawar Desa Tuntungan I Medan. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 2(2), 380–386. https://doi.org/10.55123/sehatmas.v2i2.1748

Lenk, M. A., LaMantia, S., Oehler, J., Spencer, D., & Sosa, T. (2024). Methods to Increase Reliability in Quality Improvement Projects. Hospital Pediatrics, 14(8), e372–e377. https://doi.org/10.1542/hpeds.2023-007340

Ma, G., & Ma, J. (2022). The Impact of Airport Facility Service Quality on Brand Experience and Passenger Satisfaction: Considering the Mediating Role of Brand Engagement. Future Transportation, 2(2), 501–521. https://doi.org/10.3390/futuretransp2020028

Meiliani, R., Syarvina, W., & Fadhila Rahma, T. I. (2024). Analysis Of The Effectiveness Of Bpjs Health Implementation In Marbau Puskesmas: Balance Between Access And Service Quality. Moneter: Jurnal Keuangan Dan Perbankan, 12(2), 399–407. https://doi.org/10.32832/moneter.v12i2.935

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

Mohammad, I. S., Ariffin, S. S., & Jalil, R. A. (2025). Unveiling the Intangible Impacts of Servicescape on Business Performance: A Qualitative Content Analysis. International Journal of Research and Innovation in Social Science, IX(VII), 2766–2779. https://doi.org/10.47772/IJRISS.2025.907000226

Munawarah, S., Arifin, S., & Febriana, S. K. T. (2023). Examining the Associations between Service Quality, Educational Level, Occupational Background, and Patient Satisfaction in Healthcare Facilities. River Studies, 1(2), 104–118. https://doi.org/10.61848/rst.v1i2.6

Murillo-Del Pezo, V. S., Espinoza-Lainez, J. R., & Quilumba-Sanchez, C. G. (2025). Factores influyentes en la satisfacción del paciente en consulta externa de un hospital público. Innova Science Journal, 3(2), 110–125. https://doi.org/10.63618/omd/isj/v3/n2/58

Ndruru, E. S. C., Asriwati, A., & Subaedah, S. (2024). Analysis of BPJS Patient Satisfaction Level Towards Community Health Center Health Services. Jurnal Keperawatan Priority, 7(2), 160–170. https://doi.org/10.34012/jukep.v7i2.5546

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.

Pelawinta, H. D., G, E., & Nasution, S. L. R. (2022). The Quality of Unit Services Outpatient towards Satisfaction: A Literature Review. Journal of Community Health Provision, 1(3), 7–11. https://doi.org/10.55885/jchp.v1i3.110

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

Prasetiyo, W. G., & Rahayu, M. N. (2025). BPJS Patient Satisfaction: A Systematic Literature Review on Service Quality, Price, and Facility in Indonesian Hospitals. International Journal of Science and Healthcare Research, 10(2), 60–73. https://doi.org/10.52403/ijshr.20250208

Rahmah, R. A., & Basri, M. H. (2024). Analysis of Needs and Service Capacity of BPJS at First-Level Healthcare Facilities in Bandung District. Journal of Indonesian Health Policy and Administration, 9(1), 19. https://doi.org/10.7454/ihpa.v9i1.7949

Rahmannisa, S. N., Aspiranti, T., & Suyanto, R. (2025). Impact of a Tiered Referral System on Outpatient Satisfaction under BPJS Kesehatan: A Case Study at dr. Slamet Regional General Hospital Garut. Journal of Social Science and Business Studies, 3(3), 532–538. https://doi.org/10.61487/jssbs.v3i3.177

Rahmawati, T., & Hsieh, H.-M. (2024). Appraisal of universal health insurance and maternal health services utilization: Pre- and post-context of the Jaminan Kesehatan Nasional implementation in Indonesia. Frontiers in Public Health, 12, 1301421. https://doi.org/10.3389/fpubh.2024.1301421

Restuputri, D. P., Indriani, T. R., & Masudin, I. (2021). The effect of logistic service quality on customer satisfaction and loyalty using kansei engineering during the COVID-19 pandemic. Cogent Business & Management, 8(1), 1906492. https://doi.org/10.1080/23311975.2021.1906492

Rinayati, R., Erawati, A. D., & Wahyuning, S. (2021). Pregnant Women Satisfaction with the Service of the Health Surveillance Officers for KIA Program. Indonesian Journal of Global Health Research, 3(1), 65–72. https://doi.org/10.37287/ijghr.v3i1.361

Samfriati Sinurat, Jagentar Perlindungan Pane, & Juwita Br. Siahaan. (2024). Gambaran Tingkat Kepuasan Layanan Pasien BPJS Di Klinik Pratama Santa Elisabeth Medan Tahun 2023. Jurnal Riset Ilmu Kesehatan Umum Dan Farmasi (JRIKUF), 2(2), 11–19. https://doi.org/10.57213/jrikuf.v2i2.187

Sirait, R. A., & Simatupang, S. I. (2022). Relationship Of Health Service Quality With Bpjs Patient Satisfaction In The Outpatient Unit Lubuk Pakam Grandmed Hospital. JURNAL KEBIDANAN KESTRA (JKK), 4(2), 157–162. https://doi.org/10.35451/jkk.v4i2.1079

Sulisti, H., Naufal, N., Shaliza, F., Rahmawati, R., Safitri, Y., Zulkarnain, R., & Septianawati, D. (2024). Buku Ajar Statistika Dasar. PT. Sonpedia Publishing Indonesia.

Sutoyo, I., & Rusdi, R. (2023). The Relationship between Health Service Quality and Patient Satisfaction at the Labanan Health Center, Teluk Bayur District Berau District. Jurnal Ilmu Kesehatan, 11(1), 48–57. https://doi.org/10.30650/jik.v11i1.3640

Temesgen, S. A., & Netangaheni, T. R. (2025). Quality of maternal healthcare services in public health facilities of Addis Ababa: Documentation, prenatal and postnatal care, and key determinants of service delivery. African Journal of Reproductive Health, 29(8), 15–29. https://doi.org/10.29063/ajrh2025/v29i8.2

Tomar, A., Senapati, S., Borah, N., T. C, U., & Karpe, S. R. (2023). Analyzing the Impact of Healthcare Educational Initiatives on the Quality of Professional Practice. Health Leadership and Quality of Life, 2, 219. https://doi.org/10.56294/hl2023219

Wahyuni, M. (2020). Statistik deskriptif untuk penelitian oleh data manual dan SPSS versi 25. Bintang Pustaka Madani. http://repository.universitaspahlawan.ac.id/1176/1/statistik%20deskriptif.pdf

Yang, F., Goudsmit, M., & Shinkle, G. (2022). Limitations and Future Research Directions. In F. Yang, M. Goudsmit, & G. Shinkle, Managing Multiple Organizational Goals in Turbulent Environments (pp. 177–185). Springer Nature Singapore. https://doi.org/10.1007/978-981-19-5319-4_10

Yuliana Diah, Zulhaida Lubis, & Sri Rahayu Sanusi. (2020). The Health Worker Motivation and Competence in the Utilization of MCH Handbook in Bireuen District. Britain International of Exact Sciences (BIoEx) Journal, 2(1), 286–291. https://doi.org/10.33258/bioex.v2i1.148

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Published

2026-05-05

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