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The Service Quality and Patients’ Willingness to Recommend a Hospital: A Cross-Sectional Analysis of Operational Survey Data Edwin Hafiz; Rachmad Cahyadi; Djazuly Chalidyanto; Elita Novriana Enisa
Journal of Global Research in Public Health Vol. 11 No. 1 (2026): June
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jgrph.v11i1.629

Abstract

Hospital service quality shapes patient experience and recommendations. This study examined the association between perceived service quality and patients' willingness to recommend a hospital. A cross-sectional analysis was conducted using secondary survey data from 306 randomly sampled respondents. Service quality was measured via 11 Likert-type indicators (Cronbach's alpha = 0.813); willingness to recommend was dichotomized (Yes/No). Descriptive statistics and simple binary logistic regression were applied. Most respondents were female (53.59%) and used the BPJS Kesehatan payment pathway (95.10%). The mean service-quality score was 3.80 (SD = 0.29), and 94.12% were willing to recommend the hospital. Logistic regression showed that every 0.1-point increase in the service-quality score was associated with higher odds of willingness to recommend (OR = 1.85; 95% CI = 1.50–2.29; p < 0.001). Perceived service quality significantly predicts recommendation willingness, supporting patient-experience improvement strategies, despite cross-sectional design limitations.
GROUP-BASED HEALTH EDUCATION IN IMPROVING HYPERTENSION CONTROL BEHAVIORS IN COMMUNITIES: A SYSTEMATIC REVIEW Nara Dikna Aditya; Djazuly Chalidyanto; Rika Ramadhani Makatita
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7475

Abstract

Hypertension is a major risk factor for cardiovascular disease and remains one of the leading causes of death worldwide. Despite the availability of effective treatments, poor medication adherence and inadequate self-management continue to hinder optimal blood pressure control. These challenges highlight the need for innovative, community-based strategies to support patients in managing their condition. One such approach is group-based health education, which facilitates shared learning, peer support, and improved patient engagement. This study aimed to evaluate the effectiveness of group-based health education in improving hypertension control behaviors through a systematic review.This review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The PICO framework included adults with hypertension as the population, group-based health education as the intervention, standard care as the comparison, and hypertension control behaviors as the outcomes. These outcomes included reductions in systolic and diastolic blood pressure (SBP and DBP), medication adherence, self-care practices, and overall blood pressure control. Relevant articles were identified through PubMed, Scopus, and Google Scholar using keywords related to hypertension, group education, and community-based interventions. Studies meeting the inclusion criteria were analyzed descriptively. A total of twelve studies, primarily randomized controlled trials from various regions, were included. The findings consistently demonstrated that group-based education significantly improved blood pressure outcomes, adherence, and self-care behaviors. Overall, group-based health education is an effective and sustainable strategy that can be integrated into primary healthcare to enhance long-term hypertension management and patient outcomes.  
Homecare Utilization Funnel among Discharged Patients at University of Airlangga Hospital Elita Novriana Enisa; Djazuly Chalidyanto; Muhammad Ardian Cahya Laksana; Pipit Festi Wiliyanarti
An Idea Nursing Journal Vol. 5 No. 2 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i2.854

Abstract

Background: Although homecare is increasingly recognized as an extension of hospital services, limited evidence exists on the operational pathway from identifying potential patients to the actual utilization of homecare following discharge. Objective: to audit the promotion and utilization funnel of Universitas Airlangga Hospital homecare services among discharged patients from July 2025 to March 2026. Methods: This retrospective descriptive operational audit examined aggregate secondary data from daily homecare operational reports at Universitas Airlangga Hospital between July 2025 and March 2026. The daily report served as the unit of analysis rather than individual patients. Variables included the number of potential homecare patients, documented offer status, willingness responses, realized visits, service-unit origin, and service-category mentions. Data were analyzed descriptively using frequencies, percentages, and utilization ratios Result: Over 181 reporting days, 1,007 potential homecare patients and 235 realized homecare visits were identified, corresponding to 23.3 visits per 100 potential patients. In 2025, documented offer status was available for 121 of 656 potential patients (18.4%), of whom 97 (80.2%) had been offered homecare services. Among those offered, 2 (2.1%) were willing to order the service, 94 (96.9%) were still considering, and 1 (1.0%) declined at initial contact. Offer-response variables were not available in the 2026 reporting format. Physiotherapy or medical rehabilitation accounted for the largest proportion of service-category mentions (60.6%), followed by physician or specialist visits (16.5%). Conclusion: Homecare services at Universitas Airlangga Hospital exhibited substantial post-discharge demand; however, incomplete documentation limited the ability to observe the utilization funnel. Implementing a standardized homecare dashboard integrated with discharge planning could enhance monitoring, follow-up, and evaluation of homecare service utilization.
Co-Authors Achmad Noerkhaerin Putra Achmad Yudi Arifiyanto Achmad Yudi Arifiyanto Ade Nurma Ruditya Ade Nurma Ruditya, Ade Nurma Agung Dwi Laksono Akas Yekti Pulih Asih Alita Dewi Percunda Amen Desina Sari Ana Mariatul Ulfa Annisa Nurida Arif Setiawan Arindani, Farichah Septiana ARIS KURNIAWAN Aris Kurniawan Aris Sujoko Aris Sujoko, Aris Arlina, Launa Inayati AS, Andi Indahwaty Asri, Fusarina Mumpuni Intantyana Auli Fisty Noor Azizah Budhi Setianto Budi Pranoto Cahyadi, Rachmad Dahlui, Maznah Dewi Kusumawati Dewi Retno Suminar Dhamanti, Inge Dyah Yuniati Edwin Hafiz Effita Piscesiana Elida Zairina Elita Novriana Enisa Endang Lestari Ernawaty Ernawaty Eva Firdayanti Bisono Fandaruzzahra Putri Perdani Fany Arsyad Hidayaturachman Fathiyah Rahmah Hadi Masyurrosyidi Hadinata, Immanuel Michael Handayani, Novia Hapsari, Niky Isa Harlin, Ririk Hendra Rakhma Hendrik Santoso Hikmah Ridho Hardyanti Hikmah Ridho Hardyanti, Hikmah Ridho I Gusti Bagus Wiksuana Indana Tri Rahmawati Indira Probo Handini Indira Probo Handini, Indira Probo Indra Gunawan Intantyana Asri, Fusarina Mumpuni Iriandoko, Ossy Wijaya Irwandy Irwandy Ismawantri, Putu Jihan Anfa Kinanti Setyastuti Kristina Dewi Laksana, Muhammad Ardian Cahya Lilik Wijayati Mahmudin, Ahmad Amin Mangilep, Adelia U. Ady Margarita, Livia Marlia Tanaya, Evelyn Martanto, Tri Wahyu Maznah Dahlui Mega Nurmalasari Wira Putri Michael Siswanto Mochammad Bagus Qomaruddin Moh Sholeh moh sholeh, moh Mohammad Hendra Kurniawan Monita Fenny Sudarsono Muhammad Atoillah Isfandiari Muhammad Miftahussurur Mustikawati, Bernadetta Indah Mutiara Sitha Putri Nadya Kumalasari Nara Dikna Aditya Nila Novita Nungky Taniasari Nurhasmadiar Nandini Nuzulul Kusuma Putri Nyoman Anita Damayanti Ongko, Tjindrawati Oskar Renagalih Amarta Ossy Wijaya Iriandoko Ossy Wijaya Iriandoko Paramita, Ristiya Galih Pathak, Yashwant Perdani, Fandaruzzahra Putri Permatasari, Ririn Indah Prayitno, Antonius Adji Rachmad Suhanda Raden Muhammad Ali Satria Raissa Manika Purwaningtias Raissa Manika Purwaningtyas Resty Varia Tutupoho Ria Asti Septianti Rien Rahmi Riandini Rika Ramadhani Makatita Rinanti Rahayunig Bekti Ririk Harlin Ririn Indah Permatasari Riris Diana Rachmayanti Rizmi Novishia Wijaya Rosally, Ruby Rizal Rosyidah Arafat, Rosyidah Ruby Rizal Rosally Saleh, Lalu Muhammad Setyastuti, Kinanti Shely Oktavia Puspita Ningrum Shely Oktavia Puspita Ningrum Siti Fatonah Siti Hunainah Siti Hunainah Soesianingsih , Njoman Oly Sri Ramadany, Sri Stella Herliantine Febreani Sugiyatmi, Tri A. Supangat, Ririn Widyowati Sururut Tazkiyah Terivenna Wijaya Thinni Nurul Rochmah Tumbelaka, Reyner Valiant Umi Kulsum Ummu Kalsum Usman Hadi Wagiyo Wagiyo Warih Kusumaningtyas Widodo J. Pudjirahardjo Widodo Jatim Pudjirahardjo Wijaya , Terivenna Wilianarti, Pipit Festi Windhu Purnomo Yenny Purwanti Yuanasika, Dwiky Yuniati, Dyah