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The Influence of Hospital Brand Image, Sharia Service Standards, and Psychospiritual Factors on Patient Loyalty in Indonesian Sharia Hospitals Fatnan Setyo Hariwibowo; Maya Ariyanti; Maria Apsari Sugiat; Riski Taufik Hidayah
Jurnal Ilmiah Manajemen Kesatuan Vol. 13 No. 6 (2025): JIMKES Edisi November 2025
Publisher : LPPM Institut Bisnis dan Informatika Kesatuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37641/jimkes.v13i6.4353

Abstract

This study examines the impact of hospital brand image, Sharia service standards, and psychospiritual factors on patient loyalty in Sharia hospitals. Sharia hospitals in Indonesia are growing amid demand for Islam-aligned healthcare. Revenue and patients rise yearly but miss targets: 12-15 percent growth versus 20 percent goal, and 5-7 percent versus 15 percent. This signals loyalty issues involving brand image, Sharia quality, religiosity, trust, attitudes, and satisfaction. The aim is to analyze their interactions. Quantitative surveys with purposive sampling target patients from the past three years. Structural Equation Modeling analyzes 315 responses. Results reveal brand image drives Sharia standards; religiosity and trust form attitudes; standards and attitudes build satisfaction, the top loyalty predictor. Direct paths are significant; satisfaction variance is 53.1 percent, and loyalty 34.8 percent, via mediation. Improving brand and Sharia elements raises satisfaction and loyalty for growth targets. Prioritize digital marketing and spiritual care for retention.
Perbuatan Melawan Hukum Akibat Malpraktik Medis dalam Operasi Usus Buntu (Studi Putusan Mahkamah Agung RI Nomor 42 K/Pdt/2018) Fatnan Setyo Hariwibowo; Yani Eka Suryaningsih; Silviana Putri Indraswari
Soepra Jurnal Hukum Kesehatan Vol 11, No 2: Desember ( 2025 )
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/sjhk.v11i2.14204

Abstract

Penelitian ini membahas pertanggungjawaban hukum dokter dalam kasus dugaan malapraktik medis pada operasi usus buntu, dengan studi utama Putusan Mahkamah Agung Republik Indonesia Nomor 42 K/Pdt/2018. Kasus tersebut bermula dari tindakan medis terhadap seorang anak berusia 10 tahun yang dilakukan tanpa pemeriksaan penunjang memadai dan tanpa informed consent yang utuh, sehingga berakhir dengan kebutaan dan kelumpuhan total pasien. Penelitian ini menggunakan metode yuridis normatif dengan pendekatan kualitatif, yang mengkaji peraturan perundang-undangan, kode etik kedokteran, serta doktrin hukum perdata terkait perbuatan melawan hukum (PMH).Hasil penelitian menunjukkan bahwa tindakan dokter dan rumah sakit terbukti melanggar standar profesi, prinsip kehati-hatian, serta kewajiban hukum sebagaimana diatur dalam Pasal 1365 KUHPerdata. Mahkamah Agung menegaskan adanya kelalaian berat (gross negligence) dan menjatuhkan tanggung jawab tanggung renteng kepada para tergugat, termasuk ganti rugi materiil dan immateriil dalam jumlah besar. Putusan ini menjadi preseden penting dalam hukum kesehatan di Indonesia, yang menegaskan bahwa malapraktik medis tidak hanya menimbulkan sanksi etik dan administratif, tetapi juga konsekuensi perdata. Penelitian ini menekankan pentingnya kepatuhan dokter terhadap standar profesi dan kewajiban hukum, serta perlunya penguatan mekanisme pengawasan rumah sakit untuk menjamin perlindungan hukum pasien.Abstract: This study examines the legal liability of physicians in cases of alleged medical malpractice in appendectomy procedures, focusing on the Supreme Court of the Republic of Indonesia Decision No. 42 K/Pdt/2018. The case involved a 10-year-old patient who underwent surgery without adequate diagnostic examinations and without complete informed consent, resulting in blindness and total paralysis. Using a normative juridical method with a qualitative approach, this research analyzes statutory provisions, medical codes of ethics, and civil law doctrines on unlawful acts (onrechtmatige daad). The findings indicate that the physicians and the hospital violated professional standards, prudence principles, and legal obligations under Article 1365 of the Indonesian Civil Code. The Supreme Court ruled that the defendants committed gross negligence and imposed joint liability, including significant compensation for material and immaterial damages. This decision serves as a crucial precedent in Indonesian health law, affirming that medical malpractice entails not only ethical and administrative sanctions but also civil liability. The study highlights the necessity for strict adherence to professional standards and legal duties by physicians, and for hospitals to strengthen internal oversight mechanisms to ensure patient protection and accountability in medical practice.
Effects of an Islamic health education module on spirituality and medication adherence among older adults with chronic diseases: a sequential explanatory mixed-methods study Fatnan Setyo Hariwibowo; Kusbaryanto Kusbaryanto
MEDISAINS: Jurnal Ilmiah Ilmu-Ilmu Kesehatan Vol. 24 No. 2 (2026)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v24i2.24664

Abstract

Background: Medication adherence among older adults with chronic diseases is influenced by clinical, behavioral, psychosocial, and spiritual factors. However, structured health education integrating Islamic spiritual values remains limited in Indonesia. Purpose: This study aimed to evaluate changes in spirituality and medication adherence following an Islamic health education intervention and to explore participants’ experiences of the intervention. Methods: A sequential explanatory mixed-methods design was used, consisting of a single-group pretest–posttest quantitative phase followed by a qualitative phase. The study involved 158 Muslim adults aged ≥60 years with chronic diseases at PKU Muhammadiyah Hospital Temanggung, Indonesia. Spirituality and medication adherence were assessed using the daily spiritual experience scale (DSES) and the eight-item morisky medication adherence scale (MMAS-8), respectively. Sixteen participants were subsequently selected for in-depth interviews. Results: The mean DSES score increased from 48.72±7.84 to 57.91±6.45 (mean difference=9.19; 95% CI: 8.38–10.00; p<0.001; Cohen’s d=1.79). The median MMAS-8 score increased from 5 (IQR: 4–6) to 7 (IQR: 6–8; p<0.001; r=0.28). Qualitative findings indicated that the integration of Islamic values strengthened spiritual meaning, emotional calmness, motivation, and discipline in medication-taking. However, forgetfulness, treatment fatigue, physical limitations, and dependence on family support remained barriers to medication adherence. Conclusion: The Islamic health education module was associated with improvements in spirituality and medication adherence among older adults with chronic diseases.