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All Journal Jurnal Ners Jurnal Kesehatan Masyarakat Indonesian Journal of Global Health Research
Ahmad Lathifi
Universitas Maarif Hasyim Latif
Education Health Professions Medicine & Pharmacology Nursing Public Health

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Analisis Multifaktor Terhadap Pemanfaatan Layanan Gawat Darurat di Rumah Sakit Islam Sakinah Mojokerto Martiana; Ernawati Ernawati; Ahmad Lathifi
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45438

Abstract

This study aims to analyze the influence of facilities, brand awareness, and brand image on the utilization of emergency department services at Sakinah Islamic Hospital Mojokerto, which has experienced a decline in visits since 2018. The research design uses a quantitative observational approach with a cross-sectional method on 122 respondents selected through systematic random sampling from communities within a 3 km radius of the hospital. Data were collected using questionnaires and analyzed using multiple linear regression. The results showed that facilities (p=0.000), brand awareness (p=0.000), and brand image (p=0.002) significantly influenced emergency department utilization with a contribution of 83.4%. Facilities variable was the most dominant factor with a regression coefficient of 0.478, followed by brand awareness (0.431) and brand image (0.158). Efforts to increase emergency department utilization require a comprehensive strategy focusing on improving facility quality, strengthening brand awareness, and building a positive brand image in accordance with the needs and expectations of the community. Keywords: facilities, brand awareness, brand image, emergency department utilization, hospital
Brand Image as a Determinant of Patient Decision-Making in Inpatient Healthcare Utilization Martianawati; Tuffaillah Muawina Nur; Ahmad Lathifi
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i2.25500

Abstract

Healthcare has evolved from provider-centered to consumer-oriented models, making brand image crucial in patient decision-making. However, systematic examination of this relationship in developing country healthcare contexts remains limited. This study investigated how brand image dimensions (corporate identity, physical environment, contact personnel, service offerings, and corporate individuality) influence patient decisions for inpatient services at Nahdlatul Ulama Hospital, Tuban, Indonesia. A quantitative cross-sectional study from January to March 2023 using structured questionnaires from 268 inpatients selected through purposive sampling. Brand image dimensions and patient decision-making were measured using 5-point Likert scales. Analysis included descriptive statistics, Spearman’s correlation, and multiple linear regression. All five dimensions collectively influenced patient decision-making (F=42.990, p<0.001), explaining 45.1% of variance. Bivariate analysis showed significant correlations for all dimensions, with physical environment (rho=0.456, p<0.001) and corporate identity (rho=0.399, p<0.001) strongest. However, multivariate analysis revealed only three dimensions independently influenced decisions: service offerings (β=0.318, p<0.001), contact personnel (β=0.184, p=0.024), and corporate individuality (β=0.115, p=0.030). Brand image significantly influences inpatient healthcare decisions, with service offerings, contact personnel, and corporate individuality most influential. Healthcare facilities should develop comprehensive brand strategies emphasizing service quality, patient-staff interactions, and aligned corporate values, highlighting human elements over physical infrastructure.
Determinant Factors of Inpatient Revisit Intention Based on Service Quality Martianawati Martianawati; Dyas Trina Purnama Sari; Ahmad Lathifi
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2534

Abstract

Hospital services constitute a critical sector within the healthcare system, and the proliferation of hospitals — particularly in Tuban, East Java — has intensified competition among providers. To attract and retain patients, hospitals must deliver high-quality services capable of generating satisfaction. Patient revisit intention, a key indicator of loyalty and hospital sustainability, is substantially shaped by patients’ perceptions of service quality dimensions. Inpatient visits at RS Nahdlatul Ulama (RSNU) Tuban declined over the three-year observation period, while inpatient complaints increased by 20.7% of total hospital complaints in 2021, raising concerns about future patient retention. This study aims to identify determinant factors of inpatient revisit intention based on service quality dimensions at RSNU Tuban. A quantitative cross-sectional design was employed. The study population comprised 911 inpatients, from which 278 participants were recruited through purposive sampling. Data were collected via structured questionnaires whose validity (Pearson product-moment correlation) and reliability (Cronbach's alpha, α = 0.758–0.806) had been confirmed and analysed using univariate, bivariate (Chi-square), and multivariate (binary logistic regression) approaches at a significance level of α = 0.05. Three service quality dimensions — tangibles (p = 0.001), reliability (p = 0.000), and assurance (p = 0.005) — demonstrated statistically significant associations with revisit intention. The assurance dimension exhibited the strongest influence, with the highest odds ratio (OR = 1.401). The responsiveness and empathy dimensions did not reach statistical significance. Tangibles, reliability, and assurance are significant determinants of inpatient revisit intention at RSNU Tuban. Assurance constitutes the most influential dimension, underscoring the importance of patients’ trust, perceived competence, and safety in shaping their willingness to return.
Co-Authors Dyas Trina Purnama Sari Ernawati Ernawati Martiana Martianawati Martianawati Martianawati Tuffaillah Muawina Nur