This study explores the influence of patient characteristics and the implementation of Minimum Service Standards (SPM) on patient satisfaction, with the quality of health services as a mediating variable, at the Bluto Health Center, Sumenep Regency. Using an explanatory quantitative approach, data from 44 respondents were analyzed using Structural Equation Modeling Partial Least Squares (SEM-PLS). The results showed that patient characteristics and SPM had a significant positive effect on the quality of health services, with path coefficients of 0.471 (p = 0.010) and 0.398 (p = 0.017), respectively. However, patient characteristics and SPM did not have a significant direct effect on patient satisfaction, with path coefficients of 0.106 (p = 0.517) and 0.018 (p = 0.907), respectively. In contrast, the quality of health services had a significant positive effect on patient satisfaction (path coefficient 0.757; p = 0.000). Indirectly, patient characteristics (path coefficient 0.356; p = 0.031) and SPM (path coefficient 0.301; p = 0.025) have a significant positive effect on patient satisfaction through the quality of health services. These results emphasize the importance of the quality of health services as a significant mediating factor. Improving the quality of services is the key to optimizing patient satisfaction through the implementation of SPM and adjustments to patient characteristics.
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