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
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