This research investigates the impact of healthcare service quality and patient satisfaction on the intention to revisit, with patient trust serving as a mediating factor, among inpatients at Ciawi Regional Hospital. Employing a quantitative approach with a causal-comparative design, primary data were obtained from 108 hospitalized respondents through questionnaires. The analysis utilized Partial Least Squares Structural Equation Modeling (PLS-SEM) with SmartPLS version 4.0. Results from the measurement model confirmed that all indicators met the validity and reliability standards, covering convergent and discriminant validity using the Fornell-Larcker criterion, cross-loadings, and the HTMT ratio. Structural model testing revealed strong explanatory capacity, with R-square values of 74.4% for revisit intention and 40.7% for patient trust, alongside predictive relevance indicated by a Q-square value of 0.668. Hypothesis testing showed that both healthcare service quality and patient satisfaction exert significant positive effects on revisit intention and patient trust. Additionally, patient trust itself demonstrated a significant and positive impact on revisit intention. Mediation analysis further established that patient trust significantly mediates the relationship between healthcare service quality, patient satisfaction, and revisit intention. These results reinforce the relevance of the Theory of Planned Behavior within healthcare contexts and emphasize the pivotal role of patient trust in linking service quality and satisfaction to foster revisit intention. Practical implications suggest that Ciawi Regional Hospital should prioritize strengthening service quality and cultivating patient trust as strategies to enhance loyalty and encourage repeat visits.
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