<![CDATA[Patient satisfaction in primary healthcare is influenced by accessibility, service integration, and responsiveness, yet their independent contributions remain insufficiently explored in Indonesian public health centers. This study examined the associations between these dimensions and patient satisfaction at UPTD Puskesmas Sangurara, Palu, Indonesia. A quantitative cross-sectional survey involved 200 adult patients recruited through consecutive sampling from February to June 2026. Data were collected using a 20-item, five-point Likert-scale questionnaire and analyzed through descriptive statistics, Pearson correlation, and multiple linear regression using IBM SPSS Statistics. All constructs were rated in the Good category (mean = 3.53–3.71), with satisfactory reliability (Cronbach’s α = 0.862–0.911). Regression results indicated that perceived accessibility (β = 0.181, p = .002), service integration (β = 0.426, p < .001), and responsiveness (β = 0.248, p < .001) significantly and positively predicted patient satisfaction. The model explained 45.4% of satisfaction variance (R² = 0.454, F(3, 196) = 54.35, p < .001). Service integration emerged as the strongest predictor. These findings highlight the importance of coordinated service delivery, accessible care, and responsive personnel in strengthening patient satisfaction within Indonesian primary healthcare facilities.]]>
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