Faktor-Faktor yang Mempengaruhi Loyalitas Warga Lokal Batam terhadap Rumah Sakit di Singapura
Keywords:
Niat Kunjungan Ulang, Kepercayaan Pasien, Kepuasan, Citra Rumah Sakit, Kualitas MedisAbstract
Penelitian ini bertujuan mengidentifikasi dan menganalisis faktor-faktor yang memengaruhi niat warga lokal Batam untuk berkunjung kembali ke rumah sakit di Singapura. Dalam konteks globalisasi layanan kesehatan, variabel persepsi citra rumah sakit dan kualitas medis, pemasaran relasional, kepuasan, serta kepercayaan diuji sebagai determinan utama intensi kunjungan ulang. Penelitian menggunakan pendekatan kuantitatif berbasis survei dengan teknik purposive sampling terhadap 303 responden warga Batam yang pernah menerima layanan medis di Singapura. Analisis data dilakukan menggunakan Structural Equation Modeling (SEM). Hasil penelitian menunjukkan bahwa citra rumah sakit dan kualitas medis serta kepuasan pasien berpengaruh positif dan signifikan terhadap kepercayaan, sementara pemasaran relasional memiliki pengaruh yang lebih moderat. Kepercayaan terbukti berperan sebagai mediator utama yang menjembatani pengaruh kepuasan, kualitas layanan, dan pemasaran relasional terhadap niat kunjungan ulang. Secara teoretis, penelitian ini memperkaya literatur pemasaran layanan kesehatan dengan menegaskan peran trust sebagai mekanisme psikologis kunci dalam membentuk loyalitas pasien lintas negara. Secara praktis, temuan ini memberikan dasar strategis bagi rumah sakit di Singapura untuk mengembangkan pendekatan berbasis pengalaman pasien dan hubungan jangka panjang.
References
Adella, P., & Nurjanah, L. (2022). The Effect of Green Purchase Intentions on Intention to Buy Environmentally Friendly Straws in Batam City. ECo-Buss, 5(1), 159–174. https://doi.org/10.32877/eb.v5i1.342
Bilal, M., Zhang, Y., Cai, S., Akram, U., & Luu, N. T. M. (2023). Unlocking luxury purchase intentions in China: A study of consumer attitude, perceived value, and the moderating effect of perceived enjoyment. Acta Psychologica, 240, 104048. https://doi.org/10.1016/j.actpsy.2023.104048
Cham, T.-H., Lim, Y.-M., Sia, B.-C., Cheah, J.-H., & Ting, H. (2021). Medical Tourism Destination Image and its Relationship with the Intention to Revisit: A Study of Chinese Medical Tourists in Malaysia. Journal of China Tourism Research, 17(2), 163–191. https://doi.org/10.1080/19388160.2020.1734514
Cham, T. H., Lim, Y. M., & Sigala, M. (2022). Marketing and social influences, hospital branding, and medical tourists' behavioural intention: Before‐and after‐service consumption perspective. International Journal of Tourism Research, 24(1), 140-157.
Chitthanom, C. (2020). RELATIONSHIPS AMONG MEDICAL ACTIVITY PERCEIVED FUNCTIONAL VALUES, SATISFACTION TRUST, AND REVISIT INTENTION IN MEDICAL TOURISM: A CASE STUDY ON CLMV TOURISTS IN THAILAND. ABAC Journal, 40, 54–77. https://api.semanticscholar.org/CorpusID:224910099
Dhisasmito, P. P., & Kumar, S. (2020). Understanding customer loyalty in the coffee shop industry (A survey in Jakarta, Indonesia). British Food Journal, 122(7), 2253–2271. https://doi.org/10.1108/BFJ-10-2019-0763
Febiola, B., Donal Mon, M., & Setyawan, A. (2024). The influence of discipline and allowances on employee performance through job satisfaction as a mediating variable evidence. Jurnal Manajemen Dan Pemasaran Jasa, 17(1), 117–134. https://doi.org/10.25105/jmpj.v17i1.19084
Fernandes, N., Lim, J., Raymond, R., Eddison, T., & Hasan, G. (2023). Dampak Customer Relationship Management (CRM) Terhadap Kinerja Perusahaan di Tiga Segmen (Keuangan, Pemasaran dan Operasional). Jurnal Minfo Polgan, 12(1), 453–460. https://doi.org/10.33395/jmp.v12i1.12431
Fida, B. A., Ahmed, U., Al-Balushi, Y., & Singh, D. (2020). Impact of Service Quality on Customer Loyalty and Customer Satisfaction in Islamic Banks in the Sultanate of Oman. Sage Open, 10(2). https://doi.org/10.1177/2158244020919517
Fook, T. N., Peng, L. M., & Mun, Y. W. (2024). Hospital brand image and trust leading towards patient satisfaction: medical tourists’ behavioural intention in Malaysia. Healthcare in Low-Resource Settings, 12(2).
Hair, J. F., Hult, G. T., Ringle, C., & Sarstedt, M. (2017). A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM) - Joseph F. Hair, Jr., G. Tomas M. Hult, Christian Ringle, Marko Sarstedt. In Sage.
Hair Jr, J. F., Hult, G. T. M., Ringle, C. M., Sarstedt, M., Danks, N. P., & Ray, S. (2021). Evaluation of the structural model. In Partial least squares structural equation modeling (PLS-SEM) using R: A workbook (pp. 115-138). Cham: Springer International Publishing.
Huang, I. C., Du, P. L., Lin, L. S., Liu, T. Y., Lin, T. F., & Huang, W. C. (2021). The effect of perceived value, trust, and commitment on patient loyalty in Taiwan. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 58, 00469580211007217.
Irhamni, E., & Yaniawati, P. (2023). Pengaruh Brand Image, Perceived Of Service Quality, Dan Trust Terhadap Minat Kunjungan Pasien Rawat Jalan di UPT Puskesmas Sale Rembang Jawa Tengah. Innovative: Journal Of Social Science Research, 3(6), 6148-6159.
Itan, I., Laudeciska, L., Karjantoro, H., & Chen, R. (2023). Corporate Governance and Environmental Disclosure: Assessing The Role of Environmental Performance. Riset Akuntansi Dan Keuangan Indonesia, 8(2), 132–144. https://doi.org/10.23917/reaksi.v8i2.2457
Kompas.id (2024). Ramai-ramai berobat ke luar negeri saat layanan kesehatan dalam negeri tak sesuai harapan. Diakses dari: https://www.kompas.id/artikel/ramai-ramai-berobat-ke-luar-negeri-saat-layanan-kesehatan-dalam-negeri-tak-sesuai-harapan
Kompasiana.com (2024). Medical Tourism lebih baik berobat di luar negeri daripada Indonesia. Diakses dari: https://www.kompasiana.com/kertasputihkastrat/6717c5f5ed641559492215a2/medical-tourism-lebih-baik-berobat-du-luar-negeri-daripada-indonesia?page=all&page_images=4
Kristiyono, Y. R. (2022). PENGARUH WEBSITE QUALITY, KESADARAN FASHION, PERCEIVED PRODUCT QUALITY, DAN PROGRAM SHOPEE AFFILIATES TERHADAP PENINGKATAN PEMBELIAN IMPULSIF PADA PENGGUNA E-COMMERCE SHOPEE. Jurakunman (Jurnal Akuntansi Dan Manajemen), 15(2), 196. https://doi.org/10.48042/jurakunman.v15i2.145
Li, L., Zhang, Q., Zhu, L., Zeng, G., Huang, H., Chen, Z., ... & Lu, Z. (2025). Patients’ loyalty to primary care institutions and associated factors in China: a cross-sectional study. BMC Health Services Research, 25(1), 162.
Liu, S., Li, G., Liu, N., & Hongwei, W. (2021). The impact of patient satisfaction on patient loyalty with the mediating effect of patient trust. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 58, 00469580211007221.
Mahmud, Md. S., Rahman, Md. M., Lima, R. P., & Annie, E. J. (2021). Outbound medical tourism experience, satisfaction and loyalty: lesson from a developing country. Journal of Hospitality and Tourism Insights, 4(5), 545–564. https://doi.org/10.1108/JHTI-06-2020-0094
Mohd Isa, S., Lim, G. S. S., & Chin, P. N. (2019). Patients’ intent to revisit with trust as the mediating role: lessons from Penang Malaysia. International Journal of Pharmaceutical and Healthcare Marketing, 13(2), 140–159. https://doi.org/10.1108/IJPHM-10-2017-0056
Nisa, K. F., Dompak, T., & Lodan, K. T. (2024, September). Perbandingan Sistem Pelayanan Kesehatan Di Indonesia Dan Di Singapura. In Prosiding Seminar Nasional Ilmu Sosial Dan Teknologi (SNISTEK) (Vol. 6, pp. 72-77).
Nurjanah, L., & Adeline, A. (2023). Analisis Faktor-faktor yang Mempengaruhi Repurchase Intention pada Minuman Boba di Kalangan Generasi Z Kota Batam. REVITALISASI: Jurnal Ilmu Manajemen, 12(2), 227–233.
Nurjanah, L., & Limanda, K. Y. (2024). Analisis Pengaruh Influencer dan EWOM terhadap Minat Beli Skincare pada Generasi Z di Kota Batam: Peran Mediasi Brand Image. Jurnal Manajemen Bisnis Dan Keuangan, 5(1), 117–133. https://doi.org/10.51805/jmbk.v5i1.195
Nurjanah, L., & Napitupulu, R. B. (2023). Peran Market Orientation, Learning Orientation, Strategic Agility, Strategic Planning, dan Customer Relationship, dengan Innovation sebagai Variabel Mediasi. Journal of Management and Bussines (JOMB), 5(1), 130–158. https://doi.org/10.31539/jomb.v5i1.4927
Pandey, M., & Yadav, P. S. (2023). Understanding the role of individual concerns, attitude, and perceived value in green apparel purchase intention; the mediating effect of consumer involvement and moderating role of generation Z&Y. Cleaner and Responsible Consumption, 9, 100120. https://doi.org/10.1016/j.clrc.2023.100120
Pighin, M., Alvarez-Risco, A., Del-Aguila-Arcentales, S., Rojas-Osorio, M., & Yáñez, J. A. (2022). Factors of the Revisit Intention of Patients in the Primary Health Care System in Argentina. Sustainability, 14(20), 13021. https://doi.org/10.3390/su142013021
Purwianti, L., Nuzula Agustin, I., Melodya, D., Erlin, E., Erni, E., Maggie, M., & Meliana, M. (2023). Analisa Pengaruh Service Quality, Price, Satisfaction, Trust, dan Product Quality terhadap Customer Loyalty Pada UMKM Morning Bakery Di Kota Batam. Jurnal Sains Dan Teknologi, 4(3), 148–158. https://doi.org/10.55338/saintek.v4i3.1029
Putit, L., Abdullah, M. F., & Suki, A. A. (2021). Driving Relationship Marketing Tactics towards Customer Loyalty Building: The Mediating Effect of Commitment and Trust. International Journal of Academic Research in Economics and Management Sciences, 10(1), 158–175. https://doi.org/10.6007/ijarems/v10-i1/9655
Rahman, M. S., Bag, S., Hassan, H., Hossain, M. A., & Singh, R. K. (2022). Destination brand equity and tourist’s revisit intention towards health tourism: an empirical study. Benchmarking: An International Journal, 29(4), 1306–1331. https://doi.org/10.1108/BIJ-03-2021-0173
Sancar, B., & Dogan Aktas, A. B. (2025). The effect of missed care on the nursing image perceived by patients and their trust relationships with nurses. International Nursing Review, 72(3), e13053.
Shie, A. J., Huang, Y. F., Li, G. Y., Lyu, W. Y., Yang, M., Dai, Y. Y., ... & Wu, Y. J. (2022). Exploring the relationship between hospital service quality, patient trust, and loyalty from a service encounter perspective in elderly with chronic diseases. Frontiers in public health, 10, 876266.
Slavik, S., Hanak, R., & Misunova Hudakova, I. (2020). Natural and Generic Strategies of Start-ups and Their Efficiency. Journal of Competitiveness, 12(2), 125–148. https://doi.org/10.7441/joc.2020.02.08
Sugiyono. (2021). Metode Penelitian Kualitatif, Kuantitatif, dan R&D. Bandung: Alfabeta.
Tempo.co (2024). Jokowi sebut RI Kehilangan Devisa Rp180 Triliun karena masyarakat pilih berobat ke luar negeri. Diakses dari: https://www.tempo.co/ekonomi/jokowi-sebut-ri-kehilangan-devisa-rp-180-triliun-karena-masyarakat-pilih-berobat-ke-luar-negeri--65166
Thomas, F. B. (2022). The role of purposive sampling technique as a tool for informal choices in a social Sciences in research methods. Just Agriculture, 2(5), 1-8.
Wu, Q., Jin, Z., & Wang, P. (2022). The relationship between the physician-patient relationship, physician empathy, and patient trust. Journal of general internal medicine, 37(6), 1388-1393.
Yacob, S., Febrida, N., Aurora Lubis, T., & Laras Sabrina, H. (2024). Prilaku Wisata Medis: Konsep dan Implementasi.
Yosep, A. P., & Ayunda, R. (2021, March). Analisa Perbandingan Hukum Mengenai Pengaturan Rumah Sakit Di Indonesia Dan Singapura. In CoMBInES-Conference on Management, Business, Innovation, Education and Social Sciences (Vol. 1, No. 1, pp. 357-363).
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