THE EFFECT OF PATIENT EXPERIENCE AND PROMOTION STRATEGY ON OUTPATIENT LOYALTY WITH WORD OF MOUTH AS A MEDIATING VARIABLE
Published:
2026-07-16Downloads
Abstract
To survive in the increasingly tight healthcare competition, hospitals must maintain clinical and operational service quality to build long-term patient loyalty. This study examines the effect of patient experience and promotion strategies on outpatient loyalty, both directly and indirectly through word of mouth (WOM) as a mediating variable. A purposive sampling technique was used in the data collection process, involving 180 outpatient respondents at RS Sentra Medika Cikarang. Data analysis was performed using Structural Equation Modeling (SEM) based on Partial Least Squares (PLS) via SmartPLS 3.0 software. The test results show that patient experience and promotion strategies are essential aspects that significantly drive positive word of mouth. Furthermore, patient experience and word of mouth have a significant positive direct effect on patient loyalty. In contrast, the promotion strategy does not directly influence patient loyalty. Mediation analysis reveals that word of mouth partially mediates the effect of patient experience on loyalty, while it fully mediates the impact of promotion strategy on patient loyalty.
Keywords:
patient experience promotion strategy word of mouth patient loyaltyReferences
Cahyanti, R., et al. (2023). The Role of Patient Experience in Shaping Attitudinal Loyalty in Healthcare Services. Journal of Health Management, 15(2), 120-134.
El Garem, N., et al. (2024). Clinical and Non-Clinical Touchpoints: Analyzing Patient Experience in Modern Hospitals. International Journal of Healthcare Marketing, 29(1), 45-61.
Enache, Ioan - Constantin. (2011). Marketing Higher Education Using the 7 Ps Framework. Bulletin of the Transilvania University of Brasov, 4(53), No. 1, 24-30.
Fitzsimmons, James A., and Fitzsimmons, Mona J. (2006). Service Management: Operations, Strategy, Information Technology. International Edition. McGraw-Hill.
Ghozali, Imam. (2007). Aplikasi Analisis Multivariate Dengan Program SPSS. Universitas Diponegoro, Semarang.
Kusumadewi, R.N., and Karyono, O. (2019). Impact of Service Quality and Service Innovations on Competitive Advantage in Retailing. Budapest International Research and Critics Institute-Journal (BIRCI-Journal), 366-374.
Muzayanah, S., et al. (2025). Digital Word of Mouth (e-WOM) and Repurchase Intentions in Private Hospital Outpatient Services. Academic Healthcare Review, 11(3), 210-225.
Parasuraman, A., Zeithaml, Valarie A., and Berry, Leonard L. (1985). A Conceptual Model of Service Quality and Its Implications for Future Research. Journal of Marketing, 49, 41-50.
Ruswanti, E., et al. (2020). The Power of Recommendation: How Word of Mouth Drives Patient Retention. Journal of Medical Marketing and Economics, 18(4), 301-315.
Tj, Hery Winoto. (2020). Pengaruh Kualitas Produk dan Harga terhadap Keputusan Pembelian Minuman Bobba yang Dimediasi dengan Strategi Promosi. Jurnal Ilmiah Indonesia, 20(3), 240.
Wahyoedi, Soegeng, and Winoto, Hery. (2018). Pengaruh Religiusitas, Kualitas Layanan Dan Trust Terhadap Loyalitas Nasabah Bank Syariah Di Kota Bogor. Jurnal Riset Ekonomi Dan Manajemen, 17(2), 189.
Winnita, A., et al. (2024). Bridging the Gap: Willingness to Recommend as a Crucial Mediator from Evaluation to Long-Term Loyalty. Journal of Consumer Behavior in Services, 22(1), 78-92.
Wirtz, Jochen, Chew, Patricia, and Lovelock, Christopher. (2013). Essentials of Services Marketing. Second Edition. Pearson.
License
Copyright (c) 2026 Luciawati, Hery Winoto Tj

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


