THE EFFECT OF BRAND IMAGE AND SERVICE QUALITY ON LOYALTY THROUGH PATIENT SATISFACTION AS AN INTERVENING VARIABLE AT CLINIC A IN KUDUS CITY (Study at Clinic A in Kudus City, Central Java)
Published:
2026-03-21Downloads
Abstract
This study was conducted due to increasingly fierce competition in the healthcare industry and patients' low tendency to recommend, reuse, and make Clinic A in Kudus City their first choice. The aim was to obtain empirical evidence regarding the influence of brand image and service quality on patient loyalty through patient satisfaction as an intervening variable. The method used was descriptive verification analysis with a quantitative approach. Data were collected through questionnaires distributed to patients at Clinic A in Kudus City. The sample size was determined using Hair's formula, which is five to ten times the number of research indicators. Data analysis was performed using path analysis and the Sobel test to examine the mediating role. The results the analysis show that brand image, service quality, patient satisfaction, and patient loyalty are good. Partially and simultaneously, brand image and service quality have a positive and significant effect on patient satisfaction and loyalty. Patient satisfaction is also proven to mediate the effect of brand image and service quality on patient loyalty. Therefore, Clinic A in Kudus City is advised to continue to improve its brand image and service quality in order to strengthen patient satisfaction and loyalty on an ongoing basis.
Keywords:
brand image service quality patient satisfaction and patient loyaltyReferences
Actavianus, J. R., & Purmono, B. B. (2023). The influence of service quality on loyalty through customer
Asnawi, A., Awang, Z., Afthanorhan, A., Mohamad, M., & Karim, F. J. M. S. L. (2019). The influence of hospital image and service quality on patients’ satisfaction and loyalty. Management Science Letters, 9(6), 911-920.
Asrulla, R., Jailani, M. S., & Jeka, F. (2023). Populasi dan sampling (kuantitatif), serta pemilihan informan kunci (kualitatif) dalam pendekatan praktis. Jurnal Pendidikan Tambusai, 7(3), 26320-26332.
Atmajaya, I. P. O., Negara, G. N. J. A., Santoso, T. P. B., & Junaedi, W. R. (2024). The influence of service quality and brand image on customer satisfaction and customer loyalty at the Pratama Marga Ayu Clinic in Badung, Bali. The Eastasouth Management and Business, 3(01), 151-164.
Cahayani, N. B., Rahim, A. H., & Veranita, M. (2024). Pengaruh Citra Merek dan Kepercayaan Terhadap Loyalitas Pasien Rawat Inap Rumah Sakit Harapan Sehat Slawi. Syntax Literate ; Jurnal Ilmiah Indonesia, 9(11), 6624–6632. https://doi.org/10.36418/syntax-literate.v9i11.50117
Cahyadi, N., S ST, M. M., Joko Sabtohadi, S. E., Alkadrie, S. A., SE, M., Megawati, S. P., ... & Lay, A. S. Y. (2023). Manajemen sumber daya manusia. CV Rey Media Grafika.
Cahyanti, I. G. A. T. D. (2024). The effect of trust and satisfaction on outpatient patient loyalty at Hospital X. Eduvest-Journal of Universal Studies, 4(11), 10773-10783.
Chishti, H., Rauf, R., Iram, T., Saddiq, A. R., Awaiz, D., Yaqoob, A., Farhan Tabassum, M., & Tabassum, M. F. (2023). The impact of hospital brand image on patient loyalty and patient behavioral intention: The mediating role of patient satisfaction. Journal of Namibian Studies: History Politics Culture, 37, 614–637.
Cresswell, J. W. (2014). Research Design: Qualitative, Quantitative and Mixed Methods Approaches (4th ed.). SAGE Publications Sage CA: Los Angeles, CA.
Dachi, A. (2020). Peran mediasi citra merek dalam membentuk hubungan antara kualitas produk terhadap loyalitas pelanggan (Studi pengguna produk telkomsel di kota Bogor). Ecobisma (Jurnal Ekonomi, Bisnis Dan Manajemen), 7(1), 9–19. https://doi.org/10.36987/ecobi.v7i1.1463
Dahlan, A. (2020). Hubungan mutu pelayanan bidan dalam memberikan asuhan sayang ibu terhadap tingkat kepuasan ibu bersalin. Journal of Social and Economics Research, 2(1), 006–022. https://doi.org/10.54783/jser.v2i1.11
Dam, S. M., & Dam, T. C. (2021). Relationships between service quality, brand image, customer satisfaction, and customer loyalty. The Journal of Asian Finance, Economics and Business, 8(3), 585-593.
Daniswara, A., & Rahardjo, S. T. (2023). Pengaruh kualitas produk dan citra merek terhadap loyalitas pelanggan dengan variabel mediasi kepuasan pelanggan. Diponegoro Journal of Management, 12(1).
Darmawan, R., & Tjahjaningsih, E. (2024). Pengaruh Brand image dan Kualitas Produk Terhadap Kepuasan Serta Dampaknya Pada Loyalitas. Costing, 7(5), 1686–1693.
Dayan, M., Al Kuwaiti, I. A., Husain, Z., Ng, P. Y., & Dayan, A. (2022). Factors influencing patient loyalty to outpatient medical services: an empirical analysis of the UAE’s government healthcare system. International Journal of Quality & Reliability Management, 39(1), 176–203.
Edison, E. (2016). Manajemen Sumber Daya Manusia. Bandung: Alfabeta.
Emmanuella, O., & Arianto, R. F. (2024). Pengaruh kualitas pelayanan, kepercayaan pasien dan kepuasan pasien terhadap loyalitas pasien yang dimediasi oleh brand image di klinik Cube Dental. Prepotif: Jurnal Kesehatan Masyarakat, 8(3), 7781-7790.
Fachril, F. (2024). Brand image , Kualitas Layanan , dan Kepuasan Pelanggan : Kunci Loyalitas Masyarakat dalam Layanan Publik. 7(4), 620–627. https://doi.org/10.57178/paradoks.v7i4.1433
Faeni, D. P. (2023). SERVQUAL measures: Indonesian government healthcare (BPJS) from a human resource perspective. Journal of Infrastructure, Policy and Development, 8(2), 2271.
Ghozali. (2018). Aplikasi Analisis Multivariate dengan Program IBM SPSS. (9th ed.). Badan Penerbit Universitas Diponegoro,490.
Gunardi, C. G., & Erdiansyah, R. (2019). Pengaruh citra merek dan kualitas pelayanan terhadap kepuasan pelanggan restoran Mangkok Ku. Prologia, 3(2), 456-463.
Hafid, N. F. (2024). Effect of brand image and customer experience on patients’ satisfaction and mediation role of trust at outpatient installation of RSUD Haji South Sulawesi 2024. Pakistan Journal of Life and Social Sciences, 23(1).
Haryanti, N., & Baqi, D. A. (2019). Strategi Service Quality Sebagai Media Dalam Menciptakan Kepuasan Dan Loyalitas Pelanggan. Journal of Sharia Economics, 1(2), 101–128. https://doi.org/10.35896/jse.v1i2.72
Haryoko, U. B., Pasaribu, V. L. D., & Ardiyansyah, A. (2020). Pengaruh harga Dan kualitas pelayanan terhadap kepuasan konsumen pada firman dekorasi (wedding organizer). POINT: Jurnal Ekonomi Dan Manajemen, 2(1).
Hasibuan, M. (2017). Manajemen sumber daya manusia. Jakarta: Bumi Aksara.
Kosasih, K., & Paramarta, V. (2020). Peningkatan kualitas pelayanan kesehatan dan pengaruhnya terhadap peningkatan kepuasan pasien di puskesmas. Jurnal Soshum Insentif, 67-76. https://doi.org/10.36787/jsi.v3i1.223
Kotler, P., Keller, K. L., & Ang, S. H. (2018). Marketing management: an Asian perspective. Pearson.
Kundu, S., & Datta, S. K. (2018). Impact Of Trust on the Relationship of E-Service Quality and Customer Satisfaction. EuroMed Journal of Business, 34(1), 1–5.
Kurnianto, D., & Kharisudin, I. (2022, February). Analisis jalur pengaruh motivasi kerja, disiplin kerja, kepuasan kerja, lingkungan kerja terhadap kinerja karyawan dengan variabel intervening organizational citizenship behavior. In PRISMA, Prosiding Seminar Nasional Matematika (Vol. 5, pp. 740-751).
Novaryatiin, S., Ardhany, S. D., & Aliyah, S. (2018). Tingkat kepuasan pasien terhadap pelayanan kefarmasian di RSUD Dr. Murjani Sampit: The level of patient satisfaction to pharmaceutical service in Dr. Murjani Hospital Sampit. Borneo Journal of Pharmacy, 1(1), 22–26.
Novitasari, D. (2022). Hospital Quality Service and Patient Satisfaction : How The Role of Service Excellent and Service Quality ? Journal of Information Systems and Management (JISMA), 1(1), 29–36. https://jisma.org/index.php/jisma/article/view/255
Nurazis, E., & Nisa, P. C. (2024). Pengaruh kualitas layanan dan citra merek terhadap loyalitas pelanggan yang dimediasi oleh kepuasan pelanggan. Jurnal Ilmiah Wahana Pendidikan, 10(7), 396-417.
Nurmiwiyati, N., Oktrivina DS, A., Aritonang, M., & Kosasih, K. (2020). Pengaruh ketersediaan obat dan kualitas pelayanan farmasi terhadap kepuasan Dan loyalitas pasien rawat jalan (Studi pada Rumah Sakit Ibu dan Anak PKU Muhammadiyah Cipondoh, Tangerang). Jurnal Surya Medika, 6(1), 32–38. https://doi.org/10.33084/jsm.v6i1.1474
Nyan, L. M., Rockson, S. B., & Addo, P. K. (2020). The Mediation Effect of Customer Satisfaction on the Relationship Between Service Quality and Customer Loyalty. Journal of Management and Strategy, 11(3), 13. https://doi.org/10.5430/jms.v11n3p13
Osei, F., Owusu, A., Kankam-Kwarteng, C., Agyemang, G., & Owusu, J. D. (2024). Shaping patient loyalty through quality care: Analyzing patient satisfaction in public hospitals in Ghana. Applied Quantitative Analysis, 4(2).
Paradilla, M., Nurfitriani, N., & Awawiriam, S. (2022). The Effect of Brand image on Loyalty through General Patient Satisfaction as an Intervening Variable in Makassar City Hospital. Journal of Asian Multicultural Research for Medical and Health Science Study, 3(1), 67–75.
Paramarta, H. V., Kosasih, M. M., Sunarsi, D., & MM, C. (2021). Manajemen Sumber Daya Manusia Teori & Praktik. Cipta Media Nusantara (CMN).
Pasya, A. R. (2024). The mediating effect of patient satisfaction in the effect of service quality on patient loyalty: Patient survey at Hermina hospital bandung pharmacy installation. Return: Study of Management, Economic and Bussines, 3(2), 76-91.
Permadhi, B. M., Maulina, E., & Tresna, P. W. (2024). Analysis of the influence of brand image on customer loyalty using customer satisfaction as an intervening variable case study at the Uni Kapau Jaya Restaurant, Bandung City. International Journal of Science and Society, 6(2).
Poernomo, T. T., & Setyadarma, B. (2021). Pengaruh brand image terhadap loyalitas pelanggan susu sapi murni KUD Mekar Sari, Pujon Malang. Sebatik, 25(1), 221-228.
Pratama, V., & Hartini, S. (2020). The Effect of Perception of Health Care Service Quality on Patient Satisfaction and. Jurnal Manajemen Teori Dan Terapan, 13(3), 234–253.
Rosyida, H. L., Suprapto, S. I., Agusta Dian, & Indasah. (2025). Building Patient Loyalty: The Role of Brand Image and Service Quality in Outpatient Healthcare Revisit Behavior-A Systematic Review. Journal of Applied Nursing and Health, 7(1), 23–34. https://doi.org/10.55018/janh.v7i1.272
Sanggarwati, A. J., & Laily, N. (2023). Pengaruh Brand image Dan Kualitas Pelayanan Terhadap Keputusan Pemilihan Layanan E-Commerce. Jurnal Ilmiah M-Progress, 13(1), 368–382. https://doi.org/10.35968/m-pu.v13i1.1024
Santoso, G. A., & Bernarto, I. (2022). Pengaruh waktu tunggu yang singkat, keterjangkauan harga, dan kualitas pelayanan terhadap kepuasan pasien di Klinik Gigi CDC. JMBI UNSRAT (Jurnal Ilmiah Manajemen Bisnis Dan Inovasi Universitas Sam Ratulangi)., 9(1).
Sari, D. P., & Suryani, L. (2023). Pengaruh kualitas pelayanan terhadap kepuasan masyarakat Pada Kantor Kelurahan Agung Kecamatan Tanjung Kabupaten Tabalong. Japb, 6(2), 1095-1109.
Septianie, I., & Wiyata, M. T. (2020). Pengaruh kemudahan dan kepercayaan terhadap niat pembelian secara online pada platform e-commerce Lazada Indonesia. Winter Journal: IMWI Student Research Journal, 1(1), 73-83.
Septiawan, D. (2025). Budaya Humanis sebagai Strategi Pemasaran di Rumah Sakit Cinta Kasih Tzu Chi: Penguatan Identitas dan Pelayanan Berbasis Nilai. Cakrawala Repositori IMWI, 8(2), 1547–1557. https://doi.org/10.52851/cakrawala.v8i2.789
Setyanto, P., & Arafah, W. (2025). The influence of hospital service quality, hospital service innovation strategy, and therapeutic communication competence of doctors on patient loyalty mediated by trust in a military hospital under the Indonesian Army Health Center. Asian Journal of Economics, Business and Accounting, 25(1), 348–361.
Sibuea, F., & Hardhana, B. (2023). Profil Kesehatan Indonesia 2023 (F. Sibuea & B. Hardhana, Eds.).
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