Efforts to Increase Patient Loyalty to Hospitals: A Scoping Review

  • Gazali Gafar Universitas Diponegoro
  • Luky Dwiantoro Universitas Diponegoro
  • Fitria Handayani Universitas Diponegoro
Keywords: efforts to increase loyalty, hospitals, patient loyalty

Abstract

Patient loyalty of some hospitals is at low and medium levels. Hospitals develop strategies to increase patient loyalty. Objective to provide a complete overview of the factors that affect patient loyalty and strategies to improve patient loyalty. This method of scoping review reviewed literature published between 2020 dan 2025 with sources from the Pubmed, ScinceDirect dan Scoupas database. The include studies involved research related to ptient loyalty in hospitals. Focusing on the various strategies and efforts used to increase patient loyalty. From the results of literature search using the Population, Concept, Context (PCC) approach in the PubMed and ScienceDirect databases, with the keywords 'Effort to Increase AND Loyalty', 'Hospital OR Healthcare', and 'Patient AND Loyalty', 1,246 articles were obtained. After going through the identification and selection process using the PRISMA-ScR flow, 12 articles were selected that met the criteria and were used in this study. There are various factors that increase patient loyalty, lncluding: quality of service, patient satisfaction, trust, adn interpersonal relationships between healtcare workers and patients. In addition, there are also various strategies to increase patient loyalty, such as patient-oriented services, improving the skills of helath workers, and the use of information technology. Increasing patient loyalty in hospitals requires a holistic approach, including: information technology, human reasources, quality management and interpersonal between healthcare workers and patiens.

References

Alodhialah, A. M., Almutairi, A. A., & Almutairi, M. (2024). Key Predictors of Patient Satisfaction and Loyalty in Saudi Healthcare Facilities: A Cross-Sectional Analysis. Healthcare (Switzerland), 12(20), 1–16. https://doi.org/10.3390/healthcare12202050

Arab, M., Tabatabaei, S. M. G., Rashidian, A., Forushani, A. R., & Zarei, E. (2012). Ijph-41-71.Pdf. Iran Journal of Public Health, 41(9), 71–77.

Arman, R. A., Pasinringi, S. A., Rivai, F., Sidin, A. I., Irwandy, Saleh, L. M., & Mallongi, A. (2023). The Effect of Service Quality and Patient Satisfaction Toward Patient Loyalty in Special Regional Hospitals of South Sulawesi. In Pharmacognosy Journal (Vol. 15, Issue 3, pp. 443–449). https://doi.org/10.5530/pj.2023.15.99

Arslan, T., Çandereli, Z. Ö., Kitapçi, O. C., Kitapçi, N. Ş., Kiliç Aksu, P., Köksal, L., Özdamar, E. Ö., Yay, M., Ecevit Alpar, Ş., & Mumcu, G. (2022). Do Patient Experiences Have Mediating Roles on Patient Loyalty? Journal of Patient Experience, 9, 1–7. https://doi.org/10.1177/23743735221103027

Balqis, A. N., Maritasari, D. Y., & Rukmana, N. M. (2022). The Relationship Of Patient Service Quality With Revisit Interest In The New Normal Era At Outpatient Poly Of Bhayangkara Hospital Polda Lampung In 2022.

Brandão, A., & Ribeiro, L. (2023). The Impact of Patient Experience on Loyalty in the Context of Medical-Aesthetic Health Services. Journal of Patient Experience, 10, 1–10. https://doi.org/10.1177/23743735231160422

Chen, X., Zhao, W., Yuan, J., Qin, W., Zhang, Y., & Zhang, Y. (2022). The Relationships Between Patient Experience with Nursing Care, Patient Satisfaction and Patient Loyalty: A Structural Equation Modeling. Patient Preference and Adherence, 16(December), 3173–3183. https://doi.org/10.2147/PPA.S386294

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. In International Journal of Quality and Reliability Management (Vol. 39, Issue 1, pp. 176–203). https://doi.org/10.1108/IJQRM-11-2020-0373

Guo, Y., Zhou, Y., Xing, X., & Li, X. (2020). Exploring the relationship between service quality of private hospitals and patient loyalty from the perspective of health service. In Iranian Journal of Public Health (Vol. 49, Issue 6, pp. 1097–1105). https://doi.org/10.18502/ijph.v49i6.3361

Ima Hidayah, & Lyliana Endang Setianingsih. (2023). Analisis Hubungan Persepsi Pasien Tentang Mutu Pelayanan Dengan Loyalitas Pasien Di Rs X. Cakrawala Medika: Journal of Health Sciences, 1(1), 48–55. https://doi.org/10.59981/m699yc05

Kementrian Kesehatan. (2016). Profil Kesehatan.

Kijima, T., Matsushita, A., Akai, K., Hamano, T., Takahashi, S., Fujiwara, K., Fujiwara, Y., Sato, M., Nabika, T., Sundquist, K., Sundquist, J., Ishibashi, Y., & Kumakura, S. (2021). Patient satisfaction and loyalty in Japanese primary care: a cross-sectional study. BMC Health Services Research, 21(1), 1–12. https://doi.org/10.1186/s12913-021-06276-9

Li, L., Zhang, Q., Zhu, L., Zeng, G., Huang, H., Chen, Z., Zhou, X., Wang, X., Xu, Z., Wu, C., Yang, D., Zhai, X., Yang, S., Lu, Z., Gan, Y., & 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. https://doi.org/10.1186/s12913-025-12244-4

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 (United States), 58. https://doi.org/10.1177/00469580211007221

Mai, P. T., Sa, N. P., Luu, T. D., Ly, N. K., & Nguyen, P. D. (2024). Emotional Competence of Healthcare Workers and Its Impact on Patient Loyalty in Vietnamese Hospitals. Health Psychology Research, 12, 1–7. https://doi.org/10.52965/001c.127128

Nguyen, N. X., Tran, K., & Nguyen, T. A. (2021). Impact of service quality on in-patients’ satisfaction, perceived value, and customer loyalty: A mixed-methods study from a developing country. In Patient Preference and Adherence (Vol. 15, pp. 2523–2538). https://doi.org/10.2147/PPA.S333586

Oktavia, S. N., & Prayoga, D. (2023). Kualitas Pelayanan Terhadap Loyalitas Pasien Pada Rumah Sakit Ibu Dan Anak : Literature Review. Jurnal Kesehatan Tambusai, 4(3), 2199–2205. https://doi.org/10.31004/jkt.v4i3.16876

Pratami, J. F., Gaffar, V., Dirgantari, P. D., Furqon, C., & Maryati, M. (2023). Managing Patient Loyalty Through Digital Patient Experience. Journal of Eastern European and Central Asian Research, 10(4), 620–629. https://doi.org/10.15549/jeecar.v10i4.1356

Sari, M. R., Ardiwirastuti, I., & Harviandani, B. S. (2020). Hubungan Kepuasan Pasien dengan Loyalitas Pasien di RSGM IIK Bhakti Wiyata Kediri. Jurnal Wiyata: Penelitian Sains Dan Kesehatan, 7(1), 56–61. http://www.ojs.iik.ac.id/index.php/wiyata/article/view/360%0Ahttps://www.wiyata.iik.ac.id/index.php/wiyata/article/view/360

Setyawan F, Supriyanto S, Ernawaty E, & Lestari R. (2020). Understanding patient satisfaction and loyalty in public and private primary health care. J Public Health Res [revista en Internet] 2020 [acceso 15 de julio de 20123]; 9(2): 1823. 9, 1–4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7376485/

Unal, O., Akbolat, M., & Amarat, M. (2018). The influence of patient-physician communication on physician loyalty and hospital loyalty of the patient. Pakistan Journal of Medical Sciences, 34(4), 999–1003. https://doi.org/10.12669/pjms.344.15136

Wartiningsih, M., Supriyanto, S., Widati, S., Ernawaty, E., & Lestari, R. (2020). Health promoting hospital: A practical strategy to improve patient loyalty in public sector. Journal of Public Health Research, 9(2), 165–168. https://doi.org/10.4081/jphr.2020.1832

Published
2025-08-01
How to Cite
Gafar, G., Dwiantoro, L., & Handayani, F. (2025). Efforts to Increase Patient Loyalty to Hospitals: A Scoping Review. Indonesian Journal of Global Health Research, 7(4), 823-830. https://doi.org/10.37287/ijghr.v7i4.6516

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