The Role of Patient Satisfaction in Mediating the Influence of Brand Image and Price on Inpatient Decision-Making (Non-JKN Patients): A Case Study

  • I Nyoman Armita Undiknas Graduate School
  • Ida Ayu Oka Martini Undiknas Graduate School
Keywords: brand image, inpatient decision-making, patient satisfaction, price

Abstract

Marketing is one of the core activities that must be undertaken by both goods and service companies, including hospitals. Various hospitals implement different strategies to enhance public trust in their services. This study aims to analyze and explain the mediating role of patient satisfaction in the relationship between brand image and price on inpatient decision-making among non-JKN patients. This study was a quantitative research employing a case study approach, conducted at Siloam Hospital Denpasar. The sample was choshen by purposive sampling. The total number of respondents was 100 non-JKN (non-national health insurance) inpatients. The research instrument used was a questionnaire measuring satisfaction related to brand image and decision-making among non-JKN patients. The analysis technique employed was Structural Equation Modeling (SEM) using the Partial Least Squares (PLS) approach. The R-square value for the influence of brand image and price on patient decision-making was 0.772, indicating a substantial effect (77.2%). This means that brand image and price influence patient decisions by 77.2%, while the remaining 22.8% is influenced by other variables. The R-square value for the influence of brand image and price on patient satisfaction was 0.636, also indicating a strong effect (63.6%), with the remaining 36.4% influenced by other factors. The findings indicate that brand image has a positive and significant influence on the decision-making of non-JKN inpatients at Siloam Hospital Denpasar.

References

Amalia, W. T., & Rizal, A. (2022). Pengaruh brand ambassador, brand image, dan word of mouth terhadap keputusan pembelian mie instan pada remaja. Jurnal Ilmu Manajemen, 10(4), 1227–1236.

Armstrong, G., & Kotler, P. (2002). Dasar-dasar pemasaran (Jilid 1; A. Sindoro & B. Molan, Penerj.). Prenhalindo.

Berry, L. L., Parasuraman, A., & Zeithaml, V. A. (2011). A conceptual model of service quality and its implication for future research. Journal of Marketing, 49(4), 41–50.

Cesariana, C., Juliansyah, F., & Fitriyani, R. (2022). Model keputusan pembelian melalui kepuasan konsumen pada marketplace: Kualitas produk dan kualitas pelayanan (Literature review manajemen pemasaran). Jurnal Manajemen Pendidikan dan Ilmu Sosial, 3(1), 211–224.

Chairunnisa, S. F., Darmawansyah, D., & Palutturi, S. (2022). Pengaruh brand image terhadap keputusan menggunakan pelayanan rawat jalan RSUD Haji Makassar. Hasanuddin Journal of Public Health, 3(2), 179–190.

Farianita, R. (2016). Faktor-faktor yang berhubungan dengan kepuasan peserta BPJS terhadap pelayanan instalasi rawat jalan di Rumah Sakit Tk. III Bhakti Wira Tamtama Semarang (Skripsi tidak dipublikasikan). Universitas Negeri Semarang.

Gitosudarmo, I. (2015). Manajemen pemasaran (Edisi pertama). BPFE.

Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis (7th ed.). Pearson Prentice Hall.

Indrasari, M. (2019). Pemasaran dan kepuasan pelanggan. Unitomo Press.

Jaya, D. L., Melly, D., Innotata, T., & Tamigoes, Y. (2023). Pengaruh bauran harga terhadap keputusan pembelian produk jasa rumah sakit: Literature review. Jurnal Kesehatan Al-Irsyad, 16(1), 104–116.

Johnson, C., & Lee, M. (2011). Prinsip-prinsip pokok periklanan dalam perspektif global. Kencana Prenada Media.

Kotler, P., & Armstrong, G. (2017). Pemasaran (Edisi pertama). Salemba Empat.

Marian, M. T., Ariyah, N. N., Zaky, A., & Yuliana, A. S. (2024). Analisis pengaruh brand image (citra merek) terhadap keputusan pasien dengan pembayaran umum dalam memilih layanan rawat inap. Jurnal Kesehatan Tambusai, 5(4), 10885–10898.

Marpaung, B., & Mekaniwati, A. (2020). Pengaruh kualitas produk, harga, promosi dan pelayanan terhadap kepuasan konsumen serta dampaknya pada keputusan pembelian: Studi pada konsumen alat mesin pengolah kopi di PT. Karya Mitra Usaha. Jurnal Ilmiah Manajemen Kesatuan, 8(1), 29–38.

Nugraha, M., & Sumadi, S. (2020). Pengaruh kualitas pelayanan dan persepsi harga terhadap kepuasan pasien di rumah sakit tipe C Kabupaten Kebumen. Jurnal Ilmiah Ekonomi Global Masa Kini, 11(2), 97–102.

Nurachmah, E. (2005). Asuhan keperawatan bermutu di rumah sakit. Retrieved January 5, 2008, from http://www.fikui.or.id

Otani, K., Waterman, B., Faulkner, K., Boslaugh, S., Dunagan, W. C., & Dunagan, W. C. (2009). Patient satisfaction: Focusing on “excellent”. Journal of Healthcare Management, 54(2), 93–102.

Priansa, D. J. (2017). Perilaku konsumen dalam bisnis kontemporer. Alfabeta.

Sabarguna, B. S. (2004). Quality assurance pelayanan rumah sakit (Edisi kedua). Konsorsium Rumah Sakit Islam Jateng-DIY.

Sukesi, S. (2022). Pengaruh brand image dan kualitas pelayanan pada loyalitas pasien dengan kepuasan pasien sebagai variabel intervening. IDEI: Jurnal Ekonomi & Bisnis, 3(1), 9–21.

Sutiono, K., & Pradiani, T. (2023). Pengaruh harga, promosi dan kualitas pelayanan terhadap keputusan pasien melakukan tindakan medis di Orthopedi Centre RS Eka BSD Tangerang. Jurnal Ekonomi Manajemen dan Bisnis, 4(1), 48–61.

Wijaya, H., Rohendi, A., & Mulyani, K. (2024). Pengaruh kepercayaan, kualitas pelayanan, dan kewajaran harga terhadap kepuasan pasien di Klinik S, Tangerang Selatan. Innovative: Journal of Social Science Research, 4(1), 2446–2457.

Wiyono, G. (2011). Merancang penelitian bisnis dengan alat analisis SPSS 17.0 dan SmartPLS 2.0. Unit Penerbit dan Percetakan STIM YKPN Yogyakarta.

Published
2025-10-01
How to Cite
Armita, I. N., & Martini, I. A. O. (2025). The Role of Patient Satisfaction in Mediating the Influence of Brand Image and Price on Inpatient Decision-Making (Non-JKN Patients): A Case Study. Indonesian Journal of Global Health Research, 7(5), 277-286. https://doi.org/10.37287/ijghr.v7i5.6694