The Effect of Quality of Service, Image, and Business Ethics on Satisfaction and Loyality of Patients in Hospitals in Makassar City

  • Aslan Azhari STIE Nobel Indonesia Makassar
  • Basri Modding
  • Ilham Labbase
  • Annas Plyriadi
Keywords: Service Quality, Image, Business Ethics, Patient Satisfaction, Patient Loyalty


Research related to the Effect of Service Quality, Image, and Business Ethics on Patient Satisfaction and Loyalty at Hospitals in Makassar City. This research was conducted which aims to: (1) test and analyze the effect of service quality, image, business ethics on patient satisfaction, (2) test and analyze the effect of service quality, image, business ethics on patient loyalty, (3) test and analyze the effect satisfaction with patient loyalty, (4) test and analyze the indirect effect of service quality, image, and business ethics on patient loyalty through mediating patient satisfaction. This study uses primary data through distributing questionnaires to a total of 203 inpatients as samples from the total number of patients in 2018 totaling 69.337, data collection was carried out from December 2019 to January 2020. Data were analyzed using Structural Equation Modeling (SEM) analysis with program assistance AMOS and SPSS. The results showed that (1) service quality, image, and business ethics had a positive and significant direct effect on patient satisfaction, (2) service quality, image, and business ethics had a positive and significant direct effect on patient loyalty, (3) satisfaction has a positive and not significant direct effect on patient loyalty, (4) an indirect relationship of service quality, image, and business ethics, through mediation satisfaction has a positive and not significant effect on patient loyalty. This means that the provision of good quality services, the application of the hospital's image, and the application of ethical behavior will have a direct role in patient satisfaction and loyalty. Patient satisfaction does not significantly affect patient loyalty due to the existence of a system of tiered referral system which makes it impossible for patients to directly choose the hospital, except in an emergency. Quality of service, image, and business ethics through satisfaction has a positive and not significant effect on patient loyalty. This shows that patient satisfaction is not able to mediate to have a significant influence on patient loyalty.


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A. Azhari. (2019). Effect of Service Quality on Customer Satisfaction in PT. Pawnshop Syariah Tempe Unit Wajo District International Journal of Management Progress Volume 1 Number 1 August 2019

Andreassen, Wallin Tor, Lindestad, Bodil. (1998). The Effect Of Corporate Image In The Formation Of Custumer Loyality. Journal of Service Research, Volume 1. No.1, pg 82-92, Sage Publications, Inc.

Andriasan Sudarso. (2015). Building Customer Loyalty Through Corporate Image, Service Quality, And Word Of Mouth Programs With Customer Value As A Intervening Variable (The Empirical Study at 5 Stars Hotel in North Sumatera). IJABER, Vol. 13, No. 7 (2015): 6105-6126.

Arijanto, Agus. (2011). Business Ethics For Business Actors. Jakarta: PT. Rajagrafindo Persada.

Bambang Hermawan, Salim Basalamah, Asdar Djamereng, Annas Plyriadi. (2017). IRA-International Journal of Management & Social Sciences ISSN 2455-2267; Vol.08, Issue 01 (July 2017) Pg. no. 62-73 Institute of Research Advances. Universitas Muslim Indonesia.

Dick, Alan S, Basu, Kunal. (1994). Customer Loyalty: Toward an Integrated Conceptual Framework Journal of the Academy of Marketing Science. Volume 22, No. 2, pages 99-113. Academy of Marketing Science.

Didit Darmawan, Rahayu Mardikaningsih, Surjo Hadi. (2017). The Effect of Service Quality, Customer Satisfaction and Corporate Image on Customer Loyalty in the banking sector in Indonesia. IOSR Journal of Business and Management (IOSR-JBM) e-ISSN: 2278-487X, p-ISSN: 2319-7668. Volume 19, Issue 11. Ver. VI (November. 2017), PP 46-51.

Dowling, Grahame R. (1988). Measuring Corporate Images: A Review of Alternative Approaches. Journal of Business Research 17.27-34, Elsavier Science Publishing Co., Inc.

Dudung Juhana, Ester Manik, Catleya Febrinella, dan Iwan Sidharta. (2015). Empirical Study On Patient Satisfaction And Patient Loyalty on Public Hospital In Bandung, Indonesia. IJABER, Vol. 13, No. 6 (2015): 4305-4326.

Elfi Sukaisih, Suharyono, Solimun, Djamur Hamid. (2015). Effect of Functional Service Quality on Customer Satisfaction and Image and the Impact on Loyalty Intention (Study at ThreeStar Hotel in Malang City and Batu City). International Journal of Business and Management Invention ISSN (Online): 2319 – 8028, ISSN (Print): 2319 – 801X Volume 4 Issue 2 February. 2015 PP.43-51.

Fauzan, Ida Nuryana, (2014). The Effect of Business Ethics on Customer Satisfaction of H. Slamet's Warung Warung in Malang. Jurnal MODERNISASI, Volume 10, Nomor 1, Februari 2014.

Gronroos, Cristian. (1982). An Applied Service Marketing Theory. European Journal of Marketing 16,7.

Harahap, Sofyan, S. (2011). Business Ethics In Islamic Perspective. Jakarta: Penerbit Salemba Empat.

Hartman, Laura. Dejardins, Joe. (2011). Business Ethics: Decision Making For Personal Integrity and Social Responsibility. Jakarta: Penerbit Erlangga.

Jasfar, Farida. (2005). Service Management. Integrated Approach. First printing . Bogor: Ghalia Indonesia.

Jefrry, Wihartono, (2013). Pengaruh Etika Perilaku Penjual Terhadap Loyalitas Melalui Kepuasan Dan Kepercayaan Pelanggan Pada Dealer Mobil Nissan Basuki Rahmat Surabaya. Jurnal Penelitian.

Kandampully, Jay, Hu, Hsin-Hui. (2007). Do Hoteliers Need To Manage Image To Retain Loyal Customers? International Journal of Contemporary Hospitality Management Vol. 19 No. 6, 2007 pp. 435-443. Emerald Group Publishing Limited.

Kai Chieh Hu, Mei Chieh Huang. (2011). Effects of Service Quality, Innovation and Corporate Image on Customer’s Satisfaction and Loyalty of Air Cargo Terminal. International Journal of Operations Research Vol.8, No. 4, 36-47 (2011).

Keraf, Sonny, (2017). Business Ethics (Demands and Relevance). Yogyakarta: Kanisius Pustaka Filsafat.

Kotler, Philip. & Keller, Kevin Lane, (2007). Marketing Management, Jilid 1. Edisi 12, Terjemahan Benyamin Molan. Indeks. Jakarta.

, (2009). Marketing Management. Volume 1. Issue 13, Jakarta: Erlangga.

Lau, Geok Theng, Lee, Sook Han. (1999). Costumers Trust in a Brand and the Link to Brand Loyality. Journal of Market Focused Management, 4. Pg 341-370.

Lovelock, Christopher, (2008). Pemasaran Jasa, Manusia, Teknologi Dan Strategi. Jakarta: Penerbit Erlangga.

Mahadrizah Mohamad, dan Zainuddin Awang. (2009). Building Corporate Image and Securing Student Loyalty in the Malaysian Higher Learning Industry. The Journal of International Management Studies, Volume 4, Number 1, February, 2009.

Methaq, Ahmed Sallam. (2016). An Investigation of Corporate Image Effect on WOM: The Role of Customer Satisfaction and Trus. International Journal of Business Administration Vol. 7, No. 3; 2016. Najran University, Saudi Arabia.

Muhammad Ishtiaq Ishaqa. (2012). Perceived Value, Service Quality, Corporate Image And Customer Loyalty: Empirical Assessment From Pakistan. Serbian Journal of Management 7 (1) (2012) 25 – 36.

Nasution M.N, (2004). Manajemen Jasa Terpadu. (Total Service Management). Cetakan Pertama. Bogor Selatan: Penerbit Ghalia Indonesia.

Nerdin, Alifah Ratnawati, (2015). Tingkat Costumer Loyality Berbasis Islamic Bisiness Ethic Dan Brand Image. Jurnal Conference in Business, Accounting, and Management. ISSN 2302-9791.Vol.2.No. 1 May 2015.

Nguyen, Nha, Leblanc, Gaston. (1998). The Mediating Role Of Corporate Image On Customers’ Retention Decisions: An Investigation In financial Services. International Journal of Bank Marketing. Volume 16. No. 2. MCB University Press.

Nuchasara, pringviriya, Fauziahhanimhj Fadzil, Syed Soffian Syed Ismail. (2015). Service Quality, Customer Satisfaction And Customer Loyalty In Thailand’s Audit Firms. International Journal of Management and Applied Science, ISSN: 2394-7926 Volume-1, Issue-5, June-2015.

Orthodox Tefera, Profesor Krisnha Govender. (2017). Service quality, customer satisfaction and loyalty: The perceptions of Ethiopian Hotel Guests. Journal of Hospitality, Tourism and Leisure, Volume 6 (2) - (2017) ISSN: 2223-814X. University of KwaZulu-Natal South Africa.

Oliver, Richard L. (1980). A Cognitive Model of the Antecedents and Consequences of Satisfaction Decisions. Journal of Marketing Research, Vol. 17, No. 4 (Nov., 1980), pp. 460-469.

. (1999). Whence Costumer Loyality? Journal of Marketing, Vol. 63, Fundamental Issues and Directions for Marketing (1999), pp. 33-44. American Marketing Association.

Parasuraman, A., Zeithaml, Valarei, A., Berry, Leonard, L., (1985). A Conceptual Model of Service Quality and Implication For Future Research, Journal of Marketing, Fall 49, pg. 41.

Plyriadi, Annas. (2013). Pengaruh Kualitas Layanan, Citra dan Nilai terhadap Kepuasan Pasien Rawat Inap Rumah Sakit Tipe B di Makassar. Disertasi. Program Pascasarjana UMI, Makassar.

Ren-Fang Chao, Tai-Chi Wu, Wei-Ti Yen. (2015). The Influence of Service Quality, Brand Image, and Customer Satisfaction on Customer Loyalty for Private Karaoke Roomsin Taiwan. The Journal of Global Business Management Volume 11 - Number 1 April 2015 Issue.

Rini Rahayu Kurniati, Suharyono, Djamhur Hamid, Zainul Arifin. (2015). The Effect of Customer Relationship Marketing (CRM) and Service Quality to Corporate Image, Value, Customer Satisfaction, and Customer Loyalty. European Journal of Business and Management ISSN 2222-2839 (Online) Vol.7, No.11.

Rizwan Ali, Gao Leifu, Muhammad Yasir Rafiq, Mudassar Hassan. (2015). Role Of Perceived Value, Customer Expectation, Corporate Image And Perceived Service Quality On The Customer Satisfaction. The Journal of Applied Business Research – July/August 2015 Volume 31, Number 4.

Sany Sanury Mohd Mokhtar, Maha Mohammad Yusr. (2016). Exploring the Antecedents of Customer Loyalty in the Malaysian Retail Sector. International Review of Management and Marketing 2016, 6(3), 577-583 ISSN: 2146-4405. Universiti Utara Malaysia.

Suriadi, Abadi, I., Jasiyah, R., Hardin, Dahniar, N., Jusni, & Alputila, M. J. (2019). The consciousness of excellent quality service to improve effectiveness of TQM and kaizen-PDCA quality management. IOP Conference Series: Earth and Environmental Science, 343(1), 1–5.

Tjiptono, Fandy. & Gregorius Chandra, (2005). Service Quality & Satisfaction, Yogyakarta: Penerbit Andi.

, (2013). Pemasaran Jasa, Prinsip, Penerapan, Penelitian. Yogyakarta: Penerbit Andi.

Tunisah, Ida Mahtufah. (2015). The Effects Of Service Quality, Customer Satisfaction, Trust, And Perceived Value Towards Customer Loyalty. JDM Vol. 6, No. 1, 2015, pp: 55-61. Jurnal Dinamika Manajemen ISSN 2086-0668 (cetak) 2337-5434.

Untung Setito Purwanto, Raihan (2017) The Effect Of Service Quality And Corporate Image On Customer Satisfaction And Loyalty In Mobile Telecommunication Industry In Indonesia. International Journal of Multidisciplinary Research and Development Online ISSN: 2349-4182 Volume 4; Issue 10; October 2017; Page No. 06-11.

Zahir Osman, Liana Mohamad, Ratna Khuizaimah Mohamad. (2015). An Empirical Study of Direct Relationship of Service Quality, Customer Satisfaction and Bank Image on Customer Loyalty in Malaysian Commercial Banking Industry. American Journal of Economics 2015, 5(2): 168-176. OUM Business School, Open University Malaysia.