Analysis of factors affecting the quality of health service satisfaction in schizophrenic patients at outpatient mental health in Ernaldi Bahar hospital: A cross-sectional study

https://doi.org/10.52235/lp.v6i4.552

Authors

  • Titin Elfitriany Sekolah Tinggi Ilmu Kesehatan Bina Husada Palembang, Indonesia
  • Akhmad Dwi Priyatno Sekolah Tinggi Ilmu Kesehatan Bina Husada Palembang, Indonesia
  • Chairil Zaman Sekolah Tinggi Ilmu Kesehatan Bina Husada Palembang, Indonesia

Keywords:

mental health, satisfaction, schizophrenia, quality service

Abstract

Background: Quality healthcare services in hospital settings must comply with established standards to ensure patient safety and satisfaction. Noncompliance with these standards may lead to dissatisfaction and potential malpractice. However, there is limited research assessing patient satisfaction with the quality of healthcare services among schizophrenic patients at the outpatient mental health unit of Ernaldi Bahar Hospital, South Sumatra Province.

Objective: This study aimed to analyze the factors affecting patient satisfaction with the quality of healthcare services among schizophrenia patients at the outpatient mental health clinic of Ernaldi Bahar Hospital.

Methods: This quantitative research employed a cross-sectional design. The study population comprised 7,463 patients who visited the outpatient mental health unit of Ernaldi Bahar Hospital between January and March 2025. Using purposive sampling, 100 respondents were selected. Data were collected in May 2025 through a structured questionnaire and analyzed using univariate, bivariate, and multivariate logistic regression tests.

Results: The results revealed that several variables were significantly associated with patient satisfaction: education level (p = 0.068; OR = 0.462; 95% CI: 0.200–1.067), tangibles (p = 0.034; OR = 2.428; 95% CI: 1.062–5.552), assurance (p = 0.000; OR = 5.802; 95% CI: 2.076–16.217), and responsiveness (p = 0.098; OR = 2.595; 95% CI: 0.817–8.243). The dominant influencing factors were assurance and responsiveness, indicating that patients valued the reliability and promptness of service.

Conclusion: There is a significant relationship between education level, tangibles, assurance, and responsiveness with patient satisfaction among schizophrenic patients receiving outpatient care. Assurance and responsiveness were the most dominant predictors of satisfaction. Enhancing responsiveness—particularly in promptly addressing patient complaints, requests, and emotional needs—alongside maintaining assurance through professional competence and empathy, can improve overall service quality and satisfaction.

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References

Agustina, D. & Sakawati, N., 2020. Pengaruh kualitas pelayanan terhadap kepuasan pasien rawat inap di Rumah Sakit Umum Bahagia Kota Makassar.

Amatiria, G., 2017. Hubungan kualitas pelayanan ante natal care (ANC) dengan kepuasan pasien. Jurnal Ilmiah Keperawatan Sai Betik.

Andayani, M., 2021. Pengaruh kualitas pelayanan dan disiplin kerja terhadap kepuasan pasien rawat inap pada Rumah Sakit Umum Daerah Kabupaten Lahat. Motivasi: Jurnal Manajemen dan Bisnis.

Andriani, A., 2017. Hubungan mutu pelayanan kesehatan dengan kepuasan pasien di ruangan Poli Umum Puskesmas Bukittinggi. Jurnal Endurance: Kajian Ilmiah Problematika Kesehatan.

Anfal, A., 2020. Pengaruh kualitas pelayanan dan citra rumah sakit terhadap tingkat kepuasan pasien rawat inap Rumah Sakit Umum Sundari Medan tahun 2018. Excellent Midwifery Journal, 3(2), October.

Argista, Z.L., 2021. Persepsi masyarakat terhadap vaksin Covid-19 di Sumatera Selatan. Skripsi. Universitas Sriwijaya.

Arif, L., 2019. Kualitas pelayanan Balai Pemberantasan dan Pencegahan Penyakit Paru di Pamekasan. Dinasti Government: Jurnal Ilmu Administrasi Negara.

Aristian, M. T., Murni, N. S., & Zaman, C. (2025). Analysis of patient satisfaction with electronic medical record services at general hospital: A cross-sectional study. Lentera Perawat, 6(3), 522-530. DOI: 10.52235/lp.v6i3.536

Azzahra, N., & Fauzan, M. (2022). Analisis Responsiveness Petugas Kesehatan dalam Meningkatkan Kepuasan Pasien. Jurnal Administrasi Rumah Sakit, 10(2), 101–110.

Cahyanto, H., Sumarsono, T.G. & Natsir, M., 2024. Impact of ability, motivation and work discipline on staff performance. Innovation Business Management and Accounting Journal, 3(1), pp.112– 121.

Chisholm-Burns, M.A. et al., 2016. Pharmacotherapy Principles & Practice. 4th ed. New York: McGraw-Hill Education.

Darmin, D., 2021. Hubungan kualitas pelayanan asuhan keperawatan dengan tingkat kepuasan pasien di ruang interna RSUD Kota Kotamobagu. Miracle Journal.

Fitri, Zakatya. 2025. Analisis Kualitas Pelayanan Publik Pada Pasien Rawat Inap Orang Dengan Gangguan Jiwa (ODGJ) Di Rumah Sakit Jiwa Tampan Provinsi Riau. Skripsi. Universitas Islam Negeri Sultan Syarif Kasim Riau

Frederico, G.F., Garza-Reyes, J.A., Kumar, A. & Kumar, V., 2020. Performance measurement for supply chains in the Industry 4.0 era: a balanced scorecard approach. International Journal of Productivity and Performance Management.

Handayani, S. (2021). Hubungan Empati Petugas Medis terhadap Kepuasan Pasien. Jurnal Keperawatan Jiwa, 6(1), 41–48.

Harokan, A., & Suryani, L. (2025). Analysis of service satisfaction factors in the internal medicine polyclinic of a general hospital: A cross-sectional study. Lentera Perawat, 6(3), 561-569. Doi: 10.52235/lp.v6i3.522

Hartanto, A.E., Hendrawati, G.W. & Sugiyorini, E., 2021. Kepuasan PelayananTerhadap penurunan stigma masyarakat., 5(1), pp.63– 68.

Hartono, R., Wijayanti, D., & Rini, Y. (2020). Dimensi Kualitas Pelayanan Rumah Sakit dan Kepuasan Pasien. Jurnal Administrasi Kesehatan Indonesia, 8(3), 175–182.

Heryenzus, H. & Suali, S., 2018. Pengaruh kinerja pelayanan dengan pendekatan Malcolm Baldrige terhadap kepuasan pasien BPJS Kesehatan pada Rumah Sakit Umum Daerah Kota Batam. Jurnal Niara, 11(2), pp.150–158.

Kementerian Kesehatan Republik Indonesia, 2021. Pedoman Pelayanan Kefarmasian pada Pasien Gangguan Jiwa. Jakarta: Kementerian Kesehatan RI.

Kurniawati, N. (2020). Pengaruh Karakteristik Demografi terhadap Kepuasan Pasien Rawat Jalan. Jurnal Manajemen Pelayanan Kesehatan, 23(2), 87– 94.

Kurniawati, N., 2018. Pengaruh dimensi kualitas pelayanan terhadap kepuasan pasien rawat inap di Rumah Sakit Umum Daerah (RSUD) Pasirian Kabupaten Lumajang.

Lestari, A. (2020). Tingkat Pendidikan dan Kepuasan Pasien di Instalasi Psikiatri. Jurnal Kesehatan Masyarakat Andalas, 14(1), 66–72.

Marlina, S., Pratama, R., & Yusnita, H. (2021). Daya Tanggap dan Loyalitas Pasien pada Pelayanan Kesehatan. Jurnal Pelayanan Kesehatan, 9(1), 21– 29.

Mawar, D.Y., Norr, C. & Valentina, M.S., 2017. Studi penggunaan antipsikotik dan efek samping pada pasien skizofrenia di Rumah Sakit Jiwa Sambang Lihun Kalimantan Selatan. Jurnal Sains Farmasi & Klinis, 3(2), pp.153– 164.

Metode Penelitian. Yogyakarta: Pustaka Pelajar. Saputra, H., & Amelia, R. (2020). Assurance as a Dominant Factor in Mental Health Services. Jurnal Psikologi Klinis dan Kesehatan Mental, 9(2), 89–96.

Misngadi, M., Sugiarto, S. & Dewi, R.S., 2020. Analisis kepuasan pasien berdasarkan kualitas pelayanan di Puskesmas Payo Selincah. Jurnal Healthcare Technology and Medical

Notoatmodjo, S., 2012. Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta.

Pahrudin, P., 2020. Inovasi pelayanan kesehatan melalui program Lorong Sehat (Longser) di Kecamatan Manggala Kota Makassar. Skripsi. Universitas Hasanuddin.

Panggalo, N., 2021. Analisis kualitas layanan Shared Service Center pada PT Pelabuhan Indonesia IV (Persero). Skripsi. Universitas Hasanuddin.

Parasuraman, A., Zeithaml, V.A. & Berry, L.L., 1988. SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), pp.12–37.

Patricia, G.O., Wanifred, Z.K. & Karen, A.B., 2014. Keperawatan Kesehatan Jiwa Psikiatri: Teori dan Praktik. Jakarta: Penerbit Buku Kedokteran.

Pemerintah Republik Indonesia, 2009. Undang-Undang Republik Indonesia Nomor 44 Tahun 2009 tentang Rumah Sakit. Jakarta: Sekretariat Negara.

Prabowo, D., Suryani, T., & Mulyana, R. (2018). Hubungan Jenis Kelamin dengan Kepuasan Pasien. Jurnal Pelayanan Kesehatan Publik, 5(2), 33–41. Prasetyo, B. (2019). Kehandalan Layanan dan Dampaknya pada Tingkat Kepuasan Pasien. Jurnal Kualitas Kesehatan, 4(3), 52– 59.

Prasetyo, B., [n.d.]. Kualitas pelayanan kesehatan pasien rawat inap pengguna BPJS di Puskesmas Tamanan Kabupaten Bondowoso. Rahman, T., Putri, Y., & Maulana, A. (2020). Patient Satisfaction and Its Determinants. Indonesian Journal of Public Health, 15(4), 365–374.

Rumah Sakit Ernaldi Bahar Provinsi Sumatera Selatan, 2024. Profil Rumah Sakit. Palembang: RS Ernaldi Bahar.

Safitri, R., & Indrawati, T. (2019). Analisis Pengaruh Pendidikan terhadap Kepuasan Pasien. Jurnal Ilmu Kesehatan, 9(2), 117–125. Saifuddin, A., 2010.

Sujianto, M., Timah, S. & Dainga, E., 2017. Faktor-faktor yang berhubungan dengan kinerja perawat di ruang Hana, Ester dan Lukas RSU Pancaran Kasih GMIM Kota Manado. Jurnal Community and Emergency.

Suliati, P., Murni, N. S., Zaman, C., Yusnilasari, Y., & Kesumaputri, B. A. (2025). Analysis of Dental Health Service Satisfaction in Dental Polyclinic Patients: A Cross-sectional Study. Lentera Perawat, 6(2), 346-354. Doi: 10.52235/lp.v6i2.484

Supriyadi, T., & Nugroho, B. (2020). Pengaruh Bukti Fisik terhadap Kepuasan Pasien. Jurnal Kesehatan, 8(2), 115–122.

Suryani, M. (2021). Hubungan Usia dan Kepuasan Pasien di Pelayanan Kesehatan Primer. Jurnal Ilmu Kesehatan Masyarakat, 12(1), 22–29.

Susanti, M., Kartono, D., & Dewi, P. (2019). Empati Petugas Kesehatan terhadap Pasien Jiwa di Rawat Jalan. Jurnal Keperawatan Indonesia, 12(1), 33–40.

Syafitri, E., & Rahayu, N. (2020). Pengaruh Empati dalam Interaksi Pelayanan Kesehatan Mental. Jurnal Komunikasi Kesehatan, 7(2), 91–98.

Taufik, R. (2021). Profesionalisme Pelayanan Kesehatan Mental dan Dampaknya terhadap Kepuasan Pasien. Jurnal Psikiatri Indonesia, 8(1), 14–21.

Widodo, R. (2018). Peran Kehandalan Pelayanan dalam Kepuasan Pasien Jiwa. Jurnal Psikologi dan Kesehatan Mental, 4(3), 55–64.

Wijaya, A., & Hidayat, S. (2020). Responsiveness Petugas dan Kualitas Layanan Kesehatan. Jurnal Administrasi dan Kebijakan Kesehatan, 6(2), 98–107.

World Health Organization (WHO), 2011. The World Report: Mental Health: New Understanding, New Hope. Geneva: WHO.

Wulandari, D. (2022). Tangible Aspect and Service Satisfaction: A Study in Public Hospitals. Health Services Research, 10(1), 112– 119.

Yuliana, S., & Ahmad, H. (2019). Age and Service Expectation in Health Facilities. Journal of Public Health Research, 4(2), 78–85.

Yuliani, M., & Hasanah, I. (2019). Assurance dan Kepuasan Pasien pada Pelayanan Psikiatri. Jurnal Keperawatan Jiwa, 5(2), 34–40. Zahnia, S. & Sumekar, D.W., 2016. Kajian epidemiologis skizofrenia. Jurnal Majority, 5(4).

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Published

2025-12-01

How to Cite

Elfitriany, T., Priyatno, A. D., & Zaman, C. (2025). Analysis of factors affecting the quality of health service satisfaction in schizophrenic patients at outpatient mental health in Ernaldi Bahar hospital: A cross-sectional study. Lentera Perawat, 6(4), 649–658. https://doi.org/10.52235/lp.v6i4.552

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