Kualitas Layanan Rumah Sakit: Tinjauan Literatur Sistematis Berbasis Kerangka Teori Lovelock dan Implikasinya terhadap Kepuasan Pasien
DOI:
https://doi.org/10.31004/riggs.v5i2.10414Keywords:
Kualitas Layanan, Rumah Sakit, Lovelock, Flower of Service, Kepuasan Pasien, Tinjauan Literatur SistematisAbstract
Kualitas layanan merupakan determinan kritis kepuasan pasien dan keunggulan kompetitif rumah sakit. Penelitian ini menggunakan pendekatan Tinjauan Literatur Sistematis (TLS/SLR) dengan panduan PRISMA 2020 untuk memetakan, menganalisis, dan mensintesis temuan empiris mengenai kualitas layanan di rumah sakit berdasarkan kerangka teori Christopher Lovelock. Pencarian dilakukan pada empat database bereputasi (Google Scholar, Scopus, PubMed, ScienceDirect) dengan rentang publikasi 2015–2024. Dari 412 artikel yang diidentifikasi, sebanyak 75 studi memenuhi kriteria inklusi dan menjadi basis analisis. Hasil sintesis menunjukkan bahwa dimensi kualitas layanan menurut Lovelock, yakni layanan inti (core service), layanan fasilitasi (facilitating services), dan layanan peningkat (enhancing services) atau yang dikenal melalui metafora Bunga Layanan (Flower of Service), relevan dalam konteks rumah sakit, dengan empati, responsivitas, dan keandalan sebagai prediktor terkuat kepuasan pasien. Kesenjangan (gap) antara persepsi dan ekspektasi pasien paling sering ditemukan pada dimensi informasi, konsultasi, dan pengecualian layanan. Temuan ini memiliki implikasi manajerial dan kebijakan yang signifikan bagi pengelola rumah sakit di negara berkembang, termasuk Indonesia.
Downloads
References
[1] A. Donabedian, "Evaluating the quality of medical care," Milbank Quarterly, vol. 83, no. 4, pp. 691–729, 2005. https://doi.org/10.1111/j.1468-0009.2005.00397.x
[2] A. Parasuraman, V. A. Zeithaml, and L. L. Berry, "SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality," Journal of Retailing, vol. 64, no. 1, pp. 12–40, 1988.
https://doi.org/10.1016/S0022-4359(00)00072-4
[3] C. Lovelock and J. Wirtz, Services Marketing: People, Technology, Strategy, 7th ed. Upper Saddle River, NJ: Prentice Hall, 2011.ISBN: 978-0-13-610596-9
[4] C. Lovelock, P. Patterson, and J. Wirtz, Services Marketing: An Asia-Pacific and Australian Perspective, 6th ed. Melbourne: Pearson Australia, 2015.ISBN: 978-1-4860-0100-1
[5] Kementerian Kesehatan RI, Peraturan Menteri Kesehatan Nomor 4 Tahun 2019 tentang Standar Teknis Pemenuhan Mutu Pelayanan Dasar pada Standar Pelayanan Minimal Bidang Kesehatan. Jakarta: Kemenkes RI, 2019.
https://peraturan.bpk.go.id/Details/115372/permenkes-no-4-tahun-2019
[6] Kementerian Pendayagunaan Aparatur Negara dan Reformasi Birokrasi, Laporan Hasil Survei Kepuasan Masyarakat Bidang Kesehatan Tahun 2022. Jakarta: KemenPANRB, 2022.https://www.menpan.go.id/site/berita-terkini/survei-kepuasan-masyarakat-2022
[7] M. J. Page, J. E. McKenzie, P. M. Bossuyt, I. Boutron, T. C. Hoffmann, C. D. Mulrow, and D. Moher, "The PRISMA 2020 statement: An updated guideline for reporting systematic reviews," BMJ, vol. 372, art. n71, 2021. https://doi.org/10.1136/bmj.n71
[8] J. Cohen, "A coefficient of agreement for nominal scales," Educational and Psychological Measurement, vol. 20, no. 1, pp. 37–46, 1960.
https://doi.org/10.1177/001316446002000104
[9] Q. N. Hong, P. Pluye, S. Fàbregues, G. Bartlett, F. Boardman, M. Cargo, and I. Vedel, Mixed Methods Appraisal Tool (MMAT), Version 2018. Montreal: McGill University, 2018.https://doi.org/10.1371/journal.pone.0209220
[10] S. L. Vargo and R. F. Lusch, "Evolving to a new dominant logic for marketing," Journal of Marketing, vol. 68, no. 1, pp. 1–17, 2004.https://doi.org/10.1509/jmkg.68.1.1.24036
[11] R. M. Epstein and R. L. Street, "The values and value of patient-centered care," Annals of Family Medicine, vol. 9, no. 2, pp. 100–103, 2011.https://doi.org/10.1370/afm.1239
[12] Institute of Medicine, Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press, 2001.https://doi.org/10.17226/10027
[13] E. Batbaatar, J. Dorjdagva, A. Luvsannyam, M. M. Savino, and P. Amenta, "Determinants of patient satisfaction: A systematic review," Perspectives in Public Health, vol. 137, no. 2, pp. 89–101, 2017.https://doi.org/10.1177/1757913916634136
[14] K. Osei-Frimpong, G. Donkor, and N. Owusu-Frimpong, "The impact of service quality on patient satisfaction and behavioural intentions in public hospitals in Ghana," Total Quality Management & Business Excellence, vol. 30, no. 13–14, pp. 1552–1569, 2019.https://doi.org/10.1080/14783363.2017.1372334
[15] P. Padma, C. Rajendran, and P. S. Lokachari, "Service quality and its impact on customer satisfaction in Indian hospitals," Benchmarking: An International Journal, vol. 17, no. 6, pp. 807–841, 2010.https://doi.org/10.1108/14635771011089746
[16] K. K. Abuosi and R. A. Atinga, "Service quality in healthcare institutions: Establishing the gaps for policy action," International Journal of Health Care Quality Assurance, vol. 26, no. 5, pp. 481–492, 2013.https://doi.org/10.1108/IJHCQA-12-2011-0077
[17] R. R. Ramsaran-Fowdar, "Developing a service quality questionnaire for the hotel industry in Mauritius," Journal of Vacation Marketing, vol. 13, no. 1, pp. 19–27, 2007.https://doi.org/10.1177/1356766706071203
[18] M. Amin and S. Z. Nasharuddin, "Hospital service quality and its effects on patient satisfaction and behavioural intention," Clinical Governance: An International Journal, vol. 18, no. 3, pp. 238–254, 2013.https://doi.org/10.1108/CGIJ-05-2012-0016
[19] C. Purnama and I. S. Budi, "Analisis kesenjangan kualitas layanan kesehatan di rumah sakit umum daerah: Pendekatan SERVQUAL," Jurnal Administrasi Kesehatan Indonesia, vol. 9, no. 1, pp. 44–55, 2021.https://doi.org/10.20473/jaki.v9i1.2021.44-55
[20] S. Mardiana and A. Rahmat, "Pengaruh implementasi JKN-BPJS terhadap persepsi kualitas layanan rumah sakit di Jawa Barat," Jurnal Kesehatan Masyarakat, vol. 10, no. 3, pp. 215–226, 2022.https://doi.org/10.14710/jkm.v10i3.33112
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Guruh Satriya, Mei Vita Ariyani, Mela Azkiyah , Melina Budiarti, Mellynia Yuniarti , A Rohendi

This work is licensed under a Creative Commons Attribution 4.0 International License.


















