Integration of Service Quality and Sustainability on Revisit Intention
Doni Nugroho Dwi(1*), Eko Pujiyanto(2), Retno Wulan Damayanti(3)
(1) Industrial Engineering Study Program, Faculty of Engineering, Sebelas Maret University Surakarta
(2) Industrial Engineering Study Program, Faculty of Engineering, Sebelas Maret University Surakarta
(3) Industrial Engineering Study Program, Faculty of Engineering, Sebelas Maret University Surakarta
(*) Corresponding Author
Abstract
Background: Hospital service quality played an important role in improving patient satisfaction and loyalty. However, sustainability, particularly the triple bottom line, became a new challenge in modern hospital management. Several studies demonstrated significant influences of service quality and sustainability on patients' intentions to revisit, yet studies that systematically integrated both aspects, especially in specialist hospitals, remained limited.
Objective: This study aimed to examine the relationship between service quality dimensions and sustainability in relation to patient satisfaction and revisit intention, as well as to formulate future research agendas concerning sustainable healthcare services.
Methods: Literature was collected using the PRISMA method from the Scopus and Google Scholar databases, covering publications from 2019 to 2025.
Results: The analysis indicated that most of the reviewed literature employed the PLS-SEM method to examine the relationship between service quality and patient satisfaction. The findings consistently showed that service quality dimensions affected patient satisfaction, while sustainability dimensions contributed significantly to service perception and patients’ revisit intention. However, studies examining the integration of service quality and the triple bottom line remained scarce.
Conclusion: The integration of service quality and sustainability emerged as an important aspect in improving service quality and patient retention. This study provided direction for future research and hospital practices aiming to develop value-oriented service systems with long-term and operational sustainability.
Keywords
Full Text:
PDFReferences
Abou Elseoud, M. S. (2023). An analysis of healthcare quality sustainability in public hospitals. International Journal of Emerging Trends in Health Sciences, 7(1), 1–11. https://doi.org/10.18844/ijeths.v7i1.9222
Agung, S., Srihastuti, E., & Athori, A. (2022). Pengaruh Penerapan Akuntansi Lingkungan Terhadap Kinerja Lingkungan Rumah Sakit Umum Daerah Kabupaten Kediri. JCA (Jurnal Cendekia Akuntansi), 3(1), 9. https://doi.org/10.32503/akuntansi.v3i1.2656
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), 1–19. https://doi.org/10.55541/emj.v3i2.130
Basalamah, K., & Ahri, R. A. (2021). The Influence of Image and Service Quality on Patient Satisfaction and Retention at the Regional General Hospital of Makassar City Pengaruh Citra dan Kualitas Layanan Terhadap Kepuasan dan Minat Kembali Pasien pada Rumah Sakit Umum Daerah Kota Makassar. An Idea Health Journal, 1(02), 81–91.
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. https://doi.org/10.38035/jmpis.v3i1.867
Fitriana, Y., & Pratiwi, K. (2018). Pelaksanaan Patient Safety Di Rumah Sakit Umum Daerah Dan Rumah Sakit Umum Swasta Bantul Berdasarkan Ketentuan Undang-Undang Nomor 44 Tahun 2009 Tentang Rumah Sakit. Jurnal Kebidanan, 7(1), 28. https://doi.org/10.26714/jk.7.1.2018.28-39
Gupta, H., Garg, S., & Gupta, U. (2023). Development of Sustainable Healthcare Model for the Hospitals in Northern India. Jurnal Administrasi Kesehatan Indonesia, 11(1), 131–144. https://doi.org/10.20473/jaki.v11i1.2023.131-144
Hadjri, M. I., & Perizade, B. (2020). Green Human Resource Management dan Kinerja Lingkungan: Studi Kasus pada Rumah Sakit di Kota Palembang. Jurnal Inovasi Bisnis 8, 8, 182–192.
Hamze, M. M., & Mahmood, O. K. (2025). The Impact of Service Quality on Enterprise Sustainability Patients Perspective. Journal of Zankoy Sulaimani, January.
Harared, B., & Rahadian, Y. (2019). Strategi Keberlanjutan (Sustainability) Pada Rumah Sakit Khusus Mata X. Jurnal Riset Akuntansi dan Keuangan, 7(2), 367–378. https://doi.org/10.17509/jrak.v7i2.17030
Helmi, Y., & Ratnasih, C. (2022). Pengaruh Kualitas Pelayanan Terhadap Kepuasan Pasien Pada Rumah Sakit Provinsi NTB:(Studi Kasus Pada Poli Orthopedi). Prosiding Seminar Nasional …, 46–52. https://prosiding.borobudur.ac.id/index.php/1/article/view/8%0Ahttps://prosiding.borobudur.ac.id/index.php/1/article/download/8/5
Khan, M. S., Hafiz, A., Khadar, S. D. A., & Fahad, M. (2022). Sustainability in the Service Quality of Healthcare Facilities. International Journal of Social Ecology and Sustainable Development, 13(5). https://doi.org/10.4018/IJSESD.313962
Laila, F. N., & Paramarta, V. (2024). Jurnal Kesehatan Ilmiah Indonesia ( Indonesian Health Scientific Journal ) Pengaruh Kualitas Pelayanan Pada Kepuasan Pasien Dan Konsekuensinya Terhadap Loyalitas di Rumah Sakit 1Universitas Sangga Buana Bandung Jurnal Kesehatan Ilmiah Indonesia ( Indonesi. Jurnal Kesehatan Ilmiah Indonesia, 9(2).
Maranggi, O., & Bachtiar, A. (2024). Analisa Mutu Pelayanan Rumah Sakit Terhadap Kepuasan dan Loyalitas Pasien. Jurnal Ilmu Sosial dan Pendidikan, 4(6).
Nugraha, K. S. W., Suryaningsih, I. B., & Paramita, C. (2018). Pengaruh Elemen-Elemen Healthcare Service Quality (Hcsq) Terhadap Kepuasan Pasien Rumah Sakit Bina Sehat Jember. Bisma, 12(3), 323. https://doi.org/10.19184/bisma.v12i3.9002
Pambudi, N. A. (2021). Pengaruh Kualitas Pelayanan Terhadap Revisit Intention Dengan Kepuasan Dan Kepercayanpasien Sebagai Variabel Intervening (Studi Pada Pasien Rawat Inap Di Rsu Permata Medika Kebumen). Gastronomía ecuatoriana y turismo local., 1(69), 5–24. http://eprints.universitasputrabangsa.ac.id/id/eprint/613/
Pongtambing, Y. S., Acantha, E., & Sampetoding, M. (2024). Transformasi Digital pada Layanan Kesehatan Berkelanjutan di Indonesia Digital Transformation of Sustainable Health Care in Indonesia. SainsTech Innovation Journal, 6(November 2023).
Ramadhani, R., Rasyid, E. R., & Fontanella, A. (2021). Motivasi Pengungkapan Tanggung Jawab Sosial dan Lingkungan. Jurnal Akuntansi Kompetif, 4(2), 105–117. https://ejournal.kompetif.com/index.php/akuntansikompetif/article/view/667
Saifullah, Ma, Z., Li, M., Maqbool, M. Q., & Chen, F. (2024). Family physician service quality and sustainability: a roadmap for Pakistan’s healthcare sector. Frontiers in Medicine, 11(December), 1–13. https://doi.org/10.3389/fmed.2024.1455807
Salim, A. (2020). Analisis Kualitas Pelayanan Rumah Sakit Negeri X Dan Kualitas Pelayanan Rumah Sakit Swasta Y Di Kota Pekanbaru. Journal of STIKes Awal Bros Pekanbaru, 38–47.
Santoso, A. S., Saputra, R. N. I., Oktisari, P., & Bernarto, I. (2024). The Influence of Perceived Service Quality Dimensions on Patients Satisfaction. Journal La Sociale, 5(4), 1044–1056. https://doi.org/10.37899/journal-la-sociale.v5i4.1234
Sari, M., & Ardiwirastuti, I. (2020). Correlation Between Patient Satisfaction To Patient Loyalty On Rsgm Iik Bhakti Wiyata Kediri Program Studi S1 Kedokteran Gigi Institut Ilmu Kesehatan Bhakti Wiyata Kediri. Jurnal Wiyata, 56–61.
Sudirman, Ali, M. N., & Rahman, N. (2024). Influence of Social Determinants of Health Service Quality on Patient Satisfaction at Undata Hospital, Palu. Journal of Public Health and Pharmacy, 4(2), 113–122. https://doi.org/10.56338/jphp.v4i2.5427
Syaharani, N. A., & Oktavia, R. (2024). Economics and Digital Business Review Analisis Sustainability Report : Upaya Peningkatan Produktivitas Profitabilitas pada Perusahaan Manufaktur. 5(2), 675–684.
Wiogo, L. (2025). The Effect of Service Quality , Perceived Value , on Revisit Intention Mediated by Customer Satisfaction in Primary Health Care. Jurnal Ranah Research, 7(3), 1892–1908.
Article Metrics
Refbacks
- There are currently no refbacks.
Copyright (c) 2026 The Author(s)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Jurnal Kesehatan Vokasional with registered number ISSN 2541-0644 (print), ISSN 2599-3275 (online) published by the Departement of Health Information Management and Services, Vocational College, Universitas Gadjah Mada



