The Role of Patient Experience in Improving Revisit Intention Among General Outpatients in District Hospital
DOI:
https://doi.org/10.61132/ijema.v3i1.1202Keywords:
Co-Creation, Hospital Image, Outpatient, Patient Experience, Revisit IntentionAbstract
In response to the evolving landscape of public healthcare services, hospitals are expected not only to maintain operational efficiency but also to adapt to the shifting needs and expectations of patients as healthcare consumers. The presence of non-BPJS patients in regional public hospitals plays a strategic role not only contributing to revenue diversification but also reflecting service quality, institutional competitiveness, and shaping public perception. The declining trend in outpatient visits by general patients at RSUD Balaraja over the past three years highlights the need to understand the factors influencing consumer behavior in determining revisit intentions. This study examines the effect of co-creation and hospital image on the revisit intention of outpatient general patients at RSUD Balaraja, with patient experience as a mediating variable. The research employed a quantitative explanatory design involving 278 outpatient general patients selected through purposive sampling. Data were collected via structured questionnaires and analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results indicate that patient experience plays a significant mediating role in shaping revisit intention among general outpatients at RSUD Balaraja. These findings confirm that patient experience serves as a central factor in post-service evaluation processes, which ultimately drive patients’ intention to return. Therefore, hospitals need to enhance patient involvement in service processes (co-creation), improve public perception of institutional image (hospital image), and develop patient-centered service systems as a key strategy to increase revisit intention among general outpatients.
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References
Agency for Healthcare Research and Quality. (2016). What is patient experience? Agency for Healthcare Research and Quality. https://www.ahrq.gov/cahps/about-cahps/patient-experience/index.html
Ansell, C., & Torfing, J. (2021). Public governance as co-creation: A strategy for revitalizing the public sector and rejuvenating democracy. Cambridge University Press.
Baker, D. A., & Crompton, J. L. (2000). Quality, satisfaction and behavioral intentions. Annals of Tourism Research, 27(3), 785–804.
Balik, B., Conway, J., Zipperer, L., & Watson, J. (2011). Achieving an exceptional patient and family experience of inpatient hospital care. IHI Innovation Series White Paper. Cambridge, MA: Institute for Healthcare Improvement.
Ben-Sira, Z. (1976). The function of the professional’s affective behavior in client satisfaction: A revised approach to social interaction theory. Journal of Health and Social Behavior, 17(1), 3–11.
Blackwell, R. D., Miniard, P. W., & Engel, J. F. (2001). Consumer behavior (9th ed.). South-Western Thomas Learning.
Cole, S. T., & Scott, D. (2004). Examining the mediating role of experience quality in a model of tourist experiences. Journal of Travel & Tourism Marketing, 16(1), 79–90.
Dobni, D., & Zinkhan, G. M. (1990). In search of brand image: A foundation analysis. Advances in Consumer Research, 17(1), 110–119.
Hair, J., Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2021). A primer on partial least squares structural equation modeling (PLS-SEM). SAGE Publications. https://books.google.co.id/books?id=AVMzEAAAQBAJ
Hakim, F. A., Situmorang, S. H., & Sembiring, B. K. F. (2025). The effect of hospital image and service quality on patient loyalty through satisfaction as an intervening variable in the outpatient unit Sawit Indah Perbaungan General Hospital. Formosa Journal of Multidisciplinary Research, 4(1), 389–404. https://doi.org/10.55927/fjmr.v4i1.12952
Kotler, P., Keller, K. L., & Chernev, A. (2021). Marketing management. Pearson Education. https://books.google.co.id/books?id=zXpfzgEACAAJ
NHS Institute for Innovation and Improvement. (2013). The patient experience book. NHS.
Paul, J. P., & Olson, J. C. (2010). Consumer behavior and marketing strategy (9th ed.). McGraw-Hill.
Perks, H., Gruber, T., & Edvardsson, B. (2012). Co-creation in radical service innovation: A systematic analysis of microlevel processes. Journal of Product Innovation Management, 29(6), 935–951.
Prahalad, C. K., & Ramaswamy, V. (2004). Co-creation experiences: The next practice in value creation. Journal of Interactive Marketing, 18(3), 5–14.
Pula, F. (2022). Co-creating value and its impact on customer satisfaction and customer loyalty: A banking sector perspective. Journal of Governance and Regulation, 11(4), 179–190. https://doi.org/10.22495/jgrv11i4art17
Ramaswamy, V., & Ozcan, K. (2020). The co-creation paradigm. Stanford University Press.
Schiffman, L. G., Kanuk, L. L., & Kumar, S. R. (2010). Consumer behavior (10th ed.). Pearson Prentice Hall.
Sharma, V., & Bhat, D. A. R. (2022). Co-creation and technological innovation: The predictors of guest satisfaction and revisit intention in hospitality industry. International Journal of Hospitality & Tourism Systems, 15(1).
Vargo, S. L., & Lusch, R. F. (2014). Evolving to a new dominant logic for marketing. In The service-dominant logic of marketing (pp. 3–28). Routledge.
Wolf, W., Jason, A., Niederhauser, R. N., Marshburn, R. N., & LaVela, M. P. H. (2014). Defining patient experience. Patient Experience Journal, 1(1), 7–19.
Zeithaml, V. A., Bitner, M. J., & Gremler, D. D. (2018). Services marketing: Integrating customer focus across the firm (7th ed.). McGraw-Hill.
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