Proposed Marketing Strategy to Strengthen Herbal Patient Loyalty: (Case Study at RSU Holistic Purwakarta)
DOI:
https://doi.org/10.56910/literacy.v4i2.2292Keywords:
Service Quality, Patient Satisfaction, Patient Loyalty, Integrative Hospital, Marketing Strategy, SEM-PLSAbstract
Healthcare service is one of the most important industries in Indonesia. Over the past years, public interest in traditional and herbal medicine has increased, especially after the COVID-19 pandemic. RSU Holistic Purwakarta is one of the pioneers of integrative hospitals in Indonesia that offers herbal inpatient services. However, the hospital is currently experiencing a significant decrease in herbal inpatient visits, which is also reflected in its low bed occupancy rate. Based on preliminary research and problem identification, the main issue found is the declining patient loyalty towards the hospital's herbal services. The objective of this research is to formulate a marketing strategy to strengthen herbal patient loyalty and identify which service quality factors influence patient satisfaction and loyalty. This study applies a quantitative and qualitative approach. The quantitative method is conducted through a survey distributed to 155 herbal inpatients, and the data were analyzed using Structural Equation Modeling (SEM) via SmartPLS. The qualitative method includes interviews with the hospital’s management and marketing team to explore internal service issues and market behavior. The findings show that service quality on the people dimension (reliability, responsiveness, and empathy) has a significant influence on patient satisfaction (R² = 0.696), and satisfaction significantly affects patient loyalty (R² = 0.685). The p-values for all constructs are <0.05, confirming the acceptance of all hypotheses. Interviews also identified inefficiencies such as late doctor attendance. Based on the internal and external analysis using the 7P Marketing Mix, PESTEL, and Porter’s Five Forces frameworks this research proposes a marketing strategy. The result is a TOWS matrix that provides actionable strategies, such as strengthening people-based service quality, enhancing integrated communication efforts, and positioning RSU Holistic as a leading herbal and tourism-based hospital. This study contributes academically and practically by emphasizing the role of marketing strategy in strengthening loyalty in the healthcare industry.
References
Alan Wilson, Valarie Zeithaml, and Mary Jo Bitner, Services Marketing: Integrating Customer Focus Across the Firm, 2018.
Almomani, R. Z. Q., Al-Ghdabi, R. R., and Hamdan, K. M., “Patients’ satisfaction of health service quality in public hospitals: A PubHosQual analysis,” Management Science Letters, vol. 10, no. 8, pp. 1803–1812, 2020. [Online]. Available: https://doi.org/10.5267/j.msl.2019.12.038
Anisah, I., and Nasution, Z., “Faktor-Faktor Kualitas Pelayanan Kesehatan yang Mempengaruhi Kepuasan Pasien Rawat Jalan di Puskesmas Binjai Kota,” Journal of Healtcare Technology and Medicine, vol. 8, no. 2, pp. 2615–109, 2022.
Buchter, J., Cordina, J., and Eckorcate, J., “Consumers rule: Driving healthcare growth with a consumer-led strategy,” 2024. [Online]. Available: https://www.mckinsey.com/industries/healthcare/our-insights/consumers-rule-driving-healthcare-growth-with-a-consumer-led-strategy#/
Dewi, R., and Suryono, Komunikasi Kesehatan dan Interpersonal Skill Tenaga Kesehatan (2), Green Publisher Indonesia, 2024.
Erpurini, W., and Diana Saleh, F., “Analisa Kualitas Pelayanan Pasien Pada Klinik Umum Pratama Kasih Bunda Yanti Rajamandala,” Jurnal Sains Manajemen, vol. 2, 2021.
Fatima, T., Malik, S. A., and Shabbir, A., “Hospital healthcare service quality, patient satisfaction and loyalty,” International Journal of Quality & Reliability Management, vol. 35, no. 6, pp. 1195–1214, 2018a.
Fatima, T., Malik, S. A., and Shabbir, A., “Hospital healthcare service quality, patient satisfaction and loyalty: An investigation in context of private healthcare systems,” International Journal of Quality and Reliability Management, vol. 35, no. 6, pp. 1195–1214, 2018b.
Hair, J. F., Hult, G. T. M., Ringle, C. M., and Sarstedt, M., A Primer on Partial Least Squares Structural Equation Modeling, SAGE Publications, 2022.
Hair, J. F., Risher, J. J., Sarstedt, M., and Ringle, C. M., “When to use and how to report the results of PLS-SEM,” European Business Review, vol. 31, no. 1, pp. 2–24, 2019.
Haryono, S., Metode SEM Untuk Penelitian Manajemen Amos Lisrel PLS, Luxima, 2017.
Henseler, J., Ringle, C. M., and Sarstedt, M., “A new criterion for assessing discriminant validity in variance-based structural equation modeling,” Journal of the Academy of Marketing Science, vol. 43, no. 1, pp. 115–135, 2015.
Herudiansyah, G., and Haminsyah, K., “Analisis Pengaruh Kualitas Pelayanan Kesehatan Terhadap Kepuasan Pasien Pada Rumah Sakit Muhammadiyah Palembang,” JEMBATAN, vol. 5, pp. 1–12, 2020. [Online]. Available: https://doi.org/10.54077/jembatan.v5i1.33
Hoenders, R., et al., “A review of the WHO strategy on traditional, complementary, and integrative medicine from the perspective of academic consortia,” Frontiers in Medicine, vol. 11, 2024. [Online]. Available: https://doi.org/10.3389/fmed.2024.1395698
Imam Ghozali, Partial Least Squares: Konsep, Teknik dan Aplikasi Menggunakan Program SmartPLS 3.2.9 Untuk Penelitian Empiris, 3rd ed., Badan Penerbit Undip, 2021.
Issa, H. M. M., Binti Zaidin, N., and Ali, M. I., “Enhancing Patient Loyalty through High-Quality and Actual Value Delivery,” International Journal of Academic Research in Business and Social Sciences, vol. 15, no. 1, 2025. [Online]. Available: https://doi.org/10.6007/IJARBSS/v15-i1/24530
Kock, N., and Hadaya, P., “Minimum sample size estimation in PLS‐SEM: The inverse square root and gamma‐exponential methods,” Information Systems Journal, vol. 28, no. 1, pp. 227–261, 2018.
Liu, S., Li, G., Liu, N., and Hongwei, W., “The Impact of Patient Satisfaction on Patient Loyalty with the Mediating Effect of Patient Trust,” INQUIRY: The Journal of Health Care Organization, Provision, and Financing, vol. 58, 2021. [Online]. Available: https://doi.org/10.1177/00469580211007221
Mutia, M., and Pujianto, P., “Application of The 7P Mix Marketing on Patient Satisfaction at Hospitals,” Malahayati Nursing Journal, vol. 4, no. 9, pp. 2270–2281, 2022. [Online]. Available: https://doi.org/10.33024/mnj.v4i9.6941
Oentara, S., and Bernarto, I., “Pengaruh Kualitas Pelayanan terhadap Loyalitas Pasien dengan Kepuasan Pasien sebagai Mediasi di WellClinic Gading Serpong,” Indonesian Marketing Journal, vol. 2, no. 1, p. 1, 2022. [Online]. Available: https://doi.org/10.19166/imj.v2i1.5866
Puryanti, Setianto, B., and Adriansyah, A. A., “The Influence of External Service Quality and Satisfaction on Patient Loyalty in Surabaya Islamic Hospital,” 2023. [Online]. Available: https://doi.org/10.33086/jhs.v16.i01.3984
Rahardian, E., Iriani, S. S., and Sanaji, S., “Pengaruh Kualitas Layanan terhadap Kepuasan dan Loyalitas Pasien di Puskesmas Pakis Kota Surabaya,” COSTING, vol. 8, no. 1, pp. 28–38, 2025. [Online]. Available: https://doi.org/10.31539/costing.v8i1.14138
Ramayah, T., Cheah, J., Chuah, F., and Ting, H., Partial Least Squares Structural Equation Modeling (PLS-SEM) using SmartPLS 3.0: An Updated and Practical Guide, 2nd ed., Pearson Malaysia, 2018.
Sitepu, M., and Kosasih, K., “Analisis Loyalitas Pasien dan Kepuasan Pasien: Pendekatan Kajian Literatur,” Jurnal Penelitian Inovatif, vol. 4, no. 4, pp. 2047–2058, 2024. [Online]. Available: https://doi.org/10.54082/jupin.834
Suhendar, D., Fitriani, L., Wijayanti, R., and Pradesa, A., “Analisis Faktor Atas Kualitas Layanan di Laboratorium pada RSUP Rotinsulu Bandung,” JAMBURA, vol. 7, no. 2, 2024. [Online]. Available: http://ejurnal.ung.ac.id/index.php/JIMB
Uma Sekaran, and Roger Bougie, Research Methods for Business: A Skill Building Approach, John Wiley & Sons, 2016.
Wiyono, G., Merancang Penelitian Bisnis dengan Alat Analisis SPSS 25 & SmartPLS 3.2.8, UPP STIM YKPN, 2020.
Younquoi, C., Jalloh, A., Onyibe, P., and Nwosu, L., “The impact of healthcare service quality dimensions on patient satisfaction,” BOHR International Journal of General and Internal Medicine, vol. 2, no. 1, pp. 67–73, 2023. [Online]. Available: https://doi.org/10.54646/bijgim.2023.20
Zehra, S., and Ranjan, J., “Unveiling the Significance of Healthcare Quality Dimensions in Enhancing Patient Satisfaction,” 2024 2nd International Conference on Disruptive Technologies (ICDT), pp. 1710–1713, 2024. [Online]. Available: https://doi.org/10.1109/ICDT61202.2024.10489106
Zhou, W.-J., Wan, Q.-Q., Liu, C.-Y., Feng, X.-L., and Shang, S.-M., “Determinants of patient loyalty to healthcare providers: An integrative review,” International Journal for Quality in Health Care, vol. 29, no. 4, pp. 442–449, 2017. [Online]. Available: https://doi.org/10.1093/intqhc/mzx058
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